dc.contributor.authorMurray, Natasha Evelyn Anne
dc.contributor.authorQuam, Mikkel B
dc.contributor.authorWilder-Smith, Annelies
dc.date.accessioned2014-05-05T07:24:33Z
dc.date.available2014-05-05T07:24:33Z
dc.date.copyright2013en_US
dc.date.issued2013
dc.identifier.citationMurray, N. E. A., Quam, M. B., & Wilder-Smith, A. (2013). Epidemiology of dengue: past, present and future prospects. Clinical Epidemiology, 5, 299-309.en_US
dc.identifier.issn1179-1349en_US
dc.identifier.urihttp://hdl.handle.net/10220/19296
dc.description.abstractDengue is currently regarded globally as the most important mosquito-borne viral disease. A history of symptoms compatible with dengue can be traced back to the Chin Dynasty of 265–420 AD. The virus and its vectors have now become widely distributed throughout tropical and subtropical regions of the world, particularly over the last half-century. Significant geographic expansion has been coupled with rapid increases in incident cases, epidemics, and hyperendemicity, leading to the more severe forms of dengue. Transmission of dengue is now present in every World Health Organization (WHO) region of the world and more than 125 countries are known to be dengue endemic. The true impact of dengue globally is difficult to ascertain due to factors such as inadequate disease surveillance, misdiagnosis, and low levels of reporting. Currently available data likely grossly underestimates the social, economic, and disease burden. Estimates of the global incidence of dengue infections per year have ranged between 50 million and 200 million; however, recent estimates using cartographic approaches suggest this number is closer to almost 400 million. The expansion of dengue is expected to increase due to factors such as the modern dynamics of climate change, globalization, travel, trade, socioeconomics, settlement and also viral evolution. No vaccine or specific antiviral therapy currently exists to address the growing threat of dengue. Prompt case detection and appropriate clinical management can reduce the mortality from severe dengue. Effective vector control is the mainstay of dengue prevention and control. Surveillance and improved reporting of dengue cases is also essential to gauge the true global situation as indicated in the objectives of the WHO Global Strategy for Dengue Prevention and Control, 2012–2020. More accurate data will inform the prioritization of research, health policy, and financial resources toward reducing this poorly controlled disease. The objective of this paper is to review historical and current epidemiology of dengue worldwide and, additionally, reflect on some potential reasons for expansion of dengue into the future.en_US
dc.format.extent11 p.en_US
dc.language.isoenen_US
dc.relation.ispartofseriesClinical epidemiologyen_US
dc.rights© 2013 Murray et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.en_US
dc.subjectDRNTU::Science::Medicine
dc.titleEpidemiology of dengue : past, present and future prospectsen_US
dc.typeJournal Article
dc.contributor.schoolLee Kong Chian School of Medicine
dc.identifier.doihttp://dx.doi.org/10.2147/CLEP.S34440
dc.description.versionPublished versionen_US


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