Epidemic Dengue and Dengue Hemorrhagic Fever at the Texas–Mexico Border: Results of a Household-based Seroepidemiologic Survey, December 2005

Mary M. Ramos Dengue Branch, Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, Fort Collins, Colorado; National Center for Atmospheric Research, Boulder, Colorado; Jurisdicción Sanitaria No. III de Matamoros, Matamoros, Tamaulipas, México; Texas Department of State Health Services, Harlingen, Texas; Servicios de Salud de Tamaulipas, Ciudad Victoria, Tamaulipas, México; Texas Department of State Health Services, Austin, Texas; Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia; Dirección General de Epidemiología, Distrito Federal, México; Division of Global Migration and Quarantine, National Center for Preparedness, Detection, and Control of Infectious Disease, Centers for Disease Control and Prevention, Atlanta, Georgia

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Hamish Mohammed Dengue Branch, Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, Fort Collins, Colorado; National Center for Atmospheric Research, Boulder, Colorado; Jurisdicción Sanitaria No. III de Matamoros, Matamoros, Tamaulipas, México; Texas Department of State Health Services, Harlingen, Texas; Servicios de Salud de Tamaulipas, Ciudad Victoria, Tamaulipas, México; Texas Department of State Health Services, Austin, Texas; Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia; Dirección General de Epidemiología, Distrito Federal, México; Division of Global Migration and Quarantine, National Center for Preparedness, Detection, and Control of Infectious Disease, Centers for Disease Control and Prevention, Atlanta, Georgia

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Emily Zielinski-Gutierrez Dengue Branch, Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, Fort Collins, Colorado; National Center for Atmospheric Research, Boulder, Colorado; Jurisdicción Sanitaria No. III de Matamoros, Matamoros, Tamaulipas, México; Texas Department of State Health Services, Harlingen, Texas; Servicios de Salud de Tamaulipas, Ciudad Victoria, Tamaulipas, México; Texas Department of State Health Services, Austin, Texas; Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia; Dirección General de Epidemiología, Distrito Federal, México; Division of Global Migration and Quarantine, National Center for Preparedness, Detection, and Control of Infectious Disease, Centers for Disease Control and Prevention, Atlanta, Georgia

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Mary H. Hayden Dengue Branch, Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, Fort Collins, Colorado; National Center for Atmospheric Research, Boulder, Colorado; Jurisdicción Sanitaria No. III de Matamoros, Matamoros, Tamaulipas, México; Texas Department of State Health Services, Harlingen, Texas; Servicios de Salud de Tamaulipas, Ciudad Victoria, Tamaulipas, México; Texas Department of State Health Services, Austin, Texas; Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia; Dirección General de Epidemiología, Distrito Federal, México; Division of Global Migration and Quarantine, National Center for Preparedness, Detection, and Control of Infectious Disease, Centers for Disease Control and Prevention, Atlanta, Georgia

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Jose Luis Robles Lopez Dengue Branch, Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, Fort Collins, Colorado; National Center for Atmospheric Research, Boulder, Colorado; Jurisdicción Sanitaria No. III de Matamoros, Matamoros, Tamaulipas, México; Texas Department of State Health Services, Harlingen, Texas; Servicios de Salud de Tamaulipas, Ciudad Victoria, Tamaulipas, México; Texas Department of State Health Services, Austin, Texas; Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia; Dirección General de Epidemiología, Distrito Federal, México; Division of Global Migration and Quarantine, National Center for Preparedness, Detection, and Control of Infectious Disease, Centers for Disease Control and Prevention, Atlanta, Georgia

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Marta Fournier Dengue Branch, Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, Fort Collins, Colorado; National Center for Atmospheric Research, Boulder, Colorado; Jurisdicción Sanitaria No. III de Matamoros, Matamoros, Tamaulipas, México; Texas Department of State Health Services, Harlingen, Texas; Servicios de Salud de Tamaulipas, Ciudad Victoria, Tamaulipas, México; Texas Department of State Health Services, Austin, Texas; Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia; Dirección General de Epidemiología, Distrito Federal, México; Division of Global Migration and Quarantine, National Center for Preparedness, Detection, and Control of Infectious Disease, Centers for Disease Control and Prevention, Atlanta, Georgia

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Alfredo Rodríguez Trujillo Dengue Branch, Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, Fort Collins, Colorado; National Center for Atmospheric Research, Boulder, Colorado; Jurisdicción Sanitaria No. III de Matamoros, Matamoros, Tamaulipas, México; Texas Department of State Health Services, Harlingen, Texas; Servicios de Salud de Tamaulipas, Ciudad Victoria, Tamaulipas, México; Texas Department of State Health Services, Austin, Texas; Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia; Dirección General de Epidemiología, Distrito Federal, México; Division of Global Migration and Quarantine, National Center for Preparedness, Detection, and Control of Infectious Disease, Centers for Disease Control and Prevention, Atlanta, Georgia

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Roy Burton Dengue Branch, Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, Fort Collins, Colorado; National Center for Atmospheric Research, Boulder, Colorado; Jurisdicción Sanitaria No. III de Matamoros, Matamoros, Tamaulipas, México; Texas Department of State Health Services, Harlingen, Texas; Servicios de Salud de Tamaulipas, Ciudad Victoria, Tamaulipas, México; Texas Department of State Health Services, Austin, Texas; Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia; Dirección General de Epidemiología, Distrito Federal, México; Division of Global Migration and Quarantine, National Center for Preparedness, Detection, and Control of Infectious Disease, Centers for Disease Control and Prevention, Atlanta, Georgia

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Joan M. Brunkard Dengue Branch, Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, Fort Collins, Colorado; National Center for Atmospheric Research, Boulder, Colorado; Jurisdicción Sanitaria No. III de Matamoros, Matamoros, Tamaulipas, México; Texas Department of State Health Services, Harlingen, Texas; Servicios de Salud de Tamaulipas, Ciudad Victoria, Tamaulipas, México; Texas Department of State Health Services, Austin, Texas; Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia; Dirección General de Epidemiología, Distrito Federal, México; Division of Global Migration and Quarantine, National Center for Preparedness, Detection, and Control of Infectious Disease, Centers for Disease Control and Prevention, Atlanta, Georgia

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Luis Anaya-Lopez Dengue Branch, Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, Fort Collins, Colorado; National Center for Atmospheric Research, Boulder, Colorado; Jurisdicción Sanitaria No. III de Matamoros, Matamoros, Tamaulipas, México; Texas Department of State Health Services, Harlingen, Texas; Servicios de Salud de Tamaulipas, Ciudad Victoria, Tamaulipas, México; Texas Department of State Health Services, Austin, Texas; Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia; Dirección General de Epidemiología, Distrito Federal, México; Division of Global Migration and Quarantine, National Center for Preparedness, Detection, and Control of Infectious Disease, Centers for Disease Control and Prevention, Atlanta, Georgia

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Allison Abell Banicki Dengue Branch, Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, Fort Collins, Colorado; National Center for Atmospheric Research, Boulder, Colorado; Jurisdicción Sanitaria No. III de Matamoros, Matamoros, Tamaulipas, México; Texas Department of State Health Services, Harlingen, Texas; Servicios de Salud de Tamaulipas, Ciudad Victoria, Tamaulipas, México; Texas Department of State Health Services, Austin, Texas; Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia; Dirección General de Epidemiología, Distrito Federal, México; Division of Global Migration and Quarantine, National Center for Preparedness, Detection, and Control of Infectious Disease, Centers for Disease Control and Prevention, Atlanta, Georgia

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Pablo Kuri Morales Dengue Branch, Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, Fort Collins, Colorado; National Center for Atmospheric Research, Boulder, Colorado; Jurisdicción Sanitaria No. III de Matamoros, Matamoros, Tamaulipas, México; Texas Department of State Health Services, Harlingen, Texas; Servicios de Salud de Tamaulipas, Ciudad Victoria, Tamaulipas, México; Texas Department of State Health Services, Austin, Texas; Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia; Dirección General de Epidemiología, Distrito Federal, México; Division of Global Migration and Quarantine, National Center for Preparedness, Detection, and Control of Infectious Disease, Centers for Disease Control and Prevention, Atlanta, Georgia

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Brian Smith Dengue Branch, Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, Fort Collins, Colorado; National Center for Atmospheric Research, Boulder, Colorado; Jurisdicción Sanitaria No. III de Matamoros, Matamoros, Tamaulipas, México; Texas Department of State Health Services, Harlingen, Texas; Servicios de Salud de Tamaulipas, Ciudad Victoria, Tamaulipas, México; Texas Department of State Health Services, Austin, Texas; Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia; Dirección General de Epidemiología, Distrito Federal, México; Division of Global Migration and Quarantine, National Center for Preparedness, Detection, and Control of Infectious Disease, Centers for Disease Control and Prevention, Atlanta, Georgia

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Jorge L. Muñoz Dengue Branch, Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, Fort Collins, Colorado; National Center for Atmospheric Research, Boulder, Colorado; Jurisdicción Sanitaria No. III de Matamoros, Matamoros, Tamaulipas, México; Texas Department of State Health Services, Harlingen, Texas; Servicios de Salud de Tamaulipas, Ciudad Victoria, Tamaulipas, México; Texas Department of State Health Services, Austin, Texas; Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia; Dirección General de Epidemiología, Distrito Federal, México; Division of Global Migration and Quarantine, National Center for Preparedness, Detection, and Control of Infectious Disease, Centers for Disease Control and Prevention, Atlanta, Georgia

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Stephen H. Waterman Dengue Branch, Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, San Juan, Puerto Rico; Division of Vector-Borne Infectious Disease, Centers for Disease Control and Prevention, Fort Collins, Colorado; National Center for Atmospheric Research, Boulder, Colorado; Jurisdicción Sanitaria No. III de Matamoros, Matamoros, Tamaulipas, México; Texas Department of State Health Services, Harlingen, Texas; Servicios de Salud de Tamaulipas, Ciudad Victoria, Tamaulipas, México; Texas Department of State Health Services, Austin, Texas; Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia; Dirección General de Epidemiología, Distrito Federal, México; Division of Global Migration and Quarantine, National Center for Preparedness, Detection, and Control of Infectious Disease, Centers for Disease Control and Prevention, Atlanta, Georgia

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A dengue-2 epidemic causing dengue hemorrhagic fever (DHF) occurred in the contiguous border cities of Matamoros, Tamaulipas (Mexico), and Brownsville, TX, in 2005. In December, we conducted a household-based epidemiologic survey to determine the incidence and seroprevalence of dengue infection among Matamoros and Brownsville residents and to identify risk factors associated with infection. Antibodies to dengue were measured in 273 individuals. The estimated incidence of recent dengue infection was 32% and 4% among Matamoros and Brownsville participants, respectively. The estimated prevalence of past dengue infection was 77% and 39% among Matamoros and Brownsville participants, respectively. The Breteau index was 28 in Matamoros and 16 in Brownsville, reflecting an abundant winter population of Aedes mosquitoes. Discarded waste tires and buckets were the two largest categories of infested containers found in both cities. Our results underscore the risk for epidemic dengue and DHF in the Texas-Mexico border region.

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