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Jan 4, 2026 • 12:18 pm CST
US CDC 2026

In Hong Kong, several mosquito-borne diseases were reported in 2025, including chikungunya fever (CF).

As of January 3, 2026, the Centre for Health Protection (CHP) of the Department of Health announced a total of 82 confirmed CF cases for the previous year.

Among these, 11 were local cases, while the remainder were imported.

Due to some local cases of CF being linked to visits to the Tsing Yi Nature Trails or nearby areas in November of last year, the trails are currently closed until further notice.

The CHP is urging the public to avoid entering the Tsing Yi Nature Trails, located northwest of the city of Hong Kong, to reduce the risk of contracting CF and to prevent exposure to chemicals or interference with mosquito control operations. 

The CHP continues to advise anyone who has recently hiked along the Tsing Yi Nature Trails to seek medical attention promptly if they experience any relevant symptoms. This area of Hong Kong has about 190,000 residents.

For inquiries, the CHP says to please call the hotline at 2125 2373.

According to the U.S. Centers for Disease Control and Prevention (CDC), the Hong Kong Special Administrative Region is not the only area within China impacted by the spread of the chikungunya virus in 2026.

The CDC reports there is a chikungunya outbreak in Guangdong Province.

The CDC's Level 2 travel advisory recommends vaccination for travelers visiting an area with a chikungunya outbreak. When departing from the USA for abroad in 2026, travel vaccines will be available for purchase at various clinics.

Jan 2, 2026 • 2:13 pm CST
UK

The Zika virus, once a major global health emergency, continues to circulate in the Americas, with the Pan American Health Organization (PAHO) confirming local transmission in 52 countries and territories since 2015.

While case numbers have fluctuated in recent years, the Federative Republic of Brazil remains the epicenter, historically reporting the highest number of confirmed cases in the Americas region.

Recent data highlight Brazil's ongoing battle with the mosquito-borne illness.

Brazil recorded 1,801 confirmed Zika cases, maintaining its lead in the Americas.

As of January 2, 2025, PAHO data indicate that Brazil has significantly reduced its number of confirmed Zika cases, with 2,067 cases reported in 2024 and 3,997 in 2023.

Many Zika outbreaks are concentrated in major Brazilian cities, including Rio de Janeiro, a metropolis of millions and a top destination for international travelers. As the city gears up for Carnaval 2026, scheduled from February 13 to 21, concerns about mosquito-borne diseases linger.

PAHO emphasizes that most Zika infections are mild or asymptomatic, but the virus poses serious risks to pregnant women, potentially causing congenital Zika syndrome in newborns. Travelers, especially those planning pregnancies, are advised to take precautions.

With no locally acquired Zika cases in the continental U.S. since 2019, the U.S. Centers for Disease Control and Prevention (CDC) Yellow Book states that international travelers with suspected Zika infection should be tested with real-time polymerase chain reaction or an NS1 antigen test.

This CDC advice is being followed in Hawai'i.

The Hawaiʻi Department of Health announced on May 27, 2025, that it is investigating two travel-related Zika cases.

And in U.S. territories, the CDC says Zika-spreading mosquitoes are found throughout Puerto Rico, where the Department of Health reported 16 cases in 2024, down from 43 in 2023.

From a disease prevention perspective, the CDC says no Zika vaccine candidate has been approved.

However, clinical trials are active in 2026.

Jan 2, 2026 • 7:29 am CST
Utah Public Health January 2, 2025

Since mid-November 2025, the Salt Lake County Health Department (SLCoHD) has confirmed measles infections in Utah.

Then, on December 8, 2025, SLCoHD officials and the school district notified everyone in the Bingham High School community of possible measles virus exposures. This followed a confirmed case linked to the Bingham Kopper Kids childcare facility, which is located inside the school in South Jordan.

And on January 1, 2025, Utah's Beaver, Garfield, Iron, Kane, and Washington counties reported their total measles cases reaching 114. These reports contributed to Utah's statewide total, which climbed to 156 confirmed cases at the end of 2025.

Utah's measles outbreak is similar to the current situation in central South Carolina, in that most infected people were unvaccinated.

As of the end of 2025, South Carolina reported 179 cases of measles, centered around Spartanburg County.

'We have seen measles spread quickly in unvaccinated households here in South Carolina. We also know that it can spread rapidly in unvaccinated communities based on outbreaks in other states,' wrote the health department.

As of January 2, 2026, these state health departments and the U.S. CDC recommend MMR vaccination for most people in the USA.

 

 

Jan 2, 2026 • 6:35 am CST
Pixabay 2026

Japan has experienced a dramatic resurgence of syphilis since 2010, reaching epidemic rates again in 2025.

The Japan National Institute of Infectious Diseases (NIID) has reported a significant increase in syphilis cases over the past decade, with the last four years averaging over 13,000 cases annually.

In 2025, the NIID confirmed that this unfortunate trend continued for the fourth consecutive year.

Among Japan's prefectures, Tokyo accounted for 25% of the national total of syphilis cases, followed by Osaka, Aichi, Fukuoka, and Kanagawa.

According to a December 2025 analysis, syphilis risk factors among predominantly heterosexual populations in urban Japan have significantly increased. These findings reveal that casual sexual partnerships and diverse sexual networks facilitated by dating applications and commercial sex services create unique transmission dynamics not adequately captured by previous research.

These researchers stated that promoting preventive measures among sex industry workers and patrons is crucial in Japan's cities.

Syphilis is a sexually transmitted infection (STI) that is generally transmitted by contact with infectious sores, through blood transfusions, or through mother-to-child transmission during pregnancy. This bacterial infection is caused by Treponema pallidum.

Syphilis can be treated with antibiotics such as penicillin. Furthermore, patients can become reinfected, so early antibiotic treatment is necessary.

After decades of clinical trial missteps, a December 18, 2025, study found syphilis vaccine development is beginning to gain momentum due to advances in understanding the outer membrane protein of Treponema pallidum, host–pathogen interactions, and the genomics of syphilis.

Preventing vertical transmission of Treponema pallidum subsp pallidum could be the most consequential target for a vaccine, given the global resurgence of congenital syphilis and adverse pregnancy outcomes.

As of late 2025, the U.S. Preventive Services Task Force and the American College of Obstetrics and Gynecology recommend that pregnant women be tested for syphilis. And in 2026, Alabama, Arizona, Colorado, Georgia, Maryland, Mississippi, Missouri, North Carolina, Tennessee, and Texas require syphilis testing during pregnancy.

Jan 2, 2026 • 4:29 am CST
Google Maos 2026

The Pan American Health Organization (PAHO) recently reported a concerning increase in cases of hantavirus pulmonary syndrome (HPS) in the Americas, with eight countries confirming a total of 229 confirmed cases and 59 fatalities, a regional case fatality rate of 25.7%.

During 2025, the affected countries include Argentina, Brazil, Bolivia, Chile, Panama, Paraguay, the United States, and Uruguay.

Compared to historical averages, Bolivia and Paraguay have seen sharp rises in incidence.

Paraguay's increase is linked to an outbreak involving occupational exposure.

Meanwhile, Argentina continues to report the highest number of cases in the region.

HPS was first recognized in 1993 and has since been identified throughout the United States.

As of late 2025, the U.S. CDC hasn't released comprehensive totals, but the Southwestern states remain a hotspot.

Reports show sporadic HPS cases, notably 7 in New Mexico (Santa Fe, Taos, McKinley, and Bernalillo counties) and a few in other states, including Arizona, Colorado, Nevada, Washington, and Wisconsin.

HPS is primarily a zoonotic respiratory disease transmitted through contact with infected rodents or their excreta. Furthermore, humans can contract the disease when they breathe in aerosolized virus. Rare person-to-person transmission has been documented in the Southern Cone, associated with the Andes virus strain, says the PAHO.

Rodent control in and around the home remains the primary strategy for preventing Hantavirus infection.

As of January 2, 2026, no vaccine is currently available.

Dec 31, 2025 • 1:01 pm CST
by kp Jayanath

With the global spreading of the Chikungunya virus expected to continue in 2026, Valneva SE and Serum Institute of India today announced that they have mutually agreed to discontinue their license agreement for Valneva's IXCHIQ® single-shot chikungunya vaccine.

As of December 31, 2025, Valneva's strategic intent in regaining full rights is to assume direct control over its supply chain and commercialization for endemic high-risk countries, thereby accelerating access for regions most affected by the disease.

According to the European Medicines Agency, IXCHIQ was shown to be effective at triggering the production of antibodies against the chikungunya virus in two primary studies. This is expected to reduce the risk of getting this mosquito-transmitted disease caused by the Chikungunya virus.

Supporting access to the vaccine in low-and middle-income countries falls within the framework of the funding agreement Valneva signed with the Coalition for Epidemic Preparedness Innovations in July 2024, with co-funding from the European Union.

Currently, the U.S. CDC has issued various Travel Health Notices for Chikungunya outbreaks, including a Level 2 alert for China in mid-December 2025.

The CDC advises international travelers to speak with a travel vaccine consultant regarding immunization options before visiting outbreak areas in 2026.

 

Dec 31, 2025 • 12:01 pm CST
Walgreens December 2025

With a winter storm bringing chilly weather to the central states, keeping more people inside, the Walgreens Respiratory Index has also identified an unhealthy trend as 2025 draws to a close.

As of December 31, 2025, the leading states reporting COVID-19-related medications and vaccinations utilization at Walgreens pharmacies include Indiana, Michigan, Nebraska, and Ohio.

Recently, the U.S. CDC reported that COVID-19 vaccination is an effective option for protecting children in these Heartland states and throughout the USA.

In early December, the CDC confirmed that the 2024–2025 COVID-19 vaccination offered additional protection against COVID-19 for children in a population where some individuals had preexisting immunity from previous vaccinations, prior infections, or both, compared to those who were not vaccinated.

The CDC's MMWR also noted on December 11, 2025, that the impact of transitioning from universal vaccination to shared clinical decision-making (individual-based decision-making) on COVID-19 vaccination coverage or effectiveness in children is not well understood. This highlights the need for ongoing monitoring of the effectiveness of COVID-19 vaccines.

 

Dec 31, 2025 • 7:09 am CST
US CDC December 2025

As an Arctic blast brings cold weather to North America, many travelers are planning vacations to warmer climates in 2026. While dreaming of sandy beaches, travelers need to research areas where mosquito-related illnesses might be common.

After a record-setting year in 2024, when global Dengue fever cases reached nearly 14 million and resulted in over 9,000 deaths across 106 countries and territories, new data shows that infections have significantly declined this year.

As of early December 2025, the World Health Organization (WHO) has recorded just over 5 million dengue cases and about 3,000 dengue-related fatalities, marking a notable decline in outbreaks from the previous year.

This WHO data represents roughly a 65% drop from 2024's total.

WHO experts attribute the reduction partly to improved vector control measures, shifts in herd immunity, and varying seasonal patterns.

In the United States, both travel-related and locally acquired dengue cases were also reduced in 2025.

However, according to the U.S. CDC data as of December 31, 2025, seven jurisdictions reported 3,325 local Dengue cases this year, including warm weather destinations.

The unfortunate leader is Puerto Rico, which has reported 3,154 Dengue cases, followed by Florida (58) and California (6).

From a disease-prevention perspective, Puerto Rico continued to administer the first-generation Dengue vaccine, Dengvaxia, to 82 people this year. 

Currently, neither Florida nor California offers Dengue vaccinations in high-risk areas, such as Florida's southeast coast.

With the arrival of a third Dengue vaccine (Butantan-DV) in 2026, even more people will have the chance to stay safe from this serious, preventable disease!

 

Dec 31, 2025 • 5:23 am CST
GPEI 2025

As 2025 draws to a close, I want to begin by first thanking the millions of health workers, vaccinators, surveillance officers, laboratory scientists, social mobilizers, and community volunteers who carried polio eradication forward during what was a difficult year, wrote Dr. Jamal Ahmed, Director, Polio Eradication, WHO, and Chair of the Strategy Committee of the Global Polio Eradication Initiative. 

In a Dear Colleagues letter, Dr. Ahmed recently offered various insights on December 18, 2025, such as these clips: 

These challenges demanded difficult choices. They reinforced the need for sharper prioritization, greater efficiency, and uncompromising focus on what matters most to interrupt transmission.

In direct response to the realities of 2025, the Global Polio Eradication Initiative (GPEI) developed a focused 2026 Action Plan as an operational companion to the Polio Eradication Strategy 2022–2029. This Action Plan is grounded in realism and urgency. It protects non-negotiable functions while adapting to financial constraints, and it prioritizes impact and execution.

The plan focuses on concentrating resources on the highest-risk geographies, including the remaining subnational areas with persistent wild poliovirus and circulating variant poliovirus transmission.

It includes intensifying and refining vaccination strategies, expanding use of novel oral polio vaccine type 2 (nOPV2), and targeted use of inactivated polio vaccine (IPV) to close. 

More than two billion doses of nOPV2 have now been delivered globally.

This innovation has fundamentally strengthened our ability to control and prevent variant poliovirus outbreaks and stands as a testament to what science, partnership, and disciplined execution can achieve together. 

Introduction of the IPV-containing hexavalent vaccine and scale-up of fractional-dose IPV are further examples of scientific innovations that help advance the effort.

It is important for us to remember, even before eradication is achieved, that the impact of this effort has been profound. Tens of millions of people are walking today, and millions are alive who might not have survived.

Entire communities that were once beyond the reach of basic health services have been reached with vaccines, protection, and care. This legacy matters, and it must not be forgotten as we focus on finishing the job, added Dr. Ahmed.

The unedited version is linked at Vax-Before-Travel.com.

Dec 30, 2025 • 4:18 pm CST
US CDC Deccember 30, 2025

South Carolina's Department of Public Health (DPH) today announced it is actively responding to a measles outbreak centered around Spartanburg County.

Seven of the new cases were known household exposures; five resulted from a previously reported school exposure; two resulted from an exposure at church; and one resulted from an exposure at either school or church. The sources of four cases are unknown, and one is still being investigated, stated DPH.

As of December 30, 2025, DPH is reporting 179 cases of measles since early July, with 176 in the upstate area.

DPH wrote that some cases are travel-related exposures or close contacts of known cases. Other cases have no identified source, suggesting that measles is circulating in the community and could spread further.

We have seen measles spread quickly in unvaccinated households here in South Carolina. We also know that it can spread rapidly in unvaccinated communities based on outbreaks in other states, added the DPH.

Nationally, the U.S. CDC reported 2,012 confirmed measles cases across 44 jurisdictions as of December 23, 2025. Most of these cases were confirmed in Texas earlier this year.

Internationally, measles is an ongoing risk around the world, and more international travelers are getting infected. Both Canada and Mexico continue to report an excessive number of measles cases in 2025.

The CDC recommends that most international travelers ensure they have received an MMR vaccination before departing abroad.

Dec 30, 2025 • 10:48 am CST
US CDC December 30, 2025

The Florida Health Department (FHD) Arbovirus Surveillance Report for Week #52 highlights the impact of travel on our local health landscape, as two mosquito-transmitted diseases were introduced to Miami-Dade County this year by visitors from Cuba.

José Martí International Airport is located in Havana, Cuba, about 200 miles across the Straits of Florida, making it a very close neighbor to Miami International Airport.

As of December 30, 2025, there were 256 Chikungunya and 305 Dengue fever cases reported in the greater Miami area this year.

Throughout 2025, Florida recorded 268 travel-related Chikungunya cases and 416 Dengue cases among international travelers. Last week, eighteen cases of chikungunya fever were reported in persons who had international travel.

Additionally, Florida's East Coast saw 62 locally acquired Dengue cases, including 25 in Miami-Dade.

To better inform travelers of these health risks when visiting Cuba, the U.S. Centers for Disease Control and Prevention (CDC) includes Cuba in various Travel Health Notices. 

The CDC advises international travelers to speak with a travel vaccine expert before visiting high-risk areas in 2025.

Dec 30, 2025 • 5:50 am CST
ECDC December 2025

The World Health Organization (WHO) today announced updated figures on the chikungunya virus (CHIKV) outbreak, revealing a significant resurgence in 2025 with 502,264 reported cases, including 208,335 confirmed cases and 186 associated deaths.

As of December 29, 2025, this Rapid Risk Assessment says WHO regions have seen declines in cases compared to 2024, others are experiencing sharp increases, and the mosquito-transmitted virus is emerging in previously unaffected populations.

This uneven pattern makes it challenging to assess the overall global trend, but points to localized outbreaks and resurgences in specific areas.

The Region of the Americas recorded the highest number of confirmed cases, closely followed by the European Region, where the majority stem from French Overseas Departments in the Indian Ocean.

The WHO warns that the risk of further geographic spread remains high as infected travelers can introduce the virus to new areas, where local transmission can establish if competent Aedes mosquitoes are present.

In the United States, the leading states reporting travel-related chikungunya cases include southeast Florida (250) and Texas (6).

WHO advises travelers to affected areas to use insect repellent, wear protective clothing, and consider preventive measures such as vaccination.

Previously, the U.S. CDC has issued Level 2 - Practice Enhanced Precautions, Travel Health Notices focused on chikungunya outbreaks in China, Cuba, and France's overseas departments.

As of December 30, 2025, two chikungunya vaccines are available globally, including in the USA at travel clinics.

Dec 29, 2025 • 1:01 pm CST
by S. Nowak

In a step toward supporting patients living with recurrent genital herpes, a chronic and stigmatized sexually transmitted infection, Gilead Sciences, Inc. recently announced that it had exercised its option to exclusively license two investigational therapeutic candidates from its partner, Assembly Biosciences, Inc.

This agreement marks the first set of antiviral assets that Gilead will advance under its 2023 research and development collaboration with Assembly Biosciences.

This clinical program targets the sexually transmitted herpes simplex virus (HSV) helicase-primase enzyme. Over four million people in the U.S. and European countries experience recurrent genital herpes.

According to Gilead, no new therapies have been approved for HSV in the U.S. or Europe for more than 25 years.

The candidates, ABI-1179 and ABI-5366, are novel long-acting oral inhibitors designed to potentially offer once-weekly or even monthly dosing for chronic suppressive therapy, with the potential to improve chronic suppressive therapy for recurrent genital herpes.

Positive interim Phase 1b data for ABI-5366 and ABI-1179 demonstrated potent antiviral activity and improvements in clinical outcomes, including a significant reduction in virus-positive lesions. Both compounds also exhibit pharmacokinetic and safety profiles supportive of once-weekly oral dosing.

"At Gilead, we develop novel antiviral therapeutics that aim to deliver meaningful solutions that improve the lives of people affected by serious viral infections. Our research partnership with Assembly Bio has been highly fruitful, and we are excited to continue the clinical development of our herpes simplex virus candidates, "said Jared Baeten, MD, PhD, Senior Vice President, Clinical Development, Virology Therapeutic Area Head, Gilead Sciences, said in a press release on December 22, 2025.

Gilead Sciences, Inc. is a biopharmaceutical company that has pursued and achieved breakthroughs in medicine for more than three decades.

As of December 29, 2025, herpes vaccine candidate information is published by Vax-Before-Travel.com.

Dec 28, 2025 • 5:18 am CST
by Mario Renteria

Global vaccination programs have significantly reduced newborn deaths in the last 30 years. However, tetanus remains a public health problem in many countries.

In the U.S., approximately 10% of people diagnosed with tetanus die. 

According to recent data from the U.S. Centers for Disease Control and Prevention (CDC), 37 tetanus cases have been reported nationwide, the most in over a decade.

This CDC data is an increase from 33 in 2024 and 18 in 2023.

The leading states reporting cases include Florida, where the 8 cases occurred across five counties: Charlotte (2), Martin (1), Palm Beach (2), Seminole (2), and Walton (1).

"A booster of some form of tetanus shot should be updated every 10 years or sooner, especially if there is injury by stab, animal bite, or dirty wounds," Duellyn Pandis, DNP, APRN, FNP-C, CTM®, AFTM RCPS(Glasg), FAANP, informed Vax-Before-Travel on December 28, 2025.

Pandis, the CEO of PassportHealth-Tampa, added that local news recently reported that Florida may eliminate tetanus vaccination requirements for children.

Despite this global progress, recent data from the U.S. Centers for Disease Control and Prevention (CDC) underscore the ongoing importance of tetanus vaccination in the United States. 

The CDC says most reported tetanus cases occur in individuals who are unvaccinated, under-vaccinated, or have waning immunity, particularly among older adults and those with chronic conditions.

While tetanus is rare in the United States due to historically high vaccination coverage, these recent increases serve as a reminder that no one is fully protected without staying current on boosters, according to the CDC website. Vaccination not only prevents individual cases but also safeguards vulnerable populations.

In the U.S., three types of combination vaccines include protection against tetanus: DTaP, Tdap, and Td. These vaccines are offered at clinics and pharmacies.

Dec 28, 2025 • 4:26 am CST
WHO 2024

The Australian Technical Advisory Group on Immunisation (ATAGI) has been alerted to the circulation of counterfeit batches of the rabies vaccine Abhayrab® in India.

The counterfeit versions differ from the genuine product in formulation, packaging, labelling, and manufacturing. As a result, individuals who received counterfeit doses may not be fully protected against rabies.

Indian Immunologicals Limited manufactures this vaccine and is not registered or available for use in Australia.

As of December 28, 2026, the ATGI says Australia remains rabies-free, but travellers to endemic areas are at risk if exposed. 

However, Australian travellers or residents who received rabies vaccination in India may have received it as part of pre- or post-exposure prophylaxis.

ATAGI recommends that anyone who received Abhayrab® or any unknown rabies vaccine in India from November 2023 onwards consult their healthcare provider. Replacement doses using an Australian-registered rabies vaccine (such as Rabipur® or Verorab®) may be required to ensure adequate protection.

Healthcare providers are encouraged to review vaccination records for patients who have recently traveled to India and to offer replacement doses where appropriate.

Rabies is a rare but almost invariably fatal viral disease that affects the central nervous system. It is transmitted primarily through the bite or scratch of an infected animal and is prevalent in many countries, including India.

For more information, visit the Department of Health website or consult the Australian Immunisation Handbook.

In the United States, each year, 1.4 million Americans receive healthcare for a possible rabies exposure, 100,000 receive post-exposure prophylaxis, and fewer than 10 die from rabies.

In most countries, infected dogs are the source of rabies. However, the U.S. CDC says bats have been the leading carriers of the rabies virus, along with Raccoons, skunks, and foxes.

When departing abroad from the U.S, FDA-approved rabies vaccines are commercailly offered at travel clinics. They are recommended for travelers visiting high-risk areas in 2026, such as Africa, Haiti, and Southeast Asia.