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Published on: March 13, 2018
Dengue in Pune city, India (2017-2019): a comprehensive analysis.
Vidya Arankalle1, Shubham Shrivastava1, Ruta Kulkarni1
1Department of Communicable Diseases, Interactive Research School for Health Affairs, Bharati Vidyapeeth (Deemed to be University), Pune, India.
This study reveals that dengue diagnosis requires both NS1 and IgM tests for accuracy. Primary dengue infections can lead to severe symptoms, while secondary infections often present mildly, influenced by age and serostatus.
Area of Science:
- Infectious Diseases
- Epidemiology
- Virology
Background:
- Dengue remains a significant global health concern, with complex disease dynamics influenced by host and viral factors.
- Understanding the interplay of age, infection history (primary/secondary), and dengue virus (DENV) serotypes is crucial for effective disease management.
Purpose of the Study:
- To investigate the epidemiological dynamics of dengue disease in Pune City, India.
- To analyze the influence of age, primary/secondary infections, serostatus, and DENV serotypes on dengue presentation and severity over three years.
Main Methods:
- Conducted a 3-year study (2017-2019) in Pune City, India, diagnosing dengue using NS1/IgM ELISAs.
- Differentiated primary and secondary infections using IgG-capture ELISA.
- Determined DENV serotypes for 260 viral RNA-positive patients and recorded clinical symptoms.
Main Results:
- Over 44% of suspected cases were confirmed dengue; using NS1 or IgM alone would miss a significant proportion of cases.
- Secondary dengue infections were generally milder, whereas primary infections showed a higher tendency for warning signs.
- Dengue case numbers declined during the COVID-19 pandemic years, with yearly variations in DENV serotype prevalence.
Conclusions:
- Both NS1 and IgM testing are essential for efficient and comprehensive dengue diagnosis.
- Non-Antibody-Dependent Enhancement (ADE) mechanisms may contribute to severe dengue, highlighting the need for hospitalization in primary infections.
- Age and serostatus significantly impact dengue symptomology and disease progression.
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