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https://www.arca.fiocruz.br/handle/icict/25341
EVIDENCE FOR CHIKUNGUNYA AND DENGUE TRANSMISSION IN QUELIMANE, MOZAMBIQUE: RESULTS FROM AN INVESTIGATION OF A POTENTIAL OUTBREAK OF CHIKUNGUNYA VIRUS
Author
Mugabe, Vánio André
Ali, Sádia
Chelene, Imelda
Monteiro, Vanessa Onofre
Guiliche, Onélia
Muianga, Argentina Felisbela
Mula, Flora
António, Virgílio
Chongo, Inocêncio
Oludele, John
Falk, Kerstin
Paploski, Igor Adolfo Dexheimer
Reis, Mitermayer Galvão dos
Kitron, Uriel
Kümmerer, Beate M
Ribeiro, Guilherme de Sousa
Gudo, Eduardo Samo
Ali, Sádia
Chelene, Imelda
Monteiro, Vanessa Onofre
Guiliche, Onélia
Muianga, Argentina Felisbela
Mula, Flora
António, Virgílio
Chongo, Inocêncio
Oludele, John
Falk, Kerstin
Paploski, Igor Adolfo Dexheimer
Reis, Mitermayer Galvão dos
Kitron, Uriel
Kümmerer, Beate M
Ribeiro, Guilherme de Sousa
Gudo, Eduardo Samo
Affilliation
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Universidade Pedagógica de Quelimane. Zambezia, Mozambique.
Ministério da Saúde. Instituto Nacional de Saúde. Maputo, Mozambique.
Ministério da Saúde. Instituto Nacional de Saúde. Maputo, Mozambique.
Ministério da Saúde. Instituto Nacional de Saúde. Maputo, Mozambique.
Ministério da Saúde. Instituto Nacional de Saúde. Maputo, Mozambique.
Ministério da Saúde. Instituto Nacional de Saúde. Maputo, Mozambique.
Ministério da Saúde. Instituto Nacional de Saúde. Maputo, Mozambique.
Ministério da Saúde. Instituto Nacional de Saúde. Maputo, Mozambique.
Ministério da Saúde. Instituto Nacional de Saúde. Maputo, Mozambique.
Ministério da Saúde. Instituto Nacional de Saúde. Maputo, Mozambique.
Public Health Agency of Sweden. Stockholm, Sweeden / Karolinska Institutet. Tumor and Cell Biology. Department of Microbiology. Stockholm, Sweden.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil.
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Faculdade de Medicina. Salvador, BA, Brasil.
Ministério da Saúde. Instituto Nacional de Saúde. Maputo, Mozambique.
Ministério da Saúde. Instituto Nacional de Saúde. Maputo, Mozambique.
Ministério da Saúde. Instituto Nacional de Saúde. Maputo, Mozambique.
Ministério da Saúde. Instituto Nacional de Saúde. Maputo, Mozambique.
Ministério da Saúde. Instituto Nacional de Saúde. Maputo, Mozambique.
Ministério da Saúde. Instituto Nacional de Saúde. Maputo, Mozambique.
Ministério da Saúde. Instituto Nacional de Saúde. Maputo, Mozambique.
Ministério da Saúde. Instituto Nacional de Saúde. Maputo, Mozambique.
Ministério da Saúde. Instituto Nacional de Saúde. Maputo, Mozambique.
Public Health Agency of Sweden. Stockholm, Sweeden / Karolinska Institutet. Tumor and Cell Biology. Department of Microbiology. Stockholm, Sweden.
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil.
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Faculdade de Medicina. Salvador, BA, Brasil.
Abstract
In January 2016, health authorities from Zambézia province, Mozambique reported the detection of some patients presenting with fever, arthralgia, and a positive result for chikungunya in an IgM-based Rapid Diagnostic Test (RDT). We initiated a study to investigate a potential chikungunya outbreak in the city of Quelimane. Methods/Principal findings
From February to June 2016, we conducted a cross-sectional study enrolling febrile patients
attending five outpatient health units in Quelimane. Serum from each patient was tested for
CHIKV and DENV, using IgM and IgG ELISA and qRT-PCR. Patients were also tested for
malaria by RDT. Entomological surveys were performed around patients' households, and
we calculated the proportion of positive ovitraps and the egg density per trap. A total of 163
patients were recruited, of which 99 (60.7%) were female. The median age was 28 years.
IgM and IgG anti-CHIKV antibodies were identified in 17 (10.4%) and 103 (63.2%) patients,
respectively. Plaque reduction neutralization assay confirmed the presence of anti-CHIKV
antibodies in a subset of 11 tested patients with positive IgG results. IgM anti-DENV antibodies
were found in 1 (0.9%) of 104 tested patients. Malaria was diagnosed in 35 (21.5%)
patients, 2 of whom were also IgM-positive for CHIKV. Older age and lower education level
were independently associated with the prevalence of IgG anti-CHIKV antibodies. Immature forms of Aedes aegypti were collected in 16 (20.3%) of 79 surveyed households. We also
found that 25.0% (16/64) of the traps were positive, with an average of 90.8 eggs per pallet.
Conclusions
Our investigation demonstrated that no CHIKV outbreak was ongoing in Quelimane; rather,
endemic transmission of the virus has been ongoing. Aedes aegypti mosquitoes are abundant,
but dengue cases occurred only sporadically. Further population-based cohort studies
are needed to improve our understanding of aspects related to the dynamics of arboviral
transmission in Mozambique, as well as in other parts of Sub-Saharan Africa.
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