Country Info | Integra T Travel Health

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

Antigua and Barbuda

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/antigua-and-barbuda?s_cid=nc ezid-dgmq-travel-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

Barbados

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:

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/barbados?s_cid=ncezid-dgmq-tr avel-single-001

Barbuda (Antigua and Barbuda)

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/antigua-and-barbuda?s_cid=nc ezid-dgmq-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.