1816-8949 1816-8949 S1816-89492025000200068 10.18004/anales/2025.058.02.68 Paraguay Paraguay 00 08 2025 00 08 2025 58 2 68 78

1 World Health Organization 2012 2 2019 37 4 4 725-38 3 2016 62 8 8 258-9 4 Public Health Wales, Communicable Disease Surveillance Centre 2019 5 2020 74 2 2 370-82 6 2013 13 1 1 1142 7 2013 70 1 1 19-25. 8 2015 15 2 2 12-8 9 Ministerio de Salud Pública y Bienestar Social 2019 10 2017 14 2 2 159 11 2019 31 2 2 250-4 12 2012 16 1 1 1-13 13 2020 12 1 1 e1-7