[Ted Pestorius] Now before these recent outbreaks, over this last decade, when was the last significant outbreak in the continental United States?
[Amesh Adalja] In the 1940s.
[Ted Pestorius] Really? So we had a gap from 1940 until approximately 2001?
[Amesh Adalja] Right.
[Ted Pestorius] Why the retriggering? Why, after 60 years of no disease, we’re suddenly seeing it?
[Amesh Adalja] I think there’s a few things that account for this increase, and I think one of it has to do with the return of the mosquito vector. I think there was a lot of aggressive control with
Dengue Fever in the United States Page 3 of 4 April 2012
yellow fever and the malaria eradication campaign that have caused this mosquito to kind of disappear from the United States, but then it started to reappear. The other thing is…
[Ted Pestorius] I’m sorry, but, so there was a mosquito that we didn’t have that’s come back?
[Amesh Adalja] I think the Aedes species of mosquitoes…
[Ted Pestorius] Now before these recent outbreaks, over this last decade, when was the last significant outbreak in the continental United States?[Amesh Adalja] In the 1940s.[Ted Pestorius] Really? So we had a gap from 1940 until approximately 2001?[Amesh Adalja] Right.[Ted Pestorius] Why the retriggering? Why, after 60 years of no disease, we’re suddenly seeing it?[Amesh Adalja] I think there’s a few things that account for this increase, and I think one of it has to do with the return of the mosquito vector. I think there was a lot of aggressive control withDengue Fever in the United States Page 3 of 4 April 2012yellow fever and the malaria eradication campaign that have caused this mosquito to kind of disappear from the United States, but then it started to reappear. The other thing is…[Ted Pestorius] I’m sorry, but, so there was a mosquito that we didn’t have that’s come back?[Amesh Adalja] I think the Aedes species of mosquitoes…
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