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University of Nebraska Medical Center

As Mosquito Season Peaks, Officials Brace for New Normal of Dengue Cases

KFF Dengue Case Rates Rise in California, Florida, and Texas

The number of dengue cases per million residents nearly doubled in the contiguous United States from 2023 to 2024 — and almost tripled in California. Florida’s big jump came earlier. Most cases were contracted abroad. As summer ushers in peak mosquito season, health and vector control officials are bracing for the possibility of another year of historic rates of dengue. And with climate change, the lack of an effective vaccine, and federal research cuts, they worry the disease will become endemic to a larger swath of North America.

About 3,700 new dengue infections were reported last year in the contiguous United States, up from about 2,050 in 2023, according to the Centers for Disease Control and Prevention. All of last year’s cases were acquired abroad, except for 105 cases contracted in California, Florida, or Texas. The CDC issued a health alert in March warning of the ongoing risk of dengue infection.

“I think dengue is here with us to stay,” said infectious disease specialist Michael Ben-Aderet, associate medical director of hospital epidemiology at Cedars-Sinai in Los Angeles, about dengue becoming a new normal in the U.S. “These mosquitoes aren’t going anywhere.”

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