Evidence map›Paper›PMID 40794652›Full record

ArticleThe Journal of infectious diseases2026

Hyperendemicity of Rift Valley Fever in Southwestern Uganda Associated With the Rapidly Evolving Lineage C Viruses.

Barnabas Bakamutumaho, John Juma, Erin Clancey, Luke Nyakarahuka, Silvia Situma, Raymond Odinoh, Jeanette Dawa, Carolyne Nasimiyu, Evan A Eskew, Stephen Balinandi and 14 more

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors.

Barnabas BakamutumahoUganda Virus Research Institute, Entebbe, Uganda.ORCID 0000-0003-4259-8509
John JumaGenomics Program, International Livestock Research Institute, Nairobi, Kenya.ORCID 0000-0002-1481-5337
Erin ClanceyCenter for Research in Emerging Infectious Diseases-East and Central Africa, Nairobi, Kenya.ORCID 0000-0003-4728-4023
Luke NyakarahukaUganda Virus Research Institute, Entebbe, Uganda.
Silvia SitumaCenter for Research in Emerging Infectious Diseases-East and Central Africa, Nairobi, Kenya.ORCID 0000-0002-9257-4647
Raymond OdinohCenter for Research in Emerging Infectious Diseases-East and Central Africa, Nairobi, Kenya.
Jeanette DawaCenter for Research in Emerging Infectious Diseases-East and Central Africa, Nairobi, Kenya.
Carolyne NasimiyuCenter for Research in Emerging Infectious Diseases-East and Central Africa, Nairobi, Kenya.ORCID 0000-0002-7559-3109
Evan A EskewDepartment of Biological Sciences, University of Idaho, Moscow, Idaho, USA.
Stephen BalinandiUganda Virus Research Institute, Entebbe, Uganda.ORCID 0000-0002-3057-0755
Sophia MuleiUganda Virus Research Institute, Entebbe, Uganda.
John KayiwaUganda Virus Research Institute, Entebbe, Uganda.
John D KlenaVirus Special Pathogens Branch, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Trevor R ShoemakerVirus Special Pathogens Branch, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Shannon L M WhitmerVirus Special Pathogens Branch, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0002-0819-6736
Joel M MontgomeryVirus Special Pathogens Branch, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
John SchieffelinSchool of Medicine, Tulane University, New Orleans, Louisiana, USA.ORCID 0000-0001-6642-5739
Julius LutwamaUganda Virus Research Institute, Entebbe, Uganda.ORCID 0000-0002-3210-722X
Allan MurutaCommunicable Diseases Department, Uganda Ministry of Health, Kampala, Uganda.
Henry Kyobe BosaCommunicable Diseases Department, Uganda Ministry of Health, Kampala, Uganda.
Scott L NuismerDepartment of Biological Sciences, University of Idaho, Moscow, Idaho, USA.
Samuel O OyolaGenomics Program, International Livestock Research Institute, Nairobi, Kenya.
Robert F BreimanRollins School of Public Health, Emory University, Atlanta, Georgia, USA.
M Kariuki NjengaCenter for Research in Emerging Infectious Diseases-East and Central Africa, Nairobi, Kenya.ORCID 0000-0002-7629-7002

Funding

Zoonotic and Emerging Infectious Diseases Training ProgramD43TW011519 · FIC · WASHINGTON STATE UNIVERSITY · PI Walter Godfrey Jaoko, Thumbi Mwangi · 2020 to 2026
$1.2M
Bill and Melinda Gates FoundationCDC HHSFIC NIH HHS D43 TW011519FIC NIH HHS D43TW011519Global Health EDCTP3 101103171National Institute of Allergy and Infectious DiseaseNIAIDNIH HHSRockefeller Foundation
6 · The paper itself

Abstract

backgroundRecent Rift Valley fever (RVF) epidemiology in the eastern Africa region is characterized by widening geographic range and increasing frequency of small disease clusters. Here we conducted studies in the southwestern (SW) Uganda region that has since 2016 reported increasing RVF activities.

methodsA 22-month long hospital-based study in 3 districts of SW Uganda targeting patients with acute febrile illness or unexplained bleeding was followed by a cross-sectional population-based human-animal survey. We then estimated RVF virus (RVFV) force of infection and yearly cases using age-structured seroprevalence data and conducted genomic phylodynamic modelling of RVFV isolates.

resultsOverall RVF prevalence was 10.5% (205/1968) among febrile or hemorrhagic cases, including 5% (100/1968) with acute (PCR or IgM positive) infection, averaging 5 cases per month. Community-based seroprevalence of 11.8% (88/743) among humans and 14.6% (347/2383) in livestock was observed. Expected yearly human RVF cases were 314-2111 per 1369 km2 in SW Uganda, up to 3-fold higher than the 0-711 yearly cases in comparable regions of Kenya and Tanzania. Viral genomic studies identified RVFV lineage C, subclade C.2.2 as the circulating strain in SW Uganda since 2019. Lineage C strain has undergone recent rapid evolution and clonal expansion resulting in 4 subclades, C.1.1, C.1.2, C.2.1, and C.2.2, that are adept at establishing endemicity in new territories.

conclusionsWe demonstrate an atypical RVF hyperendemic region in SW Uganda characterized by sustained human clinical RVF cases, unusually high population prevalence, and high number of expected yearly human cases, associated in part with emergence of new RVFV sublineages.

Indexed as

Endemic DiseasesRift Valley FeverRift Valley fever virusAdolescentAdultAgedAnimalsAntibodies, ViralChildChild, PreschoolCross-Sectional StudiesFemaleHumansInfantLivestockMaleAntibodies, Viralforce of infectioninterepidemic periodlineage C virusRift Valley feversustained clinical cases

Identifiers

PMID40794652
PMCPMC12811889

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.