title: A New Look at an Old Disease: Recent Insights into the Global Epidemiology of Dengue.
abstract: OBJECTIVE
  By all measures, the morbidity and mortality due to dengue are continuing to worsen worldwide. Although both early and recent studies have demonstrated regional differences in how dengue affects local populations, these findings were to varying extents related to disparate surveillance approaches.
  
  
  RESULTS
  Recent studies have broadened the recognized spectrum of disease resulting from DENV infection, particularly in adults, and have also demonstrated new mechanisms of DENV spread both within and between populations. New results regarding the frequency and duration of homo- and heterotypic anti-DENV antibodies have provided important insights relevant to vaccine design and implementation.
  
  
  CONCLUSIONS
  These observations and findings as well as difficulties in comparing the epidemiology of dengue within and between regions of the world underscore the need for population-based dengue surveillance worldwide. Enhanced surveillance should be implemented to complement passive surveillance in countries in the tropics to establish baseline data in order to define affected populations and evaluate the impact of dengue vaccines and novel vector control interventions.
authors.affiliation: Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, 1324 Calle Cañada, San Juan, PR 00920-3860 USA.
authors.forename: Tyler M
authors.initials: TM
authors.lastname: Sharp
authors.affiliation: Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, 1324 Calle Cañada, San Juan, PR 00920-3860 USA.
authors.forename: Kay M
authors.initials: KM
authors.lastname: Tomashek
authors.affiliation: Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, 1324 Calle Cañada, San Juan, PR 00920-3860 USA.
authors.forename: Jennifer S
authors.initials: JS
authors.lastname: Read
authors.affiliation: Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, 1324 Calle Cañada, San Juan, PR 00920-3860 USA.
authors.forename: Harold S
authors.initials: HS
authors.lastname: Margolis
authors.affiliation: Dengue Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, 1324 Calle Cañada, San Juan, PR 00920-3860 USA.
authors.forename: Stephen H
authors.initials: SH
authors.lastname: Waterman
keywords: Burden; Dengue; Epidemiology