Air travel is associated with intracontinental spread of dengue virus serotypes 1-3 in Brazil.

Abstract:

:Dengue virus and its four serotypes (DENV-1 to DENV-4) infect 390 million people and are implicated in at least 25,000 deaths annually, with the largest disease burden in tropical and subtropical regions. We investigated the spatial dynamics of DENV-1, DENV-2 and DENV-3 in Brazil by applying a statistical framework to complete genome sequences. For all three serotypes, we estimated that the introduction of new lineages occurred within 7 to 10-year intervals. New lineages were most likely to be imported from the Caribbean region to the North and Northeast regions of Brazil, and then to disperse at a rate of approximately 0.5 km/day. Joint statistical analysis of evolutionary, epidemiological and ecological data indicates that aerial transportation of humans and/or vector mosquitoes, rather than Aedes aegypti infestation rates or geographical distances, determine dengue virus spread in Brazil.

journal_name

PLoS Negl Trop Dis

authors

Nunes MR,Palacios G,Faria NR,Sousa EC Jr,Pantoja JA,Rodrigues SG,Carvalho VL,Medeiros DB,Savji N,Baele G,Suchard MA,Lemey P,Vasconcelos PF,Lipkin WI

doi

10.1371/journal.pntd.0002769

subject

Has Abstract

pub_date

2014-04-17 00:00:00

pages

e2769

issue

4

eissn

1935-2727

issn

1935-2735

pii

PNTD-D-13-01776

journal_volume

8

pub_type

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