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An Improved and High Throughput Respiratory Syncytial Virus (RSV) Micro-neutralization Assay
Published on: January 26, 2019
Respiratory syncytial virus activity--United States, July 2011-January 2013
Insights
Respiratory syncytial virus (RSV) causes significant infant hospitalizations. Analyzing national surveillance data reveals consistent, yet regionally varied, RSV season timing in the U.S. for healthcare planning.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health Surveillance
Background:
- Respiratory syncytial virus (RSV) is a leading cause of lower respiratory infections in infants and young children globally.
- RSV hospitalizations in the U.S. affect an estimated 132,000-172,000 children under five annually.
- RSV circulation typically follows a seasonal pattern in temperate climates, varying by region and year.
Purpose of the Study:
- To analyze national and regional seasonal trends of Respiratory Syncytial Virus (RSV) circulation in the United States.
- To provide data that can inform public health strategies and clinical decision-making regarding RSV prevention and management.
Main Methods:
- Analysis of data from the National Respiratory and Enteric Virus Surveillance System (NREVSS).
- Examination of RSV season onset and offset dates across different U.S. Department of Health and Human Services (HHS) regions.
- Comparison of seasonal patterns over multiple years and identification of regional variations.
Main Results:
- The 2011-12 RSV season onset varied from late October to mid-January, with season offset from early March to early May across most HHS regions.
- Florida exhibited an earlier onset and longer duration compared to other regions.
- By December 15, 2012, the 2012-13 RSV season had begun in nearly all HHS regions, consistent with prior years' patterns.
Conclusions:
- RSV circulation demonstrates consistent seasonal patterns nationally, with predictable regional variations.
- This information is crucial for healthcare providers and public health officials.
- Timely data on RSV circulation aids in optimizing diagnostic testing and the administration of RSV immunoprophylaxis for high-risk children.
Abstract:
Respiratory syncytial virus (RSV) causes lower respiratory infections among infants and young children worldwide. During 1997-2006, an estimated 132,000-172,000 children aged <5 years were hospitalized for RSV infection annually in the United States. In temperate climate zones, RSV generally circulates during the fall, winter, and spring, but the exact timing and duration of RSV seasons vary by region and year. To determine seasonal trends in the circulation of RSV at national and regional levels, data collected by the National Respiratory and Enteric Virus Surveillance System (NREVSS) were analyzed. For 2011-12, the RSV season onset ranged from late October to mid-January and season offset ranged from early March to early May in all 10 U.S. Department of Health and Human Services (HHS) regions, excluding Florida. Florida is reported separately because it has an earlier season onset and longer duration than the rest of the country. For data reported as of January 7, 2013, RSV onset for the 2012-13 season occurred in all but one of the HHS regions by December 15, 2012. Seasonal patterns remained consistent with previous years and demonstrated the usual differences in RSV circulation among HHS regions. Health-care providers and public health officials can use information on RSV circulation to guide diagnostic testing and timing of RSV immunoprophylaxis for children at high risk for severe respiratory infection.
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