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Afghanistandegree of risk: intermediate (2020)

food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases: Crimea-Congo hemorrhagic fever, malaria
Angoladegree 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
Argentinanote: widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring throughout Argentina; as of 19 July 2021, Argentina has reported a total of 4,756,378 cases of COVID-19 or 10,523.94 cumulative cases of COVID-19 per 100,000 population with 224.69 cumulative deaths per 100,000 population; as of 19 July 2021, 48.74% of the population has received at least one dose of COVID-19 vaccine
Bangladeshdegree 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 19 July 2021, Bangladesh has reported a total of 1,128,889 cases of COVID-19 or 685.47 cumulative cases of COVID-19 per 100,000 population with 11.13 cumulative deaths per 100,000 population; as of 19 July 2021, 3.54% of the population has received at least one dose of COVID-19 vaccine
Benindegree 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
Boliviadegree of risk: very high (2020)

food or waterborne diseases: bacterial diarrhea and hepatitis A

vectorborne diseases: dengue fever and malaria
Botswanadegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases: malaria
Brazildegree 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 20 July 2021, Brazil has reported a total of 19,376,574 cases of COVID-19 or 9,115.84  cumulative cases of COVID-19 per 100,000 population with 255.09 cumulative deaths per 100,000 population; as of 18 July 2021, 44.26% of the population has received at least one dose of COVID-19 vaccine
Burkina Fasodegree 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
Burmadegree 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
Burundidegree 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
Cambodiadegree of risk: very high (2020)

food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases: dengue fever, Japanese encephalitis, and malaria
Cameroondegree 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
Central African Republicdegree 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
Chaddegree 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
Chinadegree 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 19 July 2021, China has reported a total of 119,784 cases of COVID-19 or 8.14 cumulative cases of COVID-19 per 100,000 population with 0.38 cumulative deaths per 100,000 population; as of 10 June 2021, 43.21% of the population has received at least one dose of COVID-19 vaccine
Colombiadegree 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 19 July 2021, Columbia has reported a total of 4,639,466   cases of COVID-19 or 9117.93 cumulative cases of COVID-19 per 100,000 population with 228.58 cumulative deaths per 100,000 population; as of 18 July 2021, 29.64% of the population has received at least one dose of COVID-19 vaccine
Congo, Democratic Republic of thedegree 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 7 February 2021, the Ministry of Health declared the 12th outbreak of Ebola in Democratic Republic of the Congo; on 12 March 2021, the Centers for Disease Control and Prevention issued a Travel Health Notice recommending travelers avoid non-essential travel for an Ebola outbreak in the North Kivu (Kivu Nord) province in the eastern 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
Congo, Republic of thedegree 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
Cook Islandsdegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea

vectorborne diseases: malaria
Costa Ricadegree of risk: intermediate (2020)

food or waterborne diseases: bacterial diarrhea

vectorborne diseases: dengue fever
Cote d'Ivoiredegree 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
Croatiadegree of risk: intermediate (2020)

vectorborne diseases: tickborne encephalitis
Cubadegree of risk: intermediate (2020)

food or waterborne diseases: bacterial diarrhea and hepatitis A

vectorborne diseases: dengue fever
Djiboutidegree of risk: high (2020)

food or waterborne diseases: bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases: dengue fever
Dominican Republicdegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases: dengue fever
Ecuadordegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases: dengue fever and malaria
Egyptdegree of risk: intermediate (2020)

food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever

water contact diseases: schistosomiasis
El Salvadordegree of risk: high (2020)

food or waterborne diseases: bacterial and protozoal diarrhea

vectorborne diseases: dengue fever
Equatorial Guineadegree 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
Eritreadegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases: malaria and dengue fever
Estoniadegree of risk: intermediate (2020)

vectorborne diseases: tickborne encephalitis
Ethiopiadegree 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
European Unionnote: 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
Fijidegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea

vectorborne diseases: malaria
Francenote: widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring throughout France; as of 19 July 2021, France has reported a total of 5,753,579 cases of COVID-19 or 8,846.3 cumulative cases of COVID-19 per 100,000 population with 169.92 cumulative deaths per 100,000 population; as of 19 July 2021, 55.97% of the population has received at least one dose of COVID-19 vaccine
French Polynesiadegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea

vectorborne diseases: malaria
Gabondegree 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
Gambia, Thedegree 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
Ghanadegree 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
Guatemaladegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases: dengue fever and malaria
Guineadegree 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)

note: on 14 February 2021, the Guinea government declared an outbreak of Ebola in N'Zerekore; the Centers for Disease Control and Prevention has issued a Travel Advisory recommending travelers avoid non-essential travel to Guinea; 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
Guinea-Bissaudegree 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
Guyanadegree of risk: very high (2020)

food or waterborne diseases: bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases: dengue fever and malaria
Haitidegree 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
Hondurasdegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases: dengue fever and malaria
Hungarydegree of risk: intermediate (2016)

vectorborne diseases: tickborne encephalitis (2016)
Indiadegree 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 20 July 2021, India has reported a total of 31,174,322 cases of COVID-19 or 2,259 cumulative cases of COVID-19 per 100,000 population with 30.03 cumulative deaths per 100,000 population; as of 19 July 2021, 23.65% of the population has received at least one dose of COVID-19 vaccine; effective 4 May 2021, the US has banned most travel from India to the US
Indonesiadegree of risk: very high (2020)

food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases: dengue fever and malaria

note: a new coronavirus is causing sustained community spread of respiratory illness (COVID-19) in Indonesia; as of 19 July 2021, Indonesia has reported a total of 2,950,058 cases of COVID-19 or 1,078.54 cumulative cases of COVID-19 per 100,000 population with 27.86 cumulative deaths per 100,000 population; as of 19 July 2021, 15.39% of the population has received at least one dose of COVID-19 vaccine
Irandegree 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 20 July 2021, Iran has reported a total of 3,548,704 cases of COVID-19 or 4,225 cumulative cases of COVID-19 per 100,000 population with 104.03 cumulative deaths per 100,000 population; as of 19 July 2021, 6.98% of the population has received at least one dose of COVID-19 vaccine
Iraqdegree 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 19 July 2021, Iraq has reported a total of 1,501,595 cases of COVID-19 or 3,733.22 cumulative cases of COVID-19 per 100,000 population with 44.48 cumulative deaths per 100,000 population; as of 19 July 2021, 1.74% of the population has received at least one dose of COVID-19 vaccine
Italyrespiratory diseases: Covid-19 (see note) (2020)

note: a new coronavirus is causing  respiratory illness (COVID-19) in Italy; illness with this virus has ranged from mild to severe with fatalities reported; as of 19 July 2021, Italy has reported a total of 4,289,528  cases of COVID-19 or 7,192.19 cumulative cases of COVID-19 per 100,000 population with 214.4 cumulative deaths per 100,000 population; as of 19 July 2021, 60.61% of the population has received at least one dose of COVID-19 vaccine; 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
Japanrespiratory diseases: 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 19 July 2021, Japan has reported a total of 844,014 cases of COVID-19 or 667.33 cumulative cases of COVID-19 per 100,000 population with 11.91 cumulative deaths per 100,000 population; as of 19 July 2021, 34.41% of the population has received at least one dose of COVID-19 vaccine
Jordannote: widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring throughout Jordan; as of 6 April 2021, Jordan has reported a total of 639,444 cases of COVID-19 or 6,267.13 cumulative cases of COVID-19 per 100,000 population with 71.38 cumulative deaths per 100,000 population; as of 7 April 2021, 4% of the population has received at least one dose of COVID-19 vaccine
Kenyadegree 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
Kiribatidegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea

vectorborne diseases: malaria
Korea, Southrespiratory diseases: Covid-19 (see note) (2020)

note: a novel coronavirus is causing an outbreak of respiratory illness (COVID-19) in South Korea; as of 19 July 2021, South Korea has reported a total of 180,481 cases of COVID-19 or 352.03 cumulative cases of COVID-19 per 100,000 population with 4.02 cumulative deaths per 100,000 population; as of 19 July 2021, 31.78% of the population has received at least one dose of COVID-19 vaccine
Laosdegree of risk: very high (2020)

food or waterborne diseases: bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases: dengue fever and malaria
Latviadegree of risk: intermediate (2020)

vectorborne diseases: tickborne encephalitis
Lebanonnote: widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring throughout Lebanon; as of 6 April 2021, Lebanon has reported a total of 480,502 cases of COVID-19 or 7,039.86 cumulative cases of COVID-19 per 100,000 population with 94.4 cumulative deaths per 100,000 population; as of 10 April 2021, 2.5% of the population has received at least one dose of COVID-19 vaccine
Lesothodegree of risk: intermediate (2020)

food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever
Liberiadegree 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
Lithuaniadegree of risk: intermediate (2020)

vectorborne diseases: tickborne encephalitis
Madagascardegree 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
Malawidegree 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
Malaysiadegree of risk: intermediate (2020)

food or waterborne diseases: bacterial diarrhea

vectorborne diseases: dengue fever

water contact diseases: leptospirosis
Malidegree 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
Marshall Islandsdegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea

vectorborne diseases: malaria
Mauritaniadegree 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
Mexicodegree 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 19 July 2021, Mexico has reported a total of 2,659,137 cases of COVID-19 or 2,062.42 cumulative cases of COVID-19 per 100,000 population with 183.3 cumulative deaths per 100,000 population; as of 19 July 2021, 29.65% of the population has received at least one dose of COVID-19 vaccine
Micronesia, Federated States ofdegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea

vectorborne diseases: malaria
Montenegrodegree of risk: intermediate (2020)

food or waterborne diseases: bacterial diarrhea

vectorborne diseases: Crimean-Congo hemorrhagic fever
Morocconote: clusters of cases of a respiratory illness caused by the novel coronavirus (COVID-19) are occurring in Morocco; as of 24 January 2021, Morocco has reported a total of 465,769 cases of COVID-19 or 1,261.9 cumulative cases of COVID-19 per 100,000 population with 22.0 cumulative deaths per 100,000 population
Mozambiquedegree 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
Namibiadegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases: malaria

water contact diseases: schistosomiasis
Naurudegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea

vectorborne diseases: malaria
Nepaldegree 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
New Caledoniadegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea

vectorborne diseases: malaria
Nicaraguadegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases: dengue fever and malaria
Nigerdegree 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
Nigeriadegree 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 19 July 2021, Nigeria has reported a total of 169,678 cases of COVID-19 or 82.31 cumulative cases of COVID-19 per 100,000 population with 1.03 cumulative death per 100,000 population; as of 19 July 2021, 1.23% of the population has received at least one dose of COVID-19 vaccine
Niuedegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea

vectorborne diseases: malaria
Pakistandegree 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 19 July 2021, Pakistan has reported a total of 991,727 cases of COVID-19 or 448.96 cumulative cases of COVID-19 per 100,000 population with 10.33 cumulative deaths per 100,000 population; as of 19 July 2021, 4.21% of the population has received at least one dose of COVID-19 vaccine
Palaudegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea

vectorborne diseases: malaria
Panamadegree of risk: intermediate (2020)

food or waterborne diseases: bacterial diarrhea

vectorborne diseases: dengue fever
Papua New Guineadegree of risk: very high (2020)

food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases: dengue fever and malaria
Paraguaydegree of risk: intermediate (2020)

food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases: dengue fever
Perudegree 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 19 July 2021, Peru has reported a total of 2,093,754 cases of COVID-19 or 6,350.13 cumulative cases of COVID-19 per 100,000 population with 591.86 cumulative deaths per 100,000 population; as of 18 July 2021, 20.6% of the population has received at least one dose of COVID-19 vaccine
Philippinesdegree 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
Pitcairn Islandsdegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea

vectorborne diseases: malaria
Polanddegree of risk: intermediate (2016)

vectorborne diseases: tickborne encephalitis (2016)
Russiadegree 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 19 July 2021, Russia has reported a total of 6,006,536 cases of COVID-19 or 4,115.91 cumulative cases of COVID-19 per 100,000 population with 102.73 cumulative deaths per 100,000 population; as of 19 July 2021, 22.04% of the population has received at least one dose of COVID-19 vaccine
Rwandadegree 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
Samoadegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea

vectorborne diseases: malaria
Sao Tome and Principedegree 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
Senegaldegree 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
Serbiadegree of risk: intermediate (2020)

food or waterborne diseases: bacterial diarrhea
Sierra Leonedegree 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
Solomon Islandsdegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea

vectorborne diseases: malaria
Somaliadegree 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
South Africadegree 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 6 June 2021, South Africa has reported a total of 2,302,304 cases of COVID-19 or 3,881.9 cumulative cases of COVID-19 per 100,000 population with 113.1 cumulative deaths per 100,000 population; as of 19 July 2021, 7.38% of the population has received at least one dose of COVID-19 vaccine
South Sudandegree 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
Spainrespiratory diseases: 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 19 July 2021, Spain has reported a total of 4,161,850 cases of COVID-19 or 8,792.77 cumulative cases of COVID-19 per 100,000 population with 171.38 cumulative deaths per 100,000 population; as of 19 July 2021, 63.52% of the population has received at least one dose of COVID-19 vaccine; 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
Sri Lankadegree of risk:

intermediate

(2020)

vectorborne diseases: dengue fever

water contact diseases: leptospirosis

animal contact diseases: rabies

Sudandegree 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
Surinamedegree of risk: very high (2020)

food or waterborne diseases: bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

vectorborne diseases: dengue fever and malaria
Tajikistandegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases: malaria
Tanzaniadegree 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
Thailanddegree of risk: very high (2020)

food or waterborne diseases: bacterial diarrhea

vectorborne diseases: dengue fever, Japanese encephalitis, and malaria
Togodegree 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
Tokelaudegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea

vectorborne diseases: malaria
Tongadegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea

vectorborne diseases: malaria
Turkeyrespiratory diseases: Covid-19 (2020)

note: widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring throughout Turkey; as of 6 June 2021, Turkey has reported a total of 5,537,386 cases of COVID-19 or 6,565.62 cumulative cases of COVID-19 per 100,000 population with 60 cumulative deaths per 100,000 population; as of 19 July 2021, 46.29% of the population has received at least one dose of COVID-19 vaccine
Ugandadegree 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
United Arab Emiratesnote: widespread ongoing transmission of a respiratory illness caused by the novel coronavirus (COVID-19) is occurring throughout UAE; as of 6 April 2021, UAE has reported a total of 472,148 cases of COVID-19 or 4,773.8 cumulative cases of COVID-19 per 100,000 population with 15.29 cumulative deaths per 100,000 population; as of 23 February 2021, 35.2% of the population has received at least one dose of COVID-19 vaccine
United Kingdomrespiratory diseases: 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 19 July 2021, the UK has reported a total of 5,473,481 cases of COVID-19 or 8,062.75 cumulative cases of COVID-19 per 100,000 population with 189.62 cumulative deaths per 100,000 population; as of 19 July 2021, 66.22% of the population has received at least one dose of COVID-19 vaccine; 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
Vanuatudegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea

vectorborne diseases: malaria
Venezueladegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea and hepatitis A

vectorborne diseases: dengue fever and malaria

Note: as of 1 March 2021, the Centers for Disease Control and Prevention recommends that travelers avoid all nonessential travel to Venezuela; the country is experiencing outbreaks of infectious diseases, and adequate health care is currently not available in most of the country
Vietnamdegree of risk: very high (2020)

food or waterborne diseases: bacterial diarrhea, hepatitis A, and typhoid fever

vectorborne diseases: dengue fever, malaria, and Japanese encephalitis
Wallis and Futunadegree of risk: high (2020)

food or waterborne diseases: bacterial diarrhea

vectorborne diseases: malaria
Worldnote: 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 19 July 2021, 190,671,330 confirmed cases of COVID-19 and 4,098,758 deaths have been reported to the World Health Organization; as of 19 July 2021, 26.5% of the World population has received at least one dose of COVID-19 vaccine
Yemendegree 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
Zambiadegree 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
Zimbabwedegree 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

Source: CIA Factbook