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RIO DE JANEIRO, BRAZIL — An outburst of dengue has killed at least 47 people — and perhaps twice that — in Rio de Janeiro state this year, officials said Thursday, announcing a hot spot in a hemispheric outbreak that sickened nearly 1 million people in 2007. State officials said 51 cases are being reported every hour as the outbreak strains public hospitals’ capacity.

The state has seen more than 32,000 dengue cases this year, officials said.

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