The Ministry of Public Health declared an epidemiological alert on 5 July 2019 due to the sustained increase in dengue cases in the country. According to the Ministry of Health, so far there have been 8,855 cases of dengue (compared to only 711 cases in 2018 as of Epidemiological Week 33), 189 cases of severe dengue and 12 people have died so far due to dengue. This current epidemic event is affecting 29 of 32 provinces in the country. The province of San Jose de Ocoa is under a Red Alert while remaining provinces are under Yellow Alert.