YOU CAN DO IT

LABARN

GO JOANNE GO
JOANNE GO
JOANNE
JOANNE
JOANNE
Privacy & Trust Info

 Facts
 What Is & Causes
 Contagious
 Incubation
 Symptoms & Signs
 Diagnosis
 Treatment
 Doctor Specialists
 Prognosis
 Denque Hemorrhagic Fever
 Vaccine
 Center
 Comments

Dengue fever is a mosquito borne illness that can cause symptoms such as muscle pain, headache, fever, and
rash.Source: MedicineNet

Dengue fever facts

  Dengue fever is a disease caused by a family of viruses transmitted
by Aedes mosquitoes.
 Symptoms of dengue fever include severe joint and muscle pain, swollen lymph
nodes, headache, fever, exhaustion, and rash. The presence of fever, rash,
and headache (the "dengue triad") is characteristic of dengue fever.
 Dengue virus is prevalent throughout the tropics and subtropics.
 A virus causes dengue fever, and there is no specific medicine or antibiotic to treat
it. For typical dengue fever, the treatment is directed toward relief of the symptoms
(symptomatic treatment).
 Papaya leaf extract can treat dengue fever.
 The acute phase of the illness with fever and muscle pain lasts about one to two
weeks.
 Dengue hemorrhagic fever (DHF) is a specific syndrome that tends to affect children
under 10 years of age. This complication of dengue causes abdominal pain,
hemorrhage (bleeding), and circulatory collapse (shock).
 The prevention of dengue fever requires control or eradication of the mosquitoes
carrying the virus that causes dengue.
 The U.S. FDA approved Dengvaxia, a vaccine for dengue fever, in May 2019 for
use in dengue-endemic areas.

Dengue Symptoms and Signs

Primary symptoms of dengue appear three to 15 days after the mosquito bite and include the following:

 high fever and severe headache,

 with severe pain behind the eyes that is apparent when trying to move the eyes.

Other associated symptoms are:

 joint pain,
 muscle and bone pain,
 rash,
 and mild bleeding.
Many affected people complain of low back pain.

Read more about dengue fever symptoms and signs »

Dengue fever is a mosquito borne illness that can cause symptoms such as muscle pain, headache, fever, and
rash.Source: "Dengue" by CDC per University of South Carolina Biomedical Sciences

What is dengue fever?

What causes dengue fever?
  Readers Comments 96
  Share Your Story

Picture of Aedes albopictus mosquito

Dengue fever is a disease caused by a family of viruses transmitted by infected
mosquitoes. It is an acute illness of sudden onset that usually follows a benign course with
symptoms such as headache, fever, exhaustion, severe muscle and joint pain, swollen
lymph nodes (lymphadenopathy), and rash. The presence of fever, itchy rash,
and headache (the "dengue triad") is characteristic of dengue. Other signs of dengue
fever include bleeding gums, severe pain behind the eyes (retro-orbital), and red palms
and soles.

Dengue (pronounced DENG-gay) can affect anyone but tends to be more severe in
people with compromised immune systems. Because one of five serotypes of the dengue
virus causes dengue fever, it is possible to get dengue fever multiple times. However, an
attack of dengue produces immunity for a lifetime to that particular viral dengue serotype
to which the patient was exposed.

Dengue goes by other names, including "breakbone fever" or "dandy fever." Victims of
dengue often have contortions due to the intense pain in the joints, muscles, and bones,
hence the name breakbone fever. Slaves in the West Indies who contracted dengue were
said to have dandy fever because of their postures and gait.

Dengue hemorrhagic fever is a more severe form of the viral illness. Symptoms include
headache, fever, rash, and evidence of bleeding (hemorrhage) in the
body. Petechiae (small red spots or purple splotches or blisters under the skin), bleeding
in the nose or gums, black stools, or easy bruising are all possible signs of hemorrhage.
This form of dengue fever can be life threatening and can progress to the most severe
form of the illness, dengue shock syndrome.
Dengue fever affects tropical areas around the world.Source: CDC

What geographic areas are at high risk for

contracting dengue fever?
According to the Centers for Disease Control (CDC), the dengue virus is prevalent
throughout the tropics and subtropics (subtropical areas). Outbreaks have occurred
recently in the Caribbean, including Puerto Rico, the U.S. Virgin Islands, Cuba, and
Central America. Cases have also been imported via tourists returning from areas with
widespread dengue, including Tahiti, Singapore, the South Pacific, including the
Philippines, Southeast Asia, the West Indies, India, and the Middle East (similar in
distribution to the areas of the world that harbor malaria and yellow fever). Dengue is
now the leading cause of acute febrile illness in U.S. travelers returning from the
Caribbean, South America, and Asia.

 From January to July 2017, Sri Lanka reported 80,732 cases of dengue fever, with
215 deaths.
 New Delhi, India, reported an outbreak of dengue fever, with 1,872 testings positive
for the illness in September 2015.
 In American Samoa, there were 370 cases of dengue reported from May 2015 to
Sept. 2, 2015, and 133 were hospitalized.
  Thailand reported the worst dengue virus outbreak in 20 years, with 126 deaths and
135,344 people infected with the virus, in October 2013.
 In 2011, Bolivia, Brazil, Columbia, Costa Rica, El Salvador, Honduras, Mexico,
Peru, Puerto Rico, and Venezuela reported a large number of dengue cases.
Paraguay reported a dengue fever outbreak in 2011, the worst since 2007.
Hospitals were overcrowded, and patients had elective surgeries canceled due to
the outbreak.

The virus that causes dengue fever is transmitted to a person through an Aedes mosquito bite.Source: MedicineNet

How do people contract dengue fever? Is

dengue fever contagious?
The vector-borne dengue virus infection spreads via the bite of a striped Aedes
aegypti and Aedes albopictus mosquito that has previously bitten an infected person. The
mosquito flourishes during rainy seasons but can breed in water-filled
flowerpots, plastic bags, and cans year-round. One mosquito bite can cause the disease.

The virus is not contagious and cannot spread directly from person to person. It is

mosquito-borne, so there must be a person-to-mosquito-to-another-person pathway. A
mosquito bites a dengue-infected person and becomes infected with dengue. That
mosquito then bites another person and passes the dengue virus infection to that person.
The full life cycle of the virus involves the Aedes mosquito as the vector (transmitter) and
the human as the source of infection.

Avoiding mosquitos is important to avoid contracting dengue fever. In dengue-endemic

tropical and sub-tropical areas, you should wear light-colored long-sleeved shirts and long
pants or trousers, use insect repellant, stay or sleep indoors in air conditioning when
possible and use mosquito netting over the bed if available.

Dengue is not a tick-borne illness. Only the bite of an infected mosquito can transmit
dengue.

What is the incubation period for dengue

fever?
After being bitten by a mosquito carrying the virus, the incubation period for dengue fever
ranges from 3 to 15 (usually 5 to 8) days before the signs and symptoms of dengue
appear in stages.

SLIDESHOW
What's a Virus? Viral Infection Types, Symptoms, Treatment See
Slideshow

Fever, rash, and headaches are the most common symptoms and signs of dengue fever.Source: Getty Images

What are dengue fever symptoms and

signs?
  Readers Comments 59
  Share Your Story

Dengue fever starts with non-specific flu-like symptoms of chills, headache, pain in the

back of the eyes that may worsen upon moving the eyes, appetite loss, feeling unwell
(malaise), and low backache.

 Painful aching in the legs and joints occurs during the first hours of illness.
 The temperature rises quickly as high as 104 F (40 C), with relatively low heart rate
(bradycardia) and
 low blood pressure (hypotension).
 The eyes redden.
 A flushing or pale pink rash comes over the face and then disappears.
 The lymph nodes in the neck and groin are often swollen.
  High fever and other signs of dengue last for 2 to 4 days, followed by a rapid drop in
body temperature (defervescence) with profuse sweating.
 This precedes a period with normal temperature and a sense of well-being that lasts
about a day.
 A second rapid rise in temperature follows.
 A characteristic itchy rash (small red spots, called petechiae) appears along with
the fever and spreads from the extremities to cover the entire body except for the
face.
 The palms and soles may be bright red and swollen.

Latest Travel Health News

 Vaccinated Americans Can Soon Visit the U.K.

 U.S. Sticks With International Travel Restrictions
 Canada to Welcome Fully Vaccinated Americans
 Hawaii to Ease COVID Rules for Fully Vaccinated
 State Department Eases Travel Advisories
 Want More News? Sign Up for MedicineNet Newsletters!

Daily Health News

 Lung Damage After COVID-19

 Key Brain Skills Improve With Age
 J&J COVID Vaccine Booster
 Sympathetic Ear for Aging Brain
 COVID Vaccines and Pregnant Women

  More Health News »

Trending on MedicineNet

 Who Is Immunocompromised?
 Gaucher Disease Symptoms
 COVID Delta Variant
 Common Causes of Rickets
 Heart Rate Variability (HRV)
Health care professionals may use a blood test called the DENV Detect IgM Capture ELISA to diagnose people with
dengue fever.Source: Getty Images

What tests do health care providers use to

diagnose dengue fever?
Medical professionals usually make a diagnosis of dengue fever infection when a patient
exhibits the typical clinical symptoms and signs of headache, high fever, eye pain, severe
muscle aches, and petechial rash and has a history of being in an area where dengue
fever is endemic. Dengue fever can be difficult to diagnose because its symptoms overlap
with those of many other viral illnesses and tropical diseases, such as the West Nile
virus and chikungunya fever.

Health care professionals may use a blood test called the DENV Detect IgM
Capture ELISA to diagnose people with dengue fever. The FDA notes that the test may
also give a positive result when a person has a closely related virus, such as West Nile
disease.
 IMAGES

Dengue FeverSee pictures of Bacterial Skin ConditionsSee Images

Rest and drinking fluids are effective home remedies for dengue fever.Source: OJO Images/Getty Images

What is the treatment for dengue fever?

  Readers Comments 6
  Share Your Story
Because a virus causes dengue fever, there are no specific antibiotics to treat it. Antiviral
medications are also not indicated for dengue fever. For typical dengue, the treatment is
concerned with the relief of the symptoms and signs. Home remedies such as rest and
fluid intake (oral rehydration) are important. Only take pain relievers such as aspirin and
nonsteroidal anti-inflammatory drugs (NSAIDs) under a doctor's supervision because of
the possibility of worsening bleeding complications. Acetaminophen (Tylenol)
and codeine may be given for severe headaches and for joint and muscle pain
(myalgia).

Patients hospitalized for dengue may receive IV fluids.

In several clinical studies, researchers proved that Carica papaya leaf extract (papaya

leaf) is an effective treatment for dengue fever.

SUBSCRIBE to MedicineNet's General Health Newsletter

By clicking Submit, I agree to the MedicineNet's Terms & Conditions & Privacy Policy and understand that I may opt out of MedicineNet's
subscriptions at any time.

Dengue fever is often treated with pain relievers and fluids.Source: Getty Images

What types of doctors treat dengue fever?

A primary care provider (PCP), such as your family practitioner or internist, can treat your
dengue fever symptoms. A pediatrician can treat your child. If symptoms are severe, you
may see an emergency medicine doctor in a hospital emergency department.

If your doctor is not familiar with treating dengue fever or your symptoms are severe, you
may see an infectious disease specialist or a travel medicine physician.

How long does dengue fever last?

The acute phase of dengue with fever and muscle pain (myalgia) lasts about one to two
weeks. A feeling of weakness (asthenia) and fatigue accompany convalescence, and full
recovery often takes several weeks.

What is the prognosis for typical dengue

fever?
The prognosis for dengue is usually good. The worst symptoms of the illness typically last
1 to 2 weeks, and most patients will fully recover within several additional weeks.

Typical dengue infection is fatal in less than 1% of cases; however, the more severe
dengue hemorrhagic fever is fatal in 2.5% of cases. If dengue hemorrhagic fever is not
treated, mortality (death) rates can be as high as 20%-50%.
Children are at greater risk for dengue hemorrhagic fever.Source: iStock

What is dengue hemorrhagic fever?

Dengue hemorrhagic fever (DHF or dengue hemorrhagic fever) is a specific syndrome
that tends to affect children under 10 years of age. This complication of severe dengue
fever causes abdominal pain, hemorrhage (bleeding), and circulatory collapse (shock).
DHF is also called Philippine, Thai, or Southeast Asian hemorrhagic fever or dengue
shock syndrome.

DHF starts abruptly with continuous high fever and headache. There are respiratory and
intestinal symptoms with a sore throat, cough, nausea, vomiting, and abdominal pain.
Shock occurs 2 to 6 days after the start of symptoms with sudden collapse, cool, clammy
extremities (the trunk is often warm), weak pulse, and blueness around the mouth
(circumoral cyanosis).

In DHF, there is bleeding with easy bruising, red or purple blood spots in the skin
(petechiae), spitting up blood (hematemesis), blood in the stool (melena), bleeding
gums, and nosebleeds (epistaxis). Pneumonia is common, and inflammation of the heart
(myocarditis) may be present.
People must closely monitor patients with DHF for the first few days since shock may
occur or recur precipitously (dengue shock syndrome). Medical professionals will give
cyanotic (having a bluish coloration to the skin and mucus membranes) patients oxygen.
Vascular collapse (shock) requires immediate fluid replacement. Blood transfusions can
control bleeding.

The mortality (death) rate with DHF is significant. With proper treatment, the World Health
Organization estimates a 2.5% mortality rate. However, without proper treatment, the
mortality rate rises to 20%. Most deaths occur in children. Infants under 1 year of age are
especially at risk of dying from DHF.

From 

Controlling mosquito populations in urban areas could help reduce the number of dengue fever infections. Dengvaxia
vaccine can be administered as a three-dose series in people 9-45 years of age.Source: Getty Images

Is it possible to prevent dengue fever with

a vaccine?
In April 2016, the WHO approved Sanofi Pasteur's Dengvaxia (CYD-TDV), a live
recombinant tetravalent vaccine for dengue fever. Dengvaxia can be administered as a
three-dose series in people 9-45 years of age who live in areas where dengue is endemic.
In clinical trials in Latin America and Asia involving more than 40,000 children and
adolescents, Dengvaxia protected 66% of people aged 9 and older against dengue.
Dengvaxia was very effective at protecting against severe dengue, which can be fatal,
preventing 93% of severe cases, and reducing hospitalizations due to dengue by 80%.

Health officials initially approved Dengvaxia in 2015 for use only in Mexico, the
Philippines, Brazil, and El Salvador. In May 2019, the U.S. Food and Drug Administration
approved the use of Dengvaxia for the prevention of dengue caused by all dengue virus
serotypes (DENV-1, DENV-2, DENV-3, and DENV-4 -- sometimes also referred to as
DEN-1, DEN-2, DEN-3, and DEN-4) in people ages 9 through 16 who have laboratory-
confirmed previous dengue infection and who live in endemic areas. In the U.S., dengue is
endemic in the territories of American Samoa, Guam, Puerto Rico, and the U.S. Virgin
Islands.

Several other vaccines for dengue are undergoing clinical trials, but none have yet been
approved for use.

https://www.medicinenet.com/dengue_fever/article.htm
Dengue Fever
By Mary Anne Dunkin

Medically Reviewed by Gabriela Pichardo, MD on June 12, 2021

Dengue Fever

ABOUT

TRANSCRIPT

IN THIS ARTICLE
 Symptoms of Dengue Fever
 Diagnosing Dengue Fever
 Treatment for Dengue Fever
 Preventing Dengue Fever
Dengue (pronounced DENgee) fever is a painful, debilitating mosquito-borne disease
caused by any one of four closely related dengue viruses. These viruses are related to
the viruses that cause West Nile infection and yellow fever.
 
An estimated 400 million dengue infections occur worldwide each year, with about 96
million resulting in illness. Most cases occur in tropical areas of the world, with the
greatest risk occurring in:

 The Indian subcontinent

 Southeast Asia
 Southern China
 Taiwan
 The Pacific Islands
 The Caribbean (except Cuba and the Cayman Islands)
 Mexico
  Africa
 Central and South America (except Chile, Paraguay, and Argentina)

Most cases in the United States occur in people who contracted the infection while
traveling abroad. But the risk is increasing for people living along the Texas-Mexico
border and in other parts of the southern United States. In 2014, an outbreak of dengue
fever was identified in Hawaii with other outbreaks in 2013 in Brownsville, Texas and
Key West, Fla.
Dengue fever is transmitted by the bite of an Aedes mosquito infected with a dengue
virus. The mosquito becomes infected when it bites a person with dengue virus in
their blood. It can’t be spread directly from one person to another person.
Symptoms of Dengue Fever

Symptoms, which usually begin four to six days after infection and last for up to 10
days, may include

 Sudden, high fever
 Severe headaches
 Pain behind the eyes
 Severe joint and muscle pain
 Fatigue
 Nausea
 Vomiting
 Skin rash, which appears two to five days after the onset of fever
 Mild bleeding (such a nose bleed, bleeding gums, or easy bruising)

Sometimes, symptoms are mild and can be mistaken for those of the flu or
another viral infection. Younger children and people who have never had the infection
before tend to have milder cases than older children and adults. However, serious
problems can develop. These include dengue hemorrhagic fever, a rare complication
characterized by high fever, damage to lymph and blood vessels, bleeding from the
nose and gums, enlargement of the liver, and failure of the circulatory system. The
symptoms may progress to massive bleeding, shock, and death. This is called dengue
shock syndrome (DSS).
People with weakened immune systems as well as those with a second or subsequent
dengue infection are believed to be at greater risk for developing dengue hemorrhagic
fever.
Diagnosing Dengue Fever

Doctors can diagnose dengue infection with a blood test to check for the virus or
antibodies to it. If you become sick after traveling to a tropical area, let your doctor
know. This will allow your doctor to evaluate the possibility that your symptoms were
caused by a dengue infection.
Treatment for Dengue Fever

There is no specific medicine to treat dengue infection. If you think you may have
dengue fever, you should use pain relievers with acetaminophen and avoid medicines
with aspirin, which could worsen bleeding. You should also rest, drink plenty of
fluids, and see your doctor. If you start to feel worse in the first 24 hours after your
fever goes down, you should get to a hospital immediately to be checked for
complications.
Preventing Dengue Fever

The best way to prevent the disease is to prevent bites by infected mosquitoes,
particularly if you are living in or traveling to a tropical area. This involves protecting
yourself and making efforts to keep the mosquito population down. In 2019, the FDA
approved a vaccine called Dengvaxia to help prevent the disease from occurring in
adolescents aged 9 to 16 who have already been infected by dengue. But, there
currently is no vaccine to prevent the general population from contracting it.
To protect yourself:

 Use mosquito repellents, even indoors.

 When outdoors, wear long-sleeved shirts and long pants tucked into socks.
 When indoors, use air conditioning if available.
 Make sure window and door screens are secure and free of holes. If sleeping
areas are not screened or air conditioned, use mosquito nets.
 If you have symptoms of dengue, speak to your doctor.

To reduce the mosquito population, get rid of places where mosquitoes can breed.
These include old tires, cans, or flower pots that collect rain. Regularly change the
water in outdoor bird baths and pets' water dishes.
If someone in your home gets dengue fever, be especially vigilant about efforts to
protect yourself and other family members from mosquitoes. Mosquitoes that bite the
infected family member could spread the infection to others in your home.
https://www.webmd.com/a-to-z-guides/dengue-fever-reference

Dengue fever
 Symptoms & causes
 Diagnosis & treatment

Print
Overview

Dengue (DENG-gey) fever is a mosquito-borne illness that occurs in tropical and subtropical areas of
the world. Mild dengue fever causes a high fever and flu-like symptoms. The severe form of dengue
fever, also called dengue hemorrhagic fever, can cause serious bleeding, a sudden drop in blood
pressure (shock) and death.

Millions of cases of dengue infection occur worldwide each year. Dengue fever is most common in
Southeast Asia, the western Pacific islands, Latin America and Africa. But the disease has been
spreading to new areas, including local outbreaks in Europe and southern parts of the United States.

Researchers are working on dengue fever vaccines. For now, in areas where dengue fever is
common, the best ways to prevent infection are to avoid being bitten by mosquitoes and to take steps
to reduce the mosquito population.

Products & Services

 Book: Mayo Clinic Family Health Book, 5th Edition

Show more products from Mayo Clinic

Symptoms

Many people experience no signs or symptoms of a dengue infection.

When symptoms do occur, they may be mistaken for other illnesses — such as the flu — and usually
begin four to 10 days after you are bitten by an infected mosquito.

Dengue fever causes a high fever — 104 F (40 C) — and any of the following signs and symptoms:

 Headache

 Muscle, bone or joint pain

 Nausea

 Vomiting

 Pain behind the eyes

 Swollen glands

 Rash
Most people recover within a week or so. In some cases, symptoms worsen and can become life-
threatening. This is called severe dengue, dengue hemorrhagic fever or dengue shock syndrome.

Severe dengue happens when your blood vessels become damaged and leaky. And the number of
clot-forming cells (platelets) in your bloodstream drops. This can lead to shock, internal bleeding,
organ failure and even death.

Warning signs of severe dengue fever — which is a life-threatening emergency — can develop
quickly. The warning signs usually begin the first day or two after your fever goes away, and may
include:

 Severe stomach pain

 Persistent vomiting

 Bleeding from your gums or nose

 Blood in your urine, stools or vomit

 Bleeding under the skin, which might look like bruising

 Difficult or rapid breathing

 Fatigue

 Irritability or restlessness

When to see a doctor

Severe dengue fever is a life-threatening medical emergency. Seek immediate medical attention if
you've recently visited an area in which dengue fever is known to occur, you have had a fever and
you develop any of the warning signs. Warning signs include severe stomach pain, vomiting, difficulty
breathing, or blood in your nose, gums, vomit or stools.

If you've been traveling recently and develop a fever and mild symptoms of dengue fever, call your
doctor.

Request an Appointment at Mayo Clinic

Causes

Dengue fever is caused by any one of four types of dengue viruses. You can't get dengue fever from
being around an infected person. Instead, dengue fever is spread through mosquito bites.
The two types of mosquitoes that most often spread the dengue viruses are common both in and
around human lodgings. When a mosquito bites a person infected with a dengue virus, the virus
enters the mosquito. Then, when the infected mosquito bites another person, the virus enters that
person's bloodstream and causes an infection.

After you've recovered from dengue fever, you have long-term immunity to the type of virus that
infected you — but not to the other three dengue fever virus types. This means you can be infected
again in the future by one of the other three virus types. Your risk of developing severe dengue fever
increases if you get dengue fever a second, third or fourth time.

Risk factors

You have a greater risk of developing dengue fever or a more severe form of the disease if:

 You live or travel in tropical areas. Being in tropical and subtropical areas increases your risk of
exposure to the virus that causes dengue fever. Especially high-risk areas include Southeast
Asia, the western Pacific islands, Latin America and Africa.

 You have had dengue fever in the past. Previous infection with a dengue fever virus increases
your risk of severe symptoms if you get dengue fever again.

Complications

Severe dengue fever can cause internal bleeding and organ damage. Blood pressure can drop to
dangerous levels, causing shock. In some cases, severe dengue fever can lead to death.

Women who get dengue fever during pregnancy may be able to spread the virus to the baby during
childbirth. Additionally, babies of women who get dengue fever during pregnancy have a higher risk of
pre-term birth, low birth weight or fetal distress.

Prevention

Vaccine

In areas of the world where dengue fever is common, one dengue fever vaccine (Dengvaxia) is
approved for people ages 9 to 45 who have already had dengue fever at least once. The vaccine is
given in three doses over the course of 12 months.

The vaccine is approved only for people who have a documented history of dengue fever or who
have had a blood test that shows previous infection with one of the dengue viruses — called
seropositivity. In people who have not had dengue fever in the past (seronegative), receiving the
vaccine appears to increase the risk of severe dengue fever and hospitalization due to dengue fever
in the future.

Dengvaxia is not available for travelers or for people who live in the continental United States. But in
2019, the U.S. Food and Drug Administration approved the vaccine for people ages 9 to 16 who have
had dengue fever in the past and who live in the U.S. territories of American Samoa, Guam, Puerto
Rico and the U.S. Virgin Islands — where dengue fever is common.

Prevent mosquito bites

The World Health Organization stresses that the vaccine is not an effective tool on its own to reduce
dengue fever in areas where the illness is common. Preventing mosquito bites and controlling the
mosquito population are still the main methods for preventing the spread of dengue fever.

If you live in or travel to an area where dengue fever is common, these tips may help reduce your risk
of mosquito bites:

 Stay in air-conditioned or well-screened housing. The mosquitoes that carry the dengue

viruses are most active from dawn to dusk, but they can also bite at night.

 Wear protective clothing. When you go into mosquito-infested areas, wear a long-sleeved shirt,
long pants, socks and shoes.

 Use mosquito repellent. Permethrin can be applied to your clothing, shoes, camping gear and
bed netting. You can also buy clothing made with permethrin already in it. For your skin, use a
repellent containing at least a 10% concentration of DEET.

 Reduce mosquito habitat. The mosquitoes that carry the dengue virus typically live in and
around houses, breeding in standing water that can collect in such things as used automobile
tires. You can help lower mosquito populations by eliminating habitats where they lay their eggs.
At least once a week, empty and clean containers that hold standing water, such as planting
containers, animal dishes and flower vases. Keep standing water containers covered between
cleanings.

https://www.mayoclinic.org/diseases-conditions/dengue-fever/symptoms-causes/syc-20353078