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Experts predict big rise in dengue fever in South East Asia

BMJ 2003; 327 doi: (Published 11 December 2003) Cite this as: BMJ 2003;327:1368
  1. Jane Parry
  1. Manila

    Countries in South East Asia, where dengue fever is endemic, are bracing themselves for an expected sharp rise in cases next year, experts at the World Health Organization have reported.

    Not enough effort is going into vector control (the main vector being the mosquito), because most donor organisations are putting their money into the development of a vaccine, the experts say.

    The disease is also spreading beyond its traditional boundaries. More than 450 cases were reported this year in Cairns and Townsville, Australia, the biggest outbreak the region has seen. Hong Kong had its first major outbreak last year, with 44 cases. And in 2001 there were 1394 cases in neighbouring Macau, which has only ever had one case before, in 1996.

    Because infected humans can transmit dengue to susceptible mosquitoes, population movement is bringing the …

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