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Volume 25, Number 12—December 2019
Dispatch

Multicountry Analysis of Spectrum of Clinical Manifestations of Children <5 Years of Age Hospitalized with Diarrhea

Jillian Murray, S. Yati Soenarto, Nenny S. Mulyani, Pushpa S. Wijesinghe, Evans M. Mpabalwani, Julia C. Simwaka, Belem Matapo, Jason M. Mwenda, Gayane Sahakyan, Svetlana Grigoryan, Artavazd Vanyan, Sergey Khactatryan, Jennifer Sanwogou, Lúcia Helena de Oliveira, Gloria Rey-Benito, Gagandeep Kang, Fatima Serhan, Jacqueline E. Tate, Negar Aliabadi, Adam L. CohenComments to Author , and the Global Rotavirus Surveillance Network Clinical Presentation Group
Author affiliations: World Health Organization, Geneva, Switzerland (J. Murray, F. Serhan, A.L. Cohen); Universitas Gadjah Mada/Dr. Sardjito Hospital, Yogyakarta, Indonesia (S.Y. Soenarto, N.S. Mulyani); World Health Organization, South-East Asia Regional Office, New Delhi, India (P.S. Wijesinghe); University Teaching Hospital, Lusaka, Zambia (E.M. Mpabalwani, J.C. Simwaka); World Health Organization Country Office, Lusaka (B. Matapo); World Health Organization Regional Office for Africa, Brazzaville, Republic of the Congo (J.M. Mwenda); National Immunization Program, Yerevan, Armenia (G. Sahakyan); National Centre of Disease Control and Prevention, Yerevan (G. Sahakyan, S. Grigoryan, A. Vanyan); Ministry of Health of Armenia, Yerevan (G. Sahakyan, S. Grigoryan, A. Vanyan, S. Khactatryan); Immunization and Epidemiology of Vaccine-Preventable Diseases Program, Yerevan (S. Grigoryan); Pan American Health Organization, Washington, DC, USA (J. Sanwogou, L.H. de Oliveira, G. Rey-Benito); Christian Medical College, Vellore, India (G. Kang); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (J.E. Tate, N. Aliabadi)

Main Article

Table 2

Proportion of children <5 years of age hospitalized for diarrhea who also had acute gastroenteritis at sentinel sites, WHO-Coordinated Global Rotavirus Sentinel Surveillance Network, 2013–2015*

Country Year of vaccine introduction National rotavirus vaccine coverage, 2016, % (13) Site Acute gastroenteritis, %†
2013 2014 2015 Weighted mean
Bolivia 2008 99 1 82 65 72 74
2 81 82 96 85
3 76 65 100 78
4 56 49 46 52
5 93 99 88 95
6 53 50 37 48
Total
 74
 68
 71
 72
El Salvador 2006 92 1 28 49 57 40
2 40 38 24 35
3 48 41 41 44
4 51 34 30 40
5 59 46 75 61
6 44 29 19 30
7 22 6 NA 14
8 62 54 54 57
Total
 45
 35
 43
 41
Paraguay 2009 93 1 96 97 100 98
2 100 84 NA 89
3 78 100 100 94
4 100 97 100 99
Total
 92
 97
 100
 96
Indonesia NA NA 1 NA 98 95 97
2 NA 95 91 93
3 NA 97 99 98
4 NA 61 70 66
5 NA 68 58 63
Total NA 83 86 85

*NA, not available; WHO, World Health Organization.
†These calculations include nonspecified diarrhea in the denominator. Thus, individual site years might have higher percentage acute gastroenteritis if this category is excluded.

Main Article

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Main Article

1Additional members of the Global Rotavirus Surveillance Network Clinical Presentation Group who contributed data are listed at the end of this article.

Page created: November 18, 2019
Page updated: November 18, 2019
Page reviewed: November 18, 2019
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