Via CIDRAP, Lisa Schnirring writes: Caribbean chikungunya outbreak slows; total nears 190,000. Excerpt:
Though the number of chikungunya cases in Caribbean countries continued to grow last week, topping 189,000 cases, the pace slowed as officials reported a steady trickle of imported cases in US residents who had traveled to affected areas.
The number of suspected or confirmed cases reached 189,055, reflecting 18,519 more cases than the previous week, according to a Jun 20 update from the Pan American Health Organization (PAHO). That increase is slightly more than half of the 35,139 new cases reported in PAHO's Jun 13 update.
Seven more deaths attributed to the mosquito-borne disease were reported, boosting the outbreak's fatality number to 21.
Latin Caribbean countries are hot spots
As for the past several weeks, the areas reporting most of the recent cases are Latin Caribbean countries, especially the Dominican Republic; suspected and confirmed cases reported in that country grew from 77,320 to 89,738 last week. No new illnesses were reported in neighboring Haiti, however.
More than 5,000 of the new cases were reported in Guadeloupe. Other Latin countries in the Caribbean that reported increases include Saint Barthelemy and the French part of Saint Martin.
No new cases were reported in the countries and territories in the non-Latin part of the Caribbean. Those areas reported most of the cases earlier in the outbreak soon after it began in December.
The European Centre for Disease Prevention and Control (ECDC) said in its latest communicable disease threat outbreak today that most areas continue to report cases, especially Haiti and the Dominican Republic.
The ECDC said Costa Rica reported its first confirmed case, though the report didn't specify if the infection was locally acquired or travel related. Media reports last week said over a thousand chikungunya cases were diagnosed locally in a part of El Salvador. The ECDC, however, said the cases still need to be confirmed.