By NewsDesk @bactiman63
UN health officials in the Americas, or the Pan American Health Organization (PAHO) have reported 2,163,354 total dengue cases (45% lab confirmed) in the Western Hemisphere through November 21, including 872 total dengue related deaths.

This puts the case fatality rate at 0.04%, the lowest recorded in the last 10 years.
Brazil continues to report the most cases and deaths with 1,378,592 and 500 deaths, respectively.
In Paraguay, 221,544 cases were reported during this period, which is the largest dengue epidemic in its history.
So far this year, 6 of the 10 countries and territories with the highest cumulative incidence rate of dengue cases correspond to the Non-Latin Caribbean: Saint Barthelemy, Saint Martin, Martinique, Guadeloupe, French Guiana, and Saint Vincent and the Grenadines.
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