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As of 18 Oct 2012, 4 816 cases of dengue fever, of which there were 21 possible cases of dengue haemorrhagic fever, have been reported in Puerto Rico. Six deaths have been reported in the San Juan area.
(Via HealthMap - accessed 24/10/12)
Advice for Travellers
Avoidance of mosquito bites, particularly during daylight hours, by covering up with clothing, the use of bite avoidance measures such as repellent and bed nets is advised. Elimination of breeding sites around hotel rooms/houses is advised for longer term stays.