RESUMEN
An epidemic of febrile illness with hemorrhagic manifestations occurred in certain parts of Mangalore city, Karnataka state, India, from the last week of July 1993. The epidemic reached its peak by mid-August and then started declining. Sporadic cases, however, continued to occur till early December. About 200 cases were reported covering all age groups and both sexes. The cases presented with pyrexia, myalgia, arthralgia and headache. Palatal petechiae, magenta colored tongue with central coating, maculopapular rash and facial flush were observed as classical signs. The tourniquet test was positive in 12% of the cases. Hemorrhage was observed in the form of epistaxis (2 cases), subconjunctival hemorrhage (2 cases) or purpura (3 cases). There were no deaths which were attributable to the epidemic. Five strains of dengue (DEN-2) virus were recovered from the acute-phase sera. Dengue virus-specific IgM type of antibodies were detected in 29/116 (25%) sera. Breeding of Aedes aegypti was observed in some of the areas where cases had occurred. No virus was isolated from any of the field-caught Ae. aegypti mosquitos.
Asunto(s)
Dengue/epidemiología , Brotes de Enfermedades , Salud Urbana , Enfermedad Aguda , Animales , Estudios de Casos y Controles , Convalecencia , Culicidae , Dengue/inmunología , Dengue/transmisión , Dengue/virología , Femenino , Humanos , India/epidemiología , Insectos Vectores , Masculino , Factores de RiesgoRESUMEN
Outbreaks of dengue (DEN) fever are reported from 22 villages in five districts in the state of Maharashtra. DEN viral antigen was detected by indirect immunofluorescence test in 34 of 375 female Aedes aegypti mosquitoes collected from 8 villages. DEN types 2 and 3 were identified among the 16 strains that were isolated. None of the 64 male mosquitoes showed the presence of viral antigen; 281 males and 323 females reared from field collected larvae were also found negative. Indoor spraying of DDT in the affected villages produced a drastic reduction in Ae. aegypti catches. No viral antigen was detected in mosquitoes caught subsequent to the spray. With the introduction of water supply through taps, which is often inadequate, people are compelled to store water for domestic purposes, which favours an increase in Ae. aegypti breeding. In view of changing rural ecology associated with the development process, continued surveillance of the spread of Ae. aegypti as well as the diseases borne by this vector are recommended.
Asunto(s)
Aedes/microbiología , Virus del Dengue/aislamiento & purificación , Dengue/epidemiología , Brotes de Enfermedades , Insectos Vectores/microbiología , Animales , Dengue/transmisión , Femenino , Humanos , India/epidemiología , MasculinoRESUMEN
In the Krishna-Godavari Delta region of the State of Andhra Pradesh, India, 866 sera obtained from trapped birds of 13 species were tested for neutralizing antibody to Japanese encephalitis (JE) virus; two species of birds belonging to the family Ardeidae, Ardeola grayii (pond heron) and Bubulcus ibis (cattle egret), contributed 514 of these sera. Neutralizing antibody to JE virus--i.e. sera giving positive reactions--was detected in 179 sera (34.8%) from these two species; in addition, two sera (0.4%) gave equivocal reactions, presumably indicating partial protection. There were only nine positive reactors (2.6%) among the remaining 352 sera from all other bird species. Of the 181 sera from ardeid birds in which neutralizing activity was detected, 174 were tested for neutralizing antibody to West Nile (WN) virus. The results indicated that 35.6% of these 179 sera had antibody specific to JE virus only and 63.8% possessed neutralizing antibodies to JE virus or to WN virus or to both; these figures represent 12.5% and 22.5% , respectively, of the total of 514 birds of these two species which were tested for neutralizing antibody to JE virus. The findings suggest that ardeid birds may be involved in the natural cycle of JE virus and, possibly, also of WN virus in India.