دورية أكاديمية

Serosurvey for Japanese encephalitis virus antibodies following an outbreak in an immunologically naïve population, Victoria, 2022: a cross-sectional study.

التفاصيل البيبلوغرافية
العنوان: Serosurvey for Japanese encephalitis virus antibodies following an outbreak in an immunologically naïve population, Victoria, 2022: a cross-sectional study.
المؤلفون: Marsland MJ; Victorian Department of Health, Melbourne, VIC, Australia.; National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT., Thomson TN; Victorian Department of Health, Melbourne, VIC, Australia.; National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT., O'Brien HM; Victorian Department of Health, Melbourne, VIC, Australia., Peach E; Albury Wodonga Health, Wodonga, NSW., Bellette J; Albury Wodonga Health, Wodonga, NSW., Humphreys N; Albury Wodonga Health, Wodonga, NSW., McKeon CA; Goulburn Valley Health, Shepparton, VIC., Cross W; Goulburn Valley Health, Shepparton, VIC., Moso MA; Victorian Infectious Diseases Reference Laboratory, Doherty Institute for Infection and Immunity, Royal Melbourne Hospital, Melbourne, VIC., Batty M; Victorian Infectious Diseases Reference Laboratory, Doherty Institute for Infection and Immunity, Royal Melbourne Hospital, Melbourne, VIC., Nicholson S; Victorian Infectious Diseases Reference Laboratory, Doherty Institute for Infection and Immunity, Royal Melbourne Hospital, Melbourne, VIC., Karapanagiotidis T; Victorian Infectious Diseases Reference Laboratory, Doherty Institute for Infection and Immunity, Royal Melbourne Hospital, Melbourne, VIC., Lim CK; Victorian Infectious Diseases Reference Laboratory, Doherty Institute for Infection and Immunity, Royal Melbourne Hospital, Melbourne, VIC., Williamson DA; Victorian Infectious Diseases Reference Laboratory, Doherty Institute for Infection and Immunity, Royal Melbourne Hospital, Melbourne, VIC., Winkler N; National Centre for Immunisation Research and Surveillance, Sydney Children's Hospitals Network, Sydney, NSW., Koirala A; National Centre for Immunisation Research and Surveillance, Sydney Children's Hospitals Network, Sydney, NSW., Macartney K; National Centre for Immunisation Research and Surveillance, Sydney Children's Hospitals Network, Sydney, NSW., Glynn-Robinson A; National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT., Stewart T; National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT., Minko C; Victorian Department of Health, Melbourne, VIC, Australia., Snow KJ; Victorian Department of Health, Melbourne, VIC, Australia., Black J; Victorian Department of Health, Melbourne, VIC, Australia., Friedman ND; Victorian Department of Health, Melbourne, VIC, Australia.
المصدر: The Medical journal of Australia [Med J Aust] 2024 Jun 17; Vol. 220 (11), pp. 566-572. Date of Electronic Publication: 2024 May 27.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Australasian Medical Publishing Co Country of Publication: Australia NLM ID: 0400714 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1326-5377 (Electronic) Linking ISSN: 0025729X NLM ISO Abbreviation: Med J Aust Subsets: MEDLINE
أسماء مطبوعة: Publication: : Pyrmont, NSW : Australasian Medical Publishing Co.
Original Publication: Sydney : Australasian Medical Pub. Co.
مواضيع طبية MeSH: Encephalitis Virus, Japanese*/immunology , Encephalitis, Japanese*/epidemiology , Encephalitis, Japanese*/immunology , Antibodies, Viral*/blood , Disease Outbreaks*, Humans ; Cross-Sectional Studies ; Middle Aged ; Seroepidemiologic Studies ; Adult ; Female ; Male ; Aged ; Victoria/epidemiology ; Immunoglobulin G/blood ; Young Adult ; Encephalitis Virus, Murray Valley/immunology ; Adolescent ; Risk Factors
مستخلص: Objectives: To investigate the distribution and prevalence of Japanese encephalitis virus (JEV) antibody (as evidence of past infection) in northern Victoria following the 2022 Japanese encephalitis outbreak, seeking to identify groups of people at particular risk of infection; to investigate the distribution and prevalence of antibodies to two related flaviviruses, Murray Valley encephalitis virus (MVEV) and West Nile virus Kunjin subtype (KUNV).
Study Design: Cross-sectional serosurvey (part of a national JEV serosurveillance program).
Setting: Three northern Victorian local public health units (Ovens Murray, Goulburn Valley, Loddon Mallee), 8 August - 1 December 2022.
Participants: People opportunistically recruited at pathology collection centres and by targeted recruitment through community outreach and advertisements. People vaccinated against or who had been diagnosed with Japanese encephalitis were ineligible for participation, as were those born in countries where JEV is endemic.
Main Outcome Measures: Seroprevalence of JEV IgG antibody, overall and by selected factors of interest (occupations, water body exposure, recreational activities and locations, exposure to animals, protective measures).
Results: 813 participants were recruited (median age, 59 years [interquartile range, 42-69 years]; 496 female [61%]); 27 were JEV IgG-seropositive (3.3%; 95% confidence interval [CI], 2.2-4.8%) (median age, 73 years [interquartile range, 63-78 years]; 13 female [48%]); none were IgM-seropositive. JEV IgG-seropositive participants were identified at all recruitment locations, including those without identified cases of Japanese encephalitis. The only risk factors associated with JEV IgG-seropositivity were age (per year: prevalence odds ratio [POR], 1.07; 95% CI, 1.03-1.10) and exposure to feral pigs (POR, 21; 95% CI, 1.7-190). The seroprevalence of antibody to MVEV was 3.0% (95% CI, 1.9-4.5%; 23 of 760 participants), and of KUNV antibody 3.3% (95% CI, 2.1-4.8%; 25 of 761).
Conclusions: People living in northern Victoria are vulnerable to future JEV infection, but few risk factors are consistently associated with infection. Additional prevention strategies, including expanding vaccine eligibility, may be required to protect people in this region from Japanese encephalitis.
(© 2024 The Author(s). Medical Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of AMPCo Pty Ltd.)
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فهرسة مساهمة: Keywords: Arbovirus infections; Encephalitis, viral; Epidemiology
المشرفين على المادة: 0 (Antibodies, Viral)
0 (Immunoglobulin G)
تواريخ الأحداث: Date Created: 20240528 Date Completed: 20240616 Latest Revision: 20240616
رمز التحديث: 20240616
DOI: 10.5694/mja2.52344
PMID: 38803004
قاعدة البيانات: MEDLINE
الوصف
تدمد:1326-5377
DOI:10.5694/mja2.52344