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The Journal of Infectious Diseases
Article . 2007 . Peer-reviewed
Data sources: Crossref
HKU Scholars Hub
Article . 2011
Data sources: HKU Scholars Hub
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Natural History of Dengue Virus (DENV)–1 and DENV‐4 Infections: Reanalysis of Classic Studies

Authors: Halstead, SB; Nishiura, H;

Natural History of Dengue Virus (DENV)–1 and DENV‐4 Infections: Reanalysis of Classic Studies

Abstract

The natural history of wild-type dengue virus (DENV) infections of humans, including incubation and infectious periods, requires further study.Two experimental studies in the Philippines of DENV-4 (1924-1925) and DENV-1 (1929-1930) were reexamined. The intrinsic incubation periods were fitted to log-normal distribution using the maximum likelihood method, and the infectious and extrinsic incubation periods were assessed by proportions of successful transmissions causing clinically apparent dengue. Correlations between the intrinsic incubation period and other variables and univariate associations between clinical severity and serotype were also examined.Mean+/-SD incubation periods were 6.0+/-1.4 and 5.7+/-1.5 days for DENV-4 and DENV-1, respectively. Significant negative correlations were observed between the incubation period and duration of fever (r=-0.43 and -0.33). Even 1 and 2 days before the onset of fever, 80.0% (95% confidence interval [CI], 44.9%-100%) and 25.0% (CI, 0%-67.4%) of biting experiments caused clinically apparent dengue. DENV-1 infections resulted in a significantly longer duration of fever than DENV-4 infections (P<.01).Incubation period was negatively correlated with disease severity, potentially reflecting a dose-response mechanism. The historical data provided useful details concerning serotype differences in the natural history of primary DENV infections.

Country
China (People's Republic of)
Keywords

History, Infectious - history, Time Factors, Dengue - epidemiology - history - transmission, Philippines, Philippines - epidemiology, Dengue Virus, History, 20th Century, Military Personnel - history - statistics & numerical data, Severity of Illness Index, 630, 20th Century, Dengue, Military Personnel, Disease Transmission, Dengue Virus - classification - isolation & purification, Disease Transmission, Infectious, Humans, Disease Transmission, Infectious - history

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
144
Top 10%
Top 1%
Top 10%
bronze