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. 2025 Oct 15;232(4):e585-e588.
doi: 10.1093/infdis/jiaf132.

Epidemiology of Invasive Haemophilus influenzae Type a Disease in Alaska, 2018-2022

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Epidemiology of Invasive Haemophilus influenzae Type a Disease in Alaska, 2018-2022

Tori L Burket et al. J Infect Dis. .

Abstract

We used statewide surveillance data to describe the epidemiology of invasive Haemophilus influenzae type a disease in Alaska during 2018 to 2022. Of 52 cases identified, 39 (75%) occurred among Alaska Native children aged <5 years who lived in rural areas of southwest or northern Alaska. The average annual incidence was 17.8 per 100 000 among children aged <5 years vs 0.3 among persons aged ≥5 years. Among 43 cases in children aged <5 years, 16 (37%) presented with meningitis and 6 (14%) died. Characterizing H influenzae type a disease epidemiology can help direct prevention strategies, including vaccine development and use. From 2018 to 2022, Alaska reported 52 invasive Haemophilus influenzae type a cases, primarily in Alaska Native children aged <5 years in rural areas. The incidence was significantly higher in this group, with notably increased rates of meningitis and mortality.

Keywords: Haemophilus influenzae; Alaska; adult; invasive bacterial diseases; pediatric.

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Conflict of interest statement

Potential conflicts of interest. All authors: No reported conflicts. All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Conflicts that the editors consider relevant to the content of the manuscript have been disclosed.