Evidence map›Paper›PMID 30120818›Full record

ArticleInfluenza and other respiratory viruses2018

The national and provincial burden of medically attended influenza-associated influenza-like illness and severe acute respiratory illness in the Democratic Republic of Congo, 2013-2015.

Pélagie Babakazo, Léopold Lubula, Wally Disasuani, Léonie Kitoko Manya, Edith Nkwembe, Naomi Mitongo, Hugo Kavunga-Membo, Jean-Claude Changachanga, Saleh Muhemedi, Benoit Kebela Ilunga and 4 more

Abstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
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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

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3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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.

Pélagie BabakazoKinshasa School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of Congo.
Léopold LubulaDivision de Lutte Contre la Maladie, Ministry of Health, Kinshasa, Democratic Republic of Congo.
Wally DisasuaniKinshasa School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of Congo.
Léonie Kitoko ManyaDivision de Lutte Contre la Maladie, Ministry of Health, Kinshasa, Democratic Republic of Congo.
Edith NkwembeInstitut National de Recherche Biomédicale, Ministry of Health, Kinshasa, Democratic Republic of Congo.
Naomi MitongoInstitut National de Recherche Biomédicale, Ministry of Health, Kinshasa, Democratic Republic of Congo.
Hugo Kavunga-MemboInstitut National de Recherche Biomédicale, Ministry of Health, Kinshasa, Democratic Republic of Congo.
Jean-Claude ChangachangaInstitut National de Recherche Biomédicale, Ministry of Health, Kinshasa, Democratic Republic of Congo.
Saleh MuhemediKinshasa School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of Congo.
Benoit Kebela IlungaDivision de Lutte Contre la Maladie, Ministry of Health, Kinshasa, Democratic Republic of Congo.
Emile Okitolonda WemakoyKinshasa School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of Congo.
Jean-Jacques Muyembe TamfumInstitut National de Recherche Biomédicale, Ministry of Health, Kinshasa, Democratic Republic of Congo.
Joelle Kabamba-TshiloboInfluenza and Monkeypox Program, Centers for Disease Control and Prevention, Kinshasa, Democratic Republic of Congo.
Stefano TempiaInfluenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0003-4395-347X

Funding

NCIRD CDC HHS U51 IP000602US Centers for Disease Control and Prevention U51IP000602
6 · The paper itself

Abstract

backgroundEstimates of influenza-associated outpatient consultations and hospitalizations are severely limited in low- and middle-income countries, especially in Africa.

methodsWe conducted active prospective surveillance for influenza-like illness (ILI) and severe acute respiratory illness (SARI) at 5 healthcare facilities situated in Kinshasa Province during 2013-2015. We tested upper respiratory tract samples for influenza viruses using a reverse transcription-polymerase chain reaction assay. We estimated age-specific numbers and rates of influenza-associated ILI outpatient consultations and SARI hospitalizations for Kinshasa Province using a combination of administrative and influenza surveillance data. These estimates were extrapolated to each of the remaining 10 provinces accounting for provincial differences in prevalence of risk factors for pneumonia and healthcare-seeking behavior. Rates were reported per 100 000 population.

resultsDuring 2013-2015, the mean annual national number of influenza-associated ILI outpatient consultations was 1 003 212 (95% Confidence Incidence [CI]: 719 335-1 338 050 - Rate: 1205.3; 95% CI: 864.2-1607.5); 199 839 (95% CI: 153 563-254 759 - Rate: 1464.0; 95% CI: 1125.0-1866.3) among children aged <5 years and 803 374 (95% CI: 567 772-1 083 291 - Rate: 1154.5; 95% CI: 813.1-1556.8) among individuals aged ≥5 years. The mean annual national number of influenza-associated SARI hospitalizations was 40 361 (95% CI: 24 014-60 514 - Rate: 48.5; 95% CI: 28.9-72.7); 25 452 (95% CI: 19 146-32 944 - Rate: 186.5; 95% CI: 140.3-241.3) among children aged <5 years and 14 909 (95% CI: 4868-27 570 - Rate: 21.4; 95% CI: 28.9-72.7) among individuals aged ≥5 years.

conclusionsThe burden of influenza-associated ILI outpatient consultations and SARI hospitalizations was substantial and was highest among hospitalized children aged <5 years.

Indexed as

AdolescentAdultAgedAged, 80 and overAmbulatory CareChildChild, PreschoolDemocratic Republic of the CongoFacilities and Services UtilizationFemaleHospitalizationHumansInfantInfant, NewbornMaleMiddle AgedburdenDemocratic Republic of Congoinfluenzainfluenza-like illnesssevere acute respiratory illness

Identifiers

PMID30120818
PMCPMC6185889

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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.