Risk Factors Associated with Ebola and Marburg Viruses Seroprevalence in Blood Donors in the Republic of Congo
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BACKGROUND: Ebola and Marburg viruses (family Filoviridae, genera Ebolavirus and Marburgvirus) cause haemorrhagic fevers in humans, often associated with high mortality rates. The presence of antibodies to Ebola virus (EBOV) and Marburg virus (MARV) has been reported in some African countries in individuals without a history of haemorrhagic fever. In this study, we present a MARV and EBOV seroprevalence study conducted amongst blood donors in the Republic of Congo and the analysis of risk factors for contact with EBOV. METHODOLOGY AND FINDINGS: In 2011, we conducted a MARV and EBOV seroprevalence study amongst 809 blood donors recruited in rural (75; 9.3%) and urban (734; 90.7%) areas of the Republic of Congo. Serum titres of IgG antibodies to MARV and EBOV were assessed by indirect double-immunofluorescence microscopy. MARV seroprevalence was 0.5% (4 in 809) without any identified risk factors. Prevalence of IgG to EBOV was 2.5%, peaking at 4% in rural areas and in Pointe Noire. Independent risk factors identified by multivariate analysis were contact with bats and exposure to birds. CONCLUSIONS/SIGNIFICANCE: This MARV and EBOV serological survey performed in the Republic of Congo identifies a probable role for environmental determinants of exposure to EBOV. It highlights the requirement for extending our understanding of the ecological and epidemiological risk of bats (previously identified as a potential ecological reservoir) and birds as vectors of EBOV to humans, and characterising the protection potentially afforded by EBOV-specific antibodies as detected in blood donors.
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Among studies with estimates above zero, seroprevalence ranged from 0.5% in the Republic of the Congo in 2011, to 2.1% in healthcare workers in DRC in 2001-2002, to 4.5% in Uganda in 1984.
“Among studies with estimates above zero, seroprevalence ranged from 0.5% in the Republic of the Congo in 2011 (54), to 2.1% in healthcare workers in DRC in 2001 - 2002 (52), to 4.5% in Uganda in 1984 (47).”
From Marburg virus disease outbreaks, mathematical models, and disease parameters: a systematic review (2024) · cites this paper as [54]
Seroprevalence estimates of MVD and EVD are often reported together, with estimates for MVD consistently lower than for EVD.
“Seroprevalence estimates of MVD and EVD are often reported together, with estimates for MVD consistently lower than for EVD, e.g. (35,36,44,54).”
From Marburg virus disease outbreaks, mathematical models, and disease parameters: a systematic review (2024) · cites this paper as [54]
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Viral hemorrhagic fever antibodies in Nigerian populations
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BackgroundInfluentialEbola and Marburg virus antibody prevalence in selected populations of the Central African Republic
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Marburg virus disease outbreaks, mathematical models, and disease parameters: a systematic review
Cuomo-Dannenburg, G., McCain, K., McCabe, R., Unwin, H. J. T., Doohan, P., Nash, R. K., Hicks, J. T., Charniga, K., Geismar, C., Lambert, B., et al. (2024) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(23)00515-7 · Cited by 59 · see citing works
“Among studies with estimates above zero, seroprevalence ranged from 0.5% in the Republic of the Congo in 2011 (54), to 2.1% in healthcare workers in DRC in 2001 - 2002 (52), to 4.5% in Uganda in 1984 (47).”
Influential
- Authors
- Moyen, N., Thirion, L., Emmerich, P., Dzia-Lepfoundzou, A., Richet, H., Boehmann, Y., Dimi, Y., Gallian, P., Gould, E. A., Günther, S., & de Lamballerie, X.
- Affiliations
- École des Hautes Études en Santé Publique (FR)
- Bernhard Nocht Institute for Tropical Medicine (DE)
- Méditerranée Infection Foundation (FR)
- Corresponding author
- Moyen, Nanikaly
- Venue
- PLOS Neglected Tropical Diseases
- Publisher
- Public Library of Science (PLoS)
- Published
- 2015-06-05
- Volume
- 9
- Issue
- 6
- Pages
- e0003833
- ISSN
- 1935-2727 (ISSN-L)
- 1935-2735
- PMC
- PMC4457487
- OpenAlex
- W1837621468
- Cited by
- 30
- References
- 3
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 5 · 2020: 4 · 2019: 2 · 2018: 4 · 2017: 2 · 2016: 3 · 2015: 1
- FWCI
- 2.60
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS neglected tropical diseases (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- HAL (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Funders
- Philipps-Universität Marburg
- European Commission (278433)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Viral Infections and Outbreaks Research
- Health Sciences › Medicine › Infectious Diseases › Viral Infections and Vectors
- Health Sciences › Medicine › Epidemiology › Virology and Viral Diseases
- Keywords
- Ebola virus, Marburg virus, seroprevalence, blood donors, risk factors, bats, birds, zoonotic transmission, filoviruses, hemorrhagic fever, IgG, urban-rural differences, Republic of the Congo
- MeSH terms
- Analysis of Variance, Animals, Blood Donors, Congo, Humans, Immunoglobulin G, Marburg Virus Disease, Surveys and Questionnaires, Risk Factors, Seroepidemiologic Studies, Fluorescent Antibody Technique, Indirect, Hemorrhagic Fever, Ebola
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