Volume 14, Number 7—July 2008
Research
Seasonality, Annual Trends, and Characteristics of Dengue among Ill Returned Travelers, 1997–2006
Table 1
Dengue and malaria diagnoses as a proportion of all morbidity in ill returned travelers according to region or country of acquisition
| Region* or country of exposure | No. ill returned travelers with dengue | No. ill returned travelers with malaria | Total no. ill returned travelers | Dengue proportionate morbidity† | Malaria proportionate morbidity† |
|---|---|---|---|---|---|
| Southeast Asia | 264 | 103 | 3,694 | 71 | 28 |
| Thailand | 154 | 9 | 1,523 | 101 | 5 |
| Indonesia |
38 |
53 |
652 |
58 |
81 |
| South Central Asia | 90 | 70 | 3,303 | 27 | 21 |
| India |
66 |
57 |
2,119 |
31 |
27 |
| Caribbean |
47 |
14 |
1,470 |
32 |
9 |
| South America | 40 | 49 | 2,427 | 16 | 20 |
| Brazil |
22 |
12 |
685 |
32 |
18 |
| Central America |
37 |
27 |
1,867 |
20 |
14 |
| Africa | 25 | 1,216 | 7,231 | 3 | 168 |
| Sub-Saharan Africa |
23 |
1,201 |
6,201 |
4 |
194 |
| Oceania |
11 |
91 |
303 |
36 |
300 |
| Other‡ or multiple regions of exposure | 7 | 23 | 4,443 | 2 | 5 |
| Country missing |
1 |
12 |
182 |
5 |
66 |
| Total | 522 | 1,605 | 24,920 | 21 | 64 |
*Regions defined per (9).
†Proportionate morbidity expressed per 1,000 ill returned travelers seen at GeoSentinel clinics.
‡No cases were acquired in Canada, United States, Western Europe, Japan, or Australia.
1In addition to the authors, members of the GeoSentinel Surveillance Network who contributed data are: Elizabeth Barnett, Boston University, Boston, Massachusetts, USA; Graham Brown, Royal Melbourne Hospital, Parkville, Victoria, Australia; Giampiero Carosi and Francesco Castelli, University of Brescia, Brescia, Italy; Lin Chen and Mary Wilson, Harvard University, Cambridge, Massachusetts, USA; Bradley Connor, Cornell University, New York, New York, USA; Jean Delmont and Philippe Parola, Hôpital Nord, Marseille, France; Devon Hale and Stefanie Gelman, University of Utah, Salt Lake City, Utah, USA; Elaine Jong and Jean Haulman, University of Washington, Seattle, Washington, USA; Phyllis Kozarsky and Carlos Franco, Emory University, Atlanta, Georgia, USA; Carmelo Licitra, Orlando Regional Health Center, Orlando, Florida, USA; Louis Loutan and Francois Chappuis, University of Geneva, Geneva, Switzerland; Poh Lian Lim, Tan Tock Seng Hospital, Singapore; Michael Lynch, Fresno International Travel Medical Center, Fresno, California, USA; Susan McLellan, Tulane University, New Orleans, Louisiana, USA; Prativa Pandey, CIWEC Clinic Travel Medicine Center, Kathmandu, Nepal; Cecilia Perret, Pontificia Universidad Católica de Chile, Santiago, Chile; Bradley Sack and Robin McKenzie, Johns Hopkins University, Baltimore, Maryland, USA; Hiroko Sagara, Yokohama Municipal Citizen's Hospital, Yokohama, Japan; Marc Shaw, Worldwise Travellers Health and Vaccination Centre, Auckland, New Zealand; Robert Steffan and Patricia Schlagenhauf, University of Zurich, Zurich, Switzerland; William Stauffer and Patricia Walker, University of Minnesota, Minneapolis, Minnesota, USA; and Murray Wittner, Albert Einstein School of Medicine, Bronx, New York, USA.


