title: [Society, economy, inequities and dengue].
abstract: Dengue and dengue hemorrhagic fever in the Americas have been on the rise throughout the 1990s, with the highest number -over one million cases- reported in 2002. This paper analyzed the situation of dengue in the region and discussed the determining factors that account for the rise of the disease, making emphasis on socioeconomic factors, such as poverty, inequality, migrations and the lack of access to basic services, which are the most influential in perpetuating this disease in most countries. Considering that a safe and accessible vaccine is now unavailable, basic principles of vector control combined with political willingness, inter-sectoral involvement, active community participation and the tightening of health legislation were also examined as the only viable solution at present.
authors: Instituto de Medicina Tropical "Pedro Kouri". gkouri@ipk.sld.cu
authors: Gustavo
authors: G
authors: Kouri
authors: José L
authors: JL
authors: Pelegrino
authors: Blanca María
authors: BM
authors: Munster
authors: María G
authors: MG
authors: Guzmán
mesh_terms: D000330:Aedes; D000818:Animals; D021821:Communicable Diseases, Emerging / Q000191:economics / Q000453:epidemiology; D003715:Dengue / Q000191:economics / Q000453:epidemiology* / Q000517:prevention & control; D004641:Emigration and Immigration; D014943:Global Health; D006291:Health Policy; D006297:Health Services Accessibility; D006801:Humans; D015994:Incidence; D007303:Insect Vectors; D007843:Latin America / Q000453:epidemiology; D009032:Mosquito Control; D011203:Poverty; D011332:Privatization; D012935:Social Justice; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology; D014881:Water Supply