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Nii-Trebi NI, Mughogho TS, Abdulai A, Tetteh F, Ofosu PM, Osei MM, Yalley AK. Dynamics of viral disease outbreaks: A hundred years (1918/19-2019/20) in retrospect - Loses, lessons and emerging issues. Rev Med Virol 2023; 33:e2475. [PMID: 37602770 DOI: 10.1002/rmv.2475] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Revised: 07/24/2023] [Accepted: 08/01/2023] [Indexed: 08/22/2023]
Abstract
Infectious diseases continue to be the leading cause of morbidity and mortality, and a formidable obstacle to the development and well-being of people worldwide. Viruses account for more than half of infectious disease outbreaks that have plagued the world. The past century (1918/19-2019/20) has witnessed some of the worst viral disease outbreaks the world has recorded, with overwhelming impact especially in low- and middle-income countries (LMIC). The frequency of viral disease outbreak appears to be increasing. Generally, although infectious diseases have afflicted the world for centuries and humankind has had opportunities to examine the nature of their emergence and mode of spread, almost every new outbreak poses a formidable challenge to humankind, beating the existing pandemic preparedness systems, if any, and causing significant losses. These underscore inadequacy in our understanding of the dynamics and preparedness against viral disease outbreaks that lead to epidemics and pandemics. Despite these challenges, the past 100 years of increasing frequencies of viral disease outbreaks have engendered significant improvements in response to epidemics and pandemics, and offered lessons to inform preparedness. Hence, the increasing frequency of emergence of viral outbreaks and the challenges these outbreaks pose to humankind, call for the continued search for effective ways to tackle viral disease outbreaks in real time. Through a PRISMA-based approach, this systematic review examines the outbreak of viral diseases in retrospect to decipher the outbreak patterns, losses inflicted on humanity and highlights lessons these offer for meaningful preparation against future viral disease outbreaks and pandemics.
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Affiliation(s)
- Nicholas I Nii-Trebi
- Department of Medical Laboratory Sciences, School of Biomedical and Allied Health Sciences, University of Ghana, Accra, Ghana
| | | | - Anisa Abdulai
- Department of Medical Microbiology, University of Ghana Medical School, Accra, Ghana
| | - Francis Tetteh
- Department of Medical Microbiology, University of Ghana Medical School, Accra, Ghana
| | - Priscilla M Ofosu
- Department of Medical Laboratory Sciences, School of Biomedical and Allied Health Sciences, University of Ghana, Accra, Ghana
| | - Mary-Magdalene Osei
- Department of Medical Microbiology, University of Ghana Medical School, Accra, Ghana
| | - Akua K Yalley
- Department of Medical Laboratory Sciences, School of Biomedical and Allied Health Sciences, University of Ghana, Accra, Ghana
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Gardini Sanches Palasio R, Marques Moralejo Bermudi P, Luiz de Lima Macedo F, Reis Santana LM, Chiaravalloti-Neto F. Zika, chikungunya and co-occurrence in Brazil: space-time clusters and associated environmental-socioeconomic factors. Sci Rep 2023; 13:18026. [PMID: 37865641 PMCID: PMC10590386 DOI: 10.1038/s41598-023-42930-4] [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: 02/14/2023] [Accepted: 09/16/2023] [Indexed: 10/23/2023] Open
Abstract
Chikungunya and Zika have been neglected as emerging diseases. This study aimed to analyze the space-time patterns of their occurrence and co-occurrence and their associated environmental and socioeconomic factors. Univariate (individually) and multivariate (co-occurrence) scans were analyzed for 608,388 and 162,992 cases of chikungunya and Zika, respectively. These occurred more frequently in the summer and autumn. The clusters with the highest risk were initially located in the northeast, dispersed to the central-west and coastal areas of São Paulo and Rio de Janeiro (2018-2021), and then increased in the northeast (2019-2021). Chikungunya and Zika demonstrated decreasing trends of 13% and 40%, respectively, whereas clusters showed an increasing trend of 85% and 57%, respectively. Clusters with a high co-occurrence risk have been identified in some regions of Brazil. High temperatures are associated with areas at a greater risk of these diseases. Chikungunya was associated with low precipitation levels, more urbanized environments, and places with greater social inequalities, whereas Zika was associated with high precipitation levels and low sewage network coverage. In conclusion, to optimize the surveillance and control of chikungunya and Zika, this study's results revealed high-risk areas with increasing trends and priority months and the role of socioeconomic and environmental factors.
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Affiliation(s)
- Raquel Gardini Sanches Palasio
- Laboratory of Spatial Analysis in Health (LAES), Department of Epidemiology, School of Public Health, University of São Paulo (FSP/USP), São Paulo, SP, Brazil.
| | - Patricia Marques Moralejo Bermudi
- Laboratory of Spatial Analysis in Health (LAES), Department of Epidemiology, School of Public Health, University of São Paulo (FSP/USP), São Paulo, SP, Brazil
| | - Fernando Luiz de Lima Macedo
- Epidemiological Surveillance Center (CVE) Prof. Alexandre Vranjac, Coordination of Disease Control, Health Department of the State of São Paulo, São Paulo, SP, Brazil
| | - Lidia Maria Reis Santana
- Epidemiological Surveillance Center (CVE) Prof. Alexandre Vranjac, Coordination of Disease Control, Health Department of the State of São Paulo, São Paulo, SP, Brazil
- Federal University of Sao Paulo (Unifesp), São Paulo, SP, Brazil
| | - Francisco Chiaravalloti-Neto
- Laboratory of Spatial Analysis in Health (LAES), Department of Epidemiology, School of Public Health, University of São Paulo (FSP/USP), São Paulo, SP, Brazil
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de Amorin Vilharba BL, Yamamura M, de Azevedo MV, Fernandes WDS, Santos-Pinto CDB, de Oliveira EF. Disease burden of congenital Zika virus syndrome in Brazil and its association with socioeconomic data. Sci Rep 2023; 13:11882. [PMID: 37482558 PMCID: PMC10363536 DOI: 10.1038/s41598-023-38553-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Accepted: 07/11/2023] [Indexed: 07/25/2023] Open
Abstract
Zika virus (ZIKV) infection became a global public health concern, causing an epidemic in Latin America from 2015 to 2016, when a sudden increase in cases of microcephaly and other congenital anomalies was observed. In 2016, the Centers for Disease Control and Prevention and the World Health Organization defined congenital Zika-associated syndrome (CZS) as a set of congenital anomalies seen in children born to mothers with a history of gestational Zika fever, who have microcephaly as the most prevalent clinical sign. In order to describe the magnitude of CZS in Brazil, this study estimated the burden of disease due to CZS in Brazil using the disability-adjusted life years (DALY) indicator and other frequency measures, such as incidence and mortality rate, during the years 2015-2020. The association of these indicators with socioeconomic variables was also evaluated using Spearman's correlation coefficient. Choropleth maps were used to evaluate the spatial distribution of the indicators evaluated and the spatial autocorrelation was verified by the Bivariate Moran Local Index. From 2015 to 2020, 3,591 cases of CZS were confirmed in Brazil, with an incidence of 44.03 cases per 1000 live births, and a specific mortality of 12.35 deaths per 1000 live births. A global loss of 30,027.44 DALYs was estimated from 2015 to 2020. The Northeast region had the highest values for all health indicators assessed. Spatial correlation and autocorrelation analyses showed significant associations between health and socioeconomic indicators, such as per capita income, Gini index, illiteracy rate and basic sanitation. The study allowed us to have access to all reported cases of CZS, showing us the possible situation of the disease in Brazil; therefore, we believe that our results can help in the understanding of future studies.
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Affiliation(s)
- Bruna Luiza de Amorin Vilharba
- Programa de Pós-Graduação em Doenças Infecciosas e Parasitárias, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brasil
| | - Mellina Yamamura
- Departamento de Enfermagem, Universidade Federal de São Carlos, São Carlos, SP, Brasil
| | | | - Wagner de Souza Fernandes
- Universidade Federal de Mato Grosso do Sul, Hospital Universitário Maria Aparecida Pedrossian-HUMAP-EBSERH, Campo Grande, MS, Brasil
| | | | - Everton Falcão de Oliveira
- Programa de Pós-Graduação em Doenças Infecciosas e Parasitárias, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brasil.
- Faculdade de Medicina, Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brasil.
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Dong B, Khan L, Smith M, Trevino J, Zhao B, Hamer GL, Lopez-Lemus UA, Molina AA, Lubinda J, Nguyen USDT, Haque U. Spatio-temporal dynamics of three diseases caused by Aedes-borne arboviruses in Mexico. COMMUNICATIONS MEDICINE 2022; 2:134. [PMID: 36317054 PMCID: PMC9616936 DOI: 10.1038/s43856-022-00192-7] [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: 03/10/2021] [Accepted: 09/20/2022] [Indexed: 11/07/2022] Open
Abstract
Background The intensity of transmission of Aedes-borne viruses is heterogeneous, and multiple factors can contribute to variation at small spatial scales. Illuminating drivers of heterogeneity in prevalence over time and space would provide information for public health authorities. The objective of this study is to detect the spatiotemporal clusters and determine the risk factors of three major Aedes-borne diseases, Chikungunya virus (CHIKV), Dengue virus (DENV), and Zika virus (ZIKV) clusters in Mexico. Methods We present an integrated analysis of Aedes-borne diseases (ABDs), the local climate, and the socio-demographic profiles of 2469 municipalities in Mexico. We used SaTScan to detect spatial clusters and utilize the Pearson correlation coefficient, Randomized Dependence Coefficient, and SHapley Additive exPlanations to analyze the influence of socio-demographic and climatic factors on the prevalence of ABDs. We also compare six machine learning techniques, including XGBoost, decision tree, Support Vector Machine with Radial Basis Function kernel, K nearest neighbors, random forest, and neural network to predict risk factors of ABDs clusters. Results DENV is the most prevalent of the three diseases throughout Mexico, with nearly 60.6% of the municipalities reported having DENV cases. For some spatiotemporal clusters, the influence of socio-economic attributes is larger than the influence of climate attributes for predicting the prevalence of ABDs. XGBoost performs the best in terms of precision-measure for ABDs prevalence. Conclusions Both socio-demographic and climatic factors influence ABDs transmission in different regions of Mexico. Future studies should build predictive models supporting early warning systems to anticipate the time and location of ABDs outbreaks and determine the stand-alone influence of individual risk factors and establish causal mechanisms.
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Affiliation(s)
- Bo Dong
- Department of Computer Science, University of Texas at Dallas, Richardson, TX 75080 USA
| | - Latifur Khan
- Department of Computer Science, University of Texas at Dallas, Richardson, TX 75080 USA
| | - Madison Smith
- Department of Biostatistics and Epidemiology, University of North Texas Health Science Center, Fort Worth, TX USA
| | - Jesus Trevino
- Department of Urban Affiars at the School of Architecture, Universidad Autónoma de Nuevo León, 66455 San Nicolás de los Garza, Nuevo Léon Mexico
| | - Bingxin Zhao
- Department of Statistics and Data Science, University of Pennsylvania, Philadelphia, PA 19104 USA
| | - Gabriel L. Hamer
- Department of Entomology, Texas A&M University, College Station, TX USA
| | - Uriel A. Lopez-Lemus
- Department of Health Sciences, Center for Biodefense and Global Infectious Diseases, Colima, 28078 Mexico
| | - Aracely Angulo Molina
- Department of Chemical and Biological Sciences, University of Sonora, Hermosillo 83000 Sonora, Mexico
| | - Jailos Lubinda
- Telethon Kids Institute, Malaria Atlas Project, Nedlands, WA Australia
| | - Uyen-Sa D. T. Nguyen
- Department of Biostatistics and Epidemiology, University of North Texas Health Science Center, Fort Worth, TX USA
| | - Ubydul Haque
- Department of Biostatistics and Epidemiology, University of North Texas Health Science Center, Fort Worth, TX USA
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Dengue, Chikungunya, and Zika: Spatial and Temporal Distribution in Rio de Janeiro State, 2015–2019. Trop Med Infect Dis 2022; 7:tropicalmed7070141. [PMID: 35878153 PMCID: PMC9318038 DOI: 10.3390/tropicalmed7070141] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Revised: 07/13/2022] [Accepted: 07/14/2022] [Indexed: 02/04/2023] Open
Abstract
Simultaneous spatial circulation of urban arboviral diseases, such as dengue, chikungunya, and Zika, is a major challenge. In this ecological study of urban arboviruses performed from 2015 to 2019, we analyzed the spatial and temporal dynamics of these arboviruses in all 92 municipalities and nine health regions of Rio de Janeiro state. Annual cumulative incidences are presented for all three arboviruses throughout the study period. Spatial analyses of the three studied arboviruses showed distinct behaviors among municipalities and health regions. Co-circulation of the three arboviruses in the state and a heterogeneous spatiotemporal pattern was observed for each disease and region, with dengue having a higher annual incidence during the five years of the study, as well as two consecutive epidemic years in the state. The increase in transmission in different regions of the state in one year culminated in an epidemic in the state in the following year. A high annual cumulative incidence of chikungunya occurred in municipalities from 2017 to 2019 and of Zika only in 2016. Some municipalities with higher population densities showed higher incidences for some arboviruses and appeared to contribute to the dissemination to cities of lower demographic density and maintenance of these urban arboviruses. Thus, regions recording increased incidences of the three diseases in their territories for long periods should be considered municipal poles, as they initiated and sustained high transmission within their region.
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Prates JWO, Xisto MF, Rodrigues JVDS, Colombari JPC, Meira JMA, Dias RS, da Silva CC, de Paula ESO. Zika Virus Envelope Protein Domain III Produced in K. phaffii Has the Potential for Diagnostic Applications. Diagnostics (Basel) 2022; 12:diagnostics12051198. [PMID: 35626353 PMCID: PMC9139701 DOI: 10.3390/diagnostics12051198] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 04/29/2022] [Accepted: 05/09/2022] [Indexed: 11/16/2022] Open
Abstract
Zika virus (ZIKV) represents a global human health threat and it is related to severe diseases such as congenital Zika syndrome (CZS) and Guillain-Barré syndrome (GBS). There is no vaccine available nor specific antiviral treatment, so developing sensitive, specific, and low-cost diagnostic tests is necessary. Thus, the objective of this work was to produce the Zika virus envelope protein domain III (ZIKV-EDIII) in Komagataella phaffii KM71H and evaluate its potential for diagnostic applications. After the K. phaffii had been transformed with the pPICZαA-ZIKV-EDIII vector, an SDS-PAGE and Western Blot were performed to characterize the recombinant protein and an ELISA to evaluate the antigenic potential. The results show that ZIKV-EDIII was produced in the expected size, with a good purity grade and yield of 2.58 mg/L. The receiver operating characteristic (ROC) curve showed 90% sensitivity and 87.5% specificity for IgM, and 93.33% sensitivity and 82.76% specificity for IgG. The ZIKV-EDIII protein was efficiently produced in K. phaffi, and it has the potential for diagnostic applications.
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Affiliation(s)
- John Willians Oliveira Prates
- Department of Microbiology, Federal University of Viçosa, Viçosa 36570-900, Minas Gerais, Brazil; (J.W.O.P.); (J.V.d.S.R.); (C.C.d.S.)
| | - Mariana Fonseca Xisto
- Laboratory of Molecular Immunovirology, Department of General Biology, Federal University of Viçosa, Viçosa 36570-900, Minas Gerais, Brazil; (M.F.X.); (R.S.D.)
| | - João Vitor da Silva Rodrigues
- Department of Microbiology, Federal University of Viçosa, Viçosa 36570-900, Minas Gerais, Brazil; (J.W.O.P.); (J.V.d.S.R.); (C.C.d.S.)
| | - João Pedro Cruz Colombari
- Department of Medicine and Nursing, Federal University of Viçosa, Viçosa 36570-900, Minas Gerais, Brazil; (J.P.C.C.); (J.M.A.M.)
| | - Júlia Maria Alves Meira
- Department of Medicine and Nursing, Federal University of Viçosa, Viçosa 36570-900, Minas Gerais, Brazil; (J.P.C.C.); (J.M.A.M.)
| | - Roberto Sousa Dias
- Laboratory of Molecular Immunovirology, Department of General Biology, Federal University of Viçosa, Viçosa 36570-900, Minas Gerais, Brazil; (M.F.X.); (R.S.D.)
| | - Cynthia Canedo da Silva
- Department of Microbiology, Federal University of Viçosa, Viçosa 36570-900, Minas Gerais, Brazil; (J.W.O.P.); (J.V.d.S.R.); (C.C.d.S.)
| | - e Sérgio Oliveira de Paula
- Laboratory of Molecular Immunovirology, Department of General Biology, Federal University of Viçosa, Viçosa 36570-900, Minas Gerais, Brazil; (M.F.X.); (R.S.D.)
- Correspondence: ; Tel.: +55-31-36125015
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Power GM, Vaughan AM, Qiao L, Sanchez Clemente N, Pescarini JM, Paixão ES, Lobkowicz L, Raja AI, Portela Souza A, Barreto ML, Brickley EB. Socioeconomic risk markers of arthropod-borne virus (arbovirus) infections: a systematic literature review and meta-analysis. BMJ Glob Health 2022; 7:bmjgh-2021-007735. [PMID: 35428678 PMCID: PMC9014035 DOI: 10.1136/bmjgh-2021-007735] [Citation(s) in RCA: 21] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Accepted: 03/02/2022] [Indexed: 02/04/2023] Open
Abstract
Introduction Arthropod-borne viruses (arboviruses) are of notable public health importance worldwide, owing to their potential to cause explosive outbreaks and induce debilitating and potentially life-threatening disease manifestations. This systematic review and meta-analysis aims to assess the relationship between markers of socioeconomic position (SEP) and infection due to arboviruses with mosquito vectors. Methods We conducted a systematic search on PubMed, Embase, and LILACS databases to identify studies published between 1980 and 2020 that measured the association of SEP markers with arbovirus infection. We included observational studies without geographic location or age restrictions. We excluded studies from grey literature, reviews and ecological studies. Study findings were extracted and summarised, and pooled estimates were obtained using random-effects meta-analyses. Results We identified 36 observational studies using data pertaining to 106 524 study participants in 23 geographic locations that empirically examined the relationship between socioeconomic factors and infections caused by seven arboviruses (dengue, chikungunya, Japanese encephalitis, Rift Valley fever, Sindbis, West Nile and Zika viruses). While results were varied, descriptive synthesis pointed to a higher risk of arbovirus infection associated with markers of lower SEP, including lower education, income poverty, low healthcare coverage, poor housing materials, interrupted water supply, marital status (married, divorced or widowed), non-white ethnicities and migration status. Pooled crude estimates indicated an increased risk of arboviral infection associated with lower education (risk ratio, RR 1.5 95% CI 1.3 to 1.9); I2=83.1%), interruption of water supply (RR 1.2; 95% CI 1.1 to 1.3; I2=0.0%) and having been married (RR 1.5 95% CI 1.1 to 2.1; I2=85.2%). Conclusion Evidence from this systematic review suggests that lower SEP increases the risk of acquiring arboviral infection; however, there was large heterogeneity across studies. Further studies are required to delineate the relationship between specific individual, household and community-level SEP indicators and arbovirus infection risks to help inform targeted public health interventions. PROSPERO registration number CRD42019158572.
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Affiliation(s)
- Grace M Power
- Health Equity Action Lab, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
- Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK
- MRC Integrative Epidemiology Unit, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK
| | - Aisling M Vaughan
- Health Equity Action Lab, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
| | - Luxi Qiao
- Health Equity Action Lab, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
- Washington University in St. Louis School of Medicine, St. Louis, MO, USA
| | - Nuria Sanchez Clemente
- Health Equity Action Lab, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
| | - Julia M Pescarini
- Health Equity Action Lab, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
| | - Enny S Paixão
- Health Equity Action Lab, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
| | - Ludmila Lobkowicz
- Health Equity Action Lab, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
| | - Amber I Raja
- Health Equity Action Lab, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
| | - André Portela Souza
- São Paulo School of Economics and Center for Applied Microeconomic Studies, Getulio Vargas Foundation, São Paulo, Brazil
| | - Mauricio Lima Barreto
- Centro de Integração de Dados e Conhecimentos para Saúde, Oswaldo Cruz Foundation, Salvador, Brazil
| | - Elizabeth B Brickley
- Health Equity Action Lab, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
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OUP accepted manuscript. Trans R Soc Trop Med Hyg 2022; 116:717-726. [DOI: 10.1093/trstmh/trac004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Revised: 09/20/2021] [Accepted: 01/10/2022] [Indexed: 11/14/2022] Open
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Lobkowicz L, Power GM, De Souza WV, Montarroyos UR, Martelli CMT, de Araùjo TVB, Bezerra LCA, Dhalia R, Marques ETA, Miranda-Filho DDB, Brickley EB, Ximenes RADA. Neighbourhood-level income and Zika virus infection during pregnancy in Recife, Pernambuco, Brazil: an ecological perspective, 2015-2017. BMJ Glob Health 2021; 6:bmjgh-2021-006811. [PMID: 34857522 PMCID: PMC8640636 DOI: 10.1136/bmjgh-2021-006811] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2021] [Accepted: 10/28/2021] [Indexed: 11/24/2022] Open
Abstract
Zika virus (ZIKV) infections during pregnancy can lead to adverse neurodevelopmental and clinical outcomes in congenitally infected offspring. As the city of Recife in Pernambuco State, Brazil—the epicentre of the Brazilian microcephaly epidemic—has considerable disparities in living conditions, this study used an ecological approach to investigate the association between income at the neighbourhood level and the risk of ZIKV infections in pregnant individuals between December 2015 and April 2017. The spatial distribution of pregnant individuals with ZIKV infection was plotted on a map of Recife stratified into four categories based on mean monthly income of household heads. Additionally, a Poisson regression model with robust variance was fitted to compare proportions of ZIKV infections among pregnant individuals in relation to the mean monthly income of household heads, based on the 2010 census data, across 94 neighbourhoods in Recife. The results provide evidence that the risk of ZIKV infection to pregnant individuals was higher among those residing in lower-income neighbourhoods: relative to neighbourhoods that had a mean monthly income of ≥5 times minimum wage, neighbourhoods with <1 and 1 to <2 times minimum wage had more than four times the risk (incidence rate ratio, 95% CI 4.08, 1.88 to 8.85 and 4.30, 2.00 to 9.20, respectively). This study provides evidence of a strong association between neighbourhood-level income and ZIKV infection risks in the pregnant population of Recife. In settings prone to arboviral outbreaks, locally targeted interventions to improve living conditions, sanitation, and mosquito control should be a key focus of governmental interventions to reduce risks associated with ZIKV infections during pregnancy.
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Affiliation(s)
- Ludmila Lobkowicz
- Health Equity Action Lab, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
| | - Grace M Power
- Health Equity Action Lab, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.,Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK.,MRC Integrative Epidemiology Unit, Department of Population Health Sciences, Bristol Medical School, Bristol, UK
| | | | | | | | | | | | - Rafael Dhalia
- Instituto Aggeu Magalhães, Fundação Oswaldo Cruz, Recife, PE, Brasil
| | - Ernesto T A Marques
- Instituto Aggeu Magalhães, Fundação Oswaldo Cruz, Recife, PE, Brasil.,Department of Infectious Diseases and Microbiology, University of Pittsburgh, Pittsburgh, PA, USA
| | | | - Elizabeth B Brickley
- Health Equity Action Lab, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK
| | - Ricardo Arraes de Alencar Ximenes
- Departamento de Medicina Interna, Universidade de Pernambuco, Recife, PE, Brasil.,Departamento de Medicina Tropical, Universidade Federal de Pernambuco, Recife, PE, Brasil
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Costa SDSB, Branco MDRFC, Vasconcelos VV, Queiroz RCDS, Araujo AS, Câmara APB, Fushita AT, Silva MDSD, Silva AAMD, Santos AMD. Autoregressive spatial modeling of possible cases of dengue, chikungunya, and Zika in the capital of Northeastern Brazil. Rev Soc Bras Med Trop 2021; 54:e0223. [PMID: 34586289 PMCID: PMC8463031 DOI: 10.1590/0037-8682-0223-2021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Accepted: 08/06/2021] [Indexed: 11/21/2022] Open
Abstract
INTRODUCTION: Dengue, chikungunya, and Zika are a growing global health problem. This study analyzed the spatial distribution of dengue, chikungunya, and Zika cases in São Luís, Maranhão, from 2015 to 2016 and investigated the association between socio-environmental and economic factors and hotspots for mosquito proliferation. METHODS: This was a socio-ecological study using data from the National Information System of Notifiable Diseases. The spatial units of analysis were census tracts. The incidence rates of the combined cases of the three diseases were calculated and smoothed using empirical local Bayes estimates. The spatial autocorrelation of the smoothed incidence rate was measured using Local Moran's I and Global Moran's I. Multiple linear regression and spatial autoregressive models were fitted using the log of the smoothed disease incidence rate as the dependent variable and socio-environmental factors, demographics, and mosquito hotspots as independent variables. RESULTS: The findings showed a significant spatial autocorrelation of the smoothed incidence rate. The model that best fit the data was the spatial lag model, revealing a positive association between disease incidence and the proportion of households with surrounding garbage accumulation. CONCLUSIONS: The distribution of dengue, chikungunya, and Zika cases showed a significant spatial pattern, in which the high-risk areas for the three diseases were explained by the variable "garbage accumulated in the surrounding environment,” demonstrating the need for an intersectoral approach for vector control and prevention that goes beyond health actions.
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Affiliation(s)
| | | | - Vitor Vieira Vasconcelos
- Universidade Federal do ABC, Programa de Pós-Graduação em Ciência e Tecnologia Ambiental, São Bernardo do Campo, SP, Brasil
| | | | - Adriana Soraya Araujo
- Universidade Federal do Maranhão, Programa de Pós-Graduação em Saúde e Ambiente, São Luís, MA, Brasil
| | | | - Angela Terumi Fushita
- Universidade Federal do ABC, Programa de Pós-Graduação em Ciência e Tecnologia Ambiental, São Bernardo do Campo, SP, Brasil
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Abstract
BACKGROUND The clinical presentation of dengue ranges from self-limited mild illness to severe forms, including death. African ancestry is often described as protective against dengue severity. However, in the Latin American context, African ancestry has been associated with increased mortality. This "severity paradox" has been hypothesized as resulting from confounding or heterogeneity by socioeconomic status (SES). However, few systematic analyses have been conducted to investigate the presence and nature of the disparity paradox. METHODS We fit Bayesian hierarchical spatiotemporal models using individual-level surveillance data from Cali, Colombia (2012-2017), to assess the overall morbidity and severity burden of notified dengue. We fitted overall and ethnic-specific models to assess the presence of heterogeneity by SES across and within ethnic groups (Afro-Colombian vs. non-Afro-Colombians), conducting sensitivity analyses to account for potential underreporting. RESULTS Our study included 65,402 dengue cases and 13,732 (21%) hospitalizations. Overall notified dengue incidence rates did not vary across ethnic groups. Severity risk was higher among Afro-Colombians (risk ratio [RR] = 1.16; 95% Credible Interval [95% CrI] = 1.08, 1.24) but after accounting for underreporting by ethnicity this association was nearly null (RR = 1.02; 95% CrI = 0.97, 1.07). Subsidized health insurance and low-SES were associated with increased overall dengue rates and severity. CONCLUSION The paradoxically increased severity among Afro-Colombians can be attributed to differential health-seeking behaviors and reporting among Afro-Colombians. Such differential reporting can be understood as a type of intersectionality between SES, insurance scheme, and ethnicity that requires a quantitative assessment in future studies.
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12
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Raymundo CE, de Andrade Medronho R. Association between socio-environmental factors, coverage by family health teams, and rainfall in the spatial distribution of Zika virus infection in the city of Rio de Janeiro, Brazil, in 2015 and 2016. BMC Public Health 2021; 21:1199. [PMID: 34162338 PMCID: PMC8220830 DOI: 10.1186/s12889-021-11249-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Accepted: 06/10/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Zika virus (ZIKV) infection caused outbreak in Brazil, in 2015 and 2016. Disorganized urban growth, facilitates the concentration of numerous susceptible and infected individuals. It is useful to understand the mechanisms that can favor the increase in ZIKV incidence, such as areas with wide socioeconomic and environmental diversity. Therefore, the study analyzed the spatial distribution of ZIKV in the city of Rio de Janeiro, Brazil, in 2015 and 2016, and associations between the incidence per 1000 inhabitants and socio-environmental factors. METHODS The census tracts were used as the analytical units reported ZIKV cases among the city's inhabitants. Local Empirical Bayesian method was used to control the incidence rates' instability effect. The spatial autocorrelation was verified with Moran's Index and local indicators of spatial association (LISA). Spearman correlation matrix was used to indicate possible collinearity. The Ordinary Least Squares (OLS), Spatial Lag Model (SAR), and Spatial Error Model (CAR) were used to analyze the relationship between ZIKV and socio-environmental factors. RESULTS The SAR model exhibited the best parameters: R2 = 0.44, Log-likelihood = - 7482, Akaike Information Criterion (AIC) = 14,980. In this model, mean income between 1 and 2 minimum wages was possible risk factors for Zika occurrence in the localities. Household conditions related to adequate water supply and the existence of public sewage disposal were associated with lower ZIKV cumulative incidence, suggesting possible protective factors against the occurrence of ZIKV in the localities. The presence of the Family Health Strategy in the census tracts was positively associated with the ZIKV cumulative incidence. However, the results show that mean income less than 1 minimum wage were negatively associated with higher ZIKV cumulative incidence. CONCLUSION The results demonstrate the importance of socio-environmental variables in the dynamics of ZIKV transmission and the relevance for the development of control strategies.
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Affiliation(s)
- Carlos Eduardo Raymundo
- Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, State of Rio de Janeiro, Brazil.
- Present address: s/n - Próximo a Prefeitura Universitária da UFRJ Rio de Janeiro, Avenida Horácio Macedo, Rio de Janeiro, State of Rio de Janeiro, 21941598, Brazil.
| | - Roberto de Andrade Medronho
- Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, State of Rio de Janeiro, Brazil
- Faculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro, State of Rio de Janeiro, Brazil
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13
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Pereira-Silva JW, Ríos-Velásquez CM, Lima GRD, Marialva Dos Santos EF, Belchior HCM, Luz SLB, Naveca FG, Pessoa FAC. Distribution and diversity of mosquitoes and Oropouche-like virus infection rates in an Amazonian rural settlement. PLoS One 2021; 16:e0246932. [PMID: 33592052 PMCID: PMC7886159 DOI: 10.1371/journal.pone.0246932] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2020] [Accepted: 01/28/2021] [Indexed: 02/02/2023] Open
Abstract
Mosquito diversity and disease transmission are influenced by landscape modifications, i.e., vectors and pathogens previously found only in forests are now found close to human environments due to anthropic changes. This study determined the diversity and distribution of mosquitoes in forest environments in order to analyze the potential vectors of Amazonian forest arboviruses. Mosquitoes were collected by 1) vertical stratification from forest canopy and ground areas using Hooper Pugedo (HP) light traps and human attraction and 2) horizontal stratification using HP light traps in peridomicile, forest edge, and forest environments near the Rio Pardo rural settlement, Amazonas, Brazil. A total of 3,750 mosquitoes were collected, representing 46 species. 3,139 individuals representing 46 species were sampled by vertical stratification. Both the Shannon-Weaver diversity index (H’) and equitability (J’) were higher in the canopy than on the ground. 611 individuals representing 13 species were sampled by horizontal stratification. H’ decreased in the following order: forest edge > forest > peridomicile, and J’ was greater at the forest edge and smaller in the peridomicile environment. Moreover, H’ was higher for the human attraction collection method than the HP traps. A total of 671 pools were analyzed by RT-qPCR; three species were positive for Oropouche-like viruses (Ochlerotatus serratus, Psorophora cingulata, and Haemagogus tropicalis) and the minimum infection rate was 0.8%. The composition of mosquito species did not differ significantly between anthropic and forest environments in Rio Pardo. Some mosquito species, due to their abundance, dispersion in the three environments, and record of natural infection, were hypothesized to participate in the arbovirus transmission cycle in this Amazonian rural settlement.
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Affiliation(s)
- Jordam William Pereira-Silva
- Laboratório Ecologia de Doenças Transmissíveis na Amazônia, Instituto Leônidas e Maria Deane-Fiocruz Amazônia, Manaus, Amazonas, Brasil.,Programa de Pós-Graduação em Condições de Vida e Situações de Saúde na Amazônia, Instituto Leônidas e Maria Deane-Fiocruz Amazônia, Manaus, Amazonas, Brasil.,Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Amazonas, Brasil.,Programa de Pós-Graduação em Medicina Tropical, Universidade do Estado do Amazonas, Manaus, Amazonas, Brasil
| | - Claudia María Ríos-Velásquez
- Laboratório Ecologia de Doenças Transmissíveis na Amazônia, Instituto Leônidas e Maria Deane-Fiocruz Amazônia, Manaus, Amazonas, Brasil.,Programa de Pós-Graduação em Condições de Vida e Situações de Saúde na Amazônia, Instituto Leônidas e Maria Deane-Fiocruz Amazônia, Manaus, Amazonas, Brasil.,Programa de Pós-Graduação em Medicina Tropical, Universidade do Estado do Amazonas, Manaus, Amazonas, Brasil.,Programa de Pós-Graduação em Biologia da Interação Patógeno-Hospedeiro, Instituto Leônidas e Maria Deane-Fiocruz Amazônia, Manaus, Amazonas, Brasil
| | - Gervilane Ribeiro de Lima
- Laboratório Ecologia de Doenças Transmissíveis na Amazônia, Instituto Leônidas e Maria Deane-Fiocruz Amazônia, Manaus, Amazonas, Brasil
| | - Eric Fabrício Marialva Dos Santos
- Laboratório Ecologia de Doenças Transmissíveis na Amazônia, Instituto Leônidas e Maria Deane-Fiocruz Amazônia, Manaus, Amazonas, Brasil.,Programa de Pós-Graduação em Biologia da Interação Patógeno-Hospedeiro, Instituto Leônidas e Maria Deane-Fiocruz Amazônia, Manaus, Amazonas, Brasil
| | - Heliana Christy Matos Belchior
- Laboratório Ecologia de Doenças Transmissíveis na Amazônia, Instituto Leônidas e Maria Deane-Fiocruz Amazônia, Manaus, Amazonas, Brasil.,Programa de Pós-Graduação em Biologia da Interação Patógeno-Hospedeiro, Instituto Leônidas e Maria Deane-Fiocruz Amazônia, Manaus, Amazonas, Brasil
| | - Sergio Luiz Bessa Luz
- Laboratório Ecologia de Doenças Transmissíveis na Amazônia, Instituto Leônidas e Maria Deane-Fiocruz Amazônia, Manaus, Amazonas, Brasil.,Programa de Pós-Graduação em Condições de Vida e Situações de Saúde na Amazônia, Instituto Leônidas e Maria Deane-Fiocruz Amazônia, Manaus, Amazonas, Brasil.,Programa de Pós-Graduação em Biologia da Interação Patógeno-Hospedeiro, Instituto Leônidas e Maria Deane-Fiocruz Amazônia, Manaus, Amazonas, Brasil
| | - Felipe Gomes Naveca
- Laboratório Ecologia de Doenças Transmissíveis na Amazônia, Instituto Leônidas e Maria Deane-Fiocruz Amazônia, Manaus, Amazonas, Brasil.,Programa de Pós-Graduação em Biologia da Interação Patógeno-Hospedeiro, Instituto Leônidas e Maria Deane-Fiocruz Amazônia, Manaus, Amazonas, Brasil
| | - Felipe Arley Costa Pessoa
- Laboratório Ecologia de Doenças Transmissíveis na Amazônia, Instituto Leônidas e Maria Deane-Fiocruz Amazônia, Manaus, Amazonas, Brasil.,Programa de Pós-Graduação em Condições de Vida e Situações de Saúde na Amazônia, Instituto Leônidas e Maria Deane-Fiocruz Amazônia, Manaus, Amazonas, Brasil.,Programa de Pós-Graduação em Biologia da Interação Patógeno-Hospedeiro, Instituto Leônidas e Maria Deane-Fiocruz Amazônia, Manaus, Amazonas, Brasil
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Correia F, Kerr L, Frota C, Barreto I, Almeida R, Pamplona L, Araújo L, Myiajima F, Lima S, Araújo F, Simões L, Júnior F, Martins A, Dias L, Alcântara I, Silva A, Sanhueza C, Ribeiro M, Teixeira M, Meyer A, Júnior J, Vasconcelos L, Sousa P, Saraiva S, Wesson D, Kendall C. Factors associated with Chikungunya infection in a cohort of women aged 15-39 y in Fortaleza, Brazil. Trans R Soc Trop Med Hyg 2021; 115:1070-1079. [PMID: 33460441 DOI: 10.1093/trstmh/traa182] [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: 10/13/2020] [Revised: 11/10/2020] [Accepted: 12/23/2020] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Outbreaks of Chikungunya virus (CHIKV) occurred in Brazil during 2015-2017. Fortaleza was the city that reported the most cases. METHODS The first round of a cohort study was conducted among women aged 15-39 y in Fortaleza, Brazil, in 2018 (Zika in Fortaleza). We collected sera to detect CHIKV IgG and IgM antibodies. Factors for CHIKV infection were identified using a Poisson regression model. RESULTS We evaluated 1466 serum samples and 13.8% and 37.2% of women were found positive for CHIKV IgM and IgG antibodies, respectively. Living with more than four others in the same house and having an abandoned house nearby were associated with CHIKV infection. Being currently pregnant was associated with a decreased probability of CHIKV infection, which was also associated with pregnant women reporting using more repellent, both inside and outside the house, than non-pregnant women. CONCLUSIONS Crowding in households and abandoned houses nearby can increase potential transmission. Policies providing better living conditions and regulation of abandoned sites and buildings are necessary to control the mosquito population. Programmes providing repellant at low or no cost to pregnant women should be implemented in the neighbourhoods where arbovirus infections are endemic.
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Affiliation(s)
- Francisco Correia
- Federal University of Ceará, 1608 Prof. Costa Mendes Street, Didactics Building, 5th floor, Rodolfo Teófilo, Fortaleza 60430-160, Brazil
| | - Ligia Kerr
- Federal University of Ceará, 1608 Prof. Costa Mendes Street, Didactics Building, 5th floor, Rodolfo Teófilo, Fortaleza 60430-160, Brazil
| | - Cristiane Frota
- Federal University of Ceará, 1608 Prof. Costa Mendes Street, Didactics Building, 5th floor, Rodolfo Teófilo, Fortaleza 60430-160, Brazil
| | - Ivana Barreto
- Laboratório de Saúde Pública do Estado do Ceará (LACEN), 2405 Barão de Studart Avenue, Dionísio Torres, Fortaleza 60120-002, Brazil
| | - Rosa Almeida
- Federal University of Ceará, 1608 Prof. Costa Mendes Street, Didactics Building, 5th floor, Rodolfo Teófilo, Fortaleza 60430-160, Brazil
| | - Luciano Pamplona
- Federal University of Ceará, 1608 Prof. Costa Mendes Street, Didactics Building, 5th floor, Rodolfo Teófilo, Fortaleza 60430-160, Brazil
| | - Larissa Araújo
- Federal University of Ceará, 1608 Prof. Costa Mendes Street, Didactics Building, 5th floor, Rodolfo Teófilo, Fortaleza 60430-160, Brazil
| | - Fábio Myiajima
- Laboratório de Saúde Pública do Estado do Ceará (LACEN), 2405 Barão de Studart Avenue, Dionísio Torres, Fortaleza 60120-002, Brazil
| | - Shirlene Lima
- Federal University of Ceará, 1608 Prof. Costa Mendes Street, Didactics Building, 5th floor, Rodolfo Teófilo, Fortaleza 60430-160, Brazil.,Oswaldo Cruz Foundation (Fiocruz), Branch Ceara, Eusebio 61760-000, Brazil
| | - Fernanda Araújo
- Oswaldo Cruz Foundation (Fiocruz), Branch Ceara, Eusebio 61760-000, Brazil
| | - Leda Simões
- Oswaldo Cruz Foundation (Fiocruz), Branch Ceara, Eusebio 61760-000, Brazil
| | - Francisco Júnior
- Federal University of Ceará, 1608 Prof. Costa Mendes Street, Didactics Building, 5th floor, Rodolfo Teófilo, Fortaleza 60430-160, Brazil
| | - Adriano Martins
- Federal University of Ceará, 1608 Prof. Costa Mendes Street, Didactics Building, 5th floor, Rodolfo Teófilo, Fortaleza 60430-160, Brazil
| | - Livia Dias
- Federal University of Ceará, 1608 Prof. Costa Mendes Street, Didactics Building, 5th floor, Rodolfo Teófilo, Fortaleza 60430-160, Brazil
| | - Ilka Alcântara
- Federal University of Ceará, 1608 Prof. Costa Mendes Street, Didactics Building, 5th floor, Rodolfo Teófilo, Fortaleza 60430-160, Brazil
| | - Ana Silva
- Federal University of Ceará, 1608 Prof. Costa Mendes Street, Didactics Building, 5th floor, Rodolfo Teófilo, Fortaleza 60430-160, Brazil
| | - Carlos Sanhueza
- Federal University of Ceará, 1608 Prof. Costa Mendes Street, Didactics Building, 5th floor, Rodolfo Teófilo, Fortaleza 60430-160, Brazil
| | - Marco Ribeiro
- Federal University of Ceará, 1608 Prof. Costa Mendes Street, Didactics Building, 5th floor, Rodolfo Teófilo, Fortaleza 60430-160, Brazil
| | - Maria Teixeira
- Laboratório de Saúde Pública do Estado do Ceará (LACEN), 2405 Barão de Studart Avenue, Dionísio Torres, Fortaleza 60120-002, Brazil
| | - Anya Meyer
- Laboratório de Saúde Pública do Estado do Ceará (LACEN), 2405 Barão de Studart Avenue, Dionísio Torres, Fortaleza 60120-002, Brazil
| | - José Júnior
- Federal University of Ceará, 1608 Prof. Costa Mendes Street, Didactics Building, 5th floor, Rodolfo Teófilo, Fortaleza 60430-160, Brazil
| | - Lucas Vasconcelos
- Federal University of Ceará, 1608 Prof. Costa Mendes Street, Didactics Building, 5th floor, Rodolfo Teófilo, Fortaleza 60430-160, Brazil
| | - Paulo Sousa
- Federal University of Ceará, 1608 Prof. Costa Mendes Street, Didactics Building, 5th floor, Rodolfo Teófilo, Fortaleza 60430-160, Brazil
| | - Susy Saraiva
- Federal University of Ceará, 1608 Prof. Costa Mendes Street, Didactics Building, 5th floor, Rodolfo Teófilo, Fortaleza 60430-160, Brazil
| | - Dawn Wesson
- Tulane School of Public Health and Tropical Medicine, 6823 St Charles Ave, New Orleans, LA 70118, USA
| | - Carl Kendall
- Federal University of Ceará, 1608 Prof. Costa Mendes Street, Didactics Building, 5th floor, Rodolfo Teófilo, Fortaleza 60430-160, Brazil.,Tulane School of Public Health and Tropical Medicine, 6823 St Charles Ave, New Orleans, LA 70118, USA
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15
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dos Anjos RS, Nóbrega RS, Ferreira HDS, de Lacerda AP, de Sousa-Neves N. Exploring local and global regression models to estimate the spatial variability of Zika and Chikungunya cases in Recife, Brazil. Rev Soc Bras Med Trop 2020; 53:e20200027. [PMID: 32997047 PMCID: PMC7523520 DOI: 10.1590/0037-8682-0027-2020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Accepted: 08/11/2020] [Indexed: 11/23/2022] Open
Abstract
INTRODUCTION In this study, we aim to compare spatial statistic models to estimate the spatial distribution of Zika and Chikungunya infections in the city of Recife, Brazil. We also aim to establish the relationship between the diseases and the analyzed geographical conditions. METHODS The models were defined by combining three categories: type of spatial unit, calculation of the dependent variable format, and estimation methods (Geographical Weighted Regression [GWR] and Ordinary Least Square [OLS]). We identified the most accurate model to estimate the spatial distribution of the diseases. After selecting the model that provided best results, the relationship between the geographical conditions and the incidence of the diseases was analyzed. RESULTS It was observed that the matrix of 100 meters (as the spatial unit) showed the highest efficiency to estimate the diseases. The best results were observed in the models that utilized the kernel density estimation (as the calculation of the dependent variable). In all models, the GWR method showed the best results. By considering the OLS coefficient values, it was observed that all geographical conditions are related to the incidence of Zika and Chikungunya, while the GWR coefficient values showed where this relationship was more noticeable. CONCLUSIONS The model that utilized the combination of the matrix of 100 meters, kernel density estimation (as the calculation of the dependent variable) and GWR method showed the highest efficiency in estimating the spatial distribution of the diseases. The coefficient values showed that all analyzed geographical conditions are related to the illnesses' incidence.
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Affiliation(s)
- Rafael Silva dos Anjos
- Universidade Federal de Pernambuco, Departamento de Ciências Geográficas, Recife, PE, Brasil
| | - Ranyére Silva Nóbrega
- Universidade Federal de Pernambuco, Departamento de Ciências Geográficas, Recife, PE, Brasil
| | | | | | - Nuno de Sousa-Neves
- University of Évora, Department of Landscape, Environment and Planning, Évora, Portugal
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16
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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.
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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.)
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Martínez-Bello DA, López-Quílez A, Prieto AT. Joint Estimation of Relative Risk for Dengue and Zika Infections, Colombia, 2015-2016. Emerg Infect Dis 2019; 25:1118-1126. [PMID: 31107226 PMCID: PMC6537708 DOI: 10.3201/eid2506.180392] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
We jointly estimated relative risk for dengue and Zika virus disease (Zika) in Colombia, establishing the spatial association between them at the department and city levels for October 2015-December 2016. Cases of dengue and Zika were allocated to the 87 municipalities of 1 department and the 293 census sections of 1 city in Colombia. We fitted 8 hierarchical Bayesian Poisson joint models of relative risk for dengue and Zika, including area- and disease-specific random effects accounting for several spatial patterns of disease risk (clustered or uncorrelated heterogeneity) within and between both diseases. Most of the dengue and Zika high-risk municipalities varied in their risk distribution; those for Zika were in the northern part of the department and dengue in the southern to northeastern parts. At city level, spatially clustered patterns of dengue high-risk census sections indicated Zika high-risk areas. This information can be used to inform public health decision making.
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