The Epidemiology of Dengue Virus Infection among Urban, Jungle, and Rural Populations in the Amazon Region of Peru

Hayes, Curtis G.; Phillips, Irving A.; Callahan, Johnny D.; Griebenow, Walter F.; Hyams, Kenneth C.; Wu, Shuenn-Jue; Watts, Douglas M.

doi:10.4269/ajtmh.1996.55.459

Cited by 82 publications

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“…The higher rates found in rural areas in Thailand are linked to a higher dependence on water storage during the dry season 24 . Increase in dengue/dengue hemorrhagic fever among rural populations has also been observed in Central and South America, with similar prevalence rates in some urban and rural populations 25 . A study from the Gulf coast of Mexico showed that 85% of the communities reporting dengue infection during the 1995-1998 period were rural and 65% of those were classified as extremely poor according to socioeconomic indicators 26 .…”

Section: • Global Determinantsmentioning

confidence: 68%

Dengue in the Americas: challenges for prevention and control

Gómez–Dantés

Willoquet

2009

Cad. Saúde Pública

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Dengue is the most important vector-borne disease in the Americas and threatens the lifes of millions of people in developing countries. Imprecise IntroductionDengue is now the most important vector-borne disease in the Americas and threatens the health of millions of people that live in urban, suburban and rural environments. Clinical and public health services have been unable to diminish this disease since there is no vaccine available to prevent infection, no effective medical treatments that avert the development of severe symptoms and no sustainable control measures against the vector that guarantee protection of affected communities.Dengue was initially identified as breakbone fever in 1790 in Philadelphia, U.S.A 1 , and later spread throughout the Americas, until the Pan American Health Organization (PAHO) launched an Aedes aegypti eradication campaign to combat yellow fever in the 1950s and 1960s that came close to eliminating the vector from the continent 2 . Although the geographical distribution of the vector is similar to its distribution before the eradication campaigns 3 , populations during the "eradication era" were principally rural. In the last 40 years, there has been intensive urbanization due to massive migration from agricultural areas to cities. Although urbanization in Latin America and the Caribbean had already reached 41% of the population by 1950, the population living in urban areas is expected to reach between 82 and 84% by 2030; by then the Latin America and Caribbean region will be the second most urbanized REVISÃO REVIEW Gómez-Dantés H, Willoquet JR S20 Cad. Saúde Pública, Rio de Janeiro,

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Section: • Global Determinantsmentioning

confidence: 68%

Dengue in the Americas: challenges for prevention and control

Gómez–Dantés

Willoquet

2009

Cad. Saúde Pública

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“…Secondary antibody response patterns were also seen in the sera from residents of Peru and Thailand. Although only dengue 1 virus was endemic in Peru at the time the study sera were collected, other dengue virus serotypes probably have circulated in the past and YF and other related flaviviruses are also present in Peru (8). In Thailand all four serotypes of dengue virus as well as JE virus are endemic.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Two Rapid Diagnostic Assays for Detection of Immunoglobulin M Antibodies to Dengue Virus

Paxton²,

Hanson³

et al. 2000

Clin Diagn Lab Immunol

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“…En 1990 se introdujo DENV-1 a partir de la ciudad de Iquitos (25)(26)(27) , en 1995 se introdujo el genotipo americano del DENV-2 (28,29) y posteriormente, durante la epidemia de dengue en la costa norte del país en el 2000, fue identificado un linaje del genotipo americano/ asiático (30,31) . El DENV-3 fue reconocido a partir del 2001 (32) , DENV-4 a partir del 2008 (33) y en 2010, un nuevo linaje del genotipo americano/asiático fue aislado en la mayor epidemia de dengue en Loreto (9) .…”

Section: Genotipos Y Linajes Del Virus Dengue Circulantes En Perúunclassified

Dengue en el Perú: a un cuarto de siglo de su reemergencia

Cabezas

Fiestas

Mendoza

et al. 2015

Rev Peru Med Exp Salud Publica

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SimposioCitar como: Cabezas C, Fiestas V, García-Mendoza M, Palomino M, Mamani E, Donaires F. Dengue en el Perú: a un cuarto de siglo de su reemergencia. Rev Peru Med Exp Salud Publica. 2015;32(1):146-56. RESUMENUn problema sanitario cada vez más frecuente y disperso en áreas tropicales y subtropicales del mundo, incluido el Perú donde ingresó en 1990, es el dengue. Es producido por el virus del dengue con cuatro serotipos y transmitido por el Aedes aegypti, vector que convive con los humanos y cuya presencia es favorecida por deficientes condiciones sanitarias, sociales y económicas. Manifestaciones de formas severas de la enfermedad como el choque y sangrado, están relacionadas con la frecuente cocirculación de los cuatro serotipos y la aparición de nuevos genotipos como el americano/asiático del serotipo 2. La nueva clasificación de la enfermedad por la OMS como dengue con o sin signos de alarma y dengue grave, está contribuyendo a un diagnóstico y tratamiento más oportunos, permitiendo reducir la letalidad. Debe destacarse la necesidad de la vigilancia del síndrome febril y los índices aédicos que contribuyan a un diagnóstico oportuno y orienten las medidas de control vectorial mediante educación sanitaria y manejo ambiental con participación comunitaria e intersectorial, de manera creativa según los nichos ecológicos. Una alternativa de prevención complementaria sería la vacunación utilizando vacunas tetravalentes cuya seguridad y eficacia deben estar garantizadas antes de su uso poblacional en el marco de estrategias integrales. Palabras clave: Dengue; Aedes aegypti; Enfermedades transmisibles emergentes (fuente: DeCS BIREME). ABSTRACTA health problem each time more frequent and dispersed in tropical and subtropical areas of the world, including Peru where it entered in 1990, is dengue. It is produced by the dengue virus with four serotypes and transmitted by Aedes aegypti, a vector that coexists with humans and whose presence is favored by deficient sanitary, social and economic conditions. Manifestations of severe forms of the disease such as shock and bleeding, are related to the frequent co-circulation of the four serotypes and the emergence of new genotypes such as American / Asian serotype 2. The new classification of the disease by WHO as dengue with or without warning signs and severe dengue, is contributing to more timely diagnosis and treatment, enabling reductions in mortality. Of note is the need to highlight the surveillance of acute febrile illness and Aedes indices that contribute to a timely diagnosis and guide vector control measures through sanitary education and environmental management with community and intersectoral participation, in a creative manner according to ecological niches. An alternative for complementary prevention would be vaccination using tetravalent vaccines whose safety and efficacy must be guaranteed before its use in the population under the framework of comprehensive strategies.

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The Epidemiology of Dengue Virus Infection among Urban, Jungle, and Rural Populations in the Amazon Region of Peru

Cited by 82 publications

References 0 publications

Dengue in the Americas: challenges for prevention and control

Dengue in the Americas: challenges for prevention and control

Comparison of Two Rapid Diagnostic Assays for Detection of Immunoglobulin M Antibodies to Dengue Virus

Dengue en el Perú: a un cuarto de siglo de su reemergencia

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