<?xml version="1.0" encoding="UTF-8"?><rss xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:atom="http://www.w3.org/2005/Atom" version="2.0" xmlns:itunes="http://www.itunes.com/dtds/podcast-1.0.dtd" xmlns:googleplay="http://www.google.com/schemas/play-podcasts/1.0"><channel><title><![CDATA[Outbreak News Today: Latin America and the Caribbean]]></title><description><![CDATA[Infectious disease news from Latin America and the Caribbean]]></description><link>https://outbreaknewstoday.substack.com/s/latin-america-and-the-caribbean</link><image><url>https://substackcdn.com/image/fetch/$s_!EyiE!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F84b1a72e-cd5e-4f9c-a17e-1711148770ac_600x600.png</url><title>Outbreak News Today: Latin America and the Caribbean</title><link>https://outbreaknewstoday.substack.com/s/latin-america-and-the-caribbean</link></image><generator>Substack</generator><lastBuildDate>Tue, 21 Apr 2026 06:58:32 GMT</lastBuildDate><atom:link href="https://outbreaknewstoday.substack.com/feed" rel="self" type="application/rss+xml"/><copyright><![CDATA[Robert Herriman]]></copyright><language><![CDATA[en]]></language><webMaster><![CDATA[outbreaknewstoday@substack.com]]></webMaster><itunes:owner><itunes:email><![CDATA[outbreaknewstoday@substack.com]]></itunes:email><itunes:name><![CDATA[Robert Herriman]]></itunes:name></itunes:owner><itunes:author><![CDATA[Robert Herriman]]></itunes:author><googleplay:owner><![CDATA[outbreaknewstoday@substack.com]]></googleplay:owner><googleplay:email><![CDATA[outbreaknewstoday@substack.com]]></googleplay:email><googleplay:author><![CDATA[Robert Herriman]]></googleplay:author><itunes:block><![CDATA[Yes]]></itunes:block><item><title><![CDATA[Argentina reports hundreds of new chikungunya cases]]></title><description><![CDATA[In a follow-up on the chikungunya outbreak in Argentina, the Argentina National Epidemiological Surveillance System (BEN) reports 268 new cases of chikungunya fever during the week ending April 11.]]></description><link>https://outbreaknewstoday.substack.com/p/argentina-reports-hundreds-of-new</link><guid isPermaLink="false">https://outbreaknewstoday.substack.com/p/argentina-reports-hundreds-of-new</guid><dc:creator><![CDATA[Robert Herriman]]></dc:creator><pubDate>Mon, 20 Apr 2026 21:32:12 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!9eyI!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F48f308ef-5f9a-4631-a319-18d94884c54c_700x466.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>In a <strong><a href="https://outbreaknewstoday.substack.com/p/chikungunya-in-argentina-salta-is">follow-up on the chikungunya</a></strong> outbreak in Argentina, the Argentina National Epidemiological Surveillance System (BEN) reports 268 new cases of chikungunya fever during the week ending April 11.</p><p>To date, the total number of confirmed and probable cases is 837 (746 locally acquired and 91 with a history of travel to Bolivia, Brazil, Paraguay, and Cuba).</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!9eyI!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F48f308ef-5f9a-4631-a319-18d94884c54c_700x466.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!9eyI!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F48f308ef-5f9a-4631-a319-18d94884c54c_700x466.jpeg 424w, https://substackcdn.com/image/fetch/$s_!9eyI!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F48f308ef-5f9a-4631-a319-18d94884c54c_700x466.jpeg 848w, https://substackcdn.com/image/fetch/$s_!9eyI!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F48f308ef-5f9a-4631-a319-18d94884c54c_700x466.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!9eyI!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F48f308ef-5f9a-4631-a319-18d94884c54c_700x466.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!9eyI!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F48f308ef-5f9a-4631-a319-18d94884c54c_700x466.jpeg" width="700" height="466" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/48f308ef-5f9a-4631-a319-18d94884c54c_700x466.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:466,&quot;width&quot;:700,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:32397,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://outbreaknewstoday.substack.com/i/194847388?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F48f308ef-5f9a-4631-a319-18d94884c54c_700x466.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!9eyI!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F48f308ef-5f9a-4631-a319-18d94884c54c_700x466.jpeg 424w, https://substackcdn.com/image/fetch/$s_!9eyI!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F48f308ef-5f9a-4631-a319-18d94884c54c_700x466.jpeg 848w, https://substackcdn.com/image/fetch/$s_!9eyI!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F48f308ef-5f9a-4631-a319-18d94884c54c_700x466.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!9eyI!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F48f308ef-5f9a-4631-a319-18d94884c54c_700x466.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Image/CDC</figcaption></figure></div><p>Ninety-three percent of cases are concentrated in the Northwest region (NOA), with 782 confirmed and probable cases. Salta continues to be the province with the highest number of cases (494 confirmed and probable), but significant transmission clusters have also been identified in Tucum&#225;n (144 cases) and Jujuy (80 cases).</p><p>As for the rest of the country&#8217;s provinces, the upward trend continues. To date, 47 cases of chikungunya have been registered in Santiago del Estero and 17 in Catamarca. In the Central Region, Buenos Aires Province also has a high number of cases, with 28 confirmed and probable cases. It is followed by C&#243;rdoba with 14 cases and the City of Buenos Aires with 7. The remaining cases are located in Entre R&#237;os, San Luis (2 cases each), Santa Fe, and Chaco (1 case each).</p><p></p><iframe class="spotify-wrap podcast" data-attrs="{&quot;image&quot;:&quot;https://i.scdn.co/image/ab6765630000ba8aa379a91041e53c853258224a&quot;,&quot;title&quot;:&quot;Chikungunya outbreaks: Suriname and Seychelles&quot;,&quot;subtitle&quot;:&quot;Robert Herriman&quot;,&quot;description&quot;:&quot;Episode&quot;,&quot;url&quot;:&quot;https://open.spotify.com/episode/3pUY8URsysjdfoys0zBUO2&quot;,&quot;belowTheFold&quot;:false,&quot;noScroll&quot;:false}" src="https://open.spotify.com/embed/episode/3pUY8URsysjdfoys0zBUO2" frameborder="0" gesture="media" allowfullscreen="true" allow="encrypted-media" data-component-name="Spotify2ToDOM"></iframe><p></p><p>Given this scenario, the national health ministry is maintaining intensified surveillance of Acute Febrile Syndrome of Nonspecific Origin (AFNE) to identify changes in viral circulation patterns, optimize response capacity, and support jurisdictions in strengthening their response. It also recommends that health services apply direct and confirmatory methods (such as qRT-PCR and NS1 ELISA) to samples taken during the first 6 days of symptoms, in order to provide timely information that allows for the characterization of circulating arboviruses and the generation of early alerts to guide local control measures.</p><p><em><strong>If you like the reporting on Outbreak News Today, please consider a paid subscription for $5/month or $30 a year. Help support the cause of this niche journalism. It is appreciated.</strong></em></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://outbreaknewstoday.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Outbreak News Today is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[Chikungunya in French Guiana update]]></title><description><![CDATA[In the follow-up on the chikungunya situation in French Guiana, on the northeast coast of South America, since the first locally acquired case was confirmed on January 26, 2026, several cases have been identified in the territory.]]></description><link>https://outbreaknewstoday.substack.com/p/chikungunya-in-french-guiana-update</link><guid isPermaLink="false">https://outbreaknewstoday.substack.com/p/chikungunya-in-french-guiana-update</guid><dc:creator><![CDATA[Robert Herriman]]></dc:creator><pubDate>Mon, 20 Apr 2026 21:15:59 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!rktU!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed067806-d389-433d-a419-0b108e574745_553x381.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>In the <strong><a href="https://outbreaknewstoday.substack.com/p/french-guiana-reports-chikungunya?utm_source=publication-search">follow-up on the chikungunya</a></strong> situation in French Guiana, on the northeast coast of South America, since the first locally acquired case was confirmed on January 26, 2026, several cases have been identified in the territory.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!rktU!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed067806-d389-433d-a419-0b108e574745_553x381.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!rktU!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed067806-d389-433d-a419-0b108e574745_553x381.png 424w, https://substackcdn.com/image/fetch/$s_!rktU!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed067806-d389-433d-a419-0b108e574745_553x381.png 848w, https://substackcdn.com/image/fetch/$s_!rktU!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed067806-d389-433d-a419-0b108e574745_553x381.png 1272w, https://substackcdn.com/image/fetch/$s_!rktU!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed067806-d389-433d-a419-0b108e574745_553x381.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!rktU!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed067806-d389-433d-a419-0b108e574745_553x381.png" width="553" height="381" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/ed067806-d389-433d-a419-0b108e574745_553x381.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:381,&quot;width&quot;:553,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:177434,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://outbreaknewstoday.substack.com/i/194844978?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed067806-d389-433d-a419-0b108e574745_553x381.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!rktU!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed067806-d389-433d-a419-0b108e574745_553x381.png 424w, https://substackcdn.com/image/fetch/$s_!rktU!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed067806-d389-433d-a419-0b108e574745_553x381.png 848w, https://substackcdn.com/image/fetch/$s_!rktU!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed067806-d389-433d-a419-0b108e574745_553x381.png 1272w, https://substackcdn.com/image/fetch/$s_!rktU!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed067806-d389-433d-a419-0b108e574745_553x381.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Since late January, 108 cases of chikungunya have been confirmed&#8212;primarily in the West Coastal sector (82%)&#8212;though cases have also been detected in the Ile de Cayenne, Savanes, and Maroni sectors in recent weeks, indicating an expansion of the virus&#8217;s geographical distribution across the territory.</p><p>Hospital-based surveillance has identified 30 hospitalized cases; their distribution&#8212;comprising common forms (70%), unusual forms (27%), and severe forms (3%).</p><p><em><strong><a href="https://www.youtube.com/watch?v=0UcpVsE25-I">Chikungunya epidemic risk: A call to action</a></strong></em></p><p>Chikungunya is a viral disease transmitted to humans by infected mosquitoes . This disease is caused by the Chikungunya virus (an arbovirus), which shares its name with the illness it causes. The name comes from a verb in the Makonde language, spoken in East Africa, meaning " that which bends ." It is transmitted by mosquitoes of the Aedes genus , which preferentially bite at the beginning and end of the day<strong>.</strong></p><p><em><strong>If you like the reporting on Outbreak News Today, please consider a paid subscription for $5/month or $30 a year. Help support the cause of this niche journalism. It is appreciated.</strong></em></p><p>The last chikungunya outbreak in French Guiana dates back to 2014. Since then, several outbreaks have been observed worldwide, the most recent in 2024 and 2025 affecting the Indian Ocean and mainland France during the summer of 2025. At that time, a few cases of chikungunya were detected in French Guiana among people returning from these areas, but this did not lead to local transmission of the virus. In 2025, another outbreak affected the Caribbean and Latin America, resulting in the circulation of the chikungunya virus in French Guiana.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://outbreaknewstoday.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Outbreak News Today is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[Brazil makes progress in controlling dengue and malaria]]></title><description><![CDATA[Dengue fever]]></description><link>https://outbreaknewstoday.substack.com/p/brazil-makes-progress-in-controlling</link><guid isPermaLink="false">https://outbreaknewstoday.substack.com/p/brazil-makes-progress-in-controlling</guid><dc:creator><![CDATA[Robert Herriman]]></dc:creator><pubDate>Sun, 19 Apr 2026 12:53:57 GMT</pubDate><enclosure url="https://images.unsplash.com/photo-1775583921546-b676c0b1624c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxMHx8bWFsYXJpYXxlbnwwfHx8fDE3NzY2MDMxMjB8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p><em><strong>Dengue fever</strong></em></p><p>Dengue cases in Brazil continue to decline. So far in 2026, the country has registered a 75% reduction compared to the same period last year, according to health officials.</p><p>From January to April 11, 227,500 probable cases of dengue were registered in the country, well below the 916,400 in the same period of 2025. The decrease follows a trend observed since last year, when the total reached 1.7 million, after the peak of 6.6 million registered in 2024.</p><p>The result reflects the strengthening of coordinated actions between the Ministry of Health, states, and municipalities. Among the strategies is the expansion of the use of ovitraps, currently present in 1,600 municipalities, with a forecast of reaching 2,000 by the end of this year. The use of irradiated sterile insects and the expansion of the Wolbachia method, planned for 72 priority municipalities, are also progressing.</p><p>In the vaccination campaign, more than 1.4 million doses have been administered to children and adolescents aged 10 to 14, who have been receiving the vaccine since 2024. This year, the Ministry of Health began offering the national single-dose vaccine, developed by the Butantan Institute, to three pilot municipalities for the 12 to 59 age group. Healthcare professionals also receive the vaccine, totaling more than 300,000 doses administered.</p><p><em><strong><a href="https://www.youtube.com/watch?v=FQ1M7OFminA&amp;t=262s">Plasmodium vivax: The Global burden is obscure and insidious</a></strong></em></p><p><em><strong>Malaria</strong></em></p><p>In 2025, Brazil recorded the lowest number of malaria cases since 1979, with a 15% decrease compared to the previous year. Cases fell by 30%, mainly in indigenous territories. Deaths dropped by 28%, from 54 to 39. In the Yanomami Indigenous Territory, the reduction was 22% in cases and 80% in deaths.</p><p></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://images.unsplash.com/photo-1775583921546-b676c0b1624c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxMHx8bWFsYXJpYXxlbnwwfHx8fDE3NzY2MDMxMjB8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://images.unsplash.com/photo-1775583921546-b676c0b1624c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxMHx8bWFsYXJpYXxlbnwwfHx8fDE3NzY2MDMxMjB8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 424w, https://images.unsplash.com/photo-1775583921546-b676c0b1624c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxMHx8bWFsYXJpYXxlbnwwfHx8fDE3NzY2MDMxMjB8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 848w, https://images.unsplash.com/photo-1775583921546-b676c0b1624c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxMHx8bWFsYXJpYXxlbnwwfHx8fDE3NzY2MDMxMjB8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 1272w, https://images.unsplash.com/photo-1775583921546-b676c0b1624c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxMHx8bWFsYXJpYXxlbnwwfHx8fDE3NzY2MDMxMjB8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 1456w" sizes="100vw"><img src="https://images.unsplash.com/photo-1775583921546-b676c0b1624c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxMHx8bWFsYXJpYXxlbnwwfHx8fDE3NzY2MDMxMjB8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080" width="5100" height="6556" data-attrs="{&quot;src&quot;:&quot;https://images.unsplash.com/photo-1775583921546-b676c0b1624c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxMHx8bWFsYXJpYXxlbnwwfHx8fDE3NzY2MDMxMjB8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:6556,&quot;width&quot;:5100,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:&quot;Mosquito feeding on blood, microscopic view&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="Mosquito feeding on blood, microscopic view" title="Mosquito feeding on blood, microscopic view" srcset="https://images.unsplash.com/photo-1775583921546-b676c0b1624c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxMHx8bWFsYXJpYXxlbnwwfHx8fDE3NzY2MDMxMjB8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 424w, https://images.unsplash.com/photo-1775583921546-b676c0b1624c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxMHx8bWFsYXJpYXxlbnwwfHx8fDE3NzY2MDMxMjB8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 848w, https://images.unsplash.com/photo-1775583921546-b676c0b1624c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxMHx8bWFsYXJpYXxlbnwwfHx8fDE3NzY2MDMxMjB8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 1272w, https://images.unsplash.com/photo-1775583921546-b676c0b1624c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxMHx8bWFsYXJpYXxlbnwwfHx8fDE3NzY2MDMxMjB8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Photo by <a href="https://unsplash.com/@navymedicine">Navy Medicine</a> on <a href="https://unsplash.com">Unsplash</a></figcaption></figure></div><p>The result is associated with the expansion of diagnosis and treatment. More than 25,000 patients were treated with tafenoquine, and the pediatric version began to be offered in 2026. There was also an intensification of active case finding and an increase in the availability of rapid tests.</p><p><em><strong>If you like the reporting on Outbreak News Today, please consider a paid subscription for $5/month or $30 a year. Help support the cause of this niche journalism. It is appreciated.</strong></em></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://outbreaknewstoday.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Outbreak News Today is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[Local cholera case reported on the Cayman Islands]]></title><description><![CDATA[The Ministry of Health, Environment & Sustainability and the Public Health Department confirm that a laboratory result from a patient in the Cayman Islands indicated the presence of a cholera-related bacteria and is under active review.]]></description><link>https://outbreaknewstoday.substack.com/p/local-cholera-case-reported-on-the</link><guid isPermaLink="false">https://outbreaknewstoday.substack.com/p/local-cholera-case-reported-on-the</guid><dc:creator><![CDATA[Robert Herriman]]></dc:creator><pubDate>Sat, 18 Apr 2026 21:36:18 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!_-yH!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18e318d6-a699-494f-99e1-90a79b378567_640x687.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>The Ministry of Health, Environment &amp; Sustainability and the Public Health Department confirm that a laboratory result from a patient in the Cayman Islands indicated the presence of a cholera-related bacteria and is under active review.</p><p>The patient presented with gastrointestinal illness and has since recovered from symptoms and remains at home. PCR-based testing identified Vibrio cholerae and cholera toxin markers; however, the clinical presentation does not meet the criteria for a severe cholera (cholera gravis) . At this time, there is no evidence of a cholera outbreak. The matter is being managed as an isolated finding while investigations continue.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!_-yH!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18e318d6-a699-494f-99e1-90a79b378567_640x687.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!_-yH!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18e318d6-a699-494f-99e1-90a79b378567_640x687.png 424w, https://substackcdn.com/image/fetch/$s_!_-yH!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18e318d6-a699-494f-99e1-90a79b378567_640x687.png 848w, https://substackcdn.com/image/fetch/$s_!_-yH!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18e318d6-a699-494f-99e1-90a79b378567_640x687.png 1272w, https://substackcdn.com/image/fetch/$s_!_-yH!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18e318d6-a699-494f-99e1-90a79b378567_640x687.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!_-yH!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18e318d6-a699-494f-99e1-90a79b378567_640x687.png" width="640" height="687" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/18e318d6-a699-494f-99e1-90a79b378567_640x687.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:687,&quot;width&quot;:640,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:79952,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://outbreaknewstoday.substack.com/i/194644762?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18e318d6-a699-494f-99e1-90a79b378567_640x687.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!_-yH!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18e318d6-a699-494f-99e1-90a79b378567_640x687.png 424w, https://substackcdn.com/image/fetch/$s_!_-yH!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18e318d6-a699-494f-99e1-90a79b378567_640x687.png 848w, https://substackcdn.com/image/fetch/$s_!_-yH!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18e318d6-a699-494f-99e1-90a79b378567_640x687.png 1272w, https://substackcdn.com/image/fetch/$s_!_-yH!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F18e318d6-a699-494f-99e1-90a79b378567_640x687.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Chief Medical Officer, Dr Hilary Wolf, stated:<br>&#8220;We have confirmed a single, mild case of cholera. The individual is recovering well, and this appears to be a sporadic case. Public health teams are actively investigating and taking all appropriate precautions.&#8221;</p><p><em><strong><a href="https://dts.podtrac.com/redirect.mp3/traffic.libsyn.com/outbreaknews/cholera.mp3">Cholera: A significant global health concern</a></strong></em></p><p>Medical Officer of Health, Dr Samuel Williams-Rodriguez, added:<br>&#8220;At this time, there is no evidence of further spread, and the risk to the public remains low. We are monitoring close contacts and have increased surveillance as a precaution.&#8221;</p><p>Investigations are ongoing to determine the source of the infection. The Public Health Department is working with the Cayman Islands Molecular Biology Laboratory (CIMBL) to verify results, while maintaining clinical follow-up and assessing any potential exposures.</p><p>As a precaution, surveillance across the health system has been heightened, water testing is being conducted and contact monitoring is underway. No additional cases have been identified.</p><p>Members of the public should note that Cholera is not an airborne illness. No measures are advised beyond routine hygiene practices, including:</p><ul><li><p>Regular handwashing with soap and water</p></li><li><p>Consuming safe, treated or bottled water</p></li><li><p>Proper food preparation and handling</p></li></ul><p>Anyone experiencing persistent diarrhoea, vomiting, or signs of dehydration should seek medical care promptly.</p><p>Minister for Health, Katherine Ebanks-Wilks, stated:<br>&#8220;This is a precautionary response to a single sporadic case. There is no evidence of community spread, and our public health systems are actively responding. We will continue to monitor the situation closely and keep the public informed.&#8221;</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://outbreaknewstoday.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Outbreak News Today is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[Bolivia: Yellow fever health alert declared in Santa Cruz]]></title><description><![CDATA[Authorities in the eastern department of Santa Cruz&#8212;Bolivia&#8217;s most populous region&#8212;declared a &#8220;health alert&#8221; this Wednesday following a yellow fever outbreak that has so far claimed one life, prompting the activation of preventive measures to contain the disease&#8217;s spread.]]></description><link>https://outbreaknewstoday.substack.com/p/bolivia-yellow-fever-health-alert</link><guid isPermaLink="false">https://outbreaknewstoday.substack.com/p/bolivia-yellow-fever-health-alert</guid><dc:creator><![CDATA[Robert Herriman]]></dc:creator><pubDate>Sat, 18 Apr 2026 11:26:24 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!kFWj!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc5692cc9-e5fe-4263-b8c9-85e45e6b2d4f_535x489.webp" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Authorities in the eastern department of Santa Cruz&#8212;Bolivia&#8217;s most populous region&#8212;declared a &#8220;health alert&#8221; this Wednesday following a yellow fever outbreak that has so far claimed one life, prompting the activation of preventive measures to contain the disease&#8217;s spread.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!kFWj!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc5692cc9-e5fe-4263-b8c9-85e45e6b2d4f_535x489.webp" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!kFWj!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc5692cc9-e5fe-4263-b8c9-85e45e6b2d4f_535x489.webp 424w, https://substackcdn.com/image/fetch/$s_!kFWj!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc5692cc9-e5fe-4263-b8c9-85e45e6b2d4f_535x489.webp 848w, https://substackcdn.com/image/fetch/$s_!kFWj!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc5692cc9-e5fe-4263-b8c9-85e45e6b2d4f_535x489.webp 1272w, 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srcset="https://substackcdn.com/image/fetch/$s_!kFWj!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc5692cc9-e5fe-4263-b8c9-85e45e6b2d4f_535x489.webp 424w, https://substackcdn.com/image/fetch/$s_!kFWj!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc5692cc9-e5fe-4263-b8c9-85e45e6b2d4f_535x489.webp 848w, https://substackcdn.com/image/fetch/$s_!kFWj!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc5692cc9-e5fe-4263-b8c9-85e45e6b2d4f_535x489.webp 1272w, https://substackcdn.com/image/fetch/$s_!kFWj!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc5692cc9-e5fe-4263-b8c9-85e45e6b2d4f_535x489.webp 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Image/Robert Herriman</figcaption></figure></div><p>Carlos Hurtado, Head of Epidemiology for the Santa Cruz Departmental Health Service (Sedes), stated that the outbreak originated in Cordillera province, which borders Paraguay, and resulted in the death of a 20-year-old man who had been ill for three days &#8220;due to complications.&#8221;</p><p>Hurtado also confirmed a second case &#8220;in the same area,&#8221; while another individual remains under medical observation as a suspected case of the disease.</p><p>Furthermore, he mentioned that immediately upon learning of the first infection, an epidemiological surveillance team was deployed to collect mosquito larvae and adult mosquitoes in both rural and urban areas within the Kapeirenda-Aguas Calientes sector of Cordillera province.</p><p>This was followed by additional preventive measures, including fumigation, mass vaccination of the population against yellow fever, and the containment of the epidemiological focal point.</p><p><em><strong><a href="https://dts.podtrac.com/redirect.mp3/traffic.libsyn.com/outbreaknews/venezuela_YF.mp3">Yellow fever in Venezuela, prompts travel advisory</a></strong></em></p><p>Yellow fever is a severe viral disease with jaundice and hemorrhagic manifestations that is spread through the bites of infected mosquitoes.</p><p>Yellow fever vaccine is the best protection against this disease. Preventing mosquito bites is also important.</p><p>Symptoms of yellow fever include fever, chills, headache, backache, and muscle aches, and develop 3&#8211;6 days after infection. About 15% of people infected with yellow fever virus will develop severe illness that can lead to liver disease, bleeding, shock, organ failure, yellowing skin and eyes (jaundice), and sometimes death.</p><p>Diagnosis is based on symptoms and laboratory testing. There are no medications to treat or cure yellow fever.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://outbreaknewstoday.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Outbreak News Today is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[Costa Rica: Health officials confirm fifth case of chikungunya]]></title><description><![CDATA[The Costa Rica Ministry of Health confirms the fifth positive case of Chikungunya fever in the country in 2026, according to the results issued by the laboratory of the Costa Rican Institute of Research and Teaching in Nutrition and Health (INCIENSA).]]></description><link>https://outbreaknewstoday.substack.com/p/costa-rica-health-officials-confirm</link><guid isPermaLink="false">https://outbreaknewstoday.substack.com/p/costa-rica-health-officials-confirm</guid><dc:creator><![CDATA[Robert Herriman]]></dc:creator><pubDate>Sat, 18 Apr 2026 11:03:47 GMT</pubDate><enclosure url="https://images.unsplash.com/photo-1707943768467-84fe5c76a40c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwyfHxhZWRlc3xlbnwwfHx8fDE3NzY1MTAwMDF8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>The Costa Rica Ministry of Health confirms the fifth positive case of Chikungunya fever in the country in 2026, according to the results issued by the laboratory of the Costa Rican Institute of Research and Teaching in Nutrition and Health (INCIENSA).</p><p style="text-align: justify;"></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://images.unsplash.com/photo-1707943768467-84fe5c76a40c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwyfHxhZWRlc3xlbnwwfHx8fDE3NzY1MTAwMDF8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://images.unsplash.com/photo-1707943768467-84fe5c76a40c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwyfHxhZWRlc3xlbnwwfHx8fDE3NzY1MTAwMDF8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 424w, https://images.unsplash.com/photo-1707943768467-84fe5c76a40c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwyfHxhZWRlc3xlbnwwfHx8fDE3NzY1MTAwMDF8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 848w, https://images.unsplash.com/photo-1707943768467-84fe5c76a40c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwyfHxhZWRlc3xlbnwwfHx8fDE3NzY1MTAwMDF8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 1272w, https://images.unsplash.com/photo-1707943768467-84fe5c76a40c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwyfHxhZWRlc3xlbnwwfHx8fDE3NzY1MTAwMDF8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 1456w" sizes="100vw"><img src="https://images.unsplash.com/photo-1707943768467-84fe5c76a40c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwyfHxhZWRlc3xlbnwwfHx8fDE3NzY1MTAwMDF8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080" width="3613" height="2759" data-attrs="{&quot;src&quot;:&quot;https://images.unsplash.com/photo-1707943768467-84fe5c76a40c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwyfHxhZWRlc3xlbnwwfHx8fDE3NzY1MTAwMDF8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:2759,&quot;width&quot;:3613,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:&quot;a close up of a mosquito on a person's arm&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="a close up of a mosquito on a person's arm" title="a close up of a mosquito on a person's arm" srcset="https://images.unsplash.com/photo-1707943768467-84fe5c76a40c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwyfHxhZWRlc3xlbnwwfHx8fDE3NzY1MTAwMDF8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 424w, https://images.unsplash.com/photo-1707943768467-84fe5c76a40c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwyfHxhZWRlc3xlbnwwfHx8fDE3NzY1MTAwMDF8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 848w, https://images.unsplash.com/photo-1707943768467-84fe5c76a40c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwyfHxhZWRlc3xlbnwwfHx8fDE3NzY1MTAwMDF8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 1272w, https://images.unsplash.com/photo-1707943768467-84fe5c76a40c?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwyfHxhZWRlc3xlbnwwfHx8fDE3NzY1MTAwMDF8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Photo by <a href="https://unsplash.com/@niaid">National Institute of Allergy and Infectious Diseases</a> on <a href="https://unsplash.com">Unsplash</a></figcaption></figure></div><p style="text-align: justify;">The case involves a 37-year-old woman, a resident of Tib&#225;s, who had recently traveled to Nicaragua. According to the epidemiological investigation, the patient entered the country during the virus&#8217;s incubation period, and is therefore classified as an imported case.</p><p style="text-align: justify;">During 2026, a total of four previous cases have been confirmed: two in the canton of Esparza, one in Guanacaste, and one in Heredia.</p><p><em><strong><a href="https://dts.podtrac.com/redirect.mp3/traffic.libsyn.com/outbreaknews/chik.mp3">Chikungunya in New York: What you need to know</a></strong></em></p><p style="text-align: justify;">Among the most frequent symptoms of this disease are: high fever (greater than 39 &#176;C), pain and inflammation in the joints, headache, nausea and general malaise.</p><p style="text-align: justify;">The Ministry of Health maintains active epidemiological surveillance at the national level, as well as the coordination of actions for the control of the transmitting mosquito, in order to protect the health of the population and prevent the spread of the disease.</p><p style="text-align: justify;">The public is advised to:</p><ul><li><p>Use mosquito repellent.</p></li><li><p>Wear long-sleeved clothing.</p></li><li><p>Use mosquito nets, especially during peak mosquito activity times.</p></li><li><p>Eliminate potential breeding grounds, such as containers with stagnant water inside and outside homes.</p></li></ul><p style="text-align: justify;">The Ministry of Health reaffirms its commitment to the prevention and timely treatment of diseases and urges citizens to stay informed only through official channels.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://outbreaknewstoday.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Outbreak News Today is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p style="text-align: justify;"></p>]]></content:encoded></item><item><title><![CDATA[Chagas disease in Paraguay]]></title><description><![CDATA[In Paraguay, Chagas disease is distributed throughout the country with varying levels of endemicity.]]></description><link>https://outbreaknewstoday.substack.com/p/chagas-disease-in-paraguay</link><guid isPermaLink="false">https://outbreaknewstoday.substack.com/p/chagas-disease-in-paraguay</guid><dc:creator><![CDATA[Robert Herriman]]></dc:creator><pubDate>Wed, 15 Apr 2026 21:41:05 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!In0G!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F639d7d5f-cacc-437d-af13-30df26510734_637x503.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>In Paraguay, Chagas disease is distributed throughout the country with varying levels of endemicity. In the last 5 years, 1,598 cases of Chagas disease have been registered, representing an average of 320 reported cases per year. The majority of these are cases of chronic Chagas disease, and 1% are cases of congenital transmission.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!In0G!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F639d7d5f-cacc-437d-af13-30df26510734_637x503.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!In0G!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F639d7d5f-cacc-437d-af13-30df26510734_637x503.png 424w, https://substackcdn.com/image/fetch/$s_!In0G!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F639d7d5f-cacc-437d-af13-30df26510734_637x503.png 848w, 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srcset="https://substackcdn.com/image/fetch/$s_!In0G!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F639d7d5f-cacc-437d-af13-30df26510734_637x503.png 424w, https://substackcdn.com/image/fetch/$s_!In0G!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F639d7d5f-cacc-437d-af13-30df26510734_637x503.png 848w, https://substackcdn.com/image/fetch/$s_!In0G!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F639d7d5f-cacc-437d-af13-30df26510734_637x503.png 1272w, https://substackcdn.com/image/fetch/$s_!In0G!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F639d7d5f-cacc-437d-af13-30df26510734_637x503.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>The regions that report the highest proportion of chronic Chagas cases are: Central (25%), Presidente Hayes (11%), Alto Paraguay (9%), Boquer&#243;n (9%), Paraguar&#237; (8%), Cordillera (7%) and Asunci&#243;n (7%).</p><p><em><strong><a href="https://dts.podtrac.com/redirect.mp3/traffic.libsyn.com/outbreaknews/chagas_1.mp3">Chagas disease in dogs</a></strong></em></p><p>Chagas disease is a parasitic infection that can be transmitted to humans in several ways: vector-borne (through the bite of infected triatomine bugs), oral (by ingesting food or liquids contaminated with the feces of infected triatomine bugs), transfusion, and congenital.</p><p>The disease consists of two phases. An acute phase lasts approximately two months after infection; during this phase, there are no symptoms, or if present, they are mild and nonspecific. In acute cases of vector-borne transmission, symptoms may include a skin lesion, Roma&#241;a&#8217;s sign or inoculation chagoma, fever, headache, swollen lymph nodes, pallor, muscle aches, difficulty breathing, and abdominal pain.</p><p>In the chronic phase, heart problems may occur, and to a lesser extent, digestive issues such as enlargement of the esophagus or colon, as well as neurological disorders. Over time, the infection can be fatal.</p><p>There is no vaccine against Chagas disease. To prevent vector-borne transmission, vector control is the most effective method of prevention, such as improving housing to prevent triatomine bug infestation.</p><p>To prevent congenital transmission, it is important that all women of childbearing age receive counseling and early diagnosis.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://outbreaknewstoday.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Outbreak News Today is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[Costa Rica reports 4th chikungunya case of 2026]]></title><description><![CDATA[The Costa Rica Ministry of Health reports a fourth positive case of chikungunya has been confirmed so far in 2026.]]></description><link>https://outbreaknewstoday.substack.com/p/costa-rica-reports-4th-chikungunya</link><guid isPermaLink="false">https://outbreaknewstoday.substack.com/p/costa-rica-reports-4th-chikungunya</guid><dc:creator><![CDATA[Robert Herriman]]></dc:creator><pubDate>Wed, 15 Apr 2026 21:19:23 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!MtlI!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9a4e9dd3-0899-475c-a49b-a4d8a0409b4f_698x677.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>The Costa Rica Ministry of Health reports a fourth positive case of chikungunya has been confirmed so far in 2026.</p><p>The patient is a 52-year-old Costa Rican woman, a resident of Heredia, who recently traveled to Nicaragua. According to the epidemiological investigation, she entered the country during the virus&#8217;s incubation period, and is therefore classified as an imported case. She is currently not experiencing any health complications.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!MtlI!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9a4e9dd3-0899-475c-a49b-a4d8a0409b4f_698x677.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!MtlI!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9a4e9dd3-0899-475c-a49b-a4d8a0409b4f_698x677.png 424w, https://substackcdn.com/image/fetch/$s_!MtlI!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9a4e9dd3-0899-475c-a49b-a4d8a0409b4f_698x677.png 848w, https://substackcdn.com/image/fetch/$s_!MtlI!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9a4e9dd3-0899-475c-a49b-a4d8a0409b4f_698x677.png 1272w, https://substackcdn.com/image/fetch/$s_!MtlI!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9a4e9dd3-0899-475c-a49b-a4d8a0409b4f_698x677.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!MtlI!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9a4e9dd3-0899-475c-a49b-a4d8a0409b4f_698x677.png" width="698" height="677" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/9a4e9dd3-0899-475c-a49b-a4d8a0409b4f_698x677.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:677,&quot;width&quot;:698,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:969153,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://outbreaknewstoday.substack.com/i/194344857?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9a4e9dd3-0899-475c-a49b-a4d8a0409b4f_698x677.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!MtlI!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9a4e9dd3-0899-475c-a49b-a4d8a0409b4f_698x677.png 424w, https://substackcdn.com/image/fetch/$s_!MtlI!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9a4e9dd3-0899-475c-a49b-a4d8a0409b4f_698x677.png 848w, https://substackcdn.com/image/fetch/$s_!MtlI!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9a4e9dd3-0899-475c-a49b-a4d8a0409b4f_698x677.png 1272w, https://substackcdn.com/image/fetch/$s_!MtlI!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9a4e9dd3-0899-475c-a49b-a4d8a0409b4f_698x677.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Chikungunya fever is a viral disease transmitted by mosquito bites. In Costa Rica, there had been no reported cases of this virus since 2017; however, three new cases have been confirmed so far in 2016: two in the canton of <strong><a href="https://outbreaknewstoday.substack.com/p/costa-rica-reports-2nd-chikungunya?utm_source=publication-search">Esparza</a></strong>, Puntarenas, and one in Carrillo, <strong><a href="https://outbreaknewstoday.substack.com/p/costa-rica-reports-3rd-chikungunya">Guanacaste</a></strong>.</p><p><em><strong><a href="https://dts.podtrac.com/redirect.mp3/traffic.libsyn.com/outbreaknews/chikungunya_call_to_acton.mp3">Chikungunya epidemic risk: A call to action</a></strong></em></p><p><strong>The most common symptoms include:</strong></p><ul><li><p>High fever (greater than 39 &#176;C).</p></li><li><p>Pain and inflammation in the joints.</p></li><li><p>Headache.</p></li><li><p>Nausea and general malaise.</p></li></ul><p>The Ministry of Health maintains active epidemiological surveillance and continues to coordinate actions for mosquito control, with the aim of protecting the population and preventing the spread of the disease.</p><p><strong>The public is advised to:</strong></p><ul><li><p>Use mosquito repellent.</p></li><li><p>Wear long-sleeved clothing.</p></li><li><p>Use mosquito nets.</p></li><li><p>Eliminate mosquito breeding grounds, such as containers with stagnant water.</p></li><li><p>Seek immediate medical attention if symptoms appear.</p></li></ul><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://outbreaknewstoday.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Outbreak News Today is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[Chikungunya in Argentina: Salta is the epicenter]]></title><description><![CDATA[In a follow-up on the chikungunya outbreak in Argentina, health authorities report a total of 433 chikungunya cases&#8212;357 are autochthonous, while only 76 have a history of travel (imported cases) to Bolivia, Brazil, Paraguay, and Cuba.]]></description><link>https://outbreaknewstoday.substack.com/p/chikungunya-in-argentina-salta-is</link><guid isPermaLink="false">https://outbreaknewstoday.substack.com/p/chikungunya-in-argentina-salta-is</guid><dc:creator><![CDATA[Robert Herriman]]></dc:creator><pubDate>Mon, 13 Apr 2026 21:50:00 GMT</pubDate><enclosure url="https://images.unsplash.com/photo-1707943768453-7850f916ebde?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxfHxhZWRlc3xlbnwwfHx8fDE3NzYxMTY4OTB8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>In a <strong><a href="https://outbreaknewstoday.substack.com/p/chikungunya-in-argentina-2026">follow-up on the chikungunya</a></strong> outbreak in Argentina, health authorities report a total of 433 chikungunya cases&#8212;357 are autochthonous, while only 76 have a history of travel (imported cases) to Bolivia, Brazil, Paraguay, and Cuba.</p><p></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://images.unsplash.com/photo-1707943768453-7850f916ebde?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxfHxhZWRlc3xlbnwwfHx8fDE3NzYxMTY4OTB8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://images.unsplash.com/photo-1707943768453-7850f916ebde?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxfHxhZWRlc3xlbnwwfHx8fDE3NzYxMTY4OTB8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 424w, https://images.unsplash.com/photo-1707943768453-7850f916ebde?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxfHxhZWRlc3xlbnwwfHx8fDE3NzYxMTY4OTB8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 848w, 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data-attrs="{&quot;src&quot;:&quot;https://images.unsplash.com/photo-1707943768453-7850f916ebde?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxfHxhZWRlc3xlbnwwfHx8fDE3NzYxMTY4OTB8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:2539,&quot;width&quot;:3809,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:&quot;a close up of a mosquito on a human's skin&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="a close up of a mosquito on a human's skin" title="a close up of a mosquito on a human's skin" srcset="https://images.unsplash.com/photo-1707943768453-7850f916ebde?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxfHxhZWRlc3xlbnwwfHx8fDE3NzYxMTY4OTB8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 424w, https://images.unsplash.com/photo-1707943768453-7850f916ebde?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxfHxhZWRlc3xlbnwwfHx8fDE3NzYxMTY4OTB8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 848w, https://images.unsplash.com/photo-1707943768453-7850f916ebde?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxfHxhZWRlc3xlbnwwfHx8fDE3NzYxMTY4OTB8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 1272w, https://images.unsplash.com/photo-1707943768453-7850f916ebde?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxfHxhZWRlc3xlbnwwfHx8fDE3NzYxMTY4OTB8MA&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Photo by <a href="https://unsplash.com/@niaid">National Institute of Allergy and Infectious Diseases</a> on <a href="https://unsplash.com">Unsplash</a></figcaption></figure></div><p>Salta is the epicenter of the outbreak with 315 cases.</p><p>The localities with the most cases are Salvador Mazza (189 cases), Aguas Blancas (34 cases), Embarcaci&#243;n (20 cases), and San Ram&#243;n de la Nueva Or&#225;n (20 cases).</p><p>According to the Pan American Health Organization (PAHO), Argentina has reported the third most confirmed chikungunya cases in the Americas, following only Brazil, Suriname and <strong><a href="https://substack.com/@outbreaknewstoday/note/c-238846709">Bolivia</a></strong>.</p><p><em><strong><a href="https://dts.podtrac.com/redirect.mp3/traffic.libsyn.com/outbreaknews/chikungunya_call_to_acton.mp3">Chikungunya epidemic risk: A call to action</a></strong></em></p><p>Chikungunya is a viral disease transmitted by the bite of infected mosquitoes such as Aedes aegypti and Aedes albopictus. It can cause high fever, joint pain, muscle pain, and headache. Although chikungunya disease rarely causes death, the joint pain associated with the disease can last for months or years and can become a cause of chronic pain and disability. </p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://outbreaknewstoday.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Outbreak News Today is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[Costa Rica reports 3rd chikungunya case on 2026]]></title><description><![CDATA[Costa Rica health officials report the confirmation of the third positive case of chikungunya in the country during 2026, according to the results issued by the CCSS laboratory.]]></description><link>https://outbreaknewstoday.substack.com/p/costa-rica-reports-3rd-chikungunya</link><guid isPermaLink="false">https://outbreaknewstoday.substack.com/p/costa-rica-reports-3rd-chikungunya</guid><dc:creator><![CDATA[Robert Herriman]]></dc:creator><pubDate>Sun, 12 Apr 2026 12:35:14 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!oDZR!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F955c46e4-aec2-45ea-9297-14899e581448_700x458.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Costa Rica health officials report the confirmation of the third positive case of chikungunya in the country during 2026, according to the results issued by the CCSS laboratory. The sample has been sent to the Costa Rican Institute for Research and Teaching in Nutrition and Health (INCIENSA) for confirmation.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!oDZR!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F955c46e4-aec2-45ea-9297-14899e581448_700x458.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!oDZR!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F955c46e4-aec2-45ea-9297-14899e581448_700x458.jpeg 424w, https://substackcdn.com/image/fetch/$s_!oDZR!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F955c46e4-aec2-45ea-9297-14899e581448_700x458.jpeg 848w, https://substackcdn.com/image/fetch/$s_!oDZR!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F955c46e4-aec2-45ea-9297-14899e581448_700x458.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!oDZR!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F955c46e4-aec2-45ea-9297-14899e581448_700x458.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!oDZR!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F955c46e4-aec2-45ea-9297-14899e581448_700x458.jpeg" width="700" height="458" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/955c46e4-aec2-45ea-9297-14899e581448_700x458.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:458,&quot;width&quot;:700,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:46626,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://outbreaknewstoday.substack.com/i/193961397?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F955c46e4-aec2-45ea-9297-14899e581448_700x458.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!oDZR!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F955c46e4-aec2-45ea-9297-14899e581448_700x458.jpeg 424w, https://substackcdn.com/image/fetch/$s_!oDZR!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F955c46e4-aec2-45ea-9297-14899e581448_700x458.jpeg 848w, https://substackcdn.com/image/fetch/$s_!oDZR!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F955c46e4-aec2-45ea-9297-14899e581448_700x458.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!oDZR!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F955c46e4-aec2-45ea-9297-14899e581448_700x458.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Image/CDC</figcaption></figure></div><p>The patient is a 45-year-old man, a resident of Guanacaste, of foreign nationality, who is not experiencing any health complications. According to the epidemiological investigation, the patient entered the country during the incubation period, making it an imported case.</p><p><em><strong><a href="https://dts.podtrac.com/redirect.mp3/traffic.libsyn.com/outbreaknews/chikv.mp3">Chikungunya: An interview with Dr Roger Nasci</a></strong></em></p><p>Chikungunya fever is a disease caused by a virus transmitted by mosquito bites. There had been no active circulation of this virus in Costa Rica since 2017; however, two cases have already been reported in Esparza in 2026 (<strong><a href="https://outbreaknewstoday.substack.com/p/costa-rica-reports-first-chikungunya?utm_source=publication-search">HERE</a></strong> and <strong><a href="https://outbreaknewstoday.substack.com/p/costa-rica-reports-2nd-chikungunya?utm_source=publication-search">HERE</a></strong>).</p><p><strong>The most common symptoms include:</strong></p><ul><li><p>High fever (greater than 39 &#176;C)</p></li><li><p>Joint pain and inflammation</p></li><li><p>Headache</p></li><li><p>Nausea and general malaise</p></li></ul><p style="text-align: justify;">The Ministry of Health maintains active epidemiological surveillance and continues to coordinate actions for mosquito control, with the aim of protecting the population and preventing the spread of the disease.</p><p style="text-align: justify;"><strong>The public is advised to:</strong></p><ul><li><p>Use mosquito repellent</p></li><li><p>Wear long-sleeved clothing</p></li><li><p>Use mosquito nets</p></li><li><p>Eliminate mosquito breeding grounds, such as containers with stagnant water</p></li><li><p>Seek immediate medical attention if symptoms appear.</p></li></ul><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://outbreaknewstoday.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Outbreak News Today is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[Brazil: Mato Grosso do Sul confirms 2,102 cases of chikungunya and 10 deaths in 2026]]></title><description><![CDATA[According to a epidemiological bulletin from the State Health Department Friday, Mato Grosso do Sul state has already registered 4,281 probable cases of chikungunya, with 2,102 confirmed, through April 4.]]></description><link>https://outbreaknewstoday.substack.com/p/brazil-mato-grosso-do-sul-confirms</link><guid isPermaLink="false">https://outbreaknewstoday.substack.com/p/brazil-mato-grosso-do-sul-confirms</guid><dc:creator><![CDATA[Robert Herriman]]></dc:creator><pubDate>Sat, 11 Apr 2026 11:03:39 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!RRaR!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9ea0b1e-fe8e-4974-a6fc-ac7b42fad731_6000x4000.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>According to a epidemiological bulletin from the State Health Department Friday, Mato Grosso do Sul state has already registered 4,281 probable cases of chikungunya, with 2,102 confirmed, through April 4.</p><p>The most serious finding in the report is the confirmation of 10 deaths from chikungunya in the municipalities of Dourados, Bonito, Jardim, and F&#225;tima do Sul. Among the victims, five had some type of comorbidity. </p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!RRaR!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9ea0b1e-fe8e-4974-a6fc-ac7b42fad731_6000x4000.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!RRaR!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9ea0b1e-fe8e-4974-a6fc-ac7b42fad731_6000x4000.png 424w, https://substackcdn.com/image/fetch/$s_!RRaR!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9ea0b1e-fe8e-4974-a6fc-ac7b42fad731_6000x4000.png 848w, https://substackcdn.com/image/fetch/$s_!RRaR!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9ea0b1e-fe8e-4974-a6fc-ac7b42fad731_6000x4000.png 1272w, https://substackcdn.com/image/fetch/$s_!RRaR!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9ea0b1e-fe8e-4974-a6fc-ac7b42fad731_6000x4000.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!RRaR!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9ea0b1e-fe8e-4974-a6fc-ac7b42fad731_6000x4000.png" width="1456" height="971" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/b9ea0b1e-fe8e-4974-a6fc-ac7b42fad731_6000x4000.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:971,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:4610568,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://outbreaknewstoday.substack.com/i/193876006?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9ea0b1e-fe8e-4974-a6fc-ac7b42fad731_6000x4000.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!RRaR!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9ea0b1e-fe8e-4974-a6fc-ac7b42fad731_6000x4000.png 424w, https://substackcdn.com/image/fetch/$s_!RRaR!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9ea0b1e-fe8e-4974-a6fc-ac7b42fad731_6000x4000.png 848w, https://substackcdn.com/image/fetch/$s_!RRaR!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9ea0b1e-fe8e-4974-a6fc-ac7b42fad731_6000x4000.png 1272w, https://substackcdn.com/image/fetch/$s_!RRaR!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9ea0b1e-fe8e-4974-a6fc-ac7b42fad731_6000x4000.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>The report also indicates 43 confirmed cases of chikungunya in pregnant women.</p><p>In the same bulletin, the State Health Department updated the dengue fever situation in the state. According to the bulletin, Mato Grosso do Sul has 2,793 probable cases, of which 454 have been confirmed. To date, there are no deaths registered or under investigation for the disease.</p><p><strong><a href="https://www.youtube.com/watch?v=0UcpVsE25-I&amp;t=14s">Chikungunya epidemic risk: A call to action</a></strong></p><p>Over the past 14 days, the municipalities of Santa Rita do Pardo, Para&#237;so das &#193;guas, Corumb&#225;, Amambai, Bandeirantes, Guia Lopes da Laguna, Ang&#233;lica, Eldorado, Itapor&#227;, Miranda, Costa Rica, Sonora, F&#225;tima do Sul, Lad&#225;rio, Jardim, Caarap&#243;, Rio Brilhante, Maracaju, Aquidauana, Sidrol&#226;ndia, Tr&#234;s Lagoas, and Dourados have shown a low incidence of confirmed dengue cases.</p><p>Lastly, 223,322 doses of the dengue vaccine have already been administered to the target population. In total, Mato Grosso do Sul received 241,030 doses from the Ministry of Health.</p><p style="text-align: justify;">The vaccination schedule consists of two doses, with a three-month interval between them. Vaccination is recommended for children and adolescents between 10 and 14 years, 11 months and 29 days old, an age group that accounts for the highest number of hospitalizations due to dengue among people aged 6 to 16.</p><p style="text-align: justify;">The State Health Department emphasizes that the public should avoid self-medication. In case of dengue or chikungunya symptoms, the recommendation is to seek medical attention at a municipal health unit.</p><p style="text-align: justify;">Nationwide in Brazil, 24,318 total probable chikungunya cases, including 15 deaths/. Another 14 deaths are under investigation.</p><p style="text-align: justify;">Concening dengue, 214,855 probable dengue cases have been reported, including 79 deaths. 175 deaths are under investigation.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://outbreaknewstoday.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Outbreak News Today is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p style="text-align: justify;"></p>]]></content:encoded></item><item><title><![CDATA[Brazil: Rio de Janeiro reports country's 2nd measles case]]></title><description><![CDATA[The municipality of Rio de Janeiro confirmed a case of measles: a 22-year-old woman, with no record of vaccination, who works at a hotel in the city.]]></description><link>https://outbreaknewstoday.substack.com/p/brazil-rio-de-janeiro-reports-countrys</link><guid isPermaLink="false">https://outbreaknewstoday.substack.com/p/brazil-rio-de-janeiro-reports-countrys</guid><dc:creator><![CDATA[Robert Herriman]]></dc:creator><pubDate>Fri, 03 Apr 2026 23:49:45 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!TSxm!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9eacb63-c7e6-44ab-a1ed-52ec95529a6c_450x350.webp" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>The municipality of Rio de Janeiro confirmed a case of measles: a 22-year-old woman, with no record of vaccination, who works at a hotel in the city. Following notification, immediate investigation measures were taken, including containment vaccinations at her residence, workplace, and health service, as well as a sweep of the area near her home to identify and vaccinate other possible cases. The Ministry of Health is monitoring the investigation in coordination with the municipal and state health departments.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!TSxm!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9eacb63-c7e6-44ab-a1ed-52ec95529a6c_450x350.webp" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!TSxm!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9eacb63-c7e6-44ab-a1ed-52ec95529a6c_450x350.webp 424w, https://substackcdn.com/image/fetch/$s_!TSxm!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9eacb63-c7e6-44ab-a1ed-52ec95529a6c_450x350.webp 848w, https://substackcdn.com/image/fetch/$s_!TSxm!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9eacb63-c7e6-44ab-a1ed-52ec95529a6c_450x350.webp 1272w, https://substackcdn.com/image/fetch/$s_!TSxm!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9eacb63-c7e6-44ab-a1ed-52ec95529a6c_450x350.webp 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!TSxm!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9eacb63-c7e6-44ab-a1ed-52ec95529a6c_450x350.webp" width="450" height="350" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/b9eacb63-c7e6-44ab-a1ed-52ec95529a6c_450x350.webp&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:350,&quot;width&quot;:450,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:27154,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/webp&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://outbreaknewstoday.substack.com/i/193125140?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9eacb63-c7e6-44ab-a1ed-52ec95529a6c_450x350.webp&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!TSxm!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9eacb63-c7e6-44ab-a1ed-52ec95529a6c_450x350.webp 424w, https://substackcdn.com/image/fetch/$s_!TSxm!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9eacb63-c7e6-44ab-a1ed-52ec95529a6c_450x350.webp 848w, https://substackcdn.com/image/fetch/$s_!TSxm!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9eacb63-c7e6-44ab-a1ed-52ec95529a6c_450x350.webp 1272w, https://substackcdn.com/image/fetch/$s_!TSxm!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9eacb63-c7e6-44ab-a1ed-52ec95529a6c_450x350.webp 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Image/Robert Herriman</figcaption></figure></div><p>This is the second case registered in Brazil in 2026. <strong><a href="https://outbreaknewstoday.substack.com/p/brazil-reports-1st-measles-case-of">The first was in S&#227;o Paulo</a></strong>: a six-month-old child, resident of the northern zone of the capital, with a recent history of travel to La Paz, Bolivia, a country with an active outbreak of the disease. In response, a vaccination campaign was carried out in the region, with more than 600 doses administered between January and February.</p><p>The cases do not alter Brazil&#8217;s status, which remains free of endemic measles circulation. The country maintains this status even after losing its regional certification for the Americas, due to outbreaks in countries such as the <strong><a href="https://outbreaknewstoday.substack.com/p/measles-in-north-america-closes-in">United States, Canada, and Mexico.</a></strong> In 2025, the Ministry of Health interrupted the transmission of all 38 imported cases in the country with a rapid response based on surveillance, vaccination, and containment, a strategy recognized by the Pan American Health Organization.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://outbreaknewstoday.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Outbreak News Today is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p><div id="youtube2-JYLrf8vgpKU" class="youtube-wrap" data-attrs="{&quot;videoId&quot;:&quot;JYLrf8vgpKU&quot;,&quot;startTime&quot;:null,&quot;endTime&quot;:null}" data-component-name="Youtube2ToDOM"><div class="youtube-inner"><iframe src="https://www.youtube-nocookie.com/embed/JYLrf8vgpKU?rel=0&amp;autoplay=0&amp;showinfo=0&amp;enablejsapi=0" frameborder="0" loading="lazy" gesture="media" allow="autoplay; fullscreen" allowautoplay="true" allowfullscreen="true" width="728" height="409"></iframe></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[Guatemala reports thousands of measles cases in first months of 2026, First deaths in years]]></title><description><![CDATA[Guatemalan health authorities confirmed on March 30 the deaths of two children due to measles, a disease that has infected nearly 3,600 people in 2026.]]></description><link>https://outbreaknewstoday.substack.com/p/guatemala-reports-thousands-of-measles</link><guid isPermaLink="false">https://outbreaknewstoday.substack.com/p/guatemala-reports-thousands-of-measles</guid><dc:creator><![CDATA[Robert Herriman]]></dc:creator><pubDate>Tue, 31 Mar 2026 21:02:05 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!HBaD!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe62f89dd-d8db-4e60-ab26-cd940fcb23f2_366x522.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Guatemalan health authorities confirmed on March 30 the deaths of two children due to measles, a disease that has infected nearly 3,600 people in 2026.</p><p>According to the Directorate of Epidemiology and Risk Management of the Ministry of Public Health and Social Assistance, the victims were two boys, aged 10 and 11 months respectively&#8212;the first such deaths recorded in recent years.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!HBaD!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe62f89dd-d8db-4e60-ab26-cd940fcb23f2_366x522.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!HBaD!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe62f89dd-d8db-4e60-ab26-cd940fcb23f2_366x522.png 424w, https://substackcdn.com/image/fetch/$s_!HBaD!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe62f89dd-d8db-4e60-ab26-cd940fcb23f2_366x522.png 848w, https://substackcdn.com/image/fetch/$s_!HBaD!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe62f89dd-d8db-4e60-ab26-cd940fcb23f2_366x522.png 1272w, https://substackcdn.com/image/fetch/$s_!HBaD!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe62f89dd-d8db-4e60-ab26-cd940fcb23f2_366x522.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!HBaD!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe62f89dd-d8db-4e60-ab26-cd940fcb23f2_366x522.png" width="366" height="522" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/e62f89dd-d8db-4e60-ab26-cd940fcb23f2_366x522.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:522,&quot;width&quot;:366,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:466066,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://outbreaknewstoday.substack.com/i/192780326?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe62f89dd-d8db-4e60-ab26-cd940fcb23f2_366x522.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!HBaD!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe62f89dd-d8db-4e60-ab26-cd940fcb23f2_366x522.png 424w, https://substackcdn.com/image/fetch/$s_!HBaD!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe62f89dd-d8db-4e60-ab26-cd940fcb23f2_366x522.png 848w, https://substackcdn.com/image/fetch/$s_!HBaD!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe62f89dd-d8db-4e60-ab26-cd940fcb23f2_366x522.png 1272w, https://substackcdn.com/image/fetch/$s_!HBaD!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe62f89dd-d8db-4e60-ab26-cd940fcb23f2_366x522.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>The 11-month-old boy died in a rural community within the northwestern province of Quich&#233;; his mother also tested positive for the disease.</p><p>Meanwhile, the 10-month-old boy passed away in the Department of Guatemala after being diagnosed with measles on February 27 of this year, according to authorities.</p><p>According to the latest statistics from the Ministry of Health, Guatemala has recorded 3,594 cases of measles nationwide to date.</p><p>The measles outbreak was confirmed in Guatemala in January of this year following a religious event held between December 10 and 14, 2025, in the community of Santiago Atitl&#225;n </p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://images.unsplash.com/photo-1579781403337-de692320718a?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxfHxtZWFzbGVzfGVufDB8fHx8MTc3NDk5MDY1OHww&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://images.unsplash.com/photo-1579781403337-de692320718a?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxfHxtZWFzbGVzfGVufDB8fHx8MTc3NDk5MDY1OHww&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 424w, https://images.unsplash.com/photo-1579781403337-de692320718a?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxfHxtZWFzbGVzfGVufDB8fHx8MTc3NDk5MDY1OHww&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 848w, https://images.unsplash.com/photo-1579781403337-de692320718a?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxfHxtZWFzbGVzfGVufDB8fHx8MTc3NDk5MDY1OHww&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 1272w, https://images.unsplash.com/photo-1579781403337-de692320718a?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxfHxtZWFzbGVzfGVufDB8fHx8MTc3NDk5MDY1OHww&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 1456w" sizes="100vw"><img src="https://images.unsplash.com/photo-1579781403337-de692320718a?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxfHxtZWFzbGVzfGVufDB8fHx8MTc3NDk5MDY1OHww&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080" width="3200" height="2500" data-attrs="{&quot;src&quot;:&quot;https://images.unsplash.com/photo-1579781403337-de692320718a?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxfHxtZWFzbGVzfGVufDB8fHx8MTc3NDk5MDY1OHww&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:2500,&quot;width&quot;:3200,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:&quot;pink and white flower petals&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="pink and white flower petals" title="pink and white flower petals" srcset="https://images.unsplash.com/photo-1579781403337-de692320718a?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxfHxtZWFzbGVzfGVufDB8fHx8MTc3NDk5MDY1OHww&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 424w, https://images.unsplash.com/photo-1579781403337-de692320718a?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxfHxtZWFzbGVzfGVufDB8fHx8MTc3NDk5MDY1OHww&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 848w, https://images.unsplash.com/photo-1579781403337-de692320718a?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxfHxtZWFzbGVzfGVufDB8fHx8MTc3NDk5MDY1OHww&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 1272w, https://images.unsplash.com/photo-1579781403337-de692320718a?crop=entropy&amp;cs=tinysrgb&amp;fit=max&amp;fm=jpg&amp;ixid=M3wzMDAzMzh8MHwxfHNlYXJjaHwxfHxtZWFzbGVzfGVufDB8fHx8MTc3NDk5MDY1OHww&amp;ixlib=rb-4.1.0&amp;q=80&amp;w=1080 1456w" sizes="100vw"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Photo by <a href="https://unsplash.com/@cdc">CDC</a> on <a href="https://unsplash.com">Unsplash</a></figcaption></figure></div><p>(Solol&#225;), attended by people from the United States, Mexico, and Central America.</p><p>The Ministry of Health is maintaining a strategy known as &#8220;block vaccination&#8221; to interrupt the transmission of the disease, noting that the country&#8217;s last major outbreak occurred in 1990.</p><p>Mexico, which shares a border with Guatemala, has reported more than 8,400 measles cases and 8 deaths in the same period.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://outbreaknewstoday.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Outbreak News Today is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p><p></p>]]></content:encoded></item><item><title><![CDATA[Hepatitis A outbreak in Argentina]]></title><description><![CDATA[According to the Argentina Ministry of Health, 23 confirmed hepatitis A cases have been reported in the country through March 14.]]></description><link>https://outbreaknewstoday.substack.com/p/hepatitis-a-outbreak-in-argentina</link><guid isPermaLink="false">https://outbreaknewstoday.substack.com/p/hepatitis-a-outbreak-in-argentina</guid><dc:creator><![CDATA[Robert Herriman]]></dc:creator><pubDate>Tue, 31 Mar 2026 00:23:06 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!oHmM!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F51e963cc-7c66-40e0-b11d-3b73693fde8d_1016x380.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>According to the Argentina Ministry of Health, 23 confirmed hepatitis A cases have been reported in the country through March 14.</p><p>The main hotspots this season are located in the provinces of Salta and the Autonomous City of Buenos Aires (CABA), with 6 cases each, followed by Buenos Aires Province and Santa Fe Province with 3 cases detected in each.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!oHmM!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F51e963cc-7c66-40e0-b11d-3b73693fde8d_1016x380.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!oHmM!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F51e963cc-7c66-40e0-b11d-3b73693fde8d_1016x380.png 424w, https://substackcdn.com/image/fetch/$s_!oHmM!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F51e963cc-7c66-40e0-b11d-3b73693fde8d_1016x380.png 848w, https://substackcdn.com/image/fetch/$s_!oHmM!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F51e963cc-7c66-40e0-b11d-3b73693fde8d_1016x380.png 1272w, https://substackcdn.com/image/fetch/$s_!oHmM!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F51e963cc-7c66-40e0-b11d-3b73693fde8d_1016x380.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!oHmM!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F51e963cc-7c66-40e0-b11d-3b73693fde8d_1016x380.png" width="1016" height="380" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/51e963cc-7c66-40e0-b11d-3b73693fde8d_1016x380.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:380,&quot;width&quot;:1016,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:474551,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://outbreaknewstoday.substack.com/i/192675774?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F51e963cc-7c66-40e0-b11d-3b73693fde8d_1016x380.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!oHmM!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F51e963cc-7c66-40e0-b11d-3b73693fde8d_1016x380.png 424w, https://substackcdn.com/image/fetch/$s_!oHmM!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F51e963cc-7c66-40e0-b11d-3b73693fde8d_1016x380.png 848w, https://substackcdn.com/image/fetch/$s_!oHmM!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F51e963cc-7c66-40e0-b11d-3b73693fde8d_1016x380.png 1272w, https://substackcdn.com/image/fetch/$s_!oHmM!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F51e963cc-7c66-40e0-b11d-3b73693fde8d_1016x380.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Image/CDC</figcaption></figure></div><p>In all of 2025, the country reported a total of 118 confirmed cases. </p><p>Regarding the immunization strategy, as of March 20, the National Ministry of Health had already distributed 129,300 pediatric doses of the hepatitis vaccine, intended for a target population of 402,489 people. In addition, 9,800 doses were distributed for at-risk populations and emergency situations, such as floods.</p><p>Hepatitis A is an acute liver inflammation caused by the HAV virus, whose main transmission route is fecal-oral. Before 2005, this disease was the leading cause of fulminant hepatic failure and liver transplantation in children in Argentina, with peaks of more than 40,000 cases per year. However, the inclusion of the vaccine in the National Immunization Schedule that year had a dramatic impact: the incidence fell from 113 cases per 100,000 inhabitants in 2004 to 0.25 in 2005, and no pediatric transplants due to this cause have been recorded since 2007.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://outbreaknewstoday.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Outbreak News Today is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p><div id="youtube2-OU5LEr7u8NI" class="youtube-wrap" data-attrs="{&quot;videoId&quot;:&quot;OU5LEr7u8NI&quot;,&quot;startTime&quot;:null,&quot;endTime&quot;:null}" data-component-name="Youtube2ToDOM"><div class="youtube-inner"><iframe src="https://www.youtube-nocookie.com/embed/OU5LEr7u8NI?rel=0&amp;autoplay=0&amp;showinfo=0&amp;enablejsapi=0" frameborder="0" loading="lazy" gesture="media" allow="autoplay; fullscreen" allowautoplay="true" allowfullscreen="true" width="728" height="409"></iframe></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[Trinidad and Tobago reports yellow fever case in monkey]]></title><description><![CDATA[The Trinidad and Tobago Ministry of Health (MOH) reports the confirmation of yellow fever in a deceased Red Howler monkey.]]></description><link>https://outbreaknewstoday.substack.com/p/trinidad-and-tobago-reports-yellow</link><guid isPermaLink="false">https://outbreaknewstoday.substack.com/p/trinidad-and-tobago-reports-yellow</guid><dc:creator><![CDATA[Robert Herriman]]></dc:creator><pubDate>Mon, 30 Mar 2026 23:41:49 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!hggg!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F206c24b9-7a24-4ffc-8243-f0135fe890e0_6000x4000.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>The Trinidad and Tobago Ministry of Health (MOH) reports the confirmation of yellow fever in a deceased Red Howler monkey.</p><p>Health officials note there in no human yellow fever cases.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!hggg!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F206c24b9-7a24-4ffc-8243-f0135fe890e0_6000x4000.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!hggg!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F206c24b9-7a24-4ffc-8243-f0135fe890e0_6000x4000.png 424w, https://substackcdn.com/image/fetch/$s_!hggg!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F206c24b9-7a24-4ffc-8243-f0135fe890e0_6000x4000.png 848w, https://substackcdn.com/image/fetch/$s_!hggg!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F206c24b9-7a24-4ffc-8243-f0135fe890e0_6000x4000.png 1272w, https://substackcdn.com/image/fetch/$s_!hggg!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F206c24b9-7a24-4ffc-8243-f0135fe890e0_6000x4000.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!hggg!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F206c24b9-7a24-4ffc-8243-f0135fe890e0_6000x4000.png" width="1456" height="971" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/206c24b9-7a24-4ffc-8243-f0135fe890e0_6000x4000.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:971,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:6724762,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://outbreaknewstoday.substack.com/i/192671073?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F206c24b9-7a24-4ffc-8243-f0135fe890e0_6000x4000.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!hggg!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F206c24b9-7a24-4ffc-8243-f0135fe890e0_6000x4000.png 424w, https://substackcdn.com/image/fetch/$s_!hggg!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F206c24b9-7a24-4ffc-8243-f0135fe890e0_6000x4000.png 848w, https://substackcdn.com/image/fetch/$s_!hggg!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F206c24b9-7a24-4ffc-8243-f0135fe890e0_6000x4000.png 1272w, https://substackcdn.com/image/fetch/$s_!hggg!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F206c24b9-7a24-4ffc-8243-f0135fe890e0_6000x4000.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Yellow fever virus is transmitted by infected mosquitoes, including the <em>Aedes aegypti </em>mosquito.</p><p>Non-human primates, like the Red Howler monkey, can serve as an early indicator of the presence of the virus in the environment.</p><p>While there are no human cases, this case does signal the need for a heightened vigilance and preventive action.</p><p>The MOH has conducted surveillance and vector control measures in the affected areas and will continue to monitor the situation closely.</p><p>Yellow fever is a severe viral disease with jaundice and hemorrhagic manifestations that is spread through the bites of infected mosquitoes.</p><p>Yellow fever vaccine is the best protection against this disease. Preventing mosquito bites is also important.</p><p>Symptoms of yellow fever include fever, chills, headache, backache, and muscle aches, and develop 3&#8211;6 days after infection. About 15% of people infected with yellow fever virus will develop severe illness that can lead to liver disease, bleeding, shock, organ failure, yellowing skin and eyes (jaundice), and sometimes death.</p><p>There are no medications to treat or cure yellow fever.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://outbreaknewstoday.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Outbreak News Today is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p><div id="youtube2-lFkDVxRc2jQ" class="youtube-wrap" data-attrs="{&quot;videoId&quot;:&quot;lFkDVxRc2jQ&quot;,&quot;startTime&quot;:null,&quot;endTime&quot;:null}" data-component-name="Youtube2ToDOM"><div class="youtube-inner"><iframe src="https://www.youtube-nocookie.com/embed/lFkDVxRc2jQ?rel=0&amp;autoplay=0&amp;showinfo=0&amp;enablejsapi=0" frameborder="0" loading="lazy" gesture="media" allow="autoplay; fullscreen" allowautoplay="true" allowfullscreen="true" width="728" height="409"></iframe></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[Bolivia measles vaccination campaign: 1st phase completed]]></title><description><![CDATA[The Bolivia Minister of Health and Sports reported Friday at least 228,000 children, adolescents and young people between 6 months and 19 years old have already been immunized against measles throughout the country, since the vaccination campaign began on March 4.]]></description><link>https://outbreaknewstoday.substack.com/p/bolivia-measles-vaccination-campaign</link><guid isPermaLink="false">https://outbreaknewstoday.substack.com/p/bolivia-measles-vaccination-campaign</guid><dc:creator><![CDATA[Robert Herriman]]></dc:creator><pubDate>Sun, 29 Mar 2026 23:25:59 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!byNr!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F71cdab00-c224-4eba-897f-c6810e54367e_640x640.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>The Bolivia Minister of Health and Sports reported Friday at least 228,000 children, adolescents and young people between 6 months and 19 years old have already been immunized against measles throughout the country, since the vaccination campaign began on March 4.</p><p>4,244 vaccination brigades were deployed to do this work reaching educational units and hard-to-reach areas throughout the national territory.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!byNr!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F71cdab00-c224-4eba-897f-c6810e54367e_640x640.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!byNr!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F71cdab00-c224-4eba-897f-c6810e54367e_640x640.png 424w, https://substackcdn.com/image/fetch/$s_!byNr!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F71cdab00-c224-4eba-897f-c6810e54367e_640x640.png 848w, https://substackcdn.com/image/fetch/$s_!byNr!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F71cdab00-c224-4eba-897f-c6810e54367e_640x640.png 1272w, https://substackcdn.com/image/fetch/$s_!byNr!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F71cdab00-c224-4eba-897f-c6810e54367e_640x640.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!byNr!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F71cdab00-c224-4eba-897f-c6810e54367e_640x640.png" width="640" height="640" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/71cdab00-c224-4eba-897f-c6810e54367e_640x640.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:640,&quot;width&quot;:640,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:208529,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://outbreaknewstoday.substack.com/i/192556109?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F71cdab00-c224-4eba-897f-c6810e54367e_640x640.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!byNr!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F71cdab00-c224-4eba-897f-c6810e54367e_640x640.png 424w, https://substackcdn.com/image/fetch/$s_!byNr!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F71cdab00-c224-4eba-897f-c6810e54367e_640x640.png 848w, https://substackcdn.com/image/fetch/$s_!byNr!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F71cdab00-c224-4eba-897f-c6810e54367e_640x640.png 1272w, https://substackcdn.com/image/fetch/$s_!byNr!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F71cdab00-c224-4eba-897f-c6810e54367e_640x640.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>&#8220;The cost of eliminating measles from a country is extremely high. In our country, we have launched the campaign jointly with the Ministry of Education. We need the population to realize that a sudden outbreak means that for every 1,000 infected people, there will be one death,&#8221; emphasized Marcela Flores Zambrana, Minister of Health and Sports.</p><p>According to an epidemiological analysis, systematic vaccination contributed significantly to the control of the epidemic, with three cases reported in the last four weeks, making a total of 647 nationwide since the start of the epidemic in April 2025.</p><p>This immunization process also reduced the number of affected municipalities, which were initially 62 in 2025 and are now only two; Santa Cruz and Warnes.</p><p>The second phase of vaccination began Friday nationwide, concentrating actions in health centers where on-site vaccination will be carried out, complemented by the scheduled deployment of personnel to educational units and remote communities.</p><p>For this stage, attention will be reinforced in 3,509 vaccination centers throughout the country, where 1,852,122 doses of SR vaccine and 480,767 of MMR are available.</p><p>Related: </p><p><strong><a href="https://outbreaknewstoday.substack.com/p/bolivia-battles-chikungunya-in-santa">Bolivia battles chikungunya in Santa Cruz</a></strong></p><p><strong><a href="https://outbreaknewstoday.substack.com/p/perus-leptospirosis-outbreak-tops">Peru&#8217;s leptospirosis outbreak tops 1,000 cases</a></strong></p><p><strong><a href="https://outbreaknewstoday.substack.com/p/chikungunya-in-suriname-signicant">Chikungunya in Suriname: Signicant increase in cases reported</a></strong></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://outbreaknewstoday.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Outbreak News Today is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item><item><title><![CDATA[Peru's leptospirosis outbreak tops 1,000 cases]]></title><description><![CDATA[The Peru Ministry of Health (Minsa) is intensifying its surveillance, training, and public health response efforts against leptospirosis as the number of cases increase.]]></description><link>https://outbreaknewstoday.substack.com/p/perus-leptospirosis-outbreak-tops</link><guid isPermaLink="false">https://outbreaknewstoday.substack.com/p/perus-leptospirosis-outbreak-tops</guid><dc:creator><![CDATA[Robert Herriman]]></dc:creator><pubDate>Wed, 25 Mar 2026 21:32:30 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!weaV!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7368de2b-c3d8-4d1e-a6eb-c45f2b77fadb_497x373.webp" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>The Peru Ministry of Health (Minsa) is intensifying its surveillance, training, and public health response efforts against leptospirosis as the number of cases increase. This prompted the National Center for Epidemiology, Prevention and Control of Diseases, issued Epidemiological Alert AE-CDC No. 004-2026.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!weaV!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7368de2b-c3d8-4d1e-a6eb-c45f2b77fadb_497x373.webp" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!weaV!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7368de2b-c3d8-4d1e-a6eb-c45f2b77fadb_497x373.webp 424w, https://substackcdn.com/image/fetch/$s_!weaV!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7368de2b-c3d8-4d1e-a6eb-c45f2b77fadb_497x373.webp 848w, https://substackcdn.com/image/fetch/$s_!weaV!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7368de2b-c3d8-4d1e-a6eb-c45f2b77fadb_497x373.webp 1272w, https://substackcdn.com/image/fetch/$s_!weaV!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7368de2b-c3d8-4d1e-a6eb-c45f2b77fadb_497x373.webp 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!weaV!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7368de2b-c3d8-4d1e-a6eb-c45f2b77fadb_497x373.webp" width="497" height="373" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/7368de2b-c3d8-4d1e-a6eb-c45f2b77fadb_497x373.webp&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:373,&quot;width&quot;:497,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:35042,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/webp&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://outbreaknewstoday.substack.com/i/192144565?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7368de2b-c3d8-4d1e-a6eb-c45f2b77fadb_497x373.webp&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!weaV!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7368de2b-c3d8-4d1e-a6eb-c45f2b77fadb_497x373.webp 424w, https://substackcdn.com/image/fetch/$s_!weaV!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7368de2b-c3d8-4d1e-a6eb-c45f2b77fadb_497x373.webp 848w, https://substackcdn.com/image/fetch/$s_!weaV!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7368de2b-c3d8-4d1e-a6eb-c45f2b77fadb_497x373.webp 1272w, https://substackcdn.com/image/fetch/$s_!weaV!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7368de2b-c3d8-4d1e-a6eb-c45f2b77fadb_497x373.webp 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Image/Robert Herriman</figcaption></figure></div><p>According to the Ministry of Health (Minsa), 1,045 cases of leptospirosis have been reported so far this year, distributed across 23 departments and Callao. Of these, 39% are confirmed cases and 61% are probable cases , with a cumulative incidence of 3 cases per 100,000 inhabitants.</p><p>The most affected regions include Loreto, which leads the list with 300 cases, followed by Ucayali (139) and San Mart&#237;n (104).</p><p>Health officials confirmed three deaths from this disease (in the regions of Piura, San Mart&#237;n, and Tumbes), while two other deaths are under investigation.</p><p>In response to this situation, the Ministry of Health (MINSA), through its various departments and in coordination with the Regional Health Directorates and Management Offices (DIRESA/GERESA), has been implementing several actions related to strengthening the capacities of healthcare personnel and improving laboratory diagnostics, case analysis, health promotion, and communication strategies.<br><br>Regarding capacity building for healthcare personnel, training sessions have been conducted at the national and regional levels on epidemiological surveillance, diagnosis, and clinical management of the disease. More than 300 healthcare professionals from Cajamarca, Ayacucho, Cusco, Piura, Ucayali, Tumbes, and San Mart&#237;n participated in a national training session, significantly improving their knowledge and resulting in a notable increase in subsequent evaluation results.</p><p><strong><a href="https://www.youtube.com/watch?v=4hdd1tejqCY&amp;t=39s">Leptospirosis: Risk, symptoms, diagnosis and treatment</a></strong><br><br>Furthermore, a detailed analysis of the deceased cases is being conducted to identify opportunities for improvement in care. These actions include technical meetings, issuing recommendations, and monitoring the affected regions.<br><br>Regarding the strengthening of laboratory diagnostics, the National Institute of Health (INS) is conducting quality control of diagnostic tests and will distribute 500 ELISA IgM kits for the detection of leptospirosis. In addition, the implementation of molecular (PCR) tests is being promoted in various regions of the country.<br><br>Furthermore, for health promotion and community prevention, interventions are being carried out targeting families in priority areas, promoting healthy practices through home counseling and educational sessions. The formation of community surveillance committees is also being encouraged to strengthen citizen participation.<br><br>The Ministry of Health recommends that citizens avoid contact with stagnant or contaminated water, use appropriate protection in flooded areas, maintain proper hygiene, and visit the nearest health facility if they experience symptoms such as fever, muscle pain, or general malaise.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://outbreaknewstoday.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Outbreak News Today is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p><p></p><p></p>]]></content:encoded></item><item><title><![CDATA[Colombia: Benznidazole approved for treatment of Chagas disease]]></title><description><![CDATA[Colombia announced the approval of the of Benznidazole 100 mg tablets for timely treatment of Chagas disease and the prevention of serious complications, especially in vulnerable populations and territories at risk.]]></description><link>https://outbreaknewstoday.substack.com/p/colombia-benznidazole-approved-for</link><guid isPermaLink="false">https://outbreaknewstoday.substack.com/p/colombia-benznidazole-approved-for</guid><dc:creator><![CDATA[Robert Herriman]]></dc:creator><pubDate>Tue, 24 Mar 2026 20:57:39 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/a726f229-2502-4af0-abc7-994560c4d43a_705x290.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Colombia announced the approval of the of Benznidazole 100 mg tablets for timely treatment of Chagas disease and the prevention of serious complications, especially in vulnerable populations and territories at risk.</p><p>The decision marks a step forward in public health, facilitating early treatment of affected individuals, reducing the progression of the disease, and helping to prevent chronic complications, mainly cardiac and digestive, associated with this parasitic infection.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!r8CC!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F305b2081-d6d1-4483-886c-a7fe3e9575da_705x290.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!r8CC!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F305b2081-d6d1-4483-886c-a7fe3e9575da_705x290.png 424w, https://substackcdn.com/image/fetch/$s_!r8CC!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F305b2081-d6d1-4483-886c-a7fe3e9575da_705x290.png 848w, https://substackcdn.com/image/fetch/$s_!r8CC!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F305b2081-d6d1-4483-886c-a7fe3e9575da_705x290.png 1272w, https://substackcdn.com/image/fetch/$s_!r8CC!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F305b2081-d6d1-4483-886c-a7fe3e9575da_705x290.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!r8CC!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F305b2081-d6d1-4483-886c-a7fe3e9575da_705x290.png" width="705" height="290" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/305b2081-d6d1-4483-886c-a7fe3e9575da_705x290.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:290,&quot;width&quot;:705,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:208465,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://outbreaknewstoday.substack.com/i/192026337?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F305b2081-d6d1-4483-886c-a7fe3e9575da_705x290.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!r8CC!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F305b2081-d6d1-4483-886c-a7fe3e9575da_705x290.png 424w, https://substackcdn.com/image/fetch/$s_!r8CC!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F305b2081-d6d1-4483-886c-a7fe3e9575da_705x290.png 848w, https://substackcdn.com/image/fetch/$s_!r8CC!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F305b2081-d6d1-4483-886c-a7fe3e9575da_705x290.png 1272w, https://substackcdn.com/image/fetch/$s_!r8CC!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F305b2081-d6d1-4483-886c-a7fe3e9575da_705x290.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Image/CDC</figcaption></figure></div><p>&#8220; <em>Timely access to this medication allows us to act promptly, prevent serious complications, and protect the lives of thousands of people, especially in the most vulnerable regions of the country. This is an important step toward closing health gaps and advancing the control of Chagas disease in Colombia</em> ,&#8221; stated the Minister of Health and Social Protection, Guillermo Alfonso Jaramillo.</p><p>Benznidazole is the primary treatment for Chagas disease, caused by the parasite Trypanosoma cruzi. Its availability in the country strengthens the health system&#8217;s capacity to respond more effectively to this highly relevant public health event, which continues to affect communities in different regions of the country.</p><p>This achievement is the result of collaboration between the Ministry of Health and Social Protection and the Ministry of Science, Technology and Innovation, through funding from the Health Research Fund (FIS), managed by the University of Antioquia. This partnership reinforces the role of research and technological development in addressing priority health problems.</p><p>In addition to expanding access to treatment, the approval of Benznidazole boosts domestic production of strategic medicines, strengthens the country&#8217;s autonomy in health, and helps ensure greater availability for those who need it.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://outbreaknewstoday.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Outbreak News Today is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p><div id="youtube2-I-HI0-ks27k" class="youtube-wrap" data-attrs="{&quot;videoId&quot;:&quot;I-HI0-ks27k&quot;,&quot;startTime&quot;:null,&quot;endTime&quot;:null}" data-component-name="Youtube2ToDOM"><div class="youtube-inner"><iframe src="https://www.youtube-nocookie.com/embed/I-HI0-ks27k?rel=0&amp;autoplay=0&amp;showinfo=0&amp;enablejsapi=0" frameborder="0" loading="lazy" gesture="media" allow="autoplay; fullscreen" allowautoplay="true" allowfullscreen="true" width="728" height="409"></iframe></div></div><p></p><p></p>]]></content:encoded></item><item><title><![CDATA[Chikungunya in Suriname: Signicant increase in cases reported]]></title><description><![CDATA[In a follow-up on the chikungunya outbreak that was declared in Suriname in January, the Ministry of Health has confirmed a significant increase in the cases of chikungunya virus.]]></description><link>https://outbreaknewstoday.substack.com/p/chikungunya-in-suriname-signicant</link><guid isPermaLink="false">https://outbreaknewstoday.substack.com/p/chikungunya-in-suriname-signicant</guid><dc:creator><![CDATA[Robert Herriman]]></dc:creator><pubDate>Mon, 23 Mar 2026 21:51:47 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!u8MX!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6be3f8c4-61de-4e81-8ad3-23a02d6ae465_646x453.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>In a <strong><a href="https://outbreaknewstoday.substack.com/p/suriname-reports-chikungunya-outbreak?utm_source=publication-search">follow-up on the chikungunya outbreak</a></strong> that was declared in Suriname in January, the Ministry of Health has confirmed a significant increase in the cases of chikungunya virus.</p><p>According to the Central Laboratory of the Bureau for Public Health (BOG) and the laboratory of the Academic Hospital Paramaribo, over 1,357 individuals have tested positive, confirming local transmission and one confirmed death and another being investigated.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!u8MX!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6be3f8c4-61de-4e81-8ad3-23a02d6ae465_646x453.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!u8MX!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6be3f8c4-61de-4e81-8ad3-23a02d6ae465_646x453.png 424w, https://substackcdn.com/image/fetch/$s_!u8MX!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6be3f8c4-61de-4e81-8ad3-23a02d6ae465_646x453.png 848w, https://substackcdn.com/image/fetch/$s_!u8MX!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6be3f8c4-61de-4e81-8ad3-23a02d6ae465_646x453.png 1272w, https://substackcdn.com/image/fetch/$s_!u8MX!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6be3f8c4-61de-4e81-8ad3-23a02d6ae465_646x453.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!u8MX!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6be3f8c4-61de-4e81-8ad3-23a02d6ae465_646x453.png" width="646" height="453" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/6be3f8c4-61de-4e81-8ad3-23a02d6ae465_646x453.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:453,&quot;width&quot;:646,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:53790,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://outbreaknewstoday.substack.com/i/191917132?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6be3f8c4-61de-4e81-8ad3-23a02d6ae465_646x453.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!u8MX!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6be3f8c4-61de-4e81-8ad3-23a02d6ae465_646x453.png 424w, https://substackcdn.com/image/fetch/$s_!u8MX!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6be3f8c4-61de-4e81-8ad3-23a02d6ae465_646x453.png 848w, https://substackcdn.com/image/fetch/$s_!u8MX!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6be3f8c4-61de-4e81-8ad3-23a02d6ae465_646x453.png 1272w, https://substackcdn.com/image/fetch/$s_!u8MX!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6be3f8c4-61de-4e81-8ad3-23a02d6ae465_646x453.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Image/CDC</figcaption></figure></div><p>Despite the confirmed tally, officials estimate that the number of infected persons is much higher, given typical health&#8208;seeking behavior patterns, hence it is believed that the number of infections may be up to three times higher, meaning the actual caseload could be approximately 4,000 cases by the second week of March.</p><p>Eight of ten districts have now reported confirmed cases of Chikungunya in Suriname: Paramaribo, Marowijne, Wanica, Nickerie, Commewijne; Tamansari, Richelieu, Para, Coronie.</p><p>It is expected that chikungunya cases might noticeably increase in the upcoming months during the rainy season in Suriname which starts from Mid- April until mil August, as rainfall creates standing water that serves for the development of Aedes mosquitoes.</p><p><strong><a href="https://www.youtube.com/watch?v=0UcpVsE25-I&amp;t=14s">Chikungunya epidemic risk: A call to action</a></strong></p><p>Suriname&#8217;s first documented chikungunya outbreak occurred in June 2014 and lasted four months, when the virus was identified locally during the wider regional spread of chikungunya throughout the Caribbean and neighboring territories. The total number of tested cases in 2014 was 700; the current outbreak appears to progress faster than the recored 12 years ago, as total estimated cases have increased substantially.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://outbreaknewstoday.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Outbreak News Today is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p>Chikungunya disease is caused by the chikungunya virus and is spread to humans through mosquito bites. Outbreaks have occurred in countries in Africa, Americas, Asia, Europe, the Caribbean, and Indian and Pacific Oceans.</p><p>Most people infected with chikungunya virus develop some symptoms. Symptoms of chikungunya usually begin 3&#8211;7 days after a bite by an infected mosquito. The most common symptoms are fever and joint pain. Other symptoms may include headache, muscle pain, joint swelling, or rash. Most people get better within a week; however, some can have severe joint pain for months to years following acute illness.</p><p>People at risk for more severe disease include newborns infected around the time of birth, older adults (65 years or older), and people with medical conditions such as diabetes or heart disease. Death from chikungunya is rare.</p><p>There is no specific treatment for chikungunya.</p>]]></content:encoded></item><item><title><![CDATA[Panama calls on public in battle with dengue]]></title><description><![CDATA[The Panama Ministry of Health (MOH) is calling on the public to reinforce prevention measures and eliminate breeding grounds for the mosquito that transmits dengue fever.]]></description><link>https://outbreaknewstoday.substack.com/p/panama-calls-on-public-in-battle</link><guid isPermaLink="false">https://outbreaknewstoday.substack.com/p/panama-calls-on-public-in-battle</guid><dc:creator><![CDATA[Robert Herriman]]></dc:creator><pubDate>Sun, 22 Mar 2026 00:11:52 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!f-jM!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7a3beca-184f-4fa2-8c4a-a737727829aa_700x470.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>The Panama Ministry of Health (MOH) is calling on the public to reinforce prevention measures and eliminate breeding grounds for the mosquito that transmits dengue fever.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!f-jM!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7a3beca-184f-4fa2-8c4a-a737727829aa_700x470.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!f-jM!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7a3beca-184f-4fa2-8c4a-a737727829aa_700x470.jpeg 424w, https://substackcdn.com/image/fetch/$s_!f-jM!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7a3beca-184f-4fa2-8c4a-a737727829aa_700x470.jpeg 848w, https://substackcdn.com/image/fetch/$s_!f-jM!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7a3beca-184f-4fa2-8c4a-a737727829aa_700x470.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!f-jM!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7a3beca-184f-4fa2-8c4a-a737727829aa_700x470.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!f-jM!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7a3beca-184f-4fa2-8c4a-a737727829aa_700x470.jpeg" width="700" height="470" 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srcset="https://substackcdn.com/image/fetch/$s_!f-jM!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7a3beca-184f-4fa2-8c4a-a737727829aa_700x470.jpeg 424w, https://substackcdn.com/image/fetch/$s_!f-jM!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7a3beca-184f-4fa2-8c4a-a737727829aa_700x470.jpeg 848w, https://substackcdn.com/image/fetch/$s_!f-jM!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7a3beca-184f-4fa2-8c4a-a737727829aa_700x470.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!f-jM!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe7a3beca-184f-4fa2-8c4a-a737727829aa_700x470.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg role="img" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><title></title><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Image/CDC</figcaption></figure></div><p>According to the Department of Epidemiology of the MOH, in the first two months of 2026, 1,232 accumulated cases of dengue have been registered nationwide.</p><p>Of that number, 1,081 cases are without warning signs, while 146 present warning signs and 5 cases of severe dengue are reported.</p><p>The Metropolitan Region reports the most with 337 cases; followed by Col&#243;n with 140 cases; Bocas del Toro with 124 cases; San Miguelito with 121 cases; Panama West with 119 cases; and Panama East with 104 cases.</p><p><strong><a href="https://www.youtube.com/c/OutbreakNewsTV">Subscribe to Outbreak News TV on YouTube</a></strong></p><p>Officials say there are a total of 149 hospitalized patients, and a cumulative total of 4 deaths, from the regions of Bocas del Toro with 3 and Cocl&#233; with 1.</p><p>The Ministry of Health continues to intensify operations throughout the country during 2026, relying on the Vector Control team and Health Promotion strategies to reduce dengue cases.</p><p>Emphasis is placed on the importance of citizen participation in eliminating all mosquito breeding grounds, both inside and around homes.</p><p>The population is also urged to eliminate all unused containers that can accumulate water (cans, bottles, tires, among others), cover containers used for water collection, and clean the areas around homes regularly.</p><p>The main symptoms of dengue fever include fever, headache, general malaise, muscle aches, and eye pain. The public is advised not to self-medicate and to seek medical attention at a health center if they suspect they have the disease, paying particular attention to warning signs.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://outbreaknewstoday.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Outbreak News Today is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p></p>]]></content:encoded></item></channel></rss>