Dengue and dengue hemorrhagic fever.

Division of Vector-Borne Infectious Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado 80522, USA.
Clinical Microbiology Reviews (Impact Factor: 16). 08/1998; 11(3):480-96. DOI: 10.1016/S1045-1870(97)80003-9
Source: PubMed

ABSTRACT Dengue fever, a very old disease, has reemerged in the past 20 years with an expanded geographic distribution of both the viruses and the mosquito vectors, increased epidemic activity, the development of hyperendemicity (the cocirculation of multiple serotypes), and the emergence of dengue hemorrhagic fever in new geographic regions. In 1998 this mosquito-borne disease is the most important tropical infectious disease after malaria, with an estimated 100 million cases of dengue fever, 500,000 cases of dengue hemorrhagic fever, and 25,000 deaths annually. The reasons for this resurgence and emergence of dengue hemorrhagic fever in the waning years of the 20th century are complex and not fully understood, but demographic, societal, and public health infrastructure changes in the past 30 years have contributed greatly. This paper reviews the changing epidemiology of dengue and dengue hemorrhagic fever by geographic region, the natural history and transmission cycles, clinical diagnosis of both dengue fever and dengue hemorrhagic fever, serologic and virologic laboratory diagnoses, pathogenesis, surveillance, prevention, and control. A major challenge for public health officials in all tropical areas of the world is to develop and implement sustainable prevention and control programs that will reverse the trend of emergent dengue hemorrhagic fever.

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    Journal of Medicine. 01/2005; 6(2):36-37.
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    ABSTRACT: Background: Dengue fever (DF) is a vector-borne disease that is sensitive to weather and climate variability. To date, however, this relationship in coastal northern Vietnam has not been well documented. Objectives: This paper aims to examine the associations between meteorological variables and dengue incidence in Haiphong, Vietnam, over the period 2008-2012. Methods: Monthly data on dengue incidence from all commune health stations and hospitals of Haiphong (with a total population of ~1.8 million) were obtained in accordance with the WHO's recommendations over a 5-year period (2008-2012). Temperature, rainfall, and humidity were recorded as monthly averages by local meteorological stations. The association between ecologic weather variables and dengue cases was assessed using a Poisson regression model. The estimation of regression parameters was based on the method of maximum likelihood using the R program package. Results: From 2008 through 2012, 507 cases of dengue were reported. The risk of dengue was increased by sevenfold during the September-December period compared with other months over the period 2008-2012. DF cases in Haiphong were correlated with rainfall and humidity. In the multivariable Poisson regression model, an increased risk of dengue was independently associated with months with a higher amount of rainfall (RR=1.06; 95% CI 1.00-1.13 per 50 mm increase) and higher humidity (RR=1.05; 95% CI 1.02-1.08 per 1% increase). Conclusion: These data suggest that rainfall and relative humidity could be used as ecological indicators of dengue risk in Haiphong. Intensified surveillance and disease control during periods with high rainfall and humidity are recommended. This study may provide baseline information for identifying potential long-term effects and adaptation needs of global climate change on dengue in the coming decades.
    Global Health Action 12/2014; 7:23119. · 1.65 Impact Factor
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    ABSTRACT: Aedes aegypti has already been implicated in the emergence of dengue and chikungunya viruses in the southern US. Vector competence is the ability of a mosquito species to support transmission of an arbovirus, which is bounded by its ability to support replication and dissemination of the virus through the mosquito body to the salivary glands to be expectorated in the saliva at the time of feeding on a vertebrate host. Here, we investigate the vector competence of A. aegypti for the arbovirus koutango by orally challenging mosquitoes with two titers of virus. We calculated the effective vector competence, a cumulative measure of transmission capability weighted by mosquito survival, and determined that A. aegypti was competent at the higher dose only. We conclude that further investigation is needed to determine the infectiousness of vertebrate hosts to fully assess the emergence potential of this virus in areas rich in A. aegypti.
    Environmental Health Insights 01/2014; 8(Suppl 2):9-13.

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