Emergence and Global Spread of a Dengue Serotype 3, Subtype III Virus
William B. Messer*, Duane J. Gubler†, Eva Harris‡, Kamalanayani Sivananthan§, and Aravinda M. de Silva*
Author affiliations: *University of North Carolina, Chapel Hill, North Carolina, USA; †Centers for Disease Control and Prevention, Fort Collins, Colorado, USA; ‡University of California, Berkeley, California, USA; §Medical Research Institute, Colombo, Sri Lanka.
Figure 3. Map of the spread of dengue virus 3 (DENV-3), subtype III through Latin America and the Caribbean. The introduction of DENV-3, subtype III was first reported in November 1994 in Nicaragua and Panama. This virus strain has been isolated, identified, and reported in at least 16 other countries in the region. *Represents countries with dengue hemorrhagic fever (DHF) caused by DENV-3. These countries are Nicaragua in 1994 and 1998, Brazil and Venezuela in 2001 (Pan American Health Organization, unpub. data).
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