Skip to main content

Free Content Dynamics of dengue virus circulation: a silent epidemic in a complex urban area

Download Article:

You have access to the full text article on a website external to ingentaconnect.

Please click here to view this article on Wiley Online Library.

You may be required to register and activate access on Wiley Online Library before you can obtain the full text. If you have any queries please visit Wiley Online Library

Abstract:

Summary

Serotypes of dengue DEN-1 and DEN-2 have been reported in much of Brazil over the last 15 years, and DEN-3 serotype was only recently detected. This prospective study was conducted in Salvador, a large city in north-east Brazil, where two epidemics were previously recorded (DEN-1 and DEN-2). We obtained the seroprevalence and 1-year incidence of dengue infections in the population of 30 sampling areas of Salvador and analysed the relationship between intensity of viral circulation, standard of living and vector density. High seroprevalence (68.7%) and annual incidence (70.6%) of infection for one or both circulating serotypes (DEN-1 and DEN-2) were found. High rates of transmission were observed in all studied areas, from the highest to the lowest socio-economic status. The mean PI (Premise Index) for Aedes aegypti was 7.4% (range 0.27–25.6%). Even in the areas with the lowest PI (≤3%) the observed seroincidence was 54.6%. These findings highlighted the existence of a silent epidemic during a period perceived by the Health Services as of low endemicity, indicating the strength and speed of dengue transmission in the city of Salvador.

Keywords: dengue; living conditions; prospective study; serological survey; vector density

Document Type: Research Article

DOI: http://dx.doi.org/10.1046/j.1365-3156.2002.00930.x

Affiliations: 1: Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador-Bahia, Brazil 2: Department of Statistics, Universidade Federal da Bahia, Salvador, Brazil 3: Instituto Evandro Chagas, FUNASA, Ministry of Health, Belém, Brazil 4: London School of Hygiene and Tropical Medicine, UK

Publication date: September 1, 2002

bsc/tmih/2002/00000007/00000009/art00007
dcterms_title,dcterms_description,pub_keyword
6
5
20
40
5

Access Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content
Cookie Policy
X
Cookie Policy
ingentaconnect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more