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Epidemiologic analysis of respiratory viral infections among Singapore military servicemen in 2016

Overview of attention for article published in BMC Infectious Diseases, March 2018
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Title
Epidemiologic analysis of respiratory viral infections among Singapore military servicemen in 2016
Published in
BMC Infectious Diseases, March 2018
DOI 10.1186/s12879-018-3040-x
Pubmed ID
Authors

Yuk-Fai Lau, Wee-Hong Victor Koh, Clement Kan, Poh-Choo Alethea Dua, Ai-Sim Elizabeth Lim, Chin-Wen Jasper Liaw, Qiu-Han Gao, Jeremiah Chng, Vernon J. Lee, Boon-Huan Tan, Jin-Phang Loh

Abstract

Respiratory illnesses have been identified as a significant factor leading to lost training time and morbidity among Singapore military recruits. A surveillance programme has been put in place to determine etiological agents responsible for febrile, as well as afebrile respiratory illnesses in a military camp. The goal of the study is to better understand the epidemiology of these diseases and identify potential countermeasures to protect military recruits against them. From Jan 2016 - Jan 2017, a total of 2647 respiratory cases were enrolled into the surveillance programme. The cases were further stratified into Febrile Respiratory Illness (FRI, with body temperature > 37.5 °C) or Acute Respiratory Illness (ARI, with body temperature < 37.5 °C). Nasal washes were collected and tested by multiplex PCR to detect 26 different pathogens. One thousand ninety five cases (41% of total cases) met the criteria of FRI in which 932 cases (85% of FRI cases) were screened positive for at least one virus. The most common etiological agents for FRI mono-infection cases were Adenovirus E and Rhinovirus. Recruits infected with H3N2 influenza, Influenza B and Adenovirus E viruses were most likely presented as FRI cases. Notably, H3N2 influenza resulted in the greatest rise in body temperature. The remaining 1552 cases (59% of total cases) met the criteria of ARI in which 1198 cases (77% of ARI cases) were screened positive for at least one virus. The most common etiological agent for ARI mono-infection was Rhinovirus. The distribution pattern for dual infections was different for ARI and FRI cases. Maximum number of pathogens detected in a sample was five for both groups. Previous studies on respiratory diseases in military focused largely on FRI cases. With the expanded surveillance to ARI cases, this study allows unbiased evaluation of the impact of respiratory disease pathogens among recruits in a military environment. The results show that several pathogens have a much bigger role in causing respiratory diseases in this cohort.

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Geographical breakdown

Country Count As %
Unknown 15 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 2 13%
Unspecified 1 7%
Lecturer > Senior Lecturer 1 7%
Student > Bachelor 1 7%
Other 1 7%
Other 2 13%
Unknown 7 47%
Readers by discipline Count As %
Immunology and Microbiology 3 20%
Veterinary Science and Veterinary Medicine 1 7%
Unspecified 1 7%
Biochemistry, Genetics and Molecular Biology 1 7%
Environmental Science 1 7%
Other 2 13%
Unknown 6 40%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 March 2018.
All research outputs
#20,287,203
of 24,942,536 outputs
Outputs from BMC Infectious Diseases
#6,185
of 8,388 outputs
Outputs of similar age
#264,972
of 338,433 outputs
Outputs of similar age from BMC Infectious Diseases
#90
of 134 outputs
Altmetric has tracked 24,942,536 research outputs across all sources so far. This one is in the 10th percentile – i.e., 10% of other outputs scored the same or lower than it.
So far Altmetric has tracked 8,388 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.6. This one is in the 15th percentile – i.e., 15% of its peers scored the same or lower than it.
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