PAHO - WHO Data - Annual Arbovirus Bulletin 2021

9/10/22, 12:32 PAHO/WHO Data - Annual Arbovirus Bulletin 2021
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Annual
Arbovirus Bulletin 2021
Annual Arbovirus Bulletin 2021
Epidemi
Dengue, Chikungunya
Arboviral situation summary

In the Region of the Americas, between epidemiological week (EW) 1 and EW 52 of 2021, a tota
1,425,195 cases of arboviral disease were reported. Of those, 1,267,151 ( 88.9 % ) were deng
cases, 137,025 ( 9.6 % ) chikungunya cases, and 21,019 ( 1.5 % ) were Zika cases. Coun
specific data on case counts and completeness can be found at https://www.paho.org/plisa
The thirteen-year pattern of circulation of these arboviruses is depicted in

(Figure 1)., which sho
that the introduction
of chikungunya in December of 2013 is clearly observed in 2014. Simila
following the introduction of Zika in 2015, there was
widespread circulation of the virus in 20
Nevertheless, dengue circulation has continued to predominate.
Figure 1. Distribution of reported cases of dengue, chikungunya, and Zika by year. Region of The Americas. 20
2021
Source: Data entered into the Health Information Platform for The Americas (PLISA, PAHO / WHO) by the Ministr
and Institutes of Health of the countries and territories of the Region. Available at:
https://www paho org/plisa
https://www3.paho.org/data/index.php/en/mnu-topics/indicadores-dengue-en/annual-arbovirus-bulletin-2021.html 1/11
https://www.paho.org/plisa
In the Region of the Americas, the total number of cases of arboviral disease reported in 2021 as
decrease compared to the same period in 2020. It is worth noting that in 2021 dengue peaked at
For the same time period, Zika
circulation was stronger in the first semester of 2021, however, its
counts are much smaller and many countries do not notify cases of Zika (Figure 2).
Figure 2. Distribution of cases of dengue, chikungunya, and Zika by epidemiological week
Source:Data entered into the Health Information Platform for The Americas
by the Ministries and Institutes of Health of the countries and territories of the Region. Avai
Dengue
Dengue
Between EW 1 and 52 of 2021, a total of 1,267,151 cases of dengue were reported in the Region
127.72 cases per 100,000 population. The year 2019 yielded the highest number of dengue cas
started collecting dengue case data in 1980. The peak for cases in 2019 was observed in EW
transmission earlier in the year, peaking in EW 14, when
most countries began imposing social dis
19 and dengue transmission observed an important
decline. The rate of growth of the curve in Fig
on EW 7, while the rate of growth for the curve in 2021 was 165%, from EW 1 until peak on EW 1
Figure 3. Distribution of Regional dengue cases

by epidemiological week in Th
As of EW 52 of 2021, the highest number of dengue cases in the Region

have been reported by th
(77.0%),
Colombia with 53,334 cases (4.2%),
Peru with 49,274 cases (3.9%),
Mexico with 36,
cases (2.9%).
Distribution of incidence of dengue by subregion is presented in Figure 4. Note th
Region account for 1,151,565 total cases or 90.9% of the total cases of dengue.
Figure 4. Cumulative incidence of dengue cases per 100,000 population. Regio
In 2021, of the total of cases reported in the Region, 526,734 (41.6%) were laboratory-confirm
dengue (Figure 5). The highest number of severe dengue cases were reported by the following c
Colombia with 958 cases (29.3%),
Brazil with 371 cases (11.3%),
Mexico with 300 cases (9.
(5.9%).
Figure 5 describes the proportion of severe dengue cases among all cases of dengue reported. 1
severe cases than the regional mean of 0.27. Of note, the countries reporting the greatest propor
in 2021 were United States, (1.75%), Colombia, (1.8%), Dominican Republic, (5.15%), Honduras
Figure 5. Proportion of severe dengue. Countries and territories of The
Figure 6 below includes the pattern of dengue cases in the Americas since 2008. Also included in
proportion of severe cases among all dengue cases
and the proportion of dengue deaths among
Additionally, during the same period, a total of 437 deaths were reported in the Region (CFR: 0.03
Figure 6. Distribution of reported dengue cases, proportion of severe dengue cases and case fatalit
In Figure 7 below, we can see a scatterplot of two variables used to monitor the severity of dengu
or the proportion of how many cases of dengue die from the virus among all cases of the virus)
dengue cases. This scatterplot attempts to visually demonstrate how these two variables
are cor
see a positive correlation. That means that as countries observe more severe cases, we would exp
Figure 7. Scatter plot of CFR and Proportion of severe cases fo

All four dengue virus serotypes (DENV 1, DENV 2, DENV 3, DENV 4) were present in the Ame
Mexico reported the detection of all four serotypes in 2021. Dengue serotype circulation by countr
Figure 8. Geographic distribution of serotypes in the region of The A
Chikungunya
Between EW 1 and EW 52 of 2021, a total of 137025
chikungunya cases were reported in 15 of t
the Americas,
of which 65542 were confirmed (47.8 %). The regional cumulative
incidence for
100,000 population.
The rate of growth of the curve for 2020 was 181% from EW 1 until peak on
in 2021 was 482% , from EW 1
until peak on EW 22. Peak transmission was in EW 20 for 2020 a
associated with chikungunya infection.
Figure 9. Chikungunya cases per epidemiological week (EW). Region of the
As of EW 52 of 2021, the highest number of chikungunya cases in the Region

have been r
represents
(96.8 %) of total regional cases. Guatemala
follows in case counts with 2,196 cases (
%), Peru with 475 cases (0.3
%), and Bolivia with 404 cases (0.3%). During the same period,
were reported. The countries with
the highest incidence are incluided in Figure 10.
Figure 10. Cumulative incidence of chikungunya cases per 100,000 population. R
Zika
Between EW 1 and EW 50 of 2021, a total of 21,019 of Zika have been reported in the Region
territories. Of all reported cases, 3,664 were lab-confirmed (17.4%). The 21,019 represents a
population. Only 5 Zika-related death was reported for the year. Since its first detection in Brazil i
been confirmed in all countries and territories in the Americas,
except for continental Chile, Uru
reported associated with Zika infection.
Figure 11. Distribution of reported cases

of Zika by epidemiological
week. Region
Source:Data entered into the Health Information Platform for The

Americas
by the Ministries and Institutes of Health of the countries and territories of the Region.
Avai
The highest numbers of Zika cases in the Region were reported in the following countries:
Brazil
2,499 cases ( 11.9 %), Paraguay with 474 cases ( 2.3 %),
Bolivia with 123 cases ( 0.6 %),
and E
the Region. The five countries with the highest cumulative
incidence are included in Figure 12
Figure 12. Cumulative incidence of Zika cases per 100,000 population.

Regio
------
Note:
As information is updated, PLISA automatically updates data, including retroactively. Therefore, data for a
their data.
Details

Last Updated: 25 April 2022
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9/10/22, 12:32 PAHO/WHO Data - Annual Arbovirus Bulletin 2021

PLISA Core Indicators Mortality

Topics Analysis Contact Us

Annual Arbovirus Bulletin 2021

Arboviral situation summary

The thirteen-year pattern of circulation of these arboviruses is depicted in

Figure 2. Distribution of cases of dengue, chikungunya, and Zika by epidemiological week

Figure 3. Distribution of Regional dengue cases

As of EW 52 of 2021, the highest number of dengue cases in the Region

Figure 4. Cumulative incidence of dengue cases per 100,000 population. Regio

Figure 5. Proportion of severe dengue. Countries and territories of The

Figure 7. Scatter plot of CFR and Proportion of severe cases fo

Figure 8. Geographic distribution of serotypes in the region of The A

Figure 9. Chikungunya cases per epidemiological week (EW). Region of the

As of EW 52 of 2021, the highest number of chikungunya cases in the Region

Figure 10. Cumulative incidence of chikungunya cases per 100,000 population. R

Figure 11. Distribution of reported cases

Source:Data entered into the Health Information Platform for The

Figure 12. Cumulative incidence of Zika cases per 100,000 population.

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