An article from Caribbean Business :
" State Epidemiologist Carmen de Seda is urging Puerto Ricans to keep trips in the tropics short due to confirmed cases of malaria.
The island Health Department official said travelers to the Dominican Republic, Haiti, Central America, South America and Africa should limit trips to four days and use insect repellant.
Her warning Wednesday comes as Puerto Rico grapples with what is shaping up as its worst dengue epidemic ever, with 18 confirmed deaths from the mosquito-borne virus and more than a dozen others under evaluation.
De Seda told Inter News Service in an interview that between three and five cases of malaria are reported in Puerto Rico every year, all involving patients who contracted that mosquito-borne disease while traveling outside the island.
“There are no local cases, we don’t have malaria,” De Seda said.
The Dominican Medical Association reported last week that 1,600 cases of malaria have been reported in that country this year, already topping the annual average of 1,400 cases."
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