Each year, an estimated 100 million cases of dengue fever occur worldwide. Most of these are 
In India
Southeast Asia
Southern China
Taiwan
The Pacific Islands
The Caribbean (except Cuba and the Cayman Islands)
Mexico
Africa
Central and South America (except Chile, Paraguay, and Argentina)
Most cases in the United States occur in people who contracted the infection while traveling abroad. But the risk is increasing for people living along the Texas-Mexico border and in other parts of the southern United States. In 2009, an outbreak of dengue fever was identified in Key West, Fla.

Dengue fever is transmitted by the bite of an Aedes mosquito infected with a dengue virus. The mosquito becomes infected when it bites a person with dengue virus in their blood. It can’t be spread directly from one person to another person.
SYMPTOMS OF DENGUE FEVER



Symptoms, which usually begin four to six days after infection and last for up to 10 days, may include

Sudden, high fever
Severe headaches
Pain behind the eyes
Severe joint and muscle pain
Nausea
Vomiting
Skin rash, which appears three to four days after the onset of fever
Mild bleeding (such a nose bleed, bleeding gums, or easy bruising)
Sometimes symptoms are mild and can be mistaken for those of the flu or another viral infection. Younger children and people who have never had the infection before tend to have milder cases than older children and adults. However, serious problems can develop. These include dengue hemorrhagic fever, a rare complication characterized by high fever, damage to lymph and blood vessels, bleeding from the nose and gums, enlargement of the liver, and failure of the circulatory system. The symptoms may progress to massive bleeding, shock, and death. This is called dengue shock syndrome (DSS).

People with weakened immune systems as well as those with a second or subsequent dengue infection are believed to be at greater risk for developing dengue hemorrhagic fever.

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