Molecular epidemiology of dengue viruses in three provinces of Lao PDR, 2006-2010 - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue PLoS Neglected Tropical Diseases Année : 2018

Molecular epidemiology of dengue viruses in three provinces of Lao PDR, 2006-2010

Résumé

Few data on dengue epidemiology are available for Lao PDR. Here, we provide information on the complexity of dengue epidemiology in the country, demonstrating dynamic circulation that varies over space and time, according to serotype. We recruited 1,912 consenting patients presenting with WHO dengue criteria at Mahosot Hospital, Vientiane (central Laos), between 2006 and 2010. Between 2008 and 2010, 1,413 patients with undifferentiated fever were also recruited at Luang Namtha (LNT) Provincial Hospital (northern Laos) and 555 at Salavan (SV) Provincial Hospital (southern Laos). We report significant variations in Dengue virus (DENV) circulation between the three sites. Peaks of DENV infection were observed in the rainy seasons, although 11% of confirmed cases in the provinces and 4.6% in the capital were detected during the dry and cool seasons (between December and February). Four DENV serotypes were detected among the 867 RT-PCR positive patients: 76.9% DENV-1, 9.6% DENV-2, 7.7% DENV-4 and 5.3% DENV-3. DENV-1 was the predominant serotype throughout the study except in LNT in 2008 and 2009 when it was DENV-2. Before July 2009, DENV-2 was not detected in SV and only rarely detected in Vientiane. DENV-3 and DENV-4 were commonly detected in Vientiane, before 2008 for DENV-4 and after 2009 for DENV-3. The phylogenetic analyses of DENV envelope sequences suggest concurrent multiple introductions of new strains as well as active DENV circulation throughout Laos and with neighboring countries. It is therefore of great importance to develop and strengthen a year-round nation-wide surveillance network in order to collect data that would allow anticipation of public health issues caused by the occurrence of large dengue outbreaks.
Fichier principal
Vignette du fichier
journal.pntd.0006203.pdf (3.06 Mo) Télécharger le fichier
Origine : Publication financée par une institution
Loading...

Dates et versions

hal-01765838 , version 1 (13-04-2018)

Identifiants

Citer

Josee Castonguay-Vanier, Raphaelle Klitting, Onanong Sengvilaipaseuth, Geraldine Piorkowski, Cecile Baronti, et al.. Molecular epidemiology of dengue viruses in three provinces of Lao PDR, 2006-2010. PLoS Neglected Tropical Diseases, 2018, 12 (1), ⟨10.1371/journal.pntd.0006203⟩. ⟨hal-01765838⟩
33 Consultations
65 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More