Akoua-Koffi C, Ter Meulen J, Legros D, Akran V, Aïdara M, Nahounou N, Dogbo P, Ehouman A
Laboratoire des arbovirus/entérovirus, Institut Pasteur Côte d'Ivoire.
Med Trop (Mars). 2006 Oct;66(5):465-8.
Lassa fever is an African viral hemorrhagic fever (VHF) known to be endemic in a number of West African countries including Nigeria, Sierra Leone, Liberia and Guinea. Despite having common borders with Liberia and Guinea, Côte d'Ivoire has never reported any cases of Lassa fever. In March 2000, as part of a research project on VHF--mainly yellow fever, Lassa fever and Ebola fever--in Guinea and Cote d'Ivoire, an exploratory survey was conducted to assess knowledge about VHF and immunological status against Lassa virus among forest workers in the Duekoue and Guiglo regions. One hundred and sixty-three male forest workers were interviewed using a questionnaire designed to assess risk factors for VHF exposure and personal medical history over the last 12 months. Detection of IgG antibodies against Lassa virus was performed by immunofluorescence assay with Lassa virus antigens from the Josiah and Las/AV strains. The overall prevalence of IgG antibodies was 26% (42/161). Among the Lassa IgG positive subjects, 38.5% were loggers including 20% that were positive at a serum dilution of 1/40 and 46.7% were national park workers or forest rangers including 69% that were positive at a dilution of 1/40 and more. Forty-one percent of subjects had heard of VHF including 14% who attributed it to animals and 2% who attributed it to plants. Contact with rodents was frequent and more than 50% of subjects had either eaten or skinned rodents. Although the prevalence of anti-Lassa IgG antibodies seemed high in the study population, no conclusion can be about level of exposure to Lassa virus.
拉沙热是一种非洲病毒性出血热,在包括尼日利亚、塞拉利昂、利比里亚和几内亚在内的多个西非国家流行。尽管与利比里亚和几内亚接壤,但科特迪瓦从未报告过任何拉沙热病例。2000年3月,作为在几内亚和科特迪瓦开展的一项关于病毒性出血热(主要是黄热病、拉沙热和埃博拉热)的研究项目的一部分,进行了一项探索性调查,以评估迪埃奎和吉格洛地区林业工人对病毒性出血热的了解情况以及针对拉沙病毒的免疫状况。采用一份旨在评估过去12个月内病毒性出血热暴露风险因素和个人病史的问卷,对163名男性林业工人进行了访谈。使用来自约西亚株和拉斯/AV株的拉沙病毒抗原,通过免疫荧光测定法检测抗拉沙病毒IgG抗体。IgG抗体的总体阳性率为26%(42/161)。在拉沙IgG阳性受试者中,38.5%是伐木工,其中20%在血清稀释度为1/40时呈阳性;46.7%是国家公园工作人员或护林员,其中69%在稀释度为1/40及以上时呈阳性。41%的受试者听说过病毒性出血热,其中14%认为是由动物引起的,2%认为是由植物引起的。与啮齿动物接触频繁,超过50%的受试者曾食用或剥过啮齿动物的皮。尽管在研究人群中抗拉沙IgG抗体的阳性率似乎较高,但无法得出关于拉沙病毒暴露水平的结论。