​It is the first time that autochthonous transmission of the virus has been documented in the Americas. Clinicians and travel medicine clinics should remain vigilant regarding imported dengue and chikungunya cases from the Caribbean.

​An outbreak of chikungunya in the Caribbean region was reported from the French part of the island of Saint Martin on 6 December 2013. It is the first time that autochthonous transmission of the virus has been documented in the Americas.

​​An outbreak of chikungunya in the Caribbean region was reported from the French part of the island of Saint Martin on 6 December 2013. It is the first time that autochthonous transmission of the virus has been documented in the Americas.

​On 6 December 2013, France reported two laboratory-confirmed autochthonous cases of chikungunya in the French part of the Caribbean island of Saint Martin. It is the first time that autochthonous transmission of the virus has been documented in the Americas.

​On 18 April 2014, the Hellenic Centre for Disease Control and Prevention (KEELPNO) announced a laboratory confirmed case of MERS-CoV infection in a 69 year old male patient.

​​Visitors to the 2016 Olympics and Paralympics Summer Games in Rio de Janeiro, Brazil will be most at risk of gastrointestinal illness and vector-borne infections concludes ECDC’s updated rapid risk assessment LINK on the Games.  Therefore, visitors to the Games should pay attention to standard hygiene measures to reduce the risk of gastrointestinal illness and protect themselves against mosquito/other insect bites using insect repellent and/or by wearing long-sleeved shirts and trousers.

​Since 6 January 2017, Brazil has been reporting an outbreak of yellow fever.

As of 2 February 2017, 826 cases (including 155 confirmed) have been reported in Brazil. This represents an increase of 315 cases (including 67 confirmed) since the last CDTR. The most-affected state remains Minas Gerais, with 740 cases (including 138 confirmed) reported.

​Between 6 January and 16 March 2017, Brazil has reported 1 357 cases (933 suspected and 424 confirmed), including 249 deaths (112 suspected and 137 confirmed). The case-fatality rate is 18.3% among all cases and 32.3% among confirmed cases.

​Between 6 January and 16 March 2017, Brazil has reported 1 357 cases (933 suspected and 424 confirmed), including 249 deaths (112 suspected and 137 confirmed). The case-fatality rate is 18.3% among all cases and 32.3% among confirmed cases.