Fagbami A H, Mataika J U, Shrestha M, Gubler D J
Department of Pathology, Faculty of Medicine, University of Papua New Guinea, Boroko.
Bull World Health Organ. 1995;73(3):291-7.
A dengue type 1 epidemic occurred in Fiji between July 1989 and July 1990. Virus isolation in C6/36 cell cultures and Toxorhynchites mosquitos yielded 36 strains. Of the 3686 cases recorded by the Ministry of Health, 60% involved indigenous Fijians and 37%, Indians. A house-to-house survey revealed that a large majority of patients had classical dengue symptoms and 8% reported haemorrhagic manifestations. Among the children and adults hospitalized for dengue, 43% had haemorrhagic manifestations, including epistaxis, gingival bleeding, haematemesis, melaena and haematuria. A total of 15 patients with haemorrhagic manifestations and/or shock died, 10 of whom were aged 0-15 years; the diagnoses were confirmed in four cases by virus isolation or serology.
1989年7月至1990年7月期间，斐济发生了1型登革热疫情。在C6/36细胞培养物和巨蚊中进行病毒分离，获得了36株病毒。卫生部记录的3686例病例中，60%为斐济原住民，37%为印度人。一项挨家挨户的调查显示，绝大多数患者有典型的登革热症状，8%报告有出血表现。在因登革热住院的儿童和成人中，43%有出血表现，包括鼻出血、牙龈出血、呕血、黑便和血尿。共有15例有出血表现和/或休克的患者死亡，其中10例年龄在0至15岁；4例通过病毒分离或血清学确诊。
