Cross-Sectional Survey of Rift Valley Fever Virus Exposure in Bodhei Village Located in a Transitional Coastal Forest Habitat in Lamu County, Kenya

Samuel Muiruri Department of Pathology, Kenyatta University, Nairobi, Kenya; Vector-Borne Diseases Control Unit, Ministry of Health, Nairobi, Kenya; Office of Director of Health, Garissa County, Kenya; Department of Ophthalmology, Thika Level 5 Hospital, Ministry of Health, Thika, Kenya; Center for Immunobiology and Vaccine Development, Children's Hospital Oakland Research Institute, Oakland, California; Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio

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Ephantus W. Kabiru Department of Pathology, Kenyatta University, Nairobi, Kenya; Vector-Borne Diseases Control Unit, Ministry of Health, Nairobi, Kenya; Office of Director of Health, Garissa County, Kenya; Department of Ophthalmology, Thika Level 5 Hospital, Ministry of Health, Thika, Kenya; Center for Immunobiology and Vaccine Development, Children's Hospital Oakland Research Institute, Oakland, California; Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio

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Eric M. Muchiri Department of Pathology, Kenyatta University, Nairobi, Kenya; Vector-Borne Diseases Control Unit, Ministry of Health, Nairobi, Kenya; Office of Director of Health, Garissa County, Kenya; Department of Ophthalmology, Thika Level 5 Hospital, Ministry of Health, Thika, Kenya; Center for Immunobiology and Vaccine Development, Children's Hospital Oakland Research Institute, Oakland, California; Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio

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Hassan Hussein Department of Pathology, Kenyatta University, Nairobi, Kenya; Vector-Borne Diseases Control Unit, Ministry of Health, Nairobi, Kenya; Office of Director of Health, Garissa County, Kenya; Department of Ophthalmology, Thika Level 5 Hospital, Ministry of Health, Thika, Kenya; Center for Immunobiology and Vaccine Development, Children's Hospital Oakland Research Institute, Oakland, California; Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio

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Frederick Kagondu Department of Pathology, Kenyatta University, Nairobi, Kenya; Vector-Borne Diseases Control Unit, Ministry of Health, Nairobi, Kenya; Office of Director of Health, Garissa County, Kenya; Department of Ophthalmology, Thika Level 5 Hospital, Ministry of Health, Thika, Kenya; Center for Immunobiology and Vaccine Development, Children's Hospital Oakland Research Institute, Oakland, California; Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio

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A. Desirée LaBeaud Department of Pathology, Kenyatta University, Nairobi, Kenya; Vector-Borne Diseases Control Unit, Ministry of Health, Nairobi, Kenya; Office of Director of Health, Garissa County, Kenya; Department of Ophthalmology, Thika Level 5 Hospital, Ministry of Health, Thika, Kenya; Center for Immunobiology and Vaccine Development, Children's Hospital Oakland Research Institute, Oakland, California; Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio

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Charles H. King Department of Pathology, Kenyatta University, Nairobi, Kenya; Vector-Borne Diseases Control Unit, Ministry of Health, Nairobi, Kenya; Office of Director of Health, Garissa County, Kenya; Department of Ophthalmology, Thika Level 5 Hospital, Ministry of Health, Thika, Kenya; Center for Immunobiology and Vaccine Development, Children's Hospital Oakland Research Institute, Oakland, California; Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio

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Few studies have focused on Rift Valley fever virus (RVFV) transmission in less arid, transitional landscapes surrounding known high-risk regions. The objective of this study was to identify evidence of RVFV exposure in Bodhei Village in a forested area at the edge of the RVFV-epidemic Garissa region. In a household cluster-based survey conducted between epidemics in early 2006, 211 participants were enrolled. Overall seroprevalence for anti-RVFV was high (18%) and comparable with rates in the more arid, dense brush regions farther north. Seroprevalence of adults was 28%, whereas that of children was significantly lower (3%; P < 0.001); the youngest positive child was age 3 years. Males were more likely to be seropositive than females (25% versus 11%; P < 0.01), and animal husbandry activities (birthing, sheltering, and butchering) were strongly associated with seropositivity. The results confirm that significant RVFV transmission occurs outside of recognized high-risk areas and independent of known epidemic periods.

Author Notes

* Address correspondence to Charles H. King, Center for Global Health and Diseases, Case Western Reserve University School of Medicine, 2109 Adelbert Road, Cleveland, OH 44106-7286. E-mail: chk@cwru.edu
† These authors contributed equally.

Financial support: This work was supported by the Kenya Ministry of Public Health and Sanitation and for laboratory testing, funding from US National Institutes of Health Grants U01AI45473-S1, 1KL2RR024990, and T32AI52067 and the Robert E. Shope Fellowship in Infectious Diseases Award.

Authors' addresses: Samuel Muiruri, Vector Borne Diseases Control Unit, Ministry of Health, Nairobi, Kenya, E-mail: smuiruri37@yahoo.com. Ephantus W. Kabiru, School of Public Health, Kenyatta University, Nairobi, Kenya, E-mail: ewkabiru@yahoo.com. Eric M. Muchiri, Meru University of Science and Technology, Meru, Kenya, E-mail: ericmmuchiri@gmail.com. Hassan Hussein, Office of Director of Health, Garissa County, Kenya, E-mail: hhnuriye@yahoo.com. Frederick Kagondu, Department of Ophthalmology, Thika Level 5 Hospital, Thika, Kenya, E-mail: fkagondu@yahoo.com. A. Desirée LaBeaud, Stanford University School of Medicine, Palo Alto, CA, E-mail: dlabeaud@stanford.edu. Charles H. King, Center for Global Health and Diseases, Case Western Reserve University, Cleveland, OH, E-mail: chk@cwru.edu.

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