dengue 18-019-0110 aphc resource library/dengue_fs...what is dengue? what is dengue hemorrhagic...

What is dengue? What is dengue hemorrhagic fever?Dengue is a flumosquito. Dengue hemorrhagic fever (DHF) is afatal, complication of dengue.

What is the infectious agent that causes dengue?Dengue and dengue hemorrhagic fever are caused by any of thedengue family of viruses. Infection with one virus does not protecta person against infection wit

How is dengue spread?Dengue is spread by the bite of antransmits the disease by biting an infected person and then bitingsomeone else.

Where is dengue found?Dengue viruses occur in most tropical areas of the wis common in Africa, Asia, the Pacific, Australia, and Central andSouth America. It is widespread in the Caribbean basin. Dengue ismost common in cities, but can also be found in rural areas. It israrely found in mountainous areas above

The mosquitoes that transmit dengue live among humans, andbreed in discarded tires, flowerpots, old oil drums, and waterstorage containers close to human dwellings. Unlike themosquitoes that cause malaria, dengue mosquitoes bite duringday.

What are the signs and symptoms of dengue and denguehemorrhagic fever?Dengue usually starts suddenly with a high fever, rash, severeheadache, pain behind the eyes, and muscle and joint pain. Theseverity of the joint pain has given dengue thefever.” Nausea, vomiting, and loss of appetite are common. A rashusually appears 3 to 4 days after the start of the fever. The illnesscan last up to 10 days, but complete recovery can take as long as amonth. Older children andadultinfections result in relatively mild illness, but some candengue hemorrhagic fever. In this form of the disease, the bloodvessels start to leak, causing bleeding from the nose, mouth, an





The mosquitoes that transmit dengue live among humans, andbreed in discarded tires, flowerpots, old oil drums, and waterstorage containers close to human dwellings. Unlike themosquitoes that cause malaria, dengue mosquitoes bite duringday.

What are the signs and symptoms of dengue and denguehemorrhagic fever?Dengue usually starts suddenly with a high fever, rash, severeheadache, pain behind the eyes, and muscle and joint pain. Theseverity of the joint pain has given dengue thefever.” Nausea, vomiting, and loss of appetite are common. A rashusually appears 3 to 4 days after the start of the fever. The illnesscan last up to 10 days, but complete recovery can take as long as amonth. Older children andadults are usually sicker than young children. Most dengueinfections result in relatively mild illness, but some candengue hemorrhagic fever. In this form of the disease, the bloodvessels start to leak, causing bleeding from the nose, mouth, an

Dengue [DENbite of infected mosquitoes. Dengue hemorrhagic fever is asevere, often fatal, complication of dengue.

Dengue occurs in most tropical areas of the world. MostU.S.dengue risk is increasing for persons living along the TexasMexican border and in other parts of the southern UnitedStates.

There is no specific treatment for dengue.

Prevention centers on avoidiwhere dengue occurs or might occur, and eliminatingbreeding sites.





The mosquitoes that transmit dengue live among humans, andbreed in discarded tires, flowerpots, old oil drums, and waterstorage containers close to human dwellings. Unlike themosquitoes that cause malaria, dengue mosquitoes bite during

What are the signs and symptoms of dengue and denguehemorrhagic fever?Dengue usually starts suddenly with a high fever, rash, severeheadache, pain behind the eyes, and muscle and joint pain. Theseverity of the joint pain has given dengue thefever.” Nausea, vomiting, and loss of appetite are common. A rashusually appears 3 to 4 days after the start of the fever. The illnesscan last up to 10 days, but complete recovery can take as long as amonth. Older children and

s are usually sicker than young children. Most dengueinfections result in relatively mild illness, but some candengue hemorrhagic fever. In this form of the disease, the bloodvessels start to leak, causing bleeding from the nose, mouth, an


Dengue occurs in most tropical areas of the world. MostU.S. cases occur in travelers returning from abroad, but thedengue risk is increasing for persons living along the TexasMexican border and in other parts of the southern UnitedStates.











Dengue occurs in most tropical areas of the world. Mostcases occur in travelers returning from abroad, but the

dengue risk is increasing for persons living along the TexasMexican border and in other parts of the southern UnitedStates.



What is dengue? What is dengue hemorrhagic fever?Dengue is a flu-like illness spread by the bite of an infectedmosquito. Dengue hemorrhagic fever (DHF) is afatal, complication of dengue.









dengue risk is increasing for persons living along the TexasMexican border and in other parts of the southern United



What is dengue? What is dengue hemorrhagic fever?like illness spread by the bite of an infected

mosquito. Dengue hemorrhagic fever (DHF) is afatal, complication of dengue.


How is dengue spread?Dengue is spread by the bite of antransmits the disease by biting an infected person and then biting





Dengue [DEN-ghee] is a flubite of infected mosquitoes. Dengue hemorrhagic fever is asevere, often fatal, complication of dengue.













ghee] is a flubite of infected mosquitoes. Dengue hemorrhagic fever is asevere, often fatal, complication of dengue.




Prevention centers on avoidiwhere dengue occurs or might occur, and eliminating







What are the signs and symptoms of dengue and dengue

Dengue usually starts suddenly with a high fever, rash, severeheadache, pain behind the eyes, and muscle and joint pain. Theseverity of the joint pain has given dengue thefever.” Nausea, vomiting, and loss of appetite are common. A rashusually appears 3 to 4 days after the start of the fever. The illnesscan last up to 10 days, but complete recovery can take as long as amonth. Older children and


ghee] is a flubite of infected mosquitoes. Dengue hemorrhagic fever is asevere, often fatal, complication of dengue.







What is the infectious agent that causes dengue?Dengue and dengue hemorrhagic fever are caused by any of thedengue family of viruses. Infection with one virus does not protecta person against infection with another.

Dengue is spread by the bite of antransmits the disease by biting an infected person and then biting

Dengue viruses occur in most tropical areas of the wis common in Africa, Asia, the Pacific, Australia, and Central andSouth America. It is widespread in the Caribbean basin. Dengue ismost common in cities, but can also be found in rural areas. It israrely found in mountainous areas above



Dengue usually starts suddenly with a high fever, rash, severeheadache, pain behind the eyes, and muscle and joint pain. Theseverity of the joint pain has given dengue thefever.” Nausea, vomiting, and loss of appetite are common. A rashusually appears 3 to 4 days after the start of the fever. The illnesscan last up to 10 days, but complete recovery can take as long as a


ghee] is a flu-bite of infected mosquitoes. Dengue hemorrhagic fever is asevere, often fatal, complication of dengue.






mosquito. Dengue hemorrhagic fever (DHF) is a

What is the infectious agent that causes dengue?Dengue and dengue hemorrhagic fever are caused by any of thedengue family of viruses. Infection with one virus does not protect

h another.

Dengue is spread by the bite of antransmits the disease by biting an infected person and then biting






y Public Health Center (Provisional), Entomological Sciences Program

COM 410

-like viral dibite of infected mosquitoes. Dengue hemorrhagic fever is asevere, often fatal, complication of dengue.




Prevention centers on avoiding mosquito bites in areaswhere dengue occurs or might occur, and eliminating




h another.

Dengue is spread by the bite of an Aedestransmits the disease by biting an infected person and then biting






blic Health Center (Provisional), Entomological Sciences Program

COM 410

like viral dibite of infected mosquitoes. Dengue hemorrhagic fever is asevere, often fatal, complication of dengue.




ng mosquito bites in areaswhere dengue occurs or might occur, and eliminating




h another.

Aedes mosquito. The mosquitotransmits the disease by biting an infected person and then biting

Dengue viruses occur in most tropical areas of the wis common in Africa, Asia, the Pacific, Australia, and Central andSouth America. It is widespread in the Caribbean basin. Dengue ismost common in cities, but can also be found in rural areas. It israrely found in mountainous areas above 4,000 feet.





Arm lic Health Center (Provisional), Entomological Sciences Program

COM 410-436

like viral disease spread by thebite of infected mosquitoes. Dengue hemorrhagic fever is asevere, often fatal, complication of dengue.








mosquito. The mosquitotransmits the disease by biting an infected person and then biting

Dengue viruses occur in most tropical areas of the wis common in Africa, Asia, the Pacific, Australia, and Central andSouth America. It is widespread in the Caribbean basin. Dengue ismost common in cities, but can also be found in rural areas. It is

4,000 feet.





Army P alth Center (Provisional), Entomological Sciences Program

436-Approved for Public Release, Distribution Unlimited

sease spread by thebite of infected mosquitoes. Dengue hemorrhagic fever is asevere, often fatal, complication of dengue.









Dengue viruses occur in most tropical areas of the wis common in Africa, Asia, the Pacific, Australia, and Central andSouth America. It is widespread in the Caribbean basin. Dengue ismost common in cities, but can also be found in rural areas. It is

4,000 feet.





Army Public Center (Provisional), Entomological Sciences Program5158 Blackhawk

-3613 / DSN 312Approved for Public Release, Distribution Unlimited

sease spread by thebite of infected mosquitoes. Dengue hemorrhagic fever is asevere, often fatal, complication of dengue.





severe, often



Dengue viruses occur in most tropical areas of the world. Dengueis common in Africa, Asia, the Pacific, Australia, and Central andSouth America. It is widespread in the Caribbean basin. Dengue ismost common in cities, but can also be found in rural areas. It is

4,000 feet.



Dengue usually starts suddenly with a high fever, rash, severeheadache, pain behind the eyes, and muscle and joint pain. The

name “breakbonefever.” Nausea, vomiting, and loss of appetite are common. A rashusually appears 3 to 4 days after the start of the fever. The illnesscan last up to 10 days, but complete recovery can take as long as a


Army Public He nter (Provisional), Entomological Sciences Program5158 Blackhawk

3613 / DSN 312Approved for Public Release, Distribution Unlimited

sease spread by thebite of infected mosquitoes. Dengue hemorrhagic fever is a





severe, often



orld. Dengueis common in Africa, Asia, the Pacific, Australia, and Central andSouth America. It is widespread in the Caribbean basin. Dengue ismost common in cities, but can also be found in rural areas. It is





s are usually sicker than young children. Most dengueinfections result in relatively mild illness, but some can progress todengue hemorrhagic fever. In this form of the disease, the bloodvessels start to leak, causing bleeding from the nose, mouth, an

Army Public Health r (Provisional), Entomological Sciences Program5158 Blackhawk







severe, often

Dengue and dengue hemorrhagic fever are caused by any of thedengue family of viruses. Infection with one virus does not protect







s are usually sicker than young children. Most dengueprogress to

dengue hemorrhagic fever. In this form of the disease, the bloodvessels start to leak, causing bleeding from the nose, mouth, an

Army Public Health Ce visional), Entomological Sciences Program5158 Blackhawk






severe, often




The mosquitoes that transmit dengue live among humans, andbreed in discarded tires, flowerpots, old oil drums, and water

mosquitoes that cause malaria, dengue mosquitoes bite during the




progress todengue hemorrhagic fever. In this form of the disease, the bloodvessels start to leak, causing bleeding from the nose, mouth, an

Army Public Health Center isional), Entomological Sciences Program5158 Blackhawk

3613 / DSN 312-584Approved for Public Release, Distribution Unlimited

Dengue



dengue risk is increasing for persons living along the Texas-Mexican border and in other parts of the southern United




the



progress todengue hemorrhagic fever. In this form of the disease, the bloodvessels start to leak, causing bleeding from the nose, mouth, and

Army Public Health Center (P l), Entomological Sciences ProgramRoad, APG, MD 21010

584-3613 / Website:Approved for Public Release, Distribution Unlimited

Dengue

mosquito. The mosquito

South America. It is widespread in the Caribbean basin. Dengue is

the



Army Public Health Center (Provis Entomological Sciences ProgramRoad, APG, MD 210103613 / Website:

Approved for Public Release, Distribution Unlimited

Dengue

Army Public Health Center (Provisiona mological Sciences ProgramRoad, APG, MD 210103613 / Website:


Dengue

gums. Bruising can be a sign of bleeding inside the body. Withoutprompt treatment, the blood vessels can collapse, causing shock(dengue shock syndrome). Dengue hemorrhagic fever is fatal inabout 5 percent of cases, mostly among children and young

How soon after exposure do symptoms appear?The time between the bite of a mosquito carrying dengue virus andthe start of symptoms averages 4 to 6 days, with a range of 3 to 14days. An infected person cannot spread the infection to otherpersomosquitoes for about 6 days.

How is dengue diagnosed?Dengue is diagnosed by a blood test.

Who is at risk for dengue?Anyone who is bitten by an infected mosquito can get dengue. Riskfactors forimmune status, as well as the type of infecting virus. Persons whowere previously infected with one or more types of dengue virus arethought to be at greater risk for developing dengue hemorrhagicfeve

What is the treatment for dengue and dengue hemorrhagicfever?There is no specific treatment for dengue. Persons with dengueshould rest and drink plenty of fluids. They should be kept awayfrom mosquitoes for the protection of otherdengue hemorrhagic fever includes replacing lost fluids. Somepatients need transfusions to control bleeding.

How common is dengue?In tropical countries around the world, dengue is one of the mostcommon viral diseases spread to humillions of cases of dengue fever and up to hundreds of thousandsof cases of dengue hemorrhagic fever occur each year. In theUnited States, approximately 100 cases of dengue are reportedeach year in travelerscases probably goinfected withmosquitoes are found in Texas, Florida, and other southern states,and locally1980 in southern Texas (1980, 1986, and 1995).

Army Public Health Center (Provisional), ological Sciences ProgramRoad, APG, MD 210103613 / Website:


Dengue


How soon after exposure do symptoms appear?The time between the bite of a mosquito carrying dengue virus andthe start of symptoms averages 4 to 6 days, with a range of 3 to 14days. An infected person cannot spread the infection to otherpersomosquitoes for about 6 days.


Who is at risk for dengue?Anyone who is bitten by an infected mosquito can get dengue. Riskfactors forimmune status, as well as the type of infecting virus. Persons whowere previously infected with one or more types of dengue virus arethought to be at greater risk for developing dengue hemorrhagicfever if infected again.



Army Public Health Center (Provisional), Ent cal Sciences ProgramRoad, APG, MD 210103613 / Website: http://phc.amedd.army.mil



How soon after exposure do symptoms appear?The time between the bite of a mosquito carrying dengue virus andthe start of symptoms averages 4 to 6 days, with a range of 3 to 14days. An infected person cannot spread the infection to otherpersons, but can be a source, or reservoir, of dengue virus formosquitoes for about 6 days.


Who is at risk for dengue?Anyone who is bitten by an infected mosquito can get dengue. Riskfactors forimmune status, as well as the type of infecting virus. Persons whowere previously infected with one or more types of dengue virus arethought to be at greater risk for developing dengue hemorrhagic

r if infected again.



L. Munstermann, Yale University

Army Public Health Center (Provisional), Entomo Sciences ProgramRoad, APG, MD 21010-

http://phc.amedd.army.milApproved for Public Release, Distribution Unlimited


How soon after exposure do symptoms appear?The time between the bite of a mosquito carrying dengue virus andthe start of symptoms averages 4 to 6 days, with a range of 3 to 14days. An infected person cannot spread the infection to other

ns, but can be a source, or reservoir, of dengue virus formosquitoes for about 6 days.


Who is at risk for dengue?Anyone who is bitten by an infected mosquito can get dengue. Riskfactors for dengue hemorrhagic fever include a person's age andimmune status, as well as the type of infecting virus. Persons whowere previously infected with one or more types of dengue virus arethought to be at greater risk for developing dengue hemorrhagic


What is the treatment for dengue and dengue hemorrhagic

There is no specific treatment for dengue. Persons with dengueshould rest and drink plenty of fluids. They should be kept awayfrom mosquitoes for the protection of otherdengue hemorrhagic fever includes replacing lost fluids. Somepatients need transfusions to control bleeding.

How common is dengue?In tropical countries around the world, dengue is one of the mostcommon viral diseases spread to humillions of cases of dengue fever and up to hundreds of thousandsof cases of dengue hemorrhagic fever occur each year. In theUnited States, approximately 100 cases of dengue are reportedeach year in travelerscases probably goinfected withmosquitoes are found in Texas, Florida, and other southern states,and locally-acquired dengue has been report1980 in southern Texas (1980, 1986, and 1995).


Army Public Health Center (Provisional), Entomologic nces Program-5403






Who is at risk for dengue?Anyone who is bitten by an infected mosquito can get dengue. Risk

dengue hemorrhagic fever include a person's age andimmune status, as well as the type of infecting virus. Persons whowere previously infected with one or more types of dengue virus arethought to be at greater risk for developing dengue hemorrhagic




How common is dengue?In tropical countries around the world, dengue is one of the mostcommon viral diseases spread to humillions of cases of dengue fever and up to hundreds of thousandsof cases of dengue hemorrhagic fever occur each year. In theUnited States, approximately 100 cases of dengue are reportedeach year in travelerscases probably goinfected with dengue while living in the United States. Aedesmosquitoes are found in Texas, Florida, and other southern states,

acquired dengue has been report1980 in southern Texas (1980, 1986, and 1995).


Army Public Health Center (Provisional), Entomological es Program5403











How common is dengue?In tropical countries around the world, dengue is one of the mostcommon viral diseases spread to humillions of cases of dengue fever and up to hundreds of thousandsof cases of dengue hemorrhagic fever occur each year. In theUnited States, approximately 100 cases of dengue are reportedeach year in travelerscases probably go unreported. A few persons have become

dengue while living in the United States. Aedesmosquitoes are found in Texas, Florida, and other southern states,



Army Public Health Center (Provisional), Entomological Scie gram











How common is dengue?In tropical countries around the world, dengue is one of the mostcommon viral diseases spread to humillions of cases of dengue fever and up to hundreds of thousandsof cases of dengue hemorrhagic fever occur each year. In theUnited States, approximately 100 cases of dengue are reportedeach year in travelers returning from t

unreported. A few persons have becomedengue while living in the United States. Aedes

mosquitoes are found in Texas, Florida, and other southern states,acquired dengue has been report

1980 in southern Texas (1980, 1986, and 1995).


Army Public Health Center (Provisional), Entomological Science ram

http://phc.amedd.army.mil









How common is dengue?In tropical countries around the world, dengue is one of the mostcommon viral diseases spread to humillions of cases of dengue fever and up to hundreds of thousandsof cases of dengue hemorrhagic fever occur each year. In theUnited States, approximately 100 cases of dengue are reported

returning from tunreported. A few persons have become




Army Public Health Center (Provisional), Entomological Sciences P










How common is dengue?In tropical countries around the world, dengue is one of the mostcommon viral diseases spread to humillions of cases of dengue fever and up to hundreds of thousandsof cases of dengue hemorrhagic fever occur each year. In theUnited States, approximately 100 cases of dengue are reported





Army Public Health Center (Provisional), Entomological Sciences ProgArmy Public Health Center, Entomological Sciences Division




ns, but can be a source, or reservoir, of dengue virus for

Dengue is diagnosed by a blood test.

Anyone who is bitten by an infected mosquito can get dengue. Riskdengue hemorrhagic fever include a person's age and

immune status, as well as the type of infecting virus. Persons whowere previously infected with one or more types of dengue virus arethought to be at greater risk for developing dengue hemorrhagic



In tropical countries around the world, dengue is one of the mostcommon viral diseases spread to humillions of cases of dengue fever and up to hundreds of thousandsof cases of dengue hemorrhagic fever occur each year. In theUnited States, approximately 100 cases of dengue are reported













In tropical countries around the world, dengue is one of the mostcommon viral diseases spread to humans by mosquitoes. Tens ofmillions of cases of dengue fever and up to hundreds of thousandsof cases of dengue hemorrhagic fever occur each year. In theUnited States, approximately 100 cases of dengue are reported




Aedes aegypti

of dengue viruses worldwide.

SHEET









In tropical countries around the world, dengue is one of the mostmans by mosquitoes. Tens of

millions of cases of dengue fever and up to hundreds of thousandsof cases of dengue hemorrhagic fever occur each year. In theUnited States, approximately 100 cases of dengue are reported

returning from tropical areas. Many moreunreported. A few persons have become



Aedes aegypti


F ET







There is no specific treatment for dengue. Persons with dengueshould rest and drink plenty of fluids. They should be kept awayfrom mosquitoes for the protection of others. Supportive care fordengue hemorrhagic fever includes replacing lost fluids. Somepatients need transfusions to control bleeding.



ropical areas. Many moreunreported. A few persons have become



Aedes aegypti


FACT







There is no specific treatment for dengue. Persons with dengueshould rest and drink plenty of fluids. They should be kept away

s. Supportive care fordengue hemorrhagic fever includes replacing lost fluids. Somepatients need transfusions to control bleeding.





acquired dengue has been reported three times since1980 in southern Texas (1980, 1986, and 1995).

Aedes aegypti is the major vector


FACT SHFACT SHEET 18-019-0317








s. Supportive care fordengue hemorrhagic fever includes replacing lost fluids. Some





ed three times since1980 in southern Texas (1980, 1986, and 1995).

is the major vector


9













ed three times since

is the major vector


15


The time between the bite of a mosquito carrying dengue virus andthe start of symptoms averages 4 to 6 days, with a range of 3 to 14days. An infected person cannot spread the infection to other












is the major vector


gums. Bruising can be a sign of bleeding inside the body. Withoutprompt treatment, the blood vessels can collapse, causing shock(dengue shock syndrome). Dengue hemorrhagic fever is fatal inabout 5 percent of cases, mostly among children and young adults.













is the major vector

gums. Bruising can be a sign of bleeding inside the body. Withoutprompt treatment, the blood vessels can collapse, causing shock(dengue shock syndrome). Dengue hemorrhagic fever is fatal in

adults.










ropical areas. Many more

mosquitoes are found in Texas, Florida, and other southern states,ed three times since

gums. Bruising can be a sign of bleeding inside the body. Without

adults.

The time between the bite of a mosquito carrying dengue virus andthe start of symptoms averages 4 to 6 days, with a range of 3 to 14

Anyone who is bitten by an infected mosquito can get dengue. Risk

immune status, as well as the type of infecting virus. Persons whowere previously infected with one or more types of dengue virus are

mans by mosquitoes. Tens ofmillions of cases of dengue fever and up to hundreds of thousands

mosquitoes are found in Texas, Florida, and other southern states,

Is dengue an emerging infectious disease?Yes. All types of dengue virus are reThe emergence of dengue as a major public health problem has been most dramatic in the western hemisphere. Denglevels in Central America and is threatening the United States. Several factorsare contributing to the resurgence of dengue:

Dengue hemorrhagic fever is also on the rise. Persons who have been infectedwith one or more forms of dengue virus are at greater risk for developing themore severe form of the disease. With the increase in all types of dengueviruses, the occurrence of dengue hemorrhagic fever becomes more likely.

How can dengue be prevented?There is no vaccine to prevent dengue. Prevention centers on avoiding mosquitU.S. areas, especially along the Texasprevention measure. Prevent mosquito bites:

What standard military insect repellent productsApprovedformulations. Always refer to the label to determine frequency of repellent applicationbased on activity.skin

Where can I get more information on dengue and other forms of mosquitoContact the ArmyFAXobtained from your local, county or state health departments, your health care provider or by visiting the website of the CenControl and Prevention (CDC):


No effective mosquito control efforts are underway in most countries withdengue.Public health systems to detect and control epidemics are deterioratingaround the world.Rapid growth of cities in tropical codecay, and substandard sanitation, allowing more mosquitoes to live closerto more people.The increase in noncreating new breeding sites for mosquitoes.Increasmore easily from city to city.



When indoors,When outdoors during times that mosquitoes are biting, wear longUse mosquito repellents on skin andUse insect repellents that have been approved by the Environmental Protection Agency (EPA). They are safe and effective.For your skin, use a product that contains 20effective.Use DEET sparingly on children, and don’t apply to their hands, which they often place in their mouths.To apply to your face, first dispense a small amount of DEET onto your hands and then carefully spread a thin layer.Wash DEET off wheFor your clothing, use an insect repellent spray to help prevent bites through the fabric. Use a product that contains permeis available commercially as 0.5% spray formulations. In addition, factory perPermethrin will withstand numerous launderings.Permethrin should only be used on clothing, never on skin.When using any insectDo not inhale aerosol formulations.Under field conditions, sleep or rest under a bed net. Treat the net withpermethrin.

What standard military insect repellent productsApprovedformulations. Always refer to the label to determine frequency of repellent applicationbased on activity.skin.

Ultrathon™lotion;Ultra 30™DEET; one application prto 12 hours.Cutterapplication protects for up to 10 hours.SunsectNatrapel

Where can I get more information on dengue and other forms of mosquitoContact the ArmyFAX -2037; or visit our website at:obtained from your local, county or state health departments, your health care provider or by visiting the website of the CenControl and Prevention (CDC):


No effective mosquito control efforts are underway in most countries withdengue.Public health systems to detect and control epidemics are deterioratingaround the world.Rapid growth of cities in tropical codecay, and substandard sanitation, allowing more mosquitoes to live closerto more people.The increase in noncreating new breeding sites for mosquitoes.Increasmore easily from city to city.




What standard military insect repellent productsApprovedformulations. Always refer to the label to determine frequency of repellent applicationbased on activity.

Available military repellents are:

Ultrathon™lotion;Ultra 30™DEET; one application prto 12 hours.Cutterapplication protects for up to 10 hours.SunsectNatrapel

Where can I get more information on dengue and other forms of mosquitoContact the Army

2037; or visit our website at:obtained from your local, county or state health departments, your health care provider or by visiting the website of the CenControl and Prevention (CDC):

Use of trademarked name does not imply


No effective mosquito control efforts are underway in most countries withdengue.Public health systems to detect and control epidemics are deterioratingaround the world.Rapid growth of cities in tropical codecay, and substandard sanitation, allowing more mosquitoes to live closerto more people.The increase in noncreating new breeding sites for mosquitoes.Increased jet air travel is helping people infected with dengue viruses tomore easily from city to city.




What standard military insect repellent productsmilitary insect repellents for use on exposed skin come in a variety of

formulations. Always refer to the label to determine frequency of repellent applicationbased on activity.


Ultrathon™lotion; one application protects for 12 hours.Ultra 30™DEET; one application prto 12 hours.Cutter® pump sprayapplication protects for up to 10 hours.SunsectNatrapel





No effective mosquito control efforts are underway in most countries with

Public health systems to detect and control epidemics are deterioratingaround the world.Rapid growth of cities in tropical codecay, and substandard sanitation, allowing more mosquitoes to live closerto more people.The increase in noncreating new breeding sites for mosquitoes.

ed jet air travel is helping people infected with dengue viruses tomore easily from city to city.





formulations. Always refer to the label to determine frequency of repellent applicationbased on activity.


Ultrathon™one application protects for 12 hours.

Ultra 30™ Insect Repellent LotionDEET; one application prto 12 hours.

pump sprayapplication protects for up to 10 hours.

combination sunscreen & repellent (NSN 6840Natrapel® pump spray






Public health systems to detect and control epidemics are deterioratingaround the world.Rapid growth of cities in tropical codecay, and substandard sanitation, allowing more mosquitoes to live closerto more people.The increase in noncreating new breeding sites for mosquitoes.




When indoors, stay in airWhen outdoors during times that mosquitoes are biting, wear longUse mosquito repellents on skin andUse insect repellents that have been approved by the Environmental Protection Agency (EPA). They are safe and effective.For your skin, use a product that contains 20

Use DEET sparingly on children, and don’t apply to their hands, which they often place in their mouths.To apply to your face, first dispense a small amount of DEET onto your hands and then carefully spread a thin layer.Wash DEET off wheFor your clothing, use an insect repellent spray to help prevent bites through the fabric. Use a product that contains permeis available commercially as 0.5% spray formulations. In addition, factory perPermethrin will withstand numerous launderings.Permethrin should only be used on clothing, never on skin.When using any insectDo not inhale aerosol formulations.Under field conditions, sleep or rest under a bed net. Treat the net with


formulations. Always refer to the label to determine frequency of repellent applicationbased on activity. Do not apply repellent to eyes, lips, or to sensitive or damaged


(NSN 6840one application protects for 12 hours.

Insect Repellent LotionDEET; one application pr


combination sunscreen & repellent (NSN 6840pump spray

Where can I get more information on dengue and other forms of mosquitoContact the Army Public Health





Public health systems to detect and control epidemics are deterioratingaround the world.Rapid growth of cities in tropical codecay, and substandard sanitation, allowing more mosquitoes to live closer

The increase in noncreating new breeding sites for mosquitoes.




stay in airWhen outdoors during times that mosquitoes are biting, wear longUse mosquito repellents on skin andUse insect repellents that have been approved by the Environmental Protection Agency (EPA). They are safe and effective.For your skin, use a product that contains 20

Use DEET sparingly on children, and don’t apply to their hands, which they often place in their mouths.To apply to your face, first dispense a small amount of DEET onto your hands and then carefully spread a thin layer.Wash DEET off wheFor your clothing, use an insect repellent spray to help prevent bites through the fabric. Use a product that contains permeis available commercially as 0.5% spray formulations. In addition, factory perPermethrin will withstand numerous launderings.Permethrin should only be used on clothing, never on skin.When using any insectDo not inhale aerosol formulations.Under field conditions, sleep or rest under a bed net. Treat the net with


formulations. Always refer to the label to determine frequency of repellent applicationDo not apply repellent to eyes, lips, or to sensitive or damaged






Where can I get more information on dengue and other forms of mosquitoPublic Health





Public health systems to detect and control epidemics are deteriorating

Rapid growth of cities in tropical codecay, and substandard sanitation, allowing more mosquitoes to live closer

The increase in non-biodegradable plastic packaging and discarded tires iscreating new breeding sites for mosquitoes.




stay in airWhen outdoors during times that mosquitoes are biting, wear longUse mosquito repellents on skin andUse insect repellents that have been approved by the Environmental Protection Agency (EPA). They are safe and effective.For your skin, use a product that contains 20

Use DEET sparingly on children, and don’t apply to their hands, which they often place in their mouths.To apply to your face, first dispense a small amount of DEET onto your hands and then carefully spread a thin layer.Wash DEET off when exposure to mosquitoes ceases.For your clothing, use an insect repellent spray to help prevent bites through the fabric. Use a product that contains permeis available commercially as 0.5% spray formulations. In addition, factory perPermethrin will withstand numerous launderings.Permethrin should only be used on clothing, never on skin.When using any insectDo not inhale aerosol formulations.Under field conditions, sleep or rest under a bed net. Treat the net with






pump spray (NSN 6840application protects for up to 10 hours.









biodegradable plastic packaging and discarded tires iscreating new breeding sites for mosquitoes.




stay in air-conditioned or wellWhen outdoors during times that mosquitoes are biting, wear longUse mosquito repellents on skin andUse insect repellents that have been approved by the Environmental Protection Agency (EPA). They are safe and effective.For your skin, use a product that contains 20

Use DEET sparingly on children, and don’t apply to their hands, which they often place in their mouths.To apply to your face, first dispense a small amount of DEET onto your hands and then carefully spread a thin layer.

n exposure to mosquitoes ceases.For your clothing, use an insect repellent spray to help prevent bites through the fabric. Use a product that contains permeis available commercially as 0.5% spray formulations. In addition, factory perPermethrin will withstand numerous launderings.Permethrin should only be used on clothing, never on skin.When using any insect repellent, always FOLLOW LABEL DIRECTIONS.Do not inhale aerosol formulations.Under field conditions, sleep or rest under a bed net. Treat the net with




(NSN 6840-01one application protects for 12 hours.

Insect Repellent LotionDEET; one application protects for up

(NSN 6840application protects for up to 10 hours.

combination sunscreen & repellent (NSN 6840pump spray (NSN 6840



Use of trademarked name does not implyFor more i









conditioned or wellWhen outdoors during times that mosquitoes are biting, wear longUse mosquito repellents on skin andUse insect repellents that have been approved by the Environmental Protection Agency (EPA). They are safe and effective.For your skin, use a product that contains 20


n exposure to mosquitoes ceases.For your clothing, use an insect repellent spray to help prevent bites through the fabric. Use a product that contains permeis available commercially as 0.5% spray formulations. In addition, factory perPermethrin will withstand numerous launderings.Permethrin should only be used on clothing, never on skin.

repellent, always FOLLOW LABEL DIRECTIONS.Do not inhale aerosol formulations.Under field conditions, sleep or rest under a bed net. Treat the net with




01-284one application protects for 12 hours.

Insect Repellent Lotionotects for up

(NSN 6840application protects for up to 10 hours.

combination sunscreen & repellent (NSN 6840(NSN 6840

Where can I get more information on dengue and other forms of mosquitoPublic Health Center (A

2037; or visit our website at: http://phc.amedd.army.mil/topics/envirohealth/epm/Pages/defobtained from your local, county or state health departments, your health care provider or by visiting the website of the CenControl and Prevention (CDC): http://www.cdc.gov/Dengue/

Use of trademarked name does not implyFor more i

Is dengue an emerging infectious disease?Yes. All types of dengue virus are re-emerging worldwide and causing larger and more frequent epidemics, especially in cities in the tropics.The emergence of dengue as a major public health problem has been most dramatic in the western hemisphere. Denglevels in Central America and is threatening the United States. Several factorsare contributing to the resurgence of dengue:





ed jet air travel is helping people infected with dengue viruses to


There is no vaccine to prevent dengue. Prevention centers on avoiding mosquitU.S. areas, especially along the Texasprevention measure. Prevent mosquito bites:

conditioned or wellWhen outdoors during times that mosquitoes are biting, wear longUse mosquito repellents on skin andUse insect repellents that have been approved by the Environmental Protection Agency (EPA). They are safe and effective.For your skin, use a product that contains 20







284-3982) contains 33% controlledone application protects for 12 hours.

Insect Repellent Lotionotects for up

(NSN 6840-01application protects for up to 10 hours.

combination sunscreen & repellent (NSN 6840(NSN 6840

Where can I get more information on dengue and other forms of mosquitoCenter (A

http://phc.amedd.army.mil/topics/envirohealth/epm/Pages/defobtained from your local, county or state health departments, your health care provider or by visiting the website of the Cen

http://www.cdc.gov/Dengue/

Use of trademarked name does not implyFor more information please consult the

Is dengue an emerging infectious disease?emerging worldwide and causing larger and more frequent epidemics, especially in cities in the tropics.

The emergence of dengue as a major public health problem has been most dramatic in the western hemisphere. Denglevels in Central America and is threatening the United States. Several factorsare contributing to the resurgence of dengue:



Rapid growth of cities in tropical countries has led to overcrowding, urbandecay, and substandard sanitation, allowing more mosquitoes to live closer




There is no vaccine to prevent dengue. Prevention centers on avoiding mosquitU.S. areas, especially along the Texas-Mexico border, where dengue might occur. Eliminating mosquitoprevention measure. Prevent mosquito bites:

conditioned or wellWhen outdoors during times that mosquitoes are biting, wear longUse mosquito repellents on skin and clothing.Use insect repellents that have been approved by the Environmental Protection Agency (EPA). They are safe and effective.For your skin, use a product that contains 20






3982) contains 33% controlledone application protects for 12 hours.

Insect Repellent Lotion (NSN 6840otects for up

01-584application protects for up to 10 hours.

combination sunscreen & repellent (NSN 6840(NSN 6840-01

Where can I get more information on dengue and other forms of mosquitoCenter (APH



Use of trademarked name does not implynformation please consult the


The emergence of dengue as a major public health problem has been most dramatic in the western hemisphere. Denglevels in Central America and is threatening the United States. Several factorsare contributing to the resurgence of dengue:



untries has led to overcrowding, urbandecay, and substandard sanitation, allowing more mosquitoes to live closer




There is no vaccine to prevent dengue. Prevention centers on avoiding mosquitMexico border, where dengue might occur. Eliminating mosquito

prevention measure. Prevent mosquito bites:

conditioned or wellWhen outdoors during times that mosquitoes are biting, wear long

clothing.Use insect repellents that have been approved by the Environmental Protection Agency (EPA). They are safe and effective.For your skin, use a product that contains 20



repellent, always FOLLOW LABEL DIRECTIONS.

Under field conditions, sleep or rest under a bed net. Treat the net with




(NSN 6840otects for up

584-application protects for up to 10 hours.

combination sunscreen & repellent (NSN 684001-619

Where can I get more information on dengue and other forms of mosquitoPHC), Aberdeen



Use of trademarked name does not imply endorsement by the U.S. Army but is intended only to assist in identification of a specific product.nformation please consult the


The emergence of dengue as a major public health problem has been most dramatic in the western hemisphere. Denglevels in Central America and is threatening the United States. Several factors








conditioned or well-When outdoors during times that mosquitoes are biting, wear long

clothing.Use insect repellents that have been approved by the Environmental Protection Agency (EPA). They are safe and effective.For your skin, use a product that contains 20-








(NSN 6840

-8598)

combination sunscreen & repellent (NSN 6840619-4795) contains 20% picaridin; one application protects for up to 8 hours.

Where can I get more information on dengue and other forms of mosquitoC), Aberdeen



endorsement by the U.S. Army but is intended only to assist in identification of a specific product.nformation please consult the

emerging worldwide and causing larger and more frequent epidemics, especially in cities in the tropics.The emergence of dengue as a major public health problem has been most dramatic in the western hemisphere. Denglevels in Central America and is threatening the United States. Several factors




biodegradable plastic packaging and discarded tires is




-screened areas. Use bed nets if sleeping in areas that are not screened or airWhen outdoors during times that mosquitoes are biting, wear long

clothing.Use insect repellents that have been approved by the Environmental Protection Agency (EPA). They are safe and effective.

-50%





What standard military insect repellent products are available for exposed skin?military insect repellents for use on exposed skin come in a variety of


3982) contains 33% controlled

(NSN 6840-

8598) contains 25% DEET;

combination sunscreen & repellent (NSN 68404795) contains 20% picaridin; one application protects for up to 8 hours.













screened areas. Use bed nets if sleeping in areas that are not screened or airWhen outdoors during times that mosquitoes are biting, wear long

Use insect repellents that have been approved by the Environmental Protection Agency (EPA). They are safe and effective.50% DEET





are available for exposed skin?military insect repellents for use on exposed skin come in a variety of



-01-584

contains 25% DEET;















Use insect repellents that have been approved by the Environmental Protection Agency (EPA). They are safe and effective.DEET


n exposure to mosquitoes ceases.For your clothing, use an insect repellent spray to help prevent bites through the fabric. Use a product that contains permeis available commercially as 0.5% spray formulations. In addition, factory per

Permethrin should only be used on clothing, never on skin.repellent, always FOLLOW LABEL DIRECTIONS.





584

contains 25% DEET;


Where can I get more information on dengue and other forms of mosquitoC), Aberdeen Proving Ground, Maryland 21010













Use insect repellents that have been approved by the Environmental Protection Agency (EPA). They are safe and effective.DEET (N, N


For your clothing, use an insect repellent spray to help prevent bites through the fabric. Use a product that contains permeis available commercially as 0.5% spray formulations. In addition, factory per

Permethrin should only be used on clothing, never on skin.repellent, always FOLLOW LABEL DIRECTIONS.





584-8393) contains 30% Lipo

contains 25% DEET;

combination sunscreen & repellent (NSN 6840-014795) contains 20% picaridin; one application protects for up to 8 hours.

Where can I get more information on dengue and other forms of mosquitoProving Ground, Maryland 21010


http://www.cdc.gov/Dengue/.











Use insect repellents that have been approved by the Environmental Protection Agency (EPA). They are safe and effective.(N, N-








8393) contains 30% Lipo

contains 25% DEET;

01-2884795) contains 20% picaridin; one application protects for up to 8 hours.












screened areas. Use bed nets if sleeping in areas that are not screened or airWhen outdoors during times that mosquitoes are biting, wear long-

Use insect repellents that have been approved by the Environmental Protection Agency (EPA). They are safe and effective.-diethyl







3982) contains 33% controlled-release DEET


contains 25% DEET;

288-2188) contains 20% DEET with SPF 15 sun protection.4795) contains 20% picaridin; one application protects for up to 8 hours.



endorsement by the U.S. Army but is intended only to assist in identification of a specific product.nformation please consult the APHC website









screened areas. Use bed nets if sleeping in areas that are not screened or air-sleeved shirts and long pants.

Use insect repellents that have been approved by the Environmental Protection Agency (EPA). They are safe and effective.diethyl-







release DEET


contains 25% DEET; one

2188) contains 20% DEET with SPF 15 sun protection.4795) contains 20% picaridin; one application protects for up to 8 hours.



endorsement by the U.S. Army but is intended only to assist in identification of a specific product.APHC website







Dengue hemorrhagic fever is also on the rise. Persons who have been infectedwith one or more forms of dengue virus are at greater risk for developing the

viruses, the occurrence of dengue hemorrhagic fever becomes more likely.


screened areas. Use bed nets if sleeping in areas that are not screened or airsleeved shirts and long pants.

Use insect repellents that have been approved by the Environmental Protection Agency (EPA). They are safe and effective.-meta







release DEET


one








Dengue hemorrhagic fever is also on the rise. Persons who have been infected

There is no vaccine to prevent dengue. Prevention centers on avoiding mosquito bites when traveling to areas where dengue occurs, or when inMexico border, where dengue might occur. Eliminating mosquito


Use insect repellents that have been approved by the Environmental Protection Agency (EPA). They are safe and effective.meta-toluamide). DEET in higher concentrations is no





release DEET


one


Where can I get more information on dengue and other forms of mosquito-borne viral encephalitis?Proving Ground, Maryland 21010



emerging worldwide and causing larger and more frequent epidemics, especially in cities in the tropics.The emergence of dengue as a major public health problem has been most dramatic in the western hemisphere. Deng

o bites when traveling to areas where dengue occurs, or when inMexico border, where dengue might occur. Eliminating mosquito


Use insect repellents that have been approved by the Environmental Protection Agency (EPA). They are safe and effective.toluamide). DEET in higher concentrations is no


For your clothing, use an insect repellent spray to help prevent bites through the fabric. Use a product that contains permeis available commercially as 0.5% spray formulations. In addition, factory permethrin

are available for exposed skin?


release DEET



borne viral encephalitis?Proving Ground, Maryland 21010


endorsement by the U.S. Army but is intended only to assist in identification of a specific product.APHC website - http://phc.amedd.army.mil






For your clothing, use an insect repellent spray to help prevent bites through the fabric. Use a product that contains permemethrin

are available for exposed skin?




borne viral encephalitis?Proving Ground, Maryland 21010


Using all elements of the DoD Insect Repellent System

provides maximum and safe protection from

diseases. Diagram: VID,

endorsement by the U.S. Army but is intended only to assist in identification of a specific product.http://phc.amedd.army.mil






For your clothing, use an insect repellent spray to help prevent bites through the fabric. Use a product that contains permemethrin-impregnated clothing is now available.


borne viral encephalitis?Proving Ground, Maryland 21010-





All standard approved skin repellents contain the active

ingredient DEET or picaridin, and are registered by the

U.S. Environmental Protection Agency (USEPA). These

products are safe to use and

mosquitoes, sand flies, fleas, ticks and other potential

di







For your clothing, use an insect repellent spray to help prevent bites through the fabric. Use a product that contains permeimpregnated clothing is now available.


borne viral encephalitis?-5403; DSN

http://phc.amedd.army.mil/topics/envirohealth/epm/Pages/default.aspxobtained from your local, county or state health departments, your health care provider or by visiting the website of the Cen









disease vectors and









borne viral encephalitis?5403; DSN

http://phc.amedd.army.mil/topics/envirohealth/epm/Pages/default.aspxobtained from your local, county or state health departments, your health care provider or by visiting the website of the Cen









sease vectors and









borne viral encephalitis?5403; DSN

ault.aspxobtained from your local, county or state health departments, your health care provider or by visiting the website of the Cen









sease vectors and



o bites when traveling to areas where dengue occurs, or when inMexico border, where dengue might occur. Eliminating mosquito-breeding sites is another key

screened areas. Use bed nets if sleeping in areas that are not screened or air





borne viral encephalitis?5403; DSN (312)

ault.aspx.obtained from your local, county or state health departments, your health care provider or by visiting the website of the Cen









sease vectors and



o bites when traveling to areas where dengue occurs, or when inbreeding sites is another key






borne viral encephalitis?(312)

Additional information can also beobtained from your local, county or state health departments, your health care provider or by visiting the website of the Cen



diseases. Diagram: VID, APHC






sease vectors and pests.






To apply to your face, first dispense a small amount of DEET onto your hands and then carefully spread a thin layer.



584Additional information can also be

obtained from your local, county or state health departments, your health care provider or by visiting the website of the Cen



APHC






pests.

endorsement by the U.S. Army but is intended only to assist in identification of a specific product.








584-3613; CM (410) 436Additional information can also be




APHC




products are safe to use and effectively repel


pests. Photo: VID,


emerging worldwide and causing larger and more frequent epidemics, especially in cities in the tropics.The emergence of dengue as a major public health problem has been most dramatic in the western hemisphere. Dengue has reached epidemic







3613; CM (410) 436Additional information can also be







effectively repel


Photo: VID,


emerging worldwide and causing larger and more frequent epidemics, especially in cities in the tropics.ue has reached epidemic





2188) contains 20% DEET with SPF 15 sun protection.


obtained from your local, county or state health departments, your health care provider or by visiting the website of the Centers for Disease






effectively repel


Photo: VID,




screened areas. Use bed nets if sleeping in areas that are not screened or air-


For your clothing, use an insect repellent spray to help prevent bites through the fabric. Use a product that contains permethrin. Permethrinimpregnated clothing is now available.


ters for Disease


provides maximum and safe protection from mosquito




effectively repel


Photo: VID, APHC




-conditioned.

Use insect repellents that have been approved by the Environmental Protection Agency (EPA). They are safe and effective.toluamide). DEET in higher concentrations is no more

thrin. Permethrinimpregnated clothing is now available.


ters for Disease


mosquito




effectively repel


APHC




conditioned.

more

thrin. Permethrin

3613; CM (410) 436-Additional information can also be

ters for Disease


mosquito-b





APHC


o bites when traveling to areas where dengue occurs, or when in

conditioned.

more

thrin. Permethrin

-3613;Additional information can also be

ters for Disease

borne







conditioned.

thrin. Permethrin

3613;Additional information can also be

ters for Disease

orne





ue has reached epidemic


thrin. Permethrin

dengue 18-019-0110 aphc resource library/dengue_fs...what is dengue? what is dengue hemorrhagic...

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