An Undetected Expansion, Spread, and Burden of Chikungunya and Dengue Cocirculating Antibodies in Nigeria.

Autor: Asaga Mac, Peter, Tadele, Markos, Nisansala, Thilini, Airiohuodion, Philomena E., Babalola, Chibuzor M., Anyaike, Chukwuma
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Zdroj: Zoonotic Diseases (2813-0227); Sep2024, Vol. 4 Issue 3, p201-213, 13p
Abstrakt: Simple Summary: Several literature reviews of arboviruses in Nigeria have demonstrated a high prevalence of chikungunya and dengue antibodies in individuals with either febrile or non-febrile illness. The current study reveals a substantial burden of undetected arboviral cocirculating antibodies of these mosquito-borne diseases in the country. This underscores the importance of incorporating multiplex diagnostic testing and surveillance efforts to accurately determine the full extent of the arbovirus disease burden in Nigeria and Sub-Saharan Africa. Chikungunya and dengue are arboviral diseases transmitted by mosquitoes that have been increasingly recognized as public health concerns in Sub-Saharan Africa. Several studies conducted in Nigeria and other West African countries have revealed the seroprevalence burden and cocirculation of antibodies against mosquito-borne infections, thereby revealing a significant burden and clinical outcome complexities that have largely gone undetected. The current research study has important implications for disease surveillance, prevention strategies, and healthcare planning in Nigeria and other Sub-Saharan countries. A cross-sectional study was conducted on 871 outpatients and pregnant women from three regions of Nigeria. CHIKV and DENV immunoblot molecular diagnostic assays were used to analyze the serum samples for the presence of arboviral antibody serological markers IgG (Mikrogen Diagnostik, Germany) with DENV nonstructural protein 1 and DENV Equad and CHIKV virus-like particles (VLPs), according to the manufacturer's instructions. A total of 871 participants were recruited from three geographical regions in Nigeria. Among them, 17.5% (152/871) were from Abia (southern Nigeria), 34.4% (300/871) were from Kaduna (northern Nigeria), and 48.1% (419/871) were from Nasarawa (central Nigeria). The ages of the participants ranged from 0 months to 80 years, with a mean age of 36.6 years. Of the 871 subjects, 71.0% (619/871) were female, and 29.0% (252/871) were male. The overall cohort detectable antibody seropositivity against CHIKV was 64.9% (565/871), 95% CI (61.74–68.06); DENV, 44.7% (389/871), 95% CI (41.41–47.99); and CHIKV-DENV cocirculation antibodies, 31.6% (95% CI 29–35). This study highlighted the unpredictably high seroprevalence, expansion, magnitude, and undetected burden of chikungunya and dengue in Nigeria. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index