Outbreak Intelligence 4 min read

What's Going Around This Week in the U.S.

The reportable diseases rising and falling in the United States this week, flu-like illness by region, and this week's outbreak news. Rewritten every week from CDC surveillance data.

VW

Virus Watcher Intelligence Desk

Written from CDC surveillance data and Virus Watcher outbreak feeds

Published 2026-09-30 · Updated 2026-10-01

Updated 2026-10-01. This page is rewritten every week from CDC surveillance data and our outbreak feeds.

This page answers one question every week: what is actually going around in the United States right now, according to the surveillance data, not the headlines. It is rewritten each week from the same feeds Vira reads. Where the data is thin or late, it says so.

The short version

Rising this week: West Nile virus (11 cases, up from an average of 3.8), Mumps (3 cases, up from an average of 0.2).

Falling: E. coli (STEC), Tuberculosis, Hepatitis A.

Reportable diseases, CDC week ending September 7, 2026

Counts are what state health departments reported to the CDC's National Notifiable Diseases Surveillance System for the week. They run about three weeks behind the calendar and are revised for months, so read the direction more than the number. The trend compares the week with the average of the four weeks before it.

Disease This week 4-week avg Trend Most cases
West Nile virus 11 3.8 rising Virginia (3), Nebraska (2), Texas (2)
Mumps 3 0.2 rising Indiana (1), New York (1), Ohio (1)
Campylobacter 1,057 1,000 steady Florida (135), California (115), New York City (86)
Salmonella 941 942 steady Florida (268), South Carolina (89), New York (71)
Shigella 202 200 steady New York City (42), Florida (33), New York (20)
Giardiasis 185 206 steady California (26), New York City (24), Florida (20)
Cryptosporidiosis 174 212 steady California (23), Georgia (22), Ohio (17)
E. coli (STEC) 165 235 falling New York (34), Florida (23), New York City (21)
Measles 125 125 steady Pennsylvania (85), Ohio (20), New York (12)
Legionnaires' disease 123 109 steady Ohio (27), New York (22), Florida (15)
Whooping cough (pertussis) 76 73 steady Pennsylvania (13), Virginia (9), Ohio (9)
Invasive pneumococcal disease 75 74 steady Florida (14), Ohio (13), Arkansas (6)
Tuberculosis 56 75 falling New York City (9), California (7), New Jersey (6)
Chickenpox (varicella) 48 43 steady Florida (15), Ohio (14), Pennsylvania (5)
Hepatitis A 4 6.2 falling Pennsylvania (1), Florida (1), Ohio (1)

Flu-like illness, week ending September 6, 2026

The share of doctor visits for influenza-like illness, by CDC region. The national baseline that marks the start of flu season is about 3 percent; anything under 2 is a quiet week.

National: 1.5% of visits, from 1.4% the week before.

Region ILI visits
Southwest and Pacific 2.3%
Southeast 1.8%
South Central 1.8%
NY, NJ, PR, VI 1.4%
Mid-Atlantic 1.4%
Northwest 1.1%
Mountain 1.1%
New England 0.9%
Central Plains 0.9%
Great Lakes 0.8%

Season posts: Flu season 2026 to 2027 and RSV season 2026 to 2027.

Stomach bugs

Norovirus is the most searched illness on this site and the one the CDC does not count: it is not a reportable disease, so there is no weekly state table for it. What we can see is the reportable gastrointestinal diseases in the table above (Salmonella, E. coli, Shigella, Campylobacter) and the outbreak reports in the news. The season view is on the norovirus fall 2026 page.

In the news this week

US outbreak reporting picked up by our feeds in the last seven days. A headline is a signal of attention, not a case count.

  • Measles, Imported (Bangladesh): Warning over Bangladesh's dengue outbreak after deadliest month (Oct 1)

  • Measles, Imported (Pennsylvania): Pennsylvania Records a Fifth Measles Death as the Nation Endures Its Worst Year Since 1991 (Oct 1)

  • Measles, Imported: CDC updates measles toll, now counts 2 deaths (Sep 30)

  • Measles, Imported (Pennsylvania): CDC reports second measles death in US while excluding Pennsylvania deaths (Sep 30)

  • Dengue virus infections, Dengue (Florida): Dengue fever outbreak prompts Florida counties to declare state of emergency (Sep 29)

  • E. Coli (California): E. coli outbreak tied to raw milk cheese hits California with multiple cases (Sep 27)

  • Ebola: U.S. pledges an additional $267 million to contain fast-spreading Ebola (Sep 26)

  • Measles, Imported (Illinois): Illinois measles cases hit 23 in 2026, most from Douglas, Moultrie counties outbreak (Sep 26)

  • E. Coli (Florida): Publix sued after Florida woman's death blamed on E. coli-tainted blueberries (Sep 25)

  • Measles, Imported: Trump's FDA nominee says MMR shot is 'safe and effective' at Senate hearing (Sep 25)

How to use this

A rising line in the table is a reason to pay attention where you live, not a reason to worry. The counts are statewide; your county can be quiet while the state number climbs. If you want to know when something changes in your own city rather than checking back here, that is what Vira does: she watches the same feeds for the places you name and texts you only when something moves. Join the early access list.

Data: CDC NNDSS weekly tables (week ending September 7, 2026), CDC ILINet, and Virus Watcher outbreak feeds. Updated weekly. Past weeks are archived in Virus Watcher Weekly.

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