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Updated: Jan 13, 2026

Multiplexed Isothermal Amplification Based Diagnostic Platform to Detect Zika, Chikungunya, and Dengue 1
Published on: March 13, 2018
Zika virus in the shadows: an underrecognized contributor to Nigeria's febrile disease landscape
V I Agbajelola1,2, F A Oluwadare1, M M Hamman2
1University of Ibadan.
Background:
Zika virus (Orthoflavivirus zikaense), a mosquito-borne virus in the family Flaviviridae and genus Orthoflavivirus, has garnered international attention due to its neurological and congenital impacts. Although endemic to Africa, its presence in Nigeria remains poorly understood and often overshadowed by other febrile illnesses such as malaria and dengue. This review synthesizes peer-reviewed literature published between 2015 and 2025 to explore the epidemiology, diagnostic challenges, and public health implications of ZIKV in Nigeria.
Materials And Methods:
A narrative synthesis of studies reporting ZIKV infection in Nigeria was conducted using targeted searches of PubMed, Scopus, Web of Science, and African Journals Online. Eligible studies included peer-reviewed articles in English reporting serological or molecular data from human or vector populations.
Results:
Evidence from eleven studies across ten states shows seroprevalence of ZIKV ranging from 1.4% to over 50%, particularly among pregnant women and febrile patients. Diagnostic gaps, including symptom overlap and serological cross-reactivity, contribute to underreporting. Co-endemicity with other arboviruses and limited surveillance further obscure ZIKV's public health impact.
Conclusion:
ZIKV likely circulates silently in Nigeria, sustained by ecological and infrastructural factors. Fragmented vector control, inadequate diagnostics, and lack of integrated arboviral surveillance hinder timely recognition. Lessons from other Aedes-borne viruses should inform a more unified and proactive national strategy.
Insights
Zika virus (ZIKV) likely circulates undetected in Nigeria, with seroprevalence varying widely. Improved diagnostics and integrated surveillance are crucial for managing this mosquito-borne threat.
Area of Science:
- Public Health
- Virology
- Epidemiology
Background:
- Zika virus (ZIKV), a mosquito-borne flavivirus, poses neurological and congenital risks.
- Its prevalence in Nigeria is underestimated due to co-endemic arboviruses and diagnostic challenges.
Purpose of the Study:
- To review the epidemiology, diagnostic challenges, and public health implications of ZIKV in Nigeria.
- To synthesize peer-reviewed literature from 2015-2025 on ZIKV in Nigeria.
Main Methods:
- A narrative synthesis approach was employed.
- Searches were conducted in PubMed, Scopus, Web of Science, and African Journals Online.
- Included studies reported human or vector serological or molecular data on ZIKV in Nigeria.
Main Results:
- Eleven studies from ten Nigerian states indicated ZIKV seroprevalence from 1.4% to over 50%.
- Diagnostic limitations, including symptom overlap and cross-reactivity, lead to underreporting.
- Limited surveillance and co-endemicity with other arboviruses complicate understanding ZIKV's impact.
Conclusions:
- ZIKV is likely circulating silently in Nigeria, influenced by environmental and infrastructural factors.
- Inadequate diagnostics, fragmented vector control, and lack of integrated surveillance impede ZIKV detection.
- A unified, proactive national arboviral strategy is recommended, informed by experiences with other Aedes-borne viruses.
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