MEXICO CITY — A dengue epidemic ravaged Honduras last year, sickening over 100,000 people and leaving 180 dead. As this year began, officials braced for another surge in cases of the mosquito-borne disease and wondered how they would manage with their frail public health system and shortage of trained personnel.

Then along came the coronavirus, pitching the nation into a grueling, two-front public health battle.

“Horrible,” said Dr. Dinorah Nolasco, a top health official in northern Honduras, a region that has been particularly hard hit by both diseases. “These months have been tremendous.”

As the coronavirus pandemic stalks the globe, some nations, particularly in the developing world, find themselves under extraordinary strain as they simultaneously contend with other outbreaks, chronic public health problems and challenges posed by government mismanagement, poverty and armed conflict.

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