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1.
Arch. argent. pediatr ; 119(2): 131-138, abril 2021. ilus
Artículo en Español | LILACS, BINACIS | ID: biblio-1152134

RESUMEN

A 11 años del primer brote de dengue en Buenos Aires, el 20 de marzo de 2020, mientras se iniciaba la cuarentena obligatoria por COVID-19, dengue pasó a ser la causa más común de consulta por fiebre. La nueva ola de casos de dengue ya se encontraba entre las predicciones de la Organización Panamericana de la Salud en función del aumento en la región de las Américas que se venía presentando desde el año anterior. La llegada del SARS-CoV-2 a principios de marzo, sumada al brote de dengue que ya estaba en curso, resultó en un nuevo desafío para el sistema de salud, mientras comenzaba un paradigma con planes de adaptación a la nueva infección pandémica en el país. La superposición de infecciones con potencial epidémico, como dengue, recuerda la importancia de no desatender otras enfermedades endémicas, emergentes y reemergentes a la sombra del nuevo fenómeno epidemiológico


Eleven years after the first dengue outbreak in Buenos Aires, on March 20, 2020, while the mandatory quarantine for COVID-19 began dengue became the most common cause of fever consultation. The new wave of dengue cases was already among the predictions of the Pan American Health Organization based on the increase in the region of the Americas that had been occurring since the previous year. The arrival of SARS-CoV-2 at the beginning of March, added to the dengue outbreak that was already underway, made a new challenge for the health system while a new paradigm was initiated with adaptation plans to the new pandemic infection in the country. The overlapping of infections with epidemic potential such as dengue recalls the importance of not neglecting other endemic, emerging and re-emerging diseases in the shadow of the new epidemiological phenomenon.


Asunto(s)
Humanos , Dengue/epidemiología , Pediatría , Arbovirus , Argentina/epidemiología , Infecciones por Coronavirus , Aedes , Coinfección
2.
Rev Bras Epidemiol ; 24: e210020, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33825776

RESUMEN

OBJECTIVE: To describe the entry of Dengue virus (DENV) serotypes in Brazil and its federative units. METHODS: A systematic review of studies published between 1980 and 2018 in databases and in the gray literature was performed using descriptors related to the years of entry of the DENV serotypes. Additionally, experts and official sources of information (Brazilian Ministry of Health) were consulted. RESULTS: From 100 publications selected for the systematic review, 26 addressed the entry of DENV serotypes in the North region of the country, 33 in the Northeast, 24 in the Southeast, 14 in the Central-West, and five in the South. DENV-1 and DENV-4 were introduced in the North region in 1981. DENV-2 was introduced in the Southeast in 1990. DENV-3 was introduced in the North in 1999. CONCLUSION: The rapid expansion of dengue throughout the Brazilian territory was verified from the second half of the 1980s, with the gradual entry of the four serotypes, which resulted in the emergence of epidemics of arbovirus, which are currently verified in the country. Considering the epidemiology of the disease, more information should be disseminated and published in the wide-ranging scientific literature for a better understanding of the spread and circulation of DENV serotypes.


Asunto(s)
Virus del Dengue , Dengue , Brasil/epidemiología , Dengue/epidemiología , Virus del Dengue/genética , Geografía , Humanos , Serogrupo
3.
PLoS Negl Trop Dis ; 15(3): e0009259, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33705409

RESUMEN

Dengue, Zika and chikungunya are diseases of global health significance caused by arboviruses and transmitted by the mosquito Aedes aegypti, which is of worldwide circulation. The arrival of the Zika and chikungunya viruses to South America increased the complexity of transmission and morbidity caused by these viruses co-circulating in the same vector mosquito species. Here we present an integrated analysis of the reported arbovirus cases between 2007 and 2017 and local climate and socio-economic profiles of three distinct Colombian municipalities (Bello, Cúcuta and Moniquirá). These locations were confirmed as three different ecosystems given their contrasted geographic, climatic and socio-economic profiles. Correlational analyses were conducted with both generalised linear models and generalised additive models for the geographical data. Average temperature, minimum temperature and wind speed were strongly correlated with disease incidence. The transmission of Zika during the 2016 epidemic appeared to decrease circulation of dengue in Cúcuta, an area of sustained high incidence of dengue. Socio-economic factors such as barriers to health and childhood services, inadequate sanitation and poor water supply suggested an unfavourable impact on the transmission of dengue, Zika and chikungunya in all three ecosystems. Socio-demographic influencers were also discussed including the influx of people to Cúcuta, fleeing political and economic instability from neighbouring Venezuela. Aedes aegypti is expanding its range and increasing the global threat of these diseases. It is therefore vital that we learn from the epidemiology of these arboviruses and translate it into an actionable local knowledge base. This is even more acute given the recent historical high of dengue cases in the Americas in 2019, preceding the COVID-19 pandemic, which is itself hampering mosquito control efforts.


Asunto(s)
Fiebre Chikungunya/epidemiología , Dengue/epidemiología , Infección por el Virus Zika/epidemiología , Aedes/fisiología , Aedes/virología , Animales , Fiebre Chikungunya/economía , Fiebre Chikungunya/virología , Virus Chikungunya/fisiología , Clima , Colombia/epidemiología , Dengue/economía , Dengue/virología , Virus del Dengue/fisiología , Ecosistema , Humanos , Mosquitos Vectores/fisiología , Mosquitos Vectores/virología , América del Sur , Temperatura , Virus Zika/fisiología , Infección por el Virus Zika/economía , Infección por el Virus Zika/virología
4.
Arch Argent Pediatr ; 119(2): 131-138, 2021 04.
Artículo en Español | MEDLINE | ID: mdl-33749212

RESUMEN

Eleven years after the first dengue outbreak in Buenos Aires, on March 20, 2020, while the mandatory quarantine for COVID-19 began dengue became the most common cause of fever consultation. The new wave of dengue cases was already among the predictions of the Pan American Health Organization based on the increase in the region of the Americas that had been occurring since the previous year. The arrival of SARS-CoV-2 at the beginning of March, added to the dengue outbreak that was already underway, made a new challenge for the health system while a new paradigm was initiated with adaptation plans to the new pandemic infection in the country. The overlapping of infections with epidemic potential such as dengue recalls the importance of not neglecting other endemic, emerging and re-emerging diseases in the shadow of the new epidemiological phenomenon.


Asunto(s)
/epidemiología , Dengue/epidemiología , Argentina/epidemiología , Dengue/diagnóstico , Dengue/prevención & control , Brotes de Enfermedades , Política de Salud , Humanos , Pandemias , Cuarentena
5.
An Acad Bras Cienc ; 93(3): e20200670, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33681889

RESUMEN

Arboviral diseases are disseminated all over the world. In Brazil, they remain neglected, alerting public authorities to possible outbreaks. Over here, we report the epidemiological indicators of Dengue from 2010 to 2015, Zika between 2015 and 2016, and Chikungunya from 2014 to 2016, within 19 municipalities of Southwestern Region of Bahia, Brazil. The data were collected from Brazilian national public information systems (SISFAD, SINAN, and IBGE) and by Endemic Control Agents. The analysis consisted of a description of vector characteristics, Home Infestation Index and characterization of human reported cases. The years 2011 and 2013 were recorded as having the highest frequencies of positive properties for the presence of the arboviruse vectors. Most municipalities presented high annual values of Home Infestation Index indicating an alert situation (62.28%). In the evaluated period, there were (i) 9,196 cases of Dengue, (ii) 636 cases of Zika and (iii) 224 cases of Chikungunya reported. This is the first report of the epidemiological characteristics of these arboviruses in the 19 municipalities of Bahia. It is believed that the data collected may contribute to public health policies aimed at controlling future epidemics of these arboviruses.


Asunto(s)
Arbovirus , Fiebre Chikungunya , Dengue , Infección por el Virus Zika , Virus Zika , Brasil/epidemiología , Fiebre Chikungunya/epidemiología , Dengue/epidemiología , Humanos , Infección por el Virus Zika/epidemiología
6.
Artículo en Inglés | MEDLINE | ID: mdl-33787737

RESUMEN

Dengue virus, the etiological agent of dengue fever (DF) occurs in four genetically distinct serotypes (DENV1-4), being transmitted by female Aedes mosquitoes. DF incidence is increasing in Brazil, following vector dispersal, proliferation and DENV serotypes introduction, co-circulation and substitution. Medium- and small-sized cities in Sao Paulo State, such as Marilia (Midwest region), have been affected by huge epidemics. To understand the evolution of DENV epidemics in medium-sized cities, in this study a historical data on DENV incidence (2000-2015) in Marilia, was evaluated. Previous studies disclosed regional and specific DF outcomes associated with 2007 outbreak in that city, when co-circulating DENV1 and DENV3 presented different hematological profiles. In this study, characteristics of 2007 DENV epidemics were compared to the epidemiological, hematological and demographic outlines of the major outbreak of DENV1 in Marilia in 2015. DENV1 genetic diversity was assessed through capsid and pre-membrane junction encoding gene (CprM) sequencing. The results revealed circulation of DENV1 serotype from 2007 to 2015, with epidemics occurring every three-years until 2013 and then, increasing yearly. There were significant differences in hematological profiles of DENV1 patients between 2015 and 2007. CprM showed DENV1 genetic variability in 2015, contrasting with the unique sequence pattern in 2007. These results reinforce the regional and temporal characteristics of DENV epidemics that need local public health research to improve care for people and to limit the spread of new serotypes/genotypes to uninfected areas.


Asunto(s)
Virus del Dengue/genética , Dengue/epidemiología , Brotes de Enfermedades , Adolescente , Adulto , Anciano , Animales , Brasil/epidemiología , Niño , Dengue/transmisión , Virus del Dengue/clasificación , Virus del Dengue/aislamiento & purificación , Femenino , Humanos , Inmunoglobulina M/sangre , Masculino , Persona de Mediana Edad , Mosquitos Vectores , ARN Viral/genética , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Serogrupo , Serotipificación , Adulto Joven
7.
BMC Infect Dis ; 21(1): 265, 2021 Mar 17.
Artículo en Inglés | MEDLINE | ID: mdl-33731022

RESUMEN

BACKGROUND: Increasing arbovirus infections have been a global burden in recent decades. Many countries have experienced the periodic emergence of arbovirus diseases. However, information on the prevalence of arboviruses is largely unknown or infrequently updated because of the lack of surveillance studies, especially in Africa. METHODS: A surveillance study was conducted in Gabon, Central Africa, on arboviruses, which are a major public health concern in Africa, including: West Nile virus (WNV), dengue virus (DENV), Zika virus (ZIKV), yellow fever virus (YFV), chikungunya virus (CHIKV), and Rift Valley fever virus (RVFV). Serological and molecular assays were performed to investigate past infection history and the current status of infection, using serum samples collected from healthy individuals and febrile patients, respectively. RESULTS: The overall seroprevalence during 2014-2017 was estimated to be 25.3% for WNV, 20.4% for DENV, 40.3% for ZIKV, 60.7% for YFV, 61.2% for CHIKV, and 14.3% for RVFV. No significant differences were found in the seroprevalence of any of the viruses between the male and female populations. However, a focus on the mean age in each arbovirus-seropositive individual showed a significantly younger age in WNV- and DENV-seropositive individuals than in CHIKV-seropositive individuals, indicating that WNV and DENV caused a relatively recent epidemic in the region, whereas CHIKV had actively circulated before. Of note, this indication was supported by the detection of both WNV and DENV genomes in serum samples collected from febrile patients after 2016. CONCLUSIONS: This study revealed the recent re-emergence of WNV and DENV in Gabon as well as the latest seroprevalence state of the major arboviruses, which indicated the different potential risks of virus infections and virus-specific circulation patterns. This information will be helpful for public health organizations and will enable a rapid response towards these arbovirus infections, thereby preventing future spread in the country.


Asunto(s)
Arbovirus/aislamiento & purificación , Dengue/epidemiología , Infección por el Virus Zika/epidemiología , Adolescente , Animales , Infecciones por Arbovirus/diagnóstico , Infecciones por Arbovirus/epidemiología , Arbovirus/clasificación , Niño , Preescolar , Enfermedades Transmisibles Emergentes , Dengue/diagnóstico , Femenino , Fiebre/epidemiología , Fiebre/virología , Gabón/epidemiología , Humanos , Lactante , Masculino , Salud Pública , Estudios Seroepidemiológicos , Infección por el Virus Zika/diagnóstico
8.
Nat Commun ; 12(1): 1810, 2021 03 22.
Artículo en Inglés | MEDLINE | ID: mdl-33753725

RESUMEN

For most pathogens, transmission is driven by interactions between the behaviours of infectious individuals, the behaviours of the wider population, the local environment, and immunity. Phylogeographic approaches are currently unable to disentangle the relative effects of these competing factors. We develop a spatiotemporally structured phylogenetic framework that addresses these limitations by considering individual transmission events, reconstructed across spatial scales. We apply it to geocoded dengue virus sequences from Thailand (N = 726 over 18 years). We find infected individuals spend 96% of their time in their home community compared to 76% for the susceptible population (mainly children) and 42% for adults. Dynamic pockets of local immunity make transmission more likely in places with high heterotypic immunity and less likely where high homotypic immunity exists. Age-dependent mixing of individuals and vector distributions are not important in determining spread. This approach provides previously unknown insights into one of the most complex disease systems known and will be applicable to other pathogens.


Asunto(s)
Algoritmos , Virus del Dengue/genética , Dengue/transmisión , Modelos Teóricos , Adulto , Aedes/virología , Animales , Niño , Dengue/epidemiología , Dengue/virología , Virus del Dengue/clasificación , Virus del Dengue/fisiología , Genoma Viral/genética , Interacciones Huésped-Patógeno , Humanos , Mosquitos Vectores/virología , Filogenia , Filogeografía/métodos , Filogeografía/estadística & datos numéricos , Dinámica Poblacional , Tailandia/epidemiología
9.
Rev Soc Bras Med Trop ; 54: e0055-2020, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33759914

RESUMEN

INTRODUCTION: Mayaro virus (MAYV) was found in Pará state, Brazil, in 1955. Since then, sporadic outbreaks have occurred in different regions of the country. METHODS: Serum sample were collected from 49 individuals in 2016 and were initially tested for dengue virus (DENV) by real-time (RT) polymerase chain reaction (PCR). DENV-negative samples were tested for MAYV and Oropouche virus (OROV) by multiplexed RT quantitative PCR. RESULTS: All samples were negative for DENV and OROV, but MAYV was detected in four samples. CONCLUSIONS: Differential diagnoses of acute febrile syndrome are required, especially in regions where several arboviruses with similar clinical manifestations are endemic.


Asunto(s)
Alphavirus , Arbovirus , Dengue , Alphavirus/genética , Arbovirus/genética , Brasil/epidemiología , Dengue/diagnóstico , Dengue/epidemiología , Brotes de Enfermedades , Humanos , Reacción en Cadena en Tiempo Real de la Polimerasa , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa
10.
Rev Soc Bras Med Trop ; 54: e08372020, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33656154

RESUMEN

INTRODUCTION: This study evaluated the epidemiological implications of arbovirus infections and coronavirus disease (COVID-19) co-occurrences in Espírito Santo, Brazil. METHODS: This ecological study of dengue, chikungunya, zika, and COVID-19 was performed from January 1 to July 31, 2020. RESULTS: Espírito Santo registered 44,614, 8,092, 3,138, and 91,483 cases of dengue, chikungunya, zika, and COVID-19, respectively (January-July, 2020). In the 27 and four municipalities with a high incidence of dengue and chikungunya, respectively, the incidence of COVID-19 was 647.0-3,721.7 and 1,787.2-3,403.0 cases per 100,000 inhabitants, respectively. CONCLUSIONS: Espírito Santo experienced an overlap of epidemics, especially in urban areas.


Asunto(s)
Fiebre Chikungunya , Coronavirus , Dengue , Epidemias , Infección por el Virus Zika , Virus Zika , Brasil/epidemiología , Fiebre Chikungunya/epidemiología , Dengue/epidemiología , Humanos , Infección por el Virus Zika/complicaciones , Infección por el Virus Zika/epidemiología
11.
Nursing (Säo Paulo) ; 24(273): 5229-5242, fev.2021.
Artículo en Portugués | LILACS, BDENF - Enfermería | ID: biblio-1148490

RESUMEN

Objetivo: descrever incidência de dengue em Santos/SP e relacionar coeficiente de incidência (CI) de dengue com indicadores socioeconômicos e entomológicos de 2012-2016. Método: estudo epidemiológico, descritivo, ecológico dos casos confirmados de dengue, residentes em Santos, de 2012-2016, do Sistema de Informação de Agravos de Notificação-Online; foram obtidos seis indicadores socioeconômicos da base de setores censitários do Instituto Brasileiro de Geografia e Estatística-2010; o sétimo do Índice Paulista de Vulnerabilidade Social-2010 e os indicadores entomológicos da Secretaria de Saúde; foi aplicada Correlação bivariada de Spearman (SPSS-Statistics®). Aprovado pelo Comitê de Ética em Pesquisa-CAAE nº79776017.1.0000.5479. Resultados: de 2012-2016 ocorreram 16.451 casos, com CI de 117,4 (2012) a 2.122,8 (2013) casos/100.000 habitantes, maior no sexo feminino e de 15-29 anos; os fatores socioeconômicos foram mais significativos entre 2015-2016; o Índice de Densidade de fêmeas Aedes aegypti apresentou maior correlação positiva. Conclusão: descreveu-se perfil epidemiológico/entomológico da dengue, apoiando gestores nas ações locais de controle.(AU)


Objectives: describe incidence of dengue in Santos/SP and relate dengue incidence coefficient (IC) with socioeconomic and entomological indicators from 2012-2016. Methods: epidemiological, descriptive, ecological study of confirmed cases of dengue, resident in Santos, from 2012-2016, of the Online-Notifiable Diseases Information System; six socioeconomic indicators were obtained from census sectors base of Brazilian Institute of Geography and Statistics-2010; the seventh from the São Paulo Index of Social Vulnerability-2010 and the entomological indicators from the Health Department; Spearman's Bivariate Correlation (SPSS-Statistics®) was applied. Approved by the Research Ethics Committee-CAAE nº79776017.1.0000.5479. Results: from 2012-2016 there were 16.451 cases, with IC from 117,4 (2012) to 2.122,8 (2013) cases/100.000 inhabitants, higher in females and between 15-29 years old; socioeconomic factors were more significant between 2015-2016; the Density Index of Aedes aegypti females showed a greater positive correlation. Conclusion: epidemiological/entomological profile of dengue was described, supporting managers in local control actions.(AU)


Objetivos: describir incidencia del dengue en Santos/SP y relacionar coeficiente de incidencia (CI) del dengue con indicadores socioeconómicos y entomológicos para 2012-2016. Métodos: estudio epidemiológico, descriptivo, ecológico de casos confirmados de dengue, residentes en Santos, desde 2012-2016, del Sistema de Información de Enfermedades de Notificación-Online; obtuvieron-se seis indicadores socioeconómicos desde base de sectores censales del Instituto Brasileño de Geografía y Estadística-2010, el séptimo del Índice de Vulnerabilidad Social de São Paulo-2010 y los indicadores entomológicos del Departamento de Salud. Aplicó-se Correlación Bivariada de Spearman (SPSS-Statistics®). Aprobado por el Comité de Ética en Investigación-CAAE nº79776017.1.0000.5479. Resultados: desde 2012-2016 hubo 16.451 casos, con CI de 117,4 (2012) a 2.122,8 (2013) casos/100.000 habitantes, mayor en mujeres y de 15-29 años; los factores socioeconómicos fueron más significativos entre 2015-2016; el Índice de Densidad de hembras Aedes aegypti mostró mayor correlación positiva. Conclusión: describió-se perfil epidemiológico/entomológico del dengue, apoyando a los gerentes en acciones de control local.(AU)


Asunto(s)
Humanos , Enfermería en Salud Pública , Perfil de Salud , Incidencia , Aedes/virología , Dengue/epidemiología , Índice de Vulnerabilidad Social , Factores Socioeconómicos , Vulnerabilidad ante Desastres/estadística & datos numéricos , Entomología
13.
BMC Infect Dis ; 21(1): 166, 2021 Feb 10.
Artículo en Inglés | MEDLINE | ID: mdl-33568111

RESUMEN

BACKGROUND: An unexpected dengue outbreak occurred in Hunan Province in 2018. This was the first dengue outbreak in this area of inland China, and 172 cases were reported. METHODS: To verify the causative agent of this outbreak and characterise the viral genes, the genes encoding the structural proteins C/prM/E of viruses isolated from local residents were sequenced followed by mutation and phylogenetic analysis. Recombination, selection pressure, potential secondary structure and three-dimensional structure analyses were also performed. RESULTS: Phylogenetic analysis revealed that all epidemic strains were of the cosmopolitan DENV-2 genotype and were most closely related to the Zhejiang strain (MH010629, 2017) and then the Malaysia strain (KJ806803, 2013). Compared with the sequence of DENV-2SS, 151 base substitutions were found in the sequences of 89 isolates; these substitutions resulted in 20 non-synonymous mutations, of which 17 mutations existed in all samples (two in the capsid protein, six in the prM/M proteins, and nine in the envelope proteins). Moreover, amino acid substitutions at the 602nd (E322:Q → H) and 670th (E390: N → S) amino acids may have enhanced the virulence of the epidemic strains. One new DNA binding site and five new protein binding sites were observed. Two polynucleotide binding sites and seven protein binding sites were lost in the epidemic strains compared with DENV-2SS. Meanwhile, five changes were found in helical regions. Minor changes were observed in helical transmembrane and disordered regions. The 429th amino acid of the E protein switched from a histamine (positively charged) to an asparagine (neutral) in all 89 isolated strains. No recombination events or positive selection pressure sites were observed. To our knowledge, this study is the first to analyse the genetic characteristics of epidemic strains in the first dengue outbreak in Hunan Province in inland China. CONCLUSIONS: The causative agent is likely to come from Zhejiang Province, a neighbouring province where dengue fever broke out in 2017. This study may help clarify the intrinsic geographical relatedness of DENV-2 and contribute to further research on pathogenicity and vaccine development.


Asunto(s)
Virus del Dengue/genética , Dengue/diagnóstico , Proteínas del Envoltorio Viral/genética , Sitios de Unión , Proteínas de la Cápside/química , Proteínas de la Cápside/genética , Proteínas de la Cápside/metabolismo , China/epidemiología , Dengue/epidemiología , Dengue/virología , Virus del Dengue/clasificación , Virus del Dengue/aislamiento & purificación , Brotes de Enfermedades , Genotipo , Humanos , Mutación , Filogenia , Estructura Terciaria de Proteína , ARN Viral/química , ARN Viral/metabolismo , Análisis de Secuencia de ARN , Proteínas del Envoltorio Viral/química , Proteínas no Estructurales Virales/genética , Proteínas no Estructurales Virales/metabolismo
14.
Arch Virol ; 166(4): 1103-1112, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33575893

RESUMEN

Dengue virus (DV) is a mosquito-borne virus that is endemic to many tropical and subtropical areas. Recently, the annual incidence of DV infection has increased worldwide, including in Korea, due to global warming and increased global travel. We therefore sought to characterize the molecular and evolutionary features of DV-1 and DV-4 isolated from Korean overseas travelers. We used phylogenetic analysis based on the full coding region to classify isolates of DV-1 in Korea into genotype I (43251, KP406802), genotype IV (KP406803), and genotype V (KP406801). In addition, we found that strains of DV-4 belonged to genotype I (KP406806) and genotype II (43257). Evidence of positive selection in DV-1 strains was identified in the C, prM, NS2A, and NS5 proteins, whereas DV-4 showed positive selection only in the non-structural proteins NS2A, NS3, and NS5. The substitution rates per site per year were 5.58 × 10-4 and 6.72 × 10-4 for DV-1 and DV-4, respectively, and the time of the most recent common ancestor was determined using the Bayesian skyline coalescent method. In this study, the molecular, phylogenetic, and evolutionary characteristics of Korean DV-1 and DV-4 isolates were evaluated for the first time.


Asunto(s)
Virus del Dengue/genética , Dengue/virología , Evolución Molecular , Viaje , Secuencia de Aminoácidos , Sustitución de Aminoácidos , Secuencia de Bases , Dengue/epidemiología , Virus del Dengue/clasificación , Virus del Dengue/aislamiento & purificación , Genotipo , Humanos , Filogenia , ARN Viral/genética , República de Corea/epidemiología , Selección Genética , Serogrupo , Proteínas Virales/genética
15.
Mem Inst Oswaldo Cruz ; 115: e200278, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33566939

RESUMEN

BACKGROUND: The impact of arbovirus cocirculation in Brazil is unknown. Dengue virus (DENV) reinfection may result in more intense viraemia or immunopathology, leading to more severe disease. The Zika virus (ZIKV) epidemic in the Americas provided pathogenicity evidence that had not been previously observed in flavivirus infections. In contrast to other flaviviruses, electron microscopy studies have shown that ZIKV may replicate in viroplasm-like structures. Flaviviruses produce an ensemble of structurally different virions, collectively contributing to tissue tropism and virus dissemination. OBJECTIVES AND METHODS: In this work, the Aedes albopictus mosquito cell lineage (C6/36 cells) and kidney epithelial cells from African green monkeys (Vero cells) were infected with samples of the main circulating arboviruses in Brazil [DENV-1, DENV-2, DENV-3, DENV-4, ZIKV, Yellow Fever virus (YFV) and Chikungunya virus (CHIKV)], and ultrastructural studies by transmission electron microscopy were performed. FINDINGS: We observed that ZIKV, the DENV serotypes, YFV and CHIKV particles are spherical. ZIKV, DENV-1, -2, -3 and -4 presented diameters of 40-50 nm, and CHIKV presented approximate diameters of 50-60 nm. Viroplasm-like structures was observed in ZIKV replication cycle. MAIN CONCLUSIONS: The morphogenesis of these arboviruses is similar to what has been presented in previous studies. However, we understand that further studies are needed to investigate the relationship between viroplasm-like structures and ZIKV replication dynamics.


Asunto(s)
Arbovirus , Fiebre Chikungunya , Dengue , Epidemias , Fiebre Amarilla , Infección por el Virus Zika , Virus Zika , Animales , Brasil/epidemiología , Fiebre Chikungunya/epidemiología , Chlorocebus aethiops , Dengue/epidemiología , Células Vero , Infección por el Virus Zika/epidemiología
17.
Artículo en Inglés | MEDLINE | ID: mdl-33572650

RESUMEN

Aedes aegypti is a cosmopolitan vector for arboviruses dengue, Zika and chikungunya, disseminated in all Brazilian states. The Eco-Bio-Social (EBS) strategy is vital in Aedes aegypti control as it mobilizes stakeholders (government, professionals, society, and academics) to promote healthy environments. This paper describes the rationale and methods of expanding the EBS strategy for Aedes aegypti control in Fortaleza, Northeast Brazil. A cluster, non-randomized controlled clinical trial was developed to analyze the strategy's effectiveness in vulnerable territories (high incidence of dengue and violent deaths; low HDI; substandard urban infrastructure, high population density, and water scarcity). We selected two intervention and two control groups, resulting in a sample of approximately 16,000 properties. The intervention consisted of environmental management by sealing large elevated water tanks, introduction of beta fish in waterholes, elimination of potential breeding sites, and mobilization and training of schoolchildren, endemic disease workers, health workers, social mobilizers, and community leaders; community surveillance of arboviruses; construction and validation of a booklet for the prevention of arboviruses in pregnant women. We analyzed the costs of arboviruses to government and households, the intervention cost-effectiveness, chikungunya's chronicity, and acceptance, sustainability, and governance of vector control actions. The primary outcome (infestation) was analyzed using the house, container, and Breteau indices. We hope that this study will help us understand how to scale up strategies to fight Aedes aegypti in vulnerable areas.


Asunto(s)
Aedes , Dengue , Infección por el Virus Zika , Virus Zika , Animales , Brasil/epidemiología , Niño , Dengue/epidemiología , Dengue/prevención & control , Femenino , Humanos , Control de Mosquitos , Mosquitos Vectores , Embarazo , Infección por el Virus Zika/epidemiología , Infección por el Virus Zika/prevención & control
18.
Public Health ; 192: 21-29, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33607517

RESUMEN

OBJECTIVES: The primary aim of this study was to evaluate the temporal correlation between Wikitrends and conventional surveillance data generated for Chikungunya, Dengue, Zika, and West Nile Virus infection reported by bulletin of Italian National Institute of Health (Istituto Superiore di Sanità in italian, ISS). STUDY DESIGN: A cross-sectional study design was used. METHODS: The reported cases of Dengue and Chikungunya were selected from July 2015 to December 2019. For West Nile Virus, the bulletins are issued in the period June-November (6 months) of the years 2015-2019, and for Zika virus, the data reported in the ISS bulletin start from January 2016. From Wikipedia Trends, we extracted the number of monthly views by users from the July 2015 to December 2019 of the pages Chikungunya, Dengue, Zika virus, and West Nile Virus. RESULTS: A correlation was observed between the bulletin of ISS and Wikipedia Wikitrends, the correlation was strong for Chikungunya and West Nile Virus (r = 0.9605; r = 0.9556, respectively), and highly statistically significant with P-values <0.001. The correlation was moderate for Dengue and Zika virus (r = 0.6053; r = 0.5888, respectively), but highly statistically significant with P-values <0.001. CONCLUSIONS: Classical surveillance system should be integrated with the tools of digital epidemiology that have potential role in public health for the dynamic information and provide near real-time indicators of the spread of infectious disease.


Asunto(s)
Arbovirus , Fiebre Chikungunya/epidemiología , Culicidae/virología , Dengue/epidemiología , Internet , Fiebre del Nilo Occidental/epidemiología , Infección por el Virus Zika/epidemiología , Animales , Arbovirus/clasificación , Arbovirus/aislamiento & purificación , Virus Chikungunya , Estudios Transversales , Dengue/virología , Virus del Dengue , Monitoreo Epidemiológico , Humanos , Italia/epidemiología , Masculino , Salud Pública , Virus del Nilo Occidental , Virus Zika
19.
Parasit Vectors ; 14(1): 22, 2021 Jan 06.
Artículo en Inglés | MEDLINE | ID: mdl-33407778

RESUMEN

BACKGROUND: Due to an increase in mosquito habitats and the lack facilities to carry out basic mosquito control, construction sites in China are more likely to experience secondary dengue fever infection after importation of an initial infection, which may then increase the number of infections in the neighboring communities and the chance of community transmission. The aim of this study was to investigate how to effectively reduce the transmission of dengue fever at construction sites and the neighboring communities. METHODS: The Susceptible-Exposed-Infectious/Asymptomatic-Recovered (SEIAR) model of human and SEI model of mosquitoes were developed to estimate the transmission of dengue virus between humans and mosquitoes within the construction site and within a neighboring community, as well between each of these. With the calibrated model, we further estimated the effectiveness of different intervention scenarios targeting at reducing the transmissibility at different locations (i.e. construction sites and community) with the total attack rate (TAR) and the duration of the outbreak (DO). RESULTS: A total of 102 construction site-related and 131 community-related cases of dengue fever were reported in our area of study. Without intervention, the number of cases related to the construction site and the community rose to 156 (TAR: 31.25%) and 10,796 (TAR: 21.59%), respectively. When the transmission route from mosquitoes to humans in the community was cut off, the number of community cases decreased to a minimum of 33 compared with other simulated scenarios (TAR: 0.068%, DO: 60 days). If the transmission route from infectious mosquitoes in the community and that from the construction site to susceptible people on the site were cut off at the same time, the number of cases on the construction site dropped to a minimum of 74 (TAR: 14.88%, DO: 66 days). CONCLUSIONS: To control the outbreak of dengue fever effectively on both the construction site and in the community, interventions needed to be made both within the community and from the community to the construction site. If interventions only took place within the construction site, the number of cases on the construction site would not be reduced. Also, interventions implemented only within the construction site or between the construction site and the community would not lead to a reduction in the number of cases in the community.


Asunto(s)
Dengue/prevención & control , Dengue/transmisión , Infecciones Asintomáticas/epidemiología , China/epidemiología , Control de Enfermedades Transmisibles , Industria de la Construcción , Dengue/epidemiología , Dengue/virología , Virus del Dengue/fisiología , Brotes de Enfermedades/prevención & control , Susceptibilidad a Enfermedades/epidemiología , Susceptibilidad a Enfermedades/virología , Humanos , Incidencia , Modelos Teóricos , Control de Mosquitos , Mosquitos Vectores/crecimiento & desarrollo , Mosquitos Vectores/virología , Características de la Residencia , Lugar de Trabajo
20.
BMC Infect Dis ; 21(1): 104, 2021 Jan 22.
Artículo en Inglés | MEDLINE | ID: mdl-33482756

RESUMEN

BACKGROUND: Dengue virus (DENV) infection is increasingly common in southern China and can be transmitted through blood transfusion but is not currently part of donor screening throughout the region. We assessed DENV prevalence among donors at the Xishuangbanna Blood Center, Yunnan, to support development of DENV screening strategies. METHODS: Blood samples were collected randomly between June 2019 and August 2019. These were screened for anti-DENV IgG and IgM using enzyme-linked immunosorbent assay (ELISA). Then, all reactive samples and some randomly-chosen non-reactive samples were used to detect DENV RNAs using real-time polymerase-chain-reaction (RT-PCR) assays. After RT-PCR, samples were further tested for soluble nonstructural protein 1 (NS1) using the colloidal gold method. Donors demographics were also collected and assessed. RESULTS: Over the study period, 2254 donor samples were collected and tested for anti-DENV IgG and IgM by ELISA. This revealed 598 anti-DENV IgG and/or IgM reactive samples, a serological prevalence of 26.53%. Of these, 26 were RT-PCR positive and/or NS1 positive. Significant differences in DENV prevalence were noted by occupation (P = 0.001), education (P < 0.001), and ethnicity (P = 0.026). CONCLUSION: The prevalence of DENV in Xishuangbanna Blood Center was higher than most other blood centers that have implemented DENV donor screening. Our study provides first-hand data about the prevalence of DENV and allows the development of a screening strategy for clinical use.


Asunto(s)
Donantes de Sangre , Virus del Dengue/aislamiento & purificación , Dengue/diagnóstico , Dengue/epidemiología , Tamizaje Masivo/métodos , Adulto , Anticuerpos Antivirales/sangre , China/epidemiología , Dengue/sangre , Virus del Dengue/genética , Virus del Dengue/inmunología , Femenino , Humanos , Masculino , Tamizaje Masivo/estadística & datos numéricos , Persona de Mediana Edad , Prevalencia , ARN Viral/genética , Proteínas no Estructurales Virales/genética , Adulto Joven
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