Also, Peru is battling its worst dengue outbreak, with about 150,000 suspected cases so far.
With record dengue cases already this year, Peru is bracing for more heavy rains in the months ahead from the El Nino weather pattern.
Dengue in the Americas is outpacing 2022 activity by 12%, and chikungunya is also on the rise.
Just over half of cases occurred among people younger than 20 years, and hospitalization rates were high in American Samoa, Puerto Rico, and Guam.
Florida reported 68 local dengue cases in 2022, mostly from Miami-Dade County.
The countries with highest incidences include Bolivia, Nicaragua, Belize, and Brazil.
Separate WHO reports describe widening dengue and chikungunya activity in the Americas and the expansion of cholera outbreaks to four more countries.
Local scientists and their colleagues from the CDC detail 2 cases of locally acquired dengue in November 2022 in Maricopa County.
Brazil's drug regulatory agency has approved Japan-based Takeda's 4-strain vaccine against dengue virus for use in people ages 4 to 60 years old.
The outbreak is unusual in its scale and seasonality.
