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Nationally-representative serostudy of dengue in Bangladesh allows generalizable disease burden estimates.


ABSTRACT: Serostudies are needed to answer generalizable questions on disease risk. However, recruitment is usually biased by age or location. We present a nationally-representative study for dengue from 70 communities in Bangladesh. We collected data on risk factors, trapped mosquitoes and tested serum for IgG. Out of 5866 individuals, 24% had evidence of historic infection, ranging from 3% in the north to >80% in Dhaka. Being male (aOR:1.8, [95%CI:1.5-2.0]) and recent travel (aOR:1.3, [1.1-1.8]) were linked to seropositivity. We estimate that 40 million [34.3-47.2] people have been infected nationally, with 2.4 million ([1.3-4.5]) annual infections. Had we visited only 20 communities, seropositivity estimates would have ranged from 13% to 37%, highlighting the lack of representativeness generated by small numbers of communities. Our findings have implications for both the design of serosurveys and tackling dengue in Bangladesh.

SUBMITTER: Salje H 

PROVIDER: S-EPMC6513551 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature

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Nationally-representative serostudy of dengue in Bangladesh allows generalizable disease burden estimates.

Salje Henrik H   Paul Kishor Kumar KK   Paul Repon R   Rodriguez-Barraquer Isabel I   Rahman Ziaur Z   Alam Mohammad Shafiul MS   Rahman Mahmadur M   Al-Amin Hasan Mohammad HM   Heffelfinger James J   Gurley Emily E  

eLife 20190408


Serostudies are needed to answer generalizable questions on disease risk. However, recruitment is usually biased by age or location. We present a nationally-representative study for dengue from 70 communities in Bangladesh. We collected data on risk factors, trapped mosquitoes and tested serum for IgG. Out of 5866 individuals, 24% had evidence of historic infection, ranging from 3% in the north to >80% in Dhaka. Being male (aOR:1.8, [95%CI:1.5-2.0]) and recent travel (aOR:1.3, [1.1-1.8]) were li  ...[more]

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