title: Rotavirus burden among children in the newly independent states of the former union of soviet socialist republics: literature review and first-year results from the rotavirus surveillance network.
abstract: BACKGROUND
  Data on rotavirus burden among children in the 15 newly independent states of the former Union of Soviet Socialist Republics, particularly contemporary data from poorer countries, are not widely available. These data are desired by policy makers to assess the value of rotavirus vaccination, especially since the GAVI Alliance approved financial support for the region's eligible countries. The Rotavirus Surveillance Network was established to provide these data.
  
  
  METHODS
  We reviewed the region's literature on rotavirus burden. We established an active surveillance network for rotavirus and analyzed data from 2007 from 4 sentinel hospitals in 3 countries (Georgia, Tajikistan, and Ukraine) that were collected using standardized enrollment and stool sample testing methods.
  
  
  RESULTS
  Specimens for rotavirus testing were collected before 1997 in most studies, and the majority of studies were from 1 country, the Russian Federation. Overall, the studies indicated that approximately 33% of hospitalizations for gastroenteritis among children were attributable to rotavirus. The Rotavirus Surveillance Network documented that 1425 (42%) of 3374 hospitalizations for acute gastroenteritis among children aged <5 years were attributable to rotavirus (site median, 40%). Seasonal peaks (autumn through spring) were observed. Genotype data on 323 samples showed that G1P[8] was the most common type (32%), followed by G9P[8] (20%), G2P[4] (18%), and G4P[8] (18%). Infections due to G10 and G12 and mixed infections were also detected.
  
  
  CONCLUSIONS
  The burden of rotavirus disease in the newly independent states is substantial. Vaccines should be considered for disease prevention.
authors.affiliation: PATH, Ferney-Voltaire, France.
authors.forename: Radmila
authors.initials: R
authors.lastname: Mirzayeva
authors.forename: Margaret M
authors.initials: MM
authors.lastname: Cortese
authors.forename: Liudmila
authors.initials: L
authors.lastname: Mosina
authors.forename: Robin
authors.initials: R
authors.lastname: Biellik
authors.forename: Andrei
authors.initials: A
authors.lastname: Lobanov
authors.forename: Lyudmila
authors.initials: L
authors.lastname: Chernyshova
authors.forename: Marina
authors.initials: M
authors.lastname: Lashkarashvili
authors.forename: Soibnazar
authors.initials: S
authors.lastname: Turkov
authors.forename: Miren
authors.initials: M
authors.lastname: Iturriza-Gomara
authors.forename: Jim
authors.initials: J
authors.lastname: Gray
authors.forename: Umesh D
authors.initials: UD
authors.lastname: Parashar
authors.forename: Duncan
authors.initials: D
authors.lastname: Steele
authors.forename: Nedret
authors.initials: N
authors.lastname: Emiroglu
mesh_terms: D002675:Child, Preschool; D017281:Cost of Illness; D005846:Georgia (Republic) / Q000453:epidemiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D012401:Rotavirus / Q000145:classification; D012400:Rotavirus Infections / Q000453:epidemiology* / Q000821:virology; D012621:Seasons; D013620:Tajikistan / Q000453:epidemiology; D014455:Ukraine / Q000453:epidemiology