CGHATS in the Field
In January 2013 Dr. Stewart Ibarra and Dr King met with public health officials and visited clinics in Machala, Ecuador, to understand the challenges to diagnosing and managing dengue fever in coastal Ecuador. This visit contributes to an ongoing collaboration with the Ministry of Health to improve dengue diagnostics and surveillance in southern coastal Ecuador. Dengue is emerging and evolving disease in this region. All four serotypes of the dengue virus have circulated since 2000, and the first cases of dengue hemorrhagic fever appeared in Ecuador in 2003. Doctors in Ecuador said that the disease is becoming more severe, with symptoms beginning earlier and new symptoms emerging, such as hepatitis, encephalitis, and mycocarditis.