Distribution and breeding sites of Aedes aegypti and Aedes albopictus in 32 urban/peri-urban districts of Mozambique: implication for assessing the risk of arbovirus outbreaks
Plos negl. trop. dis; 12 (9), 2018
Ano de publicação: 2018
In January 2016, health authorities from Zambe´zia province, Mozambique reported the
detection of some patients presenting with fever, arthralgia, and a positive result for chikungunya in an IgM-based Rapid Diagnostic Test (RDT). We initiated a study to investigate a
potential chikungunya outbreak in the city of Quelimane.
Methods/Principal findings
From February to June 2016, we conducted a cross-sectional study enrolling febrile patients
attending five outpatient health units in Quelimane. Serum from each patient was tested for
CHIKV and DENV, using IgM and IgG ELISA and qRT-PCR. Patients were also tested for
malaria by RDT. Entomological surveys were performed around patients’ households, and
we calculated the proportion of positive ovitraps and the egg density per trap. A total of 163
patients were recruited, of which 99 (60.7%) were female. The median age was 28 years.
IgM and IgG anti-CHIKV antibodies were identified in 17 (10.4%) and 103 (63.2%) patients,
respectively. Plaque reduction neutralization assay confirmed the presence of anti-CHIKV
antibodies in a subset of 11 tested patients with positive IgG results. IgM anti-DENV antibodies were found in 1 (0.9%) of 104 tested patients. Malaria was diagnosed in 35 (21.5%)
patients, 2 of whom were also IgM-positive for CHIKV. Older age and lower education level
were independently associated with the prevalence of IgG anti-CHIKV antibodies...