Flea-borne typhus: why Los Angeles County treats fleas as a public health issue
Fleas in Los Angeles County are more than an itch. The County Department of Public Health counted 220 cases of flea-borne typhus in 2025, the highest number it has ever recorded and up from 187 in 2024, and described a sustained upward trend. Nearly nine in ten of those patients were hospitalized, and their ages ran from 1 to 85. The department also tracked three localized outbreaks that year, in Central Los Angeles, the City of Santa Monica and the unincorporated Willowbrook area of South LA County.
The pattern continued in 2026. In September the department announced a second outbreak of the year, this one in the Wilshire Center neighborhood of the City of Los Angeles, with seven people sick and six of them hospitalized (all recovered), and 109 cases countywide by that point in the year.
The fleas that spread the disease live on rats, free-roaming cats and opossums, which often look perfectly healthy. People are infected when flea dirt gets into a scratch or cut or is rubbed into the eyes. Symptoms such as fever, headache, rash and body aches usually start one to two weeks later; the illness is treatable with antibiotics and does not pass from person to person.
For a household, the practical link is the pet. A dog or cat that crosses paths with an opossum or a stray under the house can carry those fleas inside, which is why the county urges year-round flea control for pets, no pet food left outdoors and closed-off crawl spaces. PesPro removes the fleas already living in the home and yard, and handles rats through its rodent control program. Opossums and stray cats are a matter for local animal control, and anyone with typhus-like symptoms after flea or animal exposure should see a doctor promptly. [2] [3] [4]