Title |
Surveillance of deaths caused by arboviruses in Brazil: from dengue to chikungunya
|
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Published in |
Memórias do Instituto Oswaldo Cruz, August 2017
|
DOI | 10.1590/0074-02760160537 |
Pubmed ID | |
Authors |
Luciano Pamplona de Góes Cavalcanti, André Ricardo Ribas Freitas, Patrícia Brasil, Rivaldo Venâncio da Cunha |
Abstract |
Did death occur DUE TO dengue, or in a patient WITH dengue virus infection? It seems a matter of semantics, but in fact, it underscores how challenging it is to distinguish whether the disease contributed to death, or was itself the underlying cause of death. Can a death be attributed to chikungunya virus, when some deaths occur after the acute phase? Did the virus decompensate the underlying diseases, leading to death? Did prolonged hospitalisation lead to infection, resulting in the patient's progression to death? Were there iatrogenic complications during patient care? The dengue question, for which there has not yet been a definitive response, resurfaces prominently under the chikungunya surveillance scenario. We are facing an epidemic of a disease that seems to be more lethal than previously thought. The major challenge ahead is to investigate deaths suspected of occurring due to arbovirus infections and to understand the role of each infection in the unfavourable outcome. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 3 | 43% |
Unknown | 4 | 57% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 6 | 86% |
Scientists | 1 | 14% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 127 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 27 | 21% |
Researcher | 18 | 14% |
Student > Bachelor | 16 | 13% |
Student > Doctoral Student | 12 | 9% |
Other | 6 | 5% |
Other | 22 | 17% |
Unknown | 26 | 20% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 24 | 19% |
Biochemistry, Genetics and Molecular Biology | 16 | 13% |
Agricultural and Biological Sciences | 13 | 10% |
Nursing and Health Professions | 12 | 9% |
Immunology and Microbiology | 6 | 5% |
Other | 22 | 17% |
Unknown | 34 | 27% |