2001
DOI: 10.4269/ajtmh.2001.65.180
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Haiti: absence of dengue hemorrhagic fever despite hyperendemic dengue virus transmission.

Abstract: Abstract. In 1994-1996, 185 strains of dengue (DEN) virus types 1, 2, and 4 were recovered from febrile United States and other United Nations military personnel in Haiti. We wondered whether risk factors for dengue hemorrhagic fever (DHF) existed and, if so, were DHF cases occurring among Haitian children. Dengue transmission rates were studied in 210 school children (6-13 years old) resident in Carrefour Borough, Port-au-Prince, Haiti. When sera were tested for plaque-reduction neutralizing antibodies to DEN… Show more

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Cited by 177 publications
(131 citation statements)
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“…Host factors that increase the risk of severe dengue disease include female sex, several human leukocyte antigen (HLA) class I alleles, a promoter variant of the DC-SIGN receptor gene, a single-nucleotide polymorphism in the tumour necrosis factor (TNF) gene and AB blood group [31][32][33][34][35][36] . Host factors that reduce the risk of severe disease during a second dengue infection include race, second or third degree malnutrition, and polymorphisms in the Fcγ receptor and vitamin D receptor genes [37][38][39][40][41][42] . Secondary dengue infections in adults can produce the classical DSS or severe disease complicated by haemorrhages.…”
Section: Dengue Virus Pathogenesismentioning
confidence: 99%
“…Host factors that increase the risk of severe dengue disease include female sex, several human leukocyte antigen (HLA) class I alleles, a promoter variant of the DC-SIGN receptor gene, a single-nucleotide polymorphism in the tumour necrosis factor (TNF) gene and AB blood group [31][32][33][34][35][36] . Host factors that reduce the risk of severe disease during a second dengue infection include race, second or third degree malnutrition, and polymorphisms in the Fcγ receptor and vitamin D receptor genes [37][38][39][40][41][42] . Secondary dengue infections in adults can produce the classical DSS or severe disease complicated by haemorrhages.…”
Section: Dengue Virus Pathogenesismentioning
confidence: 99%
“…88,89 Other evidence for a host genetic basis to susceptibility stems from case-control association studies.…”
Section: Genetic Determinants Of Dengue Susceptibilitymentioning
confidence: 99%
“…In Haiti, one dry and two rainy seasons occur annually. 21 Specimens were collected in January-March (Dry), which includes part of the dry season. Specimens were also collected in April-July (Rain1), which includes the first rainy season from April-June, and in August-October (Rain2), which is the second rainy season.…”
Section: Methodsmentioning
confidence: 99%