Air Travel Is Associated with Intracontinental Spread of Dengue Virus Serotypes 1–3 in Brazil

Dengue virus and its four serotypes (DENV-1 to DENV-4) infect 390 million people and are implicated in at least 25,000 deaths annually, with the largest disease burden in tropical and subtropical regions. We investigated the spatial dynamics of DENV-1, DENV-2 and DENV-3 in Brazil by applying a stati...

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Veröffentlicht in:PLoS neglected tropical diseases Jg. 8; H. 4; S. e2769
Hauptverfasser: Nunes, Marcio R. T., Palacios, Gustavo, Faria, Nuno Rodrigues, Sousa, Edivaldo Costa, Pantoja, Jamilla A., Rodrigues, Sueli G., Carvalho, Valéria L., Medeiros, Daniele B. A., Savji, Nazir, Baele, Guy, Suchard, Marc A., Lemey, Philippe, Vasconcelos, Pedro F. C., Lipkin, W. Ian
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States Public Library of Science 01.04.2014
Public Library of Science (PLoS)
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ISSN:1935-2735, 1935-2727, 1935-2735
Online-Zugang:Volltext
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Zusammenfassung:Dengue virus and its four serotypes (DENV-1 to DENV-4) infect 390 million people and are implicated in at least 25,000 deaths annually, with the largest disease burden in tropical and subtropical regions. We investigated the spatial dynamics of DENV-1, DENV-2 and DENV-3 in Brazil by applying a statistical framework to complete genome sequences. For all three serotypes, we estimated that the introduction of new lineages occurred within 7 to 10-year intervals. New lineages were most likely to be imported from the Caribbean region to the North and Northeast regions of Brazil, and then to disperse at a rate of approximately 0.5 km/day. Joint statistical analysis of evolutionary, epidemiological and ecological data indicates that aerial transportation of humans and/or vector mosquitoes, rather than Aedes aegypti infestation rates or geographical distances, determine dengue virus spread in Brazil.
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Current address: School of Medicine, New York University, New York, New York, United States of America.
Conceived and designed the experiments: MRTN GP NRF. Performed the experiments: MRTN GP NRF ECS JAP VLC NS GB MAS. Analyzed the data: MRTN GP NRF NS GB MAS PL DBAM SGR. Contributed reagents/materials/analysis tools: MRTN GP PFCV GB MAS WIL PL. Wrote the paper: MRTN GP NRF ECS JAP SGR VLC DBAM NS GB MAS PL PFCV WIL.
The authors have declared that no competing interests exist.
ISSN:1935-2735
1935-2727
1935-2735
DOI:10.1371/journal.pntd.0002769