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      Dengue Outbreak during Ongoing Civil War, Taiz, Yemen

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          Abstract

          We identified dengue in ≈51% of patients given a clinical diagnosis of suspected dengue in Taiz, Yemen, during 2016. The cosmopolitan genotype of dengue virus type 2 was most common; viruses appeared to have originated in Saudi Arabia. Damage to public health infrastructure during the ongoing civil war might enable dengue to become endemic to Yemen.

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          Most cited references10

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          Research on dengue during World War II.

          A SABIN (1952)
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            Early detection of dengue virus by use of reverse transcription-recombinase polymerase amplification.

            A method for the rapid diagnosis of early dengue virus (DENV) infection is highly needed. Here, a prototype reverse transcription-recombinase polymerase amplification (RT-RPA) assay was developed. The assay detected DENV RNA in <20 min without the need for thermocycling amplification. The assay enabled the detection of as few as 10 copies of DENV RNA. The designed RT-RPA primers and exo probe detected the DENV genome of at least 12 genotypes of DENV circulating globally without cross-reacting with other arboviruses. We assessed the diagnostic performance of the RT-RPA assay for the detection of DENV RNA in 203 serum samples of patients with clinically suspected dengue. The sera were simultaneously tested for DENV using a reverse transcription-loop-mediated isothermal amplification (RT-LAMP) assay, quantitative RT-PCR (qRT-PCR), and IgM- and IgG-capture enzyme-linked immunosorbent assays (ELISA). Acute DENV infection was confirmed in 130 samples and 61 of the samples (46.9%) were classified as viremic with qRT-PCR. The RT-RPA assay showed good concordance (κ of ≥0.723) with the RT-LAMP and qRT-PCR assays in detecting the dengue viremic samples. When used in combination with ELISA, both the RT-RPA and RT-LAMP assays increased the detection of acute DENV infection to ≥95.7% (≥45/47) in samples obtained within 5 days of illness. The results from the study suggest that the RT-RPA assay is the most rapid molecular diagnostic tool available for the detection of DENV. Hence, it is possible to use the RT-RPA assay in a laboratory to complement routine serology testing for dengue. Copyright © 2015, American Society for Microbiology. All Rights Reserved.
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              Co-circulation of Dengue and Chikungunya Viruses, Al Hudaydah, Yemen, 2012

              We investigated 400 cases of dengue-like illness in persons hospitalized during an outbreak in Al Hudaydah, Yemen, in 2012. Overall, 116 dengue and 49 chikungunya cases were diagnosed. Dengue virus type 2 was the predominant serotype. The co-circulation of these viruses indicates that mosquitoborne infections represent a public health threat in Yemen.
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                Author and article information

                Journal
                Emerg Infect Dis
                Emerging Infect. Dis
                EID
                Emerging Infectious Diseases
                Centers for Disease Control and Prevention
                1080-6040
                1080-6059
                July 2019
                : 25
                : 7
                : 1397-1400
                Affiliations
                [1]University of Malaya, Kuala Lumpur, Malaysia (K.A. Alghazali, B.-T. Teoh, S.-K. Loong, S.-S. Sam, N.-A.-A. Che-Mat-Seri, N.-I. Samsudin, C.-N. Yaacob, N.-S. Azizan, A. Oo, N.-A. Baharudin, K.-K. Tan, J. Abd-Jamil, S.-S. Nor’e, C.-S. Khor, J. Johari, S. AbuBakar);
                [2]University of Science and Technology, Sana’a Yemen (M.A.K. Mahdy)
                Author notes
                Address for correspondence: Sazaly AbuBakar, Tropical Infectious Diseases Research and Education Centre and Department of Medical Microbiology, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia; email: sazaly@ 123456um.edu.my
                Article
                18-0046
                10.3201/eid2507.180046
                6590741
                30924766
                592d0021-f28b-460a-b737-25ca63125b77
                History
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                Expedited
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                Dispatch
                Dengue Outbreak during Ongoing Civil War, Taiz, Yemen

                Infectious disease & Microbiology
                dengue,dengue virus,dengue virus type 2,viruses,arbovirus,vector-borne infections,outbreak,conflict,displacement,civil war,zoonoses,taiz,yemen

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