Dengue epidemic alert thresholds for surveillance and decision-making in Puerto Rico: development and prospective application of an early warning system using routine surveillance data.

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Title: Dengue epidemic alert thresholds for surveillance and decision-making in Puerto Rico: development and prospective application of an early warning system using routine surveillance data.
Authors: Thayer MB; Dengue Branch, Centers for Disease Control and Prevention, San Juan, Puerto Rico., Marzan-Rodriguez M; Puerto Rico Departamento de Salud, San Juan, Puerto Rico., Torres Aponte J; Puerto Rico Departamento de Salud, San Juan, Puerto Rico., Rivera A; Dengue Branch, Centers for Disease Control and Prevention, San Juan, Puerto Rico., Rodriguez DM; Dengue Branch, Centers for Disease Control and Prevention, San Juan, Puerto Rico., Madewell ZJ; Dengue Branch, Centers for Disease Control and Prevention, San Juan, Puerto Rico., Rysava K; Dengue Branch, Centers for Disease Control and Prevention, San Juan, Puerto Rico., Paz-Bailey G; Dengue Branch, Centers for Disease Control and Prevention, San Juan, Puerto Rico., Adams LE; Dengue Branch, Centers for Disease Control and Prevention, San Juan, Puerto Rico., Johansson MA; Northeastern University, Boston, Massachusetts, USA m.johansson@northeastern.edu.
Source: BMJ open [BMJ Open] 2025 Sep 25; Vol. 15 (9), pp. e106182. Date of Electronic Publication: 2025 Sep 25.
Publication Type: Journal Article
Journal Info: Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
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  Data: <searchLink fieldCode="AU" term="%22Thayer+MB%22">Thayer MB</searchLink>; Dengue Branch, Centers for Disease Control and Prevention, San Juan, Puerto Rico.<br /><searchLink fieldCode="AU" term="%22Marzan-Rodriguez+M%22">Marzan-Rodriguez M</searchLink>; Puerto Rico Departamento de Salud, San Juan, Puerto Rico.<br /><searchLink fieldCode="AU" term="%22Torres+Aponte+J%22">Torres Aponte J</searchLink>; Puerto Rico Departamento de Salud, San Juan, Puerto Rico.<br /><searchLink fieldCode="AU" term="%22Rivera+A%22">Rivera A</searchLink>; Dengue Branch, Centers for Disease Control and Prevention, San Juan, Puerto Rico.<br /><searchLink fieldCode="AU" term="%22Rodriguez+DM%22">Rodriguez DM</searchLink>; Dengue Branch, Centers for Disease Control and Prevention, San Juan, Puerto Rico.<br /><searchLink fieldCode="AU" term="%22Madewell+ZJ%22">Madewell ZJ</searchLink>; Dengue Branch, Centers for Disease Control and Prevention, San Juan, Puerto Rico.<br /><searchLink fieldCode="AU" term="%22Rysava+K%22">Rysava K</searchLink>; Dengue Branch, Centers for Disease Control and Prevention, San Juan, Puerto Rico.<br /><searchLink fieldCode="AU" term="%22Paz-Bailey+G%22">Paz-Bailey G</searchLink>; Dengue Branch, Centers for Disease Control and Prevention, San Juan, Puerto Rico.<br /><searchLink fieldCode="AU" term="%22Adams+LE%22">Adams LE</searchLink>; Dengue Branch, Centers for Disease Control and Prevention, San Juan, Puerto Rico.<br /><searchLink fieldCode="AU" term="%22Johansson+MA%22">Johansson MA</searchLink>; Northeastern University, Boston, Massachusetts, USA m.johansson@northeastern.edu.
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