{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T22:48:40Z","timestamp":1740178120855,"version":"3.37.3"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"3","funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["5U01GH000152"],"award-info":[{"award-number":["5U01GH000152"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>We estimated influenza-like symptom (ILS) incidence among healthcare personnel (HCP) in four hospitals and the economic impact due to ILS in the Thai HCP population during July 2020\u2013June 2021 (Thailand\u2019s expected 2020 influenza season), which also coincided with the novel coronavirus disease 2019 pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We followed HCP, in a prospective observational cohort, weekly for \u22651 of: muscle pain, cough, runny nose\/nasal congestion, sore throat, or difficulty breathing. We fitted population-averaged Poisson regression models to identify factors associated with acquiring ILS and to calculate ILS incidence. We applied epidemiologic parameters to Thailand\u2019s HCP population (227 349 persons) to estimate economic impact.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 2184 participants, adjusted all-cause ILS incidence was 6.1 episodes per 100 person-years (95% confidence interval 3.4\u201310.9). Among Thailand\u2019s HCP population, 13 909 ILS episodes were estimated to occur annually and would result in US$235 135 economic loss. Controlling for study site and calendar month, factors associated with acquiring \u22651 ILS versus no ILS included being female, having asthma, and using personal protective equipment \u2018frequently, but not always\u2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>All-cause ILS resulted in considerable economic loss among Thai HCP workforce. These findings underscore the importance of public health interventions to reduce the risk of acquiring ILS.<\/jats:p><\/jats:sec>","DOI":"10.1093\/annweh\/wxac089","type":"journal-article","created":{"date-parts":[[2022,12,24]],"date-time":"2022-12-24T10:01:39Z","timestamp":1671876099000},"page":"330-344","source":"Crossref","is-referenced-by-count":3,"title":["Influenza-Like Symptom Incidence, Illness-Associated Expenses, and Economic Impact Among Healthcare Personnel in Thailand: A Prospective Observational Cohort Study (2020\u20132021)"],"prefix":"10.1093","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2295-4388","authenticated-orcid":false,"given":"Wanitchaya","family":"Kittikraisak","sequence":"first","affiliation":[{"name":"Influenza Program, Thailand Ministry of Public Health \u2013 U.S. Centers for Disease Control and Prevention Collaboration , Nonthaburi 11000 , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thanapat","family":"Wongrapee","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Phaholpolpayuhasena Hospital , Kanchanaburi 71000 , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Somsak","family":"Punjasamanvong","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Rayong Hospital , Rayong 21000 , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phunlerd","family":"Piyaraj","sequence":"additional","affiliation":[{"name":"Parasitology Department, Phramongkutklao College of Medicine , Bangkok 10400 , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Apichat","family":"Vachiraphan","sequence":"additional","affiliation":[{"name":"Bamrasnaradura Infectious Diseases Institute , Nonthaburi 11000 , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pornsak","family":"Yoocharoen","sequence":"additional","affiliation":[{"name":"Department of Disease Control, Ministry of Public Health , Nonthaburi 11000 , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chonticha","family":"Klungthong","sequence":"additional","affiliation":[{"name":"Virology Department, Armed Forces Research Institute of Medical Sciences , Bangkok 10400 , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony R","family":"Jones","sequence":"additional","affiliation":[{"name":"Virology Department, Armed Forces Research Institute of Medical Sciences , Bangkok 10400 , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chuleekorn","family":"Tanathitikorn","sequence":"additional","affiliation":[{"name":"Department of Disease Control, Ministry of Public Health , Nonthaburi 11000 , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua A","family":"Mott","sequence":"additional","affiliation":[{"name":"Influenza Program, Thailand Ministry of Public Health \u2013 U.S. Centers for Disease Control and Prevention Collaboration , Nonthaburi 11000 , Thailand"},{"name":"Influenza Division, U.S. Centers for Disease Control and Prevention , Georgia 30329 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suthat","family":"Chottanapund","sequence":"additional","affiliation":[{"name":"Department of Disease Control, Ministry of Public Health , Nonthaburi 11000 , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,12,24]]},"reference":[{"key":"2023031513164876900_","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1016\/j.ajic.2007.12.003","article-title":"Influenza vaccine coverage and presenteeism in Sedgwick County, 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