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University of Groningen

Epidemiology, genetic diversity and clinical manifestations of arboviral diseases in Venezuela

Lizarazo, Erley F.

DOI:

10.33612/diss.108089934

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below.

Document Version

Publisher's PDF, also known as Version of record

Publication date: 2019

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

Lizarazo, E. F. (2019). Epidemiology, genetic diversity and clinical manifestations of arboviral diseases in Venezuela. University of Groningen. https://doi.org/10.33612/diss.108089934

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Epidemiology, genetic diversity and

clinical manifestations of arboviral

diseases in Venezuela

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This PhD project was performed at the Institute of Biomedical Investigation "Dr. Francisco J. Triana Alonso" within the University of Carabobo (Biomed-UC), Venezuela and at the Department of Medical Microbiology and Infection Prevention of the University Medical Center Groningen (UMCG), University of Groningen, The Netherlands.

This work was supported by the Fondo Nacional de Ciencia y Tecnología e Innovación (FONACIT), grant 201100129, 201300201; by the Coordinación de Aplicación de Fondos e Incentivos para el Desarrollo de Planes de Ciencia, Tecnología e Innovación, Organic Law of Science, Technology and Innovation (LOCTI), certification No DGCAFIDCTI/204-214-10, of the Venezuelan Ministry of Science, Technology and Innovation, Venezuela. E. F. Lizarazo Forero received an Abel Tasman Talent Program grant of the Groningen University Institute for Drug Exploration (GUIDE) and financial support from the Department of Medical Microbiology and Infection Prevention, UMCG, University of Groningen, Groningen, The Netherlands.

The printing of this thesis was financially supported by:

ISBN:

978-94-034-2168-1 (Printed book) 978-94-034-2167-4 (Digital)

Cover design:

Maria F. Vincenti-González / Erley Lizarazo

Cover Illustrations

Wright-Fisher Haploid Model / Dengue structure model from Protein Data Bank

Design/Layout:

Ioana Margineanu / Erley Lizarazo

Print:

IPSKAMP printing

© Erley Ferlipe Lizarazo Forero

All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means without written permission of the author and, when appropriate, the publisher holding the copyrights of the published articles.

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Epidemiology, genetic diversity and

clinical manifestations of arboviral

diseases in Venezuela

PhD thesis

to obtain the degree of PhD at the

University of Groningen

on the authority of the

Rector Magnificus Prof. C. Wijmenga

and in accordance with

the decision by the College of Deans.

This thesis will be defended in public on

Wednesday 11 December 2019 at 14.30 hours

by

Erley Ferlipe Lizarazo Forero

born on 5 December 1987

in La Fría, Venezuela

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Supervisors

Prof. J.W.A Rossen

Prof. A.W. Friedrich

Co-supervisor

Dr. A. Tami

Dr. M.E. Grillet

Assessment Committee

Prof. P. Mayaud

Prof. M. de Jong

Prof. J.M. Smit

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Paranymphs

Paola Lisotto

Erwin Raangs

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General Introduction and Scope of the Thesis

6

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General Introduction and Scope of the Thesis

7

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General Introduction and Scope of the Thesis

8

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General Introduction and Scope of the Thesis

9

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General Introduction and Scope of the Thesis

10

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Chapter 1

11

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General Introduction and Scope of the Thesis

12

1

Table of contents

Chapter 1 General Introduction and Scope of the Thesis 9

Chapter 2 Spatial dynamics of chikungunya virus in Venezuela: The first

six months of the epidemic 29

Chapter 3 Concomitant chikungunya and dengue epidemic in Carabobo

State, Venezuela 2014: a study on epidemiological development, clinical manifestations and risk factors

63

Chapter 4 Applied shotgun metagenomics approach for the genetic

characterization of dengue viruses 89

Chapter 5 Complete coding sequences of five dengue virus type 2

clinical isolates from Venezuela obtained through shotgun metagenomics

117

Chapter 6 DEN-IM: Dengue virus identification from metagenomic and

targeted sequencing data 123

Chapter 7 Evolutionary history and population dynamics of dengue

viruses in Venezuela 157

Chapter 8 Summarizing Discussion 193

Appendix Thesis summary

Nederlandse Samenvatting

Informed Consent and Survey Instruments Acknowledgments Curriculum Vitae 210 214 218 242 246

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