Dengue Seroprevalence and Risk Factors for Past and Recent Viral Transmission in Venezuela: A Comprehensive Community-Based Study

Zoraida I. Velasco-Salas Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands; Departamento de Biología, Facultad Experimental de Ciencia y Tecnología, Universidad de Carabobo, Valencia, Venezuela; Laboratorio Regional de Diagnóstico e Investigación del Dengue y otras Enfermedades Virales, Instituto de Investigaciones Biomédicas de la Universidad de Carabobo, Maracay, Venezuela; Laboratorio de Inmunoserología Viral, Departamento de Virología, Instituto Nacional de Higiene “Rafael Rangel,” Ministerio del Poder Popular para la Salud, Caracas, Venezuela; Unidad de Proyectos de Aragua, Facultad de Ciencias de la Salud, Universidad de Carabobo, Maracay, Venezuela; Departamento de Parasitología, Facultad de Ciencias de la Salud, Universidad de Carabobo, Valencia, Venezuela

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Gloria M. Sierra Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands; Departamento de Biología, Facultad Experimental de Ciencia y Tecnología, Universidad de Carabobo, Valencia, Venezuela; Laboratorio Regional de Diagnóstico e Investigación del Dengue y otras Enfermedades Virales, Instituto de Investigaciones Biomédicas de la Universidad de Carabobo, Maracay, Venezuela; Laboratorio de Inmunoserología Viral, Departamento de Virología, Instituto Nacional de Higiene “Rafael Rangel,” Ministerio del Poder Popular para la Salud, Caracas, Venezuela; Unidad de Proyectos de Aragua, Facultad de Ciencias de la Salud, Universidad de Carabobo, Maracay, Venezuela; Departamento de Parasitología, Facultad de Ciencias de la Salud, Universidad de Carabobo, Valencia, Venezuela

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Diamelis M. Guzmán Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands; Departamento de Biología, Facultad Experimental de Ciencia y Tecnología, Universidad de Carabobo, Valencia, Venezuela; Laboratorio Regional de Diagnóstico e Investigación del Dengue y otras Enfermedades Virales, Instituto de Investigaciones Biomédicas de la Universidad de Carabobo, Maracay, Venezuela; Laboratorio de Inmunoserología Viral, Departamento de Virología, Instituto Nacional de Higiene “Rafael Rangel,” Ministerio del Poder Popular para la Salud, Caracas, Venezuela; Unidad de Proyectos de Aragua, Facultad de Ciencias de la Salud, Universidad de Carabobo, Maracay, Venezuela; Departamento de Parasitología, Facultad de Ciencias de la Salud, Universidad de Carabobo, Valencia, Venezuela

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Julio Zambrano Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands; Departamento de Biología, Facultad Experimental de Ciencia y Tecnología, Universidad de Carabobo, Valencia, Venezuela; Laboratorio Regional de Diagnóstico e Investigación del Dengue y otras Enfermedades Virales, Instituto de Investigaciones Biomédicas de la Universidad de Carabobo, Maracay, Venezuela; Laboratorio de Inmunoserología Viral, Departamento de Virología, Instituto Nacional de Higiene “Rafael Rangel,” Ministerio del Poder Popular para la Salud, Caracas, Venezuela; Unidad de Proyectos de Aragua, Facultad de Ciencias de la Salud, Universidad de Carabobo, Maracay, Venezuela; Departamento de Parasitología, Facultad de Ciencias de la Salud, Universidad de Carabobo, Valencia, Venezuela

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Daniel Vivas Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands; Departamento de Biología, Facultad Experimental de Ciencia y Tecnología, Universidad de Carabobo, Valencia, Venezuela; Laboratorio Regional de Diagnóstico e Investigación del Dengue y otras Enfermedades Virales, Instituto de Investigaciones Biomédicas de la Universidad de Carabobo, Maracay, Venezuela; Laboratorio de Inmunoserología Viral, Departamento de Virología, Instituto Nacional de Higiene “Rafael Rangel,” Ministerio del Poder Popular para la Salud, Caracas, Venezuela; Unidad de Proyectos de Aragua, Facultad de Ciencias de la Salud, Universidad de Carabobo, Maracay, Venezuela; Departamento de Parasitología, Facultad de Ciencias de la Salud, Universidad de Carabobo, Valencia, Venezuela

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Guillermo Comach Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands; Departamento de Biología, Facultad Experimental de Ciencia y Tecnología, Universidad de Carabobo, Valencia, Venezuela; Laboratorio Regional de Diagnóstico e Investigación del Dengue y otras Enfermedades Virales, Instituto de Investigaciones Biomédicas de la Universidad de Carabobo, Maracay, Venezuela; Laboratorio de Inmunoserología Viral, Departamento de Virología, Instituto Nacional de Higiene “Rafael Rangel,” Ministerio del Poder Popular para la Salud, Caracas, Venezuela; Unidad de Proyectos de Aragua, Facultad de Ciencias de la Salud, Universidad de Carabobo, Maracay, Venezuela; Departamento de Parasitología, Facultad de Ciencias de la Salud, Universidad de Carabobo, Valencia, Venezuela

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Jan C. Wilschut Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands; Departamento de Biología, Facultad Experimental de Ciencia y Tecnología, Universidad de Carabobo, Valencia, Venezuela; Laboratorio Regional de Diagnóstico e Investigación del Dengue y otras Enfermedades Virales, Instituto de Investigaciones Biomédicas de la Universidad de Carabobo, Maracay, Venezuela; Laboratorio de Inmunoserología Viral, Departamento de Virología, Instituto Nacional de Higiene “Rafael Rangel,” Ministerio del Poder Popular para la Salud, Caracas, Venezuela; Unidad de Proyectos de Aragua, Facultad de Ciencias de la Salud, Universidad de Carabobo, Maracay, Venezuela; Departamento de Parasitología, Facultad de Ciencias de la Salud, Universidad de Carabobo, Valencia, Venezuela

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Adriana Tami Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands; Departamento de Biología, Facultad Experimental de Ciencia y Tecnología, Universidad de Carabobo, Valencia, Venezuela; Laboratorio Regional de Diagnóstico e Investigación del Dengue y otras Enfermedades Virales, Instituto de Investigaciones Biomédicas de la Universidad de Carabobo, Maracay, Venezuela; Laboratorio de Inmunoserología Viral, Departamento de Virología, Instituto Nacional de Higiene “Rafael Rangel,” Ministerio del Poder Popular para la Salud, Caracas, Venezuela; Unidad de Proyectos de Aragua, Facultad de Ciencias de la Salud, Universidad de Carabobo, Maracay, Venezuela; Departamento de Parasitología, Facultad de Ciencias de la Salud, Universidad de Carabobo, Valencia, Venezuela

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Dengue transmission in Venezuela has become perennial and a major public health problem. The increase in frequency and magnitude of recent epidemics prompted a comprehensive community-based cross-sectional study of 2,014 individuals in high-incidence neighborhoods of Maracay, Venezuela. We found a high seroprevalence (77.4%), with 10% of people experiencing recent infections. Multivariate logistic regression analysis showed that poverty-related socioeconomic factors (place and duration of residence, crowding, household size, and living in a shack) and factors/constraints related to intradomiciliary potential mosquito breeding sites (storing water and used tires) were linked with a greater risk of acquiring a dengue infection. Our results also suggest that transmission occurs mainly at home. The combination of increasingly crowded living conditions, growing population density, precarious homes, and water storage issues caused by enduring problems in public services in Maracay are the most likely factors that determine the permanent dengue transmission and the failure of vector control programs.

Author Notes

* Address correspondence to Adriana Tami, Department of Medical Microbiology, University Medical Center Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands. E-mail: a.tami@umcg.nl

Financial support: This study received financial support from Shell de Venezuela, Industrias Venezolanas de Iluminación S.A. (IVISA), Ferretería Hermanos Fridegotto, PC Actual Valencia according to the Organic Law of Science, Technology and Innovation (LOCTI; Certification Number DGCAFIDCTI/204-214-10) and was approved by the Coordinación de Aplicación de Fondos e Incentivos para el Desarrollo de Planes de Ciencia, Tecnología e Innovación. Financial support was also through the Fondo Nacional de Ciencia y Tecnología e Innovación (FONACIT; Project 2011000303, Contract Number 201100129), Venezuelan Ministry of Science, Technology and Innovation, Venezuela. The project was also partly financed by the Vollmer Foundation of Venezuela and the Department of Medical Microbiology, Molecular Virology Section, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Authors' addresses: Zoraida I. Velasco-Salas, Jan C. Wilschut, and Adriana Tami, Department of Medical Microbiology, University Medical Center Groningen, Groningen, The Netherlands, E-mails: z.velasco@umcg.nl, zvelasco@uc.edu.ve, J.C.Wilschut@umcg.nl, and a.tami@umcg.nl. Gloria M. Sierra, Diamelis M. Guzmán, and Guillermo Comach, Laboratorio Regional de Diagnóstico e Investigación del Dengue y otras Enfermedades Virales (LARDIDEV), Instituto de Investigaciones Biomédicas de la Universidad de Carabobo (BIOMED-UC), Maracay, Venezuela, E-mails: gmsierrac@yahoo.com, diaguz17@yahoo.es, and gcomach@yahoo.com. Julio Zambrano, Instituto Nacional de Higiene “Rafael Rangel,” Ministerio del Poder Popular para la Salud, Caracas, Venezuela, E-mail: jcz_2000@yahoo.com. Daniel Vivas, Unidad de Proyectos de Aragua, Facultad de Ciencias de la Salud, Universidad de Carabobo, Maracay, Venezuela, E-mail: vivaszdaniel@yahoo.com.

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