The role of imported cases and favorable meteorological conditions in the onset of dengue epidemics.

<h4>Background</h4>Travelers who acquire dengue infection are often routes for virus transmission to other regions. Nevertheless, the interplay between infected travelers, climate, vectors, and indigenous dengue incidence remains unclear. The role of foreign-origin cases on local dengue...

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Autores principales: Chuin-Shee Shang, Chi-Tai Fang, Chung-Ming Liu, Tzai-Hung Wen, Kun-Hsien Tsai, Chwan-Chuen King
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Publicado: Public Library of Science (PLoS) 2010
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spelling oai:doaj.org-article:40dd1a10b5de4448acc4ddef7d38cc462021-11-18T09:12:24ZThe role of imported cases and favorable meteorological conditions in the onset of dengue epidemics.1935-27271935-273510.1371/journal.pntd.0000775https://doaj.org/article/40dd1a10b5de4448acc4ddef7d38cc462010-08-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/20689820/pdf/?tool=EBIhttps://doaj.org/toc/1935-2727https://doaj.org/toc/1935-2735<h4>Background</h4>Travelers who acquire dengue infection are often routes for virus transmission to other regions. Nevertheless, the interplay between infected travelers, climate, vectors, and indigenous dengue incidence remains unclear. The role of foreign-origin cases on local dengue epidemics thus has been largely neglected by research. This study investigated the effect of both imported dengue and local meteorological factors on the occurrence of indigenous dengue in Taiwan.<h4>Methods and principal findings</h4>Using logistic and Poisson regression models, we analyzed bi-weekly, laboratory-confirmed dengue cases at their onset dates of illness from 1998 to 2007 to identify correlations between indigenous dengue and imported dengue cases (in the context of local meteorological factors) across different time lags. Our results revealed that the occurrence of indigenous dengue was significantly correlated with temporally-lagged cases of imported dengue (2-14 weeks), higher temperatures (6-14 weeks), and lower relative humidity (6-20 weeks). In addition, imported and indigenous dengue cases had a significant quantitative relationship in the onset of local epidemics. However, this relationship became less significant once indigenous epidemics progressed past the initial stage.<h4>Conclusions</h4>These findings imply that imported dengue cases are able to initiate indigenous epidemics when appropriate weather conditions are present. Early detection and case management of imported cases through rapid diagnosis may avert large-scale epidemics of dengue/dengue hemorrhagic fever. The deployment of an early-warning surveillance system, with the capacity to integrate meteorological data, will be an invaluable tool for successful prevention and control of dengue, particularly in non-endemic countries.Chuin-Shee ShangChi-Tai FangChung-Ming LiuTzai-Hung WenKun-Hsien TsaiChwan-Chuen KingPublic Library of Science (PLoS)articleArctic medicine. Tropical medicineRC955-962Public aspects of medicineRA1-1270ENPLoS Neglected Tropical Diseases, Vol 4, Iss 8, p e775 (2010)
institution DOAJ
collection DOAJ
language EN
topic Arctic medicine. Tropical medicine
RC955-962
Public aspects of medicine
RA1-1270
spellingShingle Arctic medicine. Tropical medicine
RC955-962
Public aspects of medicine
RA1-1270
Chuin-Shee Shang
Chi-Tai Fang
Chung-Ming Liu
Tzai-Hung Wen
Kun-Hsien Tsai
Chwan-Chuen King
The role of imported cases and favorable meteorological conditions in the onset of dengue epidemics.
description <h4>Background</h4>Travelers who acquire dengue infection are often routes for virus transmission to other regions. Nevertheless, the interplay between infected travelers, climate, vectors, and indigenous dengue incidence remains unclear. The role of foreign-origin cases on local dengue epidemics thus has been largely neglected by research. This study investigated the effect of both imported dengue and local meteorological factors on the occurrence of indigenous dengue in Taiwan.<h4>Methods and principal findings</h4>Using logistic and Poisson regression models, we analyzed bi-weekly, laboratory-confirmed dengue cases at their onset dates of illness from 1998 to 2007 to identify correlations between indigenous dengue and imported dengue cases (in the context of local meteorological factors) across different time lags. Our results revealed that the occurrence of indigenous dengue was significantly correlated with temporally-lagged cases of imported dengue (2-14 weeks), higher temperatures (6-14 weeks), and lower relative humidity (6-20 weeks). In addition, imported and indigenous dengue cases had a significant quantitative relationship in the onset of local epidemics. However, this relationship became less significant once indigenous epidemics progressed past the initial stage.<h4>Conclusions</h4>These findings imply that imported dengue cases are able to initiate indigenous epidemics when appropriate weather conditions are present. Early detection and case management of imported cases through rapid diagnosis may avert large-scale epidemics of dengue/dengue hemorrhagic fever. The deployment of an early-warning surveillance system, with the capacity to integrate meteorological data, will be an invaluable tool for successful prevention and control of dengue, particularly in non-endemic countries.
format article
author Chuin-Shee Shang
Chi-Tai Fang
Chung-Ming Liu
Tzai-Hung Wen
Kun-Hsien Tsai
Chwan-Chuen King
author_facet Chuin-Shee Shang
Chi-Tai Fang
Chung-Ming Liu
Tzai-Hung Wen
Kun-Hsien Tsai
Chwan-Chuen King
author_sort Chuin-Shee Shang
title The role of imported cases and favorable meteorological conditions in the onset of dengue epidemics.
title_short The role of imported cases and favorable meteorological conditions in the onset of dengue epidemics.
title_full The role of imported cases and favorable meteorological conditions in the onset of dengue epidemics.
title_fullStr The role of imported cases and favorable meteorological conditions in the onset of dengue epidemics.
title_full_unstemmed The role of imported cases and favorable meteorological conditions in the onset of dengue epidemics.
title_sort role of imported cases and favorable meteorological conditions in the onset of dengue epidemics.
publisher Public Library of Science (PLoS)
publishDate 2010
url https://doaj.org/article/40dd1a10b5de4448acc4ddef7d38cc46
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