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GLOBAL LEDGER · GRADE C SOURCES, CHECKED 2026-09

The global coordinate page: six diseases, one table.

Where each disease circulates, which vector carries it, whether a vaccine exists and what the WHO position is. One row per disease, every cell sourced. Read it before a trip, not after a fever.

Paper world map on a desk with pencil, ruler and magnifier PLATE 014
How to use the coordinate table: match your itinerary to the rows, then read the disease file, not the fear.
  • 1 · Region first: where exactly you are going
  • 2 · Season second: transmission windows matter
  • 3 · Then the row: vaccine, vector, WHO position
DISEASEWHERE IT CIRCULATESVECTORVACCINEWHO POSITION
DengueAsia, Latin America, Africa; spreading north with climateAedes aegypti, albopictus · dayYes, for seropositive 6-45 in some countriesRecommends endemic-area use
MalariaSub-Saharan Africa, South Asia, Amazon, SE AsiaAnopheles · nightTwo approved, limited rollout (RTS,S, R21)Recommends children in moderate-high zones
ZikaAmericas, SE Asia, Pacific islands; outbreaks flareAedes aegypti, albopictus · dayNonePregnancy precautions in transmission zones
ChikungunyaAmericas, Africa, South and SE AsiaAedes aegypti, albopictus · dayOne live vaccine, adults, some countriesFirst approval noted 2024
West NileNorth America, Europe, Mediterranean, W AsiaCulex · nightNone for humansSurveillance and vector control
Japanese encephalitisRural Asia and W Pacific, rice-paddy beltsCulex · nightYes, effective, WHO-prequalifiedRecommends travelers to rural risk areas

Sources: WHO fact sheets, CDC travel health notices, checked 2026-09. · How we grade

How to read this table

Rows are simplified for household use. For travel decisions, the final word belongs to a travel clinic with your itinerary in hand.