Serveur d'exploration H2N2

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[Results of two-year surveillance of flu in Abidjan, Côte d'Ivoire].

Identifieur interne : 000323 ( Hal/Curation ); précédent : 000322; suivant : 000324

[Results of two-year surveillance of flu in Abidjan, Côte d'Ivoire].

Auteurs : C. Akoua-Koffi [Côte d'Ivoire] ; B. Kouakou [Côte d'Ivoire] ; H. Kadjo [Côte d'Ivoire] ; G. Elia [Côte d'Ivoire] ; S. P. Koffi [Côte d'Ivoire] ; E. Adjogoua [Côte d'Ivoire] ; M. Dosso [Côte d'Ivoire] ; A. Ehouman [Côte d'Ivoire]

Source :

RBID : Hal:pasteur-00760038

Descripteurs français

English descriptors

Abstract

Influenza (flu) is a seasonal viral disease that may have a favorable outcome or be associated with a high morbidity and mortality rate during epidemics. In view of the lack of epidemiological and virological data about flu in Côte d'Ivoire, a surveillance network was set up in Abidjan to monitor the spread of flu and characterize isolated viruses. Over the 24-month period from January 2003 to December 2004, nasal secretions were collected in patients presenting with flu syndrome at various heath care centers in Abidjan. Laboratory identification of viruses was performed by the ELISA technique using anti-A and anti-B monoclonal antibodies (immunocapture) and by isolation on MDCK cells. A fraction of the original samples and isolates was sent for confirmation to the Pasteur Institute in Paris, France and to the National Institute for Communicable Diseases (NICD) in Johannesburg, South Africa. Amongst the 211 samples analyzed, 30 (12.8%) proved positive for flu virus. Twenty-two isolates were positive for influenza virus A including 21 for A (H3N2) type and one for A (H1N1) type. The remaining 8 isolates were positive for influenza virus B. Most of these strains were isolated from patients in two age ranges, i.e. 0 to 5 years (34%) and 15 to 59 years (47%). More than 60% of the strains were isolated in June and October but the study duration was too short to define a flu season. Further surveillance data will allow better determination of flu season and definition of clinical and biological characteristics as a prerequisite for a preventive immunization program.


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Hal:pasteur-00760038

Le document en format XML

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<p>Influenza (flu) is a seasonal viral disease that may have a favorable outcome or be associated with a high morbidity and mortality rate during epidemics. In view of the lack of epidemiological and virological data about flu in Côte d'Ivoire, a surveillance network was set up in Abidjan to monitor the spread of flu and characterize isolated viruses. Over the 24-month period from January 2003 to December 2004, nasal secretions were collected in patients presenting with flu syndrome at various heath care centers in Abidjan. Laboratory identification of viruses was performed by the ELISA technique using anti-A and anti-B monoclonal antibodies (immunocapture) and by isolation on MDCK cells. A fraction of the original samples and isolates was sent for confirmation to the Pasteur Institute in Paris, France and to the National Institute for Communicable Diseases (NICD) in Johannesburg, South Africa. Amongst the 211 samples analyzed, 30 (12.8%) proved positive for flu virus. Twenty-two isolates were positive for influenza virus A including 21 for A (H3N2) type and one for A (H1N1) type. The remaining 8 isolates were positive for influenza virus B. Most of these strains were isolated from patients in two age ranges, i.e. 0 to 5 years (34%) and 15 to 59 years (47%). More than 60% of the strains were isolated in June and October but the study duration was too short to define a flu season. Further surveillance data will allow better determination of flu season and definition of clinical and biological characteristics as a prerequisite for a preventive immunization program.</p>
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<p>Influenza (flu) is a seasonal viral disease that may have a favorable outcome or be associated with a high morbidity and mortality rate during epidemics. In view of the lack of epidemiological and virological data about flu in Côte d'Ivoire, a surveillance network was set up in Abidjan to monitor the spread of flu and characterize isolated viruses. Over the 24-month period from January 2003 to December 2004, nasal secretions were collected in patients presenting with flu syndrome at various heath care centers in Abidjan. Laboratory identification of viruses was performed by the ELISA technique using anti-A and anti-B monoclonal antibodies (immunocapture) and by isolation on MDCK cells. A fraction of the original samples and isolates was sent for confirmation to the Pasteur Institute in Paris, France and to the National Institute for Communicable Diseases (NICD) in Johannesburg, South Africa. Amongst the 211 samples analyzed, 30 (12.8%) proved positive for flu virus. Twenty-two isolates were positive for influenza virus A including 21 for A (H3N2) type and one for A (H1N1) type. The remaining 8 isolates were positive for influenza virus B. Most of these strains were isolated from patients in two age ranges, i.e. 0 to 5 years (34%) and 15 to 59 years (47%). More than 60% of the strains were isolated in June and October but the study duration was too short to define a flu season. Further surveillance data will allow better determination of flu season and definition of clinical and biological characteristics as a prerequisite for a preventive immunization program.</p>
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<p>La grippe est une maladie virale saisonnière qui peut être bénigne ou redoutable du fait du taux de morbidité et de mortalité occasionné lors des épidémies. En absence de données épidémiologiques et virologiques en Côte d’Ivoire, un réseau de surveillance de la grippe a été mis en place à Abidjan pour déterminer le niveau de circulation de virus grippaux et caractériser les virus isolés. De janvier 2003 à décembre 2004, soit pendant 24 mois, des secrétions nasales ont été collectées dans les formations sanitaires de la ville d’Abidjan. L’identification des virus grippaux au laboratoire a été réalisé par technique ELISA utilisant des anticorps monoclonaux anti-A et anti-B (immunocapture) et par isolement sur cellules MDC K. Une partie des échantillons d’origine et les isolats ont été envoyés pour confirmation à l’ Institut Pasteur de Paris (2003) et au National Institute for Communicable Diseases (NICD ) à Johannesburg. Parmi les 211 échantillons analysés, 30 (12 ,8%) se sont révélés positifs : 22 isolats de virus Influenza A dont 21 de type A (H3N2 ) et une souche de type A (H1N1), et 8 isolats de virus Influenza B. Ces souche sont été isolées majoritairement chez des patients de 0-5 an s (34% ) et 15-59 ans (4 7% ). Bien que plus de 60% des souches aient été isolées en juin et en octobre, il est difficile de définir une saisonnalité du fait de la courte durée de l’étude. La poursuite de cette étude permettra une meilleure appréciation de la saisonnalité, des caractéristiques virologiques et cliniques pour envisager une prévention par la vaccination.</p>
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