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Every Cruise Line's Requirements for COVID Vaccines, Testing

A guide to every major cruise line's health requirements for safe sailing.

world cruise vaccinations

Cruise lines have shifted their requirements for passengers, making cruising accessible to practically everyone. Many popular cruise lines have eliminated the vaccine and pre-embarkation test as the industry is beginning to shift away from mandatory vaccines and testing.

The changes began shortly after the CDC ended a pandemic-era policy of publicly displaying COVID-19 cases onboard, different cruise lines to the public in July 2022. For those looking to check current COVID-19 trends onboard the CDC urges direct contact with the cruise line, and the organization will continue to monitor and offer guidelines to ships.

Below, we break down each line's list of regulations to sail as well as what travelers need to know to plan.

Avalon Waterways

Where they sail: These small-ship river cruises sail throughout Europe, Asia, South America, and down the Nile River in Egypt.

Who needs the vaccine: All international travelers from the U.S. must be fully vaccinated before boarding. Beginning March 2023 the vaccine is no longer required (but strongly encouraged).

What other safety measures are in place: All guests will undergo a health screening upon arrival and luggage will be disinfected. Avalon will provide COVID-19 testing for travelers who need to show proof of a negative test to return home at no extra cost. Depending on the location of the cruise a pre-departure COVID-19 test may or may not be required.

Find out more: Avalon Waterways

Where they sail : Azamara sails mid-size ships all over the world, to all seven continents.

Who needs the vaccine : All guests and crew 12 and older will be required to be fully vaccinated at least two weeks before boarding a ship. Beginning Dec. 1, 2022, the company plans to drop the vaccine requirement for departures from the U.S. and Europe.

What other safety measures are in place : Depending on the port of embarkation guests may or may not to pre-test to travel. For a full list of ports and whether they require a test guests can check online.

Azamara's ships have been upgraded with new HVAC filtration systems, and EPA-certified disinfectants are used to clean the ship.

Find out more : Azamara

Carnival Cruises

Where they sail: Carnival sails large ships around the world, including popular trips to the Caribbean. The company sailed its maiden voyage on the Mardi Gras out of Florida in July.

Who needs the vaccine: All guests are encouraged to be vaccinated but unvaccinated travelers, or vaccinated guests without proof of vaccination, will have to present the negative results of a PCR or antigen test taken no earlier than 3 days before sailing.

What other safety measures are in place: For cruises five days or less, there will no longer be pre-cruise testing for vaccinated passengers unless a specific port requires it. Itineraries including Bahamas, Bermuda, or Grand Cayman will still be required to test. All guests will also be required to fill out a health screening 72 hours before embarkation and undergo health screenings prior to boarding. Unvaccinated travelers on a cruise to Bermuda will be required to purchase travel insurance (children under 12 are exempt as long as they are traveling with vaccinated parents).

Both vaccinated and unvaccinated guests who have recovered from COVID-19 within three months of their sailing date, do not need the required pre-cruise COVID test before embarkation, only if they are at least 10 days past their COVID-19 infection, have no symptoms and present documentation of recovery from COVID-19 from their healthcare provider.

Find out more: Carnival Cruise Line

Celebrity Cruises

Where they sail: Celebrity Cruises sails all over the world.

Who needs the vaccine: The vaccine is no longer required to sail on cruises from the U.S. and Europe. A vaccine is required for sailings visiting Canada.

What other safety measures are in place: A pre-embarkation test is no longer required for vaccinated guests on sailings nine days or less. Unvaccinated passengers will still be required to test three days prior to sailing. Self-tests are acceptable from European and U.S. ports that don't stop in Bermuda or Canada.

Find out more : Celebrity Cruises

Where they sail: Cunard, which sails all over the world, is known for its transatlantic journeys aboard the Queen Mary 2.

Who needs the vaccine: All guests 18 and older must be fully vaccinated. Unvaccinated passengers under 18 will be required to undergo a PCR test within 72 hours of their departure.

What other safety measures are in place: Cunard has "enhanced" their onboard ventilation systems and implemented mandatory mask-wearing policies indoors. All guests aged 4 and older are required to have a negative COVID-19 test before boarding. Crew will be tested regularly while on board. Guests who have certain pre-existing medical conditions, including those who are on supplementary oxygen, will not be allowed to board.

Disney Cruise Line

Where they sail: Disney sails family-friendly journeys including to the Caribbean, Europe, and Alaska.

Who needs the vaccine: Vaccination is no longer required by highly suggested.

What other safety measures are in place: Unvaccinated guests must provide results of a COVID-19 test taken 1 to 2 days before sail date, at home tests are not accepted, this requirement will end Nov. 14. The Cruise line also has a full list of enhanced cleaning protocols.

Find out more: Disney Cruise Line

Grand Circle Cruise Line

Where they sail: Grand Circle Cruise Line sails small ships and river cruises all over the world, including an extensive list of European itineraries. The company plans to start sailing again in August, including to Greece, Turkey, and Italy.

Who needs the vaccine: All guests and crew are required to be fully vaccinated with the booster shot.

What other safety measures are in place: All ships have been equipped with High Efficiency Particular Air (HEPA) filters and buffets have been eliminated. The cruise line states some itineraries will require proof of a negative COVID-19 test prior to travel, and that instructors will be sent out 30 days prior to travel.

Find out mor e: Grand Circle Cruise Line

Holland America

Where they sail: Holland America sails large ships all over the world, including to the Mediterranean, Caribbean, Europe, and more.

Who needs the vaccine: Unvaccinated guests are welcome but will be required to self-test three days before cruising.

What other safety measures are in place: Vaccinated passengers traveling on ships for less than 16 days excluding itineraries with the Panama Canal, trans-ocean, and other selected itineraries will no longer be required to test.

Lindblad Expeditions

Where they sail: Lindblad Expeditions is known for its adventurous trips to hard-to-reach destinations like Antarctica and the Russian Far East, partnering with National Geographic to add to the experience.

Who needs the vaccine: All guests 12 and older need to be vaccinated before boarding. Boosters are recommended but not required.

What other safety measures are in place: Pre-departure testing will not be required unless for a specific destination.

Margaritaville at Sea

Where they sail: Margaritaville at Sea offers 3-day cruises to Grand Bahama Island departing from the port of Palm Beach. The cruise line also offers the opportunity to take the ship one way to the Bahamas to allow guests to stay at the Margaritaville resort, and then take the ship back to the Bahamas at a later date.

Who needs the vaccine: All guests are welcome regardless of vaccination status, according to the cruise line.

What other safety measures are in place: All crew members must be vaccinated for COVID-19 and the cruise line states there are vaccination requirements on board (but does not specify).

Find out more: Margaritaville at Sea

MSC Cruises

Where they sail: MSC Cruises sails large ocean cruises around the world, including throughout Europe, South America, the Persian Gulf, and the Caribbean. In August, the company started sailing to the Bahamas with a stop at its private island, Ocean Cay.

Who needs the vaccine: Vaccinations are recommended but no longer required.

What other safety measures are in place: Fully-vaccinated passengers are no longer required to show proof of a negative test unless it is required of the destination. Unvaccinated children must show proof of a negative PCR test.

Norwegian Cruise Line

Where they sail: Norwegian sails big ocean cruises all around the world, including popular itineraries all throughout the Caribbean and Greece.

Who needs the vaccine: All passengers may sail regardless of vaccination status.

What other safety measures are in place: Testing is no longer required for any passenger regardless of vaccination status with the exception of local government mandates.

Find out more : Norwegian Cruise Line

Oceania Cruises

Where they sail: Oceania Cruises sails all over the world, including offering several World Cruise itineraries.

Who needs the vaccine: All passengers regardless of vaccination status are allowed to sail.

What other safety measures are in place: Only unvaccinated guests will be required to show proof of a negative PCR or antigen test taken 72 hours prior to boarding. Unvaccinated children aged 12 years and younger are exempt.

P&O Cruises

Where they sail: The UK-based cruise line sails around Europe, including to the Canary Islands, as well as to the Caribbean from Southampton in the UK.

Who needs the vaccine: Although P&O Cruises' policy states that passengers over the age of 15 are required to be vaccinated, the latest update on its website says guests will be contacted directly in regards to vaccination protocol.

What other safety measures are in place: All guests are required to undergo a COVID-19 test at the terminal. Masks will be required on board indoors, and all shore excursions will be with vetted operators.

Princess Cruises

Where they sail: The global cruise line sails large ocean ships all around the world, from Australia to Alaska.

Who needs the vaccine: All guests are welcome on board, but unvaccinated passengers will be required to test and may need an additional medical exemption at some ports.

Regent Seven Seas Cruises

Where they sail: Regent Seven Seas offers all-inclusive luxury cruises around the globe, which include perks like free airfare, free excursions, and complimentary unlimited drinks on board.

Who needs the vaccine: All guests are now welcome. Unvaccinated passengers will be required to test 3-days before embarkation.

What other safety measures are in place: Pre-departure testing may not be necessary depending on the port. Currently cruises leaving from Bermuda, Canada, and Greece will require a test.

Royal Caribbean International

Where they sail: Royal Caribbean sails large ocean ships all over the world, including many popular itineraries throughout the Caribbean and Asia.

Who needs the vaccine: Everyone is welcome regardless of vaccination status, passengers traveling to Bermuda or Canada are required to be vaccinated.

W hat other safety measures are in place: On Royal Caribbean, unvaccinated travelers 12 and older leaving from a U.S. or Caribbean port still have to get tested within three days of embarkation,  according to the cruise line , vaccinated guests are exempt.

Royal Caribbean will accept a variety of tests as proof to board, including simply taking a photo of a self-administered home test.

Find out more : Royal Caribbean International

Where they sail: The British cruise line, exclusively for guests 50 and older, sails both ocean and river cruises around the globe.

Who needs the vaccine: All guests must be fully vaccinated, including a booster shot at least 14 days before boarding a ship. Saga was the first major cruise line to implement this vaccination policy.

What other safety measures are in place: Ocean Cruise guests will be required to get tested for COVID-19 in the terminal. Masks are required on bus transfers, in hotels, and on excursions.

Find out more : Saga

Where they sail: Seabourn's mid-size luxury cruises head all around the world, from Alaska to the Caribbean.

Who needs the vaccine: Vaccinations are not required on most cruise itineraries, unvaccinated guests will be required to present a negative test taken within three days of embarkation.

What other safety measures are in place: Masks are recommended onboard in most indoor venues and the casinos are frequently sanitized.

Where they sail: Silversea brings guests all around the world in luxury and style, including to the Galapagos and Antarctica.

Who needs the vaccine: All guests are welcome, however, unvaccinated guests may not be welcome on all sailings depending on local regulations.

What other safety measures are in place: Vaccinated guests do not need a pre-departure test unless local regulations such as cruises leaving from Australia, Bermuda, Canada, or Greece require it. Unvaccinated travelers will need a negative COVID-19 test within 72 hours of embarkation.

UnCruise Adventures

Where they sail: This small-ship company is known for its Alaska journeys as well as adventures in places like the Galapagos and island hopping in Hawaii.

Who needs the vaccine: As of April 7, all guests are welcome on board regardless of vaccination status.

What other safety measures are in place: Guests will no longer be required to present proof of vaccination or a COVID-19 test prior to, or during any point of sailing and the cruise line will no longer be running at limited capacity. These measures go into effect on April 7, until then guests 12 and older must provide proof of vaccination, and itineraries may sail at less then full capacity.

Masks are required in public spaces, according to the company "bandana" and "buff" face masks will not be accepted.

Victory Cruise Lines

Where they sail: Victory Cruise Lines is known for its Great Lakes cruises, providing all-inclusive sailings to see breathtaking sights from Niagara Falls to the iconic architecture of Chicago from Lake Michigan. Beyond the U.S., Victory Cruise Lines sails to Mexico's Yucatán Peninsula.

Who needs the vaccine: All guests and crew will be required to be vaccinated before boarding, and will be required to show physical proof prior to boarding.

What other safety measures are in place: Testing is no longer required on any river cruise.

Luggage is then disinfected before being brought onto the ship and staterooms cleaned with electrostatic fogging. Masks will be required during the embarkation process and while riding a shore excursion bus, but will not be required on board.

Viking Cruises

Where they sail: Viking sails ocean and river cruises all over the world, including throughout Europe. This summer, Viking will sail several voyages, including around England for UK residents, to Bermuda, and to Iceland in June.

Who needs the vaccine: All guests must be fully vaccinated to board a ship. Guests who are eligible must have a booster.

What other safety measures are in place: In addition to vaccines, all guests may be required to undergo a saliva PCR test at embarkation as well as "frequent" testing throughout the journey. All staterooms are equipped with independent air handling units.

Virgin Voyages

Where they sail: The brand-new cruise line is launching mini sailings from England for UK residents, and has cruises throughout the Caribbean, and transatlantic options.

Who needs the vaccine: All are welcome regardless of vaccination status, the cruise line removed all vaccine and testing requirements for all its ships in late October, according to the company.

What other safety measures are in place: Virgin Voyages was the first cruise line to eliminate pre-departure testing for vaccinated guests. The cruise line will continue to work with an advisory board to help ensure health and safety on board at all times, including the use of air filtration systems and sanitization of high touch surface areas.

Find out more : Virgin Voyages

Windstar Cruises

Where they sail: Windstar operates small-ship cruises and several sailing vessels all around the globe, including to places like Central America .

Who needs the vaccine: All guests will be required to be fully vaccinated at least 14 days before boarding one of Windstar's yachts. Boosters are highly encouraged and are recommended to be administered at least one week prior to travel.

What other safety measures are in place: Guests no longer need a pre-embarkation test unless a specific destination requires it.

Alison Fox is a contributing writer for Travel + Leisure. When she's not in New York City, she likes to spend her time at the beach or exploring new destinations and hopes to visit every country in the world. Follow her adventures on Instagram .

Related Articles

world cruise vaccinations

Do I need a COVID vaccine to cruise? A line-by-line guide

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Editor’s note: This post has been updated with new information.

When the first cruises allowing Americans restarted in spring 2021, all major lines were sailing with at least 90% of passengers vaccinated against COVID-19. That meant they required just about everyone on board to have their shots, with only a few exceptions allowed for young children and people who can’t be vaccinated due to medical conditions or religious beliefs.

Since then, the Centers for Disease Control and Prevention has withdrawn its opt-in guidance for cruise lines, and most are now allowing unvaccinated passengers to sail. In fact, most aren’t even checking to see if cruisers are vaccinated or not.

However, with cases picking up seasonally and new booster vaccines rolling out, will you need a vaccine to cruise? Click on your favorite cruise line above, under “Jump to Section,” to find out.

For more cruise news, reviews and tips, sign up for TPG’s new cruise newsletter .

Note: In order to be considered “fully vaccinated,” passengers must have received their final shot (not including boosters) at least 15 days prior to embarkation. Most lines only accept vaccines (or a combination of vaccines) recognized and approved by the World Health Organization and the CDC. Generally, proof of inoculation must include your name, the type of vaccine you received and the dates on which you received all required doses.

Booster shots are not required unless specifically noted. However, keep in mind that the rules may vary by country, with some lines requiring boosters for international departures due to local regulations or for extra-long sailings like ocean crossings when port calls are few or nonexistent. Passengers who have their boosters are considered “up to date” rather than merely “fully vaccinated.”

For general information on testing, please refer to our article on cruise testing requirements .

AmaWaterways

Vaccine required no.

AmaWaterways no longer requires proof of vaccination for passengers. However, cruisers are responsible for meeting the requirements of the countries in which they’ll be traveling. If they do not, standard cancellation fees will apply. Pre-cruise testing is not required. Should passengers become ill during their cruise, AmaWaterways will assist in procuring testing and other medical services, which will be the financial responsibility of those guests.

American Cruise Lines

American Cruise Lines does not have a vaccine requirement for all passengers on any of its sailings. Pre-cruise testing is no longer required.

American Queen Voyages

Vaccines are not required to sail with American Queen Voyages , and pre-cruise testing is no longer required.

Related: What happens if someone tests positive for COVID-19 on your cruise

Atlas Ocean Voyages

Vaccination is not mandatory for Atlas cruises, but passengers must comply with regulations in countries on their scheduled itinerary, which could require that they be up to date on their shots. Additionally, pre-cruise testing is no longer a requirement.

Avalon Waterways

Avalon Waterways no longer requires proof of vaccination or a negative test prior to passenger boarding. However, mandatory testing and proof of vaccination could still be required in some countries the line visits.

Azamara recommends that passengers follow local regulations and the latest guidance from government health organizations when determining which vaccines to obtain prior to travel. The line also does not require negative test results in order to board unless mandated by local governments in the ports where the line’s ships sail.

Carnival Cruise Line

Neither vaccines nor pre-cruise testing is required for Carnival sailings. However, the line recommends that anyone 5 years or older be up to date on their shots and carry proof. It also suggests that cruisers test themselves no further than three days from their sailing date to make sure they’re in good health.

Celebrity Cruises

Celebrity does not mandate vaccination or testing for any passenger on any sailing unless required by regulations in the ports its ships are visiting.

Related: Cruise ship contact tracing: How the world’s major lines are tracking COVID-19 exposure

Celestyal Cruises

Celestyal continues to require all crew members to be fully vaccinated, but passengers don’t have to be. The line recommends anyone 12 and older be up to date on their inoculations. Testing is also no longer necessary in order to board Celestyal ships.

Cunard Line

Although Cunard suggests that travelers be fully vaccinated and current with their boosters, proof of immunization is not required, nor is pre-cruise testing for any of the line’s sailing unless required by law.

Disney Cruise Line

Disney Cruise Line encourages — but does not require — all passengers to be fully vaccinated before sailing. It also recommends pre-cruise testing, no more than two days prior to embarkation, for anyone who doesn’t have their shots.

Emerald Cruises

Emerald Cruises suggests that all passengers be vaccinated, but it no longer checks for proof. Pre-cruise testing is also no longer required, but the line advises travelers to check local regulations in the places they’ll be visiting.

Grand Circle Cruise Line

Vaccine required yes.

Grand Circle has mandated that all passengers must be fully vaccinated at least 14 days prior to embarkation as a condition of carriage, and proof must be provided before boarding. Passengers who are not fully vaccinated will have to return home at their own expense. Boosters are not mandatory. Pre-cruise testing might be required, depending on your port of embarkation. (The line will send you that information prior to your sailing.)

Hapag-Lloyd Cruises

Hapag-Lloyd does not require vaccinations or pre-cruise testing as a condition of sailing. However, the line recommends both to passengers as precautions. It also advises that cruisers are responsible for knowing and adhering to all local guidelines and regulations.

Holland America

Holland America now allows unvaccinated passengers to sail and does not make pre-cruise testing compulsory unless either of these is required by local regulations in the areas its vessels sail. Booked cruisers can search for requirements specific to their individual sailings by using this tool .

Hurtigruten

Vaccine required sometimes.

On expedition cruises with Hurtigruten , passengers are not required to show proof of vaccination, except on 2023 and 2024 voyages to Antarctica and the Northwest Passage or West Africa sailings departing from and returning to Dakar. Immunization is also not necessary for the line’s non-expedition itineraries, but it is recommended for both coastal voyages and expedition cruises. Neither type of cruise requires negative test results as a condition of embarkation. Passengers with reservations can check specific protocols for their specific bookings using this tool .

Lindblad Expeditions

Lindblad passengers no longer need to provide proof of vaccination in order to cruise, and pre-cruise testing is no longer required, including at embarkation. Exceptions might apply for departures from certain destinations. The line urges passengers to follow government recommendations for masking, testing and vaccination.

Related: Why I feel safer now on a cruise ship than in my hometown

MSC Cruises

Vaccination and testing are no longer terms of carriage when sailing with MSC Cruises . The line still recommends that passengers receive their shots and notes that it’s each passenger’s responsibility to comply with local regulations in the places their sailing visits.

Norwegian Cruise Line

In early August 2022, Norwegian Cruise Line became the first major cruise line to roll back its vaccination requirements. Proof of immunization is no longer required, nor is testing in order to board for any voyage.

Oceania Cruises

Upscale cruise line Oceania does not check vaccination records for passengers, nor does it require pre-cruise testing for its sailings.

P&O Cruises

There are no vaccination or testing mandates in place for any of P&O Cruises ‘ voyages.

Ponant ‘s website simply reads, “when you visit certain destinations, vaccines can be recommended,” but they are not required by the line. Ponant also says it will alert passengers to their specific requirements after they have booked a voyage. Testing is also not needed in order to board.

Princess Cruises

Following an industry-wide rollback of protocols, Princess passengers no longer have to show proof of a COVID-19 vaccine, nor proof of a negative test result, unless either is required by local regulations. Passengers are responsible for knowing the requirements for the places their ships will visit.

Regent Seven Seas Cruises

Regent doesn’t check the vaccination status of any of its passengers unless required by local protocols. Testing requirements vary by location and might depend on whether or not you are up to date on your shots. If vaccination or testing is required, the line will alert cruisers approximately 30 days prior to their sailing date.

Royal Caribbean

To board Royal Caribbean ships, you don’t have to be vaccinated or provide test results. However, the line advises staying up to date on inoculations and following guidelines issued by federal health authorities.

Saga has rolled back its vaccination and testing requirements, which is significant, given that the line only allows passengers 50 and older to sail on its vessels. They will only be required if local authorities dictate them.

Scenic Luxury Cruises & Tours

Passengers embarking on river and ocean voyages with Scenic will not need to be fully immunized prior to sailing. Testing is not required by the line but might be needed to enter the country in which you’re embarking on your sailing. Passengers are responsible for meeting entry requirements.

For cruises with luxury line Seabourn , there are no line-enforced regulations for vaccination or testing unless required by local authorities in the countries on which its vessels call. To see if your booked sailing requires either of these, check out the line’s search tool .

Luxury brand Silversea does not require shots for its passengers or pre-cruise tests unless they’re needed to meet local regulations.

Star Clippers

Star Clippers has eliminated all vaccine checks and testing protocols for all passengers on all voyages.

For all voyages through 2023, Tauck requires passengers 12 and older to be fully vaccinated and have at least one booster dose and/or show proof of recovery from COVID-19. Passengers 11 years old and younger are not required to be fully vaccinated. If they aren’t fully vaccinated or don’t have a booster, they must provide proof of a negative PCR or antigen test result from a test taken no more than three days prior to embarkation. For sailings in 2024, vaccination and testing requirements will be waived for all passengers.

UnCruise Adventures

All UnCruise passengers are exempt from vaccine and testing requirements. The line will continue to monitor the effects of new variants, as well as CDC recommendations and will adjust its policies accordingly.

Uniworld Boutique River Cruise Collection

Testing requirements are determined by the countries the ships visit, but the line itself has no vaccine or testing mandates of its own. You can check the protocols for the places on your itinerary for the most up-to-date information by visiting the protocols page on Uniworld’s website .

All Viking passengers, whether on a river sailing or an ocean voyage, must be fully vaccinated for sailings departing on or before Oct. 31, 2023. It will not be required for cruisers embarking on or after Nov. 1, 2023. Testing is no longer required unless passengers are exhibiting symptoms and seek medical assistance.

Virgin Voyages

Virgin Voyages will not check proof of immunization or a negative COVID-19 test prior to boarding.

Windstar Cruises

Windstar no longer mandates shots for passengers of any age. Testing is not required by the line but might be necessary based on local regulations, which with passengers must comply.

Planning a cruise? Start with these stories:

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  • A quick guide to the most popular cruise lines
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SPONSORED:  With states reopening, enjoying a meal from a restaurant no longer just means curbside pickup.

And when you do spend on dining, you should use a credit card that will maximize your rewards and potentially even score special discounts. Thanks to temporary card bonuses and changes due to coronavirus, you may even be able to score a meal at your favorite restaurant for free. 

These are the best credit cards for dining out, taking out, and ordering in to maximize every meal purchase.

Editorial Disclaimer: Opinions expressed here are the author’s alone, not those of any bank, credit card issuer, airlines or hotel chain, and have not been reviewed, approved or otherwise endorsed by any of these entities.

Do I need a COVID vaccine to cruise? A line-by-line guide

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Need travel vaccines? Plan ahead.

woman with mask getting vaccine from doctor

International travel increases your chances of getting and spreading diseases that are rare or not found in United States. Find out which travel vaccines you may need to help you stay healthy on your trip.

Before Travel

Make sure you are up to date on all of your routine vaccines . Routine vaccinations protect you from infectious diseases such as measles that can spread quickly in groups of unvaccinated people. Many diseases prevented by routine vaccination are not common in the United States but are still common in other countries.

Check CDC’s destination pages for travel health information . Check CDC’s webpage for your destination to see what vaccines or medicines you may need and what diseases or health risks are a concern at your destination.

Make an appointment with your healthcare provider or a travel health specialist  that takes place at least one month before you leave. They can help you get destination-specific vaccines, medicines, and information. Discussing your health concerns, itinerary, and planned activities with your provider allows them to give more specific advice and recommendations.

Because some vaccines require multiple doses, it’s best to see your health care provider as soon as possible.

Medicines to prevent malaria are pills that you start to take before travel. Take recommended medicines as directed. If your health care provider prescribes medicine for you, take the medicine as directed before, during, and after travel. 

Where can I get travel vaccines?

You may be able to get some travel vaccines from your primary healthcare provider. If you or your healthcare provider need help finding a location that provides certain vaccines or medicines, visit CDC’s Find a Clinic page.

If yellow fever vaccine is recommended or required for your destination, you’ll need to go to a vaccine center authorized to give yellow fever vaccinations. Many yellow fever vaccine centers also provide other pre-travel health care services. Find an  authorized US yellow fever vaccine center .

Examples of Vaccines

Here is a list of possible vaccines that you may need to get for the first time or boosters before you travel.

  • Cholera 
  • Flu (Influenza)
  • Hepatitis A   
  • Hepatitis B   
  • Japanese encephalitis   
  • MMR (Measles, Mumps, Rubella)
  • Meningococcal   
  • Pneumococcal   
  • Polio   
  • Rabies   
  • Tdap (Tetanus, Diphtheria, Pertussis)
  • Yellow fever

More Information

CDC Yellow Book: Travel Vaccine Summary Table

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What vaccines are required to travel on a Royal Caribbean cruise?

All guests must ensure that they are medically and physically fit for travel. The Centers for Disease Control (CDC) and the World Health Organization (WHO) provide guidelines as to which vaccinations are required in each country. In many cases inoculations are recommended, but in some circumstances, they are required by the country from which your cruise departs or countries we visit. We recommend that you check with your health care professional or a Travel Medicine Specialist certified by the WHO for guidance. Other informational resources can be accessed on the  Centers for Disease Control and Prevention traveler's health website  or by calling toll-free (877) FYI-TRIP and on the  World Health Organization website .

COVID-19 Vaccination is no longer required to sail, though we recommend guests be fully vaccinated against COVID-19. While vaccination is not required, we kindly ask that you disclose your status during check-in.

Cruises sailing from Australia:

All guests must ensure that they are medically and physically fit for travel. In many cases inoculations are recommended, but in some circumstances, they are required by the country from which your cruise departs or countries we visit. We recommend that you check with your health care professional for guidance or visit https://www.smartraveller.gov.au/ .

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What Does CDC’s New Cruise Guidance Mean For You — And What Happens Next?

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Richard Simms

  • July 21, 2022

As expected, this week the Centers for Disease Control released new guidance for cruise lines on everything from pre-cruise testing to vaccination requirements, following the announcement that it was discontinuing its COVID-19 Program for Cruise Ships . Now, passengers are waiting to see exactly how each individual line will react to the latest development and what it will mean for health and safety protocols moving forward.

What the CDC Now Says

In a nutshell, the new guidelines are putting decisions regarding health and safety protocols almost entirely into the hands of the cruise lines. Things which in the past had been requirements are now recommendations, including pre-cruise testing and vaccine requirements.

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For example, the section on vaccines now reads: “CDC recommends all eligible travelers be up to date with their COVID-19 vaccines. In addition to the protection vaccines provide to individual travelers in preventing severe illness or death… having a high proportion of travelers on board who are up to date with [vaccines] reduces the likelihood that cruise ships’ medical centers are overwhelmed by cases.”

Similarly, when it comes to pre-cruise testing, the CDC now says “cruise ship operators should consider requiring” it and that it is “highly recommended” tests be done within one day of embarkation. But again, these are recommendations as opposed to requirements, meaning each line can make and enforce its own rules.

MORE: Florida Cruise Port Celebrates Its Busiest Week in History

Will Pre-Cruise Testing Go Away?

Immediately, cruise fans began asking exactly what this means. And while most lines have said they are considering their options, already some have made moves which give us a glimpse into what may be coming. For example, Virgin Voyages announced Thursday morning that it will no longer require pre-cruise testing for sailings , and that it will allow up to 10 percent of those on board to be unvaccinated. Similarly, Princess Cruises announced that it, too will allow up to 10 percent of passengers on a sailing to be unvaccinated without needing to justify an exemption.

Under the CDC’s original regulations, the cruise lines essentially followed the same guidance, meaning that Norwegian Cruise Line’s protocols were largely in line with those of Carnival’s, which were largely in line with Royal Caribbean’s and so on. Now, however, it seems likely that what will emerge is a mix-and-match scenario in which each line will determine what is best for its particular audience.

Celebrity Edge Return Trip Report

It’s worth noting that in some scenarios, the decision on things like pre-cruise testing will be taken out of the hands of cruise lines. If a destination which the line visits has rules in place with regards to vaccination requirements or testing, the cruise lines will have no choice but to follow those guidelines or avoid the ports in question.

Another interesting aspect will be how cruise lines handle people who are uncomfortable with any changes made to the protocols. For example, if a line drops pre-cruise testing entirely, will they allow those who booked believing that everyone on board would be providing proof of negativity the option of canceling or postponing?

All of this means that for now, health and safety protocols are in a state of flux. As always, the best thing those booked on or considering booking a cruise can do is to make sure they remain aware of the health and safety protocols that are in place for their particular cruise line while keeping in mind that moving forward, the rules could actually vary from ship to ship, based on the itinerary.

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The novel coronavirus, first detected at the end of 2019, has caused a global pandemic.

Coronavirus Updates

People should avoid cruise travel regardless of their vaccination status, the cdc says.

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Jonathan Franklin

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The Carnival Cruise Line's Carnival Sunrise ship is seen in the port of Miami on Dec. 23, 2020, amid the coronavirus pandemic. Daniel Slim/AFP via Getty Images hide caption

The Carnival Cruise Line's Carnival Sunrise ship is seen in the port of Miami on Dec. 23, 2020, amid the coronavirus pandemic.

The Centers for Disease Control and Prevention issued a new advisory Thursday that travelers should avoid traveling by cruise ship, regardless of vaccination status, after a recent surge in positive COVID-19 cases onboard ships.

The agency increased its travel warning for cruises to Level 4 — the highest level — following investigations of dozens of ships that have had outbreaks of the virus.

"Even fully vaccinated travelers may be at risk for getting and spreading COVID-19 variants," the CDC said on its website .

Tracking the coronavirus around the U.S.: See how your state is doing

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Tracking the coronavirus around the u.s.: see how your state is doing.

Following the identification of the omicron variant, there has been an increase in the number of COVID-19 cases among cruise passengers and crew reported to the agency, the CDC said.

More cruise ships have reached "level yellow" — the level where the CDC investigates a ship's COVID outbreak.

"It is especially important that travelers who are at an increased risk of severe illness from COVID-19 avoid travel on cruise ships, including river cruises, worldwide, regardless of vaccination status," the agency added.

More cruise ships are under CDC investigation following COVID-19 outbreaks on board

More cruise ships are under CDC investigation following COVID-19 outbreaks on board

There are 91 cruise ships currently under investigation or observation, according to the CDC website. However, the agency has not specified how many COVID-19 cases have been reported, according to The Associated Press .

An additional three ships are being monitored.

The CDC advised that those who choose to travel on a cruise should get vaccinated against COVID-19 before their trip and, if eligible, receive a booster dose.

In addition, masks should also be worn in shared spaces and passengers who are not fully vaccinated against COVID should self-quarantine for five days after travel, in addition to getting tested three to five days after their return, the CDC said.

The goal: at least 40% vaxxed in all nations by year-end. This map shows how we stand

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The goal: at least 40% vaxxed in all nations by year-end. this map shows how we stand.

In an email to NPR, a spokesperson for the Cruise Lines International Association said the trade group was "disappointed" by the CDC's latest advisory against cruise ship travel.

"While we are disappointed and disagree with the decision to single out the cruise industry—an industry that continues to go above and beyond compared to other sectors—CLIA and our ocean-going cruise line members remain committed to working collaboratively with the CDC in the interest of public health and safety," the trade group said .

Most cruise lines require adult passengers to show proof of vaccination against COVID-19, according to AP.

For now, CDC guidanc e allows cruise ships to relax measures — such as mask usage — if at least 95% of passengers and 95% of the cruise ship crew are fully vaccinated against the coronavirus.

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Viking Health & Safety Program

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As the leading small ship cruise line, Viking takes you closer to the heart of the places you want to visit. For more than 23 years, we have always had the highest standards for health and cleanliness, and our new protocol enhancements make Viking even safer. Developed in coordination with an international team of scientific and medical advisors, the Viking Health & Safety Program is one of the most well-researched and comprehensive COVID-19 prevention and mitigation plans in the travel industry.

  • Frequent quick and easy non-invasive saliva PCR tests for all guests and crew, processed in full-scale Viking-dedicated laboratories
  • New air purification technology installed on all Viking ships, which have always featured independent air handling units for all guest staterooms
  • Additional health checks, sanitization and physical distancing to protect Viking guests and crew at all points of the journey

Message from our Chairman

On December 8, 2020, Viking Chairman Torstein Hagen introduced the new Viking Health & Safety Program and discussed the research that has informed the basis for our protocol enhancements.

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Viking Health & Safety Program – Updated October 15, 2021

The information included here should be considered current for all guests. Specific protocols and procedures may evolve over time to adapt to various conditions or travel regulations in the destinations in which we operate. Please continue to check this site for the most up-to-date version of the Viking Health & Safety Program.

Health & Safety FAQ

Does viking require guests to be vaccinated.

Beginning on May 22, 2021 with the official restart of limited operations in the United Kingdom—and remaining in effect at least through at least September 30, 2021—all Viking sailings will be available exclusively for vaccinated guests.

Viking is requiring vaccinations among all guests in accordance with entry rules in many of the destinations that will welcome Viking ships—and as a complement to our new health and safety protocol enhancements, which were designed to protect guests and crew even while the COVID-19 vaccine rollout is still moving forward. Viking’s medical and operations teams will continue to monitor vaccination rates and entry requirements—and will adjust our protocol and policies as needed to ensure the safety and wellbeing of our guests and crew.

How long will the vaccine requirement for guests remain in effect?

Currently, we will require vaccinations among guests for sailings scheduled to depart at least through September 30, 2021. Viking’s medical and operations teams will continue to monitor vaccination rates and entry requirements—and will adjust our protocol and policies as needed to ensure the safety and wellbeing of our guests and crew.

Will I be required to take a COVID-19 test before traveling to a Viking Ship?

Viking does not require our guests to take a COVID-19 test before departing from home. Depending on your dates of travel, Viking may require a PCR test as part of the process of embarking your ship. This quick and easy non-invasive PCR test will be conducted via simple saliva sample in a plastic tube and processed in a full-scale Viking-dedicated laboratory.

However, entry requirements can and do vary by country, so guests should be sure to visit the Viking website and read the Pre-Cruise Requirements found under the Resources tab of their itinerary, in addition to following all guidelines that may be provided by email and/or on MyVikingJourney.com .

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You say guests will be tested frequently during the cruise. What type of COVID-19 test will be conducted and how is the test performed?

Viking will use PCR testing, as this is considered the best type of test to detect the virus. The quick and easy non-invasive PCR test will be conducted by simple saliva sample in a small plastic tube, delivered to guests in their stateroom. After guests provide the saliva sample in the tube, they will package the tube in a provided plastic pouch, and a crew member will collect the sample for processing.

How frequently will guests be tested?

Quick and easy PCR tests will be conducted prior to embarkation and on an ongoing, regular basis throughout an itinerary, dependent on prevalence levels from both our guests’ country of origin and the destinations to which we will sail.

Are crew tested as frequently as guests?

All Viking crew will be tested at the same or higher frequency as our guests.

What happens if a guest tests positive for COVID-19 at embarkation?

Guests with a positive COVID-19 test at embarkation will be given a second test to validate the first. If the second test confirms COVID-19, Viking will arrange for the guest to recover ashore before returning home once their recovery is complete. Upon their return home, Viking Customer Relations will contact the guest and their travel advisor directly regarding any necessary refunding or rescheduling.

What happens if a guest tests positive for COVID-19 while on their Viking cruise?

Guests with a positive COVID-19 test will be isolated on board and then disembarked at the first opportunity for quarantine at an appropriate facility ashore. A second test will be performed to validate the first test. If the second test confirms COVID-19, we will arrange for the guest to recover ashore before returning home once their recovery is complete. Upon their return home, Viking Customer Relations will contact the guest and their travel advisor directly regarding any necessary refunding or rescheduling.

What happens if there are a large number of COVID-19 cases on board my ship?

Viking’s Health & Safety Program is focused on the prevention and mitigation of COVID-19. Our research shows that because Viking will test all guests and crew daily, the risk of a large number of guests or crew falling ill is very low. However, we plan for all scenarios – and we have contingency plans in place should this unlikely scenario arise.

COVID-19 is known to spread through the air. How is the air treated onboard Viking ships?

Our fleet of modern, small ocean and river ships feature independent air handling units, which means each stateroom has “fresh” external air that is not shared with other staterooms or public spaces. Just like in a hospital, we have also designed a solution to implement short-wavelength ultraviolet (or UV-C) lights and new high-density filters that will sanitize the air on our vessels. This solution will ensure that:

  • 99.99% of viruses and bacteria in the air are killed.
  • We maximize the possible number of air changes.
  • We provide a risk-free solution for the crew when cleaning filters, as viruses are killed and not simply trapped in the filters.

How frequently do you sanitize my stateroom?

Every stateroom is cleaned and sanitized daily. In addition, every stateroom goes through a “deep-cleaning” sanitization process between each cruise.

How frequently do you sanitize public spaces such as the restaurants?

Restaurants are sanitized between every service; all other public spaces are fully sanitized at a minimum every 24 hours, with high touchpoints sanitized more frequently every day.

Will I be required to wear a face mask while on board?

Face masks may be required for all guests and crew while moving about the ship, depending on conditions at time of sailing.

Will I be required to wear a face mask when going ashore?

Viking may require guests and staff to wear a face mask while ashore, depending on local requirements.

Will there be social distancing on board?

We have set up all of our public spaces, including restaurants and lounges, for appropriate social distancing.

Is there a difference between what I can expect on a Viking ocean ship and a Viking river ship?

Our Viking Health & Safety Program is the same across our fleet of ocean and river vessels. Viking ocean and river ships, however, differ in size and number of venues. As such, guests traveling on either an ocean or river ship may experience minor day-to-day variations in how we implement our overall program.

Does Viking’s Travel Protection Plan cover COVID-19 costs (e.g., medical treatment, quarantine, repatriation, etc.)?

Yes, our Travel Protection Plan helps protect you from many unforeseen circumstances that may arise before or during your trip, which could include necessary medical, quarantine or repatriation expenses related to COVID-19.

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Travel vaccination advice

If you're planning to travel outside the UK, you may need to be vaccinated against some of the serious diseases found in other parts of the world.

Vaccinations are available to protect you against infections such as yellow fever , typhoid and hepatitis A .

In the UK, the  NHS routine immunisation (vaccination) schedule protects you against a number of diseases, but does not cover all of the infectious diseases found overseas.

When should I start thinking about the vaccines I need?

If possible, see the GP or a private travel clinic at least 6 to 8 weeks before you're due to travel.

Some vaccines need to be given well in advance to allow your body to develop immunity.

And some vaccines involve a number of doses spread over several weeks or months.

You may be more at risk of some diseases, for example, if you're:

  • travelling in rural areas
  • backpacking
  • staying in hostels or camping
  • on a long trip rather than a package holiday

If you have a pre-existing health problem, this may make you more at risk of infection or complications from a travel-related illness.

Which travel vaccines do I need?

You can find out which vaccinations are necessary or recommended for the areas you'll be visiting on these websites:

  • Travel Health Pro
  • NHS Fit for Travel

Some countries require proof of vaccination (for example, for polio or yellow fever vaccination), which must be documented on an International Certificate of Vaccination or Prophylaxis (ICVP) before you enter or when you leave a country.

Saudi Arabia requires proof of vaccination against certain types of meningitis for visitors arriving for the Hajj and Umrah pilgrimages.

Even if an ICVP is not required, it's still a good idea to take a record of the vaccinations you have had with you.

Find out more about the vaccines available for travellers abroad

Where do I get my travel vaccines?

First, phone or visit the GP practice or practice nurse to find out whether your existing UK vaccinations are up-to-date.

If you have any records of your vaccinations, let the GP know what you have had previously.

The GP or practice nurse can give you general advice about travel vaccinations and travel health, such as protecting yourself from malaria.

They can give you any missing doses of your UK vaccines if you need them.

Not all travel vaccinations are available free on the NHS, even if they're recommended for travel to a certain area.

If the GP practice can give you the travel vaccines you need but they are not available on the NHS, ask for:

  • written information on what vaccines are needed
  • the cost of each dose or course
  • any other charges you may have to pay, such as for some certificates of vaccination

You can also get travel vaccines from:

  • private travel vaccination clinics
  • pharmacies offering travel healthcare services

Which travel vaccines are free?

The following travel vaccines are available free on the NHS from your GP surgery:

  • polio (given as a combined diphtheria/tetanus/polio jab )
  • hepatitis A

These vaccines are free because they protect against diseases thought to represent the greatest risk to public health if they were brought into the country.

Which travel vaccines will I have to pay for?

You'll have to pay for travel vaccinations against:

  • hepatitis B
  • Japanese encephalitis
  • tick-borne encephalitis
  • tuberculosis (TB)
  • yellow fever

Yellow fever vaccines are only available from designated centres .

The cost of travel vaccines that are not available on the NHS will vary, depending on the vaccine and number of doses you need.

It's worth considering this when budgeting for your trip.

Other things to consider

There are other things to consider when planning your travel vaccinations, including:

  • your age and health – you may be more vulnerable to infection than others; some vaccines cannot be given to people with certain medical conditions
  • working as an aid worker – you may come into contact with more diseases in a refugee camp or helping after a natural disaster
  • working in a medical setting – a doctor, nurse or another healthcare worker may require additional vaccinations
  • contact with animals – you may be more at risk of getting diseases spread by animals, such as rabies

If you're only travelling to countries in northern and central Europe, North America or Australia, you're unlikely to need any vaccinations.

But it's important to check that you're up-to-date with routine vaccinations available on the NHS.

Pregnancy and breastfeeding

Speak to a GP before having any vaccinations if:

  • you're pregnant
  • you think you might be pregnant
  • you're breastfeeding

In many cases, it's unlikely a vaccine given while you're pregnant or breastfeeding will cause problems for the baby.

But the GP will be able to give you further advice about this.

People with immune deficiencies

For some people travelling overseas, vaccination against certain diseases may not be advised.

This may be the case if:

  • you have a condition that affects your body's immune system, such as HIV or AIDS
  • you're receiving treatment that affects your immune system, such as chemotherapy
  • you have recently had a bone marrow or organ transplant

A GP can give you further advice about this.

Non-travel vaccines

As well as getting any travel vaccinations you need, it's also a good opportunity to make sure your other vaccinations are up-to-date and have booster vaccines if necessary.

Although many routine NHS vaccinations are given during childhood, you can have some of them (such as the MMR vaccine ) as an adult if you missed getting vaccinated as a child.

There are also some extra NHS vaccinations for people at higher risk of certain illnesses, such as the flu vaccine , the hepatitis B vaccine and the BCG vaccine for tuberculosis (TB) .

Your GP can advise you about any NHS vaccinations you might need.

Find out about NHS vaccinations and when to have them

Page last reviewed: 16 March 2023 Next review due: 16 March 2026

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