Holidaymakers have been urged to take extra precautions against mosquito and midge bites after UK health authorities recorded a sharp rise in chikungunya infections among travellers returning to Britain and the first imported cases of Oropouche virus.

Official surveillance published by the UK Health Security Agency (UKHSA) shows 73 travel-associated chikungunya cases were reported in England between January and June 2025, up from 27 during the same period in 2024 — the highest half‑year total on record. Most infections were linked to travel to Sri Lanka, India and Mauritius, and all were reported in England, concentrated in London. The UKHSA’s travel‑associated infections report and accompanying statement make clear this reflects infections acquired abroad, rather than onward transmission within the UK.

The rise comes against a backdrop of renewed vaccine activity. The UK’s medicines regulator approved a live‑attenuated chikungunya vaccine, marketed as IXCHIQ, in February 2025 and a virus‑like‑particle vaccine, Vimkunya, in May 2025. The Medicines and Healthcare products Regulatory Agency (MHRA) said IXCHIQ was authorised on 4 February 2025 for adults and described the approval as part of broader preparedness for arboviral threats; Vimkunya received a variation to its marketing authorisation on 1 May 2025 for people aged 12 years and older. The UKHSA has advised that the two vaccines are now available privately, following assessment by a healthcare professional at travel clinics, and noted slightly different age‑banding in its travel guidance: UKHSA lists IXCHIQ for 18–59 year‑olds while the MHRA’s authorisation language refers to adults aged 18 and over.

Dr Philip Veal, a consultant in public health at UKHSA, emphasised the clinical impact of chikungunya in a UKHSA statement, saying: “Chikungunya can be a nasty disease and we’re seeing a worrying increase in cases among travellers returning to the UK… it can cause severe joint and muscle pain… [and] joint pain may last for months or longer.” He reiterated straightforward protective measures — insect repellent, covering exposed skin and sleeping under insecticide‑treated nets — and advised travellers to consult the TravelHealthPro guidance before departure. The UKHSA report also notes that, while most people recover in one to two weeks, a minority experience persistent joint pain for months or even years, with follow‑up data indicating long‑term discomfort in a measurable fraction of cases.

The agency confirmed there is currently no risk of chikungunya becoming established in the UK because the two Aedes mosquito species that transmit the virus are not established here. MHRA and UKHSA materials state that the vaccines will, for the time being, be supplied through private travel clinics rather than routinely via the National Health Service; travel clinics have already begun offering bookings and clinical assessments, illustrating how new travel vaccines commonly enter practice in the private sector.

Separately, UKHSA detected three imported cases of Oropouche virus all linked to travel from Brazil — the first such cases reported in the UK. The World Health Organization has documented a marked geographic spread of Oropouche since late 2023 and says the virus is primarily transmitted by biting midges (and possibly some mosquitoes). WHO guidance warns that Oropouche symptoms mirror other arboviral fevers such as dengue and chikungunya, that there is no specific treatment or vaccine, and that severe complications (including occasional neurologic involvement) and potential risks in pregnancy have prompted heightened surveillance in the Americas. UKHSA therefore urged anyone who becomes unwell after travel to affected areas to seek urgent medical advice.

The travel‑associated infections report also highlighted a small cluster of cholera cases among returning travellers and a substantial fall in dengue notifications compared with 2024. Public health officials framed the chikungunya rise as an international phenomenon: 2025 has seen outbreaks across parts of Asia, the Indian Ocean islands and the Americas, underscoring how travellers can both acquire and import vector‑borne infections even where local transmission at home remains unlikely.

For travellers, the practical message remains unchanged: assess destination‑specific risk well before departure, consider vaccination where clinically appropriate and available, and prioritise bite‑avoidance. Health authorities recommend consulting TravelHealthPro and speaking to a travel‑health professional at least four to six weeks before travel so a personalised risk assessment can determine whether vaccination or other measures are advisable.

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Source: Noah Wire Services