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INFLUENCE OF HERD IMMUNITY IN THE CYCLICAL NATURE OF ARBOVIRUSES
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Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Salvador, BA, Brasil.
Texas A&M University. College Station. Department of Entomology. TX, USA.
Institut Pasteur de Dakar. Dakar, Senegal.
Emory University. Department of Environmental Sciences. Population Biology, Ecology, and Evolution Graduate Program, Graduate Division of Biological and Biomedical Sciences. Atlanta, GA, USA.
Yale School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, CT, USA.
University of Texas Medical Branch. Department of Microbiology and Immunology. World Reference Center for Emerging Viruses and Arboviruses, Institute for Human Infections and Immunity. Galveston, TX, USA.
Texas A&M University. College Station. Department of Entomology. TX, USA.
Institut Pasteur de Dakar. Dakar, Senegal.
Emory University. Department of Environmental Sciences. Population Biology, Ecology, and Evolution Graduate Program, Graduate Division of Biological and Biomedical Sciences. Atlanta, GA, USA.
Yale School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, CT, USA.
University of Texas Medical Branch. Department of Microbiology and Immunology. World Reference Center for Emerging Viruses and Arboviruses, Institute for Human Infections and Immunity. Galveston, TX, USA.
Abstract
We review and contrast the evidence for an effect of amplifying host herd immunity on circulation and human exposure to arboviruses. Herd immunity of short-lived West Nile virus avian amplifying hosts appears to play a limited role in levels of enzootic circulation and spillover infections of humans, which are not amplifiers. In contrast, herd immunity of nonhuman primate hosts for enzootic Zika, dengue, and chikungunya viruses is much stronger and appears to regulate to a large extent the periodicity of sylvatic amplification in Africa. Following the recent Zika and chikungunya pandemics, human herd immunity in the Americas quickly rose to ∼50% in many regions, although seroprevalence remains patchy. Modeling from decades of chikungunya circulation in Asia suggests that this level of herd immunity will suppress for many years major chikungunya and Zika epidemics in the Americas, followed by smaller outbreaks as herd immunity cycles with a periodicity of up to several decades.
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