Alerts in Central America and the Caribbean

Malaria - Panama

Panama Health Authorities (Minsa) confirmed 69 new cases of malaria last week. The Guna Yala region recorded 52 cases; Darién 9, comarca Ngäbe Buglé 4, and the regions of Panama Metro, Panama West, Colón and Chiriquí with 1 each.

Panamá

Violence - Jamaica

At least 65 people died between January 1 and 27 of this year in a violent manner, data from the Jamaica Police Force shows. Surprisingly, the high homicide rate has decreased compared to January 2023: 81 people were murdered in the first month of 2023. The country, which has a population of 2.8 million, reported 1,393 homicides in 2023 (1,498 murders in 2022). The Caribbean territory has not reported less than 1,000 murders per year since 2003. The U.S. Embassy in Jamaica raised the travel warning to Level 3: “reconsider travel,” a level lower than the most severe one that warns U.S. citizens not to travel.

Jamaica

Dengue - Dominican Republic

In epidemiological week (EW) 51, 732 probable cases of dengue were reported in the Dominican Republic, 24% are concentrated in the province of Santiago, 14% come from Santo Domingo and Puerto Plata with 6%. In the last 4 weeks (EW 48-51) 3,372 probable cases were reported. In this same period, 1,547 samples were processed, the positivity of the samples is 17%, in which the circulation of serotypes 1, 2 and 3 of the dengue virus has been identified, with serotype 3 predominating (70%). The provinces with the highest cumulative incidence per 100,000 inhabitants are: Barahona (513.99), María Trinidad Sánchez (513.82), San José de Ocoa (469.71) and Espaillat 486.84.

República Dominicana

Leishmaniasis - Mexico

In the last five years, the GeoSentinel network treated 23 patients with cutaneous leishmaniasis acquired in Mexico, although three of these patients had also visited other Central American countries. It should be noted that nine of these 23 patients were diagnosed in the last 12 months. This rebound is related to an increase in cases in the region. So far in 2023, the cumulative number of cases for the year in Mexico has further increased to 1,128 (958 cases in men). Once again, Quintana Roo remained the state with the highest number of cases, contributing 791 to the national figure (671 cases in men).

México

Malaria - Dominican Republic

In this epidemiological week 45, three cases of malaria were confirmed in the Dominican Republic, one man and two women, from the Azua outbreak. During the last four weeks (EW 42 to EW 45) 27 cases were confirmed. Geographically, the cases come from the focus of: San Juan (17 cases), Azua (9 cases) and Pedernales (1 case). The accumulated incidence until this week is 2.17 per 100,000 inhabitants, which represents a reduction of 29% compared to the same period in 2022. So far this year, 215 cases have been reported.

República Dominicana

Cholera - Dominican Republic

The Dominican Republic faces a new outbreak of cholera in the province of Barahona. The Ministry of Public Health has confirmed 16 cases among 45 patients with diarrheal symptoms treated at the Jaime Mota Hospital and the Primary Health Care Units (UNAP) in Bahoruco and La Ciénega. These cases include Haitian and Dominican citizens, reflecting the diversity of the affected population. The outbreak has been attributed to the consumption of contaminated water, mainly affecting residents of La Ciénega.

República Dominicana

Dengue - Central America and the Caribbean

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.

Dengue - Central America and Mexico

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.

Fungal meningitis associated to medical tourism - Mexico

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.

Malaria - Costa Rica

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

Dengue - Americas

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

Cholera - Haiti and Dominican Republic

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

Cholera - Haiti and Dominican Republic

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

Dengue, Zika, Chikungunya - Americas

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

Cholera - Haiti and Dominican Republic

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

Cholera - Haiti and Dominican Republic

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

Cholera - Haiti and Dominican Republic

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

Monkeypox in Mexico: deaths, increase in cases and spread throughout the territory

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

Cholera - Haiti and Dominican Republic

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

Cholera - Haiti and Dominican Republic

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

Cholera resurgence in Haiti

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

MDR Salmonella Newport in returned travelers form Mexico

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