1
|
Ouédraogo JCRP, Ilboudo S, Bado P, Compaoré TR, Tougma A, Nitiéma M, Zouré AA, Belemnaba L, Ouédraogo S, Savadogo LGB. Estimating dengue burden among family contacts through cluster investigation around probable cases in 2022 and 2023 in the Central Region, Burkina Faso. Infect Dis Poverty 2024; 13:45. [PMID: 38867325 PMCID: PMC11167875 DOI: 10.1186/s40249-024-01212-5] [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] [Received: 03/21/2024] [Accepted: 05/31/2024] [Indexed: 06/14/2024] Open
Abstract
BACKGROUND In 2023, Burkina Faso experienced the largest dengue epidemic ever in Africa. This study aimed to estimate the prevalence of symptomatic, subclinical, and asymptomatic dengue and determine the associated factors among adult contacts of dengue in the Central Region, Burkina Faso. METHODS This cross-sectional study included contacts of dengue probable cases through cluster sampling in 2022-2023. These suspected cases that tested positive were identified from the five health facilities (Pissy CMA, Saaba CM, Kossodo CMA, Samandin CM, and Marcoussis CSPS) that reported the highest number of cases in 2021 per district. All participants underwent dengue and malaria rapid diagnostic tests (RDT). Samples positive for non-structural 1 protein antigen (AgNS1) and/or immunoglobulin M (IgM) were tested for serotype detection by reverse transcription polymerase chain reaction (RT-PCR). Binary logistic regression was done to identify the determinants of asymptomatic, subclinical, and symptomatic dengue among contacts of probable dengue cases. RESULTS A total of 484 contacts were included, mostly in 2023 (75.2%). Most participants were females (58.6%), residing (24.3%) and passing their daytime (23.1%) in Saaba. The overall prevalence of dengue was estimated at 15.1% [95% confidence interval (CI): 12.0-18.6%], representing cases not seeking care in hospitals. Asymptomatic cases represented 2.9% (95% CI: 1.6-4.8%). Subclinical and symptomatic cases accounted for 6.0% (95% CI: 4.1-8.5%) and 6.2% (95% CI: 4.2-8.7%), respectively. Of the 58 samples tested by RT-PCR, 10 were confirmed for serotype 3 in 2023. Malaria cases were estimated at 5.6% (95% CI: 3.7-8.0%). After adjustment, participants claiming that a virus transmits dengue were likelier to have asymptomatic dengue [adjusted odds ratio (aOR) = 7.1, 95% CI: 2.4-21.0]. From the multivariable analysis, subclinical dengue was statistically associated with being included in the study in 2023 (aOR = 30.2, 95% CI: 2.0-455.5) and spending the daytime at Arrondissement 4 (aOR = 11.5, 95% CI: 1.0-131.0). After adjustment, symptomatic dengue was associated with living less than 50 m away from cultivated land (aOR = 2.8, 95% CI: 1.1-6.9) and living less than 50 m from a stretch of water (aOR = 0.1, 95% CI: 0.0-0.6). CONCLUSIONS The overall burden of dengue among populations not seeking care in hospitals was quite high, with few asymptomatic cases. Efforts to manage dengue cases should also target non-hospital cases and raise population awareness. The 2023 epidemic could be due to dengue virus (DENV)-3.
Collapse
Affiliation(s)
- Jean Claude Romaric Pingdwindé Ouédraogo
- Drug Development Laboratory, African Centre of Excellence for Training, Research and Expertise in Drug Sciences, (LADME/CEA-CFOREM), Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso.
- Phytomedicines and Medicines Research and Development Laboratory (LR-D/PM), Research Institute for Health Sciences (IRSS)/ CNRST, Ouagadougou, Burkina Faso.
- International Research Laboratory - Environment, Health, and Societies (IRL 3189, ESS), CNRST, Ouagadougou, Burkina Faso.
| | - Sylvain Ilboudo
- Drug Development Laboratory, African Centre of Excellence for Training, Research and Expertise in Drug Sciences, (LADME/CEA-CFOREM), Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso
- Phytomedicines and Medicines Research and Development Laboratory (LR-D/PM), Research Institute for Health Sciences (IRSS)/ CNRST, Ouagadougou, Burkina Faso
- International Research Laboratory - Environment, Health, and Societies (IRL 3189, ESS), CNRST, Ouagadougou, Burkina Faso
| | - Prosper Bado
- Pietro Annigoni Biomolecular Research Centre (CERBA), Ouagadougou, Burkina Faso
| | - Tegwindé Rebeca Compaoré
- Research Laboratory for Infectious and Parasitic Diseases (LR/MIP), Research Institute for Health Sciences (IRSS)/ CNRST, Ouagadougou, Burkina Faso
| | - Alix Tougma
- International Research Laboratory - Environment, Health, and Societies (IRL 3189, ESS), CNRST, Ouagadougou, Burkina Faso
- Joseph KI-ZERBO University/University Centre of Ziniaré, Ziniaré, Burkina Faso
| | - Mathieu Nitiéma
- Phytomedicines and Medicines Research and Development Laboratory (LR-D/PM), Research Institute for Health Sciences (IRSS)/ CNRST, Ouagadougou, Burkina Faso
- International Research Laboratory - Environment, Health, and Societies (IRL 3189, ESS), CNRST, Ouagadougou, Burkina Faso
| | - Abdou Azaque Zouré
- Research Laboratory for Infectious and Parasitic Diseases (LR/MIP), Research Institute for Health Sciences (IRSS)/ CNRST, Ouagadougou, Burkina Faso
| | - Lazare Belemnaba
- Drug Development Laboratory, African Centre of Excellence for Training, Research and Expertise in Drug Sciences, (LADME/CEA-CFOREM), Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso
- Phytomedicines and Medicines Research and Development Laboratory (LR-D/PM), Research Institute for Health Sciences (IRSS)/ CNRST, Ouagadougou, Burkina Faso
| | - Sylvin Ouédraogo
- Phytomedicines and Medicines Research and Development Laboratory (LR-D/PM), Research Institute for Health Sciences (IRSS)/ CNRST, Ouagadougou, Burkina Faso
| | | |
Collapse
|
2
|
Padonou GG, Konkon AK, Zoungbédji DM, Salako AS, Sovi A, Oussou O, Sidick A, Ahouandjinou J, Towakinou L, Ossé R, Baba-Moussa L, Akogbéto MC. Detection of DENV-1, DENV-3, and DENV-4 Serotypes in Aedes aegypti and Aedes albopictus, and Epidemic Risk in the Departments of Oueme and Plateau, South-Eastern Benin. Vector Borne Zoonotic Dis 2024. [PMID: 38686519 DOI: 10.1089/vbz.2023.0071] [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: 05/02/2024] Open
Abstract
Background: This study conducted in the departments of Oueme and Plateau aims to assess the presence of the dengue virus and its different serotypes in Aedes aegypti and Aedes albopictus, as well as the epidemic risk incurred by the populations. Methods: Collections of adult mosquitoes using human landing catches (HLC) were carried out in six communes, three (Porto-Novo, Adjarra, and Avrankou) in the Oueme department and the rest (Ifangni, Kétou, and Pobè) in the Plateau department. Pools of ten Aedes mosquitoes were formed, and stored at -80°C in RNA later. RT-PCR was used to detect dengue virus, and conventional PCR for the different serotypes. Inspection of water containers and collection of Aedes larvae was performed inside and around each house to calculate the stegomyan indices. Results: In the six communes, the dengue virus was present both in Ae. aegypti and Ae. albopictus. Combined data of the two Aedes species at the communes level revealed infection rates ranging from 80.00% (95% CI: 61.43-92.29) to 96.67% (95% CI: 82.78-99.92). In all the communes, the values of stegomyan indices reached the WHO threshold, which indicates the existence of the risk of an arbovirus epidemic. In addition, the infection rates were similar for Ae. aegypti [88.19% (95% CI: 81.27-93.24)] and Ae. albopictus [86.79% (95% CI: 74.66-94.52)]. The three virus serotypes detected in the pools of Aedes were DENV-1, DENV-3, and DENV-4, with a high prevalence for the first two. Conclusion: This study revealed that three serotypes (DENV-1, DENV-3, and DENV-4) of dengue virus circulate in Ae. aegypti and Ae. albopictus in the departments of Oueme and Plateau. Moreover, the risk of transmission of arboviruses was globally high and variable from commune to commune. This information is essential for informed decision-making in the preventive control of the disease.
Collapse
Affiliation(s)
- Germain Gil Padonou
- Ministère de la Santé, Centre de Recherche Entomologique de Cotonou, Cotonou, Benin
- Laboratory of Biology and Molecular Typing in Microbiology, Faculty of Science and Technology, University of Abomey-Calavi, Abomey-Calavi, Benin
| | - Alphonse Keller Konkon
- Ministère de la Santé, Centre de Recherche Entomologique de Cotonou, Cotonou, Benin
- Laboratory of Biology and Molecular Typing in Microbiology, Faculty of Science and Technology, University of Abomey-Calavi, Abomey-Calavi, Benin
| | - David Mahouton Zoungbédji
- Ministère de la Santé, Centre de Recherche Entomologique de Cotonou, Cotonou, Benin
- Laboratory of Biology and Molecular Typing in Microbiology, Faculty of Science and Technology, University of Abomey-Calavi, Abomey-Calavi, Benin
| | - Albert Sourou Salako
- Ministère de la Santé, Centre de Recherche Entomologique de Cotonou, Cotonou, Benin
| | - Arthur Sovi
- Ministère de la Santé, Centre de Recherche Entomologique de Cotonou, Cotonou, Benin
- Faculty of Agronomy, Université de Parakou, Parakou, Benin
- Faculty of Infectious and Tropical Diseases, Disease Control Department, The London School of Hygiene & Tropical Medicine, London, United Kingdom
| | - Olivier Oussou
- Ministère de la Santé, Centre de Recherche Entomologique de Cotonou, Cotonou, Benin
| | - Aboubakar Sidick
- Ministère de la Santé, Centre de Recherche Entomologique de Cotonou, Cotonou, Benin
| | - Juvénal Ahouandjinou
- Ministère de la Santé, Centre de Recherche Entomologique de Cotonou, Cotonou, Benin
- Laboratory of Biology and Molecular Typing in Microbiology, Faculty of Science and Technology, University of Abomey-Calavi, Abomey-Calavi, Benin
| | - Linda Towakinou
- Ministère de la Santé, Centre de Recherche Entomologique de Cotonou, Cotonou, Benin
| | - Razaki Ossé
- Ministère de la Santé, Centre de Recherche Entomologique de Cotonou, Cotonou, Benin
| | - Lamine Baba-Moussa
- Laboratory of Biology and Molecular Typing in Microbiology, Faculty of Science and Technology, University of Abomey-Calavi, Abomey-Calavi, Benin
| | | |
Collapse
|
3
|
Ouédraogo JCRP, Ilboudo S, Compaoré TR, Bado P, Nitiéma M, Ouédraogo WT, Ouédraogo S, Zeba M, Tougma A, Ouédraogo GG, Ouédraogo N, Ouédraogo S, Savadogo LGB. Determinants and prevalence of symptomatic dengue fever among adults in the Central Region of Burkina Faso: a hospital-based cross-sectional study. BMC Infect Dis 2024; 24:22. [PMID: 38166653 PMCID: PMC10763060 DOI: 10.1186/s12879-023-08932-3] [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] [Received: 09/05/2023] [Accepted: 12/19/2023] [Indexed: 01/05/2024] Open
Abstract
BACKGROUND Dengue fever (DF) is a significant public health concern in Burkina Faso, particularly in the Central Region, previously endemic for malaria. However, limited research has focused on dengue prevalence and associated factors among adult febrile patients in this region. This study aimed to estimate the prevalence of symptomatic dengue fever among adults and identify the sociodemographic and clinical determinants of the disease. METHODS A seroepidemiological cross-sectional study was conducted in the Central Region of Burkina Faso, through a three-stage sampling. Five health facilities, one from each of the region five districts, were purposively selected. Febrile patients aged 16 and older, suspected of having dengue, were included in the study, after consenting. Bivariate analyses and multivariate binary logistic regression were done at a 5% confidence level. RESULTS A total of 637 patients between the ages of 16 and 90 years were included. Most of the participants were females (58.71%). Most dengue cases resided in Arrondissement 4 (59.62%), or were present in the Arrondissement 4 at daytime during the previous days (51.92%). 52.90% of the participants knew of dengue. Dengue prevalence was estimated at 8.16% (95% CI: 6.16%-10.57%). The most frequent markers for dengue were immunoglobulins M detected in 4.40% (2.94%-6.29%), followed by Antigen NS1 at 4.24% (95% CI: 2.81%-6.11%). The Antigen NS1 marker was associated with myalgia (p = 0.024), vomiting (p < 0.001), hemorrhagic manifestations (p = 0.001), and anorexia (p < 0.001). Staying at Arrondissement 4 (vs staying at Saaba) during daytime (aOR = 2.36 95% CI: 1.03-5.45; p = 0.044) significantly increased the odds of dengue. Dengue cases were about 3 times more likely to have vomited (aOR = 2.99 95% CI: 1.58-5.64; p = 0.001). Participants knowing of dengue (aOR = 0.53 95% CI: 0.29-0.98; p = 0.042) and those coinfected with malaria (aOR = 0.28 95% CI: 0.14-0.57; p < 0.001) instead had reduced odds of dengue. CONCLUSION The study revealed a relatively high prevalence of symptomatic dengue fever among adults in the Central Region of Burkina Faso in 2022. These findings emphasize the need for continuous surveillance and targeted control measures. The low coinfection of dengue and malaria warrants further investigation.
Collapse
Affiliation(s)
- Jean Claude Romaric Pingdwindé Ouédraogo
- Laboratoire de Développement de Médicament (LADME), Ecole Doctorale Sciences de La Santé, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso.
- Laboratoire de Recherche-Développement de Phytomédicaments Et Médicaments (LR-D/PM), Institut de Recherche en Sciences de La Santé (IRSS), Ouagadougou, Burkina Faso.
- International Research Laboratory - Environnement, Santé Et Sociétés (IRL 3189, ESS), CNRST/CNRS/UCAD/UGB/USTTB, Ouagadougou, Burkina Faso.
| | - Sylvain Ilboudo
- Laboratoire de Développement de Médicament (LADME), Ecole Doctorale Sciences de La Santé, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
- Laboratoire de Recherche-Développement de Phytomédicaments Et Médicaments (LR-D/PM), Institut de Recherche en Sciences de La Santé (IRSS), Ouagadougou, Burkina Faso
- International Research Laboratory - Environnement, Santé Et Sociétés (IRL 3189, ESS), CNRST/CNRS/UCAD/UGB/USTTB, Ouagadougou, Burkina Faso
| | - Tegwindé Rebeca Compaoré
- Laboratoire de Recherche en Maladies Infectieuses Et Parasitaires (LR/MIP), Institut de Recherche en Sciences de La Santé (IRSS/CNRST), Ouagadougou, Burkina Faso
| | - Prosper Bado
- Centre de Recherche Biomoléculaire Pietro Annigoni (CERBA), Ouagadougou, Burkina Faso
| | - Mathieu Nitiéma
- Laboratoire de Recherche-Développement de Phytomédicaments Et Médicaments (LR-D/PM), Institut de Recherche en Sciences de La Santé (IRSS), Ouagadougou, Burkina Faso
- International Research Laboratory - Environnement, Santé Et Sociétés (IRL 3189, ESS), CNRST/CNRS/UCAD/UGB/USTTB, Ouagadougou, Burkina Faso
| | | | - Salfo Ouédraogo
- Direction Régionale de la Santé du Centre, Ouagadougou, Burkina Faso
| | - Mohamadi Zeba
- International Research Laboratory - Environnement, Santé Et Sociétés (IRL 3189, ESS), CNRST/CNRS/UCAD/UGB/USTTB, Ouagadougou, Burkina Faso
- Laboratoire de Recherche Sur Le Patrimoine Et Le Développement Durable (LR/PDD), Institut Des Sciences Des Sociétés (INSS/CNRST), Ouagadougou, Burkina Faso
| | - Alix Tougma
- Université Joseph KI-ZERBO/Centre Universitaire de Ziniaré, Ziniaré, Burkina Faso
| | - Geoffroy Gueswindé Ouédraogo
- Laboratoire de Développement de Médicament (LADME), Ecole Doctorale Sciences de La Santé, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
- Laboratoire de Recherche-Développement de Phytomédicaments Et Médicaments (LR-D/PM), Institut de Recherche en Sciences de La Santé (IRSS), Ouagadougou, Burkina Faso
- International Research Laboratory - Environnement, Santé Et Sociétés (IRL 3189, ESS), CNRST/CNRS/UCAD/UGB/USTTB, Ouagadougou, Burkina Faso
| | - Noufou Ouédraogo
- Laboratoire de Développement de Médicament (LADME), Ecole Doctorale Sciences de La Santé, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
- Laboratoire de Recherche-Développement de Phytomédicaments Et Médicaments (LR-D/PM), Institut de Recherche en Sciences de La Santé (IRSS), Ouagadougou, Burkina Faso
- International Research Laboratory - Environnement, Santé Et Sociétés (IRL 3189, ESS), CNRST/CNRS/UCAD/UGB/USTTB, Ouagadougou, Burkina Faso
| | - Sylvin Ouédraogo
- Laboratoire de Recherche-Développement de Phytomédicaments Et Médicaments (LR-D/PM), Institut de Recherche en Sciences de La Santé (IRSS), Ouagadougou, Burkina Faso
| | | |
Collapse
|
4
|
Cherif MS, Keita M, Dahal P, Guilavogui T, Beavogui AH, Diassy L, Conde M, Touré A, Delamou A. Neglected tropical diseases in Republic of Guinea: disease endemicity, case burden and the road towards the 2030 target. Int Health 2023; 15:490-504. [PMID: 37232124 PMCID: PMC10472893 DOI: 10.1093/inthealth/ihad036] [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] [Received: 07/07/2022] [Revised: 03/02/2023] [Accepted: 05/01/2023] [Indexed: 05/27/2023] Open
Abstract
Neglected tropical diseases (NTDs) predominantly affect vulnerable and marginalized populations in tropical and subtropical areas and globally affect more than one billion people. In Guinea, the burden of NTDs is estimated to be >7.5 disability-adjusted life years per million inhabitants. Currently the Guinea NTDs master plan (2017-2020) has identified eight diseases as public health problems: onchocerciasis, lymphatic filariasis, trachoma, schistosomiasis and soil-transmitted helminthiasis, leprosy, human African trypanosomiasis and Buruli ulcer. In this review we discuss the past and the current case burden of the priority NTDs in Guinea, highlight the major milestones and discuss current and future areas of focus for achieving the 2030 target outlined by the World Health Organization.
Collapse
Affiliation(s)
- Mahamoud Sama Cherif
- Faculty of Sciences and Health Technics, Gamal Abdel Nasser University of Conakry, Conakry, Guinea
- Direction Regionale de la Santé de Faranah, Ministère de la santé et de l'hygiène publique, Faranah, Guinea
- Service de Pediatrie, Hospital National Ignace Deen, Ministère de la santé et de l'Hygiène Publique, Conakry, Guinea
| | - Mory Keita
- World Health Organization, Regional Office for the Eastern Mediterranean, Cairo, Egypt
- Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Prabin Dahal
- Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, UK
| | - Timothé Guilavogui
- Management and Programmes Coordination, Ministry of Health, Conakry, Guinea
| | - Abdoul Habib Beavogui
- Faculty of Sciences and Health Technics, Gamal Abdel Nasser University of Conakry, Conakry, Guinea
- Centre National de Formation et Recherche en Sante Rurale de Maferinyah, Maferinyah, Guinea
| | - Lamine Diassy
- World Health Organization, Guinea office, Landreah, Corniche Nord, Boîte postale 817, Conakry, Guinea
| | - Mohamed Conde
- Service de Pediatrie, Hospital National Ignace Deen, Ministère de la santé et de l'Hygiène Publique, Conakry, Guinea
| | - Abdoulaye Touré
- Faculty of Sciences and Health Technics, Gamal Abdel Nasser University of Conakry, Conakry, Guinea
- Institut National de Santé Publique, Ministère de la Santé et de l'Hygiène Publique, Conakry, Guinea
| | - Alexandre Delamou
- Faculty of Sciences and Health Technics, Gamal Abdel Nasser University of Conakry, Conakry, Guinea
- Centre National de Formation et Recherche en Sante Rurale de Maferinyah, Maferinyah, Guinea
| |
Collapse
|
5
|
Kawonga F, Misinzo G, Pemba DF. Serological and molecular evidence of chikungunya virus infection among febrile outpatients seeking healthcare in Northern Malawi. Infect Ecol Epidemiol 2023; 13:2229573. [PMID: 37387776 PMCID: PMC10304438 DOI: 10.1080/20008686.2023.2229573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Accepted: 06/21/2023] [Indexed: 07/01/2023] Open
Abstract
Introduction: Despite global evidence of chikungunya fever (CHIKF) in humans that is caused by chikungunya virus (CHIKV), little is known about the occurrence of CHIKF in Malawi. This study was conducted to determine the seroprevalence of CHIKF and to molecularly confirm the presence of CHIKV ribonucleic acid (RNA) among febrile outpatients seeking health care at Mzuzu Central Hospital in the Northern Region of Malawi. Methods: Enzyme-immunosorbent assay (ELISA) was used to detect the presence or absence of specific antibodies against CHIKV. Reversetranscription polymerase chain reaction (RT-PCR) was conducted on randomly selected anti-CHIKV IgM-positive samples to detect CHIKV RNA. Results: Out of 119 CHIKF suspected samples analyzed, 73 tested positive for anti-CHIKV IgM antibodies, with an overall seroprevalence of 61.3%. Most of the CHIKV infected individuals presented with joint pain, abdominal pain, vomiting and nose bleeding with seroprevalence of 45.2%, 41.1%, 16.4% and 12.3%, respectively. All the randomly selected samples that were positive for CHIKV anti-IgM by ELISAhad detectable CHIKV RNA by RT-PCR. Conclusion: The presence of anti-CHIKV IgM antibodies suggests the presence of recent CHIKV infection. We therefore recommend for the inclusion of CHIKF as the differential diagnosis in febrile ill patients in Mzuzu city, Malawi.
Collapse
Affiliation(s)
- Flywell Kawonga
- Department of Veterinary Microbiology, Parasitology and Biotechnology, College of Veterinary Medicine and Biomedical Sciences, Sokoine University of Agriculture, Morogoro, Tanzania
- SACIDS African Centre of Excellence for Infectious Diseases of Humans and Animals, Sokoine University of Agriculture, Morogoro, Tanzania
- Malawi-Liverpool-Wellcome Trust Clinical Research Programme, Blantyre, Malawi
| | - Gerald Misinzo
- Department of Veterinary Microbiology, Parasitology and Biotechnology, College of Veterinary Medicine and Biomedical Sciences, Sokoine University of Agriculture, Morogoro, Tanzania
- SACIDS African Centre of Excellence for Infectious Diseases of Humans and Animals, Sokoine University of Agriculture, Morogoro, Tanzania
| | - Dylo Foster Pemba
- Vector Borne Disease Laboratory, University of Malawi, Zomba, Malawi
| |
Collapse
|
6
|
Konkon AK, Padonou GG, Osse R, Salako AS, Zoungbédji DM, Sina H, Sovi A, Tokponnon F, Aïkpon R, Noukpo H, Baba-Moussa L, Akogbéto MC. Insecticide resistance status of Aedes aegypti and Aedes albopictus mosquitoes in southern Benin, West Africa. Trop Med Health 2023; 51:22. [PMID: 37085936 PMCID: PMC10122308 DOI: 10.1186/s41182-023-00514-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Accepted: 04/09/2023] [Indexed: 04/23/2023] Open
Abstract
BACKGROUND The emergence of insecticide resistance in Aedes mosquitoes could undermine efforts to control arboviruses. The present study aims to assess in some communes of Southern Benin, the susceptibility level of Aedes aegypti (Linnaeus, 1762) and Aedes albopictus (Skuse, 1894) to insecticides commonly used in public health, as well as mechanisms involved. METHODS Females Ae. albopictus and Ae. aegypti collected in Ifangni, Porto-Novo, Avrankou, Adjarra and Kétou from June 2021 to October 2022, were exposed to: deltamethrin 0.05%, permethrin 0.75%, alpha-cypermethrin 0.05%, pirimiphos methyl 0.25% and bendiocarb 0.1%, following the standard WHO susceptibility tube test protocol. In some sites, pre-exposure to the synergist PBO was used to verify if pyrethroid resistance of populations of Aedes was mediated by oxidases. RESULTS Full susceptibility to deltamethrin and permethrin was observed in all tested populations of Ae. albopictus. However, with alphacypermethrin, a suspected resistance was observed in Adjarra (94.67%), Ifangni (93%) and Porto-Novo (94%), and a resistance in Avrankou (83%). The PBO-alphacypermethrin tests performed, led to a full susceptibility (100%) in all four sites, which confirms the full involvement of oxidases in resistance of all tested populations of Ae. albopictus to alphacypermethrin. At the opposite, Aedes aegypti was either resistant or suspected of being resistant to all tested pyrethroids in all four sites, except in Ifangni where a full susceptibility to alphacypermethrin was observed. The full susceptibility of Ae. aegypti to bendiocarb and pirimiphos-methyl in all communes suggests that these two insecticides can be good candidates for an effective control of pyrethroid-resistant Aedes vector populations. Use of permethrin and deltamethrin could also be considered for controlling populations of Ae. albopictus. CONCLUSION Results of the present study will help guide strategy to implement for an effective control of Aedes vector populations in Benin.
Collapse
Affiliation(s)
- Alphonse Keller Konkon
- Centre de Recherche Entomologique de Cotonou (CREC), 06 BP 2604, Cotonou, Benin.
- Faculté des Sciences et Techniques de l'Université d'Abomey-Calavi, Abomey-Calavi, Benin.
| | - Germain Gil Padonou
- Centre de Recherche Entomologique de Cotonou (CREC), 06 BP 2604, Cotonou, Benin
- Faculté des Sciences et Techniques de l'Université d'Abomey-Calavi, Abomey-Calavi, Benin
| | - Razaki Osse
- Centre de Recherche Entomologique de Cotonou (CREC), 06 BP 2604, Cotonou, Benin
- École de Gestion et d'exploitation des Systèmes d'élevage de l'Université Nationale d'Agriculture de Porto-Novo, Porto-Novo, Benin
| | | | - David Mahouton Zoungbédji
- Centre de Recherche Entomologique de Cotonou (CREC), 06 BP 2604, Cotonou, Benin
- Faculté des Sciences et Techniques de l'Université d'Abomey-Calavi, Abomey-Calavi, Benin
| | - Haziz Sina
- Faculté des Sciences et Techniques de l'Université d'Abomey-Calavi, Abomey-Calavi, Benin
- Department of Biochemistry and Cellular Biology, Laboratory of Biology and Molecular Typing in Microbiology, University of Abomey-Calavi, Abomey-Calavi, Benin
| | - Arthur Sovi
- Centre de Recherche Entomologique de Cotonou (CREC), 06 BP 2604, Cotonou, Benin
- Faculty of Agronomy, University of Parakou, Parakou, Benin
- Faculty of Infectious and Tropical Diseases, The London School of Hygiene and Tropical Medicine, London, UK
| | - Filemon Tokponnon
- Centre de Recherche Entomologique de Cotonou (CREC), 06 BP 2604, Cotonou, Benin
| | - Rock Aïkpon
- Ministère de la Santé, 08 BP 882, Cotonou, Benin
- Université Nationale des Sciences, Technologies, Ingénierie Et Mathématiques (UNSTIM), Abomey, Benin
| | - Herbert Noukpo
- Centre de Recherche Entomologique de Cotonou (CREC), 06 BP 2604, Cotonou, Benin
| | - Lamine Baba-Moussa
- Faculté des Sciences et Techniques de l'Université d'Abomey-Calavi, Abomey-Calavi, Benin
- Department of Biochemistry and Cellular Biology, Laboratory of Biology and Molecular Typing in Microbiology, University of Abomey-Calavi, Abomey-Calavi, Benin
| | | |
Collapse
|
7
|
Mastroianni A, Vocale C, Sambri V, Lazzarotto T, Gaibani P, Rossini G, Varani S. Dengue and falciparum malaria co-infection in travelers returning from Burkina Faso: Report of two cases in Northeastern Italy. ASIAN PAC J TROP MED 2023. [DOI: 10.4103/1995-7645.372294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/30/2023] Open
|
8
|
Onoja AB, Omatola AC, Maiga M, Gadzama IS. Recurrent Episodes of Some Mosquito-Borne Viral Diseases in Nigeria: A Systematic Review and Meta-Analysis. Pathogens 2022; 11:1162. [PMID: 36297219 PMCID: PMC9611041 DOI: 10.3390/pathogens11101162] [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] [Received: 08/30/2022] [Revised: 10/03/2022] [Accepted: 10/06/2022] [Indexed: 11/07/2022] Open
Abstract
Different ecological zones favor the breeding of Aedes species. The molecular epidemiology of dengue virus (DENV), yellow fever virus (YFV), and Chikungunya virus (CHIKV) was determined from outbreaks and surveillance activities in Nigeria. Twenty-eight DENV, twenty-five YFV, and two CHIKV sequences from Nigeria were retrieved from GenBank. Genotyping was performed with a genome detective typing tool. The evolutionary comparison was performed by the Maximum Likelihood method on MEGA. Chi-square was used to compare the association between the proportions of viral infections at different times. Six DENV-1 were detected in 1964, 1965, 1978, 2007, and 2018. Nineteen DENV-2 strains were reported, four belonging to sylvatic VI, one belonging to cosmopolitan II, and twelve to Asian I genotype V. DENV-2 genotype VI was detected in 1966, and genotypes II and V in 2019. All three DENV-3 were detected in 2018, while only one DENV-4 was identified in 2019. YFV was reported in 1946 and then in the 60s, 70s, 80s, 90s, 2018, and 2019 with reports to date. CHIKV is still circulating following its identification in 1964 and 1965. Recurrent episodes of dengue, Chikungunya, and yellow fever continue unabated. Vector control initiatives and immunization should be greatly sustained.
Collapse
Affiliation(s)
- Anyebe Bernard Onoja
- Department of Virology, College of Medicine, University of Ibadan, Ibadan 200284, Nigeria
| | | | - Mamoudou Maiga
- Center for Innovation in Global Health Technologies, Evanston Campus, Northwestern University, Evanston, IL 60202, USA
| | | |
Collapse
|
9
|
Agboli E, Tomazatos A, Maiga-Ascofaré O, May J, Lühken R, Schmidt-Chanasit J, Jöst H. Arbovirus Epidemiology: The Mystery of Unnoticed Epidemics in Ghana, West Africa. Microorganisms 2022; 10:1914. [PMID: 36296190 PMCID: PMC9610185 DOI: 10.3390/microorganisms10101914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 09/20/2022] [Accepted: 09/21/2022] [Indexed: 11/29/2022] Open
Abstract
It is evident that all the countries surrounding Ghana have experienced epidemics of key arboviruses of medical importance, such as the recent dengue fever epidemic in Burkina Faso. Therefore, Ghana is considered a ripe zone for epidemics of arboviruses, mainly dengue. Surprisingly, Ghana never experienced the propounded deadly dengue epidemic. Indeed, it is mysterious because the mosquito vectors capable of transmitting the dengue virus, such as Aedes aegypti, were identified in Ghana through entomological investigations. Additionally, cases may be missed, as the diagnostic and surveillance capacities of the country are weak. Therefore, we review the arbovirus situation and outline probable reasons for the epidemic mystery in the country. Most of the recorded cases of arbovirus infections were usually investigated via serology by detecting IgM and IgG immunoglobulins in clinical samples, which is indicative of prior exposure but not an active case. This led to the identification of yellow fever virus and dengue virus as the main circulating arboviruses among the Ghanaian population. However, major yellow fever epidemics were reported for over a decade. It is important to note that the reviewed arboviruses were not frequently detected in the vectors. The data highlight the necessity of strengthening the diagnostics and the need for continuous arbovirus and vector surveillance to provide an early warning system for future arbovirus epidemics.
Collapse
Affiliation(s)
- Eric Agboli
- Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research, 20359 Hamburg, Germany
- University of Health and Allied Sciences, Ho PMB 31, Ghana
| | - Alexandru Tomazatos
- Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research, 20359 Hamburg, Germany
| | - Oumou Maiga-Ascofaré
- Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research, 20359 Hamburg, Germany
- Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology, PMB, Kumasi 039-5028, Ghana
| | - Jürgen May
- Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research, 20359 Hamburg, Germany
| | - Renke Lühken
- Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research, 20359 Hamburg, Germany
| | - Jonas Schmidt-Chanasit
- Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research, 20359 Hamburg, Germany
- Faculty of Mathematics, Informatics and Natural Sciences, Universität Hamburg, 20359 Hamburg, Germany
| | - Hanna Jöst
- Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research, 20359 Hamburg, Germany
| |
Collapse
|
10
|
Badolo A, Sombié A, Yaméogo F, Wangrawa DW, Sanon A, Pignatelli PM, Sanon A, Viana M, Kanuka H, Weetman D, McCall PJ. First comprehensive analysis of Aedes aegypti bionomics during an arbovirus outbreak in west Africa: Dengue in Ouagadougou, Burkina Faso, 2016–2017. PLoS Negl Trop Dis 2022; 16:e0010059. [PMID: 35793379 PMCID: PMC9321428 DOI: 10.1371/journal.pntd.0010059] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Revised: 07/26/2022] [Accepted: 06/16/2022] [Indexed: 11/19/2022] Open
Abstract
Background
Dengue’s emergence in West Africa was typified by the Burkina Faso outbreaks in 2016 and 2017, the nation’s largest to date. In both years, we undertook three-month surveys of Aedes populations in or near the capital city Ouagadougou, where the outbreaks were centered.
Methodology
In 1200LG (urban), Tabtenga (peri-urban) and Goundry (rural) localities, we collected indoor and outdoor resting mosquito adults, characterized larval habitats and containers producing pupae and reared immature stages to adulthood in the laboratory for identification. All mosquito adults were identified morphologically. Host species (from which bloodmeals were taken) were identified by PCR. Generalized mixed models were used to investigate relationships between adult or larval densities and multiple explanatory variables.
Results
From samples in 1,780 houses, adult Ae. aegypti were significantly more abundant in the two urban localities (Tabtenga and 1200 LG) in both years than in the rural site (Goundry), where Anopheles spp. were far more common. Results from adult collections indicated a highly exophilic and anthropophilic (>90% bloodmeals of human origin) vector population, but with a relatively high proportion of bloodfed females caught inside houses. Habitats producing most pupae were waste tires (37% of total pupae), animal troughs (44%) and large water barrels (30%).
While Stegomyia indices were not reliable indicators of adult mosquito abundance, shared influences on adult and immature stage densities included rainfall and container water level, collection month and container type/purpose. Spatial analysis showed autocorrelation of densities, with a partial overlap in adult and immature stage hotspots.
Conclusion
Results provide an evidence base for the selection of appropriate vector control methods to minimize the risk, frequency and magnitude of future outbreaks in Ouagadougou. An integrated strategy combining community-driven practices, waste disposal and insecticide-based interventions is proposed. The prospects for developing a regional approach to arbovirus control in West Africa or across Africa are discussed.
Collapse
Affiliation(s)
- Athanase Badolo
- Laboratoire d’Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
- * E-mail: (AB); (PJM)
| | - Aboubacar Sombié
- Laboratoire d’Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
| | - Félix Yaméogo
- Laboratoire d’Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
| | - Dimitri W. Wangrawa
- Laboratoire d’Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
- Université Norbert Zongo, Koudougou, Burkina Faso
| | - Aboubakar Sanon
- Laboratoire d’Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
| | - Patricia M. Pignatelli
- Department of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, United Kingdom
| | - Antoine Sanon
- Laboratoire d’Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
| | - Mafalda Viana
- Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, United Kingdom
| | - Hirotaka Kanuka
- Department of Tropical Medicine, The Jikei University School of Medicine, Tokyo, Japan
- Center for Medical Entomology, The Jikei University School of Medicine, Tokyo, Japan
| | - David Weetman
- Department of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, United Kingdom
| | - Philip J. McCall
- Department of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, United Kingdom
- * E-mail: (AB); (PJM)
| |
Collapse
|
11
|
Letizia AG, Pratt CB, Wiley MR, Fox AT, Mosore M, Agbodzi B, Yeboah C, Kumordjie S, Di Paola N, Assana KC, Coulidiaty D, Ouedraogo C, Bonney JHK, Ampofo W, Tarnagda Z, Sangaré L. Retrospective Genomic Characterization of a 2017 Dengue Virus Outbreak, Burkina Faso. Emerg Infect Dis 2022; 28:1198-1210. [PMID: 35608626 PMCID: PMC9155902 DOI: 10.3201/eid2806.212491] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
Knowledge of contemporary genetic composition of dengue virus (DENV) in Africa is lacking. By using next-generation sequencing of samples from the 2017 DENV outbreak in Burkina Faso, we isolated 29 DENV genomes (5 serotype 1, 16 serotype 2 [DENV-2], and 8 serotype 3). Phylogenetic analysis demonstrated the endemic nature of DENV-2 in Burkina Faso. We noted discordant diagnostic results, probably related to genetic divergence between these genomes and the Trioplex PCR. Forward and reverse1 primers had a single mismatch when mapped to the DENV-2 genomes, probably explaining the insensitivity of the molecular test. Although we observed considerable homogeneity between the Dengvaxia and TetraVax-DV-TV003 vaccine strains as well as B cell epitopes compared with these genomes, we noted unique divergence. Continual surveillance of dengue virus in Africa is needed to clarify the ongoing novel evolutionary dynamics of circulating virus populations and support the development of effective diagnostic, therapeutic, and preventive countermeasures.
Collapse
|
12
|
Tinto B, Kania D, Samdapawindé Kagone T, Dicko A, Traore I, de Rekeneire N, Bicaba BW, Hien H, Van de Perre P, Simonin Y, Salinas S. [Dengue virus circulation in West Africa: An emerging public health issue]. Med Sci (Paris) 2022; 38:152-158. [PMID: 35179469 DOI: 10.1051/medsci/2022007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Dengue is the most widespread arbovirosis in the world, with approximately 390 million cases per year, 96 millions of which have clinical manifestations and 25,000 deaths. In West Africa, the circulation of this virus in human populations was first reported in the 1960s in Nigeria. Clinical diagnosis of dengue in West Africa is made difficult by the existence of other diseases with similar clinical presentations. Biological diagnosis remains therefore the only alternative. This biological diagnosis requires high quality equipment and well-trained personnel, which are not always available in resource-limited countries. Thus, many cases of dengue fever are consistently reported as malaria, leading to mismanagement, which can have serious consequences on the health status of patients. It is therefore necessary to set up surveillance systems for febrile infections of unknown origin in Africa by strengthening the diagnostic capacities of national laboratories.
Collapse
Affiliation(s)
- Bachirou Tinto
- Laboratoire national de référence des fièvres hémorragiques virales, Centre Muraz, Institut national de santé publique (INSP), Bobo-Dioulasso, Burkina Faso
| | - Dramane Kania
- Laboratoire national de référence des fièvres hémorragiques virales, Centre Muraz, Institut national de santé publique (INSP), Bobo-Dioulasso, Burkina Faso
| | - Thérèse Samdapawindé Kagone
- Laboratoire national de référence des fièvres hémorragiques virales, Centre Muraz, Institut national de santé publique (INSP), Bobo-Dioulasso, Burkina Faso
| | - Amadou Dicko
- Laboratoire central de référence, INSP, Ouagadougou, Burkina Faso
| | - Isidore Traore
- Laboratoire national de référence des fièvres hémorragiques virales, Centre Muraz, Institut national de santé publique (INSP), Bobo-Dioulasso, Burkina Faso
| | | | - Brice Wilfried Bicaba
- Centre des opérations de réponse aux urgences sanitaires (CORUS), INSP, Ouagadougou, Burkina Faso
| | | | - Philippe Van de Perre
- Pathogenèse et contrôle des infections chroniques, université de Montpellier, Inserm, Établissement français du sang, 60 rue de Navacelles, 34000 Montpellier, France
| | - Yannick Simonin
- Pathogenèse et contrôle des infections chroniques, université de Montpellier, Inserm, Établissement français du sang, 60 rue de Navacelles, 34000 Montpellier, France
| | - Sara Salinas
- Pathogenèse et contrôle des infections chroniques, université de Montpellier, Inserm, Établissement français du sang, 60 rue de Navacelles, 34000 Montpellier, France
| |
Collapse
|
13
|
Uncovering the Burden of Dengue in Africa: Considerations on Magnitude, Misdiagnosis, and Ancestry. Viruses 2022; 14:v14020233. [PMID: 35215827 PMCID: PMC8877195 DOI: 10.3390/v14020233] [Citation(s) in RCA: 26] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 01/15/2022] [Accepted: 01/18/2022] [Indexed: 01/27/2023] Open
Abstract
Dengue is a re-emerging neglected disease of major public health importance. This review highlights important considerations for dengue disease in Africa, including epidemiology and underestimation of disease burden in African countries, issues with malaria misdiagnosis and co-infections, and potential evidence of genetic protection from severe dengue disease in populations of African descent. The findings indicate that dengue virus prevalence in African countries and populations may be more widespread than reported data suggests, and that the Aedes mosquito vectors appear to be increasing in dissemination and number. Changes in climate, population, and plastic pollution are expected to worsen the dengue situation in Africa. Dengue misdiagnosis is also a problem in Africa, especially due to the typical non-specific clinical presentation of dengue leading to misdiagnosis as malaria. Finally, research suggests that a protective genetic component against severe dengue exists in African descent populations, but further studies should be conducted to strengthen this association in various populations, taking into consideration socioeconomic factors that may contribute to these findings. The main takeaway is that Africa should not be overlooked when it comes to dengue, and more attention and resources should be devoted to this disease in Africa.
Collapse
|
14
|
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: 1.0] [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
|
15
|
Omatola CA, Onoja AB, Moses E, Mahmud M, Mofolorunsho CK. Dengue in parts of the Guinea Savannah region of Nigeria and the risk of increased transmission. Int Health 2021; 13:248-252. [PMID: 32562421 PMCID: PMC8079312 DOI: 10.1093/inthealth/ihaa033] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2020] [Revised: 04/29/2020] [Accepted: 06/08/2020] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Dengue virus (DENV) is spreading to parts of the world where it had not been previously reported. Increased international travel has led to intercontinental importation of dengue by visitors returning from countries in sub-Saharan Africa. Although dengue is well documented in the rain forest region of Nigeria, there is a dearth of information in the Guinea Savannah region, which is a major transit point for local and international visitors in the most populous nation in Africa. We provide preliminary evidence of dengue activity in the Guinea Savannah and highlight the risk factors. METHODS Blood was collected from a cross-section of 200 patients attending four hospitals in Anyigba, Kogi State. Anti-dengue antibody was identified using DENV immunoglobulin G (IgG) immunoassays. Questionnaires were used to obtain sociodemographic variables and risk factors. Data were analysed with SPSS version 16.0 for Windows. RESULTS Forty-two (20.5%) participants had anti-DENV IgG antibodies. Persons within the 45-59 y age group were more seropositive, with a rate of 35%. Males were more seropositive compared with females. Marriage, formal education, involvement in business activities and the presence of grasses around homes were associated with higher IgG seropositivity. The presence of open water containers around human dwellings and a lack of mosquito net use are predisposing factors. CONCLUSIONS This study identified past exposure to DENV among people in Anyigba, located in the Guinea Savannah region. Proper diagnosis of febrile episodes is required to improve case management and curtail off-target treatment. The high rate of previous exposure of patients to dengue indicates the need to strengthen vector control and dengue surveillance programs.
Collapse
Affiliation(s)
- C A Omatola
- Department of Microbiology, Kogi State University, Anyigba, Kogi State, Nigeria
| | - A B Onoja
- Department of Virology, College of Medicine, University of Ibadan, Nigeria
| | - E Moses
- Department of Microbiology, Kogi State University, Anyigba, Kogi State, Nigeria
| | - M Mahmud
- Department of Microbiology, Kogi State University, Anyigba, Kogi State, Nigeria
| | - C K Mofolorunsho
- Department of Microbiology, Kogi State University, Anyigba, Kogi State, Nigeria
| |
Collapse
|
16
|
Agboli E, Zahouli JBZ, Badolo A, Jöst H. Mosquito-Associated Viruses and Their Related Mosquitoes in West Africa. Viruses 2021; 13:v13050891. [PMID: 34065928 PMCID: PMC8151702 DOI: 10.3390/v13050891] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Revised: 05/05/2021] [Accepted: 05/06/2021] [Indexed: 12/13/2022] Open
Abstract
Mosquito-associated viruses (MAVs), including mosquito-specific viruses (MSVs) and mosquito-borne (arbo)viruses (MBVs), are an increasing public, veterinary, and global health concern, and West Africa is projected to be the next front for arboviral diseases. As in-depth knowledge of the ecologies of both western African MAVs and related mosquitoes is still limited, we review available and comprehensive data on their diversity, abundance, and distribution. Data on MAVs’ occurrence and related mosquitoes were extracted from peer-reviewed publications. Data on MSVs, and mosquito and vertebrate host ranges are sparse. However, more data are available on MBVs (i.e., dengue, yellow fever, chikungunya, Zika, and Rift Valley fever viruses), detected in wild and domestic animals, and humans, with infections more concentrated in urban areas and areas affected by strong anthropogenic changes. Aedes aegypti, Culex quinquefasciatus, and Aedes albopictus are incriminated as key arbovirus vectors. These findings outline MAV, related mosquitoes, key knowledge gaps, and future research areas. Additionally, these data highlight the need to increase our understanding of MAVs and their impact on host mosquito ecology, to improve our knowledge of arbovirus transmission, and to develop specific strategies and capacities for arboviral disease surveillance, diagnostic, prevention, control, and outbreak responses in West Africa.
Collapse
Affiliation(s)
- Eric Agboli
- Molecular Biology and Immunology Department, Bernhard Nocht Institute for Tropical Medicine, 20359 Hamburg, Germany;
- Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Ho PMB 31, Ghana
| | - Julien B. Z. Zahouli
- Centre d’Entomologie Médicale et Vétérinaire, Université Alassane Ouattara, Bouake, 27 BP 529 Abidjan 27, Cote D’Ivoire;
- Centre Suisse de Recherches Scientifiques en Côte d’Ivoire, Département de Recherche et Développement, 01 BP 1303 Abidjan 01, Cote D’Ivoire
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, 4051 Basel, Switzerland
| | - Athanase Badolo
- Laboratory of Fundamental and Applied Entomology, Universitée Joseph Ki-Zerbo, Ouagadougou 03 BP 7021, Burkina Faso;
| | - Hanna Jöst
- Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Hemorrhagic Fever Reference and Research, 20359 Hamburg, Germany
- Correspondence:
| |
Collapse
|
17
|
Lim JK, Matendechero SH, Alexander N, Lee JS, Lee KS, Namkung S, Andia E, Oyembo N, Lim SK, Kanyi H, Bae SH, Yang JS, Ochola MA, Edwards T, Yoon IK, Njenga SM. Clinical and epidemiologic characteristics associated with dengue fever in Mombasa, Kenya. Int J Infect Dis 2020; 100:207-215. [PMID: 32891734 PMCID: PMC7670221 DOI: 10.1016/j.ijid.2020.08.074] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Revised: 08/24/2020] [Accepted: 08/28/2020] [Indexed: 11/26/2022] Open
Abstract
OBJECTIVES Information on dengue in Africa is limited. To estimate the proportion of dengue-positive cases among febrile patients and describe clinical indicators of dengue, we conducted passive health facility-based fever surveillance in Mombasa, Kenya. METHODS Non-malarial febrile patients between one and 55 years were enrolled at three health facilities between March 2016 and May 2017. Acute and convalescent blood samples were collected with an interval of 10-21 days. Acute samples were tested with dengue RDT and a selected subset with RT-PCR, and acute/convalescent samples with IgM/IgG ELISA. RESULTS Among 482 enrollees, 295 (61.2%) were dengue-positive based on laboratory results. The surveillance covered the beginning of a dengue outbreak in April-May 2017, during which 73.9% of enrollees were dengue-positive. By contrast, during the non-outbreak period, 54.6% were dengue-positive. Dengue case status was positively associated with rash, fatigue, headache, retro-orbital pain, nausea/vomiting, nose bleeding, gum bleeding, loss of appetite, myalgia, and arthralgia. Dengue-positive cases in our study had mostly mild disease, with only two requiring observation, and no DHF. CONCLUSIONS The clinical response was generally mild relative to what was observed in SE Asia and the Americas. Given the high level of DENV transmission in Mombasa, more data would be needed to further understand the disease burden and improve case detection for surveillance/monitoring of outbreaks.
Collapse
Affiliation(s)
- Jacqueline Kyungah Lim
- International Vaccine Institute, Seoul, Republic of Korea; Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, United Kingdom.
| | | | - Neal Alexander
- Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, United Kingdom
| | - Jung-Seok Lee
- International Vaccine Institute, Seoul, Republic of Korea
| | - Kang Sung Lee
- International Vaccine Institute, Seoul, Republic of Korea
| | - Suk Namkung
- International Vaccine Institute, Seoul, Republic of Korea
| | - Esther Andia
- Eastern and Southern Africa Centre of International Parasite Control (ESACIPAC), Kenya Medical Research Institute (KEMRI), Nairobi, Kenya
| | - Noah Oyembo
- Eastern and Southern Africa Centre of International Parasite Control (ESACIPAC), Kenya Medical Research Institute (KEMRI), Nairobi, Kenya
| | - Sl-Ki Lim
- International Vaccine Institute, Seoul, Republic of Korea
| | - Henry Kanyi
- Eastern and Southern Africa Centre of International Parasite Control (ESACIPAC), Kenya Medical Research Institute (KEMRI), Nairobi, Kenya
| | - So Hee Bae
- International Vaccine Institute, Seoul, Republic of Korea
| | - Jae Seung Yang
- International Vaccine Institute, Seoul, Republic of Korea
| | - Mary A Ochola
- Coast Provincial General Hospital, Mombasa County, Kenya
| | - Tansy Edwards
- Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, United Kingdom
| | - In-Kyu Yoon
- Coalition for Epidemic Preparedness Innovations (CEPI), Washington, D.C., USA
| | - Sammy M Njenga
- Eastern and Southern Africa Centre of International Parasite Control (ESACIPAC), Kenya Medical Research Institute (KEMRI), Nairobi, Kenya
| |
Collapse
|
18
|
Buchwald AG, Hayden MH, Dadzie SK, Paull SH, Carlton EJ. Aedes-borne disease outbreaks in West Africa: A call for enhanced surveillance. Acta Trop 2020; 209:105468. [PMID: 32416077 DOI: 10.1016/j.actatropica.2020.105468] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2019] [Revised: 03/29/2020] [Accepted: 03/29/2020] [Indexed: 01/06/2023]
Abstract
Arboviruses transmitted by Aedes mosquitoes are a growing global concern; however, there remain large gaps in surveillance of both arboviruses and their vectors in West Africa. We reviewed over 50 years of data including outbreak reports, peer-reviewed literature, and prior data compilations describing Zika, dengue, and chikungunya, and their vectors in West Africa. Large outbreaks of dengue, Zika, and chikungunya have recently occurred in the region with over 27,000 cases of Aedes-borne disease documented since 2007. Recent arboviral outbreaks have become more concentrated in urban areas, and Aedes albopictus, recently documented in the region, has emerged as an important vector in several areas. Seroprevalence surveys suggest reported cases are a gross underestimate of the underlying arboviral disease burden. These findings indicate a shifting epidemiology of arboviral disease in West Africa and highlight a need for increased research and implementation of vector and disease control. Rapid urbanization and climate change may further alter disease patterns, underscoring the need for improved diagnostic capacity, and vector and disease surveillance to address this evolving health challenge.
Collapse
|
19
|
Mordecai EA, Ryan SJ, Caldwell JM, Shah MM, LaBeaud AD. Climate change could shift disease burden from malaria to arboviruses in Africa. Lancet Planet Health 2020; 4:e416-e423. [PMID: 32918887 PMCID: PMC7490804 DOI: 10.1016/s2542-5196(20)30178-9] [Citation(s) in RCA: 122] [Impact Index Per Article: 30.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Revised: 06/22/2020] [Accepted: 06/24/2020] [Indexed: 05/28/2023]
Abstract
Malaria is a long-standing public health problem in sub-Saharan Africa, whereas arthropod-borne viruses (arboviruses) such as dengue and chikungunya cause an under-recognised burden of disease. Many human and environmental drivers affect the dynamics of vector-borne diseases. In this Personal View, we argue that the direct effects of warming temperatures are likely to promote greater environmental suitability for dengue and other arbovirus transmission by Aedes aegypti and reduce suitability for malaria transmission by Anopheles gambiae. Environmentally driven changes in disease dynamics will be complex and multifaceted, but given that current public efforts are targeted to malaria control, we highlight Ae aegypti and dengue, chikungunya, and other arboviruses as potential emerging public health threats in sub-Saharan Africa.
Collapse
Affiliation(s)
- Erin A. Mordecai
- Biology Department, Stanford University, 371 Serra Mall, Stanford, CA, United States
| | - Sadie J. Ryan
- Department of Geography, University of Florida, Gainesville, FL, United States; Emerging Pathogens Institute, University of Florida, Gainesville, FL, United States; School of Life Sciences, College of Agriculture, Engineering, and Science, University of KwaZulu Natal, KwaZulu Natal, South Africa
| | - Jamie M. Caldwell
- Biology Department, Stanford University, 371 Serra Mall, Stanford, CA, United States
| | - Melisa M. Shah
- Infectious Diseases and Geographic Medicine, Stanford University School of Medicine, Stanford, CA, United States
| | - A. Desiree LaBeaud
- Department of Pediatrics, Division of Infectious Disease, School of Medicine, Stanford University, Stanford, CA, United States
| |
Collapse
|
20
|
Padonou GG, Ossè R, Salako AS, Aikpon R, Sovi A, Kpanou C, Sagbohan H, Akadiri Y, Lamine BM, Akogbeto MC. Entomological assessment of the risk of dengue outbreak in Abomey-Calavi Commune, Benin. Trop Med Health 2020; 48:20. [PMID: 32308531 PMCID: PMC7147049 DOI: 10.1186/s41182-020-00207-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2019] [Accepted: 04/01/2020] [Indexed: 11/10/2022] Open
Abstract
Background In May 2019, a confirmed dengue fever case was detected at the local hospital of Abomey-Calavi Commune in southern Benin. In Benin, there remains a dearth of literature concerning the distribution and biology of Aedes aegypti, the principal vector of dengue fever. This study was initiated by the Ministry of Health to partially fill this gap. The findings allowed us to assess the arboviral transmission risk incurred by the population of Abomey-Calavi to support programmatic decision-making. Methods Entomological assessments were conducted in 5% of the houses, meaning 314 houses selected from 11 boroughs in Abomey-Calavi Centre district and 9 villages in Hêvié district. The surveyed breeding sites were water containers located in (domestic) and around (peri-domestic) the dwellings. When a container was positive (housing larvae), a portion of the immature population was sampled with a larval dipper and poured into labeled jars. Immatures were then reared to adulthood at the Centre de Recheche Entomologique de Cotonou (CREC) insectary. Adult mosquitoes were morphologically identified to species level by site and, a subsample of the collected Ae. aegypti mosquitoes were used for WHO susceptibility tube tests. Results Of the 1372 adult Aedes specimens which emerged from the collected larvae and pupae, 1356 Ae. aegypti (98.83%), 10 Ae. luteocephalus, and 4 Ae. vittatus were identified. The Breteau indices were 160.2 in Abomey-Calavi Centre and 150 in Hêvié, whereas the House indices were 58.5% and 61.6% in the respective districts. WHO insecticide susceptibility tube tests showed that the mortality rates were 38.71% in Abomey-Calavi Centre and 85.71% in Hêvié for permethrin, and 72.22% in Abomey-Calavi Centre and 100% in Hêvié for deltamethrin. Conclusion The two districts were highly infested by Ae. aegypti whose breeding sites were mostly man-made. Considering this, human behavioral change to substantially reduce the number of larval habitats is necessary to control the vector populations. As Aedes mosquitoes are day biters, the use of repellents such as ointments and smoke coils can also be useful.
Collapse
Affiliation(s)
- Germain Gil Padonou
- 1Centre de Recherche entomologique de Cotonou (CREC), Cotonou, Benin.,7Laboratory of Biology and Molecular Typing in Microbiology, Faculty of Sciences and Technology, University of Abomey-Calavi, Abomey-Calavi, Benin
| | - Razaki Ossè
- 1Centre de Recherche entomologique de Cotonou (CREC), Cotonou, Benin.,Université Nationale d'Agriculture, Porto-Novo, Bénin
| | - Albert Sourou Salako
- 1Centre de Recherche entomologique de Cotonou (CREC), Cotonou, Benin.,3Faculté des Sciences et Techniques de l'Université d'Abomey-Calavi, Cotonou, Benin
| | - Rock Aikpon
- 1Centre de Recherche entomologique de Cotonou (CREC), Cotonou, Benin.,Université Nationale des Sciences, Technologies, Ingénierie et Mathématiques, Abomey, Bénin
| | - Arthur Sovi
- 1Centre de Recherche entomologique de Cotonou (CREC), Cotonou, Benin.,5Faculty of Agronomy, University of Parakou, BP 123 Parakou, Benin.,6Disease Control Department, Faculty of Infectious & Tropical Diseases, The London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT UK
| | - Casimir Kpanou
- 1Centre de Recherche entomologique de Cotonou (CREC), Cotonou, Benin.,3Faculté des Sciences et Techniques de l'Université d'Abomey-Calavi, Cotonou, Benin
| | - Hermann Sagbohan
- 1Centre de Recherche entomologique de Cotonou (CREC), Cotonou, Benin.,3Faculté des Sciences et Techniques de l'Université d'Abomey-Calavi, Cotonou, Benin
| | - Yessoufou Akadiri
- 3Faculté des Sciences et Techniques de l'Université d'Abomey-Calavi, Cotonou, Benin
| | - Baba-Moussa Lamine
- 7Laboratory of Biology and Molecular Typing in Microbiology, Faculty of Sciences and Technology, University of Abomey-Calavi, Abomey-Calavi, Benin
| | - Martin C Akogbeto
- 1Centre de Recherche entomologique de Cotonou (CREC), Cotonou, Benin
| |
Collapse
|
21
|
Kahamba NF, Limwagu AJ, Mapua SA, Msugupakulya BJ, Msaky DS, Kaindoa EW, Ngowo HS, Okumu FO. Habitat characteristics and insecticide susceptibility of Aedes aegypti in the Ifakara area, south-eastern Tanzania. Parasit Vectors 2020; 13:53. [PMID: 32033619 PMCID: PMC7006121 DOI: 10.1186/s13071-020-3920-y] [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: 11/28/2019] [Accepted: 01/29/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Aedes-borne diseases such as dengue and chikungunya constitute constant threats globally. In Tanzania, these diseases are transmitted by Aedes aegypti, which is widely distributed in urban areas, but whose ecology remains poorly understood in small towns and rural settings. METHODS A survey of Ae. aegypti aquatic habitats was conducted in and around Ifakara, a fast-growing town in south-eastern Tanzania. The study area was divided into 200 × 200 m search grids, and habitats containing immature Aedes were characterized. Field-collected Ae. aegypti were tested for susceptibility to common public health insecticides (deltamethrin, permethrin, bendiocarb and pirimiphos-methyl) in the dry and rainy seasons. RESULTS Of 1515 and 1933 aquatic habitats examined in the dry and rainy seasons, 286 and 283 contained Aedes immatures, respectively (container index, CI: 18.9-14.6%). In the 2315 and 2832 houses visited in the dry and rainy seasons, 114 and 186 houses had at least one Aedes-positive habitat, respectively (house index, HI: 4.9-6.6%). The main habitat types included: (i) used vehicle tires and discarded containers; (ii) flowerpots and clay pots; and (iii) holes made by residents on trunks of coconut trees when harvesting the coconuts. Used tires had highest overall abundance of Ae. aegypti immatures, while coconut tree-holes had highest densities per habitat. Aedes aegypti adults were susceptible to all tested insecticides in both seasons, except bendiocarb, against which resistance was observed in the rainy season. CONCLUSIONS To our knowledge, this is the first study on ecology and insecticide susceptibility of Ae. aegypti in Ifakara area, and will provide a basis for future studies on its pathogen transmission activities and control. The high infestation levels observed indicate significant risk of Aedes-borne diseases, requiring immediate action to prevent potential outbreaks in the area. While used tires, discarded containers and flowerpots are key habitats for Ae. aegypti, this study also identified coconut harvesting as an important risk factor, and the associated tree-holes as potential targets for Aedes control. Since Ae. aegypti mosquitoes in the area are still susceptible to most insecticides, effective control could be achieved by combining environmental management, preferably involving communities, habitat removal and insecticide spraying.
Collapse
Affiliation(s)
- Najat F. Kahamba
- Environmental Health and Ecological Sciences Department, Ifakara Health Institute, P. O. Box 53, Ifakara, Tanzania
- School of Life Science and Biotechnology, Nelson Mandela African Institution of Science and Technology, P. O. Box 447, Arusha, Tanzania
| | - Alex J. Limwagu
- Environmental Health and Ecological Sciences Department, Ifakara Health Institute, P. O. Box 53, Ifakara, Tanzania
| | - Salum A. Mapua
- Environmental Health and Ecological Sciences Department, Ifakara Health Institute, P. O. Box 53, Ifakara, Tanzania
| | - Betwel J. Msugupakulya
- Environmental Health and Ecological Sciences Department, Ifakara Health Institute, P. O. Box 53, Ifakara, Tanzania
- School of Life Science and Biotechnology, Nelson Mandela African Institution of Science and Technology, P. O. Box 447, Arusha, Tanzania
| | - Dickson S. Msaky
- Environmental Health and Ecological Sciences Department, Ifakara Health Institute, P. O. Box 53, Ifakara, Tanzania
| | - Emmanuel W. Kaindoa
- Environmental Health and Ecological Sciences Department, Ifakara Health Institute, P. O. Box 53, Ifakara, Tanzania
- Faculty of Health Science, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa
| | - Halfan S. Ngowo
- Environmental Health and Ecological Sciences Department, Ifakara Health Institute, P. O. Box 53, Ifakara, Tanzania
- Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, G128QQ UK
| | - Fredros O. Okumu
- Environmental Health and Ecological Sciences Department, Ifakara Health Institute, P. O. Box 53, Ifakara, Tanzania
- Faculty of Health Science, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa
- School of Life Science and Biotechnology, Nelson Mandela African Institution of Science and Technology, P. O. Box 447, Arusha, Tanzania
- Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, G128QQ UK
| |
Collapse
|
22
|
Amoa-Bosompem M, Kobayashi D, Murota K, Faizah AN, Itokawa K, Fujita R, Osei JHN, Agbosu E, Pratt D, Kimura S, Kwofie KD, Ohashi M, Bonney JHK, Dadzie S, Sasaki T, Ohta N, Isawa H, Sawabe K, Iwanaga S. Entomological Assessment of the Status and Risk of Mosquito-borne Arboviral Transmission in Ghana. Viruses 2020; 12:v12020147. [PMID: 32012771 PMCID: PMC7077231 DOI: 10.3390/v12020147] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2019] [Revised: 01/16/2020] [Accepted: 01/26/2020] [Indexed: 01/16/2023] Open
Abstract
Entomological surveillance is one of the tools used in monitoring and controlling vector-borne diseases. However, the use of entomological surveillance for arboviral infection vector control is often dependent on finding infected individuals. Although this method may suffice in highly endemic areas, it is not as effective in controlling the spread of diseases in low endemic and non-endemic areas. In this study, we examined the efficiency of using entomological markers to assess the status and risk of arbovirus infection in Ghana, which is considered a non-endemic country, by combining mosquito surveillance with virus isolation and detection. This study reports the presence of cryptic species of mosquitoes in Ghana, demonstrating the need to combine morphological identification and molecular techniques in mosquito surveillance. Furthermore, although no medically important viruses were detected, the importance of insect-specific viruses in understanding virus evolution and arbovirus transmission is discussed. This study reports the first mutualistic relationship between dengue virus and the double-stranded RNA Aedes aegypti totivirus. Finally, this study discusses the complexity of the virome of Aedes and Culex mosquitoes and its implication for arbovirus transmission.
Collapse
Affiliation(s)
- Michael Amoa-Bosompem
- Department of Environmental Parasitology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan; (M.A.-B.); (S.K.); (K.D.K.); (M.O.)
- Department of Medical Entomology, National Institute of Infectious Diseases, 1-23-1 Toyama, Shinjuku-ku, Tokyo 162-8640, Japan; (D.K.); (A.N.F.); (T.S.); (K.S.)
- Department of Parasitology, Noguchi Memorial Institute for Medical Research, University of Ghana, College of Health Sciences, P.O. box LG 581, Legon, Accra, Ghana; (J.H.N.O.); (S.D.)
| | - Daisuke Kobayashi
- Department of Medical Entomology, National Institute of Infectious Diseases, 1-23-1 Toyama, Shinjuku-ku, Tokyo 162-8640, Japan; (D.K.); (A.N.F.); (T.S.); (K.S.)
| | - Katsunori Murota
- Kyushu Research Station, National Institute of Animal Health, NARO, 2702 Chuzan, Kagoshima 891-0105, Japan;
| | - Astri Nur Faizah
- Department of Medical Entomology, National Institute of Infectious Diseases, 1-23-1 Toyama, Shinjuku-ku, Tokyo 162-8640, Japan; (D.K.); (A.N.F.); (T.S.); (K.S.)
- Graduate School of Agricultural and Life Science, The University of Tokyo, 1-1-1 Yayoi, Bunkyo-ku, Tokyo 113-8657, Japan
| | - Kentaro Itokawa
- Pathogen Genomics Center, National Institute of Infectious Diseases, 1-23-1 Toyama, Shinjuku-ku, Tokyo 162-8640, Japan;
| | - Ryosuke Fujita
- Laboratory of Sanitary Entomology, Kyushu University Graduate School of Bioresource and Bioenvironmental Sciences, 744 Motooka, Nishi-ku, Fukuoka 819-0395, Japan;
| | - Joseph Harold Nyarko Osei
- Department of Parasitology, Noguchi Memorial Institute for Medical Research, University of Ghana, College of Health Sciences, P.O. box LG 581, Legon, Accra, Ghana; (J.H.N.O.); (S.D.)
| | - Esinam Agbosu
- Department of Virology, Noguchi Memorial Institute for Medical Research, University of Ghana, College of Health Sciences, P.O. box LG 581, Legon, Accra, Ghana; (E.A.); (D.P.); (J.H.K.B.)
| | - Deborah Pratt
- Department of Virology, Noguchi Memorial Institute for Medical Research, University of Ghana, College of Health Sciences, P.O. box LG 581, Legon, Accra, Ghana; (E.A.); (D.P.); (J.H.K.B.)
| | - Shohei Kimura
- Department of Environmental Parasitology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan; (M.A.-B.); (S.K.); (K.D.K.); (M.O.)
| | - Kofi Dadzie Kwofie
- Department of Environmental Parasitology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan; (M.A.-B.); (S.K.); (K.D.K.); (M.O.)
- Department of Parasitology, Noguchi Memorial Institute for Medical Research, University of Ghana, College of Health Sciences, P.O. box LG 581, Legon, Accra, Ghana; (J.H.N.O.); (S.D.)
| | - Mitsuko Ohashi
- Department of Environmental Parasitology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan; (M.A.-B.); (S.K.); (K.D.K.); (M.O.)
- Department of Parasitology, Noguchi Memorial Institute for Medical Research, University of Ghana, College of Health Sciences, P.O. box LG 581, Legon, Accra, Ghana; (J.H.N.O.); (S.D.)
| | - Joseph H. Kofi Bonney
- Department of Virology, Noguchi Memorial Institute for Medical Research, University of Ghana, College of Health Sciences, P.O. box LG 581, Legon, Accra, Ghana; (E.A.); (D.P.); (J.H.K.B.)
| | - Samuel Dadzie
- Department of Parasitology, Noguchi Memorial Institute for Medical Research, University of Ghana, College of Health Sciences, P.O. box LG 581, Legon, Accra, Ghana; (J.H.N.O.); (S.D.)
| | - Toshinori Sasaki
- Department of Medical Entomology, National Institute of Infectious Diseases, 1-23-1 Toyama, Shinjuku-ku, Tokyo 162-8640, Japan; (D.K.); (A.N.F.); (T.S.); (K.S.)
| | - Nobuo Ohta
- Faculty of Health Science, Suzuka University of Medical Science, 1001-1 Kishioka-cyo, Suzuka-shi, Mie 510-0293, Japan;
| | - Haruhiko Isawa
- Department of Medical Entomology, National Institute of Infectious Diseases, 1-23-1 Toyama, Shinjuku-ku, Tokyo 162-8640, Japan; (D.K.); (A.N.F.); (T.S.); (K.S.)
- Correspondence: (H.I.); (S.I.); Tel.: +81-3-5285-1111 (H.I.); +81-3-5803-5191 (S.I.)
| | - Kyoko Sawabe
- Department of Medical Entomology, National Institute of Infectious Diseases, 1-23-1 Toyama, Shinjuku-ku, Tokyo 162-8640, Japan; (D.K.); (A.N.F.); (T.S.); (K.S.)
| | - Shiroh Iwanaga
- Department of Environmental Parasitology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan; (M.A.-B.); (S.K.); (K.D.K.); (M.O.)
- Correspondence: (H.I.); (S.I.); Tel.: +81-3-5285-1111 (H.I.); +81-3-5803-5191 (S.I.)
| |
Collapse
|
23
|
Seruyange E, Ljungberg K, Muvunyi CM, Gahutu JB, Katare S, Nyamusore J, Gwon YD, Evander M, Norder H, Liljeström P, Bergström T. Seroreactivity to Chikungunya and West Nile Viruses in Rwandan Blood Donors. Vector Borne Zoonotic Dis 2019; 19:731-740. [PMID: 31246538 DOI: 10.1089/vbz.2018.2393] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023] Open
Abstract
Introduction: Chikungunya virus (CHIKV) and West Nile virus (WNV) have previously been reported from several African countries, including those bordering Rwanda where they may have originated. However, there have been no serosurveillance reports from Rwanda regarding these two viral pathogens. In this article, we present the first study of immunoglobulin G (IgG) seroreactivity of CHIKV and WNV in Rwandan blood donor samples. Methods: Blood donors from Rwanda (n = 874) and Sweden (n = 199) were tested for IgG reactivity against CHIKV, using an in-house enzyme-linked immunosorbent assay with the E1 envelope protein fused with p62 as antigen, and against WNV using a commercial kit. Data on mosquito distribution were obtained from the 2012 assessment of yellow fever virus circulation in Rwanda. Results: Seroreactivity to CHIKV was high in Rwanda (63.0%), when compared with Swedish donors, where only 8.5% were IgG positive. However, a cross-reactivity to O'nyong'nyong virus in neutralization test was noted in Rwandan donors. No significant difference in WNV seroreactivity was found (10.4% for Rwandan and 14.1% for Swedish donors). The relatively high seroreactivity to WNV among Swedish donors could partly be explained by cross-reactivity with tick-borne encephalitis virus prevalent in Sweden. Donors from the Eastern Province of Rwanda had the highest IgG reactivity to the two investigated viruses (86.7% for CHIKV and 33.3% for WNV). Five genera of mosquitoes were found in Rwanda where Culex was the most common (82.5%). The vector of CHIKV, Aedes, accounted for 9.6% of mosquitoes and this species was most commonly found in the Eastern Province. Conclusions: Our results showed high seroreactivity to CHIKV in Rwandan donors. The highest IgG reactivity to CHIKV, and to WNV, was found in the Eastern Province, the area reporting the highest number of mosquito vectors for these two viruses. Infection control by eliminating mosquito-breeding sites in population-dense areas is recommended, especially in eastern Rwanda.
Collapse
Affiliation(s)
- Eric Seruyange
- School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.,Rwanda Military Hospital, Kigali, Rwanda.,Department of Infectious Diseases, Institute of Biomedicine, University of Gothenburg, Gothenburg, Sweden
| | - Karl Ljungberg
- Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, Stockholm, Sweden
| | - Claude Mambo Muvunyi
- School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
| | - Jean Bosco Gahutu
- School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
| | - Swaibu Katare
- National Centre for Blood Transfusion, Rwanda Biomedical Centre, Kigali, Rwanda
| | - José Nyamusore
- Division of Epidemic Surveillance and Response, Rwanda Biomedical Center, Kigali, Rwanda
| | - Yong-Dae Gwon
- Department of Clinical Microbiology, Virology, Umeå University, Umeå, Sweden
| | - Magnus Evander
- Department of Clinical Microbiology, Virology, Umeå University, Umeå, Sweden
| | - Heléne Norder
- Department of Infectious Diseases, Institute of Biomedicine, University of Gothenburg, Gothenburg, Sweden
| | - Peter Liljeström
- Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, Stockholm, Sweden
| | - Tomas Bergström
- Department of Infectious Diseases, Institute of Biomedicine, University of Gothenburg, Gothenburg, Sweden
| |
Collapse
|
24
|
Otu A, Ebenso B, Etokidem A, Chukwuekezie O. Dengue fever - an update review and implications for Nigeria, and similar countries. Afr Health Sci 2019; 19:2000-2007. [PMID: 31656483 PMCID: PMC6794512 DOI: 10.4314/ahs.v19i2.23] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Background In the last five decades, dengue has emerged as one of the most important infectious diseases, following a 30-fold increase in global incidence throughout tropical and sub-tropical regions of the world. The actual numbers of dengue cases are under-reported and many cases are misclassified. Objectives This article describes the epidemiology, pathophysiology, clinical features and management of dengue. It also explores the implications of infection with this flavivirus for Nigeria, and similar countries. Methods The literature search for publications on dengue in West Africa was performed using PubMed, African Journals Online (AJOL), Google Scholar, Web of Science, databases and grey literature to identify all published papers regarding the topic. A snowballing strategy was adopted to identify additional publications. Results Recent reports suggest that dengue is a growing public health problem in Nigeria, the magnitude of which needs to be more clearly defined. Nigeria, the most populous country in Africa has an abundance of the Aedes aegypti mosquito which is known to transmit dengue, Zika, as well as chikungunya (CHIKV) and West Nile viruses. Conclusion This article provides practical suggestions for strengthening the dengue virus control programme in Nigeria. The Nigerian health system shares similarities with health systems in many other sub-Saharan countries. Therefore, the practical suggestions provided at the end of this review are likely to be applicable to many other African countries.
Collapse
Affiliation(s)
- Akaninyene Otu
- Department of Internal Medicine, College of Medical Sciences, University of Calabar Nigeria. Tel: +2348105723133.
| | - Bassey Ebenso
- Nuffield Centre for International Health and Development, Leeds Institute for Health Sciences, University of Leeds, United Kingdom.
| | - Aniekan Etokidem
- Department of Community Medicine, College of Medical Sciences University of Calabar, Nigeria.
| | | |
Collapse
|
25
|
Badolo A, Sombié A, Pignatelli PM, Sanon A, Yaméogo F, Wangrawa DW, Sanon A, Kanuka H, McCall PJ, Weetman D. Insecticide resistance levels and mechanisms in Aedes aegypti populations in and around Ouagadougou, Burkina Faso. PLoS Negl Trop Dis 2019; 13:e0007439. [PMID: 31120874 PMCID: PMC6550433 DOI: 10.1371/journal.pntd.0007439] [Citation(s) in RCA: 38] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2019] [Revised: 06/05/2019] [Accepted: 05/06/2019] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Recent outbreaks of dengue and other Aedes aegypti-borne arboviruses highlight the importance of a rapid response for effective vector control. Data on insecticide resistance and underlying mechanisms are essential for outbreak preparedness, but are sparse in much of Africa. We investigated the levels and heterogeneity of insecticide resistance and mechanisms of Ae. aegypti from contrasting settings within and around Ouagadougou, Burkina Faso. METHODOLOGY/PRINCIPAL FINDINGS Bioassays were performed on larvae and adults to diagnose prevalence of resistance, and to assess levels where resistance was detected. Investigation of resistance mechanisms was performed using synergist bioassays, knockdown resistance (kdr) target site mutation genotyping and quantitative PCR expression analysis of candidate P450 genes. Larval dose-response assays indicated susceptibility to the organophosphates tested. Adult females were also susceptible to organophosphates, but resistance to carbamates was suspected in urban and semi-urban localities. Females from all localities showed resistance to pyrethroids but resistance prevalence and level were higher in urban and especially in semi-urban areas, compared to the rural population. Environment was also associated with susceptibility: adults reared from larvae collected in tires from the semi-urban site were significantly less resistant to pyrethroids than those collected from large outdoor drinking water containers ('drums'). Susceptibility to both pyrethroids tested was largely restored by pre-exposure to Piperonyl Butoxide (PBO), suggesting a strong metabolic basis to resistance. The 1534C kdr mutation was nearly fixed in semi-urban and urban areas but was far less common in the rural area, where the 1016I kdr mutation frequency was also significantly lower. P450 gene analysis detected limited over-expression of single candidates but significantly elevated average expression in the semi-urban site compared to both a susceptible laboratory colony, and females from the other collection sites. CONCLUSIONS/SIGNIFICANCE Our results reveal pyrethroid resistance and paired kdr mutations in both urban and semi-urban sites at levels that are unprecedented for mainland Africa. The combination of target site and metabolic mechanisms is common in Ae. aegypti populations from other continents but is a worrying finding for African populations. However, organophosphate insecticides are still active against both larvae and adults of Ae. aegypti, providing useful insecticidal options for control and resistance management.
Collapse
Affiliation(s)
- Athanase Badolo
- Laboratoire d’Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
- * E-mail:
| | - Aboubacar Sombié
- Laboratoire d’Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
| | - Patricia M. Pignatelli
- Department of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, United Kingdom
| | - Aboubakar Sanon
- Laboratoire d’Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
| | - Félix Yaméogo
- Laboratoire d’Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
| | - Dimitri W. Wangrawa
- Laboratoire d’Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
- Université Norbert Zongo, Koudougou, Burkina Faso
| | - Antoine Sanon
- Laboratoire d’Entomologie Fondamentale et Appliquée, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
| | - Hirotaka Kanuka
- Center for Medical Entomology, The Jikei University School of Medicine, Tokyo, Japan
- Department of Tropical Medicine, The Jikei University School of Medicine, Tokyo, Japan
| | - Philip J. McCall
- Department of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, United Kingdom
| | - David Weetman
- Department of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, United Kingdom
| |
Collapse
|
26
|
Altassan KK, Morin C, Shocket MS, Ebi K, Hess J. Dengue fever in Saudi Arabia: A review of environmental and population factors impacting emergence and spread. Travel Med Infect Dis 2019; 30:46-53. [PMID: 30978417 DOI: 10.1016/j.tmaid.2019.04.006] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2018] [Revised: 11/09/2018] [Accepted: 04/07/2019] [Indexed: 12/31/2022]
Abstract
Dengue fever (DF) is the most important mosquito-transmitted viral disease causing a large economic and disease burden in many parts of the world. Most DF research focuses on Latin America and Asia, where burdens are highest. There is a critical need for studies in other regions where DF is an important public health problem but less well-characterized and can differ, such as the Middle East. The first documented case of DF in Saudi Arabia occurred in 1993. After a decade of sporadic outbreaks, the disease was declared endemic in 2004 and this designation persists. Climate, sociodemographic factors, and increasing urbanization impact the spread of DF in Saudi Arabia, as in other areas. However, DF transmission in Saudi Arabia is also affected by several unique factors, including large numbers of migrant workers and religious pilgrims from other dengue endemic areas across the Middle East, North Africa, and Asia. Important knowledge gaps relate to the role of climatic factors as drivers of DF in Saudi Arabia and the role of foreign workers and pilgrims in the original and continuous importation of dengue virus. Filling these gaps would improve health system preparedness.
Collapse
Affiliation(s)
- Kholood K Altassan
- Department of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle, WA, 98195, USA.
| | - Cory Morin
- Department of Global Health, Schools of Medicine and Public Health, University of Washington, Seattle, WA, 98105, USA.
| | - Marta S Shocket
- Department of Biology, Stanford University, 371 Serra Mall Stanford, CA, 94305, USA.
| | - Kris Ebi
- Department of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle, WA, 98195, USA; Department of Global Health, Schools of Medicine and Public Health, University of Washington, Seattle, WA, 98105, USA.
| | - Jeremy Hess
- Department of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle, WA, 98195, USA; Department of Global Health, Schools of Medicine and Public Health, University of Washington, Seattle, WA, 98105, USA; Department of Environmental and Occupational Health Sciences, University of Washington, Box 357234 1959 NE Pacific Street, Seattle, WA, 98195, USA; Department of Emergency Medicine, School of Medicine, University of Washington, Seattle, WA, 98195, USA.
| |
Collapse
|
27
|
Sanou AS, Dirlikov E, Sondo KA, Kagoné TS, Yameogo I, Sow HE, Adjami AG, Traore SM, Dicko A, Tinto B, Diendere EA, Ouedraogo-Konate SMWK, Kiemtore T, Kangoye DT, Sangare L, Dama ETH, Fuller JA, Major CG, Tosado-Acevedo R, Sharp TM, Koné RG, Bicaba BW. Building Laboratory-Based Arbovirus Sentinel Surveillance Capacity During an Ongoing Dengue Outbreak, Burkina Faso, 2017. Health Secur 2019; 16:S103-S110. [PMID: 30480496 DOI: 10.1089/hs.2018.0048] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
In West Africa, identification of nonmalarial acute febrile illness (AFI) etiologic pathogens is challenging, given limited epidemiologic surveillance and laboratory testing, including for AFI caused by arboviruses. Consequently, public health action to prevent, detect, and respond to outbreaks is constrained, as experienced during dengue outbreaks in several African countries. We describe the successful implementation of laboratory-based arbovirus sentinel surveillance during a dengue outbreak in Burkina Faso during fall 2017. We describe implementation, surveillance methods, and associated costs of enhanced surveillance during an outbreak response as an effort to build capacity to better understand the burden of disease caused by arboviruses in Burkina Faso. The system improved on existing routine surveillance through an improved case report form, systematic testing of specimens, and linking patient information with laboratory results through a data management system. Lessons learned will improve arbovirus surveillance in Burkina Faso and will contribute to enhancing global health security in the region. Elements critical to the success of this intervention include responding to a specific and urgent request by the government of Burkina Faso and building on existing systems and infrastructure already supported by CDC's global health security program.
Collapse
Affiliation(s)
- Anselme Simeon Sanou
- Anselme Simeon Sanou, MD, is Senior Surveillance Advisor, the Division for Global Health Protection/Burkina Faso Country Office, US Centers for Disease Control and Prevention , Ouagadougou, Burkina Faso
| | - Emilio Dirlikov
- Emilio Dirlikov, PhD, is Emergency Public Health Epidemiologist, Division for Global Health Protection/Emergency Recovery and Response Branch/Global Rapid Response Team, the US Centers for Disease Control and Prevention , Atlanta, Georgia
| | - Kongnimissom Apoline Sondo
- Kongnimissom Apoline Sondo, MD, is Head of the Service, Service of Infectious Diseases, the Centre Hospitalier Universitaire Yalgado Ouedraogo , Ouagadougou, Burkina Faso
| | - Thérèse Samdapawindé Kagoné
- Thérèse Samdapawindé Kagoné, PhD, is Head of the Viral Hemorrhagic Fever laboratory, the Laboratoire National de Référence des Fièvres Hémorragiques Virales , Centre Muraz, Bobo-Dioulasso, Burkina Faso
| | - Issaka Yameogo
- Issaka Yameogo, MD, is a Medical Epidemiologist, the Direction de la Protection de la Santé de la Population, Ministère de la Sante, Ouagadougou, Burkina Faso
| | - Hyacinthe Euvrard Sow
- Hyacinthe Euvrard Sow, MD, is a Medical Epidemiologist, the Direction de la Protection de la Santé de la Population, Ministère de la Sante, Ouagadougou, Burkina Faso
| | - Aimé Gilles Adjami
- Aimé Gilles Adjami, PhD, is a Biologist and Executive Director, DAVYCAS International , Ouagadougou, Burkina Faso
| | - Siriky Martin Traore
- Siriky Martin Traore, PharmD, is a Medical Biologist, the Direction de la Protection de la Santé de la Population, Ministère de la Sante, Ouagadougou, Burkina Faso
| | - Amadou Dicko
- Amadou Dicko, DVM, is a Researcher, the Laboratoire National de Référence des Fièvres Hémorragiques Virales , Centre Muraz, Bobo-Dioulasso, Burkina Faso
| | - Bachirou Tinto
- Bachirou Tinto, PharmD, is a Researcher, the Laboratoire National de Référence des Fièvres Hémorragiques Virales , Centre Muraz, Bobo-Dioulasso, Burkina Faso
| | - Eric Arnaud Diendere
- Eric Arnaud Diendere, MD, is Infectiologist, Service of Infectious Diseases, the Centre Hospitalier Universitaire Yalgado Ouedraogo , Ouagadougou, Burkina Faso
| | - Sonia Marie W K Ouedraogo-Konate
- Sonia Marie W. K. Ouedraogo-Konate, MD, is a Medical Epidemiologist, the Direction de la Protection de la Santé de la Population, Ministère de la Sante, Ouagadougou, Burkina Faso
| | - Tanga Kiemtore
- Tanga Kiemtore, is Data Manager, the Direction de la Protection de la Santé de la Population, Ministère de la Sante, Ouagadougou, Burkina Faso
| | - David Tiga Kangoye
- David Tiga Kangoye, MD, is an Immuno Epidemiologist, Head of the Department of Public Health, the Centre Hospitalier Universitaire Yalgado Ouedraogo , Ouagadougou, Burkina Faso
| | - Lassana Sangare
- Lassana Sangare, PhD, is Virologist, Head of the Department of laboratories, the Centre Hospitalier Universitaire Yalgado Ouedraogo , Ouagadougou, Burkina Faso
| | - Emilie T H Dama
- Emilie T. H. Dama, PhD, is Senior Laboratory Advisor, the Division for Global Health Protection/Burkina Faso Country Office, US Centers for Disease Control and Prevention , Ouagadougou, Burkina Faso
| | - James A Fuller
- James A. Fuller, PhD, is an Epidemiologist, Division for Global Health Protection/Global Disease Detection Operations Center, the US Centers for Disease Control and Prevention , Atlanta, Georgia
| | - Chelsea G Major
- Chelsea G. Major, MPH, is a Public Health Advisor, the National Center for Emerging and Zoonotic Infectious Diseases/Division of Vector-Borne Diseases/Dengue Branch, US Centers for Disease Control and Prevention , San Juan, Puerto Rico
| | - Rafael Tosado-Acevedo
- Rafael Tosado-Acevedo, PhD, is a Microbiologist, the National Center for Emerging and Zoonotic Infectious Diseases/Division of Vector-Borne Diseases/Dengue Branch, US Centers for Disease Control and Prevention , San Juan, Puerto Rico
| | - Tyler M Sharp
- Tyler M. Sharp, PhD, is an Epidemiologist, the National Center for Emerging and Zoonotic Infectious Diseases/Division of Vector-Borne Diseases/Dengue Branch, US Centers for Disease Control and Prevention , San Juan, Puerto Rico
| | - Rebecca Greco Koné
- Rebecca Greco Koné, MPH, is Country Director, the Division for Global Health Protection/Burkina Faso Country Office, US Centers for Disease Control and Prevention , Ouagadougou, Burkina Faso
| | - Brice Wilfried Bicaba
- Brice Wilfried Bicaba, MD, is Director, the Direction de la Protection de la Santé de la Population, Ministère de la Sante, Ouagadougou, Burkina Faso
| |
Collapse
|
28
|
Hotez PJ, Biritwum NK, Fenwick A, Molyneux DH, Sachs JD. Ghana: Accelerating neglected tropical disease control in a setting of economic development. PLoS Negl Trop Dis 2019; 13:e0007005. [PMID: 30653493 PMCID: PMC6336233 DOI: 10.1371/journal.pntd.0007005] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Affiliation(s)
- Peter J. Hotez
- Texas Children’s Hospital Center for Vaccine Development, Departments of Pediatrics and Molecular Virology and Microbiology, National School of Tropical Medicine, Baylor College of Medicine, Houston, Texas, United States of America
- Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, Texas, United States of America
- Department of Biology, Baylor University, Waco, Texas, United States of America
- James A Baker III Institute of Public Policy, Rice University, Houston, Texas, United States of America
- Scowcroft Institute of International Affairs, Bush School of Government and Public Policy, Texas A&M University, College Station, Texas, United States of America
- * E-mail: (PJH); (N-KB); (AF); (DHM); (JDS)
| | - Nana-Kwadwo Biritwum
- Bill & Melinda Gates Foundation, Seattle, Washington, United States of America
- Ghana Health Service, Accra, Ghana
- * E-mail: (PJH); (N-KB); (AF); (DHM); (JDS)
| | - Alan Fenwick
- Department of Infectious Disease Epidemiology, Imperial College London, United Kingdom
- * E-mail: (PJH); (N-KB); (AF); (DHM); (JDS)
| | - David H. Molyneux
- Liverpool School of Tropical Medicine, Liverpool, United Kingdom
- * E-mail: (PJH); (N-KB); (AF); (DHM); (JDS)
| | - Jeffrey D. Sachs
- Center for Sustainable Development, Earth Institute, Columbia University, New York, New York, United States of America
- * E-mail: (PJH); (N-KB); (AF); (DHM); (JDS)
| |
Collapse
|
29
|
Bonney JHK, Hayashi T, Dadzie S, Agbosu E, Pratt D, Nyarko S, Asiedu-Bekoe F, Ido E, Sarkodie B, Ohta N, Yamaoka S. Molecular detection of dengue virus in patients suspected of Ebola virus disease in Ghana. PLoS One 2018; 13:e0208907. [PMID: 30566466 PMCID: PMC6300295 DOI: 10.1371/journal.pone.0208907] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2018] [Accepted: 11/26/2018] [Indexed: 12/28/2022] Open
Abstract
Dengue fever is known to be one of the most common arthropod-borne viral infectious diseases of public health importance. The disease is now endemic in more than 100 countries in Africa, the Americas, the Eastern Mediterranean, Southeast Asia and the Western Pacific with an estimated two fifths of the world's population being at risk. The notable endemic viral hemorrhagic fevers (VHFs) found in West Africa, including yellow fever, Lassa fever, Rift Valley fever, dengue fever and until recently Ebola have been responsible for most outbreaks with fatal consequences. These VHFs usually produce unclear acute febrile illness, especially in the acute phase of infection. In this study we detected the presence of 2 different serotypes (DENV-2 and DENV-3) of Dengue virus in 4 sera of 150 patients clinically suspected of Ebola virus disease during the Ebola Virus Disease (EVD) outbreak in West Africa with the use of serological and molecular test assays. Sequence data was successfully generated for DENV-3 and phylogenetic analysis of the envelope gene showed that the DENV-3 sequences had close homology with DENV-3 sequences from Senegal and India. This study documents molecular evidence of an indigenous Dengue fever viral infection in Ghana and therefore necessitates the need to have an efficient surveillance system to rapidly detect and control the dissemination of the different serotypes in the population which has the potential to cause outbreaks of dengue hemorrhagic fevers.
Collapse
Affiliation(s)
| | - Takaya Hayashi
- Virology Department, Noguchi Memorial Institute of Medical Research, University of Ghana, Legon, Ghana
- Tokyo Medical and Dental University, Tokyo, Japan
| | - Samuel Dadzie
- Virology Department, Noguchi Memorial Institute of Medical Research, University of Ghana, Legon, Ghana
| | - Esinam Agbosu
- Virology Department, Noguchi Memorial Institute of Medical Research, University of Ghana, Legon, Ghana
| | - Deborah Pratt
- Virology Department, Noguchi Memorial Institute of Medical Research, University of Ghana, Legon, Ghana
| | - Stephen Nyarko
- Virology Department, Noguchi Memorial Institute of Medical Research, University of Ghana, Legon, Ghana
| | | | - Eiji Ido
- Tokyo Medical and Dental University, Tokyo, Japan
| | - Badu Sarkodie
- Public Health Division, Ghana Health Service, Accra, Ghana
| | - Nobuo Ohta
- Tokyo Medical and Dental University, Tokyo, Japan
| | | |
Collapse
|
30
|
Degroote S, Zinszer K, Ridde V. Interventions for vector-borne diseases focused on housing and hygiene in urban areas: a scoping review. Infect Dis Poverty 2018; 7:96. [PMID: 30173670 PMCID: PMC6120073 DOI: 10.1186/s40249-018-0477-5] [Citation(s) in RCA: 18] [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: 02/13/2018] [Accepted: 08/06/2018] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND Over half the world's human populations are currently at risk from vector-borne diseases (VBDs), and the heaviest burden is borne by the world's poorest people, communities, and countries. The aim of this study was to conduct a review on VBD interventions relevant to housing and hygiene (including sanitation and waste management) in urban areas. MAIN BODY We conducted a scoping review, which involved systematically searching peer-reviewed and grey literature published between 2000 and 2016 using five scientific databases and one database for grey literature. Different data extraction tools were used for data coding and extraction. We assessed the quality of each study using the Mixed Methods Appraisal Tool and extracted descriptive characteristics and data about implementation process and transferability from all studies using the Template for Intervention Description and Replication and ASTAIRE (a tool for analyzing the transferability of health promotion interventions) tools. We reviewed 44 studies. Overall, the studies were judged to be of high risk for bias. Our results suggest multifaceted interventions, particularly community-based interventions, have the potential to achieve wider and more sustained effects than do standard vertical single-component programs. The evaluations of multifaceted interventions tend to include integrated evaluations, using not only entomological indicators but also acceptability and sustainability indicators. CONCLUSIONS This review highlighted the important need for higher quality research in VBDs and improved and standardized reporting of interventions. Significant research gaps were found regarding qualitative research and implementation research, and results highlighted the need for more interventions focus on sanitation and hygiene practices.
Collapse
Affiliation(s)
- Stéphanie Degroote
- University of Montreal Public Health Research Institute, Montreal, Canada.
| | - Kate Zinszer
- University of Montreal Public Health Research Institute, Montreal, Canada
| | - Valéry Ridde
- University of Montreal Public Health Research Institute, Montreal, Canada
- French Institute For Research on sustainable Development (IRD), IRD Paris Descartes University (CEPED), Paris Sorbonne Cities University, Erl Inserm Sagesud, Paris, France
| |
Collapse
|
31
|
Zongo S, Carabali M, Munoz M, Ridde V. Dengue rapid diagnostic tests: Health professionals' practices and challenges in Burkina Faso. SAGE Open Med 2018; 6:2050312118794589. [PMID: 30147936 PMCID: PMC6100125 DOI: 10.1177/2050312118794589] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2018] [Accepted: 07/23/2018] [Indexed: 12/23/2022] Open
Abstract
Objectives Dengue fever remains unrecognized and under-reported in Africa due to several factors, including health professionals' lack of awareness, important prevalence of other febrile illnesses, most of which are treated presumptively as malaria, and the absence of surveillance systems. In Burkina Faso, health centers have no diagnostic tools to identify and manage dengue, which remains ignored, despite the evidence of seasonal outbreaks in recent years. A qualitative study was conducted to analyze the use of rapid diagnostic tests in six health and social promotion centers (i.e. health-care centers, from the French Centers de Santé et de Promotion Sociale) of Ouagadougou (Burkina Faso) in an exploratory research context. Methods Dengue rapid diagnostic tests were introduced into fever-related consultations from December 2013 to January 2014. In-depth individual interviews were conducted in May and June 2014 with 32 health professionals. Results Prior to the introduction of the tests, dengue was not well known or diagnosed by health professionals during consultations. Most febrile cases were routinely presumed to be malaria and treated accordingly. With training and routine use of rapid diagnostic tests, health professionals became more knowledgeable about dengue, improving the diagnosis of non-malaria febrile cases and its management, and better prescription practices. Conclusions In a context of dengue re-emergence and high prevalence of other febrile illnesses, having rapid diagnostic tools available, especially during epidemics reinforces health professionals' diagnostic and prescribing capacities, allowing an opportune and accurate case management and facilitates diseases surveillance.
Collapse
Affiliation(s)
- Sylvie Zongo
- Département Socio-économie et Anthropologie du Développement, Institut des Sciences des Sociétés, Centre National de la Recherche Scientifique et Technologique, Ouagadougou, Burkina Faso
| | - Mabel Carabali
- Department of Epidemiology, Biostatistics and Occupational Health, McGill University Health Centre, Montreal, QC, Canada
| | - Marie Munoz
- Faculté de médicine, Université de Montréal, Montreal, QC, Canada
| | - Valéry Ridde
- IRD (French Institute For Research on sustainable Development), CEPED (IRD-Université Paris Descartes), Universités Paris Sorbonne Cités, ERL INSERM SAGESUD, Paris, France
| |
Collapse
|
32
|
Amoako N, Duodu S, Dennis FE, Bonney JHK, Asante KP, Ameh J, Mosi L, Hayashi T, Agbosu EE, Pratt D, Operario DJ, Fields B, Liu J, Houpt ER, Armah GE, Stoler J, Awandare GA. Detection of Dengue Virus among Children with Suspected Malaria, Accra, Ghana. Emerg Infect Dis 2018; 24:1544-1547. [PMID: 30015610 PMCID: PMC6056106 DOI: 10.3201/eid2408.180341] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
We report new molecular evidence of locally acquired dengue virus infections in Ghana. We detected dengue viral RNA among children with suspected malaria by using a multipathogen real-time PCR. Subsequent sequence analysis revealed a close relationship with dengue virus serotype 2, which was implicated in a 2016 outbreak in Burkina Faso.
Collapse
|
33
|
Awareness of Environmental Change, Climate Variability, and Their Role in Prevalence of Mosquitoes among Urban Dwellers in Southern Ghana. JOURNAL OF ENVIRONMENTAL AND PUBLIC HEALTH 2018; 2018:5342624. [PMID: 29853925 PMCID: PMC5964614 DOI: 10.1155/2018/5342624] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/29/2017] [Revised: 02/12/2018] [Accepted: 04/01/2018] [Indexed: 11/17/2022]
Abstract
This study evaluates the extent to which urban residents of Accra and Sekondi-Takoradi (all of southern Ghana) were aware of environment and climate-related variability. A total of 150 questionnaires were given to adults of 40 years and above who lived in the cities for at least 35 years. SPSS version 16 was used to process the data. Results show that all respondents in Accra Metropolitan Area (AMA) and 96% of them in Sekondi-Takoradi Metropolitan Area (STMA) noted the deteriorating vegetation cover over the cities. Similarly, 93% and 83% of them in AMA and STMA, respectively, observed that land use pattern of the two cities has changed considerably. There was positive and statistically significant correlation between respondents' educational attainment and their awareness of changes in land use/land cover (r = 0.18, n = 140, p = 0.03). Also, 71% in AMA and 89% in STMA stated that temperature of the cities had been increasing over the years. In all, 82.9% of the respondents mentioned that they had problem with the increasing population of mosquitoes. Respondents demonstrated ample knowledge of environment and climate variability and should be engaged in preventing further environmental degradation. The top-down approach to environmental issues has failed; the bottom-up approach to environmental maintenance is needed.
Collapse
|
34
|
Oliveira M, Saraiva DP, Cavadas B, Fernandes V, Pedro N, Casademont I, Koeth F, Alshamali F, Harich N, Cherni L, Sierra B, Guzman MG, Sakuntabhai A, Pereira L. Population genetics-informed meta-analysis in seven genes associated with risk to dengue fever disease. INFECTION GENETICS AND EVOLUTION 2018; 62:60-72. [PMID: 29673983 DOI: 10.1016/j.meegid.2018.04.018] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/09/2018] [Revised: 04/02/2018] [Accepted: 04/13/2018] [Indexed: 12/30/2022]
Abstract
Population genetics theory predicted that rare frequent markers would be the main contributors for heritability of complex diseases, but meta-analyses of genome-wide association studies are revealing otherwise common markers, present in all population groups, as the identified candidate genes. In this work, we applied a population-genetics informed meta-analysis to 10 markers located in seven genes said to be associated with dengue fever disease. Seven markers (in PLCE1, CD32, CD209, OAS1 and OAS3 genes) have high-frequency and the other three (in MICB and TNFA genes) have intermediate frequency. Most of these markers have high discriminatory power between population groups, but their frequencies follow the rules of genetic drift, and seem to have not been under strong selective pressure. There was a good agreement in directional consistency across trans-ethnic association signals, in East Asian and Latin American cohorts, with heterogeneity generated by randomness between studies and especially by low sample sizes. This led to confirm the following significant associations: with DF, odds ratio of 0.67 for TNFA-rs1800629-A; with DHF, 0.82 for CD32-rs1801274-G; with DSS, 0.55 for OAS3-rs2285933-G, 0.80 for PLCE1-rs2274223-G and 1.32 for MICB-rs3132468-C. The overall genetic risks confirmed sub-Saharan African populations and descendants as the best protected against the severer forms of the disease, while Southeast and Northeast Asians are the least protected ones. European and close neighbours are the best protected against dengue fever, while, again, Southeast and Northeast Asians are the least protected ones. These risk scores provide important predictive information for the largely naïve European and North American regions, as well as for Africa where misdiagnosis with other hemorrhagic diseases is of concern.
Collapse
Affiliation(s)
- Marisa Oliveira
- i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto, 4200-135 Porto, Portugal; Instituto de Patologia e Imunologia Molecular da Universidade do Porto (IPATIMUP), 4200-135 Porto, Portugal; Instituto de Ciências Biomédicas Abel Salazar (ICBAS), Universidade do Porto, 4050-313 Porto, Portugal; Institut Pasteur, Functional Genetics of Infectious Diseases Unit, 75724 Paris Cedex 15, France
| | - Diana P Saraiva
- i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto, 4200-135 Porto, Portugal; Instituto de Patologia e Imunologia Molecular da Universidade do Porto (IPATIMUP), 4200-135 Porto, Portugal; Institut Pasteur, Functional Genetics of Infectious Diseases Unit, 75724 Paris Cedex 15, France
| | - Bruno Cavadas
- i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto, 4200-135 Porto, Portugal; Instituto de Patologia e Imunologia Molecular da Universidade do Porto (IPATIMUP), 4200-135 Porto, Portugal; Instituto de Ciências Biomédicas Abel Salazar (ICBAS), Universidade do Porto, 4050-313 Porto, Portugal
| | - Verónica Fernandes
- i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto, 4200-135 Porto, Portugal; Instituto de Patologia e Imunologia Molecular da Universidade do Porto (IPATIMUP), 4200-135 Porto, Portugal
| | - Nicole Pedro
- i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto, 4200-135 Porto, Portugal; Instituto de Patologia e Imunologia Molecular da Universidade do Porto (IPATIMUP), 4200-135 Porto, Portugal
| | - Isabelle Casademont
- Institut Pasteur, Functional Genetics of Infectious Diseases Unit, 75724 Paris Cedex 15, France; Pasteur Kyoto International Joint Research Unit for Integrative Vaccinomics, Kyoto, Japan
| | - Fanny Koeth
- Institut Pasteur, Functional Genetics of Infectious Diseases Unit, 75724 Paris Cedex 15, France; Pasteur Kyoto International Joint Research Unit for Integrative Vaccinomics, Kyoto, Japan
| | - Farida Alshamali
- General Department of Forensic Sciences and Criminology, Dubai Police General Headquarters, PO Box 1493, Dubai, United Arab Emirates
| | - Nourdin Harich
- Laboratoire des Sciences Anthropogénétiques et Biotechnologies, Départment de Biologie, Université Chouaïb Doukkali, El Jadida 24000, Morocco
| | - Lotfi Cherni
- Laboratory of Genetics, Immunology and Human Pathology, Faculté de Sciences de Tunis, Université de Tunis El Manar, Tunis 2092, Tunisia; Tunis and High Institute of Biotechnology, University of Monastir, 5000 Monastir, Tunisia
| | - Beatriz Sierra
- Virology Department, PAHO/WHO Collaborating Center for the Study of Dengue and its Vector, Pedro Kourí Institute of Tropical Medicine (IPK), 601 Havana, Cuba
| | - Maria G Guzman
- Virology Department, PAHO/WHO Collaborating Center for the Study of Dengue and its Vector, Pedro Kourí Institute of Tropical Medicine (IPK), 601 Havana, Cuba
| | - Anavaj Sakuntabhai
- Institut Pasteur, Functional Genetics of Infectious Diseases Unit, 75724 Paris Cedex 15, France; Pasteur Kyoto International Joint Research Unit for Integrative Vaccinomics, Kyoto, Japan; CNRS UMR2000: Génomique évolutive, modélisation et santé (GEMS), Paris, France
| | - Luisa Pereira
- i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto, 4200-135 Porto, Portugal; Instituto de Patologia e Imunologia Molecular da Universidade do Porto (IPATIMUP), 4200-135 Porto, Portugal; Faculdade de Medicina da Universidade do Porto, Portugal.
| |
Collapse
|
35
|
Weetman D, Kamgang B, Badolo A, Moyes CL, Shearer FM, Coulibaly M, Pinto J, Lambrechts L, McCall PJ. Aedes Mosquitoes and Aedes-Borne Arboviruses in Africa: Current and Future Threats. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15020220. [PMID: 29382107 PMCID: PMC5858289 DOI: 10.3390/ijerph15020220] [Citation(s) in RCA: 130] [Impact Index Per Article: 21.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/12/2017] [Revised: 01/23/2018] [Accepted: 01/24/2018] [Indexed: 12/21/2022]
Abstract
The Zika crisis drew attention to the long-overlooked problem of arboviruses transmitted by Aedes mosquitoes in Africa. Yellow fever, dengue, chikungunya and Zika are poorly controlled in Africa and often go unrecognized. However, to combat these diseases, both in Africa and worldwide, it is crucial that this situation changes. Here, we review available data on the distribution of each disease in Africa, their Aedes vectors, transmission potential, and challenges and opportunities for Aedes control. Data on disease and vector ranges are sparse, and consequently maps of risk are uncertain. Issues such as genetic and ecological diversity, and opportunities for integration with malaria control, are primarily African; others such as ever-increasing urbanization, insecticide resistance and lack of evidence for most control-interventions reflect problems throughout the tropics. We identify key knowledge gaps and future research areas, and in particular, highlight the need to improve knowledge of the distributions of disease and major vectors, insecticide resistance, and to develop specific plans and capacity for arboviral disease surveillance, prevention and outbreak responses.
Collapse
Affiliation(s)
- David Weetman
- Department of Vector Biology, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA, UK.
| | - Basile Kamgang
- Centre for Research in Infectious Diseases, Yaoundé PO Box 13501, Cameroon.
| | - Athanase Badolo
- Laboratoire d'Entomologie Fondamentale et Appliquée (LEFA), Université Ouaga 1 Pr Joseph Ki-Zerbo, Ouagadougou 03 BP 7021, Burkina Faso.
| | - Catherine L Moyes
- Big Data Institute, Li Ka Shing Centre for Health Information and Discovery, University of Oxford, Oxford OX3 7LF, UK.
| | - Freya M Shearer
- Big Data Institute, Li Ka Shing Centre for Health Information and Discovery, University of Oxford, Oxford OX3 7LF, UK.
| | - Mamadou Coulibaly
- University of Sciences, Techniques and Technologies of Bamako, Bamako BP 1805, Mali.
| | - João Pinto
- Global Health and Tropical Medicine (GHTM), Instituto de Higiene e Medicina Tropical (IHMT), Universidade Nova de Lisboa (UNL), Rua da Junqueira 100, 1349-008 Lisbon, Portugal.
| | - Louis Lambrechts
- Insect-Virus Interactions, Department of Genomes and Genetics, Institut Pasteur, 75015 Paris, France.
- Centre National de la Recherche Scientifique, Unité Mixte de Recherche 2000, 75015 Paris, France.
| | - Philip J McCall
- Department of Vector Biology, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA, UK.
| |
Collapse
|
36
|
Galal L, Ajzenberg D, Hamidović A, Durieux MF, Dardé ML, Mercier A. Toxoplasma and Africa: One Parasite, Two Opposite Population Structures. Trends Parasitol 2017; 34:140-154. [PMID: 29174610 DOI: 10.1016/j.pt.2017.10.010] [Citation(s) in RCA: 47] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2017] [Revised: 10/25/2017] [Accepted: 10/26/2017] [Indexed: 02/01/2023]
Abstract
Exploring the genetic diversity of Toxoplasma gondii is essential for an understanding of its worldwide distribution and the determinants of its evolution. Africa remains one of the least studied areas of the world regarding T. gondii genetic diversity. This review has compiled published data on T. gondii strains from Africa to generate a comprehensive map of their continent-wide geographical distribution. The emerging picture about T. gondii strain distribution in Africa suggests a geographical separation of the parasite populations across the continent. We discuss the potential role of a number of factors in shaping this structure. We finally suggest the next steps towards a better understanding of Toxoplasma epidemiology in Africa in light of the strains circulating on this continent.
Collapse
Affiliation(s)
- Lokman Galal
- INSERM UMR_S 1094, Neuroépidémiologie Tropicale, Laboratoire de Parasitologie-Mycologie, Faculté de Médecine, Université de Limoges, Limoges 87025, France
| | - Daniel Ajzenberg
- INSERM UMR_S 1094, Neuroépidémiologie Tropicale, Laboratoire de Parasitologie-Mycologie, Faculté de Médecine, Université de Limoges, Limoges 87025, France; Service de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Limoges, 87042 Limoges, France
| | - Azra Hamidović
- INSERM UMR_S 1094, Neuroépidémiologie Tropicale, Laboratoire de Parasitologie-Mycologie, Faculté de Médecine, Université de Limoges, Limoges 87025, France
| | - Marie-Fleur Durieux
- Service de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Limoges, 87042 Limoges, France
| | - Marie-Laure Dardé
- INSERM UMR_S 1094, Neuroépidémiologie Tropicale, Laboratoire de Parasitologie-Mycologie, Faculté de Médecine, Université de Limoges, Limoges 87025, France; Service de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Limoges, 87042 Limoges, France; Centre National de Référence Toxoplasmose/Toxoplasma Biological Resource Center, Centre Hospitalier Universitaire de Limoges, 87042 Limoges, France
| | - Aurélien Mercier
- INSERM UMR_S 1094, Neuroépidémiologie Tropicale, Laboratoire de Parasitologie-Mycologie, Faculté de Médecine, Université de Limoges, Limoges 87025, France; Centre National de Référence Toxoplasmose/Toxoplasma Biological Resource Center, Centre Hospitalier Universitaire de Limoges, 87042 Limoges, France.
| |
Collapse
|
37
|
Sharp TM, Tomashek KM, Read JS, Margolis HS, Waterman SH. A New Look at an Old Disease: Recent Insights into the Global Epidemiology of Dengue. CURR EPIDEMIOL REP 2017; 4:11-21. [PMID: 28251039 PMCID: PMC5306284 DOI: 10.1007/s40471-017-0095-y] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
PURPOSE OF REVIEW By all measures, the morbidity and mortality due to dengue are continuing to worsen worldwide. Although both early and recent studies have demonstrated regional differences in how dengue affects local populations, these findings were to varying extents related to disparate surveillance approaches. RECENT FINDINGS Recent studies have broadened the recognized spectrum of disease resulting from DENV infection, particularly in adults, and have also demonstrated new mechanisms of DENV spread both within and between populations. New results regarding the frequency and duration of homo- and heterotypic anti-DENV antibodies have provided important insights relevant to vaccine design and implementation. SUMMARY These observations and findings as well as difficulties in comparing the epidemiology of dengue within and between regions of the world underscore the need for population-based dengue surveillance worldwide. Enhanced surveillance should be implemented to complement passive surveillance in countries in the tropics to establish baseline data in order to define affected populations and evaluate the impact of dengue vaccines and novel vector control interventions.
Collapse
Affiliation(s)
- Tyler M. Sharp
- Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, 1324 Calle Cañada, San Juan, PR 00920-3860 USA
| | - Kay M. Tomashek
- Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, 1324 Calle Cañada, San Juan, PR 00920-3860 USA
| | - Jennifer S. Read
- Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, 1324 Calle Cañada, San Juan, PR 00920-3860 USA
| | - Harold S. Margolis
- Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, 1324 Calle Cañada, San Juan, PR 00920-3860 USA
| | - Stephen H. Waterman
- Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, 1324 Calle Cañada, San Juan, PR 00920-3860 USA
| |
Collapse
|
38
|
Fournet F, Rican S, Vaillant Z, Roudot A, Meunier-Nikiema A, Kassié D, Dabiré RK, Salem G. The Influence of Urbanization Modes on the Spatial Circulation of Flaviviruses within Ouagadougou (Burkina Faso). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2016; 13:E1226. [PMID: 27973402 PMCID: PMC5201367 DOI: 10.3390/ijerph13121226] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/20/2016] [Revised: 11/30/2016] [Accepted: 12/07/2016] [Indexed: 11/16/2022]
Abstract
Dengue is an emerging infectious disease of global significance. Although this virus has been reported for a long time, its significance within the burden of diseases in West Africa is not obvious, especially in Burkina Faso. Our objective was to evaluate flavivirus presence in Ouagadougou (Burkina Faso) and the link between anti-flavivirus antibody seroprevalence and urbanization modes. A population-based cross-sectional survey was conducted and 3015 children were enrolled from Ouagadougou districts with different types and degrees of urbanization (with/without equipment and high/low building density). Flavivirus (FLAV) IgM MAC-ELISA and FLAV indirect IgG ELISA were performed. Associations between FLAV IgG presence (sign of past infection) and various independent variables were assessed using the chi-square test and a multivariate logistic regression analysis. The apparent prevalence of past flavivirus infections among the enrolled children was 22.7% (95% CI: 22.4-26.7) (n = 685). Eleven children (0.4%; 95% CI: 0.61-2.14) were positive for FLAV IgM, indicating active transmission. Factors associated with flavivirus infection were identified among the enrolled children (age, sex), householders (educational level, asset index) and in the environment (building density, water access, waste management and house appearance); however, they showed great variability according to the city districts. The water access modality did not significantly influence FLAV IgG positivity. Conversely, apparently good practices of waste management had unexpected consequences (increased risk related to municipal dumpsters). Given the scale of ongoing urbanization and the spread of arboviral diseases, close collaboration between health and city stakeholders is needed.
Collapse
Affiliation(s)
- Florence Fournet
- Unité Mixte de Recherche Maladies Infectieuses et Vecteurs: Ecologie, Génétique, Evolution et Contrôle (MIVEGEC), Institut de Recherche pour le Développement, Montpellier 34394, France.
- Institut de Recherche en Sciences de la Santé/Centre Muraz, Bobo-Dioulasso BP 545, Burkina Faso.
| | - Stéphane Rican
- Laboratoire Dynamiques Sociales et Recomposition des Espaces (LADYSS), Université Paris Ouest Nanterre La Défense, Nanterre 92000, France.
| | - Zoé Vaillant
- Laboratoire Dynamiques Sociales et Recomposition des Espaces (LADYSS), Université Paris Ouest Nanterre La Défense, Nanterre 92000, France.
| | - Anna Roudot
- Laboratoire Dynamiques Sociales et Recomposition des Espaces (LADYSS), Université Paris Ouest Nanterre La Défense, Nanterre 92000, France.
| | | | - Daouda Kassié
- Laboratoire Dynamiques Sociales et Recomposition des Espaces (LADYSS), Université Paris Ouest Nanterre La Défense, Nanterre 92000, France.
- Unité Recherche Animal et Gestion Intégrée des Risques (AGIRS), Centre de Coopération Internationale en Recherche Agronomique pour le Développement, Montpellier 34398, France.
| | - Roch K Dabiré
- Institut de Recherche en Sciences de la Santé/Centre Muraz, Bobo-Dioulasso BP 545, Burkina Faso.
| | - Gérard Salem
- Laboratoire Dynamiques Sociales et Recomposition des Espaces (LADYSS), Université Paris Ouest Nanterre La Défense, Nanterre 92000, France.
- Unité Mixte de Recherche Centre Population et Développement (CEPED), Institut de Recherche pour le Développement, Paris 75006, France.
| |
Collapse
|
39
|
Stoler J, Awandare GA. Febrile illness diagnostics and the malaria-industrial complex: a socio-environmental perspective. BMC Infect Dis 2016; 16:683. [PMID: 27855644 PMCID: PMC5114833 DOI: 10.1186/s12879-016-2025-x] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2016] [Accepted: 11/14/2016] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Global prioritization of single-disease eradication programs over improvements to basic diagnostic capacity in the Global South have left the world unprepared for epidemics of chikungunya, Ebola, Zika, and whatever lies on the horizon. The medical establishment is slowly realizing that in many parts of sub-Saharan Africa (SSA), particularly urban areas, up to a third of patients suffering from acute fever do not receive a correct diagnosis of their infection. MAIN BODY Malaria is the most common diagnosis for febrile patients in low-resource health care settings, and malaria misdiagnosis has soared due to the institutionalization of malaria as the primary febrile illness of SSA by international development organizations and national malaria control programs. This has inadvertently created a "malaria-industrial complex" and historically obstructed our complete understanding of the continent's complex communicable disease epidemiology, which is currently dominated by a mélange of undiagnosed febrile illnesses. We synthesize interdisciplinary literature from Ghana to highlight the complexity of communicable disease care in SSA from biomedical, social, and environmental perspectives, and suggest a way forward. CONCLUSION A socio-environmental approach to acute febrile illness etiology, diagnostics, and management would lead to substantial health gains in Africa, including more efficient malaria control. Such an approach would also improve global preparedness for future epidemics of emerging pathogens such as chikungunya, Ebola, and Zika, all of which originated in SSA with limited baseline understanding of their epidemiology despite clinical recognition of these viruses for many decades. Impending ACT resistance, new vaccine delays, and climate change all beckon our attention to proper diagnosis of fevers in order to maximize limited health care resources.
Collapse
Affiliation(s)
- Justin Stoler
- Department of Geography and Regional Studies, University of Miami, Coral Gables, FL USA
- Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, FL USA
- Abess Center for Ecosystem Science and Policy, University of Miami, Coral Gables, FL USA
| | - Gordon A. Awandare
- West African Centre for Cell Biology of Infectious Pathogens, University of Ghana, Legon, Ghana
- Department of Biochemistry, Cell and Molecular Biology, University of Ghana, Legon, Ghana
| |
Collapse
|
40
|
Onoja A, Adeniji J, Olaleye O. High rate of unrecognized dengue virus infection in parts of the rainforest region of Nigeria. Acta Trop 2016; 160:39-43. [PMID: 27140859 DOI: 10.1016/j.actatropica.2016.04.007] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2015] [Revised: 04/15/2016] [Accepted: 04/17/2016] [Indexed: 01/17/2023]
Abstract
Outbreaks and sporadic dengue virus infections continue to occur in Africa. Several reports of dengue among travellers returning from some African countries to Europe and North America have raised concerns about the epidemiological situation in Africa. We investigated recent dengue infections in febrile patients during the rainy season in various urban centres in the rainforest region of Nigeria, West Africa. This cross-sectional study was conducted for 8 months in 2014 with study participants from Adeoyo Hospital Yemetu - Ibadan, Nigeria. Plasma were collected from 274 febrile patients residing in 11 Local Government Areas of Oyo State. IgM antibodies were determined using semi-quantitative sandwich ELISA. Data was analyzed using Chi - Square and Fisher's exact test with SPSS 16.0. An overall prevalence of 23.4% dengue virus infection was found among study participants. Highest monthly prevalence of 40% was in April and August. The monthly distribution pattern of dengue virus infection indicates efficient virus transmission. Routine diagnosis will enhance dengue virus surveillance and improve patient care in West Africa.
Collapse
|
41
|
Deraney RN, Mace CR, Rolland JP, Schonhorn JE. Multiplexed, Patterned-Paper Immunoassay for Detection of Malaria and Dengue Fever. Anal Chem 2016; 88:6161-5. [PMID: 27186893 DOI: 10.1021/acs.analchem.6b00854] [Citation(s) in RCA: 56] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Multiplex assays detect the presence of more than one analyte in a sample. For diagnostic applications, multiplexed tests save healthcare providers time and resources by performing many assays in parallel, minimizing the amount of sample needed and improving the quality of information acquired regarding the health status of a patient. These advantages are of particular importance for those diseases that present with general, overlapping symptoms, which makes presumptive treatments inaccurate and may put the patient at risk. For example, malaria and dengue fever are febrile illnesses transmitted through mosquito bites, and these common features make it difficult to obtain an accurate diagnosis by symptoms alone. In this manuscript, we describe the development of a multiplexed, patterned paper immunoassay for the detection of biomarkers of malaria and dengue fever: malaria HRP2, malaria pLDH, and dengue NS1 type 2. In areas coendemic for malaria and dengue fever, this assay could be used as a rapid, point-of-care diagnostic to determine the cause of a fever of unknown origin. The reagents required for each paper-based immunoassay are separated spatially within a three-dimensional device architecture, which allows the experimental conditions to be adjusted independently for each assay. We demonstrate the analytical performances of paper-based assays for each biomarker and we show that there is no significant difference in performance between the multiplexed immunoassay and those immunoassays performed in singleplex. Additionally, we spiked individual analytes into lysed human blood to demonstrate specificity in a clinically relevant sample matrix. Our results suggest multiplex paper-based devices can be an essential component of diagnostic assays used at the point-of-care.
Collapse
Affiliation(s)
- Rachel N Deraney
- Diagnostics For All , 840 Memorial Drive, Cambridge, Massachusetts 02139, United States
| | - Charles R Mace
- Department of Chemistry, Tufts University , 62 Talbot Avenue, Medford, Massachusetts 02155, United States
| | - Jason P Rolland
- Diagnostics For All , 840 Memorial Drive, Cambridge, Massachusetts 02139, United States
| | - Jeremy E Schonhorn
- Diagnostics For All , 840 Memorial Drive, Cambridge, Massachusetts 02139, United States
| |
Collapse
|
42
|
Ridde V, Agier I, Bonnet E, Carabali M, Dabiré KR, Fournet F, Ly A, Meda IB, Parra B. Presence of three dengue serotypes in Ouagadougou (Burkina Faso): research and public health implications. Infect Dis Poverty 2016; 5:23. [PMID: 27044528 PMCID: PMC4820922 DOI: 10.1186/s40249-016-0120-2] [Citation(s) in RCA: 58] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2015] [Accepted: 03/15/2016] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND The significant malaria burden in Africa has often eclipsed other febrile illnesses. Burkina Faso's first dengue epidemic occurred in 1925 and the most recent in 2013. Yet there is still very little known about dengue prevalence, its vector proliferation, and its poverty and equity impacts. METHODS An exploratory cross-sectional survey was performed from December 2013 to January 2014. Six primary healthcare centers in Ouagadougou were selected based on previously reported presence of Flavivirus. All patients consulting with fever or having had fever within the previous week and with a negative rapid diagnostic test (RDT) for malaria were invited to participate. Sociodemographic data, healthcare use and expenses, mobility, health-related status, and vector control practices were captured using a questionnaire. Blood samples of every eligible subject were obtained through finger pricks during the survey for dengue RDT using SD BIOLINE Dengue Duo (NS1Ag and IgG/IgM)® and to obtain blood spots for reverse transcription polymerase chain reaction (RT-PCR) analysis. In a sample of randomly selected yards and those of patients, potential Aedes breeding sites were found and described. Larvae were collected and brought to the laboratory to monitor the emergence of adults and identify the species. RESULTS Of the 379 subjects, 8.7 % (33/379) had positive RDTs for dengue. Following the 2009 WHO classification, 38.3 % (145/379) had presumptive, probable, or confirmed dengue, based on either clinical symptoms or laboratory testing. Of 60 samples tested by RT-PCR (33 from the positive tests and 27 from the subsample of negatives), 15 were positive. The serotypes observed were DENV2, DENV3, and DENV4. Odds of dengue infection in 15-to-20-year-olds and persons over 50 years were 4.0 (CI 95 %: 1.0-15.6) and 7.7 (CI 95 %: 1.6-37.1) times higher, respectively, than in children under five. Average total spending for a dengue episode was 13 771 FCFA [1 300-67 300 FCFA] (1$US = 478 FCFA). On average, 2.6 breeding sites were found per yard. Potential Aedes breeding sites were found near 71.4 % (21/28) of patients, but no adult Aedes were found. The most frequently identified potential breeding sites were water storage containers (45.2 %). Most specimens collected in yards were Culex (97.9 %). CONCLUSIONS The scientific community, public health authorities, and health workers should consider dengue as a possible cause of febrile illness in Burkina Faso.
Collapse
Affiliation(s)
- Valéry Ridde
- />Department of Social and Preventive Medicine, University of Montreal School of Public Health (ESPUM), Montréal, Canada
- />University of Montreal Public Health Research Institute (IRSPUM), Pavillon 7101 Avenue du Parc, P.O. Box 6128, Centre-ville Station, Montreal, Quebec H3C 3J7 Canada
| | - Isabelle Agier
- />University of Montreal Public Health Research Institute (IRSPUM), Pavillon 7101 Avenue du Parc, P.O. Box 6128, Centre-ville Station, Montreal, Quebec H3C 3J7 Canada
| | - Emmanuel Bonnet
- />Identités et Différenciations de l’Environnement des Espaces et des Sociétés – Caen (IDEES), University of Caen Basse-Normandie, Caen, France
| | - Mabel Carabali
- />International Vaccine Institute, Dengue Vaccine Initiative, SNU Research Park, 1 Gwanak-ro, Gwanak-gu, Seoul, 151-742 Korea
| | - Kounbobr Roch Dabiré
- />Institut de Recherche en Sciences de la Santé (IRSS), B.P. 545 Bobo-Dioulasso, Burkina Faso
| | - Florence Fournet
- />Unité Maladies infectieuses et vecteurs : écologie, génétique, évolution et contrôle (MIVEGEC), Institut de recherche pour le développement (IRD), B.P. 171 Bobo-Dioulasso, Burkina Faso
| | - Antarou Ly
- />Institut de Recherche en Sciences de la Santé (IRSS), 03 B.P. 7192 Ouagadougou, Burkina Faso
| | | | - Beatriz Parra
- />Grupo de Virus Emergentes y Enfermedad, Departamento de Microbiología Universidad del Valle, Cali, Colombia
| |
Collapse
|
43
|
Seroprevalence of antibodies against dengue virus among pregnant women in the Democratic Republic of Sao Tome and Principe. Acta Trop 2016; 155:58-62. [PMID: 26739653 DOI: 10.1016/j.actatropica.2015.12.012] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2015] [Revised: 12/21/2015] [Accepted: 12/23/2015] [Indexed: 11/22/2022]
Abstract
Dengue fever has become a worldwide public health concern, threatening an estimated 40% of the world's population. However, most resources and attention are still focused on malaria, while dengue statuses are poorly recognized in many African countries. In this serological survey, dengue virus (DENV) transmission was demonstrated by using serum samples collected from 78 pregnant women in the Democratic Republic of Sao Tome and Principe (DRSTP) during 2003 to 2004. Immunofluorescence assay was performed and 31 samples (39.74%) were found positive for DENV antibodies. Indirect enzyme-linked immunosorbent assay (ELISA) showed that 53 samples (67.95%) were positive for dengue E IgG, and 38 samples (48.72%) were positive for NS1 IgG. A prevalence of 35.90% was therefore determined for dengue IgG by considering samples that yielded positive results by all three tests. Cross-reactions with other flaviviruses were examined by indirect ELISA against Japanese encephalitis virus, West Nile virus, and yellow fever virus. Only one sample exhibited stronger absorbance against Japanese encephalitis virus and West Nile virus. Moreover, one sample was positive for dengue IgM. These results agreed with the previous researches in neighboring countries and suggested DENV exposure. The study contributes to raising public awareness of dengue and supporting future control strategies.
Collapse
|
44
|
Sharp TM, Moreira R, Soares MJ, Miguel da Costa L, Mann J, DeLorey M, Hunsperger E, Muñoz-Jordán JL, Colón C, Margolis HS, de Caravalho A, Tomashek KM. Underrecognition of Dengue during 2013 Epidemic in Luanda, Angola. Emerg Infect Dis 2016. [PMID: 26196224 PMCID: PMC4517701 DOI: 10.3201/eid2108.150368] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Case detection should be improved by instituting routine laboratory-based surveillance for acute febrile illnesses in Africa. Dengue in Angola During the 2013 dengue epidemic in Luanda, Angola, 811 dengue rapid diagnostic test–positive cases were reported to the Ministry of Health. To better understand the magnitude of the epidemic and identify risk factors for dengue virus (DENV) infection, we conducted cluster surveys around households of case-patients and randomly selected households 6 weeks after the peak of the epidemic. Of 173 case cluster participants, 16 (9%) exhibited evidence of recent DENV infection. Of 247 random cluster participants, 25 (10%) had evidence of recent DENV infection. Of 13 recently infected participants who had a recent febrile illness, 7 (54%) had sought medical care, and 1 (14%) was hospitalized with symptoms consistent with severe dengue; however, none received a diagnosis of dengue. Behavior associated with protection from DENV infection included recent use of mosquito repellent or a bed net. These findings suggest that the 2013 dengue epidemic was larger than indicated by passive surveillance data.
Collapse
|
45
|
Lwande OW, Obanda V, Bucht G, Mosomtai G, Otieno V, Ahlm C, Evander M. Global emergence of Alphaviruses that cause arthritis in humans. Infect Ecol Epidemiol 2015; 5:29853. [PMID: 26689654 PMCID: PMC4685977 DOI: 10.3402/iee.v5.29853] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2015] [Revised: 11/12/2015] [Accepted: 11/23/2015] [Indexed: 11/20/2022] Open
Abstract
Arthropod-borne viruses (arboviruses) may cause severe emerging and re-emerging infectious diseases, which pose a significant threat to human and animal health in the world today. These infectious diseases range from mild febrile illnesses, arthritis, and encephalitis to haemorrhagic fevers. It is postulated that certain environmental factors, vector competence, and host susceptibility have a major impact on the ecology of arboviral diseases. Presently, there is a great interest in the emergence of Alphaviruses because these viruses, including Chikungunya virus, O'nyong'nyong virus, Sindbis virus, Ross River virus, and Mayaro virus, have caused outbreaks in Africa, Asia, Australia, Europe, and America. Some of these viruses are more common in the tropics, whereas others are also found in temperate regions, but the actual factors driving Alphavirus emergence and re-emergence remain unresolved. Furthermore, little is known about the transmission dynamics, pathophysiology, genetic diversity, and evolution of circulating viral strains. In addition, the clinical presentation of Alphaviruses may be similar to other diseases such as dengue, malaria, and typhoid, hence leading to misdiagnosis. However, the typical presence of arthritis may distinguish between Alphaviruses and other differential diagnoses. The absence of validated diagnostic kits for Alphaviruses makes even routine surveillance less feasible. For that purpose, this review describes the occurrence, genetic diversity, clinical characteristics, and the mechanisms involving Alphaviruses causing arthritis in humans. This information may serve as a basis for better awareness and detection of Alphavirus-caused diseases during outbreaks and in establishing appropriate prevention and control measures.
Collapse
Affiliation(s)
| | - Vincent Obanda
- Veterinary Services Department, Kenya Wildlife Service, Nairobi, Kenya
| | - Göran Bucht
- Swedish Defence Research Agency, CBRN Defence and Security, Umeå, Sweden
| | - Gladys Mosomtai
- Earth Observation Unit, International Centre of Insect Physiology and Ecology, Nairobi, Kenya
| | - Viola Otieno
- IGAD Climate Prediction and Application Centre (ICPAC), Nairobi, Kenya
| | - Clas Ahlm
- Department of Clinical Microbiology, Infectious Diseases, Umeå University, Umeå, Sweden
| | - Magnus Evander
- Department of Clinical Microbiology, Virology, Umeå University, Umeå, Sweden
| |
Collapse
|
46
|
Bisanzio D, Mutuku F, LaBeaud AD, Mungai PL, Muinde J, Busaidy H, Mukoko D, King CH, Kitron U. Use of prospective hospital surveillance data to define spatiotemporal heterogeneity of malaria risk in coastal Kenya. Malar J 2015; 14:482. [PMID: 26625721 PMCID: PMC4665820 DOI: 10.1186/s12936-015-1006-7] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2015] [Accepted: 11/19/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Malaria in coastal Kenya shows spatial heterogeneity and seasonality, which are important factors to account for when planning an effective control system. Routinely collected data at health facilities can be used as a cost-effective method to acquire information on malaria risk for large areas. Here, data collected at one specific hospital in coastal Kenya were used to assess the ability of such passive surveillance to capture spatiotemporal heterogeneity of malaria and effectiveness of an augmented control system. METHODS Fever cases were tested for malaria at Msambweni sub-County Referral Hospital, Kwale County, Kenya, from October 2012 to March 2015. Remote sensing data were used to classify the development level of each monitored community and to identify the presence of rice fields nearby. An entomological study was performed to acquire data on the seasonality of malaria vectors in the study area. Rainfall data were obtained from a weather station located in proximity of the study area. Spatial analysis was applied to investigate spatial patterns of malarial and non-malarial fever cases. A space-time Bayesian model was performed to evaluate risk factors and identify locations at high malaria risk. Vector seasonality was analysed using a generalized additive mixed model (GAMM). RESULTS Among the 25,779 tested febrile cases, 28.7 % were positive for Plasmodium infection. Malarial and non-malarial fever cases showed a marked spatial heterogeneity. High risk of malaria was linked to patient age, community development level and presence of rice fields. The peak of malaria prevalence was recorded close to rainy seasons, which correspond to periods of high vector abundance. Results from the Bayesian model identified areas with significantly high malaria risk. The model also showed that the low prevalence of malaria recorded during late 2012 and early 2013 was associated with a large-scale bed net distribution initiative in the study area during mid-2012. CONCLUSIONS The results indicate that the use of passive surveillance was an effective method to detect spatiotemporal patterns of malaria risk in coastal Kenya. Furthermore, it was possible to estimate the impact of extensive bed net distribution on malaria prevalence among local fever cases over time. Passive surveillance based on georeferenced malaria testing is an important tool that control agencies can use to improve the effectiveness of interventions targeting malaria (and other causes of fever) in such high-risk locations.
Collapse
Affiliation(s)
- Donal Bisanzio
- Department of Environmental Sciences, Emory University, Atlanta, GA, USA. .,Department of Zoology, University of Oxford, Oxford, UK.
| | - Francis Mutuku
- Department of Environment and Health Sciences, Technical University of Mombasa, Mombasa, Kenya.
| | | | - Peter L Mungai
- Center for Global Health and Diseases, Case Western Reserve University, Cleveland, OH, USA.
| | - Jackson Muinde
- Vector-Borne Diseases Control Unit, Msambweni County Referral Hospital, Kwale, Msambweni, Kenya.
| | | | - Dunstan Mukoko
- Vector-Borne Diseases Control Unit, Ministry of Health, Nairobi, Kenya.
| | - Charles H King
- Center for Global Health and Diseases, Case Western Reserve University, Cleveland, OH, USA.
| | - Uriel Kitron
- Department of Environmental Sciences, Emory University, Atlanta, GA, USA.
| |
Collapse
|
47
|
L'Azou M, Succo T, Kamagaté M, Ouattara A, Gilbernair E, Adjogoua E, Luxemburger C. Dengue: etiology of acute febrile illness in Abidjan, Côte d'Ivoire, in 2011-2012. Trans R Soc Trop Med Hyg 2015; 109:717-22. [PMID: 26385938 PMCID: PMC4603269 DOI: 10.1093/trstmh/trv076] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2015] [Accepted: 08/20/2015] [Indexed: 01/22/2023] Open
Abstract
Background The burden of dengue in Africa is not well understood. A prospective study was conducted in Abidjan, Côte d'Ivoire from December 2011 to December 2012 to estimate the proportion of dengue and malaria cases among febrile patients during a period when dengue was not known to be circulating in the region, and to describe the clinical and virological characteristics of laboratory-diagnosed dengue cases. Methods Blood samples were taken from febrile patients (body temperature ≥38°C) at two study sites. Patients with fever lasting more than 7 days, with fever of known origin and with jaundice were excluded. Thick blood film tests, ELISA for anti-dengue IgM and reverse transcription-PCR (RT-PCR) were performed. Results A total of 812 patients were enrolled (51.7% male [48.3% female]; 46.4% aged <10 years) of whom 796 (98.0%) provided IgM ELISA and RT-PCR data, and 807 (99.4%) had thick blood film results. Three (0.4%) patients had laboratory-diagnosed dengue (one with DENV-3 serotype), none of whom were diagnosed clinically, and 234 (28.8%) had confirmed malaria. Conclusions This study suggests that dengue virus circulates in Abidjan outside an epidemic and that there should be an increase in awareness of dengue as a possible diagnosis in cases of undifferentiated fever. These results stress the importance of implementing laboratory capacity to assess dengue burden in Africa.
Collapse
Affiliation(s)
- Maïna L'Azou
- Global Epidemiology Department, Sanofi Pasteur, Avenue Pont Pasteur 69367 Lyon cedex 07, France
| | - Tiphanie Succo
- Global Epidemiology Department, Sanofi Pasteur, Avenue Pont Pasteur 69367 Lyon cedex 07, France
| | | | - Abdoulaye Ouattara
- Epidemiology and Clinical Research Department, Pasteur Institute, Abidjan, Côte d'Ivoire
| | | | - Edgar Adjogoua
- Endemic Viruses Department, Pasteur Institute, Abidjan, Côte d'Ivoire
| | - Christine Luxemburger
- Global Epidemiology Department, Sanofi Pasteur, Avenue Pont Pasteur 69367 Lyon cedex 07, France
| |
Collapse
|
48
|
Faburay B. The case for a 'one health' approach to combating vector-borne diseases. Infect Ecol Epidemiol 2015; 5:28132. [PMID: 26027713 PMCID: PMC4450247 DOI: 10.3402/iee.v5.28132] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2015] [Revised: 04/29/2015] [Accepted: 04/29/2015] [Indexed: 12/03/2022] Open
Affiliation(s)
- Bonto Faburay
- Department of Diagnostic Medicine/Pathobiology, College of Veterinary Medicine, Kansas State University, Manhattan, KS, USA;
| |
Collapse
|
49
|
Jankowska MM, Stoler J, Ofiesh C, Rain D, Weeks JR. Agency, access, and Anopheles: neighborhood health perceptions and the implications for community health interventions in Accra, Ghana. Glob Health Action 2015; 8:26492. [PMID: 25997424 PMCID: PMC4440875 DOI: 10.3402/gha.v8.26492] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2014] [Revised: 03/30/2015] [Accepted: 03/31/2015] [Indexed: 12/02/2022] Open
Abstract
Background Social and environmental factors are increasingly recognized for their ability to influence health outcomes at both individual and neighborhood scales in the developing urban world. Yet issues of spatial heterogeneity in these complex environments may obscure unique elements of neighborhood life that may be protective or harmful to human health. Resident perceptions of neighborhood effects on health may help to fill gaps in our interpretation of household survey results and better inform how to plan and execute neighborhood-level health interventions. Objective We evaluate differences in housing and socioeconomic indicators and health, environment, and neighborhood perceptions derived from the analysis of a household survey and a series of focus groups in Accra, Ghana. We then explore how neighborhood perceptions can inform survey results and ultimately neighborhood-level health interventions. Design Eleven focus groups were conducted across a socioeconomically stratified sample of neighborhoods in Accra, Ghana. General inductive themes from the focus groups were analyzed in tandem with data collected in a 2009 household survey of 2,814 women. In-depth vignettes expand upon the three most salient emergent themes. Results Household and socioeconomic characteristics derived from the focus groups corroborated findings from the survey data. Focus group and survey results diverged for three complex health issues: malaria, health-care access, and sense of personal agency in promoting good health. Conclusion Three vignettes reflecting community views about malaria, health-care access, and sense of personal agency in promoting good health highlight the challenges facing community health interventions in Accra and exemplify how qualitatively derived neighborhood-level health effects can help shape health interventions.
Collapse
Affiliation(s)
- Marta M Jankowska
- Department of Family Medicine and Public Health, University of California San Diego, San Diego, CA, USA;
| | - Justin Stoler
- Department of Geography and Regional Studies, University of Miami, Coral Gables, FL, USA.,Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, FL, USA
| | - Caetlin Ofiesh
- Department of Geography, The George Washington University, Washington, DC, USA
| | - David Rain
- Department of Geography, The George Washington University, Washington, DC, USA
| | - John R Weeks
- Department of Geography, San Diego State University, San Diego, CA, USA
| |
Collapse
|
50
|
Ellis EM, Neatherlin JC, Delorey M, Ochieng M, Mohamed AH, Mogeni DO, Hunsperger E, Patta S, Gikunju S, Waiboic L, Fields B, Ofula V, Konongoi SL, Torres-Velasquez B, Marano N, Sang R, Margolis HS, Montgomery JM, Tomashek KM. A household serosurvey to estimate the magnitude of a dengue outbreak in Mombasa, Kenya, 2013. PLoS Negl Trop Dis 2015; 9:e0003733. [PMID: 25923210 PMCID: PMC4414477 DOI: 10.1371/journal.pntd.0003733] [Citation(s) in RCA: 50] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2014] [Accepted: 03/31/2015] [Indexed: 02/01/2023] Open
Abstract
Dengue appears to be endemic in Africa with a number of reported outbreaks. In February 2013, several individuals with dengue-like illnesses and negative malaria blood smears were identified in Mombasa, Kenya. Dengue was laboratory confirmed and an investigation was conducted to estimate the magnitude of local transmission including a serologic survey to determine incident dengue virus (DENV) infections. Consenting household members provided serum and were questioned regarding exposures and medical history. RT-PCR was used to identify current DENV infections and IgM anti-DENV ELISA to identify recent infections. Of 1,500 participants from 701 households, 210 (13%) had evidence of current or recent DENV infection. Among those infected, 93 (44%) reported fever in the past month. Most (68, 73%) febrile infected participants were seen by a clinician and all but one of 32 participants who reportedly received a diagnosis were clinically diagnosed as having malaria. Having open windows at night (OR = 2.3; CI: 1.1-4.8), not using daily mosquito repellent (OR = 1.6; CI: 1.0-2.8), and recent travel outside of Kenya (OR = 2.5; CI: 1.1-5.4) were associated with increased risk of DENV infection. This survey provided a robust measure of incident DENV infections in a setting where cases were often unrecognized and misdiagnosed.
Collapse
Affiliation(s)
- Esther M. Ellis
- Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, San Juan, Puerto Rico
| | - John C. Neatherlin
- Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Nairobi, Kenya
| | - Mark Delorey
- Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado, United States of America
| | - Melvin Ochieng
- Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Nairobi, Kenya
| | | | - Daniel Ondari Mogeni
- Center for Global Health Research, Kenya Medical Research Institute, Nairobi, Kenya
| | - Elizabeth Hunsperger
- Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, San Juan, Puerto Rico
| | | | - Stella Gikunju
- Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado, United States of America
| | - Lilian Waiboic
- Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Nairobi, Kenya
| | - Barry Fields
- Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Nairobi, Kenya
| | - Victor Ofula
- Centre for Virus Research, Kenya Medical Research Institute, Nairobi, Kenya
| | | | - Brenda Torres-Velasquez
- Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, San Juan, Puerto Rico
| | - Nina Marano
- Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Nairobi, Kenya
| | - Rosemary Sang
- Centre for Virus Research, Kenya Medical Research Institute, Nairobi, Kenya
| | - Harold S. Margolis
- Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, San Juan, Puerto Rico
- * E-mail:
| | - Joel M. Montgomery
- Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Nairobi, Kenya
| | - Kay M. Tomashek
- Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, San Juan, Puerto Rico
| |
Collapse
|