Summary by Subregion Dengue Severe D North America 86 0 Central America 55,415 981 Andean 109,798 520 Southern Cone 202,205 131 Hispanic Caribbea 1,008 41 Caribbean 1,721 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 31 (Updated August 18, 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 31 Week 31

0 86 86

Week 23 Week 30 Week 31 Week 27 Week 31 Week 31 Week 26 Week 31

4 3,458 2,459 1,522 3,760 6,546 33,434 4,232 55,415

Week 30 Week 31 Week 28 Week 31 Week 17

7,995 18,235 9,713 71,133 2,722 109,798

Week 30 Week 25 Week 28 Week 30 Week 31

8,750 192,123 5 1,327 0 202,205

Week 25 Week 30 Week 31

270 729 9 1,008

Week 31 Week 12

1 15

Cases of D & SD reported Incidence Incidence c Rate Lab. Confirm. Rated Serotype North America 0.00 0 0.03 86 DEN 0.03 86 Central America and Mexico 1.15 4 1.15 DEN 69.13 0.00 DEN 1,2 38.27 86 1.34 DEN 2 9.36 230 1.41 DEN 1,2 43.11 0 0.00 DEN 1, 2, 3 5.23 3,014 2.41 DEN 1,2,3,4 534.35 1,325 21.18 DEN 106.12 1,943 48.72 DEN 1,2 6,602 32.17 3.83 Andean 72.52 0.00 36.82 8,357 16.87 DEN 59.86 9,713 59.86 DEN 228.28 23,358 74.96 DEN 2,3 8.77 309 1.00 DEN 41,737 79.01 30.03 Southern Cone 121.00 446 1.06 DEN 1,2,3 94.34 0.00 DEN 0.03 5 0.03 DEN 2 18.87 304 4.32 DEN 1 0.00 0 0.00 755 0.28 73.74 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 93.75 2 12.50 DEN Dengue Cases, Americas, 2017

Severe Denguee

Deaths

X 1000

0 0 0

0 0 0

0 53

0 0 0

(SD/D) x100

Deaths 0 11 125 57 0 0 CFR 0.00 0.00 0.00

325,128 325128

8 981

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 2.16 0.00 0.00 13.00 0.00 0.00 1.77

0.00 0.00 0.00 0.00 0.00 0.14 0.01 0.00 0.02

77 193 9 234 7 520

43 4 78 0 125

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

0.00 1.06 0.09 0.33 0.00 0.47

0.00 0.24 0.04 0.11 0.00 0.11

0 131

0 57 0 0 0 57

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 0.03 0.00 0.00 0.00 0.03

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

69 851

0 131 0

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

Weeka Week 24 Week 24 Week 20 Week 20 Week 24 Week 20 Week 24 Week 00 Week 28 Week 17 Week 20 Week 26

Probableb 1 661 4 151 0 28 12 0 22 165 59 83

Cases of D & SD reported Incidence Incidence Lab. Confirm. Ratec Rated Serotype 1.09 0 0.00 8 7.14 DEN 590.18 1.03 0 0.00 51.89 29 9.97 DEN 0.00 0 0.00 84.85 28 84.85 DEN 21.43 0 0.00 0.00 0 0.00 29.73 0 0.00 69.04 0 0.00 53.15 59 53.15 DEN 20.19 0 0.00 English, French, and Dutch Caribbean 0.00 0.00 0.00 0.00 11 0.39 DEN 2.28 18.34 1 0.25 DEN 2 0.00 0 0.00 0.00 0.00 331.13 0 0.00 0 0.00 7.69 8.54 14 8.54 DEN 278.05 0 0.00 1.94 1 0.97 0.00 0.00 4.53 0 0.00 314.00 157 314.00 DEN 8.91 311 1.61 38.75 49,500

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 28 64 Martinique Week 26 73 0 0 398 0.00 0.00 Montserrat Week 24 0 0 0 5 0.00 0.00 Netherlands Antilles Week 00 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 24 4 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 16 2 0 0 103 0.00 0.00 Suriname Week 00 0 0 548 0.00 0.00 0.00 Trinidad & Tobago Week 19 61 0 0 1,347 0.00 0.00 0.00 Turks & Caicos Islands Week 24 157 0 0 50 Subtotal 1,721 0 0 19,312 0.00 0.00 0.052 TOTAL 370,233 1,673 193 955,422 0.45 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 The probable cases include estimated cases only. The severe dengue includes also dengue cases with warning signs. Report received by Direccion Vigilancia epidemiologica. Secretaria de Salud. 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

55,501

11.2

981

11

0.02

Andina

109,798

79.0

520

125

0.11

Cono Sur

202,205

73.7

131

57

0.03

Caribe Hispano

1,008

3.9

41

0

0.00

Caribe inglés y francés

1,721

8.9

0

0

0.00

370,233

38.8

1,673

193

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

55,501

11.2

981

11

Case Fatality Rate  0.02

109,798 202,205 1,008

79.0 73.7 3.9

520 131 41

125 57 0

0.11 0.03 0.00

1,721 370,233

8.9 38.8

0 1,673

0 193

0.00 0.05

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