title: Dengue: clinical forms and risk groups in a high incidence city in the southeastern region of Brazil.
abstract: BACKGROUND
  The article describes the epidemiologic profile of dengue cases in Vitória, the capital of Espírito Santo, Brazil, from 2000 to 2009, aimed at identifying risk groups regarding the incidence and severity of the disease.
  
  
  METHODS
  Confirmed cases of dengue among city residents during ten years were classified as dengue fever, dengue hemorrhagic fever, dengue shock syndrome and dengue with complications, and analyzed according to sex, age, race-color and education.
  
  
  RESULTS
  The proportion of dengue cases was highest among women aged 20 to 29 years-old and similar between whites and blacks. A gradual decrease occurred in the percentage of dengue cases in the population aged 15 years-old or more, in the historical series of 10 years, and a growing increase in individuals less than 15 years-old, showing statistical significance. The fatality rate ranged from zero to 0.3% for all forms of dengue and from 0.2% to 18.2% for severe forms.
  
  
  CONCLUSIONS
  The profile of those affected by the disease in the municipality is similar to those affected in Brazil. The increasing number of cases in individuals under 15 years-old corroborates the results of recent studies in other Brazilian municipalities.
authors.affiliation: Coordenação de Vigilância Epidemiológica, Secretaria Municipal de Saúde de Vitória, Vitória, ES, Brasil. ivanacardoso@terra.com.br
authors.forename: Ivana Macedo
authors.initials: IM
authors.lastname: Cardoso
authors.forename: Aline de Souza Areias
authors.initials: Ade S
authors.lastname: Cabidelle
authors.forename: Patrícia de Castro E Leão
authors.initials: Pde C
authors.lastname: Borges
authors.forename: Carolina Ferreira
authors.initials: CF
authors.lastname: Lang
authors.forename: Fabrício Greco
authors.initials: FG
authors.lastname: Calenti
authors.forename: Larissa de Oliveira
authors.initials: Lde O
authors.lastname: Nogueira
authors.forename: Aloisio
authors.initials: A
authors.lastname: Falqueto
authors.forename: Crispim
authors.initials: C
authors.lastname: Cerutti Junior
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D003715:Dengue / Q000145:classification / Q000453:epidemiology*; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D019595:Severe Dengue / Q000453:epidemiology; D055815:Young Adult