Serological evidence of hantavirus infection in farm and abattoir workers in Trinidad--a preliminary study.

Hantaviruses are established causative agents of hemorrhagic fevers and renal diseases amongst other clinical manifestations in humans, with most diagnosis based on serological assays. The disease, which is rodent-borne, has been reported in numerous countries worldwide but information about the disease is scanty in the Caribbean. The objective of this investigation is to determine the frequency of exposure to hantaviruses in a selected apparently healthy human population associated with abattoirs and livestock farms in Trinidad using a hantavirus immunoglobulin G (IgG) enzyme-linked immunosorbent assay (ELISA). Of a total of 236 individuals tested, 27 (11.4%) were seropositive for hantavirus infection. Amongst abattoir workers the frequency of infection was 9.4% (6 of 64) compared with seropositivity rate of 12.4% (18 of 145) and 11.1% (3 of 27) amongst livestock farm workers and office workers and other individuals with minimal animal contact respectively. The differences were, however, not statistically significant (p > .05; χ(2) test). Age, gender, and race did not significantly affect the infection rate by hantavirus in the workers studied. This is considered the first documented evidence of hantavirus infection in Trinidad and Tobago. It is imperative for local physicians to consider hantavirus as a differential diagnosis in patients with hemorrhagic fever and renal diseases, since there may be a number of undiagnosed cases of hantavirus disease in the human population in the country.

Frequency of detection of immunoglobulins of Toxoplasma gondii, Leptospira spp., and Brucella abortus in livestock/farm and abattoir workers in Trinidad.

Toxoplasma gondi, Leptospira spp., and Brucella abortus are all established parasitic and bacterial zoonoses that manifest themselves in several forms of human diseases. They have been associated with occupational exposures, particularly amongst workers associated with livestock farms. The primary objectives of this study were to determine the seroprevalence of T. gondii immunoglobulin M (IgM) immunoglobulins (serum antibodies), Leptospira IgM immunoglobulins, and B. abortus IgG immunoglobulins, suggestive of acute or chronic infections, in livestock/farm and abattoir workers in Trinidad, and to relate to risk factors. Blood samples were collected from 394 consenting livestock/farm workers and 99 abattoir workers across the island of Trinidad. Serological status was determined by enzyme immunoassay (EIA) for T. gondii IgM, enzyme-linked immunosorbent assay (ELISA) for Leptospira IgM immunoglobulins, and buffered plate agglutination test (BPAT) and competitive ELISA for B. abortus IgG immunoglobulins. Of 394 apparently healthy livestock/farm workers sampled, 150 (38.1%) were seropositive for T. gondii IgM immunoglobulins, compared with 44 (44.4%) of 99 abattoir workers (p > .05; χ(2) test). Five (1.3%) of 371 and 1 (1.0%) of 99 livestock/farm and abattoir workers respectively were positive for Leptospira IgM immunoglobulins. All samples from livestock/farm workers and abattoir workers were negative for B. abortus immunoglobulins. None of the risk factors investigated was statistically significantly (p > .05; χ(2) test) associated with T. gondii and Leptospira spp. infections.

Frequency of seropositivity for Coxiella burnetii immunoglobulins in livestock and abattoir workers in Trinidad.

Coxiella burnetii is a zoonotic, rickettsial pathogen which causes mild and severe diseases often referred to as Q-fever in humans, particularly those occupationally exposed. This study determined the seropositivity for Coxiella burnetii IgM immunoglobulins using the enzyme immunoassay (EIA) in livestock and abattoir workers in Trinidad and related to selected personal characteristics to seroprevalence. Overall, of the 455 humans whose serum samples were tested, 20 (4.4%) were seropositive for C. burnetii IgM immunoglobulin, comprising 13 (4.6%) out of 283 livestock workers, 4 (4.7%) out of 85 abattoir workers and 3 (3.4%) out of 87 office workers (P>0.05; Chi 2). The age, sex and race of workers were not significantly associated with the occurrence of acute Q-fever (P>0.05; Chi 2). This is considered the first documentation of Q-fever in the human population in Trinidad. It is difficult to assess the impact of the disease in the country since the disease is not routinely tested for in the local hospitals or diagnostic laboratories.

Frequency of seropositivity for Coxiella burnetii immunoglobulins in livestock and abattoir workers in Trinidad

Coxiella burnetii is a zoonotic, rickettsial pathogen which causes mild and severe diseases often referred to as Q-fever in humans, particularly those occupationally exposed. This study determined the seropositivity for Coxiella burnetii IgM immunoglobulins using the enzyme immunoassay (EIA) in livestock and abattoir workers in Trinidad and related to selected personal characteristics to seroprevalence. Overall, of the 455 humans whose serum samples were tested, 20 (4.4%) were seropositive for C. burnetii IgM immunoglobulin, comprising 13 (4.6%) out of 283 livestock workers, 4 (4.7%) out of 85 abattoir workers and 3 (3.4%) out of 87 office workers (P>0.05; ö2).The age, sex and race of workers were not significantly associated with the occurrence of acute Q-fever (P>0.05; ö2). This is considered the first documentation of Q-fever in the human population in Trinidad. It is difficult to assess the impact of the disease in the country since the disease is not routinely tested for in the local hospitals or diagnostic laboratories.