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Travel-associated infections, by incubation period

Travel-associated infections, by incubation period
Disease Usual incubation (range) Distribution
Incubation period <14 days
Anthrax 1 to 7 days (can be >2 weeks) Endemic in agricultural areas
Bartonellosis (cat-scratch; trench fever; Carrion disease) 1 to 3 weeks Some forms worldwide
Brucellosis* 2 to 4 weeks (5 days to 5 months) High risk in parts of Mediterranean, South and Central America, Asia, Africa, Middle East
Chikungunya 2 to 4 days (1 to 14 days) Tropics and subtropics
Coccidioidomycosis* 1 to 3 weeks Southwest United States, Mexico, Central and South America
Dengue 4 to 8 days (3 to 14 days) Tropics and subtropics
Diphtheria 2 to 5 days (1 to 10 days) Endemic in many low- and middle-income countries
Ehrlichiosis (multiple) 7 to 10 days (5 to 14 days) Widespread, including in United States
Encephalitis, arboviral (Japanese encephalitis, West Nile virus, others)

Japanese encephalitis: 5 to 15 days

West Nile virus: 2 to 14 days
Varies with virus
Enteric fever (typhoid and paratyphoid fevers)* 7 to 18 days (6 to 45 days) Especially Indian subcontinent; also Africa
Hantavirus infections (eg, hemorrhagic fever with renal syndrome; hantavirus pulmonary syndrome, others)*

HFRS: 2 to 4 weeks (few days to 2 months)

HPS: 2 weeks (few days to 2 weeks)

HFRS: especially in parts of Asia, Europe

HPS: especially in the Americas
Histoplasmosis (acute)* 10 to 14 days (3 to 25 days) Worldwide (except Antarctica); especially river valleys, also caves
HIV (acute) 10 days (1 to 6 weeks) Worldwide
Influenza 2 days (1 to 4 days) Worldwide
Lassa, Ebola, other viruses causing hemorrhagic fevers* 7 to 10 days (2 to 21 days) Sub-Saharan Africa for Ebola, Marburg, Lassa viruses
Legionellosis 5 to 6 days (2 to 12 days) Worldwide
Leptospirosis* 7 to 12 days (2 to 26 days) Widespread; more common in tropical areas
Lyme disease* 7 to 12 days for erythema migrans; longer for other manifestations Especially in parts of North America and Europe
Malaria, Plasmodium falciparum* 10 to 12 days (8 days to months) Especially in parts of Africa, Asia, South America
Malaria, P. vivax* 14 days (8 days to months) Especially in parts of Asia, Africa, South America
Measles* 10 to 14 days (8 to 21 days) Persists in populations with low vaccine coverage; frequent importations and outbreaks globally
Melioidosis* 2 days to 3 weeks (days to months) Widely distributed in tropical areas; especially common Southeast Asia
Meningococcal infections 3 to 4 days (2 to 10 days) Worldwide; epidemiology affected by vaccine use
Mpox 3 to 17 days Worldwide
Plague 2 to 7 days for bubonic (1 to 14 days) Especially common Madagascar; parts of Africa, Asia, South America; focus in western United States
Psittacosis* 7 to 14 days (4 to 28 days) Worldwide
Q fever* 18 to 21 days (4 to 39 days) Worldwide but endemic foci
Rabies* 1 to 2 months (4 days to years) Widespread; especially parts of Asia, Africa, Latin America
Relapsing fever 7 to 8 days (2 to 18 days) Focal areas: Africa, South America, Asia
Rickettsial infections (spotted fever group and others) 6 to 7 days (3 to 18 days) High risk in southern Africa but widely distributed in other regions
Severe acute respiratory syndrome coronavirus 2 4 to 5 days (1 to 14 days) Worldwide
Scrub typhus (Orientia spp) 8 to 12 days (3 to 21 days) Asia-Pacific region
Tickborne encephalitis* 8 days (4 to 28 days) Especially eastern Europe and parts of Asia
Toxoplasmosis* 1 to 3 weeks (5 to 23 days) Worldwide
Trichinosis* 10 to 20 days (few days to >2 months) Widespread; marked variation in incidence
Trypanosomiasis, African* 1 to 3 weeks Sub-Saharan Africa
Tularemia 3 to 5 days (1 to 14 days) Widespread North America, Europe; scattered reports from Asia
Typhoid fever (refer to enteric fever above)*    
Yellow fever 1 to 6 days (3 to 14 days) Africa, Latin America
Zika virus 5 to 6 days (3 to 14 days) Tropics, subtropics
Incubation period 14 days to 6 weeks (refer also to infections above with "*" footnote symbol)
Amebic liver abscess Weeks to months Worldwide; more common in areas with poor sanitation
Hepatitis A 28 days (15 to 50 days) Worldwide; especially in areas with poor sanitation
Hepatitis C 6 to 9 weeks (2 weeks to 6 months) Worldwide; marked variation in prevalence
Hepatitis E 6 weeks (2 to 9 weeks) Large waterborne outbreaks in Asia, Africa, Central America; sporadic elsewhere
Leishmaniasis, visceral 2 to 6 months (10 days to >1 year) Asia, Africa, Middle East, Latin America, southern Europe
Malaria Weeks to months Refer to above
Schistosomiasis (Katayama syndrome) 14 to 84 days Especially Asia, Africa, Latin America
Tuberculosis Months to years (4 weeks to decades) Worldwide but marked regional variation in incidence
Incubation period >6 weeks (refer also to infections above with "¶" footnote symbol)
Fascioliasis 6 to 12 weeks Broad distribution, especially parts of South America, Middle East, Asia
Hepatitis B 90 days (60 to 150 days) Global
Leishmaniasis, visceral Refer to above  
Malaria Refer to above  
Melioidosis Refer to above  
Trypanosomiasis, African Refer to above  

HFRS: hemorrhagic fever with renal syndrome; HPS: hantavirus pulmonary syndrome.

* Incubation period may exceed 14 days.

¶ Incubation period may exceed 6 weeks.
Graphic 55035 Version 12.0

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