Spatial and Temporal Patterns of Dengue Transmission along a Red Sea Coastline A Longitudinal Entomological and Serological Survey in Port Sudan City 英文参考文献.docVIP

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Spatial and Temporal Patterns of Dengue Transmission along a Red Sea Coastline A Longitudinal Entomological and Serological Survey in Port Sudan City 英文参考文献.doc

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Spatial and Temporal Patterns of Dengue Transmission along a Red Sea Coastline A Longitudinal Entomological and Serological Survey in Port Sudan City 英文参考文献

SpatialandTemporalPatternsofDengueTransmission alongaRedSeaCoastline:ALongitudinalEntomological andSerologicalSurveyinPortSudanCity OsamaM.E.Seidahmed1*,SafaA.Hassan2,MohamedA.Soghaier3,HannaA.M.Siam1, FayezT.A.Ahmed1,MubarakM.Elkarsany3,SuadM.Sulaiman4 1DepartmentofMedicalEntomology,NationalHealthLaboratory,Khartoum,Sudan,2PublicHealthLaboratory,RedSeaStateMinistryofHealth,PortSudan,Sudan, 3NationalControlProgramofEpidemicsandZoonoticDiseases,Khartoum,Sudan,4NileCollege,Khartoum,Sudan Abstract Background:DengueisanemerginghealthprobleminseveralcoastlinesalongtheRedSea.Theobjectiveofthepresent workistoelucidatespatialandtemporalpatternsofdenguetransmissioninPortSudan. Methods/Findings:Alongitudinalstudywiththreecross-sectionalsurveyswascarriedoutinupper,middleandlowerclass neighborhoods, from November 2008 to October 2009. Monthly, entomological surveys were followed by serological surveys in dengue vector-positive houses. Meteorological records were obtained from two weather stations in the city duringthesametime.Overall,2825houseswereinspected.Aedesaegyptirepresented65%(35,714/54,944)and68%(2526/ 3715) of the collected larvae and pupae, respectively. Out of 4640 drinking water containers, 2297 were positive for Ae. aegypti. Clay-pots ‘‘Zeirr’’ followed by plastic barrels were key productive containers for pupae of dengue vector, 63% (n=3959)and26%(n=1651),respectively. Atotalof791bloodsamplesweretestedusingPanBioCapture/IndirectIgM ELISA.Overall,thesero-prevalencerateofdenguerangedbetween3%–8%(41/791),comparedtoanincidenceof29–40 newcasesper10,000(193/54886)inthesameexaminedpopulation.Lowerandmiddleclassneighborhoodshadhigher entomologicalindicescomparedwithupperclassones(p,0.001).Although,dengueincidenceratewassignificantlylower inthemiddleandlowerclassneighborhoods(F=73.97,d.f.=2,p,0.001),nodifferenceinIgMprevalencewasshown.The city is subject to two transmission peaks in the winter (i.e. November–January), and summer (i.e. June–August). The serologicalpea