Influenza Outbreak among Health Care Workers in an Avian Influenza (H5N1)-Endemic Setting

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Abstract
To the Editor—The treatment and prevention of influenza is not a high priority in developing countries. Although the cost benefit of influenza treatment and vaccination has been demonstrated in multiple studies from developed nations [1–3], a paucity of data for such studies exist from developing countries. We describe an influenza A outbreak investigation among health care workers (HCWs) in the medical intensive care unit (MICU) of a Thai hospital in an avian influenza (H5N1)–endemic area. Cost estimates for influenza vaccination and the outbreak investigation are also provided.

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