is very common in south america, in the caribbean. it's been seen in puerto rico. that you would see it start toey essentially go further north because we have in the united states the mosquito vector for dengue. it's, as you mentioned, transmitted by a mosquito. it rarely happens, but as you mentioned, in 2009, there were 27 cases in the florida keys, in key west. so, to see it in miami is unfortunate but not totally surprising since we do have considerable dengue south of the united states and the caribbean and in south america, particularly in brazil. so, we have to be vigilant about things like mosquito control. when you see a case like this crop up in a place like miami. but for example, last year, there were 27 cases and they did a survey of about 1,000 people, and about 5% of them were exposed to it. it can be a very mild disease, but it can also be very serious and a very serious flu-like
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