title: Dengue among American missionaries returning from Jamaica, 2012.
abstract: Dengue is an acute febrile illness caused by any of four mosquito-transmitted dengue virus (DENV) types. Dengue is endemic in Jamaica, where an epidemic occurred in 2012. An investigation was conducted by multiple agencies for 66 missionaries traveling from nine US states to Jamaica after 1 missionary from the group was confirmed to have dengue. Travelers were offered diagnostic testing, and a survey was administered to assess knowledge, behaviors, and illness. Of 42 survey respondents, 9 (21%) respondents reported an acute febrile illness during or after travel to Jamaica. Of 15 travelers that provided serum specimens, 4 (27%) travelers had detectable anti-DENV immunoglobulin M antibody, and 1 traveler also had DENV-1 detected by reverse transcriptase polymerase chain reaction. Recent or past infection with a DENV was evident in 93% (13 of 14) missionaries with available sera. No behavioral or demographic factors were significantly associated with DENV infection. This investigation shows that even trips of short duration to endemic areas present a risk of acquiring dengue.
authors.affiliation: Tennessee Department of Health, Nashville, Tennessee; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia; Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Travelers' Health Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia; Florida Department of Health, Tallahassee, Florida Abelardo.Moncayo@tn.gov.
authors.forename: Abelardo C
authors.initials: AC
authors.lastname: Moncayo
authors.affiliation: Tennessee Department of Health, Nashville, Tennessee; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia; Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Travelers' Health Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia; Florida Department of Health, Tallahassee, Florida.
authors.forename: Jane
authors.initials: J
authors.lastname: Baumblatt
authors.affiliation: Tennessee Department of Health, Nashville, Tennessee; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia; Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Travelers' Health Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia; Florida Department of Health, Tallahassee, Florida.
authors.forename: Dana
authors.initials: D
authors.lastname: Thomas
authors.affiliation: Tennessee Department of Health, Nashville, Tennessee; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia; Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Travelers' Health Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia; Florida Department of Health, Tallahassee, Florida.
authors.forename: Kira A
authors.initials: KA
authors.lastname: Harvey
authors.affiliation: Tennessee Department of Health, Nashville, Tennessee; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia; Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Travelers' Health Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia; Florida Department of Health, Tallahassee, Florida.
authors.forename: David
authors.initials: D
authors.lastname: Atrubin
authors.affiliation: Tennessee Department of Health, Nashville, Tennessee; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia; Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Travelers' Health Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia; Florida Department of Health, Tallahassee, Florida.
authors.forename: Danielle
authors.initials: D
authors.lastname: Stanek
authors.affiliation: Tennessee Department of Health, Nashville, Tennessee; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia; Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Travelers' Health Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia; Florida Department of Health, Tallahassee, Florida.
authors.forename: Mark
authors.initials: M
authors.lastname: Sotir
authors.affiliation: Tennessee Department of Health, Nashville, Tennessee; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia; Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Travelers' Health Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia; Florida Department of Health, Tallahassee, Florida.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Hunsperger
authors.affiliation: Tennessee Department of Health, Nashville, Tennessee; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia; Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Travelers' Health Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia; Florida Department of Health, Tallahassee, Florida.
authors.forename: Jorge L
authors.initials: JL
authors.lastname: Muñoz-Jordan
authors.affiliation: Tennessee Department of Health, Nashville, Tennessee; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia; Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Travelers' Health Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia; Florida Department of Health, Tallahassee, Florida.
authors.forename: Emily S
authors.initials: ES
authors.lastname: Jentes
authors.affiliation: Tennessee Department of Health, Nashville, Tennessee; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia; Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Travelers' Health Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia; Florida Department of Health, Tallahassee, Florida.
authors.forename: Tyler M
authors.initials: TM
authors.lastname: Sharp
authors.affiliation: Tennessee Department of Health, Nashville, Tennessee; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia; Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Travelers' Health Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia; Florida Department of Health, Tallahassee, Florida.
authors.forename: D Fermin
authors.initials: DF
authors.lastname: Arguello
mesh_terms: D003715:Dengue / Q000453:epidemiology*; D049674:History, 21st Century; D006801:Humans; D007563:Jamaica; D066189:Missionaries; D014481:United States / Q000453:epidemiology / Q000208:ethnology