Dengue fever may cause 50 million infections worldwide each year, and it is spreading to new areas. The disease is sometimes called "break-bone fever." It produces
intense pain in the muscles and joints and behind the eyes. People get
severe headaches. There are no cures, but most people recover, though
some take a long time. Dengue is spread through the bite of infected mosquitoes.
Scientists at research centers around the world say they are making
progress toward vaccines to protect against dengue fever. Robert
Edelman at the University of Maryland is an expert in dengue vaccine
research. He says at least two experimental vaccines have moved beyond
laboratory tests and are now being tested in people.
The World Health Organization currently estimates that there may be
fifty million dengue infections worldwide every year. It strikes cities
and rural areas mainly in warm, wet climates. It causes physical as
well as economic pain.
Dengue is now found in more than one hundred countries. About forty
percent of the world population is at risk. Southeast Asia and the
western Pacific are the most seriously affected. But it also affects
Africa, the eastern Mediterranean and the Americas.
Doctor Edelman noted that in a severe outbreak this year in Brazil, so
many people got sick that hospitals in Rio de Janeiro State had to
close. The army set up field hospitals in April and doctors came from
other areas to help treat patients. In Vietnam, health officials say
patients have sometimes had to share hospital beds because of large
numbers of cases. The W.H.O. says dengue is spreading to new areas and producing major
outbreaks. Venezuela, for example, reported more than eighty thousand
cases last year. These included more than six thousand cases of dengue
Dengue victims sometimes develop bleeding. This is dengue hemorrhagic
fever. The W.H.O. says it was first recognized in the nineteen fifties.
Today it affects most Asian countries and is a leading cause of serious
disease and death in children.
Each year an estimated half-million people with dengue hemorrhagic
fever require hospital treatment. The W.H.O. says about two and
one-half percent die. But people are more likely to die if they do not
get help. For now, the W.H.O. says the only way to prevent the spread
of dengue fever is to fight the mosquitoes that carry it.