BackgroundDengue virus is transmitted by mosquito around the tropical and sub-tropical regions. There was a large-scale dengue epidemic in Guangdong province, China during 2014 and around fifty thousands dengue fever cases, including six deaths, have been reported. In this study, we aimed to understand the clinical characteristics of hospitalized patients with laboratory-confirmed dengue virus (DENV) infection and determined the origin of the virus from the outbreak.MethodsWe have summarized the data from 138 hospitalized patients who were laboratory confirmed for dengue infection in Guangzhou city. Patients were classified as either non-severe dengue fever or severe dengue fever according to the guidelines from the WHO. Viral serotypes were determined by real time RT-PCR. Genetic sequences of the envelope and non-structural genes were amplified and analyzed from the serum samples of eleven patients.ResultsCo-circulation of dengue serotype 1 and 2 were identified from the outbreak. Patients infected by serotype 1 or 2 showed similar clinical features. Patients with severe dengue fever showed prolonged hospitalization and significant impairment of organ functions. Four samples from serotype 1 and five samples from serotype 2 were closely related respectively and clustered with Guangzhou isolates from previous years. The remaining isolates of serotype 1 were related to viruses found in Malaysia, India, Bangladesh and Singapore.ConclusionThe phylogenetic grouping of Guangdong isolates suggests that dengue is no longer an imported disease in China. Analysis of the isolates obtained in this study together with the size of the outbreak are suggestive of endemic circulation in Guangdong province.Electronic supplementary materialThe online version of this article (doi:10.1186/s12879-016-1379-4) contains supplementary material, which is available to authorized users.
Studies of citrus leafminer in a coastal orchard in NSW, Australia indicated that an increase in abundance to about one mine per flush was followed during the midseason flush by a rapid increase in population that was related to an increase in the percentage of leaves infested within flushes and the number of mines per leaf. The fits of frequency distributions and Iwao's patchiness regression indicated that populations were highly contagious initially, and as the exponent k of the negative binomial distribution increased with increasing population density, the distribution approached random. Concurrently, the coefficient of variation of mines per flush (which was strongly related to the proportion of un-infested flushes) decreased to about unity as the proportion of un-infested flushes reached zero and fell further as the number of mines per flush increased. Both numerative and binomial sequential sampling plans were developed using a decision threshold based on 1.2 mines per flush. The binomial sampling plan was based on a closely fitting model of the functional relationship between mean density and proportion of infested flushes. Functional relationships using the parameters determined from Iwao's patchiness regression and Taylor's power law were equally satisfactory, and one based on the negative binomial model also fitted well, but the Poisson model did not. The three best fitting models indicated that a decision threshold of 1.2 mines per flush was equivalent to 50% of flushes infested. From a practical point of view, the transition from 25% infestation of flushes through 50% is so rapid that it may be prudent to take action when the 25% level is reached; otherwise, the 50% may be passed before the crop is checked again. For valuable nursery stock should infestation be detected in spring, it may be advisable to apply prophylactic treatment as the midseason flush starts.
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