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Dengue fever has been reported from Ecuador. As of 25 May 2015, a total of 17 824 confirmed cases have been recorded. The worst affected provinces are Los Rios in the west and Orellana in the northeast of the country.
Avoidance of mosquito bites, particularly during daylight hours, is recommended. Bite avoidance measures include: covering up with clothing, the use of insect repellent and bed nets impregnated with insecticide. Reduction of mosquito breeding sites around hotel rooms/homes is advised for longer term stays.