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. 2010 Aug;83(2 Suppl):14-21.
doi: 10.4269/ajtmh.2010.09-0293.

Risk factors for severe Rift Valley fever infection in Kenya, 2007

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Risk factors for severe Rift Valley fever infection in Kenya, 2007

Amwayi S Anyangu et al. Am J Trop Med Hyg. 2010 Aug.

Abstract

A large Rift Valley fever (RVF) outbreak occurred in Kenya from December 2006 to March 2007. We conducted a study to define risk factors associated with infection and severe disease. A total of 861 individuals from 424 households were enrolled. Two hundred and two participants (23%) had serologic evidence of acute RVF infection. Of these, 52 (26%) had severe RVF disease characterized by hemorrhagic manifestations or death. Independent risk factors for acute RVF infection were consuming or handling products from sick animals (odds ratio [OR] = 2.53, 95% confidence interval [CI] = 1.78-3.61, population attributable risk percentage [PAR%] = 19%) and being a herds person (OR 1.77, 95% CI = 1.20-2.63, PAR% = 11%). Touching an aborted animal fetus was associated with severe RVF disease (OR = 3.83, 95% CI = 1.68-9.07, PAR% = 14%). Consuming or handling products from sick animals was associated with death (OR = 3.67, 95% CI = 1.07-12.64, PAR% = 47%). Exposures related to animal contact were associated with acute RVF infection, whereas exposures to mosquitoes were not independent risk factors.

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Figures

Figure 1.
Figure 1.
Map of Kenya showing areas affected by Rift Valley fever infection in humans and animals, 2007. The names and locations of the three study sites for the risk factor study are identified by arrows.

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