Worldwide disease and immunisation checklist
Please note, these are general guidelines; advice should be taken for an individual itinerary See also the link below to Immunisation Summary for additional immunisations which may be recommended. This alphabetical list shows for each country: E = Immunisation is an essential requirement for entry to the country concerned and you will require a certificate. E1 = Immunisation essential except for infants under one year (but note the advice above). E2 = Immunisation essential (except for infants under one year) unless arriving from non-infected areas and staying for less than two weeks. The UK is a non-infected area, but if travelling via equatorial Africa or South America, seek medical advice. E3 = Immunisation essential if the traveller arrives from an infected country or area (this will not apply if your journey is direct from the UK). The lower age limit varies. E4 = Immunisation essential if arriving within six days of having visited an infected country. E5 = Immunisation essential for entry to the country from endemic areas, travelling to Easter Island. r = Immunisation or tablets recommended for protection against disease, but note that for Yellow Fever, pregnant women and infants under nine months should not normally be immunised and therefore should avoid exposure to infection. D = Check immunised against diphtheria. M = Meningitis, depending on area visited and time of year. MI= Meningitis ACWY, required for those visiting Saudi for the purpose of Hajj or Umra. a) = Depends on area visited. b) = Recommended for all travellers going to Chiapas, Darién and San Blas. c) = Certificate also required if leaving Paraguay to go to endemic areas. d) = Applies only to travellers to the Azores and Madeira. e) = Depends on season. f) = Certificate may be required from travellers leaving Sudan. No special immunisations are required for those European countries not listed. *Immunisation against typhoid may be less important for short stays in
first-class conditions. This list is correct at the time and date of printing (April 2005).
Country | Hep. A
Typhoid* | Malaria | Yellow
Fever | Meningitis
ACWY | Afghanistan | r | r a) e) | E3 | | Albania | r | | E3 | | Algeria | r | | E3 | | American Samoa | r | | E3 | | Angola | r | r | E3 r | M | Anguilla | r | | E3 | | Antigua / Barbuda | r | | E3 | | Argentina | r | r a) | | | Armenia | r | r e) | | | Australia | | | E4 | | Azerbaijan | r | r a) e) | | | Bahamas | r | | E3 | | Bahrain | r | | | | Bali (see Indonesia) | r | | E3 | | Bangladesh | r | r | E4 | | Country | Hep. A
Typhoid* | Malaria | Yellow
Fever | Meningitis
ACWY | Barbados | r | | E3 | | Belarus | r | | | | Belize | r | r | E3 | | Benin | r | r | E1 r | M | Bermuda | | | | | Bhutan | r | r a) | E3 | M | Bolivia | r | r a) | E3 r a) | | Borneo (see Malaysia / Indonesia) | r | r a) | E3 | | Bosnia /Herzegovina | r | | | | Botswana | r | r a) e) | E3 | | Brazil | r | r a) | E3 r a) | | Brunei | r | | E4 | | Bulgaria | r | | | | Burkina Faso | r | r | E1 r | M | Burma (see Myanmar) | | | | | Burundi | r | r | E3 r | M | Country | Hep. A
Typhoid* | Malaria | Yellow
Fever | Meningitis
ACWY | Cambodia | r | r | E3 | | Cameroon | r | r | E1 r | M | Canada | | | | | Cape Verde | r | | E3 | | Cayman Islands | r | | | | Central African Republic | r | r | E1 r | M | Chad | r | r | r a) | M | Chile | r | | E5 | | China | r | r a) | E3 | | Colombia | r | r a) | r | | Comoros | r | r | | | Congo | r | r | E1 r | | Cook Islands | r | | | | Costa Rica | r | r a) | | | Country | Hep. A
Typhoid* | Malaria | Yellow
Fever | Meningitis
ACWY | Croatia | r | | | | Cuba | r | | | | Cyprus | | | | | Czech and Slovak Republics | r | | | | Democratic Rep. of Congo (formerly Zaïre) | r | r | E1 r | M | Djibouti | r | r | E3 | | Dominica | r | | E3 | | Dominican Republic | r | r | | | East Timor | r | r | | | Ecuador | r | r a) | E3 r a) | | Egypt | r | a) e) | E3 | | El Salvador | r | r a) | E3 | | Equatorial Guinea | r | r | E3 r | | Eritrea | r | r | E3 | M | Estonia | | | | | Country | Hep. A
Typhoid* | Malaria | Yellow
Fever | Meningitis
ACWY | Ethiopia | r | r a) | E3 r | M | Falkland Islands | | | | | Fiji | r | | E3 | | Gabon | r | r | E1 r | | The Gambia | r | r | E3 r | M | Georgia | r | | | | Ghana | r | r | E1 r | M | Greece | | | E3 | | Greenland | | | | | Grenada | r | | E3 | | Guadeloupe | r | | E3 | | Guam | r | | | | Guatemala | r | r a) | E3 | | Guiana, French | r | r | E1 r | | Guinea | r | r | E3 r | M | Country | Hep. A
Typhoid* | Malaria | Yellow
Fever | Meningitis
ACWY | Guinea-Bissau | r | r | E3 r | M | Guyana | r | r | E3 r | | Haiti | r | r | E3 | | Honduras | r | r | E3 | | Hong Kong (China) | r | | | | India | r | r | E4 | | Indonesia | r | r a) | E3 | | Iran | r | r | | | Iraq | r | r a) e) | E3 | | Israel | r | | | | Ivory Coast | r | r | E1 r | M | Jamaica | r | | E3 | | Japan | r | | | | Jordan | r | | E3 | | Kazakhstan | r | | E3 | | Country | Hep. A
Typhoid* | Malaria | Yellow
Fever | Meningitis
ACWY | Kenya | r | r | E3 r | M | Kiribati | r | | E3 | | Korea (North & South) | r | | | | Kuwait | r | | | | Kyrgyzstan | r | | | | Laos | r | r | E3 | | Latvia | | | | | Lebanon | r | | E3 | | Lesotho | r | | E3 | | Liberia | r | r | E1 r | | Libya | r | | E3 | | Lithuania | | | | | Macau (China) | r | | | | Macedonia | r | | | | Madagascar | r | r | | | Country | Hep. A
Typhoid* | Malaria | Yellow
Fever | Meningitis
ACWY | Madeira | | | E3 d) | | Malawi | r | r | E3 | | Malaysia | r | r a) | E4 | | Maldives | r | | E3 | | Mali | r | r | r E1 a) | M | Malta | | | E3 | | Marshall Islands | r | | | | Martinique | r | | | | Mauritania | r | r | E2 | | Mauritius | r | r a) | E3 | | Mayotte | r | r | | | Mexico | r | r a) | | | Micronesia (Federated States of) | r | | | | Moldova | r | | | | Monaco | | | | | Country | Hep. A
Typhoid* | Malaria | Yellow
Fever | Meningitis
ACWY | Mongolia | r | | | | Montserrat | r | | E3 | | Morocco | r | | | | Mozambique | r | r | E3 | M | Myanmar (Burma) | r | r | E3 | | Namibia | r | r a) | E3 | M | Nauru | r | | E3 | | Nepal | r | r a) | E3 | | Netherlands, Antilles | r | | E3 | | New Caledonia | r | | E3 | | New Zealand | | | | | Nicaragua | r | r | E3 | | Niger | r | r | r E1 a) | M | Nigeria | r | r | E3 r | M | Niue | r | | E3 | | Country | Hep. A
Typhoid* | Malaria | Yellow
Fever | Meningitis
ACWY | Northern Mariana Islands | r | | | | Oman | r | r a) | E3 | | Pakistan | r | r | E3 | | Palau | r | | E3 | | Panama | r | r | r b) | | Papua New Guinea | r | r a) | E3 | | Paraguay | r | r a) | E3 c) | | Peru | r | r a) | E3 r a) | | Philippines | r | r a) | E3 | | Pitcairn Island | r | | E3 | | Poland | | | | | Polynesia, French (Tahiti) | r | | E3 | | Portugal | | | E3 d) | | Puerto Rico | r | | | | Qatar | r | | | | Country | Hep. A
Typhoid* | Malaria | Yellow
Fever | Meningitis
ACWY | La Raunion | r | | E3 | | Romania | r | | | | Russia | r a) | | | | Rwanda | r | r | E1 r | M | St Helena | r | | E3 | | St Kitts and Nevis | r | | E3 | | St Lucia | r | | E3 | | St Vincent and Grenadines | r | | E3 | | Samoa | r | | E3 | | Sao Tome and Principe | r | r | E1 r | | Saudi Arabia | r | r a) | E3 | MI | Senegal | r | r | E3 r | M | Serbia and Montenegro | r a) | | | | Seychelles | r | | E4 | | Sierra Leone | r | r | E3 r | M | Country | Hep. A
Typhoid* | Malaria | Yellow
Fever | Meningitis
ACWY | Singapore | r | | E4 | | Slovenia | r | | | | Solomon Islands | r | r | E3 | | Somalia | r | r | E3 r | M | South Africa | r | r a) | E3 | | Sri Lanka | r | r | E3 | | Sudan | r | r | f) E3 r a) | M | Surinam | r | r | E3 r | | Swaziland | r | r | E3 | | Syria | r | r a) e) | E3 | | Taiwan | r | | | | Tajikistan | r | r a) e) | | | Tanzania | r | r | E3 r | M | Thailand | r | r a) | E3 | | Togo | r | r | E1 r | M | Tokelau | r | | | | Country | Hep. A
Typhoid* | Malaria | Yellow
Fever | Meningitis
ACWY | Tonga | r | | E3 | | Trinidad and Tobago | r | | E3 r a) | | Tunisia | r | | E3 | | Turkey | r | r a) e) | | | Turkmenistan | r | r a) e) | | | Turks & Caicos Islands | r | | | | Tuvalu | r | | | | Uganda | r | r | E3 r | M | Ukraine | r | | | | United Arab Emirates | r | | | | Uruguay | r | | | | USA | | | | | Uzbekistan | r | | | | Vanuatu | r | r | | | Venezuela | r | r | r | | Country | Hep. A
Typhoid* | Malaria | Yellow
Fever | Meningitis
ACWY | Vietnam | r | r a) | E3 | | Virgin Islands | r | | | | Wallis and Futuna Islands | r | | | | Yemen | r | r | E3 | | Yugoslavia | r | | | | Zambia | r | r | r a) | M | Zimbabwe | r | r a) e) | E3 | |
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