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埃塞俄比亚西南部甘贝拉地区社区层面黄热病、基孔肯雅热和寨卡病毒血清流行率。

Seroprevalence of Yellow fever, Chikungunya, and Zika virus at a community level in the Gambella Region, South West Ethiopia.

机构信息

Department of Veterinary Microbiology, Immunology and Public Health, College of Veterinary Medicine and Agriculture, Addis Ababa University, Bishoftu, Ethiopia.

College of Agriculture and Natural Resources, Gambella University, Gambella, Ethiopia.

出版信息

PLoS One. 2021 Jul 8;16(7):e0253953. doi: 10.1371/journal.pone.0253953. eCollection 2021.

Abstract

Yellow fever (YF), Chikungunya (CHIK), and Zika(ZIK) are among re-emerging arboviral diseases of major public health concern. Despite the proximity of the Gambella Region to South Sudan where arboviral cases have been recorded repeatedly the current epidemiological situation is unclear in this part of southwest Ethiopia. Therefore, we conducted a community-based seroprevalence survey of YF virus (YFV), CHIK virus (CHIKV), and ZIK virus (ZIKV) infections in two selected districts. A cross-sectional study was conducted in two locations of the Gambella region (Lare and Itang) to investigate the seroprevalence of these viruses' infections. Blood samples were collected from the study participants and screened for IgG antibodies specific to YFV and CHIKV infections using enzyme-linked immunosorbent assays (ELISA). For the detection of ZIKV specific IgG antibodies, Blockade-of-binding ELISA was used. Data were analyzed using the STATA version 13.1 Softwares. A total of 150 individuals (96 males and 54 females, age ranging from 18 to 65 years, mean age ± SD = 35.92 ± 10.99) participated and provided blood samples. Among the 150 samples 135, 90, and 150 were screened for YFV, CHIKV, and ZIKV, respectively. Hence, 2.9% (95% CI: 1.1-7.7%), 15.6% (95% CI: 9.3-24.8%), and 27.3% (95% CI: 20.7-35.3%) of samples tested positive for IgG antibodies to YFV, CHIKV, and ZIKV infections, respectively. Among the individual seropositive for ZIKV, YFV and CHIKV, only six, one and three had a history of residence outside the Gambella region respectively. Agro-pastoral occupation was significantly associated with a higher prevalence of IgG against CHIKV (AOR = 14.17; 95%CI: 2.30, 87.30) and residency in the Lare district (AOR = 11; 95%CI: 3.31, 39.81) was found to be significantly associated with a higher prevalence of IgG against ZIKV. Our findings revealed the occurrence of YFV, CHIKV and ZIKV infections in the study locations.

摘要

黄热病(YF)、基孔肯雅热(CHIK)和寨卡(ZIK)是重新出现的主要公共卫生关注的虫媒病毒病。尽管甘贝拉地区与南苏丹接壤,那里反复记录了虫媒病毒病例,但该地区在埃塞俄比亚西南部的当前流行病学情况尚不清楚。因此,我们在两个选定的地区(Lare 和 Itang)进行了社区为基础的 YF 病毒(YFV)、CHIK 病毒(CHIKV)和 ZIK 病毒(ZIKV)感染血清流行率调查。在甘贝拉地区的两个地点进行了横断面研究,以调查这些病毒感染的血清流行率。从研究参与者中采集血样,并使用酶联免疫吸附试验(ELISA)检测针对 YFV 和 CHIKV 感染的 IgG 抗体。为了检测 ZIKV 特异性 IgG 抗体,使用了结合阻断 ELISA。使用 STATA 版本 13.1 软件分析数据。共有 150 人(96 名男性和 54 名女性,年龄 18-65 岁,平均年龄±SD=35.92±10.99)参与并提供了血样。在 150 个样本中,分别有 135、90 和 150 个样本用于筛查 YFV、CHIKV 和 ZIKV。因此,YFV、CHIKV 和 ZIKV 的 IgG 抗体血清阳性率分别为 2.9%(95%CI:1.1-7.7%)、15.6%(95%CI:9.3-24.8%)和 27.3%(95%CI:20.7-35.3%)。在 ZIKV 血清阳性个体中,YFV 和 CHIKV 分别有 6、1 和 3 人有居住在甘贝拉地区以外的历史。农业-畜牧业职业与 CHIKV 的 IgG 抗体更高流行率显著相关(AOR=14.17;95%CI:2.30,87.30),居住在 Lare 区(AOR=11;95%CI:3.31,39.81)与 ZIKV 的 IgG 抗体更高流行率显著相关。我们的研究结果显示,在研究地点发生了 YFV、CHIKV 和 ZIKV 感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0929/8266044/ebef0a0dd043/pone.0253953.g001.jpg

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