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Volume 11, Number 1—January 2005


Dengue and Dengue Hemorrhagic Fever, Brazil, 1981–2002

João Bosco Siqueira*†Comments to Author , Celina Maria Turchi Martelli†, Giovanini Evelim Coelho*, Ana Cristina da Rocha Simplício*, and Douglas L. Hatch*‡
Author affiliations: *Ministry of Health, Brasília, Brazil; †Federal University of Goiás, Goiânia, Brazil; ‡Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Main Article

Table 1

Chronology of major dengue-related events in Brazil, 1981–2002

Period/y Event
1981–1993: Epidemics waves in localized areas
1981 Restricted outbreak (DENV1* and DENV4†) in Northwest Brazil (Roraima State)
1986 Introduction of DENV1 (Rio de Janeiro State)
1990 Introduction of DENV2‡ (Rio de Janeiro State) and first confirmed cases of DHF
1994–2002: Epidemic and endemic virus circulation countrywide
1994–1999 Dispersion of Aedes aegypti nationwide
1998 Widespread outbreaks in 16 states (>534,000 reported cases)
2000 Introduction of DENV3§ (Rio de Janeiro State)
2002 Large outbreaks in 19 states (>794,000 reported cases)
Deaths due to dengue hemorrhagic fever exceed deaths from malaria

*Dengue virus serotype 1.
†Dengue virus serotype 4.
‡Dengue virus serotype 2.
§Dengue virus serotype 3.

Main Article

Medline reports the first author "Teixeira MG" is not correct in the reference 32 "Teixeira, Barreto, Costa, Ferreira, Vasconcelos, Cairncross, 2002".