bone fever, DHF, DSS. Break-bone fever is caused by an RNA virus that causes a fever that can be incapacitating and is characterized by severe joint pain and stiffness. Dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS) are two more severe types of dengue infection that can be fatal if not detected and treated quickly.
According to an article written by
Novelo, Audsley and McGraw, In a controlled experiment, the transmission of DENV-1 and DENV-4 are the same but during a co-infection, DENV-4 resulted in higher dissemination rate. While DENV-3 shows a lower replication efficiency than DENV-2 in vitro and vivo in co-infection. The difference between the serotypes is its genome-sequence level which is about 20-30%. During 2000-2011 all the serotypes of Dengue Virus were present in the Philippines. Although by the end of the review, DENV-3 became prevalent in the Philippines. DENV-3 and DENV-4 display a single genotype with a minor co- circulating genotypic population. This means that predominance of genotypes need more surveillance and study for its possible outbreaks and hazards
This is a portion phylogenetic tree
fo DENV highlighting only the E gene sequence of DENV-4.The DENV-4 that circulates in the Philippines is the genotype II and I.
To identify taxa and construct
datasets for each genotype, a maximum likelihood (ML) tree was inferred using Garli v2.0 software using the 1583 E sequences; This resulted in 1189 Genotype I strains, one Genotype II strain, four Genotype III strains, 81 Genotype IV strains, and 306 Genotype V strains.
The serotypes shares about 65%
similarity of genomes but 20-30% genetic variations. Despite having some variations, all serotypes leads to the same disease and range of clinical symptoms such as headache, red, eye, muscle pain, fever, fatigue, and many more. Back in 1970s serotype 1 and 2 was only found in Central America and Africa, while all the serotypes can be found in Asia. But after 2004, the virus spread widely across the world making all serotypes be found in all subtropical regions.