Epidemiological serosurvey of chikungunya fever post outbreak at Tanjung Sepat, Malaysia

Introduction: Chikungunya fever is a mosquito-borne viral disease that usually presents with prominent arthralgia. An outbreak of chikungunya fever was reported in Tanjung Sepat, Malaysia in 2019. The outbreak was limited in size with a low number of cases being reported. The present study sought t...

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Main Authors: Chee-Sieng Khor, Boon-Teong Teoh, Sing-Sin Sam, Hooi-Yuen Khoo, Noor-Syahida Azizan, AsmaAnati CheMatSeri, Kim-Ling Chin, Zur-Raiha Hamim, Noor-Adila Mohamed-Romai-Noor, Che-Norainon Yaacob, Juraina Abd-Jamil, Hai-Yen Lee, Yih-Harng Soh, Sazaly AbuBakar
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2023-01-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/16613
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author Chee-Sieng Khor
Boon-Teong Teoh
Sing-Sin Sam
Hooi-Yuen Khoo
Noor-Syahida Azizan
AsmaAnati CheMatSeri
Kim-Ling Chin
Zur-Raiha Hamim
Noor-Adila Mohamed-Romai-Noor
Che-Norainon Yaacob
Juraina Abd-Jamil
Hai-Yen Lee
Yih-Harng Soh
Sazaly AbuBakar
author_facet Chee-Sieng Khor
Boon-Teong Teoh
Sing-Sin Sam
Hooi-Yuen Khoo
Noor-Syahida Azizan
AsmaAnati CheMatSeri
Kim-Ling Chin
Zur-Raiha Hamim
Noor-Adila Mohamed-Romai-Noor
Che-Norainon Yaacob
Juraina Abd-Jamil
Hai-Yen Lee
Yih-Harng Soh
Sazaly AbuBakar
author_sort Chee-Sieng Khor
collection DOAJ
description Introduction: Chikungunya fever is a mosquito-borne viral disease that usually presents with prominent arthralgia. An outbreak of chikungunya fever was reported in Tanjung Sepat, Malaysia in 2019. The outbreak was limited in size with a low number of cases being reported. The present study sought to determine the possible variables that could have affected the transmission of the infection. Methodology: A cross-sectional study involving 149 healthy adult volunteers from Tanjung Sepat was performed soon after the outbreak had subsided. All the participants donated blood samples and completed the questionnaires. Laboratory detection of anti-CHIKV IgM and IgG antibodies was performed using enzyme-linked immunoassays (ELISA). Risk factors associated with chikungunya seropositivity were determined using logistic regression. Results: The majority (72.5%, n = 108) of the study participants tested positive for CHIKV antibodies. Only 8.3% (n = 9) of the participants out of all the seropositive volunteers had an asymptomatic infection. Participants who resided with a febrile (p < 0.05, Exp(B) = 2.2, confidence interval [CI] 1.3-3.6) or a CHIKV-diagnosed person (p < 0.05, Exp(B) = 2.1, CI 1.2-3.6) in the same household were found likely to be tested positive for CHIKV antibodies. Conclusions: Findings from the study support that asymptomatic CHIKV infections and indoor transmission occurred during the outbreak. Hence, widespread community testing and indoor use of mosquito repellent are among the possible measures that can be implemented to reduce CHIKV transmission during an outbreak.
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spelling doaj-art-35e10d4180d449b3979c0f8b2fe70c652025-08-20T02:57:52ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802023-01-01170110.3855/jidc.16613Epidemiological serosurvey of chikungunya fever post outbreak at Tanjung Sepat, MalaysiaChee-Sieng Khor0Boon-Teong Teoh1Sing-Sin Sam2Hooi-Yuen Khoo3Noor-Syahida Azizan4AsmaAnati CheMatSeri5Kim-Ling Chin6Zur-Raiha Hamim7Noor-Adila Mohamed-Romai-Noor8Che-Norainon Yaacob9Juraina Abd-Jamil10Hai-Yen Lee11Yih-Harng Soh12Sazaly AbuBakar13Tropical Infectious Diseases Research and Education Centre (TIDREC), Universiti Malaya, Kuala Lumpur, MalaysiaTropical Infectious Diseases Research and Education Centre (TIDREC), Universiti Malaya, Kuala Lumpur, MalaysiaTropical Infectious Diseases Research and Education Centre (TIDREC), Universiti Malaya, Kuala Lumpur, MalaysiaTropical Infectious Diseases Research and Education Centre (TIDREC), Universiti Malaya, Kuala Lumpur, MalaysiaTropical Infectious Diseases Research and Education Centre (TIDREC), Universiti Malaya, Kuala Lumpur, MalaysiaTropical Infectious Diseases Research and Education Centre (TIDREC), Universiti Malaya, Kuala Lumpur, MalaysiaTropical Infectious Diseases Research and Education Centre (TIDREC), Universiti Malaya, Kuala Lumpur, MalaysiaTropical Infectious Diseases Research and Education Centre (TIDREC), Universiti Malaya, Kuala Lumpur, MalaysiaTropical Infectious Diseases Research and Education Centre (TIDREC), Universiti Malaya, Kuala Lumpur, MalaysiaTropical Infectious Diseases Research and Education Centre (TIDREC), Universiti Malaya, Kuala Lumpur, MalaysiaTropical Infectious Diseases Research and Education Centre (TIDREC), Universiti Malaya, Kuala Lumpur, MalaysiaTropical Infectious Diseases Research and Education Centre (TIDREC), Universiti Malaya, Kuala Lumpur, MalaysiaTropical Infectious Diseases Research and Education Centre (TIDREC), Universiti Malaya, Kuala Lumpur, MalaysiaTropical Infectious Diseases Research and Education Centre (TIDREC), Universiti Malaya, Kuala Lumpur, Malaysia Introduction: Chikungunya fever is a mosquito-borne viral disease that usually presents with prominent arthralgia. An outbreak of chikungunya fever was reported in Tanjung Sepat, Malaysia in 2019. The outbreak was limited in size with a low number of cases being reported. The present study sought to determine the possible variables that could have affected the transmission of the infection. Methodology: A cross-sectional study involving 149 healthy adult volunteers from Tanjung Sepat was performed soon after the outbreak had subsided. All the participants donated blood samples and completed the questionnaires. Laboratory detection of anti-CHIKV IgM and IgG antibodies was performed using enzyme-linked immunoassays (ELISA). Risk factors associated with chikungunya seropositivity were determined using logistic regression. Results: The majority (72.5%, n = 108) of the study participants tested positive for CHIKV antibodies. Only 8.3% (n = 9) of the participants out of all the seropositive volunteers had an asymptomatic infection. Participants who resided with a febrile (p < 0.05, Exp(B) = 2.2, confidence interval [CI] 1.3-3.6) or a CHIKV-diagnosed person (p < 0.05, Exp(B) = 2.1, CI 1.2-3.6) in the same household were found likely to be tested positive for CHIKV antibodies. Conclusions: Findings from the study support that asymptomatic CHIKV infections and indoor transmission occurred during the outbreak. Hence, widespread community testing and indoor use of mosquito repellent are among the possible measures that can be implemented to reduce CHIKV transmission during an outbreak. https://jidc.org/index.php/journal/article/view/16613chikungunyainfectious diseasesvector-borneseroprevalenceasymptomaticMalaysia
spellingShingle Chee-Sieng Khor
Boon-Teong Teoh
Sing-Sin Sam
Hooi-Yuen Khoo
Noor-Syahida Azizan
AsmaAnati CheMatSeri
Kim-Ling Chin
Zur-Raiha Hamim
Noor-Adila Mohamed-Romai-Noor
Che-Norainon Yaacob
Juraina Abd-Jamil
Hai-Yen Lee
Yih-Harng Soh
Sazaly AbuBakar
Epidemiological serosurvey of chikungunya fever post outbreak at Tanjung Sepat, Malaysia
Journal of Infection in Developing Countries
chikungunya
infectious diseases
vector-borne
seroprevalence
asymptomatic
Malaysia
title Epidemiological serosurvey of chikungunya fever post outbreak at Tanjung Sepat, Malaysia
title_full Epidemiological serosurvey of chikungunya fever post outbreak at Tanjung Sepat, Malaysia
title_fullStr Epidemiological serosurvey of chikungunya fever post outbreak at Tanjung Sepat, Malaysia
title_full_unstemmed Epidemiological serosurvey of chikungunya fever post outbreak at Tanjung Sepat, Malaysia
title_short Epidemiological serosurvey of chikungunya fever post outbreak at Tanjung Sepat, Malaysia
title_sort epidemiological serosurvey of chikungunya fever post outbreak at tanjung sepat malaysia
topic chikungunya
infectious diseases
vector-borne
seroprevalence
asymptomatic
Malaysia
url https://jidc.org/index.php/journal/article/view/16613
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