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Emerging Infectious Diseases
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Dengue hemorrhagic fever, Uttaradit, Thailand.
Publication:
Emerging Infectious Diseases
Publication Date: 01-OCT-03 |
Format: Online
Delivery: Immediate Online Access |
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Full Article Title: Dengue hemorrhagic fever, Uttaradit, Thailand.(Letters) |
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Article Excerpt
To the Editor: Dengue hemorrhagic fever (DHF) has been recognized as a disease of young children in the past. Three decades ago most reported case-patients in Thailand were 3-6 years of age (1). Increasing evidence shows that the age group most affected is changing (2). We report evidence that in Uttaradit, Thailand, the predominant age of those who acquire DHF has increased by at least 2 years during the 1990s.
Uttaradit is a province in the northern part of Thailand. DHF is endemic in Uttaradit, as it is in most parts of the country. Between 1992 and 2001, three major outbreaks of DHF occurred, in 1993, 1998, and 2001.
The number of DHF cases reported to the Provincial Health Office from January 1992 to December 2001 (classified by age groups) was used as the estimated annual DHF incidence. Case definition and categorization followed the International Statistical Classification of Diseases and Related Health Problems (ICD-10). DHF categories reported in this study included both DHF without shock and the dengue shock syndrome (the number of cases and deaths combined). Dengue fever, a milder disease manifestation, was not included.
The age distribution of DHF cases showed that, in the...
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