Simultaneous dengue and COVID-19 epidemics: Difficult days ahead?

While some clinical signs may point to COVID-19 or dengue in case series, at the individual patient scale, the imperfect positive predictive value and clinical variability do not guarantee a diagnosis of certainty (Table 1). [...]some studies report 25% of patients with confirmed dengue having a cough and 20% with upper respiratory tract symptoms [14]. Because of this great disruption in the organization of care, until recently it was only after receiving the results (24–48 hours for negative results) that further explorations were performed, which for a while led to potentially dangerous diagnostic delays in patients with dengue. According to the context and clinical presentation, physicians may prescribe a malaria test, blood and urine cultures, serologies, or molecular diagnosis of differential diagnoses. The extinction of the dengue virus epidemic is less likely when increased human movement enhances the rescue effect. [...]modeling suggests that infection hubs and reservoirs can be locations people