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Title: Surveillance of deaths caused by arboviruses in Brazil: from dengue to chikungunya
Authors: Cavalcanti, Luciano Pamplona de Góes
Freitas, André Ricardo Ribas
Brasil, Patrícia
Cunha, Rivaldo Venâncio da
Affilliation: Universidade Federal do Ceará. Departamento de Saúde Comunitária. Fortaleza, CE, Brasil.
Faculdade São Leopoldo Mandic. Campinas, SP, Brasil / Secretaria Municipal de Saúde. Departamento de Vigilância em Saúde. Campinas, SP, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Campo Grande, MS, Brasil
Abstract: Did death occur DUE TO dengue, or in a patient WITH dengue virus infection? It seems a matter of semantics, but in fact, it underscores how challenging it is to distinguish whether the disease contributed to death, or was itself the underlying cause of death. Can a death be attributed to chikungunya virus, when some deaths occur after the acute phase? Did the virus decompensate the underlying diseases, leading to death? Did prolonged hospitalisation lead to infection, resulting in the patient's progression to death? Were there iatrogenic complications during patient care? The dengue question, for which there has not yet been a definitive response, resurfaces prominently under the chikungunya surveillance scenario. We are facing an epidemic of a disease that seems to be more lethal than previously thought. The major challenge ahead is to investigate deaths suspected of occurring due to arbovirus infections and to understand the role of each infection in the unfavourable outcome.
Keywords: Surveillance
keywords: Chikungunya
Issue Date: 2017
Publisher: Fundação Oswaldo Cruz || Ministério da Saúde
Citation: CAVALCANTI, Luciano Pamplona de Góes etal. Surveillance of deaths caused by arboviruses in Brazil: from dengue to chikungunya. Mem. Inst. Oswaldo Cruz, Rio de Janeiro, v. 112, n. 8, p. 585-585, ago 2017.
DOI: 10.1590/0074-02760160537
ISSN: 0074-0276
Copyright: open access
Appears in Collections:MS - Artigos de Periódicos
INI - Artigos de Periódicos

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