Enzootic Circulation of Chikungunya Virus in East Africa: Serological Evidence in Non-human Kenyan Primates

Gillian Eastwood Institute for Human Infections and Immunity, Center for Tropical Diseases, Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, Texas;
Centre for Viral Research, Kenya Medical Research Institute, Nairobi, Kenya;

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Rosemary C. Sang Centre for Viral Research, Kenya Medical Research Institute, Nairobi, Kenya;

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Matilde Guerbois Institute for Human Infections and Immunity, Center for Tropical Diseases, Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, Texas;

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Evans L. N. Taracha Institute of Primate Research, Karen, Kenya

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Scott C. Weaver Institute for Human Infections and Immunity, Center for Tropical Diseases, Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, Texas;

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Chikungunya virus (CHIKV) is a globally emerging pathogen causing debilitating arthralgia and fever in humans. First identified in Tanzania (1953), this mosquito-borne alphavirus received little further attention until a 2004 re-emergence in Kenya from an unknown source. This outbreak subsequently spread to the Indian Ocean, with adaptation for transmission by a new urban vector. Under the hypothesis that sylvatic progenitor cycles of CHIKV exist in Kenya (as reported in West Africa, between non-human primates (NHPs) and arboreal Aedes spp. mosquitoes), we pursued evidence of enzootic transmission and human spillover events. We initially screened 252 archived NHP sera from Kenya using plaque reduction neutralization tests. Given an overall CHIKV seroprevalence of 13.1% (marginally higher in western Kenya), we sought more recent NHP samples during 2014 from sites in Kakamega County, sampling wild blue monkeys, olive baboons, and red-tailed monkeys (N = 33). We also sampled 34 yellow baboons near Kwale, coastal Kenya. Overall, CHIKV seropositivity in 2014 was 13.4% (9/67). Antibodies reactive against closely related o’nyong-nyong virus (ONNV) occurred; however, neutralization titers were too low to conclude ONNV exposure. Seroprevalence for the flavivirus dengue was also detected (28%), mostly near Kwale, suggesting possible spillback from humans to baboons. CHIKV antibodies in some juvenile and subadult NHPs suggested recent circulation. We conclude that CHIKV is circulating in western Kenya, despite the 2004 human outbreaks only being reported coastally. Further work to understand the enzootic ecology of CHIKV in east Africa is needed to identify sites of human spillover contact where urban transmission may be initiated.

Author Notes

Address correspondence to Gillian Eastwood, Department of Pathology, University of Texas Medical Branch, Galveston, TX 77550. E-mail: gill2g@hotmail.com

Financial support: This work was financially supported by the UTMB McLaughlin Post-doctoral Fellowship awarded to GE, the UTMB Institute for Human Infections and Immunity, and NIH grant AI120942.

Authors’ addresses: Gillian Eastwood and Scott C. Weaver, Department of Pathology, University of Texas Medical Branch, Galveston, TX, E-mails: gill2g@hotmail.com and sweaver@utmb.edu. Rosemary C. Sang, Arbovirus/VHF Unit, Center for Virus Research, Kenya Medical Research Institute, Nairobi, Kenya, E-mail: rsang@kemri.org. Mathilde Guerbois, University of Texas Medical Branch, Galveston, TX, and Department of Pathology, Center for Tropical Diseases, Institute for Human Infections and Immunity, Galveston, TX, E-mail: maguerbo@utmb.edu. Evans L. N. Taracha, Department of Tropical and Infectious Diseases, Institute of Primate Research, Karen, Kenya, E-mail: evans.taracha@gmail.com.

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