Incidence and seasonality of respiratory viruses causing acute respiratory infections in the Northern United Arab Emirates

J Med Virol. 2019 Aug;91(8):1378-1384. doi: 10.1002/jmv.25464. Epub 2019 Apr 7.

Abstract

Background: The data on the seasonality of respiratory viruses helps to ensure the optimal vaccination period and to monitor the possible outbreaks of variant type.

Objectives: This study was designed to describe the molecular epidemiology and seasonality of acute respiratory infection (ARI)-related respiratory viruses in the United Arab Emirates (UAE).

Methods: Both upper and lower respiratory specimens were collected for the analysis from all the patients who visited the Sheikh Khalifa Specialty Hospital (SKSH) with ARI for over 2 years. The multiplex real-time reverse transcription polymerase chain reaction (rRT-PCR) test was used to detect respiratory viruses, which include human adenovirus, influenza virus (FLU) A and B, respiratory syncytial virus, parainfluenza viruses, human rhinovirus (HRV), human metapneumovirus, human enterovirus, human coronavirus, and human bocavirus.

Results: A total of 1,362 respiratory samples were collected from 733 (53.8%) male and 629 (46.2%) female patients with ARI who visited the SKSH between November 2015 and February 2018. The rRT-PCR test revealed an overall positivity rate of 37.2% (507/1362). The positive rate increased during winter; it was highest in December and lowest in September. FLU was the most frequently detected virus (273/1362 [20.0%]), followed by human rhinovirus (146/1362 [10.7%]). The FLU positivity rate showed two peaks, which occurred in August and December. The peak-to-low ratio for FLU was 2.26 (95% confidence interval: 1.52-3.35).

Conclusions: The pattern of FLU in the UAE parallels to that of temperate countries. The trend of the small peak of FLU in the summer suggests a possibility of semi-seasonal pattern in the UAE.

Keywords: United Arab Emirates (UAE); human influenza; molecular epidemiology; respiratory tract infections; seasons.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Female
  • Hospitals
  • Humans
  • Incidence
  • Infant
  • Male
  • Middle Aged
  • Molecular Epidemiology
  • Multiplex Polymerase Chain Reaction
  • Real-Time Polymerase Chain Reaction
  • Respiratory Tract Infections / epidemiology*
  • Respiratory Tract Infections / virology*
  • Reverse Transcriptase Polymerase Chain Reaction
  • Seasons
  • United Arab Emirates / epidemiology
  • Viruses / classification*
  • Viruses / genetics
  • Viruses / isolation & purification*
  • Young Adult