{"id":2837,"date":"2026-07-29T20:14:59","date_gmt":"2026-07-29T20:14:59","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/clinicians\/?page_id=2837"},"modified":"2026-08-04T15:32:17","modified_gmt":"2026-08-04T15:32:17","slug":"vdh-identifies-a-locally-acquired-case-of-dengue-virus-infection-in-northern-virginia-resident","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/clinicians\/clinician-letters\/vdh-identifies-a-locally-acquired-case-of-dengue-virus-infection-in-northern-virginia-resident\/","title":{"rendered":"VDH Identifies a Locally Acquired Case of Dengue Virus Infection in Northern Virginia Resident"},"content":{"rendered":"<div id=\"pl-2837\"  class=\"panel-layout\" ><div id=\"pg-2837-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-2837-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-2837-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/134\/Commissioner_Letterhead.png\" alt=\"VDH Letterhead\" width=\"878\" height=\"319\" \/><\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-2837-0-0-1\" class=\"so-panel widget widget_sow-editor panel-last-child\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2 style=\"text-align: center;\"><b><span data-contrast=\"auto\">VDH Identifies a\u00a0Locally Acquired Case of Dengue Virus\u00a0Infection\u00a0<\/span><\/b><b><span data-contrast=\"auto\">in\u00a0a\u00a0Northern Virginia Resident<\/span><\/b><span data-ccp-props=\"{&quot;335551550&quot;:2,&quot;335551620&quot;:2}\">\u00a0<\/span><\/h2>\n<p style=\"text-align: center;\"><span style=\"color: #000000;\"><strong>August 4, 2026<\/strong><\/span><\/p>\n<p><span data-contrast=\"auto\">Dear Colleague,\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/p>\n<p>In collaboration with the Fairfax County and Loudoun County Health Departments, the Virginia Department of Health (VDH) is investigating a\u202fconfirmed case\u202fof dengue virus infection\u202fin a resident who did not have known travel outside of Virginia prior to illness onset. This is the first documented case of locally acquired dengue in Virginia. The patient is known to have been in close proximity to a recent internationally ac<span data-contrast=\"auto\">quired case in a Virginian who was diagnosed a couple weeks pri<\/span><span data-contrast=\"auto\">or.\u00a0Dengue viruses are spread to people through the bites of infected\u00a0<\/span><i><span data-contrast=\"auto\">Aedes<\/span><\/i><span data-contrast=\"auto\">\u00a0species mosquitoes.<\/span><span data-contrast=\"auto\"> Transmission of the virus likely occurred when a local mosquito bit the internationally acquired case while infectious and subsequently infected the second case.\u00a0\u00a0There is no evidence of continued transmission and no additional reports of locally acquired dengue cases at this time. <\/span><b><span data-contrast=\"auto\">The potential risk for\u00a0acquiring\u00a0dengue virus in\u00a0Virginia\u00a0remains\u00a0low.<\/span><\/b><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">VDH is working with local partners to monitor for any additional dengue cases and conduct surveillance of mosquitoes that can carry dengue viruses. <\/span><\/p>\n<p><span data-contrast=\"auto\">Given this recent report of local transmission, providers should:<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/p>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Advise patients on\u00a0<\/span><a href=\"https:\/\/www.vdh.virginia.gov\/mosquitoes\/prevention\/\"><span data-contrast=\"none\">strategies to\u00a0prevent mosquito bites<\/span><\/a><span data-contrast=\"auto\">.\u00a0This will not only reduce risk of dengue\u00a0but also of mosquito-borne disease endemic to Virginia,\u00a0such as West Nile Virus.<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><i><span data-contrast=\"auto\">Aedes<\/span><\/i><span data-contrast=\"auto\">\u00a0mosquitoes, which can\u00a0transmit\u00a0dengue virus,\u00a0breed in\u00a0water-filled\u00a0containers that may be as small as a bottle cap.\u00a0Advise patients to \u201ctip and toss\u201d containers\u00a0around\u00a0their\u00a0homes and businesses\u00a0that may hold water.\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Obtain a travel history\u00a0for\u00a0all patients presenting with acute febrile illness.\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Consider dengue in patients\u202fpresenting with fever who live in or recently traveled to\u202f<\/span><a href=\"https:\/\/www.cdc.gov\/dengue\/areas-with-risk\/index.html\"><span data-contrast=\"none\">areas with risk of dengue<\/span><\/a><span data-contrast=\"auto\">.\u202f\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Consider dengue in patients\u00a0<\/span><i><span data-contrast=\"auto\">without<\/span><\/i><span data-contrast=\"auto\">\u00a0travel history if presenting with an acute febrile illness and strongly suggestive symptoms,\u00a0including eye pain, muscle pain, joint pain,\u00a0and\u00a0bone pain. \u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Alert your\u202f<\/span><a href=\"https:\/\/www.vdh.virginia.gov\/local-health-districts\/\"><span data-contrast=\"none\">local health department<\/span><\/a><span data-contrast=\"auto\">\u202fimmediately\u202fif you suspect dengue illness in a patient who has no history of travel to areas with risk of dengue or other risk factors for dengue infection, such as receiving\u00a0a\u00a0blood or organ transplant.\u202f\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Obtain diagnostic testing in suspect cases of dengue virus infection.\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Review the Centers for Disease Control and Prevention (CDC)\u00a0<\/span><a href=\"https:\/\/www.cdc.gov\/dengue\/hcp\/clinical-care\/index.html\"><span data-contrast=\"none\">guidance on dengue case management<\/span><\/a><span data-contrast=\"auto\">, including recommendations by patient groups.<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/li>\n<\/ul>\n<h3><b><span data-contrast=\"auto\">Dengue Overview<\/span><\/b><span data-contrast=\"auto\">\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">Most dengue cases reported in the United States are related to international travel to\u00a0<\/span><a href=\"https:\/\/www.cdc.gov\/dengue\/areas-with-risk\/index.html\"><span data-contrast=\"none\">areas with known risk of dengue.<\/span><\/a><span data-contrast=\"auto\">\u00a0As\u00a0the types of mosquitoes that can spread dengue\u202fviruses are\u202fcommon in many areas of the United States, limited, local transmission of dengue has been documented in the United States. Rarely, dengue is spread in laboratory or healthcare setting exposures through blood transfusions, organ transplants, or needlestick injuries.\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Dengue can range from asymptomatic infection or mild illness to severe disease. The typical incubation period is 5\u20137 days. The usual clinical presentation includes acute onset of fever accompanied by any of the following symptoms: severe headache, retro-orbital pain, myalgia, nausea and vomiting, arthralgia, and macular or maculopapular rash. Mild symptoms of dengue can be confused with other illnesses that cause fever. Symptoms of dengue typically last 2\u20137 days. Most people will recover after about a week.\u202f\u00a0<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Approximately one in 20 infected people develop severe dengue, which is a medical emergency.\u00a0\u00a0Symptoms of dengue can become severe within a few hours.\u202fSevere dengue can result in shock, internal\u202fbleeding,\u202fand death.\u00a0\u00a0Warning signs that\u202fhave been associated with an increased risk for progression to severe dengue include:<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/p>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Severe abdominal pain or tenderness<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Persistent vomiting (\u22653 episodes in 1 hr. or \u22654 episodes in 6 hrs.)\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Clinical fluid accumulation (e.g., pleural effusion, ascites, or pericardial effusion)\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Mucosal bleeding\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Altered mental status\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Liver enlargement\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/li>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Progressive increase of the hematocrit (in at least 2 consecutive measurements taken 6 hours apart).\u00a0\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/li>\n<\/ul>\n<h3><b><span data-contrast=\"auto\">Laboratory Testing<\/span><\/b><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/h3>\n<p><a href=\"https:\/\/www.cdc.gov\/dengue\/hcp\/diagnosis-testing\/index.html\"><span data-contrast=\"none\">Diagnostic test recommendations<\/span><\/a><span data-contrast=\"auto\">\u00a0for dengue depend on the patient\u2019s phase of illness. In the acute phase (0-7 days after symptom onset), diagnostic testing should include both a\u202f<\/span><a href=\"https:\/\/www.cdc.gov\/dengue\/hcp\/diagnosis-testing\/molecular-tests-for-dengue-virus.html\"><span data-contrast=\"none\">nucleic acid amplification test (NAAT)<\/span><\/a><span data-contrast=\"auto\">, such as\u00a0<\/span><a href=\"https:\/\/www.cdc.gov\/dengue\/hcp\/diagnosis-testing\/cdc-denv-1-4-real-time-rt-pcr-multiplex-assay.html\"><span data-contrast=\"none\">RT-PCR<\/span><\/a><span data-contrast=\"auto\">, and an\u202f<\/span><a href=\"https:\/\/www.cdc.gov\/dengue\/hcp\/diagnosis-testing\/serologic-tests-for-dengue-virus.html#cdc_generic_section_1-igm-antibody-capture-enzyme-linked-immunosorbent-assay-mac-elisa\"><span data-contrast=\"none\">IgM antibody\u00a0test<\/span><\/a><span data-contrast=\"auto\">. Dengue virus antigen testing for nonstructural protein 1\u00a0(<\/span><a href=\"https:\/\/www.cdc.gov\/dengue\/hcp\/diagnosis-testing\/dengue-virus-antigen-detection.html\"><span data-contrast=\"none\">NS1 antigen test<\/span><\/a><span data-contrast=\"auto\">) can also be used to confirm infection. In the convalescent phase (&gt;7 days post-symptom onset), only IgM antibody testing is recommended. If the timing of symptom onset is not clear, both NAAT and IgM should be ordered.\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">If you have\u00a0additional\u00a0questions about dengue, please contact\u00a0<\/span><a href=\"mailto:vectorborne@vdh.virginia.gov\"><span data-contrast=\"auto\">vectorborne@vdh.virginia.gov<\/span><\/a><span data-contrast=\"auto\">.\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">On behalf of the entire VDH team, thank you for your partnership,\u00a0dedication\u00a0and determination in keeping Virginians safe and healthy.\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Sincerely,\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/p>\n<p>Cameron Webb, MD, JD<br \/>\n<span data-contrast=\"auto\">State Health Commissioner<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>&nbsp; VDH Identifies a\u00a0Locally Acquired Case of Dengue Virus\u00a0Infection\u00a0in\u00a0a\u00a0Northern Virginia Resident\u00a0 August 4, 2026 Dear Colleague,\u00a0\u00a0 In collaboration with the Fairfax County and Loudoun County Health Departments, the Virginia Department of Health (VDH) is investigating a\u202fconfirmed case\u202fof dengue virus infection\u202fin a resident who did not have known travel outside of Virginia prior to illness onset. [&hellip;]<\/p>\n","protected":false},"author":510,"featured_media":0,"parent":25,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-2837","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>VDH Identifies a Locally Acquired Case of Dengue Virus Infection in Northern Virginia Resident - Clinicians<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/clinicians\/clinician-letters\/vdh-identifies-a-locally-acquired-case-of-dengue-virus-infection-in-northern-virginia-resident\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"VDH Identifies a Locally Acquired Case of Dengue Virus Infection in Northern Virginia Resident - Clinicians\" \/>\n<meta property=\"og:description\" content=\"&nbsp; VDH Identifies a\u00a0Locally Acquired Case of Dengue Virus\u00a0Infection\u00a0in\u00a0a\u00a0Northern Virginia Resident\u00a0 August 4, 2026 Dear Colleague,\u00a0\u00a0 In collaboration with the Fairfax County and Loudoun County Health Departments, the Virginia Department of Health (VDH) is investigating a\u202fconfirmed case\u202fof dengue virus infection\u202fin a resident who did not have known travel outside of Virginia prior to illness onset. 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VDH Identifies a\u00a0Locally Acquired Case of Dengue Virus\u00a0Infection\u00a0in\u00a0a\u00a0Northern Virginia Resident\u00a0 August 4, 2026 Dear Colleague,\u00a0\u00a0 In collaboration with the Fairfax County and Loudoun County Health Departments, the Virginia Department of Health (VDH) is investigating a\u202fconfirmed case\u202fof dengue virus infection\u202fin a resident who did not have known travel outside of Virginia prior to illness onset. 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