Nearly 2.8 million people from yellow fever endemic countries flew to the United States in 2016. Such a large amount of foreign visitors can create an issue if there’s no requirement for yellow fever vaccine certificates.
Many cities in the U.S. are now realizing this problem could be the source of future yellow fever outbreaks.
The mosquito-borne illness is normally found in tropical and subtropical areas of Africa and South America. The virus only reaches U.S. travelers in extremely rare cases. Out of roughly 200,000 yellow fever cases per year worldwide, 90 percent are in Africa.