Evidence map›Paper›PMID 39288111›Full record

ArticlePloS one2024

Epidemiology and genetic characterization of influenza viruses circulating in Bhutan in 2022.

Kunzang Dorji, Chonticha Klungthong, Tshering Dorji, Tandin Wangchuk, Pema Yuden, Tshering Pelki, Tara Devi Ghishing, Govinda Gyemiry, Sonam Gyeltshen, Piyawan Chinnawirotpisan and 3 more

Abstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

13 authors.

Kunzang DorjiNational Influenza Centre, Royal Centre for Disease Control, Ministry of Health, Thimphu, Bhutan.ORCID 0000-0002-3876-9638
Chonticha KlungthongDepartment of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.ORCID 0000-0001-5058-8912
Tshering DorjiNational Influenza Centre, Royal Centre for Disease Control, Ministry of Health, Thimphu, Bhutan.ORCID 0000-0001-7125-572X
Tandin WangchukNational Influenza Centre, Royal Centre for Disease Control, Ministry of Health, Thimphu, Bhutan.
Pema YudenNational Influenza Centre, Royal Centre for Disease Control, Ministry of Health, Thimphu, Bhutan.
Tshering PelkiNational Influenza Centre, Royal Centre for Disease Control, Ministry of Health, Thimphu, Bhutan.ORCID 0009-0004-9185-6038
Tara Devi GhishingNational Influenza Centre, Royal Centre for Disease Control, Ministry of Health, Thimphu, Bhutan.
Govinda GyemiryICT, Royal Centre for Disease Control, Ministry of Health, Thimphu, Bhutan.ORCID 0009-0001-0944-5853
Sonam GyeltshenNational Influenza Centre, Royal Centre for Disease Control, Ministry of Health, Thimphu, Bhutan.
Piyawan ChinnawirotpisanDepartment of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Wudtichai ManasatienkijDepartment of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Sonam WangchukRoyal Centre for Disease Control, Ministry of Health, Thimphu, Bhutan.
Aaron FarmerDepartment of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.ORCID 0000-0002-2115-4493

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInfluenza (Flu) causes considerable morbidity and mortality globally, and in Bhutan, Flu viruses are a leading cause of acute respiratory infection and cause outbreaks during Flu seasons. In this study, we aim to analyze the epidemiology and the genetic characterization of Flu viruses circulated in Bhutan in 2022.

methodRespiratory specimens were collected from patients who meet the case definition for influenza-like illness (ILI) and severe acute respiratory infection (SARI) from sentinel sites. Specimens were tested for Flu and SARS-CoV-2 viruses by RT-PCR using the Multiplex Assay. Selected positive specimens were utilized for Flu viral genome sequencing by next-generation sequencing. Descriptive analysis was performed on patient demographics to see the proportion of Flu-associated ILI and SARI. All data were analyzed using Epi Info7 and QGIS 3.16 software.

resultA weekly average of 16.2 ILI cases per 1000 outpatient visits and 18 SARI cases per 1000 admitted cases were reported in 2022. The median age among ILI was 12 years (IQR: 5-28) and SARI was 6.2 (IQR: 2.5-15) years. Flu A(H3N2) (70.2%) subtype was the most predominant circulating strain. Flu A(H1N1)pdm09 and Flu B viruses belonged to subclades that were mismatched to the vaccine strains recommended for the 2021-2022 season but matched the vaccine strain for the 2022-2023 season with vaccine efficacy 85.14% and 88.07% respectively. Flu A(H3N2) virus belonged to two subclades which differed from the vaccine strains recommended in both the 2021-2022 and 2022-2023 seasons with vaccine efficacy 68.28%.

conclusionFlu virus positivity rates were substantially elevated during the Flu season in 2022 compared to 2021. Flu A(H3N2) subtype was the most predominant circulating strain in the country and globally. Genetic characterization of the Flu viruses in Bhutan showed a close relatedness of high vaccine efficacy with the vaccine strain that WHO recommended for the 2022-23 season.

Indexed as

Influenza, HumanAdolescentAdultAgedBhutanChildChild, PreschoolCOVID-19FemaleHumansInfantInfluenza A Virus, H1N1 SubtypeInfluenza A Virus, H3N2 SubtypeInfluenza B virusMaleMiddle Aged

Identifiers

PMID39288111
PMCPMC11407632

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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.