Skip to main content
Top
Published in: BMC Public Health 1/2010

Open Access 01-12-2010 | Research article

Varicella susceptibility and transmission dynamics in Slovenia

Authors: Maja Sočan, Nataša Berginc, Jaro Lajovic

Published in: BMC Public Health | Issue 1/2010

Login to get access

Abstract

Background

A cross-sectional, age-stratified study was conducted to determine varicella-zoster seroprevalence and force of infection in Slovenia.

Methods

3689 serum samples were tested for VZV IgG antibodies with an enzyme immunoassay. Semiparametric and parametric modelling were used to estimate the force of infection.

Results

Overall, 85.6% of serum samples were seropositive. Age-specific prevalence rose rapidly in preschool children and over 90% of 8 years old tested positive for VZV. However, 2.8% of serum samples among women of childbearing age were seronegative. Semiparametric modelling yielded force of infection estimates of 0.182 (95% CI 0.158-0.206), 0.367 (95% CI 0.285-0.448) and 0.008 (95% CI 0.0-0.032) for age groups 0.5- < 6, 6-11 and ≥12 years, respectively, and 0.175 (95% CI 0.147-0.202), 0.391 (95% CI 0.303-0.480) and 0.025 (95% CI 0.003-0.046) for age groups 0.5- < 5, 5-9 and ≥10 years, respectively.

Conclusions

Regardless of the age grouping used, the highest transmission occurred in children in their first years of school.
Appendix
Available only for authorised users
Literature
1.
2.
go back to reference Cameron JC, Allan G, Johnston F, Finn A, Heath PT, Booy R: Severe complications of chickenpox in hospitalised children in the UK and Ireland. Arch Dis Child. 2007, 92: 1062-1066. 10.1136/adc.2007.123232.CrossRefPubMedPubMedCentral Cameron JC, Allan G, Johnston F, Finn A, Heath PT, Booy R: Severe complications of chickenpox in hospitalised children in the UK and Ireland. Arch Dis Child. 2007, 92: 1062-1066. 10.1136/adc.2007.123232.CrossRefPubMedPubMedCentral
3.
go back to reference Persson A, Bergström T, Lindh M, Namvar L, Studahl M: Varicella-zoster virus CNS disease-Viral load, clinical manifestations and sequels. J Clin Virol. 2009, 46: 249-253. 10.1016/j.jcv.2009.07.014.CrossRefPubMed Persson A, Bergström T, Lindh M, Namvar L, Studahl M: Varicella-zoster virus CNS disease-Viral load, clinical manifestations and sequels. J Clin Virol. 2009, 46: 249-253. 10.1016/j.jcv.2009.07.014.CrossRefPubMed
4.
go back to reference Liese JG, Grote V, Rosenfeld E, Fischer R, Belohradsky BH, v Kries R, ESPED Varicella Study Group: The burden of varicella complications before the introduction of routine varicella vaccination in Germany. Pediatr Infect Dis J. 2008, 27: 119-124. 10.1097/INF.0b013e3181586665.CrossRefPubMed Liese JG, Grote V, Rosenfeld E, Fischer R, Belohradsky BH, v Kries R, ESPED Varicella Study Group: The burden of varicella complications before the introduction of routine varicella vaccination in Germany. Pediatr Infect Dis J. 2008, 27: 119-124. 10.1097/INF.0b013e3181586665.CrossRefPubMed
5.
go back to reference Enders G, Miller E, Cradock-Watson J, Bolley I, Ridehalgh M: Consequences of varicella and herpes zoster in pregnancy: prospective study of 1739 cases. Lancet. 1994, 343: 1548-1551. 10.1016/S0140-6736(94)92943-2.CrossRefPubMed Enders G, Miller E, Cradock-Watson J, Bolley I, Ridehalgh M: Consequences of varicella and herpes zoster in pregnancy: prospective study of 1739 cases. Lancet. 1994, 343: 1548-1551. 10.1016/S0140-6736(94)92943-2.CrossRefPubMed
6.
go back to reference McKendrick MW, Lau J, Alston S, Bremner J: VZV infection in pregnancy: a retrospective review over 5 years in Sheffield and discussion on the potential utilisation of varicella vaccine in prevention. J Infect. 2007, 55: 64-67. 10.1016/j.jinf.2007.02.003.CrossRefPubMed McKendrick MW, Lau J, Alston S, Bremner J: VZV infection in pregnancy: a retrospective review over 5 years in Sheffield and discussion on the potential utilisation of varicella vaccine in prevention. J Infect. 2007, 55: 64-67. 10.1016/j.jinf.2007.02.003.CrossRefPubMed
7.
go back to reference Brisson M, Edmunds WJ, Law B, Gay NJ, Walld R, Brownell M, et al: Epidemiology of varicella zoster virus infection in Canada and the United Kingdom. Epidemiol Infect. 2001, 127: 305-314. 10.1017/S0950268801005921.CrossRefPubMedPubMedCentral Brisson M, Edmunds WJ, Law B, Gay NJ, Walld R, Brownell M, et al: Epidemiology of varicella zoster virus infection in Canada and the United Kingdom. Epidemiol Infect. 2001, 127: 305-314. 10.1017/S0950268801005921.CrossRefPubMedPubMedCentral
8.
go back to reference Lin YH, Huang LM, Chang IS, Tsai FY, Chang LY: Disease burden and epidemiological characteristics of varicella in Taiwan from 2000 to 2005. J Microbiol Immunol Infect. 2009, 42: 5-12.PubMed Lin YH, Huang LM, Chang IS, Tsai FY, Chang LY: Disease burden and epidemiological characteristics of varicella in Taiwan from 2000 to 2005. J Microbiol Immunol Infect. 2009, 42: 5-12.PubMed
9.
go back to reference Baldo V, Baldovin T, Russo F, Busana MC, Piovesan C, Bordignon G, et al: Varicella: epidemiological aspects and vaccination coverage in the Veneto Region. BMC Infect Dis. 2009, 9: 150-10.1186/1471-2334-9-150.CrossRefPubMedPubMedCentral Baldo V, Baldovin T, Russo F, Busana MC, Piovesan C, Bordignon G, et al: Varicella: epidemiological aspects and vaccination coverage in the Veneto Region. BMC Infect Dis. 2009, 9: 150-10.1186/1471-2334-9-150.CrossRefPubMedPubMedCentral
10.
go back to reference Salleras L, Domínguez A, Vidal J, Plans P, Salleras M, Taberner JL: Seroepidemiology of varicella-zoster virus infection in Catalonia (Spain). Rationale for universal vaccination programmes. Vaccine. 2000, 19: 183-188. 10.1016/S0264-410X(00)00178-X.CrossRefPubMed Salleras L, Domínguez A, Vidal J, Plans P, Salleras M, Taberner JL: Seroepidemiology of varicella-zoster virus infection in Catalonia (Spain). Rationale for universal vaccination programmes. Vaccine. 2000, 19: 183-188. 10.1016/S0264-410X(00)00178-X.CrossRefPubMed
12.
go back to reference Thiry N, Beutels P, Shkedy Z, Vranckx R, Vandermeulen C, Wielen MV, et al: The seroepidemiology of primary varicella-zoster virus infection in Flanders (Belgium). Eur J Pediatr. 2002, 161: 588-593. 10.1007/s00431-002-1053-2.CrossRefPubMed Thiry N, Beutels P, Shkedy Z, Vranckx R, Vandermeulen C, Wielen MV, et al: The seroepidemiology of primary varicella-zoster virus infection in Flanders (Belgium). Eur J Pediatr. 2002, 161: 588-593. 10.1007/s00431-002-1053-2.CrossRefPubMed
13.
go back to reference Wutzler P, Färber I, Wagenpfeil S, Bisanz H, Tischer A: Seroprevalence of varicella-zoster virus in the German population. Vaccine. 2002, 20: 121-124. 10.1016/S0264-410X(01)00276-6.CrossRef Wutzler P, Färber I, Wagenpfeil S, Bisanz H, Tischer A: Seroprevalence of varicella-zoster virus in the German population. Vaccine. 2002, 20: 121-124. 10.1016/S0264-410X(01)00276-6.CrossRef
14.
go back to reference Gidding HF, MacIntyre CR, Burgess MA, Gilbert GL: The seroepidemiology and transmission dynamics of varicella in Australia. Epidemiol Infect. 2003, 131: 1085-1089. 10.1017/S0950268803001134.CrossRefPubMedPubMedCentral Gidding HF, MacIntyre CR, Burgess MA, Gilbert GL: The seroepidemiology and transmission dynamics of varicella in Australia. Epidemiol Infect. 2003, 131: 1085-1089. 10.1017/S0950268803001134.CrossRefPubMedPubMedCentral
15.
go back to reference Alp H, Altinkaynak S, Ertekin V, Kiliçaslan B, Giiraksin A: Seroepidemiology of varicella-zoster virus infection in a cosmopolitan city (Erzurum) in the eastern Turkey. Health Policy. 2005, 72: 119-124. 10.1016/j.healthpol.2004.03.008.CrossRefPubMed Alp H, Altinkaynak S, Ertekin V, Kiliçaslan B, Giiraksin A: Seroepidemiology of varicella-zoster virus infection in a cosmopolitan city (Erzurum) in the eastern Turkey. Health Policy. 2005, 72: 119-124. 10.1016/j.healthpol.2004.03.008.CrossRefPubMed
16.
go back to reference Nardone A, de Ory F, Carton M, Cohen D, van Damme P, Davidkin I, et al: The comparative sero-epidemiology of varicella zoster virus in 11 countries in the European region. Vaccine. 2007, 25: 7866-7872. 10.1016/j.vaccine.2007.07.036.CrossRefPubMed Nardone A, de Ory F, Carton M, Cohen D, van Damme P, Davidkin I, et al: The comparative sero-epidemiology of varicella zoster virus in 11 countries in the European region. Vaccine. 2007, 25: 7866-7872. 10.1016/j.vaccine.2007.07.036.CrossRefPubMed
17.
go back to reference Lee BW: Review of varicella zoster seroepidemiology in India and Southeast Asia. Trop Med Int Health. 1998, 3: 886-890. 10.1046/j.1365-3156.1998.00316.x.CrossRefPubMed Lee BW: Review of varicella zoster seroepidemiology in India and Southeast Asia. Trop Med Int Health. 1998, 3: 886-890. 10.1046/j.1365-3156.1998.00316.x.CrossRefPubMed
18.
go back to reference Liyanage NP, Fernando S, Malavige GN, Mallikahewa R, Sivayogan S, Jiffry MT, et al: Seroprevalence of varicella zoster virus infections in Colombo district, Sri Lanka. Indian J Med Sci. 2007, 61: 128-134. 10.4103/0019-5359.30747.CrossRefPubMed Liyanage NP, Fernando S, Malavige GN, Mallikahewa R, Sivayogan S, Jiffry MT, et al: Seroprevalence of varicella zoster virus infections in Colombo district, Sri Lanka. Indian J Med Sci. 2007, 61: 128-134. 10.4103/0019-5359.30747.CrossRefPubMed
19.
go back to reference WHO: The WHOposition paper on varicella vaccines. Wkly Epidemiol Rec. 1998, 73: 241-248. WHO: The WHOposition paper on varicella vaccines. Wkly Epidemiol Rec. 1998, 73: 241-248.
20.
go back to reference Bonanni P, Breuer J, Gershon A, Gershon M, Hryniewicz W, Papaevangelou V, et al: Varicella vaccination in Europe - taking the practical approach. BMC Med. 2009, 7: 26-10.1186/1741-7015-7-26.CrossRefPubMedPubMedCentral Bonanni P, Breuer J, Gershon A, Gershon M, Hryniewicz W, Papaevangelou V, et al: Varicella vaccination in Europe - taking the practical approach. BMC Med. 2009, 7: 26-10.1186/1741-7015-7-26.CrossRefPubMedPubMedCentral
21.
go back to reference Gabutti G, Rota MC, Guido M, De Donno A, Bella A, degli Atti ML, Seroepidemiology Group, et al: The epidemiology of Varicella Zoster Virus infection in Italy. BMC Public Health. 2008, 8: 372-10.1186/1471-2458-8-372.CrossRefPubMedPubMedCentral Gabutti G, Rota MC, Guido M, De Donno A, Bella A, degli Atti ML, Seroepidemiology Group, et al: The epidemiology of Varicella Zoster Virus infection in Italy. BMC Public Health. 2008, 8: 372-10.1186/1471-2458-8-372.CrossRefPubMedPubMedCentral
22.
go back to reference Edmunds WJ, Brisson M: The effect of vaccination on the epidemiology of varicella zoster virus. J Infect. 2002, 44: 211-219. 10.1053/jinf.2002.0988.CrossRefPubMed Edmunds WJ, Brisson M: The effect of vaccination on the epidemiology of varicella zoster virus. J Infect. 2002, 44: 211-219. 10.1053/jinf.2002.0988.CrossRefPubMed
23.
go back to reference Brisson M, Melkonyan G, Drolet M, De Serres G, Thibeault R, De Wals P: Modeling the impact of one- and two-dose varicella vaccination on the epidemiology of varicella and zoster. Vaccine. 2010, 28: 3385-3397. 10.1016/j.vaccine.2010.02.079.CrossRefPubMed Brisson M, Melkonyan G, Drolet M, De Serres G, Thibeault R, De Wals P: Modeling the impact of one- and two-dose varicella vaccination on the epidemiology of varicella and zoster. Vaccine. 2010, 28: 3385-3397. 10.1016/j.vaccine.2010.02.079.CrossRefPubMed
24.
go back to reference CDC: Prevention of varicella: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR. 2007, 56: (No. RR4)- CDC: Prevention of varicella: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR. 2007, 56: (No. RR4)-
25.
go back to reference Edmunds WJ, Pebody RG, Aggerback H, Baron S, Berbers G, Conyn-van Spaendonck MA, et al: The sero-epidemiology of diphtheria in Western Europe. ESEN Project. European Sero-Epidemiology Network. Epidemiol Infect. 2000, 125: 113-125. 10.1017/S0950268899004161.CrossRefPubMedPubMedCentral Edmunds WJ, Pebody RG, Aggerback H, Baron S, Berbers G, Conyn-van Spaendonck MA, et al: The sero-epidemiology of diphtheria in Western Europe. ESEN Project. European Sero-Epidemiology Network. Epidemiol Infect. 2000, 125: 113-125. 10.1017/S0950268899004161.CrossRefPubMedPubMedCentral
26.
go back to reference Heininger U, Deshgrandchamps D, Schaad UB: Seroprevalence of Varicella-Zoster virus IgG antibodies in Swiss children during the first 16 months of age. Vaccine. 2006, 24: 3258-3260. 10.1016/j.vaccine.2006.01.026.CrossRefPubMed Heininger U, Deshgrandchamps D, Schaad UB: Seroprevalence of Varicella-Zoster virus IgG antibodies in Swiss children during the first 16 months of age. Vaccine. 2006, 24: 3258-3260. 10.1016/j.vaccine.2006.01.026.CrossRefPubMed
27.
go back to reference Mossong J, Putz L, Schneider F: Seroprevalence and force of infection of varicella-zoster virus in Luxembourg. Epidemiol Infect. 2004, 132: 1121-1127. 10.1017/S0950268804002754.CrossRefPubMedPubMedCentral Mossong J, Putz L, Schneider F: Seroprevalence and force of infection of varicella-zoster virus in Luxembourg. Epidemiol Infect. 2004, 132: 1121-1127. 10.1017/S0950268804002754.CrossRefPubMedPubMedCentral
28.
go back to reference Griffiths DA: A catalytic model of infection for measles. Appl Statist. 1974, 23: 330-339. 10.2307/2347126.CrossRef Griffiths DA: A catalytic model of infection for measles. Appl Statist. 1974, 23: 330-339. 10.2307/2347126.CrossRef
29.
go back to reference Farrington CP: Modelling forces of infection for measles, mumps and rubella. Stat Med. 1990, 9: 953-967. 10.1002/sim.4780090811.CrossRefPubMed Farrington CP: Modelling forces of infection for measles, mumps and rubella. Stat Med. 1990, 9: 953-967. 10.1002/sim.4780090811.CrossRefPubMed
30.
go back to reference Armitage P, Berry G, Matthews JNS: Statistical methods in medical research. 2002, Oxford: Blackwell, Williston, 414-CrossRef Armitage P, Berry G, Matthews JNS: Statistical methods in medical research. 2002, Oxford: Blackwell, Williston, 414-CrossRef
31.
go back to reference R Development Core Team: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. ISBN 3-900051-07-0, [http://www.R-project.org] R Development Core Team: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. ISBN 3-900051-07-0, [http://​www.​R-project.​org]
32.
go back to reference Gail MH, Benichou J: Encyclopedia of Epidemiologic Methods. 2000, Chichester: John Wiley & Sons, 220-221. Gail MH, Benichou J: Encyclopedia of Epidemiologic Methods. 2000, Chichester: John Wiley & Sons, 220-221.
33.
go back to reference Whitaker HJ, Farrington CP: Estimation of infectious disease parameters from serological survey data: the impact of regular epidemics. Stat Med. 2004, 23: 2429-2433. 10.1002/sim.1819.CrossRefPubMed Whitaker HJ, Farrington CP: Estimation of infectious disease parameters from serological survey data: the impact of regular epidemics. Stat Med. 2004, 23: 2429-2433. 10.1002/sim.1819.CrossRefPubMed
34.
go back to reference Ogunjimi B, Hens N, Goeyvaerts N, Aerts M, Van Damme P, Beutels P: Using empirical social contact data to model person to person infectious disease transmission: An illustration for varicella. Math Biosci. 2009, 218: 80-87. 10.1016/j.mbs.2008.12.009.CrossRefPubMed Ogunjimi B, Hens N, Goeyvaerts N, Aerts M, Van Damme P, Beutels P: Using empirical social contact data to model person to person infectious disease transmission: An illustration for varicella. Math Biosci. 2009, 218: 80-87. 10.1016/j.mbs.2008.12.009.CrossRefPubMed
35.
go back to reference Kelly H, Riddell MA, Gidding HF, Nolan T, Gilbert GL: Random cluster survey and a convenience sample give comparable estimates of immunity to vaccine preventable diseases in children of school age in Victoria, Australia. Vaccine. 2002, 20: 3130-3126. 10.1016/S0264-410X(02)00255-4.CrossRefPubMed Kelly H, Riddell MA, Gidding HF, Nolan T, Gilbert GL: Random cluster survey and a convenience sample give comparable estimates of immunity to vaccine preventable diseases in children of school age in Victoria, Australia. Vaccine. 2002, 20: 3130-3126. 10.1016/S0264-410X(02)00255-4.CrossRefPubMed
36.
go back to reference Pinquier D, Gagneur A, Balu L, Brissaud Q, Gras Le Guen C, Hau-Rainsard I, et al: Prevalence of anti-varicella-zoster virus antibodies in French infants under 15 months of age. Clin Vaccine Immunol. 2009, 16: 484-487. 10.1128/CVI.00397-08.CrossRefPubMedPubMedCentral Pinquier D, Gagneur A, Balu L, Brissaud Q, Gras Le Guen C, Hau-Rainsard I, et al: Prevalence of anti-varicella-zoster virus antibodies in French infants under 15 months of age. Clin Vaccine Immunol. 2009, 16: 484-487. 10.1128/CVI.00397-08.CrossRefPubMedPubMedCentral
38.
go back to reference Sočan M, Blasko M: Surveillance of varicella and herpes zoster in Slovenia 1996 - 2005. Euro Surveill. 2007, 12: 2- Sočan M, Blasko M: Surveillance of varicella and herpes zoster in Slovenia 1996 - 2005. Euro Surveill. 2007, 12: 2-
39.
go back to reference Jerant AF, DeGaetano JS, Epperly TD, Hannapel AC, Miller DR, Lloyd AJ: Varicella susceptibility and vaccination strategies in young adults. J Am Board Fam Pract. 1998, 11: 296-306.CrossRefPubMed Jerant AF, DeGaetano JS, Epperly TD, Hannapel AC, Miller DR, Lloyd AJ: Varicella susceptibility and vaccination strategies in young adults. J Am Board Fam Pract. 1998, 11: 296-306.CrossRefPubMed
40.
go back to reference Sočan M: Evaluation of mandatory case-based reporting system for varicella in the prevaccine era. Cent Eur J Public Health. 2010, 18: 99-103.PubMed Sočan M: Evaluation of mandatory case-based reporting system for varicella in the prevaccine era. Cent Eur J Public Health. 2010, 18: 99-103.PubMed
41.
go back to reference Yu AL, Amaku M, Burattini MN, Massad E, Azavedo RS: Varicella transmission in two samples of children with different social behaviour in State of São Paolo, Brazil. Epidemiol Infect. 2001, 127: 493-500. 10.1017/S0950268801006124.CrossRefPubMedPubMedCentral Yu AL, Amaku M, Burattini MN, Massad E, Azavedo RS: Varicella transmission in two samples of children with different social behaviour in State of São Paolo, Brazil. Epidemiol Infect. 2001, 127: 493-500. 10.1017/S0950268801006124.CrossRefPubMedPubMedCentral
Metadata
Title
Varicella susceptibility and transmission dynamics in Slovenia
Authors
Maja Sočan
Nataša Berginc
Jaro Lajovic
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2010
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-10-360

Other articles of this Issue 1/2010

BMC Public Health 1/2010 Go to the issue