Editing Openai/69439ed2-a934-800b-ad0f-4b1320a3650b (section)

===== Dengue in Cuba: A Structural Reading Without Moral Compression =====

The question posed—whether U.S. sanctions are contributing to Cuba’s current dengue outbreak by restricting access to medical supplies—cannot be answered responsibly without first correcting a common category error. Dengue outbreaks are not primarily medical events. They are logistical and infrastructural events that later present as medical crises.

That distinction matters.

Dengue is a mosquito-borne disease whose primary control mechanisms operate upstream of hospitals: sanitation, vector suppression, fuel-dependent mobility, and infrastructure maintenance. Clinical care becomes decisive only after preventive systems have failed at scale.

Any serious analysis must therefore separate two domains that are often rhetorically collapsed:
# Transmission control (pre-infection)
# Clinical response (post-infection)

Most public arguments focus on the second while assuming the first.

This is where scale distortion enters.