학술논문
Dengue fever, Hawaii, 2001-2002.
Document Type
Journal Article
Author
Effler, Paul V.; Pang, Lorrin; Kitsutani, Paul; Vorndam, Vance; Nakata, Michele; Ayers, Tracy; Elm, Joe; Reiter, Paul; Rigau-Perez, José G.; Hayes, John M.; Mills, Kristin; Napier, Mike; Clark, Gary G.; Gubler, Duane J.; Tom, Tammy; Rigau-Perez, José G; Hawaii Dengue Outbreak Investigation Team (CORPORATE AUTHOR)
Source
Subject
*DENGUE
*HEMORRHAGIC fever
*VIRAL disease diagnosis
*MEDICAL research
*
*
*
Language
ISSN
1080-6040
Abstract
Autochthonous dengue infections were last reported in Hawaii in 1944. In September 2001, the Hawaii Department of Health was notified of an unusual febrile illness in a resident with no travel history; dengue fever was confirmed. During the investigation, 1,644 persons with locally acquired denguelike illness were evaluated, and 122 (7%) laboratory-positive dengue infections were identified; dengue virus serotype 1 was isolated from 15 patients. No cases of dengue hemorrhagic fever or shock syndrome were reported. In 3 instances autochthonous infections were linked to a person who reported denguelike illness after travel to French Polynesia. Phylogenetic analyses showed the Hawaiian isolates were closely associated with contemporaneous isolates from Tahiti. Aedes albopictus was present in all communities surveyed on Oahu, Maui, Molokai, and Kauai; no Ae. aegypti were found. This outbreak underscores the importance of maintaining surveillance and control of potential disease vectors even in the absence of an imminent disease threat. [ABSTRACT FROM AUTHOR]