1971
DOI: 10.1056/nejm197112232852606
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Pandemic Dengue in Caribbean Countries and the Southern United States — Past, Present and Potential Problems

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Cited by 101 publications
(57 citation statements)
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“…4). A. aegypti, the most important and efficient epidemic vector of dengue viruses, has been in the United States for over 200 years and was responsible for transmitting major epidemics in the southern states in the 19th and early 20th centuries (34). Currently, this species is found only in the Gulf Coast states from Texas to Florida, although small foci have recently been reported in Arizona (Fig.…”
Section: Dengue In the Continental United Statesmentioning
confidence: 99%
“…4). A. aegypti, the most important and efficient epidemic vector of dengue viruses, has been in the United States for over 200 years and was responsible for transmitting major epidemics in the southern states in the 19th and early 20th centuries (34). Currently, this species is found only in the Gulf Coast states from Texas to Florida, although small foci have recently been reported in Arizona (Fig.…”
Section: Dengue In the Continental United Statesmentioning
confidence: 99%
“…In that year, the disease spread eastward through Louisiana, Florida, and the adjoining states, and eventually moved south into the Caribbean. Thirty thousand cases were reported in Savannah, Georgia, of which 28% had hemorrhagic manifestations (169).…”
Section: Dissemination Of Dengue Worldwidementioning
confidence: 99%
“…This outbreak started in the Virgin Islands and further extended to Cuba, Jamaica, Colombia, Venezuela, some port cities in the southern United States (New Orleans, Pensacola, Savannah, and Charleston), and Mexico. [15][16][17] Although this outbreak was originally described as dengue, the clinical characteristics of the cases were classic chikungunya disease, strongly suggesting that its cause was chikungunya virus. 18 The historical record suggests this outbreak was the sole introduction of chikungunya into the American Region as a consequence of the African slave trade.…”
Section: Introduction Of Dengue In the Americas (1600-1946)mentioning
confidence: 99%
“…19 Between 1845 and 1849 there is some evidence of dengue-like outbreaks in New Orleans, 15 Cuba, 20 and Brazil. 8,9 An epidemic of denguelike disease was reported after 1850 in different cities of the United States (New Orleans, Mobile, Charleston, Augusta, and Savannah) and Havana, Cuba.…”
mentioning
confidence: 99%