Dengue 1 epidemic in French Polynesia, 1988-1989: surveillance and clinical, epidemiological, virological and serological findings in 1752 documented clinical cases.

摘要: An epidemic of dengue 1 occurred in French Polynesia December 1988 and June 1989. This paper records (i) the trend outbreak its surveillance (ii) clinical, epidemiological virological data obtained from 1752 documented cases. The reached peak February Tahiti Island, 7 weeks after recognition. Among 6034 suspect cases reported by sentinel physicians, 60·3% were <20 years old. illness was classical dengue. No fatality or case haemorrhagic fever/dengue with shock syndrome reported. Of 4792 patients subjected to laboratory testing, 41% confirmed as positive. serological attack rate c. 40%. estimated number infections Windward Islands about 20 000. Transmission associated Aedes aegypti. Study showed a higher confirmation both civilian population <15 old (46·5%) susceptible military (47·6%) than older civilians (31·1%, P < 0·05). Furthermore, primary predominant first 2 groups. diagnosis mostly virus isolation on day <5 detection immunoglobulin (Ig) M ⩾5 illness. study that adequate an requires clinically laboratory-based systems.