OUTBREAKS OF DENGUE FEVER - EPIDEMIOLOGI CAL SITUATIONS IN OCEANIE OTHER DOM-TOM AND IN OTHER PARTS OF THE WORLD

Dengue fever is caused by four viruses antigenically related without c ross protection, Since twenty years, the incidence is continuously gro wing and represents a major public health problem in Asia, South Ameri ca and Oceania. The outbreak of New Caledonia (1989) is described, Phy siopathology is complex particularly the factors responsible of Dengue Haemorrhagic Fever and Shock Syndrome, The different pattern of epide mic are rewieved in Oceania and others areas in the world where the fo ur viruses are isolated. The prevention remains based on the control o f vectors. In the future, the vaccine must include all four viruses, t o induce a protective and global immunity.