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Disease Profile

Viral

Lassa

拉沙热

Lassa fever is a viral hemorrhagic illness caused by Lassa virus, endemic to West Africa. While many infections remain asymptomatic, symptomatic cases present with fever and systemic symptoms that can progress to hemorrhage and death in approximately 1% of cases. A distinctive complication is hearing loss, affecting about one-quarter of survivors. The disease represents a significant public health concern in endemic regions, with transmission occurring through both zoonotic and human-to-human routes.

Definition

Lassa fever, also termed Lassa hemorrhagic fever, is a viral hemorrhagic fever caused by Lassa virus. The disease is classified under ICD-10 code A96.2 and ICD-11 code 1D61. It is endemic to West Africa and represents one of the viral hemorrhagic fevers of concern in that region.

Clinical features

Clinical presentation of Lassa fever is highly variable, with many infected individuals remaining asymptomatic. When symptoms develop, they typically include fever, weakness, headaches, vomiting, and muscle pains. Less commonly, bleeding from the mouth or gastrointestinal tract may occur. The case fatality rate is approximately 1% among all infected persons, and death frequently occurs within two weeks of symptom onset. Among survivors, approximately 25% experience hearing loss, though hearing improves within three months in about half of these cases.

Epidemiology

Lassa fever is endemic to West Africa, where it poses a recurring public health challenge. The disease's geographic distribution is linked to the habitat range of the multimammate rat, the natural reservoir. Outbreaks occur regularly in endemic areas, with varying magnitude depending on environmental and social factors. Surveillance burden is significant due to the disease's nonspecific early presentation and the need for specialized diagnostic capacity.

Transmission

Source-backed detail is not yet available.

Risk groups

Source-backed detail is not yet available.

Prevention

Source-backed detail is not yet available.

Surveillance note

Effective surveillance for Lassa fever requires awareness of the disease's presence in endemic areas and consideration of the diagnosis in patients with compatible symptoms, particularly fever with systemic features. The nonspecific nature of early symptoms necessitates maintaining a high index of clinical suspicion in at-risk populations. Case investigation should include detailed exposure history to identify potential sources and transmission pathways.

Coding Register
ICD-10
A96.2
ICD-11
1D61
Key Statistics
Total cases
1
Peak month
2026-01
Coverage
3 reporting countries · 2026-01-01 → 2023-03-25

Figure 1 | Full historical trajectories across all reporting countries.

Figure 2 | Year-over-year monthly comparison for seasonality and structural shifts.

Dataset Archive

Supplementary Data | Multi-country disease dataset

Machine-readable multi-country disease dataset (JSON/CSV) with source metadata.

Rows
715
Data Version
2026-05-09
Coverage
Included metadata
Source links, scope, cadence

Source Register

Official sources and update cadences used to construct the downloadable dataset.

CN
China CDC WeeklyMONTHLYweb

China

Monthly notifiable infectious disease reports published by China CDC.

Official source
CN
National Disease Control and Prevention AdministrationMONTHLYweb

China

Official China public health bulletin and query portal.

Official source
CN
PubMedMONTHLYweb

China

Biomedical literature discovery feed used as supplementary context.

Official source
JP
JP NIID Weeklyweeklyweb

Japan

Japan weekly infectious disease surveillance via NIID/JIHS.

Official source
US
US CDC NNDSSweeklyapi

United States

CDC National Notifiable Diseases Surveillance System provisional data.

Official source
Suggested presentation pattern: cite the data version and coverage window when exporting charts or tables for publication.