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Ebola, Mpox and Oropouche outbreaks

An Ebola outbreak has been reported in Democratic Republic of Congo. Multi-country outbreaks of mpox clade I and Oropouche are ongoing. Keep up to date with these links if you are travelling to affected areas.

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17 October 2025

Contaminated medicine

On 13 October 2025, the World Health Organization (WHO) published a Medical Product Alert about oral cold medicine in India contaminated with diethylene glycol (toxic to humans) linked to clusters of acute illness and deaths of children in India. These medicines are COLDRIF, Respifresh TR and ReLife, manufactured by Sresan Pharmaceutical, Rednex Pharmaceuticals and Shape Pharma. These contaminated oral liquid medicines named in this alert are unsafe, pose a significant risk and can cause severe, potentially life-threatening illness. Their use, especially in children, may result in serious injury or death. Please see WHO Medical Product Alert N°5/2025: Substandard (contaminated) oral liquid medicines for further details.

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17 October 2025
Germany + North Rhine-Westphalia

Extensively drug-resistant gonorrhoeae in Germany

As of 9 October 2025, a total of four locally acquired cases of extensively drug-resistant (XDR) Neisseria gonorrhoea were reported in 2025. A strong molecular connection was confirmed between three of these cases. All infections occurred in heterosexual adults living in the same geographical region of Germany, with no recent history of travel abroad. These are the first known locally acquired XDR/MDR Neisseria gonorrhoea cases in Germany. Please see UKHSA guidance on gonorrhoea for further details.

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17 October 2025
Laos + Savannahket

cVDPV1 in Laos

As of 16 October 2025, one circulating vaccine-derived poliovirus type 1 (cVDPV1) case was confirmed, with onset of paralysis on 3 September 2025, in Savannahket. This is the first case in Laos this year and is a new emergence. Please see our Topics in Brief article for further details on polio.

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17 October 2025

Rift Valley fever in Senegal

As of 16 October 2025, a total of 196 confirmed Rift Valley fever cases, including 21 deaths have now been reported in Senegal for 2025. Dakar region is newly affected and has reported one case. The majority of cases (179) have been reported from Saint-Louis region. Cases have also been reported in Fatick, Louga and Matam regions. Please see UKHSA guidance on Rift Valley fever for further details.

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16 October 2025

Chikungunya in Pakistan

As of September 2025, over 1,000 suspected cases of chikungunya have been reported in Pakistan during 2025. An increase in case numbers was noted between 4 May and 21 June 2025. Please see our Topics in Brief article for further details on chikungunya.

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16 October 2025

Chikungunya in Somalia

An outbreak of chikungunya has been reported in Sool region, January – June 2025. A total of 488 suspected cases were recorded. Please see our Topics in Brief article for further details on chikungunya.

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16 October 2025

Chikungunya in Indonesia

As of 31 July 2025, a total of 3,608 confirmed chikungunya cases have been reported across 19 provinces of Indonesia during 2025. This represents on increase in case numbers compared to the same period in 2024 when 1,399 cases were recorded. Please see our Topics in Brief article for further details on chikungunya.

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16 October 2025

Chikungunya in Malaysia

As of 2 August 2025, a total of 40 chikungunya cases (no deaths) have been reported in Malaysia during 2025. Three separate clusters were detected and successfully contained indicating an effective public health response. Please see our Topics in Brief article for further details on chikungunya.

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16 October 2025

Chikungunya in Philippines

As of 16 August 2025, a total of 628 cases of chikungunya (including one death) have been reported in the Philippines since the start of 2025. Please see our Topics in Brief article for further details on chikungunya.

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16 October 2025
USA + New York

Chikungunya in USA

On 14 October 2025, the New York State Department of Health reported a locally acquired case of chikungunya in Nassau County on Long Island. This is the first locally acquired case ever reported in New York State and the first contracted in the USA since 2019. Please see our Topics in Brief article for further details on chikunungya.

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