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Clinical and Epidemiologic Patterns of Chikungunya Virus Infection and Coincident Arboviral Disease in a School Cohort in Haiti, 2014–2015
Abstract Background Beginning in December 2013, an epidemic of chikungunya virus (CHIKV) infection spread across the Caribbean and into virtually all countries in the Western hemisphere, with >2.4 million cases reported through the end of 2017. Methods We monitored a cohort of school children in...
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| Published in: | Clinical Infectious Diseases 2019-03, Vol.68 (6), p.919-926 |
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| creator | Ball, Jacob D. Elbadry, Maha A. Telisma, Taina White, Sarah K. Chavannes, Sonese Anilis, Marie Gina Prosperi, Mattia Cummings, Derek A. T. Lednicky, John A. Morris, J. Glenn de Rochars, Madsen Beau |
| description | Abstract
Background
Beginning in December 2013, an epidemic of chikungunya virus (CHIKV) infection spread across the Caribbean and into virtually all countries in the Western hemisphere, with >2.4 million cases reported through the end of 2017.
Methods
We monitored a cohort of school children in rural Haiti from May 2014, through February 2015, for occurrence of acute undifferentiated febrile illness, with clinical and laboratory data available for 252 illness episodes.
Results
Our findings document passage of the major CHIKV epidemic between May and July 2014, with 82 laboratory-confirmed cases. Subsequent peaks of febrile illness were found to incorporate smaller outbreaks of dengue virus serotypes 1 and 4 and Zika virus, with identification of additional infections with Mayaro virus, enterovirus D68, and coronavirus NL63. CHIKV and dengue virus serotype 1 infections were more common in older children, with a complaint of arthralgia serving as a significant predictor for infection with CHIKV (odds ratio, 16.2; 95% confidence interval, 8.0-34.4; positive predictive value, 66%; negative predictive value, 80%).
Conclusions
Viral/arboviral infections were characterized by a pattern of recurrent outbreaks and case clusters, with the CHIKV epidemic representing just one of several arboviral agents moving through the population. Although clinical presentations of these agents are similar, arthralgias are highly suggestive of CHIKV infection.
Data were obtained for 252 Haitian children with acute febrile illness from May 2014 through February 2015. Findings document passage of the major 2014 Chikungunya virus epidemic (82 laboratory-confirmed cases), as well as ongoing outbreaks/cases of Dengue, Zika, and Mayaro. |
| doi_str_mv | 10.1093/cid/ciy582 |
| format | article |
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Background
Beginning in December 2013, an epidemic of chikungunya virus (CHIKV) infection spread across the Caribbean and into virtually all countries in the Western hemisphere, with >2.4 million cases reported through the end of 2017.
Methods
We monitored a cohort of school children in rural Haiti from May 2014, through February 2015, for occurrence of acute undifferentiated febrile illness, with clinical and laboratory data available for 252 illness episodes.
Results
Our findings document passage of the major CHIKV epidemic between May and July 2014, with 82 laboratory-confirmed cases. Subsequent peaks of febrile illness were found to incorporate smaller outbreaks of dengue virus serotypes 1 and 4 and Zika virus, with identification of additional infections with Mayaro virus, enterovirus D68, and coronavirus NL63. CHIKV and dengue virus serotype 1 infections were more common in older children, with a complaint of arthralgia serving as a significant predictor for infection with CHIKV (odds ratio, 16.2; 95% confidence interval, 8.0-34.4; positive predictive value, 66%; negative predictive value, 80%).
Conclusions
Viral/arboviral infections were characterized by a pattern of recurrent outbreaks and case clusters, with the CHIKV epidemic representing just one of several arboviral agents moving through the population. Although clinical presentations of these agents are similar, arthralgias are highly suggestive of CHIKV infection.
Data were obtained for 252 Haitian children with acute febrile illness from May 2014 through February 2015. Findings document passage of the major 2014 Chikungunya virus epidemic (82 laboratory-confirmed cases), as well as ongoing outbreaks/cases of Dengue, Zika, and Mayaro.</description><identifier>ISSN: 1058-4838</identifier><identifier>EISSN: 1537-6591</identifier><identifier>DOI: 10.1093/cid/ciy582</identifier><identifier>PMID: 30184178</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Adolescent ; and Commentaries ; Arbovirus Infections - diagnosis ; Arbovirus Infections - epidemiology ; Arbovirus Infections - history ; Arbovirus Infections - virology ; ARTICLES AND COMMENTARIES ; Chikungunya Fever - diagnosis ; Chikungunya Fever - epidemiology ; Chikungunya Fever - history ; Chikungunya Fever - virology ; Chikungunya virus - classification ; Chikungunya virus - genetics ; Child ; Child, Preschool ; Coinfection - diagnosis ; Coinfection - epidemiology ; Coinfection - history ; Coinfection - virology ; Dengue Virus - classification ; Dengue Virus - genetics ; Disease Outbreaks ; Female ; Geography ; Haiti - epidemiology ; History, 21st Century ; Humans ; Male ; Public Health Surveillance ; Schools ; Seasons ; Symptom Assessment ; Young Adult ; Zika Virus - classification ; Zika Virus - genetics</subject><ispartof>Clinical Infectious Diseases, 2019-03, Vol.68 (6), p.919-926</ispartof><rights>The Author(s) 2018</rights><rights>The Author(s) 2018. Published by Oxford University Press for the Infectious Diseases Society of America. 2018</rights><rights>The Author(s) 2018. Published by Oxford University Press for the Infectious Diseases Society of America.</rights><rights>2018. This work is licensed under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c458t-d164d0acb593735f4a1faf61eb36c4cee25fb85218c280e7579d79164135e4653</citedby><cites>FETCH-LOGICAL-c458t-d164d0acb593735f4a1faf61eb36c4cee25fb85218c280e7579d79164135e4653</cites><orcidid>0000-0001-9347-1984</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2406231779?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,780,784,885,27922,27923,38514,43893</link.rule.ids><linktorsrc>$$Uhttps://www.proquest.com/docview/2406231779?pq-origsite=primo$$EView_record_in_ProQuest$$FView_record_in_$$GProQuest</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30184178$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ball, Jacob D.</creatorcontrib><creatorcontrib>Elbadry, Maha A.</creatorcontrib><creatorcontrib>Telisma, Taina</creatorcontrib><creatorcontrib>White, Sarah K.</creatorcontrib><creatorcontrib>Chavannes, Sonese</creatorcontrib><creatorcontrib>Anilis, Marie Gina</creatorcontrib><creatorcontrib>Prosperi, Mattia</creatorcontrib><creatorcontrib>Cummings, Derek A. T.</creatorcontrib><creatorcontrib>Lednicky, John A.</creatorcontrib><creatorcontrib>Morris, J. Glenn</creatorcontrib><creatorcontrib>de Rochars, Madsen Beau</creatorcontrib><title>Clinical and Epidemiologic Patterns of Chikungunya Virus Infection and Coincident Arboviral Disease in a School Cohort in Haiti, 2014–2015</title><title>Clinical Infectious Diseases</title><addtitle>Clin Infect Dis</addtitle><description>Abstract
Background
Beginning in December 2013, an epidemic of chikungunya virus (CHIKV) infection spread across the Caribbean and into virtually all countries in the Western hemisphere, with >2.4 million cases reported through the end of 2017.
Methods
We monitored a cohort of school children in rural Haiti from May 2014, through February 2015, for occurrence of acute undifferentiated febrile illness, with clinical and laboratory data available for 252 illness episodes.
Results
Our findings document passage of the major CHIKV epidemic between May and July 2014, with 82 laboratory-confirmed cases. Subsequent peaks of febrile illness were found to incorporate smaller outbreaks of dengue virus serotypes 1 and 4 and Zika virus, with identification of additional infections with Mayaro virus, enterovirus D68, and coronavirus NL63. CHIKV and dengue virus serotype 1 infections were more common in older children, with a complaint of arthralgia serving as a significant predictor for infection with CHIKV (odds ratio, 16.2; 95% confidence interval, 8.0-34.4; positive predictive value, 66%; negative predictive value, 80%).
Conclusions
Viral/arboviral infections were characterized by a pattern of recurrent outbreaks and case clusters, with the CHIKV epidemic representing just one of several arboviral agents moving through the population. Although clinical presentations of these agents are similar, arthralgias are highly suggestive of CHIKV infection.
Data were obtained for 252 Haitian children with acute febrile illness from May 2014 through February 2015. Findings document passage of the major 2014 Chikungunya virus epidemic (82 laboratory-confirmed cases), as well as ongoing outbreaks/cases of Dengue, Zika, and Mayaro.</description><subject>Adolescent</subject><subject>and Commentaries</subject><subject>Arbovirus Infections - diagnosis</subject><subject>Arbovirus Infections - epidemiology</subject><subject>Arbovirus Infections - history</subject><subject>Arbovirus Infections - virology</subject><subject>ARTICLES AND COMMENTARIES</subject><subject>Chikungunya Fever - diagnosis</subject><subject>Chikungunya Fever - epidemiology</subject><subject>Chikungunya Fever - history</subject><subject>Chikungunya Fever - virology</subject><subject>Chikungunya virus - classification</subject><subject>Chikungunya virus - genetics</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Coinfection - diagnosis</subject><subject>Coinfection - epidemiology</subject><subject>Coinfection - history</subject><subject>Coinfection - virology</subject><subject>Dengue Virus - classification</subject><subject>Dengue Virus - genetics</subject><subject>Disease Outbreaks</subject><subject>Female</subject><subject>Geography</subject><subject>Haiti - epidemiology</subject><subject>History, 21st Century</subject><subject>Humans</subject><subject>Male</subject><subject>Public Health Surveillance</subject><subject>Schools</subject><subject>Seasons</subject><subject>Symptom Assessment</subject><subject>Young Adult</subject><subject>Zika Virus - classification</subject><subject>Zika Virus - genetics</subject><issn>1058-4838</issn><issn>1537-6591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><sourceid>COVID</sourceid><recordid>eNp9kc2KFDEUhYMozji6ca8ExI1Ymv-kNsJQjs7AgII_25BKpbrTVidtkhronQ_gzjf0ScxYY6MbF-GG3O-eHO4B4CFGLzBq6Uvrh3r2XJFb4BhzKhvBW3y73hFXDVNUHYF7OW8QwlghfhccUYQVw1Idg-_d5IO3ZoImDPBs5we39XGKK2_he1OKSyHDOMJu7b_MYTWHvYGffZozvAijs8XH8Huyiz5UHy4UeJr6eOVTlXztszPZQV8Z-MGuY5wquI6pXD-dG1_8c0gQZj-__aiF3wd3RjNl9-CmnoBPb84-dufN5bu3F93pZWMZV6UZsGADMrbnLZWUj8zg0YwCu54Ky6xzhI-94gQrSxRykst2kG0dwpQ7Jjg9Aa8W3d3cb91gq-tqV--S35q019F4_W8n-LVexSstaNsyKqrAkxuBFL_OLhe9iXMK1bMmDAlCsZRtpZ4tlE0x5-TGww8Y6evkdN2YXpKr8OO_PR3QP1FV4OkCxHn3f6FHC7fJJaYDSYTAjEhMfwEbl6yc</recordid><startdate>20190305</startdate><enddate>20190305</enddate><creator>Ball, Jacob D.</creator><creator>Elbadry, Maha A.</creator><creator>Telisma, Taina</creator><creator>White, Sarah K.</creator><creator>Chavannes, Sonese</creator><creator>Anilis, Marie Gina</creator><creator>Prosperi, Mattia</creator><creator>Cummings, Derek A. T.</creator><creator>Lednicky, John A.</creator><creator>Morris, J. Glenn</creator><creator>de Rochars, Madsen Beau</creator><general>Oxford University Press</general><scope>TOX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>COVID</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9347-1984</orcidid></search><sort><creationdate>20190305</creationdate><title>Clinical and Epidemiologic Patterns of Chikungunya Virus Infection and Coincident Arboviral Disease in a School Cohort in Haiti, 2014–2015</title><author>Ball, Jacob D. ; Elbadry, Maha A. ; Telisma, Taina ; White, Sarah K. ; Chavannes, Sonese ; Anilis, Marie Gina ; Prosperi, Mattia ; Cummings, Derek A. T. ; Lednicky, John A. ; Morris, J. Glenn ; de Rochars, Madsen Beau</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c458t-d164d0acb593735f4a1faf61eb36c4cee25fb85218c280e7579d79164135e4653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>and Commentaries</topic><topic>Arbovirus Infections - diagnosis</topic><topic>Arbovirus Infections - epidemiology</topic><topic>Arbovirus Infections - history</topic><topic>Arbovirus Infections - virology</topic><topic>ARTICLES AND COMMENTARIES</topic><topic>Chikungunya Fever - diagnosis</topic><topic>Chikungunya Fever - epidemiology</topic><topic>Chikungunya Fever - history</topic><topic>Chikungunya Fever - virology</topic><topic>Chikungunya virus - classification</topic><topic>Chikungunya virus - genetics</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Coinfection - diagnosis</topic><topic>Coinfection - epidemiology</topic><topic>Coinfection - history</topic><topic>Coinfection - virology</topic><topic>Dengue Virus - classification</topic><topic>Dengue Virus - genetics</topic><topic>Disease Outbreaks</topic><topic>Female</topic><topic>Geography</topic><topic>Haiti - epidemiology</topic><topic>History, 21st Century</topic><topic>Humans</topic><topic>Male</topic><topic>Public Health Surveillance</topic><topic>Schools</topic><topic>Seasons</topic><topic>Symptom Assessment</topic><topic>Young Adult</topic><topic>Zika Virus - classification</topic><topic>Zika Virus - genetics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ball, Jacob D.</creatorcontrib><creatorcontrib>Elbadry, Maha A.</creatorcontrib><creatorcontrib>Telisma, Taina</creatorcontrib><creatorcontrib>White, Sarah K.</creatorcontrib><creatorcontrib>Chavannes, Sonese</creatorcontrib><creatorcontrib>Anilis, Marie Gina</creatorcontrib><creatorcontrib>Prosperi, Mattia</creatorcontrib><creatorcontrib>Cummings, Derek A. T.</creatorcontrib><creatorcontrib>Lednicky, John A.</creatorcontrib><creatorcontrib>Morris, J. Glenn</creatorcontrib><creatorcontrib>de Rochars, Madsen Beau</creatorcontrib><collection>Oxford Open Access Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Coronavirus Research Database</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical Infectious Diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Ball, Jacob D.</au><au>Elbadry, Maha A.</au><au>Telisma, Taina</au><au>White, Sarah K.</au><au>Chavannes, Sonese</au><au>Anilis, Marie Gina</au><au>Prosperi, Mattia</au><au>Cummings, Derek A. T.</au><au>Lednicky, John A.</au><au>Morris, J. Glenn</au><au>de Rochars, Madsen Beau</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical and Epidemiologic Patterns of Chikungunya Virus Infection and Coincident Arboviral Disease in a School Cohort in Haiti, 2014–2015</atitle><jtitle>Clinical Infectious Diseases</jtitle><addtitle>Clin Infect Dis</addtitle><date>2019-03-05</date><risdate>2019</risdate><volume>68</volume><issue>6</issue><spage>919</spage><epage>926</epage><pages>919-926</pages><issn>1058-4838</issn><eissn>1537-6591</eissn><abstract>Abstract
Background
Beginning in December 2013, an epidemic of chikungunya virus (CHIKV) infection spread across the Caribbean and into virtually all countries in the Western hemisphere, with >2.4 million cases reported through the end of 2017.
Methods
We monitored a cohort of school children in rural Haiti from May 2014, through February 2015, for occurrence of acute undifferentiated febrile illness, with clinical and laboratory data available for 252 illness episodes.
Results
Our findings document passage of the major CHIKV epidemic between May and July 2014, with 82 laboratory-confirmed cases. Subsequent peaks of febrile illness were found to incorporate smaller outbreaks of dengue virus serotypes 1 and 4 and Zika virus, with identification of additional infections with Mayaro virus, enterovirus D68, and coronavirus NL63. CHIKV and dengue virus serotype 1 infections were more common in older children, with a complaint of arthralgia serving as a significant predictor for infection with CHIKV (odds ratio, 16.2; 95% confidence interval, 8.0-34.4; positive predictive value, 66%; negative predictive value, 80%).
Conclusions
Viral/arboviral infections were characterized by a pattern of recurrent outbreaks and case clusters, with the CHIKV epidemic representing just one of several arboviral agents moving through the population. Although clinical presentations of these agents are similar, arthralgias are highly suggestive of CHIKV infection.
Data were obtained for 252 Haitian children with acute febrile illness from May 2014 through February 2015. Findings document passage of the major 2014 Chikungunya virus epidemic (82 laboratory-confirmed cases), as well as ongoing outbreaks/cases of Dengue, Zika, and Mayaro.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>30184178</pmid><doi>10.1093/cid/ciy582</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-9347-1984</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Clinical Infectious Diseases, 2019-03, Vol.68 (6), p.919-926 |
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| source | Coronavirus Research Database |
| subjects | Adolescent and Commentaries Arbovirus Infections - diagnosis Arbovirus Infections - epidemiology Arbovirus Infections - history Arbovirus Infections - virology ARTICLES AND COMMENTARIES Chikungunya Fever - diagnosis Chikungunya Fever - epidemiology Chikungunya Fever - history Chikungunya Fever - virology Chikungunya virus - classification Chikungunya virus - genetics Child Child, Preschool Coinfection - diagnosis Coinfection - epidemiology Coinfection - history Coinfection - virology Dengue Virus - classification Dengue Virus - genetics Disease Outbreaks Female Geography Haiti - epidemiology History, 21st Century Humans Male Public Health Surveillance Schools Seasons Symptom Assessment Young Adult Zika Virus - classification Zika Virus - genetics |
| title | Clinical and Epidemiologic Patterns of Chikungunya Virus Infection and Coincident Arboviral Disease in a School Cohort in Haiti, 2014–2015 |
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