Department of Virology, Institute of Tropical Medicine (NEKKEN), Nagasaki University, Nagasaki, Japan.
Program for Nurturing Global Leaders in Tropical and Emerging Communicable Diseases, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan.
PLoS Negl Trop Dis. 2021 Dec 1;15(12):e0009961. doi: 10.1371/journal.pntd.0009961. eCollection 2021 Dec.
INTRODUCTION: Chikungunya virus (CHIKV) is a mosquito-borne virus known to cause acute febrile illness associated with debilitating polyarthritis. In 2019, several institutions in Myanmar reported a CHIKV outbreak. There are no official reports of CHIKV cases between 2011 and 2018. Therefore, this study sought to determine the seroprevalence of CHIKV infection before the 2019 outbreak. METHODS: A total of 1,544 serum samples were collected from healthy volunteers and patients with febrile illnesses in Yangon, Mandalay, and the Myeik district in 2013, 2015, and 2018. Participants ranged from one month to 65 years of age. Antibody screening was performed with in-house anti-CHIKV IgG and IgM ELISA. A neutralization assay was used as a confirmatory test. RESULTS: The seroprevalence of anti-CHIKV IgM and anti-CHIKV IgG was 8.9% and 28.6%, respectively, with an overall seropositivity rate of 34.5%. A focus reduction neutralization assay confirmed 32.5% seroprevalence of CHIKV in the study population. Age, health status, and region were significantly associated with neutralizing antibodies (NAbs) and CHIKV seropositivity (p < 0.05), while gender was not (p = 0.9). Seroprevalence in 2013, 2015, and 2018 was 32.1%, 28.8%, and 37.3%, respectively. Of the clinical symptoms observed in participants with fevers, arthralgia was mainly noted in CHIKV-seropositive patients. CONCLUSION: The findings in this study reveal the circulation of CHIKV in Myanmar's Mandalay, Yangon, and Myeik regions before the 2019 CHIKV outbreak. As no treatment or vaccine for CHIKV exists, the virus must be monitored through systematic surveillance in Myanmar.
简介:基孔肯雅病毒(CHIKV)是一种通过蚊子传播的病毒,已知会引起伴有衰弱性多发性关节炎的急性发热性疾病。2019 年,缅甸的几个机构报告了基孔肯雅病毒的爆发。在 2011 年至 2018 年期间,没有关于基孔肯雅病毒病例的官方报告。因此,本研究旨在确定 2019 年爆发前基孔肯雅病毒感染的血清流行率。
方法:2013 年、2015 年和 2018 年,从仰光、曼德勒和Myeik 地区的健康志愿者和发热患者中采集了 1544 份血清样本。参与者年龄从一个月到 65 岁不等。使用内部抗 CHIKV IgG 和 IgM ELISA 进行抗体筛查。中和测定被用作确证试验。
结果:抗 CHIKV IgM 和抗 CHIKV IgG 的血清阳性率分别为 8.9%和 28.6%,总血清阳性率为 34.5%。焦点减少中和测定证实研究人群中 CHIKV 的血清阳性率为 32.5%。年龄、健康状况和地区与中和抗体(NAb)和 CHIKV 血清阳性率显著相关(p<0.05),而性别则没有(p=0.9)。2013 年、2015 年和 2018 年的血清阳性率分别为 32.1%、28.8%和 37.3%。在发热参与者的临床症状中,主要观察到关节炎。
结论:本研究结果表明,在 2019 年基孔肯雅病毒爆发之前,基孔肯雅病毒在缅甸的曼德勒、仰光和 Myeik 地区流行。由于目前尚无治疗或疫苗,因此必须通过系统监测来监测缅甸的病毒。
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