Cuba Faces Health Crisis with Dengue and Chikungunya Epidemics

Cuba is currently grappling with a significant health crisis as the government has declared an epidemic due to a surge in cases of dengue, chikungunya, and oropouche. President Miguel Diaz-Canel has emphasized the need to tackle this outbreak with the same urgency that was applied to the COVID-19 pandemic.

In a recent meeting with health experts, Diaz-Canel called for weekly gatherings to monitor health indicators and adjust public health measures accordingly, reflecting the gravity of the situation. Official reports indicate that there are over 21,000 suspected cases of chikungunya across 14 provinces, with 93 municipalities affected and dengue transmission reported in 38 municipalities, including all areas of Havana.

The Minister of Public Health, MINSAP, has confirmed 692 cases of chikungunya, but there remains a stark contrast between the number of suspected and confirmed cases, highlighting the challenges in diagnostic capabilities and resource availability.

The health crisis is compounded by a collapsing healthcare system, as seen in incidents like the recent partial roof collapse at the Calixto Garcia Hospital in Havana, which underscores the deteriorating infrastructure of medical facilities.

This hospital, a key health center, has faced ongoing issues, including a lack of maintenance and resources, which has forced patients to endure unsafe conditions. Reports also indicate that the country's economic difficulties, including fuel shortages, have severely impacted vector control measures.

With limited fumigation efforts and inadequate waste management, the breeding grounds for the mosquitoes that carry these diseases have proliferated. The government has acknowledged the high mosquito infestation rates and the necessity for improved vector control, but operational limitations have hindered comprehensive coverage.

The health crisis has not only raised alarm among health officials but also among the public, who are increasingly concerned about the effectiveness of the government's response. The viceminister of Public Health, Carilda Pena, noted that the arbo-virus outbreaks represent a national issue, exacerbated by the scarcity of resources for necessary interventions.

The situation is further complicated by the public's reluctance to visit hospitals due to their deteriorating conditions, leading to underreporting of cases. As the government seeks to replicate its COVID-19 response strategy, the effectiveness of these measures remains to be seen, particularly in light of the healthcare system's current limitations and the socio-economic challenges facing the Cuban population.