August 14, 2026
Back-to-School Preparation
Update:
- As back to school preparation is underway, the Virginia Department of Health (VDH) encourages families to talk to their healthcare provider to ensure their children are up to date on their routine immunizations.
- Virginia immunization requirements for school entrance remain unchanged.
- Vaccinations play a critical role in protecting the health of children, their families, and their communities.
- This is particularly important as Virginia has experienced an increase in measles cases with an active measles outbreak in Central Virginia.
Public Guidance:
- Learn about the school vaccine requirements on our webpage.
- Find a Vaccine Provider
- Virginia Vaccines for Children (VVFC) - VDH manages over 750 VVFC locations which include our local health departments. These locations provide routine vaccines at little to no cost to children without health insurance or who are on Medicaid.
- Local health districts partner with school divisions and communities to offer convenient options for vaccine clinics at schools or community events for families.
- Get Immunization Records
- The Immunization Records Request Portal allows you to view, download, and print immunization records for yourself or your family.
- Spread the Word
- Share VDH’s back to school information and resources with your communities. We have handouts and social media content in multiple languages.
Send all questions and interview requests to Logan Anderson at logan.anderson@vdh.virginia.gov
ICYMI: Virginia Department of Health Commits to Evidence-Based Vaccine Recommendations and Ensuring Access to Childhood Vaccinations
In response to the recent Presidential Executive Order pertaining to childhood vaccine recommendations, the Virginia Department of Health (VDH) is reaffirming its previously stated commitment to vaccines as an essential tool in protecting the health of children, their families, and their communities.
The Presidential Executive Order does not change vaccine recommendations or school immunization requirements in Virginia. VDH continues to recommend that children are vaccinated in accordance with the American Academy of Pediatrics (AAP) 2026 Child and Adolescent Immunization Schedule. VDH expects that healthcare providers will continue to rely on their clinical training and professional judgment and consult information published by the American Academy of Pediatrics and the American Academy of Family Physicians when engaging in shared clinical decision-making with parents, caregivers, and patients.
“Virginia’s families should be able to trust that our vaccine recommendations are grounded in the best available science and focused on protecting the health and well-being of their children,” said State Health Commissioner Dr. Cameron Webb. “The evidence supporting the AAP immunization schedule is extensive, and we remain confident that following it is one of the best ways to protect children from serious, preventable diseases. VDH will continue to follow the evidence, work with trusted clinical partners, and ensure families have access to the vaccines and reliable information they need.”
Read the full news release.
Cyclosporiasis
Update:
The Centers for Disease Control and Prevention (CDC), Food and Drug Administration (FDA), and several state public health officials continue to investigate a multistate outbreak of Cyclospora infections linked to shredded iceberg lettuce in 15 states. On July 17, Taylor Farms de Mexico announced that they are voluntarily recalling all iceberg lettuce sourced from central Mexico from the U.S. market. Recalled lettuce was distributed and sold in multiple states to consumers, restaurants, and retailers, including in Virginia.
CDC and FDA anticipate that the number of confirmed cases associated with this outbreak will rise, despite the recall, due to the fact that it can take several weeks for CDC and state health officials to determine if a sick person is part of this outbreak.
CDC is also investigating other outbreaks and illnesses of cyclosporiasis nationally that are unrelated to this outbreak.
As of August 10, 197 cases of cyclosporiasis have been reported to the Virginia Department of Health (VDH); this is an increase of 35 cases since last week. VDH is closely monitoring and investigating reported cyclosporiasis cases. Some Virginia cyclosporiasis cases have reported travel to and exposures in states impacted by the large multistate cyclosporiasis outbreak. Virginia is experiencing an increase in cyclosporiasis cases which is expected during the summer months.
The VDH Cyclosporiasis webpage page will be updated on Mondays by 10 AM and will include data through the previous Thursday. Data are preliminary and subject to change.
The cumulative numbers shown on this webpage will not match the number displayed in VDH Monthly Morbidity Surveillance Reports Dashboard. Additionally, it is expected that case counts on the VDH Cyclosporiasis webpage may not match data reported on the CDC webpage due to known lags in case reports, investigations, and differences in data workflows.
VDH Response:
- When VDH receives a report of a potential cyclosporiasis case, the local health department talks with the ill person to gather information on when they became sick, their travel history, events attended, restaurants/grocery stores or where the person purchased their foods, and what the person ate before they became sick.
- This epidemiologic information is then reviewed for any commonalities among cases, which is how we are able to detect outbreaks or foods to investigate further.
- VDH coordinates with state and federal partners on epidemiologic investigations.
- Send all questions and interview requests to Logan Anderson at Logan.Anderson@vdh.virginia.gov
Public Guidance:
Consumers, restaurants, and retailers who purchased or received recalled iceberg lettuce distributed by Taylor Fresh Foods should discard it immediately and not consume it. Full refunds are also available at the location of purchase.
To reduce the risk of cyclosporiasis:
- Do not eat any recalled lettuce.
-
- If purchased from a retail store (e.g., grocery store), throw it away or return it to where you bought it.
-
- At restaurants, if you do not know the source of the lettuce, ask the restaurant staff.
- Wash items and surfaces that may have touched the recalled lettuce using hot soapy water or a dishwasher.
- Consumers, restaurants, and retailers who purchased or received recalled iceberg lettuce from Taylor Farms de Mexico or distributed by Taylor Fresh Foods should discard it immediately and not consume it.
- Wash all fruits and vegetables thoroughly under running water before eating, cutting, or cooking.
- Wash hands carefully with soap and water before and after food preparation, and after using the bathroom or changing diapers.
- Travelers, especially to tropical areas, should avoid eating raw or undercooked foods or drinking untreated water.
Anyone experiencing symptoms of cyclosporiasis should visit a healthcare provider. They can test for Cyclospora and prescribe the correct treatment if indicated.
People who have diarrhea should rest and drink plenty of fluids.
Dengue
Update:
In collaboration with the Fairfax County and Loudoun County Health Departments, the Virginia Department of Health (VDH) is investigating a confirmed case of dengue virus infection in a resident who did not have known travel outside of Virginia prior to illness onset. This is the first documented case of locally acquired dengue in Virginia. The patient is known to have been in close proximity to a recent internationally acquired case in a Virginian who was diagnosed a couple weeks prior. Dengue viruses are spread to people through the bites of infected Aedes species mosquitoes. Transmission of the virus likely occurred when a local mosquito bit the internationally acquired case while infectious and subsequently infected the second case. There is no evidence of continued transmission and no additional reports of locally acquired dengue cases at this time. The potential risk for acquiring dengue virus in Virginia remains low.
VDH Response:
- VDH is working with local partners to monitor for any additional dengue cases and conduct surveillance of mosquitoes that can carry dengue viruses.
- VDH is promoting mosquito bite prevention messages. Preventing mosquito bites is the best way to protect yourself from dengue and other more common mosquito-borne diseases in Virginia.
- VDH sent a clinician letter to healthcare providers on August 4, 2026. This letter shares awareness of the locally acquired dengue case, asks providers to share prevention messages with their patients, and to consider dengue testing in people with compatible illness, even if they have not travelled to an area where dengue is known to be endemic.
Public Guidance:
- The best way to prevent dengue, and other more common mosquito-borne disease in Virginia, is to prevent mosquito bites.
- Aedes mosquitoes, which can transmit dengue virus, breed in water-filled containers that may be as small as a bottle cap. People should “tip and toss” containers around their homes and businesses that may hold water.
Measles
Update:
The Virginia Department of Health (VDH) is reporting no additional measles cases since the July 10 measles dashboard update. As of August 11, VDH is reporting a total of 177 cases of measles in 2026, with 154 outbreak-associated cases.
VDH Response:
- VDH has one active measles outbreak in Buckingham and Cumberland counties.
- Piedmont Health District continues efforts to identify any additional cases, connect people with testing and care, host local vaccination clinics, and provide health education to the community.
- The VDH measles dashboard shows key information to help Virginians see measles trends, understand the impact, and know their risk of exposure. The dashboard is updated every Tuesday and Thursday around noon ET.
- Send all questions and interview requests to Logan Anderson at Logan.Anderson@vdh.virginia.gov
Public Guidance:
There is a confirmed outbreak of measles in Buckingham and Cumberland Counties.
- All residents and visitors to Buckingham County and Cumberland County should take additional steps to assess their immunity.
- In addition to routine vaccination recommendations, people who live in or visit the Buckingham and Cumberland County area should talk with a healthcare provider about additional outbreak vaccination recommendations.
- People who are not vaccinated against measles should avoid large gatherings in the outbreak area.
Back-to-School Preparation
Update:
- As back to school preparation is underway, the Virginia Department of Health (VDH) encourages families to talk to their healthcare provider to ensure their children are up to date on their routine immunizations.
- Virginia immunization requirements for school entrance remain unchanged.
- Vaccinations play a critical role in protecting the health of children, their families, and their communities.
- This is particularly important as Virginia has experienced an increase in measles cases with an active measles outbreak in Central Virginia.
Public Guidance:
- Learn about the school vaccine requirements on our webpage.
- Find a Vaccine Provider
- Virginia Vaccines for Children (VVFC) - VDH manages over 750 VVFC locations which include our local health departments. These locations provide routine vaccines at little to no cost to children without health insurance or who are on Medicaid.
- Local health districts partner with school divisions and communities to offer convenient options for vaccine clinics at schools or community events for families.
- Get Immunization Records
- The Immunization Records Request Portal allows you to view, download, and print immunization records for yourself or your family.
- Spread the Word
- Share VDH’s back to school information and resources with your communities. We have handouts and social media content in multiple languages.
Send all questions and interview requests to Logan Anderson at logan.anderson@vdh.virginia.gov
Dengue
Update:
In collaboration with the Fairfax County and Loudoun County Health Departments, the Virginia Department of Health (VDH) is investigating a confirmed case of dengue virus infection in a resident who did not have known travel outside of Virginia prior to illness onset. This is the first documented case of locally acquired dengue in Virginia. The patient is known to have been in close proximity to a recent internationally acquired case in a Virginian who was diagnosed a couple weeks prior. Dengue viruses are spread to people through the bites of infected Aedes species mosquitoes. Transmission of the virus likely occurred when a local mosquito bit the internationally acquired case while infectious and subsequently infected the second case. There is no evidence of continued transmission and no additional reports of locally acquired dengue cases at this time. The potential risk for acquiring dengue virus in Virginia remains low.
VDH Response:
- VDH is working with local partners to monitor for any additional dengue cases and conduct surveillance of mosquitoes that can carry dengue viruses.
- VDH is promoting mosquito bite prevention messages. Preventing mosquito bites is the best way to protect yourself from dengue and other more common mosquito-borne diseases in Virginia.
- VDH sent a clinician letter to healthcare providers on August 2, 2026. This letter shares awareness of the locally acquired dengue case, asks providers to share prevention messages with their patients, and to consider dengue testing in people with compatible illness, even if they have not travelled to an area where dengue is known to be endemic.
Public Guidance:
- The best way to prevent dengue, and other more common mosquito-borne disease in Virginia, is to prevent mosquito bites.
- Aedes mosquitoes, which can transmit dengue virus, breed in water-filled containers that may be as small as a bottle cap. People should “tip and toss” containers around their homes and businesses that may hold water.
Measles
Update:
The Virginia Department of Health (VDH) is reporting no additional measles cases since the July 10 measles dashboard update. As of August 4, VDH is reporting a total of 177 cases of measles in 2026, with 154 outbreak-associated cases.
VDH Response:
- VDH has one active measles outbreak in Buckingham and Cumberland counties.
- Piedmont Health District continues efforts to identify any additional cases, connect people with testing and care, host local vaccination clinics, and provide health education to the community.
- The VDH measles dashboard shows key information to help Virginians see measles trends, understand the impact, and know their risk of exposure. The dashboard is updated every Tuesday and Thursday around noon ET.
- Send all questions and interview requests to Logan Anderson at Logan.Anderson@vdh.virginia.gov
Public Guidance:
There is a confirmed outbreak of measles in Buckingham and Cumberland Counties.
- All residents and visitors to Buckingham County and Cumberland County should take additional steps to assess their immunity.
- In addition to routine vaccination recommendations, people who live in or visit the Buckingham and Cumberland County area should talk with a healthcare provider about additional outbreak vaccination recommendations.
- People who are not vaccinated against measles should avoid large gatherings in the outbreak area.
Back-to-School Preparation
Update:
- As back to school preparation is underway, the Virginia Department of Health (VDH) encourages families to talk to their healthcare provider to ensure their children are up to date on their routine immunizations.
- Virginia immunization requirements for school entrance remain unchanged.
- Vaccinations play a critical role in protecting the health of children, their families, and their communities.
- This is particularly important as Virginia has experienced an increase in measles cases with an active measles outbreak in Central Virginia.
Public Guidance:
- Learn about the school vaccine requirements on our webpage.
- Find a Vaccine Provider
-
- Virginia Vaccines for Children (VVFC) - VDH manages over 750 VVFC locations which include our local health departments. These locations provide routine vaccines at little to no cost to children without health insurance or who are on Medicaid.
-
- Local health districts partner with school divisions and communities to offer convenient options for vaccine clinics at schools or community events for families.
- Get Immunization Records
-
- The Immunization Records Request Portal allows you to view, download, and print immunization records for yourself or your family.
- Spread the Word
-
- Share VDH’s back to school information and resources with your communities. We have handouts and social media content in multiple languages.
Send all questions and interview requests to Logan Anderson at logan.anderson@vdh.virginia.gov
Mosquito Bite Prevention
Update
- During the summer months, the Virginia Department of Health (VDH) encourages Virginians to take steps to reduce their risk for mosquito-borne diseases.
- Some mosquito-borne diseases, such as West Nile Virus, can be locally transmitted in Virginia. More information about mosquitoes in Virginia and the diseases they can transmit is available at https://www.vdh.virginia.gov/mosquitoes/.
- Travelers should be aware of the transmission risk of mosquito-borne diseases in regions they plan to visit. You can learn about health risks and recommendations specific to your travel destination by visiting the CDC Traveler’s Health website.
- For most mosquito-borne diseases, there are no vaccines or specific medicines available.
- Preventing mosquito bites is the best protection against mosquito-borne diseases .
Public Guidance
You can prevent mosquito bites and help prevent mosquitoes from breeding by following mosquito prevention tips:
- Use EPA-registered insect repellent.
- When outdoors, use insect repellent containing either DEET, picaridin, IR 3535, 2-undecanone, or oil of lemon eucalyptus on skin or clothing. Always follow instructions on the product label.
- An insect repellent called permethrin can also be used to treat clothing ahead of time and will last on clothing, socks, and shoes for several months.
- The American Academy of Pediatrics recommends using products containing no greater than 30% DEET on children.
- Do not use insect repellent on babies under 2 months of age.
- Oil of lemon eucalyptus and para-menthane-diol should never be used for children under 3 years of age.
- Wear protective clothing such as long-sleeved shirts and long pants when outside.
- Use screens on windows and doors. Repair holes in screens to keep mosquitoes outdoors.
- Stop mosquitoes from laying eggs in or near water. Check for water-holding containers both indoors and outdoors. “Tip and toss” containers around your home that may hold water, like flower pots or buckets.
- More mosquito prevention tips are available at https://www.vdh.virginia.gov/mosquitoes/prevention/
Send all questions and interview requests to Logan Anderson at logan.anderson@vdh.virginia.gov
Virginia Department of Health Implements “Roadmap” to Improve Regulatory Oversight for Nursing Homes in the Commonwealth
Update:
In order to protect the most vulnerable Virginians, the Virginia Department of Health (VDH) and its Office of Licensure and Certification (OLC) are implementing a “roadmap” to improve regulatory oversight for nursing homes in the Commonwealth by addressing facility recertification inspections and complaint investigations.
The goals of the plan are multi-pronged:
- Stabilize long-term care survey operations,
- Reduce the nursing facility recertification backlog,
- Standardize enforcement decision-making processes, and
- Construct internal infrastructure to sustain these gains over the long term.
Implementation will occur over three phases: immediate stabilization and recertification workload reduction; consistent enforcement and engagement framework; and building out a strengthened training, onboarding, quality assurance, workforce sustainability, and data systems regimented to support OLC’s overall mission.
Read the full news release.
Send all questions and interview requests to Logan Anderson at Logan.Anderson@vdh.virginia.gov
Measles
Update:
The Virginia Department of Health (VDH) is reporting no additional measles cases since the July 10 measles dashboard update. As of July 30, VDH is reporting a total of 177 cases of measles in 2026, with 154 outbreak-associated cases.
VDH Response:
- VDH has one active measles outbreak in Buckingham and Cumberland counties.
- Piedmont Health District continues efforts to identify any additional cases, connect people with testing and care, host local vaccination clinics, and provide health education to the community.
- The VDH measles dashboard shows key information to help Virginians see measles trends, understand the impact, and know their risk of exposure. The dashboard is updated every Tuesday and Thursday around noon ET.
- Send all questions and interview requests to Logan Anderson at Logan.Anderson@vdh.virginia.gov
Public Guidance:
There is a confirmed outbreak of measles in Buckingham and Cumberland Counties.
All residents and visitors to Buckingham County and Cumberland County should take additional steps to assess their immunity. In addition to routine vaccination recommendations, people who live in or visit the Buckingham and Cumberland County area should talk with a healthcare provider about additional outbreak vaccination recommendations.
People who are not vaccinated against measles should avoid large gatherings in the outbreak area.
Measles
Update:
The Virginia Department of Health (VDH) is reporting no additional measles cases since the July 10 measles dashboard update. As of July 28, VDH is reporting a total of 177 cases of measles in 2026, with 154 outbreak-associated cases.
VDH Response:
- VDH has one active measles outbreak in Buckingham and Cumberland counties.
- Piedmont Health District continues efforts to identify any additional cases, connect people with testing and care, host local vaccination clinics, and provide health education to the community.
- The VDH measles dashboard shows key information to help Virginians see measles trends, understand the impact, and know their risk of exposure. The dashboard is updated every Tuesday and Thursday around noon ET.
- Send all questions and interview requests to Logan Anderson at Logan.Anderson@vdh.virginia.gov
Public Guidance:
There is a confirmed outbreak of measles in Buckingham and Cumberland Counties.
- All residents and visitors to Buckingham County and Cumberland County should take additional steps to assess their immunity.
- In addition to routine vaccination recommendations, people who live in or visit the Buckingham and Cumberland County area should talk with a healthcare provider about additional outbreak vaccination recommendations.
- People who are not vaccinated against measles should avoid large gatherings in the outbreak area.
Cyclosporiasis
Update:
The Centers for Disease Control and Prevention (CDC), Food and Drug Administration (FDA), and several state public health officials continue to investigate a multistate outbreak of Cyclospora infections linked to shredded iceberg lettuce in nine states. On July 17, Taylor Farms de Mexico announced that they are voluntarily recalling all iceberg lettuce sourced from central Mexico from the U.S. market. Recalled lettuce was distributed and sold in multiple states to consumers, restaurants, and retailers, including in Virginia.
Recalled products include Marketside-brand products available at Walmart described as “Iceberg Salad 12-oz or 24-oz" and “Shredded Lettuce 8-oz or 16-oz" with Best if Used By dates of July 18 to August 3, 2026. The recall from Walmart stores is in several states, including Virginia.
Other recalled products were distributed to food service customers, and a complete list of those products is included in the recall notice.
CDC is also investigating other outbreaks and illnesses of cyclosporiasis nationally that are unrelated to this outbreak.
As of July 2, 126 cases of cyclosporiasis have been reported to the Virginia Department of Health (VDH); this is an increase of 47 cases since last week. VDH is closely monitoring and investigating reported cyclosporiasis cases. Some Virginia cyclosporiasis cases have reported travel to and exposures in states impacted by the large multistate cyclosporiasis outbreak. Virginia is experiencing an increase in cyclosporiasis cases which is expected during the summer months.
The VDH Cyclosporiasis webpage page will be updated on Mondays by 10 AM and will include data through the previous Thursday. Data are preliminary and subject to change.
The cumulative numbers shown on this webpage will not match the number displayed in VDH Monthly Morbidity Surveillance Reports Dashboard. Additionally, it is expected that case counts on the VDH Cyclosporiasis webpage may not match data reported on the CDC webpage due to known lags in case reports, investigations, and differences in data workflows.
VDH Response:
- When VDH receives a report of a potential cyclosporiasis case, the local health department talks with the ill person to gather information on when they became sick, their travel history, events attended, restaurants/grocery stores or where the person purchased their foods, and what the person ate before they became sick.
- This epidemiologic information is then reviewed for any commonalities among cases, which is how we are able to detect outbreaks or foods to investigate further.
- VDH coordinates with state and federal partners on epidemiologic investigations.
- Send all questions and interview requests to Logan Anderson at Logan.Anderson@vdh.virginia.gov
Public Guidance:
Consumers, restaurants, and retailers who purchased or received recalled iceberg lettuce distributed by Taylor Fresh Foods should discard it immediately and not consume it. Full refunds are also available at the location of purchase.
To reduce the risk of cyclosporiasis:
- Do not eat any recalled lettuce.
- If purchased from a retail store (e.g., grocery store), throw it away or return it to where you bought it.
- At restaurants, if you do not know the source of the lettuce, ask the restaurant staff.
- Wash items and surfaces that may have touched the recalled lettuce using hot soapy water or a dishwasher.
- Consumers, restaurants, and retailers who purchased or received recalled iceberg lettuce from Taylor Farms de Mexico or distributed by Taylor Fresh Foods should discard it immediately and not consume it.
- Wash all fruits and vegetables thoroughly under running water before eating, cutting, or cooking.
- Wash hands carefully with soap and water before and after food preparation, and after using the bathroom or changing diapers.
- Travelers, especially to tropical areas, should avoid eating raw or undercooked foods or drinking untreated water.
Anyone experiencing symptoms of cyclosporiasis should visit a healthcare provider. They can test for Cyclospora and prescribe the correct treatment if indicated.
People who have diarrhea should rest and drink plenty of fluids.
Back to School Preparation
Update:
- As back to school preparation is underway, the Virginia Department of Health (VDH) encourages families to talk to their healthcare provider to ensure their children are up to date on their routine immunizations.
- Virginia immunization requirements for school entrance remain unchanged.
- Vaccinations play a critical role in protecting the health of children, their families, and their communities.
- This is particularly important as Virginia has experienced an increase in measles cases with an active measles outbreak in Central Virginia.
Public Guidance:
- Learn about the school vaccine requirements on our webpage.
- Find a Vaccine Provider
- Virginia Vaccines for Children (VVFC) - VDH manages over 750 VVFC locations which include our local health departments. These locations provide routine vaccines at little to no cost to children without health insurance or who are on Medicaid.
- Local health districts partner with school divisions and communities to offer convenient options for vaccine clinics at schools or community events for families.
- Get Immunization Records
- The Immunization Records Request Portal allows you to view, download, and print immunization records for yourself or your family.
- Spread the Word
- Share VDH’s back to school information and resources with your communities. We have handouts and social media content in multiple languages.
Send all questions and interview requests to Logan Anderson at logan.anderson@vdh.virginia.gov.
Drought and Private Wells
Update:
Despite recent rain, severe drought conditions continue across much of Virginia. Due to ongoing dry soils, low stream flows and groundwater levels, the Drought Monitoring Task Force (DMTF) has continued the existing drought advisory statuses for Virginia.
All of Virginia is in a drought warning, except for Isle of Wight County, and the cities of Chesapeake, Norfolk, Portsmouth, Suffolk, and Virginia Beach in southeast Virginia, which remain in a drought watch.
A drought warning advisory is intended to increase awareness that the onset of a significant drought event is imminent. A drought watch advisory is intended to help Virginians prepare for a potential drought.
VDH Response:
- Our team is participating in DEQ’s Virginia Drought Monitoring Task Force to review stream and groundwater data throughout the state.
- The Office of Drinking Water (ODW) is messaging the 2,860 waterworks across the Commonwealth to increase awareness of drought conditions and help them prepare for any voluntary or mandatory water restrictions that may be necessary to implement.
- ODW has set up webpages to provide information on drought conditions to the waterworks:
- The Office of Environmental Health Services (OEHS) has updated its webpage to provide current information on drought conditions to private well owners. OEHS is monitoring the number of replacement well applications to watch for any upward trends occurring in well failures.
- Send all questions and interview requests to Linda Scarborough at Linda.Scarborough@vdh.virginia.gov.
Public Guidance:
Virginians can help conserve water by:
- Reducing lawn and garden watering schedules to alternating days, only watering between dusk and dawn
- Turning off ornamental fountains
- Limit washing of vehicles and paved surfaces unless addressing public health and safety
- Limit filling of swimming pools
Private well owners should follow the same water conservation recommendations above and the information available here for Managing Your Private Well During a Drought.
If the well runs dry:
- Stop drawing water immediately to rest the well.
- Have a professional make adjustments to your pump and assess the water system.
- Never attempt to do it yourself. There are serious injury hazards.
Ryan White HIV/AIDS Program
Update:
The Virginia Department of Health (VDH) announced that it is distributing $6.6 million annually in state funding to support the Ryan White HIV/AIDS Program Part B. The Virginia General Assembly played an essential part of this success by appropriating these funds to boost Virginia’s statewide network of HIV care services. Read more.
Contact Logan Anderson for interview requests at Logan.Anderson@vdh.virginia.gov.
Office of Vital Records
Update:
Adult adoptees born in Virginia can now request a copy of their original birth certificate without obtaining a court order, following the enactment of House Bill 301, which took effect July 1, 2026. Previously, adoptees were required to secure a court order before accessing their original birth records. Read more.
Contact Tristen Franklin for interview requests at Tristen.Franklin@vdh.virginia.gov.
Measles
The Virginia Department of Health (VDH) is reporting no additional measles cases since the July 10 measles dashboard update. As of July 23, VDH is reporting a total of 177 cases of measles in 2026, with 154 outbreak-associated cases.
VDH Response:
- VDH has one active measles outbreak in Buckingham and Cumberland counties.
- Piedmont Health District continues to identify any additional cases, connecting people with testing and care, holding local vaccination clinics, and providing health education to the community.
- The VDH measles dashboard shows key information to help Virginians see measles trends, understand the impact, and know their risk of exposure. The dashboard will be updated every Tuesday and Thursday around noon ET.
- Send all questions and interview requests to Logan Anderson at Logan.Anderson@vdh.virginia.gov
Public Guidance: There is a confirmed outbreak of measles in Buckingham and Cumberland Counties.
All residents and visitors to Buckingham County and Cumberland County should take additional steps to assess their immunity. In addition to routine vaccination recommendations, people who live in or visit the Buckingham and Cumberland County area should talk with a healthcare provider about additional outbreak vaccination recommendations.
People who are not vaccinated against measles should avoid large gatherings in the outbreak area.
Cyclosporiasis
Update:
The CDC, FDA, and public health officials in several states are working together to investigate a multistate outbreak of Cyclospora infections linked to shredded iceberg lettuce in five states. On July 17, Taylor Farms de Mexico announced that they are voluntarily recalling all iceberg lettuce sourced from central Mexico from the U.S. market. Recalled lettuce was distributed and sold in multiple states to consumers, restaurants, and retailers, including in Virginia.
Recalled products include Marketside-brand products available at Walmart described as “Iceberg Salad 12-oz or 24-oz" and “Shredded Lettuce 8-oz or 16-oz" with Best if Used By dates of July 18 to August 3, 2026. The recall from Walmart stores is in several states, including Virginia.
Other recalled products were distributed to food service customers, and a complete list of those products is included in the recall notice.
As of July 16, 79 cases of cyclosporiasis have been reported to the Virginia Department of Health. There is not currently evidence that Virginia is experiencing an outbreak. Virginia is experiencing an increase in cyclosporiasis cases which is expected during the summer months.
The Cyclosporiasis - Surveillance and Investigation page will be updated on a weekly basis on Mondays by 10 AM and will include data through the previous Thursday. Data are preliminary and subject to change.
The cumulative numbers shown in the table above will not match the number displayed in monthly surveillance reports. The VDH Monthly Morbidity Surveillance Reports Dashboard is updated once a month, whereas this table will be updated once a week. Additionally, please note that it is expected that case counts on the VDH webpage may not match data reported on the CDC webpage due to known lags in case reports, investigations, and differences in data workflows.
VDH Response:
- When VDH receives a report of a potential cyclosporiasis case, the local health department talks with the ill person to gather information on when they became sick, their travel history, events attended, restaurants/grocery stores or where the person purchased their foods, and what the person ate before they became sick.
- This epidemiologic information is then reviewed for any commonalities among cases, which is how we are able to detect outbreaks or foods to investigate further.
- VDH coordinates with state and federal partners on epidemiologic investigations.
- Send all questions and interview requests to Logan Anderson at Logan.Anderson@vdh.virginia.gov
Public Guidance:
Consumers, restaurants, and retailers who purchased or received recalled iceberg lettuce distributed by Taylor Fresh Foods should discard it immediately and not consume it. Full refunds are also available at the location of purchase.
Don’t eat recalled lettuce at any restaurant. If you don’t know the source of the iceberg lettuce, ask the restaurant.
To reduce the risk of cyclosporiasis:
- Do not eat any recalled lettuce. If purchased from a retail store (e.g., grocery store), throw it away or return it to where you bought it. At restaurants, if you do not know the source of the lettuce, ask the restaurant staff.
- Wash items and surfaces that may have touched the recalled lettuce using hot soapy water or a dishwasher.
- Consumers, restaurants, and retailers who purchased or received recalled iceberg lettuce from Taylor Farms de Mexico or distributed by Taylor Fresh Foods should discard it immediately and not consume it.
- Wash all fruits and vegetables thoroughly under running water before eating, cutting, or cooking.
- Wash hands carefully with soap and water before and after food preparation, and after using the bathroom or changing diapers.
- Travelers, especially to tropical areas, should avoid eating raw or undercooked foods or drinking untreated water.
Anyone experiencing symptoms of cyclosporiasis should visit a healthcare provider. They can test for Cyclospora and prescribe the correct treatment if indicated. People who have diarrhea should rest and drink plenty of fluids.
Drought
Update:
The Department of Environmental Quality (DEQ) monitors drought conditions in the Commonwealth.
For the assessment period ending July 7, DEQ reported that 66.21% of the state is experiencing severe or worse drought conditions. Groundwater levels are at emergency status for nearly 70% of Virginia.
These impacts from the drought have the potential to greatly impact homes and businesses that rely on groundwater from private wells as their source of drinking water.
VDH Response:
- Our team is participating in DEQ’s Virginia Drought Monitoring Task Force to review stream and groundwater data throughout the state.
- The most recent meeting was today, Monday, July 21.
Public Guidance:
Private well owners can protect themselves and other groundwater users by implementing commonsense conservation measures to restrict non-essential water uses. These activities include:
- Irrigation of lawns.
- Irrigation of golf courses.
- Irrigation of athletic fields.
- Washing paved surfaces.
- Washing automobiles, trucks, trailers, and boats.
- Ornamental uses of water (e.g. fountains).
Well owners can also help reduce excess water use by fixing plumbing leaks quickly.
If your well begins to run dry, stop drawing water immediately to rest the well. Never attempt to make your own pump adjustments; call a professional. These adjustments can result in a significant risk of injury without the proper knowledge and equipment. If your well is dry and you need assistance in obtaining a permit to construct a replacement well, please contact your local health department.
Wildfires and Air Quality
Update:
On Friday, July 17, the number of emergency room visits with a chief complaint of asthma was 60 statewide, which is above the expected count of 36. Visits associated with overall respiratory complaints remained stable.
Over the weekend, ED and urgent care visits associated with asthma returned to expected number of visits and overall respiratory conditions remained stable.
Smoke from the Canadian wildfires will continue to sporadically affect the air quality in Virginia.
The biggest health threat from smoke is from fine particles. These small particles can get into your eyes, nose, and throat, where they can cause itching or burning eyes and coughing. Fine particles also can worsen chronic heart and lung diseases.
Send all questions and interview requests to Brookie Crawford at brookie.crawford@vdh.virginia.gov
Public Guidance:
People should continue to check current conditions in your neighborhood using the Virginia Department of Environmental Quality Air Quality Forecast.
People, especially those at higher risk, can take steps to protect themselves and others from wildfire smoke.
For more information, visit VDH's Wildfire Smoke webpage.
Measles
Update:
The Virginia Department of Health (VDH) is reporting no additional measles cases since the July 16 measles dashboard update. As of July 21, VDH is reporting a total of 177 cases of measles in 2026, with 154 outbreak-associated cases.
VDH Response:
- VDH has one active measles outbreak in Buckingham and Cumberland counties.
- Piedmont Health District continues to identify any additional cases, connecting people with testing and care, holding local vaccination clinics, and providing health education to the community.
- The VDH measles dashboard shows key information to help Virginians see measles trends, understand the impact, and know their risk of exposure. The dashboard will be updated every Tuesday and Thursday around noon ET.
- Send all questions and interview requests to Logan Anderson at Logan.Anderson@vdh.virginia.gov
Public Guidance:
There is a confirmed outbreak of measles in Buckingham County. This outbreak has been expanded to include Cumberland County.
All residents and visitors to Buckingham County and Cumberland County should take additional steps to assess their immunity. In addition to routine vaccination recommendations, people who live in or visit the Buckingham and Cumberland County area should talk with a healthcare provider about additional outbreak vaccination recommendations.
People who are not vaccinated against measles should avoid large gatherings in the outbreak area.
Cyclosporiasis
Update:
As of July 4, 37 cases of cyclosporiasis have been reported to the Virginia Department of Health. Although this is more than double the five-year average number of cases reported year to date, there is not currently evidence that Virginia is experiencing an outbreak.
The number of cyclosporiasis cases reported to VDH typically increases in the spring and summer months, and it is expected that case counts may increase in the coming weeks due to the seasonal nature of this illness. In 2025, VDH reported 116 cases of cyclosporiasis. In 2024, VDH reported 191 cases of cyclosporiasis.
Due to the heightened interest in this topic, beginning the week of July 20, 2026, weekly case counts in Virginia will be posted on the VDH Cyclosporiasis webpage.
VDH issued a July 17 Clinician Letter with more information about cyclosporiasis.
VDH Response:
- When VDH receives a report of a potential cyclosporiasis case, the local health department talks with the ill person to gather information on when they became sick, their travel history, events attended, restaurants/grocery stores or where the person purchased their foods, and what the person ate before they became sick.
- This epidemiologic information is then reviewed for any commonalities among cases, which is how we are able to detect outbreaks or foods to investigate further.
- VDH coordinates with state and federal partners on epidemiologic investigations.
- Send all questions and interview requests to Brookie Crawford at brookie.crawford@vdh.virginia.gov
Public Guidance:
To reduce the risk of cyclosporiasis:
- Wash all fruits and vegetables thoroughly under running water before eating, cutting, or cooking.
- Wash hands carefully with soap and water before and after food preparation and after using the bathroom or changing diapers.
- Travelers, especially to tropical areas, should avoid eating raw or undercooked foods or drinking untreated water.
On July 16, the Centers for Disease Control and Prevention (CDC) and the US Food and Drug Administration (FDA) reported that shredded iceberg lettuce served at Taco Bell locations in Indiana, Kentucky, Michigan, Ohio, and West Virginia has been identified as a likely exposure source; consumers should avoid eating shredded iceberg lettuce at Taco Bell locations in these states.
Anyone experiencing symptoms of cyclosporiasis should visit a healthcare provider. They can test for Cyclospora and prescribe the correct treatment if indicated.
People who have diarrhea should rest and drink plenty of fluids.
Quote:
“While we continue to monitor cyclosporiasis cases across Virginia, the recommended steps to reduce risk should be part of our everyday food handling practices. Practicing good hand hygiene and thoroughly washing all fresh produce under running water before eating or cooking are fundamental food safety habits that can help keep you and your families safe year-round.”
- Virginia State Health Commissioner Dr. Cameron Webb
Drought
Update:
Despite recent rain, severe drought conditions continue across most of Virginia due to ongoing dry soils and low streamflows and groundwater levels, the Drought Monitoring Task Force (DMTF) has continued the existing drought advisory statuses for Virginia.
All of Virginia is in a drought warning, except for Isle of Wight County, and the cities of Chesapeake, Norfolk, Portsmouth, Suffolk, and Virginia Beach in southeast Virginia, which remain in a drought watch.
A drought warning advisory is intended to increase awareness that the onset of a significant drought event is imminent. A drought watch advisory is intended to help Virginians prepare for a potential drought.
VDH Response:
- Our team is participating in DEQ’s Virginia Drought Monitoring Task Force to review stream and groundwater data throughout the state. The next meeting is scheduled for Monday, July 21.
- The Office of Drinking Water is messaging the 2,860 waterworks across the Commonwealth to increase awareness of drought conditions and help them prepare for any voluntary or mandatory water restrictions that may be necessary to implement.
- ODW has set up to webpages to provide information on drought conditions to the waterworks
- Send all questions and interview requests to Brookie Crawford at brookie.crawford@vdh.virginia.gov.
Public Guidance:
Virginian can help conserve water by:
- Reduce lawn and garden watering schedules to alternating days, only watering between dusk and dawn
- Turn off ornamental fountains
- Limit washing of vehicles and paved surfaces unless addressing public health and safety
- Limit filling of swimming pools
Private well owners should follow these water conservation measures. If a private well begins to run dry, stop drawing water immediately to rest the well. Never attempt to make your own pump adjustments; call a professional. There are serious injury hazards.
Wildfires and Air Quality
Update:
Virginia is experiencing haze due to smoke from Canadian wildfires. Take precautions now for diminished air quality and more widespread impacts.
The biggest health threat from smoke is from fine particles. These small particles can get into your eyes, nose, and throat, where they can cause itching or burning eyes and coughing. Fine particles also can worsen chronic heart and lung diseases.
People mostly likely to be affected are:
- People with heart or lung disease, including asthma and chronic obstructive pulmonary disease (COPD)
- Children, especially babies and toddler, and teenagers
- Older adults
- People who are obese or have diabetes might be at increased risk.
- Expectant mothers may also want to take precautions to protect the health of their babies.
VDH Response:
- The Virginia Department (VDH) of Health monitors the health effects. VDH is conducting surveillance of emergency departments and urgent care centers to monitor respiratory illnesses.
- Send all questions and interview requests to Brookie Crawford at brookie.crawford@vdh.virginia.gov.
Public Guidance:
People, especially those at higher risk, can take steps to protect themselves and others from wildfire smoke.
- Check the air quality in your community by monitoring the AirNow website or the news.
- AirNow is a website run by the U.S. Environmental Protection Agency and other agencies, to see current and forecasted air quality for your area. It uses the Air Quality Index to tell you if air quality is healthy or not and steps to take.
- Sign up for Virginia Department of Environmental Quality (DEQ) Air Quality Health Alerts.
- Limit your time outdoors, taking breaks from the outdoors, avoiding strenuous activities while outdoors, or wearing an N95 respirator while outdoors. Cloth masks or “dust” masks trap large particles but will not protect your lungs from smoke. An “N95” mask (respirator), properly worn, will offer some protection.
- If you are advised to stay indoors, keep indoor air as clean as possible by:
- Keeping windows and doors closed
- Use air conditioning and/or an air filter if you have one
- Do not vacuum
- Do not use anything that burns, such as candles, fireplaces, gas stoves, or tobacco products
Pets and livestock can also be affected by wildfire smoke. Watch pets and livestock closely for symptoms and takes steps to reduce their exposure.
Speak with a healthcare provider if you have concerns or if your symptoms worsen.
- If you have asthma or another lung disease, follow your doctor's directions about taking your medicines and following your asthma management plan. Call your doctor if your symptoms worsen.
- If you have heart or lung disease, if you are an older adult, or if you have children, talk with your doctor about whether and when you should leave the area. When smoke is heavy for a prolonged period, fine particles can build up indoors, even though you may not be able to see them. If you have chest pain, pounding heat, or dizziness, get medical help.
For more information, visit VDH's Wildfire Smoke webpage.
Measles
Update:
The Virginia Department of Health (VDH) is reporting no change in total measles cases since the July 10 measles dashboard update. As of July 14, VDH is reporting a total of 177 cases of measles in 2026, with 154 outbreak-associated cases.
VDH Response:
- VDH has one active measles outbreak in Buckingham and Cumberland counties. Piedmont Health District continues to identify any additional cases, connecting people with testing and care, holding local vaccination clinics, and providing health education to the community.
- The VDH measles dashboard shows key information to help Virginians see measles trends, understand the impact, and know their risk of exposure. The dashboard will be updated every Tuesday and Thursday around noon ET.
- Send all questions and interview requests to Brookie Crawford at brookie.crawford@vdh.virginia.gov
Public Guidance:
Measles is highly contagious and can spread to others through coughing and sneezing. Vaccination remains the best protection against measles.
People who live in or visit Buckingham County, Cumberland County, and surrounding areas should talk with their healthcare provider about outbreak vaccination recommendations, which includes considering an early MMR dose for infants older than six months to provide protection while measles is circulating in the community.
People who are not vaccinated against measles should avoid attending large or crowded events in the Buckingham and Cumberland County area during the outbreak to protect themselves and help stop the spread of measles.
Vital Records Implements Fee Adjustment
Update:
VDH implemented a fee adjustment increasing the cost of obtaining a vital record certificate to $15, effective July 1, 2026. Vital Records are also available at the Department of Motor Vehicles (DMV). The DMV fee is also $15 for the vital record plus a $2 additional processing fee. This change is required under Chapter 616 of the 2026 Virginia Acts of Assembly.
The updated fee applies to each certified copy of a vital record issued, as well as each search of the vital records system when no certified copy is produced. Vital records include birth, death, marriage, and divorce certificates.
For more information on obtaining Virginia vital record documents, visit the VDH Office of Vital Records website or call the Vital Records Call Center at 804-662-6200.
Measles
Update:
The VDH measles dashboard will be updated to show cases at the locality-level rather than the health district-level on the case map. The map will continue to include the same filtering feature to view cases by ‘Year to Date’, ‘Past Three Months’, and ‘Past Month’.
The Virginia Department of Health (VDH) is reporting 10 additional measles cases since the July 7 measles dashboard update. As of July 9, VDH is reporting a total of 177 cases of measles in 2026, with 154 outbreak-associated cases.
VDH Response:
- On June 25, VDH expanded the Buckingham County measles outbreak geographically to include Cumberland County.
- VDH has one active measles outbreak in Buckingham and Cumberland counties. Piedmont Health District continues to identify any additional cases, connecting people with testing and care, holding local vaccination clinics, and providing health education to the community.
- The VDH measles dashboard shows key information to help Virginians see measles trends, understand the impact, and know their risk of exposure. The dashboard will be updated every Tuesday and Thursday around noon ET.
- Send all questions and interview requests to Brookie Crawford at brookie.crawford@vdh.virginia.gov
Public Guidance:
Measles is highly contagious and can spread to others through coughing and sneezing. Vaccination remains the best protection against measles.
People who live in or visit Buckingham County, Cumberland County, and surrounding areas should talk with their healthcare provider about outbreak vaccination recommendations, which includes considering an early MMR dose for infants older than six months to provide protection while measles is circulating in the community.
People who are not vaccinated against measles should avoid attending large or crowded events in the Buckingham and Cumberland County area during the outbreak to protect themselves and help stop the spread of measles.
Severe Weather and Flooding
Update:
Virginia could potentially see flooding and severe weather today and tomorrow.
Public Guidance:
Thunderstorms can form quickly, bringing strong winds and dangerous lightning. Lightning can strike up to 10 miles from a storm.
To stay safe:
- Trim trees and secure loose outdoor items before storms.
- Go indoors at the first sign of thunder or lightning and bring pets inside.
- Stay away from windows.
- Avoid using electronics or anything plugged into an outlet.
- Stay out of showers and away from plumbing.
- Remain indoors for at least 30 minutes after the last thunder.
- If you cannot get indoors, avoid water, tall trees, and metal objects such as fences or bleachers.
- If someone is struck by lightning, call 911 immediately.
Floods are the most common disaster in the United States. Floodwater can contain debris, chemicals, and other hazards.
Key safety reminders:
- Never walk, swim, or drive through floodwater. Turn Around, Don’t Drown!
- Six inches of moving water can knock you down; one foot can sweep away a vehicle.
- Avoid bridges over fast‑moving water.