This is one disease you do not want to mess with. As you can see from the following map, Dengue is no stranger to Central and South America.
If you are new to Panama or in the process of moving to Panama, you would be wise to educate yourself about this disease. You are infected by mosquitos and this disease becomes more dangerous with each infection.
You can be infected with Dengue four times and each stage is progressively more dangerous. While the first stage is very painful, it is rarely fatal provided that it is correctly diagnosed. However, the forth stage is usually fatal.
Since the disease is spread by mosquitos, It is very important to remove all potential breeding areas of standing stagnating water, such as old discarded tires, trash, etc.