Number of Reported Cases of Chikungunya Fever in the Americas, by Country or Territory 2013-2014 (to week noted) Cumulative cases Epidemiological Week / EW 40 (Updated 3 October 2014) Weeka Country/Territory North America Bermuda Canada Mexico United States of America > Autochthonous transmission cases Suspected Confirmed 11 11 Subtotal Week 39 Week 36 Week 38 Latin Caribbean Cuba Dominican Republic French Guiana Guadaloupe Haiti Martinique Puerto Ricoe Saint Barthelemy Saint Martin (French part) Week 33 Week 38 Week 38 Week 36 Week 28 Week 38 Week 36 Week 38 Week 38 Subtotal Andean Area Bolivia Colombia Ecuador Peru Venezuela / Week 29 Week 40 Week 40 Week 28 Week 38 Subtotal Southern Cone Argentina Brazil Week 38 Week 38 Chile Paraguay Week 22 Week 27 Subtotal Incidence Ratec 8 6 1,200 1,214 Population X 1000 Deaths d 0.0 0.0 0.0 0.0 0.0 0 0 0 0 0 69 35,182 118,129 320,051 473,431 0.0 0.0 259.4 0.1 0.0 0.0 0.3 36.5 0 0 0 0 0 0 0 0 332 4,872 6,340 15,468 8,098 6,080 3,864 45,054 0 6 0 49 0 56 3 0 3 117 11,266 10,404 249 466 10,317 404 3,688 9 36 36,839 16,389 0 1 54 8 0 0 10 73 486,306 2,900 78,120 64,695 64,250 8,036 985 4,170 709,462 0 84 3,268 430 14 1,515 2,305 142 793 8,551 38 0.0 4,675.0 2,477.1 16,856.2 627.2 50,588.5 280.4 12,662.9 13,905.9 1,949.1 0 83 0 0 328 411 3 11 1 3 70 88 0 13 0 0 4 5 0 0 0 0 0 0 10,671 48,321 15,738 30,376 30,405 135,511 16 14 37 0.0 0.0 0 0 41,446 200,362 0 0 16 2 1 54 0.0 0.0 0 0 0 0 17,620 6,802 266,230 2 237.5 774.4 95.4 21.0 27.7 1.9 452.4 5,068.5 4.5 9.5 8.8 0.0 115.7 204.9 384.5 900.0 110.2 3.2 20.8 62.5 841.9 115.3 77.8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 118 16 90 109 377 289 54 147 73 110 800 2,784 5 51 163 103 40 539 1,341 48 32 105 7,276 964,341 16,389 Week 39 Week 39 Subtotal Imported cases (confirmed) 0 0 Week 32 Week 38 Week 40 Central American Isthmus Belize Costa Rica El Salvador Guatemala Honduras Nicaragua Panama b 6,092 841 6,933 0 16 24 17 57 13 25 Non-Latin Caribbean Anguilla Antigua and Barbuda Aruba Bahamas Barbados Cayman Islands Curacao Dominica Grenada Guyana Jamaica Montserrat Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Sint Maarten (Dutch part)Ξ Suriname` Trinidad and Tobago Turks and Caicos Islands Virgin Islands (UK) Virgin Islands (US) Subtotal TOTAL NOTES a Week 31 Week 30 Week 36 Week 37 Week 36 Week 30 Week 35 Week 28 Week 26 Week 31 Week 38 Week 21 Week 35 Week 23 Week 24 Week 38 Week 37 Week 28 Week 19 Week 38 679 85 77 607 3,559 213 31 214 329 832 6,626 739,410 38 18 19 79 3 1 58 141 5 76 33 0 28 120 67 360 594 43 10 20 52 1,765 10,827 12 4 8 3 7 2 14 3 7 2 64 1,515 Epidemiological Week for which information is available. b Suspected case: patient with acute onset of fever >38°C (101°F) and severe arthralgia or arthritis not explained by other medical conditions, and who resides or has visited epidemic or endemic areas within two weeks prior the onset of the symptoms. Confirmed case: a suspected case with any specific CHIK test (viral isolation, RT-PCR, Ig M, or four-fold increase of chikungunya specific antibodies titers) - PAHO/CDC confirmed case definition available at www.paho.org/chikungunya. c Incidence ( autochthonous suspected + autochthonous confirmed) / 100,000 pop. d PAHO/WHO. Basic Indicators, 2013. http://www.paho.org/hq/index.php?option=com_docman&task=doc_download&gid=23535&Itemid=270&lang=en , except St. Barthelemy ("Populations légales 2009 entrent en vigueur le 1er janvier 2012." Recensement de la population. INSEE. Retrieved 2 January 2014). e > Department of Health data: http://www.salud.gov.pr/Chikungunya/Pages/default.aspx The total cases excludes the data from Puerto Rico and US Virgin Islands and includes 2 cases locally adquired in Florida. / Ministry of Health data: http://www.mpps.gob.ve/index.php?option=com_content&view=article&id=7293emid=18 ` The autochthonous confirmed cases includes one case with unknown travel. Ξ Data published by Le point épidémiologique, N °11, 2014 . Data source : Cases reported by IHR NFPs to PAHO/WHO and/or through Member States websites or official news publication Cases of Chikungunya Fever in the Americas, 2014