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Dengue Fever: more books (40)

Dengue: piequete que mata: infección que transmite un mosquito. (Socied@d!).(contagio en México; campañas de prevención)(TT: Dengue fever: deadly stings ... campaigns): An article from: Siempre! by Gabriel Jiménez, 2002-08-28
Courting mosquitoes match pitch to signal when they're in the mood: carriers of dengue fever virus harmonize their love songs.(Life): An article from: Science News by Laura Sanders, 2009-01-31
Dengue fever reemerges in Florida after 75 years.(INFECTIOUS DISEASES): An article from: Pediatric News by Roxanna Guilford-Blake, 2010-08-01
Biological Weapons: Plague, Anthrax, Marburg Virus, Botulism, Epidemic Typhus, Cholera, Yellow Fever, Lassa Fever, Dengue Fever, Q Fever
Dengue fever: a souvenir of tropical trips.(Clinical Rounds): An article from: Skin & Allergy News by Nancy Walsh, 2004-07-01
Dengue Fever: Fever, Tropical disease, Tropics, Serotype, Flavivirus, Flaviviridae, Malaria, Epidemic, Aedes aegypti, Asian tiger mosquito, Mosquito, World ... Discovering Dengue Drugs ? Together
Planning Social Mobilization and Communication for Dengue Fever Prevention and Control by Wil Parks; Linda Lloyd, 2004
Cocirculation of dengue serotypes, Delhi, India, 2003.(dengue hemorrhagic fever is in progression): An article from: Emerging Infectious Diseases by Lalit Dar, Ekta Gupta, et all 2006-02-01
Scanning electron microscopy of the four larval instars of the Dengue fever vector Aedes aegypti (Diptera: Culicidae).: An article from: Revista de Biología Tropical by Stefan Schaper, Francisco Hernández-Chavarría, 2006-09-01
Dengue 1 virus and dengue hemorrhagic fever, French Polynesia, 2001.(RESEARCH)(Disease/Disorder overview): An article from: Emerging Infectious Diseases by Bruno Hubert, Scott B. Halstead, 2009-08-01
Recent shift in age pattern of dengue hemorrhagic fever, Brazil.(LETTERS): An article from: Emerging Infectious Diseases by Maria Gloria Teixeira, Maria Conceicao N. Costa, et all 2008-10-01
El dengue mortal.(fiebre)(TT: Deadly dengue.)(TA: fever): An article from: Semana

lists with details

Disease Information: Dengue Fever - Travel Medicine Program - PPHB - Health Cana
If you are an international traveller, learn more about dengue fever and dengue haemorrhagic fever worldwide, along with the latest Health Canada
http://www.hc-sc.gc.ca/pphb-dgspsp/tmp-pmv/info/dengue_e.html

Extractions: Infectious diseases not necessarily common in Canada can occur and may even be widespread in other countries. Standards of hygiene and medical care may differ from those at home. Before departure, you should learn about the health conditions in the country or countries you plan to visit, your own risk of disease and the steps you can take to prevent illness. Your risk of acquiring a disease depends on several factors. They include: your age, gender, immunization status and current state of health; your itinerary, duration and style of travel (e.g., first class, adventure) and anticipated travel activities (e.g., animal contact, exposure to fresh water, sexual contact); as well as the local disease situation. Health Canada strongly recommends that your travel plans include contacting a travel medicine clinic or physician 6 to 8 weeks before departure. Based on your individual risk assessment, a health care professional can determine your need for immunizations and/or preventive medication (prophylaxis) and advise you on precautions to avoid disease. We can help you locate a travel medicine clinic closest to your home.
International Reports Of Dengue Fever And Dengue Haemorrhagic Fever - Travel Med
As in other years, Health Canada is anticipating a significant number of cases of dengue fever and dengue haemorrhagic fever this year in the Caribbean
http://www.hc-sc.gc.ca/pphb-dgspsp/tmp-pmv/df-dhf_e.html

Extractions: This year, as in past years, a significant number of cases of dengue fever (DF) and dengue haemorrhagic fever (DHF) are expected in the Caribbean, Central America, South America, Mexico and South East Asia. Health Canada is aware of the following DF and DHF activity as reported and verified by international sources. This list is not necessarily comprehensive worldwide. Travellers who visit countries where dengue is common (i.e., endemic) should be aware that outbreaks can occur at any time. Travellers to these areas are advised to use personal precautions to reduce the risk of day-time biting mosquitoes that spread the disease. Recommendations include wearing protective clothing and using an insect repellent containing DEET on exposed skin. For Health Canada recommendations and more information about the prevention of dengue fever, visit our Disease Information page on dengue fever at http://www.hc-sc.gc.ca/pphb-dgspsp/tmp-pmv/info/dengue_e.html
CHANGES IN THE DISTRIBUTION OF DENGUE TRANSMISSION UNDER CLIMATE WARMING SCENARI
Abstract of paper showing that dengue fever and other insectborne diseases can be predicted to spread from the tropics to temperate areas with global warming and flooding.
http://www.nal.usda.gov/ttic/tektran/data/000007/07/0000070756.html
Dengue Fever - Digestion: Health And Medical Information Concerning Digestive Sy
What is dengue fever? dengue fever is a disease caused by a virus that is transmitted by mosquitos. What areas are at high risk for contracting dengue fever?
http://www.medicinenet.com/Dengue_Fever/article.htm

Extractions: Printer-Friendly Format Add to Favorites Email to a Friend ... Next page What is dengue fever? Dengue fever is a disease caused by a virus that is transmitted by mosquitos. It is an acute illness of sudden onset that usually follows a benign course with headache, fever, prostration, severe joint and muscle pain, swollen glands (lymphadenopathy) and rash . The presence (the "dengue triad") of fever, rash, and headache (and other pains) is particularly characteristic of dengue. Dengue (pronounced DENG-gay) is now reaching the peak of a roughly five-year cycle. It strikes people with low levels of immunity. An attack of dengue produces immunity for a year or more. Once this outbreak ebbs, more people will be resistant to the viral disease and the cycle will begin again. Dengue goes by other names including breakbone or dandy fever. Victims of dengue often have contortions due to the intense joint and muscle pain. Hence, the name "breakbone fever." Slaves in the West Indies who contracted dengue were said to have "dandy fever" because of their postures and gait.
MDTravel Health - Dengue Fever
dengue fever. There is no treatment for dengue fever except to take analgesics such as acetaminophen (Tylenol) and drink plenty of fluids.
http://www.mdtravelhealth.com/infectious/dengue_fever.html

Extractions: Dengue fever Dengue fever is a viral infection that typically causes flu-like symptoms, including fever, muscle aches, joint pains, headaches, nausea, and vomiting, often followed by a rash. Most cases are mild and resolve uneventfully in a few days. However, dengue sometimes causes excessive bleeding (dengue hemorrhagic fever) or a dangerous fall in blood pressure (dengue shock syndrome) that may be fatal. The available evidence indicates that that children under age 15 experiencing a second dengue infection are at greatest risk for severe disease, which implies that adult travelers who have never been exposed to dengue are unlikely to develop these complications. Dengue is transmitted by Aedes mosquitoes, which bite preferentially during the daytime, especially in the morning and late afternoon (in contrast to Anopheles mosquitoes, the vectors of malaria, which are most active after sundown). Aedes mosquitoes are usually found close to human habitations, often indoors. They breed primarily in man-made water containers, such as jars, barrels, cans, cisterns, metal drums, plastic containers, and discarded tires. As a result, dengue is especially common in densely populated, urban environments, though it occurs in rural areas as well. The disease has been spreading in recent years, due in part to increasing urbanization, and is now endemic in more than one hundred tropical and subtropical countries (see the dengue fever world map produced by the CDC). In the United States, most cases occur in travelers who have returned from the
Dengue Fever - Wikipedia, The Free Encyclopedia
dengue fever. From Wikipedia, the free encyclopedia. Significant outbreaks of dengue fever tend to occur every five or six years.
http://en.wikipedia.org/wiki/Dengue_fever

Extractions: Dengue and dengue hemorrhagic fever (DHF) are acute febrile diseases, found in the tropics, with a geographical spread similar to malaria . Caused by one of four closely related virus serotypes of the genus Flavivirus family Flaviviridae , each serotype is sufficiently different that there is no cross-protection and epidemics caused by multiple serotypes (hyperendemicity) can occur. Dengue is transmitted to humans by the mosquito Aedes aegypti (rarely Aedes albopictus Table of contents 1 Signs and symptoms 2 Diagnosis 3 Treatment 4 Epidemiology ... edit The disease is manifested by a sudden onset of fever , with severe headache, joint and muscular pains (myalgias and arthralgias, severe pain gives it the name break-bone fever ) and rashes ; the dengue rash is characteristically bright red, petechial and usually appears first on the lower limbs - in some patients, it spreads to cover most of the body. There may also be gastritis with some combination of associated abdominal pain, nausea, vomiting or diarrhea. The classical dengue fever lasts about six to seven days with a smaller peak of fever at the trailing end of the fever (the so-called "biphasic pattern"). Clinically, the platelet count will drop until the patient is afebrile.
Dengue Fever - Wikipedia, The Free Encyclopedia
dengue fever. (Redirected from Dengue). Dengue Significant outbreaks of dengue fever tend to occur every five or six years. There
http://en.wikipedia.org/wiki/Dengue

Extractions: (Redirected from Dengue Dengue and dengue hemorrhagic fever (DHF) are acute febrile diseases, found in the tropics, with a geographical spread similar to malaria . Caused by one of four closely related virus serotypes of the genus Flavivirus family Flaviviridae , each serotype is sufficiently different that there is no cross-protection and epidemics caused by multiple serotypes (hyperendemicity) can occur. Dengue is transmitted to humans by the mosquito Aedes aegypti (rarely Aedes albopictus Table of contents 1 Signs and symptoms 2 Diagnosis 3 Treatment 4 Epidemiology ... edit The disease is manifested by a sudden onset of fever , with severe headache, joint and muscular pains (myalgias and arthralgias, severe pain gives it the name break-bone fever ) and rashes ; the dengue rash is characteristically bright red, petechial and usually appears first on the lower limbs - in some patients, it spreads to cover most of the body. There may also be gastritis with some combination of associated abdominal pain, nausea, vomiting or diarrhea. The classical dengue fever lasts about six to seven days with a smaller peak of fever at the trailing end of the fever (the so-called "biphasic pattern"). Clinically, the platelet count will drop until the patient is afebrile.
CNN.com - Dengue Fever Growing Hazard Of The Tropics - July 31, 2000
The danger is from dengue fever, an acute viral infection transmitted by mosquitoes. Skip to main content dengue fever growing hazard of the tropics.
http://www.cnn.com/2000/HEALTH/07/31/dengue.fever/

Extractions: ATLANTA (CNN) A stroll through the streets of some exotic port of call in the Caribbean or Asia could pose a health hazard to unsuspecting travelers. The danger is from dengue fever, an acute viral infection transmitted by mosquitoes. Officials of the U.S. Centers for Disease Control and Prevention warn that more and more people worldwide are contracting dengue fever.
UAB Health System | Dengue Fever
dengue fever. What is dengue fever? Dengue is a viral disease often indoors. What are the symptoms of dengue fever? dengue fever may
http://www.health.uab.edu/show.asp?durki=15723
Department Of Health - Fact Sheet On Dengue Fever
dengue fever. The Department of Health detected local cases of dengue fever for the first time. What is dengue fever? dengue fever is an acute viral disease.
http://www.info.gov.hk/dh/diseases/dengue/dengue-e.htm

Extractions: Dengue Fever The Department of Health detected local cases of dengue fever for the first time. It called on members of the public to be on guard against dengue fever by taking preventive measures against mosquito breeding and the spread of mosquito-borne diseases. What is dengue fever? Dengue fever is an acute viral disease. The incubation period is 3 to 14 days. Symptoms include high fever for three to five days, severe headache, muscle and joint pain, eye pain, nausea, vomiting and skin rash. In severe cases, the patient may present with bleeding and shock, and can die from the disease. Children normally would have milder symptoms than adults. How is dengue fever transmitted? Dengue virus is transmitted to humans through mosquito bites. There is no person to person spread. The mosquito Aedes albopictus, a vector known to transmit the disease, can be found in Hong Kong. The mosquito likes to bite people during daytime, especially two hours after sunrise and a few hours before sunset. How to prevent dengue fever? At present, there is no effective vaccine against dengue fever. The best way to prevent dengue fever is to eliminate pockets of stagnant water that serve as mosquito breeding sites at home, at schools, workplaces and their vicinity, and to avoid mosquito bites.
Department Of Health - FAQ On Dengue Fever And Dengue Haemorrhagic Fever
dengue fever AND DENGUE HAEMORRHAGIC FEVER Frequently asked questions. 1. What is dengue fever? dengue fever is a disease caused by dengue viruses.
http://www.info.gov.hk/dh/diseases/dengue/dengufaq.htm

Extractions: What is dengue fever? Dengue fever is a disease caused by dengue viruses. There are four serotypes of dengue virus (serotype 1 to 4). The viruses are transmitted to humans by the bite of an infected mosquito. In the Western Hemisphere, the Aedes aegypti mosquito is the most important vector of dengue viruses, but it is not found in Hong Kong. Aedes albopictus mosquito, which is prevalent in Hong Kong, is a less efficient epidemic vector. The incubation period of dengue fever ranges from 3 to 14 days. Fatalities in the absence of dengue haemorrhagic fever are rare. What is dengue hemorrhagic fever (DHF)? DHF is a more severe form of dengue. It can be fatal if unrecognised and not properly treated. DHF case fatality rates can exceed 20%, but with good medical management, rates can be reduced to less than 1%. Second infection with a different serotype of the dengue virus is more likely to result in DHF. DHF rates of 1.8% to 12.5% have been reported in secondary infection.
Dengue Fever
dengue fever (Breakbone fever). www.Studenthealth.co.uk. dengue fever; another mosquitoborne illness is less well known, but one that you should know about.
http://www.studenthealth.co.uk/leaflets/DengueFever.htm

Extractions: Dengue Fever (Breakbone fever) www.Studenthealth.co.uk Most travellers are well aware of the risks of malaria. Dengue fever; another mosquito-borne illness is less well known, but one that you should know about. In most people it is a feverish illness with no serious consequences, but a minority of infections are complicated by the development of dengue haemorrhagic fever which can be life threatening. Most dengue infections occur in the Indian subcontinent, Central and South America and the incidence is rising dramatically in Africa. A few cases have been reported in the Middle East Travellers are most at risk in the rural areas of malaria zones, but dengue fever also poses a real risk in the urban environment as the mosquito has become well adapted to city life. Typical symptoms The illness is referred to as breakbone fever because the symptoms of muscle and joint pain can be particularly prominent. Most infections, particularly those in children are very mild and may go undetected. Severity tends to increase with age and with repeated infections. Symptoms normally last about 5-7 days. Treatment Rest Fluids Painkillers to help with the pain and fever. Paracetamol is better than aspirin as it does not interfere with blood clotting; a consideration in case dengue haemorrhagic fever develops.
BBC NEWS | Asia-Pacific | Indonesia Battles Dengue Fever
Indonesia is trying to contain an outbreak of dengue fever which has so far killed 91 people. Indonesia battles dengue fever. Workers
http://news.bbc.co.uk/2/hi/asia-pacific/3495437.stm

Extractions: Workers in Jakarta have been spraying the streets with insecticide Indonesia is trying to contain an outbreak of dengue fever which has killed 91 people in six provinces since the start of the year. Health officials say around 4,500 people have been taken to hospital with the disease - twice as many as in last year's outbreak. They said heavy rains could be responsible for the increase. Dengue fever is carried by mosquitoes and infects about 100m people worldwide each year, of which about 5% die. Java island has been the worst hit, with at least 38 people reported dead in East Java province and 17 others in the capital Jakarta. "The situation is dire and needs immediate handling," said Health Ministry spokeswoman Mariani Reksoprojo. She said that the figures could rise once more statistics were in from Indonesia's 31 provinces. Cyclical Officials in Jakarta have said that the increased number of cases could be to do with heavy rains and pools of stagnant water in the city which serve as a breeding ground for mosquitoes.
BBC News | Health | Dengue Fever Breakthrough
A tiny animal which preys on the mosquito has helped scientists score an important success in the fight against potentially fatal dengue fever.
http://news.bbc.co.uk/1/hi/health/408206.stm

Extractions: A scientific project taking place in Vietnam may point the way for the worldwide treatment of the potentially fatal dengue fever. Scientists have cleared the village of Phan Boi of the mosquitoes that carry the disease. Dengue fever is endemic in 100 countries with as many as 50 million cases each year. The breakthrough in erasing it has come thanks to a tiny animal, the shrimp-like crustacean mesocyclops. The Aedes mosquito carries the fever It has a voracious appetite for mosquito larvae, and is generally harmless to humans. Residents in the village of Phan Boi in Vietnam introduced the crustacean to their domestic water supplies, in an experiment to see whether it could reduce the numbers of the dengue fever carrying Aedes mosquito. And it succeeded in spectacular fashion. In just 18 months the mosquito population has been wiped out in the area. The scientists who supervised the study - run by the Australian Foundation for Peoples of Asia and the Pacific - are now hoping that the mesocyclops can be used to tackle dengue fever elsewhere in the world.
NJDHSS, Communicable Disease Service: Dengue Fever
What You Should Know About. . . dengue fever. What is dengue fever? dengue fever is an Who gets dengue fever? dengue fever occurs primarily
http://www.state.nj.us/health/cd/f_dengue.htm

Extractions: Disease Index NJ InTouch What You Should Know About. . . Dengue Fever What is Dengue Fever? Dengue Fever is an illness caused by infection with one of four serotypes of a virus belonging to the genus Flavivirus. Infection with one of these serotypes does not provide cross-protective immunity, so a person living in an area where Dengue Fever transmission occurs can have four dengue fever infections during his or her lifetime. Who gets Dengue Fever? Dengue Fever occurs primarily in tropical areas, including the Caribbean and Mexico in North America. Anyone living in or visiting tropical areas may become ill with Dengue Fever. How is Dengue Fever spread? Dengue Fever is spread through the bite of certain species of mosquitoes, but only if they are infected with the Dengue Fever virus. Capable species of mosquitoes pick up the Dengue Fever infection by biting a human who is ill with Dengue Fever. Two capable mosquito vectors are present in the Americas, including the United States, Aedes aegypti, and Aedes albopictus. Nearly all cases of Dengue Fever which are diagnosed in the United States are a direct result of recent travel to tropical areas outside the United States. What are the symptoms of Dengue Fever?
Dengue/Dengue Hemorrhagic Fever MEDSTUDENTS-INFECTIOUS DISEASES
dengue fever is an acute febrile infectious disease, caused by all four serotypes (1, 2, 3 or 4) of a virus from genus Flavivirus, called dengue virus.
http://www.medstudents.com.br/dip/dip3.htm

Extractions: Medstudents' Homepage Dengue fever is an acute febrile infectious disease, caused by all four serotypes (1, 2, 3 or 4) of a virus from genus Flavivirus, called dengue virus. Its the most prevalent flavivirus infection of humans, with a worldwide distribution in the tropics and warm areas of the temperate zone corresponding to that of the principal vector, Aedes aegypti. When simultaneous or sequential introduction of two or more serotypes occurs in the same area, there may be an increased number of cases with worse clinical presentation (dengue hemorrhagic fever). The term hemorrhagic is imprecise, because what characterizes this form of the disease is not the presence of hemorrhagic manifestations, but the abrupt increase of capillary permeability, with diffuse capillary leakage of plasma, hemoconcentration and, in some cases, with non-hemorrhagic hypovolemic shock (dengue shock syndrome). The highest incidence of dengue is in southeast Asia, India and the American tropics, where A. aegypti can be found. In the 1980s, dengue emerged in explosive epidemics in Rio de Janeiro (1986 - serotype 1 and 1990 - serotype 2 was isolated in Niterói city), São Paulo and in many other towns and cities in Brazil. In areas such as southeast of Asia, where all four dengue virus types are hyperendemic, children are almost exclusively affected, and seroprevalence approaches 100% by young adulthood. Transmission occurs by the bite of Aedes aegypti female mosquitoes - the same vector of urban yellow fever - a day-active species with low fly-autonomy that is abundant in and around human habitations. In Brazil and other countries Aedes albopictus may also be responsible for transmission. Viremic humans (till the fifth day of disease) serve as the source of virus for mosquito infection; there is not person-to-person transmission. Movement of viremic humans provides the principal means of spread, and rapid air travel is a factor in most recent epidemic emergences.
Dengue Fever
dengue fever Important It is possible that the main title of the report dengue fever is not the name you expected. Please check
http://my.webmd.com/hw/health_guide_atoz/nord514.asp

Extractions: Dengue Fever is an acute viral infection characterized by fever. It is caused by a bite from mosquitoes carrying dengue virus. The primary form of Dengue Fever is characterized by a skin rash and a high fever with severe pain in the head and muscles. Other symptoms may include shaking chills, diarrhea, and vomiting. Bouts of extreme exhaustion may last for months after the initial symptoms. The secondary forms of this disorder are called Dengue Hemorrhagic Fever and Dengue Shock Syndrome. These usually are caused by a secondary infection with a different type of Dengue virus (Type 2), but may also be caused by the same virus that causes Dengue Fever. Several days after onset other symptoms may include fever, bleeding under the skin, red spots on the legs, and bleeding into the intestines. A marked fall in blood pressure (shock) occurs in very severe cases.
Dengue Fever: Dengue Fever: Pitchfork Review
Order Now. dengue fever dengue fever Web of Mimicry; 2003 Rating 7.9 Ten chubby digits clapped midline in positive affirmation
http://www.pitchforkmedia.com/record-reviews/d/dengue-fever/dengue-fever.shtml
DENGUE FEVER ALERT
dengue fever Alert! Homeopathy 21st Century Medicine by Dr. Eileen Nauman, DHM (UK). Symptoms of dengue fever 1 (nonlethal variety).
http://accessnewage.com/articles/health/DENGUE.HTM

Extractions: The epidemics have begun in response to the astrology of the planets gear up for the target date of October 15-27, 1995. On September 5, 1995, the Arizona Republic newspaper, on its front page, blasted the following notice to the citizens of Arizona: STATE WATCHING FOR DENGUE-FEVER MOSQUITOS. The article goes on to say that a state health officeal team is on its way to to confirm the mosquitos trapped in Pima County (Nogales and Tucson) to see if they carry Dengue Fever. Aedes Aegypti mosquitos are known to carry Dengue. CDC, the Center for Disease Control, is fearful that the Carribbean, which is now a hotbed epidemic of two types of mosquitos that carry Dengue Fever 1, is non-lethal variety, and Dengue Hemorragic Fever 2, which is a killer. The "tiger mosquito" carries DHF2, the lethal variety. Thusfar, there's been 2 cases of Dengue Fever in Arizona in 1994, in Santa Cruz and Pima County. Last week, Texas health officials began to notify 14,000 of its physicians to watch for Dengue Fever because they know it's coming up from Mexico, via the Caribbean Basin, which the CDC has been fearful that could happen. Here's what you can do to protect yourself: Mosquitos like to breed in stagnant, still water such as in the bottom of flower pots, pain cans, birdbaths, coolers and old tires. Dump out any water collected in your back yard to keep yourself self.
Mosquito Netting And Dengue Fever
Mosquito netting helps prevent dengue fever. What dengue fever is and it s history are discussed here. All Mosquito Netting Info. dengue fever.
http://www.mosquito-netting.com/dengue-fever.html

Extractions: Home Netting Project Netting Info More Nets ... Helpful Links Dengue is primarily a disease of the tropics, and the viruses that cause it are maintained in a cycle that involves humans and Aedes aegypti , a domestic, day-biting mosquito that prefers to feed on humans. Infection with dengue viruses produces a spectrum of clinical illness ranging from a nonspecific viral syndrome to severe and fatal hemorrhagic disease. Important risk factors for dengue hemorrhagic fever include the strain and serotype of the infecting virus, as well as the age, immune status, and genetic predisposition of the patient. The first reported epidemics of dengue fever occurred in 1779-1780 in Asia, Africa, and North America; the near simultaneous occurrence of outbreaks on three continents indicates that these viruses and their mosquito vector have had a worldwide distribution in the tropics for more than 200 years. During most of this time, dengue fever was considered a benign, nonfatal disease of visitors to the tropics. Generally, there were long intervals (10-40 years) between major epidemics, mainly because the viruses and their mosquito vector could only be transported between population centers by sailing vessels. A global pandemic of dengue began in Southeast Asia after World War II and has intensified during the last 15 years. Epidemics caused by multiple serotypes (hyperendemicity) are more frequent, the geographic distribution of dengue viruses and their mosquito vectors has expanded, and dengue hemorrhagic fever has emerged in the Pacific region and the Americas. In Southeast Asia, epidemic dengue hemorrhagic fever first appeared in the 1950s, but by 1975 it had become a leading cause of hospitalization and death among children in many countries in that region.

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