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

Mary H. Hayden 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

Search for other papers by Mary H. Hayden in
Current site
Google Scholar
PubMed
Close
,
Jamie L. Cavanaugh 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

Search for other papers by Jamie L. Cavanaugh in
Current site
Google Scholar
PubMed
Close
,
Christopher Tittel 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

Search for other papers by Christopher Tittel in
Current site
Google Scholar
PubMed
Close
,
Melinda Butterworth 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

Search for other papers by Melinda Butterworth in
Current site
Google Scholar
PubMed
Close
,
Steven Haenchen 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

Search for other papers by Steven Haenchen in
Current site
Google Scholar
PubMed
Close
,
Katherine Dickinson 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

Search for other papers by Katherine Dickinson in
Current site
Google Scholar
PubMed
Close
,
Andrew J. Monaghan 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

Search for other papers by Andrew J. Monaghan in
Current site
Google Scholar
PubMed
Close
, and
Kacey C. Ernst 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

Search for other papers by Kacey C. Ernst in
Current site
Google Scholar
PubMed
Close
Restricted access

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.

  • 1.

    Bhatt S, Gething PW, Brady OJ, Messina JP, Farlow AW, Moyes CL, Drake JM, Brownstein JS, Hoen AG, Sankoh O, Myers MF, George DB, Jaenisch T, Wint GR, Simmons CP, Scott TW, Farrar JJ, Hay SI, 2013. The global distribution and burden of dengue. Nature 496: 504507.

    • Search Google Scholar
    • Export Citation
  • 2.

    Gubler DJ, 2004. The changing epidemiology of yellow fever and dengue, 1900 to 2003: full circle? Comp Immunol Microbiol Infect Dis 27: 319330.

    • Search Google Scholar
    • Export Citation
  • 3.

    Rigau-Perez JG, Clark GG, Gubler DJ, Reiter P, Sanders EJ, Vorndam AV, 1998. Dengue and dengue haemorrhagic fever. Lancet 352: 971977.

  • 4.

    Dick OB, San Martin JL, Montoya RH, del Diego J, Zambrano B, Dayan GH, 2012. Review: the History of Dengue in the Americas. Am J Trop Med Hyg 87: 584593.

    • Search Google Scholar
    • Export Citation
  • 5.

    Radke EG, Gregory CJ, Kintziger KW, Sauber-Schatz EK, Hunsperger EA, Gallagher GR, Barber JM, Biggerstaff BJ, Stanek DR, Tomashek KM, Blackmore CGM, 2012. Dengue outbreak in Key West, Florida, USA, 2009. Emerg Infect Dis 18: 135137. Available at: http://dx.doi.org/10.3201/eid1801.110130. Accessed January 2011.

    • Search Google Scholar
    • Export Citation
  • 6.

    MMWR, 2010. Report locally acquired dengue—Key West, Florida, 2009–2010. MMWR 59: 577581. Available at: www.cdc.gov/mmwr/preview/mmwrhtml/mm5919a1.htm.

    • Search Google Scholar
    • Export Citation
  • 7.

    Florida Department of Health, 2013. Florida Arbovirus Surveillance. Available at: http://www.doh.state.fl.us/Environment/medicine/arboviral/surveillance.htm. Accessed March 22, 2014.

    • Search Google Scholar
    • Export Citation
  • 8.

    National Oceanic and Atmospheric Administration (NOAA), 2014. Climate Services Web Page. Available at: http://www.nws.noaa.gov/climate/xmacis.php?wfo=key. Accessed January 12, 2014.

    • Search Google Scholar
    • Export Citation
  • 9.

    Florida Keys Mosquito Control District. Mosquito Control Methods. Key West, FL, 2014. Available at: http://keysmosquito.org/programs-domestic-field-ent-services-offshore-trucks-aerial/. Accessed August 11, 2014.

    • Search Google Scholar
    • Export Citation
  • 10.

    Wilder-Smith A, Gubler DJ, 2008. Geographic expansion of dengue: the impact of international travel. Med Clin North Am 92: 13771390.

Past two years Past Year Past 30 Days
Abstract Views 16 16 4
Full Text Views 287 83 0
PDF Downloads 83 17 0
 
Membership Banner
 
 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save