Epidemiology of Dengue, Chikungunya, and Zika Virus Disease in U.S. States and Territories, 2017

Laura E. Adams Dengue Branch, Centers for Disease Control and Prevention, San Juan, Puerto Rico;

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Stacey W. Martin Arboviral Diseases Branch, Centers for Disease Control and Prevention, Fort Collins, Colorado

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Nicole P. Lindsey Arboviral Diseases Branch, Centers for Disease Control and Prevention, Fort Collins, Colorado

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Jennifer A. Lehman Arboviral Diseases Branch, Centers for Disease Control and Prevention, Fort Collins, Colorado

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Aidsa Rivera Dengue Branch, Centers for Disease Control and Prevention, San Juan, Puerto Rico;

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Jonathan Kolsin Arboviral Diseases Branch, Centers for Disease Control and Prevention, Fort Collins, Colorado

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Kimberly Landry Arboviral Diseases Branch, Centers for Disease Control and Prevention, Fort Collins, Colorado

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J. Erin Staples Arboviral Diseases Branch, Centers for Disease Control and Prevention, Fort Collins, Colorado

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Tyler M. Sharp Dengue Branch, Centers for Disease Control and Prevention, San Juan, Puerto Rico;

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Gabriela Paz-Bailey Dengue Branch, Centers for Disease Control and Prevention, San Juan, Puerto Rico;

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Marc Fischer Arboviral Diseases Branch, Centers for Disease Control and Prevention, Fort Collins, Colorado

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Dengue, chikungunya, and Zika viruses, primarily transmitted by Aedes species mosquitoes, have caused large outbreaks in the Americas, leading to travel-associated cases and local mosquito-borne transmission in the United States. We describe the epidemiology of dengue, chikungunya, and noncongenital Zika virus disease cases reported from U.S. states and territories in 2017, including 971 dengue cases, 195 chikungunya cases, and 1,118 Zika virus disease cases. Cases of all three diseases reported from the territories were reported as resulting from local mosquito-borne transmission. Cases reported from the states were primarily among travelers, with only seven locally acquired mosquito-transmitted Zika virus disease cases reported from Texas (n = 5) and Florida (n = 2). In the territories, most dengue cases (n = 508, 98%) were reported from American Samoa, whereas the majority of chikungunya (n = 39, 100%) and Zika virus disease (n = 620, 93%) cases were reported from Puerto Rico. Temporally, the highest number of Zika virus disease cases occurred at the beginning of the year, followed by a sharp decline, mirroring decreasing case numbers across the Americas following large outbreaks in 2015 and 2016. Dengue and chikungunya cases followed a more seasonal pattern, with higher case numbers from July through September. Travelers to the United States and residents of areas with active virus transmission should be informed of both the ongoing risk from dengue, chikungunya, and Zika virus disease and personal protective measures to lower their risk of mosquito bites and to help prevent the spread of these diseases.

Author Notes

Address correspondence to Stacey W. Martin, Arboviral Diseases Branch, Centers for Disease Control and Prevention, 3156 Rampart Rd., Fort Collins, CO 80521. E-mail: smartin4@cdc.gov

Authors’ addresses: Laura E. Adams, Aidsa Rivera, Tyler M. Sharp, and Gabriela Paz-Bailey, Dengue Branch, Centers for Disease Control and Prevention, San Juan, Puerto Rico, E-mails: ipb2@cdc.gov, erj2@cdc.gov, iyp4@cdc.gov, and gmb5@cdc.gov. Stacey W. Martin, Nicole P. Lindsey, Jennifer A. Lehman, Jonathan Kolsin, Kimberly Landry, J. Erin Staples, and Marc Fischer, Arboviral Diseases Branch, Centers for Disease Control and Prevention, Fort Collins, CO, E-mails: zmt0@cdc.gov, frd3@cdc.gov, zjg3@cdc.gov, jonathan.kolsin@dshs.texas.gov, nrn8@cdc.gov, auv1@cdc.gov, and mxf2@cdc.gov.

These authors contributed equally to this work.

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