Seroepidemiological study reveals regional co-occurrence of Lassa- and Hantavirus antibodies in Upper Guinea, West Africa

Trop Med Int Health. 2013 Mar;18(3):366-71. doi: 10.1111/tmi.12045. Epub 2012 Dec 31.

Abstract

Objectives: To assess the public health relevance of Lassa arenavirus and hantavirus infections in a subpopulation of recently febrile patients.

Methods: In a human seroprevalence study, we enrolled 253 participants on the basis of reported high fever during the last 3 months. They represented roughly 20% of the population of Bantou and Tanganya villages. Comprehensive serological screening and confirmatory assays (enzyme-linked immunosorbent assay, immunofluorescence assay, Western blot analysis) with several Lassa virus and hantavirus antigens were used to ensure high specificity and broad detection capacity.

Results: We found a Lassa IgG prevalence of 40.3% (102/253) and a hantavirus IgG prevalence of 1.2% (3/253). The Lassa IgM prevalence reached 2.8% (7/253).

Conclusions: High Lassa virus seroprevalence in recently febrile patients indicates that Lassa fever is a significant public health problem in the region. Human hantavirus infections also occur in the region but their public health relevance remains to be determined.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Coinfection / epidemiology*
  • Coinfection / prevention & control
  • Female
  • Guinea / epidemiology
  • Hantavirus Infections / epidemiology*
  • Hantavirus Infections / prevention & control
  • Humans
  • Lassa Fever / epidemiology*
  • Lassa Fever / prevention & control
  • Logistic Models
  • Male
  • Mass Screening / methods
  • Middle Aged
  • Multivariate Analysis
  • Seroepidemiologic Studies