Title
Seasonality and within-subject clustering of rotavirus infections in an eight-site birth cohort study
Date Issued
01 April 2018
Access level
open access
Resource Type
journal article
Author(s)
Colston J.
Ahmed A.
Soofi S.
Svensen E.
Haque R.
Shrestha J.
Nshama R.
Bhutta Z.
Lima I.
Samie A.
Bodhidatta L.
Lima A.
Bessong P.
Turab A.
Mohan V.
Moulton L.
Naumova E.
Kang G.
Unidad de Investigaciones Biomédicas
Publisher(s)
Cambridge University Press
Abstract
Improving understanding of the pathogen-specific seasonality of enteric infections is critical to informing policy on the timing of preventive measures and to forecast trends in the burden of diarrhoeal disease. Data obtained from active surveillance of cohorts can capture the underlying infection status as transmission occurs in the community. The purpose of this study was to characterise rotavirus seasonality in eight different locations while adjusting for age, calendar time and within-subject clustering of episodes by applying an adapted Serfling model approach to data from a multi-site cohort study. In the Bangladesh and Peru sites, within-subject clustering was high, with more than half of infants who experienced one rotavirus infection going on to experience a second and more than 20% experiencing a third. In the five sites that are in countries that had not introduced the rotavirus vaccine, the model predicted a primary peak in prevalence during the dry season and, in three of these, a secondary peak during the rainy season. The patterns predicted by this approach are broadly congruent with several emerging hypotheses about rotavirus transmission and are consistent for both symptomatic and asymptomatic rotavirus episodes. These findings have practical implications for programme design, but caution should be exercised in deriving inferences about the underlying pathways driving these trends, particularly when extending the approach to other pathogens.
Start page
688
End page
697
Volume
146
Issue
6
Language
English
OCDE Knowledge area
Epidemiología
Subjects
Scopus EID
2-s2.0-85043717025
PubMed ID
Source
Epidemiology and Infection
ISSN of the container
09502688
Sponsor(s)
The Etiology, Risk Factors, and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development Project (MAL-ED) is carried out as a collaborative project supported by the Bill & Melinda Gates Foundation, the Foundation for the National Institutes of Health and the National Institutes of Health, Fogarty International Center. Additional support was obtained from the Sherrilyn and Ken Fisher Center for Environmental Infectious Diseases of the Johns Hopkins School of Medicine.
Sources of information:
Directorio de Producción Científica
Scopus