1
|
Monyama MC, Molefe LR, Meddows-Taylor S. A review of the mosquito-borne flaviviruses: Dengue virus and West Nile virus in Southern Africa. Virusdisease 2025; 36:1-11. [PMID: 40290767 PMCID: PMC12022202 DOI: 10.1007/s13337-025-00917-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2024] [Accepted: 03/02/2025] [Indexed: 04/30/2025] Open
Abstract
Dengue virus (DENV) and West Nile (WNV) viruses are important re-emerging mosquito-borne members of the genus Flavivirus that are under-recognized in many parts of Africa. This review aims to evaluate the existing literature on the transmission, epidemiology, diagnostic techniques, clinical presentation and prevention of infection with DENV and WNV in Southern Africa. Literature shows that both DENV and WNV are transmitted by mosquitoes of Aedes spp. and Culex species., respectively, and both viruses are widespread in the Southern African region. Epidemiologically, sporadic outbreaks have been reported of both DENV and WNV in various Southern African countries, indicating the ongoing threat of these viruses. However, the lack of comprehensive surveillance and diagnostic capacity challenges accurate estimation of their true prevalence. Diagnostic techniques for DENV and WNV involve serological tests, molecular tests and viral isolation, enabling prompt diagnosis and differentiation from other febrile illnesses. In Southern Africa, infection with DENV and WNV presents significant public health concerns, with the clinical presentation of both infections ranging from asymptomatic cases to severe manifestations. Symptoms of infection include high fever, myalgia, rash, and, in severe cases, haemorrhagic fever for DENV and neurological complications for WNV. No specific antiviral treatment exists for either virus, underscoring the importance of supportive care and symptom management. To prevent the spread of DENV and WNV in Southern African countries, a combination of prevention and treatment strategies should be employed, including effective mosquito control, continuous monitoring of vector population dynamics, public health education, and surveillance and reporting systems for averting future outbreaks.
Collapse
Affiliation(s)
- Maropeng C. Monyama
- Department of Life and Consumer Sciences, University of South Africa, Private Bag X6, Florida, Johannesburg 1710 South Africa
| | - Letlhogonolo R. Molefe
- Department of Life and Consumer Sciences, University of South Africa, Private Bag X6, Florida, Johannesburg 1710 South Africa
| | - Stephen Meddows-Taylor
- Department of Life and Consumer Sciences, University of South Africa, Private Bag X6, Florida, Johannesburg 1710 South Africa
| |
Collapse
|
2
|
Monteiro S, Nunes F, Dosse M, Cangi Vaz N, Nhantumbo C, Juízo DL, Santos R. Environmental Surveillance of Vector-Borne Diseases in a Non-Sewered System: A Case Study in Mozambique. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2025; 59:3411-3421. [PMID: 39951401 DOI: 10.1021/acs.est.4c09860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/16/2025]
Abstract
Arboviral diseases pose major economic and social threats in less economically developed countries (LEDCs), where monitoring is challenging, especially in rapidly growing cities with informal settlements. In this study, we aimed to explore environmental surveillance (ES) in a non-sewered setting as a complement to syndromic surveillance in Maputo, Mozambique. Water samples were collected from nine points along the Infulene River (n = 66) in Maputo, Mozambique from February to September 2023. The presence of arboviruses (Dengue (DENV), Chikungunya (CHIKV), West Nile (WNV), and Usutu (USUV) virus) was determined by RT-qPCR. For the specific detection of CHIKV, two RT-qPCR assays were used: the Nsp1, targeting the non-structural protein 1 gene (nsP1) and the E1, targeting the E1 envelope protein gene (E1). DENV was detected in 82% (54/66) of the samples, with a median viral RNA load of 2.7 × 10-2 (2.2 × 105 copies/L (cp/L)), while CHIKV was detectable in 98% (65/66) of the samples, with a median viral RNA load of 4.8 × 10-2 (2.2 × 105 cp/L) for the nsP1 gene and 8.0 × 10-2 for the E1 gene (4.8 × 105 cp/L), and USUV was detected in 6% (4/66) of the samples at a median viral RNA load of 4.1 × 10-7 (0 cP/L), with viral RNA load in positive samples varying between 1.8 × 10-3 (7.1 × 102 cp/L) and 4.95 × 10-2 (2.1 × 103 cp/L). WNV was not detected throughout the study. The prevalence and concentration varied across sampling dates. Our study demonstrated the potential of ES as a tool for assessing the circulation of arboviruses in Mozambique, where a sewered system is unavailable. Consequently, ES could be expanded from polio surveillance to include other targets in LEDCs.
Collapse
Affiliation(s)
- Silvia Monteiro
- Laboratório de Análises, Civil Engineering Research and Innovation for Sustainability and Department of Nuclear Sciences and Engineering, Instituto Superior Técnico, Universidade de Lisboa institution, Lisboa 1049-001, Portugal
| | - Filipa Nunes
- Laboratório de Análises, Civil Engineering Research and Innovation for Sustainability and Department of Nuclear Sciences and Engineering, Instituto Superior Técnico, Universidade de Lisboa institution, Lisboa 1049-001, Portugal
| | - Michaque Dosse
- Faculdade de Engenharia, Universidade Eduardo Mondlane, Maputo 1102, Mozambique
| | - Nidia Cangi Vaz
- Centro de Biotecnologia, Universidade Eduardo Mondlane, Maputo 1102, Mozambique
| | - Clemêncio Nhantumbo
- Faculdade de Engenharia, Universidade Eduardo Mondlane, Maputo 1102, Mozambique
| | - Dinis Luiz Juízo
- Faculdade de Engenharia, Universidade Eduardo Mondlane, Maputo 1102, Mozambique
| | - Ricardo Santos
- Laboratório de Análises, Civil Engineering Research and Innovation for Sustainability and Department of Nuclear Sciences and Engineering, Instituto Superior Técnico, Universidade de Lisboa institution, Lisboa 1049-001, Portugal
| |
Collapse
|
3
|
Bangoura ST, Keita AK, Diaby M, Sidibé S, Le-Marcis F, Camara SC, Maltais S, Kadio KJJO, D'Ortenzio E, Camara A, Delaporte E, Delamou A, Vanhems P, Ottmann M, Khanafer N, Touré A. Arbovirus Epidemics as Global Health Imperative, Africa, 2023. Emerg Infect Dis 2025; 31:1-8. [PMID: 39983695 PMCID: PMC11845133 DOI: 10.3201/eid3102.240754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/23/2025] Open
Abstract
Arboviruses represent a major cause of illness in Africa and have the potential to trigger widespread epidemics. We present data on arbovirus epidemics in Africa in 2023 and demonstrate the need for global public health authorities to intensify efforts in the surveillance and control of arbovirus diseases. Data were collected from the World Health Organization Weekly Bulletin on Outbreaks and Other Emergencies, Africa Centers for Disease Control and Prevention Weekly Event Based Surveillance Report, and other online sources. In 2023, a total of 7 arboviruses were responsible for 29 outbreaks across 25 countries in Africa, 22 of which occurred in West Africa; the outbreaks resulted in 19,569 confirmed cases and 820 deaths. Arbovirus epidemics in Africa pose a threat not only to public health within the continent but also globally, underscoring the urgent need for substantial investment in arbovirus surveillance, research, and preparedness capacities in Africa to prevent and respond to health crises effectively.
Collapse
|
4
|
Pfavayi LT, Choto E, Tagwireyi P, Mduluza T, Mutapi F. Evaluating the feasibility and attitudes towards SARS-CoV-2 self-testing in a rural population in Zimbabwe: a cross-sectional survey. BMJ Open 2024; 14:e085391. [PMID: 39581707 PMCID: PMC11590834 DOI: 10.1136/bmjopen-2024-085391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2024] [Accepted: 10/18/2024] [Indexed: 11/26/2024] Open
Abstract
OBJECTIVES The widespread adoption of self-testing for SARS-CoV-2 has proven effective in curbing the virus' spread, particularly in Western countries. However, significant knowledge gaps persist regarding the feasibility, acceptance and factors influencing the uptake of self-testing in low-resource areas, notably rural Africa. Our aim was to assess the willingness and capability of rural Zimbabwean participants to self-diagnose COVID-19 using rapid lateral flow tests (LFTs) and adhere to post-positive test guidelines. Additionally, we aimed to identify barriers to self-testing uptake and reasons for non-compliance with follow-up actions. DESIGN AND SETTING We conducted a cross-sectional survey in Shamva District, Zimbabwe. PARTICIPANTS A total of 120 villagers aged 18 years and above participated. We employed a questionnaire to gather data on participants' attitudes towards self-testing for SARS-CoV-2 using LFTs, along with their knowledge, attitudes and practices regarding COVID-19. Primary outcomes included the likelihood of self-testing, the ability and accuracy of self-testing, adherence to post-test guidelines and socio-demographic factors influencing these responses. RESULTS Among the 120 participants, 108 (90%) expressed willingness to use LFTs for self-testing. The subset unwilling to self-test belonged to a religious sect historically opposed to Western medicine. All self-tests yielded valid results, as confirmed by the appearance of control lines on the LFT. Participants demonstrated the ability to interpret their results accurately without assistance and expressed willingness to adhere to post-test guidelines. Questionnaire responses indicated a preference for self-testing due to its ease, lack of pain, convenience and confidentiality. Moreover, participants exhibited a high level of knowledge about COVID-19. CONCLUSION This study underscores the acceptability and feasibility of SARS-CoV-2 LFT self-testing in rural settings, suggesting its potential as an additional public health measure for epidemics and pandemics in low-resource areas.
Collapse
Affiliation(s)
- Lorraine Tsitsi Pfavayi
- Tackling Infections to Benefit Africa (TIBA) Partnership, The University of Edinburgh, Edinburgh, UK
- The University of Edinburgh Institute of Immunology and Infection Research, Edinburgh, UK
| | - Emilia Choto
- School of Medical and Health Sciences, Great Zimbabwe University, Masvingo, Zimbabwe
| | - Paradzayi Tagwireyi
- Department of Geography Geospatial Sciences and Earth Observation, University of Zimbabwe, Harare, Zimbabwe
| | - Takafira Mduluza
- Department of Biochemistry, University of Zimbabwe Faculty of Science, Harare, Zimbabwe
- Tackling Infections to Benefit Africa (TIBA) Partnership, University of Zimbabwe, Harare, Zimbabwe
| | - Francisca Mutapi
- Tackling Infections to Benefit Africa (TIBA) Partnership, The University of Edinburgh, Edinburgh, UK
- The University of Edinburgh Institute of Immunology and Infection Research, Edinburgh, UK
| |
Collapse
|
5
|
Ali Mude AS, Nageye YA, Bello KE. Current Epidemiological Status of Chikungunya Virus Infection in East Africa: A Systematic Review and Meta-Analysis. J Trop Med 2024; 2024:7357911. [PMID: 39492843 PMCID: PMC11530290 DOI: 10.1155/2024/7357911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2024] [Accepted: 09/30/2024] [Indexed: 11/05/2024] Open
Abstract
Background: The incidence of Chikungunya in tropical Africa is still of major epidemiological significance. This study aims to determine the prevalence of chikungunya in East Africa through a systematic review and meta-analysis of published studies. Methods: We conducted a comprehensive search across six electronic databases-Web of Science, PubMed, ScienceDirect, Scopus, and Google Scholar-using specific keywords to address the worldwide impact of chikungunya following the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. A meta-analysis was performed on our eligible studies using the random effect model. Results: Our search returned 40 eligible articles involving 4122 Chikungunya cases in 13 East African nations. These studies, conducted between 2014 and 2024 across 13 East African nations, provided diverse data on chikungunya prevalence. The overall pooled prevalence of chikungunya in East Africa was 20.6% (95% CI: 18.8%-22.5% and I 2 = 99.62%). Subgroup analyses revealed variations in prevalence across different countries, study designs, detection methods, and publication years. Notably, Rwanda and Djibouti exhibited high prevalence rates of 63.0% and 50.4%, respectively, while Kenya and Somalia reported a moderate prevalence of 12.2%. The detection methods also influenced prevalence rates, with RT-PCR studies indicating a higher prevalence (28.3%) compared to ELISA (19.3%). Conclusion: The study highlights the significant burden of chikungunya in East Africa, and the findings underscore the need for targeted public health interventions and improved surveillance to manage and control chikungunya outbreaks in the region.
Collapse
Affiliation(s)
- Abdirasak Sharif Ali Mude
- Department of Microbiology and Laboratory Science, Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu 252, Somalia
| | - Yahye Ahmed Nageye
- Department of Microbiology and Laboratory Science, Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu 252, Somalia
| | - Kizito Eneye Bello
- Department of Microbiology, Faculty of Natural Science, Kogi State (Prince Abubakar Audu) University, Anyigba PMB 1008, Kogi State, Nigeria
| |
Collapse
|
6
|
Lin HC, Chang SF, Su CL, Hu HC, Chiao DJ, Hsu YL, Lu HY, Lin CC, Shu PY, Kuo SC. Facile quantitative diagnostic testing for neutralizing antibodies against Chikungunya virus. BMC Infect Dis 2024; 24:1076. [PMID: 39350079 PMCID: PMC11440707 DOI: 10.1186/s12879-024-09973-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2024] [Accepted: 09/20/2024] [Indexed: 10/04/2024] Open
Abstract
BACKGROUND Viral neutralization (NT) assays can be used to determine the immune status of patients or assess the potency of candidate vaccines or therapeutic monoclonal antibodies (mAbs). Focus reduction neutralization test (FRNT) is a conventional neutralization test (cVNT) with superior specificity for measurement of neutralizing antibodies against a specific virus. Unfortunately, the application of FRNT to the chikungunya virus (CHIKV) involves a highly pathogenic bio-agent requiring biosafety level 3 (BSL3) facilities, which inevitably imposes high costs and limits accessibility. In this study, we evaluated a safe surrogate virus neutralization test (sVNT) that uses novel CHIKV replicon particles (VRPs) expressing eGFP and luciferase (Luc) to enable the rapid detection and quantification of neutralizing activity in clinical human serum samples. METHODS This unmatched case-control validation study used serum samples from laboratory-confirmed cases of CHIKV (n = 19), dengue virus (DENV; n = 9), Japanese encephalitis virus (JEV; n = 5), and normal individuals (n = 20). We evaluated the effectiveness of sVNT, based on mosquito cell-derived CHIK VRPs (mos-CHIK VRPs), in detecting (eGFP) and quantifying (Luc) neutralizing activity, considering specificity, sensitivity, and reproducibility. We conducted correlation analysis between the proposed rapid method (20 h) versus FRNT assay (72 h). We also investigated the correlation between sVNT and FRNT in NT titrations in terms of Pearson's correlation coefficient (r) and sigmoidal curve fitting. RESULTS In NT screening assays, sVNT-eGFP screening achieved sensitivity and specificity of 100%. In quantitative neutralization assays, we observed a Pearson's correlation coefficient of 0.83 for NT50 values between sVNT-Luc and FRNT. CONCLUSIONS Facile VRP-based sVNT within 24 h proved highly reliable in the identification and quantification of neutralizing activity against CHIKV in clinical serum samples.
Collapse
Affiliation(s)
- Hui-Chung Lin
- Institute of Preventive Medicine, National Defense Medical Center, 237010 No. 172, Dapu Rd., Sanxia Dist, Taipei, 11490, Taiwan
- Department and Graduate Institute of Microbiology and Immunology, National Defense Medical Center, Taipei, 11490, Taiwan
| | - Shu-Fen Chang
- Center for Diagnostics and Vaccine Development, Centers for Disease Control, Ministry of Health and Welfare, Taipei, 11561, Taiwan
| | - Chien-Ling Su
- Center for Diagnostics and Vaccine Development, Centers for Disease Control, Ministry of Health and Welfare, Taipei, 11561, Taiwan
| | - Huai-Chin Hu
- Center for Diagnostics and Vaccine Development, Centers for Disease Control, Ministry of Health and Welfare, Taipei, 11561, Taiwan
| | - Der-Jiang Chiao
- Institute of Preventive Medicine, National Defense Medical Center, 237010 No. 172, Dapu Rd., Sanxia Dist, Taipei, 11490, Taiwan
| | - Yu-Lin Hsu
- Institute of Preventive Medicine, National Defense Medical Center, 237010 No. 172, Dapu Rd., Sanxia Dist, Taipei, 11490, Taiwan
| | - Hsuan-Ying Lu
- Institute of Preventive Medicine, National Defense Medical Center, 237010 No. 172, Dapu Rd., Sanxia Dist, Taipei, 11490, Taiwan
| | - Chang-Chi Lin
- Institute of Preventive Medicine, National Defense Medical Center, 237010 No. 172, Dapu Rd., Sanxia Dist, Taipei, 11490, Taiwan
- Department and Graduate Institute of Microbiology and Immunology, National Defense Medical Center, Taipei, 11490, Taiwan
| | - Pei-Yun Shu
- Center for Diagnostics and Vaccine Development, Centers for Disease Control, Ministry of Health and Welfare, Taipei, 11561, Taiwan.
| | - Szu-Cheng Kuo
- Institute of Preventive Medicine, National Defense Medical Center, 237010 No. 172, Dapu Rd., Sanxia Dist, Taipei, 11490, Taiwan.
- Department and Graduate Institute of Microbiology and Immunology, National Defense Medical Center, Taipei, 11490, Taiwan.
| |
Collapse
|
7
|
Cerilo-Filho M, Arouca MDL, Medeiros EDS, de Jesus MCS, Sampaio MP, Reis NF, Silva JRS, Baptista ARS, Storti-Melo LM, Machado RLD. Worldwide distribution, symptoms and diagnosis of the coinfections between malaria and arboviral diseases: a systematic review. Mem Inst Oswaldo Cruz 2024; 119:e240015. [PMID: 38922217 PMCID: PMC11197440 DOI: 10.1590/0074-02760240015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2024] [Accepted: 05/02/2024] [Indexed: 06/27/2024] Open
Abstract
The coinfection between malaria (ML) and arboviral diseases represents a major global public health problem, particularly in tropical and subtropical countries. Despite its relevance, this topic is still insufficiently discussed in the current literature. Here, we aimed to investigate the worldwide distribution, symptoms, and diagnosis during coinfection between ML and arboviral diseases. We conducted a systematic review following the Preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement and assessed the selection and eligibility criteria, created and diagrammed maps, and analysed major symptoms with 95% confidence intervals (CI) using prevalence ratio and effect size, also performing latent class analysis. A total of 85,485 studies were retrieved, of which 56 were included: 57.14% in Asia, 25% in Africa, 14.30% in South America, and 3.56% in Europe. A total of 746 individuals were reported to be coinfected with Plasmodium and arbovirus. Concurrent ML, Dengue (DEN), Chikungunya (CHIK), and Zika (ZIK) patients are more likely to present headache and skin rash. Regarding diagnosis, 58,253 were made, of which 38,176 were positive (ML and at least one arboviral disease). The magnitude of these pathogens' coexistence points out the pressing need for improvements in public health policies towards diagnosis and prevention of both diseases, especially in endemic areas.
Collapse
Affiliation(s)
- Marcelo Cerilo-Filho
- Universidade Federal Fluminense, Centro de Investigação de Microrganismos, Instituto Biomédico, Departamento de Microbiologia e Parasitologia, Niterói, RJ, Brasil
- Universidade Federal Fluminense, Instituto Biomédico, Departamento de Microbiologia e Parasitologia, Programa de Pós-Graduação em Microbiologia e Parasitologia Aplicadas, Niterói, RJ, Brasil
| | - Marcelo de L Arouca
- Universidade Federal Fluminense, Centro de Investigação de Microrganismos, Instituto Biomédico, Departamento de Microbiologia e Parasitologia, Niterói, RJ, Brasil
- Universidade Federal Fluminense, Programa de Pós-Graduação em Ciências e Biotecnologia, Niterói, RJ, Brasil
| | - Estela dos S Medeiros
- Universidade Federal de Sergipe, Centro de Ciências Biológicas e da Saúde, Departamento de Biologia, Programa de Pós-Graduação em Biologia Parasitária, São Cristóvão, SE, Brasil
| | - Myrela CS de Jesus
- Universidade Federal Fluminense, Centro de Investigação de Microrganismos, Instituto Biomédico, Departamento de Microbiologia e Parasitologia, Niterói, RJ, Brasil
- Universidade Federal Fluminense, Instituto Biomédico, Departamento de Microbiologia e Parasitologia, Programa de Pós-Graduação em Microbiologia e Parasitologia Aplicadas, Niterói, RJ, Brasil
| | - Marrara P Sampaio
- Universidade Federal Fluminense, Centro de Investigação de Microrganismos, Instituto Biomédico, Departamento de Microbiologia e Parasitologia, Niterói, RJ, Brasil
- Universidade Federal Fluminense, Instituto Biomédico, Departamento de Microbiologia e Parasitologia, Programa de Pós-Graduação em Microbiologia e Parasitologia Aplicadas, Niterói, RJ, Brasil
| | - Nathália F Reis
- Universidade Federal Fluminense, Centro de Investigação de Microrganismos, Instituto Biomédico, Departamento de Microbiologia e Parasitologia, Niterói, RJ, Brasil
- Universidade Federal Fluminense, Instituto Biomédico, Departamento de Microbiologia e Parasitologia, Programa de Pós-Graduação em Microbiologia e Parasitologia Aplicadas, Niterói, RJ, Brasil
| | - José RS Silva
- Universidade Federal de Sergipe, Centro de Ciências Biológicas e da Saúde, Departamento de Biologia, Programa de Pós-Graduação em Biologia Parasitária, São Cristóvão, SE, Brasil
| | - Andréa RS Baptista
- Universidade Federal Fluminense, Centro de Investigação de Microrganismos, Instituto Biomédico, Departamento de Microbiologia e Parasitologia, Niterói, RJ, Brasil
- Universidade Federal Fluminense, Instituto Biomédico, Departamento de Microbiologia e Parasitologia, Programa de Pós-Graduação em Microbiologia e Parasitologia Aplicadas, Niterói, RJ, Brasil
- Universidade Federal Fluminense, Programa de Pós-Graduação em Ciências e Biotecnologia, Niterói, RJ, Brasil
| | - Luciane M Storti-Melo
- Universidade Federal de Sergipe, Centro de Ciências Biológicas e da Saúde, Departamento de Biologia, Programa de Pós-Graduação em Biologia Parasitária, São Cristóvão, SE, Brasil
| | - Ricardo LD Machado
- Universidade Federal Fluminense, Centro de Investigação de Microrganismos, Instituto Biomédico, Departamento de Microbiologia e Parasitologia, Niterói, RJ, Brasil
- Universidade Federal Fluminense, Instituto Biomédico, Departamento de Microbiologia e Parasitologia, Programa de Pós-Graduação em Microbiologia e Parasitologia Aplicadas, Niterói, RJ, Brasil
- Universidade Federal Fluminense, Programa de Pós-Graduação em Ciências e Biotecnologia, Niterói, RJ, Brasil
- Universidade Federal de Sergipe, Centro de Ciências Biológicas e da Saúde, Departamento de Biologia, Programa de Pós-Graduação em Biologia Parasitária, São Cristóvão, SE, Brasil
| |
Collapse
|
8
|
Hungwe FTT, Laycock KM, Ntereke TD, Mabaka R, Paganotti GM. A historical perspective on arboviruses of public health interest in Southern Africa. Pathog Glob Health 2024; 118:131-159. [PMID: 38082563 PMCID: PMC11141323 DOI: 10.1080/20477724.2023.2290375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2024] Open
Abstract
Arboviruses are an existing and expanding threat globally, with the potential for causing devastating health and socioeconomic impacts. Mitigating this threat necessitates a One Health approach that integrates vector surveillance, rapid disease detection, and innovative prevention and control measures. In Southern Africa, limited data on the epidemiology of arboviruses, their vectors, and their hosts prevent an effective response. We reviewed the current knowledge on arboviruses in Southern Africa and identified opportunities for further research. A literature search was conducted to identify studies published on arboviruses in 10 tropical and temperate countries of the Southern African Development Community (SADC) from 1900 onward. We identified 280 studies, half (51.1%) originating from South Africa, that described 31 arboviral species, their vectors, and their clinical effects on hosts reported in the region. Arboviral research flourished in the SADC in the mid-20th century but then declined, before reemerging in the last two decades. Recent research consists largely of case reports describing outbreaks. Historical vector surveillance and serosurveys from the mid-20th century suggest that arboviruses are plentiful across Southern Africa, but large gaps remain in the current understanding of arboviral distribution, transmission dynamics, and public health impact.
Collapse
Affiliation(s)
- Faith T. T. Hungwe
- School of Engineering Sciences in Chemistry, Biotechnology and Health, KTH Royal Institute of Technology, Stockholm, Sweden
- Department of Molecular Medicine, Karolinska Institute, Stockholm, Sweden
- Department of Biochemistry and Biophysics, Stockholm University, Stockholm, Sweden
| | - Katherine M. Laycock
- The Ryan White Center for Pediatric Infectious Disease and Global Health, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA
| | | | - Rorisang Mabaka
- School of Allied Health Sciences, Faculty of Health Sciences, University of Botswana, Gaborone, Botswana
| | - Giacomo M. Paganotti
- Botswana-University of Pennsylvania Partnership, Gaborone, Botswana
- Division of Infectious Diseases, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
- Department of Biomedical Sciences, University of Botswana, Gaborone, Botswana
| |
Collapse
|
9
|
Lukindu M, Mukwaya LG, Masembe C, Birungi J. Behavioral Changes of Some Arboviral Vectors in Zika Forest: A Concern for Emerging and Re-Emerging Diseases in Uganda. Vector Borne Zoonotic Dis 2023; 23:653-661. [PMID: 37669008 DOI: 10.1089/vbz.2023.0026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/06/2023] Open
Abstract
Background: The increasing reports on emerging/re-emerging arboviral disease outbreaks or epidemics in Sub-Saharan Africa have been impacted by factors, including the changing climate plus human activities that have resulted in land cover changes. These factors influence the prevalence, incidence, behavior, and distribution of vectors and vector-borne diseases. In this study, we assessed the potential effect of land cover changes on the distribution and oviposition behavior of some arboviral vectors in Zika forest, Uganda, which has decreased by an estimated 7 hectares since 1952 due to an increase in anthropogenic activities in the forest and its periphery. Materials and Methods: Immature mosquitoes were collected using bamboo pots and placed at various levels of a steel tower in the forest and at different intervals from the forest periphery to areas among human dwellings. Collections were conducted for 20 months. Results and Conclusion: Inside the forest, 22,280 mosquitoes were collected belonging to four arboviral vectors: Aedes aegypti, Aedes africanus, Aedes apicoargenteus, and Aedes cumminsii. When compared with similar studies conducted in the forest in 1964, there was a change from a sylvatic to a tendency of peridomestic behavior in A. africanus, which was now collected among human dwellings. There was an unexpected change in the distribution of A. aegypti, which was not only collected outside the forest as in previous reports but also collected in the forest. Conversely, A. cumminsii originally collected in the forest expanded its ranges with collections outside the forest in this study. Aedes simpsoni maintained its distribution range outside the forest among agricultural sites. We suspect that land cover changes were favorable to most of the arboviral vectors hence enhancing their proliferation and habitat range. This potentially increases the transmission of arboviral diseases in the area, hence impacting the epidemiology of emerging/remerging diseases in Uganda.
Collapse
Affiliation(s)
- Martin Lukindu
- Department of Entomology, Uganda Virus Research Institute, Entebbe, Uganda
| | - Louis G Mukwaya
- Department of Entomology, Uganda Virus Research Institute, Entebbe, Uganda
| | - Charles Masembe
- Department of Zoology, Entomology and Fisheries Science, College of Natural Sciences School, Makerere University, Kampala, Uganda
| | - Josephine Birungi
- Department of Entomology, Uganda Virus Research Institute, Entebbe, Uganda
- International Livestock Research Institute, Nairobi, Kenya
| |
Collapse
|
10
|
Recaioglu H, Kolk SM. Developing brain under renewed attack: viral infection during pregnancy. Front Neurosci 2023; 17:1119943. [PMID: 37700750 PMCID: PMC10493316 DOI: 10.3389/fnins.2023.1119943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Accepted: 04/26/2023] [Indexed: 09/14/2023] Open
Abstract
Living in a globalized world, viral infections such as CHIKV, SARS-COV-2, and ZIKV have become inevitable to also infect the most vulnerable groups in our society. That poses a danger to these populations including pregnant women since the developing brain is sensitive to maternal stressors including viral infections. Upon maternal infection, the viruses can gain access to the fetus via the maternofetal barrier and even to the fetal brain during which factors such as viral receptor expression, time of infection, and the balance between antiviral immune responses and pro-viral mechanisms contribute to mother-to-fetus transmission and fetal infection. Both the direct pro-viral mechanisms and the resulting dysregulated immune response can cause multi-level impairment in the maternofetal and brain barriers and the developing brain itself leading to dysfunction or even loss of several cell populations. Thus, maternal viral infections can disturb brain development and even predispose to neurodevelopmental disorders. In this review, we discuss the potential contribution of maternal viral infections of three relevant relative recent players in the field: Zika, Chikungunya, and Severe Acute Respiratory Syndrome Coronavirus-2, to the impairment of brain development throughout the entire route.
Collapse
Affiliation(s)
| | - Sharon M. Kolk
- Faculty of Science, Donders Institute for Brain, Cognition and Behavior, Radboud University, Nijmegen, Netherlands
| |
Collapse
|
11
|
Kampango A, Pinto J, Abílio AP, Machoe E, Matusse J, McCall PJ. Characterisation of human exposure to nocturnal biting by malaria and arbovirus vectors in a rural community in Chókwè district, southern Mozambique. Wellcome Open Res 2023; 8:193. [PMID: 37484481 PMCID: PMC10357080 DOI: 10.12688/wellcomeopenres.19278.1] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/03/2023] [Indexed: 07/25/2023] Open
Abstract
Background: Understanding the magnitude of human exposure to mosquito biting is fundamental to reduce pathogen transmission. Here we report on a study quantifying the levels of mosquitoes attacking humans throughout the night in a rural area of Southern Mozambique. Methods: Surveys were carried out in Massavasse village, southern Mozambique. The abundance and composition of host-seeking mosquito communities at night were assessed by human-landing catches (HLC) at one-hour intervals. Periods when people were located predominantly outdoors or indoors were used to estimate the amount of residents' exposure to mosquito bites in either location, to explore the potential impact a bed net could have had in reducing biting by each vector species. Results: A total of 69,758 host-seeking female mosquitoes comprising 23 species in four genera were collected. The exposure to biting by virtually all vector species was consistently high outdoors, typically at early evening and morning, with exception of An. gambiae s.l which was likely of biting a person with nearly same intensity indoors and outdoors throughout the night. Bed nets use could have reduced biting by An. gambiae s.l (dominated by An. arabiensis), Ma. africana, Ma. uniformis, Cx. pipiens, Cx. antennatus, and Cx. poicilipes by 53%, 47%, 46%, 38%, 31%, and 28% respectively, compared to non-users. Conversely, a bed net user would have had little protection against An. pharoensis, An. ziemanni, An. tenebrosus, and Cx. tritaeniorhynchus biting exposures. Conclusions: This study showed that Massavasse residents were exposed to high levels of outdoor biting by malaria and arbovirus vectors that abound in the village. The findings help to identify entomological drivers of persistent malaria transmission in Mozambique and identify a wide range of arbovirus vectors nocturnally active in rural areas, many with outbreak potential. The study highlights the need for a surveillance system for monitoring arboviral diseases vectors in Mozambique.
Collapse
Affiliation(s)
- Ayubo Kampango
- Sector de Estudo de Vectores, Instituto Nacional de Saúde (INS), Maputo, Villa de Marracuene EN1, Plot 3943, Mozambique
- Department of Zoology and Entomology, University of Pretoria, Pretoria, Hatfield, 0028, South Africa
| | - João Pinto
- Global Health and Tropical Medicine, Institute of Hygiene and Tropical Medicine (IHMT), Lisbon, Rua da Junqueira, 100 1349-008, Portugal
| | - Ana Paula Abílio
- Sector de Estudo de Vectores, Instituto Nacional de Saúde (INS), Maputo, Villa de Marracuene EN1, Plot 3943, Mozambique
| | - Elias Machoe
- Sector de Estudo de Vectores, Instituto Nacional de Saúde (INS), Maputo, Villa de Marracuene EN1, Plot 3943, Mozambique
| | - Júlio Matusse
- Sector de Estudo de Vectores, Instituto Nacional de Saúde (INS), Maputo, Villa de Marracuene EN1, Plot 3943, Mozambique
| | - Philip J. McCall
- Vector Biology Department, Liverpool School of Tropical Medicine (LSTM), Liverpool, Pembroke Place, L3 5QA, UK
| |
Collapse
|
12
|
Mugabe VA, Inlamea OF, Ali S, Maholela P, Melchior B, Muianga AF, Oludele J, Sumail A, António V, Monteiro VO, Chongo I, Kitron U, Ribeiro GS, Gudo ES. Surveillance for arboviruses and leptospirosis among non-malarial acute febrile illness outpatients in areas affected by Cyclones Idai and Kenneth in Mozambique. FRONTIERS IN TROPICAL DISEASES 2023. [DOI: 10.3389/fitd.2023.1091545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023] Open
Abstract
The floods associated with the landfall of cyclones Idai and Kenneth in Mozambique between March and April 2019 had a major impact on the country’s public health and placed the affected population at risk for vector- and rodent-borne diseases. Aiming to improve the diagnostic capacity, yield information to guide public health responses, and assess potential short-term effects of cyclones Idai and Kenneth on arboviruses (dengue, Zika, and chikungunya) and leptospirosis, a clinical and laboratory surveillance for non-malarial acute febrile illness was established in six health units located in different districts within the two provinces (Sofala and Cabo Delgado) affected by the cyclones. Patients were tested using real-time reverse transcriptase polymerase chain reaction (qRT-PCR) for dengue (DENV), Zika (ZIKV), and chikungunya (CHIKV) viruses and using enzyme linked immunoassays (ELISA) to detect nonstructural DENV protein 1 (NS1), as well as DENV, ZIKV, CHIKV, and Leptospira IgM antibodies. From April to September 2019, 305 patients aged ≥15 years were enrolled, of which 58.4% were women and the median age was 30 years old. All patients were qRT-PCR negative for the targeted arboviruses, but three (1.0%) were positive for DENV NS1 ELISA. Specific IgM antibodies against DENV, ZIKV, CHIKV or Leptospira were found in the serum of 104 (34.1%) patients. Our results indicate that vector- and rodent-borne disease transmission occurred in all districts under investigation in the wake of cyclones Idai and Kenneth, including some regions where cases had not been previously detected. The investigation provided useful information for post-cyclone emergency response purposes.
Collapse
|
13
|
Fernandez Montoya L, Alafo C, Martí-Soler H, Máquina M, Comiche K, Cuamba I, Munguambe K, Cator L, Aide P, Galatas B, Cuamba N, Marrenjo D, Saúte F, Paaijmans KP. Overlaying human and mosquito behavioral data to estimate residual exposure to host-seeking mosquitoes and the protection of bednets in a malaria elimination setting where indoor residual spraying and nets were deployed together. PLoS One 2022; 17:e0270882. [PMID: 36107865 PMCID: PMC9477321 DOI: 10.1371/journal.pone.0270882] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Accepted: 06/21/2022] [Indexed: 11/18/2022] Open
Abstract
Characterizing persistent malaria transmission that occurs after the combined deployment of indoor residual spraying (IRS) and long-lasting insecticidal nets (LLINs) is critical to guide malaria control and elimination efforts. This requires a detailed understanding of both human and vector behaviors at the same temporal and spatial scale. Cross-sectional human behavior evaluations and mosquito collections were performed in parallel in Magude district, Mozambique. Net use and the exact time when participant moved into each of five environments (outdoor, indoor before bed, indoor in bed, indoor after getting up, and outdoor after getting up) were recorded for individuals from three different age groups and both sexes during a dry and a rainy season. Malaria mosquitoes were collected with CDC light traps in combination with collection bottle rotators. The percentage of residual exposure to host-seeking vectors that occurred in each environment was calculated for five local malaria vectors with different biting behaviors, and the actual (at observed levels of LLIN use) and potential (i.e. if all residents had used an LLIN) personal protection conferred by LLINs was estimated. Anopheles arabiensis was responsible for more than 74% of residents' residual exposure to host-seeking vectors during the Magude project. The other four vector species (An. funestus s.s., An. parensis, An. squamosus and An. merus) were responsible for less than 10% each. The personal protection conferred by LLINs prevented only 39.2% of the exposure to host-seeking vectors that survived the implementation of both IRS and LLINs, and it differed significantly across seasons, vector species and age groups. At the observed levels of bednet use, 12.5% of all residual exposure to host-seeking vectors occurred outdoor during the evening, 21.9% indoor before going to bed, almost two thirds (64%) while people were in bed, 1.4% indoors after getting up and 0.2% outdoor after leaving the house. Almost a third of the residual exposure to host-seeking vectors (32.4%) occurred during the low transmission season. The residual bites of An. funestus s.s. and An. parensis outdoors and indoor before bedtime, of An. arabiensis indoors when people are in bed, and of An. squamosus both indoors and outdoors, are likely to have sustained malaria transmission throughout the Magude project. By increasing LLIN use, an additional 24.1% of exposure to the remaining hosts-seeking vectors could have been prevented. Since An. arabiensis, the most abundant vector, feeds primarily while people are in bed, increasing net use and net feeding inhibition (through e.g. community awareness activities and the selection of more effective LLINs) could significantly reduce the exposure to remaining host-seeking mosquitoes. Nonetheless, supplementary interventions aiming to reduce human-vector contact outdoors and/or indoors before people go to bed (e.g. through larval source management, window and eave screening, eave tubes, and spatial repellents) will be needed to reduce residual exposure to the outdoor and early biting An. funestus s.s. and An. parensis.
Collapse
Affiliation(s)
- Lucia Fernandez Montoya
- ISGlobal, Hospital Clínic—Universitat de Barcelona, Barcelona, Spain
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Celso Alafo
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
- Goodbye Malaria, Tchau Tchau Malaria Foundation, Chibungo, Mozambique
| | | | - Mara Máquina
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Kiba Comiche
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Inocencia Cuamba
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Khatia Munguambe
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | | | - Pedro Aide
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
- Instituto Nacional da Saúde, Ministério da Saúde, Maputo, Mozambique
| | - Beatriz Galatas
- ISGlobal, Hospital Clínic—Universitat de Barcelona, Barcelona, Spain
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Nelson Cuamba
- Programa Nacional de Controlo da Malária, Ministério da Saúde, Maputo, Mozambique
- PMI VectorLink Project, Abt Associates Inc., Maputo, Mozambique
| | - Dulcisaria Marrenjo
- Programa Nacional de Controlo da Malária, Ministério da Saúde, Maputo, Mozambique
| | - Francisco Saúte
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Krijn P. Paaijmans
- ISGlobal, Hospital Clínic—Universitat de Barcelona, Barcelona, Spain
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
- Center for Evolution and Medicine, School of Life Sciences, Arizona State University, Tempe, AZ, United States of America
- The Biodesign Center for Immunotherapy, Vaccines and Virotherapy, Arizona State University, Tempe, AZ, United States of America
- Simon A. Levin Mathematical, Computational and Modeling Sciences Center, Arizona State University, Tempe, AZ, United States of America
| |
Collapse
|
14
|
Fernández Montoya L, Martí-Soler H, Máquina M, Comiche K, Cuamba I, Alafo C, Koekemoer LL, Sherrard-Smith E, Bassat Q, Galatas B, Aide P, Cuamba N, Jotamo D, Saúte F, Paaijmans KP. The mosquito vectors that sustained malaria transmission during the Magude project despite the combined deployment of indoor residual spraying, insecticide-treated nets and mass-drug administration. PLoS One 2022; 17:e0271427. [PMID: 36084031 PMCID: PMC9462736 DOI: 10.1371/journal.pone.0271427] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Accepted: 08/23/2022] [Indexed: 11/18/2022] Open
Abstract
The "Magude project" aimed but failed to interrupt local malaria transmission in Magude district, southern Mozambique, by using a comprehensive package of interventions, including indoor residual spraying (IRS), pyrethroid-only long-lasting insecticide treated nets (LLINs) and mass-drug administration (MDA). Here we present detailed information on the vector species that sustained malaria transmission, their association with malaria incidence and behaviors, and their amenability to the implemented control interventions. Mosquitoes were collected monthly between May 2015 and October 2017 in six sentinel sites in Magude district, using CDC light traps both indoors and outdoors. Anopheles arabiensis was the main vector during the project, while An. funestus s.s., An. merus, An. parensis and An. squamosus likely played a secondary role. The latter two species have never previously been found positive for Plasmodium falciparum in southern Mozambique. The intervention package successfully reduced vector sporozoite rates in all species throughout the project. IRS was effective in controlling An. funestus s.s. and An. parensis, which virtually disappeared after its first implementation, but less effective at controlling An. arabiensis. Despite suboptimal use, LLINs likely provided significant protection against An. arabiensis and An. merus that sought their host largely indoors when people where in bed. Adding IRS on top of LLINs and MDA likely added value to the control of malaria vectors during the Magude project. Future malaria elimination attempts in the area could benefit from i) increasing the use of LLINs, ii) using longer-lasting IRS products to counteract the increase in vector densities observed towards the end of the high transmission season, and iii) a higher coverage with MDA to reduce the likelihood of human infection. However, additional interventions targeting vectors that survive IRS and LLINs by biting outdoors or indoors before people go to bed, will be likely needed to achieve local malaria elimination.
Collapse
Affiliation(s)
- Lucía Fernández Montoya
- ISGlobal, Barcelona, Spain
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | | | - Mara Máquina
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Kiba Comiche
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Inocencia Cuamba
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Celso Alafo
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Lizette L. Koekemoer
- Faculty of Health Sciences, WITS Research Institute for Malaria, University of the Witswatersrand and the Natitonal Institute for Communicable Diseases, Johannesburg, South Africa
| | - Ellie Sherrard-Smith
- MRC Centre for Global Infectious Disease Analysis, Imperial College London, London, United Kingdom
| | - Quique Bassat
- ISGlobal, Barcelona, Spain
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
- ICREA, Barcelona, Spain
- Pediatrics Department, Hospital Sant Joan de Déu, Universitat de Barcelona, Esplugues, Barcelona, Spain
- Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | - Beatriz Galatas
- ISGlobal, Barcelona, Spain
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Pedro Aide
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
- Instituto Nacional da Saúde, Ministério da Saúde, Maputo, Mozambique
| | - Nelson Cuamba
- Programa Nacional de Controlo da Malária, Ministério da Saúde, Maputo, Mozambique
- PMI VectorLink Project, Abt Associates Inc., Maputo, Mozambique
| | - Dulcisaria Jotamo
- Programa Nacional de Controlo da Malária, Ministério da Saúde, Maputo, Mozambique
| | - Francisco Saúte
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
| | - Krijn P. Paaijmans
- ISGlobal, Barcelona, Spain
- Centro de Investigação em Saúde de Manhiça (CISM), Fundação Manhiça, Mozambique
- Center for Evolution and Medicine, School of Life Sciences, Arizona State University, Tempe, AZ, United States of America
- The Biodesign Center for Immunotherapy, Vaccines and Virotherapy, Arizona State University, Tempe, AZ, United States of America
- Simon A. Levin Mathematical, Computational and Modeling Sciences Center, Arizona State University, Tempe, AZ, United States of America
| |
Collapse
|
15
|
Adaptation to a Multiplex Bead Assay and Seroprevalence to Rift Valley Fever N Protein: Nampula Province, Mozambique, 2013-2014. J Virol 2022; 96:e0067222. [PMID: 35894603 PMCID: PMC9400480 DOI: 10.1128/jvi.00672-22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Abstract
Rift Valley fever virus (RVFV) is endemic in sub-Saharan Africa (SSA), with outbreaks reported in the Arabian Peninsula and throughout SSA. The natural reservoir for RVFV are ruminants, with livestock populations exceeding 50% exposure rates in some areas of SSA. Transmission to humans can occur through exposure to infected livestock products or multiple species of mosquito vectors. In 2013 and 2014, cross-sectional surveys occurred in two districts of Nacala-a-Velha and Mecubúri in northern Mozambique, and participants provided blood samples for later serological assays. IgG against the N protein of RVFV was detected through multiplex bead assay (MBA). Of the 2,278 persons enrolled between the two surveys and study sites, 181 (7.9%, 95% confidence interval (CI): 6.9%-9.1%) were found to be IgG seropositive with increasing seroprevalence with older age and significantly higher seroprevalence in Nacala-a-Velha (10.5%, 8.8%-12.5%) versus Mecubúri (5.7%, 4.5%-7.1%). Seroprevalence estimates were not significantly different between the 2013 and 2014 surveys. Significant spatial clustering of IgG positive persons were consistent among surveys and within the two districts, pointing toward the consistency of serology data for making population-level assumptions regarding RVFV seroprevalence. A subset of persons (n = 539) provided samples for both the 2013 and 2014 surveys, and a low percentage (0.81%) of these were found to seroconvert between these two surveys. Including the RVFV N protein in an MBA antigen panel could assist elucidate RVFV exposure in SSA. IMPORTANCE Due to sporadic transmission, human contact with Rift Valley Fever Virus (RVFV) is difficult to ascertain at a population level. Detection of antibodies against RVFV antigens assist in estimating exposure as antibodies remain in the host long after the virus has been cleared. In this study, we show that antibodies against RVFV N protein can be detected from dried blood spot (DBS) samples being assayed by multiplex bead assay. DBS from two districts in northern Mozambique were tested for IgG against the N protein, and 7.9% of all enrolled persons were seropositive. Older persons, males, and persons residing closer to the coast had higher RVFV N protein seroprevalence. Spatial clustering of IgG positive persons was noted in both districts. These results show low exposure rates to RVFV in these two northern districts in Mozambique, and the ability to perform serology for the RVFV N protein from dried blood samples.
Collapse
|
16
|
Alafo C, Martí-Soler H, Máquina M, Malheia A, Aswat AS, Koekemoer LL, Colborn J, Lobo NF, Tatarsky A, Williams YA, Marrenjo D, Cuamba N, Rabinovich R, Alonso P, Aide P, Saúte F, Paaijmans KP. To spray or target mosquitoes another way: focused entomological intelligence guides the implementation of indoor residual spraying in southern Mozambique. Malar J 2022; 21:215. [PMID: 35820899 PMCID: PMC9275269 DOI: 10.1186/s12936-022-04233-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Accepted: 06/06/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND To eliminate malaria in southern Mozambique, the National Malaria Control Programme and its partners are scaling up indoor residual spraying (IRS) activities in two provinces, Gaza and Inhambane. An entomological surveillance planning tool (ESPT) was used to answer the programmatic question of whether IRS would be effective in target geographies, given limited information on local vector bionomics. METHODS Entomological intelligence was collected in six sentinel sites at the end of the rainy season (April-May 2018) and the beginning of the dry season (June-July 2018). The primary objective was to provide an 'entomological snapshot' by collecting question-based, timely and high-quality data within one single week in each location. Host-seeking behaviour (both indoors and outdoors) was monitored by human-baited tent traps. Indoor resting behaviour was quantified by pyrethrum spray catches and window exit traps. RESULTS Five different species or species groups were identified: Anopheles funestus sensu lato (s.l.) (66.0%), Anopheles gambiae s.l. (14.0%), Anopheles pharoensis (1.4%), Anopheles tenebrosus (14.1%) and Anopheles ziemanni (4.5%). Anopheles funestus sensu stricto (s.s.) was the major vector among its sibling species, and 1.9% were positive for Plasmodium falciparum infections. Anopheles arabiensis was the most abundant vector species within the An. gambiae complex, but none tested positive for P. falciparum infections. Some An. tenebrosus were positive for P. falciparum (1.3%). When evaluating behaviours that impact IRS efficacy, i.e. endophily, the known primary vector An. funestus s.s., was found to rest indoors-demonstrating at least part of its population will be impacted by the intervention if insecticides are selected to which this vector is susceptible. However, other vector species, including An. gambiae s.l., An. tenebrosus, An. pharoensis and An. ziemanni, showed exophilic and exophagic behaviours in several of the districts surveilled. CONCLUSION The targeted approach to entomological surveillance was successful in collecting question-based entomological intelligence to inform decision-making about the use of IRS in specific districts. Endophilic An. funestus s.s. was documented as being the most prevalent and primary malaria vector suggesting that IRS can reduce malaria transmission, but the presence of other vector species both indoors and outdoors suggests that alternative vector control interventions that target these gaps in protection may increase the impact of vector control in southern Mozambique.
Collapse
Affiliation(s)
- Celso Alafo
- Centro de Investigação Em Saúde de Manhiça, Fundação Manhiça, Maputo, Mozambique
| | | | - Mara Máquina
- Centro de Investigação Em Saúde de Manhiça, Fundação Manhiça, Maputo, Mozambique
| | - Arlindo Malheia
- Centro de Investigação Em Saúde de Manhiça, Fundação Manhiça, Maputo, Mozambique
| | - Ayesha S Aswat
- WITS Research Institute for Malaria, Faculty of Health Sciences, University of the Witwatersrand, & National Institute for Communicable Diseases, Johannesburg, South Africa
| | - Lizette L Koekemoer
- WITS Research Institute for Malaria, Faculty of Health Sciences, University of the Witwatersrand, & National Institute for Communicable Diseases, Johannesburg, South Africa
| | | | - Neil F Lobo
- Eck Institute for Global Health, University of Notre Dame, Notre Dame, IN, USA
- Malaria Elimination Initiative, Institute of Global Health Sciences, University of California San Francisco, San Francisco, CA, USA
| | - Allison Tatarsky
- Malaria Elimination Initiative, Institute of Global Health Sciences, University of California San Francisco, San Francisco, CA, USA
| | - Yasmin A Williams
- Malaria Elimination Initiative, Institute of Global Health Sciences, University of California San Francisco, San Francisco, CA, USA
| | - Dulcisária Marrenjo
- Programa Nacional de Controlo da Malária, Ministério da Saúde, Maputo, Mozambique
| | - Nelson Cuamba
- Programa Nacional de Controlo da Malária, Ministério da Saúde, Maputo, Mozambique
- PMI VectorLink Project, Abt Associates Inc, Maputo, Mozambique
| | - Regina Rabinovich
- ISGlobal, Barcelona, Spain
- Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Pedro Alonso
- Centro de Investigação Em Saúde de Manhiça, Fundação Manhiça, Maputo, Mozambique
- ISGlobal, Barcelona, Spain
| | - Pedro Aide
- Centro de Investigação Em Saúde de Manhiça, Fundação Manhiça, Maputo, Mozambique
- Instituto Nacional da Saúde, Ministério da Saúde, Maputo, Mozambique
| | - Francisco Saúte
- Centro de Investigação Em Saúde de Manhiça, Fundação Manhiça, Maputo, Mozambique
| | - Krijn P Paaijmans
- Centro de Investigação Em Saúde de Manhiça, Fundação Manhiça, Maputo, Mozambique.
- ISGlobal, Barcelona, Spain.
- Center for Evolution and Medicine, School of Life Sciences, Arizona State University, Tempe, AZ, USA.
- The Biodesign Center for Immunotherapy, Vaccines and Virotherapy, Arizona State University, Tempe, AZ, USA.
- Simon A. Levin Mathematical, Computational and Modeling Sciences Center, Arizona State University, Tempe, AZ, USA.
| |
Collapse
|
17
|
Mugabe VA, Gudo ES, Inlamea OF, Kitron U, Ribeiro GS. Natural disasters, population displacement and health emergencies: multiple public health threats in Mozambique. BMJ Glob Health 2021; 6:e006778. [PMID: 34489329 PMCID: PMC8422305 DOI: 10.1136/bmjgh-2021-006778] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Accepted: 08/15/2021] [Indexed: 12/28/2022] Open
Abstract
In early 2019, following the 2015-2016 severe drought, the provinces of Sofala and Cabo Delgado, Mozambique, were hit by Cyclones Idai and Kenneth, respectively. These were the deadliest and most destructive cyclones in the country's history. Currently, these two provinces host tens of thousands of vulnerable households due to the climatic catastrophes and the massive influx of displaced people associated with violent terrorist attacks plaguing Cabo Delgado. The emergence of the COVID-19 pandemic added a new challenge to this already critical scenario, serving as a real test for Mozambique's public health preparedness. On the planetary level, Mozambique can be viewed as a 'canary in the coal mine', harbingering to the world the synergistic effects of co-occurring anthropogenic and natural disasters. Herein, we discuss how the COVID-19 pandemic has accentuated the need for an effective and comprehensive public health response in a country already deeply impacted by health problems associated with natural disasters and population displacement.
Collapse
Affiliation(s)
- Vánio A Mugabe
- Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Bahia, Brazil
- Universidade Licungo, Quelimane, Zambezia, Mozambique
| | | | | | - Uriel Kitron
- Department of Environmental Sciences, Emory University, Atlanta, Georgia, USA
| | - Guilherme S Ribeiro
- Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Salvador, Bahia, Brazil
- Faculdade de Medicina, Universidade Federal da Bahia, Salvador, Bahia, Brazil
| |
Collapse
|
18
|
Mwanyika GO, Sindato C, Rugarabamu S, Rumisha SF, Karimuribo ED, Misinzo G, Rweyemamu MM, Abdel Hamid MM, Haider N, Vairo F, Kock R, Mboera LEG. Seroprevalence and associated risk factors of chikungunya, dengue, and Zika in eight districts in Tanzania. Int J Infect Dis 2021; 111:271-280. [PMID: 34428546 DOI: 10.1016/j.ijid.2021.08.040] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Revised: 08/17/2021] [Accepted: 08/17/2021] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND This study was conducted to determine the seroprevalence and risk factors of chikungunya (CHIKV), dengue (DENV), and Zika (ZIKV) viruses in Tanzania. METHODS The study covered the districts of Buhigwe, Kalambo, Kilindi, Kinondoni, Kondoa, Kyela, Mvomero, and Ukerewe in Tanzania. Blood samples were collected from individuals recruited from households and healthcare facilities. An ELISA was used to screen for immunoglobulin G antibodies against CHIKV, DENV, and ZIKV. RESULTS A total of 1818 participants (median age 34 years) were recruited. The overall CHIKV, DENV, and ZIKV seroprevalence rates were 28.0%, 16.1%, and 6.8%, respectively. CHIKV prevalence was highest in Buhigwe (46.8%), DENV in Kinondoni (43.8%), and ZIKV in Ukerewe (10.6%) and Mvomero (10.6%). Increasing age and frequent mosquito bites were significantly associated with CHIKV and DENV seropositivity (P < 0.05). Having piped water or the presence of stagnant water around the home (P < 0.01) were associated with higher odds of DENV seropositivity. Fever was significantly associated with increased odds of CHIKV seropositivity (P < 0.001). Visiting mines had higher odds of ZIKV seropositivity (P < 0.05). CONCLUSIONS These findings indicate that DENV, CHIKV, and ZIKV are circulating in diverse ecological zones of Tanzania. There is a need to strengthen the control of mosquito-borne viral diseases in Tanzania.
Collapse
Affiliation(s)
- Gaspary O Mwanyika
- SACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania; Department of Veterinary Microbiology, Parasitology and Biotechnology, Sokoine University of Agriculture, Morogoro, Tanzania.
| | - Calvin Sindato
- SACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania; National Institute for Medical Research, Tabora Research Centre, Tabora, Tanzania.
| | - Sima Rugarabamu
- SACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania; Department of Veterinary Microbiology, Parasitology and Biotechnology, Sokoine University of Agriculture, Morogoro, Tanzania.
| | - Susan F Rumisha
- National Institute for Medical Research, Headquarters, Dar es Salaam, Tanzania; Malaria Atlas Project, Geospatial Health and Development, Telethon Kids Institute, West Perth, Western Australia.
| | - Esron D Karimuribo
- SACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania; Department of Veterinary Medicine and Public Health, Sokoine University of Agriculture, Morogoro, Tanzania.
| | - Gerald Misinzo
- SACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania; Department of Veterinary Microbiology, Parasitology and Biotechnology, Sokoine University of Agriculture, Morogoro, Tanzania.
| | - Mark M Rweyemamu
- SACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania.
| | - Muzamil M Abdel Hamid
- Institute of Endemic Diseases, Medical Campus, University of Khartoum, Khartoum, Sudan.
| | - Najmul Haider
- The Royal Veterinary College, University of London, Hatfield, Hertfordshire, United Kingdom.
| | - Francesco Vairo
- National Institute for Infectious Diseases L. Spallanzani, Rome, Italy.
| | - Richard Kock
- The Royal Veterinary College, University of London, Hatfield, Hertfordshire, United Kingdom.
| | - Leonard E G Mboera
- SACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania.
| |
Collapse
|
19
|
Näslund J, Ahlm C, Islam K, Evander M, Bucht G, Lwande OW. Emerging Mosquito-Borne Viruses Linked to Aedes aegypti and Aedes albopictus: Global Status and Preventive Strategies. Vector Borne Zoonotic Dis 2021; 21:731-746. [PMID: 34424778 DOI: 10.1089/vbz.2020.2762] [Citation(s) in RCA: 32] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Abstract
Emerging mosquito-borne viruses continue to cause serious health problems and economic burden among billions of people living in and near the tropical belt of the world. The highly invasive mosquito species Aedes aegypti and Aedes albopictus have successively invaded and expanded their presence as key vectors of Chikungunya virus, dengue virus, yellow fever virus, and Zika virus, and that has consecutively led to frequent outbreaks of the corresponding viral diseases. Of note, these two mosquito species have gradually adapted to the changing weather and environmental conditions leading to a shift in the epidemiology of the viral diseases, and facilitated their establishment in new ecozones inhabited by immunologically naive human populations. Many abilities of Ae. aegypti and Ae. albopictus, as vectors of significant arbovirus pathogens, may affect the infection and transmission rates after a bloodmeal, and may influence the vector competence for either virus. We highlight that many collaborating risk factors, for example, the global transportation systems may result in sporadic and more local outbreaks caused by mosquito-borne viruses related to Ae. aegypti and/or Ae. albopictus. Those local outbreaks could in synergy grow and produce larger epidemics with pandemic characters. There is an urgent need for improved surveillance of vector populations, human cases, and reliable prediction models. In summary, we recommend new and innovative strategies for the prevention of these types of infections.
Collapse
Affiliation(s)
- Jonas Näslund
- Swedish Defence Research Agency, CBRN, Defence and Security, Umeå, Sweden
| | - Clas Ahlm
- Department of Clinical Microbiology, Umeå University, Umea, Sweden.,Arctic Research Centre at Umeå University, Umea, Sweden
| | - Koushikul Islam
- Department of Clinical Microbiology, Umeå University, Umea, Sweden
| | - Magnus Evander
- Department of Clinical Microbiology, Umeå University, Umea, Sweden.,Arctic Research Centre at Umeå University, Umea, Sweden
| | - Göran Bucht
- Department of Clinical Microbiology, Umeå University, Umea, Sweden
| | - Olivia Wesula Lwande
- Department of Clinical Microbiology, Umeå University, Umea, Sweden.,Arctic Research Centre at Umeå University, Umea, Sweden
| |
Collapse
|
20
|
Adusei JA, Narkwa PW, Owusu M, Domfeh SA, Alhassan M, Appau E, Salam A, Mutocheluh M. Evidence of chikungunya virus infections among febrile patients at three secondary health facilities in the Ashanti and the Bono Regions of Ghana. PLoS Negl Trop Dis 2021; 15:e0009735. [PMID: 34460820 PMCID: PMC8432890 DOI: 10.1371/journal.pntd.0009735] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Revised: 09/10/2021] [Accepted: 08/17/2021] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Chikungunya is now of public health concern globally due to its re-emergence in endemic areas and introduction into new areas of the world. Worldwide, the vectors for transmission of the chikungunya virus are Aedes mosquitoes and these are prevalent in Ghana. Despite its global significance, the true burden of chikungunya virus infection in Ghana is largely unknown and the threat of outbreak remains high owing to international travel. This study sought to determine chikungunya virus infection among febrile patients suspected of having malaria infections at some selected health facilities in the Ashanti, Bono East, and Bono Regions of Ghana. METHODOLOGY This cross-sectional study recruited six hundred (600) febrile patients suspected of having malaria who submitted their clinical samples to the laboratories of the selected health facilities for the diagnosis of their infections. Five to ten millilitres (5-10ml) of venous blood were collected from each study participant. Sera were separated and tested for anti-chikungunya (IgM and IgG) antibodies using InBios ELISA kit following the manufacturer's instruction. Samples positive for chikungunya IgM and IgG were selected and tested for chikungunya virus RNA using Reverse Transcription-quantitative Polymerase Chain Reaction. Malaria Rapid Diagnostic Test kits were used to screen the participants for malaria. Structured questionnaires were administered to obtain demographic and clinical information of the study participants. RESULT Of the 600 samples tested, the overall seroprevalence of chikungunya was 6%. The seroprevalence of chikungunya IgM and IgG antibodies were 1.8% and 4.2% respectively. None of the chikungunya IgM and IgG positive samples tested positive for chikungunya RNA by RT-qPCR. Of the 600 samples, tested 32.3% (194/600) were positive for malaria parasites. Malaria and chikungunya co-infection was detected in 1.8% (11/600) of the participants. CONCLUSION Findings from the current study indicate low-level exposure to the chikungunya virus suggesting the virus is circulating and potentially causing morbidity in Ghana.
Collapse
Affiliation(s)
- Jonathan Akwasi Adusei
- Department of Clinical Microbiology, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, KNUST Main Campus, Kumasi, Ghana
| | - Patrick Williams Narkwa
- Department of Clinical Microbiology, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, KNUST Main Campus, Kumasi, Ghana
| | - Michael Owusu
- Department of Medical Diagnostics, Faculty of Allied Health Sciences, Kwame Nkrumah University of Science and Technology, KNUST Main Campus, Kumasi, Ghana
| | - Seth Agyei Domfeh
- Department of Clinical Microbiology, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, KNUST Main Campus, Kumasi, Ghana
| | - Mahmood Alhassan
- Department of Clinical Microbiology, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, KNUST Main Campus, Kumasi, Ghana
| | - Emmanuel Appau
- Department of Clinical Microbiology, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, KNUST Main Campus, Kumasi, Ghana
| | | | - Mohamed Mutocheluh
- Department of Clinical Microbiology, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, KNUST Main Campus, Kumasi, Ghana
| |
Collapse
|
21
|
Mala W, Wilairatana P, Kotepui KU, Kotepui M. Prevalence of Malaria and Chikungunya Co-Infection in Febrile Patients: A Systematic Review and Meta-Analysis. Trop Med Infect Dis 2021; 6:tropicalmed6030119. [PMID: 34209434 PMCID: PMC8293423 DOI: 10.3390/tropicalmed6030119] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2021] [Revised: 06/26/2021] [Accepted: 06/28/2021] [Indexed: 02/07/2023] Open
Abstract
Background: Co-infection with malaria and chikungunya could exert a significant public health impact with infection misdiagnosis. Therefore, this study aimed to collect qualitative and quantitative evidence of malaria and chikungunya co-infection among febrile patients. Methods: Potentially relevant studies were identified using PubMed, Web of Science, and Scopus. The bias risk of the included studies was assessed using the checklist for analytical cross-sectional studies developed by the Joanna Briggs Institute. The pooled prevalence of malaria and chikungunya co-infection among febrile patients and the pooled prevalence of chikungunya virus (CHIKV) infection among malaria patients were estimated with the random effect model. The odds of malaria and chikungunya co-infection among febrile patients were also estimated using a random effect model that presumed the heterogeneity of the outcomes of the included studies. The heterogeneity among the included studies was assessed using the Cochran Q test and I2 statistics. Publication bias was assessed using the funnel plot and Egger’s test. Results: Of the 1924 studies that were identified from the three databases, 10 fulfilled the eligibility criteria and were included in our study. The pooled prevalence of malaria and chikungunya co-infection (182 cases) among febrile patients (16,787 cases), stratified by diagnostic tests for CHIKV infection, was 10% (95% confidence interval (CI): 8–11%, I2: 99.5%) using RDT (IgM), 7% (95% CI: 4–10%) using the plaque reduction neutralization test (PRNT), 1% (95% CI: 0–2%, I2: 41.5%) using IgM and IgG ELISA, and 4% (95% CI: 2–6%) using real-time RT-PCR. When the prevalence was stratified by country, the prevalence of co-infection was 7% (95% CI: 5–10%, I2: 99.5%) in Nigeria, 1% (95% CI: 0–2%, I2: 99.5%) in Tanzania, 10% (95% CI: 8–11%) in Sierra Leone, 1% (95% CI: 0–4%) in Mozambique, and 4% (95% CI: 2–6%) in Kenya. The pooled prevalence of CHIKV infection (182 cases) among malaria patients (8317 cases), stratified by diagnostic tests for CHIKV infection, was 39% (95% CI: 34–44%, I2: 99.7%) using RDT (IgM), 43% (95% CI: 30–57%) using PRNT, 5% (95% CI: 3–7%, I2: 5.18%) using IgM and IgG ELISA, and 9% (95% CI: 6–15%) using real-time RT-PCR. The meta-analysis showed that malaria and chikungunya co-infection occurred by chance (p: 0.59, OR: 0.32, 95% CI: 0.6–1.07, I2: 78.5%). Conclusions: The prevalence of malaria and chikungunya co-infection varied from 0% to 10% as per the diagnostic test for CHIKV infection or the country where the co-infection was reported. Hence, the clinicians who diagnose patients with malaria infections in areas where two diseases are endemic should further investigate for chikungunya co-infection to prevent misdiagnosis or delayed treatment of concurrent infection.
Collapse
Affiliation(s)
- Wanida Mala
- Medical Technology, School of Allied Health Sciences, Walailak University, Tha Sala, Nakhon Si Thammarat 80160, Thailand; (W.M.); (K.U.K.)
| | - Polrat Wilairatana
- Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok 73170, Thailand;
| | - Kwuntida Uthaisar Kotepui
- Medical Technology, School of Allied Health Sciences, Walailak University, Tha Sala, Nakhon Si Thammarat 80160, Thailand; (W.M.); (K.U.K.)
| | - Manas Kotepui
- Medical Technology, School of Allied Health Sciences, Walailak University, Tha Sala, Nakhon Si Thammarat 80160, Thailand; (W.M.); (K.U.K.)
- Correspondence: ; Tel.: +66-954-392-469
| |
Collapse
|
22
|
Eltom K, Enan K, El Hussein ARM, Elkhidir IM. Dengue Virus Infection in Sub-Saharan Africa Between 2010 and 2020: A Systematic Review and Meta-Analysis. Front Cell Infect Microbiol 2021; 11:678945. [PMID: 34113579 PMCID: PMC8186319 DOI: 10.3389/fcimb.2021.678945] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Accepted: 04/09/2021] [Indexed: 11/20/2022] Open
Abstract
Dengue virus (DENV) infection has garnered a global interest in the past few decades. Nevertheless, its epidemiology in certain developing and low-income regions remains poorly understood, due to the absence of comprehensive surveillance and reporting systems. This systematic review and meta-analysis aimed to determine the prevalence of DENV infection in the population of Sub-Saharan Africa using DENV infection markers, and to track any changes in its prevalence during the past ten years. It was conducted in accordance with the PRISMA guidelines, targeting the literature available at MEDLINE/PubMed, ScienceDirect, Cochrane library and Google Scholar. All articles published in English language between January 2010 and June 2020 were screened for eligibility. Random effects model was used to calculate the pooled prevalence of all infection markers. The Inconsistency Index (I2) was used to assess the level of heterogeneity between studies. Subgroup analysis according to country and time-frame of studies was conducted to provide possible explanations to substantial heterogeneity. The critical appraisal tool for prevalence studies designed by the Joanna Briggs Institute (JBI) was used to assess the risk of bias in all included studies. A total of 84 articles, covering 21 countries, were included in this review. Quantitative meta-analysis estimated a pooled IgG prevalence of 25% (95% CI: 21-29%, I2 = 99%), a pooled IgM prevalence of 10% (95% CI: 9-11%, I2 = 98%) and a pooled DENV RNA prevalence of 14% (95% CI: 12-16%, I2 = 99%). Evidence for possible publication bias was also found in all three meta-analyses. Subgroup analysis according to the time of sample collection was performed to closely track the changing prevalence of DENV infection markers between 2010 and 2019. This meta-analysis estimates a high prevalence of DENV infection in Sub-Saharan Africa. More cost-efficient vector control strategies should be designed and implemented in order to adapt to the low-resource nature of this region.
Collapse
Affiliation(s)
- Khalid Eltom
- Department of Microbiology and Parasitology, Faculty of Medicine, University of Khartoum, Khartoum, Sudan.,Department of Virology, Central Laboratory, Ministry of Higher Education and Scientific Research, Khartoum, Sudan
| | - Khalid Enan
- Department of Virology, Central Laboratory, Ministry of Higher Education and Scientific Research, Khartoum, Sudan
| | - Abdel Rahim M El Hussein
- Department of Virology, Central Laboratory, Ministry of Higher Education and Scientific Research, Khartoum, Sudan
| | - Isam M Elkhidir
- Department of Microbiology and Parasitology, Faculty of Medicine, University of Khartoum, Khartoum, Sudan
| |
Collapse
|
23
|
Wat'senga Tezzo F, Fasine S, Manzambi Zola E, Marquetti MDC, Binene Mbuka G, Ilombe G, Mundeke Takasongo R, Smitz N, Bisset JA, Van Bortel W, Vanlerberghe V. High Aedes spp. larval indices in Kinshasa, Democratic Republic of Congo. Parasit Vectors 2021; 14:92. [PMID: 33522947 PMCID: PMC7852359 DOI: 10.1186/s13071-021-04588-7] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Accepted: 01/08/2021] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Dengue, yellow fever, chikungunya and Zika are among the most important emerging infectious vector-borne diseases worldwide. In the Democratic Republic of Congo (DRC), increases in cases of dengue and outbreaks of yellow fever and chikungunya have been reported since 2010. The main vectors of these arboviruses, Aedes aegypti and Aedes albopictus, have been reported in DRC, but there is a lack of detailed information on their presence and spread to guide disease control efforts. METHODS In 2018, two cross-sectional surveys were conducted in Kinshasa province (DRC), one in the rainy (January/February) and one in the dry season (July). Four hundred houses were visited in each of the four selected communes (N'Djili, Mont Ngafula, Lingwala and Kalamu). Within the peri-domestic area of each household, searches were conducted for larval habitats, which were then surveyed for the presence of Aedes larvae and pupae. A subset of the immature specimens were reared to adults for morphological identification followed by DNA barcoding of the specimens to validate identifications. RESULTS The most rural commune (Mont Ngafula) had the highest pupal index (number of Aedes spp. pupae per 100 inspected houses) at 246 (20) pupae/100 houses, and Breteau index (BI; number of containers positive for immature stages of Aedes spp. per 100 households) at 82.2 (19.5) positive containers/100 houses for the rainy (and dry) season, respectively. The BI was 21.5 (4.7), 36.7 (9.8) and 41.7 (7.5) in Kalamu, Lingwala and N'Djili in the rainy (and dry) season, respectively. The house index (number of houses positive for at least one container with immature stages of Aedes spp. per 100 inspected houses) was, on average, across all communes, 27.5% (7.6%); and the container index (number of containers positive for immature stages of Aedes spp. per 100 inspected containers) was 15.0% (10.0%) for the rainy (and dry) season, respectively. The vast majority of Aedes-positive containers were found outside the houses [adjusted odds ratio 27.4 (95% confidence interval 14.9-50.1)]. During the dry season, the most productive containers were the ones used for water storage, whereas in the rainy season rubbish and tires constituted key habitats. Both Ae. aegypti and Ae. albopictus were found. Anopheles larvae were found in different types of Aedes larval habitats, especially during the rainy season. CONCLUSIONS In both surveys and in all communes, the larval indices (BI) were higher than the arbovirus transmission threshold values established by the World Health Organization. Management strategies for controlling Aedes in Kinshasa need to target the key types of containers for Aedes larvae, which are mainly located in outdoor spaces, for larval habitat destruction or reduction.
Collapse
Affiliation(s)
- Francis Wat'senga Tezzo
- Unit of Entomology, Department of Parasitology, National Institute of Biomedical Research, 5345 Avenue De la Démocratie, Gombe, Kinshasa, Democratic Republic of the Congo
| | - Sylvie Fasine
- Unit of Entomology, Department of Parasitology, National Institute of Biomedical Research, 5345 Avenue De la Démocratie, Gombe, Kinshasa, Democratic Republic of the Congo
| | - Emile Manzambi Zola
- Unit of Entomology, Department of Parasitology, National Institute of Biomedical Research, 5345 Avenue De la Démocratie, Gombe, Kinshasa, Democratic Republic of the Congo
| | - Maria Del Carmen Marquetti
- Department of Vector Control, Instituto Medicina Tropical Pedro Kourí (IPK), Avenida Novia del Mediodía, KM 6 1/2, La Lisa, Havana, Cuba
| | - Guillaume Binene Mbuka
- Unit of Entomology, Department of Parasitology, National Institute of Biomedical Research, 5345 Avenue De la Démocratie, Gombe, Kinshasa, Democratic Republic of the Congo
| | - Gillon Ilombe
- Unit of Entomology, Department of Parasitology, National Institute of Biomedical Research, 5345 Avenue De la Démocratie, Gombe, Kinshasa, Democratic Republic of the Congo
| | - Richard Mundeke Takasongo
- Unit of Entomology, Department of Parasitology, National Institute of Biomedical Research, 5345 Avenue De la Démocratie, Gombe, Kinshasa, Democratic Republic of the Congo
| | - Nathalie Smitz
- Department of Biology, Royal Museum for Central Africa (BopCo), Leuvensesteenweg 13-17, Tervuren, Belgium
| | - Juan Andre Bisset
- Department of Vector Control, Instituto Medicina Tropical Pedro Kourí (IPK), Avenida Novia del Mediodía, KM 6 1/2, La Lisa, Havana, Cuba
| | - Wim Van Bortel
- Outbreak Research Team, Institute of Tropical Medicine (ITM), Nationalestraat 155, Antwerp, Belgium
- Unit of Entomology, Biomedical Science Department, Institute of Tropical Medicine (ITM), Nationalestraat 155, Antwerp, Belgium
| | - Veerle Vanlerberghe
- Tropical Infectious Disease Group, Public Health Department, Institute of Tropical Medicine (ITM), Nationalestraat 155, Antwerp, Belgium.
| |
Collapse
|
24
|
Abílio AP, Silva M, Kampango A, Narciso I, Gudo ES, das Neves LCB, Sidat M, Fafetine JM, de Almeida APG, Parreira R. A survey of RNA viruses in mosquitoes from Mozambique reveals novel genetic lineages of flaviviruses and phenuiviruses, as well as frequent flavivirus-like viral DNA forms in Mansonia. BMC Microbiol 2020; 20:225. [PMID: 32723369 PMCID: PMC7385898 DOI: 10.1186/s12866-020-01905-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Accepted: 07/14/2020] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Mosquito-borne diseases involving arboviruses represent expanding threats to sub-Saharan Africa imposing as considerable burden to human and veterinary public health. In Mozambique over one hundred species of potential arbovirus mosquito vectors have been identified, although their precise role in maintaining such viruses in circulation in the country remains to be elucidated. The aim of this study was to screen for the presence of flaviviruses, alphaviruses and bunyaviruses in mosquitoes from different regions of Mozambique. RESULTS Our survey analyzed 14,519 mosquitoes, and the results obtained revealed genetically distinct insect-specific flaviviruses, detected in multiple species of mosquitoes from different genera. In addition, smaller flavivirus-like NS5 sequences, frequently detected in Mansonia seemed to correspond to defective viral sequences, present as viral DNA forms. Furthermore, three lineages of putative members of the Phenuiviridae family were also detected, two of which apparently corresponding to novel viral genetic lineages. CONCLUSION This study reports for the first-time novel insect-specific flaviviruses and novel phenuiviruses, as well as frequent flavivirus-like viral DNA forms in several widely known vector species. This unique work represents recent investigation of virus screening conducted in mosquitoes from Mozambique and an important contribution to inform the establishment of a vector control program for arbovirus in the country and in the region.
Collapse
Affiliation(s)
- Ana Paula Abílio
- Instituto Nacional de Saúde (INS)-Ministry of Health (MISAU), Vila de Marracuene, Estrada Nacional N°1, Parcela N°3943, P.O. Box: 264, Maputo, Mozambique.
- Faculty of Medicine, Eduardo Mondlane University (UEM), Maputo, Mozambique.
| | - Manuel Silva
- Unidade de Microbiologia Médica, Instituto de Higiene e Medicina Tropical (IHMT)/Universidade Nova de Lisboa (NOVA), and Global Health and Tropical Medicine (GHTM) Research Centre, Lisbon, Portugal
| | - Ayubo Kampango
- Instituto Nacional de Saúde (INS)-Ministry of Health (MISAU), Vila de Marracuene, Estrada Nacional N°1, Parcela N°3943, P.O. Box: 264, Maputo, Mozambique
| | - Inácio Narciso
- Unidade de Parasitologia Médica, Instituto de Higiene e Medicina Tropical (IHMT)/Universidade Nova de Lisboa (NOVA), and Global Health and Tropical Medicine (GHTM) Research Centre, Lisbon, Portugal
| | - Eduardo Samo Gudo
- Instituto Nacional de Saúde (INS)-Ministry of Health (MISAU), Vila de Marracuene, Estrada Nacional N°1, Parcela N°3943, P.O. Box: 264, Maputo, Mozambique
| | | | - Mohsin Sidat
- Faculty of Medicine, Eduardo Mondlane University (UEM), Maputo, Mozambique
| | | | - António Paulo Gouveia de Almeida
- Unidade de Parasitologia Médica, Instituto de Higiene e Medicina Tropical (IHMT)/Universidade Nova de Lisboa (NOVA), and Global Health and Tropical Medicine (GHTM) Research Centre, Lisbon, Portugal
| | - Ricardo Parreira
- Unidade de Microbiologia Médica, Instituto de Higiene e Medicina Tropical (IHMT)/Universidade Nova de Lisboa (NOVA), and Global Health and Tropical Medicine (GHTM) Research Centre, Lisbon, Portugal
| |
Collapse
|
25
|
Maljkovic Berry I, Eyase F, Pollett S, Konongoi SL, Joyce MG, Figueroa K, Ofula V, Koka H, Koskei E, Nyunja A, Mancuso JD, Jarman RG, Sang R. Global Outbreaks and Origins of a Chikungunya Virus Variant Carrying Mutations Which May Increase Fitness for Aedes aegypti: Revelations from the 2016 Mandera, Kenya Outbreak. Am J Trop Med Hyg 2020; 100:1249-1257. [PMID: 30860010 PMCID: PMC6493958 DOI: 10.4269/ajtmh.18-0980] [Citation(s) in RCA: 38] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
In 2016, a chikungunya virus (CHIKV) outbreak was reported in Mandera, Kenya. This was the first major CHIKV outbreak in the country since the global reemergence of this virus in Kenya in 2004. We collected samples and sequenced viral genomes from this outbreak. All Kenyan genomes contained two mutations, E1:K211E and E2:V264A, recently reported to have an association with increased infectivity, dissemination, and transmission in the Aedes aegypti vector. Phylogeographic inference of temporal and spatial virus relationships showed that this variant emerged within the East, Central, and South African lineage between 2005 and 2008, most probably in India. It was also in India where the first large outbreak caused by this virus appeared, in New Delhi, 2010. More importantly, our results also showed that this variant is no longer contained to India. We found it present in several major outbreaks, including the 2016 outbreaks in Pakistan and Kenya, and the 2017 outbreak in Bangladesh. Thus, this variant may have a capability of driving large CHIKV outbreaks in different regions of the world. Our results point to the importance of continued genomic-based surveillance and prompt urgent vector competence studies to assess the level of vector susceptibility and virus transmission, and the impact this might have on this variant's epidemic potential and global spread.
Collapse
Affiliation(s)
- Irina Maljkovic Berry
- Viral Diseases Branch, Walter Reed Army Institute of Research, Silver Spring, Maryland
| | - Fredrick Eyase
- United States Army Medical Research Directorate - Kenya, Nairobi, Kenya
| | - Simon Pollett
- Viral Diseases Branch, Walter Reed Army Institute of Research, Silver Spring, Maryland
| | - Samson Limbaso Konongoi
- Center for Virus Research, Kenya Medical Research Institute, Nairobi, Kenya.,United States Army Medical Research Directorate - Kenya, Nairobi, Kenya
| | - Michael Gordon Joyce
- Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland.,Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland
| | - Katherine Figueroa
- Viral Diseases Branch, Walter Reed Army Institute of Research, Silver Spring, Maryland
| | - Victor Ofula
- United States Army Medical Research Directorate - Kenya, Nairobi, Kenya
| | - Helen Koka
- United States Army Medical Research Directorate - Kenya, Nairobi, Kenya
| | - Edith Koskei
- United States Army Medical Research Directorate - Kenya, Nairobi, Kenya
| | - Albert Nyunja
- United States Army Medical Research Directorate - Kenya, Nairobi, Kenya
| | - James D Mancuso
- United States Army Medical Research Directorate - Kenya, Nairobi, Kenya
| | - Richard G Jarman
- Viral Diseases Branch, Walter Reed Army Institute of Research, Silver Spring, Maryland
| | - Rosemary Sang
- United States Army Medical Research Directorate - Kenya, Nairobi, Kenya
| |
Collapse
|
26
|
Chelene IR, Ali S, Mula FI, Muianga AF, Monteiro VO, Oludele J, Chongo IS, José A, Amade NA, António VS, Gudo ES. Retrospective investigation of IgM antibodies against Zika virus in serum from febrile patients in Mozambique, 2009–2015. BMC Res Notes 2019; 12:469. [PMID: 31366379 PMCID: PMC6670129 DOI: 10.1186/s13104-019-4511-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2019] [Accepted: 07/23/2019] [Indexed: 11/10/2022] Open
Abstract
Objective Zika virus (ZIKV) has emerged as an important health problem worldwide. The aim of this study was to investigate the occurrence, geographical distribution and trend of immunoglobulin M (IgM) antibodies against ZIKV between 2009 and 2015 in Mozambique. Results The median age of participants was 3 years [interquartile range (IQR): 1.0–6.0 years)] and 56.5% (480/850) of them were male. Of the 850 samples, 42 (4.9%) were positive for IgM antibodies against ZIKV. Positive samples were found in 9 provinces of the country. Frequency of IgM antibodies against ZIKV was slightly higher in patients aged 5–9 years old, and in the north region of the country.
Collapse
|
27
|
Proesmans S, Katshongo F, Milambu J, Fungula B, Muhindo Mavoko H, Ahuka-Mundeke S, Inocêncio da Luz R, Van Esbroeck M, Ariën KK, Cnops L, De Smet B, Lutumba P, Van Geertruyden JP, Vanlerberghe V. Dengue and chikungunya among outpatients with acute undifferentiated fever in Kinshasa, Democratic Republic of Congo: A cross-sectional study. PLoS Negl Trop Dis 2019; 13:e0007047. [PMID: 31487279 PMCID: PMC6748445 DOI: 10.1371/journal.pntd.0007047] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2018] [Revised: 09/17/2019] [Accepted: 08/06/2019] [Indexed: 12/25/2022] Open
Abstract
Background Pathogens causing acute fever, with the exception of malaria, remain largely unidentified in sub-Saharan Africa, given the local unavailability of diagnostic tests and the broad differential diagnosis. Methodology We conducted a cross-sectional study including outpatient acute undifferentiated fever in both children and adults, between November 2015 and June 2016 in Kinshasa, Democratic Republic of Congo. Serological and molecular diagnostic tests for selected arboviral infections were performed on blood, including PCR, NS1-RDT, ELISA and IFA for acute, and ELISA and IFA for past infections. Results Investigation among 342 patients, aged 2 to 68 years (mean age of 21 years), with acute undifferentiated fever (having no clear focus of infection) revealed 19 (8.1%) acute dengue–caused by DENV-1 and/or DENV-2 –and 2 (0.9%) acute chikungunya infections. Furthermore, 30.2% and 26.4% of participants had been infected in the past with dengue and chikungunya, respectively. We found no evidence of acute Zika nor yellow fever virus infections. 45.3% of patients tested positive on malaria Rapid Diagnostic Test, 87.7% received antimalarial treatment and 64.3% received antibacterial treatment. Discussion Chikungunya outbreaks have been reported in the study area in the past, so the high seroprevalence is not surprising. However, scarce evidence exists on dengue transmission in Kinshasa and based on our data, circulation is more important than previously reported. Furthermore, our study shows that the prescription of antibiotics, both antibacterial and antimalarial drugs, is rampant. Studies like this one, elucidating the causes of acute fever, may lead to a more considerate and rigorous use of antibiotics. This will not only stem the ever-increasing problem of antimicrobial resistance, but will–ultimately and hopefully–improve the clinical care of outpatients in low-resource settings. Trial registration ClinicalTrials.gov NCT02656862. Malaria remains one of the most important causes of fever in sub-Saharan Africa. However, its share is declining, since the diagnosis and treatment of malaria have improved significantly over the years. Hence leading to an increase in the number of patients presenting with non-malarial fever. Often, obvious clinical signs and symptoms like cough or diarrhea are absent, probing the question: “What causes the fever?” Previous studies have shown that the burden of arboviral infections–like dengue and chikungunya–in sub-Saharan Africa is underestimated, which is why we screened for four common arboviral infections in patients presenting with ‘undifferentiated fever’ at an outpatient clinic in suburban Kinshasa, Democratic Republic of Congo. Among the patients tested, we found that one in ten presented with an acute arboviral infection and that almost one in three patients had been infected in the past. These findings suggest that clinicians should think about arboviral infections more often, thereby refraining from the prescription of antibiotics, a practice increasingly problematic given the global rise of antimicrobial resistance.
Collapse
Affiliation(s)
| | - Freddy Katshongo
- Institut Supérieur des Techniques Médicales, Kinshasa, Democratic Republic of Congo
| | - John Milambu
- Centre Hospitalier Lisungi, Kinshasa, Democratic Republic of Congo
| | - Blaise Fungula
- Centre Hospitalier Lisungi, Kinshasa, Democratic Republic of Congo
| | - Hypolite Muhindo Mavoko
- University of Antwerp, Antwerp, Belgium.,Université de Kinshasa, Kinshasa, Democratic Republic of Congo
| | - Steve Ahuka-Mundeke
- Université de Kinshasa, Kinshasa, Democratic Republic of Congo.,Institut National de Reserche Biomédicale, Kinshasa, Democratic Republic of Congo
| | | | | | - Kevin K Ariën
- University of Antwerp, Antwerp, Belgium.,Institute of Tropical Medicine, Antwerp, Belgium
| | | | | | - Pascal Lutumba
- Université de Kinshasa, Kinshasa, Democratic Republic of Congo.,Institut National de Reserche Biomédicale, Kinshasa, Democratic Republic of Congo
| | | | | |
Collapse
|
28
|
Retrospective investigation of antibodies against chikungunya virus (CHIKV) in serum from febrile patients in Mozambique, 2009-2015: Implications for its prevention and control. PLoS One 2019; 14:e0213941. [PMID: 30897135 PMCID: PMC6428254 DOI: 10.1371/journal.pone.0213941] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2018] [Accepted: 03/04/2019] [Indexed: 11/19/2022] Open
Abstract
Introduction Longitudinal data and trends about chikungunya virus (CHIKV) are critical for its control, however in Mozambique very few studies were conducted over 5 decades, between 1957 and 2013. In this study, we retrospectively investigated the occurrence, geographical distribution and trend of anti-CHIKV antibodies between 2009 and 2015 in Mozambique using serum samples from febrile patients. Methods A total of 895 serum samples collected from febrile patients for measles and rubella surveillance between 2009 and 2015 in 127 districts of Mozambique were retrospectively tested for IgM and IgG antibodies against CHIKV using a commercially available ELISA. Results The median age of patients was 2 years (IQR: 1–5 years) and 44.2% (395/895) of them were female. We found that 54 (6.0%) of samples were positive for anti-IgM chikungunya, and 160 (17.9%) were positive for anti-CHIKV IgG. Antibodies against CHIKV (IgM and IgG) were identified in serum throughout 2009 to 2015. While frequency of IgG antibodies was significantly higher in 2015 as compared to other years, frequency of IgM antibodies was homogeneous between 2009 and 2015. Antibodies against CHIKV were reported in all provinces and in 84 (66.1%) of the districts studied. Frequency of IgM and IgG antibodies was not significantly similar between age groups. Conclusion This is the largest and longest serological screening of antibodies against CHIKV in febrile patients in Mozambique and findings from this study suggest that Mozambicans from all over the country have been silently exposed to CHIKV for several years.
Collapse
|
29
|
Badolo A, Burt F, Daniel S, Fearns R, Gudo ES, Kielian M, Lescar J, Shi Y, von Brunn A, Weiss SR, Hilgenfeld R. Third Tofo Advanced Study Week on Emerging and Re-emerging Viruses, 2018. Antiviral Res 2018; 162:142-150. [PMID: 30597184 PMCID: PMC7132404 DOI: 10.1016/j.antiviral.2018.12.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2018] [Accepted: 12/24/2018] [Indexed: 11/23/2022]
Abstract
The Third Tofo Advanced Study Week on Emerging and Re-Emerging Viruses (3rd TASW) was held in Praia do Tofo, Mozambique, from September 02 to 06, 2018. It brought together 55 participants from 10 African countries as well as from Belgium, China, Germany, Singapore, and the USA. Meeting sessions covered aspects of the epidemiology, diagnosis, molecular and structural biology, vaccine development, and antiviral drug discovery for emerging RNA viruses that are current threats in Africa and included flaviviruses (dengue and Zika), alphaviruses (chikungunya), coronaviruses, filoviruses (Ebola), influenza viruses, Crimean Congo hemorrhagic fever virus, Rift Valley fever Virus, Lassa virus, and others. Data were presented on recent flavivirus and/or chikungunyavirus outbreaks in Angola, Burkina Faso, and Mozambique. In addition, these viruses are endemic in many sub-Saharan countries. The TASW series on emerging viruses is unique in Africa and successful in promoting collaborations between researchers in Africa and other parts of the world, as well as among African scientists. This report summarizes the lectures held at the meeting and highlights advances in the field. The 3rd Tofo Advanced Study Week on Emerging and Re-emerging Viruses took place from September 2–6, 2018. African attendees came from Angola, Botswana, Burkina Faso, the CAR, Mozambique, Nigeria, S Africa, Tanzania and Zimbabwe. Other participants were from Europe, China, Singapore, and the USA. This unique meeting enabled scientists from Africa and elsewhere to discuss problems and initiate new collaborations. Presentations covered dengue virus, Zika, chikungunya, coronaviruses, Ebola, influenza, Rift Valley fever, CCHF, and RSV.
Collapse
Affiliation(s)
- Athanase Badolo
- Laboratory of Fundamental and Applied Entomology, University Ouaga, Ouagadougou, Burkina Faso.
| | - Felicity Burt
- Division of Virology, National Health Laboratory Services and Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa.
| | - Susan Daniel
- Chemical and Biomolecular Engineering, Cornell University, Ithaca, NY, USA.
| | - Rachel Fearns
- Boston University School of Medicine, Boston, MA, USA.
| | | | - Margaret Kielian
- Department of Cell Biology, Albert Einstein College of Medicine, Bronx, NY, USA.
| | - Julien Lescar
- Structural Biology and Biochemistry, Nanyang Technological University, Singapore.
| | - Yi Shi
- Institute of Microbiology, Chinese Academy of Sciences, Beijing, China.
| | - Albrecht von Brunn
- Max von Pettenkofer-Institute, Ludwig-Maximilians-University of Munich, Munich, Germany; German Center for Infection Research (DZIF), Munich Site, Munich, Germany.
| | - Susan R Weiss
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
| | - Rolf Hilgenfeld
- Institute of Biochemistry, University of Lübeck, Lübeck, Germany; German Center for Infection Research (DZIF), Hamburg - Lübeck - Borstel - Riems Site, Lübeck, Germany.
| |
Collapse
|
30
|
Salam N, Mustafa S, Hafiz A, Chaudhary AA, Deeba F, Parveen S. Global prevalence and distribution of coinfection of malaria, dengue and chikungunya: a systematic review. BMC Public Health 2018; 18:710. [PMID: 29879935 PMCID: PMC5992662 DOI: 10.1186/s12889-018-5626-z] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2018] [Accepted: 05/29/2018] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND Malaria, Dengue and Chikungunya are vector borne diseases with shared endemic profiles and symptoms. Coinfections with any of these diseases could have fatal outcomes if left undiagnosed. Understanding the prevalence and distribution of coinfections is necessary to improve diagnosis and designing therapeutic interventions. METHODS We have carried out a systematic search of the published literature based on PRISMA guidelines to identify cases of Malaria, Dengue and Chikungunya coinfections. We systematically reviewed the literature to identify eligible studies and extracted data regarding cases of coinfection from cross sectional studies, case reports, retrospective studies, prospective observational studies and surveillance reports. RESULTS Care full screening resulted in 104 publications that met the eligibility criteria and reported Malaria/Dengue, Dengue/Chikungunya, Malaria/Chikungunya and Malaria/Dengue/Chikungunya coinfections. These coinfections were spread over six geographical locations and 42 different countries and are reported more frequently in the last 15 years possibly due to expanding epidemiology of Dengue and Chikungunya. Few of these reports have also analysed distinguishing features of coinfections. Malaria/Dengue coinfections were the most common coinfection followed by Dengue/Chikungunya, Malaria/Chikungunya and Malaria/Dengue/Chikungunya coinfections. P. falciparum and P. vivax were the commonest species found in cases of malaria coinfections and Dengue serotype-4 commonest serotype in cases of dengue coinfections. Most studies were reported from India. Nigeria and India were the only two countries from where all possible combinations of coinfections were reported. CONCLUSION We have comprehensively reviewed the literature associated with cases of coinfections of three important vector borne diseases to present a clear picture of their prevalence and distribution across the globe. The frequency of coinfections presented in the study suggests proper diagnosis, surveillance and management of cases of coinfection to avoid poor prognosis of the underlying etiology.
Collapse
Affiliation(s)
- Nasir Salam
- College of Medicine, Al-Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia
| | - Shoeb Mustafa
- College of Medicine, Al-Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia
| | - Abdul Hafiz
- Department of Parasitology, College of Medicine, Umm Al-Qura University, Mecca, Saudi Arabia
| | - Anis Ahmad Chaudhary
- College of Medicine, Al-Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia
| | - Farah Deeba
- Centre for Interdisciplinary Research in Basic Sciences, Jamia Millia Islamia, New Delhi, 110025 India
| | - Shama Parveen
- Centre for Interdisciplinary Research in Basic Sciences, Jamia Millia Islamia, New Delhi, 110025 India
| |
Collapse
|
31
|
Muianga A, Pinto G, Massangaie M, Ali S, Oludele J, Tivane A, Falk KI, Lagerqvist N, Gudo ES. Antibodies Against Chikungunya in Northern Mozambique During Dengue Outbreak, 2014. Vector Borne Zoonotic Dis 2018; 18:445-449. [PMID: 29733254 DOI: 10.1089/vbz.2017.2261] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
An outbreak of dengue and high densities of Aedes aegypti were reported in 2014 in northern Mozambique, suggesting an increased risk for other arboviruses such as chikungunya virus (CHIKV) in this region. The aim of this study was to investigate the occurrence of CHIKV during an outbreak of dengue virus (DENV) in Pemba city in northern Mozambique in 2014. Febrile patients (n = 146) seeking medical attention at the Pemba Provincial Hospital between March and April 2014 were enrolled in this study. Blood samples from each participant were tested for chikungunya and DENV RNA, IgM and IgG antibodies using PCR and ELISA, respectively. The median age of the patients was 26 years (interquartile range: 20-34 years), and 52.7% (77/146) were female. We found that 7.0% (8/114) of the patients were positive for CHIKV IgM and 31.5% (46/146) presented with CHIKV IgG antibodies. DENV IgM and IgG antibodies were detected in 38.3% (46/120) and 28.2% (33/117) of the patients, respectively. This study is the first investigation regarding the occurrence of CHIKV in the north of Mozambique over the last 60 years and our data suggest that Mozambicans had been silently exposed to the virus in this part of the country, indicating that not only DENV but also CHIKV is an arbovirus to consider in febrile patients seeking medical attention in northern Mozambique.
Collapse
Affiliation(s)
- Argentina Muianga
- 1 Virus Isolation Laboratory, National Institute of Health , Ministry of Health, Maputo, Mozambique
| | - Gabriela Pinto
- 1 Virus Isolation Laboratory, National Institute of Health , Ministry of Health, Maputo, Mozambique
| | - Marilia Massangaie
- 1 Virus Isolation Laboratory, National Institute of Health , Ministry of Health, Maputo, Mozambique
| | - Sadia Ali
- 1 Virus Isolation Laboratory, National Institute of Health , Ministry of Health, Maputo, Mozambique
| | - John Oludele
- 1 Virus Isolation Laboratory, National Institute of Health , Ministry of Health, Maputo, Mozambique
| | - Almiro Tivane
- 1 Virus Isolation Laboratory, National Institute of Health , Ministry of Health, Maputo, Mozambique
| | - Kerstin I Falk
- 2 Department of Microbiology, The Public Health Agency of Sweden , Stockholm, Sweden
- 3 Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet , Stockholm, Sweden
| | - Nina Lagerqvist
- 2 Department of Microbiology, The Public Health Agency of Sweden , Stockholm, Sweden
| | - Eduardo S Gudo
- 1 Virus Isolation Laboratory, National Institute of Health , Ministry of Health, Maputo, Mozambique
| |
Collapse
|