An outbreak of monkeypox has been ongoing since September 2017 in Nigeria. Travelers to Nigeria should protect themselves from monkeypox by washing hands often with soap and water, and avoiding contact with animals or people that may be sick.
Because of the recent earthquake and tsunami that struck Indonesia on September 28, travelers to the province of Central Sulawesi may experience serious health and safety risks, and medical care may not be available. CDC recommends that travelers avoid all nonessential travel to the province of Central Sulawesi, Indonesia.
There is an outbreak of leptospirosis in northern Israel (Golan Heights). Travelers at highest risk are those exposed to contaminated fresh water like lakes and rivers in the affected area, such as through swimming, wading, kayaking, or rafting.