Table 1.
Dengue, chikungunya and zika infections in Caribbean populationsa
| Country/territory | Total population (2020) [1,2] | Dengue incidence #/100 000 (2019) [3] | Zika incidence #/100 000 (2016) [4] | Chikungunya incidence #/100 000 (2014) [4] |
| Aruba and Bonaire | 107 877 | 1187.38 | 617.54 | 443.1 |
| Antigua and Barbuda | 97 929 | 35.29 | 509.57 | 1604.4 |
| Anguilla | 15 003 | 35.29 | 241.18 | 612.5 |
| Bahamas | 402 365 | 6.7 | 5.60 | 24.4 |
| Barbados | 288 231 | 40.91 | 256.01 | 615.6 |
| Belize | 415 962 | 3485.86 | 224.52 | 0.9 |
| Caribbean Netherlands | 26 223 | 1187.38 | 340.00 | - |
| Cayman Islands | 65 722 | 221.67 | 422.81 | 379.6 |
| Cuba | 11 309 865 | 28.37 | 0.03 | 0 |
| Dominica | 72 422 | 144.54 | 1660.81 | 5154.8 |
| Dominican Republic | 11 118 543 | 194.8 | 49.15 | 5182.5 |
| Grenada | 113 788 | – | 382.88 | 2814.5 |
| Guadeloupe | 400 124 | 719.38 | 6629.30 | 17 517.2 |
| Guyana | 754 144 | 29.41 | 4.80 | 9.5 |
| Haiti | 11 750 245 | 0.84 | 27.29 | 627.2 |
| Jamaica | 2 992 531 | 260.61 | 258.22 | 54.2 |
| Martinique | 375 265 | – | 9265.66 | 556 703.8 |
| Montserrat | 4992 | – | 140.00 | 2380 |
| Puerto Rico | 2 860 853 | 1.01 | 974.46 | 941.2 |
| Sint Maarten (Dutch) | 42 876 | 397.40 | 560.98 | 15 755.1 |
| St Kitts and Nevis | 53 199 | 104.55 | 1119.23 | 1284.3 |
| St Lucia | 183 627 | 11.11 | 531.71 | 541.7 |
| Saint Martin (French) | 38 666 | 812.50 | 9208.33 | 1175.0 |
| St Vincent and Grenadines | 110 940 | 11 | 579.41 | 1352.4 |
| St Barthelemy | 9877 | 122.22 | 11 511.1 | 17 247.2 |
| Suriname | 599 673 | 15.14 | 635.22 | 224.5 |
| Trinidad/Tobago | 1 399 488 | 30.30 | 47.11 | 21.7 |
| Turks and Caicos | 38 717 | 67.86 | 384.31 | 39.6 |
| Virgin Islands (UK) | 104 425 | 278.57 | 11 511.1 | 1231.30 |
| Virgin Islands (USA) | 30 321 | – | 1849.51 | 1620.0 |
| Caribbean | 44 012 651 |
Dominican Republic reported 53 dengue-related deaths. Jamaica recorded 24 dengue-related deaths, for a case fatality rate (CFR) of 0.318. Dengue, Chikungunya, and Zika incidence – are calculated from number of locally transmitted suspected and laboratory confirmed cases per 100 000 population. Suspect Chikungunya cases – are fever more than 38 °C, severe arthralgia, or arthritis, not explained by other medical conditions, occurring within 2 weeks of onset of symptoms. Confirmed chikungunya cases – are suspected cases with CHIKV-specific test confirmed (viral isolation, RT-PCR, IgM, or four-fold increase in CHIKV-specific IgG antibodies). References: Countries in the world by population, as at 8 December, 2022, UN estimates and worldometers. https://www.worldometers.info/world-population/population-by-country/ [accessed 12 December 2022]; About 25% of the population in the Caribbean and Latin America is aged less than 15 years https://www.statista.com/statistics/264683/top-fifty-countries-with-the-highest-population-density/ [accessed 12 December 2022]; Pan American Health Organization/World Health Organization. Epidemiological update: dengue. 7 February 2020, Washington, D.C. PAHO/WHO. 2020; https://bit.ly/314Snw4 [accessed 21 December, 2022]; Caribbean Public Health Agency. State of Public Health in the Caribbean Region 2014–2016. Building resilience to immediate and increasing threats: vector-borne diseases and childhood obesity. Port of Spain, Trinidad, and Tobago: CARPHA; 2017; Case definitions for congenital syndrome associated with Zika virus infection is available at: http://www.paho.org/hq/index.php?option=com_content&view=article&id=11117&Itemid=41532&lang=en; PAHO/WHO Case definitions for suspected and confirmed Zika cases is available at: http://www.paho.org/hq/index.php?option=com_content&view=article&id=11117&Itemid=41532&lang=en.
For years with the highest reported incidence.