Ross River Virus Infection Surveillance in the Greater Perth Metropolitan Area – Has There been an Increase in Cases in the Winter Months?

An increase in off-season (June to September) Ross River virus (RRV) notifications from the greater Perth metropolitan area was observed from 2006 to 2009. We investigated the increase to determine whether it is likely to have reflected a true increase in off-season cases. A single positive RRV IgM...

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Main Authors: Selvey, Linda, Donelly, J., Lindsay, M., Boddu, S., D'Abrera, V., Smith, D.
Format: Journal Article
Published: U.S. National Center for Biotechnology Information 2014
Subjects:
Online Access:http://www.health.gov.au/internet/main/publishing.nsf/Content/cda-cdi3802-pdf-cnt.htm/$FILE/cdi3802c.pdf
http://hdl.handle.net/20.500.11937/18485
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author Selvey, Linda
Donelly, J.
Lindsay, M.
Boddu, S.
D'Abrera, V.
Smith, D.
author_facet Selvey, Linda
Donelly, J.
Lindsay, M.
Boddu, S.
D'Abrera, V.
Smith, D.
author_sort Selvey, Linda
building Curtin Institutional Repository
collection Online Access
description An increase in off-season (June to September) Ross River virus (RRV) notifications from the greater Perth metropolitan area was observed from 2006 to 2009. We investigated the increase to determine whether it is likely to have reflected a true increase in off-season cases. A single positive RRV IgM test result is sufficient for RRV notification but where follow-up testing was performed, the positive pre- dictive value of an IgM test where IgG was nega- tive was very low in the off-season and also in the season when using the only commercially available test kit. The increase in off-season notifications was not associated with an increase in off-season test- ing. Some Perth laboratories use more stringent notification criteria than the nationally agreed RRV case definition, and the geographical distribution of samples tested varies between laboratories. Our findings make a strong case to change the nationally agreed case definition for RRV to not accept a single IgM positive test result as labora- tory definitive evidence where the IgG is negative. Our study also identified a range of challenges in interpreting changes in seasonal patterns and geo- graphical distribution of RRV. Any such observed changes should be investigated through further data analysis and/or mosquito trapping and test- ing in order to assess validity.
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publishDate 2014
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spelling curtin-20.500.11937-184852017-10-02T02:26:56Z Ross River Virus Infection Surveillance in the Greater Perth Metropolitan Area – Has There been an Increase in Cases in the Winter Months? Selvey, Linda Donelly, J. Lindsay, M. Boddu, S. D'Abrera, V. Smith, D. notifications surveillance Ross River virus serology An increase in off-season (June to September) Ross River virus (RRV) notifications from the greater Perth metropolitan area was observed from 2006 to 2009. We investigated the increase to determine whether it is likely to have reflected a true increase in off-season cases. A single positive RRV IgM test result is sufficient for RRV notification but where follow-up testing was performed, the positive pre- dictive value of an IgM test where IgG was nega- tive was very low in the off-season and also in the season when using the only commercially available test kit. The increase in off-season notifications was not associated with an increase in off-season test- ing. Some Perth laboratories use more stringent notification criteria than the nationally agreed RRV case definition, and the geographical distribution of samples tested varies between laboratories. Our findings make a strong case to change the nationally agreed case definition for RRV to not accept a single IgM positive test result as labora- tory definitive evidence where the IgG is negative. Our study also identified a range of challenges in interpreting changes in seasonal patterns and geo- graphical distribution of RRV. Any such observed changes should be investigated through further data analysis and/or mosquito trapping and test- ing in order to assess validity. 2014 Journal Article http://hdl.handle.net/20.500.11937/18485 http://www.health.gov.au/internet/main/publishing.nsf/Content/cda-cdi3802-pdf-cnt.htm/$FILE/cdi3802c.pdf U.S. National Center for Biotechnology Information fulltext
spellingShingle notifications
surveillance
Ross River virus
serology
Selvey, Linda
Donelly, J.
Lindsay, M.
Boddu, S.
D'Abrera, V.
Smith, D.
Ross River Virus Infection Surveillance in the Greater Perth Metropolitan Area – Has There been an Increase in Cases in the Winter Months?
title Ross River Virus Infection Surveillance in the Greater Perth Metropolitan Area – Has There been an Increase in Cases in the Winter Months?
title_full Ross River Virus Infection Surveillance in the Greater Perth Metropolitan Area – Has There been an Increase in Cases in the Winter Months?
title_fullStr Ross River Virus Infection Surveillance in the Greater Perth Metropolitan Area – Has There been an Increase in Cases in the Winter Months?
title_full_unstemmed Ross River Virus Infection Surveillance in the Greater Perth Metropolitan Area – Has There been an Increase in Cases in the Winter Months?
title_short Ross River Virus Infection Surveillance in the Greater Perth Metropolitan Area – Has There been an Increase in Cases in the Winter Months?
title_sort ross river virus infection surveillance in the greater perth metropolitan area – has there been an increase in cases in the winter months?
topic notifications
surveillance
Ross River virus
serology
url http://www.health.gov.au/internet/main/publishing.nsf/Content/cda-cdi3802-pdf-cnt.htm/$FILE/cdi3802c.pdf
http://hdl.handle.net/20.500.11937/18485