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that fatal outcomes of dengue in travelers from non-endemic countries were reported mainly with primary DENV infections. We alert health care providers that primary DENV infections are not always harmless and that in adult travelers from non-endemic countries, primary infections may contribute more to dengue-related mortality than secondary infections.The Asian longhorned tick, Haemaphysalis longicornis Neumann (Acari Ixodidae), was recently introduced into the United States and is now established in at least 15 states. Considering its
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