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Background dengue virus infection has been an important and serious public health concern in taiwan, where local outbreaks of dengue fever occurred almost every year. Dengue fever is a serious public health problem in terms of its morbidity and mortality. It reports from almost all countries and it is endemic in the tropical countries. Our study is a retrospective study of first dengue outbreak in singtam [ figure 1 ], in the east district of sikkim, a northeastern state of india during the year 2013.
The spread of dengue virus (denv) infections, as well as their signs and symptoms, are the result of a complex interaction between several factors. Dengue fever is a viral disease. It's spread by mosquitoes mainly in tropical and subtropical areas of the world. It's rare in the continental u. s. But it's found in some tropical u. s. Background of the study. A female aedes aegypti mosquito ingesting a blood meal. Dengue fever is an infectious disease carried by mosquitoes and caused by any of four related dengue viruses. In our study, it was established that low platelet count, elevated hematocrit, diabetes, skin rash, melena, lymphadenopathy and delayed in admission (>5days) were independently associated.