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Sep 17, 2025 • 4:47 am CDT
Google Maps 2025

Since the beginning of 2025, the European Centre for Disease Prevention and Control (ECDC) has identified ten countries in Europe reporting human cases of West Nile virus (WNV) infection: Albania, Bulgaria, France, Greece, Hungary, Italy, Romania, Serbia, Spain, and Türkiye.

As of September 17, 2025, the ECDC reported Spain has confirmed 8 WNV cases this year.

In southern Spain, north of Gibraltar, mosquito control efforts have begun after infected mosquitoes carrying WNV were found in Benalup-Casas Viejas, in the Cadiz region. This city has a population of 6,754, but is a tourist favorite in 2025.

The Andalusian Health Department recently announced that the Seville municipality of Guillena is now on alert after the virus was detected in mosquitoes and confirmed the first case of WNV in the autonomous community.

In total, 109 Andalusian municipalities are at a high risk level or in an alert area situation, distributed across all provinces.

Spain's initial human case of autochthonous WNV lineage two was confirmed in 2024. This detection linked the strain to Central Europe. In total, 158 people were infected, with 20 dying from related complications in 2024.

From a disease prevention perspective, the U.S. CDC recommends avoiding mosquito bites since there are no WNV vaccines available in 2025.

Additionally, the CDC reports an increased risk of exposure to poliovirus in Spain, advising visitors to be fully vaccinated.

Sep 16, 2025 • 10:53 am CDT
Maps 2025

During 2025, various African countries have reported outbreaks of cholera, which have killed tens of thousands of people.

This vaccine-preventable and treatable disease is caused by drinking water or eating food contaminated with cholera bacteria, such as raw shellfish.

According to the Africa Centers for Disease Control and Prevention (ACDC) Epidemic Intelligence Weekly Report, since the beginning of 2025, over 75,000 cholera cases and 490 deaths (CFR: 0.66%) have been reported across 22 African Union Member States this year.

Specifically, the Republic of Angola has been the most impacted country this year.

The ACDC reported on September 15, 2025, that between January and early September, a total of 28,102 cases of cholera had been reported from 18 of the 21 Angolan provinces.

Most upsetting, there has been a 46% average increase in the number of new cases reported in the last four weeks.

The U.S. CDC recommends that if you're traveling to an area where cholera is present, or where the water and food are unsafe to drink and eat, follow these five prevention measures: visit a doctor or travel clinic/pharmacy to discuss cholera vaccination options. 

In addition to cholera vaccination, the CDC recommends travel vaccines to protect travelers from measles and polio outbreaks in Angola, which is located on Africa's southwest coast.

Sep 16, 2025 • 4:21 am CDT
US CDC September 2025

Now in its third decade of serving travelers in Central Texas, Austin–Bergstrom International Airport welcomed over two million visitors last month, many of whom arrived from overseas.

Unfortunately, this year, eight visitors to Travis County, and Austin, Texas, contracted the Dengue virus while traveling abroad.

Last year, Travis County reported 18 travel-related cases of Dengue, the most in Texas.

According to the Texas Department of State Health Services' (DSHS) arbovirus weekly report #36, there have been 31 travel-related Dengue cases reported in Texas this year.

This news is relatively positive compared to 2024, when 143 imported Dengue cases and one related fatality occurred across 23 Texas counties.

Texas is not alone in reporting fewer Dengue cases in 2025.

Throughout the United States, 3,045 cases of mosquito-transmitted Dengue have been confirmed this year.

In 2024, 53 U.S. jurisdictions reported 9,391 Dengue cases.

Only a few states, such as Florida, reported locally acquired Dengue cases last year.

And in the Region of the Americas, as of epidemiological week 34, a total of 3,740,133 suspected cases of Dengue were reported in 2025. This data represents a 68% decrease compared to the same period in 2024.

To enhance disease detection, the U.S. Centers for Disease Control and Prevention (CDC) advised clinicians in July 2025 to consider Dengue in patients with fever who live in or have recently traveled to areas with a risk of Dengue.

Furthermore, to alert international travelers to this health risk, the CDC reissued a Global Travel Health Notice on August 21, 2025, regarding Dengue outbreaks in the Americas, Africa/Middle East, and Asia/Pacific regions, in countries such as India, Singapore, Thailand, the Philippines, Malaysia, and Myanmar. 

From a disease prevention perspective, the CDC says mitigating mosquito bites is the best option, as access to Dengue vaccines in the USA is currently limited to children in Puerto Rico.

Sep 15, 2025 • 1:13 pm CDT
US CDC September 2025

According to the latest weekly update from the Global Polio Eradication Initiative (GPEI), three countries have reported new cases of polio.

As of September 15, 2025, the GPEI confirmed that Chad, Nigeria, and Somalia reported vaccine-derived poliovirus types.

In the Federal Republic of Nigeria, four cVDPV2 cases were reported this week, two from Sokoto, and one each from Zamfara and Kaduna. 

The total number of cases reported in Nigeria this year is 28. The number of cases from 2024 remains 98.

To alert international travelers of this serious health risk, the U.S. CDC published a Level 2 - Practice Enhanced Precautions, Travel Health Advisory in August 2025. In total, the CDC identified 39 countries where poliovirus has been identified.

The CDC advises that before traveling to any destination listed below, adults who previously completed the whole, routine polio vaccine (IPV) series may receive a single, lifetime booster dose of polio vaccine.

Polio vaccination services are offered at travel clinics and pharmacies in the USA.

Sep 15, 2025 • 10:25 am CDT
US CDC September 2025

Since the summer of 2025 has ended, and most children have returned to school, parents are asking when the best time is to get the annual flu shot. Since it takes a few days for influenza vaccines to take effect, timing is a crucial factor.

To help guide answers, the U.S. Centers for Disease Control and Prevention (CDC) recently published the results of tests performed by clinical laboratories nationwide.

Nationally, during Week 36, the percentage of respiratory specimens testing positive for the influenza virus in clinical laboratories was 0.4%.

The CDC also confirmed that, based on NCHS mortality surveillance data available as of September 4, 2025, 0.06% of the deaths that occurred during the week ending Week 36 were attributed to influenza. 

Unfortunately, a total of 280 influenza-associated pediatric deaths occurred during the 2024-2025 season.

This data is the highest number of pediatric deaths reported in any non-pandemic influenza season since the condition became reportable in 2004.

To reduce these pediatric deaths, the CDC and most state health departments recommend that eligible children receive the flu shot beginning in September each year.

Additionally, adults and children should be protected when traveling to a country reporting influenza outbreaks, such as Australia. Influenza vaccination is recommended for all Australians aged 6 months and older for the 2025-2026 flu season.

As of September 15, 2025, most pharmacies in the USA offer vaccine appointments to streamline the flu shot programs.

Sep 15, 2025 • 5:21 am CDT
ECDC September 2025

Since the beginning of 2025, two European countries have reported an unusual number of locally transmitted cases of chikungunya virus disease.

The European Centre for Disease Prevention and Control (ECDC) states that the environmental conditions in the areas of the Europe where Ae. albopictus or Ae. Aedes aegypti mosquitoes are established and currently favourable for chikungunya outbreaks.

As of mid-September 2025, France reported 82 new locally acquired cases of chikungunya, compared to 74 new cases the previous week, while Italy reported 60 new locally acquired cases (compared to 44 new cases the previous week.

In total, France's southern and western coasts have reported about 383 cases, and Italy's northern area has reported 167 local cases this year.

Both countries have also reported cases related to travel.

While the U.S. CDC recently highlighted chikungunya outbreaks in Bangladesh, Kenya, Madagascar, Somalia, and Sri Lanka, the Level 2 Travel Health Advisory did not list France or Italy.

Since the long-term health risks from a chikungunya infection remain unknown, the CDC recommends vaccination for travelers visiting an area with an outbreak.

When departing from the United States in September 2025, travel clinics and pharmacies offer U.S. FDA-approved vaccination services.

Sep 15, 2025 • 4:41 am CDT
US CDC September 2025

Vaccination of frontline health workers and contacts of people infected with Ebola virus disease has begun in Bulape health zone in the Democratic Republic of the Congo (DRC) 's Kasai Province, where an outbreak of the disease was declared.

The World Health Organization (WHO) stated on September 14, 2025, that an initial 400 doses of the Ervebo® Ebola vaccine, prepositioned in the capital, Kinshasa, have been delivered to Bulape, one of the current hotspots of the DRC's 16th Zaire Ebolavirus outbreak.

Additional Ervebo doses will be delivered to the affected localities in the coming days.

In addition, treatment courses of the Ebanga™ monoclonal antibody therapy (Mab114) drug have also been sent to treatment centres in Bulape for clinical care.

In the outbreak area, WHO has so far deployed 48 experts in disease surveillance, clinical care, infection prevention and control, logistics, and community engagement.

In countries neighboring the DRC, the WHO is working with national authorities to bolster operational readiness, enabling the rapid detection of Ebola cases and the prompt initiation of measures to curb further spread of the lethal virus.

As of September 15, 2025, the WHO assesses the overall public health risk posed by the ongoing outbreak as high at the national level, moderate at the regional level, and low at the global level.

To alert international travelers, the U.S. CDC issued a Level 1 - Practice Usual Precautions, Travel Health Advisory regarding this Ebola outbreak. 

The CDC wrote on September 8, 2025: "While not commercially available, there is an FDA-approved vaccine for the prevention of the Zaire Ebola virus." It is presently available to select individuals in specific occupations (e.g., outbreak responders).

For more information on vaccines, please consult with your healthcare provider to discuss eligibility and access to the Ebola vaccine.

Sep 14, 2025 • 5:31 am CDT
Google Maps 2025

Malaria was eliminated from Greece in 1974. Since then, several (20-110) imported cases are reported annually to the National Public Health Organization (NPHO), referring to patients infected abroad in countries such as those in Africa and India.

As of early September 2025, there is evidence of probable local transmission/introduction (first-generation transmission) in two P. falciparum malaria cases who arrived in Greece in October 2024 from a malaria-endemic country.

According to the NPHP, the probable place of exposure is a rural village in the Municipality of Thiva, Regional Unit of Voiota.

As of September 14, 2025, no additional malaria cases were detected in the village.

Currently, the U.S. CDC and the UK do not recommend malaria vaccination before Greece. 

While there are two WHO-approved malaria vaccines in use in 17 countries, neither are available in the USA. These malaria vaccines were added to the WHO's list of prequalified vaccines in 2024.

Sep 13, 2025 • 1:03 pm CDT
Pixabay 2025

According to recent data published by the Japan Institute for Health Security (JIHS), Japan reported the most significant number of pertussis cases to date in 2025.

As of August 30, 2025, there have been a total of 72,448 pertussis cases reported in Japan this year.

Cases have been detected in all 47 Japanese prefectures, with Tokyo (5,846), Niigata (3,496), and Saitama (3,857) reporting the highest totals.

To help reduce these cases, the first round of pertussis routine immunization is administered three times for young children in Japan.

Furthermore, the JIHS recommends pre-arrival pertussis vaccination for individuals at risk, such as pregnant women and infants.

Unfortunately, the United States is confronting similar data.

Preliminary data show that more than six times as many cases were reported in 2024 compared to 2023.

However, the U.S. CDC reports that cases of pertussis have been trending downward since a peak in November 2024.

When planning a visit to Japan in 2025, the CDC advises travelers to be up to date with routine and travel vaccinations. This recommendation includes the Diphtheria-Tetanus-Pertussis vaccine.

Sep 13, 2025 • 5:38 am CDT
ECDC Sept. 12, 2025

Since the beginning of 2025, ten countries in Europe have reported human cases of West Nile virus (WNV) infection: Albania, Bulgaria, France, Greece, Hungary, Italy, Romania, Serbia, Spain, and Türkiye. 

In Italy, where WNV has become endemic along its west coast (Campania region) and northern area, over 500 locally acquired cases have been reported this year, with the Lazio region  (Latina, Roma, and Frosinone) being the most affected.

As of September 12, 2025, the European Centre for Disease Prevention and Control (ECDC) reported a total of 32 WNV-related deaths have been confirmed in Italy since the beginning of 2025. This ECDC data reflects a case fatality rate of 6.4%.

The ECDC wrote, 'Owing to delays in diagnosis and reporting, as well as the fact that most of the WNV infections are asymptomatic or subclinical, the case numbers provided in this report likely underestimate the true number of cases.'

More information on the occurrence of WNV infection among humans in Europe is available in the joint monthly report produced by ECDC and the European Food Safety Authority.

As of September 13, 2025, the U.S. CDC states vaccines are unavailable for WNV prevention in 2025.

The CDC does recommend various routine and travel vaccines before visiting Italy this year.

Sep 12, 2025 • 1:38 pm CDT
from Pixabay 2025

The Provincial Veterinary Office (PVO) in Negros Oriental recently announced an increase in the incidence of rabies in animals in the Republic of the Philippines this year.

Jaymar Vilos, PVO information officer, told the Philippine News Agency on September 11, 2025, that from January to August this year, 16 of 24 animal head samples received by the office tested positive for rabies.

According to Vilos, the PVO has not reported human fatalities caused by rabies this year.

Unlike previous years, these rabies cases involved dogs, not cats.

In 2024, the PVO recorded only 10 rabies-positive cases in animals, Vilos said.

"To stem the rising incidence of rabies in animals, we are urging the public to avail of free anti-rabies vaccination, which is offered by the provincial government year-round," Vilos said.

The PVO is also distributing these vaccines to local governments for deployment in their respective communities. Additionally, cat and dog owners are urged to have their pets vaccinated against rabies to prevent the further spread of the virus.

As of September 12, 2025, the U.S. CDC states that rabies vaccines are typically available throughout most of the Philippines for individuals who have been exposed to the virus while visiting the country. Over 5 million people visited the Philippines last year.

Additionally, a healthcare provider can help determine whether you should receive a pre-exposure vaccination before traveling abroad this year.

The CDC has recently included the Philippines in measles and dengue Travel Health Advisories. 

Sep 12, 2025 • 1:16 pm CDT
from Pixabay 2025

The Centre for Health Protection (CHP) of the Department of Health announced that two new imported cases of chikungunya fever (CF) had been recorded.

As of September 11, 2025, the Government of the Hong Kong Special Administrative Region of China has reported a total of 16 confirmed imported CF cases.

From 2016 to 2019, Hong Kong recorded between one and 11 imported cases annually.

While numerious countries have reported mosquito-transmitted, local CF cases this year, Hong Kong has not.

The CHP wrote that from January to July 2025, countries in Asia, including India and Indonesia, recorded thousands of local cases.

From a disease prevention option, the U.S. government and many others have approved chikungunya vaccines for use in at-risk international travelers. These vaccines are offered at travel clinics and pharmacies in the USA.

Sep 12, 2025 • 5:32 am CDT
Florida DOH September 2025

The Florida Department of Health (FDH) recently updated its Vaccine-Preventable Diseases Surveillance Report for 2025, revealing that both travel-related and locally transmitted diseases have been detected in various Florida counties.

Since late July 2025, the Florida Department of Health in Brevard County (DOH-Brevard) has informed residents of locally acquired dengue fever, transmitted to people by the bite of an infected Aedes aegypti mosquito. 

As of September 6, nineteen cases have been confirmed in various cities, such as Cape Canaveral, Cocoa Beach, and Melbourne.

DOH-Brevard says dengue can present as a flu-like illness, characterized by severe muscle aches and joint pain, fever, and sometimes a rash. Usually, there are no respiratory symptoms.

The positive news is that dengue fever is not contagious.

Statewide, FDH also confirmed last week travel-related chikungunya cases (3), dengue (189), and malaria cases (28), primarily in the Miami-Dade County area.

Additionally, three West Nile virus cases in people have been confirmed in Florida this year.

From a disease prevention perspective, chikungunya has the only U.S. FDA-approved vaccine available in the USA. Travel clinics and pharmacies commercially offer chikungunya vaccination services in 2025.

Sep 11, 2025 • 1:00 pm CDT
by Tumisu

Emergent BioSolutions Inc. recently announced that a contract modification has been executed for $56 million to supply ACAM2000® (Smallpox and Mpox (Vaccinia) Vaccine, Live) to the U.S. government.

As of September 9, 2025, deliveries are expected to begin this month.

"Our new contract modification for ACAM2000® vaccine reflects the continued collaboration between Emergent and the U.S. government to prioritize preparedness support," said Paul Williams, senior vice president, head of products business, global government & public affairs at Emergent, in a press release.

"With our North American manufacturing and supply chain capabilities at the ready, and Emergent's commitment to being a trusted partner of the U.S. government and offering most favored pricing as part of that commitment, we are helping to strengthen public health efforts through our medical countermeasures portfolio."

This brings the total projected sales for ACAM2000® vaccine and ancillary products to more than $120 million this year from a diverse base of customers. ACAM2000 is licensed for active immunization against smallpox and mpox disease in individuals determined to be at high risk for smallpox or mpox infection.

ACAM2000 was first approved by the U.S. Food and Drug Administration (FDA) in 2007 for active immunization to prevent smallpox disease in individuals determined to be at high risk for smallpox infection. Smallpox has been eradicated in the United States, with no cases occurring since 1977.

The FDA subsequently approved it in August 2024 for immunization against mpox in individuals identified as being at high risk for mpox.

As of September 11, 2025, the FDA has also approved Bavarian Nordic JYNNEOS® vaccine for the prevention of both diseases. Unlike ACAM2000, JYNNEOS is available at various pharmacies and clinics in the U.S.

Sep 11, 2025 • 12:29 pm CDT
Maps 2025

According to a recent Facebook post, a rabies alert has been announced for several areas in Bangkok (Krung Thep), the capital and most populous city of Thailand.

As of September 9, 2025, it is recommended that people avoid contact with stray animals and seek prompt medical attention if bitten or scratched. Rabies symptoms can take some time to develop, but when they do, the condition is almost always fatal.

The UK Travel Health Pro says pre-exposure vaccinations are recommended for travellers whose activities put them at increased risk.

A full course of vaccination simplifies and shortens the course of post-exposure treatment, removing the need for rabies immunoglobulin, which is in short supply worldwide.

The U.S. CDC also suggests various rabies vaccination recommendations.