Atim, Stella A; Ashraf, Shirin; Belij-Rammerstorfer, Sandra; Ademun, Anna R; Vudriko, Patrick; Nakayiki, Teddy; Niebel, Marc; Shepherd, James; Balinandi, Stephen; Nakanjako, Gladys; +11 more... Abaasa, Andrew; Johnson, Paul CD; Odongo, Steven; Esau, Martin; Bahati, Milton; Kaleebu, Pontiano; Lutwama, Julius J; Masembe, Charles; Lambe, Teresa; Thomson, Emma C; Tweyongyere, Robert; (2022) Risk factors for Crimean-Congo Haemorrhagic Fever (CCHF) virus exposure in farming communities in Uganda. The Journal of infection, 85 (6). pp. 693-701. ISSN 0163-4453 DOI: https://doi.org/10.1016/j.jinf.2022.09.007
Permanent Identifier
Use this Digital Object Identifier when citing or linking to this resource.
Abstract
BACKGROUND: Crimean-Congo Haemorrhagic Fever (CCHF) is an emerging human-health threat causing sporadic outbreaks in livestock farming communities. However, the full extent and the risks associated with exposure of such communities has not previously been well-described. METHODS: We collected blood samples from 800 humans, 666 cattle, 549 goats and 32 dogs in districts within and outside Ugandan cattle corridor in a cross-sectional survey, and tested for CCHFV-specific IgG antibodies using Enzyme-Linked Immunosorbent Assays. Sociodemographic and epidemiological data were recorded using structured questionnaire. Ticks were collected to identify circulating nairoviruses by metagenomic sequencing. RESULTS: CCHFV seropositivity was in 221/800 (27·6%) in humans, 612/666 (91·8%) in cattle, 413/549 (75·2%) in goats and 18/32 (56·2%) in dogs. Human seropositivity was associated with livestock farming (AOR=5·68, p<0·0001), age (AOR=2·99, p=0·002) and collecting/eating engorged ticks (AOR=2·13, p=0·004). In animals, seropositivity was higher in cattle versus goats (AOR=2·58, p<0·0001), female sex (AOR=2·13, p=0·002) and heavy tick infestation (>50 ticks: AOR=3·52, p=0·004). CCHFV was identified in multiple tick pools of Rhipicephalus appendiculatus. INTERPRETATION: The very high CCHF seropositivity especially among livestock farmers and multiple regional risk factors associated exposures, including collecting/eating engorged ticks previously unrecognised, highlights need for further surveillance and sensitisation and control policies against the disease.
Item Type | Article |
---|---|
Faculty and Department |
MRC Uganda > UG-Uganda Science Support MRC Uganda > UG-HIV Care Faculty of Infectious and Tropical Diseases > Dept of Clinical Research |
PubMed ID | 36108783 |
Elements ID | 195113 |
Official URL | http://dx.doi.org/10.1016/j.jinf.2022.09.007 |
Download
Filename: Atim_etal_2022_Risk-factors-for-crimean-congo.pdf
Licence: Creative Commons: Attribution-Noncommercial-No Derivative Works 4.0
Download