DENGUE/DHF UPDATES (11): 22 MAR 2002
************************************
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[see also:
Dengue/DHF updates (10): 15 Mar 2002     20020316.3752
Dengue/DHF updates (01): 14 Jan 2002     20020115.3265
Dengue/DHF - Honduras                    20020103.3153
2001
---
Dengue - USA (Hawaii) (07)               20011130.2912
Dengue - USA (Hawaii)                    20010922.2296
Dengue - Brazil                          20011018.2566
Dengue/DHF - Ecuador                     20010531.1075
2000
---
Dengue/DHF - Central America (03): alert 20000914.1577
Dengue/DHF - Central America (02)        20000824.1410
Dengue/DHF - Philippines & El Salvador   20000701.1087
Dengue/DHF - Indonesia, Honduras         20000615.0974
Dengue, declining - Malaysia             20000416.0543
Dengue virus strains - Ecuador: RFI      20000321.0399
Dengue - Ecuador (02)                    20000319.0387
Dengue - Ecuador                         20000317.0375
1999
---
Dengue/DHF - Malaysia: update            19990725.1248
Dengue - Malaysia: 1998 (02)             19990224.0249
Dengue - Malaysia: control               19990204.0162
Dengue - Malaysia: 1998                  19990130.0134
1998
---
Dengue/DHF - Malaysia (Perak)            19980916.1857
Dengue - Malaysia (Petaling Jaya)        19980811.1575
Dengue/DHF - Malaysia: 1997              19980415.0689
Dengue - Cook Islands (02)               19980325.0557
Dengue - Cook Islands                    19980317.0501
1997
---
Dengue - Cook Islands: end               19970618.1300
Dengue - Cook Islands                    19970224.0438
1996
---
Dengue - Hawaii, USA (2)                 19960501.0838
Dengue - Hawaii, USA                     19960428.0816
1995
----
Dengue - Cook Is. & S.Pacific            19950616.0417]

In these updates:
[1] Ecuador
[2] Malaysia (Selangor)
[3] USA (Hawai)
[4] Honduras
[5] & [6] El Salvador
[7] Cook Islands
[8] Brazil
[9] Australia (Queensland): Imported Case

[1]
Date: Sat 16 Mar 2002
From: ProMED-mail <promed@promedmail.org>
Source: The News, Mexico, Fri 15 Mar 2002 [edited]
<http://www.thenewsmexico.com/noticia.asp?id=21365>


Ecuador: Dengue/DHF outbreak risk increased by prolonged rain and flooding
-------------------------------------------------------------------------
QUITO: Heavy rains have driven more than 3000 Ecuadorians from their homes 
as rivers overflow their banks, taking with them bridges, retaining walls 
and destroying thousands of hectares of crops, authorities said on Thu 14 
Mar 2002. The national emergency system has been activated to help manage 
the fleeing farmers, the country's interior minister said, though entire 
communities remain shut off from centralized services. No new deaths have 
been reported, and health minister Patricio Jamriska stopped short of 
declaring a health emergency for the moment despite the likelihood of 
outbreaks of dengue fever and malaria.

Already, 68 cases of dengue fever have been reported as well as 2 cases of 
the more dangerous hemorrhagic variety. Ecuador canceled delivery of 70 000 
tons of rice to neighboring Colombia after 3400 hectares (1373 acres) were 
destroyed in the downpour, jeopardizing domestic stocks.

The heavy rains began in February and have swept across seven of Ecuador's 
22 provinces.

******
[2]
Date: Sat 16 Mar 2002
From: ProMED-mail @promedmail.org>
Date: Friday, March 15, 2002
Source: The Star Online, Fri 15 Mar 2002 [edited]
<http://www.thestar.com.my/news/story.asp?file=/2002/3/15/nation/klgdenge&sec=nation>


Malaysia: dengue/DHF cases increase by 54 per cent in Selangor
--------------------------------------------------------------
SHAH ALAM (Selangor): An alarming increase in dengue fever and dengue 
hemorrhagic fever (DHF) cases has been recorded this year with a total of 
823 cases up to Sat 9 Mar 2002, which is 54 per cent higher than the number 
reported over the same period last year. Two deaths have been reported and 
all local authorities in the state have been ordered to set up operation 
centers to monitor the outbreak.

The Shah Alam City Council tops the list with 199 cases, followed by 
Selayang (130), Subang Jaya (129), Petaling Jaya (112), Klang (69), Kajang 
(52) and Ampang Jaya (29). State Health Committee chairman Datuk Tang See 
Hang said that the 2 fatal cases were a 40 year old woman from Taman Sri 
Serdang and a 19 month old boy from Section 27, Shah Alam. He added that 
103 cases were reported last week, the highest so far this year. "This is a 
worrying trend, especially with the dry weather coupled with the water 
shortage in the Klang Valley, and we urge the public to take precautions," 
he told a press conference yesterday.

Tang called on local authorities to organise "gotong-royong" sessions, 
noting that the Shah Alam City Council would be holding one at Section 27 
on Sun 24 Mar 2002, to be attended by Mentri Besar Datuk Seri Dr Mohd Khir 
Toyo. Tang said the state and municipal health departments would carry out 
more frequent inspections of premises for _Aedes_ larvae and issue 
on-the-spot compounds of up to RM500.

(Byline: Frederick Fernandez)

-- 
ProMED-mail
<promed@promedmail.org>

******
[3]
Date: Mon 18 Mar 2002
From: "Pablo Nart" <p.nart@virgin.net>
Source:New York Times, via News Line, Sun 17 Mar 2002 [edited]


Hawai (Maui): dengue fever waning but risk remains
--------------------------------------------------
A total of 6 cases of dengue fever have been reported on Maui this month, 
and visitors to the Hawaiian island are being reminded to be cautious when 
visiting the damp east Maui area. Of a statewide total of 117 confirmed 
cases of dengue since last June, 88 were from Maui (mostly from Hana, in 
the east); 25 were from Oahu (primarily on the windward side); and 4 were 
from Kauai.

Health officials said last week that dengue was on the wane and that all 
but one of the latest cases involved belated reports of past illnesses. 
Nevertheless, they still recommended that those entering east Maui and 
windward Oahu wear long sleeves and pants in light colors, and spray 
mosquito repellent with DEET on clothes and uncovered skin.

Heavy rains throughout Hawaii in January had health officials worried about 
mosquitoes breeding in standing water, but February turned out to be dry. 
The disease is transmitted by a mosquito [_Aedes aegypti_] after it has 
bitten an infected person. There is no vaccination for dengue. The flu-like 
symptoms, which last about a week, include fever, headache, muscle, eye and 
joint pain, and rash. Rest, fluids and over-the-counter pain medication are 
recommended.

******
[4]
Date: Mon 18 Mar 2002
From: "Pablo Nart" <p.nart@virgin.net>
Source: Diario La Tribuna (Honduras), Tue 12 Mar 2002 [edited]
<http://www.latribunahon.com/2002/marzo/12/nacion.htm>


Honduras: dengue/DHF update
---------------------------
At least 16 new cases of dengue hemorrhagic fever (DHF) and 360 of dengue 
fever were confirmed by Nerza Paz, director of the Health Department in the 
Metropolitan Region of Tegucigalpa.

******
[5]
Date: Mon 18 Mar. 2002
From: "Pablo Nart" <p.nart@virgin.net>
Source: laprensa.com (El Salvador), Tue 12 Mar 2002 [edited]
<http://www.laprensa.com.sv/nacionales/nac23.asp>


El Salvador: dengue/DHF update
------------------------------
Local health authorities have confirmed 30 cases of dengue fever since the 
beginning of this year. Three of these cases seen at Benjamim Bloom 
Hospital had clinical symptoms of dengue hemorrhagic fever (DHF), and are 
pending laboratory confirmation. During a similar period last year only one 
case of DHF was confirmed.

******
[6]
Date: Thu 21 Mar 2002
From: "Pablo Nart" <p.nart@virgin.net>
Source: Fuente El Mundo (El Salvador), Thu 21 Mar 2002 (translated) [edited]
<http://www.elmundo.com.sv/notdetalle.php3?nota=10785&fecha=21-03-2002>


Dengue outbreak more severe than during 2001
--------------------------------------------
In the first 3 months of this year in El Salvador, dengue fever has already 
affected twice the number of people affected during the same period of time 
in 2001. In the period from the 15 Jan to 15 Mar 2001 a total of 191 cases 
of dengue fever were diagnosed in the country. This year the total number 
is 421 people affected.

Three cases of dengue hemorrhagic fever (DHF) were confirmed for the same 
period of 2001. This year the number of cases of confirmed DHF has reached 39.

The three departments with more cases registered this year are:
Department/2001/2002
San Salvador/54/231
Santa Ana/15/62
La Libertad/11/58

******
[7]
Date: Thu 21 Mar 2002
From: "Pablo Nart" <p.nart@virgin.net>
Source: BBC International Reports, Tue 19 Mar 2002 (Ex Radio New Zealand 
International) [edited]


Schools on Rarotonga reopen
---------------------------
There are plans in the Cook Islands to establish a department responsible 
for monitoring dengue fever in the country. Cabinet Minister Norman George, 
head of operations (Ngamu), says that a department will be set up for the 
ongoing spraying and maintenance of the areas known to harbor mosquitoes 
carrying dengue virus.

Last month over 30 people needed hospital treatment, and there were 250 
suspected cases. The dengue outbreak also forced schools on Rarotonga to 
close for 2 weeks. Mr George says the three week spraying campaign has 
allowed schools to reopen, and halved the number of dengue cases. He says 
the proposed department will operate [in accordance with] traditional 
custom in the Cooks.

-- 
Pablo Nart
<p.nart@virgin.net>

******
[8]
Date: Thu 21 Mar 2002
From: ProMED-mail <promed@promedmail.org>
Source: World Health Organization (WHO) Disease Outbreaks Report, Thu 21 
Mar 2002 [edited]
<http://www.who.int/disease-outbreak-news/n2002/march/21march2002.html>


Dengue/dengue hemorrhagic fever in Brazil
-----------------------------------------
As of Tue 19 Mar 2002 the health authorities have reported 104 469 cases of 
dengue and 40 deaths in Rio de Janeiro State. In the City of Rio de Janeiro 
the municipal health authority reported a total of 49 149 cases and 435 
cases of dengue hemorrhagic fever with a total of 29 deaths.

The dengue outbreak is the largest in the state's history, and the 
authorities have implemented an aggressive ongoing campaign to control the 
epidemic. Included are social mobilization activities to involve the 
community in eliminating breeding sites of mosquitoes and in taking 
measures to avoid being bitten by mosquitoes, as well as state and 
municipal vector control programmes.

-- 
ProMED-mail
<promed@promedmail.org>

******
[9]
Date: Fri 22 Mar 2002
From: "Pablo Nart" <p.nart@virgin.net>
Source, Townsville Bulletin (Australia), Thu 21 Mar 2002 [edited]


Australia: imported case of dengue fever in Townsville (Queensland)
------------------------------------------------------------------
Townsville has recorded its first case of dengue fever for the season, 
although the case is said to have been contracted overseas. Townsville City 
Council Environmental Services Committee Chairwoman Ann Bunnell said that 
the case was an Aitkenvale resident, who had contracted dengue fever 
overseas. She stated that there had not been any transmission locally. 
Queensland Health and the Council's Environmental Health officers were 
carrying out intensive inspections of properties in the immediate vicinity 
of the patient's home. The Council's dengue control program was continuing, 
with house-to-house inspections in selected suburbs every week and 
education kits being distributed in suburbs and schools.

-- 
Pablo Nart
<p.nart@virgin.net>

ProMED-mail
<promed@promedmail.org>

....................cp/mpp/sh

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