Afghanistan
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas <2,500 m (<8,200 ft) elevation (April–December)
Vaccines to consider:
Rabies11
Cholera12
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/afghanistan?s_cid=ncezid-dgmq-travel-single-001
Albania
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission (see list)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, Poliovirus, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/albania?s_cid=ncezid-dgmq-travel-single-001
Algeria
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/algeria?s_cid=ncezid-dgmq-trav el-single-001
American Samoa
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/american-samoa?s_cid=ncezid dgmq-travel-single-001
Andorra
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/andorra?s_cid=ncezid-dgmq-tra vel-single-001
Anegada, British Virgin Islands
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles) Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/british-virgin-islands?s_cid=nce zid-dgmq-travel-single-001
Angola
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Yellow Fever (recommended for all travelers ≥9 months old)
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Cholera12
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/angola?s_cid=ncezid-dgmq-trav el-single-001
Anguilla (UK)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/anguilla?s_cid=ncezid-dgmq-tra vel-single-001
Antarctica
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/antarctica?s_cid=ncezid-dgmq-t ravel-single-001
Argentina
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, Poliovirus, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Chikungunya31
Yellow Fever32
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
32Recommended for travelers ≥9 months old going to Corrientes and Misiones Provinces. Generally not recommended for travel to Formosa Province or to designated areas of Chaco, Jujuy, and Salta Provinces. Not recommended for travel limited to provinces and areas not listed above.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/argentina?s_cid=ncezid-dgmq-tr avel-single-001
Armenia
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/armenia?s_cid=ncezid-dgmq-tra vel-single-001
Aruba
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/aruba?s_cid=ncezid-dgmq-trave l-single-001
Austral Islands (French Polynesia/France)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/french-polynesia?s_cid=ncezid dgmq-travel-single-001
Australia
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
41Japanese encephalitis is mainly a concern in the Murray River, and the Outer Torres Strait Islands area.
Recommended for travelers who Are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/australia?s_cid=ncezid-dgmq-tr avel-single-001
Austria
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
51TBE: For travelers moving or traveling to TBE-endemic areas (Focally endemic throughout country. Highly endemic regions include Carinthia, Styria, Upper Austria, Salzburg, Tyrol, and Vorarlberg Provinces.)
TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/austria?s_cid=ncezid-dgmq-trav el-single-001
Azerbaijan
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles) Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/azerbaijan?s_cid=ncezid-dgmq travel-single-001
Azores (Portugal)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/azores?s_cid=ncezid-dgmq-trav el-single-001
Bahamas
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/the-bahamas?s_cid=ncezid-dg mq-travel-single-001
Bahrain
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles) Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/bahrain?s_cid=ncezid-dgmq-tra vel-single-001
Bangladesh
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to:Transmission areas: Districts of Chittagong Hill Tract (Bandarban, Khagrachari, and Rangamati); and the following districts: Chattogram (Chittagong) and Cox’s Bazar (in Chattogram [Chittagong] Division); Mymensingh, Netrakona, and Sherpur (in Mymensingh Division); Kurigram (in Rangpur Division); Habiganj, Moulvibazar, Sunamganj, and Sylhet (in Sylhet Division) No malaria transmission in Dhaka (the capital)
Vaccines to consider:
Rabies11
Cholera12
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
41Japanese encephalitis is recommended for travelers who are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/bangladesh?s_cid=ncezid-dgm q-travel-single-001
Belarus
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Rabies11
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are sometimes found in this country. Rabies is also present in some terrestrial wildlife species.If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
51TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/belarus?s_cid=ncezid-dgmq-tra vel-single-001
Belgium
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/belgium?s_cid=ncezid-dgmq-tra vel-single-001
Belize
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are sometimes found in this country. Rabies is also present in some terrestrial wildlife species.If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/belize?s_cid=ncezid-dgmq-trav el-single-001
Benin
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Yellow Fever (recommended for all travelers ≥9 months old)
Meningitis3
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to
potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/benin?s_cid=ncezid-dgmq-trave l-single-001
Bermuda (U.K.)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/bermuda?s_cid=ncezid-dgmq-tr avel-single-001
Bhutan
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are sometimes found in this country. Rabies is also present in some terrestrial wildlife species.If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
41Japanese encephalitis is mainly a concern in the Murray River, and the Outer Torres Strait Islands area.
Recommended for travelers who Are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/bhutan?s_cid=ncezid-dgmq-trav el-single-001
Bolivia (Plurinational State of)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission (see list)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, Poliovirus, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas <2,500 m (≈8,200 ft) elevation No malaria transmission in La Paz (administrative capital
Vaccines to consider:
Rabies11
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country.
Rabies is also present in bats. If rabies exposures occur while in Bolivia, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/bolivia?s_cid=ncezid-dgmq-trav el-single-001
Bonaire
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/bonaire?s_cid=ncezid-dgmq-tra vel-single-001
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Bora-Bora (French Polynesia/France)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/french-polynesia?s_cid=ncezid dgmq-travel-single-001
Bosnia and Herzegovina
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
51TBE: For travelers moving or traveling to TBE-endemic areas (Focally endemic throughout country. Highly endemic regions include Carinthia, Styria, Upper Austria, Salzburg, Tyrol, and Vorarlberg Provinces.)
TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/bosnia-and-herzegovina?s_cid= ncezid-dgmq-travel-single-001
Botswana
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes transits >12-hour transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: Districts/ subdistricts of Bobirwa, Boteti, Chobe (including Chobe National Park), Ghanzi, Mahalapye, Ngamiland (Ngami), North East (including its capital, Francistown), Okavango, Serowe/ Palapye, and Tutume Rare cases or sporadic foci of transmission in districts/ subdistricts of Kgalagadi North, Kgatleng, Kweneng, and Southern
No malaria transmission in Gaborone (the capital)
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to
potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/botswana?s_cid=ncezid-dgmq-t ravel-single-001
Brazil
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, Poliovirus, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas in the states of Acre, Amapá, Amazonas, Rondônia, and Roraima. Present in the states of Maranhão, Mato Grosso, and Pará, but rare cases in their capital cities (São Luis [capital of Maranhão], Cuiabá [capital of Mato Grosso], Belém [capital of Pará]). Rare cases and sporadic foci of transmission in rural and forested areas in the states of Espírito Santo, Goiás, Minas Gerais, Mato Grosso do Sul, Piauí, Rio de Janeiro, São Paolo, and Tocantins. No malaria transmission in the cities of Brasília (the capital), Rio de Janeiro, or São Paolo. No malaria transmission at Iguaçu Falls.
Vaccines to consider:
Chikungunya31
Yellow Fever32
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
32Recommended for travelers ≥9 months old going to Corrientes and Misiones Provinces. Generally not recommended for travel to the states of Acre, Amapá, Amazonas, Distrito Federal (including the capital city, Brasília), Espírito Santo,* Goiás, Maranhão, Mato Grosso, Mato Grosso do Sul, Minas Gerais, Pará, Paraná,* Piauí, Rio de Janeiro (including the city of Rio de Janeiro and all coastal islands),* Rio Grande do Sul,* Rondônia, Roraima, Santa Catarina,* São Paulo (including the city of São Paulo and all coastal islands),* Tocantins, and designated areas of Bahia*. Vaccination is also recommended for travelers going to Iguaçu Falls. Not recommended for travel limited to any areas not listed above, including the cities of Fortaleza and Recife.
11Dogs infected with rabies are sometimes found in this country. Rabies is also present in some terrestrial wildlife species and bats. If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/brazil?s_cid=ncezid-dgmq-trave l-single-001
British Indian Ocean Territory (U.K.)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/british-indian-ocean-territory?s_ cid=ncezid-dgmq-travel-single-001
Brunei Darussalam
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
41Japanese encephalitis is recommended for travelers who are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities
or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/brunei?s_cid=ncezid-dgmq-trav el-single-001
Bulgaria
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
51TBE: For travelers moving or traveling to TBE-endemic areas (Focally endemic throughout country. Highly endemic regions include Carinthia, Styria, Upper Austria, Salzburg, Tyrol, and Vorarlberg Provinces.)
TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/bulgaria?s_cid=ncezid-dgmq-tra vel-single-001
Burkina Faso
Required Vaccines in certain groups (must show proof of vaccination at the airport): Yellow Fever: Required for travelers ≥9 months old.
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Yellow Fever (recommended for all travelers ≥9 months old)
Meningitis3
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers:
People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/burkina-faso?s_cid=ncezid-dgm q-travel-single-001
Burma (Myanmar)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Cholera12
Chikungunya31
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
41Japanese encephalitis is recommended for travelers who are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference:https://wwwnc.cdc.gov/travel/destinations/traveler/none/burma?s_cid=ncezi d-dgmq-travel-single-001
Burundi
Required Vaccines in certain groups (must show proof of vaccination at the airport): Yellow Fever: Required for travelers ≥9 months old.
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Yellow Fever (recommended for all travelers ≥9 months old)
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Cholera12
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/burundi?s_cid=ncezid-dgmq-tra vel-single-001
Cabo Verde (previously known as Cape Verde)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/cape-verde?s_cid=ncezid-dgmq -travel-single-001
Caicos Islands (Turks and Caicos Islands/U.K.)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/turks-and-caicos?s_cid=ncezid dgmq-travel-single-001
Cambodia
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, or Tafenoquine) if traveling to: Primarily isolated to pockets in rural and forested areas Rare cases in non-forested areas
No (or negligible) malaria transmission in the cities of Phnom Penh (the capital) and Siem Reap
No (or negligible) malaria transmission at the main temple complex at Angkor Wat
Vaccines to consider:
Rabies11
Chikungunya31
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
41Japanese encephalitis is recommended for travelers who are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/cambodia?s_cid=ncezid-dgmq-t ravel-single-001
Cameroon
Required Vaccines in certain groups (must show proof of vaccination at the airport): Yellow Fever: Required for travelers ≥1 year old.
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Yellow Fever (recommended for all travelers ≥9 months old)
Meningitis3
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Cholera12
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
31Chikungunya vaccination may be considered for the following travelers:
People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/cameroon?s_cid=ncezid-dgmq-t ravel-single-001
Canada
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/canada?s_cid=ncezid-dgmq-tra vel-single-001
Canary Islands (Spain)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/canary-islands?s_cid=ncezid-dg mq-travel-single-001
Cape Verde (now known as Cabo Verde)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/cape-verde?s_cid=ncezid-dgmq -travel-single-001
Cayman Islands (U.K.)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/cayman-islands?s_cid=ncezid-d gmq-travel-single-001
Central African Republic
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Yellow Fever (recommended for all travelers ≥9 months old)
Meningitis3
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should
receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/central-african-republic?s_cid=n cezid-dgmq-travel-single-001
Chad
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Yellow Fever (recommended for all travelers ≥9 months old going to areas south of the Sahara Desert)
Meningitis3
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/chad?s_cid=ncezid-dgmq-travel -single-001
Chile
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/chile?s_cid=ncezid-dgmq-travel -single-001
China
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list); travelers with itineraries limited to Hong Kong Special Administrative Region (SAR) or Macao SAR are exempt from this requirement.
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
Chikungunya31
Japanese Encephalitis41
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines are typically readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
41Japanese encephalitis is recommended for travelers who are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
51TBE: For travelers moving or traveling to TBE-endemic areas (Focally endemic throughout country. Highly endemic regions include Carinthia, Styria, Upper Austria, Salzburg, Tyrol, and Vorarlberg Provinces.)
TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/china?s_cid=ncezid-dgmq-trave l-single-001-China
Christmas Island (Australia)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list). Travelers arriving from the Galápagos Islands of Ecuador are exempt from this requirement.
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/christmas-island?s_cid=ncezid dgmq-travel-single-001
Cocos (Keeling) Islands (Australia)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list). Travelers arriving from the Galápagos Islands of Ecuador are exempt from this requirement.
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/cocos-islands?s_cid=ncezid-dg mq-travel-single-001
Colombia
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from Angola, Brazil, Democratic Republic of the Congo, or Uganda; this includes >12-hour airport transits or layovers in any of these countries.
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas <1,700 m (≈5,600 ft) elevation; No malaria transmission in the cities of Bogotá (the capital), Cartagena, or Medellín.
Vaccines to consider:
Chikungunya31
Yellow Fever32
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
32Recommended for all travelers ≥9 months old except as follows. Generally not recommended for travel limited to the cities of Barranquilla, Cali, Cartagena, or Medellín. Not recommended for travel limited to areas >2,300 m (≈7,550 ft) elevation, the archipelago department of San Andrés and Providencia, or the city of Bogotá (the capital).
11Dogs infected with rabies are sometimes found in this country. Rabies is also present in bats. If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/colombia?s_cid=ncezid-dgmq-tr avel-single-001
Comoros
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Cholera12
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/comoros?s_cid=ncezid-dgmq-tr avel-single-001
Congo, Republic of the
Required Vaccines in certain groups (must show proof of vaccination at the airport): Yellow Fever: Required for travelers ≥9 months old.
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Cholera12
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
31Chikungunya vaccination may be considered for the following travelers:
People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/congo?s_cid=ncezid-dgmq-trav el-single-001
Cook Islands (New Zealand)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, Poliovirus, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/cook-islands?s_cid=ncezid-dgm q-travel-single-001
Costa Rica
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes travelers arriving from Rwanda, Tanzania, and Zambia; travelers arriving from Argentina and Panama are exempt from this requirement.
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, Poliovirus, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: the provinces of Alajuela and Limón. Rare to no transmission in other parts of the country.
Vaccines to consider:
Chikungunya31
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
32Recommended for travelers ≥9 months old going to Corrientes and Misiones Provinces. Generally not recommended for travel to the states of Acre, Amapá, Amazonas, Distrito Federal (including the capital city, Brasília), Espírito Santo,* Goiás, Maranhão, Mato Grosso, Mato Grosso do Sul, Minas Gerais, Pará, Paraná,* Piauí, Rio de Janeiro (including the city of Rio de Janeiro and all coastal islands),* Rio Grande do Sul,* Rondônia, Roraima, Santa Catarina,* São Paulo (including the city of São Paulo and all coastal islands),* Tocantins, and designated areas of Bahia*. Vaccination is also recommended for travelers going to Iguaçu Falls. Not recommended for travel limited to any areas not listed above, including the cities of Fortaleza and Recife.
11Rabies is present in bats (not usually found in dogs in this country). If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/costa-rica?s_cid=ncezid-dgmq-t ravel-single-001
Côte d’Ivoire (Ivory Coast)
Required Vaccines in certain groups (must show proof of vaccination at the airport): Yellow Fever: Required for travelers ≥9 months old.
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Meningitis3
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/ivory-coast?s_cid=ncezid-dgmq -travel-single-001
Croatia
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
51TBE: For travelers moving or traveling to TBE-endemic areas (Focally endemic throughout country. Highly endemic regions include Carinthia, Styria, Upper Austria, Salzburg, Tyrol, and Vorarlberg Provinces.)
TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/croatia?s_cid=ncezid-dgmq-trav el-single-001
Cuba
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are sometimes found in Cuba. Rabies is also commonly found in some terrestrial wildlife species. If rabies exposures occur while in Cuba, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/cuba?s_cid=ncezid-dgmq-travel -single-001
Curaçao
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/curacao?s_cid=ncezid-dgmq-tra vel-single-001
Cyprus
Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/cyprus?s_cid=ncezid-dgmq-trav el-single-001
Czechia
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
51TBE: For travelers moving or traveling to TBE-endemic areas (Focally endemic throughout country. Highly endemic regions include Carinthia, Styria, Upper Austria, Salzburg, Tyrol, and Vorarlberg Provinces.)
TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/czechia?s_cid=ncezid-dgmq-tra vel-single-001
Democratic People’s Republic of Korea (North Korea)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Chloroquine, Doxycycline, Mefloquine, Primaquine, Tafenoquine) if traveling to: Southern provinces.
Vaccines to consider:
Rabies11
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to
potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
41Japanese encephalitis is recommended for travelers who are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/north-korea?s_cid=ncezid-dgmq -travel-single-001
Democratic Republic of the Congo
Required Vaccines in certain groups (must show proof of vaccination at the airport): Yellow Fever: Required for travelers ≥9 months old.
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Yellow Fever (recommended for all travelers ≥9 months old)
Poliovirus booster2
Meningitis3
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Cholera12
Chikungunya31
Mpox32
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more.
32Monkeypox virus vaccination is recommended for people who anticipate any of the following activities during travel to countries with evidence human transmission of clade I Mpox within country: Sex with a new partner; Sex at a commercial sex venue; Sex or
intimate contact (ie. massage) in exchange for money, goods, drugs, or other trade; Sex in association with a large public event (ie rave, party, or festival). Get your first mpox vaccine at least 6 weeks before traveling if possible. After completing your first and second vaccine doses, which are given 4 weeks apart, it takes about 2 more weeks to get the best protection against Mpox.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/democratic-republic-of-congo?s _cid=”ncezid-d”gmq-travel-single-001
Denmark
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
51TBE: For travelers moving or traveling to TBE-endemic areas (Focally endemic throughout country. Highly endemic regions include Carinthia, Styria, Upper Austria, Salzburg, Tyrol, and Vorarlberg Provinces.)
TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/denmark?s_cid=ncezid-dgmq-tr avel-single-001
Djibouti
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/djibouti?s_cid=ncezid-dgmq-tra vel-single-001
Dominica
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/dominica?s_cid=ncezid-dgmq-tr avel-single-001
Dominican Republic
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from the following states in Brazil: Espírito Santo, Mina Gerais, Rio de Janeiro, São Paulo; this includes >12-hour airport transits or layovers in any of these states.
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, Poliovirus, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: Provinces (including resort areas) of Azua, Elias Piña, La Altagracia, San Juan, and Santo Domingo. All other areas: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only).
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are sometimes found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/dominican-republic?s_cid=ncezi d-dgmq-travel-single-001
Easter Island (Chile)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/easter-island?s_cid=ncezid-dg mq-travel-single-001
Ecuador, including the Galápagos Islands
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from Brazil, Democratic Republic of the Congo, or Uganda; this includes >12-hour airport transits or layovers in any of these countries.
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, Poliovirus, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: the provinces of Cotopaxi, Esmeraldas, Morona-Santiago,
Orellana, Pastaza, and Sucumbíos. All other areas: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only)
Vaccines to consider:
Chikungunya31
Yellow Fever32
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
32Recommended for travelers ≥9 months old going to areas <2,300 m (7,550 ft) elevation, east of the Andes Mountains, in the provinces of Morona-Santiago, Napo, Orellana, Pastaza, Sucumbíos, Tungurahua, and Zamora-Chinchipe. Vaccine is generally not recommended for travel limited to areas <2,300 m (7,550 ft) elevation, west of the Andes Mountains, in the provinces of Esmeraldas,* Guayas, Los Ríos, Manabí, Santa Elena, Santo Domingo de los Tsáchilas, and designated areas in the provinces of Azuay, Bolívar, Cañar, Carchi, Chimborazo, Cotopaxi, El Oro, Imbabura, Loja, and Pichincha. Vaccine is not recommended for travel limited to areas >2,300 m (7,550 ft) elevation, the cities of Guayaquil or Quito (the capital), or the Galápagos Islands.
11Dogs infected with rabies are sometimes found in this country. Rabies is also present in bats. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/ecuador
Egypt
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, Poliovirus, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Poliovirus booster2
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country. Note: Travelers to Egypt are at increased risk of exposure to poliovirus if: 1) they work in health care settings involving direct patient contact, 2) assist in refugee camps or other humanitarian aid settings, OR 3) have limited access to clean drinking water and sanitation.
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/egypt
El Salvador
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, Poliovirus, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are sometimes found in this country. Rabies is also present in bats. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/el-salvador
England (see United Kingdom)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Poliovirus booster2
Vaccines to consider:
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country.
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
51TBE: For travelers moving or traveling to TBE-endemic areas (Focally endemic throughout country. Highly endemic regions include Carinthia, Styria, Upper Austria, Salzburg, Tyrol, and Vorarlberg Provinces.)
TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/united-kingdom
Equatorial Guinea
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/equatorial-guinea
Eritrea
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Meningitis3
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas <2,200 m (<7,200 ft) elevation No malaria transmission in Asmara (the capital)
Vaccines to consider:
Rabies11
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where
mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/eritrea
Estonia
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
51TBE: For travelers moving or traveling to TBE-endemic areas (Focally endemic throughout country. Highly endemic regions include Carinthia, Styria, Upper Austria, Salzburg, Tyrol, and Vorarlberg Provinces.)
TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/estonia
Eswatini (Swaziland)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: Eastern areas bordering Mozambique and South Africa, including the entire region of Lubombo and the eastern half of Hhohho, Manzini, and Shiselweni Regions.
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/eswatini
Ethiopia
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Meningitis3
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas <2,500m (8,200 ft) elevation, including Addis Ababa.
Vaccines to consider:
Rabies11
Cholera12
Chikungunya31
Yellow Fever (recommended for all travelers ≥9 months old, except for those whose travel is limited to the regions of Afar or Somali)
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country.
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/ethiopia
Falkland Islands (Islas Malvinas)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, Poliovirus, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/falkland-islands
Faroe Islands (Denmark)
Routine vaccines (COVID-19, Influenza, Varicella, Poliovirus, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/faroe-island
Fiji
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, Poliovirus, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/fiji
Finland
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Poliovirus booster2
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country.
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should
receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
51TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/finland
France
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
51TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/france
French Guiana (France)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Yellow Fever (recommended for all travelers ≥9 months old)
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: Areas associated with gold mining, primarily the communes near the border with Brazil and Suriname, especially Régina and
Saint-Georges-de-l’Oyapock; also, the communes of Kourou, Matoury, and Saint-Élie No malaria transmission in coastal areas west of Kourou
No malaria transmission in Cayenne City (the capital)
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
11Dogs infected with rabies are not commonly found in French Guiana. Rabies is present in bats.
If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/french-guiana
French Polynesia (France), including the island groups of Society Islands (Tahiti, Moorea, and Bora-Bora), Marquesas Islands (Hiva Oa and Ua Huka), and Austral Islands (Tubuai and Rurutu)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/french-polynesia
Gabon
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Yellow Fever (recommended for all travelers ≥9 months old)
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/gabon
Galápagos Islands (Ecuador)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from Brazil, Democratic Republic of the Congo, or Uganda; this includes >12-hour airport transits or layovers in any of these countries.
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, Poliovirus, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: the provinces of Cotopaxi, Esmeraldas, Morona-Santiago, Orellana, Pastaza, and Sucumbíos. All other areas: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only)
Vaccines to consider:
Chikungunya31
Yellow Fever32
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
32Recommended for travelers ≥9 months old going to areas <2,300 m (7,550 ft) elevation, east of the Andes Mountains, in the provinces of Morona-Santiago, Napo, Orellana, Pastaza, Sucumbíos, Tungurahua, and Zamora-Chinchipe.
Vaccine is generally not recommended for travel limited to areas <2,300 m (7,550 ft) elevation, west of the Andes Mountains, in the provinces of Esmeraldas,* Guayas, Los Ríos, Manabí, Santa Elena, Santo Domingo de los Tsáchilas, and designated areas in the provinces of Azuay, Bolívar, Cañar, Carchi, Chimborazo, Cotopaxi, El Oro, Imbabura, Loja, and Pichincha. Vaccine is not recommended for travel limited to areas >2,300 m (7,550 ft) elevation, the cities of Guayaquil or Quito (the capital), or the Galápagos Islands.
11Dogs infected with rabies are sometimes found in this country. Rabies is also present in bats. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/ecuador
Gambia, The
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Meningitis3
Yellow Fever (recommended for all travelers ≥9 months old)
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/the-gambia
Georgia
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species.
If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/georgia
Germany
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Poliovirus booster2
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country.
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
51TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/germany
Ghana
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Meningitis3
Yellow Fever (recommended for all travelers ≥9 months old)
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Cholera12
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/ghana
Gibraltar (U.K.)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/gibraltar
Greece
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/greece
Greenland (Denmark)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/greenland
Grenada
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are sometimes found in this country. Rabies is also commonly found in some terrestrial wildlife species and bats.
If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/grenada
Grenadines (Saint Vincent and the Grenadines)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/saint-vincent-and-the-grenadine s
Guadeloupe
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/guadeloupe
Guam (U.S.)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/guam
Guatemala
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission (see list)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, Poliovirus, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Chloroquine, Doxycycline, Mefloquine, Primaquine, Tafenoquine) if traveling to: Departments of Alta Verapaz, Baja Verapaz, Escuintla, Izabal, and Petén. Other areas with reported malaria transmission: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only)
Vaccines to consider:
Rabies11
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are sometimes found in this country.
Rabies is also present in bats. If rabies exposures occur while in Bolivia, rabies vaccines may only be available in larger suburban/urban medical facilities. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/guatemala?s_cid=ncezid-dgmq travel-single-001
Guernsey (Channel Islands, UK)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Poliovirus booster2
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country.
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/united-kingdom?s_cid=ncezid-d gmq-travel-single-001
Guinea
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving at Ahmed Sékou Touré International Airport in Conakry.
Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles) Note: Make sure you are up-to-date on your routine Diphtheria-Tetanus-Pertussis vaccine, as there are confirmed cases of Diphtheria in Guinea.
Hepatitis A1
Hepatitis B
Typhoid
Yellow Fever (recommended for all travelers ≥9 months old)
Poliovirus booster2
Meningitis3
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/guinea
Guinea-Bissau
Required Vaccines in certain groups (must show proof of vaccination at the airport): Yellow Fever: Required for travelers ≥1 year old
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Yellow Fever (recommended for all travelers ≥9 months old)
Meningitis3
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:https://wwwnc.cdc.gov/travel/destinations/traveler/none/guinea-bissau
Guyana
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >4-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Yellow Fever (recommended for all travelers ≥9 months old)
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas, except the cities of Georgetown and New Amsterdam
For the cities of Georgetown and Amsterdam: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only)
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Rabies presence in dogs is not well understood in this country. Rabies is present in bats. If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/guyana
Haiti
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Chloroquine, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Cholera12
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/haiti
Holy See (Italy)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
51TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/italy
Honduras
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers 1–60 years old; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles) Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Chloroquine, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: Throughout the country and on the island of Roatán and other Bay Islands No malaria transmission in the cities of San Pedro Sula or Tegucigalpa (the capital).
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are sometimes found in this country. Rabies is also present in bats. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/honduras
Hong Kong (China)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/hong-kong-sar
Hungary
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Rabies11
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are not commonly found in this country. Rabies is present in some terrestrial wildlife species.
If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
51TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/hungary
Iceland
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/iceland
India
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Note: India has a stricter set of requirements for Yellow Fever. When a case of YF is reported from any country, the Government of India regards that country as an area with risk for YF virus transmission and adds it to their list.
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes airport transits or layovers in countries with risk for YF virus transmission; arrival on a ship that started from or touched at any port in an area with risk for YF virus transmission ≤30 days (unless disinfected via WHO procedure); or arrival on an aircraft that has been in an area with risk for YF virus transmission (unless disinfected via WHO procedure).
India has its own list for Yellow Fever risk, as follows:
Africa: Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Congo, Côte d’Ivoire, Democratic Republic of the Congo, Equatorial Guinea, Ethiopia, Gabon, The Gambia, Ghana, Guinea, Guinea-Bissau, Kenya, Liberia, Mali, Mauritania, Niger, Nigeria, Rwanda, Senegal, Sierra Leone, South Sudan, Sudan, Togo, Uganda
Americas: Argentina, Bolivia, Brazil, Colombia, Ecuador, French Guiana, Guyana, Panama, Paraguay, Peru, Suriname, Trinidad & Tobago (Trinidad only), Venezuela
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: Throughout the country, including the cities of Bombay (Mumbai) and New Delhi (the capital)
No malaria transmission in areas >2,000 m (>6,500 ft) elevation, which include areas in Arunachal Pradesh, Himachal Pradesh, Jammu and Kashmir, Kerala, Ladakh, Sikkim, Tamil Nadu, or Uttarakhand
Vaccines to consider:
Rabies11
Cholera12
Chikungunya31
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species.
If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
31Chikungunya vaccination may be considered for the following travelers:
People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
41Japanese encephalitis is recommended for travelers who Are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/india
Indonesia
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas of eastern Indonesia (the provinces of Maluku, North Maluku, East Nusa Tenggara, Papua, and West Papua), including the town of Labuan Bajo and the Komodo Islands in the Nusa Tenggara region; Rural areas of
Kalimantan (Borneo), West Nusa Tenggara (includes the island of Lombok), Sulawesi, and Sumatra.
Low transmission in rural areas of Java, including Pangandaran, Sukabumi, and Ujung Kulon
No malaria transmission in the cities of Jakarta (the capital) or Ubud No malaria transmission in the resort areas of Bali or Java, the Gili Islands, or the Thousand Islands (Pulau Seribu)
Vaccines to consider:
Rabies11
Cholera12
Chikungunya31
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
41Japanese encephalitis is recommended for travelers who Are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/indonesia
Iran (Islamic Republic of)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: Sistan-Baluchestan Province along the border with Pakistan. All other areas with previous transmission: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only).
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species.
If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/iran
Iraq
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
Cholera12
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species.
If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/iraq
Ireland
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/ireland
Isle of Man (United Kingdom)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Poliovirus booster2
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country.
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/united-kingdom
Israel, including the West Bank and Gaza
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid If your trip includes the West Bank and Gaza
Poliovirus booster2
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country.
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
11Dogs infected with rabies are commonly found in this country. Rabies is also commonly found in some terrestrial wildlife species.
If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/israel
Italy, including Holy See and Vatican City
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
51TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/italy
Ivory Coast (Côte d’Ivoire)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old.
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Meningitis3
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/ivory-coast?s_cid=ncezid-dgmq -travel-single-001
Jamaica
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, Poliovirus, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/jamaica?s_cid=ncezid-dgmq-tra vel-single-001
Japan
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
41Japanese encephalitis is recommended for travelers who are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/japan?s_cid=ncezid-dgmq-trave l-single-001
Jersey (UK)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Poliovirus booster2
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country.
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/united-kingdom
Jordan
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines are typically readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/jordan?s_cid=ncezid-dgmq-trav el-single-001
Jost Van Dyke (British Virgin Islands)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/british-virgin-islands?s_cid=nce zid-dgmq-travel-single-001
Kazakhstan
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines are typically readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
51TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/kazakhstan?s_cid=ncezid-dgmq -travel-single-001
Kenya
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Yellow Fever [Vaccine is recommended for all travelers ≥9 months old except when travel is limited to: the city of Nairobi (the capital); the counties of the former North Eastern Province (Mandera, Wajir, and Garissa); or the counties (except Taita-Taveta) of the former Coast Province (Kilifi, including the city of Malindi; Kwale; Lamu; Mombasa, including the city of Mombasa; Tana River]
Meningitis3
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas, except the highly urbanized central part of the city of Nairobi, where no chemoprophylaxis is recommended (insect bite precautions and mosquito avoidance only)
Vaccines to consider:
Rabies11
Cholera12
Chikungunya31
Mpox32
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
32Monkeypox virus vaccination is recommended for people who anticipate any of the following activities during travel to countries with evidence human transmission of clade I Mpox within country: Sex with a new partner; Sex at a commercial sex venue; Sex or intimate contact (ie. massage) in exchange for money, goods, drugs, or other trade; Sex in association with a large public event (ie rave, party, or festival). Get your first mpox vaccine at least 6 weeks before traveling if possible. After completing your first and second vaccine doses, which are given 4 weeks apart, it takes about 2 more weeks to get the best protection against Mpox.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/kenya?s_cid=ncezid-dgmq-trav el-single-001
Kiribati (formerly Gilbert Islands), includes Tarawa, Tabuaeran (Fanning Island), and Banaba (Ocean Island)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/kiribati?s_cid=ncezid-dgmq-trav el-single-001
Kosovo
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/kosovo?s_cid=ncezid-dgmq-tra vel-single-001
Kuwait
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are sometimes found in this country. If rabies exposures occur while in this country, rabies vaccines are typically readily available. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/kuwait?s_cid=ncezid-dgmq-trav el-single-001
Kyrgyzstan
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
51TBE: For travelers moving or traveling to TBE-endemic areas.
TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/kyrgyzstan?s_cid=ncezid-dgmq travel-single-001
Lao People’s Democratic Republic (Laos)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, or Tafenoquine) if traveling to: the provinces of Attapeu, Champasak, Khammouane, Salavan, Savannakhet, or Sekong.
Northern part of the country: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only)
Vaccines to consider:
Rabies11
Chikungunya31
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
41Japanese encephalitis is recommended for travelers who are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/laos?s_cid=ncezid-dgmq-travel single-001
Latvia
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
51TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/latvia?s_cid=ncezid-dgmq-travel -single-001
Lebanon
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species.
If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/lebanon?s_cid=ncezid-dgmq-tra vel-single-001
Lesotho
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species.
If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/lesotho?s_cid=ncezid-dgmq-tra vel-single-001
Liberia
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Yellow Fever (recommended for all travelers ≥9 months old)
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
11Dogs infected with rabies are commonly found in this country. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/liberia?s_cid=ncezid-dgmq-trav el-single-001
Libya
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. If rabies exposures occur while in this country, rabies vaccines are not typically readily. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/libya?s_cid=ncezid-dgmq-travel -single-001
Liechtenstein
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
51TBE vaccine is recommended for travelers moving or traveling to TBE-endemic areas. TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/liechtenstein?s_cid=ncezid-dgm q-travel-single-001
Lithuania
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
51TBE vaccine is recommended for travelers moving or traveling to TBE-endemic areas. TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/lithuania?s_cid=ncezid-dgmq-tr avel-single-001
Luxembourg
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles) Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/luxembourg?s_cid=ncezid-dgm q-travel-single-001
Macau (China)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/macau-sar?s_cid=ncezid-dgmq travel-single-001
Madagascar
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas, except in Antananarivo (the capital) where malaria transmission is rare.
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/madagascar?s_cid=ncezid-dgm q-travel-single-001
Madeira Islands (Portugal)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/madeira-islands?s_cid=ncezid-d gmq-travel-single-001
Malawi
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Cholera12
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/malawi?s_cid=ncezid-dgmq-trav el-single-001
Malaysia
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, or Tafenoquine) if traveling to: rural, forested areas only.
Vaccines to consider:
Rabies11
Chikungunya31
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are sometimes found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
41Japanese encephalitis is recommended for travelers who are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/malaysia?s_cid=ncezid-dgmq-tr avel-single-001
Maldives
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are not commonly found in this country. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/maldives?s_cid=ncezid-dgmq-tr avel-single-001
Mali
Required Vaccines in certain groups (must show proof of vaccination at the airport): Yellow Fever: Required for travelers ≥9 months old
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Yellow Fever (Vaccine is recommended for all travelers ≥9 months old, except for those whose travel is limited to areas in the Sahara Desert)
Meningitis3
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
11Dogs infected with rabies are commonly found in this country. If rabies exposures occur while in this country, rabies vaccines are typically not readily available. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/mali?s_cid=ncezid-dgmq-travel single-001
Malta
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/malta?s_cid=ncezid-dgmq-trave l-single-001
Marquesas Islands (Hiva Oa and Ua Huka, French Polynesia)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/french-polynesia
Marshall Islands
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/marshall-islands?s_cid=ncezid dgmq-travel-single-001
Martinique (France)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/martinique?s_cid=ncezid-dgmq travel-single-001
Mauritania
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Yellow Fever (recommended for all travelers ≥9 months old, except for travel limited to areas in the Sahara Desert)
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas, except in the regions of Dakhlet Nouadhibou and Tiris Zemmour where there is no transmission.
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/mauritania?s_cid=ncezid-dgmq travel-single-001
Mauritius
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/mauritius?s_cid=ncezid-dgmq-tr avel-single-001
Mayotte (France)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Cholera12
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/mayotte?s_cid=ncezid-dgmq-tra vel-single-001
Mexico
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Chloroquine, Doxycycline, Mefloquine, Primaquine, or Tafenoquine) if traveling to: Campeche, Chiapas, and the southern part of Chihuahua state
All other areas with malaria transmission: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only)
Vaccines to consider:
Rabies11
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are sometimes found in this country. Rabies is also commonly found in some terrestrial wildlife species.
If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where
mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/mexico?s_cid=ncezid-dgmq-tra vel-single-001
Micronesia, Federated States of (Including Yap Islands, Pohnpei, Chuuk, and Kosrae)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/micronesia?s_cid=ncezid-dgmq -travel-single-001
Moldova (Republic of Moldova)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Rabies11
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are sometimes found in this country. Rabies is also commonly found in some terrestrial wildlife species and bats.
If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
51TBE vaccine is recommended for travelers moving or traveling to TBE-endemic areas. Also recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/moldova?s_cid=ncezid-dgmq-tr avel-single-001
Monaco
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/monaco?s_cid=ncezid-dgmq-tra vel-single-001
Mongolia
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also commonly found in some terrestrial wildlife species and bats.
If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
51TBE vaccine is recommended for travelers moving or traveling to TBE-endemic areas. Also recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/mongolia?s_cid=ncezid-dgmq-tr avel-single-001
Montenegro
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are not commonly found in this country. Rabies is present in some terrestrial wildlife species.
If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/montenegro?s_cid=ncezid-dgm q-travel-single-001
Montserrat (U.K.)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/montserrat?s_cid=ncezid-dgmq travel-single-001
Moorea (French Polynesia/France)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/french-polynesia
Morocco
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/morocco?s_cid=ncezid-dgmq-tr avel-single-001
Mozambique
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Cholera12
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/mozambique?s_cid=ncezid-dg mq-travel-single-001
Myanmar (Burma)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Cholera12
Chikungunya31
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera.
Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
41Japanese encephalitis is recommended for travelers who are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference:https://wwwnc.cdc.gov/travel/destinations/traveler/none/burma?s_cid=ncezi d-dgmq-travel-single-001
Namibia
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: Kavango (East and West), Kunene, Ohangwena, Omaheke, Omusati, Oshana, Oshikoto, Otjozondjupa, and Zambezi.
All other areas: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only)
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/namibia?s_cid=ncezid-dgmq-tra vel-single-001
Nauru
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/nauru?s_cid=ncezid-dgmq-trave l-single-001
Nepal
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, or Tafenoquine) if traveling to: Areas <2,000m in Sudurpashchim and Kernali Provinces: Atovaquone-proguanil, doxycycline, mefloquine, tafenoquine2
All other areas with reported malaria transmission: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only)
Vaccines to consider:
Rabies11
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
41Japanese encephalitis is recommended for travelers who are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/nepal?s_cid=ncezid-dgmq-trave l-single-001
Netherlands, The
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/netherlands?s_cid=ncezid-dgm q-travel-single-001
New Caledonia (France)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/new-caledonia?s_cid=ncezid-dg mq-travel-single-001
New Zealand
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/new-zealand?s_cid=ncezid-dgm q-travel-single-001
Nicaragua
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission (see list)..
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Chloroquine, Doxycycline, Mefloquine, Tafenoquine) if traveling to: Región Autónoma Atlántico Norte (RAAN) and Región Autónoma Atlántico Sur (RAAS).
All other areas with malaria transmission: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only)
Vaccines to consider:
Rabies11
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are sometimes found in this country. Rabies is also present in bats. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/nicaragua?s_cid=ncezid-dgmq-t ravel-single-001
Niger
Required Vaccines in certain groups (must show proof of vaccination at the airport): Yellow Fever: Required for travelers ≥9 months old
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Yellow Fever (Vaccine is recommended for all travelers ≥9 months old going to areas south of the Sahara Desert. Vaccine is not recommended for travel limited to areas in the Sahara Desert).
Meningitis3
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Cholera12
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
11Dogs infected with rabies are commonly found in this country. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/niger?s_cid=ncezid-dgmq-travel -single-001
Nigeria
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Yellow Fever (recommended for all travelers ≥9 months old)
Meningitis3
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Cholera12
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/nigeria?s_cid=ncezid-dgmq-trav el-single-001
Niue (New Zealand)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles) Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/niue?s_cid=ncezid-dgmq-travel single-001
Norfolk Island (Australia)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list); travelers arriving from the Galápagos Islands of Ecuador are exempt from this requirement.
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/norfolk-island?s_cid=ncezid-dg mq-travel-single-001
North Korea (Democratic People’s Republic of Korea) Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Chloroquine, Doxycycline, Mefloquine, Primaquine, Tafenoquine) if traveling to: Southern provinces.
Vaccines to consider:
Rabies11
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
41Japanese encephalitis is recommended for travelers who are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/north-korea?s_cid=ncezid-dgmq -travel-single-001
North Macedonia
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/north-macedonia?s_cid=ncezid dgmq-travel-single-001
Northern Ireland
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Poliovirus booster2
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country.
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of
inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/united-kingdom
Northern Mariana Islands (U.S.), including Saipan, Tinian, and Rota Island
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/northern-mariana-islands?s_cid =ncezid-dgmq-travel-single-001
Norway
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
51TBE vaccine is recommended for travelers moving or traveling to TBE-endemic areas, and persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/norway?s_cid=ncezid-dgmq-tra vel-single-001
Oman
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old, with the addition of Rwanda and Tanzania; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are sometimes found in this country. Rabies is also present in some terrestrial wildlife species.
If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/oman?s_cid=ncezid-dgmq-trave l-single-001
Pakistan
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid (there is a drug-resistant strain of Typhoid in Pakistan)
Poliovirus booster2
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas (including all cities) <2,500 m (<8,200 ft) elevation
Vaccines to consider:
Rabies11
Cholera12
Chikungunya31
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country.
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically not readily available. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure
to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
41Japanese encephalitis is mainly a concern in the Murray River, and the Outer Torres Strait Islands area.
Recommended for travelers who Are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/pakistan?s_cid=ncezid-dgmq-tr avel-single-001
Palau
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/palau?s_cid=ncezid-dgmq-trave l-single-001
Panama
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: Darién, Emberá, Kuna Yala, and Panamá Provinces, Bocas del Toro, Chiriquí, Colón, Ngäbe-Buglé, Panamá Oeste, and Veraguas Provinces. All other areas with malaria transmission: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only)
Vaccines to consider:
Yellow Fever (recommended for all travelers ≥9 months old going to all mainland areas east of the Canal Zone including Darién Province, the indigenous provinces–comarcas indígena–of Emberá and Kuna Yala/Guna Yala, and areas of the provinces of Colón and Panamá, east of the Canal Zone)
Vaccine is not recommended for travel limited to the Canal Zone; areas west of the Canal Zone; Panama City (the capital); Balboa district (Pearl Islands) of Panamá Province; or the San Blas Islands of Kuna Yala Province).
Rabies11
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are not commonly found in this country. Rabies is present in bats. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/panama?s_cid=ncezid-dgmq-tra vel-single-001
Papua New Guinea
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: Throughout the country in areas <2,000 m (<6,500 ft) elevation
Vaccines to consider:
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
41Japanese encephalitis is recommended for travelers who Are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/papua-new-guinea?s_cid=ncezi d-dgmq-travel-single-001
Paraguay
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from Bolivia, Brazil, Peru, or Venezuela; this includes >24-hour airport transits or layovers in those countries.
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Yellow Fever (recommended for all travelers ≥9 months old except for those whose travel is limited to the city of Asunción, the capital)
Rabies11
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also commonly found in some terrestrial wildlife species and bats.
If rabies exposures occur while in this country, rabies vaccines are typically may only be available in larger suburban/urban medical facilities. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/paraguay?s_cid=ncezid-dgmq-tr avel-single-001
Peru
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to:Areas <2,500m (<8,200 ft) elevation east of the Andes, including the cities of Iquitos and Puerto Maldonado.
All other areas with malaria transmission: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only)
Vaccines to consider:
Yellow Fever [recommended for all travelers ≥9 months old going to areas <2,300 m (7,550 ft) elevation in the regions of Amazonas, Cusco, Huánuco, Junín, Loreto, Madre de Dios, Pasco, Puno, San Martín, and Ucayali, and designated areas of Ancash (far northeast, Apurímac (far north), Ayacucho (north and northeast), Cajamarca (north and east), Huancavelica (far north), La Libertad (east), and Piura (east). Vaccine is generally not recommended for travel limited to the areas west of the Andes: the region of Tumbes and designated areas of Cajamarca (west-central), Lambayeque (west-central), and Piura (west).
Vaccine is not recommended for travel limited to areas >2,300 m (7,550 ft) elevation, areas west of the Andes not listed above, the city of Lima (the capital), and the highland tourist areas (the city of Cusco, the Inca Trail, and Machu Picchu)]
Rabies11
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are sometimes found in this country. Rabies is also commonly found in some terrestrial wildlife species and bats. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers:
People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/peru?s_cid=ncezid-dgmq-travel single-001
Philippines
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: Province of Palawan and the Mindanao Island group. No malaria transmission in metropolitan Manila (the capital) or other urban areas.
Vaccines to consider:
Rabies11
Cholera12
Chikungunya31
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
41Japanese encephalitis is recommended for travelers who Are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/philippines?s_cid=ncezid-dgmq travel-single-001
Pitcairn Islands (U.K.)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission (see list)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, Poliovirus, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/pitcairn-islands?s_cid=ncezid-d gmq-travel-single-001
Poland
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Poliovirus booster2
Vaccines to consider:
Rabies11
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country.
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
11Dogs infected with rabies are not commonly found in this country. Rabies is present in some terrestrial wildlife species.
If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
51TBE vaccine is recommended for travelers moving or traveling to TBE-endemic areas and for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/poland?s_cid=ncezid-dgmq-trav el-single-001
Portugal
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/portugal?s_cid=ncezid-dgmq-tra vel-single-001
Puerto Rico (U.S.)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are not commonly found in this country. Rabies is present in some terrestrial wildlife species.
If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/puerto-rico?s_cid=ncezid-dgmq travel-single-001
Qatar
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are sometimes found in this country. Rabies is also commonly found in some terrestrial wildlife species.
If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
Réunion (France)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, Poliovirus, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/reunion?s_cid=ncezid-dgmq-tra vel-single-001
Republic of Korea (South Korea)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Chloroquine, Doxycycline, Mefloquine, Primaquine, or Tafenoquine) if traveling to: rural areas in the northern parts of the provinces of Incheon (Inch’ŏn), Gangwon (Kangwŏn), and Gyeonggi (Kyŏnggi), including the demilitarized zone (DMZ) during the months of March–December.
Vaccines to consider:
Rabies11
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are not commonly found in this country. Rabies is present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
41Japanese encephalitis is recommended for travelers who are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/south-korea?s_cid=ncezid-dgm q-travel-single-001
Republic of Moldova (Moldova)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Rabies11
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are sometimes found in this country. Rabies is also commonly found in some terrestrial wildlife species and bats.
If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
51TBE vaccine is recommended for travelers moving or traveling to TBE-endemic areas. Also recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/moldova?s_cid=ncezid-dgmq-tr avel-single-001
Romania
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Rabies11
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are not commonly found in this country. Rabies is present in some terrestrial wildlife species.
If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
51TBE vaccine is recommended for travelers moving or traveling to TBE-endemic areas. Also recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/romania?s_cid=ncezid-dgmq-tra vel-single-001
Rota, Northern Mariana Islands (U.S.), including Saipan, Tinian, and Rota Island
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/northern-mariana-islands?s_cid =ncezid-dgmq-travel-single-001
Rurutu, French Polynesia, including the island groups of Society Islands (Tahiti, Moorea, and Bora-Bora), Marquesas Islands (Hiva Oa and Ua Huka), and Austral Islands (Tubuai and Rurutu)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/french-polynesia?s_cid=ncezid dgmq-travel-single-001
Russian Federation (Russia)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Rabies11
Japanese Encephalitis41
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country.
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
11Dogs infected with rabies are sometimes found in this country. Rabies is present in some terrestrial wildlife species.
If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
41Japanese encephalitis is recommended for travelers who are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
51TBE vaccine is recommended for travelers moving or traveling to TBE-endemic areas and for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/russia?s_cid=ncezid-dgmq-trav el-single-001
Rwanda
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Mpox32
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species.
If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
32Monkeypox virus vaccination is recommended for people who anticipate any of the following activities during travel to countries with evidence human transmission of clade I Mpox within country: Sex with a new partner; Sex at a commercial sex venue; Sex or intimate contact (ie. massage) in exchange for money, goods, drugs, or other trade; Sex in association with a large public event (ie rave, party, or festival). Get your first mpox vaccine at least 6 weeks before traveling if possible. After completing your first and second vaccine doses, which are given 4 weeks apart, it takes about 2 more weeks to get the best protection against Mpox.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/rwanda?s_cid=ncezid-dgmq-tra vel-single-001
Saba Island (The Netherlands)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/saba?s_cid=ncezid-dgmq-travel -single-001
Saint Croix (U.S. Virgin Islands)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/usvirgin-islands?s_cid=ncezid-d gmq-travel-single-001
Saint Helena (U.K.)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:https://wwwnc.cdc.gov/travel/destinations/traveler/none/saint-helena?s_cid= ncezid-dgmq-travel-single-001
Saint John (U.S. Virgin Islands)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/usvirgin-islands?s_cid=ncezid-d gmq-travel-single-001
Saint Kitts and Nevis
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/st-kitts-and-nevis?s_cid=ncezid dgmq-travel-single-001
Saint Lucia
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 monhts old arriving from countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/saint-lucia?s_cid=ncezid-dgmq-t ravel-single-001
Saint Martin
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/saint-martin?s_cid=ncezid-dgm q-travel-single-001
Saint Pierre and Miquelon (France)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are not commonly found in this country. Rabies is present in bats.
If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/saint-pierre-and-miquelon?s_cid =ncezid-dgmq-travel-single-001
Saint Thomas (U.S. Virgin Islands)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/usvirgin-islands?s_cid=ncezid-d gmq-travel-single-001
Saint Vincent and the Grenadines
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/saint-vincent-and-the-grenadine s
Saipan, Northern Mariana Islands (U.S.), including Saipan, Tinian, and Rota Island
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/northern-mariana-islands?s_cid =ncezid-dgmq-travel-single-001
Samoa
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/samoa?s_cid=ncezid-dgmq-trav el-single-001
San Marino
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/san-marino?s_cid=ncezid-dgmq -travel-single-001
São Tomé and Príncipe
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country.
If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/sao-tome-and-principe?s_cid=n cezid-dgmq-travel-single-001
Saudi Arabia, The Kingdom of (KSA)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission (see list).
Meningitis: The Kingdom of Saudi Arabia requires that all travelers aged one year and older arriving for Hajj or Umrah show proof that they have received a quadrivalent (ACWY) meningococcal vaccine in the last 3 to 5 years (depending on the type of vaccine) and at least 10 days prior to the planned travel.
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: Asir and Jazan (Jizan) Regions near the Yemen border only No malaria transmission in the cities of Jeddah, Mecca, Medina, Riyadh (the capital), or Ta’if.
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should
receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
11Dogs infected with rabies are sometimes found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
32Monkeypox virus vaccination is recommended for people who anticipate any of the following activities during travel to countries with evidence human transmission of clade I Mpox within country: Sex with a new partner; Sex at a commercial sex venue; Sex or intimate contact (ie. massage) in exchange for money, goods, drugs, or other trade; Sex in association with a large public event (ie rave, party, or festival). Get your first mpox vaccine at least 6 weeks before traveling if possible. After completing your first and second vaccine doses, which are given 4 weeks apart, it takes about 2 more weeks to get the best protection against Mpox.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/saudi-arabia?s_cid=ncezid-dgm q-travel-single-001
Scotland (United Kingdom)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Poliovirus booster2
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country.
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/united-kingdom
Senegal
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Meningitis3
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Chikungunya31
Yellow Fever (recommended for all travelers ≥9 months old)
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country.
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
11Dogs infected with rabies are commonly found in this country. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/senegal?s_cid=ncezid-dgmq-tra vel-single-001
Serbia
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Rabies11
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are not commonly found in this country. Rabies is present in some terrestrial wildlife species.
If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
51TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/serbia?s_cid=ncezid-dgmq-trav el-single-001
Seychelles
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/seychelles?s_cid=ncezid-dgmq travel-single-001
Sierra Leone
Required Vaccines in certain groups (must show proof of vaccination at the airport): Yellow Fever: Required for all travelers.
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Yellow Fever (recommended for all travelers ≥9 months old)
Poliovirus booster2
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Mpox32
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country.
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
11Dogs infected with rabies are commonly found in this country. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
32Monkeypox virus vaccination is recommended for people who anticipate any of the following activities during travel to countries with evidence human transmission of clade I Mpox within country: Sex with a new partner; Sex at a commercial sex venue; Sex or intimate contact (ie. massage) in exchange for money, goods, drugs, or other trade; Sex in association with a large public event (ie rave, party, or festival). Get your first mpox vaccine at least 6 weeks before traveling if possible. After completing your first and second vaccine doses, which are given 4 weeks apart, it takes about 2 more weeks to get the best protection against Mpox.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/sierra-leone?s_cid=ncezid-dgm q-travel-single-001
Singapore
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
http://wwwnc.cdc.gov/travel/destinations/traveler/none/singapore?s_cid=ncezid-dgmq-tr avel-single-001
Sint Eustatius
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥6 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/sint-eustatius?s_cid=ncezid-dg mq-travel-single-001
Sint Maarten
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/sint-maarten?s_cid=ncezid-dgm q-travel-single-001
Slovakia
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Rabies11
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are not commonly found in this country. Rabies is present in some terrestrial wildlife species.
If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
51TBE vaccine is recommended for travelers moving or traveling to TBE-endemic areas and for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/slovakia?s_cid=ncezid-dgmq-tra vel-single-001
Slovenia
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
51TBE vaccine is recommended for travelers moving or traveling to TBE-endemic areas and for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/slovenia?s_cid=ncezid-dgmq-tr avel-single-001
Society Islands (Tahiti, Moorea, and Bora-Bora, French Polynesia/France)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/french-polynesia?s_cid=ncezid dgmq-travel-single-001
Solomon Islands
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/solomon-islands?s_cid=ncezid dgmq-travel-single-001
Somalia
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Cholera12
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
11Dogs infected with rabies are commonly found in this country. If rabies exposures occur while in this country, rabies vaccines are typically not readily available. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/somalia?s_cid=ncezid-dgmq-tra vel-single-001
South Africa
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: KwaZulu-Natal Province (uMkhanyakude District); Limpopo Province (the districts of Mopani and Vhembe); Mpumalanga Province (Ehlanzeni District); and Kruger National Park.
All other areas with malaria transmission (including the districts of King Cetshwayo and Zululand in KwaZulu-Natal Province, and the districts of Capricorn, Greater Sekhukhune, and Waterberg in Limpopo Province): No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only).
Vaccines to consider:
Rabies11
Cholera12
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/south-africa?s_cid=ncezid-dgm q-travel-single-001
South Georgia and the South Sandwich Islands (U.K.) Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/south-georgia-south-sandwich-i slands?s_cid=ncezid-dgmq-travel-single-001
South Korea (Republic of Korea)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Chloroquine, Doxycycline, Mefloquine, Primaquine, or Tafenoquine) if traveling to: rural areas in the northern parts
of the provinces of Incheon (Inch’ŏn), Gangwon (Kangwŏn), and Gyeonggi (Kyŏnggi), including the demilitarized zone (DMZ) during the months of March–December.
Vaccines to consider:
Rabies11
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are not commonly found in this country. Rabies is present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
41Japanese encephalitis is recommended for travelers who are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/south-korea?s_cid=ncezid-dgm q-travel-single-001
South Sandwich Islands and South Georgia (U.K.) Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles) Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/south-georgia-south-sandwich-i slands?s_cid=ncezid-dgmq-travel-single-001
South Sudan, Republic of
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Yellow Fever (Vaccine is recommended for all travelers ≥9 months old) Meningitis3
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Cholera12
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
11Dogs infected with rabies are commonly found in this country. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/south-sudan?s_cid=ncezid-dgm q-travel-single-001
Spain
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Poliovirus booster2
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country.
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
Reference:https://wwwnc.cdc.gov/travel/destinations/traveler/none/spain?s_cid=ncezid dgmq-travel-single-001
Sri Lanka
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
41Japanese encephalitis is recommended for travelers who are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference:https://wwwnc.cdc.gov/travel/destinations/traveler/none/sri-lanka?s_cid=nce zid-dgmq-travel-single-001
Sudan
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Yellow Fever (Vaccine is recommended for all travelers ≥9 months old going to areas south of the Sahara Desert.
Vaccine is not recommended for travel limited to areas in the Sahara Desert or the city of Khartoum, the capital).
Meningitis3
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Cholera12
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
11Dogs infected with rabies are commonly found in this country. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/sudan?s_cid=ncezid-dgmq-trav el-single-001
Suriname
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Yellow Fever (Vaccine is recommended for all travelers ≥9 months old)
Vaccines to consider:
Rabies11
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Rabies presence in dogs is not well understood in Suriname.Rabies is present in bats. If rabies exposures occur while in Suriname, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where
mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/suriname?s_cid=ncezid-dgmq-tr avel-single-001
Swaziland (Eswatini)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: Eastern areas bordering Mozambique and South Africa, including the entire region of Lubombo and the eastern half of Hhohho, Manzini, and Shiselweni Regions.
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to
potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/eswatini
Sweden
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
51TBE vaccine is recommended for travelers moving or traveling to TBE-endemic areas and for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/sweden?s_cid=ncezid-dgmq-tra vel-single-001
Switzerland
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
51TBE vaccine is recommended for travelers moving or traveling to TBE-endemic areas and for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/switzerland?s_cid=ncezid-dgmq -travel-single-001
Syrian Arab Republic (Syria)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
Cholera12
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/syria?s_cid=ncezid-dgmq-travel -single-001
Tahiti (Society Islands, French Polynesia/France)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/french-polynesia?s_cid=ncezid dgmq-travel-single-001
Taiwan
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Rabies11
Chikungunya31
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are not commonly found in this country. Rabies is present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines are typically readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
41Japanese encephalitis is recommended for travelers who are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/taiwan?s_cid=ncezid-dgmq-trav el-single-001
Tajikistan
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/tajikistan?s_cid=ncezid-dgmq-tr avel-single-001
Thailand
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: Provinces that border Burma (Myanmar), Cambodia (except Buri Ram Province), and Malaysia.
All other areas with malaria transmission (including Buri Ram province): No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only)
Vaccines to consider:
Rabies11
Chikungunya31
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are sometimes found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines are typically readily available throughout most of the country. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
41Japanese encephalitis is recommended for travelers who are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis
Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/thailand?s_cid=ncezid-dgmq-tra vel-single-001
Timor-Leste (East Timor)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
Chikungunya31
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. If rabies exposures occur while in this country, rabies vaccines are typically readily available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers:
People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
41Japanese encephalitis is recommended for travelers who are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/east-timor?s_cid=ncezid-dgmq-t ravel-single-001
Tinian (Northern Mariana Islands/U.S.)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/northern-mariana-islands?s_cid =ncezid-dgmq-travel-single-001
Tobago (Trinidad and Tobago)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Yellow Fever: Vaccine is recommended for travelers ≥9 months old going to densely forested areas in Trinidad. Vaccine is not recommended for cruise ship passengers, airplane passengers in transit, or travel limited to Tobago.
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are not commonly found in this country. Rabies is present in bats. If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/trinidad-and-tobago?s_cid=ncez id-dgmq-travel-single-001
Togo
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Yellow Fever (Vaccine is recommended for all travelers ≥9 months old) Meningitis3
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Cholera12
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
11Dogs infected with rabies are commonly found in this country. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/togo?s_cid=ncezid-dgmq-travel single-001
Tokelau (New Zealand)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/tokelau?s_cid=ncezid-dgmq-tra vel-single-001
Tonga
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/tonga?s_cid=ncezid-dgmq-trave l-single-001
Tortola (British Virgin Islands)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/british-virgin-islands?s_cid=nce zid-dgmq-travel-single-001
Trinidad and Tobago
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Yellow Fever: Vaccine is recommended for travelers ≥9 months old going to densely forested areas in Trinidad. Vaccine is not recommended for cruise ship passengers, airplane passengers in transit, or travel limited to Tobago.
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are not commonly found in this country. Rabies is present in bats. If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to
potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/trinidad-and-tobago?s_cid=ncez id-dgmq-travel-single-001
Tubuai (French Polynesia/France)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/french-polynesia?s_cid=ncezid dgmq-travel-single-001
Tunisia
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country..If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/tunisia?s_cid=ncezid-dgmq-trav el-single-001
Türkiye (Turkey)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/turkey?s_cid=ncezid-dgmq-trav el-single-001
Turkmenistan
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/turkmenistan?s_cid=ncezid-dg mq-travel-single-001
Turks and Caicos Islands (U.K.)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/turks-and-caicos?s_cid=ncezid dgmq-travel-single-001
Tuvalu
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/tuvalu?s_cid=ncezid-dgmq-trav el-single-001
Uganda
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Yellow Fever (Vaccine is recommended for all travelers ≥9 months old) Meningitis3
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Cholera12
Mpox32
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
3Both MenACWY and MenB vaccines (or MenABCWY vaccine) recommended for travelers 2 months old or older traveling to areas of this country that are part of the African meningitis belt during the dry season.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
32Monkeypox virus vaccination is recommended for people who anticipate any of the following activities during travel to countries with evidence human transmission of clade I Mpox within country: Sex with a new partner; Sex at a commercial sex venue; Sex or intimate contact (ie. massage) in exchange for money, goods, drugs, or other trade; Sex in association with a large public event (ie rave, party, or festival). Get your first mpox vaccine at least 6 weeks before traveling if possible. After completing your first and second vaccine doses, which are given 4 weeks apart, it takes about 2 more weeks to get the best protection against Mpox.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/uganda?s_cid=ncezid-dgmq-tra vel-single-001
Ukraine
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Rabies11
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
51TBE: For travelers moving or traveling to TBE-endemic areas.
TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/ukraine?s_cid=ncezid-dgmq-tra vel-single-001
United Arab Emirates
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
Mpox32
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are sometimes found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
32Monkeypox virus vaccination is recommended for people who anticipate any of the following activities during travel to countries with evidence human transmission of clade I Mpox within country: Sex with a new partner; Sex at a commercial sex venue; Sex or intimate contact (ie. massage) in exchange for money, goods, drugs, or other trade; Sex in association with a large public event (ie rave, party, or festival). Get your first mpox vaccine at least 6 weeks before traveling if possible. After completing your first and second vaccine doses, which are given 4 weeks apart, it takes about 2 more weeks to get the best protection against Mpox.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/united-arab-emirates?s_cid=nce zid-dgmq-travel-single-001
United Kingdom (including England, Scotland, Wales, and Northern Ireland)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Poliovirus booster2
Vaccines to consider:
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country.
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
51TBE: For travelers moving or traveling to TBE-endemic areas (Focally endemic throughout country. Highly endemic regions include Carinthia, Styria, Upper Austria, Salzburg, Tyrol, and Vorarlberg Provinces.)
TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/united-kingdom
United States of America
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/united-states?s_cid=ncezid-dg mq-travel-single-001
Uruguay
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are not commonly found in this country. Rabies is present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to
potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/uruguay?s_cid=ncezid-dgmq-tra vel-single-001
Uzbekistan
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Vaccines to consider:
Rabies11
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are commonly found in this country. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/uzbekistan?s_cid=ncezid-dgmq travel-single-001
Vanuatu
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/vanuatu?s_cid=ncezid-dgmq-tra vel-single-001
Vatican City (Italy)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Vaccines to consider:
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
51TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/italy
Venezuela (Bolivarian Republic of)
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from Brazil; this includes >12-hour airport transits or layovers in Brazil.
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas <1,700 m (<5,600 ft) elevation and Angel Falls
Vaccines to consider:
Yellow Fever (Vaccine is recommended for all travelers ≥9 months old except for travel limited to the Distrito Capital, the states of Aragua, Carabobo, Miranda, Vargas, or Yaracuy.
Vaccine is not recommended for travel limited to areas >2,300m/>7,550 ft elevation in the states of Mérida, Táchira, or Trujillo; the states of Falcón or Lara; Margarita Island; or the cities of Caracas–the capital, or Valencia.)
Rabies11
Chikungunya31
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are sometimes found in this country. Rabies is also present in bats. If rabies exposures occur while in this country, rabies vaccines are typically may only be available in larger suburban/urban medical facilities. Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/venezuela?s_cid=ncezid-dgmq travel-single-001
Vietnam
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, or Tafenoquine) if traveling to: Rural areas only, including Provinces of Bình Dương, Bình Phước, Đắk Lắk, Đắk Nông, Gia Lai, Khánh Hòa, Kon Tum, Lâm Đồng, Ninh Thuận, Tây Ninh. If traveling only to cities of Da Nang, Hai Phong, Hanoi, Ho Chi Minh City (Saigon), Nha Trang, and Quy Nhon, Mekong and Red River Deltas: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only)
Vaccines to consider:
Rabies11
Chikungunya31
Japanese Encephalitis41
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
11Dogs infected with rabies are sometimes found in this country. If rabies exposures occur while in this country, rabies vaccines are typically readily available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
31Chikungunya vaccination may be considered for the following travelers: People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in this country, OR People planning to stay in this country for a cumulative period of 6 months or more
41Japanese encephalitis is recommended for travelers who are moving to an area with Japanese encephalitis to live; Spend long periods of time, such as a month or more, in areas with Japanese encephalitis; Frequently travel to areas with Japanese encephalitis Consider vaccination for travelers Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets; Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there; Not recommended for travelers planning short-term travel to urban areas or traveling at times outside of the Japanese encephalitis season.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/vietnam?s_cid=ncezid-dgmq-tra vel-single-001
Virgin Gorda (British Virgin Islands)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/british-virgin-islands?s_cid=nce zid-dgmq-travel-single-001
Virgin Islands, British
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/british-virgin-islands?s_cid=nce zid-dgmq-travel-single-001
Virgin Islands, U.S.
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/usvirgin-islands?s_cid=ncezid-d gmq-travel-single-001
Wake Island, U.S.
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
Reference:
https://wwwnc.cdc.gov/travel/destinations/traveler/none/wake-island?s_cid=ncezid-dgm q-travel-single-001
Wales (United Kingdom)
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Poliovirus booster2
Vaccines to consider:
Tick-borne Encephalitis51
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country.
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
51TBE: For travelers moving or traveling to TBE-endemic areas (Focally endemic throughout country. Highly endemic regions include Carinthia, Styria, Upper Austria, Salzburg, Tyrol, and Vorarlberg Provinces.)
TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.
TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/united-kingdom
Yemen
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas <2,000 m (<6,500 ft) elevation No malaria transmission in Sana’a (the capital)
Vaccines to consider:
Rabies11
Cholera12
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines are typically not readily available.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/yemen
Zambia
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, Poliovirus, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Cholera12
Mpox32
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines may only be available in larger suburban/urban medical facilities.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
32Monkeypox virus vaccination is recommended for people who anticipate any of the following activities during travel to countries with evidence human transmission of clade I Mpox within country: Sex with a new partner; Sex at a commercial sex venue; Sex or intimate contact (ie. massage) in exchange for money, goods, drugs, or other trade; Sex in association with a large public event (ie rave, party, or festival). Get your first mpox vaccine at least 6 weeks before traveling if possible. After completing your first and second vaccine doses, which are given 4 weeks apart, it takes about 2 more weeks to get the best protection against Mpox.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/zambia
Zimbabwe
Required Vaccines in certain groups (must show proof of vaccination at the airport):
Yellow Fever: Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission (see list).
Recommended Vaccines:
Routine vaccines (COVID-19, Influenza, Varicella, DTAP, MMR–especially Measles)
Hepatitis A1
Hepatitis B
Typhoid
Poliovirus booster2
Malaria prevention medications (Atovaquone-proguanil, Doxycycline, Mefloquine, or Tafenoquine) if traveling to: All areas
Vaccines to consider:
Rabies11
Cholera12
1Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.
2Circulating poliovirus is present in this country
Vaccine recommendations: Adults traveling to this country who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.
11Dogs infected with rabies are commonly found in this country. Rabies is also present in some terrestrial wildlife species. If rabies exposures occur while in this country, rabies vaccines are typically available throughout most of the country.
Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.
12Active cholera transmission is widespread in this country. Cholera is rare in travelers. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.
Reference: https://wwwnc.cdc.gov/travel/destinations/traveler/none/zimbabwe
