Active dengue cases are reported in the United States in Florida and Maryland. Florida has 23 reported cases with an increasing trend as of 2026-08-21, while Maryland is also reporting active dengue activity but without quantified case or death totals in the available report. Public health impact is assessed as low in Florida and high in Maryland, indicating greater overall severity or operational concern in Maryland despite limited published counts. No deaths, transmission setting, or clinical severity patterns are specified in the verified reports.