20 Dec 2017

Country-specific dengue recommendations 2017

NaTHNaC has updated the country-specific recommendations for dengue Country-specific dengue recommendations 2017

NaTHNaC has recently reviewed and updated the dengue country-specific information and recommendations. This review was based on the Center for Disease Control review of 2005-2015 data [1] and additional published data from January 2016 to March 2017 [2-13]. Travel-associated dengue cases in the UK, 2012-2016, were also reviewed. Both reviews have focussed on evidence of local mosquito-borne dengue transmission.

Nine new countries have recommendations as a result of this review:

  • Afghanistan
  • Bermuda
  • Croatia
  • Djibouti
  • France
  • Iran
  • Mauritania
  • Oman
  • St Martin (France)

Specific regional details have been included if available and confirmed for those countries where only part of a country is known to be affected.

There was no evidence of local dengue transmission in either of the reviews for Botswana, Christmas Island (Australia), Guam, and Wake Island. The country-specific dengue recommendations have been removed for these countries. Travellers to these countries should continue to use good insect bite prevention measures.

In conjunction with the review, the dengue factsheet with advice for both travellers and health professionals has also been revised.

The latest news about larger dengue outbreaks can be found on the Outbreak Surveillance database.


  1. Gubler DJ. New Treatment strategies for dengue and other flaviviral diseases; Dengue/dengue haemorrhagic fever: history and current status. Novartis Found Symp. 2006; 277:3-16; discussion 16-22, 71-3, 251-3. [Accessed 18 December 2017]
  2. World Health Organization. Dengue and severe dengue. Fact sheet. Updated April 2017. [Accessed 18 December 2017]
  3. Jelinek T. Dengue Fever in International Travelers. Clin Infect Dis. July 2000; 31:144-7. [Accessed 18 December 2017]
  4. Bhatt S, Brady OJ, Messina JP, et al. The global distribution and burden of dengue. Nature 2013; 496: 504–7
  5. Jentes ES, Lash RR, Johansson MA et al. Evidence-based risk assessment and communication: a new global dengue-risk map for travellers and clinicians. J Travel Med. 23. doi:10.1093/jtm/taw062. November 2016. [Accessed 18 December 2017] 
  6. Rezza G. 2016. Dengue and other Aedes-borne viruses: a threat to Europe? Eurosurveillance 21:21. May 2016. [Accessed 18 December 2017]
  7. Schmidt-Chanasit J, Haditsch M, Schönenberg I et al. Dengue virus infection in a traveller returning from Croatia to Germany. Eurosurveil. 15(40): October 2010. [Accessed 18 December 2017]
  8. Succo T, Leparc-Goffart I, Ferré JB et al. Autochthonous dengue outbreak in Nîmes, South of France, July to September 2015. Eurosurveil. 21(21) May 2016. [Accessed 18 December 2017].
  9. European Centres for Disease Prevention and Control. Surveillance, prevention and control of dengue in Madeira: lessons learnt after the 2013 ECDC mission. March 2014. [Accessed 18 December 2017]
  10. Frank C, Höhle M, Stark K, Lawrence J.  More reasons to dread rain on vacation? Dengue fever in 42 German and United Kingdom Madeira tourists during autumn 2012.  Eurosurveillance. 4 April 2013;18 [Accessed 18 December 2017]
  11. World Health Organization. Africa. Weekly Bulletin on Outbreaks and other Emergencies. Wk 49. 2-9 Dec 2017. [Accessed 18 December 2017]
  12. P Gautret P, Cramer JP, Field V et al. Infectious Diseases among travellers and migrants in Europe. EuroTravNet 2010. Eurosurveillance June 2012; 17:26:16-26. [Accessed 18 December 2017]
  13. Wilder-Smith A. Dengue infections in travellers. Paediatr Int Child Health. May 2012; 32 Suppl 1:28-32. [Accessed 18 December 2017]
  14. Massad E, Rocklov J, Wilder-Smith A. Dengue infections in non-immune travellers to Thailand. Epidemiol Infect. April 2012 24:1-6. [Accessed 18 December 2017]
  15. Freedman DO, Weld LH, Kozarsky PE, et al. Spectrum of disease and relation to place of exposure among ill returned travelers. NEJM January 2006; 354:119-30. [Accessed 18 December 2017]
  16. Public Health England. Dengue reported in England, Wales and Northern Ireland: 2014. Travel and Migrant Health Section, National Infections Service. November 2015. [Accessed 18 December 2017]
  17. Yacoub S, Farrar J. Arboviral Infections in Farrar et al (eds) Manson’s Tropical Diseases. 23rdEdition. Edinburgh; WB Saunders: 2014.
  18. Sharp TM, Perez-Padilla J and Waterman SH. Margolis HS. Dengue. Chapter 3 In. Health Information for International Travel May 2017. Centers for Disease Control and Prevention. [Accessed 18 December 2017]
  19. World Health Organization and Special Programme for Research and Training in Tropical Diseases. Handbook for clinical management of dengue. November 2012. [Accessed 18 December 2017]
  20. Public Health England. Dengue fever: guidance, data and analysis. November 2015. [Accessed 18 December 2017]
  21. Neumayr A, Muñoz J, Schunk M et al. Sentinel surveillance of imported dengue via travellers to Europe 2012 to 2014: TropNet data from the DengueTools Research Initiative. Eurosurveillance 22:1. January 2017. [Accessed 18 October 2017]
  22. World Health Organization. Immunization, Vaccines and Biologicals. Dengue vaccine research. June 2017. [Accessed 18 December 2017]
  23. Lim SK, Lee YS, Namkung S et al. Prospects for dengue vaccines for travelers. Clin Exper Vaccine Res. July 2016;5(2):89-100. [Accessed 18 December 2017]
  24. World Health Organization. Global strategy for dengue prevention and control 2012-2020. August 2012. [Accessed 18 December 2017]
  25. World Health Organization. Updated Questions and Answers related to information presented in the Sanofi Pasteur press release on 30 November 2017 with regards to the dengue vaccine Dengvaxia® [Accessed 18 December 2017]

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