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

Rigau‐Pérez, José G.; Vorndam, A. Vance; Clark, Gary G.

doi:10.4269/ajtmh.2001.64.67

Cited by 134 publications

(129 citation statements)

References 25 publications

Supporting

Mentioning

120

Contrasting

Unclassified

Order By: Relevance

“…Adults presented a negative association with severe dengue, as demonstrated previously in other countries [37,38]. In all years covered in the present study, Table 3.…”

Section: Discussionsupporting

confidence: 88%

Influence of demographics on clinical outcome of dengue: a cross-sectional study of 6703 confirmed cases in Vitória, Espírito Santo State, Brazil

Vicente¹,

Cerutti

Fröschl³

et al. 2016

Epidemiol. Infect.

View full text Add to dashboard Cite

SUMMARYDengue presents a wide clinical spectrum of signs and symptoms, with characteristics of the host potentially influencing the disease evolution. Therefore, the purpose of this study was to evaluate the influence of gender and age on dengue clinical outcomes in a recent outbreak situation in Brazil, applying a cross-sectional design and including 6703 dengue cases with laboratory confirmation, occurring in Vitória, Espírito Santo State, Brazil, between 2007 and 2013. Data were obtained from the Information System for Notifiable Diseases. Overall, 11·3% of the sample presented with severe dengue, which affected 13·0% of males, 10·0% of females, 8·8% of children, 12·5% of adolescents, 10·5% of adults and 15·5% of the elderly. Age was higher in the severe dengue group (P = 0·03). Severe dengue was associated with males and the elderly (P < 0·01); however, considering only severe cases, children presented haemorrhage and plasma leakage more frequently than older age groups. The results emphasize the importance of a differentiated protocol for management of dengue cases, taking into consideration host factors like age. These findings also suggest the elderly and children as priority groups for immunization in a future implementation of a vaccine.

show abstract

“…Adults presented a negative association with severe dengue, as demonstrated previously in other countries [37,38]. In all years covered in the present study, Table 3.…”

Section: Discussionsupporting

confidence: 88%

Influence of demographics on clinical outcome of dengue: a cross-sectional study of 6703 confirmed cases in Vitória, Espírito Santo State, Brazil

Vicente¹,

Cerutti

Fröschl³

et al. 2016

Epidemiol. Infect.

View full text Add to dashboard Cite

show abstract

“…As was noted for Puerto Rico in general for the 1994 epidemic, a sharp increase in viruspositivity rates (but only owing to one positive out of two patients) for Villalba in May 1995 preceded the increase in cases noted for June. 2 The virus-positivity rate for the island did not rise over 20% until the following month. For the rest of 1995, high positivity in Villalba accounted for most of the high weekly rates for Puerto Rico.…”

Section: Resultsmentioning

confidence: 99%

“…2 Another epidemic, with DEN-4 and DEN-1 predominating, occurred in 1998. 3 Dengue transmission patterns are usually discussed in the context of outbreaks.…”

Section: Introductionmentioning

confidence: 99%

Dengue activity in Puerto Rico during an interepidemic period (1995-1997).

Rigau‐Pérez¹,

Ayala-López²,

Vorndam³

et al. 2001

The American Journal of Tropical Medicine and Hygiene

Self Cite

View full text Add to dashboard Cite

Abstract. From 1995 to 1997 dengue was reported in Puerto Rico at an average annual rate of 1.75/1,000 population, compared to 6.73 in 1994, an epidemic year. Dengue virus serotypes 1 (DEN-1), -2, and -4 were isolated each year, with DEN-2 predominating in 1995 and 1996, and DEN-4 in 1997. From 1995 through 1997 incidence was highest (0.61-0.77/1,000) in persons under 30 years of age; males and females were equally affected. Among positive cases, 28.3% to 37.9% were hospitalized; 28.9% to 35.2% had hemorrhagic manifestations; at least 1.1% to 1.6% fulfilled the criteria for dengue hemorrhagic fever/dengue shock syndrome; and 0.2% to 0.3% died. Neither hurricane preparations (1995) nor widespread floods (1996) seem to have affected dengue incidence. Most municipalities with the highest laboratory-diagnosed dengue rates in 1995 were in the eastern foothills of the central mountains, an area relatively spared by the 1994 epidemic. In the next two years, at least half of the municipalities with the highest laboratory-diagnosed dengue rates were in the west. The most intense municipal outbreak of this period (DEN-2, Villalba, 1995, rate of 11.67/1,000) is described to highlight the importance of local conditions and epidemiologic history in determining the risk of dengue.

show abstract

“…However, a study in Cambodia yielded different results in which infants aged <1 year old were mostly affected (Huy et al, 2010). In Puerto Rico, Nicaragua and India, the age group most commonly affected was 10-20 years (Rigau-Perez et al, 2001;Standish et al, 2010;Kumar et al, 2010). Dengue mainly affected adults in Brazil (Cordeiro et al, 2007).…”

Section: Resultsmentioning

confidence: 99%

Incidence of Dengue in Ozamiz City, Philippines

Pasay

Awa

Ocapan

2013

JMDS

View full text Add to dashboard Cite

The incidence of dengue has become a serious health concern in many areas around the world. The increasing number of dengue cases are said to be the result of rapid population growth and climate change. This study assessed the incidence of dengue in Ozamiz City, Philippines. It also determined the relationship of climatic factors on dengue incidence reported in the area. Documentary analysis was done in seven hospitals to identify the incidence of dengue in the city. Pearson's correlation was used to determine the association between climatic factors and dengue incidence. Multiple regression analysis was also used as a statistical model. A total of 1,908 dengue cases were reported from January 2008 to September 2013. Majority of the patients belonged to the age group of 1-10 years. Maximum number of cases was seen in 2010 (398 cases) which was highest in the month of January (215 cases). Out of the total 1,908 cases, 821 (43.03%) were dengue hemorrhagic fever, 781 (40.93%) were dengue fever and 306 (16.04%) were dengue shock syndrome. Among the 51 Barangays in the City, Barangay Aguada has the highest number of 186 cases (9.75%). Of all climatic factors, only relative humidity has a positive correlation with dengue incidence. Vector control and education campaign needs should be assessed as these factors may significantly influence the occurrence of dengue in the city. Strategic plans and measures for dengue prevention need to be implemented targeting young population.

show abstract

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

Abstract: Abstract. From

Cited by 134 publications

References 25 publications

Influence of demographics on clinical outcome of dengue: a cross-sectional study of 6703 confirmed cases in Vitória, Espírito Santo State, Brazil

Influence of demographics on clinical outcome of dengue: a cross-sectional study of 6703 confirmed cases in Vitória, Espírito Santo State, Brazil

Dengue activity in Puerto Rico during an interepidemic period (1995-1997).

Incidence of Dengue in Ozamiz City, Philippines

Contact Info

Product

Resources

About