Federal officials said Tuesday that they fear an outbreak of dengue fever in Florida after a survey of Key West residents found that at least 5% had been infected or exposed to the virus. With the exception of a handful of isolated cases along the Texas-Mexico border, there had previously been no cases in the United States since 1946 and no outbreak in Florida since 1934.
Dengue fever, which is characterized by a fever of 104 to 105 degrees, a widespread rash, headache, fatigue and muscle aches, is the most common disease caused by mosquito-transmitted viruses in the world. Each year, there are an estimated 500,000 to 1 million cases and about 25,000 deaths worldwide.
"We're concerned that if dengue gains a foothold in Key West, it will travel to other Southern cities where the mosquito that transmits dengue is present, like Miami," Dr. Harold Margolis, chief of the dengue branch at the Centers for Disease Control and Prevention, said in a statement.
Last September, a physician in New York notified the Monroe County (Fla.) Health Department about a suspected dengue fever case in a New York resident whose only travel had been to Key West. In the next two weeks, two dengue infections in Key West residents who had not traveled elsewhere were identified. By the end of the year, 27 cases had been identified.