Journal
LANCET
Volume 371, Issue 9611, Pages 500-509Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/S0140-6736(08)60238-X
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Funding
- Medical Research Council [G116/194] Funding Source: Medline
- MRC [G116/194] Funding Source: UKRI
- Medical Research Council [G116/194] Funding Source: researchfish
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Haemorrhagic disease, encephalitis, biphasic fever, flaccid paralysis, and jaundice are typical manifestations of diseases in human beings after infections by mosquito-borne or tick-borne flaviviruses such as yellow fever, dengue, West Nile, St Louis encephalitis, Japanese encephalitis, tick-borne encephalitis, Kyasanur Forest disease, and Omsk haemorrhagic fever. Although the characteristics of these viruses are well defined, they are stiff unpredictable with increases in disease severity, unusual clinical manifestations, unexpected methods of transmission, long-term persistence, and the discovery of new species. This Seminar will compare the epidemiological and clinical features of the medically important flaviviruses, consider the effect of human activity on their evolution and dispersal, and draw attention to new findings and some of the unanswered questions, unresolved issues, and controversies that remain.
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