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Seroprevalence of Dengue in Urban and Rural Settings in Kerala, India


Affiliations
1 ICMR-Vector Control Research Centre, Field Station, Kottayam 686 003, India
 

Dengue fever is a major public health concern in India and Kerala is one of the worst affected states in the country. Kanjirappally, Kottayam district, has been reported to be the epicentre of dengue in the state. In 2016, we carried out a post-epidemic seroprevalence survey in both urban and rural sites of this endemic foci to estimate the disease burden. A systematic sampling technique with a random start (household) was adopted in each study site. Overall, 938 individuals were enrolled in the survey, 470 in the urban and 468 in the rural sites belonging to 103 and 88 households respectively. Rapid diagnostic IgM/IgG test kit was used for the study. The overall dengue IgG seroprevalence observed was 51.28%. Urban sites had higher seroprevalence rate (59.8%) compared to rural sites (42.74%, P < 0.01). No gender difference was recorded in seroprevalence rates among the sites. Exposure was found to be more common among adults than children in both areas. Seroprevalence rate in children <10 years of age was found to be 15 times higher (44.61%) in urban sites, than that in the rural sites (3.03%). The present study indicates that more than half of the population is exposed to DENV (dengue virus) infection in this oldest focus of dengue in Kerala

Keywords

Aedes aegypti, Dengue, Seroprevalence, Urban and Rural Settings, Vector Control.
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  • Wang, W. H., Urbina, A. N., Chang, M. R., Assavalapsakul, W., Lu, P. L., Chen, Y. H. and Wang, S. F., Dengue hemorrhagic fever – a systemic literature review of current perspectives on pathogenesis, prevention and control. J. Microbiol. Immunol. Infect., 2020, S1684-1182(20)300670; doi:10.1016/j.jmii.2020.03.007.
  • Ganeshkumar, P. et al., Dengue infection in India: a systematic review and meta-analysis. PLoS Negl. Trop. Dis., 2018, 12(7), e0006618.
  • Kumar, N. P., Jayakumar, P. R., George, K., Kamaraj, T., Krishnamoorthy, K., Sabesan, S. and Jambulingam, P. J., Genetic characterization of dengue viruses prevalent in Kerala State. Indian J. Med. Microbiol., 2013, 62, 545–552.
  • Banerjee, K. and Desai, P. K., Survey of arbovirus antibodies in South India. Indian J. Med. Res., 1973, 61, 344–351.
  • Tyagi, B. K., Hiriyan, J., Samuel, P., Tiwari, S. C. and Paramasivan, R., Dengue in Kerala: a critical review. ICMR Bull., 2006, 36(4–5), 13–22.
  • Kalra, N. L. and Prasittisuk, C., Sporadic prevalence of DF/DHF in the Nilgiri and Cardamom hills of Western Ghats in South India: is it a seeding from sylvatic dengue cycle – a hypothesis. Dengue Bull., 2004, 28, 44–50.
  • Gubler, D. J., Dengue and Dengue haemorrhagic fever. Clin. Microbiol. Rev., 1998, 11(3), 480–496.
  • Kalra, N. L., Kaul, S. M. and Rastogi, R. M., Prevalence of Aedes aegypti and Aedes albopictus – vectors of dengue and dengue haemorrhagic fever in north, north-east and central India. Dengue Bull., 1997, 21, 84–92.
  • Cecilia, D., Current status of dengue and chikungunya in India. WHO South East. Asian J. Pub. Health, 2014, 3(1), 22–26.
  • Kumar, N. P., Joseph, R., Kamaraj, T. and Jambulingam, P., A226V mutation in virus during the 2007 chikungunya outbreak in Kerala. Indian J. Gen. Virol., 2008, 89, 1945–1948.
  • Kumar, N. P. et al., Chikungunya virus outbreak in Kerala, India, 2007: a seroprevalence study. Mem. Inst. Oswaldo Cruz, 2011, 106, 912–916.
  • Kumar, N. P., Anish, T. S., Mathew, J., Valaparambil, A. T. T., Abidha, J. M., Ajithlal, P. M. and Jambulingam, P., Genotype shift of dengue virus (DENV1) during the 2017 outbreak of dengue fever in Thiruvananthapuram Kerala, India. Ind. J. Exp. Biol., 2019, 57, 961–966.
  • Lam, S. K., Rapid dengue diagnosis and interpretation. Malays. J. Pathol., 1993, 15, 9–12.
  • Gubler, D. J., Serological diagnosis of dengue/dengue haemorrhagic fever. Dengue Bull., 1996, 20, 20–23.
  • Craig, A. T. et al., Enhanced surveillance during a public health emergency in a resource-limited setting: experience from a large dengue outbreak in Solomon Islands, 2016–17. PLoS ONE, 2018, 13(6), e0198487.
  • Pal, S. et al., Evaluation of Dengue NS1 antigen rapid tests and ELISA kits using clinical samples. PLoS ONE, 2014, 9(11), 1.
  • Vickers, I. E., Harvey, K. M., Brown, M. G., Nelson, K., Du Casse, M. B. and Lindo, J. F., The performance of the SD BIOLINE Dengue DUO® rapid immunochromatographic test kit for the detection of NS1 antigen, IgM and Ig antibodies during a dengue type 1 epidemic in Jamaica. J. Biomed. Sci., 2015, 22, 55.
  • Blacksell, S. D. et al., The comparative accuracy of 8 commercial rapid immunochromatographic assays for the diagnosis of acute dengue virus infection. Clin. Infect. Dis., 2006, 42(8), 1127–1134.
  • Blacksell, S. D., Commercial dengue rapid diagnostic tests for point-of-care application: recent evaluations and future needs? J. Biomed. Biotechnol., 2012, 12, 151967; doi:10.1155/2012/151967.
  • Focks, D. A., A review of entomological sampling methods and indicators for dengue vectors. World Health Organization, Geneva, 2003; Document WHO/TDR/IDE/Den/03.1.
  • Murhekar, M. V. et al., Burden of dengue infection in India, 2017: a cross-sectional population based serosurvey. Lancet Glob. Health, 2019, 7(8), e1065–e1073.
  • Gupta, N., Srivastava, S., Jain, A. and Chaturvedi, U. C., Dengue in India. Indian J. Med. Res., 2012, 136(3), 373–390.
  • Luo, S., Cui, W., Li, C., Ling, F., Fu, T., Liu, Q., Ren, J. and Sun, J., Seroprevalence of dengue IgG antibodies in symptomatic and asymptomatic individuals three years after an outbreak in Zhejiang Province, China. BMC Infect. Dis., 2018, 18, 92.
  • Pavía-Ruz, N. et al., Seroprevalence of dengue antibodies in three urban settings in Yucatan, Mexico. Am. J. Trop. Med. Hyg., 2018, 98(4), 1202–1208.
  • Fritzell, C., Rousset, D., Adde, A., Kazanji, M., Van Kerkhove, M. D. and Flamand, C., Current challenges and implications for dengue, chikungunya and Zika seroprevalence studies worldwide: A scoping review. PLoS Negl. Trop. Dis., 2018, 12(7), e0006533.
  • Dhanoa, A. et al., Seroprevalence of dengue among healthy adults in a rural community in Southern Malaysia: a pilot study. Infect. Dis. Poverty, 2018, 7, 1; https://doi.org/10.1186/s40249-017-0384-1
  • Shah, P. S. et al., Seroprevalence of dengue in a rural and an urbanized village: a pilot study from rural western India. J. VectorBorne Dis., 2017, 54(2), 172–176.
  • Low, S. L., Lam, S., Wong, W. Y., Teo, D., Ng, L. C. and Tan, L. K., Dengue seroprevalence of healthy adults in Singapore: serosurvey among blood donors. Am. J. Trop. Med. Hyg., 2015, 93(1), 40–45.
  • Garg, S., Chakravarti, A., Singh, R., Masthi, N. R., Goyal, R. C., Jammy, G. R. and DNG10 study group. Dengue serotype-specific seroprevalence among 5 to 10-year-old children in India: a communitybased cross-sectional study. Int. J. Infect. Dis., 2017, 54, 25–30.
  • Juraina, A. J. et al., Possible factors influencing the seroprevalence of dengue among residents of the forest fringe areas of Peninsular Malaysia. J. Trop. Med., Article ID 1019238, 2020, 10; https://doi.org/10.1155/2020/1019238
  • Seng, C. M., Setha, T., Nealon, J., Socheat, D., Chantha, N. and Nathan, M. B., Community-based use of the larvivorous fish Poecilia reticulata to control the dengue vector Aedes aegypti in domestic water storage containers in rural Cambodia. J. Vec. Ecol., 2008, 33(1), 139–144.
  • Cavalcanti, L. P., Coelho, I. C., Vilar, D. C., Holanda, S. G., Escóssia, K. N. and Souza-Santos, R., Clinical and epidemiological characterization of dengue hemorrhagic fever cases in northeastern Brazil. Rev. Soc. Bras. Med. Trop., 2010, 43(4), 355–358.

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  • Seroprevalence of Dengue in Urban and Rural Settings in Kerala, India

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Authors

Abidha Suresh
ICMR-Vector Control Research Centre, Field Station, Kottayam 686 003, India
K. N. Vijayakumar
ICMR-Vector Control Research Centre, Field Station, Kottayam 686 003, India
P. M. Ajithlal
ICMR-Vector Control Research Centre, Field Station, Kottayam 686 003, India
Prasanta Saini
ICMR-Vector Control Research Centre, Field Station, Kottayam 686 003, India
N. Pradeep Kumar
ICMR-Vector Control Research Centre, Field Station, Kottayam 686 003, India
Ashwani Kumar
ICMR-Vector Control Research Centre, Field Station, Kottayam 686 003, India

Abstract


Dengue fever is a major public health concern in India and Kerala is one of the worst affected states in the country. Kanjirappally, Kottayam district, has been reported to be the epicentre of dengue in the state. In 2016, we carried out a post-epidemic seroprevalence survey in both urban and rural sites of this endemic foci to estimate the disease burden. A systematic sampling technique with a random start (household) was adopted in each study site. Overall, 938 individuals were enrolled in the survey, 470 in the urban and 468 in the rural sites belonging to 103 and 88 households respectively. Rapid diagnostic IgM/IgG test kit was used for the study. The overall dengue IgG seroprevalence observed was 51.28%. Urban sites had higher seroprevalence rate (59.8%) compared to rural sites (42.74%, P < 0.01). No gender difference was recorded in seroprevalence rates among the sites. Exposure was found to be more common among adults than children in both areas. Seroprevalence rate in children <10 years of age was found to be 15 times higher (44.61%) in urban sites, than that in the rural sites (3.03%). The present study indicates that more than half of the population is exposed to DENV (dengue virus) infection in this oldest focus of dengue in Kerala

Keywords


Aedes aegypti, Dengue, Seroprevalence, Urban and Rural Settings, Vector Control.

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DOI: https://doi.org/10.18520/cs%2Fv121%2Fi2%2F233-238