Building the Future of Biodefense

Biothreat intelligence to deter and detect natural, accidental, deliberate and novel biological agents.

ADVISORY
Arizona's recent dust storm may increase the risk of Valley fever infection
08/28/2025
United States of America, Arizona

Recommendation: Valley fever (VF) occurs annually in Arizona. This fungal infection causes flu-like symptoms and can lead to prolonged illness and absenteeism in severe cases. Employers in Arizona should familiarize themselves with OSHA regulations related to VF. Those with employees working outdoors should take steps to limit dust exposure, such as providing masks and watering down soil before digging, particularly after a dust storm.

Situation: Media sources reported that the recent dust storms in Arizona this week could increase the risk of VF cases. The storm started in southern Arizona before moving northward, hitting Phoenix. VF cases typically spike 3 weeks after a dust storm. VF is endemic in Arizona, with close to 11,000 cases reported in 2023, the most recent year of data. [Confidence: Very High]

ADVISORY
Unusually early influenza A outbreak in Denmark linked to Smukfest Festival
08/28/2025
Denmark

Recommendation: Influenza can impact employee absenteeism due to illness or caregiving duties. Organizations in Denmark should provide flexible work schedules to support employees making vaccine appointments for themselves or family members.

Situation: Health officials reported an unusually early outbreak of influenza A, linked to the Smukfest music festival in Skanderborg in early August. Several cases of the H1N1 strain were traced to festival attendees, with lab tests showing an almost identical virus. This is the 1st time in 15 years of monitoring that an influenza outbreak has occurred this early in the year. National cases rose from 19 to 115 in week 33, confirming the outbreak. The virus resembles the 2024/25 strain but has some unique changes. Officials are closely monitoring the situation, though no further increase has been reported this week. [Confidence: Very High]

ADVISORY
Measles virus detection in wastewater in West Hawai‘i County, Hawaii
08/28/2025
Hawaii, Hawaii County

Recommendation: Organizations in West Hawai‘i County, Hawaii, should provide flexible work schedules to support employees making vaccine appointments for themselves or family members. Measles is highly contagious and can quickly spread among unvaccinated individuals in a work environment.

Situation: Health officials reported a detection of the measles virus in wastewater in West Hawai‘i County, Hawaii, in a sample collected on 8/11. The detection suggests that at least 1 individual in the community or traveling through the community around that time was infectious with measles. No suspected measles cases have been reported in the county as of 8/27. Health officials warned that the wastewater detection serves as an early indicator that the virus may be present in the community and advised the public to review their vaccination status and to get vaccinated. Hawaii reported 2 measles cases earlier this year in April (see PHC alerts 4/16 and 4/9). [Confidence: Very High]

WATCH
Wisconsin's measles outbreak in Oconto County grows to 21 cases
08/28/2025
Wisconsin, Oconto County

Recommendation: Organizations in Wisconsin should provide flexible work schedules to support employees making vaccine appointments for themselves or family members. Measles is highly contagious and can quickly spread among unvaccinated individuals in a work environment.

Situation: Wisconsin health officials confirmed 7 new cases of measles in Oconto County, bringing the total to 21 cases since the 1st case was reported in the county on 8/4. No public exposure locations were provided. Officials warned that measles is spreading locally and advised the public to review their vaccination status and to get vaccinated. See PHC alert 8/4 for earlier info. [ Confidence: Very High]

WATCH
Measles outbreak in Colorado City, Arizona, amid low vaccination rates
08/27/2025
Arizona, Mohave County

Recommendation: Organizations in Mohave County, Arizona, should provide flexible work schedules to support employees making vaccine appointments for themselves or family members. Measles is highly contagious and can quickly spread among unvaccinated individuals in a work environment.

Situation: Mohave County health officials issued an advisory that measles in Colorado City and the surrounding area is currently active within the community. According to media sources, the measles case reported a few weeks ago has now grown to a cluster of 9 cases. Health officials held a vaccine event for the county, as the county's MMR vaccination coverage for kindergarteners was 78.4% in the most recent data, well below the 95% herd immunity threshold. Health officials advised the public to review their vaccination status and to get vaccinated. [Confidence: Very High]

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