Abstract:
BACKGROUND:Starting in 2008, the Central African Republic (CAR) experienced an unprecedented number of reported yellow fever (YF) cases. A risk assessment of YF virus (YFV) activity was conducted to estimate potential disease risk and vaccine needs. METHODS:A multistage cluster sampling design was used to sample humans, non-human primates, and mosquitoes in distinct ecologic zones. Humans and non-human primates were tested for YFV-specific antibodies; mosquitoes were tested for YFV RNA. RESULTS:Overall, 13.3% (125/938) of humans were found to have naturally-acquired YFV antibodies. Antibody levels were higher in zones in the southern and south central regions of CAR. All sampled non-human primates (n=56) were known YFV reservoirs; one tested positive for YFV antibodies. Several known YF vectors were identified including Aedes africanus, Ae. aegypti, Ae. luteocephalus, and Ae. simpsoni. Several more urban locations were found to have elevated Breateau and Container indices for Ae. aegypti. CONCLUSIONS:A country-wide assessment of YF risk found YFV to be endemic in CAR. The potential for future YF cases and outbreaks, however, varied by ecologic zone. Improved vaccination coverage through mass campaign and childhood immunization was recommended to mitigate the YF risk.
journal_name
Trans R Soc Trop Med Hygauthors
Staples JE,Diallo M,Janusz KB,Manengu C,Lewis RF,Perea W,Yactayo S,Sall AA,RCA Risk Assessment Team.doi
10.1093/trstmh/tru086subject
Has Abstractpub_date
2014-10-01 00:00:00pages
608-15issue
10eissn
0035-9203issn
1878-3503pii
tru086journal_volume
108pub_type
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journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene
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journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene
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journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene
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journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene
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更新日期:2008-08-01 00:00:00
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journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene
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更新日期:2014-01-01 00:00:00