Epidemiological study of influenza in children under 5 years in Putian city from 2018 to 2023
Objective To analyze the epidemiological characteristics of influenza in children under 5 years old in Putian,Fujian Province,and provide scientific evidence for developing influenza prevention and control strategies.Methods Respiratory specimens were collected from children under 5 years old at influenza sentinel hospitals in Putian from 2018 to 2023.Influenza viruses were detected using fluorescence PCR (Poly-merase Chain Reaction).Clinical data were statistically analyzed to characterize the spatiotemporal transmission patterns.Results A total of 7449 specimens were collected and tested during this period,of which 530 were positive for influenza (positive rate 7.12%).The highest number (147) and rate (13.83%) of positive cases occurred in 2018 and 2019,respectively.Influenza predominantly occurred in winter-spring and summer sea-sons,with alternating dominance between influenza A/H1N1 and B/Victoria strains.Xianyou County was high-incidence areas.The positive rates at 2,4,and 5 years old were 6.58%,9.92% and 11.97%,respectively,showing an increasing trend with age.Significantly more males than females were infected (t=2.86,P<0.05).Conclusion This study found that influenza A/H1N1 and B/Victoria were the predominant strains in children under 5 in Putian.These strains exhibited distinct seasonality and age/gender distribution characteristics,provid-ing evidence for the development of local influenza prevention and control strategies.