Building the Future of Biodefense

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

ADVISORY
Infection risk during the 2026 Winter Olympics and Paralympics
02/05/2026
Italy, LombardiaItaly, Veneto

Recommendation: Mass gatherings can increase disease spread, especially with multiple diseases circulating globally. Organizations in Italy and organizations with employees attending the Winter Olympics or Paralympics should provide flexible work schedules to support employees making vaccine appointments for themselves or family members to protect against measles and other circulating seasonal respiratory diseases.

Situation: ECDC issued infectious disease guidance ahead of the Winter Olympics and Paralympics 2026 in Milan and Cortina d'Ampezzo, Italy. The Winter Olympics run from 2/6 to 2/22, and the Paralympics run from 3/6 to 3/15. The guidance highlights the risk of infection from measles, given the global resurgence, as well as seasonal respiratory infections, which are common during this time of year. Other risks include food-borne illness and sexually transmitted infections. The guidance comes amid media reports that at least 4 players on Finland's national women's hockey team experienced symptoms consistent with a norovirus infection, prompting the players to be isolated ahead of their first game. [Confidence: Very High]

ADVISORY
Malaysia identifies a tuberculosis cluster in Kota Tinggi, with 33 cases under monitoring
02/05/2026
Malaysia, Johor

Recommendation: A tuberculosis (TB) cluster in Malaysia has limited impact on most organizations. TB requires prolonged contact with an infectious person, with workplace transmission mainly occurring in healthcare and correctional settings, which have protocols in place. Organizations should encourage employees who have had a persistent cough for more than 2 weeks to contact their healthcare provider and cooperate with public health authorities if they are contacted.

Situation: Health officials in Johor, Malaysia, identified a TB outbreak in Kota Tinggi. 33 cases were detected as of 2/4 through active screening activities of 804 close contacts. All cases have received treatment and are under close monitoring. One case died, though the death was not attributed to TB. Officials urged residents in the affected and surrounding areas, especially those with prolonged coughs or known exposure, to seek prompt screening for TB. [Confidence: Very High]

WATCH
New measles case reported in South Dakota with sporting event exposures; North Dakota confirms its 1st case of 2026
02/05/2026
North Dakota, Williams CountySouth Dakota, Grant County

Recommendation: Organizations in Grant County, South Dakota, should inform employees about the possible measles exposures. Organizations in South Dakota and North Dakota 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: South Dakota health officials have reported a new measles case in an adult resident from Grant County. The individual may have exposed the public in Milbank and Brookings at the Milbank VFW Bar (1/30), Sly’s Steakhouse (1/30), a wrestling tournament at Brookings High School (1/31), an ice hockey game at Larsen Ice Center (1/31), and Pints & Quarts (1/31). Exposed individuals should monitor for measles symptoms (7-21 days from exposure). In a neighboring state, North Dakota reported their 1st measles case of 2026 in Williams County. The individual was unvaccinated and acquired measles out of state. Close contacts were notified of their exposure to measles, and there were no community exposure locations. [Confidence: Very High]

WATCH
4 measles cases linked to a ski resort in the French Alps
02/04/2026
France, Auvergne-Rhone-Alpes

Recommendation: Organizations in Val Thorens, France, should inform employees about the measles exposure location and provide flexible work schedules to support employees in making vaccine appointments for themselves or family members. Measles is highly contagious and can quickly spread among unvaccinated individuals in a work environment.

Situation: France reported 4 measles cases from 1/12 to 2/4 in the Auvergne-Rhône-Alpes region, indicating active circulation of the virus in the area. 1 case was hospitalized. The 4 cases stayed in the Val-Thorens ski resort during their contagious period. Exposed individuals linked to the resort should monitor for measles symptoms (7-21 days from exposure, if known). Health officials called residents, seasonal workers, and tourists visiting the resort to check their vaccination status and visit a healthcare provider if they experience measles symptoms. [Confidence: Very High]

WATCH
Florida's measles outbreak at Ave Maria University grows to 20 cases, plus an additional case in Pensacola
02/04/2026
Florida, Collier CountyFlorida, Escambia County

Recommendation: Organizations in Collier County, Florida, should inform employees about the possible measles exposure. Organizations in Florida 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: According to media sources, the measles outbreak at Ave Maria University in Collier County grew from 11 to 20 cases (see PHC alert 2/3 for earlier info). More testing results are pending. The officials from the town's primary medical clinic, Mater Dei Clinic, confirmed that all cases appear to be currently contained within the campus. Exposed individuals linked to the school should monitor for measles symptoms (7-21 days from exposure, if known). Elsewhere in Florida, media sources reported a measles case in Pensacola in Escambia County, the 1st in Pensacola in 20 years. These cases have not yet appeared in Florida's Reportable Disease Frequency Report. [Confidence: Very High]

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