So far in 2023, 3407921 cases of dengue have been reported, with a cumulative incidence rate of 343 cases per 100,000 inhabitants. The highest number of dengue cases was observed in Brazil with 2569746 cases, followed by Peru with 235014 cases (as of EW 32) and Bolivia with 137110 cases.

So far this year, a total of 127,631 cases of dengue were reported in the region. Cases are presented by country, along with those classified as severe dengue, deaths, and those on the increase compared to previous years.

Authorities in the U.S. and Mexico have asked the WHO to declare a public health emergency of international concern over a deadly fungal outbreak.The request comes after recruiters lured hundreds of patients from multiple countries to 2 facilities in Mexico for cosmetic operations that may have exposed them to the fungus. A total of 14 are "suspected" and 11 are "probable" cases of fungal meningitis -- infections of the brain or spinal cord -- based on their symptoms or test results. Two of these patients have died.

Media in Costa Rica have reported an outbreak of malaria in the province of Limon. According to public health authorities there have been 62 cases in the 2 weeks leading up to 7 April 2023 in the cantons of Limon and Pococo. These areas usually have a lower risk of malaria.

Costa Rica

During the year 2022, a significant increase in the number of dengue cases and deaths was observed in the Americas region compared to previous years. This behavior has continued in the first weeks of 2023 and, in some countries, it has become even more pronounced, resulting in an overload in health services.

Anguilla, Antigua y Barbuda, Aruba, Bahamas, Barbados, Belize, Costa Rica, Cuba, Dominica, El Salvador, Granada, Guadalupe, Guatemala, Haití, Honduras, Islas Bermudas, Islas Caimán, Islas Vírgenes (UK), Islas Vírgenes (US), Jamaica, Martinica, México, Montserrat, Nicaragua, Panamá, Puerto Rico, República Dominicana, Saint Kitts And Nevis, Saint Lucia, San Vicente y las Granadines, Trinidad y Tobago, Turks y Caicos

Up to 24/2/23, the Haitian Ministry of Health reported 33185 suspected cases of cholera (2398 confirmed cases, 29288 suspected cases who needed hospitalization, and 594 deaths). On 10/20/2022, Dominican Republic confirmed the first imported case of cholera in the country

Haití, República Dominicana

Up to 12/2/23, the Haitian Ministry of Health reported 30715 suspected cases of cholera (2283 confirmed cases, 27014 suspected cases who needed hospitalization, and 594 deaths). On 10/20, Dominican Republic confirmed the first imported case of cholera in the country

Haití, República Dominicana

During 2022, several countries in the region registered increases in the number of cases of dengue, Zika and chikungunya, above what was reported in 2021

Argentina, Bolivia, Brasil, Chile, Colombia, Paraguay, Perú, Uruguay, Venezuela, Antártida, Ecuador, Guayana, Guayana Francesa, Islas Georgias del Sur, Islas Malvinas, Suriname

Up to 14/1/23, the Haitian Ministry of Health reported 24232 suspected cases of cholera (1742 confirmed cases, 20505 suspected cases who needed hospitalization, and 483 deaths). On 10/20, Dominican Republic confirmed the first imported case of cholera in the country

Haití, República Dominicana

Up to 4/12/2022, the Haitian Ministry of Health reported 13454 suspected cases of cholera (1177 confirmed cases, 11557 suspected cases who needed hospitalization, and 281 deaths). On 10/20, Dominican Republic confirmed the first imported case of cholera in the country

Haití, República Dominicana

Up to 10/30/2022, the Haitian Ministry of Health reported 11039, suspected cases of cholera (938 confirmed cases, 9344 suspected cases who needed hospitalization, and 202 deaths). On 10/20, Dominican Republic confirmed the first imported case of cholera in the country

Haití, República Dominicana

4,996 people were identified as probable cases. Of these, 3,007 are confirmed, 358 under study, and 1,631 ruled out by laboratory tests.

México

Up to 10/30/2022, the Haitian Ministry of Health reported 3429, suspected cases of cholera (399 confirmed cases, 2942 suspected cases who needed hospitalization, and 89 deaths). On 10/20, Dominican Republic confirmed the first imported case of cholera in the country

Haití, República Dominicana

As of 10/23/2022, the Haitian Ministry of Health reported 2,243 suspected cases of cholera (219 confirmed cases, 1,415 suspected cases hospitalized, and 55 deaths). On 10/20, the Dominican Republic confirmed the first imported case of cholera in the country

Haití, República Dominicana

After more than 3 years with no reported cholera cases in Haiti, on October 2, 2022, national authorities reported two confirmed cases of Vibrio cholerae O1 in the greater Port-au-Prince area. Additionally, several clusters of suspected cases and deaths are reported and are under investigation in various communes of the Ouest department, including the communes of Cité Soleil and Port-au-Prince. The Pan American Health Organization/World Health Organization (PAHO/WHO) recommends that Member States take actions to strengthen their surveillance systems for the timely detection of cholera cases and outbreaks of acute diarrhea and update their preparedness plans and answer. In addition, it reiterates to the Member States to continue their efforts and implement actions to improve the quality and conditions of water and sanitation.

Haití

Some travelers who have spent time in Mexico have been infected with multidrug-resistant (MDR) Salmonella Newport. MDR Salmonella has developed the ability to defeat drugs designed to kill them. Infections with MDR Salmonella can be difficult to treat. Clinicians should follow CDC’s treatment guidance. Many travelers with MDR Salmonella Newport infections reported eating beef, cheese (including queso fresco and Oaxaca), beef jerky, or dried beef (carne seca) before they got sick.

México