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314910 suspected (225748 in Central/South America and 89162 in the Caribbean) and 59834 confirmed cases (55010 autochthonous transmission and 4824 travel related/imported cases) with 18182 confirmed cases in Central/South America, 32012 confirmed cases in the Caribbean and 9609 confirmed cases in North America; at least 2178 cases of microcephaly and 437 cases of GBS as well as 15 ZIKV associated deaths of 20 October per PAHO and national MOH (if available) http://www.paho.org/hq/index.php?option=com_docman&task=doc_view&Itemid=270&gid=36621&lang=en
