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Centro de Investigaciones Regionales Dr. Hideyo Noguchi, Universidad Autónoma de Yucatán

2010, Number 3

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Rev Biomed 2010; 21 (3)

Dynamic of Dengue and Aedes aegypti in Puerto Rico

Barrera R

Language: Spanish
References: 90
Page: 179-195
PDF size: 499.59 Kb.


ABSTRACT

We reviewed the literature in an attempt to understand temporal changes in dengue viruses transmission and associated environmental variables, including climate, and the ecology and control of Aedes aegypti. Dengue dynamics can be summarized in three periods: 1915-1969 with self-limited outbreaks of one serotype, 1969-1980 when dengue becomes endemic with circulation of single serotypes, and since 1980 with hyper-endemic circulation of several virus serotypes, shortly followed by the establishment of endemic dengue hemorrhagic fever until present. Long-term dengue transmission is stationary, possible resulting from small changes in population density and independently of implied climate change. Dengue epidemics are produced as a result of alternation of dominant serotypes. Dengue is seasonal, with three periods: post-epidemic from December to May (low temperature, little precipitation and mosquitoes), pre-epidemic from June to August with viral amplification (high temperature, abundant precipitation and mosqu itoes), and epidemic from September to November with similar environmental conditions. Aedes aegypti control has been limited by the evolution of insecticide resistance since 1959. There have been many contributions to the biology of Ae. aegypti and advances in entomological surveillance. Recent discovery of cryptic and super-productive aquatic habitats of Ae. aegypti helps explaining why vector control has been so harsh. The possible existence of a secondary dengue vector on the island is not dismissed.


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