Spatial evaluation and modeling of Dengue seroprevalence and vector density in Rio de Janeiro, Brazil

Rio de Janeiro, Brazil, experienced a severe dengue fever epidemic in 2008. This was the worst epidemic ever, characterized by a sharp increase in case-fatality rate, mainly among younger individuals. A combination of factors, such as climate, mosquito abundance, buildup of the susceptible populatio...

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Veröffentlicht in:PLoS neglected tropical diseases 2009-11, Vol.3 (11), p.e545-545
Hauptverfasser: Honório, Nildimar Alves, Nogueira, Rita Maria Ribeiro, Codeço, Cláudia Torres, Carvalho, Marilia Sá, Cruz, Oswaldo Gonçalves, Magalhães, Mônica de Avelar Figueiredo Mafra, de Araújo, Josélio Maria Galvão, de Araújo, Eliane Saraiva Machado, Gomes, Marcelo Quintela, Pinheiro, Luciane Silva, da Silva Pinel, Célio, Lourenço-de-Oliveira, Ricardo
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container_end_page 545
container_issue 11
container_start_page e545
container_title PLoS neglected tropical diseases
container_volume 3
creator Honório, Nildimar Alves
Nogueira, Rita Maria Ribeiro
Codeço, Cláudia Torres
Carvalho, Marilia Sá
Cruz, Oswaldo Gonçalves
Magalhães, Mônica de Avelar Figueiredo Mafra
de Araújo, Josélio Maria Galvão
de Araújo, Eliane Saraiva Machado
Gomes, Marcelo Quintela
Pinheiro, Luciane Silva
da Silva Pinel, Célio
Lourenço-de-Oliveira, Ricardo
description Rio de Janeiro, Brazil, experienced a severe dengue fever epidemic in 2008. This was the worst epidemic ever, characterized by a sharp increase in case-fatality rate, mainly among younger individuals. A combination of factors, such as climate, mosquito abundance, buildup of the susceptible population, or viral evolution, could explain the severity of this epidemic. The main objective of this study is to model the spatial patterns of dengue seroprevalence in three neighborhoods with different socioeconomic profiles in Rio de Janeiro. As blood sampling coincided with the peak of dengue transmission, we were also able to identify recent dengue infections and visually relate them to Aedes aegypti spatial distribution abundance. We analyzed individual and spatial factors associated with seroprevalence using Generalized Additive Model (GAM). Three neighborhoods were investigated: a central urban neighborhood, and two isolated areas characterized as a slum and a suburban area. Weekly mosquito collections started in September 2006 and continued until March 2008. In each study area, 40 adult traps and 40 egg traps were installed in a random sample of premises, and two infestation indexes calculated: mean adult density and mean egg density. Sera from individuals living in the three neighborhoods were collected before the 2008 epidemic (July through November 2007) and during the epidemic (February through April 2008). Sera were tested for DENV-reactive IgM, IgG, Nested RT-PCR, and Real Time RT-PCR. From the before-after epidemics paired data, we described seroprevalence, recent dengue infections (asymptomatic or not), and seroconversion. Recent dengue infection varied from 1.3% to 14.1% among study areas. The highest IgM seropositivity occurred in the slum, where mosquito abundance was the lowest, but household conditions were the best for promoting contact between hosts and vectors. By fitting spatial GAM we found dengue seroprevalence hotspots located at the entrances of the two isolated communities, which are commercial activity areas with high human movement. No association between recent dengue infection and household's high mosquito abundance was observed in this sample. This study contributes to better understanding the dynamics of dengue in Rio de Janeiro by assessing the relationship between dengue seroprevalence, recent dengue infection, and vector density. In conclusion, the variation in spatial seroprevalence patterns inside the neighborhoods, with signif
doi_str_mv 10.1371/journal.pntd.0000545
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This was the worst epidemic ever, characterized by a sharp increase in case-fatality rate, mainly among younger individuals. A combination of factors, such as climate, mosquito abundance, buildup of the susceptible population, or viral evolution, could explain the severity of this epidemic. The main objective of this study is to model the spatial patterns of dengue seroprevalence in three neighborhoods with different socioeconomic profiles in Rio de Janeiro. As blood sampling coincided with the peak of dengue transmission, we were also able to identify recent dengue infections and visually relate them to Aedes aegypti spatial distribution abundance. We analyzed individual and spatial factors associated with seroprevalence using Generalized Additive Model (GAM). Three neighborhoods were investigated: a central urban neighborhood, and two isolated areas characterized as a slum and a suburban area. Weekly mosquito collections started in September 2006 and continued until March 2008. In each study area, 40 adult traps and 40 egg traps were installed in a random sample of premises, and two infestation indexes calculated: mean adult density and mean egg density. Sera from individuals living in the three neighborhoods were collected before the 2008 epidemic (July through November 2007) and during the epidemic (February through April 2008). Sera were tested for DENV-reactive IgM, IgG, Nested RT-PCR, and Real Time RT-PCR. From the before-after epidemics paired data, we described seroprevalence, recent dengue infections (asymptomatic or not), and seroconversion. Recent dengue infection varied from 1.3% to 14.1% among study areas. The highest IgM seropositivity occurred in the slum, where mosquito abundance was the lowest, but household conditions were the best for promoting contact between hosts and vectors. By fitting spatial GAM we found dengue seroprevalence hotspots located at the entrances of the two isolated communities, which are commercial activity areas with high human movement. No association between recent dengue infection and household's high mosquito abundance was observed in this sample. This study contributes to better understanding the dynamics of dengue in Rio de Janeiro by assessing the relationship between dengue seroprevalence, recent dengue infection, and vector density. In conclusion, the variation in spatial seroprevalence patterns inside the neighborhoods, with significantly higher risk patches close to the areas with large human movement, suggests that humans may be responsible for virus inflow to small neighborhoods in Rio de Janeiro. Surveillance guidelines should be further discussed, considering these findings, particularly the spatial patterns for both human and mosquito populations.</description><identifier>ISSN: 1935-2735</identifier><identifier>ISSN: 1935-2727</identifier><identifier>EISSN: 1935-2735</identifier><identifier>DOI: 10.1371/journal.pntd.0000545</identifier><identifier>PMID: 19901983</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Aedes - physiology ; Aedes aegypti ; Aged ; Animals ; Antibodies, Viral - blood ; Antibodies, Viral - immunology ; Brazil - epidemiology ; Child ; Child, Preschool ; Dengue - epidemiology ; Dengue - immunology ; Dengue - transmission ; Dengue - virology ; Dengue virus ; Dengue Virus - genetics ; Dengue Virus - immunology ; Dengue Virus - isolation &amp; purification ; Ecology ; Fatalities ; Fever ; Households ; Humans ; Infant ; Insect Vectors - physiology ; Male ; Middle Aged ; Models, Biological ; Mosquitoes ; Population Density ; Public Health and Epidemiology ; Seroepidemiologic Studies ; Socioeconomic Factors ; Tropical diseases ; Virology ; Young Adult</subject><ispartof>PLoS neglected tropical diseases, 2009-11, Vol.3 (11), p.e545-545</ispartof><rights>2009 Honorio et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited: Honório NA, Nogueira RMR, Codeço CT, Carvalho MS, Cruz OG, et al. (2009) Spatial Evaluation and Modeling of Dengue Seroprevalence and Vector Density in Rio de Janeiro, Brazil. 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This was the worst epidemic ever, characterized by a sharp increase in case-fatality rate, mainly among younger individuals. A combination of factors, such as climate, mosquito abundance, buildup of the susceptible population, or viral evolution, could explain the severity of this epidemic. The main objective of this study is to model the spatial patterns of dengue seroprevalence in three neighborhoods with different socioeconomic profiles in Rio de Janeiro. As blood sampling coincided with the peak of dengue transmission, we were also able to identify recent dengue infections and visually relate them to Aedes aegypti spatial distribution abundance. We analyzed individual and spatial factors associated with seroprevalence using Generalized Additive Model (GAM). Three neighborhoods were investigated: a central urban neighborhood, and two isolated areas characterized as a slum and a suburban area. Weekly mosquito collections started in September 2006 and continued until March 2008. In each study area, 40 adult traps and 40 egg traps were installed in a random sample of premises, and two infestation indexes calculated: mean adult density and mean egg density. Sera from individuals living in the three neighborhoods were collected before the 2008 epidemic (July through November 2007) and during the epidemic (February through April 2008). Sera were tested for DENV-reactive IgM, IgG, Nested RT-PCR, and Real Time RT-PCR. From the before-after epidemics paired data, we described seroprevalence, recent dengue infections (asymptomatic or not), and seroconversion. Recent dengue infection varied from 1.3% to 14.1% among study areas. The highest IgM seropositivity occurred in the slum, where mosquito abundance was the lowest, but household conditions were the best for promoting contact between hosts and vectors. By fitting spatial GAM we found dengue seroprevalence hotspots located at the entrances of the two isolated communities, which are commercial activity areas with high human movement. No association between recent dengue infection and household's high mosquito abundance was observed in this sample. This study contributes to better understanding the dynamics of dengue in Rio de Janeiro by assessing the relationship between dengue seroprevalence, recent dengue infection, and vector density. In conclusion, the variation in spatial seroprevalence patterns inside the neighborhoods, with significantly higher risk patches close to the areas with large human movement, suggests that humans may be responsible for virus inflow to small neighborhoods in Rio de Janeiro. Surveillance guidelines should be further discussed, considering these findings, particularly the spatial patterns for both human and mosquito populations.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aedes - physiology</subject><subject>Aedes aegypti</subject><subject>Aged</subject><subject>Animals</subject><subject>Antibodies, Viral - blood</subject><subject>Antibodies, Viral - immunology</subject><subject>Brazil - epidemiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Dengue - epidemiology</subject><subject>Dengue - immunology</subject><subject>Dengue - transmission</subject><subject>Dengue - virology</subject><subject>Dengue virus</subject><subject>Dengue Virus - genetics</subject><subject>Dengue Virus - immunology</subject><subject>Dengue Virus - isolation &amp; purification</subject><subject>Ecology</subject><subject>Fatalities</subject><subject>Fever</subject><subject>Households</subject><subject>Humans</subject><subject>Infant</subject><subject>Insect Vectors - physiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Models, Biological</subject><subject>Mosquitoes</subject><subject>Population Density</subject><subject>Public Health and Epidemiology</subject><subject>Seroepidemiologic Studies</subject><subject>Socioeconomic Factors</subject><subject>Tropical diseases</subject><subject>Virology</subject><subject>Young Adult</subject><issn>1935-2735</issn><issn>1935-2727</issn><issn>1935-2735</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNp9kltrFDEUxwdRbF39BqIBQV_cNbfJ5UXQeqsUBC_P4Uwms6Zkk20ys1A_vdnuqK2IeUhOkt_5nwunaR4SvCJMkhfnacoRwmobx36F62p5e6s5Jpq1SypZe_uafdTcK-W8IrpV5G5zRLTGRCt23LgvWxg9BOR2EKZqpogg9miTehd8XKM0oDcurieHistpm_eci9ZdUTtnx5RR72Lx4yXyEX32qV7RR4jO5_Qcvc7ww4f7zZ0BQnEP5nPRfHv39uvJh-XZp_enJ6_OllZQOi5VJ0SHNcgelKNKgKTABGv7oRUK80HxDneKC8m57AbCGBYCuLVaA1AAxRbN44PuNqRi5g4VQ6hSWGsp20qcHog-wbnZZr-BfGkSeHP1kPLaQB69Dc4QTLGzSkjaA-c1AyC07naQkjBSoy-al3O0qdu43ro4Zgg3RG_-RP_drNPOUCmUorQKPJsFcrqYXBnNxhfrQqjdS1MxkvF9kWRPPv0vSQmXmApdwSd_gf_uAj9QNqdSsht-J02w2U_XLy-zny4zT1d1e3S94D9O8zixn4ATzKg</recordid><startdate>20091101</startdate><enddate>20091101</enddate><creator>Honório, Nildimar Alves</creator><creator>Nogueira, Rita Maria Ribeiro</creator><creator>Codeço, Cláudia Torres</creator><creator>Carvalho, Marilia Sá</creator><creator>Cruz, Oswaldo Gonçalves</creator><creator>Magalhães, Mônica de Avelar Figueiredo Mafra</creator><creator>de Araújo, Josélio Maria Galvão</creator><creator>de Araújo, Eliane Saraiva Machado</creator><creator>Gomes, Marcelo Quintela</creator><creator>Pinheiro, Luciane Silva</creator><creator>da Silva Pinel, Célio</creator><creator>Lourenço-de-Oliveira, Ricardo</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7SS</scope><scope>7T2</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>F1W</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>H95</scope><scope>H97</scope><scope>K9.</scope><scope>L.G</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20091101</creationdate><title>Spatial evaluation and modeling of Dengue seroprevalence and vector density in Rio de Janeiro, Brazil</title><author>Honório, Nildimar Alves ; 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This was the worst epidemic ever, characterized by a sharp increase in case-fatality rate, mainly among younger individuals. A combination of factors, such as climate, mosquito abundance, buildup of the susceptible population, or viral evolution, could explain the severity of this epidemic. The main objective of this study is to model the spatial patterns of dengue seroprevalence in three neighborhoods with different socioeconomic profiles in Rio de Janeiro. As blood sampling coincided with the peak of dengue transmission, we were also able to identify recent dengue infections and visually relate them to Aedes aegypti spatial distribution abundance. We analyzed individual and spatial factors associated with seroprevalence using Generalized Additive Model (GAM). Three neighborhoods were investigated: a central urban neighborhood, and two isolated areas characterized as a slum and a suburban area. Weekly mosquito collections started in September 2006 and continued until March 2008. In each study area, 40 adult traps and 40 egg traps were installed in a random sample of premises, and two infestation indexes calculated: mean adult density and mean egg density. Sera from individuals living in the three neighborhoods were collected before the 2008 epidemic (July through November 2007) and during the epidemic (February through April 2008). Sera were tested for DENV-reactive IgM, IgG, Nested RT-PCR, and Real Time RT-PCR. From the before-after epidemics paired data, we described seroprevalence, recent dengue infections (asymptomatic or not), and seroconversion. Recent dengue infection varied from 1.3% to 14.1% among study areas. The highest IgM seropositivity occurred in the slum, where mosquito abundance was the lowest, but household conditions were the best for promoting contact between hosts and vectors. By fitting spatial GAM we found dengue seroprevalence hotspots located at the entrances of the two isolated communities, which are commercial activity areas with high human movement. No association between recent dengue infection and household's high mosquito abundance was observed in this sample. This study contributes to better understanding the dynamics of dengue in Rio de Janeiro by assessing the relationship between dengue seroprevalence, recent dengue infection, and vector density. In conclusion, the variation in spatial seroprevalence patterns inside the neighborhoods, with significantly higher risk patches close to the areas with large human movement, suggests that humans may be responsible for virus inflow to small neighborhoods in Rio de Janeiro. Surveillance guidelines should be further discussed, considering these findings, particularly the spatial patterns for both human and mosquito populations.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>19901983</pmid><doi>10.1371/journal.pntd.0000545</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1935-2735
ispartof PLoS neglected tropical diseases, 2009-11, Vol.3 (11), p.e545-545
issn 1935-2735
1935-2727
1935-2735
language eng
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source Public Library of Science (PLoS) Journals Open Access; MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; PubMed Central Open Access
subjects Adolescent
Adult
Aedes - physiology
Aedes aegypti
Aged
Animals
Antibodies, Viral - blood
Antibodies, Viral - immunology
Brazil - epidemiology
Child
Child, Preschool
Dengue - epidemiology
Dengue - immunology
Dengue - transmission
Dengue - virology
Dengue virus
Dengue Virus - genetics
Dengue Virus - immunology
Dengue Virus - isolation & purification
Ecology
Fatalities
Fever
Households
Humans
Infant
Insect Vectors - physiology
Male
Middle Aged
Models, Biological
Mosquitoes
Population Density
Public Health and Epidemiology
Seroepidemiologic Studies
Socioeconomic Factors
Tropical diseases
Virology
Young Adult
title Spatial evaluation and modeling of Dengue seroprevalence and vector density in Rio de Janeiro, Brazil
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