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Figure 1.

Age specific seroprevalence of dengue in Recife, 2006.

Age-specific seroprevalence data a) for the whole sample and b) for each specific area. The lines show the fit of 1) constant (red lines) and 2) time-varying models (green lines) to the age-specific seroprevalence data (black dots). 95% confidence intervals of seroprevalence data are shown by the dotted vertical lines.

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Figure 2.

Estimated average time-varying forces of infection.

a) Estimated average time-varying forces of infection (FI), with 95% confidence intervals for Recife over the period 1986–2006. b). Estimated time varying-forces of infection for the three sampled neighborhoods over the period 1986–2001.

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Figure 3.

Discrete time simulation shows that as years go by, multitypic immunity accumulates among adults.

Results of discrete-time simulation to show the accumulation of multitypic and monotypic immunity 10, 20, and 30 years after the introduction of dengue virus into a previously susceptible population, and at equilibrium. (DENV 1, 2 and 3) = 0.05.

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Figure 4.

Age distribution of hospitalized dengue cases in Brazil, 2007 resembles expected age distribution of monotypically immune.

Age distribution of hospitalized dengue cases in Pernambuco, 2007 [20] (top). Age distribution of monotypically immune, 20 years after the introduction of dengue virus into a previously susceptible population, as predicted by the model (bottom). λ (DENV 1, 2 and 3) = 0.05.

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Figure 5.

Predicted changes in the age distribution of monotypically immune (DHF/DSS) over time.

Estimated mean age of monotypically immune (top) and proportion of monotypically immune (DHF/DSS cases) that are children under 15 years (bottom) at several time points after the introduction of DENV into a previously susceptible population.

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