Published Date: 2012-03-19 10:40:29
Subject: PRO/EDR> Dengue/DHF update 2012 (12)
Archive Number: 20120319.1074013

DENGUE/DHF UPDATE 2012 (12)
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A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org

In this update:
[1] Japan ex East Timor
[2] Cases in various countries:
Latin America
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Brazil (Rio de Janeiro state)
Brazil (Campo Grande, Mato Grosso do Sul state)
Paraguay (Cordillera department [state equivalent])
Paraguay (fatalities)
Peru (Cajamarca region)
Peru (Jaen, Cajamarca region)
Ecuador (national)
Asia
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Malaysia (national)
Pakistan (Lahore, Punjab province)

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In this update:
[1] Japan ex East Timor
Date: Wed 14 Mar 2012
From: Meng Ling Moi <sherry@nih.go.jp> [edited]


Dengue-importations into Japan from East Timor-3 cases-DENV-3
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In Japan, 3 travelers who visited Dili, East Timor were diagnosed with dengue fever in March 2012. One of the 3 cases was viremic upon returning to Japan, and dengue virus serotype-3 (DENV-3) was detected. The other cases were confirmed as dengue infection by anti-DENV IgM and IgG antibodies. The incidences coincide with a report of a dengue fever outbreak in East Timor: there were 161 laboratory confirmed dengue cases and 563 reports of dengue cases in East Timor this year [2012] (ProMED-mail post no. 20120306.1060914). The detection of DENV-3 among the travelers returning to Japan suggests that the serotype is currently circulating in East Timor.

--
Tadashi Kikuchi, Shoichi Shimizu, Michio Okame, Tomohiko Koibuchi, Meng Ling Moi, Akira Kotaki, and Tomohiko Takasaki
Institute of Medical Science, University of Tokyo & Department of Virology 1
National Institute of Infectious Diseases
Japan
<kik248@ims.u-tokyo.ac.jp>, <show1@ims.u-tokyo.ac.jp>, <m-okame@ims.u-tokyo.ac.jp>, <tkoibuch@ims.u-tokyo.ac.jp>, <sherry@nih.go.jp>, <ak@nih.go.jp>, <takasaki@nih.go.jp>

[ProMED-mail thanks these health professionals in Japan for the 1st-hand information about these cases. Due to their efforts, we now know that DENV-3 is circulating in the East Timor outbreak, information that was not available in the previous East Timor report in the ProMED-mail archive cited above.

A HealthMap/ProMED-mail interactive map of East Timor can be accessed at http://healthmap.org/r/1KlU. - Mod.TY]

******
[2] Cases in various countries:
Latin America
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- Brazil (Rio de Janeiro state). 17 Mar 2012. According to the state Secretariat of Health, 18 779 dengue cases have been registered since the beginning of this year [2012]. Of this total, 11 913 occurred in the capital of the state. The capital accounts for 63.4 per cent of the cases reported in the entire state. Daily, at least 170 people become ill in the city. Up to now, there has been one confirmed dengue death. http://noticias.r7.com/saude/noticias/mapa-da-dengue-rio-concentra-mais-de-60-dos-casos-no-estado-20120317.html [in Portuguese, trans. Mod.TY]

[A HealthMap/ProMED-mail interactive map showing the location of Rio de Janeiro state can be accessed at http://healthmap.org/r/1AiA. - Mod.TY]

- Brazil (Campo Grande, Mato Grosso do Sul state). 15 Mar 2012. The latest epidemiological bulletin from the municipal Secretariat of Health showed a 74 per cent decline in reported dengue patients in Campo Grande. From 1 Jan to 14 Mar 2012, there were 1273 reported cases, whereas in the 1st 3 months of 2011 there were 4977 registered cases. http://www.acritica.net/index.php?conteudo=Noticias&id=56753 [in Portuguese, trans. Mod.TY]

[A HealthMap/ProMED-mail interactive map showing the location of Campo Grande in Mato Grosso do Sul state can be accessed at http://healthmap.org/r/1x2I. - Mod.TY]

- Paraguay (Cordillera department [state equivalent]). 17 Mar 2012. Dr Rolfer Gomez, Director of the 3rd Health Region stated that currently there are 37 confirmed dengue cases in the entire Cordillera department, distributed as follows: Caacupe 29 cases, Piribebuy 2, Itacurubi de la Cordillera 2, Loma Grande 1, Emboscada 1, and Arroyos y Esteros with 2 confirmed cases. The number of suspected cases climbed to 181 people who presented with [dengue] symptoms and who are in the phase of sampling and laboratory testing. http://www.abc.com.py/nota/caacupe-es-la-mas-afectada-por-el-virus-en-la-cordillera/ [in Spanish, trans. Mod.TY]

[A HealthMap/ProMED-mail interactive map sowing the location of Cordillera department can be accessed at http://healthmap.org/r/1-kk. - Mod.TY]

- Paraguay (fatalities). 15 Mar 2012. Another death is added to the fatal cases caused by dengue [virus infection] so far this year [2012]. The Ministry of Health to date confirmed 4 [dengue] deaths and 3 under study, totaling 7 deaths attributed to this disease. "There are more than 900 confirmed dengue cases in the country and just in Nemby city [Central department] we have more than 300 confirmed cases," said Dr Daniel Darmanas, Director of the Nemby District Hospital.
http://www.lanacion.com.py/articulo/62952-salud-investiga-nueva-muerte-atribuida-al-virus-del-dengue.html [in Spanish, trans. Mod.TY]

[A HealthMap/ProMED-mail interactive map showing the location of Nemby in the Central department of Paraguay can be accessed at http://healthmap.org/r/1-kl. - Mod.TY]

- Peru (Cajamarca region). 13 Mar 2012. The Regional Health Director's Office of Cajamarca today [13 Mar 2012] reported 1196 dengue cases, with 2 deaths, so far this year [2012]. This figure is higher than the 587 cases reported in the same period in 2011.
http://peru21.pe/2012/03/13/actualidad/dos-muertes-y-casi-1200-casos-dengue-cajamarca-2015669 [in Spanish, trans. Mod.TY]

[A HealthMap/ProMED-mail interactive map sowing the location of the Cajamarca region can be accessed at http://healthmap.org/r/1-km. - Mod.TY]

- Peru (Jaen, Cajamarca region). 13 Mar 2012. The Director of the Jaen General Hospital, Alberto Sanchez, stated that the virus detected in Jaen province is the Asian-American dengue virus type 2 variant, which is more virulent. So far this year [2012], a total of 180 people have been admitted to the Jaen General Hospital for dengue infection. Currently, 36 [patients] are attended to and monitored in a special area that had to be created due to the high number of cases. Of the patients, 30 per cent are children.
http://www.radionacional.com.pe/nacional/53845-advierten-que-el-virus-del-dengue-detectado-es-el-mas-agresivo-.html [in Spanish, trans. Mod.TY]

[A HealthMap/ProMED-mail interactive map showing the location of Jaen province in Cajamarca region can be accessed at http://healthmap.org/r/1-k5. - Mod.TY]

- Ecuador (national). 18 Mar 2012. According to the Ministry of Health on Thursday [15 Mar 2012], since 1 Jan [2012], 2 people died and 2692 are infected with dengue virus, 27 of whom had the serious type disease. http://www.2001.com.ve/noticias_2001online.asp?registro=188688 [in Spanish, trans. Mod.TY]

[A HealthMap/ProMED-mail interactive map of Ecuador can be accessed at http://healthmap.org/r/1jUf. - Mod.TY]

Asia
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- Malaysia (national). 16 Mar 2012. The number of dengue fever cases in the 10th week of this year [week of 10 Mar 2012] dropped to 504 cases with no fatalities, compared with 567 cases with 2 fatalities during the 9th week. Director-General of Health Datuk Seri Dr Hasan Abdul Rahman said in a statement. However 6 states showed a rise in the number of cases from the previous week. The 6 states were Penang, which rose by 12 cases, Perak 9 cases, the Federal Territories of Kuala Lumpur and Putrajaya 8 cases, Sarawak 4 cases, Perlis 3 cases, and Sabah 3 cases. The number of dengue cases from 1 Jan - 10 Mar 2012 rose by 17 per cent or 739 cases to 5184 cases with 16 fatalities, compared to 4445 cases with 8 deaths during the same period last year [2011]. http://www.theborneopost.com/2012/03/16/number-of-dengue-cases-drops-in-10th-week-of-this-year/

[A HealthMap/ProMED-mail interactive map of Malaysia can be accessed at http://healthmap.org/r/1yAq. - Mod.TY]

- Pakistan (Lahore, Punjab province). 14 Mar 2012. Some 60 patients with dengue symptoms have been admitted in Lahore's different hospitals as the deadly mosquito-borne disease has reemerged in Punjab.
http://www.brecorder.com/pakistan/general-news/49526-dengue-mosquito-back-to-job-in-punjab.html

[A HealthMap/ProMED-mail interactive map showing the location of Lahore in Punjab province can be accessed at http://healthmap.org/r/1kdh. - Mod.TY]

See Also