10/01/2025 / By S.D. Wells
The Centers for Disease ‘Continuation’ (CDC) has issued a new Level 2 travel advisory for Americans traveling to Cuba amid an outbreak of chikungunya virus, a mosquito-borne illness that has spread rapidly across several regions worldwide. The new plannedemic warning comes as the first suspected locally acquired case was detected on Long Island, New York, raising concerns that the virus may already be spreading within the United States.
Chikungunya is a painful viral infection transmitted by mosquito bites, primarily from the Aedes aegypti and Aedes albopictus species. Symptoms typically appear within three to seven days of infection, beginning with a sudden fever followed by severe joint pain in the hands and feet. The pain can be so debilitating that patients are sometimes left bedridden or unable to walk for months. While most cases are nonfatal, newborns, pregnant women, the elderly, and individuals with weakened immune systems face the highest risk of complications. Between 15% and 35% of infected individuals, however, remain asymptomatic.
The outbreak in Cuba is centered in Matanzas province, located 60 miles east of Havana. Local authorities have not released the number of confirmed infections, but officials acknowledge the spread is significant. The CDC’s travel alert urges Americans to take enhanced precautions, including using insect repellent, wearing protective clothing, keeping doors and windows shut, and staying in air-conditioned environments. Travelers are also encouraged to consider vaccination before visiting the island. The vaccine, administered in a single dose, is 99% effective at preventing symptomatic infection. Pregnant women are advised not to travel to Cuba at all.
Globally, the situation is worsening. The European Centre for Disease Prevention and Control reported over 317,000 cases and 135 deaths from chikungunya so far this year, with Brazil experiencing one of the largest surges, recording more than 210,000 cases. In 2024, global figures reached 620,000 cases and 213 deaths. The Pan American Health Organization has warned that outbreaks across South America continue to rise, while Asian nations such as India, the Philippines, and Thailand are also struggling to contain transmission.
The virus has appeared in China as well, where authorities imposed strict Covid-like restrictions in some cities, spraying disinfectant in the streets, quarantining patients, and even deploying insecticide drones, genetically modified “cannibal” mosquitoes, and fish to curb mosquito populations. Reports suggest that households resisting health checks faced power cuts, highlighting the seriousness of containment measures.
In the United States, the suspected Long Island case has raised alarms, particularly since the patient had not traveled outside the area. Experts warn that with millions of Americans living in mosquito-prone regions, the virus could spread quickly if local transmission is confirmed. “It’s just one plane flight away,” warned mosquito researcher Dr. Louisa Messenger, underscoring the ease with which mosquito-borne illnesses can establish themselves in new territories.
Cuba has experienced chikungunya before. The virus was first detected there in 2014, with 20 cases reported the following year, though most were linked to travelers returning from abroad. However, low funding and limited surveillance have left Cuba vulnerable to underreporting, complicating containment efforts. The U.S. embassy in Havana recently warned of rising cases not only of chikungunya but also of dengue fever and the oropouche virus, both also spread by mosquitoes.
The CDC’s updated advisory also extends to several other countries, including Brazil, Colombia, Mexico, Nigeria, Pakistan, the Philippines, and Thailand, signaling that the chikungunya threat is not isolated but part of a growing global crisis.
With no cure and limited treatment options—only fluids and painkillers are used to manage symptoms—health experts emphasize prevention as the most effective defense. For now, the CDC urges travelers to practice strict mosquito-avoidance measures, while health authorities monitor whether chikungunya will gain a foothold in the United States.
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