Since the beginning of 2015 up to epidemiological week (EW) 30 of 2015, a total of 20,388 cases have been recorded in three countries in the Region of the Americas: Haiti (20,043 cases), the Dominican Republic (344 cases) and Cuba (1 case). To date, no cholera cases have been reported in Mexico in 2015.

Given the increased transmission of Zika virus in the Region of the Americas, the Pan American Health Organization/World Health Organization (PAHO/WHO) recommends that its Member States establish and maintain the capacity to detect and confirm cases of Zika virus infection, prepare their health services for a potential additional burden at all levels of health care, and implement an effective public communications strategy to reduce the mosquitoes that transmit this disease, particularly in areas where this vector is present.

Since the beginning of 2015 up to epidemiological week (EW) 48 of 2015, a total of 30,654 cholera cases have been recorded in three countries in the Americas: Cuba (65), Haiti (30,080) and the Dominican Republic (509). Haiti alone registered 98% of the total cases in the Region of the Americas.

Since the beginning of 2015 up to epidemiological week (EW) 22 of 2015, a total of 16,961 cases have been reported in three countries in the Region of the Americas: Haiti (16,687 cases), the Dominican Republic (273 cases) and Cuba (1 case).

The last confirmed case of cholera in Cuba was reported in January 2015, and was reported by the Canada International Health Regulations (IHR) National Focal Point. The case was an individual with history of travel to Cuba.

In light of the circulation of yellow fever in several areas of the Region, and in the context of the ongoing El Niño Southern Oscillation (ENSO) the Pan American Health Organization / World Health Organization (PAHO/WHO) advises Member States to establish and maintain the capacity to detect and confirm cases of yellow fever and keep health professionals up to date to enable them to identify suspected cases and manage cases properly, especially in areas at risk for yellow fever. In addition, Member States are advised to maintain high vaccination coverage in at risk populations.