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

Detalhes bibliográficos
Autor(a) principal: Maniero, Viviane Camara
Data de Publicação: 2021
Outros Autores: 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
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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spelling 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)
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instname_str Instituto Superior de Educação Vera Cruz (VeraCruz)
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institution VERACRUZ
reponame_str Revista Veras
collection Revista Veras
repository.name.fl_str_mv Revista Veras - Instituto Superior de Educação Vera Cruz (VeraCruz)
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