Dengue in Honduras and the Americas: The epidemics are back!

COVID-19 and dengue, co-epidemics in Ecuador and other countries in Latin America: Pushing strained health care systems over the edge

“…One of these is the continuous dengue epidemic in Ecuador and other countries in 2019-2020. This period comprises a further increase in cases and one of the largest dengue outbreaks in the region with nearly 3 million cases, 8416 of them in Ecuador [2,3]. COVID-19 cases in Ecuador reached 1595 confirmed cases with 36 deaths nationwide (March 27, 2020) [4], while dengue, reached 3549 cases.…”

Spatial Distribution of Dengue in Honduras during 2016-2019 Using Geographic Information Systems (GIS) – Implications During Epidemic for Public Health and Travel Medicine

“…After CHIKV and ZIKV epidemics in Brazil and other countries in Latin America [3,27], dengue is reemerging in multiple countries, such as Brazil, Colombia, Bolivia, Nicaragua, and Honduras, among other [6]. As showed herein, Honduras is being hit by a significant DENV epidemic in most of its territory.…”

“…In the case of MAYV, some authors have recently suggested that the exported cases observed in European and North American countries where the competent mosquito vectors exist indicate a global risk in addition to the regional implications [36]. With the rapid increasing trends of globalization, a high potential for During the 2019 DENV epidemic in Honduras, one prominent aspect is the high proportion of severe DENV forms, more than a quarter of them, which is 20-times higher than in any other country in the Americas, making currently Honduras the territory with the highest proportion, but also number of severe DENV cases, even above Brazil [6]. Till EW26, Honduras reported over 6,000 severe DENV cases, and Brazil only 710 (out of 1,127,244 cases till EW 23, 0.06%) [6].…”

“…Colombia) [5,6]. Such declines in dengue have been discussed by experts, indicating that multifactorial events may have accounted for this situation, including elements of immunity, increased vector control, and even vector and viruses changes or adaptations [6,7].…”

“…Among the affected countries, Honduras is currently facing an epidemic (2019), reaching highest values at some epidemiological indicators, such as the number and proportion of severe form cases, as well the case fatality rate [6]. Honduras have prone conditions, such as climate [8,9], international travel, foreign trade [10,11], geographical susceptibility, that would be associated with the outbreak [12][13][14][15][16].…”