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The U.S. Centers for Disease Control and Prevention on March 23 issued a Level 1 travel health notice warning of increased dengue activity across 16 countries after identifying a higherâthanâexpected number of infections in U.S. travellers.
The CDC listed Afghanistan, Bangladesh, Bolivia, Colombia, Cook Islands, Cuba, Guyana, Maldives, Mali, Mauritania, New Caledonia, Pakistan, Samoa, Sudan, TimorâLeste and Vietnam.
Level 1 advises travelers to âpractice usual precautionsâ rather than cancel trips.
The agency noted 496 dengue cases reported in the United States so far in 2026.
Dengue, transmitted by Aedes mosquitoes, causes fever, severe muscle and joint pain, rash and in a minority of cases can progress rapidly to lifeâthreatening dengue hemorrhagic fever with internal bleeding, shock and organ failure.
The CDC recommends EPAâregistered repellents, long clothing, staying in airâconditioned or screened accommodations, and avoiding mosquitoes during peak hours; travelers returning home should avoid being bitten for several weeks.
Vaccination options in the U.S. are limited to children aged 9â16 with prior confirmed infection.
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