special subjects
Problems at the Destination
Dengue
 Dengue is a mosquito-borne viral infection that causes fever, generalized body aches, and, if severe, external and internal bleeding (called dengue hemorrhagic fever). Dengue is common in the tropics and subtropics worldwide. It is most common in Southeast Asia but has become more common in Central and South America and other countries. It has occurred in the Caribbean (including Puerto Rico and the U.S. Virgin Islands), in Oceania, and in the Indian subcontinent. A vaccine is available in Mexico, Brazil, Thailand, and some other countries (not in the United States), but use is restricted to people who have previously had dengue. Mosquito bite preventionis important for people traveling to areas where dengue is common. Wear clothing that covers as much of the body as possible Wear clothing to which the insecticidepermethrinhas been applied and sleep under apermethrin-treated mosquito net if sleeping quarters are not air conditioned Use insect repellants, such as DEET (diethyltoluamide) or picaridin Avoid exposure to mosquitoes and ticks as much as possible These measures also offer protection from other insect-transmitted diseases including Zika Virus Infection and 