Titre :
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Neonatal tetanus incidence in China, 1996-2001, and risk factors for neonatal tetanus, Guangxi Province, China : Methodology. (2004)
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Auteurs :
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Feng CHAI ;
Maureen BIRMINGHAM ;
Drebecca PREVOTS ;
. RONGZHEN ZHANG ;
. XIAOJUN WANG
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Type de document :
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Article
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Dans :
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International journal of epidemiology (vol. 33, n° 3, 2004)
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Pagination :
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551-557
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Langues:
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Anglais
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Mots-clés :
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Tétanos
;
Bactériose
;
Infection
;
Incidence
;
Epidémiologie
;
Facteur risque
;
Chine
;
Asie
;
Nourrisson
;
Homme
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Résumé :
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[BDSP. Notice produite par INIST-CNRS 0FR0x5KY. Diffusion soumise à autorisation]. Background In China during 1995-1996 widespread tetanus toxoid (TT) mass vaccination of women of childbearing age in high-risk areas was conducted and neonatal tetanus (NT) surveillance was initiated as part of NT elimination efforts. Despite a subsequent decrease in the estimated rate of NT, the NT disease burden remains high in poorer areas of China. Methods To describe the recent epidemiology of NT in China and estimate its risk, we analysed national surveillance data in China 1996-2001 and conducted a case-control study in one high-risk county (Bobai) : 60 hospitalized cases were sex-and calendar-birth year matched to 60 controls from the same or neighbouring villages. Results Reported national annual NT incidence decreased from 0.21/1000 live births (LB) in 1997 to 0.16/1000 LB in 2001. Case mothers were more likely to be aged>30 years (odds ratio [OR]=6 ; 95% CI : 2.2,20.2), unschooled (OR=3.2 ; 95% CI : 1.1,11.6), and with an annual income of
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