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A Prospective Study of Dengue Infections in Bangkok

Donald S. Burke U.S. Component, Armed Forces Research Institute of Medical Sciences, Rajvithi Road, Bangkok, Thailand

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Ananda Nisalak U.S. Component, Armed Forces Research Institute of Medical Sciences, Rajvithi Road, Bangkok, Thailand

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David E. Johnson U.S. Component, Armed Forces Research Institute of Medical Sciences, Rajvithi Road, Bangkok, Thailand

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Robert McN. Scott U.S. Component, Armed Forces Research Institute of Medical Sciences, Rajvithi Road, Bangkok, Thailand

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DOI:
https://doi.org/10.4269/ajtmh.1988.38.172
Volume/Issue:
Volume 38: Issue 1
Page(s):
172–180
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Dengue infections were prospectively studied among 4- to 16-year-old students at a Bangkok school. Blood samples were obtained from 1,757 students in June 1980, before the dengue season, and in January 1981, after the season, and tested for dengue antibodies by the hemagglutination inhibition method. Classrooms were monitored daily for school absences. Fifty percent of the children had antibodies to, and were presumably immune to, at least 1 dengue serotype by the age of 7 years. Most (90/103, 87%) students who became infected by dengue viruses during the study period were either asymptomatic or minimally symptomatic (absent only 1 day). Most (7/13, 53%) of the symptomatic dengue infections (absent with fever for ≥2 days) were clinically recognized as cases of dengue hemorrhagic fever which required hospitalization. None of 47 primary dengue infections required hospitalization, whereas 7 of 56 secondary infections did (P = 0.012). Preexistent dengue immunity, as detected by conventional serologic techniques, was a significant (odds ratio ≥ 6.5) risk factor for development of dengue hemorrhagic fever.

Author Notes

Copyright:
Copyright © 1988 by The American Society of Tropical Medicine and Hygiene 1988
Accepted:
30 Jul 1987
|
Published Online:
Jan 1988
Cover The American Journal of Tropical Medicine and Hygiene
The American Journal of Tropical Medicine and Hygiene
Print ISSN:
0002-9637
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