2012
DOI: 10.1111/j.1750-2659.2012.00409.x
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Influenza surveillance from November 2008 to 2011; including pandemic influenza A(H1N1)pdm09 in Bhutan

Abstract: Objective  Describe the influenza A(H1N1) pandemic in Bhutan. Design  Observational study from sentinel surveillance sites. Setting  Bhutan remains isolated, with only one to two flights a day at the lone airport, no trains, and only three major roads that enter from India. Main outcome measures  PCR positive human respiratory samples Results  The first case of A(H1N1)pdm09 infection was detected in Bhutan in July 2009, 3 months after the virus was first reported in Mexico in April 2009. During the official WH… Show more

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Cited by 11 publications
(5 citation statements)
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“…In 2008, the Royal Centre for Disease Control (RCDC), MOH in Bhutan, in conjunction with the United States Armed Force Research Institute for Medical Sciences, initiated sentinel surveillance for influenza‐like illness (ILI) in outpatients . In 2012, RCDC expanded surveillance to hospitalized patients with severe acute respiratory infections (SARI) in collaboration with the US Centers for Disease Control and Prevention (CDC).…”
Section: Introductionsupporting
confidence: 89%
“…In 2008, the Royal Centre for Disease Control (RCDC), MOH in Bhutan, in conjunction with the United States Armed Force Research Institute for Medical Sciences, initiated sentinel surveillance for influenza‐like illness (ILI) in outpatients . In 2012, RCDC expanded surveillance to hospitalized patients with severe acute respiratory infections (SARI) in collaboration with the US Centers for Disease Control and Prevention (CDC).…”
Section: Introductionsupporting
confidence: 89%
“…Primers and probes used in the laboratory-developed real-time PCR assays have been previously described[ 9 , 10 ]. Influenza assays were performed using Invitrogen Superscript III reagents and all other assays were performed using Ambion AgPath ID reagents.…”
Section: Methodsmentioning
confidence: 99%
“…The samples were immediately transported on ice to the laboratory, where they were aliquot and stored at -80 o C. Within one week of sample collection, RNA was extracted from a one mL sample aliquot using PureLink Viral RNA/DNA Mini Kit (Invitrogen) according to the manufacturer’s specifications. The specimens were screened for influenza A/B viruses and RSV by real-time PCR (RT-PCR) using primers and probes specific for the M gene, NS gene, and G gene, respectively [ [44] , [45] , [46] , [47] ]. The sequences of primers and probes were obtained from the Center for Disease Control and Prevention (CDC, USA), and the experimental procedure was done as previously described [ 47 ].…”
Section: Methodsmentioning
confidence: 99%