Global health officials are increasingly concerned about the spread of dengue fever, with rising case numbers reported across multiple continents. While the disease is most prevalent in tropical and subtropical regions, recent data indicates an elevated risk for travelers and even localized transmission in areas previously considered low-risk.
Dengue is caused by four distinct, yet closely related, viruses (dengue-1, -2, -3 and -4). These viruses are transmitted to humans through the bite of infected Aedes species mosquitoes. The Centers for Disease Control and Prevention (CDC) has been monitoring the situation closely, issuing health alerts and providing updated testing recommendations to healthcare providers.
Significant Increase in Cases Worldwide
In , more than 13 million cases of dengue were reported in North, Central, and South America, and the Caribbean. This high level of transmission has continued into , with multiple islands in the Pacific also declaring dengue outbreaks. The Pan American Health Organization (PAHO) issued an epidemiological alert on , specifically highlighting the growing circulation of the DENV-3 serotype in the Americas, which contributes to the increased risk of outbreaks.
The CDC issued a Health Update in regarding the ongoing risk of dengue virus infections and updated testing recommendations. Previously, in , the CDC issued a Health Advisory noting an increased risk of dengue virus infections in the United States.
Outbreaks and Local Transmission
Public health authorities in Puerto Rico and the U.S. Virgin Islands declared dengue outbreaks in , and these declarations have been extended into . The Puerto Rico Department of Health extended its outbreak declaration through . American Samoa declared a dengue outbreak on .
Local transmission of dengue was reported in in California, Florida, and Texas. Florida continues to report local dengue transmission in . Hawaii is also experiencing a significant increase in travel-related cases, prompting health officials to urge greater vigilance and updated detection measures. The Hawaii Department of Health reports that the state is on track to surpass the 16 travel-related cases reported in all of , with recent cases identified on Oahu, and Maui.
Symptoms and Prevention
Dengue symptoms typically include the sudden onset of fever, severe headaches, nausea, vomiting, muscle and joint pain, and rash. Symptoms usually last between two and seven days, and while most people recover within a week, severe illness can occur.
Currently, there is no specific medication to treat dengue infection. Treatment focuses on managing symptoms, such as fever and pain. Prevention remains the most effective strategy. The CDC emphasizes avoiding mosquito bites through measures such as using insect repellent, wearing long sleeves and pants, and eliminating standing water where mosquitoes can breed.
Travel Considerations
Travelers visiting areas with known dengue transmission are at increased risk. The CDC advises doctors to be aware of the symptoms and to inquire about recent travel history when evaluating patients with compatible symptoms. A Level 2 travel advisory has been issued by the U.S. State Department for the Turks and Caicos Islands due to crime, but the CDC also notes the increased risk of dengue in popular spring break destinations, including Mexico, Central and South America, and some Caribbean islands.
The increased number of travel-related cases raises the risk of locally acquired infections and potential outbreaks in areas where dengue is not typically found. Healthcare providers are being urged to test all individuals presenting with dengue-like symptoms, regardless of recent travel history, given the widespread increase in cases globally.
Health officials continue to monitor the situation and provide updates as new information becomes available. Staying informed about the risks and taking appropriate preventative measures are crucial for protecting public health.
