Seasonal variation of diarrhoeal pathogens among Guinea-Bissauan children under five years of age

Sointu Mero, Tinja Lääveri, Johan Ursing, Lars Rombo, Poul Erik Kofoed, Anu Kantele*

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

3 Citations (Scopus)
27 Downloads (Pure)


Background: Diarrhoea remains a major cause of childhood morbidity and mortality in low-income countries (LICs). The frequency of diarrhoeal episodes may vary by season, yet few prospective cohort studies have examined seasonal variation among various diarrhoeal pathogens using multiplex qPCR to analyse bacterial, viral and parasitic pathogens. Methods: We combined our recent qPCR data of diarrhoeal pathogens (nine bacterial, five viral and four parasitic) among Guinea-Bissauan children under five years old with individual background data, dividing by season. The associations of season (dry winter and rainy summer) and the various pathogens were explored among infants (0–11 months) and young children (12–59 months) and those with and without diarrhoea. Results: Many bacterial pathogens, especially EAEC, ETEC and Campylobacter, and parasitic Cryp-tosporidium, prevailed in the rainy season, whereas many viruses, particularly the adenovi-rus, astrovirus and rotavirus proved common in the dry season. Noroviruses were found constantly throughout the year. Seasonal variation was observed in both age groups. Conclusion: In childhood diarrhoea in a West African LIC, seasonal variation appears to favour EAEC, ETEC, and Cryptosporidium in the rainy and viral pathogens in the dry season.

Original languageEnglish
Article numbere0011179
Pages (from-to)1-16
Number of pages16
JournalPLoS Neglected Tropical Diseases
Issue number3
Publication statusPublished - Mar 2023
MoE publication typeA1 Journal article-refereed


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