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During the first months of 2007 over 16,000 cases have been reported in Paraguay, of which around 100 have been detected as DHF cases. This new epidemic is expected to continue in Paraguay for several months, given the forecast of continuous rain all through the summer. Ten deaths have also been reported, including recently a high ranking member of the Ministry of Health. The epidemic has been the root of a scandal in the Paraguayan Department of Health, where one official has resigned because he had approved the use of expired batches of insecticide to control the mosquito vectors of dengue. The disease has propagated to Argentina (where it is not considered endemic), in almost all cases by people who recently arrived from Paraguay. In the Brazilian state of Mato Grosso do Sul, which borders on Paraguay, the number of cases in March 2007 is estimated to be more than 45,000. Epidemics in the states of Ceara', Para', Sa~o Paulo, and Rio de Janeiro have taken the Brazilian national tally of cases this year to over 70,000, with upwards of 20 deaths. The proportion of cases registered as DHF is reported to be higher than in previous years.

Recent dengue outbreaks in America:

* Dominican Republic (August – October 2006) 4,968 cases with 44 dead.
* Media reports (dated September and October 2006) speculate on an outbreak in Cuba, although there is no official report.

Recent dengue outbreaks in Asia and Pacific:

* Cook Islands (October 2006-January 2007) 460 cases.
* Philippines (January - August 2006) 13,468 cases with 167 dead.
* Thailand (May 2005) 7200 infected. At least 12 dead.
* Indonesia (2004) 80,000 infected with 800 deaths.
* Malaysia (January 2005), 33,203 cases.
* Singapore (2005), At least 13 deaths, (2004), 9460 cases, (2003), 4788 cases.
* Australia (2006) 15 March 2006, 2 Confirmed Cases at Gordon Vale, Cairns, Queensland.
* China September 2006, 70 cases since June in Guangzhou,Guangdong.

As of September 2005, Singapore reported a significant rise in the number of dengue cases - about 9000 in the year to date, about double the rate for the same period in 2004. It is even possible to have more than 500 cases per week. The large increase in dengue cases has caused hospitals to cancel some elective surgery due to the need to allocate more beds for dengue patients.

* New Delhi, India (September 2006) More than 400 cases and 22 deaths were reported due to dengue fever in the Indian capital. By October 7, 2006, reports were of 3,331 cases of the mosquito-borne virus and a death toll of 49.
* 2006 dengue outbreak in Pakistan with number of cases have climbed to over to 3,230 with 50 deaths.
o Karachi, Pakistan (October 2006) The number of infected patients rose to 1,836 by October 28, 2006, of which 30 had died.
o Lahore, Pakistan (October 2006) The Infection shifted to Lahore on 23 October 2006 during Eid Holidays with the luggage of some people travelling to their homes to celebrate Eid. The number of infected patients is 400 by October 31, 2006, of which 4 had died.

Dengue Fever
Overseas travellers are most at risk of Dengue fever which is carried by mosquitoes. This article outlines the symptoms, treatment, and measures to prevent it.

Travel Health - Dengue Fever...
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