warning 13 countries ICD-10 A962

Lassa fever

Lassa fever clinical and global spread profile: 13 countries, 30 WHO outbreak events since 1997.

Lassa fever · ICD-10 A962 · ICD-11 1D61 · 30 WHO events across 13 countries (1997–2023).

Top affected countries

Country Region Events % of global
Nigeria AFR 8 27%
United Kingdom of Great Britain and Northern Ireland EUR 3 10%
Germany EUR 3 10%
Togo AFR 3 10%
Liberia AFR 2 7%
Sierra Leone AFR 2 7%
Netherlands EUR 2 7%
Benin AFR 2 7%
Burkina Faso AFR 1 3%
United States of America AMR 1 3%
Guinea AFR 1 3%
Ghana AFR 1 3%
Sweden EUR 1 3%

Distribution by WHO region

Region Events Share
AFR 20 67%
EUR 9 30%
AMR 1 3%

Annual outbreak timeline

Year Events Countries
2023 1 1
2022 4 4
2020 1 1
2019 2 2
2018 2 2
2017 4 4
2016 6 6
2015 1 1
2012 1 1
2006 1 1
2004 1 1
2003 1 1
2000 3 3
1997 2 2

Peak year: 2016 (6 events).

Decade summary

Decade Events
1990s 2
2000s 6
2010s 16
2020s 6

WHO case definition

A disease endemic in large parts of sub-Saharan Western Africa caused by infection with Lassa virus. Infection is mild or asymptomatic in most cases, but can cause severe illness or death. After a prodromal period of 7-10 days (sometimes longer), initial symptoms/signs include fever, malaise, headache, sore throat, vomiting, abdominal pain, and diarrhoea. Subsequently, patients develop high fever, extreme lethargy, oedema of head/neck, encephalopathy, pleural effusion, and ascites. Bleeding into the skin, mucosae and underlying tissues occurs in the severest cases. Deafness occurs in many patients, and the disease is often particularly severe in pregnancy. The overall lethality can reach 15% even among hospitalized patients receiving supportive care. Transmission occurs by inhalation, consumption, or direct contact with excretions and bodily fluids from infected rodents. Diagnosis occurs by identification of Lassa virus in blood samples by molecular or serologic methods.

Countries Affected

13

Outbreak Events

30

Year Range

1997–2023

coronavirus

ICD-10 A962

Lassa fever

Visualization

Global Prevalence Snapshot

Based on WHO Disease Outbreak News events (1997–2023).

30 Outbreak events · Emerging / Moderate

Risk Level

Endemic / High Risk
Emerging / Moderate
Sporadic / Low Risk