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Updated: Jul 5, 2026

Assessing Respiratory Immune Responses to Haemophilus Influenzae
Published on: June 29, 2021
Haemophilus influenzae colonization and its risk factors in children aged <2 years in northern India
S Sekhar1, A Chakraborti, R Kumar
1Department of Community Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Insights
Haemophilus influenzae type b (Hib) carriage is common in northern Indian children under two, particularly those aged 18-21 months. Factors like housing and season influence carriage, suggesting early infant vaccination is crucial.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Disease burden and affected age groups for Haemophilus influenzae remain unclear in South Asia.
- Nasopharyngeal carriage of H. influenzae provides insights into transmission dynamics.
Purpose of the Study:
- To determine the prevalence and factors associated with H. influenzae nasopharyngeal carriage in children under two years in northern India.
Main Methods:
- A prospective, population-based study involving 1000 children aged <2 years from rural and urban northern India.
- Nasopharyngeal swabs were collected to identify H. influenzae carriage.
- Analysis considered age, socioeconomic factors (housing, overcrowding), and season.
Main Results:
- Overall H. influenzae carriage prevalence was 11.2%.
- Type b (Hib) accounted for 69% of isolates.
- The highest carriage rate was observed in children aged 18-21 months.
- Carriage was significantly influenced by age, housing type, overcrowding, and season.
Conclusions:
- Hib carriage is prevalent in northern India among young children.
- Early infancy vaccination is recommended due to early establishment of carriage.
- Socioeconomic and environmental factors play a role in transmission.
Abstract:
The disease burden and the age group of children most affected by Haemophilus influenzae remain controversial particularly in many countries of South Asia. Nasopharyngeal carriage of H. influenzae can indicate the transmission dynamics in these settings. In a prospective population-based study, nasopharyngeal swabs from 1000 children aged <2 years, belonging to various socioeconomic groups from rural and urban areas of northern India were taken. The prevalence of H. influenzae carriage was found to be 11.2%. Among these isolates, 69% belonged to type b and the rest were non-typable. The age group most affected was 18-21 months. The carriage rate was influenced by age and socioeconomic factors namely type of housing, overcrowding, and season. Hib carriage is quite common in northern India and it is associated with age, type of housing, overcrowding, and season. Since carriage gets established early, Hib vaccination should target children in early infancy.
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