All types of dengue disease are re-emerging globally and producing larger and more recurrent outbreaks, in particular in cities in the tropics. The surfacing of dengue as a main public health crisis has been most staged in the western hemisphere. Dengue fever has arrived at rampant levels in Central America and is frightening the United States. There are quite a lot of issues that are contributing to the renaissance of dengue fever:

  1)      No valuable mosquito control efforts are happening in most countries with dengue.     2)      Public health structures to identify and be in charge of epidemics are worsening around the world.