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Previous reports have also indicated that patients with higher dengue viremia have higher disease severity [ 37].
The state of Colima (population 568 K, 5,791 km, see location in Fig. 4) is one of the states with a higher dengue incidence in México.
When the risk factors for a dengue epidemic in Goiânia in the Central-West region of Brazil were analyzed, Siqueira et al. (24 ) noted a higher dengue prevalence among those with a lower educational level.
In a future study, we plan to examine whether our dengue research team's long-term presence in certain communities in Iquitos has resulted in higher dengue knowledge and increased preventive practices in these communities compared with others we hypothesize this may have been an unintended, but positive, effect of many years of presence in some communities.
For Australia, Vazquez-Prokopec et al. [ 25] showed the effect of delayed response to dengue outbreaks of 4 to 6 weeks, which would result in 86 times (or 13 million US$ in 2003) and 346 times (or 382 million US$ in 2009) higher dengue illness costs versus a scenario with active surveillance and response within 2 weeks.
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A few weeks ago, I found myself standing in a dank, fetid laboratory at Moscamed, an insect-research facility in the Brazilian city of Juazeiro, which has one of the highest dengue rates in the world.
She was diagnosed positive for NS1 antigen with high dengue serology (IgM).
More than 3,000 households in Kampong Cham province, which has one of the highest dengue rates in Cambodia, have been given colorful guppy fish to breed in barrels of water that villagers keep close to their homes for cleaning and cooking.
The highest dengue cases in the study period were reported in week 38 of year 2005 with 714 cases.
Cities that had the highest dengue incidence in the state were chosen by the Minas Gerais State Department of Health to receive MID.
The highest dengue cases in the study period were reported in September and October 2009 with 4,145 and 4,120 cases, respectively.
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