Hospital-based surveillance and molecular epidemiology of rotavirus infection in Taiwan, 2005-2007

F T Wu1, S Y Liang, K C Tsao

  • 1Research and Diagnostic Center, Centers for Disease Control, Department of Health, 161 Kunyang Street, Nan Kang District, Taipei 115, Taiwan.

Vaccine
|November 26, 2009
PubMed

Insights

This study tracked rotavirus strains in Taiwanese children under five, finding G1P[8] as the most common. These findings aid decisions on including rotavirus vaccines in national immunization programs.

Area of Science:

  • Virology
  • Epidemiology
  • Public Health

Background:

  • Rotavirus is a leading cause of severe gastroenteritis in young children globally.
  • Understanding local rotavirus strain distribution is crucial for effective vaccine policy.
  • Taiwan has implemented active surveillance to monitor infectious diseases.

Purpose of the Study:

  • To determine the prevalent rotavirus genotypes in children under five with gastroenteritis in Taiwan.
  • To provide data supporting decisions regarding rotavirus vaccine inclusion in Taiwan's National Immunisation Programme.

Main Methods:

  • Active hospital-based surveillance was conducted in three sentinel hospitals from 2005 to 2007.
  • Enzyme immunoassay (EIA) was used to detect rotavirus.
  • Reverse transcription-polymerase chain reaction (RT-PCR) and sequencing identified G and P genotypes.

Main Results:

  • Rotavirus was detected in 25% (856/3435) of children with gastroenteritis.
  • The most common genotypes were G1P[8] (40%), G3P[8] (27%), and G9P[8] (17%).
  • Children under two years old accounted for 52% of rotavirus-positive cases.

Conclusions:

  • G1P[8], G3P[8], and G9P[8] are the predominant rotavirus strains in Taiwan.
  • The epidemiological data supports consideration of rotavirus vaccination for Taiwan's National Immunisation Programme.