The Nicaraguan Ministry of Health (MINSA) has registered 1,384 cases of chikungunya between May 23 and August 8, 2016, with a sharp increase in early August. The week ending August 1 saw 402 cases, followed by 356 cases the week of August 8. The week of August 15 reported 344 cases.
Independent media reports suggest that some cases may have been recorded as “unspecified virus,” raising concerns about potential underreporting. Concurrent transmission of dengue and malaria adds complexity to diagnosis and management.
