Chattanooga Times Free Press

Dengue sweeps through Americas early this year

- BY DÁNICA COTO

SAN JUAN, Puerto Rico — Dengue is surging across the Americas early this year from Puerto Rico to Brazil, with 3.5 million cases of the tropical disease reported so far, health officials said Thursday.

That tally is three times the number of cases reported at this point last year, said Dr. Jarbas Barbosa, director of the Pan American Health Organizati­on, the regional office of the World Health Organizati­on in the Americas.

Last year, there were a record 4.5 million cases in the region, and PAHO officials said they expect this year will set a new record.

Usually dengue spikes during the wet season, which is still months away. And some areas are reporting dengue for the first time, officials said.

The dengue virus is spread to people when they are bitten by infected mosquitoes. Driving the surge are rising temperatur­es, rapid urbanizati­on, droughts and floods linked to climate change, and poor sanitation and a lack of robust health systems in some countries, health officials said.

The virus can cause crushing headaches, fever, vomiting, a rash and other symptoms. While most infected people don’t get symptoms, severe cases can lead to death. There’s no specific treatment other than pain medication­s.

Most of the current cases are in the Southern Hemisphere, with more than 80% in Brazil, followed by Paraguay, Argentina, Peru and Colombia. Some 1,000 deaths have been reported in the Americas so far this year.

In the Caribbean alone, more than 25,000 cases have been reported, with French Guiana, Martinique, Guadeloupe, Puerto Rico and the Dominican Republic most affected, said Dr. Rhonda Sealey-Thomas, PAHO’s assistant director.

Last Monday, Puerto Rico’s health secretary declared an epidemic, with more than 540 cases, with at least 341 people hospitaliz­ed. The numbers are concerning because parts of the island are currently under a moderate drought, and the rainiest month isn’t until August.

The surge in cases forced Rio de Janeiro to declare a public health emergency last month ahead of Carnival. Peru did the same for most of its provinces, and others have followed suit.

There are four different dengue viruses circulatin­g in the Americas, said the PAHO’s Dr. Sylvain Aldighieri. “We have to be prepared for this.”

Some countries have released specially bred mosquitoes that contain a bacteria called Wolbachia that fights dengue.

 ?? AP PHOTO/MARTIN MEJIA ?? A health worker fumigates for mosquitoes inside a home to help mitigate the spread of dengue March 1 in the Las Penitas area of Talara, Peru.
AP PHOTO/MARTIN MEJIA A health worker fumigates for mosquitoes inside a home to help mitigate the spread of dengue March 1 in the Las Penitas area of Talara, Peru.

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