Summary by Subregion Dengue Severe D North America 470 0 Central America 298,763 11,753 Andean 238,591 3,322 Southern Cone 604,390 694 Hispanic Caribbea 17,676 426 Caribbean 16,639 43 Population (SD/D) Deaths X 1000 x100

Number of Reported Cases of Dengue and Severe Dengue (SD) in the Americas, by Country: Figures for 2014 (to week noted by each country) Epidemiological Week / EW 53 (Updated May 05, 2015)

Country or Subregion Canada United States*** Belize Costa Rica El Salvador Guatemala Honduras Mexico Nicaragua Panama Bolivia Colombia Ecuador Peru Venezuela Argentinah Brazil Chile& Paraguay Uruguay Cubaf Dominican Republic Puerto Rico

Subtotal

Subtotal

Subtotal

Subtotal

Subtotal

Week

a

Suspected

b

Week 53 Week 53

0 470 470

Week 53 Week 53 Week 53 Week 53 Week 53 Week 53 Week 53 Week 53

5,026 11,140 53,460 19,791 43,456 124,943 35,430 5,517 298,763

Week 53 Week 53 Week 52 Week 53 Week 44

23,726 105,356 15,446 19,043 75,020 238,591

Week 53 Week 53 Week 53 Week 53 Week 53

3,270 591,080 30 10,010 0 604,390

Week 53 Week 53 Week 53

2,522 6,274 8,880 17,676

Cases of D & SDb reported Incidence Incidence c Rate Ratec Lab. Confirm. Serotype North America 0 0.15 470 470 Central America and Mexico 1,478.24 426 125.29 225.60 185 3.75 DEN1,2,3 844.82 16,146 255.15 DEN1,2,3 122.73 1,748 10.84 DEN1,2,3,4 5.80 DEN1,2,3 498.06 506 26.80 DEN1,2,3,4 104.30 32,100 31.17 DEN1,2,3 571.64 1,932 80.37 DEN1,2,3 140.99 3,145 56,188 179.59 Andean 218.71 1,278 11.78 DEN4 215.32 46,842 95.73 DEN1,2,3,4 96.37 1,462 9.12 DEN1,2,3,4 61.89 11,623 37.78 DEN1,2,3,4 243.17 0.00 DEN1,2,3,4 0 173.62 61,205 Southern Cone 7.82 490 1.17 DEN1,4 294.02 214,760 106.83 DEN1,2,3,4 0.66 30 0.66 6.26 DEN1,2,4 150.01 418 0.00 0.00 0 215,698 234.75 Hispanic Caribbean 22.40 0 0.00 63.48 0 0.00 DEN1,2,4 241.04 530 14.39 DEN1,2,4 71.20 530 English, French, and Dutch Caribbean* Dengue Cases, Americas, 2014

Severe Dengued

Deaths 0 109 209 415 62 3 CFR

0 0 0

0 0 0

313,085 313,085

146 4 465 113 2,335 8,668 2 20 11,753

0 0 6 13 5 76 0 9 109

340 4,938 6,328 16,125 8,725 119,789 6,198 3,913 166,356

2.90 0.04 0.87 0.57 5.37 6.94 0.01 0.36 3.93

0.00 0.00 0.01 0.07 0.01 0.06 0.00 0.16 0.04

354 2,619 67 95 187 3,322

0 166 12 31 0 209

10,848 48,930 16,027 30,769 30,851 137,425

1.49 2.49 0.43 0.50 0.25 1.39

0.00 0.16 0.08 0.16 0.00 0.09

0 689 0 5 0 694

0 410 0 5 0 415

41,803 201,032 4,537 6,673 3,419 257,464

0.00 0.12 0.00 0.05 … 0.11

0.00 0.07 0.00 0.05 … 0.07

0 424 2 426

0 62 0 62

11,259 9,883 3,684 24,826

… 6.76 0.02 2.41

… 0.99 0.00 0.35

0.00

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

Weeka Week 53 Week 53 Week 53 Week 48 Week 53 Week 53 Week 53 Week 53 Week 53 Week 36 Week 53 Week 47 Week 53 Week 48

Guyana Week 48 Haiti Week 00 Jamaica Week 53 Martinique Week 48 Montserrat* Week 53 Netherlands Antilles Week 00 St. Bartolome Week 48 St. Kitts & Nevis* Week 53 St. Lucia Week 53 St. Martin Week 48 St. Vincent & the Grenadines Week 53 Suriname Week 53 Trinidad & Tobago* Week 53 Turks & Caicos Islands* Week 53 Subtotal TOTAL a Epidemiological Week for which information is available b

Suspectedb 10 86 37 400 146 2,689 1 239 124 194 184 1,180 39 1,397 863 0 928 1,680 17 0 56 75 167 404 117 197 5,157 252 16,639 1,176,529

Cases of Dengue + Severe Dengue. Suspected Dengue Case. Person with symptoms compatible with dengue with or without warning sings or severe dengue, with no lab or epidemiological confirmation. c Incidence / 100,000 pop. (to date)

Cases of D & SDb reported Incidence Incidence c Rate Ratec Lab. Confirm. Serotype 9.62 10 9.62 537.50 8 50.00 DEN1,4 40.66 17 18.68 360.36 34 30.63 DEN1 3.66 DEN1,2 38.12 14 927.24 486 167.59 DEN1 1.43 1 1.43 724.24 69 209.09 225.45 4 7.27 DEN1,3 131.08 20 13.51 259.15 7 9.86 DEN4 500.00 781 330.93 DEN1,2,4 35.45 39 35.45 347.51 878 218.41 DEN 2,4 English, French, and Dutch Caribbean* 107.34 863 107.34 DEN4 0.00 98 0.94 34.09 72 2.65 DEN3 424.24 710 179.29 DEN1,2,4 340.00 1 20.00 DEN2 0.00 0 0.00 618.10 56 618.10 144.23 9 17.31 97.09 90 52.33 DEN4 1,078.48 404 1,078.48 113.59 10 9.71 36.21 13 2.39 DEN2 383.71 258 19.20 DEN1,4 514.29 252 514.29 DEN1 87.37 5,204 27.33 194.43 339,295

Severe Dengued

Population

0 0 0 0 0 2 0 0 0 0 0 7 1 8

0 0 0 11 0 0 0 0 0 1 0 13 0 0 43 16,238

Deaths

0 0 0 0 0 0 0 0 0 0 0 0 1 0

X 1000 104 16 91 111 383 290 70 33 55 148 71 236 110 402

0 0 0 2 0 0 0 0 0 0 0 0 0 0 3 798

804 10,461 2,722 396 5 225 9 52 172 37 103 544 1,344 49 19,044 605,115

(SD/D) x100 0.00 0.00 0.00 0.00 0.00 0.07 … 0.00 0.00 0.00 0.00 0.59 2.56 0.57 0.00 … 0.00 0.65 0.00 … 0.00 0.00 0.00 0.25 0.00 6.60 0.00 0.00 0.26

CFR 0.00 0.00 0.00 0.00 0.00 0.00 … 0.00 0.00 0.00 0.00 0.00 2.56 0.00 0.00 … 0.00 0.12 0.00 … 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.02 0.07

e

Cases of SD and complicated. * Figures from the English Caribbean provided by ARS and CARPHCFR = Case fatality rate of Dengue

f

0.9% imported cases

g

Confirmed cases only 0.9% are imported cases

h

** Population at risk

SD/D = SD/D ratio %

*** 98.5% imported cases 100% imported cases

Source: Country reports to PAHO.

&

Dengue Cases, Americas, 2014

Dengue*

Tasa incidencia x 100.000 habitantes

Dengue grave**

Muertes

Tasa de letalidad

Norteamerica, Centroamérica y México

299,233

179.9

11,753

109

0.04

Andina

238,591

173.6

3,322

209

0.09

Cono Sur

604,390

234.7

694

415

0.07

Caribe Hispano

17,676

71.2

426

62

0.35

Caribe inglés y francés

16,639

87.4

43

3

0.02

1,176,529

194.4

16,238

798

0.07

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

299,233

179.9

11,753

109

Case Fatality Rate  0.04

238,591 604,390 17,676

173.6 234.7 71.2

3,322 694 426

209 415 62

0.09 0.07 0.35

16,639 1,176,529

87.4 194.4

43 16,238

3 798

0.02 0.07

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