Summary by Subregion Dengue Severe D North America 100 0 Central America 90,337 253 Andean 111,310 535 Southern Cone 223,941 169 Hispanic Caribbea 1,008 41 Caribbean 2,002 0 Population

Number of Reported Cases of Dengue and Severe Dengue (SD) in the Americas, by Country: Figures for 2017 (to week noted by each country) Epidemiological Week / EW 33 (Updated September 5, 2017)

Country or Subregion Canada United Statesf Belize Costa Rica El Salvador Guatemala Honduras Mexicog Nicaragua Panama Bolivia Colombia Ecuadorh Peru Venezuela Argentina i Brazil Chilek Paraguay Uruguay Cuba Dominican Republic Puerto Rico j

Subtotal

Subtotal

Subtotal

Subtotal

Subtotal

American Virgin Islands Anguilla

Weeka

Probableb

Week 33 Week 33

0 100 100

Week 29 Week 30 Week 33 Week 33 Week 33 Week 33 Week 33 Week 32

15 3,458 2,627 2,280 3,974 28,302 45,243 4,438 90,337

Week 32 Week 33 Week 32 Week 33 Week 17

7,910 18,963 10,198 71,517 2,722 111,310

Week 32 Week 33 Week 28 Week 32 Week 33

7,618 214,990 5 1,328 0 223,941

Week 25 Week 30 Week 33

270 729 9 1,008

Week 33 Week 28

1 18

Cases of D & SD reported Incidence Incidence c Rate Lab. Confirm. Rated Serotype North America 0.00 0 0.03 100 DEN 0.03 100 Central America and Mexico 4.31 4 1.15 DEN 69.13 0.00 DEN 1,2 40.88 104 1.62 DEN 2 14.03 386 2.37 DEN 1,2,3,4 45.57 0 0.00 DEN 1, 2, 3 22.60 3,945 3.15 DEN 1,2,3 723.08 1,674 26.75 DEN 2 111.28 2,039 51.13 DEN 1,2 8,152 52.45 4.73 Andean 71.75 0.00 38.29 8,357 16.87 DEN 62.85 10,198 62.85 DEN 229.51 24,023 77.09 DEN 2,3 8.77 309 1.00 DEN 42,887 80.10 30.86 Southern Cone 121.00 254 0.60 DEN 1,2,3 105.56 0.00 DEN 1,2,3,4 0.03 5 0.03 DEN 2 18.88 305 4.34 DEN 1 0.00 0 0.00 564 0.21 81.67 Hispanic Caribbean 2.40 0.00 DEN 2,3 6.84 0.00 DEN 0.24 9 0.24 DEN 2 9 0.04 3.94 English, French, and Dutch Caribbean 0.96 1 0.96 DEN 112.50 2 12.50 DEN Dengue Cases, Americas, 2017

Severe Denguee

Deaths 0 0 0

X 1000 0 0 0

CFR 0.00 0.00 0.00

325,128 325128

8 253

0 9 2 0 11

348 5,002 6,426 16,255 8,721 125,236 6,257 3,988 172,233

0.00 0.00 0.11 0.00 0.00 0.54 0.00 0.00 0.28

0.00 0.00 0.00 0.00 0.00 0.03 0.00 0.00 0.01

77 207 12 232 7 535

35 4 80 0 119

11,025 49,529 16,226 31,161 31,028 138,969

0.00 1.09 0.12 0.32 0.00 0.48

0.00 0.18 0.04 0.11 0.00 0.11

0 169

0 83 0 0 0 83

42,155 203,657 17,924 7,033 3,430 274,199

0.00 0.00 0.00 0.00 0.00 0.03

0.00 0.04 0.00 0.00 0.00 0.04

41 0 41

0 0 0

11,249 10,652 3,680 25,581

0.00 0.00 0.00 2.67

0.00 0.00 0.00 0.00

0 0

0 0

104 16

0.00 0.00

0.00 0.00

0 3 15 73 154

0 169 0

0 0 0

(SD/D) x100

Deaths 0 11 119 83 0 0

Country or Subregion Antigua & Barbuda Aruba Bahamas Barbados Bermuda British Virgin Islands Cayman Islands Curacao Dominica French Guiana Grenada Guadaloupe

Weeka Week 28 Week 28 Week 28 Week 28 Week 28 Week 32 Week 28 Week 00 Week 28 Week 17 Week 28 Week 26

Probableb 1 688 4 192 0 42 23 0 31 165 80 83

Cases of D & SD reported Incidence Incidence Lab. Confirm. Ratec Rated Serotype 1.09 0 0.00 DEN 9 8.04 DEN 614.29 1.03 0 0.00 DEN 65.98 29 9.97 DEN 0.00 0 0.00 127.27 42 127.27 DEN 41.07 0 0.00 DEN 0.00 0 0.00 41.89 0 0.00 DEN 69.04 0 0.00 DEN 72.07 80 72.07 DEN 20.19 0 0.00 DEN English, French, and Dutch Caribbean 0.00 0.00 0.00 0.00 14 0.50 DEN 3 2.49 18.34 1 0.25 DEN 2 0.00 0 0.00 0.00 0 0.00 331.13 0 0.00 0 0.00 13.46 8.54 14 8.54 DEN 278.05 0 0.00 2.91 2 1.94 0.00 0.00 15.29 3 0.22 314.00 157 314.00 DEN 10.37 354 1.83 44.87 52,066

Severe Denguee

Population

0 0 0 0 0 0 0 0 0 0 0 0

Deaths

0 0 0 0 0 0 0 0 0 0 0 0

X 1000

92 112 388 291 70 33 56 148 74 239 111 411

(SD/D) x100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

CFR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Guyana Week 00 0 0 808 0.00 0.00 Haiti Week 00 0 0 10,604 0.00 0.00 0 0 2,813 0.00 0.00 Jamaica Week 33 70 Martinique Week 26 73 0 0 398 0.00 0.00 Montserrat Week 28 0 0 0 5 0.00 0.00 Netherlands Antilles Week 28 0 0 0 225 0.00 0.00 St. Bartolome Week 26 30 0 0 9 0.00 0.00 0 0 52 0.00 0.00 St. Kitts & Nevis Week 28 7 St. Lucia Week 24 14 0 0 164 0.00 0.00 St. Martin Week 26 114 0 0 41 0.00 0.00 St. Vincent & the Grenadines Week 28 3 0 0 103 0.00 0.00 Suriname Week 00 0 0 548 0.00 0.00 0.00 Trinidad & Tobago Week 28 206 0 0 1,347 0.00 0.00 0.00 Turks & Caicos Islands Week 24 157 0 0 50 Subtotal 2,002 0 0 19,312 0.00 0.00 TOTAL 428,698 998 213 955,422 0.23 0.050 a Epidemiological Week for which information is available b Report of all dengue cases, including suspected, prablables, confirmed, non-severe and severe cases, and deaths. Probable Dengue Case: Person who has a fever or history of fever for 2-7 days duration, two or more symptoms of dengue and one serological test positive or epidemiological nexus with confirmed dengue case 14 days before onset of symptoms c Incidence rate of probable dengue cases / 100,000 population d Incidence rate for dengue confirmed cases only e Includes severe dengue and hemorrhagic dengue fever f Includes data for dengue and dengue-like illness g Report from Dirección General de Epidemiología. Available at: https://www.gob.mx/salud/documentos h Ecuador reports confirmed cases only (source: Ministerio de Salud Pública - available at: http://www.salud.gob.ec/estrategia-nacional-de-control-del-dengue/) i Includes probable dengue cases and suspected arbovirus cases j Includes dengue confirmed cases only k imported cases Source: Country reports to PAHO.

Dengue Cases, Americas, 2017

Dengue*

Tasa incidencia x 100.000 habitantes

Dengue grave**

Muertes

Tasa de letalidad

Norteamerica, Centroamérica y México

90,437

18.2

253

11

0.01

Andina

111,310

80.1

535

119

0.11

Cono Sur

223,941

81.7

169

83

0.04

Caribe Hispano

1,008

3.9

41

0

0.00

Caribe inglés y francés

2,002

10.4

0

0

0.00

428,698

44.9

998

213

0.05

Sub-regiones

TOTAL *Suma de Dengue + Dengue grave

**Incluye Sindrome de choque por dengue y/o todas las formas de dengue grave

Americas Sub-region North America, Central America & Mexico Andean Southern Cone Hispanic Caribbean Caribbean TOTAL

Dengue*

Incidence rate / 100.000 in habitants

Severe Dengue**

Deaths

90,437

18.2

253

11

Case Fatality Rate  0.01

111,310 223,941 1,008

80.1 81.7 3.9

535 169 41

119 83 0

0.11 0.04 0.00

2,002 428,698

10.4 44.9

0 998

0 213

0.00 0.05

*Sum of Dengue + Severe Dengue **Includes all forms of Severe Dengue including  Dengue Shock Syndrome and Dengue Haemorrhagic Fever