{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T10:19:15Z","timestamp":1788344355702,"version":"build-2803163510"},"reference-count":36,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Acute respiratory tract infections (ARTIs) are a primary cause of mortality in Bangladesh, yet the Human Metapneumovirus (hMPV) remains critically underdiagnosed. This perspective aims to evaluate the current diagnostic landscape, identify specific surveillance gaps, and propose a prioritized strategic framework for integrating hMPV into national health priorities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Search Strategy<\/jats:title>\n                    <jats:p>We conducted a targeted narrative synthesis of existing regional and local literature, utilizing databases such as PubMed, Google Scholar, and Banglajol, focusing on epidemiological data from the PERCH study and IEDCR reports.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Preliminary evidence suggests that hMPV may account for up to 7.4% of pediatric ARTI hospitalizations in urban centers like Dhaka. However, a critical lack of RT\u2010PCR access in rural areas and a narrow surveillance focus on Influenza and SARS\u2010CoV\u20102 result in a likely underestimation of the hMPV burden. Systemic hurdles include high diagnostic costs (approximately 3000\u20135000 BDT per test) and limited clinician awareness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>To mitigate this critical gap, Bangladesh must transition from research\u2010based detection to integrated sentinel surveillance. We recommend a tiered approach involving laboratory modernization, clinician training, and the adoption of affordable point\u2010of\u2010care testing to protect vulnerable populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.72433","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T05:22:37Z","timestamp":1777353757000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Human Metapneumovirus: A Neglected Contributor to Acute Respiratory Infections in Bangladesh: A Public Health Perspective"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7548-2747","authenticated-orcid":false,"given":"Abdullaha Al","family":"Mamun","sequence":"first","affiliation":[{"name":"Chittagong Medical College Chattogram Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. A. M. Inzamul","family":"Islam","sequence":"additional","affiliation":[{"name":"Chittagong Medical College Chattogram Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,27]]},"reference":[{"key":"e_1_2_15_2_1","unstructured":"World Health Organization \u201cGlobal health estimates: Leading Causes of Death: Bangladesh\u2014Cause\u2010Specific Mortality 2021 \u201d accessed July 11 2025 https:\/\/www.who.int\/data\/gho\/data\/themes\/mortality\u2010and\u2010global\u2010health\u2010estimates\/ghe\u2010leading\u2010causes\u2010of\u2010death."},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0008145"},{"key":"e_1_2_15_4_1","first-page":"161","article-title":"Causes of Childhood Deaths in Bangladesh: Results of a Nationwide Verbal Autopsy Study","volume":"76","author":"Baqui A. 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