Many states and cities in Brazil report major dengue fever problems

Dengue fever continues to be a major public health problem in many parts of Brazil. In particular, the following states are reporting large numbers of cases of dengue fever including dengue haemorrhagic forms and deaths with increasing trends:
Bahia - the most affected municipalities include Jequié, Teixeira de Freitas, Guanambi, Brumado, Feira de Santana, Barreiras, Paramirim, Tanque Novo e Mulungum do Morro and Itabuna.
Minas Gerais - the most affected municipalities include Belo Horizonte, Uberaba, Montes Claros, Buritizeiro, Ituiutaba, Ipanema, Pirapetinga, Pirapora, São Geraldo do Baixo, Montes Claros and São João da Ponte.
Ceará - the most affected municipalities include Tauá, Fortaleza, Chorozinho, Sobral and 43 other municipalities.
Rio de Janeiro - at least 35 municipalities are affected including Volta Redonda, Itaperuna, Santo Antônio de Pádua, and Iguaba Grande.
São Paulo - Bauru and Santos are among the most affected municipalities.

There may be many unreported cases since counting andreporting may be hampered by lack of local access to health care, and manypersons with mild illness may not seek health care. Travellers to areas wherethe dengue fever virus is active can reduce their risk of exposure to denguefever virus by taking all necessary precautions to avoid mosquito bites.