Fig 1. Distribution of total suspected cases of CHIKF reported in the Dominican Republic by province.
A suspected case was defined by the presence of sudden fever and arthralgia. The color scheme classifies provinces by number of total suspected CHIKF cases, determined by summing the number of cases reported in MSP DIGEPI weekly bulletins and Chikungunya Outbreak Bulletins for each epidemiological weeks between February 16, 2014 and June 6, 2015. No exact case numbers were reported to MSP DIGEPI for provinces shaded in white. Number 32, Distrito Nacional, represents the national district, which does not pertain to a province. The city of La Romana and the port of Bajos de Haina, where the outbreak is suspected to have started, are highlighted in red. Map created using Epi InfoTM 7.1.5 software licensed by the Centers for Disease Control and Prevention (http://wwwn.cdc.gov/epiinfo/7/). MSP DIGEPI weekly bulletins publicly available through Minesterio de Salud Publica (http://digepisalud.gob.do/).