{"id":15159,"date":"2025-10-31T14:34:41","date_gmt":"2025-10-31T13:34:41","guid":{"rendered":"https:\/\/resemedicin.se\/reseradet\/?p=15159"},"modified":"2025-11-11T08:39:17","modified_gmt":"2025-11-11T07:39:17","slug":"2025-10-31dengue-i-amerika-fortsatt-hog-aktivitet-trots-nedgang-fran-rekordaret-2024","status":"publish","type":"post","link":"https:\/\/resemedicin.se\/reseradet\/epinytt\/2025-10-31dengue-i-amerika-fortsatt-hog-aktivitet-trots-nedgang-fran-rekordaret-2024\/","title":{"rendered":"2025-10-31 Dengue i Amerika \u2013 fortsatt h\u00f6g aktivitet trots nedg\u00e5ng fr\u00e5n rekord\u00e5ret 2024"},"content":{"rendered":"\n<p>Enligt <a href=\"https:\/\/www.paho.org\/en\/documents\/dengue-epidemiological-situation-region-americas-epidemiological-week-40-2025\">Pan American Health Organization (PAHO)<\/a> har regionen&nbsp;Amerika rapporterat cirka 3 870 000 fall av <a href=\"https:\/\/www.resemedicin.se\/reseradet\/sjukdomar-och-vacciner\/dengue\">denguefeber<\/a> t.o.m. vecka 40 2025, motsvarande en incidens p\u00e5 omkring 380 fall per 100 000 inv\u00e5nare. Trots att antalet fall \u00e4r betydligt l\u00e4gre \u00e4n rekord\u00e5ret 2024, d\u00e5 \u00f6ver 13 miljoner fall rapporterades, ligger \u00e5rets niv\u00e5 fortfarande \u00f6ver genomsnittet f\u00f6r de senaste fem \u00e5ren.<\/p>\n\n\n\n<p><a href=\"https:\/\/resemedicin.se\/reseradet\/landsinformation\/brasilien\/\">Brasilien<\/a>&nbsp;st\u00e5r fortsatt f\u00f6r den helt dominerande andelen av regionens fall med&nbsp;3 468 000 rapporterade fall, f\u00f6ljt av&nbsp;<a href=\"https:\/\/resemedicin.se\/reseradet\/landsinformation\/colombia\/\">Colombia<\/a> (106 000)&nbsp;och&nbsp;<a href=\"https:\/\/resemedicin.se\/reseradet\/landsinformation\/mexiko\/\">Mexiko<\/a> (99 000). I Central- och Sydamerika har \u00e4ven&nbsp;<a href=\"https:\/\/resemedicin.se\/reseradet\/landsinformation\/guatemala\/\">Guatemala<\/a> (39 000),&nbsp;<a href=\"https:\/\/resemedicin.se\/reseradet\/landsinformation\/peru\/\">Peru<\/a> (36 000),&nbsp;<a href=\"https:\/\/resemedicin.se\/reseradet\/landsinformation\/ecuador\/\">Ecuador<\/a> (35 000),&nbsp;<a href=\"https:\/\/resemedicin.se\/reseradet\/landsinformation\/bolivia\/\">Bolivia<\/a> (31 000),&nbsp;<a href=\"https:\/\/resemedicin.se\/reseradet\/landsinformation\/paraguay\/\">Paraguay<\/a> (25 000),&nbsp;<a href=\"https:\/\/resemedicin.se\/reseradet\/landsinformation\/honduras\/\">Honduras<\/a> (14 000)&nbsp;och Kuba (6 500) rapporterat betydande falltal. I \u00f6vriga l\u00e4nder i regionen har f\u00e4rre \u00e4n 5 000 fall registrerats hittills under \u00e5ret.<\/p>\n\n\n\n<p>De flesta fall har rapporterats under f\u00f6rsta halv\u00e5ret, i samband med kraftig cirkulation av serotyp DENV-3 i flera l\u00e4nder. I Brasilien och Colombia har samtliga fyra serotyper p\u00e5visats under 2025, vilket \u00f6kar risken f\u00f6r allvarlig sjukdom i tidigare exponerade befolkningar.<\/p>\n\n\n\n<p>Den stora minskningen j\u00e4mf\u00f6rt med 2024 f\u00f6rklaras delvis av naturliga cykler i serotypdominans och v\u00e4dervariationer, men PAHO betonar att \u00f6verf\u00f6ringen forts\u00e4tter p\u00e5 h\u00f6g niv\u00e5 i stora delar av Sydamerika och att myggkontrollen beh\u00f6ver st\u00e4rkas inf\u00f6r den kommande regnperioden.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\"><strong>Reser\u00e5dets kommentar:<\/strong><\/h5>\n\n\n\n<p>Trots minskningen j\u00e4mf\u00f6rt med 2024 \u00e4r dengue fortsatt en av de mest spridda myggburna infektionerna i Amerika. Resen\u00e4rer till drabbade l\u00e4nder i regionen b\u00f6r skydda sig mot myggbett och vara uppm\u00e4rksamma p\u00e5 feber under eller efter vistelsen. Vaccination kan vara motiverat vid l\u00e4ngre resor, inte minst f\u00f6r dem med tidigare genomg\u00e5ngen infektion. Se <a href=\"https:\/\/resemedicin.se\/reseradet\/sjukdomar-och-vacciner\/dengue\/#indikationer\">Reser\u00e5dets vaccinrekommendationer<\/a> f\u00f6r detaljer.<\/p>\n\n\n\n<p style=\"font-size:12px\"><em><strong>EpiNytt\u00a0<\/strong><\/em>\u00e4r Reser\u00e5dets kostnadsfria omv\u00e4rldsbevakning med aktuell information om\u00a0utbrott och nyheter p\u00e5 vaccin- och resefronten. Se\u00a0<a href=\"https:\/\/resemedicin.se\/reseradet\/epinytt\/\">hela listan med nyheter i fulltext<\/a>. Dela g\u00e4rna l\u00e4nken med intresserade kolleger, vilka ocks\u00e5 sj\u00e4lva kan\u00a0<a href=\"https:\/\/resemedicin.se\/reseradet\/prenumerera-kostnadsfritt-pa-epinytt\/\">prenumerera p\u00e5 nyhetsbrevet<\/a>\u00a0utan kostnad.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Enligt Pan American Health Organization (PAHO) har regionen&nbsp;Amerika rapporterat cirka 3 870 000 fall av denguefeber t.o.m. vecka 40 2025, motsvarande en incidens p\u00e5 omkring 380 fall per 100 000 inv\u00e5nare. Trots att antalet fall \u00e4r betydligt l\u00e4gre \u00e4n rekord\u00e5ret 2024, d\u00e5 \u00f6ver 13 miljoner fall rapporterades, ligger \u00e5rets niv\u00e5 fortfarande \u00f6ver genomsnittet f\u00f6r de &hellip; <a href=\"https:\/\/resemedicin.se\/reseradet\/epinytt\/2025-10-31dengue-i-amerika-fortsatt-hog-aktivitet-trots-nedgang-fran-rekordaret-2024\/\" class=\"more-link\">Forts\u00e4tt l\u00e4sa<span class=\"screen-reader-text\"> \u201d2025-10-31 Dengue i Amerika \u2013 fortsatt h\u00f6g aktivitet trots nedg\u00e5ng fr\u00e5n rekord\u00e5ret 2024\u201d<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"aside","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-15159","post","type-post","status-publish","format-aside","hentry","category-epinytt","post_format-post-format-aside"],"modified_by":"Reser\u00e5det","jetpack_featured_media_url":"","jetpack-related-posts":[{"id":13009,"url":"https:\/\/resemedicin.se\/reseradet\/epinytt\/2025-05-05-global-oversikt-denguefeber\/","url_meta":{"origin":15159,"position":0},"title":"2025-05-05 Global \u00f6versikt denguefeber","author":"Reser\u00e5det","date":"2025-05-05","format":"aside","excerpt":"Mer \u00e4n 13 miljoner fall av denguefeber rapporterades under 2024, vilket \u00e4r det h\u00f6gsta \u00e5rliga antalet n\u00e5gonsin. WHO har klassificerat denguefeber som en grad 3-n\u00f6dsituation, med uppskattningsvis 4 miljarder m\u00e4nniskor i riskzonen globalt. Den stora spridningen har fortsatt under \u00e5ret, och enligt WHO har per den 2 maj 2025 \u00f6ver\u2026","rel":"","context":"I \u201dEpiNytt\u201d","block_context":{"text":"EpiNytt","link":"https:\/\/resemedicin.se\/reseradet\/kategori\/epinytt\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":14904,"url":"https:\/\/resemedicin.se\/reseradet\/epinytt\/2025-09-06-kolera-globalt-lage-2024\/","url_meta":{"origin":15159,"position":1},"title":"2025-09-06 Kolera &#8211; globalt l\u00e4ge 2024","author":"Reser\u00e5det","date":"2025-09-08","format":"aside","excerpt":"Kolera \u2013 globalt l\u00e4ge 2024 (WHO \u00e5rsrapportering) WHO rapporterar att den p\u00e5g\u00e5ende 7:e kolerapandemin fortsatte att spridas under 2024. Totalt\u00a0560 823 fall\u00a0och\u00a06 028 d\u00f6dsfall\u00a0anm\u00e4ldes fr\u00e5n\u00a060 l\u00e4nder, en \u00f6kning fr\u00e5n 45 l\u00e4nder \u00e5ret innan. J\u00e4mf\u00f6rt med 2023 \u00f6kade antalet fall med 5 % och d\u00f6dsfallen med 50 %. Den globala d\u00f6dligheten\u2026","rel":"","context":"I \u201dEpiNytt\u201d","block_context":{"text":"EpiNytt","link":"https:\/\/resemedicin.se\/reseradet\/kategori\/epinytt\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/resemedicin.se\/reseradet\/wp-content\/uploads\/2025\/09\/image-1.png?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/resemedicin.se\/reseradet\/wp-content\/uploads\/2025\/09\/image-1.png?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/resemedicin.se\/reseradet\/wp-content\/uploads\/2025\/09\/image-1.png?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/resemedicin.se\/reseradet\/wp-content\/uploads\/2025\/09\/image-1.png?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/resemedicin.se\/reseradet\/wp-content\/uploads\/2025\/09\/image-1.png?resize=1050%2C600&ssl=1 3x, https:\/\/i0.wp.com\/resemedicin.se\/reseradet\/wp-content\/uploads\/2025\/09\/image-1.png?resize=1400%2C800&ssl=1 4x"},"classes":[]},{"id":15363,"url":"https:\/\/resemedicin.se\/reseradet\/epinytt\/2025-11-30-chikungunya-global-epidemiologisk-oversikt\/","url_meta":{"origin":15159,"position":2},"title":"2025-11-30 Chikungunya \u2013 global epidemiologisk \u00f6versikt","author":"Reser\u00e5det","date":"2025-11-30","format":"aside","excerpt":"Enligt en uppdatering fr\u00e5n ECDC har under 2025 totalt\u00a0458 840 bekr\u00e4ftade fall\u00a0av chikungunyafeber officellt rapporterats v\u00e4rlden \u00f6ver, med\u00a0146 associerade d\u00f6dsfall. Nio l\u00e4nder har rapporterat fall de senaste tv\u00e5 m\u00e5naderna (Brasilien, Kuba, Bolivia, El Salvador, Barbados, Paraguay, Kina, Pakistan och Singapore) Amerikanska kontinenten WHO:s Amerikaregion har under 2025 totalt\u00a0rapporterats 266 165\u2026","rel":"","context":"I \u201dEpiNytt\u201d","block_context":{"text":"EpiNytt","link":"https:\/\/resemedicin.se\/reseradet\/kategori\/epinytt\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":15374,"url":"https:\/\/resemedicin.se\/reseradet\/epinytt\/2025-11-30-dengue-global-lagesuppdatering-november-2025\/","url_meta":{"origin":15159,"position":3},"title":"2025-11-30 Dengue \u2013 global l\u00e4gesuppdatering november 2025","author":"Reser\u00e5det","date":"2025-11-30","format":"aside","excerpt":"Enligt data rapporterade till WHO t.o.m. 19 november har sedan \u00e5rets b\u00f6rjan globalt \u00f6ver 4,7 miljoner fall\u00a0av denguefeber och\u00a03 400 dengueassocierade d\u00f6dsfall\u00a0rapporterats fr\u00e5n\u00a0103 l\u00e4nder\/territorier. Nedan anges (f\u00f6rutom i Europa) l\u00e4nder som rapporterat mer \u00e4n 1 000 fall. Europa I det kontinentala EU\/EES (exklusive yttersta randomr\u00e5den) har man under 2025 rapporterat\u00a029\u2026","rel":"","context":"I \u201dEpiNytt\u201d","block_context":{"text":"EpiNytt","link":"https:\/\/resemedicin.se\/reseradet\/kategori\/epinytt\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":14277,"url":"https:\/\/resemedicin.se\/reseradet\/epinytt\/2025-06-16-global-uppdatering-chikungunya-nu-aven-i-kenya\/","url_meta":{"origin":15159,"position":4},"title":"2025-06-16 Global uppdatering chikungunya &#8211; nu \u00e4ven i Kenya","author":"Reser\u00e5det","date":"2025-06-16","format":"aside","excerpt":"Enligt ECDC har under \u00e5ret fram till b\u00f6rjan av juni cirka 220 000 globala fall av chikungunyafeber inklusive 80 d\u00f6dsfall rapporterats fr\u00e5n 14 l\u00e4nder\/territorier i Amerika, Afrika och Asien. Hittills under 2025 st\u00e5r Amerika f\u00f6r det h\u00f6gsta antalet rapporterade chikungunya-fall. T.o.m. den 26 maj 2025 har flest fall rapporterats fr\u00e5n\u2026","rel":"","context":"I \u201dEpiNytt\u201d","block_context":{"text":"EpiNytt","link":"https:\/\/resemedicin.se\/reseradet\/kategori\/epinytt\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/resemedicin.se\/reseradet\/wp-content\/uploads\/2025\/06\/image-7-scaled.png?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/resemedicin.se\/reseradet\/wp-content\/uploads\/2025\/06\/image-7-scaled.png?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/resemedicin.se\/reseradet\/wp-content\/uploads\/2025\/06\/image-7-scaled.png?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/resemedicin.se\/reseradet\/wp-content\/uploads\/2025\/06\/image-7-scaled.png?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/resemedicin.se\/reseradet\/wp-content\/uploads\/2025\/06\/image-7-scaled.png?resize=1050%2C600&ssl=1 3x, https:\/\/i0.wp.com\/resemedicin.se\/reseradet\/wp-content\/uploads\/2025\/06\/image-7-scaled.png?resize=1400%2C800&ssl=1 4x"},"classes":[]},{"id":14883,"url":"https:\/\/resemedicin.se\/reseradet\/epinytt\/rabies-globalt-lage-2024\/","url_meta":{"origin":15159,"position":5},"title":"2025-09-01 Rabies \u2013 globalt l\u00e4ge 2024","author":"Reser\u00e5det","date":"2025-09-01","format":"aside","excerpt":"Enligt WHO:s senaste sammanst\u00e4llning rapporterades under 2024 fortsatt ett stort antal d\u00f6dsfall i rabies, uppskattningsvis\u00a059 000 \u00e5rligen\u00a0globalt, n\u00e4stan uteslutande i Asien och Afrika. \u00d6ver 99 % av de m\u00e4nskliga fallen orsakas av hundbett. L\u00e4nder i Europa och Nordamerika \u00e4r i princip fria fr\u00e5n endemisk rabies hos hund, men sjukdomen kvarst\u00e5r\u2026","rel":"","context":"I \u201dEpiNytt\u201d","block_context":{"text":"EpiNytt","link":"https:\/\/resemedicin.se\/reseradet\/kategori\/epinytt\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]}],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/resemedicin.se\/reseradet\/wp-json\/wp\/v2\/posts\/15159","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/resemedicin.se\/reseradet\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/resemedicin.se\/reseradet\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/resemedicin.se\/reseradet\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/resemedicin.se\/reseradet\/wp-json\/wp\/v2\/comments?post=15159"}],"version-history":[{"count":3,"href":"https:\/\/resemedicin.se\/reseradet\/wp-json\/wp\/v2\/posts\/15159\/revisions"}],"predecessor-version":[{"id":15191,"href":"https:\/\/resemedicin.se\/reseradet\/wp-json\/wp\/v2\/posts\/15159\/revisions\/15191"}],"wp:attachment":[{"href":"https:\/\/resemedicin.se\/reseradet\/wp-json\/wp\/v2\/media?parent=15159"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/resemedicin.se\/reseradet\/wp-json\/wp\/v2\/categories?post=15159"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/resemedicin.se\/reseradet\/wp-json\/wp\/v2\/tags?post=15159"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}