Dengue Fever in Key West Spurs Concerns as Federal Authorities Turn Attention Elsewhere

A recent estimate by the Centers for Disease Control that 5 percent of Key West, Fla., residents  had been exposed to the dengue virus in 2009 has raised concerns that dengue fever might be spreading just as the federal government is preparing to devote less attention to the disease.

Dengue has not broken out in Florida since 1934, but health experts are now concerned that it could spread across the Eastern Seaboard, where it was once prevalent. The issue comes as the CDC is eliminating funds for its “vector-borne” disease branch, which keeps tabs on dengue, West Nile virus, plague and other illnesses from insects.

“I believe the threat is very real,” Dr. Peter J. Hotez, a tropical medicine expert at George Washington University, told The New York Times. “And we understand that the CDC is about to close its dengue branch. Can you imagine anything so stupid? This is the worst time possible.”

Some local businesses, however, say the CDC is exaggerating the threat and criticize the 5 percent estimate, which was based on tests of 240 residents, of whom 13 were positive. Health Department Administrator Robert Eadie of Monroe County, which includes Key West, said the report was “very alarmist.”

In all, there were 27 cases of dengue last year and 18 so far this year in Key West. Regions of the Caribbean and Central America are in the throes of epidemics, but the Key West infections were contracted locally, since none of the infected had traveled outside the country.

There is no vaccine for the dengue virus, which is spread by mosquitoes and can cause fever, headaches, body aches and rashes. Joint pain can be so severe that the disease is nicknamed the “break-bone fever” in Latin America and Asia.

Dr. Ali S. Khan, deputy director of the CDC’s National Center for Emerging and Zoonotic Infectious Diseases, said that money from other CDC budgets could be shifted over to make up for the funding loss. More than a dozen medical organizations have signed a letter to Congress, asking lawmakers to  reinstate funding for the CDC’s vector-borne illness branch.

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