ArticleThe American journal of tropical medicine and hygiene2022
A Chikungunya Outbreak in a Dengue-endemic Region in Rural Northern Coastal Ecuador.
Article in The American journal of tropical medicine and hygiene, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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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.
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Who cites it
4 citing papers in PubMed, 6 citations in OpenAlex.
- Article
- Increasing transmission of dengue virus across ecologically diverse regions of Ecuador and associated risk factors.PLoS neglected tropical diseases · 2024Article
- Validity of Self-Reported Mosquito Bites to Assess Household Mosquito Abundance in Six Communities of Esmeraldas Province, Ecuador.The American journal of tropical medicine and hygiene · 2023Article
- Phylogenetic Analysis of Transmission Dynamics of Dengue in Large and Small Population Centers, Northern Ecuador.Emerging infectious diseases · 2023Review
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
Abstract
Dengue virus (DENV) reemerged in the Americas in the 1980s and 1990s, whereas chikungunya virus (CHIKV) emerged in 2014. Although CHIKV produced large epidemics from 2014 to 2017, dengue fever has been the prominent arboviral disease identified through passive surveillance, bringing to question the degree to which cases are misdiagnosed. To address this concern, we conducted an active household-based surveillance of arboviral-like illnesses in six rural and remote communities in northern coastal Ecuador from May 2019 to February 2020. Although passive surveillance conducted by the Ecuadorian Ministry of Health reported only DENV cases in the region, more than 70% of the arbovirus-like illnesses detected by active surveillance in our study were positive for CHIKV. These findings underline the need for active surveillance of arboviral infections with laboratory confirmation, especially in rural communities where arboviral illnesses are more likely to be underreported.
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Registered trials
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