Flea-borne Typhus
Flea-borne Typhus FAQ (PDF) - English | Spanish | Tagalog | Khmer
WHAT IS TYPHUS?
Flea-borne typhus (also called murine typhus) is caused by the bacteria (Rickettsia typhi) and is transmitted by infected fleas, which enter the skin through scratching following a bite or an any cuts or scrapes. Infected fleas can be carried by rats, domestic or community cats, dogs, raccoons and opossums.
WHO GETS FLEA-BORNE TYPHUS?
Typhus can affect people of all ages. Most people do not recall a fleabite, but often have contact with animals such as community cats, opossums, rodents, or pet dogs or cats that can carry these infected fleas in or near their home. Pets and other animals do not become sick from typhus.
WHAT ARE SYMPTOMS OF TYPHUS?
- High fever
- Headache
- Chills
- Loss of appetite
- Nausea
- Vomiting
- Cough
- Muscle pain
- Rash
HOW DO I KNOW IF I HAVE TYPHUS?
See your healthcare provider if you develop symptoms of typhus after coming into contact with fleas. Your provider can do a blood test to look for typhus.CAN TYPHUS BE TREATED?
Flea-borne typhus can be treated with antibiotics. The treatment is most effective when given soon after symptoms begin.HOW CAN TYPHUS BE PREVENTED?
Preventing typhus begins with controlling fleas on pets and reducing opportunities for rodents and wildlife to spread them. You can help protect your household by taking the following steps:
PROTECT YOUR PETS
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Treat cats and dogs regularly with veterinarian-approved flea control medications (oral, topical, or flea collars).
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Groom pets regularly and check for fleas.
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Prevent contact between your pets and rodents, stray animals, or wildlife that may carry fleas.
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Keep your pet’s living space clean to remove flea eggs and larvae.
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Consult your veterinarian for the best flea prevention strategy for your pet.
KEEP WILDLIFE AND RODENTS AWAY
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Do not leave food or water outdoors that could attract stray animals or wildlife.
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Do not feed wild animals, including community cats.
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Clear away yard debris and overgrown vegetation where animals may hide.
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Seal openings and crawl spaces under homes to block entry.
MAINTAIN A CLEAN ENVIRONMENT
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Store trash in cans with tight-fitting lids.
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Apply EPA-registered insect repellents labeled for use against fleas when spending time outdoors.
By reducing fleas on pets and discouraging wildlife or rodents around your home, you also reduce the risk of typhus for your family and community.
Typhus Frequently Asked Questions (FAQ)
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TYPHUS CASES AND RESPONSE EFFORTS
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PRESS RELEASE: City of Long Beach Reports Increased Flea-Borne Typhus Infections
The Long Beach Department of Health and Human Services (Health Department) is closely monitoring flea-borne typhus cases and working with healthcare providers, veterinarians, and the community to reduce risks and increase awareness.
While typhus cases have risen across Southern California, the Health Department is committed to transparency, timely updates, and education to help residents and visitors stay informed and healthy.
Residents are encouraged to follow prevention guidelines to stay healthy. The Health Department continues to provide updates, education, and resources for residents, healthcare providers, and veterinarians to help control the spread of disease.
Historical Typhus Case Trends (Long Beach, 2012-2025)Typhus Cases1 by Year in Long Beach, CA 2012 13 2013 13 2014 8 2015 11 2016 20 2017 11 2018 20 2019 15 2020 19 2021 28 2022 13 2023 19 2024 23 2025* 34 Includes confirmed, probable, suspect cases
*Year to date as of 10/21/2025

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WHERE CAN I LEARN MORE ABOUT TYPHUS?
California Department of Public Health:
https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Typhus.aspxCenters for Disease Control and Prevention:
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RESOURCES
- Flea-borne Typhus FAQ (PDF) - English | Spanish | Tagalog | Khmer
- Centers for Disease Control and Prevention (CDC): About Murine Typhus | Typhus Fevers
- California Department of Public Health (CDPH): Typhus (Flea-borne)
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QUESTIONS?
For additional information call the Communicable Disease Surveillance and Control Division at (562) 570-4302.
