Table 2. Average annual incidence rates of medically-attended influenza A and/or B (hospitalized and outpatient) per 1,000 persons or person-years in Kenya.
Author(s) | Syndrome type | Adjustment used | Study site | Age group | Incidence a Range b |
---|---|---|---|---|---|
Katz et al. (2012)[11] | In- and outpatient ALRI | Adjusted for those with ALRI who were not tested for influenza | Kibera and Lwak | < 1 yr | 32.8–42.1 |
<5 yrs | 22.0–40.5 | ||||
≥5 yrs | 12.0–15.8 | ||||
All ages | 13.7–23.0 | ||||
Feikin et al. (2013)[14] | In- and outpatient SARI | Adjusted for healthcare seeking by extrapolating from those with ARI ǂ at household visit who sought care at a clinic besides the study clinic and for the pathogen-attributable fraction (PAF ¥ ) | Lwak, Western Kenya | <5 yrs | 58.0 |
Breiman et al. (2015)[20] | Outpatient SARI | Adjusted for healthcare seeking for SARI at the study clinic and for the pathogen-attributable fraction (PAF ¥ ). | Kibera | <5 yrs | 13.0 |
Feikin et al. (2012)[13] | In- and outpatient ARI | Adjusted for healthcare seeking by extrapolating from those with ARI ǂ at household visit who sought care at a clinic besides the study clinic and for the pathogen-attributable fraction (PAF ¥ ) | Lwak, Western Kenya | ≥5 yrs | 26.0 |
Emukule et al. (2014)[18] | Outpatient ILI | Adjusted for those with ILI who were not tested for influenza | Ting'wang'i, Western Kenya | <6 mos | 16.2 |
<5 yrs | 21.8 | ||||
≥5 yrs | 4.3 | ||||
All ages | 7.2 | ||||
All studies | All syndromes | With any adjustment | All study sites | <6 mos | 16.2 |
< 1 yr | 32.8–42.1 | ||||
<5 yrs | 21.8–58.0 | ||||
≥5 yrs | 4.3–26.0 | ||||
All ages | 7.2–23.0 |
Abbreviations
SARI = Severe acute respiratory illness
ALRI = Acute lower respiratory illness
ILI = influenza-like illness
ARI = Acute respiratory illness
aIncidence reported per 1,000 persons or person-years
bRange is the minimum-maximum in cases where two or more studies were involved
ǂARI in home was defined as cough, difficulty breathing or chest pain and reported fever
¥Adjusted rates downward for asymptomatic detection of influenza in controls.