Detection of Zika Virus Infection in Myanmar

Mya Myat Ngwe Tun Department of Virology, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan;

Search for other papers by Mya Myat Ngwe Tun in
Current site
Google Scholar
PubMed
Close
,
Aung Kyaw Kyaw Department of Virology, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan;
Virology Research Division, Department of Medical Research, Pyin Oo Lwin, Myanmar;

Search for other papers by Aung Kyaw Kyaw in
Current site
Google Scholar
PubMed
Close
,
Saw Wut Hmone Department of Pathology, University of Medicine-1, Yangon, Myanmar;

Search for other papers by Saw Wut Hmone in
Current site
Google Scholar
PubMed
Close
,
Shingo Inoue Department of Virology, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan;

Search for other papers by Shingo Inoue in
Current site
Google Scholar
PubMed
Close
,
Corazon C. Buerano Department of Virology, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan;
Research and Biotechnology Division, St. Luke’s Medical Center, Quezon City, Philippines

Search for other papers by Corazon C. Buerano in
Current site
Google Scholar
PubMed
Close
,
Aung Min Soe Department of Virology, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan;
Virology Research Division, Department of Medical Research, Pyin Oo Lwin, Myanmar;

Search for other papers by Aung Min Soe in
Current site
Google Scholar
PubMed
Close
,
Meng Ling Moi Department of Virology, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan;

Search for other papers by Meng Ling Moi in
Current site
Google Scholar
PubMed
Close
,
Daisuke Hayasaka Department of Virology, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan;

Search for other papers by Daisuke Hayasaka in
Current site
Google Scholar
PubMed
Close
,
Hlaing Myat Thu Virology Research Division, Department of Medical Research, Pyin Oo Lwin, Myanmar;

Search for other papers by Hlaing Myat Thu in
Current site
Google Scholar
PubMed
Close
,
Futoshi Hasebe Department of Virology, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan;

Search for other papers by Futoshi Hasebe in
Current site
Google Scholar
PubMed
Close
,
Kyaw Zin Thant Virology Research Division, Department of Medical Research, Pyin Oo Lwin, Myanmar;

Search for other papers by Kyaw Zin Thant in
Current site
Google Scholar
PubMed
Close
, and
Kouichi Morita Department of Virology, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan;

Search for other papers by Kouichi Morita in
Current site
Google Scholar
PubMed
Close
Restricted access

Zika virus (ZIKV), an emerging mosquito-borne flavivirus, causes a dengue-like infection that has recently caught global attention. The infection, which also includes some birth defects, has been documented in the Americas, Pacific Islands, and some parts of Africa and Asia. There are no published reports on local ZIKV transmission in Myanmar. In this study, a total of 462 serum samples from patients and asymptomatic persons were collected in Myanmar from 2004 to 2017. They were analyzed for ZIKV infection by immunoglobulin M capture enzyme-linked immunosorbent assay (ELISA), immunoglobulin G indirect ELISA, neutralization test, real-time polymerase chain reaction (PCR), and conventional PCR. Our study confirmed ZIKV infection in 4.9% of patients with clinical dengue symptoms and in 8.6% of persons who were asymptomatic. This is the first report on ZIKV infection in Myanmar and it suggests the occurrence of ZIKV infection in two geographically distinct sites in this country since at least 2006.

Author Notes

Address correspondence to Mya Myat Ngwe Tun, Department of Virology, Institute of Tropical Medicine, Nagasaki University, 1-12-4 Sakamoto, Nagasaki 852-8523, Japan. E-mail: myamyat@tm.nagasaki-u.ac.jp

Financial support: This work was supported by the Japan Initiative for Global Research Network on Infectious Diseases; Japan–United States Cooperative Medical Science Program from Japan Agency for Medical Research and Development (AMED); and Joint Usage/Research Center on Tropical Disease, Institute of Tropical Medicine, Nagasaki University.

Authors’ addresses: Mya Myat Ngwe Tun, Shingo Inoue, Meng Ling Moi, Daisuke Hayasaka, Futoshi Hasebe, and Kouichi Morita, Department of Virology, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan, E-mails: myamyat@tm.nagasaki-u.ac.jp, pampanga@nagasaki-u.ac.jp, sherry@nagasaki-u.ac.jp, hayasaka@nagasaki-u.ac.jp, rainbow@nagasaki-u.ac.jp, and moritak@nagasaki-u.ac.jp. Aung Kyaw Kyaw and Aung Min Soe, Department of Virology, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan, and Virology Research Division, Department of Medical Research, Pyin Oo Lwin, Myanmar, E-mails: akkyawdmr@gmail.com and dr.aungminnsoe@gmail.com. Saw Wut Hmone, Department of Pathology, University of Medicine-1, Yangon, Myanmar, E-mail: sawwuthmone@gmail.com. Corazon C. Buerano, Department of Virology, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan, and Research and Biotechnology Division, St. Luke’s Medical Center, Quezon City, Philippines, E-mail: ccbuerano@hotmail.com. Hlaing Myat Thu and Kyaw Zin Thant, Virology Research Division, Department of Medical Research, Pyin Oo Lwin, Myanmar, E-mails: hmyatthu28@gmail.com and drkz.thant@googlemail.com.

  • 1.

    Mlakar J et al. 2016. Zika virus associated with microcephaly. N Engl J Med 374: 951958.

  • 2.

    Petersen EE, Staples JE, Meaney-Delman D, Fischer M, Ellington SR, Callaghan WM, Jamieson DJ, 2016. Interim guidelines for pregnant women during a Zika virus outbreak—United States, 2016. MMWR Morb Mortal Wkly Rep 65: 3033.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Thu HM, Lowry K, Myint TT, Shwe TN, Han AM, Khin KK, Thant KZ, Thein S, Aaskov J, 2004. Myanmar dengue outbreak associated with displacement of serotypes 2, 3, and 4 by dengue 1. Emerg Infect Dis 10: 593597.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    WHO, 2008. Myanmar Joint Plan of Action Scaling Up Dengue Prevention and Control. Available at: http://www.who.int/hac/crises/mmr/myanmar_joint_plan_of_action_dengue_2008.pdf. Accessed September 1, 2008.

    • PubMed
    • Export Citation
  • 5.

    WHO, 2016. First Case of Zika Virus Infection Detected in Myanmar; Mosquito Control Measures Must Be at the Forefront of the Fight Against Vector-Borne Diseases. Available at: http://www.searo.who.int/myanmar/areas/zika_firstcaseinmyanmar/en/. Accessed October 28, 2016.

    • PubMed
    • Export Citation
  • 6.

    Ngwe Tun MM et al. 2013. Serological characterization of dengue virus infections observed among dengue hemorrhagic fever/dengue shock syndrome cases in upper Myanmar. J Med Virol 85: 12581266.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Inoue S et al. 2010. Evaluation of a dengue IgG indirect enzyme-linked immunosorbent assay and a Japanese encephalitis IgG indirect enzyme-linked immunosorbent assay for diagnosis of secondary dengue virus infection. Vector Borne Zoonotic Dis 10: 143150.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Moi ML et al. 2017. Zika virus infection and microcephaly in Vietnam. Lancet Infect Dis 17: 805806.

  • 9.

    Lanciotti RS, Kosoy OL, Laven JJ, Velez JO, Lambert AJ, Johnson AJ, Stanfield SM, Duffy MR, 2008. Genetic and serologic properties of Zika virus associated with an epidemic, Yap State, Micronesia, 2007. Emerg Infect Dis 14: 12321239.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Wilson HL, Tran T, Druce J, Dupont-Rouzeyrol M, Catton M, 2017. Neutralization assay for Zika and dengue viruses by use of real-time-PCR-based endpoint assessment. J Clin Microbiol 55: 31043112.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Grard G, Caron M, Mombo IM, Nkoghe D, Mboui Ondo S, Jiolle D, Fontenille D, Paupy C, Leroy EM, 2014. Zika virus in Gabon (Central Africa)—2007: a new threat from Aedes albopictus? PLoS Negl Trop Dis 8: e2681.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    WHO, 2016. Zika Definition. Available at: http://www.who.int/csr/disease/zika/case-definition/en/. Accessed February 12, 2016.

    • PubMed
    • Export Citation
  • 13.

    Duffy MR et al. 2009. Zika virus outbreak on Yap Island, Federated States of Micronesia. N Engl J Med 360: 25362543.

  • 14.

    Monath TP, Nystrom RR, Bailey RE, Calisher CH, Muth DJ, 1984. Immunoglobulin M antibody capture enzyme-linked immunosorbent assay for diagnosis of St. Louis encephalitis. J Clin Microbiol 20: 784790.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Ruckert C, Weger-Lucarelli J, Garcia-Luna SM, Young MC, Byas AD, Murrieta RA, Fauver JR, Ebel GD, 2017. Impact of simultaneous exposure to arboviruses on infection and transmission by Aedes aegypti mosquitoes. Nat Commun 8: 15412.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Dupont-Rouzeyrol M, O’Connor O, Calvez E, Daures M, John M, Grangeon JP, Gourinat AC, 2015. Co-infection with Zika and dengue viruses in 2 patients, New Caledonia, 2014. Emerg Infect Dis 21: 381382.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Ngwe Tun MM et al. 2017. Dengue associated acute encephalitis syndrome cases in Son La Province, Vietnam in 2014. Jpn J Infect Dis 70: 357361.

  • 18.

    de Araujo TVB et al. 2016. Association between Zika virus infection and microcephaly in Brazil, January to May, 2016: preliminary report of a case-control study. Lancet Infect Dis 16: 13561363.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Martelli CMT, Castanha P, Cortes F, Rodrigues L, Marques ET, Eder M, 2016. High levels of exposure of Zika and dengue infections detected using plaque reduction neutralization assay in Brazil. Int J Infect Dis 53: 15.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Aubry M et al. 2017. Zika virus seroprevalence, French Polynesia, 2014–2015. Emerg Infect Dis 23: 669672.

Past two years Past Year Past 30 Days
Abstract Views 1816 1515 243
Full Text Views 737 13 1
PDF Downloads 276 16 3
 

 

 

 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save