http://www.cdc.gov/travel/dengfvr.htm
| Please see the Destinations
section for recommendations for specific countries. |
Dengue viruses are transmitted by mosquitoes, which are most active during the day. These vector mosquitoes are found near human habitations and are often present indoors. Epidemic transmission is usually seasonal, during and shortly after the rainy season.
Dengue fever is characterized by sudden onset, high fever, severe headaches, joint and muscle pain, nausea/vomiting, and rash. The rash may appear 3–4 days after the onset of fever. Infection is diagnosed by a blood test that detects the presence of the virus or antibodies. The illness may last up to 10 days, but complete recovery can take 2–4 weeks. Dengue is commonly confused with other infectious illnesses such as influenza, measles, malaria, typhoid, leptospirosis, and scarlet fever. The symptoms of dengue can be treated with bed rest, fluids, and medications to reduce fever, such as acetaminophen; aspirin should be avoided. Travelers should alert their physician of any fever illnesses occurring within 3 weeks after leaving an endemic area. There is no vaccine for dengue fever; therefore, the traveler should avoid mosquito bites by remaining in well screened or air-conditioned areas. Travelers to tropical areas are advised to use mosquito repellents on skin and clothing, to bring aerosol insecticides to use indoors, and use bednets.
The risk of dengue for each geographic area will have variations. The risk is generally higher in urban areas. There are no requirements precluding traveler entry to any country.
Africa
Dengue fever occurs endemically in most of the region and as periodic epidemics.
It is found in both rural and urban areas and poses a health hazard to travelers;
the risk of infection is highest in urban centers. (Please check the information
in the Destinations
section on Central Africa, East
Africa, North Africa, Southern
Africa, and West Africa.)
Southeast
Asia and China
Dengue fever occurs endemically in most of the region and as periodic epidemics.
It is found in both rural and urban areas and poses a health hazard to travelers;
the risk is highest in urban centers. (Please check the information in the Destinations
section on Southeast Asia and
East Asia.)
Indian
Subcontinent
Dengue fever occurs endemically and as periodic epidemics. It is found in both
rural and urban areas and poses a health hazard to travelers; the risk is
highest in urban centers. (Please check the information in the Destinations
section on the Indian
Subcontinent.)
The Middle
East
Dengue fever is endemic in some urban centers and occurs sporadically in
epidemics; the risk of infection is small for most travelers except during
periods of epidemic transmission. (Please check the information in the Destinations
section on the Middle East.)
South
America
Dengue fever occurs endemically in many urban centers and as periodic epidemics.
It occurs in both rural and urban areas and poses a health hazard to travelers;
the risk is highest in urban centers. (Please check the information in the Destinations
section on Tropical South
America and Temperate South
America.)
Central
America
Dengue fever occurs endemically in most urban centers and as periodic epidemics.
It occurs in both rural and urban areas and poses a health hazard to travelers;
the risk is highest in urban centers. (Please check the information in the Destinations
section on Central America.)
Caribbean
Dengue fever occurs endemically in most Caribbean Islands and as periodic
epidemics. It occurs in both rural and urban areas and poses a health hazard to
travelers; the risk is highest in urban centers. (Please check the information
in the Destinations
section on the Caribbean.)
Australia and
the South and Central Pacific
Dengue fever is endemic with periodic epidemics in parts of northern Queensland
and the Torres Strait Islands of Australia as well as most of the South and
Central Pacific Islands; there is a risk to the traveler in those specific
areas. New Zealand is free of dengue fever. (Please check the information in the
Destinations
section on Australia and the
South Pacific.)
See the CDC Dengue Fever Home Page section for more information on dengue fever.