Serological Evidence of Widespread Zika Transmission across the Philippines

Autor: Joseph R. Biggs, Ava Kristy Sy, Oliver J. Brady, Adam J. Kucharski, Sebastian Funk, Yun-Hung Tu, Mary Anne Joy Reyes, Mary Ann Quinones, William Jones-Warner, James Ashall, Ferchito L. Avelino, Nemia L. Sucaldito, Amado O. Tandoc, Eva Cutiongco-de la Paz, Maria Rosario Z. Capeding, Carmencita D. Padilla, Martin L. Hibberd, Julius Clemence R. Hafalla
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Viruses, Vol 13, Iss 8, p 1441 (2021)
Druh dokumentu: article
ISSN: 1999-4915
DOI: 10.3390/v13081441
Popis: Zika virus (ZIKV) exposure across flavivirus-endemic countries, including the Philippines, remains largely unknown despite sporadic case reporting and environmental suitability for transmission. Using laboratory surveillance data from 2016, 997 serum samples were randomly selected from suspected dengue (DENV) case reports across the Philippines and assayed for serological markers of short-term (IgM) and long-term (IgG) ZIKV exposure. Using mixture models, we re-evaluated ZIKV IgM/G seroprevalence thresholds and used catalytic models to quantify the force of infection (attack rate, AR) from age-accumulated ZIKV exposure. While we observed extensive ZIKV/DENV IgG cross-reactivity, not all individuals with active DENV presented with elevated ZIKV IgG, and a proportion of dengue-negative cases (DENV IgG-) were ZIKV IgG-positive (14.3%, 9/63). We identified evidence of long-term, yet not short-term, ZIKV exposure across Philippine regions (ZIKV IgG+: 31.5%, 314/997) which was geographically uncorrelated with DENV exposure. In contrast to the DENV AR (12.7% (95%CI: 9.1–17.4%)), the ZIKV AR was lower (5.7% (95%CI: 3–11%)) across the country. Our results provide evidence of widespread ZIKV exposure across the Philippines and suggest the need for studies to identify ZIKV infection risk factors over time to better prepare for potential future outbreaks.
Databáze: Directory of Open Access Journals
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