El Niño-Southern Oscillation, local weather and occurrences of dengue virus serotypes
Severe dengue fever is usually associated with secondary infection by a dengue virus (DENV) serotype (1 to 4) that is different to the serotype of the primary infection. Dengue outbreaks only occur following importations of DENV in Cairns, Australia. However, the majority of imported cases do not result in autochthonous transmission in Cairns. Although DENV transmission is strongly associated with the El Ninõ-Southern Oscillation (ENSO) climate cycle and local weather conditions, the frequency...[Show more]
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