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. 2016 Oct;22(10):1852–1854. doi: 10.3201/eid2210.160729

Table. Incidence of subclinical and symptomatic chikungunya virus infection during 2 years of active surveillance in an age-stratified cohort, Cebu, Philippines, 2012–2014*.

Cohort
No. persons/prevalence of neutralizing antibodies at beginning of year, %
No. cases/no. cases per 100 person-years (95% CI)
Acute symptomatic infections
Subclinical infections
All infections
Year 1
All persons with paired serum samples, by age
6 mo–5 y 203/0.7 5/3.23 (1.23–7.08) 10/6.46 (3.23–11.47) 15/9.69 (5.66–15.59)
6–15 y 201/1.1 8/4.23 (1.99–7.98) 24/12.68 (8.23–18.55) 32/16.91(11/.8–23.56)
16–30 y 200/20.24 2/1.13 (0.23–3.63) 20/11.32 (7.13–17.4) 22/12.45 (8.02–18.51)
31–50 y 204/52.9 4/2.38 (0.79–5.65) 21/12.48 (7.95–18.7) 25/14.85 (9.85–21.57)
>50 y 200/61.06 1/0.56 (0.05–2.6) 12/6.7 (3.66–11.34) 13/7.25 (4.06–12.05)
All ages 1,008/28.0 20/2.3 (1.5–3.49) 87/10.02 (8.08–12.3) 107/12.32 (10.15–14.83)
Only persons with negative neutralizing antibodies at beginning of 1st year, by age
6 mo–5 y 5/3.26 (1.23–7.4) 10/6.51 (3.34–11.55) 15/9.77 (5.71–15.7)
6–15 y 8/4.27 (2.02–8.6) 24/12.82 (8.43–18.76) 32/17.09 (11.91–23.82)
16–30 y 2/1.42 (0.28–4.56) 20/14.22 (8.96–21.52) 22/15.64 (10.08–23.25)
31–50 y 4/5.02 (1.68–11.94) 21/26.37 (16.81–39.54) 25/31.39 (20.81–45.59)
>50 y 1/1.41(0.13–6.6) 12/16.98 (9.27–28.75) 13/18.39 (10.3–30.55)
All ages 20/3.17 (1.99–4.79) 87/13.77(11.1–16.9) 107/16.94 (13.95–20.38)
Year 2
All persons with paired serum samples
6 mo–5 y 148/8.6 2/1.68 (0.33–5.37) 1/0.84 (0.08–3.91) 3/2.51 (0.7–6.71)
6–15 y 184/18.6 1/0.63 (0.06–2.93) 3/1.88 (0.52–5.03) 4/2.51 (0.84–5.97)
16–30 y 168/35.04 1/0.74 (0.1–5.36) 4/2.98 (1.0–7.08) 5/3.72 (1.41–8.16)
31–50 y 172/70.4 1/0.62 (0.06–2.87) 4/2.46 (0.82–5.85) 5/3.08 (1.17–6.74)
>50 y 182/69.7 1/0.61 (0.06–2.86) 3/1.84 (0.51–4.9) 4/2.45 (0.82–5.83)
All ages 854/42.0 6/0.81 (0.34–1.67) 15/2.03 (1.19–3.27) 21/2.84 (1.81–4.26)
Only persons with negative neutralizing antibodies at beginning of 2nd year, by age
6 mo–5 y 2/1.84 (0.37–5.89) 1/0.92 (0.08–4.28) 3/2.76 (0.76–7.35)
6–15 y 1/0.77 (0.07–3.6) 3/2.32 (0.64–6.18) 4/3.09 (1.03–7.35)
16–30 y 1/1.15 (0.1–5.36) 4/4.6 (1.54–10.94) 5/5.75 (2.18–12.6)
31–50 y 1/2.11 (0.19–9.82) 4/8.43 (2.82–20.03) 5/10.53 (3.99–23.09)
>50 y 1/2.05 (0.19–9.55) 3/6.15 (1.7–16.4) 4/8.2 (2.74–19.49)
All ages 6/1.42 (0.59–2.93) 15/3.56 (2.08–5.72) 21/4.98 (3.18–7.47)

Bold indicates significantly different (p<0.05) from incidence observed among the corresponding age groups during the first year of surveillance. Prevalence of neutralizing antibodies at the beginning of the first year was 28% and at the beginning of the second year was 42%.