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Alphavirus infections are transmitted by mosquitoes, but the mode of transmission for Mycobacterium ulcerans, which causes Buruli ulcer, is contested. Using notification data for Victoria, Australia, during 2017-2022, adjusted for incubation period, we show close alignment between alphavirus and Buruli ulcer seasons, supporting the hypothesis of mosquito transmission of M. ulcerans.
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Infecções por Alphavirus , Úlcera de Buruli , Mosquitos Vetores , Mycobacterium ulcerans , Úlcera de Buruli/transmissão , Úlcera de Buruli/epidemiologia , Úlcera de Buruli/microbiologia , Mycobacterium ulcerans/isolamento & purificação , Infecções por Alphavirus/transmissão , Infecções por Alphavirus/epidemiologia , Humanos , Animais , Vitória/epidemiologia , Mosquitos Vetores/microbiologia , Mosquitos Vetores/virologia , Alphavirus/isolamento & purificação , Culicidae/microbiologia , Culicidae/virologia , Notificação de DoençasRESUMO
Insects geographically separated into island and mainland populations often exhibit phenotypic variations, a phenomenon known as insular conditions. These conditions can lead to rapid evolutionary changes that affect the morphological characteristics of mosquito vectors. Nevertheless, studies that specifically examine phenotype differences between island and mainland mosquito populations have been limited. In this study, wing variation in size and shape was investigated using the geometric morphometric (GM) technique in two dominant mosquito vectors, Aedes albopictus and Armigeres subalbatus, in the Ranong and Trat archipelagos of Thailand. Significant differences in average wing centroid size (CS) were found in 6 out of 15 population pairs for Ae. albopictus (p < 0.05) and in 5 population pairs for Ar. subalbatus (p < 0.05). After removing the allometric effect, canonical variate analyses (CVA) based on wing shape analysis revealed overlap across all populations for both Ae. albopictus and Ar. subalbatus. However, the statistical analysis indicated that Ar. subalbatus exhibited wing shape differences across all populations (p < 0.05), and most Ae. albopictus populations also displayed distinct wing shapes (p < 0.05), except for the populations from Chang Island and the mainland of Ranong, which showed no significant differences (p > 0.05). These findings enhance our understanding of mosquito adaptability in island regions and provide valuable data for the surveillance and monitoring of vector evolution.
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Aedes , Mosquitos Vetores , Asas de Animais , Animais , Asas de Animais/anatomia & histologia , Tailândia , Aedes/anatomia & histologia , Aedes/fisiologia , Aedes/crescimento & desenvolvimento , Aedes/genética , Mosquitos Vetores/anatomia & histologia , Mosquitos Vetores/fisiologia , Mosquitos Vetores/genética , Feminino , Culicidae/anatomia & histologia , Culicidae/fisiologia , Fenótipo , Masculino , IlhasRESUMO
BACKGROUND: In the near future, the incidence of mosquito-borne diseases may expand to new sites due to changes in temperature and rainfall patterns caused by climate change. Therefore, there is a need to use recent technological advances to improve vector surveillance methodologies. Unoccupied Aerial Vehicles (UAVs), often called drones, have been used to collect high-resolution imagery to map detailed information on mosquito habitats and direct control measures to specific areas. Supervised classification approaches have been largely used to automatically detect vector habitats. However, manual data labelling for model training limits their use for rapid responses. Open-source foundation models such as the Meta AI Segment Anything Model (SAM) can facilitate the manual digitalization of high-resolution images. This pre-trained model can assist in extracting features of interest in a diverse range of images. Here, we evaluated the performance of SAM through the Samgeo package, a Python-based wrapper for geospatial data, as it has not been applied to analyse remote sensing images for epidemiological studies. RESULTS: We tested the identification of two land cover classes of interest: water bodies and human settlements, using different UAV acquired imagery across five malaria-endemic areas in Africa, South America, and Southeast Asia. We employed manually placed point prompts and text prompts associated with specific classes of interest to guide the image segmentation and assessed the performance in the different geographic contexts. An average Dice coefficient value of 0.67 was obtained for buildings segmentation and 0.73 for water bodies using point prompts. Regarding the use of text prompts, the highest Dice coefficient value reached 0.72 for buildings and 0.70 for water bodies. Nevertheless, the performance was closely dependent on each object, landscape characteristics and selected words, resulting in varying performance. CONCLUSIONS: Recent models such as SAM can potentially assist manual digitalization of imagery by vector control programs, quickly identifying key features when surveying an area of interest. However, accurate segmentation still requires user-provided manual prompts and corrections to obtain precise segmentation. Further evaluations are necessary, especially for applications in rural areas.
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Mudança Climática , Humanos , Animais , Malária/epidemiologia , Mosquitos Vetores , Tecnologia de Sensoriamento Remoto/métodos , Sistemas de Informação Geográfica , Processamento de Imagem Assistida por Computador/métodosRESUMO
Both human beings and animals around the globe are vulnerable to the transmission of infectious diseases carried by mosquitoes. They have the ability to transmit a diverse array of pathogenic agents, such as viruses and parasites, while feeding on blood. The objective of this research is to investigate andrographolide isolation, characterization, and structure elucidation from Andrographis paniculata. Furthermore, it aims to evaluate the activity of andrographolide against the immature stages of Aedes aegypti and Culex quinquefasciatus. The fractions obtained from A. paniculata extracts underwent further purification and analysis to identify the most active ones. To confirm the structure of andrographolide, spectroscopic methods including IR, 1H-NMR, 13C-NMR, and GC-MS were used. Biological assays were conducted to assess its ovicidal, larvicidal, and pupicidal activities. Importantly, andrographolide demonstrated moderate ovicidal activity, resulting in mortality rates of 36% and 32% in Ae. aegypti and Cx. quinquefasciatus eggs, respectively, at a concentration of 2 ppm. Additionally, it exhibited strong larvicidal and pupicidal efficacy, with LC50 values of 2.02 ppm and 3.19 ppm against Ae. aegypti larvae and pupae, and 2.14 ppm and 2.73 ppm against Cx. quinquefasciatus larvae and pupae. These findings highlight the potential of andrographolide as a powerful natural compound in mosquito control efforts. Furthermore, this study underscores the importance of natural products as viable alternatives to synthetic insecticides in managing vector-borne diseases.
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The Asian tiger mosquito, Aedes albopictus (Skuse), is an invasive species native to Southeast Asia. This insect, which is an important vector of arbovirus such as dengue, Zika, and chikungunya, has spread rapidly to several parts of the world over the last few decades. This study employed a bibliometric approach to explore, for the first time, Ae. albopictus research activity and output in Europe. We used the Web of Science Core Collection data source to characterize the current scientific research. A total of 903 publications from 1973 to 2022 were retrieved. We also provided a comprehensive analysis by year of publication; distribution by most productive European countries, institutions, and authors; collaboration networks; research topics; most productive journals; and most cited publications. Results showed a notable increase in the number of studies after the chikungunya virus outbreak in Northeast Italy in 2007. More than 60% of these publications across the entire European continent originated from France and Italy. Research output related to 'population and community ecology' topics was significantly high. The most common type of collaboration was national, which occurred between institutions in the same European country. By providing an overview of Ae. albopictus research in Europe, this work contributes to upcoming debates, decision-making, planning on research and development, and public health strategies on the continent and worldwide.
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Aedes , Infecção por Zika virus , Zika virus , Animais , Espécies Introduzidas , Mosquitos Vetores , Europa (Continente)RESUMO
Mosquito-borne diseases, such as malaria, dengue fever, and the Zika virus, pose significant global health challenges, affecting millions annually. Due to increasing insecticide resistance, there is a growing interest in natural alternatives for mosquito control. Lemongrass essential oil, derived from Cymbopogon citratus, has shown promising repellent and larvicidal properties against various mosquito species. In this study, we investigated the larvicidal effect of lemongrass oil and its major compounds on Anopheles sinensis, the primary malaria vector in China. GC-MS analysis identified the major compounds of lemongrass oil as ( +)-citronellal (35.60%), geraniol (21.84%), and citronellol (13.88%). Lemongrass oil showed larvicidal activity against An. sinensis larvae, with an LC50 value of 119.20 ± 3.81 mg/L. Among the major components, citronellol had the lowest LC50 value of 42.76 ± 3.18 mg/L. Moreover, citronellol demonstrated inhibitory effects on acetylcholinesterase (AChE) activity in An. sinensis larvae, assessed by homogenizing larvae at different time points following treatment. Molecular docking studies further elucidated the interaction between citronellol and AChE, revealing the formation of hydrogen bonds and Pi-Sigma bonds. Aromatic amino acid residues such as Tyr71, Trp83, Tyr370, and Tyr374 played a pivotal role in these interactions. These findings may contribute to understanding lemongrass oil's larvicidal activity against An. sinensis and the mechanisms underlying these effects.
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Monoterpenos Acíclicos , Anopheles , Inibidores da Colinesterase , Inseticidas , Larva , Óleos Voláteis , Óleos de Plantas , Animais , Anopheles/efeitos dos fármacos , Anopheles/enzimologia , Larva/efeitos dos fármacos , Inseticidas/farmacologia , Inseticidas/química , Monoterpenos Acíclicos/farmacologia , Óleos de Plantas/farmacologia , Óleos de Plantas/química , Óleos Voláteis/farmacologia , Óleos Voláteis/química , Inibidores da Colinesterase/farmacologia , Inibidores da Colinesterase/química , Cymbopogon/química , Simulação de Acoplamento Molecular , Terpenos/farmacologia , Terpenos/química , Cromatografia Gasosa-Espectrometria de Massas , China , Acetilcolinesterase/metabolismo , Mosquitos Vetores/efeitos dos fármacos , Monoterpenos/farmacologia , Monoterpenos/química , Aldeídos/farmacologia , Aldeídos/químicaRESUMO
Mansonia uniformis (Diptera: Culicidae) is recognized as a vector of Brugia malayi and has been reported to transmit Wuchereria bancrofti, both causing lymphatic filariasis in humans. This study employed geometric morphometrics (GM) to investigate wing shape variation and analyzed genetic diversity through cytochrome c oxidase subunit 1 (COI) gene analyses in Ma. uniformis populations across Thailand. Wing GM analyses indicated significant differences in wing shape based on Mahalanobis distances among nearly all population pairs (p < 0.05), with no significant correlation between wing shape and geographic distance (r = 0.210, p > 0.05). Genetic analyses identified 63 haplotypes and 49 polymorphic sites, with the overall population exhibiting a nucleotide diversity of 0.006 (± 0.001) and a haplotype diversity of 0.912 (± 0.017). Deviations from neutrality, as indicated by Tajima's D and Fu's FS tests for the overall Ma. uniformis populations in Thailand, were statistically significant and negative, suggesting population expansion (both p < 0.05). Analysis of molecular variance revealed no significant genetic structure when all populations were categorized based on collection sites and geographic regions. However, significant differences in FST values were observed between some populations. These findings enhance our understanding of the geographical and genetic factors influencing Ma. uniformis populations, which are crucial for developing effective control strategies in Thailand.
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DNA Mitocondrial , Complexo IV da Cadeia de Transporte de Elétrons , Variação Genética , Asas de Animais , Animais , Tailândia , DNA Mitocondrial/genética , Asas de Animais/anatomia & histologia , Complexo IV da Cadeia de Transporte de Elétrons/genética , Culicidae/genética , Culicidae/anatomia & histologia , Culicidae/classificação , Insetos Vetores/genética , Insetos Vetores/anatomia & histologia , HaplótiposRESUMO
Background: Behavior Change Communication (BCC) is evidence-based, theoretically supported and utilizes all opportunities for communication. Evidence reports BCC as a relevant tool for averting and controlling many forms of public health challenges. Through schools, many countries have shown health improvements via students and the community's exposure to behavior change messages. The study was planned with an aim of evaluating the effectiveness of mosquito-borne disease control measures implementation through BCC to adolescent school students in a Cantonment area, in North India. Methods: The present study was undertaken as a quasi-experimental study from April 2019 to March 2020. Of the 334 students enrolled in the school as per eligibility criteria, 315 were available during the initial assessment, and 288 were available throughout the study. For the evaluation of effectiveness of the BCC at household level, 200 households (100 intervention and 100 control) were selected. Students' knowledge about mosquito-borne diseases was the primary outcome measure. The difference in proportions was tested using the chi-square test. The difference in proportions for paired samples was tested using Mc Nemar's test. Results: Proportion of students who gave correct responses significantly increased after intervention in post-test as compared to pre-test for most of the knowledge-related questions. The proportion of households with the availability of mosquito nets and self-reported use of mosquito nets was significantly high in intervention group as compared to control group post-intervention. Conclusion: BCC in the form of different intervention programs to adolescent school children was effective in improving the knowledge and attitude toward mosquito-borne diseases and also ensured less mosquito-genic environment in households.
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We characterized 3 autochthonous dengue virus serotype 3 cases and 1 imported case from 2 states in the North and South Regions of Brazil, 15 years after Brazil's last outbreak involving this serotype. We also identified a new Asian lineage recently introduced into the Americas, raising concerns about future outbreaks.
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Aedes , Vírus da Dengue , Dengue , Humanos , Animais , Dengue/epidemiologia , Vírus da Dengue/genética , Sorogrupo , Brasil/epidemiologia , Surtos de DoençasRESUMO
Dragonfly/damselfly naiads have the potential to control mosquitoes, and indirectly the diseases they carry, due to their extensive predation on mosquito larvae. Experimental studies have measured the effectiveness of individual dragonfly/damselfly naiads in controlling mosquitoes by introducing them to mosquito larvae and counting the number of larvae eaten in a given time period (i.e. predation success). Without a quantitative synthesis, however, such individual measures are unable to provide a generalized estimation about the effectiveness of dragonflies/damselflies as biological mosquito control agents. To achieve this, we assembled a database containing 485 effect sizes across 31 studies on predation successes of 47 species of commonly found dragonfly/damselfly naiads on nine species of mosquito larvae belonging to Aedes, Anopheles and Culex. These studies covered 14 countries across Asia, Africa and South and North America, where mosquitoes are the vectors of Chikungunya, Dengue, Japanese encephalitis, Lymphatic filariasis, Malaria, Rift Valley fever, West Nile fever, Yellow fever and Zika. Using this database, we conducted a meta-analysis to estimate the average predation success per day by a single individual dragonfly/damselfly naiad on these mosquito larvae as a generalized measure of the effectiveness of dragonflies/damselflies for mosquito control. We also built an interaction network for predator-dragonflies/damselflies and prey-mosquitoes and the diseases they vector to understand the functioning of this important predator-prey network. Our results showed that mosquito larvae were significantly reduced through predation by dragonfly/damselfly naiads. Within experimental containers, a single individual dragonfly/damselfly naiad can eat on average 40 (95% confidence intervals [CIs] = 20, 60) mosquito larvae per day, equivalent to a reduction of the mosquito larval population by 45% (95% CIs = 30%, 59%) per day. The average predation success did not significantly vary among Aedes, Anopheles and Culex mosquitoes or among the four (I-IV) mosquito larval stages. These results provide strong evidence that dragonflies/damselflies can be effective biological control agents of mosquitoes, and environmental planning to promote them could lower the risk of spreading mosquito-borne diseases in an environmentally friendly and cost-effective manner.
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Aedes , Anopheles , Odonatos , Infecção por Zika virus , Zika virus , Animais , Mosquitos Vetores , Larva , Comportamento PredatórioRESUMO
We investigated the effects of dengue virus (DENV) on semen using samples collected 7, 15, 30, 60, and 90 days after symptom onset from 10 infected volunteers on Réunion Island. We assessed characteristics of semen and reproductive hormones and isolated motile spermatozoa from semen. We assayed semen for DENV using reverse transcription PCR and searched for DENV RNA by virus isolation in Vero E6 cell cultures. Four volunteers had >1 DENV RNA-positive semen samples; 2 volunteers had DENV RNA-positive semen at day 15 and 1 at day 30. No motile sperm were DENV positive. After exposure to positive semen, few Vero E6 cells stained positive for DENV antigens, indicating low levels of replicative virus. We found DENV had shorter duration in semen than in blood. These findings support the possibilities that DENV is sexually transmissible for a short period after acute dengue illness and that acute dengue induces reversible alterations in sperm.
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Aedes , Líquidos Corporais , Vírus da Dengue , Dengue , Animais , Vírus de DNA/genética , Vírus da Dengue/genética , Humanos , Masculino , RNA , EspermatozoidesRESUMO
Knowledge of contemporary genetic composition of dengue virus (DENV) in Africa is lacking. By using next-generation sequencing of samples from the 2017 DENV outbreak in Burkina Faso, we isolated 29 DENV genomes (5 serotype 1, 16 serotype 2 [DENV-2], and 8 serotype 3). Phylogenetic analysis demonstrated the endemic nature of DENV-2 in Burkina Faso. We noted discordant diagnostic results, probably related to genetic divergence between these genomes and the Trioplex PCR. Forward and reverse1 primers had a single mismatch when mapped to the DENV-2 genomes, probably explaining the insensitivity of the molecular test. Although we observed considerable homogeneity between the Dengvaxia and TetraVax-DV-TV003 vaccine strains as well as B cell epitopes compared with these genomes, we noted unique divergence. Continual surveillance of dengue virus in Africa is needed to clarify the ongoing novel evolutionary dynamics of circulating virus populations and support the development of effective diagnostic, therapeutic, and preventive countermeasures.
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Vírus da Dengue , Dengue , Burkina Faso/epidemiologia , Dengue/epidemiologia , Surtos de Doenças , Genômica , Humanos , Filogenia , Estudos Retrospectivos , SorogrupoRESUMO
BACKGROUND: In recent years, genetically engineered (GE) mosquitoes have been proposed as a public health measure against the high incidence of mosquito-borne diseases among the poor in regions of the global South. While uncertainties as well as risks for humans and ecosystems are entailed by the open-release of GE mosquitoes, a powerful global health governance non-state organization is funding the development of and advocating the use of those bio-technologies as public health tools. In August 2016, the US Food and Drug Agency (FDA) approved the uncaged field trial of a GE Aedes aegypti mosquito in Key Haven, Florida. The FDA's decision was based on its assessment of the risks of the proposed experimental public health research project. The FDA is considered a global regulatory standard setter. So, its approval of the uncaged field trial could be used by proponents of GE mosquitoes to urge countries in the global South to permit the use of those bio-technologies. METHOD: From a public health ethics perspective, this paper evaluates the FDA's 2016 risk assessment of the proposed uncaged field trial of the GE mosquito to determine whether it qualified as a realistic risk evaluation. RESULTS: The FDA's risk assessment of the proposed uncaged field trial did not proximate the conditions under which the GE mosquitoes would be used in regions of the global South where there is a high prevalence of mosquito-borne diseases. CONCLUSION: Given that health and disease have political-economic determinants, whether a risk assessment of a product is realistic or not particularly matters with respect to interventions meant for public health problems that disproportionately impact socio-economically marginalized populations. If ineffective public health interventions are adopted based on risk evaluations that do not closely mirror the conditions under which those products would actually be used, there could be public health and ethical costs for those populations.
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Aedes , Saúde Pública , Aedes/genética , Animais , Ecossistema , Humanos , Mosquitos VetoresRESUMO
Mosquito blood feeding plays a key role in epidemiology. Despite its importance and large number of studies worldwide, less attention has been paid in South America. We summarized some general concepts and methodological issues related to the study of mosquito blood feeding habits, and compiled and analyzed all published information regarding the subject in the continent until 2020. Available literature comprised 152 scientific studies, that pursued different approaches: human landing catches (102 studies), baited trap (19), and blood meal analyses of collected specimens (38). Among the latter, 23 used serological and 15 molecular techniques. Species most frequently studied were those incriminated in malaria transmission, whereas relevant vectors such as Aedes aegypti, Ae. albopictus, and Haemagogus janthinomys were surprisingly neglected. Brazil was the leading country both in number of works and species studied. For over 70% of the species and three out of 13 South American countries there is no single information on mosquito blood feeding habits. Data from baited traps included 143 mosquito species, 83.9% of which were attracted to humans, either exclusively (10.5%) or in combination with other vertebrates (73.4%). Host blood identification of field collected specimens provided data on 102 mosquito species, and 60.8% of these fed on humans (55.9% combined with other vertebrates). Only 17 of the 73 species assessed by both methods yielded similar feeding patterns. Finally, supplementary tables are provided in a comprehensive summary of all information available and information gaps are highlighted for future research in the continent.
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Aedes , Culex , Animais , Brasil , Comportamento Alimentar , Hábitos , Humanos , Mosquitos VetoresRESUMO
Background: Mosquito-borne diseases (MBDs) such as Malaria, Dengue, Chikungunya, lymphatic filariasis, and Japanese Encephalitis are important public health problems in India. Ernakulam in Kerala being a hub of construction activities has a large influx of migrants from Odisha, West Bengal, Bihar, Assam, U. P., Jharkhand, T. N., and Karnataka. Hence, the objective of this study was to assess the knowledge, attitude, and practice related to MBDs and the associated factors among the migrant laborers from a migrant settlement in Ponekkara, Ernakulam Kerala. Materials and Methods: A cross-sectional study was done among 179 migrant laborers from a migrant settlement in Ponekkara, Kerala, from September 2021 to November 2021 using a pretested semi-structured questionnaire to collect information regarding socio-demographic details and their knowledge, attitude, and practice regarding mosquito borne diseases. After taking verbal consent, the questionnaire was administered by the investigator. Descriptive and univariate analysis was done using SPSS Version 20. Results: It was found that 58.4% of the migrant laborers had poor knowledge, 55.9% had poor attitude, and 61.5% of them had poor practice regarding MBDs. On univariate analysis, a statistically significant association was observed between attitude score and the level of education. Conclusion: The findings showed that migrant laborers had an overall poor knowledge, attitude, and practices regarding MBDs. Consequently, there is a need to plan an awareness program among the migrant settlements regarding MBDs.
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Malária , Migrantes , Animais , Humanos , Estudos Transversais , Conhecimentos, Atitudes e Prática em Saúde , ÍndiaRESUMO
Zika virus diagnostic testing and laboratory research increased considerably when Zika virus began spreading through the Americas in 2015, increasing the risk for potential Zika virus exposure of laboratory workers and biomedical researchers. We report 4 cases of laboratory-associated Zika virus disease in the United States during 2016-2019. Of these, 2 were associated with needlestick injuries; for the other 2 cases, the route of transmission was undetermined. In laboratories in which work with Zika virus is performed, good laboratory biosafety practices must be implemented and practiced to reduce the risk for infection among laboratory personnel.
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Infecção por Zika virus , Zika virus , América , Humanos , Laboratórios , Pesquisa , Estados UnidosRESUMO
Evidence suggests that pigs seroconvert after experimental exposure to Zika virus and are potential sentinels. We demonstrate that pigs are also susceptible to natural Zika virus infection, shown by the presence of antibodies in domestic pigs in Yucatan, Mexico. Zika virus RNA was detected in 5 species of mosquitoes collected inside pigpens.
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Aedes , Culex , Infecção por Zika virus , Zika virus , Animais , México/epidemiologia , Mosquitos Vetores , Suínos , Zika virus/genética , Infecção por Zika virus/epidemiologia , Infecção por Zika virus/veterináriaRESUMO
Zika virus (ZIKV) is a member of the Flaviviridae family, which includes other clinically notable viruses such as the 4 dengue virus serotypes (DENV-1-4). Distinguishing DENVs from ZIKV using the established serologic assays widely used for monitoring DENV transmission is difficult because of antibody cross-reactivity between these closely related flaviviruses. We describe a modified and improved recombinant envelope domain III-based serologic assay for detecting ZIKV type-specific antibodies in regions with endemic DENV transmission. When the assay was used to measure ZIKV seroprevalence in 2017 among children 9-14 years of age living in a region of the Philippines with endemic DENV transmission, we observed a ZIKV seroprevalence of 18%. Investigators should consider using the ZIKV envelope domain III-based assay, which is simple and readily adaptable for use in standard clinical and public health laboratories, to assess ZIKV seroprevalence in areas with endemic DENV transmission.
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Vírus da Dengue , Dengue , Infecção por Zika virus , Zika virus , Anticorpos Antivirais , Criança , Reações Cruzadas , Dengue/diagnóstico , Dengue/epidemiologia , Vírus da Dengue/genética , Humanos , Filipinas/epidemiologia , Estudos Soroepidemiológicos , Zika virus/genética , Infecção por Zika virus/diagnóstico , Infecção por Zika virus/epidemiologiaRESUMO
We evaluated nucleic acid amplification testing (NAAT) for Zika virus on whole-blood specimens compared with NAAT on serum and urine specimens among asymptomatic pregnant women during the 2015-2016 Puerto Rico Zika outbreak. Using NAAT, more infections were detected in serum and urine than in whole blood specimens.
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Complicações Infecciosas na Gravidez , Infecção por Zika virus , Zika virus , Surtos de Doenças , Feminino , Humanos , Gravidez , Complicações Infecciosas na Gravidez/epidemiologia , Porto Rico , Infecção por Zika virus/epidemiologiaRESUMO
BACKGROUND: Children are the most vulnerable group affected by malaria and other tropical, vector-borne diseases in low-resource countries. Infants presenting with acute onset fever represent a major sector of outpatient care in the Lake Victoria region. Misclassification and overuse of antibiotics and anti-malarial medications are consistent problems. Identifying the prevalent mosquito-borne pathogens in the region will reduce the prescription of non-indicated medicines. METHODS: The literature was reviewed focusing on the mosquito-borne pathogens most prevalent in sub-Saharan Africa. Accordingly, an assay comprised of a multiplex-reverse transcriptase-polymerase chain reaction and an enzyme-linked immunosorbent assay (multiplex-RT-PCR-ELISA) was designed and validated in its ability to identify and differentiate nine human mosquito-borne pathogens including eight arboviruses and Plasmodium sp., the aetiologic agents of malaria. Blood samples obtained from 132 children suspected of having malaria were spotted and preserved on Whatman® 903 protein sample cards. Multiplex-RT-PCR-ELISA analysis was assessed and compared to results obtained by blood smear microscopy and the malaria rapid diagnostic test (RDT). RESULTS: Nine out of nine pathogens were amplified specifically by the multiplex-RT-PCR-ELISA panel. Twenty-seven out of 132 paediatric patients presenting with acute fever were infected with Plasmodium sp., confirmed by multiplex-RT-PCR. The results of blood smear microscopy were only 40% sensitive and 92.8% specific. The malaria RDT, on the other hand, detected acute Plasmodium infections with 96.3% sensitivity and 98.1% specificity. The preservation of Plasmodium sp. in clinical sera and whole blood samples spotted on sample cards was evaluated. The duration of successful, sample card storage was 186 to 312 days. CONCLUSIONS: Reliable, easy-to-use point of care diagnostic tests are a powerful alternative to laboratory-dependent gold standard tests. The multiplex-RT-PCR-ELISA amplified and identified nine vector-borne pathogens including Plasmodium sp. with great accuracy. Translation of improved diagnostic approaches, i.e., multiplex-RT-PCR-ELISA, into effective treatment options promises to reduce childhood mortality and non-indicated prescriptions.