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Disease pattern and seasonal variation among Japanese expatriate children in Thailand

Rie Sakai1, Eiji Marui, Som-Arch Wongkhomthong

  • 1Department of Public Health, Juntendo University School of Medicine, Tokyo, Japan. riesakai@med.juntendo.ac.jp

Pediatrics International : Official Journal of the Japan Pediatric Society
|May 8, 2009
PubMed

Insights

Japanese and Thai children in Thailand share similar disease patterns, with respiratory illnesses being most common. Seasonal viral infections, particularly during the rainy season, require targeted preventive measures.

Area of Science:

  • Pediatrics
  • Epidemiology
  • Global Health

Background:

  • Increased globalization has led to a rise in Japanese expatriates, including children, living in Thailand.
  • Understanding the health profiles of pediatric expatriate populations is crucial for public health initiatives.

Purpose of the Study:

  • To investigate and compare the disease patterns and seasonal variations in illnesses among Japanese children residing in Thailand.
  • To establish a baseline for pediatric health in a cross-cultural expatriate context.

Main Methods:

  • Retrospective analysis of outpatient records from Bangkok Hospital for Japanese children (n=1668) and Thai children (n=23,339) in 2005.
  • Comparative analysis of disease categories, focusing on frequency and seasonal trends.

Main Results:

  • Respiratory diseases were the most prevalent in both Japanese (42.1%) and Thai (45.0%) children.
  • Viral infections with skin/mucous membrane lesions were common during the rainy season; intestinal infections fluctuated.
  • Hospital visits for both groups showed decreases in specific months, potentially linked to school holidays.

Conclusions:

  • No significant differences were observed in the overall disease patterns between Japanese and Thai children.
  • School vacation periods may explain decreased hospital visits, suggesting temporary travel to Japan.
  • Public health strategies should prioritize prevention of viral infections, especially during Thailand's rainy season.
Abstract

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