2013
DOI: 10.1371/journal.pone.0078030
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First Evidence of Simultaneous Circulation of Three Different Dengue Virus Serotypes in Africa

Abstract: Gabon, in Central Africa, was affected for the first time in 2007 and then in 2010 by simultaneous outbreaks of chikungunya and Dengue serotype 2 (DENV-2) viruses. Through the national surveillance of dengue-like syndromes between 2007 and 2010, we observed continuous circulation of DENV-2 in a southward movement. This rapid spread of DENV-2 was associated with the emergence of DENV-1 in 2007 and DENV-3 in 2010. Interestingly, we detected six DENV-2 infected patients with hemorrhagic signs during the second ou… Show more

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Cited by 55 publications
(71 citation statements)
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“…The very low proportion of individuals with anti-DENV IgM suggests that DENV transmission is not permanent in Douala, in Garoua and in Yaounde. Since anti-DENV IgG may persist for several decades [34], [35], the increasing proportion of anti-DENV IgG positivity with increasing age (Figure 2b) indicates either that several epidemics have occurred in Douala and in Garoua in past years at regular intervals, or that there is a relatively stable endemic transmission of DENV as demonstrated in Gabon by Caron et al [11]. These data show that the epidemiology of dengue, with regard to the characteristics of people is similar to that observed for a long period in Brazil and in many other countries in the Americas [36][38], especially in relation to the increase of the seropositivity as the age increases, reaching predominantly in adults.…”
Section: Discussionmentioning
confidence: 87%
“…The very low proportion of individuals with anti-DENV IgM suggests that DENV transmission is not permanent in Douala, in Garoua and in Yaounde. Since anti-DENV IgG may persist for several decades [34], [35], the increasing proportion of anti-DENV IgG positivity with increasing age (Figure 2b) indicates either that several epidemics have occurred in Douala and in Garoua in past years at regular intervals, or that there is a relatively stable endemic transmission of DENV as demonstrated in Gabon by Caron et al [11]. These data show that the epidemiology of dengue, with regard to the characteristics of people is similar to that observed for a long period in Brazil and in many other countries in the Americas [36][38], especially in relation to the increase of the seropositivity as the age increases, reaching predominantly in adults.…”
Section: Discussionmentioning
confidence: 87%
“…Effectively, DENV-3 was identified in Eritrea in 2008 (Vapalahti, personal communication) and in Sudan in 2010 [45] but no sequence is currently available. In West African countries (Togo/Benin/Burkina, Cote d'Ivoire, Togo and Cape Verde), we can observe a regional circulation of the virus, as suggested by the isolation in 2010 of a DENV-3 genotype III strain in Gabon which is phylogenetically linked to the strains from Cote d'Ivoire [46]. Local/regional circulation of goods and population in this area could favor the importation of new strains and the diffusion of the virus.…”
mentioning
confidence: 90%
“…albopictus. En particulier la circulation virale, voire des épidémies urbaines parfois massives, de DENV, CHIKV, ZIKAV ont été signalées [16][17][18][19][20][21][22] et pour lesquelles Ae. albopictus est désormais reconnu comme le vecteur majeur [9,23].…”
Section: Conséquences éPidémiologiques Afrique Centrale Et En Europeunclassified