Aubry Pierre
Université V. Segalen, Bordeaux II, 11 avenue Pierre Loti, 64500 Saint-Jean-de-Luz.
Bull Acad Natl Med. 2008 Apr;192(4):781-93.
In the French West Indies (Martinique, Guadeloupe and French Guyana), dengue represents a model of a reemerging arbovirosis, with hyperendemicity and more severe cases and deaths than previously observed Co-circulation of the four serotypes, the increasing number of cases during interepidemic periods, and the increase in severe forms (particularly hemorrhagic forms), are signs of forthcoming hyperendemicity. DEN-2 is the viral subtype most frequently associated with severe forms. Other arboviroses, like West Nile disease and chikungunya, overflowing from their usual geographical areas and with the potential to cause hemorrhagic syndromes and encephalitis, have emerged or reemerged in tropical zones of Africa, Asia, America and the Indian Ocean, but also in temperate areas of northern America and southern Europe. The risk of imported arboviroses, particularly dengue and chikungunya, is a real threat in temperate countries, including southern France, where Aedes albopictus, a vector mosquito, is present.
在法属西印度群岛（马提尼克岛、瓜德罗普岛和法属圭亚那），登革热是一种再现虫媒病毒病的典型病例，呈现高度地方性流行，且出现了比以往更多的重症病例和死亡病例。四种血清型病毒共同传播，流行间期病例数不断增加，重症形式（尤其是出血形式）增多，这些都是即将出现高度地方性流行的迹象。DEN-2是最常与重症形式相关的病毒亚型。其他虫媒病毒病，如西尼罗河病毒病和基孔肯雅热，已从其通常的地理区域外溢，有可能引发出血综合征和脑炎，在非洲、亚洲、美洲和印度洋的热带地区出现或再次出现，在北美洲北部和欧洲南部的温带地区也有出现。输入性虫媒病毒病，尤其是登革热和基孔肯雅热，对包括法国南部在内的温带国家构成了切实威胁，法国南部存在媒介蚊虫白纹伊蚊。
