Department of Environmental Sciences, Emory University, Atlanta, GA, United States of America.
Central Laboratory of Entomology and Parasitology, Ministry of Health, Jerusalem, Israel.
PLoS One. 2024 Sep 18;19(9):e0310480. doi: 10.1371/journal.pone.0310480. eCollection 2024.
Aedes mosquito-borne viruses (ABVs) place a substantial strain on public health resources in the Americas. Vector control of Aedes mosquitoes is an important public health strategy to decrease or prevent spread of ABVs. The ongoing Targeted Indoor Residual Spraying (TIRS) trial is an NIH-sponsored clinical trial to study the efficacy of a novel, proactive vector control technique to prevent dengue virus (DENV), Zika virus (ZIKV), and chikungunya virus (CHIKV) infections in the endemic city of Merida, Yucatan, Mexico. The primary outcome of the trial is laboratory-confirmed ABV infections in neighborhood clusters. Despite the difficulties caused by the COVID-19 pandemic, by early 2021 the TIRS trial completed enrollment of 4,792 children aged 2-15 years in 50 neighborhood clusters which were allocated to control or intervention arms via a covariate-constrained randomization algorithm. Here, we describe the makeup and ABV seroprevalence of participants and mosquito population characteristics in both arms before TIRS administration. Baseline surveys showed similar distribution of age, sex, and socio-economic factors between the arms. Serum samples from 1,399 children were tested by commercially available ELISAs for presence of anti-ABV antibodies. We found that 45.1% of children were seropositive for one or more flaviviruses and 24.0% were seropositive for CHIKV. Of the flavivirus-positive participants, most were positive for ZIKV-neutralizing antibodies by focus reduction neutralization testing which indicated a higher proportion of participants with previous ZIKV than DENV infections within the cohort. Both study arms had statistically similar seroprevalence for all viruses tested, similar socio-demographic compositions, similar levels of Ae. aegypti infestation, and similar observed mosquito susceptibility to insecticides. These findings describe a population with a high rate of previous exposure to ZIKV and lower titers of neutralizing antibodies against DENV serotypes, suggesting susceptibility to future outbreaks of flaviviruses is possible, but proactive vector control may mitigate these risks.
伊蚊传播的病毒(ABV)给美洲的公共卫生资源带来了巨大压力。控制伊蚊是减少或预防 ABV 传播的重要公共卫生策略。正在进行的靶向室内滞留喷雾(TIRS)试验是由美国国立卫生研究院(NIH)赞助的一项临床试验,旨在研究一种新型主动蚊虫控制技术预防登革热病毒(DENV)、寨卡病毒(ZIKV)和基孔肯雅热病毒(CHIKV)在墨西哥尤卡坦州梅里达流行地区的感染效果。该试验的主要结果是在邻里集群中实验室确认的 ABV 感染。尽管受到 COVID-19 大流行的影响,但到 2021 年初,TIRS 试验已经完成了 4792 名 2-15 岁儿童在 50 个邻里集群中的入组,这些儿童通过协变量约束随机化算法被分配到对照组或干预组。在这里,我们描述了 TIRS 给药前两组参与者的构成和 ABV 血清流行率以及蚊虫种群特征。基线调查显示,两组之间的年龄、性别和社会经济因素分布相似。从 1399 名儿童中抽取的血清样本通过商业上可用的 ELISA 检测抗 ABV 抗体的存在。我们发现,45.1%的儿童对一种或多种黄病毒呈血清阳性,24.0%的儿童对 CHIKV 呈血清阳性。在黄病毒阳性参与者中,通过焦点减少中和试验检测到大多数人对 ZIKV 中和抗体呈阳性,这表明在该队列中,以前感染过 ZIKV 的参与者比例高于 DENV 感染。两个研究组对所有测试的病毒均具有统计学上相似的血清流行率、相似的社会人口统计学构成、相似的埃及伊蚊感染水平以及相似的观察到的蚊子对杀虫剂的敏感性。这些发现描述了一个具有高 ZIKV 既往暴露率和对 DENV 血清型中和抗体滴度较低的人群,这表明未来爆发黄病毒的可能性较大,但主动的蚊虫控制可能会降低这些风险。