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Zayed A, Baheshm Y, Al Amoudi M, Shabiz SB, Montgomery MJ. The first record of the invasive mosquito species Aedes albopictus in Yemen. CURRENT RESEARCH IN PARASITOLOGY & VECTOR-BORNE DISEASES 2024; 6:100233. [PMID: 39654608 PMCID: PMC11626621 DOI: 10.1016/j.crpvbd.2024.100233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/17/2024] [Accepted: 11/21/2024] [Indexed: 12/12/2024]
Abstract
The invasive mosquito Aedes albopictus is regarded as a public health threat due to its ability to transmit pathogens such as dengue and chikungunya viruses, its wide range of hosts, and its ecological plasticity. Aedes albopictus has already invaded parts of the Middle East region and further expansion is expected. Twenty-two sites in three districts of Yemen (Al Ghaydha, Hawf, and Sayhout) were screened for the presence of mosquitoes. We surveyed water bodies and containers, and deployed Centers for Disease Control and Prevention (CDC) and Biogents Sentinel (BG) traps, spray catches, and aspiration for adult collection. Aedes albopictus was recorded for the first time in Yemen in September 2023, during routine surveillance in Al Mahrah Governorate. Adults and immature stages of Ae. albopictus were identified in Hawf, a city 17 m above sea level in the easternmost part of the Governorate of Al Mahrah, which is located less than 8 km from the border with Oman. Our findings showed that Ae. albopictus adults were coexisting with both Ae des aegypti and Anopheles stephensi in the same location and occupying the same containers with Ae. aegypti with a ratio of 1:2. This is the first report on the presence of Ae. albopictus in Yemen. The proximity, ongoing human activity and transportation exchanges between Al Mahrah and Oman may have played a role in the introduction of this species. Intensive efforts should be undertaken to monitor and manage Ae. albopictus spread in the country, in addition to coordinating cross-border surveillance with Oman. The presence of both Aedes spp. vectors together highlights the need for surveillance for associated diseases and consideration of countermeasures.
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Affiliation(s)
- Alia Zayed
- US Naval Medical Research Unit EURAFCENT, Cairo, Egypt
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Fang Y, Khater EIM, Xue JB, Ghallab EHS, Li YY, Jiang TG, Li SZ. Epidemiology of Mosquito-Borne Viruses in Egypt: A Systematic Review. Viruses 2022; 14:v14071577. [PMID: 35891557 PMCID: PMC9322113 DOI: 10.3390/v14071577] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Revised: 07/12/2022] [Accepted: 07/18/2022] [Indexed: 12/21/2022] Open
Abstract
There are at least five common mosquito-borne viruses (MBVs) recorded in Egypt, including dengue virus (DENV), Rift Valley fever virus (RVFV), West Nile virus (WNV), Chikungunya virus, and Sindbis virus. Unexpected outbreaks caused by MBVs reflect the deficiencies of the MBV surveillance system in Egypt. This systematic review characterized the epidemiology of MBV prevalence in Egypt. Human, animal, and vector prevalence studies on MBVs in Egypt were retrieved from Web of Science, PubMed, and Bing Scholar, and 33 eligible studies were included for further analyses. The monophyletic characterization of the RVFV and WNV strains found in Egypt, which spans about half a century, suggests that both RVFV and WNV are widely transmitted in this nation. Moreover, the seropositive rates of DENV and WNV in hosts were on the rise in recent years, and spillover events of DENV and WNV to other countries from Egypt have been recorded. The common drawback for surveillance of MBVs in Egypt is the lack of seroprevalence studies on MBVs, especially in this century. It is necessary to evaluate endemic transmission risk, establish an early warning system for MBVs, and develop a sound joint system for medical care and public health for managing MBVs in Egypt.
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Affiliation(s)
- Yuan Fang
- NHC Key Laboratory of Parasite and Vector Biology, National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), WHO Collaborating Center for Tropical Diseases, National Center for International Research on Tropical Diseases, Shanghai 200025, China; (Y.F.); (J.-B.X.); (Y.-Y.L.)
- School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China;
| | - Emad I. M. Khater
- Department of Entomology, Faculty of Science, Ain Shams University, Abbasiah, Cairo 11566, Egypt; (E.I.M.K.); (E.H.S.G.)
| | - Jing-Bo Xue
- NHC Key Laboratory of Parasite and Vector Biology, National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), WHO Collaborating Center for Tropical Diseases, National Center for International Research on Tropical Diseases, Shanghai 200025, China; (Y.F.); (J.-B.X.); (Y.-Y.L.)
- School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China;
| | - Enas H. S. Ghallab
- Department of Entomology, Faculty of Science, Ain Shams University, Abbasiah, Cairo 11566, Egypt; (E.I.M.K.); (E.H.S.G.)
| | - Yuan-Yuan Li
- NHC Key Laboratory of Parasite and Vector Biology, National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), WHO Collaborating Center for Tropical Diseases, National Center for International Research on Tropical Diseases, Shanghai 200025, China; (Y.F.); (J.-B.X.); (Y.-Y.L.)
| | - Tian-Ge Jiang
- School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China;
| | - Shi-Zhu Li
- NHC Key Laboratory of Parasite and Vector Biology, National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), WHO Collaborating Center for Tropical Diseases, National Center for International Research on Tropical Diseases, Shanghai 200025, China; (Y.F.); (J.-B.X.); (Y.-Y.L.)
- School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China;
- Correspondence:
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Kamal M, Kenawy MA, Rady MH, Khaled AS, Samy AM. Mapping the global potential distributions of two arboviral vectors Aedes aegypti and Ae. albopictus under changing climate. PLoS One 2018; 13:e0210122. [PMID: 30596764 PMCID: PMC6312308 DOI: 10.1371/journal.pone.0210122] [Citation(s) in RCA: 131] [Impact Index Per Article: 18.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2018] [Accepted: 12/17/2018] [Indexed: 01/03/2023] Open
Abstract
BACKGROUND Aedes aegypti and Ae. albopictus are the primary vectors that transmit several arboviral diseases, including dengue, chikungunya, and Zika. The world is presently experiencing a series of outbreaks of these diseases, so, we still require to better understand the current distributions and possible future shifts of their vectors for successful surveillance and control programs. Few studies assessed the influences of climate change on the spatial distributional patterns and abundance of these important vectors, particularly using the most recent climatic scenarios. Here, we updated the current potential distributions of both vectors and assessed their distributional changes under future climate conditions. METHODS We used ecological niche modeling approach to estimate the potential distributions of Ae. aegypti and Ae. albopictus under present-day and future climate conditions. This approach fits ecological niche model from occurrence records of each species and environmental variables. For each species, future projections were based on climatic data from 9 general circulation models (GCMs) for each representative concentration pathway (RCP) in each time period, with a total of 72 combinations in four RCPs in 2050 and 2070. All ENMs were tested using the partial receiver operating characteristic (pROC) and a set of 2,048 and 2,003 additional independent records for Ae. aegypti and Ae. albopictus, respectively. Finally, we used background similarity test to assess the similarity between the ENMs of Ae. aegypti and Ae. albopictus. RESULTS The predicted potential distribution of Ae. aegypti and Ae. albopictus coincided with the current and historical known distributions of both species. Aedes aegypti showed a markedly broader distributional potential across tropical and subtropical regions than Ae. albopictus. Interestingly, Ae. albopictus was markedly broader in distributional potential across temperate Europe and the United States. All ecological niche models (ENMs) were statistically robust (P < 0.001). ENMs successfully anticipated 98% (1,999/2,048) and 99% (1,985/2,003) of additional independent records for both Ae. aegypti and Ae. albopictus, respectively (P < 0.001). ENMs based on future conditions showed similarity between the overall distributional patterns of future-day and present-day conditions; however, there was a northern range expansion in the continental USA to include parts of Southern Canada in case of Ae. albopictus in both 2050 and 2070. Future models also anticipated further expansion of Ae. albopictus to the East to include most of Europe in both time periods. Aedes aegypti was anticipated to expand to the South in East Australia in 2050 and 2070. The predictions showed differences in distributional potential of both species between diverse RCPs in 2050 and 2070. Finally, the background similarity test comparing the ENMs of Ae. aegypti and Ae. albopictus was unable to reject the null hypothesis of niche similarity between both species (P > 0.05). CONCLUSION These updated maps provided details to better guide surveillance and control programs of Ae. aegypti and Ae. albopictus. They have also significant public health importance as a baseline for predicting the emergence of arboviral diseases transmitted by both vectors in new areas across the world.
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Affiliation(s)
- Mahmoud Kamal
- Entomology Department, Faculty of Science, Ain Shams University, Abbassia, Cairo, Egypt
- * E-mail: , (MK); (AMS)
| | - Mohamed A. Kenawy
- Entomology Department, Faculty of Science, Ain Shams University, Abbassia, Cairo, Egypt
| | - Magda Hassan Rady
- Entomology Department, Faculty of Science, Ain Shams University, Abbassia, Cairo, Egypt
| | - Amany Soliman Khaled
- Entomology Department, Faculty of Science, Ain Shams University, Abbassia, Cairo, Egypt
- Research and Training Center on Vectors of Diseases, Faculty of Science, Ain Shams University, Abbassia, Cairo, Egypt
| | - Abdallah M. Samy
- Entomology Department, Faculty of Science, Ain Shams University, Abbassia, Cairo, Egypt
- * E-mail: , (MK); (AMS)
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Parra MCP, Fávaro EA, Dibo MR, Mondini A, Eiras ÁE, Kroon EG, Teixeira MM, Nogueira ML, Chiaravalloti-Neto F. Using adult Aedes aegypti females to predict areas at risk for dengue transmission: A spatial case-control study. Acta Trop 2018; 182:43-53. [PMID: 29462598 DOI: 10.1016/j.actatropica.2018.02.018] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2017] [Revised: 01/27/2018] [Accepted: 02/13/2018] [Indexed: 12/15/2022]
Abstract
INTRODUCTION Traditional indices for measuring dengue fever risk in a given area are based on the immature forms of the vector (larvae and pupae surveys). However, this is inefficient because only adult female mosquitoes actually transmit the virus. Based on these assumptions, our objective was to evaluate the association between an entomological index obtained from adult mosquito traps and the occurrence of dengue in a hyperendemic area. Additionally, we compared its cost to that of the Breteau Index (BI). MATERIAL AND METHODS We performed this study in São José do Rio Preto, SP, Brazil, between the epidemiological weeks of 36/2012 and 19/2013. BG-Sentinel and BG-Mosquitito traps were installed to capture adult mosquitoes. Positive and negative cases of dengue fever were computed and geocoded. We generated biweekly thematic maps of the entomological index, generated by calculating the number of adult Aedes aegypti females (NAF) per 100 households during a week by kriging, and based on the number of mosquitoes captured. The relation between the occurrence of dengue fever and the NAF was tested using a spatial case-control design and a generalized additive model and was controlled by the coordinates of the positive and negative cases of dengue fever. RESULTS Our analyses showed that increases in dengue fever cases occurred in parallel with increases in the number of Ae. aegypti females. The entomological index produced in our study correlates positively with the incidence of dengue, particularly during intervals when vector control measures were applied less intensively. The operational costs of our index were lower than those of the BI: NAF used 71.5% less human resources necessary to measure the BI. CONCLUSIONS Spatial analysis techniques and the number of adult Ae. aegypti females were used to produce an indicator of dengue risk. The index can be applied at various levels of spatial aggregation for an entire study area, as well as for sub-areas, such as city blocks. Even though the index is adequate to predict dengue risk, it should be tested and validated in various scenarios before routine use.
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Ponce-García G, Flores-Suarez AE, Villanueva-Segura K, Lopez-Rodriguez M, Dzul F, Lopez-Monroy B, Rodriguez-Sanchez I. Report of Chikungunya Virus in Wild Populations of Aedes aegypti in Guerrero State, Mexico. JOURNAL OF THE AMERICAN MOSQUITO CONTROL ASSOCIATION 2018; 34:147-150. [PMID: 31442150 DOI: 10.2987/17-6683.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
We detected vertical transmission of chikungunya virus (CHIKV) in wild populations of Aedes aegypti from San Marcos, Guerrero, Mexico, with real-time reverse transcriptase-polymerase chain reaction. A total of 20 pools (1-11 specimens/pool) of larvae, male, and female mosquitoes were tested. We report the detection of CHIKV in 2 of 11 larval pools, 4 of 5 male pools, and 1 of 4 female pools, from field-collected mosquitoes.
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Tanabe ELDL, Tanabe ISB, Santos ECD, Marques JPDS, Borges AA, Lima MCD, Anderson L, Bassi ÊJ. Report of East-Central South African Chikungunya virus genotype during the 2016 outbreak in the Alagoas State, Brazil. Rev Inst Med Trop Sao Paulo 2018; 60:e19. [PMID: 29694603 PMCID: PMC5956549 DOI: 10.1590/s1678-9946201860019] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2018] [Accepted: 03/13/2018] [Indexed: 12/16/2022] Open
Abstract
Chikungunya virus (CHIKV) causes a self-limiting disease characterized by the
onset of fever, skin rash and persistent arthralgia. In the last decade, it has
emerged as a serious public health problem causing several outbreaks around the
world. Here, we report the CHIKV genotype characterization during the 2016 CHIKV
outbreak in Alagoas State, Brazil. Partial E1 sequence from CHIKV-positive
samples coming from different cities of Alagoas were submitted to DNA sequencing
followed by phylogenetic analysis thus characterizing the virus genotype. The
circulating CHIKV virus in Alagoas during 2016 outbreak belongs to the
East-Central South African genotype. In this way, virus genotyping to monitoring
the spread of CHIKV is needed to continued surveillance supporting the
development of prevention strategies, mainly in endemic areas of mosquitoes and
arboviruses co-circulation.
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Affiliation(s)
- Eloiza Lopes de Lira Tanabe
- Laboratório de Pesquisas em Virologia e Imunologia (LAPEVI), Grupo de Pesquisa em Regulação da Resposta Imune (IMUNOREG), Instituto de Ciências Biológicas e da Saúde (ICBS), Universidade Federal de Alagoas, Maceió, Alagoas, Brazil
| | - Ithallo Sathio Bessoni Tanabe
- Laboratório de Pesquisas em Virologia e Imunologia (LAPEVI), Grupo de Pesquisa em Regulação da Resposta Imune (IMUNOREG), Instituto de Ciências Biológicas e da Saúde (ICBS), Universidade Federal de Alagoas, Maceió, Alagoas, Brazil
| | - Elane Conceição Dos Santos
- Laboratório de Pesquisas em Virologia e Imunologia (LAPEVI), Grupo de Pesquisa em Regulação da Resposta Imune (IMUNOREG), Instituto de Ciências Biológicas e da Saúde (ICBS), Universidade Federal de Alagoas, Maceió, Alagoas, Brazil
| | | | - Alessandra Abel Borges
- Laboratório de Pesquisas em Virologia e Imunologia (LAPEVI), Grupo de Pesquisa em Regulação da Resposta Imune (IMUNOREG), Instituto de Ciências Biológicas e da Saúde (ICBS), Universidade Federal de Alagoas, Maceió, Alagoas, Brazil
| | | | - Letícia Anderson
- Laboratório de Pesquisas em Virologia e Imunologia (LAPEVI), Grupo de Pesquisa em Regulação da Resposta Imune (IMUNOREG), Instituto de Ciências Biológicas e da Saúde (ICBS), Universidade Federal de Alagoas, Maceió, Alagoas, Brazil
| | - Ênio José Bassi
- Laboratório de Pesquisas em Virologia e Imunologia (LAPEVI), Grupo de Pesquisa em Regulação da Resposta Imune (IMUNOREG), Instituto de Ciências Biológicas e da Saúde (ICBS), Universidade Federal de Alagoas, Maceió, Alagoas, Brazil
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Humphrey JM, Cleton NB, Reusken CBEM, Glesby MJ, Koopmans MPG, Abu-Raddad LJ. Urban Chikungunya in the Middle East and North Africa: A systematic review. PLoS Negl Trop Dis 2017. [PMID: 28651007 PMCID: PMC5501693 DOI: 10.1371/journal.pntd.0005707] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Background The epidemiology of Chikungunya virus (CHIKV) in the Middle
East and North Africa (MENA) is not well characterized despite increasing
recognition of its expanding infection and disease burden in recent
years. Methodology / Principal findings Following Cochrane Collaboration guidelines and reporting our findings
following PRISMA guidelines, we systematically reviewed records describing
the human prevalence and incidence, CHIKV prevalence/infection rates in
vectors, outbreaks, and reported cases for CHIKV across the MENA region. We
identified 29 human seroprevalence measures, one human incidence study, one
study reporting CHIKV infection rates in Aedes, and nine
outbreaks and case reports/series reported in the MENA from 1970–2015.
Overall, anti-CHIKV antibody or reports of autochthonous transmission were
identified from 10 of 23 countries in the MENA region (Djibouti, Egypt,
Iraq, Iran, Kuwait, Pakistan, Saudi Arabia, Somalia, Sudan, and Yemen), with
seroprevalence measures among general populations (median 1.0%, range 0–43%)
and acute febrile illness populations (median 9.8%, range 0–30%). Sudan
reported the highest number of studies (n = 11) and the highest
seroprevalence among general populations (median 12%, range 0–43%) and
undifferentiated acute febrile illness populations (median 18%, range
10–23%). CHIKV outbreaks were reported from Djibouti, Pakistan, Sudan, and
Yemen. Conclusions / Significance Seroprevalence studies and outbreak reports suggest endemic transmission of
urban cycle CHIKV in at least the Red Sea region and Pakistan. However,
indications of seroprevalence despite a low quantity of CHIKV epidemiologic
research from the region suggests that CHIKV transmission is currently
underrecognized. Chikungunya virus (CHIKV) is an alphavirus whose principal
vectors are the Aedes aegypti and Aedes
albopictus mosquitoes. Though long endemic to Asia and Africa,
detection of CHIKV has recently been reported throughout the Western Hemisphere,
including much of South America and the Caribbean. In the Middle East and North
Africa (MENA), the epidemiology of CHIKV remains poorly characterized despite
recent reports of outbreaks and novel transmission in the Arabian Peninsula. To
better understand existing data describing the epidemiology of urban CHIKV in
the MENA region, we conducted a systematic review of human prevalence studies
and incidence studies; CHIKV detections, prevalence, and infection rates in
Aedes; and reported CHIKV outbreaks, case series, and case
reports from the region. A total of 29 seroprevalence studies were identified
through our search, with anti-CHIKV antibodies and/or outbreaks detected in
Djibouti, Egypt, Iraq, Iran, Kuwait, Pakistan, Saudi Arabia, Somalia, Sudan, and
Yemen. Sudan reported the highest number of studies (n = 11) and the highest
seroprevalence among all studies. The epidemiology of urban CHIKV in other MENA
countries is less well characterized, suggesting underascertainment of cases and
the need for further research.
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Affiliation(s)
- John M. Humphrey
- Division of Infectious Diseases, Department of Medicine, Weill Cornell
Medicine, New York, New York, United States of America
- * E-mail:
| | - Natalie B. Cleton
- Viroscience department, Erasmus University Medical Centre, Rotterdam, The
Netherlands
- National Institute for Public Health and the Environment (RIVM),
Bilthoven, The Netherlands
| | | | - Marshall J. Glesby
- Division of Infectious Diseases, Department of Medicine, Weill Cornell
Medicine, New York, New York, United States of America
- Department of Healthcare Policy and Research, Weill Cornell Medicine,
Cornell University, New York, New York, United States of
America
| | - Marion P. G. Koopmans
- Viroscience department, Erasmus University Medical Centre, Rotterdam, The
Netherlands
- National Institute for Public Health and the Environment (RIVM),
Bilthoven, The Netherlands
| | - Laith J. Abu-Raddad
- Department of Healthcare Policy and Research, Weill Cornell Medicine,
Cornell University, New York, New York, United States of
America
- Infectious Disease Epidemiology Group, Weill Cornell Medicine in Qatar,
Cornell University, Qatar Foundation, Education City, Doha,
Qatar
- College of Public Health, Hamad bin Khalifa University, Qatar Foundation,
Education City, Doha, Qatar
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Humphrey JM, Cleton NB, Reusken CBEM, Glesby MJ, Koopmans MPG, Abu-Raddad LJ. Dengue in the Middle East and North Africa: A Systematic Review. PLoS Negl Trop Dis 2016; 10:e0005194. [PMID: 27926925 PMCID: PMC5142774 DOI: 10.1371/journal.pntd.0005194] [Citation(s) in RCA: 56] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2016] [Accepted: 11/17/2016] [Indexed: 12/19/2022] Open
Abstract
Background Dengue virus (DENV) infection is widespread and its disease burden has increased in past decades. However, little is known about the epidemiology of dengue in the Middle East and North Africa (MENA). Methodology / Principal Findings Following Cochrane Collaboration guidelines and reporting our findings following PRISMA guidelines, we systematically reviewed available records across MENA describing dengue occurrence in humans (prevalence studies, incidence studies, and outbreak reports), occurrence of suitable vectors (Aedes aegypti and Aedes albopictus), and DENV vector infection rates. We identified 105 human prevalence measures in 13 of 24 MENA countries; 81 outbreaks reported from 9 countries from 1941–2015; and reports of Ae. aegypti and/or Ae. albopictus occurrence in 15 countries. The majority of seroprevalence studies were reported from the Red Sea region and Pakistan, with multiple studies indicating >20% DENV seroprevalence in general populations (median 25%, range 0–62%) in these subregions. Fifty percent of these studies were conducted prior to 1990. Multiple studies utilized assays susceptible to serologic cross-reactions and 5% of seroprevalence studies utilized viral neutralization testing. There was considerable heterogeneity in study design and outbreak reporting, as well as variability in subregional study coverage, study populations, and laboratory methods used for diagnosis. Conclusions / Significance DENV seroprevalence in the MENA is high among some populations in the Red Sea region and Pakistan, while recent outbreaks in these subregions suggest increasing incidence of DENV which may be driven by a variety of ecologic and social factors. However, there is insufficient study coverage to draw conclusions about Aedes or DENV presence in multiple MENA countries. These findings illustrate the epidemiology of DENV in the MENA while revealing priorities for DENV surveillance and Aedes control. Dengue is a mosquito-transmitted flavivirus whose global distribution and disease incidence has increased in recent decades. In the Middle East and North Africa, the epidemiology of dengue remains poorly characterized despite increasing reports of outbreaks and transmission in new areas. In order to understand the evidence supporting the epidemiology of this virus in the region and the areas in need of further research, we conducted a systematic review of studies reporting human prevalence, incidence, and infection rates in the virus’ main mosquito vectors, Aedes aegypti and Aedes albopictus. Among the studies identified, the Red Sea subregion and Pakistan reported the highest seroprevalence estimates for dengue. However, we encountered substantial heterogeneity in the distribution, quality, and quantity of published studies. These findings inform future research and surveillance priorities for DENV in the MENA region.
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Affiliation(s)
- John M. Humphrey
- Division of Infectious Diseases, Department of Medicine, Weill Cornell Medical College, New York, New York, United States of America
- * E-mail:
| | - Natalie B. Cleton
- Erasmus Medical Centre, Rotterdam, The Netherlands
- National Institute for Public Health and Environment (RIVM), Bilthoven, The Netherlands
| | | | - Marshall J. Glesby
- Division of Infectious Diseases, Department of Medicine, Weill Cornell Medical College, New York, New York, United States of America
- Department of Healthcare Policy and Research, Weill Cornell Medical College, Cornell University, New York, New York, United States of America
| | - Marion P. G. Koopmans
- Erasmus Medical Centre, Rotterdam, The Netherlands
- National Institute for Public Health and Environment (RIVM), Bilthoven, The Netherlands
| | - Laith J. Abu-Raddad
- Department of Healthcare Policy and Research, Weill Cornell Medical College, Cornell University, New York, New York, United States of America
- Infectious Disease Epidemiology Group, Weill Cornell Medical College in Qatar, Cornell University, Qatar Foundation, Education City, Doha, Qatar
- College of Public Health, Hamad bin Khalifa University, Qatar Foundation, Education City, Doha, Qatar
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Sam IC, Kümmerer BM, Chan YF, Roques P, Drosten C, AbuBakar S. Updates on chikungunya epidemiology, clinical disease, and diagnostics. Vector Borne Zoonotic Dis 2016; 15:223-30. [PMID: 25897809 DOI: 10.1089/vbz.2014.1680] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
Chikungunya virus (CHIKV) is an Aedes-borne alphavirus, historically found in Africa and Asia, where it caused sporadic outbreaks. In 2004, CHIKV reemerged in East Africa and spread globally to cause epidemics, including, for the first time, autochthonous transmission in Europe, the Middle East, and Oceania. The epidemic strains were of the East/Central/South African genotype. Strains of the Asian genotype of CHIKV continued to cause outbreaks in Asia and spread to Oceania and, in 2013, to the Americas. Acute disease, mainly comprising fever, rash, and arthralgia, was previously regarded as self-limiting; however, there is growing evidence of severe but rare manifestations, such as neurological disease. Furthermore, CHIKV appears to cause a significant burden of long-term morbidity due to persistent arthralgia. Diagnostic assays have advanced greatly in recent years, although there remains a need for simple, accurate, and affordable tests for the developing countries where CHIKV is most prevalent. This review focuses on recent important work on the epidemiology, clinical disease and diagnostics of CHIKV.
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Affiliation(s)
- I-Ching Sam
- 1 Department of Medical Microbiology, Faculty of Medicine, University Malaya , Kuala Lumpur, Malaysia
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Rezza G, El-Sawaf G, Faggioni G, Vescio F, Al Ameri R, De Santis R, Helaly G, Pomponi A, Metwally D, Fantini M, Qadi H, Ciccozzi M, Lista F. Co-circulation of Dengue and Chikungunya Viruses, Al Hudaydah, Yemen, 2012. Emerg Infect Dis 2016; 20:1351-4. [PMID: 25061762 PMCID: PMC4111199 DOI: 10.3201/eid2008.131615] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
We investigated 400 cases of dengue-like illness in persons hospitalized during an outbreak in Al Hudaydah, Yemen, in 2012. Overall, 116 dengue and 49 chikungunya cases were diagnosed. Dengue virus type 2 was the predominant serotype. The co-circulation of these viruses indicates that mosquitoborne infections represent a public health threat in Yemen.
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Barakat AM, Smura T, Kuivanen S, Huhtamo E, Kurkela S, Putkuri N, Hasony HJ, Al-Hello H, Vapalahti O. The Presence and Seroprevalence of Arthropod-Borne Viruses in Nasiriyah Governorate, Southern Iraq: A Cross-Sectional Study. Am J Trop Med Hyg 2016; 94:794-9. [PMID: 26880770 DOI: 10.4269/ajtmh.15-0622] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2015] [Accepted: 11/11/2015] [Indexed: 02/02/2023] Open
Abstract
The knowledge on the presence and seroprevalence of arboviruses in Iraq is fragmental. To assess the exposure of the population to arbovirus infections in southern Iraq, we conducted a serological screening of the most common arbovirus groups using immunofluorescence, hemagglutination inhibition and neutralization tests. Serum samples of 399 adult volunteers were collected in Nasiriyah, Iraq. Antibodies were detected against West Nile virus (WNV) (11.6%), sandfly-borne Sicilian virus serocomplex (18.2%), sandfly-borne Naples virus serocomplex (7.8%), Sindbis virus (1.5%), chikungunya virus (0.5%), and Tahyna virus (2.0%). The results suggest that WNV and sandfly-borne phlebovirus infections are common in southern Iraq, and these viruses should be considered as potential causative agents in patients with febrile disease and/or neurological manifestations.
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Affiliation(s)
- Ali Mohammed Barakat
- Department of Medical Microbiology, Medical College, University of Basrah, Basrah, Iraq; Departments of Virology, Virology and Immunology, and Veterinary Biosciences, University of Helsinki, Helsinki, Finland; Viral Infections Unit, Department of Infectious Diseases, National Institute for Health and Welfare (THL), Helsinki, Finland
| | - Teemu Smura
- Department of Medical Microbiology, Medical College, University of Basrah, Basrah, Iraq; Departments of Virology, Virology and Immunology, and Veterinary Biosciences, University of Helsinki, Helsinki, Finland; Viral Infections Unit, Department of Infectious Diseases, National Institute for Health and Welfare (THL), Helsinki, Finland
| | - Suvi Kuivanen
- Department of Medical Microbiology, Medical College, University of Basrah, Basrah, Iraq; Departments of Virology, Virology and Immunology, and Veterinary Biosciences, University of Helsinki, Helsinki, Finland; Viral Infections Unit, Department of Infectious Diseases, National Institute for Health and Welfare (THL), Helsinki, Finland
| | - Eili Huhtamo
- Department of Medical Microbiology, Medical College, University of Basrah, Basrah, Iraq; Departments of Virology, Virology and Immunology, and Veterinary Biosciences, University of Helsinki, Helsinki, Finland; Viral Infections Unit, Department of Infectious Diseases, National Institute for Health and Welfare (THL), Helsinki, Finland
| | - Satu Kurkela
- Department of Medical Microbiology, Medical College, University of Basrah, Basrah, Iraq; Departments of Virology, Virology and Immunology, and Veterinary Biosciences, University of Helsinki, Helsinki, Finland; Viral Infections Unit, Department of Infectious Diseases, National Institute for Health and Welfare (THL), Helsinki, Finland
| | - Niina Putkuri
- Department of Medical Microbiology, Medical College, University of Basrah, Basrah, Iraq; Departments of Virology, Virology and Immunology, and Veterinary Biosciences, University of Helsinki, Helsinki, Finland; Viral Infections Unit, Department of Infectious Diseases, National Institute for Health and Welfare (THL), Helsinki, Finland
| | - Hassan J Hasony
- Department of Medical Microbiology, Medical College, University of Basrah, Basrah, Iraq; Departments of Virology, Virology and Immunology, and Veterinary Biosciences, University of Helsinki, Helsinki, Finland; Viral Infections Unit, Department of Infectious Diseases, National Institute for Health and Welfare (THL), Helsinki, Finland
| | - Haider Al-Hello
- Department of Medical Microbiology, Medical College, University of Basrah, Basrah, Iraq; Departments of Virology, Virology and Immunology, and Veterinary Biosciences, University of Helsinki, Helsinki, Finland; Viral Infections Unit, Department of Infectious Diseases, National Institute for Health and Welfare (THL), Helsinki, Finland
| | - Olli Vapalahti
- Department of Medical Microbiology, Medical College, University of Basrah, Basrah, Iraq; Departments of Virology, Virology and Immunology, and Veterinary Biosciences, University of Helsinki, Helsinki, Finland; Viral Infections Unit, Department of Infectious Diseases, National Institute for Health and Welfare (THL), Helsinki, Finland
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12
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Long-Lasting Immune Protection and Other Epidemiological Findings after Chikungunya Emergence in a Cambodian Rural Community, April 2012. PLoS Negl Trop Dis 2016; 10:e0004281. [PMID: 26752630 PMCID: PMC4713465 DOI: 10.1371/journal.pntd.0004281] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2015] [Accepted: 11/14/2015] [Indexed: 01/19/2023] Open
Abstract
The East/Central/South African genotype of Chikungunya virus with the E1-A226V mutation emerged in 2011 in Cambodia and spread in 2012. An outbreak of 190 cases was documented in Trapeang Roka, a rural village. We surveyed 425 village residents within 3-4 weeks after the outbreak, and determined the sensitivity and specificity of case definitions and factors associated with infection by CHIKV. Self-reported clinical presentation consisted mostly of fever, rash and arthralgia. The presence of all three clinical signs or symptoms was identified as the most sensitive (67%) and specific (84%) self-reported diagnostic clinical indicator compared to biological confirmation by MAC-ELISA or RT-PCR used as a reference. Having an indoor occupation was associated with lower odds of infection compared with people who remained at home (adjOR 0.32, 95%CI 0.12-0.82). In contrast with findings from outbreaks in other settings, persons aged above 40 years were less at risk of CHIKV infection, likely reflecting immune protection acquired when Chikungunya circulated in Cambodia before the Khmer Rouge regime in 1975. In view of the very particular history of Cambodia, our epidemiological data from Trapeang Roka are the first to support the persistence of CHIKV antibodies over a period of 40 years.
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Medlock JM, Hansford KM, Versteirt V, Cull B, Kampen H, Fontenille D, Hendrickx G, Zeller H, Van Bortel W, Schaffner F. An entomological review of invasive mosquitoes in Europe. BULLETIN OF ENTOMOLOGICAL RESEARCH 2015; 105:637-63. [PMID: 25804287 DOI: 10.1017/s0007485315000103] [Citation(s) in RCA: 196] [Impact Index Per Article: 19.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Among the invasive mosquitoes registered all over the world, Aedes species are particularly frequent and important. As several of them are potential vectors of disease, they present significant health concerns for 21st century Europe. Five species have established in mainland Europe, with two (Aedes albopictus and Aedes japonicus) becoming widespread and two (Ae. albopictus and Aedes aegypti) implicated in disease transmission to humans in Europe. The routes of importation and spread are often enigmatic, the ability to adapt to local environments and climates are rapid, and the biting nuisance and vector potential are both an ecomonic and public health concern. Europeans are used to cases of dengue and chikungunya in travellers returning from the tropics, but the threat to health and tourism in mainland Europe is substantive. Coupled to that are the emerging issues in the European overseas territorities and this paper is the first to consider the impacts in the remoter outposts of Europe. If entomologists and public health authorities are to address the spread of these mosquitoes and mitigate their health risks they must first be prepared to share information to better understand their biology and ecology, and share data on their distribution and control successes. This paper focusses in greater detail on the entomological and ecological aspects of these mosquitoes to assist with the risk assessment process, bringing together a large amount of information gathered through the ECDC VBORNET project.
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Affiliation(s)
- J M Medlock
- Medical Entomology Group,MRA/BS,Emergency Response Department,Public Health England,Porton Down,Salisbury,UK
| | - K M Hansford
- Medical Entomology Group,MRA/BS,Emergency Response Department,Public Health England,Porton Down,Salisbury,UK
| | - V Versteirt
- Avia-GIS,Risschotlei 33,2980 Zoersel,Belgium
| | - B Cull
- Medical Entomology Group,MRA/BS,Emergency Response Department,Public Health England,Porton Down,Salisbury,UK
| | - H Kampen
- Friedrich-Loeffler-Institut, Federal Research Institute for Animal Health,Südufer 10,17493 Greifswald - Insel Riems,Germany
| | - D Fontenille
- Centre National d'Expertise sur les Vecteurs (CNEV), Institut de recherche pour le développement (IRD), UMR MIVEGEC,BP 64501,34394 Montpellier,France
| | - G Hendrickx
- Avia-GIS,Risschotlei 33,2980 Zoersel,Belgium
| | - H Zeller
- Emerging and Vector-borne Diseases, European Centre for Disease Prevention and Control,Tomtebodavägen 11A,17183 Stockholm,Sweden
| | - W Van Bortel
- Emerging and Vector-borne Diseases, European Centre for Disease Prevention and Control,Tomtebodavägen 11A,17183 Stockholm,Sweden
| | - F Schaffner
- Avia-GIS,Risschotlei 33,2980 Zoersel,Belgium
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15
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Complete Genome Sequence of Chikungunya Virus Isolated from an Aedes aegypti Mosquito during an Outbreak in Yemen, 2011. GENOME ANNOUNCEMENTS 2015; 3:3/4/e00789-15. [PMID: 26184944 PMCID: PMC4505132 DOI: 10.1128/genomea.00789-15] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
Chikungunya virus is recognized as a serious public health problem. The complete genome was sequenced for a chikungunya virus isolated from the mosquito Aedes aegypti during a 2011 outbreak in Al Hodayda, Yemen, which resulted in significant human fatalities. Phylogenetic analysis demonstrated that this Yemeni isolate is most closely related to Indian Ocean strains of the east/central/south African genotype.
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17
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Burrack KS, Montgomery SA, Homann D, Morrison TE. CD8+ T cells control Ross River virus infection in musculoskeletal tissues of infected mice. THE JOURNAL OF IMMUNOLOGY 2014; 194:678-89. [PMID: 25488988 DOI: 10.4049/jimmunol.1401833] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
Ross River virus (RRV), chikungunya virus, and related alphaviruses cause debilitating polyarthralgia and myalgia. Mouse models of RRV and chikungunya virus have demonstrated a role for the adaptive immune response in the control of these infections. However, questions remain regarding the role for T cells in viral control, including the magnitude, location, and dynamics of CD8(+) T cell responses. To address these questions, we generated a recombinant RRV expressing the H-2(b)-restricted glycoprotein 33 (gp33) determinant derived from the glycoprotein of lymphocytic choriomeningitis virus. Using tetramers, we tracked gp33-specific CD8(+) T cells during RRV-lymphocytic choriomeningitis virus infection. We found that acute RRV infection induces activation of CD8(+) T cell responses in lymphoid and musculoskeletal tissues that peak from 10-14 d postinoculation, suggesting that CD8(+) T cells contribute to control of acute RRV infection. Mice genetically deficient for CD8(+) T cells or wild-type mice depleted of CD8(+) T cells had elevated RRV loads in skeletal muscle tissue, but not joint-associated tissues, at 14 d postinoculation, suggesting that the ability of CD8(+) T cells to control RRV infection is tissue dependent. Finally, adoptively transferred T cells were capable of reducing RRV loads in skeletal muscle tissue of Rag1(-/-) mice, indicating that T cells can contribute to the control of RRV infection in the absence of B cells and Ab. Collectively, these data demonstrate a role for T cells in the control of RRV infection and suggest that the antiviral capacity of T cells is controlled in a tissue-specific manner.
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Affiliation(s)
- Kristina S Burrack
- Department of Immunology and Microbiology, University of Colorado School of Medicine, Aurora, CO 80045
| | - Stephanie A Montgomery
- Department of Pathology and Laboratory Medicine, Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599
| | - Dirk Homann
- Department of Immunology and Microbiology, University of Colorado School of Medicine, Aurora, CO 80045; Department of Anesthesiology, University of Colorado School of Medicine, Aurora, CO 80045; Diabetes, Obesity and Metabolism Institute, Icahn School of Medicine at Mount Sinai, New York, NY 10029; and Immunology Institute, Icahn School of Medicine at Mount Sinai, New York, NY 10029
| | - Thomas E Morrison
- Department of Immunology and Microbiology, University of Colorado School of Medicine, Aurora, CO 80045;
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18
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Powers AM. Risks to the Americas associated with the continued expansion of chikungunya virus. J Gen Virol 2014; 96:1-5. [PMID: 25239764 DOI: 10.1099/vir.0.070136-0] [Citation(s) in RCA: 47] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Chikungunya virus is a mosquito-borne virus that has been responsible for over 2 million human infections during the past decade. This virus, which previously had a geographical range primarily restricted to sub-Saharan Africa, the Indian subcontinent and South East Asia, has recently moved to subtropical latitudes as well as the western hemisphere. This expansion into novel habitats brings unique risks associated with further spread of the virus and the disease it causes.
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Affiliation(s)
- Ann M Powers
- Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, CO 80521, USA
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Ciccozzi M, Lo Presti A, Cella E, Giovanetti M, Lai A, El-Sawaf G, Faggioni G, Vescio F, Al Ameri R, De Santis R, Helaly G, Pomponi A, Metwally D, Fantini M, Qadi H, Zehender G, Lista F, Rezza G. Phylogeny of Dengue and Chikungunya viruses in Al Hudayda governorate, Yemen. INFECTION GENETICS AND EVOLUTION 2014; 27:395-401. [PMID: 25183027 DOI: 10.1016/j.meegid.2014.08.010] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/09/2014] [Revised: 08/04/2014] [Accepted: 08/05/2014] [Indexed: 10/24/2022]
Abstract
Yemen, which is located in the southwestern end of the Arabian Peninsula, is one of countries most affected by recurrent epidemics caused by emerging vector-borne viruses. Dengue virus (DENV) outbreaks have been reported with increasing frequency in several governorates since the year 2000, and the Chikungunya virus (CHIKV) has been also responsible of large outbreaks and it is now a major public health problem in Yemen. We report the results of the phylogenetic analysis of DENV-2 and CHIKV isolates (NS1 and E1 genes, respectively) detected in an outbreak occurred in Al-Hudayda in 2012. Estimates of the introduction date of CHIKV and DENV-2, and the phylogeographic analysis of DENV-2 are also presented. Phylogenetic analysis showed that the Yemen isolates of DENV belonged to the lineage 2 Cosmopolitan subtype, whereas CHIKV isolates from Yemen belonged to the ECSA genotype. All the CHIKV isolates from Yemen were statistically supported and dated back to the year 2010 (95% HPD: 2009-2011); these sequences showed an alanine in the aminoacid position 226 of the E1 protein. Phylogeographic analysis of DENV-2 virus showed that cluster 1, which included Yemen isolates, dated back to 2003 Burkina Faso strains (95% HPD 1999-2007). The Yemen, cluster dated back to 2011 (95% HPD 2009-2012). Our study sheds light on the global spatiotemporal dynamics of DENV-2 and CHIKV in Yemen. This study reinforces both the need to monitor the spread of CHIKV and DENV, and to apply significant measures for vector control.
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Affiliation(s)
- Massimo Ciccozzi
- Department of Infectious, Parasitic and Immunomediated Diseases, Istituto Superiore di Sanità, Rome, Italy; University Hospital Campus Bio-Medico, Italy.
| | - Alessandra Lo Presti
- Department of Infectious, Parasitic and Immunomediated Diseases, Istituto Superiore di Sanità, Rome, Italy
| | - Eleonora Cella
- Department of Infectious, Parasitic and Immunomediated Diseases, Istituto Superiore di Sanità, Rome, Italy
| | - Marta Giovanetti
- Department of Infectious, Parasitic and Immunomediated Diseases, Istituto Superiore di Sanità, Rome, Italy
| | - Alessia Lai
- Department of Biomedical and Clinical Science, Infectious Diseases and Immunopathology Section, 'L. Sacco' Hospital, University of Milan, Milan, Italy
| | - Gamal El-Sawaf
- Medical Research Institute, Alexandria University, Egypt
| | - Giovanni Faggioni
- Histology and Molecular Biology Section, Army Medical and Veterinary Research Center, Rome, Italy
| | - Fenicia Vescio
- Department of Infectious, Parasitic and Immunomediated Diseases, Istituto Superiore di Sanità, Rome, Italy
| | | | - Riccardo De Santis
- Histology and Molecular Biology Section, Army Medical and Veterinary Research Center, Rome, Italy
| | - Ghada Helaly
- Medical Research Institute, Alexandria University, Egypt
| | - Alice Pomponi
- Histology and Molecular Biology Section, Army Medical and Veterinary Research Center, Rome, Italy
| | - Dalia Metwally
- Medical Research Institute, Alexandria University, Egypt
| | - Massimo Fantini
- Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Rome, Italy
| | | | - Gianguglielmo Zehender
- Department of Biomedical and Clinical Science, Infectious Diseases and Immunopathology Section, 'L. Sacco' Hospital, University of Milan, Milan, Italy
| | - Florigio Lista
- Histology and Molecular Biology Section, Army Medical and Veterinary Research Center, Rome, Italy
| | - Giovanni Rezza
- Department of Infectious, Parasitic and Immunomediated Diseases, Istituto Superiore di Sanità, Rome, Italy
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20
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Van Bortel W, Dorleans F, Rosine J, Blateau A, Rousset D, Matheus S, Leparc-Goffart I, Flusin O, Prat C, Cesaire R, Najioullah F, Ardillon V, Balleydier E, Carvalho L, Lemaître A, Noel H, Servas V, Six C, Zurbaran M, Leon L, Guinard A, van den Kerkhof J, Henry M, Fanoy E, Braks M, Reimerink J, Swaan C, Georges R, Brooks L, Freedman J, Sudre B, Zeller H. Chikungunya outbreak in the Caribbean region, December 2013 to March 2014, and the significance for Europe. ACTA ACUST UNITED AC 2014; 19. [PMID: 24721539 DOI: 10.2807/1560-7917.es2014.19.13.20759] [Citation(s) in RCA: 146] [Impact Index Per Article: 13.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
On 6 December 2013, two laboratory-confirmed cases of chikungunya without a travel history were reported on the French part of the Caribbean island of Saint Martin, indicating the start of the first documented outbreak of chikungunya in the Americas. Since this report, the virus spread to several Caribbean islands and French Guiana, and between 6 December 2013 and 27 March 2014 more than 17,000 suspected and confirmed cases have been reported. Further spread and establishment of the disease in the Americas is likely, given the high number of people travelling between the affected and non-affected areas and the widespread occurrence of efficient vectors. Also, the likelihood of the introduction of the virus into Europe from the Americas and subsequent transmission should be considered especially in the context of the next mosquito season in Europe. Clinicians should be aware that, besides dengue, chikungunya should be carefully considered among travellers currently returning from the Caribbean region.
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Affiliation(s)
- W Van Bortel
- European Centre for Disease Prevention and Control, Stockholm, Sweden
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Malik MR, Mnzava A, Mohareb E, Zayed A, Al Kohlani A, Thabet AAK, El Bushra H. Chikungunya outbreak in Al-Hudaydah, Yemen, 2011: epidemiological characterization and key lessons learned for early detection and control. J Epidemiol Glob Health 2014; 4:203-11. [PMID: 25107656 PMCID: PMC7333817 DOI: 10.1016/j.jegh.2014.01.004] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2013] [Revised: 01/29/2014] [Accepted: 01/31/2014] [Indexed: 11/25/2022] Open
Abstract
Little is known about the occurrence of chikungunya fever in the Eastern Mediterranean Region of the World Health Organization (WHO). In January 2011, the Ministry of Public Health and Population (MoPH&P) of Yemen reported to WHO an increasing number of “dengue-like” acute febrile illnesses of unknown origin from one of its coastal governorates. An epidemiological investigation was conducted in Al-Hudaydah governorate between 23 and 26 January 2011 by a joint team of WHO, the MoPH&P of Yemen and the U.S. Naval Medical Research Unit (NAMRU-3) in Cairo, Egypt. The investigation led to the detection of an outbreak of chikungunya in Yemen which was the first time ever from any of the 22 countries in the Eastern Mediterranean Region of WHO. Appropriate public health control measures were strengthened following the investigation, and the outbreak was contained. This paper provides a short description of the outbreak and its epidemiological characteristics and highlights the important lessons that were learned for early detection and control of chikungunya in countries where competent vectors for transmission of the virus exist.
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Affiliation(s)
| | | | - Emad Mohareb
- U.S. Naval Medical Research Unit (NAMRU-3), Cairo, Egypt
| | - Alia Zayed
- U.S. Naval Medical Research Unit (NAMRU-3), Cairo, Egypt
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Impact of drought on vector-borne diseases – how does one manage the risk? Public Health 2014; 128:29-37. [DOI: 10.1016/j.puhe.2013.09.006] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2013] [Revised: 09/05/2013] [Accepted: 09/16/2013] [Indexed: 11/22/2022]
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Kirsch HL, Thakur KT, Birbeck GL. Central nervous system infections in travelers. Curr Infect Dis Rep 2013; 15:600-11. [PMID: 24190735 DOI: 10.1007/s11908-013-0383-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
International travelers commonly contract infections while abroad, many of which are primary neurological diseases or have potential neurological sequelae. The implications of these neuroinfectious diseases extend beyond the individual, since returning travelers may contribute to the spread of infection in novel areas. In this review, we discuss signs, symptoms, treatments, and prophylaxes for these infections, as well as emerging trends with regard to neuroinfectious diseases of the returning traveler.
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Affiliation(s)
- H L Kirsch
- New York University School of Medicine, New York, NY, 10016, USA,
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24
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Islam R, Sakib MS, Zaman A. A computational assay to design an epitope-based peptide vaccine against chikungunya virus. Future Virol 2012. [DOI: 10.2217/fvl.12.95] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Aim: Chikungunya virus, an arthropod-borne alphavirus, belongs to the Togavirus family. Despite severe epidemic outbreaks on several occasions, not much progress has been made with regard to epitope-based drug design for chikungunya virus. In this study we performed a proteome-wide search to look for a conserved region among the available viral proteins, one which has the capacity to trigger a significant immune response. Materials & methods: The conserved region was analyzed by performing an alignment of sequences collected from sources from varied geographic locations and time periods. Subsequently, the immune parameters for the peptide sequences were determined using several in silico tools and immune databases. Results: Both T-cell immunity and B-cell immunity were checked for the peptides to ensure that they had the capacity to induce both humoral and cell-based immunity. Our study reveals a stretch of conserved region in glycoprotein E2; yet this peptide sequence could interact with as many as seven HLAs and showed population coverage as high as 73.46%. The epitope was further tested for binding against the HLA structure using in silico docking techniques to validate the binding cleft epitope interaction in detail. Conclusion: Although the study requires further in vivo screening, keeping in mind the consistency and reproducibility of the immune system at selecting and reacting to peptide epitopes, this study allows us to claim a novel peptide antigen target in E2 protein with good confidence.
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Affiliation(s)
- Rezaul Islam
- Department of Biochemistry & Molecular Biology, University of Dhaka, Dhaka, Bangladesh
| | - M Sadman Sakib
- Department of Biochemistry & Molecular Biology, University of Dhaka, Dhaka, Bangladesh
| | - Aubhishek Zaman
- Department of Genetic Engineering & Biotechnology, University of Dhaka, Dhaka, Bangladesh
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