Evidence map›Paper›PMID 33909610›Full record

SynthesisPLoS neglected tropical diseases2021

The worldwide seroprevalence of DENV, CHIKV and ZIKV infection: A systematic review and meta-analysis.

Zhihui Li, Jin Wang, Xiaomin Cheng, Huan Hu, Cheng Guo, Jingyi Huang, Zeliang Chen, Jiahai Lu

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PLoS neglected tropical diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 8 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  6. Chikungunya seroprevalence in population-based studies: a systematic review and meta-analysis.Archives of public health = Archives belges de sante publique · 2023
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  14. Physical and Chemical Characteristics ofTropical medicine and infectious disease · 2025
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  17. Diterpenes: Nature's Hidden Gems of Immunomodulation.International journal of molecular sciences · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Zhihui LiSchool of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong Province, China.
Jin WangSchool of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong Province, China.
Xiaomin ChengSchool of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong Province, China.
Huan HuSchool of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong Province, China.
Cheng GuoCenter for Infection and Immunity, Mailman School of Public Health, Columbia University, New York City, New York, United States of America.
Jingyi HuangSonggang People's Hospital of Bao'an District, Shenzhen, Guangdong Province, China.
Zeliang ChenSchool of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong Province, China.
Jiahai LuSchool of Public Health, Sun Yat-Sen University, Guangzhou, Guangdong Province, China.ORCID 0000-0002-8593-3402

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs the three major arthropod-borne viruses, dengue virus (DENV), chikungunya virus (CHIKV), and zika virus (ZIKV) are posing a growing threat to global public health and socioeconomic development. Our study aimed to systematically review the global seroprevalences of these arboviruses from existing publications.

methodsArticles published between Jan 01, 2000 and Dec 31, 2019 in the databases of Embase, Pubmed and Web of Science were searched and collected. Countries or areas with known local presence of Aedes vector mosquitoes were included. Random effects model was utilized to estimate the pooled seroprevalences and the proportion of inapparent infection.

resultsOut of 1375, a total of 133 articles involving 176,001 subjects were included for our analysis. The pooled seroprevalences of DENV, CHIKV and ZIKV were 38%, 25% and 18%, respectively; and their corresponding proportions of inapparent infections were 80%, 40% and 50%. The South-East Asia Region had the highest seroprevalences of DENV and CHIKV, while the Region of the Americas had the highest seroprevalence of ZIKV. The seroprevalences of DENV and CHIKV were similar when comparing developed and developing countries, urban and rural areas, or among different populations. In addition, we observed a decreased global seroprevalences in the new decade (2010-2019) comparing to the decade before (2000-2009) for CHIKV. For ZIKV, the positive rates tested with the nucleic acid detection method were lower than those tested with the antibody detection method. Lastly, numerous cases of dual seropositivity for CHIKV and DENV were reported.

conclusionsOur results revealed a varied prevalence of arbovirus infections in different geographical regions and countries, and the inapparent infection accounted an unneglected portion of infections that requires more attention. This study will shed lights on our understanding of the true burden of arbovirus infections and promote appropriate vaccination in the future.

Indexed as

AedesAnimalsChikungunya FeverChikungunya virusDengueDengue VirusGlobal HealthHumansMosquito VectorsSeroepidemiologic StudiesZika VirusZika Virus Infection

Identifiers

PMID33909610
PMCPMC8109817

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.