“…Because of the wide CHIKV circulation in areas where DENV has been steadily circulating and transmitting, cases of DENV-CHIKV coinfections have been frequently reported (Caron et al, 2012;Calvo et al, 2016;Vargas et al, 2018;Rückert et al, 2017;Mercado-Reyes et al, 2019), although there is no evidence of a higher severity in these DENV-CHIKV coinfection cases. The national surveillance study performed in Colombia during the 2016 Zika virus (ZIKV) epidemic found 34 cases of coinfection (0.14%), most of them with CHIKV-ZIKV coinfections, and only three DENV-CHIKV coinfections with two deaths (Mercado et al, 2018;Rueda et al, 2019); however, in 2018 and 2019, the Colombian Ministry of Health reported a decrease in CHIKV cases (800) in each year (24% confirmed by laboratory), and 1% of these cases originated from the province of Valle del Cauca (BES, 2018).…”