Hospitalizations and Deaths Because of Respiratory and Diarrheal Diseases Among Haitian Children Under Five Years of Age, 2011–2013

Details

• Alternative Title:
  Pediatr Infect Dis J
• Personal Author:
  Vinekar, Kavita ; Schaad, Nicolas ; Lucien, Mentor Ali Ber ; Leshem, Eyal ; Oboho, Ikwo K. ; Joseph, Gerard ; Juin, Stanley ; Dawood, Fatimah S. ; Parashar, Umesh ; Katz, Mark A. ; Tohme, Rania A.
• Description:
  Background
  
  Respiratory and diarrheal diseases are leading causes of morbidity and mortality among children younger than 5 years in developing countries. Data on the burden of these diseases in Haiti are scarce.
  
  Methods
  
  We conducted a retrospective review of hospital admission registries during January 1, 2011–December 31, 2013 for children younger than 5 years in 6 hospitals in Haiti. We recorded the number of all-cause, respiratory and diarrheal disease admissions and deaths by epidemiologic week and age.
  
  Results
  
  A total of 31,565 hospital admissions and 1763 deaths were recorded among children aged <5 years during the study period. Respiratory diseases accounted for 9183 (29%) hospitalizations and 301 (17%) deaths. Children aged 6–23 months had the highest percentage of hospitalizations attributable to respiratory diseases (38%), whereas children aged 36–47 months had the highest proportion of deaths attributable to respiratory diseases (37%). Respiratory disease hospitalizations followed a bimodal seasonal pattern, with peaks during May–June and October–December. Diarrheal diseases accounted for 8063 (26%) hospitalizations and 224 (13%) deaths. Children aged 6–11 months had the highest percentage of diarrhea-associated hospitalizations (39%) and deaths (29%). Diarrheal disease admissions peaked in January–April before the rainy season.
  
  Conclusions
  
  Respiratory and diarrheal diseases contributed to more than half of hospitalizations and almost a third of deaths in children younger than 5 years in Haiti. These data are essential to assess the impact of pneumococcal and rotavirus vaccines and other interventions in Haiti.
  
  
• Subjects:
  Child, Preschool Diarrhea Hospitalization Humans Infant Infant, Newborn Respiratory Tract Diseases Retrospective Studies
• Source:
  Pediatr Infect Dis J. 34(10):e238-e243
• Pubmed ID:
  26244833
• Pubmed Central ID:
  PMC4610905
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States
• Place as Subject:
  Haiti
• Volume:
  34
• Issue:
  10
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:aed6f28b08e2dce67375e4b7eb6ac68c12d4a9ac5101b2c9914e4611bbd986bd
• Download URL:
  https://stacks.cdc.gov/view/cdc/35107/cdc_35107_DS1.pdf
• File Type:
  [PDF - 2.06 MB ]