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Published on: August 22, 2012
The incidence of rotavirus infection in children from two selected study areas in Zimbabwe
S A Tswana1, P H Jorgensen, R W Halliwell
1Department of Medical Microbiology, University Medical School, University of Zimbabwe, Harare.
Insights
Human rotavirus (HRV) significantly causes diarrhea in young children, particularly those aged 4-24 months during cooler seasons. Close contact and poor sanitation increase HRV transmission risks.
Area of Science:
- Pediatrics
- Virology
- Public Health
Background:
- Diarrheal diseases pose a significant health burden in young children globally.
- Human rotavirus (HRV) is a primary etiological agent of severe gastroenteritis in infants and young children.
Purpose of the Study:
- To determine the prevalence of HRV in children under 24 months presenting with diarrhea.
- To investigate the association between HRV detection and diarrheal episodes.
- To explore potential risk factors influencing HRV transmission.
Main Methods:
- Enzyme-linked immunosorbent assays (ELISA) were employed to detect HRV in 520 fecal samples and rectal swabs.
- Samples were collected over one year from children under 24 months, including both diarrhea and control groups.
Main Results:
- HRV was detected in 23.6% of diarrhea samples and 8.5% of control samples, a statistically significant association (Odds Ratio = 3.32, p<0.001).
- Highest HRV incidence occurred in 4-24 month olds during the dry, cool season.
- Elevated HRV positivity in infants (0-6 months) suggests transmission linked to close contact and poor sanitation.
Conclusions:
- HRV is a significant cause of diarrhea in children under two years.
- Close human contact, crowding, and inadequate sanitation appear to facilitate HRV transmission.
- Targeted interventions may be necessary for high-risk age groups and settings.
Abstract:
Five hundred and twenty faecal samples or rectal swabs, collected over one year from children mainly under 24 months, were tested for the presence of human rotavirus (HRV) in enzyme linked immunosorbent assays (ELISA). Fifty-three (23.6 pc) of 225 diarrhoea samples and 25 (8.5 pc) of 295 control samples were HRV positive. The association between diarrhoea and detection of HRV in stools was statistically significant with an overall odds ratio of diarrhoea patients of 3.32 (0.001 greater than p). No significant difference in the incidence of HRV infection between populations at a communal farming location and a high density suburb community was proved. The highest HRV incidence was found during the dry cool season in diarrhoea patients between four and 24 months of age. Overall proportions of 16.7 pc and 28.6 pc HRV positive in groups of 0-3 and 4-6 months old diarrhoea patients respectively was remarkably high, suggesting influence of close human contact, crowding in residences and insufficient sanitary facilities on the transmission of the HRV. Approximately 10 pc of 4-18 months old control patients were HRV positive.
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