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SAN JUAN, Puerto Rico (AP) — Dengue is sweeping across the Western Hemisphere in numbers not seen since record-keeping began more than four decades ago, with experts warning that rising temperatures and rapid urbanization are accelerating the pace of infections.

Poor sanitation and a lack of robust health systems have contributed to a rise in cases, but experts say droughts and floods linked to climate change are causing greater transmission of the virus, with stored water and heavy rains attracting mosquitoes.

Impoverished countries struggle the most with dengue, with poor sanitation creating fertile breeding grounds for infected mosquitoes, a lack of air conditioning and screened windows allowing the insects to roam freely and rickety health systems groaning under a growing caseload.

Farrar, chief scientist for the World Health Organization, said dengue is very difficult to treat in part because patients often delay in seeking medical care and because the virus can progress so quickly.

Dr. Georgiana Gordon-Strachan, director of the Tropical Metabolism Research Unit at the University of the West Indies in Jamaica, said the island’s summer of 2023 provided the perfect conditions for its newest outbreak.

Health officials also keep urging people to discard old tires, plastic containers and other recipients that collect rainwater, as well as to sleep with netting over their beds and wear pants and long-sleeved shirts.


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