In accessible areas, suspected cases of cholera have been managed in a timely fashion by health personnel. Although there is a risk of an epidemic outbreak, the situation has so far been under control. Reports on dengue from Leon, Boaco and Rivas do not differ from the annual averages, however there is probably underreporting of cases in the affected areas. Of the 8 areas suffering the greatest problems, communication has been reestablished by road in 5. The 3 others can only be reached by air, thus the quantity of drugs, food and fuel that can be transported there is limited.
Many communities remain isolated in all of the affected areas.
The country has been severely affected and losses in human lives, infrastructure and agriculture continue to rise. Earlier estimates of deaths and of populations at risk have been exceeded as health teams reach previously isolated areas.