Investigation of an outbreak of acute respiratory disease in an indigenous village in Brazil: Contribution of Influenza A(H1N1)pdm09 and human respiratory syncytial viruses
Identifieur interne : 000326 ( Main/Curation ); précédent : 000325; suivant : 000327Investigation of an outbreak of acute respiratory disease in an indigenous village in Brazil: Contribution of Influenza A(H1N1)pdm09 and human respiratory syncytial viruses
Auteurs : Andrey Moreira Cardoso [Brésil, Royaume-Uni] ; Paola Cristina Resende [Brésil] ; Enny S. Paixao [Royaume-Uni] ; Felipe G. Tavares [Brésil] ; Yasmin N. Farias [Brésil] ; Carla Tatiana G. Barreto [Brésil] ; Lídia N. Pantoja [Brésil] ; Fernanda L. Ferreira [Brésil] ; André Luiz Martins [Brésil] ; Ângela Barbosa Lima [Brésil] ; Daniella A. Fernandes [Brésil] ; Patrícia Machado Sanches [Brésil] ; Walquiria A. F. Almeida [Brésil] ; Laura C. Rodrigues [Royaume-Uni] ; Marilda M. Siqueira [Brésil]Source :
- PLoS ONE [ 1932-6203 ] ; 2019.
Descripteurs français
- KwdFr :
- Adolescent, Brésil (épidémiologie), Enfant, Enfant d'âge préscolaire, Femelle, Flambées de maladies, Grippe humaine (), Grippe humaine (virologie), Grippe humaine (épidémiologie), Humains, Infections de l'appareil respiratoire (), Infections de l'appareil respiratoire (virologie), Infections de l'appareil respiratoire (épidémiologie), Mâle, Nourrisson, Saisons, Sous-type H1N1 du virus de la grippe A (pathogénicité), Troubles respiratoires (), Troubles respiratoires (virologie), Troubles respiratoires (épidémiologie), Vaccination, Vaccins antigrippaux (usage thérapeutique).
- MESH :
- pathogénicité : Sous-type H1N1 du virus de la grippe A.
- usage thérapeutique : Vaccins antigrippaux.
- virologie : Grippe humaine, Infections de l'appareil respiratoire, Troubles respiratoires.
- épidémiologie : Brésil, Grippe humaine, Infections de l'appareil respiratoire, Troubles respiratoires.
- Adolescent, Enfant, Enfant d'âge préscolaire, Femelle, Flambées de maladies, Grippe humaine, Humains, Infections de l'appareil respiratoire, Mâle, Nourrisson, Saisons, Troubles respiratoires, Vaccination.
- Wicri :
- geographic : Brésil.
English descriptors
- KwdEn :
- Adolescent, Brazil (epidemiology), Child, Child, Preschool, Disease Outbreaks, Female, Humans, Infant, Influenza A Virus, H1N1 Subtype (pathogenicity), Influenza Vaccines (therapeutic use), Influenza, Human (epidemiology), Influenza, Human (prevention & control), Influenza, Human (virology), Male, Respiration Disorders (epidemiology), Respiration Disorders (prevention & control), Respiration Disorders (virology), Respiratory Tract Infections (epidemiology), Respiratory Tract Infections (prevention & control), Respiratory Tract Infections (virology), Seasons, Vaccination.
- MESH :
- chemical , therapeutic use : Influenza Vaccines.
- geographic , epidemiology : Brazil.
- epidemiology : Influenza, Human, Respiration Disorders, Respiratory Tract Infections.
- pathogenicity : Influenza A Virus, H1N1 Subtype.
- prevention & control : Influenza, Human, Respiration Disorders, Respiratory Tract Infections.
- virology : Influenza, Human, Respiration Disorders, Respiratory Tract Infections.
- Adolescent, Child, Child, Preschool, Disease Outbreaks, Female, Humans, Infant, Male, Seasons, Vaccination.
Abstract
Analyses of the 2009 H1N1 influenza pandemic and post-pandemic years showed high attack rates and severity among indigenous populations. This study presents the characteristics of the first documented influenza outbreak in indigenous peoples in Brazil, that occurred from 30th March to 14th April 2016 in a Guarani village in Southeast Region. Acute respiratory infections were prospectively investigated. The majority of the 73 cases were influenza-like illness (ILI) (63.0%) or severe acute respiratory infection (SARI) (20.5%). The ILI+SARI attack rate (35.9%) decreased with increasing age. There was a high influenza vaccination rate (86.3%), but no statistically significant difference in vaccination rates between severe and non-severe cases was seen (p = 0.334). Molecular analyses of 19.2% of the cases showed 100% positivity for influenza A(H1N1)pdm09 and/or hRSV. Influenza A(H1N1)pdm09 was included in the 6B.1 genetic group, a distinct cluster with 13 amino acid substitutions of A/California/07/2009-like. The hRSV were clustered in the BA-like genetic group. The early arrival of the influenza season overlapping usual hRSV season, the circulation of a drifted influenza virus not covered by vaccine and the high prevalence of risk factors for infection and severity in the village jointly can explain the high attack rate of ARI, even with a high rate of influenza vaccination. The results reinforce the importance of surveillance of respiratory viruses, timely vaccination and controlling risk factors for infection and severity of in the indigenous populations in order to preventing disease and related deaths, particularly in children.
Url:
DOI: 10.1371/journal.pone.0218925
PubMed: 31283762
PubMed Central: 6613774
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PMC:6613774Le document en format XML
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<author><name sortKey="Cardoso, Andrey Moreira" sort="Cardoso, Andrey Moreira" uniqKey="Cardoso A" first="Andrey Moreira" last="Cardoso">Andrey Moreira Cardoso</name>
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<author><name sortKey="Resende, Paola Cristina" sort="Resende, Paola Cristina" uniqKey="Resende P" first="Paola Cristina" last="Resende">Paola Cristina Resende</name>
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<author><name sortKey="Farias, Yasmin N" sort="Farias, Yasmin N" uniqKey="Farias Y" first="Yasmin N." last="Farias">Yasmin N. Farias</name>
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<author><name sortKey="Barreto, Carla Tatiana G" sort="Barreto, Carla Tatiana G" uniqKey="Barreto C" first="Carla Tatiana G." last="Barreto">Carla Tatiana G. Barreto</name>
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<author><name sortKey="Ferreira, Fernanda L" sort="Ferreira, Fernanda L" uniqKey="Ferreira F" first="Fernanda L." last="Ferreira">Fernanda L. Ferreira</name>
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<author><name sortKey="Martins, Andre Luiz" sort="Martins, Andre Luiz" uniqKey="Martins A" first="André Luiz" last="Martins">André Luiz Martins</name>
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<author><name sortKey="Fernandes, Daniella A" sort="Fernandes, Daniella A" uniqKey="Fernandes D" first="Daniella A." last="Fernandes">Daniella A. Fernandes</name>
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</nlm:aff>
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Secretaria Especial de Saúde Indígena, Curitiba, PR</wicri:regionArea>
<placeName><region type="state">Paraná (État)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Sanches, Patricia Machado" sort="Sanches, Patricia Machado" uniqKey="Sanches P" first="Patrícia Machado" last="Sanches">Patrícia Machado Sanches</name>
<affiliation wicri:level="2"><nlm:aff id="aff007"><addr-line>Secretaria Municipal de Saúde de Paraty, Paraty, RJ, Brazil</addr-line>
</nlm:aff>
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Secretaria Municipal de Saúde de Paraty, Paraty, RJ</wicri:regionArea>
<placeName><region type="state">État de Rio de Janeiro</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Almeida, Walquiria A F" sort="Almeida, Walquiria A F" uniqKey="Almeida W" first="Walquiria A. F." last="Almeida">Walquiria A. F. Almeida</name>
<affiliation wicri:level="2"><nlm:aff id="aff008"><addr-line>Secretaria de Vigilância em Saúde, Brasília, DF, Brazil</addr-line>
</nlm:aff>
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Secretaria de Vigilância em Saúde, Brasília, DF</wicri:regionArea>
<placeName><region type="state">District fédéral (Brésil)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Rodrigues, Laura C" sort="Rodrigues, Laura C" uniqKey="Rodrigues L" first="Laura C." last="Rodrigues">Laura C. Rodrigues</name>
<affiliation wicri:level="3"><nlm:aff id="aff002"><addr-line>London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>London School of Hygiene and Tropical Medicine, London</wicri:regionArea>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Siqueira, Marilda M" sort="Siqueira, Marilda M" uniqKey="Siqueira M" first="Marilda M." last="Siqueira">Marilda M. Siqueira</name>
<affiliation wicri:level="2"><nlm:aff id="aff003"><addr-line>Instituto Oswaldo Cruz—Fiocruz, Rio de Janeiro, RJ, Brazil</addr-line>
</nlm:aff>
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Instituto Oswaldo Cruz—Fiocruz, Rio de Janeiro, RJ</wicri:regionArea>
<placeName><region type="state">État de Rio de Janeiro</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j">PLoS ONE</title>
<idno type="eISSN">1932-6203</idno>
<imprint><date when="2019">2019</date>
</imprint>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Brazil (epidemiology)</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Disease Outbreaks</term>
<term>Female</term>
<term>Humans</term>
<term>Infant</term>
<term>Influenza A Virus, H1N1 Subtype (pathogenicity)</term>
<term>Influenza Vaccines (therapeutic use)</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (prevention & control)</term>
<term>Influenza, Human (virology)</term>
<term>Male</term>
<term>Respiration Disorders (epidemiology)</term>
<term>Respiration Disorders (prevention & control)</term>
<term>Respiration Disorders (virology)</term>
<term>Respiratory Tract Infections (epidemiology)</term>
<term>Respiratory Tract Infections (prevention & control)</term>
<term>Respiratory Tract Infections (virology)</term>
<term>Seasons</term>
<term>Vaccination</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Brésil (épidémiologie)</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Flambées de maladies</term>
<term>Grippe humaine ()</term>
<term>Grippe humaine (virologie)</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Humains</term>
<term>Infections de l'appareil respiratoire ()</term>
<term>Infections de l'appareil respiratoire (virologie)</term>
<term>Infections de l'appareil respiratoire (épidémiologie)</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Saisons</term>
<term>Sous-type H1N1 du virus de la grippe A (pathogénicité)</term>
<term>Troubles respiratoires ()</term>
<term>Troubles respiratoires (virologie)</term>
<term>Troubles respiratoires (épidémiologie)</term>
<term>Vaccination</term>
<term>Vaccins antigrippaux (usage thérapeutique)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Influenza Vaccines</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Brazil</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term>
<term>Respiration Disorders</term>
<term>Respiratory Tract Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="pathogenicity" xml:lang="en"><term>Influenza A Virus, H1N1 Subtype</term>
</keywords>
<keywords scheme="MESH" qualifier="pathogénicité" xml:lang="fr"><term>Sous-type H1N1 du virus de la grippe A</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term>
<term>Respiration Disorders</term>
<term>Respiratory Tract Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Vaccins antigrippaux</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Grippe humaine</term>
<term>Infections de l'appareil respiratoire</term>
<term>Troubles respiratoires</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Influenza, Human</term>
<term>Respiration Disorders</term>
<term>Respiratory Tract Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Brésil</term>
<term>Grippe humaine</term>
<term>Infections de l'appareil respiratoire</term>
<term>Troubles respiratoires</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Disease Outbreaks</term>
<term>Female</term>
<term>Humans</term>
<term>Infant</term>
<term>Male</term>
<term>Seasons</term>
<term>Vaccination</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Flambées de maladies</term>
<term>Grippe humaine</term>
<term>Humains</term>
<term>Infections de l'appareil respiratoire</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Saisons</term>
<term>Troubles respiratoires</term>
<term>Vaccination</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Brésil</term>
</keywords>
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<front><div type="abstract" xml:lang="en"><p>Analyses of the 2009 H1N1 influenza pandemic and post-pandemic years showed high attack rates and severity among indigenous populations. This study presents the characteristics of the first documented influenza outbreak in indigenous peoples in Brazil, that occurred from 30th March to 14th April 2016 in a Guarani village in Southeast Region. Acute respiratory infections were prospectively investigated. The majority of the 73 cases were influenza-like illness (ILI) (63.0%) or severe acute respiratory infection (SARI) (20.5%). The ILI+SARI attack rate (35.9%) decreased with increasing age. There was a high influenza vaccination rate (86.3%), but no statistically significant difference in vaccination rates between severe and non-severe cases was seen (p = 0.334). Molecular analyses of 19.2% of the cases showed 100% positivity for influenza A(H1N1)pdm09 and/or hRSV. Influenza A(H1N1)pdm09 was included in the 6B.1 genetic group, a distinct cluster with 13 amino acid substitutions of A/California/07/2009-like. The hRSV were clustered in the BA-like genetic group. The early arrival of the influenza season overlapping usual hRSV season, the circulation of a drifted influenza virus not covered by vaccine and the high prevalence of risk factors for infection and severity in the village jointly can explain the high attack rate of ARI, even with a high rate of influenza vaccination. The results reinforce the importance of surveillance of respiratory viruses, timely vaccination and controlling risk factors for infection and severity of in the indigenous populations in order to preventing disease and related deaths, particularly in children.</p>
</div>
</front>
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