Kaohsiung Armed Forces General Hospital Logo
Epidemic

Domestic Summer Travel Peaks—CDC Urges Double Protection Against Chiggers Outdoors

Infection Control Room
126 views

The Centers for Disease Control (hereafter referred to as CDC) states that with the domestic summer vacation travel peak approaching, the incidence of scrub typhus will enter a high

season; this year’s cumulative cases have already exceeded the same period each year since 2022, reminding the public to take personal protective measures when traveling and hiking,

wear long‑sleeved clothing and use mosquito repellent, implement double protection, and avoid being bitten by chiggers that cause disease; if suspected symptoms appear,

seek medical attention promptly and inform of travel exposure history to facilitate early diagnosis and treatment.

CDC monitoring data show that as of July 1, 2026, there have been a cumulative 104 confirmed cases of scrub typhus,

of which 103 are locally acquired; the majority of infections, 79 cases (76.7%), occurred in the eastern and offshore island regions, and this year’s cumulative case count

exceeds the same period in 2023–2025 (which ranged from 71 to 92 cases). Scrub typhus cases occur throughout the year in our country, and historical data

show that reports rise from April to May, peak in June to July, with more infections in the eastern and offshore island areas.

The CDC notes that scrub typhus is transmitted by the bite of chigger mites carrying the Orientia tsutsugamushi pathogen, and chiggers reside in

grass, waiting to attach to passing humans or animals. The incubation period is about 9 to 12 days, and patients may develop

persistent high fever, headache, swollen lymph nodes, and about a week after fever onset a red maculopapular rash appears on the skin; the bite site

usually develops a scab, which is a key characteristic of the disease.

The CDC urges that when the public engages in outdoor activities such as hiking or camping and comes into contact with grassy environments, they must

take personal protective measures, including wearing light‑colored long‑sleeved clothing, long socks, boots, and gloves, tucking pant legs into the socks; and use

government‑approved repellents containing effective ingredients such as DEET, Picaridin, or IR‑3535, applied to clothing and exposed skin according to label instructions.

In addition, after returning home, promptly shower and change all clothing to prevent chigger attachment. If suspected symptoms occur,

seek medical care promptly and inform the physician of relevant activity history, or any exposure to grass, to aid clinical diagnosis. More information is available on the

CDC website

(http://www.cdc.gov.tw) or call the toll‑free epidemic prevention hotline 1922 (or 0800-001922) for inquiries.

Source: Disease Control Agency

Data compiled: Infection Control Office