Dengue Fever
About
Dengue is a mosquito-borne viral disease that has been steadily increasing in prevalence and geographic range worldwide. While historically not endemic to the continental United States, climate change and increased global travel have raised concerns about potential local transmission in southern states with suitable mosquito habitats. The public health significance for the U.S. includes the need for enhanced surveillance, mosquito control efforts, and traveler education to prevent imported cases from sparking local outbreaks.
Response Resources
The following resources are intended for health departments, clinicians, and the general public.
Dengue Information
Health Department Outbreak Response Example Materials
Overview: The following guidance and educational materials have been developed by CORI, CDC, state and local health departments to support providers and clinic administrators prepare for, recognize, and respond to measles.
Case Investigation Tools and Protocols
Document | Purpose |
Case Investigation Form [CDC]
| Guide health department staff in conducting and documenting investigations of measles cases |
Kansas Dengue Report Form [Kansas Department of Health an Environment]
| Guide health department staff in conducting and documenting investigations of measles cases |
Texas Case Investigation Form [Texas Health and Human Services]
| Guide health department staff in conducting and documenting investigations of measles cases |
Toolkits and Operational Guides for Health Departments
Document | Purpose |
Dengue Technical Handbook for Surveillance, Outbreak Prediction and Detection, and Outbreak Response [WHO]
| Provides key information and definitions for Dengue surveillance activities at the local or state level, along with helpful information for vector management, stakeholder involvement, and risk communication. |
Operational Guide to Using the web-based Dashboard; Early Warning Response System (EWARS) for Dengue Outbreaks [WHO] | This guide provides the information and tools necessary to use and analyze surveillance data to predict dengue outbreaks. |
Vector Management Tools
Document | Purpose |
Handbook for Integrated Vector Management[WHO]
| Integrated vector management (IVM) is a rational decision-making process to optimize the use of resources for vector control. The aim of the IVM approach is to contribute to achievement of the global targets set for vector-borne disease control, by making vector control more efficient, cost effective, ecologically sound and sustainable. The intention of this handbook is to provide to the managers of vector-borne disease control programs, other officials in health and other sectors involved in vector-borne disease control with necessary guidance and an operational framework for the implementation of IVM |
Setting up a Municipal Mosquito Control Program: A practical Guide to the Design, Cost, and Implementation of Public Mosquito Control [Mississippi State University] | This guide provides the information on cost, design, and benefits of the different approaches a mosquito control program would use to reduce a mosquito population |
Clinical Guidance and Educational Materials
Overview: The following guidance and educational materials have been developed by CORI, CDC, state and local health departments to support providers and clinic administrators prepare for, recognize, and respond to measles.
Guidance Documents
Document | Purpose |
Dengue Clinical Testing Guidance [CDC] | Provide clinicians with information on when to consider testing, what tests to order, and management of dengue. |
Dengue Clinical Case Management Course [CDC] | This course is designed to provide information to enable physicians to recognize dengue cases early in the clinical course, assess patients appropriately, and provide timely treatment. This course is free and CMEs and CEUs are available. |
Dengue for Florida Clinicians Training Recording [Florida Department of Health] | This training provides an overview of the virus, epidemiology, transmission, case definitions, clinical course, clinical and lab assessment, and management and treatment. |
Key Information for the General Public
Factsheets
- Dengue Virus Factsheet [CDC]
- Dengue Fact Sheet [WHO]
Key Publications
Outbreak lessons learned
- Lessons Learned from Dengue Surveillance and Research, Puerto Rico, 1899-2013
- Exploratory space-time analysis of reported dengue cases during an outbreak in Florida, Puerto Rico, 1991-1992
- A program for prevention and control of epidemic dengue and dengue hemorrhagic fever in Puerto Rico and the U.S. Virgin Islands
- Sentinel Enhanced Dengue Surveillance System - Puerto Rico, 2012-2022