4 In Colombia, an increasing trend has been observed during the past 25 years, from 272,360 cases between 1990 and 1999, to 454,837 cases between 2000 and 2010, and to 674,043 cases between 2010 and 2016. 5 Fifty percent of dengue cases in Colombia (1999–2010) are reported in 18 municipalities, including Girardot, which is considere
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