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PAHO reports sustained yellow fever transmission in parts of South America

Shiloh

Editor, Senior Moderator
Source: https://www.paho.org/en/news/13-3-2...yellow-fever-transmission-parts-south-america

PAHO reports sustained yellow fever transmission in parts of South America
13 Mar 2026

​Washington, D.C., March 13, 2026 (PAHO) — The Pan American Health Organization (PAHO) has issued a new epidemiological alert cautioning of sustained yellow fever transmission in parts of South America, with cases continuing to be reported in 2026 and detection occurring in areas beyond the traditional hotspots of the Amazon basin.

Since September 2024, yellow fever cases have been reported in areas where they had not previously been recorded in the Region, including some locations outside the Amazon. In response, PAHO is reinforcing the call for Member States to strengthen epidemiological surveillance, intensify vaccination campaigns among populations at risk, and take the necessary measures to ensure that travelers heading to areas where vaccination is recommended are properly informed and protected.

The Organization also recommended reinforcing the capacity of health services for the early detection and timely clinical management of severe cases, as well as maintaining strategic vaccine stockpiles to enable a rapid response to potential outbreaks.

In 2025, a total of 346 confirmed yellow fever cases and 143 deaths were reported across seven countries in the Region: Bolivia (8 cases, 2 deaths), Brazil (120 cases, 48 deaths), Colombia (125 cases, 46 deaths), Ecuador (11 cases, 8 deaths), Guyana (1 death), Peru (49 cases, 19 deaths), and Venezuela (32 cases, 19 deaths).

During the first seven weeks of 2026, 34 human cases and 15 deaths have already been confirmed in Bolivia, Colombia, Peru, and Venezuela.

PAHO noted that the sylvatic transmission cycle of yellow fever, involving mosquito vectors and nonhuman primates as hosts, —that is, transmission of the virus between wild mosquitoes and nonhuman primates (such as monkeys)— reactivates periodically in the region, which is an expected phenomenon. However, since late 2025, human cases have been detected in geographic areas without recent transmission and outside previously considered risk zones, such as São Paulo state in Brazil and the department of Tolima in Colombia.​

The detection of cases in areas near urban centers increases the risk of urban transmission of yellow fever, in which the virus spreads between people through the mosquito Aedes aegypti, which can lead to rapidly spreading outbreaks.

In May 2025, PAHO classified the overall public health risk in the Americas as high, due to the increase in cases, elevated case-fatality rates (41% in 2025), and the detection of cases in new areas. The current situation maintains a similar level of risk.​..
 
Source: https://www.paho.org/en/documents/epidemiological-alert-yellow-fever-americas-region-13-march-2026

Epidemiological Alert: Yellow fever in the Americas Region - 13 March 2026.


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[TD="class: views-field views-field-body"]Since September 2024, cases of yellow fever have been reported in areas with no history of transmission, including cases identified outside the Amazon region. In response to this situation, the Pan American Health Organization / World Health Organization (PAHO / WHO) is reinforcing its call to Member States to strengthen surveillance, intensify vaccination of at-risk populations, and take the necessary measures to ensure that people traveling to areas with reported cases are properly informed and protected against yellow fever. In addition, it highlights the need to strengthen clinical management, with an emphasis on the detection and timely treatment of severe cases. PAHO/WHO also recommends having reserve doses available, according to the availability of vaccines in each country, to ensure a rapid response to possible outbreaks.[/TD]
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