Seasonality, Annual Trends, and Characteristics of Dengue among Ill Returned Travelers, 1997–2006
2008

Dengue Trends and Seasonality in Travelers

Sample size: 522 publication Evidence: moderate

Author Information

Author(s): Schwartz Eli, Weld Leisa H., Wilder-Smith Annelies, von Sonnenburg Frank, Keystone Jay S., Kain Kevin C., Torresi Joseph, Freedman David O.

Primary Institution: GeoSentinel Surveillance Network

Hypothesis

What are the seasonality and annual trends for dengue cases among returned travelers?

Conclusion

Dengue cases among travelers show specific seasonal peaks and can indicate the onset of epidemic activity in certain regions.

Supporting Evidence

  • Dengue accounts for up to 2% of all illness in returned travelers who visit GeoSentinel clinics.
  • Travel-related dengue showed annual oscillations with several epidemics occurring during the study period.
  • Dengue proportionate morbidity increased significantly during epidemic years compared to nonepidemic years.

Takeaway

Dengue is a sickness that can happen to people who travel, and it tends to be worse during certain times of the year in different places.

Methodology

Data was collected from the GeoSentinel Surveillance Network, analyzing reports from ill travelers who visited specialized clinics.

Potential Biases

Patients seeking treatment at specialized clinics may have more severe cases, potentially skewing the data.

Limitations

Findings may not represent all returned travelers as data is limited to those seen in specialized travel medicine clinics.

Participant Demographics

Mean age of dengue patients was 33.8 years, with a male:female ratio of 1.17:1; 69.3% traveled for tourism.

Statistical Information

P-Value

p<0.005

Statistical Significance

p<0.005

Digital Object Identifier (DOI)

10.3201/eid1407.071412

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