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Euro Surveill. 2017 Jul 13;22(28). pii: 30572. doi: 10.2807/1560-7917.ES.2017.22.28.30572.

International risk of yellow fever spread from the ongoing outbreak in Brazil, December 2016 to May 2017.

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MRC Centre for Outbreak analysis and Modelling, Department of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom.
Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.


States in south-eastern Brazil were recently affected by the largest Yellow Fever (YF) outbreak seen in a decade in Latin America. Here we provide a quantitative assessment of the risk of travel-related international spread of YF indicating that the United States, Argentina, Uruguay, Spain, Italy and Germany may have received at least one travel-related YF case capable of seeding local transmission. Mitigating the risk of imported YF cases seeding local transmission requires heightened surveillance globally.


Brazil; outbreak; travel-related international spread; yellow fever

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