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Volume 16, Number 9—September 2010

Research

Influenza in Refugees on the Thailand–Myanmar Border, May–October 2009

Paul TurnerComments to Author , Claudia L. Turner, Wanitda Watthanaworawit, Verena I. Carrara, Bryan K. Kapella, John Painter, and François H. Nosten
Author affiliations: Author affiliations: Shoklo Malaria Research Unit, Mae Sot, Thailand (P. Turner, C.L. Turner, W. Watthanaworawit, V.I. Carrara, F.H. Nosten); Mahidol–Oxford Tropical Medicine Research Unit, Bangkok, Thailand (P. Turner, C.L. Turner, W. Watthanaworawit, V.I. Carrara, F.H. Nosten); University of Oxford, Oxford, UK (P. Turner, C.L. Turner, F.H. Nosten); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (B.K. Kapella, J. Painter)

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Table 1

Clinical case definitions for influenza virus infections in Maela Temporary Shelter, Thailand, May–October 2009*

Condition (age, y) Strict case definition (up to 2009 Jul 27) Expanded case definition (from 2009 Jul 28)
Influenza-like illness Fever >38°C
AND cough or sore throat
AND does not meet criteria for pneumonia Fever >38°C (or history of fever)
AND cough or sore throat
AND does not meet criteria for pneumonia
Pneumonia (<5) Pneumonia: cough or difficulty breathing
AND increased respiratory rate
(as defined by the WHO IMCI [19]) No change
Severe pneumonia: cough or difficulty breathing
AND >1 of: lower chest wall in-drawing, nasal flaring, grunting
Pneumonia (>5) Fever >38°C
AND cough or difficulty breathing
AND abnormal chest examination Fever >38°C (or history of fever)
AND cough or difficulty breathing
AND abnormal chest examination

*WHO, World Health Organization; IMCI, Integrated Management of Childhood Illness.

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