Dengue in Puerto Rico, 1977: Public Health Response to Characterize and Control an Epidemic of Multiple Serotypes *

Morens, David M.; Rigau‐Pérez, José G.; López-Correa, Raúl H.; Moore, C. G.; Ruiz-Tibén, E E; Sather, Gladys E.; Chiriboga, J.; Eliason, D. A.; Casta-velez, A.; Woodall, John

doi:10.4269/ajtmh.1986.35.197

Cited by 50 publications

(47 citation statements)

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“…22,23 As in the 1977 dengue epidemic in Puerto Rico, influenza, a disease with similar symptoms, was also documented to be circulating with higher than normal intensity. 24 The number of influenza-like illnesses reported to the PRDH in December 1994 was 68% higher than in December 1993 (27,063 cases compared to 16,089, respectively). Serologic testing of paired serum samples from 12 dengue-negative patients (10 of whom reported nasal congestion), residing in seven municipalities throughout the island, showed that 6 had a four-fold or greater rise in antibody titers.…”

Section: Resultsmentioning

confidence: 99%

The dengue and dengue hemorrhagic fever epidemic in Puerto Rico, 1994-1995.

Rigau‐Pérez

Vorndam²,

Clark³

2001

The American Journal of Tropical Medicine and Hygiene

134

120

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Section: Resultsmentioning

confidence: 99%

The dengue and dengue hemorrhagic fever epidemic in Puerto Rico, 1994-1995.

Rigau‐Pérez

Vorndam²,

Clark³

2001

The American Journal of Tropical Medicine and Hygiene

134

120

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“…There may be no true untreated group in Puerto Rico because dissemination of information on dengue prevention via the mass media has occurred since 1963. 3 Island-wide campaigns and their intensity have coincided with large epidemics, 16,17 and educational activities in one form or another have occurred almost continuously since 1985. 6,18 The effectiveness of larval source reduction is traditionally assessed through comparison of Ae.…”

Section: Discussionmentioning

confidence: 99%

Community-based dengue prevention programs in Puerto Rico: impact on knowledge, behavior, and residential mosquito infestation.

Winch¹,

Leontsini²,

et al. 2002

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Abstract. Dengue is a major health burden in Puerto Rico. Televised public service announcements and posters, elementary and pre-school educational programs, and an exhibit at the Children's Museum in Old San Juan were evaluated separately using knowledge and practices surveys administered to children and their parents, surveys of house lots for larval container habitats, focus groups, and interviews with program organizers and participants. Exposure to the programs was associated with increased dengue-related knowledge, increased proportion of tires protected from rain, decreased proportion of water storage containers positive for mosquito larvae, and increased indoor use of aerosol insecticides. Exposure to the elementary school program was associated with slightly lower indices of residential mosquito infestation. The programs have resulted in high levels of awareness, some behavior change, and limited change in larval indices. Greater emphasis on the skills necessary for community members to keep containers free of mosquito larvae would increase program effectiveness.

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“…The majority of information has come from data obtained through the Puerto Rico passive dengue surveillance system (PDSS) and several seroepidemiologic studies. [6][7][8][9][10][11][12][13][14][15] These studies have shown that the highest incidence of disease is among 10-to 19-year-olds and that disease incidence varies by year and municipality. However, PDSS is not capable of detecting inapparent DENV infection, and none of the previous seroepidemiologic studies described seroincidence of inapparent DENV infections among school-aged children and adolescents.…”

Section: Introductionmentioning

confidence: 99%

Incidence of Dengue Virus Infection in School-Aged Children in Puerto Rico: A Prospective Seroepidemiologic Study

Argüello¹,

Tomashek²,

Quiñones³

et al. 2015

The American Society of Tropical Medicine and Hygiene

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Abstract. Dengue is a potentially fatal acute febrile illness caused by the mosquito-borne dengue viruses (DENV-1 to -4). To estimate DENV seroincidence in school-aged children, a 1-year prospective cohort study was conducted in Patillas, Puerto Rico; 10-to 18-year-olds (N = 345) were randomly selected from 13 public schools. At enrollment, 49.8% of the entire cohort had DENV immunoglobulin G (IgG) anti-DENV antibodies, and there were individuals with neutralizing antibodies specific to each of the four DENV. The mean age of participants with incident DENV infection was 13.4 years. The 1-year seroincidence rate was 5.6%, and 61.1% of infections were inapparent. Having IgG anti-DENV at enrollment was associated with seroincidence (risk ratio = 6.8). Acute febrile illnesses during the study period were captured by a fever diary and an enhanced and passive surveillance system in the municipios of Patillas and Guayama. In summary, at enrollment, nearly one-half of the participants had a prior DENV infection, with the highest incidence in the 10-to 11-year-olds, of which most were inapparent infections, and symptomatic infections were considered mild.

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Dengue in Puerto Rico, 1977: Public Health Response to Characterize and Control an Epidemic of Multiple Serotypes *

Cited by 50 publications

References 0 publications

The dengue and dengue hemorrhagic fever epidemic in Puerto Rico, 1994-1995.

The dengue and dengue hemorrhagic fever epidemic in Puerto Rico, 1994-1995.

Community-based dengue prevention programs in Puerto Rico: impact on knowledge, behavior, and residential mosquito infestation.

Incidence of Dengue Virus Infection in School-Aged Children in Puerto Rico: A Prospective Seroepidemiologic Study

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