Dengue: 30 years of cases in an endemic area
The present study aimed to review literature on studies of dengue cases conducted over 30 years in the state of Ceara´. Between November 2015 and January 2016, articles published in Portuguese and English in 7 databases were searched using keywords and a Boolean operator. A total of 191 articles were identified in the databases; 133 were excluded according to the exclusion criteria, and 58 were included in the study. Of the 58 articles analyzed, 6 reported data from Brazil; including the Northeast region and the state of Ceara´; 41 reported data for only the city of Fortaleza; 7 reported data for the state of Ceara´; 4 reported data for cities in the interior of the state; and 3 included only children. The studies adopted different approaches and focused on different aspects of the disease. Study outcomes included the identification of serological, epidemiological, clinical, and laboratory characteristics; potential larvicides and biological predators of mosquitoes; potential antiviral agents; vector density characteristics; and educational dengue prevention and control strategies. Additionally, one vaccine trial was included. Although studies on dengue in the state of Ceara´ are scarce, they are encompassing, including several lines of research, and the number of studies and reports on dengue in the state of Ceara´ continues to increase.