Recent signals
Foreign-ministry advisories
Practical guidance
What the disease sub-score covers
United States’s disease sub-score is 90/100 (low band). It combines endemic baseline (the diseases that are always present at some level) with acute outbreak signals from WHO Disease Outbreak News, CDC traveller notices, and ECDC bulletins. A drop in the sub-score typically reflects a fresh outbreak rather than a worsening baseline; the events feed above lists what is driving today’s number. Endemic risk is what your vaccinations and basic hygiene protect against; outbreak risk is what determines whether the trip itself should be reconsidered.
Food, water, and mosquitoes
The three traveller-illness vectors that account for most self-reported sickness: contaminated water (tap, ice cubes, salad washed in tap), undercooked food (especially shellfish and street meat), and mosquito-borne disease (dengue, chikungunya, malaria, Zika). The defensive rules are well established: bottled or filtered water only in higher-risk destinations, cooked food served hot, peel fruit yourself, and use DEET- or picaridin-based repellent in dengue-active areas at dawn and dusk. The United States vaccinations page lists which immunisations specifically reduce risk for this country.
If an outbreak is in the news
A new WHO Disease Outbreak News article triggers a drop in the sub-score within 24 hours of publication; the events feed shows the source. Read the WHO article rather than secondary coverage: outbreak severity often gets amplified in travel press relative to the agency’s actual assessment. The Field Manual guide When an outbreak hits a destination you’ve booked walks through the decision tree: when to cancel, when to push, when to alter the itinerary.
Related for United States
Long-form context
The United States is a continent of its own, with state-by-state variation that almost no headline number captures. Most foreign travellers visit only the major coastal cities, the southwestern parks, or Florida and Hawaii, and those itineraries are statistically very safe. What kills and injures foreign tourists in the US, in order, is road accidents on long-distance drives, the catastrophic cost of any medical incident without insurance, heat in the desert southwest, and bear/wildlife encounters in national parks. Gun violence is rare in tourist zones but real enough that every major Western advisory addresses it explicitly. This guide covers each.
Frequently asked about United States
Are there any active disease outbreaks in United States?
United States's disease sub-score is 90/100. Active outbreaks are listed in the recent-signals feed above, sourced from WHO Disease Outbreak News, CDC traveller notices, and ECDC bulletins. A drop in the sub-score typically reflects a fresh outbreak rather than a worsening baseline.
What diseases are common in United States?
Endemic disease patterns vary by region within United States. The three traveller-illness vectors that account for most reported sickness anywhere: contaminated water, undercooked food, and mosquito-borne disease (dengue, chikungunya, malaria, Zika depending on region). The vaccinations page lists which immunisations specifically reduce risk for this country.
Is the water safe to drink in United States?
Tap water safety varies by region and infrastructure. In most non-OECD destinations, default to bottled or filtered water for drinking, ice, and brushing teeth; salads washed in tap water carry the same risk. The country safety guide's healthcare chapter covers the specific destination assessment.