Typhus, Flea-Borne (Endemic, Murine)-D

4 Active Outbreaks

Flea-Borne Typhus, also known as Endemic or Murine Typhus, is a bacterial infection caused by Rickettsia typhi. It's primarily spread to humans through infected flea bites, often from fleas on rodents like rats. It occurs globally in areas with poor sanitation and rodent populations, especially in tropical and subtropical regions.

3
Countries Affected
795
Recent Cases (30d)
4
Active Outbreaks
130d ago
Last Updated

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What is Typhus, Flea-Borne (Endemic, Murine)-D?

Flea-Borne Typhus was historically often confused with Epidemic Typhus due to similar symptoms. Its distinct identity, linked to rodents and fleas, was recognized in the early 20th century, with the causative agent *Rickettsia typhi* identified in 1928. Its understanding helped differentiate various rickettsial diseases and their specific transmission cycles.

Symptoms

  • Fever (often high, chills)
  • Severe headache
  • Maculopapular rash (appears days after fever, usually on trunk and spreading to extremities)
  • Body aches and muscle pain (myalgia)
  • Nausea and vomiting
  • Loss of appetite
  • Cough

Transmission

The disease is primarily transmitted when infected rat fleas (*Xenopsylla cheopis*) bite humans. Fleas become infected by feeding on rodents (like rats, opossums, or cats) that carry the *Rickettsia typhi* bacteria. Transmission usually occurs when flea feces, containing the bacteria, are scratched into the bite wound or other breaks in the skin, or by inhaling aerosolized flea feces.

Contagious Period: Varies by disease

Prevention

  • Implement rodent control measures (trapping, sealing entry points in homes).
  • Control flea populations on pets and around homes with appropriate insecticides.
  • Avoid contact with wild rodents and their nesting areas.
  • Wear insect repellent and protective clothing when in areas with potential rodent or flea infestation.
  • No human vaccine is currently available for Flea-Borne Typhus.

Live Typhus, Flea-Borne (Endemic, Murine)-D Global Case Map

3 countries with reported activity. Updated from real-time surveillance data.

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Active Outbreaks & Recent Cases

Real-time intelligence from global health monitoring and AI-powered surveillance

Data sources: BEACON, ProMED, WHO, CDC, and 50+ national health agencies

✓ Live data updated in real-time from global health sources

Californians issued warning over flea-borne typhus surge

United States Minor Outlying Islands, Baker Island 2026-04-08
Active

California health officials are warning residents to take preventive measures following a record surge of flea‑borne typhus cases in Los Angeles County, where 220 infections were reported in 2025 -- the highest number ever recorded locally, according to SF Gate -- with around 90 precent of those infected, requiring hospitalization.

Officials confirmed that cases were reported countywide, with localized outbreaks identified in Santa Monica, Willowbrook and parts of central Los Angeles, accordin

📰 16 news sources reporting on this story.

🔗 Read more at International Business Times AU

Flea Typhus Surge Hits Los Angeles; High Hospitalization Rate

United States 2026-04-04
Active

Los Angeles County is experiencing an unprecedented flea-borne typhus outbreak with 220 cases in 2025, the highest ever recorded, representing a 17% increase from 2024, with a hospitalization rate of around 90%.

Source: BEACON - View Full Report

9 out of 10 people hospitalized by this flea-borne illness running rampant in LA

United States Minor Outlying Islands, Baker Island 2026-04-04
Active

Tiny disease-carrying fleas are on the prowl in Los Angeles, targeting residents' pets if proper precautions aren't taken, public health officials warned.

The Los Angeles County Department of Public Health reported a record 220 flea-borne typhus cases last year, the department said Thursday. Nearly 9 out of 10 of those identified as infected with typhus need hospitalization, they added.

LA County officials are advising residents "precautions now to protect themselves and their pets," including

📰 13 news sources reporting on this story.

🔗 Read more at My News LA

Why is Typhus making a comeback in the US? Risk factors and preventive tips - The Times of India

World, World 2025-09-13
Active

You'd think that with all our modern medicine, sanitation, pest control, and fancy hospitals, typhus would be something folks only read about in history books. But nope, it's showing up again in states like Texas and California in ways that have public health folks raising red flags. As per reports...

Source: The Times of India - Read Full Article

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Expert Resources & References

Trusted information from leading health organizations

CDC

Official guidance from the U.S. Centers for Disease Control and Prevention

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WHO

Global disease surveillance and guidelines from the World Health Organization

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Research

Latest peer-reviewed research and clinical studies

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Medically Reviewed Content

Disease information on Virus Watcher is reviewed by our Chief Epidemiologist, a former CDC lead analyst for FluSight forecasting. Outbreak data is aggregated from verified sources including BEACON, ProMED, WHO, CDC, and 50+ national health agencies. This information is for educational purposes and should not replace professional medical advice.

Last reviewed: 2026-08-17

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