-Caveat Lector-
From
1 - http://dailynews.yahoo.com/h/nm/20020118/hl/dengue_3.html
2 - http://dailynews.yahoo.com/h/nm/20020114/hl/dengue_1.html
1}}}>Begin
Friday January 18 6:40 PM ET
Dengue Outbreak Hits Rio, Kills at Least One
RIO DE JANEIRO, Brazil (Reuters) - At least one person has died in
Rio de Janeiro of hemorrhagic dengue fever amid an outbreak of the
mosquito-borne viral disease following heavy rains in Brazil the past
month, authorities said on Friday.
Among the nearly 1,000 people infected in Rio, more than 30 living in
the metropolitan area of the Brazilian (news - web sites) tourist
mecca had contracted the potentially deadly hemorrhagic strain, a
spokeswoman for the Rio municipal health secretariat told Reuters.
Doctors were investigating three more ``suspicious'' deaths that
could have resulted from dengue.
State health authorities confirmed about 1,800 cases of dengue
statewide, but said the outbreak was not yet considered an epidemic.
Medical officials said heavy downpours in many regions of Brazil over
the past month had significantly raised the risk of outbreaks. The
disease is transmitted by mosquitoes that breed in stagnant water.
The first fatal victim of dengue was a 28-year-old woman from Rio's
sprawling hillside Rocinha shantytown, where public sanitation is
practically nonexistent.
But authorities have complained that even Rio dwellers living in
better-off areas were doing nothing to combat the disease, letting
standing water in their courtyards and around their homes become
stagnant breeding grounds for mosquitos.
Brazil's central states of Goias and Minas Gerais, and southern Mato
Grosso do Sul also had a high number of dengue cases, officials said.
The National Health Foundation said dengue had been on the rise
recently, with the number of overall cases rising to 391,000 last
year from 240,000 in 2000, while the number of hemorrhagic cases
skyrocketed to 675 from 51. Twenty-eight people died from dengue last
year after three died in 2000.
There is no cure or vaccine for the disease, but patients can be
given follow-up treatment to avoid complications, especially for
hemorrhagic dengue, which is caused by repeated infection with the
weaker strain of the virus.
Cars with powerful sprays were being used in many areas to apply
insecticide, and health inspectors searched some neighborhoods for
sources of the epidemic. The government planned to spend nearly $200
million to combat dengue this year in a bid to slash the number of
cases by half.
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2}}}>Begin
Monday January 14 10:57 AM ET
Cuba Battling Biggest Dengue Outbreak Since 1981
HAVANA (Reuters) - Cuba began an emergency campaign over the weekend
to contain the worst outbreak of potentially lethal dengue fever
since 1981, but did not give figures of those infected despite
widespread public concern.
Echoing a speech by President Fidel Castro (news - web sites) two
days ago, state media and government officials on Sunday hammered
away at the need for Cubans to clean the streets and allow fumigation
of their homes to minimize the spread of the disease.
A viral infection transmitted by mosquitoes, dengue fever is marked
by high fever, rash and head, muscle and joint pain. Its most
dangerous form, hemorrhagic dengue fever, can cause internal bleeding
and death.
``War To The Death!'' said state daily Juventud Rebelde in a barrage
of official information about the mosquitoes which transmit the
disease. That contrasted with the official silence since Cubans began
talking about cases 6 months ago.
State-run media said the epidemic was concentrated in Havana,
although cases had been reported as of January 1 in 95 of the
Caribbean nation's 165 municipalities. The last national outbreak of
dengue was in 1981, killing 158 people.
More recently, there was a local outbreak in the eastern city of
Santiago de Cuba in 1997, but the new appearance of dengue appears
more serious, given the national attention being given to it and
anecdotal evidence on the streets of Havana.
``There is no alternative; the campaign has to be successful,''
Castro said, adding that most of the dengue in the country was of the
milder, classic variety, though some cases had evolved into the
potentially fatal hemorrhaging dengue.
He presided at a ceremony in Havana on Friday night declaring ``war''
against the insects and launching fumigation brigades made up of
thousands of construction and other workers.
``I have been hearing about more and more hemorrhaging cases over the
last few weeks,'' an employee at a Havana hospital said. ``If Fidel
is getting involved, you know the situation is serious.''
In Havana, bulldozers could be seen over the weekend clearing rubble
and garbage from streets as two-man fumigation teams misted homes to
kill the insects.
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