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Volume 25, Number 8—August 2019
Historical Review

Lessons Learned from Dengue Surveillance and Research, Puerto Rico, 1899–2013

Tyler M. SharpComments to Author , Kyle R. Ryff, Gilberto A. Santiago, Harold S. Margolis, and Stephen H. Waterman
Author affiliations: Centers for Disease Control and Prevention, San Juan, Puerto Rico, USA (T.M. Sharp, K.R. Ryff, G.A. Santiago, H.S. Margolis, S.H. Waterman); US Public Health Service, Rockville, Maryland, USA (T.M. Sharp, S.H. Waterman)

Main Article

Table 1

Dengue outbreaks and epidemics, Puerto Rico, 1899–2013*

Year(s) DENV(s)† No. reported suspected cases (cases/1,000 pop) Most affected age group(s), y† No. reported DHF cases
(DHF cases/1,000 dengue cases) Reported dengue-related deaths (deaths/1,000 dengue cases) Reference
1899 Unknown “Some” NA NA NA (3)
1915 Unknown Hundreds or thousands (≈20) <10 NA 0 (0) (1)
1963 3 ≈27,000 (NA) 20–29, 30–39, 10–19 0 NA (6,7)
1969 2 16,665 (NA) 30–49 0 0 (8)
1977 2, 3, 1 12,733 (3.75) 15–19, 20–29, 10–14 0 0 (9)
1978–1979 1, 2, 3 12,314 (3.63) 15–19, 20–29, 10–14 0 0
1981–1982 1, 4 ≈17,160 (NA) NA NA 5 (≈0.3)
1986 4, 1, 2 10,659 (NA) 6–15, 31–45, <1 29§ (27§) 3§ (0.3) (10)
1994–1995 2, 4, 1 24,700 (7.0) 15–19, 10–14, 20–24 152 (6.2) 40 (1.6) (11)
1998 4, 1, 2, 3 17,000 (4.8) 10–19, <1 174 (10.2) 56 (3.3) (12)
2007 3, 2, 1, 4 10,508 (2.7) 10–14, 15–19, <1 227 (21.6) 40 (3.8) (13)
2010 1, 4, 2, 3 26,766 (7.2) 10–14, 15–19, 5–9 448 (16.7) 128 (4.8) (14)
2012–2013 1, 4, 2, 3 30,921 (8.6) 10–14, 15–19, <1 11 (0.4) 199 (6.4)

*DENV, dengue virus; DHF, dengue hemorrhagic fever; NA, data not available; pop, population.
†In order of relative frequency.
‡Centers for Disease Control and Prevention and Puerto Rico Department of Health, unpub. data.
§Laboratory-positive cases; number of suspected cases not available.

Main Article

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