Deakin University
Browse
rahman-anovellowcost-2011.pdf (725.44 kB)

A novel low-cost approach to estimate the incidence of Japanese encephalitis in the catchment area of three hospitals in Bangladesh

Download (725.44 kB)
journal contribution
posted on 2011-08-01, 00:00 authored by R C Paul, Aziz RahmanAziz Rahman, E S Gurley, M J Hossain, S Diorditsa, A M Hasan, S S Banu, A Alamgir, M Rahman, H Sandhu, M Fischer, S P Luby
Acute meningoencephalitis syndrome surveillance was initiated in three medical college hospitals in Bangladesh in October 2007 to identify Japanese encephalitis (JE) cases. We estimated the population-based incidence of JE in the three hospitals' catchment areas by adjusting the hospital-based crude incidence of JE by the proportion of catchment area meningoencephalitis cases who were admitted to surveillance hospitals. Instead of a traditional house-to-house survey, which is expensive for a disease with low frequency, we attempted a novel approach to identify meningoencephalitis cases in the hospital catchment area through social networks among the community residents. The estimated JE incidence was 2.7/100,000 population in Rajshahi (95% confidence interval [CI] = 1.8-4.9), 1.4 in Khulna (95% CI = 0.9-4.1), and 0.6 in Chittagong (95% CI = 0.4-0.9). Bangladesh should consider a pilot project to introduce JE vaccine in high-incidence areas.

History

Journal

American journal of tropical medicine and hygiene

Volume

85

Issue

2

Pagination

379 - 385

Publisher

American Society of Tropical Medicine and Hygiene

Location

Deerfield, Ill.

ISSN

0002-9637

eISSN

1476-1645

Language

eng

Publication classification

C Journal article; C1.1 Refereed article in a scholarly journal

Copyright notice

2011, American Society of Tropical Medicine and Hygiene