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Hospitalisations (2016\u20132019) peaked in infants aged &lt;\u20093\u2009months (4014\/100,000) and adults aged \u2265\u200965\u2009years (122\/100,000), nearly doubling over the period. Unspecified causes comprised \u224855% of bronchiolitis hospitalisations in children aged &lt;\u200924\u2009months. Laboratory notifications (2023) peaked at 6\u201311\u2009months (7778\/100,000). Real\u2010time data integration addressing case\u2010ascertainment and diagnostic testing frequency is essential for accurate burden estimates and future immunisation strategies.<\/jats:p>","DOI":"10.5694\/mja2.70289","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T01:50:08Z","timestamp":1789696208000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Respiratory Syncytial Virus Disease Burden and Evidence Gaps in Australia Before Immunisation Introduction: A Retrospective Population\u2010Based Study Using 2016\u20132019 Hospitalisation and 2023 Laboratory Surveillance Data"],"prefix":"10.5694","volume":"224","author":[{"given":"Chisato","family":"Imai\u2010Boulter","sequence":"first","affiliation":[{"name":"National Centre for Immunisation Research and Surveillance  Sydney New South Wales Australia"},{"name":"Faculty of Medicine and Health Children's Hospital at Westmead 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