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Results of a Nationally Representative Seroprevalence Survey of Chikungunya Virus in Bangladesh.

Accepted version
Peer-reviewed

Type

Article

Change log

Authors

Allen, Sam W 
Ribeiro Dos Santos, Gabriel  ORCID logo  https://orcid.org/0000-0003-4668-8755
Paul, Kishor K 
Paul, Repon 
Rahman, Mohammad Ziaur 

Abstract

There is an increasing global burden from chikungunya virus (CHIKV). Bangladesh reported a major epidemic in 2017, but it was unclear whether there had been prior widespread transmission. We conducted a nationally representative seroprevalence survey in 70 randomly selected communities immediately before the epidemic. We found that 69 of 2938 sampled individuals (2.4%) were seropositive to CHIKV. Seropositivity to dengue virus (adjusted odds ratio, 3.13 [95% confidence interval, 1.86-5.27]), male sex (0.59 [.36-.99]), and community presence of Aedes aegypti mosquitoes (1.80 [1.05-3.0]7) were significantly associated with CHIKV seropositivity. Using a spatial prediction model, we estimated that across the country, 4.99 (95% confidence interval, 4.89-5.08) million people had been previously infected. These findings highlight high population susceptibility before the major outbreak and that previous outbreaks must have been spatially isolated.

Description

Keywords

Bangladesh, arbovirus, chikungunya, epidemiology, seroprevalence, Humans, Seroepidemiologic Studies, Bangladesh, Chikungunya Fever, Male, Female, Adult, Adolescent, Chikungunya virus, Young Adult, Middle Aged, Animals, Child, Aedes, Disease Outbreaks, Antibodies, Viral, Child, Preschool, Aged, Infant, Mosquito Vectors, Dengue Virus

Journal Title

J Infect Dis

Conference Name

Journal ISSN

0022-1899
1537-6613

Volume Title

Publisher

Oxford University Press (OUP)
Sponsorship
European Commission Horizon 2020 (H2020) ERC (804744)
ERC 804744, the CDC, and NIH grants R24 AI120942 and U01AI151801