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Florida Dengue fever outbreak could be threat to NYers

Shiloh

Editor, Senior Moderator
Source: http://www.crainsnewyork.com/article/20100521/FREE/100529947


May 21, 2010 7:57 PM
Florida Dengue fever outbreak could be threat to NYers
First diagnosed case of deadly tropical illness was a woman from Rochester, N.Y., who caught the mosquito-carried disease in the Florida Keys. She was diagnosed by ?one sharp doctor? upstate.

By Gale Scott

Dengue fever is common in tropical areas but has not been seen in the U.S. since 1945. Here, an employee of the Uruguayan Ministry of Health fumigates a park during a campaign against Dengue fever in Montevideo in 2007.

Dengue fever, a much-feared tropical viral illness that in its most severe form can liquefy vital organs, has been diagnosed in dozens of people in Key West, Fla., and even in a woman from Rochester, N.Y. who had visited Florida last year.

Since dengue fever can be transmitted both by mosquitoes and blood transfusions, infectious disease experts say it could spread to other parts of the U.S. if an infected traveler brings it home.

The concerns came to light after a federal Centers for Disease Control and Prevention report released on Thursday stated that the illness was first diagnosed in 2009 in a 34-year-old Rochester woman who had returned from a weeklong vacation in Key West.

Her primary care physician, Dr. Adriane Trout, first treated her for a routine viral infection, but the patient didn't improve. A week later, when the patient said she still didn't feel well, Dr. Trout tested her for Dengue. The results were positive. The woman has since recovered, but after Dr. Trout notified health officials in Monroe County, Fla., they began testing other patients for Dengue and have since found 28 cases in patients ranging from ages 15 to 73. Most reported unusual bleeding including blood in their urine.

The CDC is urging all doctors with patients who have mysterious fevers and have been in a subtropical area to test them for Dengue.

Since many New Yorkers travel back and forth to the Florida Keys, Columbia University public health expert Dr. Ian Lipkin said there is reason for concern. ?It's a reasonable thing to wonder whether there have been other undiagnosed cases,? Dr. Lipkin said, adding that two types of mosquitoes known to spread the illness are common in New York and New Jersey...
 
Re: Florida Dengue fever outbreak could be threat to NYers

Source: http://rocnow.com/article/local-news/20105220338

Wayne County family physician helps detect case of dengue fever
Patti Singer ? Staff Writer
Local News ? May 22, 2010 - 5:00am

Dr. Adriane Trout isn?t a detective, but sometimes she plays one as a family physician in Wayne County.

Her impersonation of Sherlock Holmes led to her detecting dengue fever in a patient from Rochester who had traveled to Key West, Fla., last August. The diagnosis, confirmed a couple of weeks later, was the first reported case of dengue originating in the continental United States away from the Texas-Mexico border since 1945.

Trout contacted health officials in Florida, which led to a husband and wife who within a few weeks of each other saw their doctor for fever, headache and rash, to be tested for dengue. Both were confirmed to have dengue.

Subsequent surveillance by health officials led to 24 more cases in 2009. A recent case was reported April 13. After being alerted to the cases, mosquito control programs in the Keys were increased.

The account was published Friday in the Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

?She did a good job in two regards,? said Dr. Christopher Gregory of the CDC?s dengue branch in Puerto Rico. ?One is just thinking about this being a possibility. I think most doctors wouldn?t. You say you can?t get it there. And two is making sure she reported it to the state of Florida, who then went out and said to doctors that there?s a possibility the people can get dengue here. And that?s how we found out about all the other cases...?
 
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