The UN’s health arm fears the large international communities living in Angola are carrying the mosquito-born virus into neighboring countries.

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Cases of yellow fever  were first reported in Angola’s capital Luanda in December.

The disease has now spread to 16 of the country’s 18 provinces, killing 238 people and infecting thousands.

Travelers from Angola have already exported the virus to China, Kenya and the Democratic Republic of Congo, where at least 21 people have died.

Countries where there are Aedes mosquitos, carriers of the yellow fever virus, are particularly at risk. Areas where there have been previous outbreaks of Dengue, Chikungunya or Zika virus would also be fertile grounds for the disease to spread.

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