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Post Outbreak Review: Dengue Preparedness and Response in Key West, Florida

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  • National Center for Atmospheric Research, Boulder, Colorado; University of Colorado at Denver, Denver, Colorado; Florida Department of Health in Monroe County, Key West, Florida; University of Arizona, Tucson, Arizona

Dengue is the most prevalent mosquito-borne viral infection. Recent outbreaks in the southern United States illustrate the risk of reemergence. The first autochthonous cases since 1934 in Key West, FL, occurred in 2009–2010. We conducted a survey in 2012 with decision makers instrumental to the control of the outbreak to 1) determine their awareness of the multiple strategies used to control the outbreak and 2) assess their perceptions of the relative effectiveness of these strategies. An online survey was delivered to a predefined list of decision makers from multiple sectors to better understand dengue preparedness and response. Thirty-six out of 45 surveys were returned for an 80% response rate. Results indicate the need to focus prevention strategies on educational campaigns designed to increase population awareness of transmission risk. Respondents remain concerned about future dengue transmission risk in Key West and lack of resources to respond.

Author Notes

* Address correspondence to Mary H. Hayden, National Center for Atmospheric Research, P.O. Box 3000, Boulder, CO 80307. E-mail: mhayden@ucar.edu

Financial support: Funding was provided by NIH-NIAID R56AI09184.

Authors' addresses: Mary H. Hayden, Katherine Dickinson, and Andrew J. Monaghan, National Center for Atmospheric Research, Boulder, CO, E-mails: mhayden@ucar.edu, katied@ucar.edu, and monaghan@ucar.edu. Jamie L. Cavanaugh, University of Colorado, Denver, CO, E-mail: jamie.cavanaugh@ucdenver.edu. Christopher Tittel, Florida Department of Health in Monroe County, Key West, FL, E-mail: ctittel@aol.com. Melinda Butterworth, Steven Haenchen, and Kacey C. Ernst, University of Arizona, Tucson, AZ, E-mails: mkbutter@email.arizona.edu, shaenchen@email.arizona.edu, and kernst@email.arizona.edu.

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