1. Long-term persistence of monotypic dengue transmission in small size isolated populations, French Polynesia, 1978-2014
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Bernard Cazelles, Anavaj Sakuntabhai, Carlos J. Dommar, Henrik Salje, Xavier Rodó, Richard Paul, Maite Aubry, Van-Mai Cao-Lormeau, Yoann Teissier, Institut Louis Malardé [Papeete] (ILM), Institut de Recherche pour le Développement (IRD), UFR Sciences Fondamentales et Biomédicales [Sciences] - Université Paris Cité, Université Paris Cité (UPCité), Génétique fonctionnelle des maladies infectieuses - Functional Genetics of Infectious Diseases, Institut Pasteur [Paris] (IP)-Centre National de la Recherche Scientifique (CNRS), ICREA Infection Biology Laboratory (Department of Experimental and Health Sciences), Universitat Pompeu Fabra [Barcelona] (UPF), Instituto de Salud Global - Institute For Global Health [Barcelona] (ISGlobal), Modélisation mathématique des maladies infectieuses - Mathematical modelling of Infectious Diseases, Unité de modélisation mathématique et informatique des systèmes complexes [Bondy] (UMMISCO), Université de Yaoundé I-Institut de la francophonie pour l'informatique-Université Cheikh Anta Diop [Dakar, Sénégal] (UCAD)-Université Gaston Bergé (Saint-Louis, Sénégal)-Université Cadi Ayyad [Marrakech] (UCA)-Sorbonne Université (SU)-Institut de Recherche pour le Développement (IRD [France-Nord]), Interdisciplinary and Global Environmental Studies (iGLOBES), University of Arizona-Centre National de la Recherche Scientifique (CNRS), Institut de biologie de l'ENS Paris (IBENS), Département de Biologie - ENS Paris, École normale supérieure - Paris (ENS-PSL), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-École normale supérieure - Paris (ENS-PSL), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), The research leading to these results has received funding from the European Commission Seventh Framework Program [FP7/2007-2013] for the DENFREE project under Grant Agreement n ̊ 282378.Délégation à la Recherche de la Polynésie française, European Project: 282378,EC:FP7:HEALTH,FP7-HEALTH-2011-single-stage,DENFREE(2012), Université de Paris - UFR Sciences Fondamentales et Biomédicales [Sciences], Université de Paris (UP), Centre National de la Recherche Scientifique (CNRS)-Institut Pasteur [Paris], Institut Pasteur [Paris]-Centre National de la Recherche Scientifique (CNRS), Institut de Recherche pour le Développement (IRD [France-Nord])-Institut de la francophonie pour l'informatique-Université Cheikh Anta Diop [Dakar, Sénégal] (UCAD)-Université Gaston Bergé (Saint-Louis, Sénégal)-Université Cadi Ayyad [Marrakech] (UCA)-Université de Yaoundé I-Sorbonne Université (SU), Institut de biologie de l'ENS Paris (UMR 8197/1024) (IBENS), École normale supérieure - Paris (ENS Paris), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-École normale supérieure - Paris (ENS Paris), Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Département de Biologie - ENS Paris, Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Paul, Richard [0000-0002-0665-5089], and Apollo - University of Cambridge Repository
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Male ,Serotype ,Topography ,Epidemiology ,RC955-962 ,French Polynesia ,Social Sciences ,Dengue virus ,Pathology and Laboratory Medicine ,MESH: Dengue Virus ,Geographical locations ,0302 clinical medicine ,Arctic medicine. Tropical medicine ,MESH: Child ,MESH: Incidence ,Child ,Islands ,Aged, 80 and over ,[SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases ,MESH: Middle Aged ,Geography ,Incidence ,Eukaryota ,Spatial epidemiology ,MESH: Polynesia ,Island hopping ,MESH: Infant ,Viral Persistence and Latency ,3. Good health ,Medical Microbiology ,MESH: Young Adult ,Viral Pathogens ,Child, Preschool ,Public aspects of medicine ,Zoology ,MESH: Disease Transmission, Infectious ,Human Geography ,Serogroup ,Microbiology ,03 medical and health sciences ,Disease Transmission, Infectious ,Humans ,Epidemics ,Microbial Pathogens ,Aged ,MESH: Adolescent ,MESH: Humans ,Flaviviruses ,MESH: Child, Preschool ,Organisms ,Public Health, Environmental and Occupational Health ,Infant ,MESH: Adult ,Dengue Virus ,medicine.disease ,Invertebrates ,Insect Vectors ,Species Interactions ,030104 developmental biology ,Period (geology) ,Human Mobility ,People and places ,MESH: Female ,RNA viruses ,0301 basic medicine ,Spatial Epidemiology ,MESH: Dengue ,Disease Vectors ,medicine.disease_cause ,Mosquitoes ,Dengue fever ,Dengue ,MESH: Aged, 80 and over ,Medicine and Health Sciences ,MESH: Aged ,Population size ,Incidence (epidemiology) ,MESH: Infant, Newborn ,Middle Aged ,Insects ,Air Travel ,Infectious Diseases ,Viruses ,Female ,Pathogens ,RA1-1270 ,Research Article ,Adult ,Arthropoda ,Adolescent ,Oceania ,030231 tropical medicine ,Polynesia ,Young Adult ,Virology ,medicine ,Animals ,MESH: Epidemics ,Landforms ,Biology and life sciences ,Infant, Newborn ,Geomorphology ,MESH: Serogroup ,MESH: Male ,Earth Sciences ,Viral Transmission and Infection - Abstract
Understanding the transition of epidemic to endemic dengue transmission remains a challenge in regions where serotypes co-circulate and there is extensive human mobility. French Polynesia, an isolated group of 117 islands of which 72 are inhabited, distributed among five geographically separated subdivisions, has recorded mono-serotype epidemics since 1944, with long inter-epidemic periods of circulation. Laboratory confirmed cases have been recorded since 1978, enabling exploration of dengue epidemiology under monotypic conditions in an isolated, spatially structured geographical location. A database was constructed of confirmed dengue cases, geolocated to island for a 35-year period. Statistical analyses of viral establishment, persistence and fade-out as well as synchrony among subdivisions were performed. Seven monotypic and one heterotypic dengue epidemic occurred, followed by low-level viral circulation with a recrudescent epidemic occurring on one occasion. Incidence was asynchronous among the subdivisions. Complete viral die-out occurred on several occasions with invasion of a new serotype. Competitive serotype replacement has been observed previously and seems to be characteristic of the South Pacific. Island population size had a strong impact on the establishment, persistence and fade-out of dengue cases and endemicity was estimated achievable only at a population size in excess of 175 000. Despite island remoteness and low population size, dengue cases were observed somewhere in French Polynesia almost constantly, in part due to the spatial structuration generating asynchrony among subdivisions. Long-term persistence of dengue virus in this group of island populations may be enabled by island hopping, although could equally be explained by a reservoir of sub-clinical infections on the most populated island, Tahiti., Author summary Dengue virus is the most significant arthropod-borne virus infecting man. Understanding how long dengue virus can persist in populations of varying size is key to understanding its epidemiology. This is, however, impossible to achieve in settings where dengue is endemic, because of continued human movement and is further complexified by the occurrence of several co-circulating serotypes. By contrast, French Polynesia, an isolated group of 72 inhabited islands in the South Pacific, has had intermittent majoritarily monotypic dengue epidemics since the 1940s and offers a unique opportunity to address questions of viral persistence, turnover and the importance of spatial sub-structure in determining dengue epidemiology. Collating and analyzing a database of laboratory-confirmed dengue cases from across French Polynesia over a 35 year period we were able to show that dengue virus die-out can occur with or without replacement by a new serotype, monotypic transmission of dengue viruses fails to be maintained within small island populations but can persist for years among isolated islands connected via air and sea links. This remarkable long-term persistence of dengue virus in French Polynesia could be maintained by asynchronous viral transmission among connected islands and/or by repeated seeding from a reservoir of sub-clinical infections in the most populated island, Tahiti.
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- 2020
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