title: [Reasons to recommend vaccination against dengue in Easter Island: Immunization Advisory Committee of Sociedad Chilena de Infectología].
abstract: Dengue was first diagnosed on Easter Island on year 2002 and thereafter recurrent outbreaks have occurred involving different serotypes of dengue virus. Its vector, Aedes aegypti has not been eliminated despite the small size of the island. Conditions at the local hospital preclude adequate management of severe and hemorrhagic cases due to the absence of a Critical Care Unit as well as no availability of platelets, or plasma units for transfusion. Besides, transfer, of severely affected patients to continental Chile is cumbersome, slow and expensive. In this scenario, it is advisable to implement selective vaccination of Easter Island habitants with an available quadrivalent attenuated dengue vaccine with the aim to reduce hemorrhagic and severe dengue cases. This strategy should not replace permanent efforts to control waste disposal sites, water sources, maintain vector surveillance and increase education of the population.
authors.forename: Alberto
authors.initials: A
authors.lastname: Fica
authors.forename: Marcela
authors.initials: M
authors.lastname: Potin
authors.forename: Gabriela
authors.initials: G
authors.lastname: Moreno
authors.forename: Liliana
authors.initials: L
authors.lastname: Véliz
authors.forename: Jaime
authors.initials: J
authors.lastname: Cerda
authors.forename: Carola
authors.initials: C
authors.lastname: Escobar
authors.forename: Jan
authors.initials: J
authors.lastname: Wilhelm
mesh_terms: D000293:Adolescent; D000328:Adult; D026683:Advisory Committees; D000818:Animals; D002648:Child; D003715:Dengue / Q000453:epidemiology / Q000517:prevention & control* / Q000635:transmission; D053059:Dengue Vaccines / Q000627:therapeutic use*; D003716:Dengue Virus / Q000276:immunology; D005260:Female; D006801:Humans; D007303:Insect Vectors / Q000821:virology; D008297:Male; D008875:Middle Aged; D011114:Polynesia / Q000453:epidemiology; D014611:Vaccination; D055815:Young Adult
chemical_list: D053059:Dengue Vaccines