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Seroprevalence of Neutralizing Antibodies Against Dengue Virus in Two Localities in the State of Morelos, Mexico
Irma Y. Amaya-Larios
Irma Y. Amaya-Larios
Centro de Investigaci?n Sobre Enfermedades Infecciosas, Instituto Nacional de Salud Publica, Cuernavaca, Morelos, Mexico; Organizacion Latinoamericana para el Fomento de la Investigacion en Salud, Bucaramanga, Stder, Colombia; Department of Pathology and Center for Biodefense and Emerging Infectious Diseases, University of Texas Medical Branch, Galveston, Texas; Center for Tropical Diseases, University of Texas Medical Branch, Galveston, Texas; Institute of Human Infections and Immunity, University of Texas Medical Branch, Galveston, Texas
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Ruth Aralí Martínez-Vega
Ruth Aralí Martínez-Vega
Centro de Investigaci?n Sobre Enfermedades Infecciosas, Instituto Nacional de Salud Publica, Cuernavaca, Morelos, Mexico; Organizacion Latinoamericana para el Fomento de la Investigacion en Salud, Bucaramanga, Stder, Colombia; Department of Pathology and Center for Biodefense and Emerging Infectious Diseases, University of Texas Medical Branch, Galveston, Texas; Center for Tropical Diseases, University of Texas Medical Branch, Galveston, Texas; Institute of Human Infections and Immunity, University of Texas Medical Branch, Galveston, Texas
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Sandra V. Mayer
Sandra V. Mayer
Centro de Investigaci?n Sobre Enfermedades Infecciosas, Instituto Nacional de Salud Publica, Cuernavaca, Morelos, Mexico; Organizacion Latinoamericana para el Fomento de la Investigacion en Salud, Bucaramanga, Stder, Colombia; Department of Pathology and Center for Biodefense and Emerging Infectious Diseases, University of Texas Medical Branch, Galveston, Texas; Center for Tropical Diseases, University of Texas Medical Branch, Galveston, Texas; Institute of Human Infections and Immunity, University of Texas Medical Branch, Galveston, Texas
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Marisol Galeana-Hernández
Marisol Galeana-Hernández
Centro de Investigaci?n Sobre Enfermedades Infecciosas, Instituto Nacional de Salud Publica, Cuernavaca, Morelos, Mexico; Organizacion Latinoamericana para el Fomento de la Investigacion en Salud, Bucaramanga, Stder, Colombia; Department of Pathology and Center for Biodefense and Emerging Infectious Diseases, University of Texas Medical Branch, Galveston, Texas; Center for Tropical Diseases, University of Texas Medical Branch, Galveston, Texas; Institute of Human Infections and Immunity, University of Texas Medical Branch, Galveston, Texas
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Andreu Comas-García
Andreu Comas-García
Centro de Investigaci?n Sobre Enfermedades Infecciosas, Instituto Nacional de Salud Publica, Cuernavaca, Morelos, Mexico; Organizacion Latinoamericana para el Fomento de la Investigacion en Salud, Bucaramanga, Stder, Colombia; Department of Pathology and Center for Biodefense and Emerging Infectious Diseases, University of Texas Medical Branch, Galveston, Texas; Center for Tropical Diseases, University of Texas Medical Branch, Galveston, Texas; Institute of Human Infections and Immunity, University of Texas Medical Branch, Galveston, Texas
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Karla J. Sepúlveda-Salinas
Karla J. Sepúlveda-Salinas
Centro de Investigaci?n Sobre Enfermedades Infecciosas, Instituto Nacional de Salud Publica, Cuernavaca, Morelos, Mexico; Organizacion Latinoamericana para el Fomento de la Investigacion en Salud, Bucaramanga, Stder, Colombia; Department of Pathology and Center for Biodefense and Emerging Infectious Diseases, University of Texas Medical Branch, Galveston, Texas; Center for Tropical Diseases, University of Texas Medical Branch, Galveston, Texas; Institute of Human Infections and Immunity, University of Texas Medical Branch, Galveston, Texas
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Jorge A. Falcón-Lezama
Jorge A. Falcón-Lezama
Centro de Investigaci?n Sobre Enfermedades Infecciosas, Instituto Nacional de Salud Publica, Cuernavaca, Morelos, Mexico; Organizacion Latinoamericana para el Fomento de la Investigacion en Salud, Bucaramanga, Stder, Colombia; Department of Pathology and Center for Biodefense and Emerging Infectious Diseases, University of Texas Medical Branch, Galveston, Texas; Center for Tropical Diseases, University of Texas Medical Branch, Galveston, Texas; Institute of Human Infections and Immunity, University of Texas Medical Branch, Galveston, Texas
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Nikos Vasilakis
Nikos Vasilakis
Centro de Investigaci?n Sobre Enfermedades Infecciosas, Instituto Nacional de Salud Publica, Cuernavaca, Morelos, Mexico; Organizacion Latinoamericana para el Fomento de la Investigacion en Salud, Bucaramanga, Stder, Colombia; Department of Pathology and Center for Biodefense and Emerging Infectious Diseases, University of Texas Medical Branch, Galveston, Texas; Center for Tropical Diseases, University of Texas Medical Branch, Galveston, Texas; Institute of Human Infections and Immunity, University of Texas Medical Branch, Galveston, Texas
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José Ramos-Castañeda
José Ramos-Castañeda
Centro de Investigaci?n Sobre Enfermedades Infecciosas, Instituto Nacional de Salud Publica, Cuernavaca, Morelos, Mexico; Organizacion Latinoamericana para el Fomento de la Investigacion en Salud, Bucaramanga, Stder, Colombia; Department of Pathology and Center for Biodefense and Emerging Infectious Diseases, University of Texas Medical Branch, Galveston, Texas; Center for Tropical Diseases, University of Texas Medical Branch, Galveston, Texas; Institute of Human Infections and Immunity, University of Texas Medical Branch, Galveston, Texas
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Humoral immune response against dengue virus (DENV) is an important component in dengue-endemic transmission. We conducted a cross-sectional nested cohort study to determine the seroprevalence and frequency of neutralizing antibodies against DENV serotypes in two endemic localities in the state of Morelos, Mexico. The cohort participants (N = 1,196) were screened to determine previous exposure to DENV. Overall seroprevalence was 76.6% (95% confidence interval [95% CI] = 73.6–79.2), and prevalence of neutralizing antibodies in the 5- to 9-year-old group was 82.5% (95% CI = 67.2–92.7), 45% (95% CI = 29.3–61.5), and 65% (95% CI = 48.3–79.4) for DENV-1, DENV-2, and DENV-3, respectively. For participants older than 10 years, the observed seroprevalence was above 60% for each serotype, except DENV-4 in the 10- to 25-year-old group (42.9%); 81% of humoral responses were multitypic. The outcomes of our study contribute to understanding the immune component of dengue transmission and provide focal information for the evaluation of vaccine candidates under development.
Author Notes
Financial support: This project was supported, in part, by a grant from Instituto Cientifico Pfizer (2010 Epidemiology Award) and FOSISS Grant SSA-IMSS-ISSSTE CONACYT-1385 (Fondo Sectorial de Investigación en Salud y Seguridad Social). I.Y.A.-L. and R.A.M.-V. were CONACYT (Consejo Nacional de Ciencia y Tecnologia) fellows. S.V.M. is supported by the James W. McLaughlin Fellowship Fund; N.V. is supported by startup funds provided by the Department of Pathology, a grant from the Institute for Human Infection and Immunity, University of Texas Medical Branch, and National Institutes of Health Contract HHSN272201000040I/HHSN27200004/D04.
Authors' addresses: Irma Y. Amaya-Larios, Marisol Galeana-Hernández, Andreu Comas-García, Karla J. Sepúlveda-Salinas, and Jorge A. Falcón-Lezama, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México, E-mails: irma.amaya@insp.mx, mgaleana@insp.mx, andreu.comas@espm.insp.mx, karla.sepulveda@insp.mx, and jorge.falcon@insp.mx. Ruth Aralí Martínez-Vega, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México, and Organización Latinoamericana para el Fomento de la Investigación en Salud, Bucaramanga, Stder, Colombia, E-mail: rutharam@yahoo.com. Sandra V. Mayer and Nikos Vasilakis, Department of Pathology and Center for Biodefense and Emerging Infectious Diseases, Center for Tropical Diseases, and Institute of Human Infections and Immunity, University of Texas Medical Branch, Galveston, TX, E-mails: samayer@utmb.edu and nivasila@utmb.edu. José Ramos-Castañeda, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México, Organización Latinoamericana para el Fomento de la Investigación en Salud, Bucaramanga, Stder, Colombia, and Center for Tropical Diseases, University of Texas Medical Branch, Galveston, TX, E-mail: jramos@insp.mx.
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