Title
Zika Virus Seroprevalence in two districts of Chincha, Ica, Peru: A Cross-Sectional Study
Date Issued
22 November 2021
Access level
open access
Resource Type
journal article
Publisher(s)
American Society of Tropical Medicine and Hygiene (Medline)
Abstract
In 2017, a major outbreak of Zika virus (ZIKV) infection took place in Chincha Province, Peru, where arboviral circulation had never been reported before. We conducted a cross-sectional survey (March-May 2019) in two districts of Chincha Province: Pueblo Nuevo and Chincha Baja. We included residents who were 20 to 40 years old and who had lived in these districts for at least 1 year. Serological testing combined screening with a commercial NS1 protein-based Zika IgG ELISA, and confirmation by a cytopathic effect-based virus neutralization test (VNT). Prevalence ratios (PRs) were calculated using Poisson regression with robust error variance. Four hundred participants, divided equally among districts, were enrolled. Anti-ZIKV IgG ELISA was positive for 42 participants (10.5%) and borderline for 12 (3%). Fifty-two of these 54 samples were confirmed positive by ZIKV VNT (13% of the total population). The Pueblo Nuevo district exhibited a greater ZIKV seroprevalence based on VNT results than the Chincha Baja district (23.5% versus 2.5%), with participants from the Pueblo Nuevo district being 9.4 times more likely to have a positive ZIKV VNT result. Average monthly income greater than the minimum wage and adequate water storage were found to be protective factors (PR, 0.29 and 0.24, respectively). In multivariate analysis, living in the Pueblo Nuevo district and a personal history of fever and rash were strong predictors of ZIKV positivity by VNT. The low ZIKV seroprevalence should prompt health authorities to stimulate interventions to prevent potential future outbreaks. In the Pueblo Nuevo district, the seroprevalence was greater but presumably not sufficient to ensure protective herd immunity.
Start page
192
End page
198
Volume
106
Issue
1
Language
English
OCDE Knowledge area
Epidemiología Virología Enfermedades infecciosas
Publication version
Version of Record
Scopus EID
2-s2.0-85123457084
PubMed ID
Source
American journal of tropical medicine and hygiene
ISSN of the container
0002-9637
Sponsor(s)
Financial support: This project, including the EuroImmunVR anti-Zika Virus ELISA IgG kits and the UVE in-house ZIKV Virus Neutralization Test, was supported by the European Union’s Horizon 2020 Research and Innovation Programme under Grant Agreement N.734548. We also thank the Faculty of Medicine Alberto Hurtado, Universidad Peruana Cayetano Heredia for its partial support to cover the publication cost.
Sources of information: Directorio de Producción Científica Scopus