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Published Date: 2013-05-21 12:37:17
Subject: PRO/EDR> Dengue/DHF update (39): Americas
Archive Number: 20130521.1725995

DENGUE/DHF UPDATE (39): AMERICAS
********************************
A ProMED-mail post
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ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org

In this update:
Cases in various countries:
Mexico and Central America
---
Mexico
- National
- Acapulco, Guerrero state
- Quintana Roo state
- Tamaulipas state
Costa Rica
- National
- Parrita canton, Puntarenas province
Honduras
- National
- Choluteca department

Caribbean
---
Jamaica (national)

South America
---
Argentina
- Chaco province
- Posadas, Misiones province
Brazil
- Mato Grosso state
- Minas Gerais state
- Belo Horizonte, Minas Gerais state
- Paraiba state
- Bauru, Sao Paulo state
- Barretos, Sao Paulo state
- Rio Preto, Sao Paulo state
Colombia
- Cali, Valle de Cauca department
- Pereira, Risaralda department
Ecuador (national)
Paraguay (national)
Peru (national)
Venezuela (Carabobo state)

******
Cases in various countries:
Mexico and Central America
---
Mexico
- National. 17 May 2013. Dengue cases by state and virus types as of 29 Apr 2013: Tabasco 570 cases type 1; Veracruz state 460 cases types 1, 2; Quintana Roo state 405 cases types 1, 2,4; Yucatan state 254 cases types 1,2; Chiapas state 294 cases types 1,2,3.
http://www.tabascohoy.com/2/notas/index.php?ID=128139 [in Spanish]

[Maps of Mexico can be seen at http://www.map-of-mexico.org/mexico-states.gif and http://healthmap.org/r/1wvK. - Mod.TY]

- Acapulco, Guerrero state. 17 May 2013. Dengue (registered) 228 cases; DHF/serious 124 cases.
http://www.milenio.com/cdb/doc/noticias2011/9f20e3acb061086cf7606c9c46ed5868 [in Spanish]

- Quintana Roo state. 18 May 2013. Dengue 478 cases; DHF/serious 207 cases. Municipalities most affected: Benito Juarez 275 cases, Othon P Blanco 98 cases, Bacalar 32 cases.
http://diariolaverdad.com.mx/concentra-cancun-57-de-los-casos-de-dengue/234689/ [in Spanish]

- Tamaulipas. 13 May 2013. Dengue 126 cases; DHF/serious 34 cases. Municipalities most affected: Tampico 36 cases, Madero 27 cases, Altamira 16 cases, Reynosa 15 cases, Victoria 11 cases, Matamoros 10 cases.
http://conexiontotal.mx/2013/05/13/aumentan-600-casos-de-dengue/ [in Spanish]

Costa Rica
- National. 12 May 2013. Dengue as of end of March 2013: (susp.) 5615 cases; DHF/serious 12 cases.
http://www.nacion.com/2013-05-12/ElPais/parrita-en-emergencia-por-fuerte-brote-de-dengue-.aspx [in Spanish]

[Maps of Costa Rica can be accessed at http://geology.com/world/costa-rica-map.gif and http://healthmap.org/r/6Z8K. - Mod.TY]

- Parrita canton, Puntarenas province. 12 May 2013. Dengue 287 cases; DHF/serious 1 case.
http://www.nacion.com/2013-05-12/ElPais/parrita-en-emergencia-por-fuerte-brote-de-dengue-.aspx [in Spanish]

Honduras
- National. 14 May 2013. Dengue (susp.) 785 cases.
http://www.latribuna.hn/2013/05/14/semanalmente-ingresan-entre-10-y-12-casos-de-dengue-en-el-hospital-escuela/ [in Spanish]

[Maps of Honduras can be accessed at http://www.lib.utexas.edu/maps/americas/honduras.jpg
and http://healthmap.org/r/3gvN. - Mod.TY]

- Choluteca department. 13 May 2013. Dengue 268 cases. Municipality most affected: Choluteca 148 cases.
http://www.latribuna.hn/2013/05/13/alta-incidencia-de-dengue-en-la-ciudad-de-choluteca/

Caribbean
---
Jamaica (national). 17 May 2013. Dengue (susp.) 475 cases, (conf.) 96 cases; deaths 2.
http://go-jamaica.com/news/read_article.php?id=44957

[Maps of Jamaica can be accessed at http://mapsof.net/Jamaica/static-maps/gif/map-of-jamaica and http://healthmap.org/r/1_g4. - Mod.TY]

South America
---
Argentina
- Chaco province. 11 May 2013. Dengue (susp.) 48 cases, (conf.) 60 cases.
http://www.perfil.com/sociedad/Se-detectaron-22-nuevos-casos-de-dengue-en-Chaco-20130511-0083.html [in Spanish]

[Maps of Argentina can be accessed at http://www.zonu.com/imapa/americas/Argentina_Political_Map_3.jpg and http://healthmap.org/r/1yJb. - Mod.TY]

- Posadas, Misiones province. 19 May 2013. Dengue (susp.) 30 cases, (conf.) 42 cases.
http://www.mdzol.com/nota/465771-confirmaron-al-menos-42-casos-de-dengue-en-posadas/ [in Spanish]

Brazil
- Mato Grosso state. 9 May 2013. Dengue (reported) 33 177 cases; deaths (conf.) 15, under investigation 6. Municipalities most affected: Rondonopolis 2788 cases, Cuiaba 2393 cases, Sinop 2393 cases, Varzea Grande 520 cases.
http://g1.globo.com/mato-grosso/noticia/2013/05/saude-registra-mais-de-mil-casos-de-dengue-em-uma-semana-em-mt.html [in Portuguese]

- Minas Gerais state. 19 May 2013. Dengue (reported) 340 762 cases, (conf.) 112 834 cases; deaths 65. Municipality with most deaths Uberaba 14; dengue viruses circulating 1, 2, 3.
http://www.jornaldeuberaba.com.br/cadernos/politica/2756/uberaba-tem-14-mortes-confirmadas-por-dengue [in Portuguese]

- Belo Horizonte, Minas Gerais state. 10 May 2013. Dengue 21 149 cases.
http://g1.globo.com/minas-gerais/noticia/2013/05/belo-horizonte-confirma-cerca-de-21-mil-casos-de-dengue-neste-ano.html [in Portuguese]

- Paraiba state. 10 May 2013. Dengue as of 27 Apr 2013 (susp.) 3878 cases; deaths 4.
http://g1.globo.com/pb/paraiba/noticia/2013/05/cresce-numero-de-casos-de-dengue-na-paraiba-em-2013-diz-saude.html [in Portuguese]

- Bauru, Sao Paulo state. 9 May 2013. Dengue 4189 locally acquired cases.
http://www.jcnet.com.br/Bairros/2013/05/bauru-registra-4200-casos-de-dengue.html [in Portuguese]

- Barretos, Sao Paulo state. 11 May 2013. Dengue (reported) 4548 cases, (conf.) 3882 cases.
http://g1.globo.com/sp/ribeirao-preto-franca/noticia/2013/05/em-uma-semana-barretos-registra-quase-200-novos-casos-de-dengue.html [in Portuguese]

- Rio Preto, Sao Paulo state. 19 May 2013. Dengue 10 165 cases.
http://www.redebomdia.com.br/noticia/detalhe/50562/Rio+Preto+tem+semana+%91explosiva%92+de+dengue [in Portuguese]

[Maps of Brazil can be accessed at http://www.zonu.com/brazil_maps/Brazil_State_Maps.htm and http://healthmap.org/r/1zJi. - Mod.TY]

Colombia
- Cali, Valle de Cauca department. 19 May 2013. Dengue as of 4 May 2013, 5134 cases; DHF/serious 171 cases; deaths 10.
http://www.vanguardia.com/actualidad/colombia/208834-diez-personas-mueren-por-dengue-en-cali [in Spanish]

[Maps of Colombia can be accessed at http://www.lib.utexas.edu/maps/americas/colombia_pol_2001.jpg and http://healthmap.org/r/1l0z. - Mod.TY]

- Pereira, Risaralda department. 19 May 2013. Dengue (susp.) 56 cases, (conf.) 13 cases.
http://www.eldiario.com.co/seccion/LOCAL/autoridades-en-alerta-por-aparici-n-de-dengue-1305.html [in Spanish]

Ecuador (national). 17 May 2013. Dengue 6883 cases; deaths 6. Provinces most affected: Manabi 1572 cases, Guayas 1326 cases, Los Ríos 1010 cases.
http://www.elcomercio.com/pais/dengue-invierno-salud-guayas-los_rios-manabi_0_920907927.html [in Spanish]

[Maps of Ecuador can be accessed at http://www.nationsonline.org/maps/ecuador-administrative-map.jpg and http://healthmap.org/r/1jUf. - Mod.TY]

- Paraguay (national). 19 May 2013. Dengue (susp.) 45 810 cases, (conf.) 83 841 cases. Declining.
http://www.abc.com.py/edicion-impresa/locales/aseguran-que-epidemia-tiende-a-disminuir-574080.html [in Spanish]

[Maps of Paraguay can be accessed at http://www.mapsofworld.com/paraguay/paraguay-political-map.html and http://healthmap.org/r/1l5K. - Mod.TY]

- Peru (National). 13 May 2013. Dengue 6883 cases; deaths 6.
http://www.eluniverso.com/noticias/2013/05/12/nota/919391/dengue-hemorragico-cobra-otra-vida-van-7 [in Spanish]

[Maps of Peru can be accessed at http://www.peruline.com/peru/perukarte.htm and http://healthmap.org/r/1z-z. - Mod.TY]

- Venezuela (Carabobo state). 16 May 2013. Dengue during week 11 [ending 6 Mar 2013], 98 cases; in week 19 [ending 11 May 2013], 38 cases. Declining.
http://www.el-carabobeno.com/portada/articulo/58663/autoridades-sanitarias-registran-disminucin-del-dengue-en-carabobo- [in Spanish]

Maps of Venezuela can be accessed at http://www.lib.utexas.edu/maps/americas/venezuela.gif and http://healthmap.org/r/2bLS. - Mod.TY]

[Countries appear to be using different criteria for DHF (serious dengue), e.g. Acapulco, Mexico reporting 124/228 = 54 percent with DHF vs 171/5134 = 3 percent in Cali, Colombia and only 12/5615 = 2 per 1000 for the whole of Costa Rica. Alternatively, this may be related to their epidemics being caused by different serotypes, or even patient perception of whether it is any use going to health centers where they would be registered as cases.

Serotypes, when reported, are shown for each country in a PAHO table:
Number of Reported Cases of Dengue and Severe Dengue (SD) in the Americas, by Country: Figures for 2013 (to week noted by each country) Epidemiological Week / EW 16 (Updated 02 May 2013)
http://new.paho.org/hq/index.php?cx=014283770845240200164%3Aprvkaxcnku0&q=cases+severe+dengue+2013&searchword=cases+severe+dengue+2013&sa=Search...&cof=FORID%3A0&searchphrase=all&ie=iso-8859-1&scope=1&option=com_search&Itemid=298#gsc.tab=0&gsc.q=cases%20severe%20dengue%202013&gsc.page=1

Ref: Severe dengue: the need for new case definitions. Rigau-Pérez JG.
Lancet Infect Dis; 6(5): 297-302, 2006 May http://bvsalud.org/portal/resource/en/mdl-16631550
- Mod.JW]

See Also

Dengue/DHF update (37): Americas 20130512.1706809
Dengue/DHF update (37): Americas 20130512.1706809
Dengue/DHF update (36): Americas 20130507.1695740
Dengue/DHF update (29): Americas 20130414.1645719
2012
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Dengue/DHF update 2012 (65) Americas 20121210.1443572
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