Double Trouble: Dengue Followed by COVID-19 Infection Acquired in Two Different Regions: A Doctor’s Case Report and Spatial Distribution of Cases in Presidente Prudente, São Paulo, Brazil
Co-epidemics of COVID-19 and dengue in dengue-endemic countries represent a serious public health concern. In Brazil, São Paulo state ranks first for cases and deaths from COVID-19, and dengue is endemic in most regions of the country. In 2020, an outbreak of dengue occurred in western São Paulo. We...
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doaj-c3307760709346fdb1668077efc9e0d72021-09-26T01:34:25ZengMDPI AGTropical Medicine and Infectious Disease2414-63662021-08-01615615610.3390/tropicalmed6030156Double Trouble: Dengue Followed by COVID-19 Infection Acquired in Two Different Regions: A Doctor’s Case Report and Spatial Distribution of Cases in Presidente Prudente, São Paulo, BrazilSérgio Munhoz Pereira0Charlene Troiani do Nascimento1Rodrigo Sala Ferro2Edilson Ferreira Flores3Elaine Aparecida Maldonado Bertacco4Elivelton da Silva Fonseca5Luiz Euribel Prestes-Carneiro6Department of Emergency, Regional Hospital of Presidente Prudente, Oeste Paulista University, São Paulo 19050-920, BrazilDepartment of Emergency, Regional Hospital of Presidente Prudente, Oeste Paulista University, São Paulo 19050-920, BrazilDepartment of Emergency, Regional Hospital of Presidente Prudente, Oeste Paulista University, São Paulo 19050-920, BrazilStatistics Department, School of Sciences and Technology, São Paulo State University, Presidente Prudente 19060-900, BrazilEpidemiological Surveillance Service, Presidente Prudente 19010-081, BrazilInstitute of Geography, Santa Monica Campus, Federal University of Uberlandia, Uberlandia 38408-100, BrazilDepartment of Emergency, Regional Hospital of Presidente Prudente, Oeste Paulista University, São Paulo 19050-920, BrazilCo-epidemics of COVID-19 and dengue in dengue-endemic countries represent a serious public health concern. In Brazil, São Paulo state ranks first for cases and deaths from COVID-19, and dengue is endemic in most regions of the country. In 2020, an outbreak of dengue occurred in western São Paulo. We determined the spatiotemporal distribution of dengue in the context of COVID-19 cases in Presidente Prudente, a mid-sized city in western São Paulo. To illustrate the burden of both infections, a case report of a doctor and his family, infected with dengue and COVID-19, is presented. There were three clusters of dengue and COVID-19 in the periphery. A dengue cluster was found in a region where there were no corresponding COVID-19 cases. Meanwhile, there were COVID-19 clusters where dengue activity was lower. In 2020, the COVID-19 epidemic emerged when dengue reached its seasonal peak, resulting in a simultaneous outbreak of both diseases. Lower rates of dengue were found in the city compared with 2019, and the fear of patients with mild dengue symptoms about remaining in hospital and acquiring COVID-19 infection may be the main cause. Simultaneous spatial clusters of dengue and COVID-19 in environmentally and socioeconomically vulnerable areas can guide public health authorities in intensive interventions to improve clinical diagnosis, epidemiological surveillance, and management of both diseases. The patient and his family were first infected with dengue and he then carried COVID-19 to his family, reinforcing the risk of health care workers spreading the virus to the community. We highlight the epidemiological significance of presenting a case report and spatial analysis of COVID-19 in the same study in the context of a dengue outbreak.https://www.mdpi.com/2414-6366/6/3/156COVID-19denguehealth care workersclustersneighborhoods |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sérgio Munhoz Pereira Charlene Troiani do Nascimento Rodrigo Sala Ferro Edilson Ferreira Flores Elaine Aparecida Maldonado Bertacco Elivelton da Silva Fonseca Luiz Euribel Prestes-Carneiro |
spellingShingle |
Sérgio Munhoz Pereira Charlene Troiani do Nascimento Rodrigo Sala Ferro Edilson Ferreira Flores Elaine Aparecida Maldonado Bertacco Elivelton da Silva Fonseca Luiz Euribel Prestes-Carneiro Double Trouble: Dengue Followed by COVID-19 Infection Acquired in Two Different Regions: A Doctor’s Case Report and Spatial Distribution of Cases in Presidente Prudente, São Paulo, Brazil Tropical Medicine and Infectious Disease COVID-19 dengue health care workers clusters neighborhoods |
author_facet |
Sérgio Munhoz Pereira Charlene Troiani do Nascimento Rodrigo Sala Ferro Edilson Ferreira Flores Elaine Aparecida Maldonado Bertacco Elivelton da Silva Fonseca Luiz Euribel Prestes-Carneiro |
author_sort |
Sérgio Munhoz Pereira |
title |
Double Trouble: Dengue Followed by COVID-19 Infection Acquired in Two Different Regions: A Doctor’s Case Report and Spatial Distribution of Cases in Presidente Prudente, São Paulo, Brazil |
title_short |
Double Trouble: Dengue Followed by COVID-19 Infection Acquired in Two Different Regions: A Doctor’s Case Report and Spatial Distribution of Cases in Presidente Prudente, São Paulo, Brazil |
title_full |
Double Trouble: Dengue Followed by COVID-19 Infection Acquired in Two Different Regions: A Doctor’s Case Report and Spatial Distribution of Cases in Presidente Prudente, São Paulo, Brazil |
title_fullStr |
Double Trouble: Dengue Followed by COVID-19 Infection Acquired in Two Different Regions: A Doctor’s Case Report and Spatial Distribution of Cases in Presidente Prudente, São Paulo, Brazil |
title_full_unstemmed |
Double Trouble: Dengue Followed by COVID-19 Infection Acquired in Two Different Regions: A Doctor’s Case Report and Spatial Distribution of Cases in Presidente Prudente, São Paulo, Brazil |
title_sort |
double trouble: dengue followed by covid-19 infection acquired in two different regions: a doctor’s case report and spatial distribution of cases in presidente prudente, são paulo, brazil |
publisher |
MDPI AG |
series |
Tropical Medicine and Infectious Disease |
issn |
2414-6366 |
publishDate |
2021-08-01 |
description |
Co-epidemics of COVID-19 and dengue in dengue-endemic countries represent a serious public health concern. In Brazil, São Paulo state ranks first for cases and deaths from COVID-19, and dengue is endemic in most regions of the country. In 2020, an outbreak of dengue occurred in western São Paulo. We determined the spatiotemporal distribution of dengue in the context of COVID-19 cases in Presidente Prudente, a mid-sized city in western São Paulo. To illustrate the burden of both infections, a case report of a doctor and his family, infected with dengue and COVID-19, is presented. There were three clusters of dengue and COVID-19 in the periphery. A dengue cluster was found in a region where there were no corresponding COVID-19 cases. Meanwhile, there were COVID-19 clusters where dengue activity was lower. In 2020, the COVID-19 epidemic emerged when dengue reached its seasonal peak, resulting in a simultaneous outbreak of both diseases. Lower rates of dengue were found in the city compared with 2019, and the fear of patients with mild dengue symptoms about remaining in hospital and acquiring COVID-19 infection may be the main cause. Simultaneous spatial clusters of dengue and COVID-19 in environmentally and socioeconomically vulnerable areas can guide public health authorities in intensive interventions to improve clinical diagnosis, epidemiological surveillance, and management of both diseases. The patient and his family were first infected with dengue and he then carried COVID-19 to his family, reinforcing the risk of health care workers spreading the virus to the community. We highlight the epidemiological significance of presenting a case report and spatial analysis of COVID-19 in the same study in the context of a dengue outbreak. |
topic |
COVID-19 dengue health care workers clusters neighborhoods |
url |
https://www.mdpi.com/2414-6366/6/3/156 |
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