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The ECDC reports 14,451 cases in 2017, up from 4,643 in 2016. Also, vaccination in Ghana is tied to higher childhood survival rates.
The number of people sickened in France's outbreak has grown from 2 to 13.
In other developments, a few more cases were reported in the Americas and mosquito trials showed a risk of spread in major Kenyan cities.
The man's infection is Spain's first that didn't involve travel to an endemic area.
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