Diseases
Dengue Virus 

Dengue is an arboviral disease.  It is vectored by the Aedes aegypti and Aedes albopictus mosquito (images). External Link  Comparison of the vectors External Link

Dengue Clinical Symptoms:

  • Clinical disease from dengue ranges from self-limited classic dengue fever to life-threatening dengue hemorrhagic fever with shock syndrome.
  • Dengue is symptomatic in at least 80 percent of adults, while infections in children tend to produce either no symptoms or only mild symptoms.
  • The incubation after the bite of an infected mosquito is three to fourteen days.

Classic Dengue Fever:

  • Patients classically have fever, headache, retroorbital pain behind the eyes, myalgias (muscle pain), and arthralgias (bone and joint pain). For this reason, it has been called “break-bone fever.”
  • A maculopapular or maculoconfluent rash occurs in at least 50 percent of patients on the face, thorax, and flexor surfaces, with islands of skin sparing. This has been described as “islands of white in a sea of red.”
  • Fever typically lasts for five to seven days, and may have a second one or-two day febrile phase fever after the initial fever breaks.
  • Gastrointestinal symptoms include nausea, vomiting, and diarrhea.
  • Respiratory symptoms include cough, sore throat, and nasal congestion.

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General

For Healthcare Providers 

Diagnostic Testing and Reporting

More information for Military Personnel and their Families 

Mosquito Bite Prevention



New and updated content 

APHC: Pesticides and Child Safety External Link 5 May 2016

APHC: Using Insect Repellents on Children External Link 5 May 2016

WHO: Dengue Fact Sheet External Link Updated May 2015

APHC: Dengue Virus Fact Sheet External Link Updated Nov 2015

Range of vector External Link

CDC: Dengue External Link

PAHO: Dengue External Link

WHO: Dengue Control External Link

Alert: Dengue in Hawaii External Link Outbreak has ended 26 Apr 2016

General

CDC: Dengue Virus External Link

HealthMap: Dengue Map External Link

PAHO: Vector Born Diseases in the Region of the Americas External Link

AFHSB: Dengue Annual Report 2003-2014 External Link

 

 

For Healthcare Providers

CDC: Information for Health Care Providers External Link

CDC: Information for Health Care Practitioners

CDC Yellow Book: Dengue External Link

WHO: Dengue Guidelines for Diagnosis, Treatment, Prevention and Control External Link


Diagnostic Testing and Reporting

CDC: Clinical Guidance  External Link

More information for Military Personnel and their Families

Dengue is a viral disease that is found worldwide in tropical and subtropical environments, especially in urban and suburban areas, where the Aedes aegypti (and sometimes Aedes albopictus) mosquitoes are found.  There is no vaccine against the dengue virus.  Soldiers deployed or stationed in an area where there is ongoing transmission of the virus must protect themselves and their families by wearing permethrin-treated uniforms/clothing, using insect repellents containing DEET, picaridin and IR3535, and following the Personal Protection Measures outlined in Technical Guide 36 External Link.  Mosquitoes that spread dengue virus bite both indoors and outdoors, and mostly during the daytime; therefore, it is important to ensure protection from mosquitoes throughout the entire day.

Mosquito Bite Prevention

Government

APHC: Pesticides and Child Safety External Link

APHC: Using Insect Repellents on Children External Link

CDC: Surveillance and Control of Aedes aegypti and Aedes albopictus External Link

APHC Webpage: Mosquito Borne Disease and Control External Link 

APHC Video: Control of Mosquitoes in and around the Home External Link 

APHC Fact Sheet: DoD Insect Repellent System External Link 

APHC Fact Sheet: DoD Insect Repellent System and Permethrin Treatment of Military Uniforms External Link

APHC Fact Sheet: Mosquito Control around the Home External Link 

APHC Fact Sheet: DoD Insect Repellent System External Link 

 Fight mosquitoes with these simple tips! video External Link    
2/26/16    
Fight mosquitoes with these simple tips! Video

APHC Fact Sheet: DoD Insect Repellent System and Permethrin Treatment of Military Uniforms External Link

APHC Fact Sheet: Mosquito Control around the Home External Link 

APHC Fact Sheet: Mosquito Trap-N-Kill Lethal Ovitrap External Link 

APHC Brochure: Use the DOD Insect Repellent System External Link

EPA: Find the Insect Repellent that is Right for You External Link

APHC Video: DEET Works External Link

APHC Video: How to apply DEET  External Link

APHC Video: Permethrin Effectiveness - Mosquitoes on ACU that has been treated with permethrin External Link

APHC Video: Deploying a pop-up bed net External Link

APHC Video: Deploying a bed net with poles External Link

APHC Video: Treating Civilian Clothing with Permethrin Repellent  External Link

AFPMB: Technical Guide 36 - Personal Protective Measures Against Insects and Other Arthropods of Military Significance External Link

AFPMB: Technical Guide 47 - Aedes Mosquito Vector Control March 2016 External Link