But in 2019 there was an outbreak of dengue fever in Hawaii, where the disease is not endemic. A more realistic scenario is that it will be added to the (large and growing) family of infectious diseases that are what is known as “endemic” in the human population. Keywords: control of endemic diseases, locally endemic diseases. of cases of an infectious disease above what is normally expected in a given population in a specific area. Low and middle-income countries are more suffering from high burden of disease than developed countries (Lopez et al., 2006). For example, the disease malaria is endemic to tropical areas of the world, such as those in South America or Africa. A pandemic is an epidemic of infec-tious disease that spreads through human popula-tions across a large region, multiple continents or Hepatitis B Virus For example, chickenpox is considered endemic in the UK, but malaria is not. ... Berry pointed to the H1N1 outbreak in 2009 as an example … Prevention and Control of Locally Endemic Diseases. Hyperendemic refers to the persistent, higher levels of disease prevalence in a particular place. In epidemiology, an infection is said to be endemic (from Greek ἐν en "in, within" and δῆμος demos "people") in a population when that infection is constantly maintained at a baseline level in a geographic area without external inputs. This level is not necessarily the desired level, which may in fact be zero, but rather is the observed level. The amount of a particular disease that is usually present in a community is referred to as the baseline or endemic level of the disease. The young are more likely to express pathogenic responses, whilst the older hosts will carry the disease asymptomatically, or with reduced damage, due to adaptive immunity. Worldwide, countries are facing various public health problems but at unequal intensity. Although the infection is ubiquitous, symptoms of disease do not appear equally across age groups. For example, chickenpox is endemic (steady state) in the United Kingdom, but malaria is not. Examples of major epidemics include cholera and diarrhoeal diseases, measles, malaria, and dengue fever. Endemic. Dengue fever is endemic to certain regions of Africa, Central and South America, and the Caribbean. The term endemic refers to the constant presence and/or usual prevalence of a disease or infectious agent in a population within a geographic area. Malaria, per the CDC, is another example of an endemic disease in certain areas. Malaria; A disease caused by a Protozoan Parasite (Plasmodium spp.) with mosquito as its primary host and carrier. Mosquitoes in these areas carry dengue fever and transmit it from person to person. It is said to originate and endemic to Africa where the environment and temperature is perfect for the disease to cultivate. 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