Dégallier N, da Rosa A P, Vasconcelos P F, Figueiredo L T, da Rosa J F, Rodrigues S G, da Rosa E S
Laboratoire d'épidémiologie des maladies à vecteurs, ORSTOM Centre de Montpellier BP 5045, France.
Bull Soc Pathol Exot. 1996;89(2):128-35; discussion 136.
History of dengue in Brazil is covered from the first citations in the XIXth century to the great outbreaks of the last ten years. DEN-1 and DEN-4 viruses have been isolated for the first time in 1982 during an epidemic in Boa Vista, Roraima State. In 1986-1987, epidemics of dengue type 1 covered an extended area from Rio de Janeiro/Sào Paulo States to the North East States of Brazil. During 1990-1991, dengue type 2 epidemics have been notified in the South East (Rio de Janeiro/São Paulo) and in some States of the interior of the country (Mato Grosso do Sul, Tocantins). DEN-1 virus was also circulating the same year in São Paulo and Minas Gerais States. Recently (1994), an important outbreak has been studied in Ceará State, where DEN-2 and DEN-1 viruses have been isolated. In Rio de Janeiro and Ceara (1990 and 1994, respectively), it is probably the succession of infections by DEN-1 and DEN-2 viruses which has caused many DHF/DSS cases. The urban vector has always been the mosquito Aedes aegypti, from which 4, 7 and 16 strains of DEN-4, DEN-1 and DEN-2 have been isolated, respectively. In Brazil, transovarial transmission of dengue viruses by this species has not yet been shown to occur in nature.
巴西登革热的历史涵盖了19世纪首次被提及到过去十年间的大规模疫情爆发情况。1982年,在罗赖马州博阿维斯塔的一次疫情期间,首次分离出了DEN - 1和DEN - 4病毒。1986 - 1987年,1型登革热疫情蔓延至从里约热内卢/圣保罗州到巴西东北部各州的广大地区。1990 - 1991年,东南部(里约热内卢/圣保罗)以及该国一些内陆州(南马托格罗索州、托坎廷斯州)通报了2型登革热疫情。同年,DEN - 1病毒也在圣保罗州和米纳斯吉拉斯州传播。最近(1994年),在塞阿拉州对一次重要疫情爆发进行了研究,在那里分离出了DEN - 2和DEN - 1病毒。在里约热内卢和塞阿拉(分别为1990年和1994年),很可能是DEN - 1和DEN - 2病毒的相继感染导致了许多登革出血热/登革休克综合征病例。城市传播媒介一直是埃及伊蚊,分别从该蚊种中分离出了4株DEN - 4、7株DEN - 1和16株DEN - 2。在巴西,尚未证实该蚊种在自然界会发生登革热病毒的经卵传播现象。