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ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2017

Burden of Influenza in 4 Ecologically Distinct Regions of Peru: Household Active Surveillance of a Community Cohort, 2009-2015.

Yeny O Tinoco, Eduardo Azziz-Baumgartner, Timothy M Uyeki, Hugo R Rázuri, Matthew R Kasper, Candice Romero, Maria E Silva, Mark P Simons, Giselle M Soto, Marc-Alain Widdowson and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 42 citations in OpenAlex.

  1. Responsive population-based cohorts as platforms for characterising pathogen- and population-level infection dynamics for epidemic prevention, preparedness and response.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
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  10. The Nicaraguan Pediatric Influenza Cohort Study, 2011-2019: Influenza Incidence, Seasonality, and Transmission.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 2 countries.

Yeny O TinocoUS Naval Medical Research Unit No. 6, Bellavista, Peru.
Eduardo Azziz-BaumgartnerInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia.
Timothy M UyekiInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia.
Hugo R RázuriUS Naval Medical Research Unit No. 6, Bellavista, Peru.
Matthew R KasperUS Naval Medical Research Unit No. 6, Bellavista, Peru.
Candice RomeroUS Naval Medical Research Unit No. 6, Bellavista, Peru.
Maria E SilvaUS Naval Medical Research Unit No. 6, Bellavista, Peru.
Mark P SimonsUS Naval Medical Research Unit No. 6, Bellavista, Peru.
Giselle M SotoUS Naval Medical Research Unit No. 6, Bellavista, Peru.
Marc-Alain WiddowsonInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia.
Robert H GilmanJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Daniel G BauschUS Naval Medical Research Unit No. 6, Bellavista, Peru.
Joel M MontgomeryUS Naval Medical Research Unit No. 6, Bellavista, Peru.
Peru Influenza Cohorts Working Group
United States Naval Medical Research Unit SOUTH · PECenters for Disease Control and Prevention · USJohns Hopkins University · USTulane University · US

Funding

Peru Infectious Diseases Epidemiology Research Training ConsortiumD43TW007393 · FIC · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI Andres G Lescano · 2005 to 2026
$5.9M
FIC NIH HHS D43 TW007393Medical Research Council MR/K007467/1
6 · The paper itself

Abstract

backgroundThere are limited data on the burden of disease posed by influenza in low- and middle-income countries. Furthermore, most estimates of influenza disease burden worldwide rely on passive sentinel surveillance at health clinics and hospitals that lack accurate population denominators.

methodsWe documented influenza incidence, seasonality, health-system utilization with influenza illness, and vaccination coverage through active community-based surveillance in 4 ecologically distinct regions of Peru over 6 years. Approximately 7200 people in 1500 randomly selected households were visited 3 times per week. Naso- and oropharyngeal swabs were collected from persons with influenza-like illness and tested for influenza virus by real-time reverse-transcription polymerase chain reaction.

resultsWe followed participants for 35353 person-years (PY). The overall incidence of influenza was 100 per 1000 PY (95% confidence interval [CI], 97-104) and was highest in children aged 2-4 years (256/1000 PY [95% CI, 236-277]). Seasonal incidence trends were similar across sites, with 61% of annual influenza cases occurring during the austral winter (May-September). Of all participants, 44 per 1000 PY (95% CI, 42-46) sought medical care, 0.7 per 1000 PY (95% CI, 0.4-1.0) were hospitalized, and 1 person died (2.8/100000 PY). Influenza vaccine coverage was 27% among children aged 6-23 months and 26% among persons aged ≥65 years.

conclusionsOur results indicate that 1 in 10 persons develops influenza each year in Peru, with the highest incidence in young children. Active community-based surveillance allows for a better understanding of the true burden and seasonality of disease that is essential to plan the optimal target groups, timing, and cost of national influenza vaccination programs.

Indexed as

AdolescentAdultAgedAged, 80 and overChildChild, PreschoolCohort StudiesFamily CharacteristicsFemaleHumansInfantInfant, NewbornInfluenza, HumanMaleMiddle AgedPatient Acceptance of Health Carecommunity cohorthealthcare-seeking behaviorhousehold-basedinfluenzaseasonality

Identifiers

PMID29020267
PMCPMC5850002
OpenAlexW2765234169

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.