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Media reported (in Portuguese) on 9 January 2018 that the number of deaths in the current yellow fever outbreak in Sao Paulo State has risen to 4. The latest fatality was a 48 year old man who was hospitalized at Sao Paulo's Leforte Hospital on 8 January and died the following day.
Recent expansion of yellow fever into the municipality of Sao Paulo and the municipalities of Greater São Paulo (Cajamar, Caieiras, Mairipora, Franco da Rocha, Guarulhos, and Itapecerica da Serra), indicate high risk for non-immunized populations.
For further information see Yellow Fever.