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Am. J. Trop. Med. Hyg., 30(5), 1981, pp. 1094-1099
Copyright © 1981 by The American Society of Tropical Medicine and Hygiene

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Epidemic Dengue 3 in Central Java, Associated with Low Viremia in Man*

D. J. Gubler{dagger}, W. Suharyono, I. Lubis, S. Eram AND S. Gunarso
U.S. Naval Medical Research Unit No. 2, Jakarta Detachment, Jakarta, Indonesia, National Institute of Health Research and Development, Ministry of Health, Jakarta, Indonesia, Directorate of Prevention and Control of Communicable Diseases, Ministry of Health, Yogyakarta, Indonesia, and Panti Rapih Hospital, Yogyakarta, Java, Indonesia

An outbreak of dengue type 3 was studied in Central Java, Indonesia, in 1978. In contrast to previous dengue 3 epidemics in Central and East Java, this outbreak was less explosive, associated with mild illness, and low viremia. The dengue virus isolation rate from serologically confirmed patients was only 32% compared to 65% for an epidemic in Bantul a year earlier. Neither dengue hemagglutination-inhibition antibody titers nor day of illness on which specimens were collected accounted for this difference. These data suggest that some naturally occurring strains of dengue virus (endemic strains) are associated with low viremia and generally cause only mild illness in man.

Accepted for publication February 28, 1981.


* This study was supported by funds provided by the Ministry of Health, Indonesia, and the Naval Medical Research and Development Command, Navy Department, for Work Unit MR041.01.01-0151. The opinions and assertions contained herein are the private ones of the authors and are not to be construed as official or as reflecting the views of the Indonesian Ministry of Health, Navy Department, or the Naval Service at large.

Address reprint requests to: Publications Office, NAMRU-2, Box 14, APO San Francisco 96528.


{dagger} Present address: San Juan Laboratories, CID, GPO Box 432, San Juan, Puerto Rico 00936.






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Copyright © 1981 by the American Society of Tropical Medicine and Hygiene.