Serologic Markers for Ebolavirus Among Healthcare Workers in the Democratic Republic of the Congo
Author(s) -
Nicole A. Hoff,
Patrick Mukadi,
Reena H. Doshi,
Matthew S. Bramble,
Kai Lü,
Adva Gadoth,
Cyrus Sinai,
D’Andre Spencer,
Bradley Nicholson,
Russell A. Williams,
Matthias Mossoko,
Benoit Ilunga-Kebela,
Joseph Wasiswa,
Emile Okitolonda-Wemakoy,
Vivian H. Alfonso,
Imke Steffen,
JeanJacques MuyembéTamfum,
Graham Simmons,
Anne W. Rimoin
Publication year - 2018
Publication title -
the journal of infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.69
H-Index - 252
eISSN - 1537-6613
pISSN - 0022-1899
DOI - 10.1093/infdis/jiy499
Subject(s) - ebola virus , seroprevalence , outbreak , medicine , ebolavirus , virology , ebola hemorrhagic fever , serology , health care , nucleoprotein , immunology , antibody , virus , economics , economic growth
Healthcare settings have played a major role in propagation of Ebola virus (EBOV) outbreaks. Healthcare workers (HCWs) have elevated risk of contact with EBOV-infected patients, particularly if safety precautions are not rigorously practiced. We conducted a serosurvey to determine seroprevalence against multiple EBOV antigens among HCWs of Boende Health Zone, Democratic Republic of the Congo, the site of a 2014 EBOV outbreak. Interviews and specimens were collected from 565 consenting HCWs. Overall, 234 (41.4%) of enrolled HCWs were reactive to at least 1 EBOV protein: 159 (28.1%) were seroreactive for anti-glycoprotein immunoglobulin G (IgG), 89 (15.8%) were seroreactive for anti-nucleoprotein IgG, and 54 (9.5%) were VP40 positive. Additionally, sera from 16 (2.8%) HCWs demonstrated neutralization capacity. These data demonstrate that a significant proportion of HCWs have the ability to neutralize virus, despite never having developed Ebola virus disease symptoms, highlighting an important and poorly documented aspect of EBOV infection and progression.
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