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An epidemiological study of dengue in Delhi, India.
Vikram, Kumar; Nagpal, B N; Pande, Veena; Srivastava, Aruna; Saxena, Rekha; Anvikar, Anup; Das, Aparup; Singh, Himmat; Gupta, Sanjeev K; Tuli, N R; Telle, Olivier; Yadav, N K; Valecha, Neena; Paul, Richard.
Afiliación
  • Vikram K; National Institute of Malaria Research (ICMR), Delhi, India.
  • Nagpal BN; National Institute of Malaria Research (ICMR), Delhi, India. Electronic address: bnnagpal57@gmail.com.
  • Pande V; Kumaun University, Nainital, India.
  • Srivastava A; National Institute of Malaria Research (ICMR), Delhi, India.
  • Saxena R; National Institute of Malaria Research (ICMR), Delhi, India.
  • Anvikar A; National Institute of Malaria Research (ICMR), Delhi, India.
  • Das A; National Institute of Malaria Research (ICMR), Delhi, India.
  • Singh H; National Institute of Malaria Research (ICMR), Delhi, India.
  • Anushrita; National Institute of Malaria Research (ICMR), Delhi, India.
  • Gupta SK; National Institute of Malaria Research (ICMR), Delhi, India.
  • Tuli NR; Municipal Corporation of Delhi, India.
  • Telle O; Institut Pasteur, Paris, France.
  • Yadav NK; Municipal Corporation of Delhi, India.
  • Valecha N; National Institute of Malaria Research (ICMR), Delhi, India.
  • Paul R; Institut Pasteur, Paris, France.
Acta Trop ; 153: 21-7, 2016 Jan.
Article en En | MEDLINE | ID: mdl-26433076
Delhi, the capital of India, is an important metropolitan hub for major financial and sociocultural exchanges, offering challenging threats to current public health infrastructure. In recent past, an upsurge of dengue cases in Delhi posed a significant menace to the existing dengue control policies. To reform the control strategies and take timely intervention to prevent future epidemics, an epidemiological study on the proportion of both asymptomatic and symptomatic dengue infections in selected population was conducted. The aim of the study was to investigate and assess the epidemiology of dengue infection and to estimate the proportion of asymptomatic and symptomatic dengue infections in Delhi. In this study, around 50 confirmed dengue cases, a total of 2125 individuals as household and neighbourhood contacts, with or without dengue febrile illness, were finger pricked and serologically detected as dengue positive or negative using SD Duo Bioline Rapid Diagnostic Test (SD Inc, Korea) with NS1, IgM & IgG combo test, which detected dengue virus antigen and antibodies to dengue virus in human blood. Out of 2125 individuals, 768 (36.1%) individuals showed positive dengue test with past (25.5%), primary (1.88%) or secondary (8.8%) dengue infections. Higher percentage of IgG was found in age groups 15-24 years and 25-50 years (36% each). Infants (<1 year) presented higher incidence of new infections (22% of NS1+IgM positives) as compared to adults. Further analysis revealed that out of the 226 newly infected cases (including NS1 and IgM positives), 142 (63%) were asymptomatic and 84 (37%) were symptomatic, as per WHO guidelines. Our findings also suggest that out of the total population screened, 10.6% dengue infection was either primary or secondary. On the basis of these results, it may be hypothesized that there are large number of asymptomatic dengue infections in the community as compared to reported symptomatic cases in Delhi. For the effective control of dengue transmission in such community like Delhi where dengue epidemics have frequently been encountered, it is essential to ascertain the proportion of asymptomatic dengue infections which may act as a reservoir for dengue transmission, as well as threat for developing dengue haemorrhagic fever (DHF).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tamizaje Masivo / Dengue / Virus del Dengue Tipo de estudio: Guideline / Incidence_studies / Observational_studies / Prognostic_studies / Screening_studies Límite: Adolescent / Adult / Aged / Aged80 / Child / Child, preschool / Female / Humans / Infant / Male País/Región como asunto: Asia Idioma: En Revista: Acta Trop Año: 2016 Tipo del documento: Article País de afiliación: India Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tamizaje Masivo / Dengue / Virus del Dengue Tipo de estudio: Guideline / Incidence_studies / Observational_studies / Prognostic_studies / Screening_studies Límite: Adolescent / Adult / Aged / Aged80 / Child / Child, preschool / Female / Humans / Infant / Male País/Región como asunto: Asia Idioma: En Revista: Acta Trop Año: 2016 Tipo del documento: Article País de afiliación: India Pais de publicación: Países Bajos