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May 19, 2025 • 5:27 am CDT
WHO Report 52, May 2025

India has retrospectively reported ten cases of mpox due to clade Ib mpox virus detected between December 2024 and March 2025.

According to the WHO's Multi-country outbreak of mpox, External situation report #52, as of May 14, 2025, all clade 1b cases reported in India had a recent history of travel to countries in the Gulf or contact with travellers from those countries.

Outside Africa, 16 countries have reported travel-related cases of mpox due to clade Ib: the United Kingdom of Great Britain and Northern Ireland (12 cases), Germany (10 cases), China (seven cases), Belgium (five cases), Qatar (five cases), Thailand (five cases), the United States of America (four cases).

Globally, Cases of mpox due to clade Ib continue to be reported primarily in Africa, where ten countries have reported community transmission of this strain, reaching over 14,000 cases in 2025.

Reported #52 discloses that mpox vaccination in countries in the African Region has more than 668,000 doses of MVA-BN (Bavarian Nordic A/S JYNNEOS®) vaccines administered in seven countries.

From the total number of JYNNEOS doses, 87% have been administered in the Democratic Republic of the Congo.

In the United States, the JYNNEOS vaccine is commercially available at many pharmacies.

The U.S. Food and Drug Administration (FDA) initially approved JYNNEOS for smallpox prevention in September 2019. And on March 31, 2025, the FDA approved the freeze-dried formulation of JYNNEOS.

May 19, 2025 • 4:57 am CDT
CHP May 14, 2025

The latest surveillance data (Week #19) from Hong Kong showed that the overall local activity of COVID-19 has continued to increase, with some surveillance indicators having surpassed their highest levels in the past year. 

In week 19, the weekly number of newly recorded positive nucleic acid test laboratory detections for the SARS-CoV-2 virus was 1,042, compared to 972 in the preceding week.

And COVID-19 outbreaks occurring in schools/institutions affected 52 people last week.

Furthermore, since January 2023 and May 10, 2025, the cumulative number of fatal cases with cause of death preliminarily assessed to be related to COVID-19 was 1,437.

As of May 14, 2025, the Centre for Health Protection (CHP) has been closely monitoring the local prevalence of SARS-CoV-2 variants in the neighboring regions of Hong Kong, including Singapore.

Sewage surveillance data showed an increasing trend in the prevalence of XDV in Hong Kong. XDV is a JN.1-related variant.

The latest information does not suggest that XDV will cause a more severe disease than JN.1, XBB, and their descendant lineages.

The public (and visitors) are advised to maintain strict personal and environmental hygiene to protect themselves against infection and prevent the spread of the disease. 

Additionally, public members are advised to note the latest recommendations on using COVID-19 vaccines in Hong Kong. High-risk priority groups are recommended to receive a dose of a COVID-19 vaccine at least six months since the last dose or infection, regardless of the number of doses received previously. For more details, please visit this CHP link.

Hong Kong is a special administrative region of China on the southern coast. Recent data indicates over 40 million people visited Hong Kong last year.

If you depart from the United States, the CDC writes, ' Make sure you are up-to-date on all routine and travel vaccines, such as chikungunya and typhoid, before visiting Hong Kong in May 2025.'

May 18, 2025 • 1:05 pm CDT
from Pixabay May 2025

With over 16 million visitors in 2024, the Republic of Singapore has become a tourist favorite destination. However, before visiting this city-state in Southeast Asia in May 2025, it is highly recommended that you protect yourself from COVID-19.

Like most other countries, Singapore has experienced multiple waves of COVID-19 since the first confirmed case in January 2020. 

According to the Ministry of Health (MOH) and the Communicable Diseases Agency, COVID-19 infections have significantly increased in the Spring of 2025. 

The MOH estimated the number of COVID-19 cases from the last week of April to May 3, 2025, at 14,200, compared to 11,100 cases in the previous week.

The 28% increase in cases could be due to several factors, including waning population immunity.

Currently, LF.7 and NB.1.8, descendants of the JN.1 variant, are the main COVID-19 variants circulating in Singapore, accounting for more than two-thirds of locally sequenced cases.

JN.1 is also the variant used in formulating the current COVID-19 vaccines, which remain effective in protecting against severe illness.

Singapore's MOH wrote that 'individuals at increased risk of severe COVID-19, such as those aged 60 years and above, medically vulnerable individuals, or residents of aged care facilities, are recommended to keep updated with vaccinations, and receive an additional dose around one year after their last dose.

In the United States, the U.S. FDA recently approved Nuvaxovid™, a non-mRNA, JN.1 COVID-19 vaccine that is active against current circulating strains, including KP.2 and KP.3. This vaccine, and other travel vaccines, are offered at clinics and pharmacies in the U.S.

May 18, 2025 • 6:11 am CDT
Google Maps May 18, 2025

The Government of Papua New Guinea recently reported two circulating vaccine-derived poliovirus type 2 (cVDPV2) cases in two healthy children from Lae, Morobe Province.

As of May 18, 2025, Papua New Guinea confirmed that cVDPV2 is a rare form of the virus that can emerge in under-immunised communities. The detection was made through routine environmental testing of wastewater collected from Bowerbird Road, China Town, Lae, in March 2025.

In a Facebook post, Health Minister Elias Kapavore described the situation as serious but manageable.

“We’ve dealt with this before and know what works,” Mr Kapavore said. “Vaccination is safe and effective, and we’re acting quickly to protect children.”

The planned response includes at least two rounds of nationwide vaccination. Parents and caregivers are strongly encouraged to bring their children for immunization during the upcoming campaigns.

If enough people in a community are immunized against polio, the virus will be deprived of susceptible hosts and will die out. 

Furthermore, the Government stated it is 'committed to maintaining Papua New Guinea’s polio-free status.'

Last week, the Global Polio Eradication Initiative (GPEI) reported poliovirus cases and positive environmental isolates detected in Pakistan, Algeria, Burkina Faso, Chad, Côte d’Ivoire, Ethiopia, Somalia, and Sudan. As of May 14, 2025, more information on the countries and others is posted at this GPEI link.

May 18, 2025 • 4:14 am CDT
by Gerd Altmann

The U.S. Food and Drug Administration (FDA) announced it has approved Novavax's Nuvaxovid COVID-19 vaccine.

As of May 17, 2025, Nuvaxovid is indicated in the U.S. to prevent COVID-19 in those aged 65 years and older and for those aged 12-64 years who have one or more underlying conditions that put them at a high risk of developing COVID-related severe outcomes.

On December 17, 2021, the World Health Organization granted an Emergency Use Listing for Novavax's vaccine, and it has been available under an emergency use authorization in the United States.

As of May 18, 2025, Novavax's vaccine is the only non-mRNA COVID-19 vaccine available at clinics and pharmacies in the U.S.

May 16, 2025 • 6:56 am CDT
by Gerd Altmann

As the United States prepares for the next wave of COVID-19 disease, the government is taking steps to clarify what changes to the formula of preventive vaccines are needed.

The Vaccines and Related Biological Products Advisory Committee (VRBPAC) recently confirmed it will meet on May 22, 2025, in open session to discuss and recommend selecting the 2025-2026 formula for COVID-19 vaccines for use in the U.S.

This VRBPAC meeting will be held virtually, from 8:30 a.m. to 4:30 p.m. ET, and is open to the public to attend digitally.

The U.S. Food and Drug Administration (FDA) intends to make background material available to the public no later than two business days before this meeting.

Recently, the new FDA Commissioner Marty Makary stated that Vinay Prasad, the director overseeing vaccines, intends to clarify the FDA’s expectations for vaccine development and approval.

For example, the FDA has asked Novavax Inc. to conduct a new randomized controlled trial for its non-mRNA COVID-19 vaccine.

Earlier this week, the World Health Organization (WHO) Technical Advisory Group on COVID-19 Vaccine Composition advised manufacturers that monovalent JN.1 or KP.2 vaccines remain appropriate vaccine antigens; monovalent LP.8.1 is a suitable alternative vaccine antigen.

The WHO wrote, 'Overall, ' the currently approved monovalent JN.1 or KP.2 vaccines continue to elicit broadly cross-reactive immune responses to circulating JN.1-derived variants.'

As of May 16, 2025, COVID-19 vaccines are available at various clinics and pharmacies in the U.S.

May 15, 2025 • 4:16 pm CDT
by Mustafa Shehadeh

With the various countries reporting chikungunya virus outbreaks in 2025, the U.S. government has announced reassuring news regarding disease prevention.

In April, the independent vaccine committee issued recommendations for using chikungunya vaccines. Effective May 13, 2025, the Health and Human Services (HHS) Secretary adopted the recommendations, which are now the official recommendations of the U.S. CDC.

The Advisory Committee on Immunization Practices (ACIP) recommends the live attenuated chikungunya vaccine for persons aged ≥18 years traveling to a country or territory with a chikungunya outbreak. In addition, the live attenuated chikungunya vaccine may be considered for persons aged ≥18 years traveling or residing in a country or territory without an outbreak but with elevated risk for U.S. travelers if planning travel for an extended time, such as 6 months or more.

Additionally, the ACIP recommends the virus-like particle chikungunya vaccine for persons aged ≥12 years traveling to a country or territory where there is a chikungunya outbreak. In addition, the virus-like particle chikungunya vaccine may be considered for persons aged ≥12 years traveling or taking up residence in a country or territory without an outbreak but with elevated risk for U.S. travelers if planning travel for an extended period, such as six months or more.

As of May 15, 2025, travel vaccination appointments are commercially available at clinics and pharmacies in the U.S.

 

May 15, 2025 • 12:22 pm CDT
by Mario Ohibsky

Led by a team from the U.S. Centers for Disease Control and Prevention (CDC), the findings from a study published in the Journal of Infectious Diseases demonstrated the feasibility of assessing seasonal influenza vaccine effectiveness (VE) using linked immunization and laboratory data from public health surveillance systems.

Published on May 13, 2025, among 1,382,142 laboratory reports, 129,253 persons (9%) (129,253) had a positive influenza test result, of whom 415,390 (30%) had documented influenza vaccination ≥14 days before test date. VE against laboratory-confirmed influenza was 41% (95% confidence interval (CI), 40%–42%). VE was 32% (95% CI, 31%-33%) against influenza A, 68% (95% CI, 66%-69%) against influenza B.

Among older adults aged 65 years or more, flu shot VE was 26% (95% CI, 24%–29 %).

The authors wrote, "Differences in viral evolution may contribute to waning vaccine effectiveness or immune escape."

"Age-related factors contributing to lower VE might include diminished adaptive immune response, increased prevalence of comorbidities, and frailty."

They also noted that the flu shot's lower VE estimates with increasing patient age are consistent with a meta-analysis of test-negative studies conducted from 2004 to 2015.

As of May 9, 2025, the U.S. CDC confirmed that seasonal influenza activity for 2024-2025 is declining. And the CDC continues to recommend that everyone ages 6 months and older get an annual flu vaccine as long as influenza viruses are circulating.

 

May 15, 2025 • 10:29 am CDT
WHO May 2025

The World Health Organization (WHO) recently confirmed that 13 African countries have reported confirmed or probable yellow fever cases since the start of 2023.

As of May 2025, the east African country of the Republic of Uganda has taken aggressive action to reduce the impact of this vaccine-preventable, mosquito-transmitted disease.

GAVI reported on May 12, 2025, that Uganda, with a population of about 46 million and located in the so-called African yellow fever belt, introduced routine immunisation in October 2022.

In 2025, a campaign targeted 4.3 million people aged 9 months to 60 years in 19 districts across Uganda's eastern region, hoping to reduce the impact of this epidemic disease.

But national vaccine coverage has remained low, at 39%.

Other countries in this Yellow Fever Belt are also at risk.

Uganda’s eastern neighbour, Kenya, whose yellow fever vaccine coverage rates hover at only 6%, declared a yellow fever outbreak. 

When visiting these countries, the U.S. CDC recommends getting vaccinated at least ten days before traveling abroad. Yellow fever vaccination appointments are offered at travel clinics and pharmacies in the United States.

May 14, 2025 • 1:10 pm CDT
Google Maps May 14, 2025

The Democratic Socialist Republic of Sri Lanka's Ministry of Health recently highlighted a noticeable increase in the Chikungunya outbreak in the Colombo and Kotte areas.

As of March 14, 2025, Weekly Epidemiological Report #12 revealed 173 chikungunya cases had been reported in Colombo, Gampaha, and Kandy.

Local media reported that Acting Consultant Community Physician Dr. Kumudu Weerakoon stated that the Chikungunya virus spread to Sri Lanka in 1960. After several years of low transmission, medical experts said in May 2025 that an effective way to control the spread of Chikungunya is to eliminate as many mosquito breeding sites as possible.

While Sri Lanka is an island country in South Asia in the Indian Ocean, it is located thousands of miles to the east of the Chikungunya outbreaks in Mayotte, Mauritius, and Réunion.

International travelers departing from the United States and Europe can receive a preventive vaccine when visiting these Chikungunya outbreak areas in May 2025.

May 14, 2025 • 11:58 am CDT
PAHO May 2025

Researchers believe the yellow fever virus has existed for thousands of years, originating in Africa and spreading to the Region of the Americas in the 17th century.

As of May 14, 2025, the Pan American Health Organization (PAHO) says yellow fever has become endemic in 13 countries in the Americas. 

The PAHO reported 189 confirmed human cases of yellow fever (YF) in four countries in the Americas Region, of which 74 have been fatal.

The breakdown of reported YF cases is as follows: The Plurinational State of Bolivia, with two cases, including one fatal case; Brazil with 102 cases, including 41 fatal cases; Colombia with 53 cases, including 21 fatal cases; and Peru with 32 cases, including 11 fatal cases.

In 2025, YF cases were detected mainly in the state of São Paulo in Brazil and the department of Tolima in Colombia, areas outside the Amazon region of both countries.

The PAHO/WHO encourages Member States to continue surveillance and vaccination efforts in YF-endemic areas.

'It is essential that countries achieve vaccination coverage of at least 95% in populations in at-risk areas,' writes the PAHO.

And that health authorities ensure that they have a strategic reserve inventory that allows them to maintain routine YF vaccination and, at the same time, respond effectively to possible outbreaks.

In the United States, YF vaccination appointments are offered at travel clinics and pharmacies in 2025.

May 13, 2025 • 12:37 pm CDT
Google Maps May 13, 2025

In 2025, the State Institute of Public Health (SZÚ) reported a rise in cases of infectious jaundice across the Czech Republic (Czechia). By the end of April, 450 reported cases of viral hepatitis A had been reported.

Tragically, six patients had died due to hepatitis A, a vaccine-preventable disease.

Czech health officials informed the media on May 13, 2025, that the actual number of infections is likely much higher because it is difficult to track the spread of the virus, which causes liver inflammation that can be fatal in rare cases.

In comparison, the SZÚ recorded 636 cases and two related deaths in 2024.

This year, Hepatitis A affects regions across the Czech Republic. The regions of Central Bohemia – 87, Moravia-Silesia – 83, and Prague – 73 report the most cases. 

"In Prague, almost 1/3 of the disease is reported in homeless people," stated SZU.

In 2025, the spread of hepatitis A impacted other European countries, such as Slovakia, Hungary, Ireland, and the United Kingdom.

Effective Hepatitis A vaccines are available in the Czech Republic, as in the United States.

Basic protection is achieved after a single injection. A second dose is required to obtain long-term protection, which is given 6-18 months after the first dose.

May 13, 2025 • 9:59 am CDT
US CDC May 2025

When the U.S. CDC issued a global Travel Health Advisory for 57 countries reporting measles outbreaks in March 2025, it should have included the Kingdom of Morocco, where measles has become endemic.

According to the World Health Organization (WHO) DON568, more than 25,000 suspected measles cases were reported from all 12 regions in this northwest African country from October 2023 through April 13, 2025, and 184 related fatalities.

The first cases were reported in the Souss Massa region in central Morocco, before spreading to additional provinces.

Recently, the WHO reported a declining trend in cases observed for ten consecutive weeks in 2025.

As of May 13, 2025, genomic characterization of measles virus specimens collected during Morocco's 2024–2025 outbreak revealed the exclusive circulation of genotype B3, which is common in many parts of Africa and associated with outbreaks globally. 

The measles vaccine was introduced into Morocco's national immunization schedule in 2003. According to WHO/UNICEF Estimates of National Immunization Coverage, Morocco has been below the 95% threshold required to achieve the elimination goal for the last three years.

The WHO reports that the overall risk is assessed as moderate at the national and regional levels, particularly given the risk of cross-border transmission in areas with low vaccination coverage.

The CDC does recommend that international travelers be protected against this highly transmissible virus before visiting at-risk areas in May 2025.

May 13, 2025 • 4:40 am CDT
Google Maps May 13, 2025

In 1904, the Isthmus of Panama reported that tropical diseases such as malaria led to the death of an estimated 12,000 workers during the Panama Canal project.

Over 100 years later, the mosquito-transmitted malaria continues to impact the health of the Republic of Panama.

On May 9, 2025, Panama's Ministry of Health (Minsa) reported that two deaths from malaria had been recorded in 2025. The victims were from Eastern Panama in February and from Veraguas in March.

These are Panama's first malaria-related fatalities since 2017.

In 2024, a total of 15,109 cases were reported, and in 2023, 11,659 malaria cases were reported. This data represents a sustained increase in the transmission of this disease.

Minsa stated that this increase has been linked to increased human mobility toward areas of active transmission and the effects of climate variability and change, which can favor the proliferation of the transmitting mosquito and contact with vulnerable populations. It urges citizens to collaborate actively with prevention strategies and seek prompt medical attention if they experience symptoms consistent with malaria.

Throughout 2025, several countries in the Region of the Americas have reported malaria outbreaks.

As of May 13, 2025, the U.S. CDC Yellow Book recommends that travelers to certain areas of Panama take prescription medicine to prevent malaria. Depending on the medicine you take, you will need to start taking this medicine multiple days before your trip, as well as during and after your trip. Talk to a travel medicine professional about which malaria medication you should take.

Furthermore, while two malaria vaccines are being deployed in Africa, they have not been offered in the Americas.

Additionally, the CDC has included Panama in its Travel Health Advisories for Dengue and Oropouche outbreaks.

May 12, 2025 • 2:18 pm CDT
US CDC May 12, 2025

Since August 2024, widespread outbreaks of the chikungunya virus disease have been reported in the western Indian Ocean.

As of May 12, 2025, France's Departments of La Réunion and Mayotte have been significantly impacted.

The World Health Organization (WHO) Disease Outbreak News (567) today wrote, 'Although chikungunya outbreaks and endemic transmission occur annually in several countries and territories around the world, the Indian Ocean islands have not experienced major outbreaks for nearly two decades.'

In La Réunion, over 47,500 cases and twelve associated deaths have been reported as of May 4, 2025, with sustained high transmission across the island.

In Mayotte, the first locally transmitted cases since 2005–2006 have been detected, raising concern about similar large outbreaks. As of early May 2025, about 90 cases had been confirmed.

France's public health response measures, including enhanced surveillance, vector control activities, and novel targeted vaccination efforts, have been implemented to contain the outbreaks.

However, further outbreak activity in the islands of the Indian Ocean can be expected, says the WHO.

Seperately, the U.S. CDC issued a Level 2 - Practice Enhanced Precautions travel advisory that says, 'If you are pregnant, reconsider travel to the affected areas, particularly if you are close to delivering your baby. Mothers infected around the time of delivery can pass the virus to their baby before or during delivery.'

According to the CDC, vaccination is recommended for travelers visiting an area with a chikungunya outbreak, such as these French departments in the Indian Ocean.

Chikungunya vaccines are approved for use in the United States and are commercially available at travel clinics and pharmacies.