An additional 4 cases of yellow fever deaths have been confirmed in Paraguay by health authorities, according to a report on ProMedMail. All four cases occured in a jungle area in the department of San Pedro, 220 km from the capital Ascuncion and 400 km from Mato Grosso in Brazil. The total number of yellow fever cases confirmed in Paraguay during 2008 stands at 20, of which 10 people died. Of these 10 deaths, only 4 has been confirmed by autopsy, however the other 6 cases show similar clinical signs. The report claims that residents of San Pedro generally refuse the yellow fever vaccination in fear of its side-effects. In Paraguay, approximately 2 million people have been already immunized for free, and a vaccination campaign is continuing using an additional 1 million dose of vaccines that arrived to Paraguay during the last two month.
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