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Das PR, Khan SA, Rahman JM, Dewan SMR. Effective Preventative Measures are Essential to Lower Disease Burden From Dengue and COVID-19 Co-infection in Bangladesh. ENVIRONMENTAL HEALTH INSIGHTS 2023; 17:11786302231212774. [PMID: 38035255 PMCID: PMC10685758 DOI: 10.1177/11786302231212774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Accepted: 10/22/2023] [Indexed: 12/02/2023]
Abstract
Bangladesh is widely recognized as one of the dengue prone nations, and empirical evidence has consistently demonstrated an upward trend in the severity of the disease over time. With the persistent occurrence of dengue in Bangladesh and the ongoing presence of COVID-19, which has not been fully eradicated and may persist for an uncertain period of time, there is a high probability of co-infection between these 2 illnesses. Given the circumstances, the concurrent occurrence of the COVID-19 and dengue epidemics, along with the potential co-infection, may pose an overwhelming burden on healthcare systems that are already grappling with challenges in meeting the existing demand. Due to a lack of awareness, an inadequate health infrastructure, and ineffective disease prevention initiatives, the country is now more susceptible to the threat posed by a co-infection that has been found to be associated with more severe outcomes, marked by significant morbidity and mortality. The objective of this opinion piece is to explore the gravity of co-infection in Bangladesh, as well as the potential challenges to overcome and the preventative measures that need to be implemented to address the severity. This opinion piece proposes a set of modern preventative strategies that, when integrated with conventional methods, have the potential to mitigate disease severity, avert the occurrence of co-infection between COVID-19 and dengue, and halt the co-epidemics of COVID-19 and dengue.
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Affiliation(s)
- Proma Rani Das
- Department of Pharmacy, School of Medicine, University of Asia Pacific, Dhaka, Bangladesh
| | - Sakif Ahamed Khan
- Department of Pharmacy, School of Medicine, University of Asia Pacific, Dhaka, Bangladesh
| | - Jannatul Mabia Rahman
- Department of Electrical and Electronic Engineering, University of Asia Pacific, Dhaka, Bangladesh
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Carbajo AE, Cardo MV, Pesce M, Iummato LE, Bárcena Barbeira P, Santini MS, Utgés ME. Age and socio-economic status affect dengue and COVID-19 incidence: spatio-temporal analysis of the 2020 syndemic in Buenos Aires City. PeerJ 2023; 11:e14735. [PMID: 37753173 PMCID: PMC10519196 DOI: 10.7717/peerj.14735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Accepted: 12/21/2022] [Indexed: 09/28/2023] Open
Abstract
In early 2020, Argentina experienced the worst dengue outbreak in its history, concomitant with first-to-date increasing COVID-19 cases. Dengue epidemics in temperate Argentina have already been described as spatially heterogeneous; in the previous 2016 outbreak, transmission occurred 7.3 times more frequently in slums compared to the rest of Buenos Aires City (CABA). These informal settlements have deficient sanitary conditions, precarious housing and high incidence of social vulnerabilities. The purpose of this work was to study the spatio-temporal patterns of the 2020 dengue epidemic in CABA in relation to socio-economic living conditions of its inhabitants and its interaction with the onset of COVID-19. The study considered the period between Jan 1st and May 30th 2020. Dengue and COVID-19 databases were obtained from the National Health Surveillance System; each record was anonymized and geo-localized. The city was divided according to census tracts and grouped in four socio-economic strata: slums, high, mid and low residential. An aligned-rank transform ANOVA was performed to test for differences in the incidence of dengue and COVID-19, and age at death due to COVID-19, among socio-economic strata, four age categories and their interaction. The incidence by cluster was calculated with a distance matrix up to 600 m from the centroid. Spatial joint dengue and COVID-19 risk was estimated by multiplying the nominal risk for each disease, defined from 1 (low) to 5 (high) according to their quantiles. During the study period, 7,175 dengue cases were registered in CABA (incidence rate 23.3 cases per 10,000 inh), 29.2% of which occurred in slums. During the same period, 8,809 cases of COVID-19 were registered (28.6 cases per 10,000 inh); over half (51.4%) occurred in slums, where the median age of cases (29 years old) was lower than in residential areas (42 years old). The mean age of the deceased was 58 years old in slums compared to 79 years old outside. The percentage of deaths in patients under 60 years old was 56% in slums compared to 8% in the rest of the city. The incidence of both diseases was higher in slums than in residential areas for most age categories. Spatial patterns were heterogeneous: dengue presented higher incidence values in the southern sector of the city and the west, and low values in highly urbanized quarters, whereas COVID-19 presented higher values in the east, south, high populated areas and slums. The lowest joint risk clusters were located mainly in high residential areas, whereas high joint risk was observed mainly in the south, some western clusters, the historical part of the city and center north. The social epidemiological perspective of dengue and COVID-19 differed, given that socio environmental heterogeneity influenced the burden of both viruses in a different manner. Despite the overwhelming effect of the COVID-19 pandemic, health care towards other diseases, especially in territories with pre-existing vulnerabilities, should not be unattended.
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Affiliation(s)
- Aníbal E. Carbajo
- Instituto de Investigación e Ingeniería Ambiental (IIIA), Escuela de Hábitat y Sostenibilidad, Universidad Nacional de San Martín (UNSAM), San Martín, Buenos Aires, Argentina
- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires, Argentina
| | - María V. Cardo
- Instituto de Investigación e Ingeniería Ambiental (IIIA), Escuela de Hábitat y Sostenibilidad, Universidad Nacional de San Martín (UNSAM), San Martín, Buenos Aires, Argentina
- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires, Argentina
| | - Martina Pesce
- Dirección Nacional de Epidemiología e Información Estratégica, Ministerio de Salud de la Nación, Buenos Aires, Argentina
| | - Luciana E. Iummato
- Dirección Nacional de Epidemiología e Información Estratégica, Ministerio de Salud de la Nación, Buenos Aires, Argentina
| | - Pilar Bárcena Barbeira
- Dirección Nacional de Epidemiología e Información Estratégica, Ministerio de Salud de la Nación, Buenos Aires, Argentina
| | - María Soledad Santini
- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires, Argentina
- Instituto Nacional de Parasitología (INP), ANLIS “Dr. C. G. Malbrán”, Ministerio de Salud de la Nación, Buenos Aires, Argentina
| | - María Eugenia Utgés
- Centro Nacional de Diagnóstico e Investigación en Endemo-epidemias (CeNDIE), ANLIS “Dr. C.G. Malbrán”, Ministerio de Salud de la Nación, Buenos Aires, Argentina
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Agudelo-Rojas OL, Rebellón-Sánchez DE, Llanos Torres J, Zapata-Vásquez IL, Rodríguez S, Robles-Castillo S, Tejada Vega A, Parra-Lara LG, Rosso F. Co-Infection between Dengue Virus and SARS-CoV-2 in Cali, Colombia. Am J Trop Med Hyg 2023; 109:536-541. [PMID: 37580025 PMCID: PMC10484269 DOI: 10.4269/ajtmh.22-0717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Accepted: 05/01/2023] [Indexed: 08/16/2023] Open
Abstract
The co-occurrence of COVID-19 with endemic diseases is a public health concern that may affect patient prognosis and outcomes. The objective of this study was to describe the clinical characteristics of patients with dengue virus (DENV) and SARS-CoV-2 co-infections and compare their outcomes against those of COVID-19 patients without dengue. A cross-sectional study was conducted in patients with SARS-CoV-2 infection who attended a single center in Cali, Colombia, from March 2020 to March 2021. All patients who were tested by both real-time polymerase chain reaction for SARS-CoV-2 and IgM/NS1 for DENV were included. Dengue was diagnosed as having either an IgM- or an NS1- positive test. A total of 90 patients were included (72 with COVID-19 only and 18 with co-infection). Patients with co-infection had more dyspnea (61.1% versus 22.2%; P = 0.003) as well as higher oxygen desaturation (53.3% versus 13.4%; P = 0.002) and neutrophil-to-lymphocyte ratio (5.59 versus 3.84; P = 0.038) than patients with COVID-19 alone. The proportion of patients classified with moderate to severe COVID-19 was higher in the co-infection group (88.3% versus 47.8%; P = 0.002). Also, co-infection was associated with an increased need for mechanical ventilation (P = 0.06), intensive care unit (ICU) initial management (P = 0.02), and ICU admission during hospitalization (P = 0.04) compared with COVID-19 only. The ICU mortality rate was 66.6% in patients with co-infection versus 29.4% in patients infected with only SARS-CoV-2 (P < 0.05). The possibility of DENV and SARS-CoV2 co-infection occurred in the convergence of both epidemic waves. Co-infection was associated with worse clinical outcomes and higher mortality in ICU-admitted patients than in patients with the COVID-19 only.
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Affiliation(s)
| | | | - Julio Llanos Torres
- Centro de Investigaciones Clínicas, Fundación Valle del Lili, Cali, Colombia
| | | | - Sarita Rodríguez
- Centro de Investigaciones Clínicas, Fundación Valle del Lili, Cali, Colombia
| | | | | | - Luis Gabriel Parra-Lara
- Centro de Investigaciones Clínicas, Fundación Valle del Lili, Cali, Colombia
- Facultad de Ciencias de la Salud, Universidad Icesi, Cali, Colombia
- Departamento de Salud Pública y Medicina Comunitaria, Facultad de Ciencias de la Salud, Cali, Colombia
| | - Fernando Rosso
- Centro de Investigaciones Clínicas, Fundación Valle del Lili, Cali, Colombia
- Servicio de Enfermedades Infecciosas, Departamento de Medicina Interna, Fundación Valle del Lili, Cali, Colombia
- Departamento de Ciencias Clínicas, Universidad Icesi, Cali, Colombia
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Dueñas D, Daza J, Liscano Y. Coinfections and Superinfections Associated with COVID-19 in Colombia: A Narrative Review. MEDICINA (KAUNAS, LITHUANIA) 2023; 59:1336. [PMID: 37512147 PMCID: PMC10385172 DOI: 10.3390/medicina59071336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Revised: 07/07/2023] [Accepted: 07/17/2023] [Indexed: 07/30/2023]
Abstract
The COVID-19 pandemic has had significant impacts on healthcare systems around the world, including in Latin America. In Colombia, there have been over 23,000 confirmed cases and 100 deaths since 2022, with the highest number of cases occurring in females and the highest number of deaths in males. The elderly and those with comorbidities, such as arterial hypertension, diabetes mellitus, and respiratory diseases, have been particularly affected. Coinfections with other microorganisms, including dengue virus, Klebsiella pneumoniae, and Mycobacterium tuberculosis, have also been a significant factor in increasing morbidity and mortality rates in COVID-19 patients. It is important for surveillance systems to be improved and protocols to be established for the early detection and management of coinfections in COVID-19. In addition to traditional treatments, alternatives such as zinc supplementation and nanomedicine may have potential in the fight against COVID-19. It is also crucial to consider the social, labor, educational, psychological, and emotional costs of the pandemic and to address issues such as poverty and limited access to potable water in order to better prepare for future pandemics.
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Affiliation(s)
- Diana Dueñas
- Grupo de Investigación en Salud Integral (GISI), Departamento Facultad de Salud, Universidad Santiago de Cali, Cali 760035, Colombia
| | - Jorge Daza
- Grupo de Investigación de Salud y Movimiento, Programa de Fisioterapia, Facultad de Salud, Universidad Santiago de Cali, Cali 760035, Colombia
| | - Yamil Liscano
- Grupo de Investigación en Salud Integral (GISI), Departamento Facultad de Salud, Universidad Santiago de Cali, Cali 760035, Colombia
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Pons MJ, Mayanga-Herrera A, Ulloa GM, Ymaña B, Medina S, Alava F, Álvarez-Antonio C, Meza-Sánchez G, Calampa C, Casanova W, Carey C, Rodríguez-Ferrucci H, Morrison AC, Quispe AM. Dengue and COVID-19 Co-Circulation in the Peruvian Amazon: A Population-Based Study. Am J Trop Med Hyg 2023; 108:1249-1255. [PMID: 37094790 PMCID: PMC10540116 DOI: 10.4269/ajtmh.22-0539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Accepted: 02/21/2023] [Indexed: 04/26/2023] Open
Abstract
The COVID-19 pandemic affected the main Amazon cities dramatically, with Iquitos City reporting the highest seroprevalence of anti-SARS-CoV-2 antibodies during the first COVID-19 wave worldwide. This phenomenon raised many questions about the possibility of a co-circulation of dengue and COVID-19 and its consequences. We carried out a population-based cohort study in Iquitos, Peru. We obtained a venous blood sample from a subset of 326 adults from the Iquitos COVID-19 cohort (August 13-18, 2020) to estimate the seroprevalence of anti-dengue virus (DENV) and anti-SARS-CoV-2 antibodies. We tested each serum sample for anti-DENV IgG (serotypes 1, 2, 3, and 4) and SARS-CoV-2 antibodies anti-spike IgG and IgM by ELISA. We estimated an anti-SARS-CoV-2 seroprevalence of 78.0% (95% CI, 73.0-82.0) and an anti-DENV seroprevalence of 88.0% (95% CI, 84.0-91.6), signifying a high seroprevalence of both diseases during the first wave of COVID-19 transmission in the city. The San Juan District had a lower anti-DENV antibody seroprevalence than the Belen District (prevalence ratio, 0.90; 95% CI, 0.82-0.98). However, we did not observe these differences in anti-SARS-CoV-2 antibody seroprevalence. Iquitos City presented one of the highest seroprevalence rates of anti-DENV and anti-SARS-CoV-2 antibodies worldwide, but with no correlation between their antibody levels.
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Affiliation(s)
- Maria J. Pons
- Grupo de Enfermedades Infecciosas Re-emergentes, Universidad Científica del Sur, Lima, Peru
| | - Ana Mayanga-Herrera
- Grupo Cultivo Celular e Immunología, Universidad Cientìfica del Sur, Lima, Peru
| | - Gabriela M. Ulloa
- Grupo de Enfermedades Infecciosas Re-emergentes, Universidad Científica del Sur, Lima, Peru
| | - Barbara Ymaña
- Grupo de Enfermedades Infecciosas Re-emergentes, Universidad Científica del Sur, Lima, Peru
| | - Sabrina Medina
- Grupo de Enfermedades Infecciosas Re-emergentes, Universidad Científica del Sur, Lima, Peru
| | - Freddy Alava
- Dirección Regional de Salud de Loreto, Loreto, Peru
| | | | - Graciela Meza-Sánchez
- Dirección Regional de Salud de Loreto, Loreto, Peru
- Universidad Nacional de la Amazonía Peruana, Loreto, Peru
| | - Carlos Calampa
- Dirección Regional de Salud de Loreto, Loreto, Peru
- Universidad Nacional de la Amazonía Peruana, Loreto, Peru
| | - Wilma Casanova
- Universidad Nacional de la Amazonía Peruana, Loreto, Peru
| | - Cristiam Carey
- Universidad Nacional de la Amazonía Peruana, Loreto, Peru
| | | | - Amy C. Morrison
- Department of Pathology, Microbiology, and Immunology, School of Veterinary Medicine, University of California, Davis, California
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Performance of VIDAS® Diagnostic Tests for the Automated Detection of Dengue Virus NS1 Antigen and of Anti-Dengue Virus IgM and IgG Antibodies: A Multicentre, International Study. Diagnostics (Basel) 2023; 13:diagnostics13061137. [PMID: 36980445 PMCID: PMC10047366 DOI: 10.3390/diagnostics13061137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Revised: 03/13/2023] [Accepted: 03/14/2023] [Indexed: 03/19/2023] Open
Abstract
Dengue is a serious mosquito-transmitted disease caused by the dengue virus (DENV). Rapid and reliable diagnosis of DENV infection is urgently needed in dengue-endemic regions. We describe here the performance evaluation of the CE-marked VIDAS® dengue immunoassays developed for the automated detection of DENV NS1 antigen and anti-DENV IgM and IgG antibodies. A multicenter concordance study was conducted in 1296 patients from dengue-endemic regions in Asia, Latin America, and Africa. VIDAS® dengue results were compared to those of competitor enzyme-linked immunosorbent assays (ELISA). The VIDAS® dengue assays showed high precision (CV ≤ 10.7%) and limited cross-reactivity (≤15.4%) with other infections. VIDAS® DENGUE NS1 Ag showed high positive and negative percent agreement (92.8% PPA and 91.7% NPA) in acute patients within 0–5 days of symptom onset. VIDAS® Anti-DENGUE IgM and IgG showed a moderate-to-high concordance with ELISA (74.8% to 90.6%) in post-acute and recovery patients. PPA was further improved in combined VIDAS® NS1/IgM (96.4% in 0–5 days acute patients) and IgM/IgG (91.9% in post-acute patients) tests. Altogether, the VIDAS® dengue NS1, IgM, and IgG assays performed well, either alone or in combination, and should be suitable for the accurate diagnosis of DENV infection in dengue-endemic regions.
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Dalugama C, Seneviratne SL. Dengue and COVID-19 co-infections: an important consideration in the tropics. Trans R Soc Trop Med Hyg 2022; 117:241-254. [PMID: 36479900 DOI: 10.1093/trstmh/trac114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2022] [Revised: 08/19/2022] [Accepted: 11/18/2022] [Indexed: 12/13/2022] Open
Abstract
Abstract
Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has affected >370 million individuals worldwide. Dengue is endemic in many countries and leads to epidemics at frequent intervals. In the tropics and subtropics, it is possible that individuals may be concurrently infected with both dengue and SARS-CoV-2. Differentiation between the two infections may be difficult from both a clinical and laboratory perspective. We have outlined the currently published findings (as of the end of December 2021) on patients with dengue and SARS-CoV-2 co-infections and have discussed the observed outcomes and management of such patients. Co-infections were more common in males >25 y of age, fever was not universal, 30–50% had medical comorbidities such as diabetes mellitus or hypertension and the case fatality rate was 16–28%.
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Affiliation(s)
- Chamara Dalugama
- Department of Medicine, Faculty of Medicine, University of Peradeniya , Peradeniya, Sri Lanka
| | - Suranjith L Seneviratne
- Institute of Immunity and Transplantation, Royal Free Hospital and University College London , London, UK
- Nawaloka Hospital Research and Education Foundation, Nawaloka Hospitals , Colombo , Sri Lanka
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León-Figueroa DA, Abanto-Urbano S, Olarte-Durand M, Nuñez-Lupaca JN, Barboza JJ, Bonilla-Aldana DK, Yrene-Cubas RA, Rodriguez-Morales AJ. COVID-19 and dengue coinfection in Latin America: A systematic review. New Microbes New Infect 2022; 49:101041. [PMCID: PMC9613782 DOI: 10.1016/j.nmni.2022.101041] [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: 08/21/2022] [Revised: 10/18/2022] [Accepted: 10/20/2022] [Indexed: 11/29/2022] Open
Abstract
Introduction Methods Results Conclusion
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Affiliation(s)
- Darwin A. León-Figueroa
- Facultad de Medicina Humana, Universidad de San Martín de Porres, Chiclayo, Peru,Unidad de Revisiones Sistemáticas y Meta-análisis, Tau-Relaped Group, Trujillo, Peru
| | - Sebastian Abanto-Urbano
- Sociedad Científica de Estudiantes de Medicina Villarrealinos (SOCEMVI), Lima, Peru,Facultad de Medicina, Universidad Nacional Federico Villarreal, Lima, Peru
| | - Mely Olarte-Durand
- Facultad de Medicina Humana, Sociedad Científica de Estudiantes de Medicina (SOCEM UPEU), Lima, Peru,Universidad Peruana Unión, Lima, Peru
| | - Janeth N. Nuñez-Lupaca
- Centro Científico Basadrino de Estudiantes de Medicina (CECIBEM), Tacna, Peru,Escuela Profesional de Medicina Humana, Universidad Nacional Jorge Basadre Grohmann, Tacna, Peru
| | - Joshuan J. Barboza
- Vicerrectorado de Investigación, Universidad Norbert Wiener, Lima, Peru,Corresponding author. Juan del Corral 937, El Bosque, Trujillo, Peru
| | | | - Robinson A. Yrene-Cubas
- Sociedad Científica de Estudiantes de Medicina de la Universidad Científica del Sur (SCIEM UCSUR), Lima, Peru,Facultad de Medicina Humana, Universidad Científica del Sur, Lima, Peru
| | - Alfonso J. Rodriguez-Morales
- Grupo de Investigación Biomedicina, Faculty of Medicine, Fundacion Universitaria Autonoma de las Americas, Pereira, Risaralda, Colombia,Latin American Network of COVID-19 Research (LANCOVID), Pereira, Risaralda, Colombia,Clinical Epidemiology and Biostatistics, Universidad Cientifica del Sur, Lima, Peru
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Machado MEA, Kimura E. Coinfection and cross-reaction of dengue and COVID-19: a case series analysis. Rev Soc Bras Med Trop 2022; 55:e02432022. [PMID: 36287508 PMCID: PMC9592094 DOI: 10.1590/0037-8682-0243-2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 08/24/2022] [Indexed: 11/07/2022] Open
Abstract
BACKGROUND The risk of possible cross-reactions between serological tests, together with the clinical similarities between dengue fever and COVID-19, can delay diagnosis and increase the risk of both COVID-19 transmission and worsening. The present study aimed to determine the possibility of cross-reactions among rapid serological tests based on clinical symptoms. METHODS Patients with COVID-19, confirmed by RT-PCR and clinical criteria for diagnosing dengue, were recruited consecutively between September 2020 and August 2021 and underwent rapid immunochromatographic diagnostic (RID) tests for AgNS1, IgM, and IgG. Patients who tested positive for acute-phase dengue IgM and AgNS1 underwent a follow-up test after 12-30 days for diagnostic confirmation. RESULTS A total of 43 patients were included, 38 of whom required hospital admission, and 8 received intensive care. Seven patients tested positive on the RID tests, comprising 2 NS1 positive (coinfection), one reactive for IgM and IgG (coinfection), three reactive for IgM not confirmed (false-positive), and one reactive for IgG due to previous infection. Two of the 3 patients with coinfection died. Fever, myalgia, headache, and cough were the most common clinical symptoms, while lymphopenia was the most prevalent laboratory finding. CONCLUSIONS Cross-reactivity was found in only three patients and coinfection in another three patients, two of whom died of severe COVID-19 manifestations.
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Affiliation(s)
- Maria Emilia Avelar Machado
- Universidade Estadual de Maringá, Departamento de Medicina, Programa de Mestrado Profissional em Gestão, Tecnologia e Inovação em Urgência e Emergência, Maringá, PR, Brasil., Universidade Estadual de Maringá, Departamento de Medicina, Maringá, PR, Brasil
| | - Elza Kimura
- Universidade Estadual de Maringá, Departamento de Medicina, Programa de Mestrado Profissional em Gestão, Tecnologia e Inovação em Urgência e Emergência, Maringá, PR, Brasil., Universidade Estadual de Maringá, Departamento de Farmácia, Maringá, PR, Brasil
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Caron RM, Aytur SA. Assuring Healthy Populations During the COVID-19 Pandemic: Recognizing Women's Contributions in Addressing Syndemic Interactions. Front Public Health 2022; 10:856932. [PMID: 35712273 PMCID: PMC9197070 DOI: 10.3389/fpubh.2022.856932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Accepted: 03/18/2022] [Indexed: 11/13/2022] Open
Abstract
A syndemic framework examines disease interactions and the contributions of structural, social, economic, and environmental factors that synergistically interact to contribute to adverse health outcomes. Populations residing in environments with structural susceptibilities experience health disparities and syndemics to a greater extent than their less vulnerable counterparts. The interactions among the social determinants of health (SDoH) and the COVID-19 pandemic have had different results for marginalized populations and have worsened health outcomes for many in this synergistic pandemic. Also, the exposome, the exposure measures for an individual over their lifetime and how those exposures relate to the individual's health, may help to explain why some populations experience more serious cases of COVID-19 compared to other groups. The purpose of this perspective is to: (1) examine the relationship between the syndemic model and the SDoH-exposome; (2) highlight, via specific examples, the contributions of female health professionals to SDoH and the COVID-19 syndemic in response to the Women in Science Research Topic, and (3) propose health policy to address syndemic-exposome interactions to help mitigate or prevent public health challenges. By investing in policies that assure health for all populations, the investments could pay dividends in the form of a less severe syndemic next time since we are starting from a place of health and not disease. Lastly, due to the magnification of underlying societal inequities laid bare during the COVID-19 syndemic, we support the expansion of the disease-focused syndemic model to include societal syndemics, such as systemic racism.
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Acosta-Pérez T, Rodríguez-Yánez T, Almanza-Hurtado A, Martínez-Ávila MC, Dueñas-Castell C. Dynamics of dengue and SARS-COV-2 co-infection in an endemic area of Colombia. Trop Dis Travel Med Vaccines 2022; 8:12. [PMID: 35568905 PMCID: PMC9107342 DOI: 10.1186/s40794-022-00169-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2022] [Accepted: 05/09/2022] [Indexed: 12/25/2022] Open
Abstract
Since the COVID-19 outbreak, millions of people have been infected with SARS-CoV-2 around the world. An area of epidemiological relevance is Latin America, tropical regions, due to the distribution of endemic diseases such as chikungunya, dengue (DENV), malaria, Zika virus, where febrile disease abounds. The early signs and symptoms of DENV and COVID-19 could be similar, making it a risk that patients may be wrongly diagnosed early during the disease. The problem increases since COVID-19 infection can lead to false positives in DENV screening tests. We present two cases of acute undifferentiated febrile syndrome that were diagnosed with SARS-CoV-2 and DENV co-infection, confirmed by ELISA and RT-PCR for both viral pathogens. The occurrence of simultaneous or overlapped infections can alter the usual clinical course, severity, or outcome of each infection. Therefore, epidemiological surveillance and intensified preparation for those scenarios must be considered, as well as further studies should be done to address cases of co-infection promptly to avoid major complications and fatal outcomes during the current pandemic. Other endemic tropical diseases should not be neglected.
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Patwary MM, Haque MZ, Bardhan M, Rodriguez-Morales AJ. COVID-19 and Dengue Co-epidemic During the Second Wave of the Pandemic in Bangladesh: A Double Blow for an Overburdened Health-Care System. Disaster Med Public Health Prep 2022; 16:1-3. [PMID: 35492004 PMCID: PMC9253440 DOI: 10.1017/dmp.2022.105] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Revised: 11/02/2021] [Accepted: 04/04/2022] [Indexed: 11/27/2022]
Affiliation(s)
- Muhammad Mainuddin Patwary
- Environment and Sustainability Research Initiative, Khulna, Bangladesh
- Environmental Science Discipline, Life Science School, Khulna University, Khulna, Bangladesh
| | - Md. Zahidul Haque
- Environment and Sustainability Research Initiative, Khulna, Bangladesh
| | - Mondira Bardhan
- Environment and Sustainability Research Initiative, Khulna, Bangladesh
- Environmental Science Discipline, Life Science School, Khulna University, Khulna, Bangladesh
| | - Alfonso J. Rodriguez-Morales
- Grupo de Investigación Biomedicina, Faculty of Medicine, Fundacion Universitaria Autónoma de las Américas, Pereira, Colombia
- Master of Clinical Epidemiology and Biostatistics, Universidad Cientifica del Sur, Lima, Peru
- School of Medicine, Universidad Privada Franz Tamayo, Cochabamba, Bolivia
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13
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Gérardin P, Maillard O, Bruneau L, Accot F, Legrand F, Poubeau P, Manaquin R, Andry F, Bertolotti A, Levin C. Differentiating COVID-19 and dengue from other febrile illnesses in co-epidemics: Development and internal validation of COVIDENGUE scores. Travel Med Infect Dis 2021; 45:102232. [PMID: 34896649 PMCID: PMC8656151 DOI: 10.1016/j.tmaid.2021.102232] [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: 10/25/2021] [Revised: 12/03/2021] [Accepted: 12/05/2021] [Indexed: 11/30/2022]
Abstract
OBJECTIVES The purpose of this cohort study was to develop two scores able to differentiate coronavirus 2019 (COVID-19) from dengue and other febrile illnesses (OFIs). METHODS All subjects suspected of COVID-19 who attended the SARS-CoV-2 testing center of Saint-Pierre hospital, Reunion, between March 23 and May 10, 2020, were assessed for identifying predictors of both infectious diseases from a multinomial logistic regression model. Two scores were developed after weighting the odd ratios then validated by bootstrapping. RESULTS Over 49 days, 80 COVID-19, 60 non-severe dengue and 872 OFIs were diagnosed. The translation of the best fit model yielded two scores composed of 11 criteria: contact with a COVID-19 positive case (+3 points for COVID-19; 0 point for dengue), return from travel abroad within 15 days (+3/-1), previous individual episode of dengue (+1/+3), active smoking (-3/0), body ache (0/+5), cough (0/-2), upper respiratory tract infection symptoms (-1/-1), anosmia (+7/-1), headache (0/+5), retro-orbital pain (-1/+5), and delayed presentation (>3 days) to hospital (+1/0). The area under the receiver operating characteristic curve was 0.79 (95%CI 0.76-0.82) for COVID-19 score and 0.88 (95%CI 0.85-0.90) for dengue score. Calibration was satisfactory for COVID-19 score and excellent for dengue score. For predicting COVID-19, sensitivity was 97% at the 0-point cut-off and specificity 99% at the 10-point cut-off. For predicting dengue, sensitivity was 97% at the 3-point cut-off and specificity 98% at the 11-point cut-off. CONCLUSIONS COVIDENGUE scores proved discriminant to differentiate COVID-19 and dengue from OFIs in the context of SARS-CoV-2 testing center during a co-epidemic.
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Affiliation(s)
- Patrick Gérardin
- Centre for Clinical Investigation - Clinical Epidemiology (CIC 1410), Institut National de la Santé et de la Recherche Médicale (INSERM), Centre Hospitalier Universitaire de La Réunion, Saint Pierre, Reunion.
| | - Olivier Maillard
- Centre for Clinical Investigation - Clinical Epidemiology (CIC 1410), Institut National de la Santé et de la Recherche Médicale (INSERM), Centre Hospitalier Universitaire de La Réunion, Saint Pierre, Reunion
| | - Léa Bruneau
- Department of Public Health and Research Support, Centre Hospitalier Universitaire de La Réunion, Saint Denis, Reunion
| | - Frédéric Accot
- COVID-19 Testing Centre, Centre Hospitalier Universitaire de La Réunion, Saint Pierre, Reunion
| | - Florian Legrand
- COVID-19 Testing Centre, Centre Hospitalier Universitaire de La Réunion, Saint Pierre, Reunion; City to Hospital Outpatient Clinic for the Care of COVID-19, Centre Hospitalier Universitaire de La Réunion, Saint Pierre, Reunion
| | - Patrice Poubeau
- COVID-19 Testing Centre, Centre Hospitalier Universitaire de La Réunion, Saint Pierre, Reunion; Department of Infectious Diseases and Tropical Medicine, Centre Hospitalier Universitaire de La Réunion, Saint Pierre, Reunion; City to Hospital Outpatient Clinic for the Care of COVID-19, Centre Hospitalier Universitaire de La Réunion, Saint Pierre, Reunion
| | - Rodolphe Manaquin
- COVID-19 Testing Centre, Centre Hospitalier Universitaire de La Réunion, Saint Pierre, Reunion; Department of Infectious Diseases and Tropical Medicine, Centre Hospitalier Universitaire de La Réunion, Saint Pierre, Reunion; City to Hospital Outpatient Clinic for the Care of COVID-19, Centre Hospitalier Universitaire de La Réunion, Saint Pierre, Reunion
| | - Fanny Andry
- COVID-19 Testing Centre, Centre Hospitalier Universitaire de La Réunion, Saint Pierre, Reunion; Department of Infectious Diseases and Tropical Medicine, Centre Hospitalier Universitaire de La Réunion, Saint Pierre, Reunion; City to Hospital Outpatient Clinic for the Care of COVID-19, Centre Hospitalier Universitaire de La Réunion, Saint Pierre, Reunion
| | - Antoine Bertolotti
- Centre for Clinical Investigation - Clinical Epidemiology (CIC 1410), Institut National de la Santé et de la Recherche Médicale (INSERM), Centre Hospitalier Universitaire de La Réunion, Saint Pierre, Reunion; COVID-19 Testing Centre, Centre Hospitalier Universitaire de La Réunion, Saint Pierre, Reunion; Department of Infectious Diseases and Tropical Medicine, Centre Hospitalier Universitaire de La Réunion, Saint Pierre, Reunion
| | - Cécile Levin
- COVID-19 Testing Centre, Centre Hospitalier Universitaire de La Réunion, Saint Pierre, Reunion; Department of Infectious Diseases and Tropical Medicine, Centre Hospitalier Universitaire de La Réunion, Saint Pierre, Reunion; City to Hospital Outpatient Clinic for the Care of COVID-19, Centre Hospitalier Universitaire de La Réunion, Saint Pierre, Reunion
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14
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Rodríguez-Morales AJ, Bonilla-Aldana DK, Suárez JA, Franco-Paredes C, Forero-Peña DA, Mattar S, Villamil-Gómez WE, Ruíz-Sáenz J, Cardona-Ospina JA, Figuera ME, Sierra-Carrero LL, Risquez A, Cimerman S, Valero-Cedeño N, Cabrera M, Robaina-Barrios AJ, López-Díaz L, Barbella R, Navas RM, Díaz-Quijano F, Carrero Y, Pineda A, Brito MO, Savio-Larriera E, Martinez-Gutierrez M, Maquera-Afaray J, Solarte-Portilla MA, Hernández-Botero S, Contreras K, López MG, Henao-Martinez AF, Ortiz-Martinez Y, Chaves TDSS, Orduna T, Lepetic A, Macchi A, Verbanaz S, Perret C, Echazarreta S, Lloveras SC, Gallego V, Navarro JC, Paniz-Mondolfi A. Yellow fever reemergence in Venezuela - Implications for international travelers and Latin American countries during the COVID-19 pandemic. Travel Med Infect Dis 2021; 44:102192. [PMID: 34751150 PMCID: PMC8553654 DOI: 10.1016/j.tmaid.2021.102192] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Accepted: 10/26/2021] [Indexed: 11/16/2022]
Affiliation(s)
- Alfonso J Rodríguez-Morales
- Grupo de Investigación Biomedicina, Faculty of Medicine, Fundación Universitaria Autónoma de las Américas, Pereira, Risaralda, Colombia; Committe on Tropical Medicine, Zoonoses and Travel Medicine, Colombian Association of Infectious Diseases (ACIN), Bogota, Colombia; Semillero de Zoonosis, Grupo de Investigación GISCA, Fundación Universitaria Autónoma de las Américas, Sede Pereira, Pereira, Risaralda, Colombia; Emerging Infectious Diseases and Tropical Medicine Research Group, Instituto para la Investigación en Ciencias Biomédicas - Sci-Help, Pereira, Risaralda, Colombia; Committe on Travel Medicine, Pan-American Association of Infectious Diseases (API), Panama City, Panama; Master of Clinical Epidemiology and Biostatistics, Universidad Cientifica del Sur, Lima, Peru; Grupo de Investigación Biomedicina, Faculty of Medicine, Institución Universitaria Visión de las Américas, Pereira, Risaralda, Colombia.
| | - D Katterine Bonilla-Aldana
- Committe on Tropical Medicine, Zoonoses and Travel Medicine, Colombian Association of Infectious Diseases (ACIN), Bogota, Colombia; Semillero de Zoonosis, Grupo de Investigación GISCA, Fundación Universitaria Autónoma de las Américas, Sede Pereira, Pereira, Risaralda, Colombia; Emerging Infectious Diseases and Tropical Medicine Research Group, Instituto para la Investigación en Ciencias Biomédicas - Sci-Help, Pereira, Risaralda, Colombia; Semillero de Zoonosis, Grupo de Investigación GISCA, Institución Universitaria Visión de las Américas, Sede Pereira, Pereira, Risaralda, Colombia
| | - José Antonio Suárez
- Committe on Travel Medicine, Pan-American Association of Infectious Diseases (API), Panama City, Panama; Investigador SNI Senacyt Panamá, Clinical Research Deparment, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama City, Panama
| | - Carlos Franco-Paredes
- Committe on Travel Medicine, Pan-American Association of Infectious Diseases (API), Panama City, Panama; Division of Infectious Diseases, Department of Medicine, University of Colorado Anschutz Medical Center, Aurora, CO, USA; Hospital Infantil de México, Federico Gómez, México City, Mexico
| | - David A Forero-Peña
- Biomedical Research and Therapeutic Vaccines Institute, Ciudad Bolivar, Venezuela
| | - Salim Mattar
- Committe on Tropical Medicine, Zoonoses and Travel Medicine, Colombian Association of Infectious Diseases (ACIN), Bogota, Colombia; Instituto de Investigaciones Biológicas del Trópico, Universidad de Córdoba, Colombia
| | - Wilmer E Villamil-Gómez
- Committe on Tropical Medicine, Zoonoses and Travel Medicine, Colombian Association of Infectious Diseases (ACIN), Bogota, Colombia; Committe on Travel Medicine, Pan-American Association of Infectious Diseases (API), Panama City, Panama; Infectious Diseases and Infection Control Research Group, Hospital Universitario de Sincelejo, Sincelejo, Sucre, Colombia; Programa del Doctorado de Medicina Tropical, SUE Caribe, Universidad del Atlántico, Barranquilla, Colombia
| | - Julián Ruíz-Sáenz
- Committe on Tropical Medicine, Zoonoses and Travel Medicine, Colombian Association of Infectious Diseases (ACIN), Bogota, Colombia; Grupo de Investigación en Ciencias Animales, Universidad Cooperativa de Colombia, Bucaramanga, Colombia
| | - Jaime A Cardona-Ospina
- Grupo de Investigación Biomedicina, Faculty of Medicine, Fundación Universitaria Autónoma de las Américas, Pereira, Risaralda, Colombia; Committe on Tropical Medicine, Zoonoses and Travel Medicine, Colombian Association of Infectious Diseases (ACIN), Bogota, Colombia; Emerging Infectious Diseases and Tropical Medicine Research Group, Instituto para la Investigación en Ciencias Biomédicas - Sci-Help, Pereira, Risaralda, Colombia; Committe on Travel Medicine, Pan-American Association of Infectious Diseases (API), Panama City, Panama; Semillero de Investigación en Infecciones Emergentes y Medicina Tropical, Faculty of Medicine, Fundación Universitaria Autónoma de las Américas, Pereira, Risaralda, Colombia; Grupo de Investigación Biomedicina, Faculty of Medicine, Institución Universitaria Visión de las Américas, Pereira, Risaralda, Colombia
| | | | - Leandro Luis Sierra-Carrero
- Department of Medicine, Health Sciences Division, Universidad del Norte and Hospital Universidad del Norte, Barranquilla, Colombia
| | - Alejandro Risquez
- Committe on Travel Medicine, Pan-American Association of Infectious Diseases (API), Panama City, Panama; Faculty of Medicine, Universidad Central de Venezuela, Caracas, Venezuela
| | - Sergio Cimerman
- Institute of Infectious Diseases Emilio Ribas, São Paulo, Brazil
| | - Nereida Valero-Cedeño
- Carrera de Laboratorio Clínico, Universidad Estatal del Sur de Manabí, Cantón Jipijapa, Ecuador
| | - Maritza Cabrera
- Vicerrectoría de Investigación y Postgrado (VRIP), Universidad Católica del Maule, Chile
| | - Andrea J Robaina-Barrios
- Cardiology Division, Department of Internal Medicine, Hospital Universitario de Caracas, Faculty of Medicine, Universidad Central de Venezuela, Caracas, Venezuela
| | | | - Rosa Barbella
- Servicio de Anatomía Patológica, Complejo Hospitalario Universitario de Albacete, Facultad de Medicina, Universidad Castilla La Mancha, Albacete, Spain
| | - Rosa M Navas
- Health Care Service, International Airport Camilo Daza, Cúcuta, Norte de Santander, Colombia
| | - Fredi Díaz-Quijano
- Departamento de Epidemiologia, Faculdade de Saúde Pública da Universidade de São Paulo, São Paulo, SP, Brazil
| | | | | | - Maximo O Brito
- Division of Infectious Diseases, Department of Internal Medicine, University of Illinois, Chicago, IL, USA
| | | | - Marlen Martinez-Gutierrez
- Grupo de Investigación en Ciencias Animales-GRICA, Universidad Cooperativa de Colombia, Calle 30A #, 33-51, Bucaramanga, Colombia
| | - Julio Maquera-Afaray
- Infectious Diseases Division, Instituto Nacional de Salud del Niño San Borja, Lima, Peru; Facultad de Ciencias de la Salud, Universidad Privada de Tacna, Tacna, Peru
| | | | - Sebastián Hernández-Botero
- Coordination of Microbiology, School of Medicine, Universidad de Manizales, Manizales, Caldas, Colombia; Grupo de Resistencia Antibiótica de Manizales (GRAM), Manizales, Caldas, Colombia
| | - Krisell Contreras
- Clínica San José, Cúcuta, Norte de Santander, Colombia; Hospital Universitario Erasmo Meoz, Cúcuta, Norte de Santander, Colombia
| | - Maria Graciela López
- Division of Infectious Diseases, Hospital de Niños J. M. de Los Ríos, Caracas, Venezuela; Executive Board, Venezuelan Society of Infectious Diseases, Caracas, Venezuela
| | - Andrés F Henao-Martinez
- Division of Infectious Diseases, Department of Medicine, University of Colorado Anschutz Medical Center, Aurora, CO, USA
| | - Yeimer Ortiz-Martinez
- Department of Internal Medicine, Universidad Industrial de Santander, Bucaramanga, Santander, Colombia
| | - Tânia do Socorro Souza Chaves
- Evandro Chagas Institute, Health of Ministry of Brazil, Belém, Pará, Brazil; Faculdade de Medicina da Universidade Federal do Pará, Brazil
| | - Tomas Orduna
- Hospital de Infecciosas F. Muñíz, Buenos Aires, Argentina
| | - Alejandro Lepetic
- Clinical Research & Development and Medical Affairs for GSK Vaccines, Rio de Janeiro, 22783-110, Brazil
| | - Alejandra Macchi
- Hospital de Trauma y Emergencias Federico Abete, Buenos Aires, Argentina
| | | | - Cecilia Perret
- Department of Pediatric Infectious Diseases and Immunology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago de Chile, Chile
| | | | - Susana Cristina Lloveras
- Hospital de Infecciosas F. Muñíz, Buenos Aires, Argentina; Universidad de Buenos Aires, Buenos Aires, Argentina
| | - Viviana Gallego
- Panel of Sports and Travel, Latin American Society for Travel Medicine (SLAMVI), Buenos Aires, Argentina
| | - Juan-Carlos Navarro
- Research Group of Emerging Diseases, Ecoepidemiology and Biodiversity, Health Sciences Faculty, Universidad Internacional SEK, Quito, Ecuador; Instituto de Zoología y Ecología Tropical, Facultad de Ciencias, Universidad Central de Venezuela, Caracas, Venezuela
| | - Alberto Paniz-Mondolfi
- Committe on Travel Medicine, Pan-American Association of Infectious Diseases (API), Panama City, Panama; Department of Infectious Diseases and Tropical Medicine, Clínica IDB Cabudare, Instituto de Investigaciones Biomédicas IDB, Barquisimeto, 3023, Lara, Venezuela; Infectious Diseases Research Branch, Venezuelan Science Incubator and the Zoonosis and Emerging Pathogens Regional Collaborative Network, Cabudare, 3023, Lara, Venezuela; Laboratorio de Señalización Celular y Bioquímica de Parásitos, Instituto de Estudios Avanzados (IDEA), Caracas, Caracas, Venezuela; Academia Nacional de Medicina, Caracas, Venezuela; Direction of Microbiology, Department of Pathology, Molecular and Cell-based Medicine, The Mount Sinai Hospital-Icahn School of Medicine at Mount Sinai, New York, USA
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15
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Conceição GMDS, Barbosa GL, Lorenz C, Bocewicz ACD, Santana LMR, Marques CCDA, Chiaravalloti-Neto F. Effect of social isolation in dengue cases in the state of Sao Paulo, Brazil: An analysis during the COVID-19 pandemic. Travel Med Infect Dis 2021; 44:102149. [PMID: 34455075 DOI: 10.1016/j.tmaid.2021.102149] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Revised: 08/23/2021] [Accepted: 08/24/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND Studies have shown that human mobility is an important factor in dengue epidemiology. Changes in mobility resulting from COVID-19 pandemic set up a real-life situation to test this hypothesis. Our objective was to evaluate the effect of reduced mobility due to this pandemic in the occurrence of dengue in the state of São Paulo, Brazil. METHOD It is an ecological study of time series, developed between January and August 2020. We use the number of confirmed dengue cases and residential mobility, on a daily basis, from secondary information sources. Mobility was represented by the daily percentage variation of residential population isolation, obtained from the Google database. We modeled the relationship between dengue occurrence and social distancing by negative binomial regression, adjusted for seasonality. We represent the social distancing dichotomously (isolation versus no isolation) and consider lag for isolation from the dates of occurrence of dengue. RESULTS The risk of dengue decreased around 9.1% (95% CI: 14.2 to 3.7) in the presence of isolation, considering a delay of 20 days between the degree of isolation and the dengue first symptoms. CONCLUSIONS We have shown that mobility can play an important role in the epidemiology of dengue and should be considered in surveillance and control activities.
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Affiliation(s)
| | - Gerson Laurindo Barbosa
- Endemics Control Superintendence (SUCEN), Sao Paulo State Department of Health, Sao Paulo, Brazil
| | - Camila Lorenz
- Department of Epidemiology, School of Public Health, University of Sao Paulo, Sao Paulo, Brazil.
| | | | - Lidia Maria Reis Santana
- Epidemiological Surveillance Center "Professor Alexandre Vranjac" - Sao Paulo State Department of Health (CVE/SES-SP), Sao Paulo, Brazil; Federal University of São Paulo (UNIFESP), Sao Paulo, Brazil
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16
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Plasencia-Dueñas R, Failoc-Rojas VE, Rodriguez-Morales AJ. Impact of the COVID-19 pandemic on the incidence of dengue fever in Peru. J Med Virol 2021; 94:393-398. [PMID: 34436792 PMCID: PMC8661613 DOI: 10.1002/jmv.27298] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2021] [Revised: 08/03/2021] [Accepted: 08/24/2021] [Indexed: 12/17/2022]
Abstract
Dengue virus and severe acute respiratory syndrome coronavirus 2 coexist in dengue‐endemic countries; therefore, the adoption of preventive measures is essential to control the spread of both viruses. We conducted an ecological study to compare the temporal patterns of the incidence of dengue before and during the Coronavirus disease 2019 (COVID‐19) pandemic in Peru. A time‐series analysis comparing the incidence of dengue using a Student's t test with variance correction was performed. Poisson regression was applied to determine the incidence rate ratio (IRR) of dengue before and during the COVID‐19 pandemic. The incidence of dengue was found to be increased in all endemic regions of Peru during the COVID‐19 pandemic, with the highest incidences registered in Ica (IRR = 90.14), Huánuco (IRR = 38.6), and Ucayali (IRR = 23.78), with the exception of Piura (IRR = 0.83). The highest increases in the number of dengue cases per million inhabitants were in Ucayali (393.38), Tumbes (233.19), Ica (166.08), and Loreto (129.93). The gradient of dengue cases was positive in all endemic regions during the COVID‐19 pandemic. The number of dengue cases per million increased during the COVID‐19 pandemic throughout Peru and in several endemic regions, with the exception of Piura.
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Affiliation(s)
- Rubí Plasencia-Dueñas
- Sociedad Científica de Estudiantes de Medicina de la Universidad Nacional Pedro Ruiz Gallo, SOCIEM UNPRG, Lambayeque, Peru.,Facultad de Medicina, Universidad Nacional Pedro Ruiz Gallo, Lambayeque, Peru
| | - Virgilio E Failoc-Rojas
- Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Universidad San Ignacio de Loyola, Lima, Peru
| | - Alfonso J Rodriguez-Morales
- Grupo de Investigación Biomedicina, Faculty of Medicine, Fundación Universitaria Autónoma de las Américas, Pereira, Risaralda, Colombia.,Master of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, Universidad Cientifica del Sur, Lima, Peru
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