Kan C.-CPEI-FEN LEEWen T.-HChao D.-YWu M.-HLin N.HHuang S.Y.-JShang C.-SFan I.-CShu P.-YHuang J.-HKing C.-CPai L.2009-05-272018-06-292009-05-272018-06-292008http://ntur.lib.ntu.edu.tw//handle/246246/160572https://www.scopus.com/inward/record.uri?eid=2-s2.0-51949092002&doi=10.4269%2fajtmh.2008.79.344&partnerID=40&md5=f7383f61e2d3b62b4e1b69c6ee85faabThis study analyzed the spatio-temporal patterns of 4,587 (94% of the total) confirmed dengue cases in Kaohsiung and Fengshan Cities (a two-city area) that occurred in Taiwan from 2001 to 2003. The epidemic had two simultaneous distinct diffusion patterns. One was a contiguous pattern, mostly limited to 1 km from an initial cluster, reflecting that there was a rapid dispersal of infected Aedes aegypti and viremic persons. The second followed a relocation pattern, involving clusters of cases that diffused over 10 weeks starting from the southern and moving to the northern parts of the two-city area. The virus from one clustering site jumped to several distant areas where it rapidly dispersed through a series of human-mosquito transmission cycles to several localities. In both patterns, transmission of disease quickly enlarged the epidemic areas. Future dengue control efforts would benefit from a timely syndromic surveillance system plus extensive public education on how to avoid further transmission. Copyright © 2008 by The American Society of Tropical Medicine and Hygiene.application/pdf1323541 bytesapplication/pdfen-US[SDGs]SDG3journal article10.4269/ajtmh.2008.79.3442-s2.0-51949092002http://ntur.lib.ntu.edu.tw/bitstream/246246/160572/1/68.pdf