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Type: Journal article
Title: A novel low-cost approach to estimate the incidence of Japanese encephalitis in the catchment area of three hospitals in Bangladesh
Author: Paul, Repon C.
Rahman, Mahmudur
Gurley, Emily S.
Hossain, M. Jahangir
Diorditsa, Serguei
Hasan, A. S. M. Mainul
Banu, Sultana S.
Alamgir, A. S. M.
Rahman, Muhammad Aziz
Sandhu, Hardeep
Fischer, Marc
Luby, Stephen P.
Citation: American Journal of Tropical Medicine and Hygiene, 2011; 85(2):379-385
Publisher: American Society of Tropical Medicine and Hygiene
Issue Date: 2011
ISSN: 0002-9637
School/Discipline: School of Population Health and Clinical Practice : Public Health
Statement of
Repon C. Paul, Mahmudur Rahman, Emily S. Gurley, M. Jahangir Hossain, Serguei Diorditsa, ASM Mainul Hasan, Sultana S. Banu, ASM Alamgir, Muhammad Aziz Rahman, Hardeep Sandhu, Marc Fischer and Stephen P. Luby
Abstract: 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.
Rights: Copyright © 2011 by The American Society of Tropical Medicine and Hygiene
DOI: 10.4269/ajtmh.2011.10-0706
Appears in Collections:Public Health publications

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