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"Before 1970 only seven countries had experienced serious dengue outbreaks," says Farrar.
"Clearly, we have the potential for serious dengue outbreaks,'' Michael S. Doyle told me.
"Clearly, we have the potential for serious dengue outbreaks," Michael S. Doyle told me.
Reinfection with a second strain of dengue substantially raises the risk of developing serious dengue haemorrhagic fever.
This epidemic was the most recent and most serious dengue fever epidemic in Europe.
Secondary DF infection with a serotype of dengue virus different from that of the primary infection commonly results in the more serious dengue hemorrhagic fever (Gubler 1998).
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The disease has several clinical manifestations, from the mild cold-like illness to the more serious hemorrhagic dengue fever and dengue shock syndrome.
However, as development of severe dengue is associated with uncontrolled viremia, the use of an antiviral may help stop further progression into this serious stage.
Of these, some tens of thousands die mostly from the more serious disease forms dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS).
"There is very serious underreporting of dengue cases because of the elections," he said.
"We are seeing a gradual moving north of insects for some quite serious diseases like dengue fever, chikungunya virus and malaria".
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com