How common is Dengue fever
Dengue virus belongs to the Flaviviridae family and is transmitted by the same mosquito as CHIK. The incidence is high in Asia, the Pacific, Africa, South and Central Americas, and the Caribbean.
Nearly all dengue cases reported in the continental United States were acquired elsewhere by travelers or immigrants. Clinically it has gained the title “break-bone fever” and is characterized by fever, headache, retroorbital pain, deep bone pain, arthralgia, rash, and hemorrhagic manifestations. A small percentage of patients may deteriorate and develop hemorrhagic fever and shock.