Serologic Evidence of Arboviral Infections among Humans in Kenya

Laura J. Sutherland Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio; Kenya Medical Research Institute, Nairobi, Kenya; Institute for Human Infections and Immunity, University of Texas Medical Branch, Galveston, Texas; University of Massachusetts, Worcester, Massachusetts; Center for Immunobiology and Vaccine Development, Children's Hospital Oakland Research Institute, Oakland, California

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Ayla A. Cash Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio; Kenya Medical Research Institute, Nairobi, Kenya; Institute for Human Infections and Immunity, University of Texas Medical Branch, Galveston, Texas; University of Massachusetts, Worcester, Massachusetts; Center for Immunobiology and Vaccine Development, Children's Hospital Oakland Research Institute, Oakland, California

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Yan-Jang Scott Huang Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio; Kenya Medical Research Institute, Nairobi, Kenya; Institute for Human Infections and Immunity, University of Texas Medical Branch, Galveston, Texas; University of Massachusetts, Worcester, Massachusetts; Center for Immunobiology and Vaccine Development, Children's Hospital Oakland Research Institute, Oakland, California

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Rosemary C. Sang Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio; Kenya Medical Research Institute, Nairobi, Kenya; Institute for Human Infections and Immunity, University of Texas Medical Branch, Galveston, Texas; University of Massachusetts, Worcester, Massachusetts; Center for Immunobiology and Vaccine Development, Children's Hospital Oakland Research Institute, Oakland, California

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Indu Malhotra Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio; Kenya Medical Research Institute, Nairobi, Kenya; Institute for Human Infections and Immunity, University of Texas Medical Branch, Galveston, Texas; University of Massachusetts, Worcester, Massachusetts; Center for Immunobiology and Vaccine Development, Children's Hospital Oakland Research Institute, Oakland, California

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Ann M. Moormann Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio; Kenya Medical Research Institute, Nairobi, Kenya; Institute for Human Infections and Immunity, University of Texas Medical Branch, Galveston, Texas; University of Massachusetts, Worcester, Massachusetts; Center for Immunobiology and Vaccine Development, Children's Hospital Oakland Research Institute, Oakland, California

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Christopher L. King Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio; Kenya Medical Research Institute, Nairobi, Kenya; Institute for Human Infections and Immunity, University of Texas Medical Branch, Galveston, Texas; University of Massachusetts, Worcester, Massachusetts; Center for Immunobiology and Vaccine Development, Children's Hospital Oakland Research Institute, Oakland, California

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Scott C. Weaver Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio; Kenya Medical Research Institute, Nairobi, Kenya; Institute for Human Infections and Immunity, University of Texas Medical Branch, Galveston, Texas; University of Massachusetts, Worcester, Massachusetts; Center for Immunobiology and Vaccine Development, Children's Hospital Oakland Research Institute, Oakland, California

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Charles H. King Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio; Kenya Medical Research Institute, Nairobi, Kenya; Institute for Human Infections and Immunity, University of Texas Medical Branch, Galveston, Texas; University of Massachusetts, Worcester, Massachusetts; Center for Immunobiology and Vaccine Development, Children's Hospital Oakland Research Institute, Oakland, California

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A. Desiree LaBeaud Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio; Kenya Medical Research Institute, Nairobi, Kenya; Institute for Human Infections and Immunity, University of Texas Medical Branch, Galveston, Texas; University of Massachusetts, Worcester, Massachusetts; Center for Immunobiology and Vaccine Development, Children's Hospital Oakland Research Institute, Oakland, California

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Outbreaks of arthropod-borne viral infections occur periodically across Kenya. However, limited surveillance takes place during interepidemic periods. Using serum samples obtained from asymptomatic persons across Kenya in 2000–2004, we assessed (by indirect immunofluorescent assay) prevalence of IgG against yellow fever virus (YFV), West Nile virus (WNV), tick-borne encephalitis virus (TBEV), dengue virus serotypes 1–4 (DENV1-4), and chikungunya virus (CHIKV). Older persons on the Indian Ocean coast were more likely to be seropositive than children inland: YFV = 42% versus 6%, WNV = 29% versus 6%, TBEV = 16% versus 6%, DENV-1 = 63% versus 9%, DENV-2 = 67% versus 7%, DENV-3 = 55% versus 6%, DENV-4 = 44% versus 8%, and CHIKV = 37% versus 20%. Among inland samples, children in lowlands were more likely to be seropositive for CHIKV (42% versus 0%) than children in highlands. In Kenya, transmission of arboviral infection continues between known epidemics and remains common across the country.

Author Notes

*Address correspondence to Laura J. Sutherland, Center for Global Health and Diseases, Case Western Reserve University, Wolstein Research Bldg., 4th Floor, 10900 Euclid Ave., Cleveland, OH 44106. E-mail: chikungunya.ljs@gmail.com

Authors' addresses: Laura J. Sutherland, Ayla A. Cash, Indu Malhotra, Chris L. King, and Charles H. King, Center for Global Health and Diseases, Case Western Reserve University, Cleveland, OH, E-mails: chikungunya.ljs@gmail.com, cash.65@osu.edu, ijm@case.edu, cxk21@case.edu, and chk@cwru.edu. Yan-Jang Scott Huang and Scott C. Weaver, Institute for Human Infections and Immunity, University of Texas Medical Branch, Galveston, TX, E-mails: yshuang@utmb.edu and sweaver@utmb.edu. Rosemary C. Sang, Kenya Medical Research Institute, Nairobi, Kenya, E-mail: RSang@kemri.org. Ann M. Moormann, Division of Pediatric Immunology, Infectious Diseases and Rheumatology, Department of Pediatrics, University of Massachusetts Medical School, Worcester, MA, E-mail: ann.moormann@umassmed.edu. A. Desiree LaBeaud, Center for Global Health and Diseases, Case Western Reserve University, Cleveland, OH, and Center for Immunobiology and Vaccine Development, Children's Hospital Oakland Research Institute, Oakland, CA, E-mail: alabeaud@chori.org.

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