A Red Cross delegate from Santa Rosa, California who has a Masters in Public Health and working in a mobile clinic reports they have seen "50 confirmed cases of dengue hemorrhagic fever" in Port-au-Prince. Although we have seen sporadic reports of dengue in those medically evacuated from Haiti, we have not seen report of dengue hemorrhagic fever in Haiti since the earthquake.
In early December, Robert Reid Cabral Hospital in Santo Domingo, Dominican Republic abruptly saw 40 cases of what was referred to as dengue hemorrhagic fever, 35 of which were children, over a weekend. This was reportedly unusual, where one ward was typically dedicated to dengue patients- two additional wards needed to be opened. Official estimates at the time indicated 6,000 cases of dengue in the DR in 2009, 70 of which were fatal. Unofficial sources disagreed with that assessment, claiming the numbers were higher. There was no corresponding report of a dengue epidemic in Haiti at the time, which was not surprising given their limited infrastructure before the earthquake.
We consider report of 50 dengue hemorrhagic fever cases to be suspect given the time of year and that others have not reported this, however it would not be impossible. We will monitor closely.
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