Challenges to Evaluating Respiratory Syncytial Virus Mortality in Bangladesh, 2004-2008

Lauren J. Stockman, W. Abdullah Brooks, Peter K. Streatfield, Mustafizur Rahman, Doli Goswami, Kamrun Nahar, Mohammed Z. Rahman, Stephen P. Luby, Larry J. Anderson

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


Background: Acute lower respiratory illness is the most common cause of death among children, globally. Data are not available to make accurate estimates on the global mortality from respiratory syncytial virus (RSV), specifically. Methods: Respiratory samples collected from children under 5 years of age during 2004 to 2008 as part of population-based respiratory disease surveillance in an urban community in Dhaka, Bangladesh were tested for RSV, human metapneumovirus (HMPV), human parainfluenza virus (PIV) types 1, 2, and 3, influenza and adenovirus by RT-PCR. Verbal autopsy data were used to identify children who died from respiratory illness in a nearby rural community. Significance of the correlation between detections and community respiratory deaths was determined using Spearman's coefficient. Results: RSV activity occurred during defined periods lasting approximately three months but with no clear seasonal pattern. There was no significant correlation between respiratory deaths and detection of any of the respiratory viruses studied. Conclusion: Outbreaks of respiratory viruses may not be associated with deaths in children in the study site; however, the few respiratory deaths observed and community-to-community variation in the timing of outbreaks may have obscured an association. An accurate assessment of respiratory virus-associated deaths will require detections and death data to come from the same location and a larger study population.

Original languageEnglish (US)
Article numbere53857
JournalPloS one
Issue number1
StatePublished - Jan 30 2013
Externally publishedYes

ASJC Scopus subject areas

  • General


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