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Message for U.S. Citizens: Managua (Nicaragua), Dengue Outbreak

Western Hemisphere > Nicaragua; Western Hemisphere > Nicaragua > Managua

The U.S. Embassy in Managua informs U.S. citizens that on October 24, 2013 SINAPRED, the Nicaraguan disaster control agency, declared a “sanitary red alert" due to an increase in the number of people arriving at local hospitals with dengue fever and in the number of deaths of previously healthy young adults from dengue hemorrhagic fever. This message serves to remind U.S. citizens of the risk of dengue and steps to take to attempt to prevent contracting it.

The Nicaraguan Ministry of Health (MINSA) has reported 4,300 confirmed cases of dengue fever in Nicaragua.  Dengue fever is a mosquito-transmitted illness, for which there is no vaccine, and no specific treatment.  Dengue hemorrhagic fever is a rare, more severe and sometimes fatal form of the disease.  MINSA has confirmed fifteen fatalities caused by dengue. For the latest information, you may visit the ministry’s website at

The Ministry of Health recommends eliminating sources of standing water, which form breeding grounds for mosquitoes.  To further reduce the risk of contracting dengue, Nicaraguan officials and the Centers for Disease Control and Prevention (CDC) recommend wearing clothing that exposes as little skin as possible and applying a repellent containing the insecticide DEET (concentration 30 to 35 percent) or Picaridin (concentration 20 percent or greater for tropical travelers).  Because of the increased risk of dengue fever, the CDC recommends practicing preventative measures.  If experiencing dengue-like symptoms, U.S. citizens residing in or visiting Nicaragua should contact the nearest health clinic or practitioner for evaluation and treatment.  Dengue is diagnosed by a blood test that can be performed at any laboratory.  There is no treatment for dengue except acetaminophen for the discomfort and plenty of liquids for hydration.  The hemorrhagic form often requires hospitalization. 

The U.S. Embassy recommends that U.S. citizens in Nicaragua monitor the situation through reporting in local newspapers and television and radio news.  For further information on dengue fever, please visit the CDC’s website at:

The U.S. Embassy in Managua is located at Km 5 ½ C. Sur Managua, Nicaragua.  The U.S. Embassy in Managua can be reached during regular business hours at 011-505-2252-7100.  The American Citizen Services unit is also available by email at  

For emergencies (deaths, arrests, etc.) after hours, U.S. citizens can call 011-505-2252-7171 and ask for the Embassy Duty Officer.  

General information regarding consular services is available by calling 011-505-2252-7104.  Routine services such as passports and notarial services require an appointment; you can schedule an appointment on-line In case of an emergency please call 2252-7100.

For the latest security information, Americans traveling abroad should regularly monitor the U.S. Embassy’s website and the U.S. Department of State's Bureau of Consular Affairs’ website, where the current Worldwide Caution, Travel Warnings, Travel Alerts, and Country Specific Information for any country can be found.  Country Specific Information for Nicaragua is available here: Nicaragua CSI

The U.S. Embassy also encourages U.S. citizens to review to "A Safe Trip Abroad", which includes valuable security information for those both living and traveling abroad.  In addition to information on the Internet, travelers may obtain up-to-date information on security conditions by calling 1-888-407-4747 toll-free in the U.S. and Canada, or outside the U.S. and Canada on a regular toll line at 1-202-501-4444.  These numbers are available from 8:00 a.m. to 8:00 p.m. Eastern Time, Monday through Friday (except U.S. federal holidays). You can also download our free Smart Traveler App, available through iTunes and the Android market, to have travel information at your fingertips.