Introduction

• Clinical syndromes caused by dengue viruses

Historical background of DHF and DSS

• Death record of acute haemorrhagic fever at Siriraj Hospital 1951-1958
• Dengue serotypes isolates from DHF patients at Bangkok Children's Hospital 1962-1984
• Outbreaks in Asian region
• Outbreaks in China
• Outbreaks in the Caribbean
• Outbreaks in the Africa

Dengue and DHF in the Americas

• Historical background
• Aedes aegypti distribution in the Americas
• Similarities in the sequence of events leading to epidemic DHF in South-East Asia and the Americas
• Recent changes in epidemiology
• Occurrence of DHF in the Americas by year
• Epidemic dengue in Mexico
• History of epidemic dengue in Puerto Rico
• Fig 2 American countries with confirmed DHF/DSS prior 1981-87

DHF in South-East Asian countries

• Bangladesh
• Myanmar
• India
• Indonesia
• Maldives
• Sri Lanka
• Thailand

Epidemiology of dengue in the Western Pacific Region

• Introduction
• Singapore
• Viet Nam
• Philippines
• Pacific Islands
• China Malaysia
• Australia
• References

Dengue in Africa

• History
• Dengue review y State
• East and South Africa
  • South Africa (Natal)
  • Indian Ocean Islands
  • Tanzania, Kenya, somalia and Sudan
  • Mozambique
• West Africa
  • Nigeria
  • Burkina Faso (formerly upper Volta)
  • Ivory Coast
  • Senegal