Role of environmental factors in shaping spatial distribution of salmonella enterica Serovar Typhi, Fiji
Autor: | Nga Tran Vu Thieu, Kitione Rawalai, Tan Trinh Van, Jerimaia Coriakula, Colleen L. Lau, Conall H. Watson, Jorge Cano, Ruklanthi de Alwis, Mere Taufa, Mike Kama, Birgit Nikolay, Stephen Baker, John H. Lowry, W. John Edmunds, Dung Tran Thi Ngoc, Eric J. Nilles |
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Přispěvatelé: | Baker, Stephen [0000-0003-1308-5755], Apollo - University of Cambridge Repository |
Předmět: |
Veterinary medicine
Epidemiology Cross-sectional study lcsh:Medicine Salmonella typhi Serology 0302 clinical medicine Seroepidemiologic Studies Environmental Microbiology Cluster Analysis risk factors 030212 general & internal medicine Child bacteria Aged 80 and over seroprevalence Middle Aged Antibodies Bacterial 3. Good health Vaccination Infectious Diseases Child Preschool Salmonella enterica serovar Typhi multilevel analysis typhoid fever Microbiology (medical) Adult Adolescent 030231 tropical medicine Vi antibodies Biology Disease cluster Peptides Cyclic Typhoid fever Role of Environmental Factors in Shaping Spatial Distribution of Salmonella enterica Serovar Typhi Fiji lcsh:Infectious and parasitic diseases 03 medical and health sciences flooding environmental factors medicine Seroprevalence Fiji Humans lcsh:RC109-216 Aged Research lcsh:R Infant Newborn Infant Odds ratio medicine.disease Cross-Sectional Studies Vi capsular antigen |
Zdroj: | Emerging Infectious Diseases, Vol 24, Iss 2, Pp 284-293 (2018) Emerging Infectious Diseases |
ISSN: | 1080-6059 1080-6040 |
Popis: | Fiji recently experienced a sharp increase in reported typhoid fever cases. To investigate geographic distribution and environmental risk factors associated with Salmonella enterica serovar Typhi infection, we conducted a cross-sectional cluster survey with associated serologic testing for Vi capsular antigen-specific antibodies (a marker for exposure to Salmonella Typhi in Fiji in 2013. Hotspots with high seroprevalence of Vi-specific antibodies were identified in northeastern mainland Fiji. Risk for Vi seropositivity increased with increased annual rainfall (odds ratio [OR] 1.26/quintile increase, 95% CI 1.12-1.42), and decreased with increased distance from major rivers and creeks (OR 0.89/km increase, 95% CI 0.80-0.99) and distance to modeled flood-risk areas (OR 0.80/quintile increase, 95% CI 0.69-0.92) after being adjusted for age, typhoid fever vaccination, and home toilet type. Risk for exposure to Salmonella Typhi and its spatial distribution in Fiji are driven by environmental factors. Our findings can directly affect typhoid fever control efforts in Fiji. |
Databáze: | OpenAIRE |
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