Although the dengue iceberg phenomenon is well known, there is a paucity of data on inapparent dengue. Results from a seroepidemiological study conducted during a dengue epidemic in 2007 in Singapore showed a seroprevalence of 65.9% and an inapparent dengue rate of 78%. Older adults (> 45 years old) had significantly higher rates of inapparent dengue infections (P < 0.05).

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3752804PMC
http://dx.doi.org/10.4269/ajtmh.12-0150DOI Listing

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