2014
DOI: 10.1371/journal.pntd.0002740
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Yellow Fever Outbreaks in Unvaccinated Populations, Brazil, 2008–2009

Abstract: Due to the risk of severe vaccine-associated adverse events, yellow fever vaccination in Brazil is only recommended in areas considered at risk for disease. From September 2008 through June 2009, two outbreaks of yellow fever in previously unvaccinated populations resulted in 21 confirmed cases with 9 deaths (case-fatality, 43%) in the southern state of Rio Grande do Sul and 28 cases with 11 deaths (39%) in Sao Paulo state. Epizootic deaths of non-human primates were reported before and during the outbreak. Ov… Show more

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Cited by 90 publications
(85 citation statements)
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“…Sporadic human cases in Brazil have been attributed to the sylvatic cycle of transmission since 1942, when the urban cycle was eradicated from the country by massive vaccination of the population. Mato Grosso is considered a risky area for outbreaks, and vaccination is recommended (13) (14) .…”
Section: Methodsmentioning
confidence: 99%
“…Sporadic human cases in Brazil have been attributed to the sylvatic cycle of transmission since 1942, when the urban cycle was eradicated from the country by massive vaccination of the population. Mato Grosso is considered a risky area for outbreaks, and vaccination is recommended (13) (14) .…”
Section: Methodsmentioning
confidence: 99%
“…Until the 1990s, the transmission area in Brazil was primarily limited to the Amazon forest, Northern, and the Savanna-like cerrado and Center-West region. Now, the several reports stated that, in about two decades, the YFV territory has been progressively expanded southward and eastward to the Atlantic forest and other biomes from the country's most populated regions [11,12]. During this boundary expansion, five viral sub-lineages (1A to 1E) successively arose within the genotype I.…”
Section: Introductionmentioning
confidence: 99%
“…There were 22 no abnormalities in ZIKV-negative women [2]. Lastly, the complete ZIKV genome was 23 recovered from the brain of a fetus with microcephaly aborted by an expectant mother 24 infected during the 13 th week of gestation [7], and the CDC reported on two newborns 25 from Brazil with microcephaly who died shortly after birth and two miscarriages, all 26 tested positive for ZIKV [8]. In addition to the epidemiological evidence, newly 27 developed mouse models of ZIKV have demonstrated that ZIKV strains from French…”
mentioning
confidence: 96%
“…No official stance on delaying pregnancy has been 57 taken for unexposed women. Problematically, the public is receiving a mixed message, arboviruses vectored by Aedes aegypti (i.e., chikungunya virus, CHIKV) [22][23][24][25][26].…”
mentioning
confidence: 99%