J Korean Med Sci.  2018 Feb;33(7):e49. 10.3346/jkms.2018.33.e49.

Hospital-based Influenza Morbidity and Mortality (HIMM) Surveillance for A/H7N9 Influenza Virus Infection in Returning Travelers

Affiliations
  • 1Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. wjkim@korea.ac.kr
  • 2Asian Pacific Influenza Institute (APII), Seoul, Korea.
  • 3Division of Infectious Diseases, Department of Internal Medicine, Hallym University Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea.
  • 4Division of Infectious Diseases, Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
  • 5Division of Infectious Diseases, Department of Internal Medicine, The Catholic University of Korea College of Medicine, St. Vincent's Hospital, Suwon, Korea.
  • 6Division of Infectious Diseases, Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • 7Division of Infectious Diseases, Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.
  • 8Division of Infectious Diseases, Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea.
  • 9Division of Infectious Diseases, Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea.
  • 10Department of Infectious Diseases, Chonnam National University Medical School, Gwangju, Korea.
  • 11Division of Infectious Diseases, Department of Internal Medicine, Konyang University Hospital, Daejeon, Korea.
  • 12Division of Infectious Diseases, Department of Internal Medicine, Konkuk University Chungju Hospital, Chungju, Korea.
  • 13Division of Infectious Diseases, Department of Internal Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.
  • 14Division of Infectious Diseases, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
  • 15BK21 Plus Graduate Program Biomedical Sciences, Korea University College of Medicine, Seoul, Korea.
  • 16Department of Biomedical Sciences, Korea University College of Medicine, Seoul, Korea.

Abstract

Since 2013, the Hospital-based Influenza Morbidity and Mortality (HIMM) surveillance system began a H7N9 influenza surveillance scheme for returning travelers in addition to pre-existing emergency room (ER)-based influenza-like illness (ILI) surveillance and severe acute respiratory infection (SARI) surveillance. Although limited to eastern China, avian A/H7N9 influenza virus is considered to have the highest pandemic potential among currently circulating influenza viruses. During the study period between October 1st, 2013 and April 30th, 2016, 11 cases presented with ILI within seven days of travel return. These patients visited China, Hong Kong, or neighboring Southeast Asian countries, but none of them visited a livestock market. Seasonal influenza virus (54.5%, 6 among 11) was the most common cause of ILI among returning travelers, and avian A/H7N9 influenza virus was not detected during the study period.

Keyword

Influenza; H7N9 Virus; Influenza-like Illness; Surveillance

MeSH Terms

Asian Continental Ancestry Group
China
Emergency Service, Hospital
Hong Kong
Humans
Influenza A Virus, H7N9 Subtype
Influenza, Human*
Livestock
Mortality*
Orthomyxoviridae*
Pandemics
Seasons
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