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dc.contributor.authorC. Steer, Andrewen_US
dc.contributor.authorJenney, Adamen_US
dc.contributor.authorKado, Josephen_US
dc.contributor.authorF. Good, Michaelen_US
dc.contributor.authorBatzloff, Michaelen_US
dc.contributor.authorWaqatakirewa, Lepanien_US
dc.contributor.authorKim Mullholland, E.en_US
dc.contributor.authorR. Carapetis, Jonathanen_US
dc.date.accessioned2017-04-24T12:19:14Z
dc.date.available2017-04-24T12:19:14Z
dc.date.issued2009en_US
dc.identifier.issn10806040en_US
dc.identifier.doi10.3201/eid1502.080558en_US
dc.identifier.urihttp://hdl.handle.net/10072/39927
dc.description.abstractWe undertook a prospective active surveillance study of invasive group A streptococcal (GAS) disease in Fiji over a 23-month period, 2005-2007. We identified 64 cases of invasive GAS disease, which represents an average annualized all-ages incidence of 9.9 cases/100,000 population per year (95% confidence interval [CI] 7.6-12.6). Rates were highest in those >65 years of age and in those <5 years, particularly in infants, for whom the incidence was 44.9/100,000 (95% CI 18.1-92.5). The case-fatality rate was 32% and was associated with increasing age and underlying coexisting disease, including diabetes and renal disease. Fifty-five of the GAS isolates underwent emm sequence typing; the types were highly diverse, with 38 different emm subtypes and no particular dominant type. Our data support the view that invasive GAS disease is common in developing countries and deserves increased public health attention.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_US
dc.languageEnglishen_US
dc.language.isoen_US
dc.publisherU.S. Department of Health and Human Servicesen_US
dc.publisher.placeUnited Statesen_US
dc.relation.ispartofstudentpublicationNen_US
dc.relation.ispartofpagefrom216en_US
dc.relation.ispartofpageto222en_US
dc.relation.ispartofissue2en_US
dc.relation.ispartofjournalEmerging Infectious Diseasesen_US
dc.relation.ispartofvolume15en_US
dc.rights.retentionYen_US
dc.subject.fieldofresearchBiological Sciences not elsewhere classifieden_US
dc.subject.fieldofresearchcode069999en_US
dc.titleProspective Surveillance of Invasive Group A Streptococcal Disease, Fiji, 2005–2007en_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.date.issued2015-06-12T05:00:28Z
gro.hasfulltextNo Full Text


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