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D.R. Congo: Ebola virus outbreak declared in Kasai province
On 4 September 2025, an Ebola virus disease (EVD) outbreak caused by the Zaire ebolavirus species was declared in the Kasai Province, Bulape Health district, with at least 42 cases reported (including 20 cases laboratory-confirmed cases ); 16 people have died (CFR 38%), including 4 health care workers. This is the 16th Ebola outbreak in the Democratic Republic of Congo (DRC).
The first known index case was a pregnant woman who presented at Bulape General Reference Hospital on 20 August 2025 with symptoms of high fever, bloody diarrhoea, haemorrhage and extreme weakness. She died on 25 August from multiple organ failure. The source of acquisition is unknown.
The affected region, located several hundred kilometers south of Kinshasa, is difficult to raccess due to poor road infrastructure. International organisations have arrived on site. Containment efforts are currently complicated by unsafe burial practices and limited contact tracing (currently only about 19%), as people are fleeing to other areas. For details, see references below.
The last EVD outbreak documented in the DRC was in August 2022, in Beni Health Zone, North Kivu province, but concerned only one case. In the same year, other five cases had been reported from Mbandaka city, Equateur province. In 2007 and 2008, there were EVD outbreaks affecting Kasai province, including the Bulape and Mweka health zones in 2007. In the country overall, there have been 15 outbreaks since the disease was first identified in 1976.
Map of affected health zone, as of 4 September 2025:
Czech Republic: Ongoing hepatitis A outbreak - update
More than 1’300 hepatitis A cases have been reported in 2025, including two deaths. The largest numbers of cases have been recorded in Prague (436), Central Bohemia (202), and the Moravian-Silesian Region (118).
The outbreak is most pronounced among young children in socially excluded communities, but cases are also occurring among homeless people and residents of hostels and similar facilities.
Also neighboring countries see an increase of hepatitis A cases, see EpiNews 24.7.2025.
South Africa: Measles outbreak
- Since late July 2025, South Africa’s Ministry of Health has reported more than 30 measles cases per week, signaling a sustained rise in infection rates.
- From the start of the outbreak in January 2025, approximately 741 laboratory-confirmed measles cases have been documented through 22 August, which is roughly double the typical incidence.
- A significant majority of these cases—503—occurred in Gauteng Province, with most affecting children under 14 years of age.
Measles outbreaks are currently being reported in multiple countries worldwide.
Mexico: Human rabies following cow bite
A 68-year-old man from Tonila, Jalisco, contracted rabies after being bitten by a cow in May 2025.
Although Mexico became the first country in the world to receive validation from WHO for eliminating dog-transmitted rabies as a public health problem. (Mexico is free from human rabies transmitted by dogs), the virus circulates in the country:
In 2024, rabies was confirmed in 257 cattle, 14 horses, 6 sheep, 1 goat, 23 hematophagous bats (Desmodus rotundus), 3 insectivorous bats, and 1 frugivorous bat.
USA, New York: Legionellosis outbreak in Harlem declared over
On 29 August 2025, the New York City Health Department announced that the Central Harlem community cluster of Legionnaires’ disease has ended. In total, there have been 114 cases of Legionnaires’ disease associated with this cluster; 90 people have been hospitalized; six remain hospitalized; and, seven people have died.
Indonesia: Measles outbreaks
A measles outbreak in East Java, Indonesia, has caused 17 deaths, mostly among children, with 16 of those deaths occurring in Sumenep district. Media reports, citing the Sumenep District Health Agency, say that 16 of the deceased were not immunized and one had not finished the vaccination series.
As of 17 Aug 2025, a total of 2035 cases have been reported in Sumenep since the start of 2025, primarily affecting children under seven years old.
Measles outbreaks are currently being reported in multiple countries worldwide.
Sri Lanka: Chikungunya cases among Russian travellers
According to media, two Russian tourists were diagnosed with chikungunya infection upon returning from a stay in Sri Lanka.
USA: FDA suspends Ixchiq® chikungunya vaccine following safety concerns
On 22 August 2025, the US FDA’s Center for Biologics Evaluation and Research has suspended the biologics license for Valneva Austria GmbH’s live-attenuated IXCHIQ vaccine.
This vaccine was initially approved by the FDA under the accelerated approval pathway in November of 2023 for the prevention of disease caused by the chikungunya virus (CHIKV) in individuals 18 years of age and older who are at increased risk of exposure to CHIKV. CBER’s decision is based on serious safety concerns related to the vaccine, which appears to be causing chikungunya-like illness in vaccine recipients. There has been one death from encephalitis directly attributable to the vaccine (CSF PCR was + for the vaccine strain of the virus) and over 20 reported serious adverse events that were consistent with chikungunya-like illness. Reported serious adverse events have included 21 hospitalizations and 3 deaths. Furthermore, the clinical benefit of the vaccine has not yet been verified in confirmatory clinical studies. CBER’s benefit-risk analysis broadly shows the vaccine does not have benefits outweighing risks, under most plausible scenarios. For these reasons, CBER believes this vaccine is not safe and that continued administration to the public would pose a danger to health.
Bangladesh: Chikungunya outbreak
- Local media report a Chikungunya outbreak in Chittagong, the second largest city in Bangladesh, with around 2100 cases recorded from January to mid-August 2025.
- High mosquito density and insufficient mosquito control are worsening the spread.
- Public health concerns increase due to limited routine surveillance and diagnostic difficulties.
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Updates of recommendations
Find out about the latest content updates on the websiteChikungunya - New WHO recommendation
The WHO recommendations for chikungunya have been updated.
Malaria Country List
The 'Malaria country list (vaccination recommendations and countries’ entry requirements) has been updated and is available on PRO Version -> Malaria -> documents for professionals.
Yellow fever recommendation - update
The yellow fever recommendations have been updated for Cameroon, Chad, Colombia, Costa Rica, Ghana and Thailand.
Entry requirements for polio - update
The entry requirements for polio have been updated for Egypt.
Myanmar Polio vaccination recommendation - update
The polio vaccination recommendations have been updated for Myanmar.
South America: Adjustment of yellow fever risk areas
The recommendations for yellow fever vaccination have been updated for South America.
Yellow Fever Country List
The 'Yellow fever country list (vaccination recommendations and countries’ entry requirements) has been updated and is available on PRO Version -> yellow fever -> documents for professionals.
Polio – updated WHO temporary recommendations
The country pages have been updated to reflect the updated WHO temporary polio recommendations.
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