A clinical-ecological study of a triple viral epidemic: Zika, Dengue and Chikungunya/ Um estudo clínico-ecológico de uma tripla epidemia viral: Zika, Dengue e Chikungunya
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Veras |
Texto Completo: | https://ojs.brazilianjournals.com.br/ojs/index.php/BRJD/article/view/30796 |
Resumo: | In Brazil, since 2015, co-circulation of three arboviruses, Dengue (DENV), Chikungunya (CHIKV) and Zika (ZIKV), have presented diagnostic challenges, due to their similar clinical manifestations. Our goal was to analyze cases of arboviral illness using key clinical features and to ascertain house infestation indices (HII) in the study area. A total of 28,064 medical records were analyzed by clinical-epidemiological criteria for DENV, ZIKV and CHIKV in 2015 and 2016 at the public health unit in Xerem, Duque de Caxias, Rio de Janeiro. The collection of vectors at home breeding sites in Xerem was performed to determine the HII, in March and June 2015. The total number of cases of suspected arboviral illness in 2015 was 969, of which 444 (45.8%) were due to DENV, 146 (15.1%) to ZIKV, and 11 (1.1%) to CHIKV. In 2016, the number of suspected cases of arboviral illness was 2019, of which 324 (16.0%) were classified as DENV, 779 (38.6%) as ZIKV, and 53 (2.60%) as CHIKV. The clinical manifestations prevalent in ZIKV were rash (67.8% to 79.5%) and pruritus (63.7% to 71.4%). The HII for the immature stages of Aedes in the study area, in March and June 2015, was 11.8% for Ae. aegypti and 8.1% for Ae. albopictus, both very high. There was a strong positive correlation observed for precipitation and HII for both vectors (Ae. aegypti and Ae. albopictus), but not for temperature levels. We conclude that a triple epidemic occurred in the studied area probably due to the high infestation rates and a naive population for the two newly introduced arboviruses; whilst there are no available specific laboratory tests a practical clinical diagnosis workout is crucial. |
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A clinical-ecological study of a triple viral epidemic: Zika, Dengue and Chikungunya/ Um estudo clínico-ecológico de uma tripla epidemia viral: Zika, Dengue e Chikungunyaarbovirusesdenguezikachikungunyaclinical manifestationsBrazilIn Brazil, since 2015, co-circulation of three arboviruses, Dengue (DENV), Chikungunya (CHIKV) and Zika (ZIKV), have presented diagnostic challenges, due to their similar clinical manifestations. Our goal was to analyze cases of arboviral illness using key clinical features and to ascertain house infestation indices (HII) in the study area. A total of 28,064 medical records were analyzed by clinical-epidemiological criteria for DENV, ZIKV and CHIKV in 2015 and 2016 at the public health unit in Xerem, Duque de Caxias, Rio de Janeiro. The collection of vectors at home breeding sites in Xerem was performed to determine the HII, in March and June 2015. The total number of cases of suspected arboviral illness in 2015 was 969, of which 444 (45.8%) were due to DENV, 146 (15.1%) to ZIKV, and 11 (1.1%) to CHIKV. In 2016, the number of suspected cases of arboviral illness was 2019, of which 324 (16.0%) were classified as DENV, 779 (38.6%) as ZIKV, and 53 (2.60%) as CHIKV. The clinical manifestations prevalent in ZIKV were rash (67.8% to 79.5%) and pruritus (63.7% to 71.4%). The HII for the immature stages of Aedes in the study area, in March and June 2015, was 11.8% for Ae. aegypti and 8.1% for Ae. albopictus, both very high. There was a strong positive correlation observed for precipitation and HII for both vectors (Ae. aegypti and Ae. albopictus), but not for temperature levels. We conclude that a triple epidemic occurred in the studied area probably due to the high infestation rates and a naive population for the two newly introduced arboviruses; whilst there are no available specific laboratory tests a practical clinical diagnosis workout is crucial.Brazilian Journals Publicações de Periódicos e Editora Ltda.2021-06-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://ojs.brazilianjournals.com.br/ojs/index.php/BRJD/article/view/3079610.34117/bjdv7n6-088Brazilian Journal of Development; Vol. 7 No. 6 (2021); 55136-55151Brazilian Journal of Development; Vol. 7 Núm. 6 (2021); 55136-55151Brazilian Journal of Development; v. 7 n. 6 (2021); 55136-551512525-876110.34117/bjdv.v7i6reponame:Revista Verasinstname:Instituto Superior de Educação Vera Cruz (VeraCruz)instacron:VERACRUZenghttps://ojs.brazilianjournals.com.br/ojs/index.php/BRJD/article/view/30796/pdfCopyright (c) 2021 Brazilian Journal of Developmentinfo:eu-repo/semantics/openAccessManiero, Viviane CamaraBrasil, Rodrigo Decembrino VargasRangel, Paulo Sérgio CerqueiraCamargo, Taiane MendonçaSouza, Marcela Pires deForte, Júlia Marcelo MaiaLamas, Cristiane da CruzCardozo, Sergian Vianna2021-09-21T11:05:20Zoai:ojs2.ojs.brazilianjournals.com.br:article/30796Revistahttp://site.veracruz.edu.br:8087/instituto/revistaveras/index.php/revistaveras/PRIhttp://site.veracruz.edu.br:8087/instituto/revistaveras/index.php/revistaveras/oai||revistaveras@veracruz.edu.br2236-57292236-5729opendoar:2024-10-15T16:16:20.536718Revista Veras - Instituto Superior de Educação Vera Cruz (VeraCruz)false |
dc.title.none.fl_str_mv |
A clinical-ecological study of a triple viral epidemic: Zika, Dengue and Chikungunya/ Um estudo clínico-ecológico de uma tripla epidemia viral: Zika, Dengue e Chikungunya |
title |
A clinical-ecological study of a triple viral epidemic: Zika, Dengue and Chikungunya/ Um estudo clínico-ecológico de uma tripla epidemia viral: Zika, Dengue e Chikungunya |
spellingShingle |
A clinical-ecological study of a triple viral epidemic: Zika, Dengue and Chikungunya/ Um estudo clínico-ecológico de uma tripla epidemia viral: Zika, Dengue e Chikungunya Maniero, Viviane Camara arboviruses dengue zika chikungunya clinical manifestations Brazil |
title_short |
A clinical-ecological study of a triple viral epidemic: Zika, Dengue and Chikungunya/ Um estudo clínico-ecológico de uma tripla epidemia viral: Zika, Dengue e Chikungunya |
title_full |
A clinical-ecological study of a triple viral epidemic: Zika, Dengue and Chikungunya/ Um estudo clínico-ecológico de uma tripla epidemia viral: Zika, Dengue e Chikungunya |
title_fullStr |
A clinical-ecological study of a triple viral epidemic: Zika, Dengue and Chikungunya/ Um estudo clínico-ecológico de uma tripla epidemia viral: Zika, Dengue e Chikungunya |
title_full_unstemmed |
A clinical-ecological study of a triple viral epidemic: Zika, Dengue and Chikungunya/ Um estudo clínico-ecológico de uma tripla epidemia viral: Zika, Dengue e Chikungunya |
title_sort |
A clinical-ecological study of a triple viral epidemic: Zika, Dengue and Chikungunya/ Um estudo clínico-ecológico de uma tripla epidemia viral: Zika, Dengue e Chikungunya |
author |
Maniero, Viviane Camara |
author_facet |
Maniero, Viviane Camara Brasil, Rodrigo Decembrino Vargas Rangel, Paulo Sérgio Cerqueira Camargo, Taiane Mendonça Souza, Marcela Pires de Forte, Júlia Marcelo Maia Lamas, Cristiane da Cruz Cardozo, Sergian Vianna |
author_role |
author |
author2 |
Brasil, Rodrigo Decembrino Vargas Rangel, Paulo Sérgio Cerqueira Camargo, Taiane Mendonça Souza, Marcela Pires de Forte, Júlia Marcelo Maia Lamas, Cristiane da Cruz Cardozo, Sergian Vianna |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Maniero, Viviane Camara Brasil, Rodrigo Decembrino Vargas Rangel, Paulo Sérgio Cerqueira Camargo, Taiane Mendonça Souza, Marcela Pires de Forte, Júlia Marcelo Maia Lamas, Cristiane da Cruz Cardozo, Sergian Vianna |
dc.subject.por.fl_str_mv |
arboviruses dengue zika chikungunya clinical manifestations Brazil |
topic |
arboviruses dengue zika chikungunya clinical manifestations Brazil |
description |
In Brazil, since 2015, co-circulation of three arboviruses, Dengue (DENV), Chikungunya (CHIKV) and Zika (ZIKV), have presented diagnostic challenges, due to their similar clinical manifestations. Our goal was to analyze cases of arboviral illness using key clinical features and to ascertain house infestation indices (HII) in the study area. A total of 28,064 medical records were analyzed by clinical-epidemiological criteria for DENV, ZIKV and CHIKV in 2015 and 2016 at the public health unit in Xerem, Duque de Caxias, Rio de Janeiro. The collection of vectors at home breeding sites in Xerem was performed to determine the HII, in March and June 2015. The total number of cases of suspected arboviral illness in 2015 was 969, of which 444 (45.8%) were due to DENV, 146 (15.1%) to ZIKV, and 11 (1.1%) to CHIKV. In 2016, the number of suspected cases of arboviral illness was 2019, of which 324 (16.0%) were classified as DENV, 779 (38.6%) as ZIKV, and 53 (2.60%) as CHIKV. The clinical manifestations prevalent in ZIKV were rash (67.8% to 79.5%) and pruritus (63.7% to 71.4%). The HII for the immature stages of Aedes in the study area, in March and June 2015, was 11.8% for Ae. aegypti and 8.1% for Ae. albopictus, both very high. There was a strong positive correlation observed for precipitation and HII for both vectors (Ae. aegypti and Ae. albopictus), but not for temperature levels. We conclude that a triple epidemic occurred in the studied area probably due to the high infestation rates and a naive population for the two newly introduced arboviruses; whilst there are no available specific laboratory tests a practical clinical diagnosis workout is crucial. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-06-04 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://ojs.brazilianjournals.com.br/ojs/index.php/BRJD/article/view/30796 10.34117/bjdv7n6-088 |
url |
https://ojs.brazilianjournals.com.br/ojs/index.php/BRJD/article/view/30796 |
identifier_str_mv |
10.34117/bjdv7n6-088 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://ojs.brazilianjournals.com.br/ojs/index.php/BRJD/article/view/30796/pdf |
dc.rights.driver.fl_str_mv |
Copyright (c) 2021 Brazilian Journal of Development info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2021 Brazilian Journal of Development |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Brazilian Journals Publicações de Periódicos e Editora Ltda. |
publisher.none.fl_str_mv |
Brazilian Journals Publicações de Periódicos e Editora Ltda. |
dc.source.none.fl_str_mv |
Brazilian Journal of Development; Vol. 7 No. 6 (2021); 55136-55151 Brazilian Journal of Development; Vol. 7 Núm. 6 (2021); 55136-55151 Brazilian Journal of Development; v. 7 n. 6 (2021); 55136-55151 2525-8761 10.34117/bjdv.v7i6 reponame:Revista Veras instname:Instituto Superior de Educação Vera Cruz (VeraCruz) instacron:VERACRUZ |
instname_str |
Instituto Superior de Educação Vera Cruz (VeraCruz) |
instacron_str |
VERACRUZ |
institution |
VERACRUZ |
reponame_str |
Revista Veras |
collection |
Revista Veras |
repository.name.fl_str_mv |
Revista Veras - Instituto Superior de Educação Vera Cruz (VeraCruz) |
repository.mail.fl_str_mv |
||revistaveras@veracruz.edu.br |
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1813645535962202112 |