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* Disease: The universal name for the disease is Dengue Fever. Other names that are commonly associated with this disease include: Dengue Hemorrhagic Fever ((DHF) Disease caused by Dengue Fever), Breakbone Fever, Dandy Fever, O'nyong-nyong Fever, Dengue shock syndrome (DSS) and Dengue-like Disease (5). Signs/Symptoms: The disease ranges from mild to severe. Mild dengue fever causes chills, high fever (that lasts about five to seven days), rash, severe headache, pain behind the eyes and muscle and joint pain (3, 4). The severe joint pain has given dengue the name Breakbone Fever (3).
(Dengue Hemorrhagic Fever-U.S.- Mexico Border, 2005) A small dengue outbreak occurred in Hawaii in 2001. Most dengue cases in U.S. citizens occur in those inhabitants of Puerto Rico, the U.S. Virgin Islands, Samoa and Guam, which are endemic for the virus.engue is transmitted between people by the mosquitoes Aedes aegypti and Aedes albopictus, which are found throughout the world. Insects that transmit disease are vectors. Symptoms of infection usually begin 4 - 7 days after the mosquito bite and typically last 3 - 10 days.