Influenza Surveillance among Outpatients and Inpatients in Morocco, 1996–2009
2011

Influenza Surveillance in Morocco, 1996–2009

Sample size: 3102 publication 10 minutes Evidence: moderate

Author Information

Author(s): Barakat Amal, Ihazmad Hassan, Benkaroum Samira, Cherkaoui Imad, Benmamoun Abderahman, Youbi Mohammed, El Aouad Rajae

Primary Institution: Centre National de Référence de la Grippe, Institut National d'Hygiène, Ministère de la Santé, Rabat, Morocco

Hypothesis

What is the epidemiology and seasonality of influenza in Morocco from 1996 to 2009?

Conclusion

Influenza results in both mild and severe respiratory infections in Morocco, and accounted for a large proportion of all hospitalizations for severe respiratory illness among children 5 years of age and younger.

Supporting Evidence

  • Influenza viruses circulated seasonally in Morocco from October to April.
  • Children under 5 years accounted for a large proportion of severe acute respiratory illness hospitalizations.
  • The enhanced surveillance system significantly increased the number of respiratory specimens collected.

Takeaway

This study looked at how influenza affects people in Morocco over many years, showing that it can make kids very sick, especially those under 5 years old.

Methodology

Virologic sentinel surveillance was conducted using a network of private practitioners and hospitals to collect respiratory samples from patients with influenza-like illness and severe acute respiratory illness.

Potential Biases

Participating clinicians may not have correctly identified all ILI or SARI cases.

Limitations

The rate of influenza virus detection remains low, and the identification methods used may not be the most sensitive.

Participant Demographics

Patients included both outpatients and inpatients, with a significant number being children under 5 years of age.

Statistical Information

P-Value

<0.001

Confidence Interval

95% CI for various age groups and networks provided in the results.

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0024579

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