Yellow fever risk assessment in the Central African Republic

Details

• Alternative Title:
  Trans R Soc Trop Med Hyg
• Personal Author:
  Staples, J. Erin ; Diallo, Mawlouth ; Janusz, Kristen B. ; Manengu, Casimir ; Lewis, Rosamund F. ; Perea, William ; Yactayo, Sergio ; Sall, Amadou A.
• Description:
  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.
  
  
• Subjects:
  Aedes Animals Antibodies, Viral Cluster Analysis Humans Insect Vectors Population Surveillance Primate Diseases Primates Risk Assessment RNA, Viral Yellow Fever

  More +
• Source:
  Trans R Soc Trop Med Hyg. 108(10):608-615
• Pubmed ID:
  24947520
• Pubmed Central ID:
  PMC4653062
• Document Type:
  Journal Article
• Funding:
  001/WHO_/World Health OrganizationInternational/ ; CC999999/Intramural CDC HHSUnited States/
• Place as Subject:
  Central African Republic
• Volume:
  108
• Issue:
  10
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:578f1c637513315b5dfed132a86cc61f3e5895f1c8db2e6ad8d707023d690ffb
• Download URL:
  https://stacks.cdc.gov/view/cdc/36673/cdc_36673_DS1.pdf
• File Type:
  [PDF - 568.32 KB ]