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Archive Number 20091111.3898
Published Date 11-NOV-2009
Subject PRO/EDR> Dengue/DHF update 2009 (46)

DENGUE/DHF UPDATE 2009 (46)
***************************
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] American Samoa
[2] Cape Verde: 1st report, alert
[3] Philippines (Cebu)
[4] Indonesia (Jakarta)
[5] USA (Florida)
[6] Mexico
[7] Brazil (Brasilia, national)
[8] Brazil (Bahia)
[9] Brazil (Ceara)
[10] Brazil (Mato Grosso)
[11] Brazil (Parana)

******
[1] American Samoa
Date: Mon 9 Nov 2009
Source: Hi-Wire International Channel [edited]
<http://www.ahiphiwire.org/International/News/Default.aspx?doc_id=444224>


The number of confirmed cases of dengue fever doubled in the month  
following the deadly 29 Sep [2009] tsunami that inundated this U.S.  
territory in the South Pacific.

Dr. Aloiamoa Anesi, chief medical officer at LBJ Tropical Medical  
Center, said American Samoa's only hospital in October confirmed 62  
cases and the territory's 1st 2 deaths of 2009 from the mosquito-borne  
disease. "This is a definite increase from September figures (27  
confirmed cases) as predicted with post-tsunami outdoor living for a  
lot of affected villagers," Anesi said. "The rainy days we have mean  
more breeding places for mosquitoes as we still have a lot of debris  
after the tsunami disaster," he added.

Between 1 Jan - 31 Oct [2009], there were 373 confirmed cases of  
dengue in American Samoa.

Dengue causes joint pain, high fevers, nausea and a rash. In severe  
cases, it causes internal bleeding and can lead to death. The virus is  
most commonly spread by mosquitoes that have contracted it after  
biting infected humans.

--
Communicated by:
HealthMap Alerts via ProMED-mail
<Promed@promedmail.org>

[A map of American Samoa can be accessed at
<http://www.lonelyplanet.com/maps/pacific/american-samoa/>
A HealthMap/ProMED-mail interactive map showing the location of  
American Samoa in the South Pacific can be accessed at  
<http://healthmap.org/promed/en?v=-14.3,-170.5,5>. - Mod.TY]

******
[2] Cape Verde: 1st report, alert
Date: Thu 6 Nov 2009
Source: Jornal Digital [in Portuguese, trans. Mod.TY, edited]
<http://www.jornaldigital.com/noticias.php?noticia=20042>


The Cape Verde Government is considering declaring a state of calamity  
in view of the dengue epidemic which gripped the country since  
September [2009] and is expanding rapidly and alarmingly. The latest  
official data from this outbreak are noted to be approximately 9000  
people infected by dengue virus, including 25 suffering from DHF,  
which has resulted in 6 [fatal] victims.

Measures are being taken and the Government announced that the country  
already has a laboratory in a position to confirm dengue infections.  
The Government also announced the import of new drugs and equipment,  
with a view to creating conditions for treatment in the country.

To cope with this calamity, the Government of Cape Verde declared a  
national work recess on Fri 6 Nov [2009], as a way to involve the  
whole society, public and private institutions, military, educational  
establishments and all the population in a national campaign against  
the mosquito vector of this disease.

Prime Minister Jose Maria Neves has announced the availability of  
financial allocation to combating the disease, while soliciting  
support from countries such as Portugal, Brazil, Spain and Cuba to  
help fight dengue. Also, doctors and health workers already retired  
have been recruited while hospitals and health centers are full of  
patients. Most of the islands already note that the supply of stock  
repellents and paracetamol in pharmacies is exhausted.

The situation has worsened, and the Bishop of the Dioceses of 2 Cape  
Verde [islands] -- Santiago and Sao Vicente -- Dom Arlindo Furtado, is  
calling for people to join this fight against the pandemic. The  
various football championships have been postponed, since most of the  
athletes are affected by dengue.

The schools, as well as institutions are working "half-throttle," so  
this fight against the disease has been extended to diplomatic  
missions in Cape Verde. The ambassador of the United States in Cape  
Verde has already established contacts with health facilities in that  
country to collaborate with Cape Verde in combating the epidemic.

--
Communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

[Dengue virus type 3 is circulating in the Cape Verde islands. The 5  
Nov 2008 edition of Afrol News (in Portuguese)  
(<http://www.afrol.com/es/articulos/34633>) reported that authorities  
have urged citizens to kill mosquitoes, instead of going to work,  
while police and the army try to eradicate the disease. The epidemic  
has reached the archipelago as a rude awakening, where this tropical  
disease has never been recorded before, and it has spread like  
wildfire. Registered infections are increasing at a record pace of  
1000 infections per day.

The latest figures as published in Praia are 8799 cases of which 851  
are in the capital. Yesterday (5 Nov 2009), the Cape Verde government  
had no choice but to send a warning to tourists to take extra  
precautions due to the epidemic. The Ministry of Foreign Affairs of  
Portugal -- which represents one of the most important tourist markets  
in Cape Verde -- has already issued a warning to Portuguese citizens  
who plan to travel to Cape Verde. For the archipelago, a blow to the  
tourism industry could bring significant economic consequences.  
Tourism has become the backbone of the economic boom in Cape Verde.  
The archipelago has a serious goal of becoming the "new Canary  
Islands" off the coast of West Africa. With the emergence of tropical  
diseases, mass tourism, however, does not seem very realistic.

A HealthMap/ProMED-mail interactive map of Cape Verde can be accessed at
<http://healthmap.org/r/00Xw>. - Mod.TY]

******
[3] Philippines (Cebu)
Date: Thu 5 Nov 2009
Source: Global Nation Inquirer [edited]
<http://globalnation.inquirer.net/cebudailynews/news/view/20091105-234306/More-dengue-cases-no-outbreak--exec>


Even with a rise in dengue cases, the Department of Health in Central  
Visayas (DOH-7) said yesterday that there is no area hit by dengue  
outbreak. "We are not conducting an entomological survey, we have not  
seen the need for one. There is no outbreak," said Dr. Expedito  
Medalla, DOH-7's Health Emergency Management Services coordinator. He  
said the survey, which entails counting larvae and adult _Aedes  
aegypti_, is only done when there is evidence of a large concentration  
of the dengue-carrying vectors in an area.

According to the latest DOH-7 surveillance report, dengue cases went  
up by 42 percent between 1 Jan - 24 Oct 2009 compared with the same  
period last year [2008].

The top 10 towns or cities with the highest number of dengue cases  
are: Cebu City, Lapu-Lapu City, Dumaguete City in Negros Oriental  
province, Minglanilla town in southern Cebu, Mandaue City, Talisay  
City, Naga City, Tagbilaran City in Bohol province, Danao city in Cebu  
and Tanjay City in Negros Oriental.

[Byline: Editorial Assistant Ma. Bernadette A. Parco]

--
Communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

[This report does not indicate the number of dengue cases that have  
occurred so far in 2009. An increase of 42 percent over 2008 sounds  
suspiciously like an outbreak, unless the number of cases is very  
small compared to several previous years.

A map showing the location of Cebu Island and Cebu city can be accssed at
<http://www.singlefilipina.com/cebu_map.htm>
A HealthMap/ProMED-mail interactive map of the Philippines can be accsssed at
<http://healthmap.org/r/00YL>. - Mod.TY]

******
[4] Indonesia (Jakarta)
Date: Fri 5 Nov 2009
Source: Jakarta Post [edited]
<http://www.thejakartapost.com/news/2009/11/06/city-warns-possible-dengue-fever-outbreak.html>


The Jakarta city administration warned that the number of dengue fever  
cases might rise in the coming months. "Observing data from the last 2  
years, dengue fever began to increase in December and reached its peak  
in March [2009]," Dien Emawati, Jakarta Health Agency head, said at a  
conference on dengue fever prevention. Dien explained the _Aedes  
aegypti_ mosquito population rose when the wet season reached its  
peak. "Areas covered with stagnant water increase and become breeding  
grounds for mosquitoes," she said. Dien added that the agency was  
preparing a massive fogging campaign this month.

The agency recorded that, as of October [presumably for all of 2009],  
more than 26 500 Jakarta residents were suspected of having contracted  
dengue fever. The fever claimed 33 lives.

--
Communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

[A map showing the location of Jakarta city and province on Java  
Island can be accessed at
<http://en.wikipedia.org/wiki/Provinces_of_Indonesia>
A HealthMap/ProMED-mail interactive map of Indonesia can be accessed at
<http://healthmap.org/promed/en?v=-2.6,120.9,5>. - Mod.TY]

******
[5] USA (Florida)
Date: Wed 23 Sep 2009 [old report for information]
Source: Herald Tribune.com [edited]
<http://www.heraldtribune.com/article/20090923/ARTICLE/909231060>


A state health official urged Floridians on Tuesday [22 Sep 2009 ***  
note date] to take precautions against dengue fever after 3 people  
were found to have it. Health officials said all 3 people have since  
fully recovered from the disease.

A health advisory was issued for Key West after a visitor from New  
York visited the tourist destination in August [2009] and when she  
returned home she started experiencing flulike symptoms. Her doctor  
confirmed it was dengue fever. A husband and wife from Key West were  
also found to have the illness.

Dengue fever is a flulike illness spread by the bite of an infected  
Aedes mosquito. Carina Blackmore, state public health veterinarian,  
said that the mosquito is found in high concentrations in South  
Florida and the Keys.

Blackmore said it has been 40 years since officials have seen locally  
acquired dengue fever. But dengue fever may have been in the  
community, just not correctly diagnosed, she said. "We have been  
expecting it," she said. "We just haven't picked it up." She said  
experts believe it is a small localized outbreak that is not expected  
to spread across Florida.

People should drain standing water in flower pots and bird baths, and  
they should apply insect repellent.

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

[Although this report is now nearly 2 months old, the indication is  
that these dengue virus infections were acquired locally in Florida,  
and so are newsworthy.

A map showing the location of the Florida Keys can be accessed at
<http://www.florida-keys.fl.us/maps/mainmap.htm>
A HealthMap/ProMED-mail interactive map of the USA showing the  
location of Florida in the southeast can be accessed at
<http://healthmap.org/promed/en?v=40,-97.6,4>.
- Mod.TY]

[A detailed map of the Florida Keys is at
<http://www.islamoradaislander.com/images/FKY-map.jpg>
- Mod.JW]

******
[6] Mexico
Date: Wed 4 Nov 2009
Source: Milenio.com [in Spanish, trans. Mod.TY, edited]
<http://www.milenio.com/node/315044>


[Health] authorities reported that this year [2009] the disease  
[dengue] has increased 40 percent compared to 2008; just in October of  
this year there were 10 000 cases. A vaccine will become available in  
2014. The Secretariat of Health reported that this year [2009] dengue  
spread to 27 states of the country, even among those which were  
declared free of the disease transmitted by the mosquito vector, such  
as Queretaro, Zacatecas and Guanajuato.

The most affected state is Nayarit; in 2008 there were 183 patients  
and this year the number went to 3331, not counting the 2300 which are  
counted as DHF. Especially striking is Queretaro, which had 5 probable  
cases in 2008, now registers 85 [probable cases], and this year  
documents [confirms?] 5. In Veracruz there was a considerable  
increase, going from 1633 last year, to 2286 confirmed cases of  
classical dengue fever [this year] and 1489 to 1902 DHF cases,  
increases of 40 percent and 95 percent, respectively. [The numbers of  
DHF cases cited above must be in error. That many DHF cases compared  
to the number of reported classical dengue cases would be  
extraordinarily high by at least an order of magnitude. Perhaps there  
is a problem with dengue case classification. - Mod.TY]

The federal agency said that Mexico has recorded more than 35 000  
cases and that the disease has grown by more than 40 percent over the  
previous year [2008]. The Secretariat reported that during October  
there were 10 000 cases going to 25 929 [total for 2009] during the  
1st 2 weeks, then to 35 000 almost to the end of the month. So far,  
only 5 deaths [have occurred]. In 2008, in this period, 24 782  
patients were reported with this disease. In the case of DHF, which is  
the most dangerous and fatal [of dengue] cases, there was an increase  
of close to 15 percent, rising to 5162 confirmed cases as of early  
October 2008, to 5907 in the same period of 2009. Epidemiological  
Bulletin, prepared by the Unified Information System for  
Epidemiological Surveillance, reported that 10 874 additional  
infections were suspected.

Currently, Mexico is on alert and reinforced epidemiological  
surveillance actions in facing the rapid and excessive increase of  
cases, as a result of the transmitting mosquito vector [of the virus],  
that is already adapted to all tropical climates, hot or cold  
regardless of whether there is rain. In the past, the Health  
Secretary, Jose Angel Cordova Villalobos, said that there was no fear  
that there would be a flood of cases of dengue.

"There is a special or supplementary support from the federal  
government in terms of inputs for spraying. In addition, each state is  
doing a fine job and I think this is going to contain [dengue virus  
transmission] soon. "We need a month and a half of a difficult period  
[for the mosquito] and hope that the rains are letting up, are going  
down," said the official. "We have a nation-wide problem," he said.  
"The mosquito can live in places more than a 1500 meters [4900 ft]  
above sea level and certainly makes us reinforce support of trash  
removal measures in homes. With this said, avoid [harboring] areas  
where water accumulates and implement abate treatment to kill larvae  
and apply insecticides," he said.

[Byline: Blanca Valadez]

--
Communicated by:
HealthMap Alerts vis ProMED-mail
<promed@promedmail.org>

[A HealthMap/ProMED-mail interactive map of Mexico showing the states  
can be accessed at
<http://healthmap.org/promed/en?v=24,-102.5,5>. - Mod.TY]

******
[7] Brazil (Brasilia, national)
Date: Wed 5 Nov 2009
Source: Correio Brazilense [in Portuguese, trans. & summ. Mod.TY, edited]
<http://www.correiobraziliense.com.br/app/noticia182/2009/11/05/cidades,i=152887/DF+REGISTRA+REDUCAO+DE+29+3+DOS+CASOS+DE+DENGUE.shtml>


The change in the way that Environmental Monitoring of the Federal  
District works is considered by the agency is one of the main factors  
that contributed to the decrease in dengue cases confirmed in the  
federal capital in 2009. The reduction was 29.3 percent, from January  
- October this year [2009]. For cases reported, the decrease reached  
53.3 percent. Even with the positive numbers, a person died of dengue  
this year in the city of San Sebastian.

There were 399 confirmed cases, 271 (68 percent) of transmission  
within the DF [Federal District] and 128 (32 percent) in other states.  
In 2008, 564 people had a confirmed diagnosis of dengue; 274  
contracted the disease in the Federal District and 290 in other  
regions of Brazil. In the Federal District, 20 states managed to  
reduce the dengue picture. Reported numbers of dengue cases up to  
August exceeded 406 000 in the whole country.

For the Secretary of Health Surveillance of the DF, Disney Antezana,  
disclosure biweekly data for the presence of mosquitoes in areas of  
higher risk was essential to prevent disease [virus] transmission.  
"Previously, infection rates were brought to our attention every 3  
months. This [delay] complicated action. However, the fact is that now  
we act now almost in real time, especially in confirmed cases," says  
Antezana. The change began in November 2008.

Activities incorporated into the Regional Administrations, the Office  
of Urban Sanitation (SLU), the coordinating body of the parks and the  
Federal District Department of Education also contributed to the  
reduction of the presence of the vector, in the evaluation of Health  
Surveillance. "Every month, we have implemented activities in schools  
and volunteer work in cities, which helps us a lot," says the  
Subsecretary.

Even with the reduction of dengue cases, Rosely Cerqueira, the  
Director of the Board of the Environmental Monitoring of the  
Secretariat of Health, warned to the population, "There is a constant  
possibility of risk in every home. [Residents] should always observe  
if the garbage is poorly packaged, if there is accumulation of water  
in objects, drains, swimming pools, areas with kennels, and garages.  
That is, everything that facilitates mosquito breeding.

Nationally, according to totals of the Ministry of Health, the dengue  
cases in Brazil fell 46.3 percent in the 1st 30 weeks of 2009,  
compared to the same period of 2008 (January-August). Reported cases  
[so far in 2009] were 406 883, versus 758 051 in 2008. The reduction  
was observed in 20 states and the Federal District. The states of  
Acre, Amapa, Bahia, Espirito Santo, Mato Grosso do Sul and Mato Grosso  
showed an increased number of cases. The totals also show a partial  
reduction of 63.2 percent in deaths. By 1 Aug [2009], there were 166  
deaths, 103 of DHF and 63 of dengue with complications. In the same  
period last year, 451 deaths were recorded (213 of DHF and 238 of  
dengue with complications).

The national campaign against dengue began on Wednesday (4 Nov  
[2009]). With the arrival of rain earlier in Brasilia, the capital  
campaign began in September.

[Byline: Cecília de Castro]

--
Communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

[A map showing the Brazilian states can be accessed at
<http://lib.utexas.edu/maps/americas/brazil.jpg>
A HealthMap/ProMED-mail interactive map of Brazil can be accessed at
<http://healthmap.org/promed/en?v=-10.8,-53.1,4>. - Mod.TY]

******
[8] Brazil (Bahia)
Date: Wed 5 Nov 2009
Source: O Globo [in Portuguese, trans. Mod.TY, edited]
<http://oglobo.globo.com/cidades/mat/2009/11/05/bahia-tem-maior-numero-de-mortes-por-dengue-no-pais-914609617.asp>


Bahia is the state that had the largest number of dengue victims in  
2009, according to the Ministry of Health; 66 people have died. In  
Itabuna, in the south of the state, work to combat foci of the  
mosquito _Aedes aegypti_ is not stopping, but the Public Ministry  
warns of a new epidemic in the city.

The work, began in early November [2009], has been to establish data  
from rapid survey sampling. The 58 districts of Itabuna will go  
through this service. 20 percent of homes will be visited by agents.  
The larvae collected are taken to the laboratory of the Dengue Central  
Support Point. With microscopes, the agents make the identification of  
the mosquito [larvae].

A problem in the city are the canals. One of them, in the district of  
Sao Caetano, is full of weeds and a lot of garbage. "We have a high  
risk of having more deaths in the city. We have proposed changes in  
this process. Now, we need the government and the community to do  
their tasks," the prosecutor Clodoaldo announced.

According to the city of Itabuna, cleaning the canals is already being  
done and tomorrow there will be a seminar in the city, with government  
representatives, health professionals and of justice to discuss  
strategies to combat dengue, which has killed 9 people in the city  
this year [2009].

--
Communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

******
[9] Brazil (Ceara)
Date: Thu 5 Nov 2009
Source: O Povo Online [in Portuguese, trans. & summ. Mod.TY, edited]
<http://www.noolhar.com/opovo/fortaleza/925602.html>


For 2010, there is no prospect of a new dengue epidemic in Ceara. The  
peak usually occurs every 5 years and the last recorded one was in  
2008, with 44 224 confirmed cases and 55 deaths. This year [2009], the  
number is much lower: 4513 cases and 17 deaths. The rate may seem low  
compared to 2008, but is still worrying.

"(The number of deaths) is considered high and surprised us, since we  
had a relatively low number of cases. The trend is that, increasingly,  
we have a proportion of severe cases because most people have had  
dengue," explained Alex Mont'Alverne, head of the Municipal Health  
Secretariat (SMS).

Therefore, Ceara is on the list of 12 priority states of the Ministry  
of Health and today will be visited by Prime Minister Jose Socrates.

[Byline: Yanna Guimaraes]

--
Communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

******
[10] Brazil (Mato Grosso)
Date: Wed 4 Nov 2009
Source: So Noticias [in Portuguese, trans. Mod.TY, edited]
<http://www.sonoticias.com.br/noticias/11/95843/alta-floresta-vive-ameaca-de-nova-epidemia-de-dengue>


The heavy rainfall combined with the accumulation of trash in homes  
and backyards, as well as the influx of migrant people this year  
[2009] and other adverse factors, can lead to a new epidemic of dengue  
in Alta Floresta. The indices of the disease are still at a lower  
level compared to the same period last year [2008], but still the  
concern of health authorities is that the lack of care by residents  
can generate negative consequences.

In the case of notifications of dengue fever, there were about 185  
between January and October [2009]. In the same period of 2008 it had  
fluctuated between 315 - 320. For the Coordinator of Environmental  
Monitoring, Claudiomiro Viera, the fall in the recorded [cases] cannot  
mean [false] comfort. According to the representative, a large part of  
the cases this year arose starting in the month of August, when the  
rainy season began.

The environmental sector data show that the neighborhood Bom Jesus  
leads in the statistics of [dengue] notifications. By the end of last  
month [Oct 2009] the count was from 45-50. Currently in Boa Nova,  
there are an estimated 35 [cases]. Both localities record low rates of  
[mosquito] infestation. From this point of view the sector that ranks  
1st in the number of infestations is sector H, where for nearly 100  
homes there are 2 (1.79) with foci of mosquito [breeding sites]. Next  
comes Vila Nova with 1.78 and with a household index of 1.02.

Recently, in the city, the government itself initiated a new campaign  
whose focus is to educate and mobilize the population about the need  
to interact in the fight against dengue. To accomplish this,  
environmental agents have spoken to the media about the existing  
situations in the neighborhoods.

[Byline: Leandro J. Nascimento]

--
Communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

[A map of Mato Grosso can be accessed at
<http://www.cidades.com.br/imagens/mt-03.gif>
- Mod.JW]

******
[11] Brazil (Parana)
Date: Mon 2 Nov 2009
Source: Bemparana [in Portuguese, trans & summ. Mod.TY, edited]
<http://www.bemparana.com.br/index.php?n=125818&t=novembro-sera-marcado-pela-acoes-contra-a-dengue>


With the arrival of warmer weather and the forecast of rain of more  
than the historical average, November is more like a starting point  
for large actions against dengue and its vector, the mosquito _Aedes  
aegypti_. Both the state government and the Ministry of Health make  
this month a strategic moment in anticipation of a possible epidemic  
of the disease between late 2009 and early 2010.
The State Department of Health (SESA) scheduled a "D-Day" to fight  
dengue on the 14th [Nov 2009]. All regional development activities are  
to remind the public about disease precautions and cleaning of their  
yards. According to the Secretariat, 945 foci of dengue [virus  
transmission] are in the backyards of residences.

--
Communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

[The 2 Nov 2009 edition of BEM Parana
(<http://www.bemparana.com.br/index.php?n=125820&t=sao-tres-as-preocupacoes-para-os-proximos-meses>) also reports that 3 (of the 4) dengue virus serotypes are circulating in the state this year. -  
Mod.TY]

[see also:
Dengue/DHF update 2009 (45)  20091102.3779
Dengue/DHF update 2009 (44)  20091026.3705
Dengue/DHF update 2009 (43)  20091021.3625
Dengue/DHF update 2009 (42)  20091020.3609
Dengue/DHF update 2009 (41)  20091012.3524
Dengue/DHF update 2009 (40)  20091005.3454
Dengue/DHF update 2009 (39)  20090928.3393
Dengue/DHF update (38)  20090921.3322
Dengue/DHF update 2009 (37)  20090915.3240
Dengue/DHF update 2009 (36)  20090907.3144
Dengue/DHF update 2009 (33)  20090817.2908
Dengue/DHF update 2009 (32)  20090811.2864
Dengue/DHF update 2009 (31)  20090803.2723
Dengue/DHF update 2009 (29)  20090720.2574
Dengue/DHF update 2009 (27)  20090706.2425
Dengue/DHF update 2009 (26)  20090629.2353
Dengue/DHF update 2009 (25)  20090622.2286
Dengue/DHF update 2009 (24)  20090614.2211
Dengue/DHF update 2009 (23)  20090608.2121
Dengue/DHF update 2009 (22)  20090601.2040
Dengue/DHF update 2009 (21)  20090525.1952
Dengue/DHF update 2009 (20)  20090518.1868
Dengue/DHF update 2009 (19)  20090512.1774
Dengue/DHF update 2009 (18)  20090505.1677
Dengue/DHF update 2009 (17)  20090428.1595
Dengue/DHF update 2009 (16)  20090419.1485
Dengue/DHF update 2009 (15)  20090413.1412
Dengue/DHF update 2009 (14)  20090406.1341
Dengue/DHF update 2009 (13)  20090331.1227
Dengue/DHF update 2009 (12)  20090314.1049
Dengue/DHF update 2009 (11)  20090309.0972
Dengue/DHF update 2009 (10)  20090302.0854
Dengue/DHF update 2009 (09)  20090223.0762
Dengue/DHF update 2009 (08)  20090216.0650
Dengue/DHF update 2009 (07)  20090210.0610
Dengue/DHF update 2009 (05)  20090204.0487
Dengue/DHF update 2009 (04)  20090126.0357
Dengue/DHF update 2009 (03)  20090119.0242
Dengue/DHF update 2009 (02)  20090113.0133
Dengue/DHF update 2009 (01)  20090105.0041]
....................sh/ty/jw
*##########################################################*
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