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Assays for the Specific Growth Rate and Cell-binding Ability of Rotavirus
Published on: January 28, 2019
Rotavirus surveillance --- worldwide, 2009
Insights
Rotavirus is a major cause of severe diarrhea in children globally. Surveillance data from 2009 shows a median of 36% of hospitalized children under five had rotavirus, highlighting the need for vaccination.
Area of Science:
- Global Health
- Infectious Diseases
- Vaccinology
Background:
- Rotavirus is the primary cause of severe diarrhea in children under five worldwide, responsible for significant mortality, especially in South Asia and sub-Saharan Africa.
- The World Health Organization (WHO) recommended rotavirus vaccination in 2009 for all national immunization programs.
- Disease burden data is crucial for decisions on rotavirus vaccine introduction and for monitoring vaccine impact.
Purpose of the Study:
- To assess global rotavirus surveillance data from 2009.
- To determine the proportion of rotavirus-associated hospitalizations in children under five.
- To inform global vaccination strategies and surveillance efforts.
Main Methods:
- Analysis of data from a WHO-coordinated global rotavirus surveillance network.
- Inclusion of 43 countries that tested at least 100 stool specimens and reported for 12 months in 2009.
- Standardized case definitions and laboratory methods at sentinel hospitals.
Main Results:
- A median of 36% of hospitalized children under five with diarrhea tested positive for rotavirus across participating countries.
- The positivity rate ranged from 25% to 47% across the six WHO regions.
- Data confirmed the significant etiological role of rotavirus in childhood diarrhea hospitalizations.
Conclusions:
- Rotavirus remains a major global cause of severe diarrhea hospitalizations in young children.
- The findings underscore the importance of rotavirus vaccination for disease prevention.
- Continued surveillance is essential for monitoring vaccine effectiveness and disease trends.
Abstract:
Rotavirus is the leading cause of severe diarrhea worldwide among children aged <5 years (1). An estimated 527,000 children in this age group died from rotavirus in 2004, and approximately 85% of those deaths occurred in South Asia and sub-Saharan Africa (2). In 2009, the World Health Organization (WHO) recommended inclusion of rotavirus vaccination in all national immunization programs (3). Disease burden data generated from surveillance are important for making decisions regarding whether to introduce rotavirus vaccine into a country, and establishing surveillance platforms is essential to enable monitoring of vaccine impact. WHO coordinates a global surveillance network for rotavirus that uses standardized case definitions and laboratory methods at sentinel hospitals to identify cases of rotavirus in children with diarrhea. This report summarizes an assessment of data from the global surveillance network for 2009, which found that, among 43 participating countries that tested ≥ 100 stool specimens and reported results for all 12 months in 2009, a median of 36% of enrolled and tested children aged < 5 years hospitalized with diarrhea (range: 25%-47% among the six WHO regions) tested positive for rotavirus. These data illustrate the important etiologic role of rotavirus in hospitalizations for diarrhea in children worldwide, which can be prevented by rotavirus vaccination.
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