Outbreak of dengue Fever in central China, 2013

Xue Yong Huang1, Hong Xia Ma1, Hai Feng Wang1

  • 1Henan Center for Disease Control and Prevention, Zhengzhou 450016, Henan, China.

Insights

The first dengue fever outbreak in China's northern Henan province occurred in 2013, confirming dengue virus type 3. This event signals a concerning expansion of dengue fever's endemic range in China.

Area of Science:

  • Epidemiology
  • Infectious Diseases
  • Public Health

Background:

  • Dengue fever (DF) has historically been confined to southern China.
  • Northern temperate regions were previously considered less susceptible to DF outbreaks.

Purpose of the Study:

  • To report the first occurrence of a dengue fever outbreak in central China's Henan province.
  • To characterize the dengue virus type involved and assess local population exposure.

Main Methods:

  • Surveillance of suspected dengue fever cases.
  • Laboratory confirmation of dengue virus type 3 (DEN-3) infections.
  • Serological testing for dengue virus antibodies in local health personnel.

Main Results:

  • 106 suspected DF cases were reported, with 73 confirmed as DEN-3 infections.
  • 15.8% (62/392) of local health personnel exhibited positive DEN antibodies.
  • Henan province represents the northernmost region in China to report a DF outbreak.

Conclusions:

  • The 2013 Henan outbreak marks the northernmost occurrence of dengue fever in China.
  • This event indicates a significant geographical expansion of the dengue fever endemic range within China.
  • Increased vigilance and control measures are necessary in newly affected temperate regions.

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