Hospitalizations and deaths because of respiratory and diarrheal diseases among Haitian children under five years of age, 2011-2013

Kavita Vinekar, Nicolas Schaad, Mentor Ali Ber Lucien, Eyal Leshem, Ikwo K. Oboho, Gerard Joseph, Stanley Juin, Fatimah S. Dawood, Umesh Parashar, Mark A. Katz, Rania A. Tohme

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Background: Respiratory and diarrheal diseases are leading causes of morbidity and mortality among children younger than 5 years in developing countries. Data on the burden of these diseases in Haiti are scarce. Methods: We conducted a retrospective review of hospital admission registries during January 1, 2011-December 31, 2013 for children younger than 5 years in 6 hospitals in Haiti. We recorded the number of all-cause, respiratory and diarrheal disease admissions and deaths by epidemiologic week and age. Results: A total of 31,565 hospital admissions and 1763 deaths were recorded among children aged <5 years during the study period. Respiratory diseases accounted for 9183 (29%) hospitalizations and 301 (17%) deaths. Children aged 6-23 months had the highest percentage of hospitalizations attributable to respiratory diseases (38%), whereas children aged 36-47 months had the highest proportion of deaths attributable to respiratory diseases (37%). Respiratory disease hospitalizations followed a bimodal seasonal pattern, with peaks during May-June and October- December. Diarrheal diseases accounted for 8063 (26%) hospitalizations and 224 (13%) deaths. Children aged 6-11 months had the highest percentage of diarrhea-associated hospitalizations (39%) and deaths (29%). Diarrheal disease admissions peaked in January-April before the rainy season. Conclusions: Respiratory and diarrheal diseases contributed to more than half of hospitalizations and almost a third of deaths in children younger than 5 years in Haiti. These data are essential to assess the impact of pneumococcal and rotavirus vaccines and other interventions in Haiti.

Original languageEnglish (US)
Pages (from-to)e238-e243
JournalPediatric Infectious Disease Journal
Volume34
Issue number10
DOIs
StatePublished - Oct 1 2015
Externally publishedYes

Keywords

  • Children
  • Deaths
  • Diarrheal disease
  • Haiti
  • Hospitalizations
  • Respiratory disease

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Microbiology (medical)
  • Infectious Diseases

Fingerprint

Dive into the research topics of 'Hospitalizations and deaths because of respiratory and diarrheal diseases among Haitian children under five years of age, 2011-2013'. Together they form a unique fingerprint.

Cite this