Molecular Characterization of Dengue Viruses Imported Into Taiwan during 2003–2007: Geographic Distribution and Genotype Shift

Pei-Yun Shu Research and Diagnostic Center, Centers for Disease Control, Department of Health, Taipei, Taiwan, Republic of China

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Chien-Ling Su Research and Diagnostic Center, Centers for Disease Control, Department of Health, Taipei, Taiwan, Republic of China

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Tsai-Ling Liao Research and Diagnostic Center, Centers for Disease Control, Department of Health, Taipei, Taiwan, Republic of China

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Cheng-Fen Yang Research and Diagnostic Center, Centers for Disease Control, Department of Health, Taipei, Taiwan, Republic of China

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Shu-Fen Chang Research and Diagnostic Center, Centers for Disease Control, Department of Health, Taipei, Taiwan, Republic of China

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Chien-Chou Lin Research and Diagnostic Center, Centers for Disease Control, Department of Health, Taipei, Taiwan, Republic of China

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Mei-Chun Chang Research and Diagnostic Center, Centers for Disease Control, Department of Health, Taipei, Taiwan, Republic of China

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Huai-Chin Hu Research and Diagnostic Center, Centers for Disease Control, Department of Health, Taipei, Taiwan, Republic of China

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Jyh-Hsiung Huang Research and Diagnostic Center, Centers for Disease Control, Department of Health, Taipei, Taiwan, Republic of China

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We presented our surveillance results on imported dengue cases in Taiwan during 2003–2007. A total of 542 imported dengue patients were identified. The travelers were infected in 17 countries in Southeast Asia, the Indian subcontinent, East African islands, South Pacific islands, and Central America. Most of these imported cases were infected in Southeast Asian countries. Phylogenetic analyses were conducted to examine 288 imported dengue virus (DENV) strains introduced from 13 countries. The results provide an updated view on the geographic distribution and dynamic transmission of epidemic DENV stains circulated in Southeast Asian countries. Although the geographic distributions of genotypes of DENV-3 isolated from Southeast Asian countries remain unchanged, the introductions and local expansions of epidemic DENV-1, DENV-2, and DENV-4 strains into new areas in Asia were observed. These findings highlight the importance to strengthen laboratory-based dengue surveillance for better understanding of transmission dynamics and molecular evolution of DENVs.

Author Notes

Reprint requests: Jyh-Hsiung Huang, Research and Diagnostic Center, Centers for Disease Control, Department of Health, 161, Kun-Yang Street, Taipei, Taiwan, ROC, Tel: 886-2-26531374, Fax: 886-2-27883992, E-mail: jhhuang@cdc.gov.tw.
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