The Lancet Infectious Diseases
Jul 2016 Volume 16 Number 7 p753-866 e108-e138
http://www.thelancet.com/journals/laninf/issue/current
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Editorial
Yellow fever: the consequences of neglect
The Lancet Infectious Diseases
Summary
Yellow fever is a vector-borne viral disease endemic to Africa and Americas that represented a major challenge for public health until the early 1930s, when a vaccine was developed. Mass immunisation campaigns have greatly reduced its incidence and now yellow fever is mainly reported in small outbreaks in tropical forests where it is maintained through a sylvatic cycle involving monkeys as a natural reservoir. Yet, it was known that an urban outbreak of yellow fever in a large city in the tropics would present challenges for control because such setting combines many and diverse risk factors for the disease, such as high population density, frail public-health infrastructures, and high density of mosquitoes.
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