Haemophilus influenzae Serotype a Invasive Disease, Alaska, USA, 1983–2011

Bruce, Michael G.; Zulz, Tammy; DeByle, Carolynn; Singleton, Ros; Hurlburt, Debby; Bruden, Dana; Rudolph, Karen; Hennessy, Thomas; Klejka, Joseph; Wenger, Jay D.

doi:10.3201/eid1906.121805

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Haemophilus influenzae Serotype a Invasive Disease, Alaska, USA, 1983–2011

Published Date:

Jun 2013

Publisher's site:

http://dx.doi.org/10.3201/eid1906.121805 New Site Icon

Source:

Emerg Infect Dis. 19(6):932-937.

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Details:

Personal Authors:

Bruce, Michael G. ; Zulz, Tammy ; DeByle, Carolynn ; Singleton, Ros ; Hurlburt, Debby ; ... More ▼

Keywords:

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Description:

Before introduction of Haemophilus influenzae type b (Hib) vaccines, rates of Hib disease in Alaska's indigenous people were among the highest in the world. Vaccination reduced rates dramatically; however, invasive H. influenzae type a (Hia) disease has emerged. Cases of invasive disease were identified through Alaska statewide surveillance during 1983-2011. Of 866 isolates analyzed for serotype, 32 (4%) were Hia. No Hia disease was identified before 2002; 32 cases occurred during 2002-2011 (p<0.001). Median age of case-patients was 0.7 years; 3 infants died. Incidence of Hia infection (2002-2011) among children <5 years was 5.4/100,000; 27 cases occurred in Alaska Native children (18/100,000) versus 2 cases in non-Native children (0.5/100,000) (risk ratio = 36, p<0.001). From 12/2009 to 12/2011, 15 cases of Hia disease occurred in southwestern Alaska (in children <5 years, rate = 204/100,000). Since introduction of the Hib conjugate vaccine, Hia infection has become a major invasive bacterial disease in Alaska Native children.

Document Type:

Journal Article

Collection(s):

Emerging Infectious Diseases
CDC Public Access
Arctic Investigations Program

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