Decreasing Shigellosis-related Deaths without Shigella spp.–specific Interventions, Asia

Autor: Pradip Bardhan, A.S.G. Faruque, Aliya Naheed, David A. Sack
Jazyk: angličtina
Rok vydání: 2010
Předmět:
Zdroj: Emerging Infectious Diseases, Vol 16, Iss 11, Pp 1718-1723 (2010)
Druh dokumentu: article
ISSN: 1080-6040
1080-6059
DOI: 10.3201/eid1611.090934
Popis: In 1999, a review of the literature for 1966–1997 suggested that ≈1.1 million persons die annually of shigellosis, including ≈880,000 in Asia. Our recent review of the literature for 1990–2009 indicates that ≈125 million shigellosis cases occur annually in Asia, of which ≈14,000 are fatal. This estimate for illnesses is similar to the earlier estimate, but the number of deaths is 98% lower; that is, the lower estimate of deaths is associated with markedly reduced case-fatality rates rather than fewer cases. Shigella spp.–related deaths decreased substantially during a period without Shigella spp.–specific interventions. We speculate that nonspecific interventions, e.g., measles vaccination, vitamin A supplementation, and improved nutrition, may have led to the reduced number of shigellosis-related deaths.
Databáze: Directory of Open Access Journals