Dengue Hemorrhagic Fever: Diagnosis, Treatment and Control

by the World Health Organization vii + 58 pages, illustrated, World Health Organization, 1211 Geneva 27, Switzerland. 1986. $7.80

Wilbur G. Downs 10 Halstead Lane Branford, Connecticut 06405

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This paperbound booklet is the second revision of a manual issued in 1975. It is relatively expensive for those countries where dengue (DEN), dengue hemorrhagic fever (DHF), and dengue shock syndrome (DSS) exist or are feared.

Chapter 1, General Considerations, gives historical perspective and an idea of the dimensions of the problem. The orientation is obviously Southeast Asia, and one wonders why Australia is not mentioned in “other countries at risk.” It should be noted that the existence of DEN in West Africa was not reported until Carey and Causey in 1970 signalled its presence determined by virus isolation from children seen at a fever clinic at the University Hospital in Ibadan. Dengue virus(es) have since been isolated in several West African countries; DHF/DSS has not been reported. In subsection “Pathology” it could be mentioned that the virus is rarely isolated from blood or organs of DHF/DSS patients unless special isolation techniques are used.