{"id":3401,"date":"2023-08-24T15:33:37","date_gmt":"2023-08-24T13:33:37","guid":{"rendered":"https:\/\/www.drfruehwein.de\/dengue-vaccination-dengue-fever-dr-fruehwein\/"},"modified":"2025-07-08T15:49:54","modified_gmt":"2025-07-08T13:49:54","slug":"dengue-vaccination-dengue-fever-dr-fruehwein","status":"publish","type":"page","link":"https:\/\/www.drfruehwein.de\/en\/dengue-vaccination-dengue-fever-dr-fruehwein\/","title":{"rendered":"Dengue vaccination \/ Dengue fever &#8211; Dr. Fr\u00fchwein"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:20px;--awb-padding-bottom:20px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_3_5 3_5 fusion-three-fifth fusion-column-first\" style=\"--awb-bg-size:cover;width:60%;width:calc(60% - ( ( 4% ) * 0.6 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-one\" style=\"--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h1 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">Vaccination against dengue fever in<br \/>\nour practice in Munich.<\/h1><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:10px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_2_5 2_5 fusion-two-fifth fusion-column-last\" style=\"--awb-bg-size:cover;width:40%;width:calc(40% - ( ( 4% ) * 0.4 ) );\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-aligncenter\"><a class=\"fusion-button button-flat button-xlarge button-custom fusion-button-default button-1 fusion-button-default-span fusion-button-default-type\" style=\"--button_accent_color:#ffffff;--button_accent_hover_color:#00bcd4;--button_border_hover_color:#39bac4;--button-border-radius-top-left:10px;--button-border-radius-top-right:10px;--button-border-radius-bottom-right:10px;--button-border-radius-bottom-left:10px;--button_gradient_top_color:#d85a00;--button_gradient_bottom_color:#d85a00;--button_gradient_top_color_hover:rgba(255,255,255,0);--button_gradient_bottom_color_hover:rgba(255,255,255,0);\" target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/www.doctolib.de\/praxis\/muenchen\/dr-fruehwein-partner-praxis-fuer-allgemein-tropen-und-reisemedizin\/booking\/specialities?profile_skipped=true\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Appointment travel medical consultation<\/span><\/a><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_4 1_4 fusion-one-fourth fusion-column-first\" style=\"--awb-bg-size:cover;width:25%;width:calc(25% - ( ( 4% ) * 0.25 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1\"><p><img decoding=\"async\" class=\"alignnone size-medium wp-image-3215\" src=\"https:\/\/www.drfruehwein.de\/wp-content\/uploads\/2023\/02\/Fruehwein_Dengue_Muecke_0323-300x231.jpg\" alt=\"\" width=\"300\" height=\"231\" srcset=\"https:\/\/www.drfruehwein.de\/wp-content\/uploads\/2023\/02\/Fruehwein_Dengue_Muecke_0323-200x154.jpg 200w, https:\/\/www.drfruehwein.de\/wp-content\/uploads\/2023\/02\/Fruehwein_Dengue_Muecke_0323-300x231.jpg 300w, https:\/\/www.drfruehwein.de\/wp-content\/uploads\/2023\/02\/Fruehwein_Dengue_Muecke_0323-400x308.jpg 400w, https:\/\/www.drfruehwein.de\/wp-content\/uploads\/2023\/02\/Fruehwein_Dengue_Muecke_0323-600x462.jpg 600w, https:\/\/www.drfruehwein.de\/wp-content\/uploads\/2023\/02\/Fruehwein_Dengue_Muecke_0323.jpg 650w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_3_4 3_4 fusion-three-fourth fusion-column-last\" style=\"--awb-bg-size:cover;width:75%;width:calc(75% - ( ( 4% ) * 0.75 ) );\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">We inform and vaccinate against dengue fever in Munich.<\/h2><\/div><div class=\"fusion-text fusion-text-2\"><p>Below we provide information on the protective measures you can take against infection\/illness.<\/p>\n<p>On the one hand, avoiding bites is very effective protection.<br \/>\nHowever, the safest way is to get vaccinated.<\/p>\n<p><strong>We will be happy to advise you on this in our practice in Munich.<\/strong><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-padding-top:20px;--awb-padding-bottom:5px;--awb-bg-color:var(--awb-color6);--awb-bg-color-hover:var(--awb-color6);--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-3\" style=\"--awb-text-color:#ffffff;\"><p style=\"text-align: center;\"><strong>In our practice in Munich, we usually have all travel medicine vaccines in stock.<\/strong><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-padding-top:20px;--awb-padding-bottom:5px;--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-3 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\"><\/h2><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-bg-size:cover;width:50%;width:calc(50% - ( ( 4% ) * 0.5 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-4 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">Protection against dengue mosquitoes<\/h2><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:10px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-4\"><p>Aedes mosquitoes are mainly diurnal. Avoiding stings is effective protection. <strong>No sting, no dengue fever.<\/strong><\/p>\n<h3>As basic measures &#8230;<\/h3>\n<p>Wearing long, light-coloured, lightweight clothing and staying in mosquito-proof rooms is recommended. Air conditioning, closed windows or fly screens offer good protection. In addition, mosquito nets are particularly useful at night, especially in simple conditions. Nets made of synthetic materials (e.g. nylon) are much lighter and more space-saving than cotton nets, do not tend to mat and take on almost no foreign odours. A narrow mesh size of maximum 2mm, ideally 1.2mm, is important. It makes sense to use impregnated mosquito nets (e.g. with permethrin) or to impregnate them afterwards.<\/p>\n<h3>Repellents\/skin protection:<\/h3>\n<p>Chemical mosquito protection in the form of creams, sprays or gels (repellents) has an excellent effect with very good tolerability, but should always be applied in sufficient quantity according to the manufacturer&#8217;s instructions and in good time. Depending on the active ingredient, the protection lasts a maximum of 6 to 8 hours, whereby the duration of action can be significantly reduced, especially in high humidity, heavy sweating or stays in water. If repellents are used together with sunscreen or skin care products, the repellent should always be applied last.<\/p>\n<h3>Clothing:<\/h3>\n<p>Waterproofing clothes is a useful additional protection. Many products can also be used on pregnant women and young children. With a single impregnation, a protection duration of up to 4 weeks can be achieved against insects and also lasts after washing.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-bg-size:cover;width:50%;width:calc(50% - ( ( 4% ) * 0.5 ) );\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-5 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">Protection by vaccination<\/h2><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:10px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-5\"><p>A vaccination against dengue fever will be licensed and available in Germany <strong>from February 2023<\/strong>. Besides mosquito protection, vaccination is the safest way to prevent infection and its consequences.<\/p>\n<h2>Vaccine:<\/h2>\n<p>It is a recombinant, live attenuated vaccine directed against all four serotypes of the dengue virus.<\/p>\n<h3>Vaccination schedule:<\/h3>\n<p>Vaccination is given 2 times at an interval of 3 months. Data indicate that even the first dose has some effect.<\/p>\n<h3>Effectiveness:<\/h3>\n<p>Overall efficacy against dengue infection in the pivotal studies, regardless of prior infection, was 80%, and efficacy against hospitalization was 90%. Efficacy also depends on the circulating serotype and is predominantly based on serotypes 1 and 2.<\/p>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:10px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-title title fusion-title-6 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">We will gladly advise you<\/h2><\/div><div class=\"fusion-text fusion-text-6\"><p>For this purpose, make an appointment for a travel medicine consultation in our practice in Munich.<\/p>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:10px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-button-wrapper\"><a class=\"fusion-button button-flat button-large button-custom fusion-button-default button-2 fusion-button-default-span fusion-button-default-type\" style=\"--button_accent_color:#ffffff;--button_accent_hover_color:#00bcd4;--button_border_hover_color:#39bac4;--button_gradient_top_color:#00bcd4;--button_gradient_bottom_color:#00bcd4;--button_gradient_top_color_hover:rgba(255,255,255,0);--button_gradient_bottom_color_hover:rgba(255,255,255,0);\" target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/www.doctolib.de\/praxis\/muenchen\/dr-fruehwein-partner-praxis-fuer-allgemein-tropen-und-reisemedizin\/booking\/specialities?profile_skipped=true\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Appointment travel medical consultation<\/span><\/a><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:10px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-title title fusion-title-7 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">Dengue fever<\/h2><\/div><div class=\"fusion-title title fusion-title-8 fusion-sep-none fusion-title-text fusion-title-size-three\" style=\"--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">The disease<\/h3><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:10px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-7\"><p>Dengue fever has been classified by the WHO as one of the 10 greatest threats to global health.<br \/>\nHere you will find frequently asked questions and answers about the disease.<\/p>\n<\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:13px;--awb-content-font-size:14px;--awb-icon-alignment:left;--awb-hover-color:#f9f9f9;--awb-border-color:#cccccc;--awb-background-color:#ffffff;--awb-divider-color:#e0dede;--awb-divider-hover-color:#e0dede;--awb-icon-color:#ffffff;--awb-title-color:#333333;--awb-content-color:#798286;--awb-icon-box-color:#798286;--awb-toggle-hover-accent-color:#39bac4;--awb-title-font-family:&quot;Roboto Condensed&quot;;--awb-title-font-weight:400;--awb-title-font-style:normal;--awb-title-font-size:13px;--awb-content-font-family:&quot;Open Sans&quot;;--awb-content-font-style:normal;--awb-content-font-weight:400;\"><div class=\"panel-group fusion-toggle-icon-boxed\" id=\"accordion-3401-1\"><div class=\"fusion-panel panel-default panel-d9b832db6a0cd5845 fusion-toggle-no-divider\" style=\"--awb-title-color:#333333;--awb-content-color:#798286;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_d9b832db6a0cd5845\"><a aria-expanded=\"false\" aria-controls=\"d9b832db6a0cd5845\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3401-1\" data-target=\"#d9b832db6a0cd5845\" href=\"#d9b832db6a0cd5845\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-angle-double-right fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-angle-double-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">How is dengue fever transmitted?<\/span><\/a><\/h4><\/div><div id=\"d9b832db6a0cd5845\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_d9b832db6a0cd5845\"><div class=\"panel-body toggle-content fusion-clearfix\">Dengue fever is transmitted by female Aedes aegypti (main vector) &amp; Aedes albopictus mosquitoes. Since Aedes mosquitoes are predominantly diurnal but can also bite at dusk and dawn, and unlike malaria mosquitoes also live in urban areas, there is a risk almost always and everywhere in endemic areas. Any object in which water, including brackish water, can accumulate can become a breeding ground for the vectors.<\/p>\n<p>Once infected, a mosquito can transmit the virus to humans for the rest of its life (up to four weeks) during its next blood meal and also vertically when laying eggs to your eggs and thus offspring.<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-81ea6666caa627567 fusion-toggle-no-divider\" style=\"--awb-title-color:#333333;--awb-content-color:#798286;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_81ea6666caa627567\"><a aria-expanded=\"false\" aria-controls=\"81ea6666caa627567\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3401-1\" data-target=\"#81ea6666caa627567\" href=\"#81ea6666caa627567\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-angle-double-right fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-angle-double-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Which pathogen causes dengue fever?<\/span><\/a><\/h4><\/div><div id=\"81ea6666caa627567\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_81ea6666caa627567\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Responsible for dengue fever is the dengue fever virus (DENV), which, like TBE, Japanese encephalitis or West Nile virus, belongs to the flaviviruses. It is a single-stranded RNA virus that is<strong>classified into four closely related serotypes (DENV-1 through DENV-4)<\/strong>.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-8d7b36a2f606c9fa2 fusion-toggle-no-divider\" style=\"--awb-title-color:#333333;--awb-content-color:#798286;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_8d7b36a2f606c9fa2\"><a aria-expanded=\"false\" aria-controls=\"8d7b36a2f606c9fa2\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3401-1\" data-target=\"#8d7b36a2f606c9fa2\" href=\"#8d7b36a2f606c9fa2\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-angle-double-right fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-angle-double-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Where does dengue fever occur?<\/span><\/a><\/h4><\/div><div id=\"8d7b36a2f606c9fa2\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_8d7b36a2f606c9fa2\"><div class=\"panel-body toggle-content fusion-clearfix\">The disease is transmitted in at least <strong>128 countries<\/strong> and the number of cases has increased dramatically in the last 50 years.<\/p>\n<p>Nearly <strong>4 billion people are now at risk of dengue<\/strong>. Climate change, urbanization, and increasing mobility are expected to ensure rapid further spread of the pathogen via greater vector dispersal. It is estimated that 60% of the world&#8217;s population will be at risk of infection in 2080.<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-a97874c0d6e27c8f8 fusion-toggle-no-divider\" style=\"--awb-title-color:#333333;--awb-content-color:#798286;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_a97874c0d6e27c8f8\"><a aria-expanded=\"false\" aria-controls=\"a97874c0d6e27c8f8\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3401-1\" data-target=\"#a97874c0d6e27c8f8\" href=\"#a97874c0d6e27c8f8\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-angle-double-right fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-angle-double-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What is the role of dengue fever in travelers?<\/span><\/a><\/h4><\/div><div id=\"a97874c0d6e27c8f8\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_a97874c0d6e27c8f8\"><div class=\"panel-body toggle-content fusion-clearfix\">Over the past 20 years, the number of dengue fever cases reported in Germany under the Infection Protection Act has continued to rise. Nearly 1,200 illnesses were reported among travelers in 2019. Since only infections diagnosed in Germany are counted and not those in the country of travel, the number of unreported cases is probably much higher. Diseases without symptoms also occur and are not considered here.<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-7fc93ffd4df21a497 fusion-toggle-no-divider\" style=\"--awb-title-color:#333333;--awb-content-color:#798286;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_7fc93ffd4df21a497\"><a aria-expanded=\"false\" aria-controls=\"7fc93ffd4df21a497\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3401-1\" data-target=\"#7fc93ffd4df21a497\" href=\"#7fc93ffd4df21a497\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-angle-double-right fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-angle-double-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Which countries are particularly at risk?<\/span><\/a><\/h4><\/div><div id=\"7fc93ffd4df21a497\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_7fc93ffd4df21a497\"><div class=\"panel-body toggle-content fusion-clearfix\">In recent years, travelers from Southeast Asia, India and Central America have been the most affected. However, the risk changes from year to year in the individual countries.<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-95d8071be8d65e8dd fusion-toggle-no-divider\" style=\"--awb-title-color:#333333;--awb-content-color:#798286;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_95d8071be8d65e8dd\"><a aria-expanded=\"false\" aria-controls=\"95d8071be8d65e8dd\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3401-1\" data-target=\"#95d8071be8d65e8dd\" href=\"#95d8071be8d65e8dd\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-angle-double-right fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-angle-double-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Is there also a risk of disease in Germany?<\/span><\/a><\/h4><\/div><div id=\"95d8071be8d65e8dd\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_95d8071be8d65e8dd\"><div class=\"panel-body toggle-content fusion-clearfix\">In recent years, dengue infections have already occurred in previously unaffected European countries such as France, Portugal, Italy and Croatia.<\/p>\n<p>No people have been infected in Germany so far. In principle, however, at least the vector would be available by now. Aedes albopictus has become widespread in some areas, especially along the A%5. An exciting overview of the presence of mosquitoes in Germany is provided here by the Mosquito Atlas: <a href=\"https:\/\/mueckenatlas.com\/\" target=\"_blank\" rel=\"noopener\">https: \/\/mueckenatlas.com\/<\/a><\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-896547702a2198ba4 fusion-toggle-no-divider\" style=\"--awb-title-color:#333333;--awb-content-color:#798286;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_896547702a2198ba4\"><a aria-expanded=\"false\" aria-controls=\"896547702a2198ba4\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3401-1\" data-target=\"#896547702a2198ba4\" href=\"#896547702a2198ba4\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-angle-double-right fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-angle-double-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What does my risk of contracting dengue as a traveler depend on?<\/span><\/a><\/h4><\/div><div id=\"896547702a2198ba4\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_896547702a2198ba4\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>The main factors that determine the risk of infection are:<\/p>\n<ul>\n<li>the prevalence and activity of dengue fever in the destination country<\/li>\n<li>the duration of travel, i.e. the time spent in the risk area<\/li>\n<li>the travel season, as e.g. mosquito activity is particularly high during the rainy season<\/li>\n<li>The implementation of mosquito protection measures such as repellents, clothing, etc.<\/li>\n<\/ul>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-4b1ed7999e1501f12 fusion-toggle-no-divider\" style=\"--awb-title-color:#333333;--awb-content-color:#798286;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_4b1ed7999e1501f12\"><a aria-expanded=\"false\" aria-controls=\"4b1ed7999e1501f12\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3401-1\" data-target=\"#4b1ed7999e1501f12\" href=\"#4b1ed7999e1501f12\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-angle-double-right fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-angle-double-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Is the risk of severe dengue fever particularly high with a secondary infection? <\/span><\/a><\/h4><\/div><div id=\"4b1ed7999e1501f12\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_4b1ed7999e1501f12\"><div class=\"panel-body toggle-content fusion-clearfix\">In principle, a secondary infection, i.e. a second illness with dengue fever, carries a higher risk of a severe course. This is where so-called antibody-dependent enhancement plays a role. In this case, antibodies are formed during the initial infection that do not optimally match the serotypes of the secondary infection and can even promote an excessive immune reaction here.<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-cab78bdea933039f9 fusion-toggle-no-divider\" style=\"--awb-title-color:#333333;--awb-content-color:#798286;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_cab78bdea933039f9\"><a aria-expanded=\"false\" aria-controls=\"cab78bdea933039f9\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3401-1\" data-target=\"#cab78bdea933039f9\" href=\"#cab78bdea933039f9\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-angle-double-right fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-angle-double-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Should I not travel to regions with dengue risk after having contracted the disease?<\/span><\/a><\/h4><\/div><div id=\"cab78bdea933039f9\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_cab78bdea933039f9\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p><strong>No.<\/strong> Even if the risk for a severe course is increased, one can still travel to risk areas. More details can be found in the statement of the German Tropical Medicine Society (DTG) <a href=\"https:\/\/www.dtg.org\/images\/Startseite-Download-Box\/Stellungnahme_Dengue_2018.pdf\" target=\"_blank\" rel=\"noopener\">Please click here<\/a>.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-6980c6dc6b91aa9f8 fusion-toggle-no-divider\" style=\"--awb-title-color:#333333;--awb-content-color:#798286;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_6980c6dc6b91aa9f8\"><a aria-expanded=\"false\" aria-controls=\"6980c6dc6b91aa9f8\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3401-1\" data-target=\"#6980c6dc6b91aa9f8\" href=\"#6980c6dc6b91aa9f8\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-angle-double-right fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-angle-double-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What is the course of a dengue infection? <\/span><\/a><\/h4><\/div><div id=\"6980c6dc6b91aa9f8\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_6980c6dc6b91aa9f8\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>After an incubation period of 4-6 days, fever and aching limbs usually set in This febrile phase lasts up to a week and turns into a critical phase. A skin rash is also common. Dengue fever should always be considered with a suitable travel history if the following symptoms are present:<\/p>\n<p>High fever &gt;40\u00b0 and at least 2 of the following symptoms:<\/p>\n<ul>\n<li>Severe headache<\/li>\n<li>Pain behind the eyes<\/li>\n<li>Muscle and joint pain<\/li>\n<li>Nausea<\/li>\n<li>Vomiting<\/li>\n<li>Swollen lymph nodes<\/li>\n<li>Skin rash<\/li>\n<\/ul>\n<p>The critical phase is characterized by a decrease in fever and a possible transition to a severe course. The main focus here is on the loss of fluid from the vessels into the body (capillary leak) and a sometimes drastic reduction in blood platelets with a corresponding risk of bleeding. Warning signs of a severe course are:<\/p>\n<ul>\n<li>Severe abdominal pain<\/li>\n<li>Persistent vomiting<\/li>\n<li>Fast breathing<\/li>\n<li>Gum bleeding<\/li>\n<li>Fatigue<\/li>\n<li>Unrest<\/li>\n<li>Hematemesis<\/li>\n<\/ul>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-da7dde5e4152f2e62 fusion-toggle-no-divider\" style=\"--awb-title-color:#333333;--awb-content-color:#798286;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_da7dde5e4152f2e62\"><a aria-expanded=\"false\" aria-controls=\"da7dde5e4152f2e62\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3401-1\" data-target=\"#da7dde5e4152f2e62\" href=\"#da7dde5e4152f2e62\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-angle-double-right fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-angle-double-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">How is dengue fever diagnosed?<\/span><\/a><\/h4><\/div><div id=\"da7dde5e4152f2e62\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_da7dde5e4152f2e62\"><div class=\"panel-body toggle-content fusion-clearfix\">The simplest diagnostic method is a rapid test for the NS! antigen, which becomes positive in the first days after infection. Antibodies are only detectable later in the course of the disease and thus often too late. PCR also plays a role in the early phase, but is usually not available.<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-e4a97bcee3bde1b33 fusion-toggle-no-divider\" style=\"--awb-title-color:#333333;--awb-content-color:#798286;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_e4a97bcee3bde1b33\"><a aria-expanded=\"false\" aria-controls=\"e4a97bcee3bde1b33\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3401-1\" data-target=\"#e4a97bcee3bde1b33\" href=\"#e4a97bcee3bde1b33\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-angle-double-right fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-angle-double-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Can dengue fever be treated?<\/span><\/a><\/h4><\/div><div id=\"e4a97bcee3bde1b33\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_e4a97bcee3bde1b33\"><div class=\"panel-body toggle-content fusion-clearfix\">There is no causative therapy available. The focus is on monitoring and, if necessary, the administration of fluids up to and including blood transfusions.<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-90e903a08f61e604f fusion-toggle-no-divider\" style=\"--awb-title-color:#333333;--awb-content-color:#798286;\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_90e903a08f61e604f\"><a aria-expanded=\"false\" aria-controls=\"90e903a08f61e604f\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3401-1\" data-target=\"#90e903a08f61e604f\" href=\"#90e903a08f61e604f\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon fa-angle-double-right fas\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-angle-double-down fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Who else is at particularly high risk for severe dengue fever?<\/span><\/a><\/h4><\/div><div id=\"90e903a08f61e604f\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_90e903a08f61e604f\"><div class=\"panel-body toggle-content fusion-clearfix\">In particular, chronically ill people, people who are going through another infection at the same time, and women, especially those who are pregnant, are at increased risk.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/www.drfruehwein.de\/wp-content\/uploads\/2023\/02\/Fruehwein_Dengue_Fieber_Risiken_Grafik_0323.jpg\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;margin-bottom:20px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-flip-boxes flip-boxes row fusion-columns-2 flip-effect-3d equal-heights\"><div class=\"fusion-flip-box-wrapper fusion-column col-lg-6 col-md-6 col-sm-6\"><div class=\"fusion-flip-box flip-right\" tabindex=\"0\"><div class=\"flip-box-inner-wrapper\"><div class=\"flip-box-front\" style=\"--awb-background-color-front:#adccd1;--awb-title-front-color:#ffffff;--awb-text-front-color:#ffffff;\"><div class=\"flip-box-front-inner\"><div class=\"flip-box-grafix flip-box-no-circle\"><i aria-hidden=\"true\" class=\"fa-exclamation-triangle fas\"><\/i><\/div><h2 class=\"flip-box-heading\"><br \/>\n&lt;h2&gt;Warning sign&lt;\/h2&gt;<br \/>\n&lt;h3&gt;for a severe dengue course are ...&lt;\/h3&gt;<br \/>\n<\/h2>Touch with the mouse pointer for more information.<\/div><\/div><div class=\"flip-box-back\" style=\"--awb-background-color-back:#777777;--awb-title-back-color:#ffffff;\"><div class=\"flip-box-back-inner\">\n<p>Severe abdominal pain<br \/>\nPersistent vomiting<br \/>\nRapid breathing<br \/>\nBleeding gums<br \/>\nFatigue<br \/>\nRestlessness<br \/>\nVomiting blood<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-flip-box-wrapper fusion-column col-lg-6 col-md-6 col-sm-6\"><div class=\"fusion-flip-box flip-right\" tabindex=\"0\"><div class=\"flip-box-inner-wrapper\"><div class=\"flip-box-front\" style=\"--awb-background-color-front:#adccd1;--awb-title-front-color:#ffffff;--awb-text-front-color:#ffffff;\"><div class=\"flip-box-front-inner\"><div class=\"flip-box-grafix flip-box-no-circle\"><i aria-hidden=\"true\" class=\"fa-head-side-virus fas\"><\/i><\/div><h2 class=\"flip-box-heading\"><br \/>\n&lt;h2&gt;To a dengue fever&lt;\/h2&gt;<br \/>\n&lt;h3&gt;should always be thought of ...&lt;\/h3&gt;<br \/>\n<\/h2>Touch with the mouse pointer for more information.<\/div><\/div><div class=\"flip-box-back\" style=\"--awb-background-color-back:#777777;--awb-title-back-color:#ffffff;\"><div class=\"flip-box-back-inner\">\n<p>High fever &gt;40\u00b0 and at least 2 of the following symptoms:<\/p>\n<p>Severe headache<br \/>\nPain behind the eyes<br \/>\nMuscle and joint pain<br \/>\nNausea<br \/>\nVomiting<br \/>\nSwollen lymph nodes<br \/>\nSkin rash<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"clearfix\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-equal-height-columns\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:20px;--awb-padding-bottom:20px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_4 1_4 fusion-one-fourth fusion-column-first fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-padding-top:20px;--awb-padding-right:20px;--awb-padding-bottom:20px;--awb-padding-left:20px;--awb-inner-bg-color:#c0ccd4;--awb-inner-bg-color-hover:#c0ccd4;--awb-inner-bg-size:cover;--awb-inner-bg-box-shadow: 0px 0px ;;--awb-border-color:#afaeae;--awb-inner-border-color:#afaeae;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-margin-top:15px;width:25%;width:calc(25% - ( ( 4% + 4% + 4% ) * 0.25 ) );margin-right: 4%;\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"https:\/\/www.drfruehwein.de\/reisemedizin-verhalten\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-fa-align-center\"><i class=\"fb-icon-element-1 fb-icon-element fontawesome-icon fa-check-circle fas circle-no\" style=\"--awb-font-size:80px;--awb-margin-left:20px;\"><\/i><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:10px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-title title fusion-title-9 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-three white\" style=\"--awb-margin-left:20px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-center\" style=\"margin:0;\"><p>Verhalten &amp; Tipps<br \/>\nauf Reisen<\/p><\/h3><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_4 1_4 fusion-one-fourth fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-padding-top:20px;--awb-padding-right:20px;--awb-padding-bottom:20px;--awb-padding-left:20px;--awb-inner-bg-color:#9ecfd3;--awb-inner-bg-color-hover:#9ecfd3;--awb-inner-bg-size:cover;--awb-border-color:#afaeae;--awb-inner-border-color:#afaeae;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-margin-top:15px;width:25%;width:calc(25% - ( ( 4% + 4% + 4% ) * 0.25 ) );margin-right: 4%;\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"https:\/\/www.drfruehwein.de\/rezeptbestellung-online\/\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-fa-align-center\"><i class=\"fb-icon-element-2 fb-icon-element fontawesome-icon fa-file-alt far circle-no\" style=\"--awb-font-size:80px;--awb-margin-left:20px;\"><\/i><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:10px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-title title fusion-title-10 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-three white\" style=\"--awb-margin-left:20px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-center\" style=\"margin:0;\"><p>Rezeptbestellung<br \/>\nOnline<\/p><\/h3><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_4 1_4 fusion-one-fourth fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-padding-top:20px;--awb-padding-right:20px;--awb-padding-bottom:20px;--awb-padding-left:20px;--awb-inner-bg-color:#0cb3bf;--awb-inner-bg-color-hover:#0cb3bf;--awb-inner-bg-size:cover;--awb-border-color:#afaeae;--awb-inner-border-color:#afaeae;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-margin-top:15px;width:25%;width:calc(25% - ( ( 4% + 4% + 4% ) * 0.25 ) );margin-right: 4%;\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"https:\/\/www.doctolib.de\/praxis\/muenchen\/dr-fruehwein-partner-praxis-fuer-allgemein-tropen-und-reisemedizin\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-fa-align-center\"><i class=\"fb-icon-element-3 fb-icon-element fontawesome-icon fa-calendar-check far circle-no\" style=\"--awb-font-size:80px;--awb-margin-left:20px;\"><\/i><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:10px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-title title fusion-title-11 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-three white\" style=\"--awb-margin-left:20px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-center\" style=\"margin:0;\"><p>Terminbuchung<br \/>\nOnline<\/p><\/h3><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_4 1_4 fusion-one-fourth fusion-column-last fusion-column-inner-bg-wrapper fusion-column-liftup-border\" style=\"--awb-padding-top:20px;--awb-padding-right:15px;--awb-padding-bottom:20px;--awb-padding-left:25px;--awb-inner-bg-color:#0a9aad;--awb-inner-bg-color-hover:#0a9aad;--awb-inner-bg-size:cover;--awb-border-color:#afaeae;--awb-inner-border-color:#afaeae;--awb-border-style:solid;--awb-inner-border-style:solid;--awb-margin-top:15px;width:25%;width:calc(25% - ( ( 4% + 4% + 4% ) * 0.25 ) );\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><span class=\"fusion-column-inner-bg hover-type-liftup\"><a class=\"fusion-column-anchor\" href=\"https:\/\/www.doctolib.de\/praxis\/muenchen\/dr-fruehwein-partner-praxis-fuer-allgemein-tropen-und-reisemedizin\"><span class=\"fusion-column-inner-bg-image\"><\/span><\/a><\/span><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-fa-align-center\"><i class=\"fb-icon-element-4 fb-icon-element fontawesome-icon fa-calendar-plus far circle-no\" style=\"--awb-font-size:80px;--awb-margin-left:20px;\"><\/i><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;margin-bottom:10px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-title title fusion-title-12 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-three white\" style=\"--awb-margin-left:5px;--awb-margin-top-small:0px;--awb-margin-right-small:0px;--awb-margin-bottom-small:20px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-center\" style=\"margin:0;\"><p>Terminbuchung<br \/>\nVideo-Sprechstunde<\/p><\/h3><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3401","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Dengue fever vaccination in Munich | Dr. Fr\u00fchwein + Partner<\/title>\n<meta name=\"description\" content=\"\u25b6 We inform and vaccinate against dengue fever in our practice in Munich. 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