Dengue

Dengue

Dengue is an infectious disease that is caused by a virus. The virus occurs in (sub)tropical regions and is transmitted by mosquitoes. Dengue frequently occurs in people who have visited countries where the disease occurs.

The graphic representation on this map is based on data from 2017.

What is dengue?

The dengue virus is the cause of dengue fever, also called dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS). DHF and DSS are two forms of severe dengue. The virus is transmitted by mosquitoes that are active during the day when they may bite.

 

What are the symptoms of dengue?

The incubation period of the dengue virus is between 3 and 14 days (usually 4-7 days), after a bite of an infected mosquito. The majority of dengue virus infections does not cause any symptoms. Low severity dengue virus infections are characterised by the following symptoms:

  • Acute fever (up to 41 °C) with chills
  • Headache, particularly behind the eyes
  • Muscle and joint pain
  • Nausea
  • Vomiting
  • Coughing
  • Sore throat
  • Feeling miserable

Low severity dengue virus infections recover between a few days and a week. A small part of infections develops into severe dengue with complications like dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS). Without treatment, these complications are life-threatening. Moreover, people can get dengue several times.

 

Protection against dengue

Infection with the virus can take place through the bite of an infected Aedes mosquito, particularly the yellow fever mosquito (Aedes aegypti) and the Asian tiger mosquito (Aedes albopictus). These mosquitoes can also transmit the chikungunya virus and zika virus.

Prevention of dengue is predominantly focused on preventing mosquito bites, particularly in the early morning and late afternoon when Aedes mosquitoes are active. Wearing clothes that cover the skin and applying Anti-Insect to exposed skin reduces the risk of infection. In addition, sleeping under an (impregnated) mosquito net is recommended.

 

Types of dengue virus

There are four types of dengue virus. It is possible to contract dengue more than once. Once you have had dengue, you will be protected for life against that particular type of dengue, but not against other types.

If you contract dengue for the second time with a different type, there is a chance that the symptoms will be more severe. Once you’ve had dengue, a second infection can be more serious. If you think you have dengue for the second time, it is important to consult a doctor as soon as possible.

Does dengue occur in the UK and US?

Dengue mainly occurs in (sub)tropical regions like Africa, Southeast Asia, Central, Latin America and the Carribean. The number of dengue virus infections has significantly increased over the last decennia. Globally, there are an estimated 90 million dengue virus infections with symptoms, of which 500,000 are severe cases of dengue, especially in children. Several dozen cases of dengue are reported annually from the Dutch Caribbean.

In the UK dengue only occurs as an imported disease. Due to the global increase in dengue, the chances of travellers returning with a dengue virus infection is increasing. 

Dengue outbreaks occasionally occur in the continental United States. Dengue is common in the US territories of Puerto Rico, the US Virgin Islands, and American Samoa. Nearly all dengue cases reported in the 48 continental states were in travelers infected elsewhere.