pronunciation: den' gee

WHAT IS DENGUE FEVER?

(& Dengue Hemorrhagic Fever)

Dengue is a disease transmitted to humans by infected mosquitoes. The potentially fatal disease is caused by a group of four viruses that are mosquito born.

WHAT ARE THE FOUR DENGUE VIRUSES?

Dengue and Dengue Fever are caused by one of four virus serotypes: DEN-1, DEN-2, DEN-3, DEN-4. The four virus are closely related, however they are anitgenically distinct. Unfortunately, a person can have several dengue infections in their lifetime because a person does not become immune to the other three viruses if infected.

HOW IS DENGUE FEVER SPREAD?

Dengue fever is transmitted by mosquitoes who have been infected with the dengue virus. In the Western Hemisphere, the Aedes aegypti is the one mosquito species that transmits the disease. When a mosquito bites a person who has Dengue or Dengue Fever, the insect becomes infected and acts as a carrier of the virus. The disease spreads when mosquito-carriers bite healthy individuals who are now hosts for the virus. The Dengue virus is only spread by mosquitoes; it is not spread directly from person to person. The Aedes aegypti is a day-biting mosquito that prefers to feed on humans.

WHO GETS DENGUE FEVER?

Everyone is susceptible to the disease if exposed to infected mosquitoes. Dengue fever is a current epidemic in more than 100 subtropical countries where the mosquito population is high. These tropical regions include the Caribbean, Central America, Puerto Rico and tropical Asia. Travelers are often infected by the disease when visiting tropical areas where dengue commonly exists. Unfortunately, infected travelers may return home spreading the virus to mosquitoes of other locations, who subsequently pass it to other individuals.

DENGUE FEVER vs. DENGUE HEMORRHAGIC FEVER

Dengue Hemmorrhagic Fever is a more severe, often fatal form of Dengue Fever. The two types of fever are caused by the same group of virus as dengue; the only differences are observed in the symptoms.

WHAT ARE THE SYMPTOMS?

Symptoms usually occur from three to fifteen days after exposure to an infected exposure.

Dengue Fever: The symptoms of Dengue Fever are characterized by an abrupt fever lasting for 5-7 days, severe headaches, muscle and joint pains, and rash. The clinical features may vary according to the age of the patient.

Dengue Hemorrhagic Fever: The hemorrhagic form of dengue fever induce more severe symptoms. These effects include: loss of appetite, vomiting, high fever, abdominal pain, and intense headaches. Circulatory failure and shock may occur in severe cases. If the disease is left untreated, the disease results in death of over half of individuals who are infected.

WHAT TYPES OF TREATMENTS ARE AVAILABLE?

Currently there is no cure and no specific treatment available, however, lives have been saved under clinical observation and care. Vaccine development for Dengue and Dengue Hemorrhagic Fever is difficult because any of the four dengue viruses may cause disease. An immunization of only one or two of the viruses could actually inflate the risk of serious disease. Progress is being made to solve this problem.

PREVENTION AND CONTROL

Minimal exposure to mosquitoes and use of repellent is advised, however, the elimination of the mosquitoes is best. Furthermore, scientists are investigating genetic engineering for preventive measures. They hope to genetically inhibit the mosquito from transmitting the disease.


December 1, 1996