Public health aspects of Dengue virus infection relevant to Australia
Trine Gulholm A B and William D Rawlinson A B C D EA Serology and Virology Division, Department of Microbiology NSW Health Pathology, Prince of Wales Hospital, Sydney, NSW, Australia
B School of Medical Sciences, University of New South Wales, Sydney, NSW, Australia
C School of Women’s and Children’s Health, University of New South Wales, Sydney, NSW, Australia
D School of Biotechnology and Biomolecular Sciences, University of New South Wales, Sydney, NSW, Australia
E Tel: +61 2 9382 9113, Fax: +61 2 9382 9098, Email: w.rawlinson@unsw.edu.au
Microbiology Australia 38(4) 191-193 https://doi.org/10.1071/MA17066
Published: 31 October 2017
Abstract
Dengue is endemic in over 100 countries. The disease is not endemic in Australia currently, although the mosquito vector and imported cases cause sporadic outbreaks, predominantly in Queensland. The illness dengue fever causes a spectrum of disease from asymptomatic or a minor febrile illness through to a fatal disease caused by shock from plasma leakage or haemorrhage. There is currently no specific treatment for dengue. Dengue is mainly diagnosed using serology, antigen detection and PCR. Serological diagnosis of dengue can be difficult because of cross reactions with other flaviviruses. A vaccine is available and registered in Australia, however the overall efficacy is just over 50%. Surveillance, disease recognition, outbreak control and prevention of exposure are strategies used to combat dengue in Australia.
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