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“Dengue is not outside the tropical zone, it is not a threat for international public health, ... For Europeans or people from North America, the threat for dengue is if you visit (Asia), while with avian influenza if it mutates it will immediately be a threat for every household in the world.”
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A person I know is just getting over a particularly nasty case of dengue hemorrhagic fever in Panama. He was in intensive care for more than two weeks down there for but he pulled through. Nasty, nasty disease.