sero-epidemiology

血清流行病学
  • 文章类型: Journal Article
    埃塞俄比亚某些地区的块状皮肤病(LSD)疫苗接种状况和流行病学分布仍然未知。包括西达玛地区州。在这项研究中,从2021年9月至2022年6月,在Sidama地区州的选定地区,代表三个农业生态区,使用特定的病毒中和试验对LSD进行了血清学调查.此外,我们使用问卷对社区意识和LSD疫苗相关问题进行了评估.我们的结果显示总体动物和群体水平血清阳性率为40.8%(95CI=35.8,45.8)和81%(95CI=77,85),分别。在低地(48%)和高地(28%)地区观察到高和低血清流行率,尽管它们没有统计学意义。然而,管理系统和品种等危险因素的LSD患病率存在显著差异.通过问卷获得的结果表明,一小部分受访者(29.2%)了解LSD并为牛(23.3%)接种了这种疾病的疫苗。只有20.8%的受访者表示,他们接种疫苗的牛发生了LSD。总之,定性和定量研究结果均表明,在建立基于社区的LSD临床征象和疫苗接种优势的意识方面,需要进行干预,同时需要不断更新有关LSD患病率的信息.
    The lumpy skin disease (LSD) vaccination status and epidemiological distribution remain unknown in some parts of Ethiopia, including the Sidama regional state. In this study, a serological survey of LSD was performed using a specific virus neutralization assay in selected districts of the Sidama regional state representing three agroecological zones from September 2021 to June 2022. Moreover, an assessment of community awareness and LSD vaccine-related problems was conducted using a questionnaire. Our results showed an overall animal and herd level seroprevalence of 40.8% (95%CI = 35.8, 45.8) and 81% (95%CI = 77, 85), respectively. High and low seroprevalence were observed in lowland (48%) and highland (28%) areas, although they were not statistically significant. However, risk factors such as management systems and breeds showed substantial differences in their LSD prevalence. The results obtained through the questionnaire showed that a small portion of respondents (29.2%) know about LSD and vaccinate their cattle (23.3%) against this disease. Only 20.8% of the respondents stated that there was LSD occurrence in their vaccinated cattle. In conclusion, both qualitative and quantitative study results showed the need for intervention in terms of community-based awareness creation about LSD clinical signs and vaccination advantages together with the frequently updated information on LSD prevalence.
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  • 文章类型: Journal Article
    对完全根除麻疹等疫苗可预防疾病的认识,腮腺炎,和风疹(MMR)可能会助长自满情绪并损害疫苗接种工作。COVID-19大流行期间麻疹疫苗接种率下降增加了疫情爆发的风险,即使在充分接种疫苗的人群中。为了解决这个问题,我们与ECDC的建议保持一致,利用Pécs之间先前的跨境血清流行病学评估,匈牙利,还有奥西耶克,克罗地亚,确定潜在的风险群体,并发现我们国家之间的潜在相似之处。通过ELISA对2680名匈牙利和1764名克罗地亚血清样本进行抗MMRIgG检测,结果显示,在20-30岁的克罗地亚人群中,抗麻疹血清阳性率低于预期(75.7%),~30-40岁(77.5%)和~40-50岁(73.3%)。同样,匈牙利样本在〜30-40(80.9%)和〜40-50(87.3%)年龄组中也显示出次优的血清阳性率。考虑到腮腺炎和风疹相关的血清阳性趋势,在两个被检查的人群中,30-50岁的个体表现出最高的脆弱性。此外,我们注意到两国的血清阳性趋势一致,尽管有不同的免疫接种和流行病学背景。因此,我们建议扩大研究范围,以涵盖疫苗接种的复杂动态,包括长期免疫力下降.这种理解可以促进有针对性的干预措施并提高公众意识。我们的发现强调了尽管进行了疫苗接种,但在获得针对麻疹的强大免疫力方面仍存在持续的挑战。
    Perceptions of the complete eradication of vaccine-preventable diseases such as measles, mumps, and rubella (MMR) may foster complacency and compromise vaccination efforts. Decreased measles vaccination rates during the COVID-19 pandemic have heightened the risk of outbreaks, even in adequately vaccinated populations. To address this, we have aligned with ECDC recommendations, leveraging previous cross-border sero-epidemiological assessments between Pécs, Hungary, and Osijek, Croatia, to identify latent risk groups and uncover potential parallels between our nations. Testing 2680 Hungarian and 1764 Croatian serum samples for anti-MMR IgG via ELISAs revealed anti-measles seropositivity ratios below expectations in Croatian cohorts aged ~20-30 (75.7%), ~30-40 (77.5%) and ~40-50 years (73.3%). Similarly, Hungarian samples also showed suboptimal seropositivity ratios in the ~30-40 (80.9%) and ~40-50 (87.3%) age groups. Considering mumps- and rubella-associated seropositivity trends, in both examined populations, individuals aged ~30-50 years exhibited the highest vulnerability. Additionally, we noted congruent seropositivity trends across both countries, despite distinct immunization and epidemiological contexts. Therefore, we propose expanding research to encompass the intricate dynamics of vaccination, including waning long-term immunity. This understanding could facilitate targeted interventions and bolster public awareness. Our findings underscore persistent challenges in attaining robust immunity against measles despite vaccination endeavors.
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  • 文章类型: Letter
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  • 文章类型: Journal Article
    背景:启动了省级血清调查,以了解重庆市1-69岁普通人群中乙型肝炎病毒(HBV)感染的最新血清阳性率,并评估HBV感染的危险因素,以有效筛查慢性乙型肝炎(CHB)患者。
    方法:共调查了1828名1-69岁的个体,和乙型肝炎表面抗原(HBsAg),HBsAg抗体(HBsAb),检测B核心抗原抗体(HBcAb)。逻辑回归和三种机器学习(ML)算法,包括随机森林(RF),支持向量机(SVM),和随机梯度提升(SGB),是为分析而开发的。
    结果:总人口的HBsAg患病率为3.83%,在1-14岁和15-69岁的人中,分别为0.24%和4.89%,分别。95.18%(770/809)的成年人没有意识到他们隐匿性HBV感染。年龄,区域,通过logistic回归模型,发现免疫史与HBcAb患病率有统计学关联.拟议RF的预测精度为0.717、0.727和0.725,SVM,和SGB模型,分别。
    结论:与ML模型整合的逻辑回归可以帮助筛选HBV感染的危险因素,并确定CHB的高危人群。
    BACKGROUND: The provincial-level sero-survey was launched to learn the updated seroprevalence of hepatitis B virus (HBV) infection in the general population aged 1-69 years in Chongqing and to assess the risk factors for HBV infection to effectively screen persons with chronic hepatitis B (CHB).
    METHODS: A total of 1828 individuals aged 1-69 years were investigated, and hepatitis B surface antigen (HBsAg), antibody to HBsAg (HBsAb), and antibody to B core antigen (HBcAb) were detected. Logistic regression and three machine learning (ML) algorithms, including random forest (RF), support vector machine (SVM), and stochastic gradient boosting (SGB), were developed for analysis.
    RESULTS: The HBsAg prevalence of the total population was 3.83%, and among persons aged 1-14 years and 15-69 years, it was 0.24% and 4.89%, respectively. A large figure of 95.18% (770/809) of adults was unaware of their occult HBV infection. Age, region, and immunization history were found to be statistically associated with HBcAb prevalence with a logistic regression model. The prediction accuracies were 0.717, 0.727, and 0.725 for the proposed RF, SVM, and SGB models, respectively.
    CONCLUSIONS: The logistic regression integrated with ML models could helpfully screen the risk factors for HBV infection and identify high-risk populations with CHB.
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  • 文章类型: Journal Article
    随着COVID-19大流行走向地方性状态,测试策略正在降级。SARS-CoV-2免疫反应的快速有效的护理点测试(POCT)评估可以为临床决策和疾病的流行病学监测提供信息。这项针对爱尔兰医护人员的抗SARS-CoV-2抗体的横截面血清阳性率研究评估了如何将快速的抗SARS-CoV-2抗体检测与标准实验室检测进行比较,讨论其在中和评估中的有效性及其在大流行未来的用途。
    检测抗SARS-CoV-2尖峰(S)-受体结合域(RBD)中和抗体(HealgenSARS-CoV-2中和抗体快速测试盒)的护理侧流免疫测定(LFA)与RocheElecsys/-S抗SARS-CoV-2抗体测定和体外替代中和测定进行了比较。反尖峰(S)之间的相关性,抗核衣壳(N)滴度,和体外中和也进行了评估。
    使用RocheElecsys/-S抗SARS-CoV-2测定法测试了1,777个血清学样品以检测总抗N/S抗体。使用POCLFA测试了1,562个样品(包括50个阴性对照),使用体外ACE2-RBD结合抑制替代中和测定法测试90个样品。POCT显示97.7%的灵敏度,100%特异性,阳性预测值(PPV)为100%,与商业测定相比,阴性预测值(NPV)为61%。通过按POCLFA结果组分层的Roche测定确定的抗S抗体滴度表明,“阳性”和“阴性”LFA组(p<0.0001)与“弱阳性”和“阳性”LFA组(p<0.0001)之间存在统计学上的显着差异。当通过LFAPOC结果分层时,没有显示ACE2-RBD结合抑制的统计学显著差异。一个积极的,在体外假中和测定结果与抗S抗体滴度(rho0.423,p<0.001)和抗N抗体滴度(rho=0.55,p<0.0001)之间证明了统计学上显著的相关性。
    高灵敏度,特异性,与商业测定相比,POCLFA和PPV用于检测抗S-RBD抗体。LFA不是鉴定的抗体的中和能力的可靠决定因素。POCLFA是血清流行病学环境中的有用工具,大流行的准备,并可以作为支持工具,在治疗决策中通过快速鉴定抗-Spike抗体。
    As the COVID-19 pandemic moves towards endemic status, testing strategies are being de-escalated. A rapid and effective point of care test (POCT) assessment of SARS-CoV-2 immune responses can inform clinical decision-making and epidemiological monitoring of the disease. This cross-sectional seroprevalence study of anti-SARS-CoV-2 antibodies in Irish healthcare workers assessed how rapid anti-SARS-CoV-2 antibody testing can be compared to a standard laboratory assay, discusses its effectiveness in neutralisation assessment and its uses into the future of the pandemic.
    A point of care lateral flow immunoassay (LFA) detecting anti-SARS-CoV-2 spike (S)-receptor binding domain (RBD) neutralising antibodies (Healgen SARS-CoV-2 neutralising Antibody Rapid Test Cassette) was compared to the Roche Elecsys/-S anti-SARS-CoV-2 antibody assays and an in vitro surrogate neutralisation assay. A correlation between anti-spike (S), anti-nucleocapsid (N) titres, and in vitro neutralisation was also assessed.
    1,777 serology samples were tested using Roche Elecsys/-S anti-SARS-CoV-2 assays to detect total anti-N/S antibodies. 1,562 samples were tested using the POC LFA (including 50 negative controls), and 90 samples were tested using an in vitro ACE2-RBD binding inhibition surrogate neutralisation assay. The POCT demonstrated 97.7% sensitivity, 100% specificity, a positive predictive value (PPV) of 100%, and a negative predictive value (NPV) of 61% in comparison to the commercial assay. Anti-S antibody titres determined by the Roche assay stratified by the POC LFA result groups demonstrated statistically significant differences between the \"Positive\" and \"Negative\" LFA groups (p < 0.0001) and the \"Weak Positive\" and \"Positive\" LFA groups (p < 0.0001). No statistically significant difference in ACE2-RBD binding inhibition was demonstrated when stratified by the LFA POC results. A positive, statistically significant correlation was demonstrated between the in vitro pseudo-neutralisation assay results and anti-S antibody titres (rho 0.423, p < 0.001) and anti-N antibody titres (rho = 0.55, p < 0.0001).
    High sensitivity, specificity, and PPV were demonstrated for the POC LFA for the detection of anti-S-RBD antibodies in comparison to the commercial assay. The LFA was not a reliable determinant of the neutralisation capacity of identified antibodies. POC LFA are useful tools in sero-epidemiology settings, pandemic preparedness and may act as supportive tools in treatment decisions through the rapid identification of anti-Spike antibodies.
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  • 文章类型: Journal Article
    背景考虑到疫苗诱导和感染获得性免疫的减弱,SARS-CoV-2(再)感染的风险仍然存在,以及新变种的不断流通。目的开发一种基于SARS-CoV-2抗原的变体特异性抗体测量来预测病毒中和和疾病保护的方法。方法关联抗体和中和滴度,我们从具有疫苗诱导或感染获得性SARS-CoV-2免疫的个体收集了304份血清样本.利用抗体和中和滴度之间的关联,我们建立了SARS-CoV-2特异性中和滴度的预测模型。从预测的中和滴度来看,我们使用先前描述的中和滴度和保护估计值之间的关系推断了有症状和严重COVID-19的保护估计值.我们估计了法国从2020年4月到2021年11月的905人纵向队列中的人群免疫力。结果我们证明了使用低成本高通量测定法测量的抗SARS-CoV-2抗体与中和活病毒的抗体反应能力之间的强相关性。单一疫苗接种或由感染引起的免疫力的参与者特别容易受到有症状或严重COVID-19的影响。虽然在接受三次疫苗接种的参与者中,Delta变异型感染导致COVID-19风险的中位数降低为96%(IQR:94-98),感染获得性免疫参与者的中位降低风险仅为42%(IQR:22-66).结论我们的结果与疫苗有效性研究的数据一致,表明我们方法的稳健性。我们的多重血清学测定可以很容易地适应研究新的变体,并为开发包括保护估计的测定提供了框架。
    BackgroundThe risk of SARS-CoV-2 (re-)infection remains present given waning of vaccine-induced and infection-acquired immunity, and ongoing circulation of new variants.AimTo develop a method that predicts virus neutralisation and disease protection based on variant-specific antibody measurements to SARS-CoV-2 antigens.MethodsTo correlate antibody and neutralisation titres, we collected 304 serum samples from individuals with either vaccine-induced or infection-acquired SARS-CoV-2 immunity. Using the association between antibody and neutralisation titres, we developed a prediction model for SARS-CoV-2-specific neutralisation titres. From predicted neutralising titres, we inferred protection estimates to symptomatic and severe COVID-19 using previously described relationships between neutralisation titres and protection estimates. We estimated population immunity in a French longitudinal cohort of 905 individuals followed from April 2020 to November 2021.ResultsWe demonstrated a strong correlation between anti-SARS-CoV-2 antibodies measured using a low cost high-throughput assay and antibody response capacity to neutralise live virus. Participants with a single vaccination or immunity caused by infection were especially vulnerable to symptomatic or severe COVID-19. While the median reduced risk of COVID-19 from Delta variant infection in participants with three vaccinations was 96% (IQR: 94-98), median reduced risk among participants with infection-acquired immunity was only 42% (IQR: 22-66).ConclusionOur results are consistent with data from vaccine effectiveness studies, indicating the robustness of our approach. Our multiplex serological assay can be readily adapted to study new variants and provides a framework for development of an assay that would include protection estimates.
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  • 文章类型: Journal Article
    背景:关于COVID-19的早期数据(主要基于PCR检测)表明撒哈拉以南非洲的负担较低。为了更好地理解这一点,本研究旨在评估布基纳法索两个最大城市中SARS-CoV-2血清转换的发病率并确定预测因子。本研究是EmulCOVID-19项目(ANRS-COV13)的一部分。
    方法:我们的研究利用WHOUnity方案进行一般人群COVID-19的队列血清流行病学研究。我们进行了按年龄组和性别分层的随机抽样。瓦加杜古和波波-迪乌拉索市10岁及以上的个人,布基纳法索被纳入并在4个时间点进行了调查,相隔21天,2021年3月3日至5月15日。WANTAISARS-CoV-2AbELISA血清学检测总抗体(IgM,血清中的IgG)。使用Cox比例风险回归研究预测因子。
    结果:我们分析了1399名参与者的数据(瓦加杜古的1051名,348在Bobo-Dioulasso中),基线时为SARS-CoV-2血清阴性,并且至少进行了一次随访。SARS-CoV-2血清转换的发生率为每100人周14.3例[95CI13.3-15.4]。瓦加杜古的发病率几乎是Bobo-Dioulasso的三倍(发病率比:IRR=2.7[2.2-3.2],p<0.001)。据报道,瓦加杜古19-59岁女性的发病率最高(每100人周22.8例[19.6-26.4]),Bobo-Dioulasso60岁及以上参与者的发病率最低。6.3例[4.6-8.6]每100人周。多变量分析表明,与10至18岁的参与者相比,19岁及以上的参与者在研究期间血清转换的可能性几乎是10至18岁的参与者的两倍(危害比:HR=1.7[1.3-2.3],p<0.001)。10-18岁的人比19岁及以上的人表现出更多的无症状形式,在实现血清转化的人群中(72.9%vs.40.4%,p<0.001)。
    结论:COVID-19在成人和大城市中的传播更快。布基纳法索控制这一流行病的战略,必须考虑到这一点。生活在大城市的成年人应该是COVID-19疫苗接种工作的优先目标。
    BACKGROUND: Early data on COVID-19 (based primarily on PCR testing) indicated a low burden in Sub-Saharan Africa. To better understand this, this study aimed to estimate the incidence rate and identify predictors of SARS-CoV-2 seroconversion in the two largest cities of Burkina Faso. This study is part of the EmulCOVID-19 project (ANRS-COV13).
    METHODS: Our study utilized the WHO Unity protocol for cohort sero-epidemiological studies of COVID-19 in general population. We conducted random sampling stratified by age group and sex. Individuals aged 10 years and older in the cities of Ouagadougou and Bobo-Dioulasso, Burkina Faso were included and surveyed at 4 time points, each 21 days apart, from March 3 to May 15, 2021. WANTAI SARS-CoV-2 Ab ELISA serological tests were used to detect total antibodies (IgM, IgG) in serum. Predictors were investigated using Cox proportional hazards regression.
    RESULTS: We analyzed the data from 1399 participants (1051 in Ouagadougou, 348 in Bobo-Dioulasso) who were SARS-CoV-2 seronegative at baseline and had at least one follow-up visit. The incidence rate of SARS-CoV-2 seroconversion was 14.3 cases [95%CI 13.3-15.4] per 100 person-weeks. The incidence rate was almost three times higher in Ouagadougou than in Bobo-Dioulasso (Incidence rate ratio: IRR = 2.7 [2.2-3.2], p < 0.001). The highest incidence rate was reported among women aged 19-59 years in Ouagadougou (22.8 cases [19.6-26.4] per 100 person-weeks) and the lowest among participants aged 60 years and over in Bobo-Dioulasso, 6.3 cases [4.6-8.6] per 100 person-weeks. Multivariable analysis showed that participants aged 19 years and older were almost twice as likely to seroconvert during the study period compared with those aged 10 to 18 years (Hazard ratio: HR = 1.7 [1.3-2.3], p < 0.001). Those aged 10-18 years exhibited more asymptomatic forms than those aged 19 years and older, among those who achieved seroconversion (72.9% vs. 40.4%, p < 0.001).
    CONCLUSIONS: The spread of COVID-19 is more rapid in adults and in large cities. Strategies to control this pandemic in Burkina Faso, must take this into account. Adults living in large cities should be the priority targets for vaccination efforts against COVID-19.
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  • 文章类型: Journal Article
    本横断面调查旨在调查巴基斯坦北部边境地区口蹄疫的分布和危险因素。从小反刍动物(239)和大反刍动物(146)中汇编了约385份血清样品,并使用3ABC-Mab-bELISA进行了测试。记录了67.0%的总体明显血清阳性率。在斯瓦特报告的最高血清阳性率为81.1%,其次是Mohmand的76.6%,吉尔吉特72.7%,上拉65.6%,Bajaur的63.4%,Chitral地区为46.6%,开伯尔地区最低为46.5%。51.5%的血清阳性率的统计学差异,71.8%,58.3%,在绵羊中记录了74.4%,山羊,牛,还有水牛,分别。从调查的不同风险因素来看,年龄,性别,动物的种类,季节,群/群大小,耕作方法,爆发地点,发现游牧动物运动与口蹄疫的血清阳性率显着相关(p<0.05)。结论是,适当的流行病学研究,小反刍动物基于风险的口蹄疫监测,疫苗接种策略,跨界动物转移的控制措施,合作,需要在研究地区实施意识计划,以调查大型和小型反刍动物中新传播的病毒株以及广泛血清流行率的相关因素,以计划适当的控制政策来约束该地区口蹄疫的后果。
    The present cross-sectional survey was carried out to investigate the distribution and risk factors of FMD in Pakistan\'s northern border regions. About 385 serum samples were compiled from small ruminants (239) and large ruminants (146) and tested using 3ABC-Mab-bELISA. An overall apparent seroprevalence of 67.0% was documented. The highest seroprevalence of 81.1% was reported in the Swat, followed by 76.6% in Mohmand, 72.7% in Gilgit, 65.6% in Shangla, 63.4% in Bajaur, 46.6% in Chitral and lowest 46.5% in Khyber region. Statistically significant variations in seroprevalence of 51.5%, 71.8%, 58.3%, and 74.4% were recorded in sheep, goats, cattle, and buffaloes, respectively. From the different risk factors investigated, age, sex, species of animal, seasons, flock/herd size, farming methods, outbreak location, and nomadic animal movement were found to be significantly associated (p < 0.05) with the seroprevalence of FMD. It was concluded that proper epidemiological study, risk-based FMD surveillance in small ruminants, vaccination strategy, control measures for transboundary animal movement, collaborations, and awareness programs need to be practiced in the study regions to investigate the newly circulating virus strains in large and small ruminants and associated factors for the wide seroprevalence to plan proper control policies to bound the consequence of FMD in the region.
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  • 文章类型: Journal Article
    Introduction.虫媒病毒和疟疾对公众健康构成越来越大的威胁,不仅影响普通人群,而且影响免疫功能低下的个体和孕妇。弱势群体中的个体因ZIKV的共同循环和传播而发生严重并发症的风险更高,疟疾,还有FLAVI热.在撒哈拉以南国家,比如尼日利亚,这些蚊媒感染的临床表现与其他疾病(登革热,西尼罗河病毒,和日本脑炎,基孔肯雅,和O\'nyongo\'nyong病毒),使它们成为共同流通地区临床医生的诊断挑战。垂直传播会对产妇健康和胎儿结局产生破坏性影响,包括胎儿丢失和早产的风险增加。尽管全球认识到疟疾和虫媒病毒的负担,特别是ZIKV和其他黄病毒,尼日利亚的患病率数据有限。在城市环境中,这些疾病是地方性的,有共同的生物学特征,生态,和经济因素,它们可能影响治疗结果并导致流行病学协同作用.因此,必须进行血清流行病学和临床研究,以更好地了解疾病负担和隐性流行,从而能够改进预防和临床管理。方法。在2020年12月至2021年11月期间从尼日利亚三个地区的门诊患者收集的血清样本进行了免疫印迹血清学检测,以检测针对ZIKV和FLAVI的IgG抗体血清阳性。结果。ZIKV的整体队列共循环抗体血清阳性,FLAVI和疟疾为24.0%(209/871)。共有19.2%(167/871)的研究参与者有ZIKV血清抗体阳性,6.2%(54/871)的参与者有FLAVI血清抗体阳性。而40.0%(348/871)的受试者具有疟疾寄生虫抗原。区域分析显示,来自南部地区的参与者对ZIKV(21.7%(33/152))和FLAVI(8.6%(13/152))的抗体阳性最高,而来自中部地区的疟疾寄生虫抗原较高(68.5%(287/419))。Conclusions.这项研究代表了尼日利亚ZIKV-FLAVI和疟疾共循环的最大的比较横断面描述性血清流行病学调查。这项研究的结果显示抗体阳性增加,隐藏的地方性,ZIKV的负担,FLAVI,和疟疾在尼日利亚共同传播。
    Introduction. Arboviruses and malaria pose a growing threat to public health, affecting not only the general population but also immunocompromised individuals and pregnant women. Individuals in vulnerable groups are at a higher risk of severe complications from the co-circulation and transmission of ZIKV, malaria, and FLAVI fever. In sub-Saharan countries, such as Nigeria, these mosquito-borne infections have clinical presentations that overlap with other diseases (dengue, West Nile virus, and Japanese encephalitis, chikungunya, and O\'nyong o\'nyong virus), making them a diagnostic challenge for clinicians in regions where they co-circulate. Vertical transmission can have a devastating impact on maternal health and fetal outcomes, including an increased risk of fetal loss and premature birth. Despite the global recognition of the burden of malaria and arboviruses, particularly ZIKV and other flaviviruses, there is limited data on their prevalence in Nigeria. In urban settings, where these diseases are endemic and share common biological, ecological, and economic factors, they may impact treatment outcomes and lead to epidemiological synergy. Hence, it is imperative to conduct sero-epidemiological and clinical studies to better understand the disease burden and hidden endemicity, thereby enabling improved prevention and clinical management. Method. Serum samples collected from outpatients between December 2020 and November 2021 in three regions of Nigeria were tested for the presence of IgG antibody seropositivity against ZIKV and FLAVI using immunoblot serological assay. Results. The overall cohort co-circulation antibody seropositivity of ZIKV, FLAVI and malaria was 24.0% (209/871). A total of 19.2% (167/871) of the study participants had ZIKV-seropositive antibodies and 6.2% (54/871) were FLAVI-seropositive, while 40.0% (348/871) of the subjects had malaria parasite antigens. Regional analysis revealed that participants from the southern region had the highest antibody seropositivity against ZIKV (21.7% (33/152)) and FLAVI (8.6% (13/152)), whereas those from the central region had a higher malaria parasite antigen (68.5% (287/419)). Conclusions. This study represents the largest comparative cross-sectional descriptive sero-epidemiological investigation of ZIKV-FLAVI and malaria cocirculation in Nigeria. The findings of this study revealed increased antibody seropositivity, hidden endemicity, and the burden of ZIKV, FLAVI, and malaria co-circulating in Nigeria.
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