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Chikungunya cases are quickly growing in the region's Latin areas.
Cases in the Caribbean top 135,000, as the US announces 3 new imported cases.
Cases of the mosquito-borne disease in the region grew by more than 35,000 in 1 week.
Cases rose sharply last week, led by the Dominican Republic and Haiti.
The outbreak total climbs to 306,837 cases, a 42,393-case increase.
Suspected and confirmed cases now total 355,617, an increase of 48,780.
Cases in the Americas now total almost 475,000, with the Dominican Republic accounting for most of last week's rise.
About two thirds of the 38,000 new cases reported last week were in the Dominican Republic.
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CIDRAP - Center for Infectious Disease Research and PolicyOffice of the Vice President for Research, University of Minnesota, Minneapolis, MN
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