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Seroprevalence of dengue, Zika, and chikungunya in São Sebastião, Brazil (2020–2021): a population-based survey

Bibliographic Details
Main Author: Nobre, Tayane Ferreira
Publication Date: 2025
Other Authors: Fenner, André Luiz Dutra, Araújo, Emerson Luiz Lima, Araújo, Wildo Navegantes de, Roux, Emmanuel, Handschumacher, Pascal, Gurgel, Helen, Dallago, Bruno, Hecht, Mariana, Hagström, Luciana, Ramalho, Walter Massa, Nitz, Nadjar
Format: Article
Language: eng
Source: Repositório Institucional da FIOCRUZ (ARCA)
DOI: 10.1186/s12879-025-10516-2
Download full: https://arca.fiocruz.br/handle/icict/69174
Summary: This study was funded by the Sentinela International joint laboratory (LMI Sentinela), a formal partnership between the French National Research Institute for Sustainable Development (Institut de Recherche pour le Développement, IRD), the University of Brasília (UnB), and the Oswaldo Cruz Foundation (Fiocruz). Additional funding was provided by the Coordination for the Improvement of Higher Education Personnel (CAPES), the Ministry of Education, Brazil—Finance Code 001, and the Pan-American Health Organization (PAHO).
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spelling Nobre, Tayane FerreiraFenner, André Luiz DutraAraújo, Emerson Luiz LimaAraújo, Wildo Navegantes deRoux, EmmanuelHandschumacher, PascalGurgel, HelenDallago, BrunoHecht, MarianaHagström, LucianaRamalho, Walter MassaNitz, Nadjar2025-03-23T14:38:32Z2025-03-23T14:38:32Z2025NOBRE, Tayane et al. Seroprevalence of dengue, Zika, and chikungunya in São Sebastião, Brazil (2020–2021): a population-based survey. BMC Infectious Diseases, [s.l.], v. 25, n. 129, p. 1-13, jan. 2025.1471-2334https://arca.fiocruz.br/handle/icict/6917410.1186/s12879-025-10516-2This study was funded by the Sentinela International joint laboratory (LMI Sentinela), a formal partnership between the French National Research Institute for Sustainable Development (Institut de Recherche pour le Développement, IRD), the University of Brasília (UnB), and the Oswaldo Cruz Foundation (Fiocruz). Additional funding was provided by the Coordination for the Improvement of Higher Education Personnel (CAPES), the Ministry of Education, Brazil—Finance Code 001, and the Pan-American Health Organization (PAHO).University of Brasília. Faculty of Medicine. Interdisciplinary Laboratory of Biosciences. Brasília, DF, Brazil / Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.Ministry of Health. Secretariat of Surveillance in Health. Brasília, DF, Brazil.University of Brasília. Center of Tropical Medicine. Brasília, DF, Brazil / National Council for Scientifc and Technological Development. Institute of Health Technology Assessment. Porto Alegre, RS, Brazil.Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil / Université de Guyane. UMR Espace-Dev. Montpellier, França.Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil / Aix Marseille University. Marseille, France.Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil / University of Brasília. Department of Geography. Brasília, DF, Brazil.University of Brasília. Faculty of Medicine. Interdisciplinary Laboratory of Biosciences. Brasília, DF, Brazil.University of Brasília. Faculty of Medicine. Interdisciplinary Laboratory of Biosciences. Brasília, DF, Brazil.University of Brasília. Faculty of Medicine. Interdisciplinary Laboratory of Biosciences. Brasília, DF, Brazil.Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil / University of Brasília. Center of Tropical Medicine. Brasília, DF, Brazil.University of Brasília. Faculty of Medicine. Interdisciplinary Laboratory of Biosciences. Brasília, DF, Brazil.Background: Urban arboviruses pose a significant global burden, particularly in tropical regions like Brazil. São Sebastião, a lower-middle-class urban area just 26 km from the Brazilian capital, is an endemic area for dengue. However, asymptomatic cases may obscure the actual extent of the disease. In this study, we measured the seroprevalence of dengue, Zika virus, and chikungunya, and compared these findings with surveillance data. Methods: A cross-sectional study was conducted involving 1,535 households. ELISA serological tests were performed to detect IgM and IgG antibodies against dengue, Zika virus, and chikungunya. History of previous exposure to arboviruses, data on age, gender, and education level were collected through a questionnaire. Participants who tested positive for IgM and/or IgG were classified as soropositive. Statistical analyses included tests for normality, associations, mean comparisons, and correlations. Positive serological results were compared with cases captured by local epidemiological surveillance. Results The study included 1,405 individuals, divided into two groups related to pre-pandemic and pandemic COVID-19 phases. Among participants, 0.7% to 28.8% self-reported history of dengue, Zika, or chikungunya. However, the estimated overall seroprevalence was 64.3% (95% CI: 61.8–66.7) for dengue virus, 51.4% (95% CI: 48.8–53.9) for Zika virus, and 5.4% (95% CI: 4.4–6.7) for chikungunya virus. Multiple arboviruses were noted at 4.0% (95% CI: 3.1–5.1). Advancing age and lower education were associated with higher exposure to arboviruses (p < 0.05). The estimated number of urban arboviral infections was 84 times higher than reported cases. Conclusions: The large gap between seroprevalence estimates and cases captured by epidemiological surveillance suggests a silent circulation of arboviruses, highlighting the need for comprehensive serological surveys in endemic regions. 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dc.title.none.fl_str_mv Seroprevalence of dengue, Zika, and chikungunya in São Sebastião, Brazil (2020–2021): a population-based survey
title Seroprevalence of dengue, Zika, and chikungunya in São Sebastião, Brazil (2020–2021): a population-based survey
spellingShingle Seroprevalence of dengue, Zika, and chikungunya in São Sebastião, Brazil (2020–2021): a population-based survey
Nobre, Tayane Ferreira
Vector-borne diseases
Seroepidemiologic studies
Arboviruses
Epidemiological surveillance
Doenças Transmitidas por Vetores
Estudos Soroepidemiológicos
Arbovírus
Monitoramento Epidemiológico
03 Saúde e Bem-Estar
title_short Seroprevalence of dengue, Zika, and chikungunya in São Sebastião, Brazil (2020–2021): a population-based survey
title_full Seroprevalence of dengue, Zika, and chikungunya in São Sebastião, Brazil (2020–2021): a population-based survey
title_fullStr Seroprevalence of dengue, Zika, and chikungunya in São Sebastião, Brazil (2020–2021): a population-based survey
title_full_unstemmed Seroprevalence of dengue, Zika, and chikungunya in São Sebastião, Brazil (2020–2021): a population-based survey
title_sort Seroprevalence of dengue, Zika, and chikungunya in São Sebastião, Brazil (2020–2021): a population-based survey
author Nobre, Tayane Ferreira
author_facet Nobre, Tayane Ferreira
Fenner, André Luiz Dutra
Araújo, Emerson Luiz Lima
Araújo, Wildo Navegantes de
Roux, Emmanuel
Handschumacher, Pascal
Gurgel, Helen
Dallago, Bruno
Hecht, Mariana
Hagström, Luciana
Ramalho, Walter Massa
Nitz, Nadjar
author_role author
author2 Fenner, André Luiz Dutra
Araújo, Emerson Luiz Lima
Araújo, Wildo Navegantes de
Roux, Emmanuel
Handschumacher, Pascal
Gurgel, Helen
Dallago, Bruno
Hecht, Mariana
Hagström, Luciana
Ramalho, Walter Massa
Nitz, Nadjar
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Nobre, Tayane Ferreira
Fenner, André Luiz Dutra
Araújo, Emerson Luiz Lima
Araújo, Wildo Navegantes de
Roux, Emmanuel
Handschumacher, Pascal
Gurgel, Helen
Dallago, Bruno
Hecht, Mariana
Hagström, Luciana
Ramalho, Walter Massa
Nitz, Nadjar
dc.subject.en.none.fl_str_mv Vector-borne diseases
Seroepidemiologic studies
Arboviruses
Epidemiological surveillance
topic Vector-borne diseases
Seroepidemiologic studies
Arboviruses
Epidemiological surveillance
Doenças Transmitidas por Vetores
Estudos Soroepidemiológicos
Arbovírus
Monitoramento Epidemiológico
03 Saúde e Bem-Estar
dc.subject.decs.none.fl_str_mv Doenças Transmitidas por Vetores
Estudos Soroepidemiológicos
Arbovírus
Monitoramento Epidemiológico
dc.subject.ods.none.fl_str_mv 03 Saúde e Bem-Estar
description This study was funded by the Sentinela International joint laboratory (LMI Sentinela), a formal partnership between the French National Research Institute for Sustainable Development (Institut de Recherche pour le Développement, IRD), the University of Brasília (UnB), and the Oswaldo Cruz Foundation (Fiocruz). Additional funding was provided by the Coordination for the Improvement of Higher Education Personnel (CAPES), the Ministry of Education, Brazil—Finance Code 001, and the Pan-American Health Organization (PAHO).
publishDate 2025
dc.date.accessioned.fl_str_mv 2025-03-23T14:38:32Z
dc.date.available.fl_str_mv 2025-03-23T14:38:32Z
dc.date.issued.fl_str_mv 2025
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.citation.fl_str_mv NOBRE, Tayane et al. Seroprevalence of dengue, Zika, and chikungunya in São Sebastião, Brazil (2020–2021): a population-based survey. BMC Infectious Diseases, [s.l.], v. 25, n. 129, p. 1-13, jan. 2025.
dc.identifier.uri.fl_str_mv https://arca.fiocruz.br/handle/icict/69174
dc.identifier.issn.none.fl_str_mv 1471-2334
dc.identifier.doi.none.fl_str_mv 10.1186/s12879-025-10516-2
identifier_str_mv NOBRE, Tayane et al. Seroprevalence of dengue, Zika, and chikungunya in São Sebastião, Brazil (2020–2021): a population-based survey. BMC Infectious Diseases, [s.l.], v. 25, n. 129, p. 1-13, jan. 2025.
1471-2334
10.1186/s12879-025-10516-2
url https://arca.fiocruz.br/handle/icict/69174
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Springer Nature
publisher.none.fl_str_mv Springer Nature
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