Dengue

被引:69
作者
Paz-Bailey, Gabriela [1 ,5 ]
Adams, Laura E.
Deen, Jacqueline [2 ]
Anderson, Kathryn B. [3 ]
Katzelnick, Leah C. [4 ]
机构
[1] Ctr Dis Control & Prevent, San Juan, PR 00920 USA
[2] Univ Philippines, Inst Child Hlth & Human Dev, Natl Inst Hlth, Manila, Philippines
[3] SUNY Upstate Med Univ, Dept Microbiol & Immunol, Syracuse, NY USA
[4] Natl Inst Allergy & Infect Dis, Viral Epidemiol & Immun Unit, Lab Infect Dis, NIH, Bethesda, MD USA
[5] Ctr Dis Control & Prevent, San Juan, PR 00920 USA
关键词
ANTIBODY-DEPENDENT ENHANCEMENT; ZIKA VIRUS-INFECTION; HEMORRHAGIC-FEVER; VIETNAMESE CHILDREN; SHOCK SYNDROME; DISEASE; RISK; TRANSMISSION; POPULATION; PROTECTION;
D O I
10.1016/S0140-6736(23)02576-X
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Dengue, caused by four closely related viruses, is a growing global public health concern, with outbreaks capable of overwhelming health-care systems and disrupting economies. Dengue is endemic in more than 100 countries across tropical and subtropical regions worldwide, and the expanding range of the mosquito vector, affected in part by climate change, increases risk in new areas such as Spain, Portugal, and the southern USA, while emerging evidence points to silent epidemics in Africa. Substantial advances in our understanding of the virus, immune responses, and disease progression have been made within the past decade. Novel interventions have emerged, including partially effective vaccines and innovative mosquito control strategies, although a reliable immune correlate of protection remains a challenge for the assessment of vaccines. These developments mark the beginning of a new era in dengue prevention and control, offering promise in addressing this pressing global health issue.
引用
收藏
页码:667 / 682
页数:16
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