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26 Feb 2024 | 02:38 PM UTC

Costa Rica: Elevated dengue fever activity reported in multiple areas, especially Central Norte, in February /update 2

Elevated dengue fever activity reported in multiple areas in Costa Rica in February. Central Norte is most affected. Avoid mosquito bites.

Warning

Costa Rican health authorities have reported elevated dengue fever activity in multiple areas, with an additional 2,108 cases reported Jan. 28-Feb. 10, bringing the total to 4,787 cases since Jan. 1. This is compared to the 352 cases reported during a similar period in 2023. The Central Norte Region (1,228 cases) is most affected, followed by Central Pacific (832 cases), Central Sur (762 cases), Chorotega (624 cases), Huetar Norte (375 cases), and Huetar Atlantic Region (338 cases). Cantons reporting the highest number of cases include Alajuela (728 cases), Puntarenas (474 cases), San Jose (351 cases), San Carlos (348 cases), and Turrialba (171 cases). Local health officials have implemented disease prevention and vector control measures, including fumigation and the elimination of breeding sites around homes. This report represents the most complete data available as of Feb. 26.

If you have previously been infected with dengue fever, consult with your physician regarding vaccination. Avoid mosquito bites and remove standing water to reduce the number of biting mosquitoes. Seek medical attention if symptoms develop within two weeks of being in affected areas. Do not use aspirin or ibuprofen products if dengue fever is suspected, as these could exacerbate bleeding tendencies associated with the disease.

Dengue fever is a nationwide, year-round risk in Costa Rica, with the risk of infection typically highest May-October in urban and coastal areas. Costa Rican health authorities reported roughly 30,649 dengue fever cases nationwide in 2023, 7,485 cases in 2022, 5,174 cases in 2021, and 10,056 cases in 2020.

There are two dengue fever vaccines, Dengvaxia and Qdenga. It is only recommended for individuals with a history of dengue infection and in a country with a high dengue fever burden. Dengue fever is transmitted through the bite of an infected mosquito. The risk of infection is often highest in urban and semi-urban areas. Symptoms of dengue fever include a sudden onset of fever and at least one of the following: severe headache, severe pain behind the eyes, muscle and/or joint pain, rash, easy bruising, and/or nose or gum bleeding. Symptoms typically appear 5-7 days after being bitten but can develop up to 10 days after exposure. Dengue fever can progress to a more severe form known as dengue hemorrhagic fever (DHF). DHF can be fatal if it is not recognized and treated in a timely manner.