They are having an epidemic. In 2011 they topped the 2005 record number of cases of dengue fever, mostly on west side gunacaste province and down thru Nicoya. Country responded, but number of cases doubled in 2012 to 26000 range, and doubled again this year to mid 40,000 range.
whatever they are doing is not working so far.
First death was yesterday. One hospital getting 40 cases a day.
Caused / transmitted by mosquito bites
Lots of Chas people go to CR