Dengue fever cases and deaths continue to be widespread in multiple countries

Dengue fever cases and outbreaks have been reported from the following countries:

Paraguay (Asunción metropolitan area and Central Department)
Brazil (Cuiaba, Mato Grosso State; Ribeirao Preto and Sao Paulo State)
Bolivia
Ecuador
Mexico (Tampico, Tamaulipas State; Guerrero State)
Malaysia

Travellers to these areas can reduce their risk of exposure to dengue fever virus by taking all necessary precautions to avoid mosquito bites. Many persons with dengue fever may not seek medical care and may not be reported to health authorities. There may be many more cases in the community that are not reported.