Ecuador Reports Eight Yellow Fever Related Fatalities

The Ecuadorian Ministry of Public Health reported 10 confirmed fatal cases of yellow fever and eight related fatalities as of June 28, 2025.

These patients were primarily from the provinces of Morona Santiago and Zamora Chinchipe.

Current U.S. CDC Travel Health Advisory recommendations include that yellow fever vaccination is recommended for travelers ≥9 months old going to areas below 7,550 ft elevation, east of the Andes Mountains, in the provinces of Morona-Santiago, Napo, Orellana, Pastaza, Sucumbíos, Tungurahua*, and Zamora-Chinchipe.

These areas are where virus-carrying mosquitoes are found.

Vaccine is generally not recommended for travel limited to areas below 7,550 ft elevation, west of the Andes Mountains, in the provinces of Esmeraldas,* Guayas, Los Ríos, Manabí, Santa Elena, Santo Domingo de los Tsáchilas, and designated areas in the provinces of Azuay, Bolívar, Cañar, Carchi, Chimborazo, Cotopaxi, El Oro, Imbabura, Loja, and Pichincha.

And for the cities of Guayaquil or Quito (the capital), or the Galápagos Islands.