Staff Publications

Staff Publications

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    'Staff publications' is the digital repository of Wageningen University & Research

    'Staff publications' contains references to publications authored by Wageningen University staff from 1976 onward.

    Publications authored by the staff of the Research Institutes are available from 1995 onwards.

    Full text documents are added when available. The database is updated daily and currently holds about 240,000 items, of which 72,000 in open access.

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Record number 434099
Title Underrecognized mildly symptomatic viremic dengue virus infections in rural Thai schools and villages
Author(s) Yoon, I.K.; Rothman, A.L.; Tannitisupawong, D.; Srikiatkhachorn, A.; Jarman, R.G.; Aldstadt, J.; Nisalak, A.; Mammen Jr., M.P.; Thammapalo, S.; Green, S.; Libraty, D.H.; Gibbons, R.V.; Getis, A.; Endy, T.; Jones, J.W.; Koenraadt, C.J.M.; Morrison, A.C.; Fansiri, T.; Pimgate, C.; Scott, T.W.
Source The Journal of Infectious Diseases 206 (2012)3. - ISSN 0022-1899 - p. 389 - 398.
Department(s) Laboratory of Entomology
Publication type Refereed Article in a scientific journal
Publication year 2012
Keyword(s) kamphaeng phet - aedes-aegypti - transmission - children - epidemiology - blood - surveillance - inapparent - indonesia - patterns
Abstract BACKGROUND: The understanding of dengue virus (DENV) transmission dynamics and the clinical spectrum of infection are critical to informing surveillance and control measures. Geographic cluster studies can elucidate these features in greater detail than cohort studies alone. METHODS: A 4-year longitudinal cohort and geographic cluster study was undertaken in rural Thailand. Cohort children underwent pre-/postseason serology and active school absence-based surveillance to detect inapparent and symptomatic dengue. Cluster investigations were triggered by cohort dengue and non-dengue febrile illnesses (positive and negative clusters, respectively). RESULTS: The annual cohort incidence of symptomatic dengue ranged from 1.3% to 4.4%. DENV-4 predominated in the first 2 years, DENV-1 in the second 2 years. The inapparent-to-symptomatic infection ratio ranged from 1.1:1 to 2.9:1. Positive clusters had a 16.0% infection rate, negative clusters 1.1%. Of 119 infections in positive clusters, 59.7% were febrile, 20.2% were afebrile with other symptoms, and 20.2% were asymptomatic. Of 16 febrile children detected during cluster investigations who continued to attend school, 9 had detectable viremia. CONCLUSIONS: Dengue transmission risk was high near viremic children in both high- and low-incidence years. Inapparent infections in the cohort overestimated the rate of asymptomatic infections. Ambulatory children with mild febrile viremic infections could represent an important component of dengue transmission.
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