# Brazil health response expands amid measles and West Nile

> Live situation record from CLSTR: https://clstr.news/situations/growing-threats-of-emerging-viruses-in-south-america-prompt-heightened-surveillance
> Updated: 2026-09-12T05:00:07.000Z. Sources: 643. Developments: 129.

Following the Pan American Health Organization’s warning of a Southern‑Hemisphere respiratory virus surge, Brazil’s health authorities intensified surveillance and vaccination efforts throughout the 2026 winter. Early measures included the rollout of the 20‑valent pneumococcal vaccine (Pneumo 20), seasonal influenza shots, a maternal RSV vaccine, and nirsevimab for infants. Data from the first half of 2026 show that the universal health system (SUS) achieved roughly 90% coverage of the maternal RSV vaccine, reducing severe acute respiratory syndrome (SRAG) hospitalisations in infants under six months by 52%.

In August 2026, focus shifted toward a measles resurgence. The Ministry of Health launched the 2026 National Multivaccination Campaign on 3 August, which has since concluded after administering over 8 million doses nationwide. By early September, the measles situation expanded. In São Paulo, the annual confirmed case count rose to 32, with 29 cases located in the capital and others in Guarulhos and São Bernardo do Campo. Among these, health officials noted cases involving an infant with an incomplete vaccination schedule and a 28-year-old who had previously been vaccinated.

In the Amazonas state, three imported cases involving Peruvian nationals from Alto Monte were confirmed in the border municipality of Tabatinga. In response, the Manaus Municipal Health Secretariat issued an epidemiological alert to prevent local circulation, noting that Manaus has not seen an autochthonous case since 2018. The Ministry of Health plans to deploy support teams to Tabatinga and Carauari on 21 September to investigate cases and implement vaccine blocking. This follows broader outbreaks across the Americas, where the Pan American Health Organization reports nearly 48,000 confirmed cases and 44 deaths.

## Claims

- The National Multivaccination campaign in Brazil started on 3 August 2026. (disputed by 26 sources)
- São Paulo state confirmed 23 measles cases in early August 2026. (disputed by 16 sources)
- São Paulo confirmed its 15th measles case in 2026, a 1‑2‑year‑old unvaccinated child from Guarulhos. (disputed by 13 sources)
- São Paulo state reported 15 confirmed measles cases in 2026. (disputed by 11 sources)
- The multivaccination campaign starts on Monday 3 May, covering all 645 municipalities of São Paulo and targeting children under 15. (disputed by 7 sources)
- The campaign runs until 1 September 2026. (corroborated by 37 sources)
- The campaign aims to update vaccination cards of children and adolescents younger than 15 years. (corroborated by 36 sources)
- A national “Day D” vaccination mobilisation is scheduled for 22 August 2026. (corroborated by 34 sources)
- The campaign offers all vaccines listed in Brazil's National Immunization Calendar for free through the SUS. (corroborated by 30 sources)

## Timeline

### 2026-09-12: Brazil reports 35 measles cases amid regional outbreaks

Brazil reports 35 measles cases this year, primarily in São Paulo, alongside three imported cases in Amazonas. Health authorities have issued alerts to intensify surveillance and vaccination efforts.

2 sources. https://clstr.news/cluster/brazil-reports-35-measles-cases-amid-regional-outbreaks

### 2026-09-09: Brazil reports measles cases in Amazonas and São Paulo

Brazil reports measles cases in Amazonas and São Paulo. Authorities are intensifying vaccination and surveillance efforts to prevent sustained transmission following imported cases.

31 sources. https://clstr.news/cluster/londrina-reports-decline-in-flu-like-respiratory-syndrome-cases

### 2026-09-05: Brazil implements vaccination strategies in Paraná and Natal

Health initiatives in Brazil focus on boosting vaccination rates, with Paraná training professionals in microplanning and Natal reporting over 58,000 doses administered during a recent campaign.

2 sources. https://clstr.news/cluster/brazil-implements-vaccination-strategies-in-paran-and-natal

### 2026-09-02: Brazil multivacination campaigns report high uptake in several regions

Multivacination campaigns across several Brazilian regions, including Paraná, Porto Alegre, Porto Velho, and Rio Branco, have successfully administered hundreds of thousands of doses to children and adolescents

15 sources. https://clstr.news/cluster/brazil-multivacination-campaign-reaches-high-dose-counts-in-paran-and-rio-branco

### 2026-08-31: Rio de Janeiro extends childhood vaccination campaign to September 12

Rio de Janeiro has extended its multivaccination campaign for children and adolescents under 15 until September 12 to improve immunization coverage.

16 sources. https://clstr.news/cluster/rio-de-janeiro-extends-vaccination-campaign-for-minors-until-september-12

### 2026-08-31: Brazil concludes national vaccination campaign amid São Paulo measles rise

Brazil's National Multivaccination Campaign ended with 8 million doses administered, while São Paulo reports 28 measles cases, prompting reinforced immunization efforts in the metropolitan region.

48 sources. https://clstr.news/cluster/brazil-ministry-of-health-issues-measles-alert-amid-active-transmission-in-so-paulo

### 2026-08-26: São Paulo reports West Nile Fever and rising measles cases

São Paulo reports its first human cases of West Nile Fever and a rise in measles cases to 26, prompting emergency vaccination campaigns across the state.

15 sources. https://clstr.news/cluster/so-paulo-extends-measles-vaccination-in-response-to-local-outbreaks

### 2026-08-22: Brazil conducts nationwide multivacination campaign to update immunization records

Brazil is holding a national ‘Dia D’ multivacination campaign to update immunization records for children and adolescents, targeting various preventable diseases across the country through August 22.

105 sources. https://clstr.news/cluster/brazil-holds-national-dia-d-to-boost-childhood-vaccination-rates

### 2026-08-20: Brazil launches nationwide 'Dia D' vaccination mobilization

Brazil is holding a nationwide 'Dia D' vaccination mobilization to update immunization records for children and adolescents under 15, offering 20 different vaccines through September 1.

171 sources. https://clstr.news/cluster/brazil-launches-nationwide-multivaccination-campaign-for-children

### 2026-08-18: Brazil holds national 'Dia D' vaccination mobilization this Saturday

Brazil holds a national 'Dia D' vaccination mobilization this Saturday to update immunization records for children and adolescents, offering 20 different vaccines through the National Immunization Program.

101 sources. https://clstr.news/cluster/sesau-holds-multivaccination-dia-d-campaign-this-saturday

### 2026-08-08: São Paulo faces measles alert as vaccination campaign intensifies

Brazil faces a measles alert with 16 cases in São Paulo. Authorities have launched a mass vaccination campaign and established mobile posts in Metro stations to boost coverage among residents aged 6 months to 5

47 sources. https://clstr.news/cluster/so-paulo-residents-face-long-queues-for-measles-vaccinations

### 2026-08-06: São Paulo reports 23 measles cases, triggering emergency vaccination

São Paulo reports 23 measles cases, prompting health authorities to launch intensive vaccination campaigns for residents aged 6 months to 59 years in several municipalities.

53 sources. https://clstr.news/cluster/so-paulo-expands-measles-vaccination-drive-amid-outbreak

### 2026-08-04: Brazil's 2026 National Multivaccination Campaign Expands Across Municipalities

Brazil's 2026 multivaccination campaign (3 Aug‑1 Sept) targets children <15, seeks 95 % coverage, adds a new injectable polio booster, and holds a nationwide Dia D on 22 Aug with extra sites in many cities.

60 sources. https://clstr.news/cluster/brazilian-cities-launch-multivaccination-campaigns-for-children

### 2026-08-02: Brazil launches 2026 National Multivaccination Campaign

Brazil's free 2026 National Multivaccination Campaign started 3 Aug, runs to 1 Sep, with a Day D on 22 Aug; focuses on updating cards for under‑15s, measles response in São Paulo, and a new polio booster in Par

103 sources. https://clstr.news/cluster/brazil-starts-national-multivaccination-drive-for-children-and-teens

### 2026-07-31: Brazil's SBIm launches nationwide RSV immunization campaign

Brazil's SBIm launched the 'Todos contra o VSR' campaign to boost RSV immunisation, promoting vaccination for pregnant women and monoclonal antibodies for infants amid 21,398 severe cases this year.

15 sources. https://clstr.news/cluster/queensberry-launches-travel-that-connects-generations-campaign-with-mnica-martelli

### 2026-07-31: Brazil launches 2026 nationwide multivaccination campaign

Brazil's 2026 multivaccination campaign runs 3 Aug–1 Sept, with a 22 Aug “Dia D”, a new polio booster for 4‑year‑olds, 95 % coverage goal, and expanded measles vaccination after 15 cases in São Paulo.

66 sources. https://clstr.news/cluster/brazilian-municipalities-launch-multivaccination-campaigns-for-children

### 2026-07-27: Araguaína expands child vaccination and launches mobile imaging unit

Araguaína, Brazil, starts using the 20‑serotype Pneumo vaccine for children and launches a mobile SUS imaging unit offering CT and ultrasound exams for the city and surrounding towns.

5 sources. https://clstr.news/cluster/araguana-expands-child-vaccination-and-launches-mobile-imaging-unit

### 2026-07-26: Brazil's SUS vaccination halves RSV hospitalizations in infants

Brazil's SUS vaccination cut severe RSV cases in infants by 52% in early 2026, achieving 90% coverage, while the Meu SUS Digital app expanded to over 50 million users and added telemedicine scheduling in 500+ m

2 sources. https://clstr.news/cluster/brazils-sus-vaccination-halves-rsv-hospitalizations-in-infants

### 2026-07-21: Brazilian cities broaden vaccination programs for HPV, flu and pneumococcal diseases

Brazilian municipalities expand HPV, flu and pneumococcal vaccination programs, targeting youths, children and the general public to boost coverage and prevent outbreaks.

14 sources. https://clstr.news/cluster/brazils-distrito-federal-expands-pneumococcal-vaccine-after-two-child-deaths

### 2026-07-21: Rio de Janeiro opens citywide flu shots and expands Pneumo 20 for kids

Rio de Janeiro has opened free flu vaccination for anyone six months+, and clarified the new Pneumo 20 rollout for children, outlining age‑based eligibility and dosing schedules.

2 sources. https://clstr.news/cluster/rio-de-janeiro-opens-citywide-flu-shots-and-expands-pneumo-20-for-kids

### 2026-07-20: São Paulo reports 13 measles cases, urging zero‑dose vaccination

São Paulo health authorities confirmed 13 measles cases in 2026 and are urging a zero‑dose MMR vaccine for infants 6‑11 months, while urging all ages to update vaccination records.

18 sources. https://clstr.news/cluster/so-paulo-health-authority-calls-for-measles-vaccination-after-13-cases-detected

### 2026-07-20: Acre, Brazil confronts ICU bed shortages amid hospital overload

Acre's hospitals face near‑full ICU occupancy; a union report cites staff and supply shortages that cut INTO's beds from 17 to 10, while the state remains on high SRAG alert.

6 sources. https://clstr.news/cluster/acre-brazil-confronts-icu-bed-shortages-amid-hospital-overload

### 2026-07-20: Brazil expands flu vaccination for infants in Paraíba while sleep‑related breathing problems impact workers' health

Brazil addresses sleep‑related breathing issues that hurt worker performance and expands flu shots to infants in Paraíba, aiming to boost coverage amid rising flu risk.

2 sources. https://clstr.news/cluster/brazil-expands-flu-vaccination-for-infants-in-paraba-while-sleeprelated-breathing-problems-impact-wo

### 2026-07-19: Paraíba winter health guide warns of allergy and asthma risks

Paraíba's winter (June‑Sept) brings cold, humid conditions that heighten allergy, rhinitis, conjunctivitis and asthma risks for people and pets; experts urge humidity control and prompt medical care.

2 sources. https://clstr.news/cluster/paraba-winter-health-guide-warns-of-allergy-and-asthma-risks

### 2026-07-19: Brazilian experts advise winter precautions for muscles, skin and kidneys

Brazilian health experts warn of winter‑related muscle pain, skin dryness, cold‑sensitivity in the elderly and kidney risks, recommending warm clothing, activity, hydration and moisturising.

12 sources. https://clstr.news/cluster/brazil-warns-of-winter-nail-fragility-and-kidney-risks

### 2026-07-17: São Paulo spotted fever outbreak claims 17 lives in 2026

Febre maculosa has killed 17 people across five regions of São Paulo in 2026, with 18 cases confirmed; authorities urge tick‑avoidance measures and expanded health monitoring.

3 sources. https://clstr.news/cluster/so-paulo-spotted-fever-outbreak-claims-17-lives-in-2026

### 2026-07-16: Brazil reports drop in RSV infections among children under two

Brazil’s Fiocruz reports a nationwide decline in RSV cases among children under two, while some states stay at SRAG alert levels; Campo Grande cut severe RSV hospitalisations by 50% after maternal vaccination &

14 sources. https://clstr.news/cluster/acre-fire-risk-rises-amid-recordlow-river-levels

### 2026-07-16: Brazil warns of surge in winter respiratory illnesses and related health risks

Brazil warns that winter will bring more respiratory infections, especially in children, and advises hygiene, nutrition, humidity control, and monitoring for complications like hair loss.

9 sources. https://clstr.news/cluster/brazil-health-guidance-highlights-pneumonia-signs-and-winter-er-reduction-for-children

### 2026-07-14: Brazil intensifies measles vaccination after cases in São Paulo and Guarulhos

Brazil's São Paulo state steps up measles vaccination after new cases in São Paulo and Guarulhos, urging immunization and hygiene to prevent further spread ahead of the 2026 World Cup.

4 sources. https://clstr.news/cluster/brazil-intensifies-measles-vaccination-after-cases-in-so-paulo-and-guarulhos

### 2026-07-14: Rio de Janeiro health secretariat urges increased water intake in winter to prevent kidney disease

Rio de Janeiro health officials advise drinking 2‑3 L of water daily in winter to curb dehydration‑related kidney problems, with treatment available through SUS referrals.

7 sources. https://clstr.news/cluster/brazil-health-officials-warn-of-kidney-and-circulatory-risks-in-winter

### 2026-07-13: Brazil reports 81% drop in infant RSV cases after vaccine, but severe flu B cases surge in Brasília

Brazil’s Paraná state saw an 81% fall in infant RSV‑related SRAG cases after vaccine rollout, while the Federal District reports a surge in severe flu B cases, keeping the country on high SRAG alert.

5 sources. https://clstr.news/cluster/brazil-reports-81-drop-in-infant-rsv-cases-after-vaccine-but-severe-flu-b-cases-surge-in-braslia

### 2026-07-13: Brazil's Anvisa approves new flu vaccine Fluprevli with up to 73% efficacy

Anvisa registers Fluprevli, a trivalent flu vaccine for ages 6 months+, showing up to 73% efficacy in adults and 65% in children; pending SUS inclusion.

18 sources. https://clstr.news/cluster/brazils-anvisa-approves-fluprevli-influenza-vaccine

### 2026-07-13: Mato Grosso municipalities expand influenza vaccination drives

Várzea Grande and Sinop in Brazil are running intensive vaccination days, offering free flu shots, hepatitis testing and multiple preventive services to boost coverage under the SUS.

5 sources. https://clstr.news/cluster/sinop-expands-pharmacy-hours-to-weekends-serving-97-patients

### 2026-07-13: Brazil expands free Pneumo 20 vaccine for children

Brazil's health authorities have begun free distribution of the Pneumo 20 vaccine to children, with initial doses given in Contenda and a statewide rollout in Maranhão covering ages 2 months to nearly 5 years.

4 sources. https://clstr.news/cluster/brazil-expands-free-pneumo-20-vaccine-for-children

### 2026-07-13: Brazil guide on persistent winter symptoms and safe medication

Brazilian health advice warns that lingering winter symptoms may need medical care and outlines safe use of acetylcysteine, ibuprofen, paracetamol, dipyrone and antigripals.

2 sources. https://clstr.news/cluster/brazil-guide-on-persistent-winter-symptoms-and-safe-medication

### 2026-07-11: Brazil sees surge in asthma crises among children during winter

Winter in Brazil raises asthma attacks, especially in kids; experts urge year‑round treatment, vaccinations and home ventilation as July saw 4,034 child hospitalisations, double January’s.

20 sources. https://clstr.news/cluster/brazil-warns-of-winter-asthma-spikes-and-urges-vaccination-and-continuous-treatment

### 2026-07-11: Brazil's influenza vaccination rollout faces low coverage and new trial efforts

Brazil's flu vaccination lags behind targets, with 43% coverage in Goiás and 35% in Várzea Grande, while mobile clinics expand access and Butantan begins a senior trial of a new adjuvanted vaccine.

15 sources. https://clstr.news/cluster/brazils-flu-vaccination-coverage-falls-short-butantan-launches-elderly-trial

### 2026-07-11: Natal Begins Pneumo 20 Rollout for Young Children

Natal’s health department began the Pneumo 20 pediatric vaccine rollout on May 13, distributing 1,500 doses across five districts and mall sites, with a mixed dosing schedule for children under five.

2 sources. https://clstr.news/cluster/natal-begins-pneumo-20-rollout-for-young-children

### 2026-07-10: Measles vaccination rolled out at four São Paulo commuter‑rail stations

São Paulo’s CPTM will host free measles vaccinations at four stations on 13, 15 and 17 July for residents aged 6 months to 59 years.

4 sources. https://clstr.news/cluster/measles-vaccination-rolled-out-at-four-so-paulo-commuterrail-stations

### 2026-07-10: Brazil Approves Bill to Mandate Vaccination Updates During All Health Service Contacts

Brazil's CCJ approved a bill requiring vaccination record updates at every public health visit and urging private providers to guide incomplete schedules; lost vaccine cards can be replaced via health units or

2 sources. https://clstr.news/cluster/brazil-approves-bill-to-mandate-vaccination-updates-during-all-health-service-contacts

### 2026-07-09: Divinópolis and Cruzeiro do Sul launch expanded public vaccination programs in Brazil

Divinópolis launches a mobile vaccination week, while Cruzeiro do Sul starts a school‑based immunisation program, both aiming to boost vaccine coverage in Brazil.

2 sources. https://clstr.news/cluster/divinpolis-and-cruzeiro-do-sul-launch-expanded-public-vaccination-programs-in-brazil

### 2026-07-09: Brazil sees overall drop in SRAG cases as nine capitals, including Rio Branco, report rises

Brazil's SRAG cases fall overall, but nine capitals—including Rio Branco—see rising numbers, especially among children and the elderly, prompting vaccination reminders.

12 sources. https://clstr.news/cluster/brazil-sees-drop-in-severe-respiratory-cases-nine-capitals-rise

### 2026-07-09: Brazil pediatrician urges family vaccination to protect infants

Brazilian pediatrician Dr. Heitor Pesca Barbieri urges families to keep vaccinations—including pertussis, influenza, RSV and COVID‑19—up‑to‑date to protect infants amid rising severe respiratory cases driven by

4 sources. https://clstr.news/cluster/brazil-pediatrician-urges-family-vaccination-to-protect-infants

### 2026-07-09: Sinop expands dengue control mutirão and begins Pneumo 20 vaccine for children

Sinop's health department ran a dengue‑control mutirão, inspecting 5,833 homes and removing 1,561 containers, while also starting the new 20‑valent Pneumo vaccine for children; Campo Bom began the same vaccine.

6 sources. https://clstr.news/cluster/sinop-brazil-begins-pneumo-20-childhood-vaccine-rollout-and-dengue-foci-cleanup

### 2026-07-08: Brazilian hospitals grapple with extreme ICU and ER overcrowding

Brazilian hospitals in São Paulo and Rio Grande do Sul face severe ICU and ER overcrowding, with capacities exceeding 140% and 210% amid a winter surge in respiratory cases.

3 sources. https://clstr.news/cluster/brazilian-hospitals-grapple-with-extreme-icu-and-er-overcrowding

### 2026-07-08: Cuiabá sees 74% rise in influenza cases and 21 deaths

Influenza notifications in Cuiabá jumped 74% to 2,239 in the first 25 weeks of 2026, with 21 deaths, mostly elderly, and 325 severe SRAG cases; vaccination continues at 72 local health units.

5 sources. https://clstr.news/cluster/cuiab-sees-74-rise-in-influenza-cases-and-21-deaths

### 2026-07-07: Brazil promotes cocoon vaccination to shield newborns amid RSV surge

Brazil urges caregivers to adopt the “cocoon” vaccination approach—immunizing parents, relatives and other close contacts with Tdap, flu, COVID‑19 and other shots—to protect newborns as RSV‑related severe cases

2 sources. https://clstr.news/cluster/brazil-promotes-cocoon-vaccination-to-shield-newborns-amid-rsv-surge

### 2026-07-06: Brazilian health experts warn of winter diet and blood‑pressure risks

Brazilian experts urge balanced winter meals, hydration and warm clothing to curb weight gain and hypertension, which can spike 30% in colder months.

5 sources. https://clstr.news/cluster/brazilian-health-experts-warn-of-winter-diet-and-bloodpressure-risks

### 2026-07-05: Brazil confronts low flu vaccine uptake and rising severe respiratory cases

Brazil faces low flu vaccine uptake in Goiás, rising SRAG deaths in Acre and Campinas, and a nationwide RSV surge, prompting alerts and expanded vaccination efforts.

6 sources. https://clstr.news/cluster/brazil-sees-surge-in-severe-respiratory-cases-driven-by-rsv

### 2026-07-05: Brazil faces winter surge in respiratory illnesses as doctors stress proper diagnosis and prevention

Winter raises respiratory risks in Brazil, Peru and Argentina; doctors urge proper diagnosis, hygiene, ventilation and data transparency as cases of rhinitis, sinusitis, flu, conjunctivitis and pneumonia climb.

7 sources. https://clstr.news/cluster/brazil-and-argentina-see-increased-winter-respiratory-health-risks

### 2026-07-04: Brazil adds 20‑valent pneumococcal vaccine to public immunization programme

Brazil's SUS now provides the 20‑valent pneumococcal vaccine (Pneumo 20) to children under five and high‑risk groups, expanding protection against pneumonia, meningitis and related diseases.

19 sources. https://clstr.news/cluster/brazils-sus-introduces-pneumo-20-vaccine-for-children-and-highrisk-groups

### 2026-07-03: Nova Iguaçu expands child vaccination sites, adds daily BCG at shopping clinic

Nova Iguaçu health officials are expanding child vaccination, adding daily BCG at a shopping clinic and rolling out Pneumo 20 at eleven sites with extended hours.

7 sources. https://clstr.news/cluster/nova-iguau-adds-multiple-sites-for-pneumo-20-and-bcg-vaccinations

### 2026-07-03: Nova Iguaçu expands Pneumo 20 vaccine sites for children

Nova Iguaçu will provide the Pneumo 20 vaccine for children under five at 11 health units starting 6 July 2026, with extended hours at five sites.

6 sources. https://clstr.news/cluster/nova-iguau-expands-pneumo-20-child-vaccination-sites

### 2026-07-03: Nova Iguaçu expands pediatric Pneumo 20 vaccination sites to 11 health units

From July 6, Nova Iguaçu will provide the Pneumo 20 vaccine for children under five at 11 sites, with five offering extended hours, aiming to protect against severe pneumococcal diseases.

2 sources. https://clstr.news/cluster/nova-iguau-expands-pediatric-pneumo-20-vaccination-sites-to-11-health-units

### 2026-07-02: Brazil intensifies measles vaccination in São Paulo after three cases confirmed

Brazil expands measles vaccination in São Paulo after three confirmed cases, offering early doses to infants and urging residents, including Ubatuba, to update their immunisation.

5 sources. https://clstr.news/cluster/brazil-intensifies-measles-vaccination-in-so-paulo-after-three-cases-confirmed

### 2026-07-01: Brazil expands Pneumo 20 pneumococcal vaccine rollout in multiple cities

Brazil's SUS adds the 20‑valent Pneumo 20 vaccine in Aracaju, Mariana, Manaus, Recife and Paraná, targeting children, seniors and high‑risk groups with a new three‑dose schedule.

9 sources. https://clstr.news/cluster/aracaju-and-mariana-launch-free-pneumo-20-vaccine-through-brazils-sus

### 2026-07-01: RSV vaccine cuts elderly hospitalizations by 75% in U.S. study

U.S. study finds RSV vaccine Arexvy reduces elderly hospitalisations by 75%, severe heart events by 63%, and deaths by 67%, prompting policy interest in Brazil and the U.S.

19 sources. https://clstr.news/cluster/brazil-launches-rsv-vaccine-for-pregnant-women-as-srag-cases-surge

### 2026-06-30: Pan American Health Organization warns of rising influenza B in South America

PAHO warns that influenza B is rising in Brazil and Chile, urging stronger surveillance, vaccination and hospital preparedness amid co‑circulation with RSV.

2 sources. https://clstr.news/cluster/pan-american-health-organization-warns-of-rising-influenza-b-in-south-america

### 2026-06-30: Sinop issues 165 construction permits, starts July mobile vaccination drive

Sinop municipality reported 165 construction permits and over 50,000 m² built in June, and announced a July itinerant vaccination campaign offering flu shots across several city sites.

3 sources. https://clstr.news/cluster/sinop-and-sorriso-expand-influenza-vaccination-outreach-in-brazil

### 2026-06-30: Brazil expands daily BCG vaccination at clinics and hospitals

Brazil adds daily BCG vaccination at a Nova Iguaçu clinic and offers free BCG shots on Fridays at Brasília's university hospital, expanding access for newborns and young children.

4 sources. https://clstr.news/cluster/brazil-expands-daily-bcg-vaccination-at-clinics-and-hospitals

### 2026-06-30: Brazil rolls out 20‑valent pneumococcal vaccine in multiple cities

Brazil expands free 20‑valent pneumococcal vaccine (Pneumo 20) to children and vulnerable groups in Nova Iguaçu, Campo Grande, Florianópolis, Mato Grosso and Juazeiro do Norte, replacing older shots.

12 sources. https://clstr.news/cluster/brazil-expands-20valent-pneumococcal-vaccine-for-children

### 2026-06-30: Brazil's winter prompts health warnings for skin, hair, heart and immunity

Brazil's winter raises risks for hair, skin, eyes, heart and infections; experts advise specific care, vaccination and cautious supplement use.

15 sources. https://clstr.news/cluster/brazil-issues-winter-health-tips-for-dry-eyes-and-allergies

### 2026-06-29: São Paulo reports seven measles cases in 2026, authorities advise dose‑zero vaccination

São Paulo confirmed seven measles cases in 2026; officials urge a dose‑zero MMR shot for infants 6‑11 months in the city and Guarulhos.

22 sources. https://clstr.news/cluster/so-paulo-reports-seven-measles-cases-in-2024

### 2026-06-28: Brazil pushes vaccine campaigns as respiratory virus cases surge

Brazilian health officials urge vaccination as winter sees rising respiratory virus cases, noting low flu‑shot uptake and new pneumococcal vaccine for young children.

2 sources. https://clstr.news/cluster/brazil-pushes-vaccine-campaigns-as-respiratory-virus-cases-surge

### 2026-06-27: Brazil adds second polio vaccine booster for children to national schedule

Brazil's Health Ministry will add a second injectable polio booster for 4‑year‑olds to the national child‑vaccination schedule from Aug 3, raising the total doses to five and aiming to keep immunity high amid全球

4 sources. https://clstr.news/cluster/brazil-adds-second-polio-vaccine-booster-for-children-to-national-schedule

### 2026-06-27: Brazil faces rising cardiovascular risks as cold temperatures spread

Cold weather in Brazil increases heart attacks, strokes and circulation problems, prompting advice to stay warm, active and get flu vaccines.

3 sources. https://clstr.news/cluster/brazil-faces-rising-cardiovascular-risks-as-cold-temperatures-spread

### 2026-06-26: Brazil confronts winter challenges as cold season strains charity, spurs tourism and boosts vascular treatments

Brazil's winter strains coat‑donation drives, prompts layered travel gear for Serra Catarinense visitors, and boosts demand for leg vascular treatments due to colder temperatures.

3 sources. https://clstr.news/cluster/brazil-confronts-winter-challenges-as-cold-season-strains-charity-spurs-tourism-and-boosts-vascular-

### 2026-06-26: São Paulo reports three new infant measles cases, urges zero‑dose vaccination

São Paulo reports three new infant measles cases, all recovered, raising the state total to five. Officials recommend a zero‑dose MMR vaccine for babies 6‑11 months and boost vaccination in high‑traffic areas.

2 sources. https://clstr.news/cluster/so-paulo-reports-three-new-infant-measles-cases-urges-zerodose-vaccination

### 2026-06-26: Brazil health experts warn of winter respiratory risks and give prevention tips

Brazilian doctors say winter cold boosts respiratory infections via indoor crowds and dry air, urging ventilation, moderate heating, hydration, vaccination and medical review of persistent symptoms.

2 sources. https://clstr.news/cluster/brazil-health-experts-warn-of-winter-respiratory-risks-and-give-prevention-tips

### 2026-06-26: Acre, Brazil confronting ICU bed scarcity and surge in infant respiratory fatalities

Acre’s health system reports critical ICU shortages in Rio Branco hospitals and a record rise in infant deaths from severe respiratory syndrome, while elderly mortality falls sharply.

7 sources. https://clstr.news/cluster/acre-brazil-confronting-icu-bed-scarcity-and-surge-in-infant-respiratory-fatalities

### 2026-06-26: Brazil launches 'dose zero' measles vaccine for infants in São Paulo and Guarulhos

Brazil's Health Ministry approved a “dose zero” measles vaccine for infants in São Paulo and Guarulhos after three imported cases, sending 100,000 doses to curb transmission ahead of the 2026 World Cup.

2 sources. https://clstr.news/cluster/brazil-launches-dose-zero-measles-vaccine-for-infants-in-so-paulo-and-guarulhos

### 2026-06-25: Campo Grande hosts large “Todos em Ação” free‑service mutirão

Campo Grande’s “Todos em Ação” mutirão delivered 300+ free services; similar free‑service events took place in Sorocaba (Procon), Feira de Santana and Canoas (surgery mutirões), and across Brazil with Pneumo 20

36 sources. https://clstr.news/cluster/so-gonalo-rolls-out-20valent-pneumococcal-vaccine-as-city-hosts-health-conference

### 2026-06-25: Brazil ramps up measles dose‑zero shots and introduces 20‑valent pneumococcal vaccine

Brazil responds to five measles cases in São Paulo with a dose‑zero vaccine for infants, extends HPV shots to 15‑19‑year‑olds until 30 June, and rolls out the 20‑valent pneumococcal vaccine for children under 5

26 sources. https://clstr.news/cluster/brazil-rolls-out-20valent-pneumococcal-vaccine-for-children-in-cuiab-and-campinas

### 2026-06-24: Brazil warns of winter‑related health risks for skin, respiratory illness and seniors

Brazilian doctors advise skin care, vaccination and respiratory precautions as winter brings record low temperatures, increased SRAG cases and heightened risks for seniors.

23 sources. https://clstr.news/cluster/brazil-warns-of-heart-risks-from-overusing-nasal-decongestants

### 2026-06-23: Nova Iguaçu launches Pneumo 20 vaccine for children under five

Nova Iguaçu began administering the 20‑valent Pneumo vaccine to children under five on 24 June, offering free protection against 20 pneumococcal serotypes and following a schedule that alternates with Pneumo 10

24 sources. https://clstr.news/cluster/brazil-begins-nationwide-rollout-of-pneumo-20-vaccine-for-children

### 2026-06-23: Paraná expands free flu vaccine to entire population

Paraná will offer free flu shots to everyone aged six months and up from June 29, aiming to boost coverage beyond the 47% rate among priority groups and joining its school‑based campaign.

8 sources. https://clstr.news/cluster/brazilian-health-clinics-extend-evening-hours-to-boost-access

### 2026-06-22: Brazil's Health Ministry expands child vaccine program with Pneumo 20 rollout and polio booster reinstatement

Brazil adds Pneumo 20 to SUS for kids under five and restores a fifth polio dose for four‑year‑olds, expanding free child vaccination nationwide.

18 sources. https://clstr.news/cluster/brazil-adds-4yearold-polio-booster-to-national-immunisation-schedule

### 2026-06-21: Brazil rolls out 20‑valent pneumococcal vaccine for children through SUS

Brazil’s health ministry has introduced the 20‑valent pneumococcal vaccine (Pneumo 20) in SUS, targeting children under five and priority groups, replacing the 10‑valent version and aiming to immunise about 2 M

20 sources. https://clstr.news/cluster/brazil-begins-nationwide-pneumo-20-childhood-vaccination-program

### 2026-06-20: Brazil launches expanded flu and pneumococcal vaccination campaigns

Brazil opens flu shots in Botucatu as a cold wave approaches and begins the Pneumo 20 pneumococcal vaccine for children under five, later extending to seniors, aiming to immunize 2 million kids.

3 sources. https://clstr.news/cluster/brazil-launches-expanded-flu-and-pneumococcal-vaccination-campaigns

### 2026-06-19: Brazil launches municipal influenza and general vaccination drives in Marília and Maranhão

Brazil's Acim runs a free influenza vaccination campaign in Marília (June 29–July 3) while Maranhão’s FASE/MA starts a multi‑site vaccination drive for staff and socio‑educational residents beginning June 22.

2 sources. https://clstr.news/cluster/brazil-launches-municipal-influenza-and-general-vaccination-drives-in-marlia-and-maranho

### 2026-06-19: Brazil launches 20‑valent Pneumo vaccine for children

Brazil’s Health Ministry began nationwide rollout of the 20‑valent Pneumo vaccine, protecting children under 5 against pneumonia, meningitis and otitis, replacing the 10‑valent version; the program targets ~2 m

53 sources. https://clstr.news/cluster/brazil-prepares-for-winter-with-asthma-awareness-and-rsv-vaccination-for-pregnant-women

### 2026-06-18: Brazil warns of cold‑weather risks for elders and high heart‑attack mortality in young women

Brazilian health officials warn that cold, dry weather raises respiratory and dehydration risks for seniors, while young women face higher heart‑attack mortality due to atypical symptoms and risk factors.

3 sources. https://clstr.news/cluster/brazil-warns-of-coldweather-risks-for-elders-and-high-heartattack-mortality-in-young-women

### 2026-06-18: São Paulo records rise in yellow fever cases and deaths

São Paulo's yellow‑fever surge led to a recognized vaccination campaign and 11 cases with six deaths in 2026, prompting intensified free‑vaccine drives.

2 sources. https://clstr.news/cluster/so-paulo-records-rise-in-yellow-fever-cases-and-deaths

### 2026-06-17: Brazil rolls out nationwide multivaccination drive with new 20‑valent pneumococcal vaccine

Brazil’s cities hold a nationwide “Dia D” multivaccination on 20 June, adding the new 20‑valent pneumococcal vaccine in São Paulo and rolling it out in other municipalities.

10 sources. https://clstr.news/cluster/minas-gerais-holds-dia-d-multivaccination-day-for-children-and-teens

### 2026-06-16: Brazil rolls out 20‑valent pneumococcal vaccine for children nationwide

Brazil expands the 20‑valent pneumococcal vaccine for children, now offered nationwide, with priority for under‑four‑year‑olds and special vaccination days in several municipalities.

5 sources. https://clstr.news/cluster/brazil-rolls-out-child-vaccination-drives-in-poos-de-caldas-and-joo-pessoa

### 2026-06-16: Brazil's SUS Introduces 20‑Valent Pneumococcal Vaccine for Children

Brazil's SUS has launched a 20‑valent pediatric pneumococcal vaccine, expanding its free immunisation program that already offers over 30 vaccines.

2 sources. https://clstr.news/cluster/brazils-sus-introduces-20valent-pneumococcal-vaccine-for-children

### 2026-06-15: Brazilian cities begin rollout of 20‑valent pneumococcal vaccine for children

Brazil’s SUS began administering the 20‑valent pneumococcal vaccine in João Pessoa and Chapadão do Sul, expanding child protection against pneumonia, meningitis and related infections.

7 sources. https://clstr.news/cluster/brazil-launches-20valent-pneumococcal-vaccine-in-joo-pessoa-and-expands-influenza-shots-in-pelotas

### 2026-06-15: Brazil's Acre and Sorocaba Report Surge in Severe Respiratory Hospitalizations

Brazil’s Acre state logged a June record of 103 SRAG admissions and full ICU occupancy, while Sorocaba recorded 421 SRAG cases and 27 deaths in early 2026, prompting heightened vaccination efforts.

2 sources. https://clstr.news/cluster/brazils-acre-and-sorocaba-report-surge-in-severe-respiratory-hospitalizations

### 2026-06-13: Brazil health officials stress year‑round vaccination amid flu and COVID cases

Brazil's Goiás and Mato Grosso do Sul health agencies urge vaccination for all ages, citing dengue, influenza and COVID cases and low flu‑shot coverage, emphasizing prevention.

2 sources. https://clstr.news/cluster/brazil-health-officials-stress-yearround-vaccination-amid-flu-and-covid-cases

### 2026-06-12: Brazilian cities intensify influenza vaccination campaigns

Several Brazilian municipalities—including Feira de Santana, Brusque, Varginha, Paranavaí, Pinhais and Barretos—are holding special influenza vaccination drives at malls, streets and mobile units to boost low‑s

7 sources. https://clstr.news/cluster/feira-de-santana-and-varginha-hold-free-influenza-vaccination-campaigns

### 2026-06-12: Brazil health agencies warn of flu, malaria and cold‑weather respiratory risks

Brazilian health agencies issue alerts on low flu vaccination, malaria surveillance training and heightened respiratory risks as colder weather spreads across several states.

11 sources. https://clstr.news/cluster/brazil-states-urge-flu-vaccination-and-respiratory-safeguards-as-winter-nears

### 2026-06-11: Brazil reports surge in RSV and flu hospitalizations, Acre at alert level

Brazil's latest health bulletin shows rising RSV and flu hospitalizations, with Acre and ten other states at alert level for severe respiratory illness.

2 sources. https://clstr.news/cluster/brazil-reports-surge-in-rsv-and-flu-hospitalizations-acre-at-alert-level

### 2026-06-11: Brazil sees rise in respiratory virus hospitalizations

Brazil reports a surge in RSV and influenza hospitalizations, with 11 states at high risk and over 3,500 SRAG deaths, prompting vaccination and preventive measures.

7 sources. https://clstr.news/cluster/brazil-reports-surge-in-rsv-and-flu-hospitalizations-fiocruz-data-shows

### 2026-06-11: Cuiabá sees 89% drop in Covid‑19 cases as influenza infections more than double

Cuiabá’s health bulletin reports an 89% fall in Covid‑19 cases to 112, while influenza infections more than doubled, prompting a push for flu vaccinations.

3 sources. https://clstr.news/cluster/cuiab-sees-89-drop-in-covid19-cases-as-influenza-infections-more-than-double

### 2026-06-10: Brazil launches 20‑valent Pneumo 20 vaccine for children

Brazil's SUS adds the 20‑valent Pneumo 20 vaccine, protecting against 20 pneumococcal serotypes. Initial batches of 10,800 doses (Espírito Santo), 8,300 (Mato Grosso do Sul) and 20,170 (Santa Catarina) were the

8 sources. https://clstr.news/cluster/mato-grosso-do-sul-receives-8300-pneumo-20-vaccine-doses-for-sus-rollout

### 2026-06-09: Brazil celebrates National Immunization Day, urges vaccine updates for all ages

Brazil’s National Immunization Day on June 9 urged all ages to update vaccine records as respiratory illnesses rise; coverage gaps remain, with the Federal District reporting a 14.7% May increase and 2.9 M dabs

2 sources. https://clstr.news/cluster/brazil-marks-national-immunization-day-calls-for-lifelong-vaccination-updates

### 2026-06-08: Unimed Cuiabá urges Brazilians to vaccinate during June Lilás campaign

Unimed Cuiabá promotes Brazil's June Lilás vaccination drive, urging all age groups to stay current on immunisations to protect families and the community.

2 sources. https://clstr.news/cluster/unimed-cuiab-urges-brazilians-to-vaccinate-during-june-lils-campaign

### 2026-06-08: São Paulo expands flu, measles and yellow‑fever vaccination sites

São Paulo adds 400 sites for free flu, measles and yellow‑fever shots during National Immunization Day, while Brazil sees a surge in influenza‑A cases and urges widespread vaccination.

12 sources. https://clstr.news/cluster/brazil-expands-flu-and-other-vaccinations-for-national-immunization-day

### 2026-06-08: RSV outbreak in Acre, Brazil strains hospitals amid rising infant deaths

Acre, Brazil reports 1,400+ RSV cases and 37 infant deaths; hospitals face 90% ICU occupancy, low flu vaccination and rising viral spread.

2 sources. https://clstr.news/cluster/rsv-outbreak-in-acre-brazil-strains-hospitals-amid-rising-infant-deaths

### 2026-06-08: Brazil rolls out 20‑valent Pneumo vaccine for children and at‑risk groups

Brazil begins June 2024 rollout of the 20‑valent Pneumo vaccine for children and vulnerable groups; first doses arrive in Goiânia amid rising SRAG cases and low flu‑shot coverage.

2 sources. https://clstr.news/cluster/brazil-rolls-out-20valent-pneumo-vaccine-for-children-and-atrisk-groups

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Cite as: Brazil health response expands amid measles and West Nile. CLSTR, https://clstr.news/situations/growing-threats-of-emerging-viruses-in-south-america-prompt-heightened-surveillance