The overall risk of transmission of the virus into Africa is low. However, Ethiopia, South Africa, Egypt and Mauritius have a similar risk score as countries where at least one case was detected. In South America, only Brazil has a similar or greater risk than countries currently reporting cases. In North America, both the USA and Canada have high risk and had imported cases reported early in the outbreak. Australia and New Zealand have risk similar to the countries where at least one case is detected. Although there are few direct flights from China to African destinations, a large number of indirect flights operate via Dubai, an international airport hub in the United Arab Emirates.