Laboratory-Based Surveillance and Molecular Characterization of Dengue Viruses in Taiwan, 2014

Shu-Fen Chang Center for Research, Diagnostics, and Vaccine Development, Centers for Disease Control, Ministry of Health and Welfare, Taipei, Taiwan, Republic of China; Department of Biotechnology and Laboratory Science in Medicine, National Yang Ming University, Taiwan, Republic of China

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Cheng-Fen Yang Center for Research, Diagnostics, and Vaccine Development, Centers for Disease Control, Ministry of Health and Welfare, Taipei, Taiwan, Republic of China; Department of Biotechnology and Laboratory Science in Medicine, National Yang Ming University, Taiwan, Republic of China

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Tung-Chieh Hsu Center for Research, Diagnostics, and Vaccine Development, Centers for Disease Control, Ministry of Health and Welfare, Taipei, Taiwan, Republic of China; Department of Biotechnology and Laboratory Science in Medicine, National Yang Ming University, Taiwan, Republic of China

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Chien-Ling Su Center for Research, Diagnostics, and Vaccine Development, Centers for Disease Control, Ministry of Health and Welfare, Taipei, Taiwan, Republic of China; Department of Biotechnology and Laboratory Science in Medicine, National Yang Ming University, Taiwan, Republic of China

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Chien-Chou Lin Center for Research, Diagnostics, and Vaccine Development, Centers for Disease Control, Ministry of Health and Welfare, Taipei, Taiwan, Republic of China; Department of Biotechnology and Laboratory Science in Medicine, National Yang Ming University, Taiwan, Republic of China

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Pei-Yun Shu Center for Research, Diagnostics, and Vaccine Development, Centers for Disease Control, Ministry of Health and Welfare, Taipei, Taiwan, Republic of China; Department of Biotechnology and Laboratory Science in Medicine, National Yang Ming University, Taiwan, Republic of China

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We present the results of a laboratory-based surveillance of dengue in Taiwan in 2014. A total of 240 imported dengue cases were identified. The patients had arrived from 16 countries, and Malaysia, Indonesia, the Philippines, and China were the most frequent importing countries. Phylogenetic analyses showed that genotype I of dengue virus type 1 (DENV-1) and the cosmopolitan genotype of DENV-2 were the predominant DENV strains circulating in southeast Asia. The 2014 dengue epidemic was the largest ever to occur in Taiwan since World War II, and there were 15,492 laboratory-confirmed indigenous dengue cases. Phylogenetic analysis showed that the explosive dengue epidemic in southern Taiwan was caused by a DENV-1 strain of genotype I imported from Indonesia. There were several possible causes of this outbreak, including delayed notification of the outbreak, limited staff and resources for control measures, abnormal weather conditions, and a serious gas pipeline explosion in the dengue hot spot areas in Kaohsiung City. However, the results of this surveillance indicated that both active and passive surveillance systems should be strengthened so appropriate public health measures can be taken promptly to prevent large-scale dengue outbreaks.

Author Notes

* Address correspondence to Pei-Yun Shu, Center for Research, Diagnostics, and Vaccine Development, Centers for Disease Control, Ministry of Health and Welfare, 161, Kunyang Street, Taipei, Taiwan, Republic of China. E-mail: pyshu@cdc.gov.tw
† These authors contributed equally to this work.

Financial support: This work was supported in part by grants MOHW103-CDC-C-315-000205 and MOHW104-CDC-C-315-000101 from Centers for Disease Control, Ministry of Health and Welfare, Taiwan, Republic of China.

Authors' addresses: Shu-Fen Chang, Tung-Chien Hsu, Chien-Ling Su, Chien-Chou Lin, and Pei-Yun Shu, Center for Research, Diagnostics, and Vaccine Development, Centers for Disease Control, Ministry of Health and Welfare, Taipei, Taiwan, Republic of China, E-mails: vivi@cdc.gov.tw, tchsu@cdc.gov.tw, sue@cdc.gov.tw, jjlin@cdc.gov.tw, and pyshu@cdc.gov.tw. Cheng-Fen Yang, Center for Research, Diagnostics, and Vaccine Development, Centers for Disease Control, Ministry of Health and Welfare, Taipei, Taiwan, Republic of China, and Department of Biotechnology and Laboratory Science in Medicine, National Yang Ming University, Taiwan, Republic of China, E-mail: joyceyyang@cdc.gov.tw.

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