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Immune outcomes are promising, but the level of serious adverse events is a concern.
Officials confirm 4 new cases in California—107 total—and 1 in Chicago.
PAHO reports a large increase in the case count, driven largely by the Dominican Republic, and another locally acquired case is reported in Florida.
As PAHO stresses mosquito control and other steps, the US chikungunya total tops 900 cases.
Liberia and Sierra Leone have taken new actions to curb infections, as response activities and testing of possible travel-related cases play out on other continents.
About two thirds of the 38,000 new cases reported last week were in the Dominican Republic.
Cases in the Americas now total almost 475,000, with the Dominican Republic accounting for most of last week's rise.
The increase was led by the Dominican Republic, which had almost 60,000 new cases.
Suspected and confirmed cases now total 355,617, an increase of 48,780.
The outbreak total climbs to 306,837 cases, a 42,393-case increase.
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