
NaTHNaC Telephone Advice Line for health professionals
Due to staff shortages, opening hours for the advice line service have been revised

Mefloquine shortage
Shortage of 250mg mefloquine (Lariam) antimalarial tablets in the United Kingdom (UK) until January 2026

Mpox outbreak in Africa: clade I mpox virus infection
As of 4 September 2025, the mpox outbreak no longer continues to meet the World Health Organization (WHO) criteria of a public health emergency of international concern (PHEIC)

Changes to country yellow fever certificate requirements
Important reminder to look out for updates to country yellow fever certificate requirements

Ebola virus disease in DRC
Health authorities in the Democratic Republic of the Congo have confirmed an outbreak of Ebola virus disease

Chikungunya vaccination information
Chikungunya vaccinations authorised in the UK including updates on recent possible serious adverse events in older people and JCVI advice
Professional Diploma in Travel Health (online), LSTM
The next Professional Diploma in Travel Health run by the Liverpool School of Tropical Medicine, begins on 22 September 2025
Cyclospora travel reminder
Remember – follow good food and water hygiene advice abroad to protect yourself from a parasite called Cyclospora
Invasive meningococcal disease reported in Umrah pilgrims in 2025
If you are planning to visit Saudi Arabia for Umrah in 2025, make sure you are vaccinated
UKHSA publishes travel-associated infections report
Case numbers of selected travel-associated infections reported in England, Wales and Northern Ireland: January to June 2025
Pernambuco
Rio Grande do Sul
São Paulo
Methanol poisoning in Brazil
On 20 October 2025, a total of 47 confirmed cases of methanol poisoning, with nine confirmed deaths, have been reported in Brazil for 2025. São Paulo state reported the highest number, with 38 confirmed cases and 19 under investigation. Confirmed cases have also been reported in Paraná (5), Pernambuco (3) and Rio Grande do Sul (1) states. Investigations are ongoing into suspected cases in Bahia, Goiás, Mato Grosso do Sul, Minas Gerais, Piauí, Rio de Janeiro and Tocantins states. Please see the FCDO guidance on methanol poisoning for further details.
Methanol poisoning in Colombia
As of 7 October 2025, a total of 89 cases of methanol poisoning have been reported in Colombia. An outbreak was reported in the city of Barranquilla, with additional cases in other departments. Please see the FCDO guidance on methanol poisoning for further details.
Mpox in Netherlands
On 17 October 2025, public health authorities in the Netherlands reported a case of mpox clade Ib with no recent travel history. This is the first locally acquired case of mpox clade Ib reported in the Netherlands. Please see our Topics in Brief article for further details on mpox.
Mpox in DRC
As of 12 October 2025, a total of 33,656 mpox cases with 73 deaths have been reported in the Democratic Republic of the Congo. Clades Ia, Ib and II have been reported. Please see our Topics in Brief article for further details on mpox.
Dengue in Samoa
As of 12 October 2025, Samoa Ministry of Health has recorded a total of 14,996 clinically diagnosed dengue cases (including 4,362 laboratory confirmed) and seven deaths since January 2025. The circulating serotypes remain predominantly DENV-1 (91 percent) and DENV-2 (9 percent). In the week 6–12 October, case numbers increased by 4.5 percent compared to the previous week. Please see our Topics in Brief article for further details on dengue.
Mpox in Burundi
As of 12 October 2025, a total of 4,495 clade Ib mpox cases, with one death, have been reported in Burundi since 2024. Please see our Topics in Brief article for further details on mpox.
Dengue in Cook Islands
As of 15 October 2025, a total of 174 dengue cases have been reported on the Cook Islands since February 2025. DENV-1 and DENV-2 are reported to be co-circulating. Please see our Topics in Brief article for further details on dengue.
Dengue in American Samoa
As of 12 October 2025, a total of 264 laboratory confirmed dengue cases have been reported in American Samoa since the public health emergency was declared on 8 July 2025. DENV-1 and DENV-2 are reported to be co-circulating. Please see our Topics in Brief article for further details on dengue.
Dengue in Tuvalu
As of 19 October 2025, a total of 782 dengue cases (with 230 confirmed) have been reported in Tuvalu since June 2025. The cases are widely distributed along Fongafale, Amatuku and three outer islands, Nanumaga (nine cases) Nukufetau (14 cases) and Vaitupu (one case). The outbreak is due to DENV-2. Please see our Topics in Brief article for further details on dengue.
HIV in Fiji
A 2025 United Nations report has highlighted the dangers of unsafe practices amongst injecting drug users in Fiji and the contribution this has made in fuelling the sharp rise of new HIV infections. There has been a 10-fold increase in people living with HIV in Fiji between 2014 (500 cases) and 2024 (5,900 cases). Preliminary data from the Ministry of Health for 2024 shows around half of those receiving antiretroviral therapy contracted HIV through sharing needles. Please see the NHS information for further details on HIV.