Major infectious diseases In 19 editions of 36.

note: widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring globally; older adults and people of any age with serious chronic medical conditions are at increased risk for severe disease; some health care systems are becoming overwhelmed and there may be limited access to adequate medical care in affected areas; many countries are implementing travel restrictions and mandatory quarantines, closing borders, and prohibiting non-citizens from entry with little advance notice; US residents may have difficulty returning to the United States; as of 8 December 2020, 65,872,391 confirmed cases of COVID-19 and 1,523,656 deaths have been reported to the World Health Organization

degree of risk:

very high (2020)

food or waterborne diseases:

• bacterial and protozoal diarrhea,
• hepatitis A,
• typhoid fever

vectorborne diseases:

dengue fever, malaria

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

dengue fever and malaria

animal contact diseases:

rabies

respiratory diseases:

meningococcal meningitis

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

dengue fever and malaria

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

respiratory diseases:

meningococcal meningitis

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria and dengue fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria and dengue fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

respiratory diseases:

meningococcal meningitis

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A and E, and typhoid fever

vectorborne diseases:

malaria and dengue fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

respiratory diseases:

meningococcal meningitis

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A and E, and typhoid fever

vectorborne diseases:

malaria and dengue fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

respiratory diseases:

meningococcal meningitis

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria, dengue fever, and trypanosomiasis-gambiense (African sleeping sickness)

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

• note - on 18 October 2019, the Centers for Disease Control and Prevention issued a Travel Health Notice for an Ebola outbreak in the South Kivu (Kivu Sud), North Kivu (Kivu Nord), and Ituri provinces in the northeastern part of the Democratic Republic of the Congo;
• travelers to this area could be infected with Ebola if they come into contact with an infected person’s blood or other body fluids;
• travelers should seek medical care immediately if they develop fever, muscle pain, sore throat, diarrhea, weakness, vomiting, stomach pain, or unexplained bleeding or bruising during or after travel

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria and dengue fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria, dengue fever, and yellow fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

respiratory diseases:

meningococcal meningitis

degree of risk:

high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

dengue fever

degree of risk:

intermediate (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

water contact diseases:

schistosomiasis

note: clusters of cases of a respiratory illness caused by the novel coronavirus (COVID-19) are occurring throughout Egypt; as of 8 December 2020, Egypt has reported a total of 118,014 cases of COVID-19 or 1,153 cumulative cases of COVID-19 per 1 million population with 66 cumulative deaths per 1 million population

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria and dengue fever

animal contact diseases:

rabies

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria and dengue fever

degree of risk:

intermediate (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria

water contact diseases:

schistosomiasis

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria and dengue fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

respiratory diseases:

meningococcal meningitis

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria and dengue fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria and dengue fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

respiratory diseases:

meningococcal meningitis

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria, dengue fever, and yellow fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

respiratory diseases:

meningococcal meningitis

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria, dengue fever, and yellow fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

aerosolized dust or soil contact diseases:

Lassa fever (2016)

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria, dengue fever, and yellow fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria, dengue fever, and Rift Valley fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

degree of risk:

intermediate (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria, dengue fever, and yellow fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

aerosolized dust or soil contact diseases:

Lassa fever

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria and dengue fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria and dengue fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria and dengue fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

respiratory diseases:

meningococcal meningitis

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria and dengue fever

animal contact diseases:

rabies

respiratory diseases:

meningococcal meningitis

note: clusters of cases of a respiratory illness caused by the novel coronavirus (COVID-19) are occurring in Morocco; as of 8 December 2020, Morocco has reported a total of 376,738 cases of COVID-19 or 10,207 cumulative cases of COVID-19 per 1 million population with 168 cumulative deaths per 1 million population

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria and dengue fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria

water contact diseases:

schistosomiasis

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria and dengue fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

respiratory diseases:

meningococcal meningitis

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A and E, and typhoid fever

vectorborne diseases:

malaria, dengue fever, and yellow fever

water contact diseases:

leptospirosis and schistosomiasis

animal contact diseases:

rabies

respiratory diseases:

meningococcal meningitis

aerosolized dust or soil contact diseases:

Lassa fever

note: on 7 October 2019, the Centers for Disease Control and Prevention issued a Travel Health Notice for a Yellow Fever outbreak in Nigeria; a large, ongoing outbreak of yellow fever in Nigeria began in September 2017; the outbreak is now spread throughout the country with the Nigerian Ministry of Health reporting cases of the disease in all 36 states and the Federal Capital Territory; the CDC recommends travelers going to Nigeria should receive vaccination against yellow fever at least 10 days before travel and should take steps to prevent mosquito bites while there; those never vaccinated against yellow fever should avoid travel to Nigeria during the outbreak

note: widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring throughout Nigeria; as of 8 December 2020, Nigeria has reported a total of 68,937 cases of COVID-19 or 334 cumulative cases of COVID-19 per 1 million population with 6 cumulative deaths per 1 million population; as of 19 March 2020, the Government of Nigeria has restricted entry into Nigeria for travelers from the following high incidence countries: China, Italy, Iran, Norway, South Korea, Spain, Japan, France, Germany, US, UK, Netherlands, and Switzerland

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria and dengue fever

animal contact diseases:

rabies

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria and dengue fever

water contact diseases:

schistosomiasis

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria and dengue fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

respiratory diseases:

meningococcal meningitis

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria and dengue fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

aerosolized dust or soil contact diseases:

Lassa fever

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A and E, and typhoid fever

vectorborne diseases:

dengue fever, malaria, and Rift Valley fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

degree of risk:

intermediate (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

water contact diseases:

schistosomiasis

note: widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring throughout South Africa; as of 8 December 2020, South Africa has reported a total of 810,449 cases of COVID-19 or 13,665 cumulative cases of COVID-19 per 1 million population with 372 cumulative deaths per 1 million population; on 24 May 2020, the Government of South Africa announced the lockdown alert level for South Africa will be lowered to level 3 with effect on 1 June 2020, except for some areas designated as “coronavirus hotspots”; per the lockdown, all airports in South Africa are closed to commercial traffic

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A and E, and typhoid fever

vectorborne diseases:

• malaria,
• dengue fever,
• Trypanosomiasis-Gambiense (African sleeping sickness)

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

respiratory diseases:

meningococcal meningitis

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A and E, and typhoid fever

vectorborne diseases:

malaria, dengue fever, and Rift Valley fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

respiratory diseases:

meningococcal meningitis

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria, dengue fever, and Rift Valley fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria, dengue fever, and yellow fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

respiratory diseases:

meningococcal meningitis

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A and E, and typhoid fever

vectorborne diseases:

malaria, dengue fever, and Trypanosomiasis-Gambiense (African sleeping sickness)

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria and dengue fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

degree of risk:

high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria and dengue fever

water contact diseases:

schistosomiasis

animal contact diseases:

rabies

degree of risk:

intermediate (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

Crimea-Congo hemorrhagic fever, malaria

degree of risk:

high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A and E, and typhoid fever

vectorborne diseases:

dengue fever and malaria are high risks in some locations

water contact diseases:

leptospirosis

animal contact diseases:

rabies

note: widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring throughout Bangladesh; as of 8 December 2020, Bangladesh has reported a total of 475,879 cases of COVID-19 or 2,890 cumulative cases of COVID-19 per 1 million population with 41 cumulative deaths per 1 million population

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

Crimean-Congo hemorrhagic fever, Japanese encephalitis

soil contact diseases:

hantaviral hemorrhagic fever with renal syndrome (HFRS)

note: a new coronavirus is causing an outbreak of respiratory illness (COVID-19) in China; illness with this virus has ranged from mild to severe with fatalities reported; the US Department of State has issued a do not travel advisory for China due to COVID-19; the Centers for Disease Control and Prevention has also recommended against travel to China and published additional guidance at https://wwwnc.cdc.gov/travel/notices/warning/novel-coronavirus-china; the US Department of Homeland Security has issued instructions requiring US passengers who have been in China to travel through select airports where the US Government has implemented enhanced screening procedures; as of 8 December 2020, China has reported 94,160 confirmed cases of COVID-19 with 4,753 deaths to the World Health Organization

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A and E, and typhoid fever

vectorborne diseases:

dengue fever, Crimean-Congo hemorrhagic fever, Japanese encephalitis, and malaria

water contact diseases:

leptospirosis

animal contact diseases:

rabies

note: clusters of cases of a respiratory illness caused by the novel coronavirus (COVID-19) are being reported across 27 States and Union Territories in India; as of 8 December 2020, India has reported a total of 9,644,222 cases of COVID-19 or 6,989 cumulative cases of COVID-19 per 1 million population with 102 cumulative deaths per 1 million population; on 16 March 2020, the government proposed extensive social distancing measures, including closure of all schools, museums, and cultural and social centers; prohibited gatherings of more than 50 people; and called on the public to avoid all non-essential travel; international commercial passenger flights remain suspended

• Covid-19 (see note) (2020)

note: clusters of cases of respiratory illness caused by a new coronavirus (COVID-19) in Japan; illness with this virus has ranged from mild to severe with fatalities reported; as of 8 December 2020, Japan has reported 160,098 confirmed cases of COVID19 with 2,315 deaths; the US Department of State has issued a Travel Advisory recommending increased caution in Japan due to the recent outbreak of COVID-19; the Centers for Disease Control and Prevention has recommended postponing nonessential international travel at this time and published additional guidance at https://wwwnc.cdc.gov/travel/notices/alert/ ; on 25 May 2020, Japan ended its state of emergency

• Covid-19 (see note) (2020)

note: a novel coronavirus is causing an outbreak of respiratory illness (COVID-19) in South Korea; illness with this virus has ranged from mild to severe with fatalities reported; the US Department of State has issued a Travel Advisory recommending avoiding all international travel due to COVID-19; the Centers for Disease Control and Prevention has recommended against all international travel and published additional guidance at https://wwwnc.cdc.gov/travel/notices/warning/ ; as of 8 December 2020, South Korea has reported 37,546 confirmed cases of COVID19 with 545 deaths

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A and E, and typhoid fever

vectorborne diseases:

Japanese encephalitis, malaria, and dengue fever

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A and E, and typhoid fever

vectorborne diseases:

dengue fever and malaria

animal contact diseases:

rabies

note: widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring throughout Pakistan; as of 8 December 2020, Pakistan has reported a total of 413,191 cases of COVID-19 or 1,871 cumulative cases of COVID-19 per 1 million population with 38 cumulative deaths per 1 million population; the Government of Pakistan will permit commercial outbound passenger flights from all international airports except Gwadar and Turbat effective 30 May 2020, but inbound passenger flights remain suspended; limited domestic flight operations from five major airports – Islamabad, Karachi, Lahore, Peshawar, and Quetta are available; on 7 May 2020, the Government of Pakistan announced an ease in some of the nationwide lockdown restrictions; additionally, the Islamabad Capital Territory and Sindh, Punjab, Balochistan, and Khyber Pakhtunkhwa provinces have varying degrees of lockdowns

degree of risk:

intermediate (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

Crimean-Congo hemorrhagic fever, tickborne encephalitis

note: widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring throughout the Russia; as of 8 December 2020, Russia has reported a total of 2,460,770 cases of COVID-19 or 16,862 cumulative cases of COVID-19 per 1 million population with 296 cumulative deaths per 1 million population

degree of risk:

intermediate (2020)

vectorborne diseases:

dengue fever

water contact diseases:

leptospirosis

animal contact diseases:

rabies

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

malaria

degree of risk:

intermediate (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

dengue fever

degree of risk:

intermediate (2020)

food or waterborne diseases:

bacterial diarrhea and hepatitis A

vectorborne diseases:

dengue fever

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

dengue fever

degree of risk:

high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea

vectorborne diseases:

dengue fever

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

dengue fever and malaria

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A and E, and typhoid fever

vectorborne diseases:

dengue fever and malaria

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

dengue fever and malaria

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

dengue fever and malaria

degree of risk:

intermediate (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

dengue fever

degree of risk:

intermediate (2020)

vectorborne diseases:

tickborne encephalitis

degree of risk:

intermediate (2020)

vectorborne diseases:

tickborne encephalitis

note: widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring regionally; the US Department of Homeland Security has issued instructions requiring US passengers who have been in the European Union’s Schengen Area (comprised of the following 26 European states: Austria, Belgium, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Slovakia, Slovenia, Spain, Sweden, and Switzerland) to travel through select airports where the US Government has implemented enhanced screening procedures

note: widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring throughout France; as of 8 December 2020, France has reported a total of 2,241,830 cases of COVID-19 or 34,345 cumulative cases of COVID-19 per 1 million population with 837 cumulative deaths per 1 million population

degree of risk:

intermediate (2016)

vectorborne diseases:

tickborne encephalitis (2016)

• Covid-19 (see note) (2020)

note: a new coronavirus is causing sustained community spread of respiratory illness (COVID-19) in Italy; sustained community spread means that people have been infected with the virus, but how or where they became infected is not known, and the spread is ongoing; illness with this virus has ranged from mild to severe with fatalities reported; as of 8 December 2020, Italy has reported a total of 1,709,991 cases of COVID-19 or 28,282 cumulative cases of COVID-19 per 1 million population with 984 cumulative deaths per 1 million population; the US Department of State has issued a Travel Advisory to reconsider travel to Italy due to the recent outbreak of COVID-19; the Centers for Disease Control and Prevention has also recommended postponing nonessential travel to Italy at this time and published additional guidance at https://wwwnc.cdc.gov/travel/notices/alert/coronavirus-italy ; the US Department of Homeland Security has issued instructions requiring US passengers who have been in Italy to travel through select airports where the US Government has implemented enhanced screening procedures

degree of risk:

intermediate (2020)

vectorborne diseases:

tickborne encephalitis

degree of risk:

intermediate (2020)

vectorborne diseases:

tickborne encephalitis

degree of risk:

intermediate (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

Crimean-Congo hemorrhagic fever

degree of risk:

intermediate (2016)

vectorborne diseases:

tickborne encephalitis (2016)

degree of risk:

intermediate (2020)

food or waterborne diseases:

bacterial diarrhea

• Covid-19 (see note) (2020)

note: widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring throughout Spain; as of 8 December 2020, Spain has reported a total of 1,684,647 cases of COVID-19 or 36,032 cumulative cases of COVID-19 per 1 million population with 989 cumulative deaths per 1 million population; the Spanish Government is gradually relaxing confinement measures in phases over the next several weeks; these measures will vary from region to region within Spain; the Department of Homeland Security has issued instructions requiring US passengers who have been in Spain to travel through select airports where the US Government has implemented enhanced screening procedures

• Covid-19 (see note) (2020)

note: widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring throughout the UK; as of 8 December 2020, the UK has reported a total of 1,705,975 cases of COVID-19 or 25,130 cumulative cases of COVID-19 per 1 million population with 899 cumulative deaths per 1 million population; individuals arriving in the UK must self-isolate for 14 days and may be contacted to verify compliance; new arrivals will be required to provide UK officials with contact and travel information prior to arrival; the US Department of Homeland Security has issued instructions requiring US passengers who have been in the UK to travel through select airports where the US Government has implemented enhanced screening procedures

degree of risk:

intermediate (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

Crimean-Congo hemorrhagic fever

note: a new coronavirus is causing sustained community spread of respiratory illness (COVID-19) in Iran; sustained community spread means that people have been infected with the virus, but how or where they became infected is not known, and the spread is ongoing; illness with this virus has ranged from mild to severe with fatalities reported; as of 8 December 2020, Iran has reported a total of 1,028,986 cases of COVID-19 or 12,251 cumulative cases of COVID-19 per 1 million population with 595 cumulative deaths per 1 million population

degree of risk:

intermediate (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

note: widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring throughout Iraq; as of 8 December 2020, Iraq has reported a total of 562,520 cases of COVID-19 or 13,985 cumulative cases of COVID-19 per 1 million population with 309 cumulative deaths per 1 million population

note: sporadic cases of a respiratory illness caused by the novel coronavirus (COVID-19) are occurring throughout Saudi Arabia; as of 8 December 2020, Saudi Arabia has reported a total of 358,526 cases of COVID-19 or 10,298 cumulative cases of COVID-19 per 1 million population with 171 cumulative deaths per 1 million population

• Covid-19 (2020)

note: widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring throughout Turkey; as of 8 December 2020, Turkey has reported a total of 533,198 cases of COVID-19 or 6,322 cumulative cases of COVID-19 per 1 million population with 174 cumulative deaths per 1 million population

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

dengue fever and malaria

water contact diseases:

schistosomiasis

degree of risk:

intermediate (2020)

food or waterborne diseases:

bacterial diarrhea and hepatitis A

vectorborne diseases:

dengue fever

note: a new coronavirus is causing sustained community spread of respiratory illness (COVID-19) in Mexico; sustained community spread means that people have been infected with the virus, but how or where they became infected is not known, and the spread is ongoing; illness with this virus has ranged from mild to severe with fatalities reported; as of 5 August 2020, Mexico has reported 443,813 confirmed cases of COVID19 with 48,012 deaths

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

malaria

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

malaria

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

malaria

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

malaria

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

malaria

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

malaria

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

malaria

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

malaria

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

malaria

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

malaria

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

dengue fever and malaria

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

malaria

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

malaria

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

malaria

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

malaria

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

malaria

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

malaria

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

malaria

note: widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring throughout Argentina; as of 8 December 2020, Argentina has reported a total of 1,454,631 cases of COVID-19 or 32,185 cumulative cases of COVID-19 per 1 million population with 874 cumulative deaths per 1 million population

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial diarrhea and hepatitis A

vectorborne diseases:

dengue fever and malaria

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial diarrhea and hepatitis A

vectorborne diseases:

dengue fever and malaria

water contact diseases:

schistosomiasis

note: widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring throughout Brazil; as of 8 December 2020, Brazil has reported a total of 6,533,968 cases of COVID-19 or 30,739 cumulative cases of COVID-19 per 1 million population with 828 cumulative deaths per 1 million population; the Department of Homeland Security has issued instructions requiring US passengers who have been in Brazil to travel through select airports where the US Government has implemented enhanced screening procedures

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

dengue fever, malaria, and yellow fever

note: widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring throughout Colombia; as of 8 December 2020, Colombia has reported a total of 1,352,607 cases of COVID-19 or 26,583 cumulative cases of COVID-19 per 1 million population with 736 cumulative deaths per 1 million population

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

dengue fever and malaria

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

dengue fever and malaria

degree of risk:

intermediate (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

dengue fever

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

dengue fever, malaria, and Bartonellosis (Oroya fever)

note: widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring throughout Peru; as of 8 December 2020, Peru has reported a total of 970,860 cases of COVID-19 or 29,445 cumulative cases of COVID-19 per 1 million population with 1,098 cumulative deaths per 1 million population; at this time, there are no specific limitations or quarantine requirements for US citizens and Lawful Permanent Residents entering the US from Peru; on 3 June 2020, Peruvian President Martín VIZCARRA signed a supreme decree extending Peru’s Health State of Emergency for 90 days beginning Wednesday, 10 June 2020; this is not an extension of the national quarantine, although social distancing and the use of facemasks will be required for the foreseeable future

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

dengue fever and malaria

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea and hepatitis A

vectorborne diseases:

dengue fever and malaria

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

dengue fever, malaria, and Japanese encephalitis

animal contact diseases:

rabies

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

dengue fever, Japanese encephalitis, and malaria

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

dengue fever and malaria

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

dengue fever and malaria

degree of risk:

intermediate (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

dengue fever

water contact diseases:

leptospirosis

degree of risk:

high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

dengue fever and malaria

water contact diseases:

leptospirosis

• note - on 8 October 2019, the Centers for Disease Control and Prevention issued a Travel Health Notice regarding a polio outbreak in the Philippines;
• CDC recommends that all travelers to the Philippines be vaccinated fully against polio;
• before traveling to the Philippines, adults who completed their routine polio vaccine series as children should receive a single, lifetime adult booster dose of polio vaccine

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial diarrhea

vectorborne diseases:

dengue fever, Japanese encephalitis, and malaria

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

dengue fever and malaria

degree of risk:

very high (2020)

food or waterborne diseases:

bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases:

dengue fever, malaria, and Japanese encephalitis