hungary cdc travel

Hungary Travel Restrictions

Traveler's COVID-19 vaccination status

Traveling from the United States to Hungary

Open for vaccinated visitors

COVID-19 testing

Not required

Not required for vaccinated visitors

Restaurants

Not required in public spaces, enclosed environments and public transportation.

Hungary entry details and exceptions

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Can I travel to Hungary from the United States?

Most visitors from the United States, regardless of vaccination status, can enter Hungary.

Can I travel to Hungary if I am vaccinated?

Fully vaccinated visitors from the United States can enter Hungary without restrictions.

Can I travel to Hungary without being vaccinated?

Unvaccinated visitors from the United States can enter Hungary without restrictions.

Do I need a COVID test to enter Hungary?

Visitors from the United States are not required to present a negative COVID-19 PCR test or antigen result upon entering Hungary.

Can I travel to Hungary without quarantine?

Travelers from the United States are not required to quarantine.

Do I need to wear a mask in Hungary?

Mask usage in Hungary is not required in public spaces, enclosed environments and public transportation.

Are the restaurants and bars open in Hungary?

Restaurants in Hungary are open. Bars in Hungary are .

U.S. CDC raises COVID-19 travel warnings for Czech Republic, Hungary

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I’m a U.S. Citizen. Where in the World Can I Go?

For Americans eager to resume international travel, here are the countries that currently allow U.S. citizens to enter, though there may be restrictions, including vaccine requirements.

By Paige McClanahan

This list is no longer being updated. Find the latest coronavirus updates here .

Most of the world’s countries are open to travelers from the United States, and many nations are easing their requirements for visitors to test or quarantine. Some countries that had fully closed to foreign tourists — including Israel, Morocco, Bhutan, Australia and New Zealand — have now reopened to U.S. visitors, although they may continue to impose testing, vaccination or quarantine requirements.

In Europe, a growing number of nations — including Germany, Greece, Italy, Ireland, Switzerland and the United Kingdom, among many others — have eliminated their Covid-related travel restrictions for the summer travel season. Meanwhile, several Southeast Asian nations that had closed their borders to tourists have now reopened. Laos, Thailand, Vietnam, Indonesia, Malaysia, Myanmar and Cambodia are once again welcoming American visitors, although vaccine or testing requirements are in force in most cases.

For its part, the United States has lifted the requirement that inbound passengers, including returning Americans, provide a negative test result taken within one day of departure. The decision to lift the test requirement will be re-evaluated in September; the rule could be reinstated if authorities deem it necessary.

The Centers for Disease Control and Prevention, meanwhile, continues advising Americans not to travel internationally until they are fully inoculated against Covid-19.

Those wanting to learn about the coronavirus risk in a specific country can visit the C.D.C. website where a four-tier ranking system provides guidance. The agency reserves the highest “Level 4” ranking for countries with “special circumstances” that include spiking case numbers, the emergence of worrying variants, or threats to the viability of health care infrastructure. (Levels 1 to 3 are still based primarily on Covid-19 case counts.) At the moment, no countries are classified at Level 4; those at Level 3, which have a “high” incidence of Covid-19, are indicated in the list below. For information on entry requirements like testing and quarantine, as well as curfews and movement restrictions, the State Department’s website offers detailed information by country.

What follows is a list of countries that are open to tourists from the United States. Many require visitors to complete a health form, provide proof of vaccination, and present a recent negative Covid-19 test result. To qualify as fully vaccinated in places such as France, Spain and the Netherlands, a visitor must have received either a booster shot or a second dose within a specified period.

As of May 1, visitors are no longer required to provide a negative test result or proof of vaccination. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Travel to Andorra is over land from Spain or France, so check the entry requirements for those countries first. There are no limits on movement between Spain and Andorra, nor for travelers entering Andorra from France. Travelers 12 and over departing Andorra for France must provide proof of full vaccination, a certificate of recent recovery, or a negative antigen test result from the previous 24 hours. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Visitors must complete a registration form before travel. They must also present a negative result from an R.T.-P.C.R. test administered no more than 72 hours before departure and pay about $20 on arrival to undergo a rapid antigen test at the airport. The C.D.C. risk assessment for Covid-19 is “Level Unknown”; the agency recommends that those who are unvaccinated avoid travel to Angola.

All adult visitors must be vaccinated. Arriving passengers must also carry a negative result from a Covid-19 test. The result may be either from a rapid test taken within two days of arrival, or from an R.T.-P.C.R. test, N.A.A.T. test, or other molecular test administered within three days of arrival. Visitors who completed their primary course of vaccination more than six months previously and who have not received a booster are also required to test on arrival, at their own expense. Guests staying for more than eight days may undergo a free test on day 4 of their visit. The C.D.C. risk assessment for Covid-19 is Level 3: High.

ANTIGUA and BARBUDA

Vaccinated travelers are no longer required to test before travel, provided they are asymptomatic. Unvaccinated visitors must present either a negative result from a P.C.R. test conducted no more than three days before arrival, or a negative result from an antigen test from the previous 24 hours; they must also be without symptoms. On arrival, they must submit to an R.T.-P.C.R. test at their own expense and self-quarantine for 14 days. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Americans may now enter Argentina without testing. Visitors must complete an electronic sworn statement within 48 hours of traveling and provide proof of medical insurance that covers Covid-19 treatment and quarantine. The government recommends that all visitors age 6 and over undergo a Covid-19 test within 24 hours of arrival, regardless of their vaccination status. The C.D.C. risk assessment for Covid-19 is Level 3: High.

The country has lifted its pandemic-related travel restrictions.

The country is open to visitors from the United States who have finished a primary course of vaccination (two doses of an mRNA vaccine or one dose of Johnson & Johnson). All passengers arriving by air must submit the Digital Passenger Declaration within 72 hours of their departure for Australia; they are no longer required to test before travel. Depending on their final destination within Australia, visitors may have to quarantine on arrival, even if they are vaccinated. Travelers should check the rules of the state or territory they are visiting to find the relevant quarantine requirements. Prospective visitors who are not fully vaccinated must qualify for an exemption . The C.D.C. risk assessment for Covid-19 is Level 3: High.

The country lifted all pandemic-related travel restrictions on May 16. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Visitors age 18 and over must present proof of vaccination or a certificate of recovery from Covid-19 infection.

THE BAHAMAS

All travelers age 18 and older must apply for a Bahamas Travel Health Visa; the cost of the visa includes insurance coverage and varies with the length of stay and vaccination status of the traveler. Health visa applications can take up to 24 hours to process; travelers must present their visa confirmation before departure to the Bahamas. Travelers with valid proof of vaccination may now enter without a negative test result. Unvaccinated travelers age 2 and over must present a negative result from a rapid antigen or R.T.-P.C.R. test taken within 72 hours of travel. The C.D.C. risk assessment for Covid-19 is Level 3: High.

According to the U.S. Embassy, visitors must download the “ BeAware Bahrain ” app before travel. Arriving passengers are no longer required to test or show proof of vaccination. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Visitors must complete a health declaration form within three days of arrival. Vaccinated travelers may enter without a pretest. (A booster is not required to qualify.) Unvaccinated travelers age 12 and older must provide a negative result from an R.T.-P.C.R. test taken within 72 hours of departure. Symptomatic passengers may be subject to testing on arrival.

Vaccinated travelers may now enter without testing. Before departure, visitors should download the BIMSafe app and complete an online immigration and customs form . Vaccinated visitors may enter without quarantine, although they may be randomly selected for testing on arrival. Unvaccinated travelers age 5 and above must obtain a negative result from an R.T.-P.C.R. test taken within three days of arrival, or from a rapid test taken within one day of entry; they must also undergo a rapid test on arrival. Children under 18 who aren’t vaccinated must follow the guidelines of their accompanying adult. The C.D.C. risk assessment for Covid-19 is Level 3: High.

U.S. visitors may now enter without testing or proof of vaccination. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Travelers with proof of vaccination may enter without a negative test result. Unvaccinated visitors age 5 and over must show a negative result from a P.C.R. test taken within 72 hours of arrival, or from a rapid test taken within 48 hours of arrival. Alternatively, testing is available on arrival at the airport for $50; only cash payments are accepted. All foreign tourists must show proof of having purchased Belize travel insurance ($18 for 21 days). The C.D.C. risk assessment for Covid-19 is Level 3: High.

All visitors to Benin must apply online for an eVisa before departure. Predeparture testing is no longer required.

Arriving passengers must show proof of vaccination (booster shots are not required) as well as a negative result from a rapid antigen test taken no more than two days before arrival, or a negative result from a P.C.R., N.A.A.T, T.M.A., or L.A.M.P. test taken within four days of arrival. Children under 2 are exempt from the pretest requirement, while children under 12 are exempt from the vaccination requirement. Visitors must pay $40 to apply for a travel authorization , which they can do up to one month before departure. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Vaccinated travelers must quarantine for five days after arrival; unvaccinated travelers must quarantine for ten days. The C.D.C. risk assessment for Covid-19 is “Level Unknown”; the agency recommends that those who are unvaccinated avoid travel to Bhutan.

Arriving passengers must present either proof of vaccination or a valid negative result from a Covid-19 test. The test result may be from an R.T.-P.C.R. test taken no more than 72 hours before boarding, or from a rapid antigen test taken no more than 48 hours before boarding. Children under 5 are exempt from the requirements.

BOSNIA AND HERZEGOVINA

The country lifted its pandemic-related travel restrictions on May 26; travelers may now enter without a negative test result or proof of vaccination.

Visitors must have completed at least a primary course of vaccination; they are not required to test. The C.D.C. risk assessment for Covid-19 is Level 3: High.

U.S. tourists age 12 and older must present proof of vaccination, even if they have recovered from Covid-19; they no longer need to test before travel. Unvaccinated children under 12 who are traveling with vaccinated adults may also enter without testing. Unvaccinated adults must qualify for an exemption to be allowed entry. The C.D.C. risk assessment for Covid-19 is Level 3: High.

BRITISH VIRGIN ISLANDS

Regardless of their vaccination status, all visitors over age 5 must present a negative result from a Covid-19 test (either rapid antigen or R.T.-P.C.R.) taken within 48 hours of arrival. Travelers who have recovered from Covid-19 in the previous 90 days may present proof of recovery in lieu of a negative test result. Anyone arriving without a valid test result or proof of recovery must pay $50 to undergo testing on arrival. The C.D.C. risk assessment for Covid-19 is Level 3: High.

As of May 1, Bulgaria has removed all pandemic-related travel restrictions. The C.D.C. risk assessment for Covid-19 is Level 3: High.

BURKINA FASO

Arriving passengers must present proof of full vaccination or a negative result from a P.C.R. or rapid test taken in the previous five days. Travelers who arrive without proof of vaccination or a valid negative test result will be required to pay roughly $45 to undergo a rapid antigen test on arrival. To exit the country by air, travelers must present either proof of vaccination or a negative P.C.R. test dated within three days of their departing flight. The C.D.C. risk assessment for Covid-19 is “Level Unknown”; the agency recommends that those who are unvaccinated avoid travel to Burkina Faso.

Arriving passengers must present a negative result from a P.C.R. test administered no more than 72 hours before boarding their flight to Burundi. According to the U.S. Embassy, travelers must also pay $100 for an on-arrival test and self-isolate at an accommodation of their choice until they receive a negative result, usually within 24 hours. A negative P.C.R. result is also required to exit the country. The C.D.C. risk assessment for Covid-19 is “Level Unknown”; the agency recommends that those who are unvaccinated avoid travel to Burundi.

Arriving passengers must present either proof of vaccination or a negative Covid-19 test result. The result may be from a P.C.R. test taken no more than 72 hours before departure, or from a rapid antigen test taken no more than 48 hours before departure. Visitors must also register , pay an airport fee, and complete a health questionnaire before travel. Arriving passengers are subject to a temperature check. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Visitors may now enter without testing. Fully vaccinated travelers are not required to quarantine. Those who are unvaccinated must quarantine for seven days at a designated facility at their own expense; they must also undergo a rapid test on the final day before being released. The government encourages all travelers to purchase Covid-19 travel health insurance. The C.D.C. risk assessment for Covid-19 is “Level Unknown”; the agency recommends that those who are unvaccinated avoid travel to Cambodia.

Visitors from the United States who hold a valid tourist visa may enter Cameroon. Passengers age 5 and above must present a negative result from a P.C.R. test administered no more than 72 hours before arrival; the result must include a QR code.

Vaccinated U.S. citizens and residents may enter Canada for nonessential reasons, including tourism, without providing a negative test result. (A booster is not required to qualify.) All travelers must use the ArriveCAN system to enter their proof of vaccination and other traveler information within 72 hours of entry into Canada. Unvaccinated and partially vaccinated children under 12 are no longer required to test before travel if they are accompanied by a vaccinated adult. Unvaccinated and partially vaccinated minors ages 12 to 17 are subject to testing requirements and a 14-day quarantine. Unvaccinated adults must qualify for an exemption; if approved for entry, they are also subject to testing and quarantine requirements. The current rules are expected to remain in force until at least September 30 . The C.D.C. risk assessment for Covid-19 is Level 3: High.

CAYMAN ISLANDS

As of June 30, vaccinated travelers may enter without testing. Unvaccinated visitors age 12 and over will not be allowed entry unless they can prove that they have a close tie to the country. Visitors are encouraged to test themselves daily during their first week in the country. The C.D.C. risk assessment for Covid-19 is Level 3: High.

THE CENTRAL AFRICAN REPUBLIC

A negative P.C.R. test from the previous 72 hours is required for both entry and departure. According to the U.S. Embassy, tourists from the United States must quarantine for 14 days after arrival; employees of international and humanitarian organizations may end their quarantine early if they receive a negative result from a post-arrival P.C.R. test at the local Pasteur Institute. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Travelers with proof of vaccination may enter without a pretest. Unvaccinated travelers 12 and older must present a negative result from a P.C.R. test taken within 96 hours of arrival.

Arriving passengers must complete a traveler’s affidavit within 48 hours of boarding and provide proof of travel medical insurance that covers a minimum of $30,000 worth of Covid-19 medical expenses in Chile; they may now enter without testing. Visitors are no longer required to obtain a mobility pass (which requires proof of vaccination) to enter the country, but they may be required to present the pass to enter restaurants, participate in group tours, and attend concerts and sports events. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Arriving passengers age 18 and older must present either proof of vaccination or a valid negative result from a Covid-19 test. The result may be from a P.C.R. test taken within 72 hours of travel or from an antigen test taken in the 48 hours before travel. Incoming passengers must also complete an online form within 72 hours of boarding their flight.

Visitors may enter with a negative result from a P.C.R. test conducted in the 72 hours before travel. A negative P.C.R. result that is no more than 72 hours old is also required to leave the country. The C.D.C. risk assessment for Covid-19 is “Level Unknown”; the agency recommends that those who are unvaccinated avoid travel to Comoros.

The country has lifted its pandemic-related entry requirements. The C.D.C. risk assessment for Covid-19 is Level 3: High.

COTE D’IVOIRE

Fully vaccinated travelers may now enter without a negative test result. (A booster is required to qualify if the primary course of vaccination was completed more than nine months previously.) Unvaccinated travelers must carry a negative result from a P.C.R. test taken within 72 hours of arrival in Abidjan. All passengers will have their temperatures checked and must undergo rapid antigen testing on arrival. Departing passengers who are unvaccinated must present a negative P.C.R. test from no more than 72 hours before travel, regardless of the testing requirements of their destination. Land and maritime borders remain closed to U.S. citizens.

Croatia has removed its Covid-related border rules; U.S. visitors may now enter as before the pandemic. The C.D.C. risk assessment for Covid-19 is Level 3: High.

General tourism is not permitted, but Americans are allowed to visit to see family and under certain professional and humanitarian circumstances. All incoming passengers must complete an online sworn statement before they depart for Cuba. Visitors are no longer required to present proof of vaccination or a negative Covid-19 test result. Health authorities will randomly select passengers for Covid-19 screening on arrival.

As of June 1, visitors are no longer required to present proof of vaccination or a negative Covid-19 test result. The C.D.C. risk assessment for Covid-19 is Level 3: High.

CZECH REPUBLIC

The country has removed all pandemic-related travel restrictions. The C.D.C. risk assessment for Covid-19 is Level 3: High.

DEMOCRATIC REPUBLIC OF CONGO

Before traveling, visitors should register at INRBCOVID.com . All travelers age 11 and older must present a negative result from a Covid-19 test taken within three days of departure. Unvaccinated travelers must undergo another test on arrival at their own expense and self-quarantine until they receive a negative result, generally within 24 hours. Visitors should also have proof of health and medical evacuation insurance and a certificate of yellow fever vaccination. To exit the country, travelers age 11 and over must present a negative result from a Covid-19 test taken at a government-approved lab within three days of departure. The C.D.C. risk assessment for Covid-19 is “Level Unknown”; the agency recommends that those who are unvaccinated avoid travel to the D.R.C.

Denmark has lifted all pandemic-related travel restrictions. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Potential visitors must apply online for an eVisa before travel. All arriving passengers 11 and older must provide proof of vaccination as well as a negative result from a Covid-19 test taken within 72 hours of boarding their flight, and not more than 120 hours before their arrival in the country. Upon landing, travelers are given another test at a cost of $30. The C.D.C. risk assessment for Covid-19 is “Level Unknown”; the agency recommends that those who are unvaccinated avoid travel to Djibouti.

As of April 4, arriving passengers are no longer required to complete a health questionnaire before entry. Vaccinated travelers may enter without a pretest, though they may be tested on arrival if they display symptoms. Unvaccinated travelers must present a negative result from a P.C.R. test taken within 72 hours of arrival or from an antigen test taken within 48 hours of arrival. Children aged 12 and under assume the status of their accompanying parent or guardian. The C.D.C. risk assessment for Covid-19 is Level 3: High.

DOMINICAN REPUBLIC

Visitors may now enter without testing or providing proof of vaccination. Passengers age 7 and over may be selected for random testing on arrival; those who can present a valid vaccination certificate will be exempt from the random test. The C.D.C. risk assessment for Covid-19 is Level 3: High.

DUTCH CARIBBEAN

Aruba allows visitors to enter without a negative test result or proof of vaccination. Arriving passengers are required to purchase Aruba Visitors Insurance and to complete an Embarkation/Disembarkation card before arrival. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Bonaire has lifted its pandemic-related travel restrictions. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Curaçao has lifted its pandemic-related travel restrictions. However, visitors must complete a digital immigration card before travel. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Saba has removed its pandemic-related travel restrictions.

Sint Eustatius has removed its pandemic-related travel restrictions.

Sint Maarten , which is Dutch, and French St. Martin are primarily entered through Princess Juliana Airport on the Dutch side. Visitors must register online at least 12 hours before travel. Vaccinated travelers, those who have proof of recovery from Covid-19 in the previous nine months, and children under 5 are not required to test before entry. Unvaccinated travelers 5 and over must present a negative P.C.R. result from the previous 48 hours or a negative antigen result from the previous 24 hours. Before travel, all visitors must submit a health authorization form , the completion of which includes the purchase of mandatory Covid-19 insurance. The C.D.C. risk assessment for Covid-19 is Level 3: High.

The country no longer requires a negative test result for entry; however, the U.S. Embassy notes that airlines may impose their own requirements. Passengers who display symptoms on arrival may be subject to testing. The Embassy advises potential visitors to confirm the latest entry rules with the Timorese Embassy in Washington before travel.

All arriving passengers age 3 and over must provide either proof of vaccination or a negative result from an R.T.-P.C.R. test taken no more than 72 hours before boarding their flight to Ecuador. They must also complete a declaration of traveler health . Visitors may be subject to random antigen testing on arrival. Those traveling to the Galápagos must provide proof of vaccination or a negative R.T.-P.C.R. test result from the previous 72 hours; they must also obtain a transit control card from the government of Ecuador. The C.D.C. risk assessment for Covid-19 is Level 3: High.

EL SALVADOR

Visitors may now enter without testing or proof of vaccination.

EQUATORIAL GUINEA

All arriving passengers must present a negative result from a P.C.R. test taken within 48 hours of travel; travelers age 18 and over must also present proof of vaccination. Visitors must quarantine for three days after arrival at an accommodation of their choosing and obtain a negative test result before being released. A negative P.C.R. test result is also required to exit the country.

Visitors must present a negative result from a P.C.R. test taken within 72 hours of entry and submit to an antigen test on arrival. Unvaccinated travelers must quarantine for five days, then obtain a negative test result before exiting quarantine. The C.D.C. risk assessment for Covid-19 is “Level Unknown”; the agency recommends that those who are unvaccinated avoid travel to Eritrea.

Arriving passengers must complete an online form in the 72 hours before entering the country. Visitors from the United States who are vaccinated or who have recovered from Covid-19 in the previous 180 days may enter without testing. (Travelers who have received two doses of vaccine are considered fully vaccinated for nine months after completing their primary course of vaccination; a booster dose extends the period of validity for one year.) Unvaccinated and unrecovered visitors may enter with a negative result from an R.T.-P.C.R. or antigen test taken in the 48 hours before arrival. Children under 12 are exempt from the requirements. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Vaccinated visitors and those who have a certificate of Covid-19 recovery from the previous 90 days are no longer required to test before travel. (A booster is not required to qualify.) Unvaccinated visitors over age 12 must carry a negative result from a P.C.R. test taken within 72 hours of departure, or a negative result from an antigen test taken within 24 hours of arrival.

All visitors must provide proof of vaccination, proof of travel insurance, and confirmation that they have pre-booked a rapid test to be taken after arrival. (Children under 12 are exempt from the in-country test requirement; children under 16 are exempt from the vaccination requirement.)

The country lifted its pandemic-related travel restrictions on June 30. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Fully vaccinated visitors no longer need to test before arrival. (To qualify as fully vaccinated, arriving passengers must have received their second dose of vaccine within the past nine months; those who have also received a booster dose are not subject to a time limit.) Unvaccinated travelers from the U.S. must present a negative result from a P.C.R. test taken within 72 hours of departure or a negative result from an antigen test from the previous 48 hours. The C.D.C. risk assessment for Covid-19 is Level 3: High.

FRENCH POLYNESIA

The country is open to fully vaccinated tourists from the United States. Those who have received only two doses of vaccine qualify as “fully vaccinated” for nine months following the date of their second dose; those who have also received a booster face no time limit. Arriving passengers aged 12 or older who are flying to French Polynesia directly from the United States are required to present a negative result from an R.T.-P.C.R. taken within 72 hours of boarding or a negative result from an antigen test administered within 48 hours of boarding. Those who are unvaccinated must provide a compelling reason for their visit to French Polynesia. If permitted entry, unvaccinated travelers must test before travel and quarantine for seven days after arrival. The C.D.C. risk assessment for Covid-19 is “Level Unknown”; the agency recommends that those who are unvaccinated avoid travel to French Polynesia.

FRENCH WEST INDIES

(Most islands consider two weeks after the second injection as full vaccination, and four weeks for Johnson & Johnson.)

St. Barts is open to fully vaccinated travelers without a test requirement. Unvaccinated visitors must present a negative result either from a P.C.R. test conducted no more than 72 hours before departure, or from an antigen test from the previous 48 hours. All visitors must present a sworn statement that they have no symptoms and that they are not aware of Covid-19 exposure in the previous 14 days. The C.D.C. risk assessment for Covid-19 is Level 3: High.

St. Martin : See Sint Maarten under Dutch Caribbean.

Guadeloupe and Martinique are open to vaccinated travelers, but those 12 and older who are coming from the United States need a negative result from a P.C.R. or antigen test taken in the 24 hours before departure. They may also be subject to testing on arrival. Unvaccinated visitors must show proof of a compelling reason to travel. The C.D.C. risk assessment for Covid-19 is Level 3: High.

The country has lifted its pandemic-related restrictions. Visitors may now enter without a negative test result.

Fully vaccinated travelers do not need a pretest, but they may be subject to rapid testing on arrival if they display symptoms. Unvaccinated travelers must present a negative result from a P.C.R. test administered no more than 72 hours before departure.

The country has lifted its pandemic-related travel restrictions. The C.D.C. risk assessment for Covid-19 is Level 3: High.

The country has suspended its pandemic-related travel restrictions until the end of August. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Non-citizen and non-resident visitors who are 18 or older must show proof of vaccination in order to qualify for an entry visa (a booster is not required). Arriving passengers no longer need to provide a negative test result. The C.D.C. risk assessment for Covid-19 is “Level Unknown”; the agency recommends that those who are unvaccinated avoid travel to Ghana.

As of May 1, visitors may enter without providing proof of vaccination or recovery or a negative Covid-19 test result. The C.D.C. risk assessment for Covid-19 is Level 3: High.

The country has removed its pandemic-related travel requirements. The C.D.C. risk assessment for Covid-19 is “Level Unknown”; the agency recommends that those who are unvaccinated avoid travel to Greenland.

Travelers must present either proof of vaccination (a booster is not required) or a negative result from a P.C.R. or antigen test conducted no more than three days before check-in at the airport or arrival at a land border. Children under 10 are exempt.

The government of Guinea no longer requires pre-departure testing, but the U.S. Embassy recommends that travelers confirm the latest rules with their airline before departure. The C.D.C. risk assessment for Covid-19 is “Level Unknown”; if you are unvaccinated, the agency recommends that those who are unvaccinated avoid travel to Guinea.

GUINEA-BISSAU

Visitors may enter with a negative result from a P.C.R. test taken in the previous 48 hours. Travelers must also obtain a negative P.C.R. result within 72 hours of their departure from the country; tests can be obtained in the capital city of Bissau for about $45.

Arriving passengers must show proof of full vaccination and carry a negative result from a Covid-19 test administered within 72 hours of arrival. Anyone arriving with an expired test result must pay about $85 to undergo testing at the airport and quarantine until they receive a negative result. Unvaccinated travelers over the age of 12 will not be allowed entry. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Visitors to Haiti must present a negative result from either a P.C.R. or antigen test administered no more than 72 hours before travel. Passengers who have had Covid-19 may present their positive test as well as documentation from their doctor confirming recovery.

Fully vaccinated tourists are not required to pretest, but others must have a negative result from a Covid-19 test taken in the previous 72 hours. Visitors must also complete an online pre-check form before travel.

Hungary has lifted all pandemic-related travel restrictions. The C.D.C. risk assessment for Covid-19 is Level 3: High.

The country lifted all Covid-related border restrictions on Feb. 25. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Passengers arriving from the United States must submit either proof of vaccination (with or without a booster) or a negative result from a P.C.R. test taken within 72 hours of departure. Travelers should upload the relevant documentation to the Air Suvidha portal before departure. Two percent of arriving passengers are randomly selected to undergo testing on arrival. Children under 5 are exempt from testing unless they develop Covid-19 symptoms. All travelers are asked to monitor their health for 14 days after arrival and self-isolate if they develop Covid-19 symptoms.

U.S. travelers are eligible for a visa on arrival if they can show proof of vaccination (with or without a booster; children under 12 are exempt). They must also download the PeduliLindungi app before departure; submit to a temperature screening on arrival; provide proof of health insurance that covers at least $25,000 worth of medical treatment in Indonesia; pay a visa fee of approximately $35; carry a passport with a validity of at least six months; and be able to present either a return ticket or a ticket for onward travel to another country. Covid-19 testing is no longer required. The U.S. Embassy recommends that travelers consult the Indonesian Embassy in the United States for the latest entry rules.

Visitors must apply for a tourist visa , which can be done online. Arriving passengers must present proof of vaccination as well as a negative result from a P.C.R. test conducted within 72 hours of arrival.

Arriving passengers must present either proof of vaccination or a negative result from a P.C.R. test taken in the previous 72 hours. The U.S. Embassy advises that all arriving passengers should be prepared to pay in cash for on-arrival testing at the airport, although this requirement is unevenly enforced. Visitors to the Iraqi Kurdistan Region require a negative P.C.R. result from the previous 48 hours; anyone without a negative test result must test on arrival. Visitors must also pledge to self-isolate for 14 days.

Ireland has removed all pandemic-related travel restrictions. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Visitors must provide a completed incoming passenger form and show proof of insurance covering Covid-19 treatment. Testing is no longer required. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Italy lifted its pandemic-related travel restrictions on June 1. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Jamaica has removed all pandemic-related travel restrictions. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Japan has reopened to U.S. visitors who are pre-booked on package tours. After applying for their visa, visitors must obtain a negative result from a Covid-19 test taken within 72 hours of departure; install the MySOS app and complete the app’s questionnaire; register their information on Visit Japan Web , which will generate a required QR code; and purchase health insurance to cover Covid-19 treatment in Japan. Visitors are required to wear masks in the country. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Visitors age 5 and over must complete an online declaration and present the resulting QR code when boarding. Testing is no longer required. According to the U.S. Embassy, non-Jordanians must present proof of health insurance.

According to Air Astana, the country’s biggest airline, passengers arriving in Kazakhstan are no longer required to present a negative test result or proof of vaccination. The C.D.C. risk assessment for Covid-19 is “Level Unknown”; the agency recommends that those who are unvaccinated avoid travel to Kazakhstan.

Fully vaccinated visitors may enter without a pretest. Unvaccinated travelers age 5 and above must present a negative P.C.R. result from up to 72 hours before departure; they must also pay $30 to undergo rapid testing on arrival. Visitors should upload their proof of vaccination or negative test result to the Global Haven platform before departure. They must also complete a health surveillance form and present the resulting QR code when traveling.

The country has removed its pandemic-related entry requirements.

The country has lifted its pandemic-related travel requirements. U.S. visitors must apply online for an eVisa before departure. The C.D.C. risk assessment for Covid-19 is Level 3: High.

KYRGYZ REPUBLIC

The country has lifted its pandemic-related travel requirements. However, the U.S. Embassy notes that the rules may change with little or no advance notice and that airline requirements may differ from those of the government.

Visitors with proof of vaccination may enter without restriction; C.D.C. cards are accepted. Unvaccinated travelers age 12 and over must obtain a negative result from a Covid-19 test within 48 hours of their departure for Laos; rapid tests are accepted. The C.D.C. risk assessment for Covid-19 is Level 3: High.

As of April 1, visitors may enter without proof of vaccination or a negative test result, provided that their point of departure is not on Latvia’s list of “high-risk countries” (at the moment, no countries are on this list). The C.D.C. risk assessment for Covid-19 is Level 3: High.

Fully vaccinated travelers may enter without a negative test result. (Visitors who completed their primary course of vaccination more than six months previously must have also received a booster dose to qualify as vaccinated.) Unvaccinated travelers age 12 and over must present a negative result from a P.C.R. or antigen test taken with 48 hours of departure. They must also undergo a P.C.R. test on arrival and avoid public places until they receive a negative result, usually within 24 hours.

Travelers must present a negative result from a P.C.R. test taken in the 72 hours before departure. All passengers are screened on arrival; those presenting Covid-19 symptoms may be denied entry. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Travelers age 18 and over must show proof of vaccination and complete a health screening form via the Lib Travel app . In addition, all travelers age 5 and over must present a negative result from a P.C.R. or rapid antigen test taken in the 72 hours before departure.

U.S. citizens may enter with a negative result from a P.C.R. test administered no more than 48 hours before travel. According to the U.S. Embassy, visitors from the United States may be required to quarantine; it recommends that travelers confirm the latest rules with the Libyan Embassy in Washington, D.C. The C.D.C. risk assessment for Covid-19 is “Level Unknown”; the agency recommends that those who are unvaccinated avoid travel to Libya.

LIECHTENSTEIN

See Switzerland.

As of May 1, U.S. visitors are no longer required to provide proof of vaccination or a negative test result on entry; the requirement to complete an arrival form has also been removed. The C.D.C. risk assessment for Covid-19 is Level 3: High.

U.S. tourists may enter with proof of vaccination or recovery. Travelers are considered vaccinated for nine months following the completion of their primary course of vaccination; a booster extends the validity of their vaccination certificate indefinitely. Recovery certificates are valid for 180 days. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Arriving passengers must present a negative result from an R.T.-P.C.R. test administered no more than 72 hours before boarding. A second test is required on arrival, at a cost of $20. The C.D.C. risk assessment for Covid-19 is “Level Unknown”; the agency recommends that those who are unvaccinated avoid travel to Madagascar.

Arriving passengers must present a negative result from a P.C.R. test taken within 72 hours of departure; children under the age of 1 are exempt. A negative result from the previous 72 hours is also required to exit Malawi, regardless of the requirements of the destination country.

Fully vaccinated travelers and children age 12 and under may enter without testing. Visitors who were vaccinated outside of Malaysia must upload their proof of vaccination via the MySejahtera app before departure. Unvaccinated adult visitors must obtain a negative result from a P.C.R. test taken within two days of departure; they must also submit to a test within 24 hours of arrival and quarantine for five days. Additional travel restrictions apply for travel to the states of Sabah and Sarawak . The C.D.C. risk assessment for Covid-19 is Level 3: High.

Arriving passengers no longer need to present a negative test result, but they must complete a Traveler Health Declaration form within 72 hours of departure. They must also carry proof of a booking at a registered tourist accommodation. No quarantine is required for travelers who do not exhibit symptoms. The C.D.C. risk assessment for Covid-19 is “Level Unknown”; the agency recommends that those who are unvaccinated avoid travel to the Maldives.

Arriving passengers must present either proof of vaccination or a negative result from a P.C.R. test taken in the previous 72 hours. The same rule applies to those departing the country.

Arriving passengers must present one of the following: proof of vaccination, a certificate of recovery, or a valid negative test result. U.S. travelers should verify their C.D.C. vaccination cards through the VeriFLY app . To qualify as fully vaccinated , travelers aged 18 and over who have undergone only a primary course of vaccination must have received the final dose in the previous 270 days; those who have also received a booster dose are considered vaccinated indefinitely. (Minors are considered vaccinated indefinitely following a primary course of vaccination.) Recovery certificates are valid for 180 days. Negative test results are valid for 24 hours (if from an antigen test) or 72 hours (if from a P.C.R. test). Children under 12 are exempt from the requirements. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Visitors must present proof of vaccination or a negative result from a P.C.R. test conducted within three days of entry. Passengers are subject to a temperature check on arrival. The U.S. Embassy notes that some visitors have reported that their airlines have demanded a negative test result in addition to their proof of vaccination.

Visitors must complete a travel form . Vaccinated travelers do not need to test before departure but must undergo testing on arrival. In addition to the travel form and on-arrival test, unvaccinated travelers age 18 and over must also self-isolate for seven days after arrival in an accommodation of their choice. They must test on day 7 and, if the result is negative, are free to move around the island on day 8. The C.D.C. risk assessment for Covid-19 is Level 3: High.

U.S. travelers may enter Mexico without testing or quarantine, though they may be subject to health screenings on arrival. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Moldova has lifted all Covid-related entry requirements.

The United States is on the list of “green zone” countries, which means that travelers 16 and over may enter Monaco by presenting one of the following: proof of full vaccination against Covid-19; proof of recovery in the past six months; or a negative result from a P.C.R. or antigen test conducted within the previous 24 hours. To qualify as fully vaccinated, everyone 18 or over must have received a booster dose of an mRNA vaccine no later than nine months following the completion of their first course of vaccination. The C.D.C. risk assessment for Covid-19 is Level 3: High.

The country has removed its Covid-related entry requirements. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Arriving passengers are no longer required to present proof of vaccination or a negative test result. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Arriving passengers must present a completed health form . They must also provide either proof of vaccination or a negative result from a P.C.R. test taken in the 72 hours before travel. Children under 12 are exempt from the requirements.

Vaccinated visitors as well as children age 11 and younger may now enter without testing. Unvaccinated travelers over the age of 11 must present a negative result from a P.C.R. test administered within 72 hours of their departure for Mozambique; alternatively, they may choose to pay to undergo a rapid test on arrival. The U.S. Embassy encourages U.S. travelers to obtain their visa before departure via the Mozambican Embassy in Washington, D.C. or the Mozambican consulate in New York.

Visitors must carry a valid tourist visa. They must also present either proof of vaccination or a negative result from a P.C.R. test within 72 hours of departure. (Children under 6 are exempt.) In addition, they must carry Covid-19 insurance, complete a health declaration, and pay to undergo rapid testing on arrival.

Passengers who present proof of vaccination may enter without testing. Unvaccinated visitors age 5 and over must provide a negative result from a P.C.R. test taken within 72 hours of travel. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Visitors age 5 and over arriving by air must present either proof of vaccination or a negative result from a Covid-19 test (R.T.-P.C.R., N.A.A.T., or Gene Xpert) taken within 72 hours of departure. Travelers who display symptoms may be subject to testing on arrival.

NETHERLANDS

Vaccinated visitors from the United States may now enter without a negative test result. (A booster dose is required if more than 270 days have passed since the traveler completed his or her primary course of vaccination.) Unvaccinated travelers 18 and over are not allowed entry unless they qualify for an exemption . The C.D.C. risk assessment for Covid-19 is Level 3: High.

NEW CALEDONIA

U.S. tourists age 12 and over must present one of the following: proof of vaccination, a certificate of recovery from the previous six months; a negative result from an R.T.-P.C.R. test taken within 72 hours of boarding; or a negative result from a rapid antigen test taken in the previous 48 hours. At the time of boarding, they must also present a sworn statement in which they commit to undergo testing within two days of arrival. The C.D.C. risk assessment for Covid-19 is “Level Unknown”; the agency recommends that those who are unvaccinated avoid travel to New Caledonia. The C.D.C. risk assessment for Covid-19 is Level 3: High.

NEW ZEALAND

New Zealand is now open to vaccinated visitors from the United States and other “visa waiver” countries. Arriving passengers must complete an online declaration ; provide a negative test result before departure; and self-test on arrival and on day 5 or 6 in the country. Children under 2 are exempt from the pre-departure test requirement; babies under 6 months are exempt from the post-arrival test requirement. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Travelers who can provide proof of vaccination may now enter without testing. Unvaccinated travelers must present a negative result from an R.T.-P.C.R. test taken within 72 hours of entry. The C.D.C. risk assessment for Covid-19 is “Level Unknown”; the agency recommends that those who are unvaccinated avoid travel to Nicaragua.

Travelers must obtain a negative result from a P.C.R. test taken no more than 72 hours before departure and register the result online. A negative test result from the previous 72 hours is also required to exit the country.

Arriving passengers must register online before travel. Fully vaccinated travelers may now enter without testing (a booster is not required to qualify). Unvaccinated travelers must upload a negative result from a P.C.R. test administered within 48 hours of departure; they must also pre-pay for tests on days 2 and 7 and isolate after arrival until they receive a negative result from the second test. Children under 18 are exempt from the requirements. Travelers leaving Nigeria must present either proof of vaccination or a negative result from a P.C.R. test conducted within 48 hours of departure.

NORTH MACEDONIA

Visitors are no longer required to provide a negative test result or proof of vaccination. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Norway has lifted all pandemic-related travel restrictions. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Vaccinated travelers may enter without a pretest. Unvaccinated travelers over the age of 12 must present a negative result from a P.C.R. test taken within 72 hours of boarding. All passengers should download the Pass Track App before travel and should be aware that they may be subject to rapid testing on arrival.

Palau is open to fully vaccinated visitors. Arriving passengers must provide a negative result from a P.C.R., N.A.A.T., R.T.-P.C.R. or other approved molecular test taken within three days of their departure. Alternatively, they may present a negative result from an antigen test taken no more than one day before departure, or documentation of recovery from Covid, including proof of a recent positive viral test and a letter from a health care provider or a public health official clearing the person to travel. All travelers will also undergo testing after arrival in Palau.

Travelers are required to submit a completed health affidavit to their airline before boarding. Vaccinated travelers can enter Panama without a pretest (a booster is not required to qualify). Unvaccinated travelers must present a negative result from a P.C.R. or antigen test. If the test result is more than 72 hours old at the time of the traveler’s arrival in Panama, a rapid Covid-19 test will be performed at the airport, at a cost of $50. Accompanied children under 17 are exempt from the requirements. The C.D.C. risk assessment for Covid-19 is Level 3: High.

PAPUA NEW GUINEA

U.S. visitors must apply for a tourist visa before travel. Visitors age 18 and over must show proof of vaccination; testing is no longer required. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Foreign visitors with proof of vaccination are no longer required to test before travel. Unvaccinated travelers must present a negative result from an R.T.-P.C.R., L.A.M.P., or N.A.A.T. test taken no more than 72 hours before departure; children under 12 are exempt.

Visitors must present either proof of full vaccination or a negative result from a molecular test taken within 48 hours of departure; they must also complete an affidavit of health . Children under 12 are exempt from the testing and vaccination requirements but must be without Covid-19 symptoms at the time of boarding.

PHILIPPINES

Visitors from the United States are allowed entry provided they carry the following documents: proof of vaccination; passports that are valid for at least six months beyond their date of arrival; and a ticket for outbound travel within 30 days of arrival. Visitors must also complete a health declaration card ; they are no longer required to test before entry. Unvaccinated visitors over age 12 will not be allowed entry.

Visitors may now enter without testing, quarantine or proof of vaccination.

Arriving passengers age 12 and over must present a negative result from an R.T.-P.C.R. or N.A.A.T. test conducted no more than 72 hours before boarding, or from a rapid test from the previous 24 hours. Travelers who carry an E.U. Digital Covid Certificate or proof of vaccination issued in one of several approved countries may enter without a negative pretest. The United States is not among the approved countries; however, some travelers have reported that their airlines have told them that their C.D.C. vaccination cards will be accepted in lieu of a negative test result. There is no official guidance on this point, so the U.S. Embassy “ strongly recommends ” that travelers carrying C.D.C. vaccination cards arrive with a valid negative test result. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Visitors must register online before travel. Fully vaccinated and recovered travelers from the United States and other countries that do not appear on Qatar’s red list may enter with a negative result from a P.C.R. test taken within 48 hours of departure. In addition to the pretest, unvaccinated travelers from the United States must also quarantine for five days after arrival and undergo a P.C.R. test on arrival and a rapid test on day 5. The C.D.C. risk assessment for Covid-19 is Level 3: High.

REPUBLIC OF CONGO

Those planning to travel to the Republic of Congo must complete an online form , pre-pay roughly $68 for a Covid-19 test to be administered on arrival, and print the receipt for that payment to carry with them while traveling. Anyone who tests positive on arrival must isolate until they receive a negative result. Departing travelers must present a negative result from a virus test conducted no more than 72 hours before their scheduled departure.

Romania has lifted all pandemic-related travel restrictions.

Before traveling to Rwanda, visitors must complete a passenger locator form and obtain a negative result from an antigen test conducted no more than 72 hours before their flight departure. Visitors must also pay $5 to undergo an additional rapid test on arrival. Travelers leaving Rwanda must obtain a negative Covid-19 test result within 72 hours of their departing flight. Children under 5 are exempt from testing. Tourists to the national parks may face additional requirements.

ST. KITTS AND NEVIS

All visitors 18 and over must be fully vaccinated, while unvaccinated minors may enter with their accompanying vaccinated adults and follow the same regulations. In addition to their proof of vaccination, arriving passengers must present either a negative result from an R.T.-P.C.R. or N.A.A.T. test taken within three days of arrival, or a negative result from a rapid antigen test taken within one day of arrival. Each visitor must also complete an embarkation form no later than 24 hours before departure. Travelers who have recovered from Covid-19 are not exempt from the pretest requirement. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Visitors must complete a health screening form before departure. As of April 2, fully vaccinated travelers are no longer required to test before travel. Unvaccinated travelers 5 and over must present a negative result from a P.C.R. test conducted in the five days before arrival. The C.D.C. risk assessment for Covid-19 is Level 3: High.

ST. VINCENT AND THE GRENADINES

Fully vaccinated visitors from the United States no longer need to test before travel; they must complete a health form on landing and may be subject to testing. Unvaccinated travelers must arrive with one of the following: a negative result from a P.C.R. test conducted in the previous 72 hours, or a negative antigen result from the previous 24 hours. They may be subject to testing on arrival; they must quarantine for 5 days and undergo an additional test on day 3 or 4 of quarantine. Minors follow the protocol of their parents or guardians. The C.D.C. risk assessment for Covid-19 is Level 3: High.

See Italy. The C.D.C. risk assessment for Covid-19 is Level 3: High.

SÃO TOMÉ AND PRÍNCIPE

The government has lifted all pandemic-related travel restrictions.

SAUDI ARABIA

Visitors must apply for a tourist visa before travel. According to the U.S. Embassy, they must also show proof of insurance that covers illness related to Covid-19.

Arriving passengers must present either proof of vaccination or a negative result from a P.C.R. or R.T.-P.C.R. test taken in the 72 hours before arrival. Children under 2 are exempt.

The country has removed its pandemic-related travel restrictions. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Visitors must apply for travel authorization up to 72 hours before departure. Most applications are processed within 12 hours of submission; expedited processing is available for an additional fee. In applying for authorization, unvaccinated visitors must upload a negative result from an R.T.-P.C.R. test administered no more than 72 hours before departure or a negative result from a rapid antigen test from within 24 hours of departure. Vaccinated travelers do not need to provide a negative test result. (Travelers age 18 and over who completed their primary course of vaccination more than six months previously must also have received a booster dose to qualify as vaccinated.) Visitors must also submit their accommodation bookings as well as proof of travel insurance with full medical coverage valid for the duration of their stay. The C.D.C. risk assessment for Covid-19 is Level 3: High.

SIERRA LEONE

Visitors must register online before departure. Vaccinated travelers may enter without testing. Unvaccinated travelers do not need a pre-departure test, but they must pay in advance to undergo both a rapid test and a P.C.R. test on arrival. All passengers are subject to a health screening at the airport. To exit the country, all travelers, regardless of their vaccination status, must obtain a negative result from a P.C.R. test taken between 48 and hours before departure. Children under 5 are exempt from the test requirements.

All visitors must complete an arrival card within three days of entry and install the TraceTogether app. Vaccinated travelers as well as unvaccinated children born in or after 2010 may now enter without testing or quarantine. Unvaccinated travelers born in or before 2009 must apply for permission to enter. If approved, they must obtain a negative result from either a P.C.R. test or an antigen test administered within two days of departure. (Unvaccinated travelers who have a positive test result dated between 14 and 90 days before their departure for Singapore may be exempt from the pre-departure test.) Unvaccinated travelers must also quarantine for seven days after arrival. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Slovakia has eliminated all pandemic-related travel restrictions. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Visitors arriving from the United States are no longer required to test or show proof of vaccination. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Visitors must present a negative result from a Covid-19 test conducted within 72 hours of arrival and submit to a health screening on entry. Travelers to Somaliland may avoid a 14-day quarantine by presenting a negative result from a Covid-19 test taken in the previous 96 hours. The C.D.C. risk assessment for Covid-19 is Level 3: High.

SOUTH AFRICA

South korea.

Visitors should register their information on the Q-Code website before departure. Arriving passengers must present proof of full vaccination (including a booster shot if more than 180 days have passed since the completion of the traveler’s first vaccine series). Travelers must also complete a health questionnaire and travel record declaration. In addition, visitors must provide a negative result from a supervised rapid antigen test taken within 24 hours of departure, or a negative result from a P.C.R. test taken in the previous 48 hours. In addition, all travelers must undergo a P.C.R. test within three days of entry. Travelers who display symptoms on arrival may be subject to testing at the airport. The C.D.C. risk assessment for Covid-19 is Level 3: High.

SOUTH SUDAN

Both inbound and outbound passengers must present proof of vaccination and a negative result from a P.C.R. test taken in the previous 72 hours. The C.D.C. risk assessment for Covid-19 is Level 3: High.

U.S. visitors may enter Spain with one of the following: proof of vaccination; a certificate of recovery from the previous 180 days; a negative result from an N.A.A.T. test performed within 72 hours of departure; or a negative result from a rapid antigen test performed within 24 hours of departure. To qualify as vaccinated, visitors who have completed only a primary course of vaccination must have received their final dose within the past nine months; those who have also received a booster dose face no time restriction. Children under 12 are exempt from the requirements. Before departure, all visitors must complete a health control form , which will generate a QR code that must be presented at the time of boarding and upon entry in Spain. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Fully vaccinated visitors as well as children under 12 may enter Sri Lanka without testing. Unvaccinated travelers age 12 and over must present a negative result from P.C.R. test taken within 72 hours of departure, or a negative result from a rapid antigen test conducted within 48 hours of departure. All visitors must purchase Covid-19 insurance at a cost of $12 per month.

Visitors age 8 and over arriving from the United States must present either a certificate of vaccination or a negative result from a P.C.R. test administered no more than 96 hours before arrival. The C.D.C. risk assessment for Covid-19 is “Level Unknown”; the agency recommends that those who are unvaccinated avoid travel to Sudan.

Travelers who are vaccinated or who can document their recovery from Covid-19 in the previous six months are no longer required to test before entry. Unvaccinated visitors age 12 and over must carry a negative result from a P.C.R. test conducted within 48 hours of travel or from an antigen test from the previous 24 hours. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Sweden has lifted all pandemic-related entry restrictions.

SWITZERLAND

As of May 2, U.S. visitors may enter without testing or providing proof of vaccination. The C.D.C. risk assessment for Covid-19 is Level 3: High.

All travelers age 3 and over must show either proof of vaccination or a negative result from a P.C.R. test taken within 72 hours of their arrival in the country. The C.D.C. risk assessment for Covid-19 is “Level Unknown”; the agency recommends that those who are unvaccinated avoid travel to Tajikistan.

Visitors to Tanzania must complete a health surveillance form within 24 hours of arrival. (Those traveling directly to Zanzibar should complete this form instead.) Travelers who present a vaccination card that includes a QR code may enter without testing. (The U.S. Embassy advises travelers to look here for information on how to obtain a QR code for a C.D.C. vaccination card.) Unvaccinated travelers must present a negative result from an R.T.-P.C.R. or N.A.A.T. test administered within 72 hours of travel; the test result must include a QR code. Children 5 and under are exempt from the test requirement.

Fully vaccinated and recovered international visitors may now enter Thailand without quarantine or testing. Travelers must apply for a Thailand Pass before departure and provide proof of health insurance to cover at least $10,000 in medical expenses. Unvaccinated travelers must provide a negative result from an R.T.-P.C.R. test conducted within 72 hours of departure. They must also apply for a Thailand Pass and provide proof of insurance. Unvaccinated travelers who arrive without a valid negative test result must follow the instructions of the public health officer they meet on arrival. All passengers undergo health screening on arrival, including a temperature check. The C.D.C. risk assessment for Covid-19 is Level 3: High.

All visitors must complete a travel form and upload a negative result from a P.C.R. test taken no more than three days before their departure for Togo. Visitors must also pay in advance for a second P.C.R. test, to be administered upon their arrival at Lomé Airport; proof of payment for the test must be shown before boarding. Arriving passengers must self-isolate until they receive a negative result from their on-arrival test, usually within 24 hours. Visitors are required to download the Togo Safe app; those who refuse may have to quarantine in a state facility for at least two weeks. Exit testing at the traveler’s expense is required no more than 72 hours before their departing flight.

TRINIDAD AND TOBAGO

As of July 1, visitors will no longer be required to test before entry. They also no longer need to show proof of vaccination or apply for a travel pass. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Arriving passengers must complete an online questionnaire . Travelers who are fully vaccinated do not need to test before travel. Unvaccinated travelers 6 and over must present either a negative result from a P.C.R. test taken no more than 48 hours before departure or a negative result from an antigen test that is no more than 24 hours old. Travelers may be subject to random testing on arrival.

TURKS AND CAICOS

Fully vaccinated visitors may now enter without testing (a booster is not required to qualify). Unvaccinated travelers age 18 and over are not allowed entry. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Fully vaccinated travelers and children age 5 and under may enter without testing. Unvaccinated and partially vaccinated travelers must present a negative result from a P.C.R. test conducted no more than 72 hours before boarding.

UNITED ARAB EMIRATES

Vaccinated visitors to Abu Dhabi are no longer required to test before travel. Unvaccinated travelers age 16 and over must present either a negative result from a P.C.R. test taken in the previous 48 hours, or a Covid-19 recovery certificate dated within 30 days of departure; the certificate must have a QR code. Visitors must be fully vaccinated to enter most public places in Abu Dhabi.

Fully vaccinated visitors to Dubai no longer need to test before travel; their proof of vaccination must include a QR code. Unvaccinated travelers age 12 and over must present a negative result from a P.C.R. test from the previous 48 hours; alternatively, they may present proof of recovery from Covid-19 in the previous month. The U.S. Embassy advises travelers to check with their airlines for the latest information on testing requirements. The C.D.C. risk assessment for Covid-19 is Level 3: High.

UNITED KINGDOM

The United Kingdom has lifted all pandemic-related travel restrictions. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Visitors must complete a health declaration form before departure and carry proof of travel insurance. Vaccinated travelers and those who have recovered from Covid-19 in the previous 90 days may now enter without testing. Unvaccinated and unrecovered travelers age 6 and over must present a negative result from a P.C.R. or antigen test conducted in the 72 hours before departure; in addition, they must either quarantine for 14 days or undergo a P.C.R. test on day 7. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Travelers may now enter without testing or proof of vaccination; they must complete a health screening form on arrival and may be subject to testing if they display symptoms. The C.D.C. risk assessment for Covid-19 is “Level Unknown”; the agency recommends that those who are unvaccinated avoid travel to Uzbekistan.

Arriving passengers must present either proof of vaccination or a negative result from an R.T.-P.C.R. test taken within 72 hours of entry. (A booster dose is required to qualify as vaccinated if more than 270 days have passed since the completion of the first vaccine series.) The C.D.C. risk assessment for Covid-19 is “Level Unknown”; the agency recommends that those who are unvaccinated avoid travel to Venezuela.

Foreign visitors must present proof of travel insurance worth at least $10,000 and download and use the PC-COVID app while in the country. Travelers are not required to test or provide proof of vaccination, but they are asked to monitor their health for 10 days and inform authorities if they develop any Covid-19 symptoms. The C.D.C. risk assessment for Covid-19 is Level 3: High.

Vaccinated travelers may now enter without testing (a booster is not required to qualify). Unvaccinated travelers must carry a negative result from a P.C.R. test taken in the 72 hours before departure; children under 12 are exempt. All passengers undergo health screening on arrival; symptomatic travelers must isolate for 14 days and may be required to undergo testing.

Vaccinated visitors may now enter without testing. Unvaccinated visitors must present a negative result from a P.C.R. test administered no more than 48 hours before travel.

Heather Murphy, Ceylan Yeginsu, Concepción de León and Karen Schwartz contributed reporting.

Follow New York Times Travel on Instagram , Twitter and Facebook . And sign up for our weekly Travel Dispatch newsletter to receive expert tips on traveling smarter and inspiration for your next vacation. Dreaming up a future getaway or just armchair traveling? Check out our 52 Places for a Changed World for 2022.

CDC urges travelers to 'avoid' several European destinations due to COVID-19 levels

The Centers for Disease Control and Prevention is urging Americans to "avoid travel" to a new batch of Europeans destinations:  Iceland , Hungary , the Czech Republic and Guernsey , a British Crown Dependency  in the English Channel.

The CDC issued Level 4 travel health notices for all four destinations Monday due to "very high" levels of COVID-19. 

"If you must travel ... make sure you are fully vaccinated ," the CDC said of the locations.

The State Department issued parallel travel advisories Monday in line with the CDC, saying "do not travel" to Iceland , Hungary and the Czech Republic . Guernsey is not on the list.

►International tourists are back: Expect bottlenecks at airports under strict entry rules

Learn more: Best travel insurance

►From vaccines to testing: What travelers need to know about the new US travel system

Additionally, the State Department advised against travel to Papua New Guinea due to COVID as well as "crime, civil unrest, health concerns, natural disasters and kidnapping" risks.

Travelers can find COVID-19 travel recommendations  for just about every destination on the CDC's website.

Americans traveling abroad should be aware of the new U.S. travel system in place for their return. The new rules, which include tighter testing requirements for unvaccinated Americans, rolled out Nov. 8.

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Confirmed cases, group 17 notes.

Reduced counts in U.S. cases and deaths are the result of states and territories not reporting the information for some or all of the weekend. Those states and territories are: Alaska, Colorado, Connecticut, District of Columbia, Florida, Georgia, Guam, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Massachusetts, Michigan, Minnesota, Mississippi, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Northern Mariana Islands, Oklahoma, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, U.S. Virgin Islands, Virginia, Washington, West Virginia, Wisconsin, and Wyoming. Typically, these states' Monday updates include the weekend totals.

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Hungary Cuts Quarantine Time as Omicron Wave Boosts Infections

Hungary will cut the quarantine time to seven days from the current 10 for those contracting the coronavirus, with a possible exit after five days with a negative test, Cabinet Minister Gergely Gulyas told reporters.

In schools, classes will be asked to quarantine for five days if someone tests positive, Gulyas told a briefing on Thursday. While the latest omicron variant of the coronavirus causes less severe symptoms than earlier ones, its rapid spread means that new infections will likely hit a record during the country’s current wave of the virus.

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Safety Advice and Travel Insurance for Hungary

Hungary welcomed 16 million tourists in 2023. The capital, Budapest, is a UNESCO World Heritage site known for its stunning urban landscape and influential architecture. Tokaj is a picturesque wine region. Roman ruins and Ottoman architecture can be found in Pécs. And let’s not forget the abundance of natural thermal springs!

While travel through Hungary is generally safe, these locations are not without risk. Pickpocketing and pricing scams frequently occur. Natural disasters or political demonstrations can arise unexpectedly. Healthcare facilities may be limited in certain areas. We’ve included some tips for staying aware of these risks and keeping yourself as safe as possible during your trip. Travel insurance for Hungary is also essential for dealing with accidents or illness while you explore the country.

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Is Travel Insurance Mandatory For Hungary?

Visitors who need a Schengen Visa to enter Hungary need to buy travel insurance as part of their visa application process. The travel insurance must be valid in the entire Schengen area and have a minimum coverage of about $32,325 USD (€30,000).

Also Read: Schengen Visa Insurance Requirements

If you are from the EU, you can use your European Health Insurance Card to receive care for any issues that arise while visiting the country. For everyone else, travel insurance for Hungary is not mandatory but is recommended. If faced with an emergency abroad, the last thing you want to worry about is money. Buying travel insurance ensures you and your loved ones are protected no matter the emergency.

• Medical Coverage : Both public and private healthcare facilities are available in Hungary. The public system is known for being understaffed and having long wait times. The doctors and clinic staff may not be able to speak English and the facilities may not be up to the standards you’re used to. Travel health insurance will allow you to access the private healthcare system with minimal out-of-pocket expenses. You’ll find that the private system offers shorter waiting times, newer facilities and a wider range of specialists.
• Trip Coverage: An unexpected illness, accident or political event might make you reconsider travel. A delayed flight or lost luggage might result in unexpected expenses for your budget. To make sure you’re covered for any trip interruptions, you might also consider trip cancellation insurance or the more robust cancel for any reason insurance. Many of these plans also offer emergency evacuation due to natural disasters or political unrest.

Best Travel Insurance for Visitors to Hungary

There are many good options for Hungary travel insurance. When buying your plan, you’ll want to let your agent know how long your trip will be, what types of activities you plan to do, and any health conditions you have. Travelers all have different insurance needs. At minimum, it’s a good idea to make sure your plan at least covers last-minute changes, cancellations, and evacuations.

Plans for US Citizens

GeoBlue Voyager Plan

• For U.S. citizens up to age 95
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Patriot Platinum Travel Insurance

• Maximum limits up to $8,000,000
• IMG pays 100% of medical expenses in-network
• Evacuation due to Natural Disasters & Political Unrest

Safe Travels International

• Desinged for non-U.S. citizens traveling outside their home country (excluding the U.S.)
• Coverage for an unexpected recurrence of a Pre-Existing Condition
• Coverage from 5 days to 364 days - extensions are available

Related : Health Insurance in Hungary for Expats

Medical Preparation for Travel to Hungary

Be sure to visit your doctor at least a month before your trip to get any vaccinations or medications you might need.

What Vaccinations Do I Need for Travel to Hungary?

Hungary does not require any particular vaccinations to enter the country. However, the CDC and WHO recommend that all travelers to Hungary are up-to-date on routine vaccinations like chicken pox, influenza, measles-mumps-rubella (MMR) and diphtheria-tetanus-pertussis (DTP) vaccines.

Most embassies additionally recommend hepatitis A vaccines due to the potential of contaminated food and water consumption. Rabies is not a major concern in Hungary but may be found in some wildlife species. The CDC recommends a rabies vaccination for anyone who intends to interact with wildlife.

How to Bring Medications to Hungary

You are allowed to bring prescription or over-the-counter medications into Hungary. When bringing medications into any country, you should follow these tips to avoid any issues:

• Keep your medication in the packaging it came in
• Make sure the name on the label is the same as on your passport
• Carry a copy of your doctor’s prescription with you

Keep in mind that some medications that are legal in your home country may be illegal abroad. Certain medications for ADHD, anxiety, or sleeping pills may be banned in Europe. If you need more details about the availability or legality of specific medications in Hungary, contact your local Hungarian embassy.

How to Access Medical Care in Hungary for Visitors

Healthcare facilities are available throughout the country. In general, the quality of care is higher in urban areas than in rural ones. Issues that plague the public healthcare system like being understaffed and having limited diagnostic testing capabilities are even more apparent in rural locations.

Every foreigner in Hungary, including tourists, is entitled to emergency first aid services. However, they will be expected to pay for the care they receive. Visitors should buy a global health insurance plan to cover any medical expenses they may incur.

Most expats will find that private facilities are more aligned with their healthcare expectations. Private clinics offer shorter waiting times, more specialties, newer facilities and English-speaking staff. Your insurance provider can offer recommendations on where to get treatment based on your location and needs. Some plans are able to offer telehealth visits or translators as needed.

Related: Hungary’s Healthcare System

Travel Warnings and Alerts for Hungary

Hungary is rated within the top twenty most peaceful countries in the world by the 2023 Global Peace Index. By comparison, the UK is ranked 37th while the US comes in at 131. No matter where a country is ranked in terms of overall safety levels, it’s a good idea to stay informed about any travel advisories for your destination. These alerts can change often. Use the following sources to stay up-to-date on any travel alerts or warnings for Hungary.

• US Department of State Hungary Page
• Australian Government Smartraveller Hungary Page
• UK Government Foreign Travel Advice Hungary Section
• Canadian Government Travel Advisory Hungary Page
• Singapore Ministry of Foreign Affairs Hungary Page

American visitors also have the option to register with the US Smart Traveler Enrollment Program . Sign up before your trip to receive alerts while you’re abroad.

Contact Information in Hungary for Emergencies

Emergency assistance numbers in hungary.

English is generally spoken at all these numbers. If not, call 112, where help is available in English 24/7.

• Dial 112 for emergency services
• Dial 104 for ambulance services
• Dial 107 for the police department
• Dial 105 for the fire department

Embassy Phone Numbers in Hungary

Below you can find contact information for your local embassy or consular services:

United States Embassy Szabadság tér 12 H-1054 Budapest, Hungary Phone: +36 1 475 4400 Fax: +36 1 475 4248 Email: [email protected]

Embassy of Canada Ganz utca 12-14, 1027 Budapest, Hungary Phone: +36 1 392 3342 Fax: +36 1 392 3390 Email: [email protected]

British Embassy Füge u. 5-7, 1022 Budapest, Hungary Phone: +36 1 429 6200 Fax: +36 1 266 0907 Contact: www.gov.uk/contact-consulate-budapest

Embassy of France Kossuth Lajos tér 13-15, 1055 Budapest, Hungary Phone: +36 1 999 7260 Fax: +36 1 374 1140 Email: [email protected]

Australian Consulate Eötvös Loránd University ,Múzeum Körút 4/a 1088 Budapest, Hungary Email: [email protected] For full consular services, the Australian Embassy is located in Vienna, Austria. You can email any inquiries to: [email protected]

New Zealand Consulate Nagymező u. 47, 1065 Budapest, Hungary Phone: +36 30 971 0225 Fax: +36 1 354 1848 Email: [email protected]

7 Tips for Safe Travel in Hungary

1. keep your valuables safe.

Petty crime such as pickpocketing or bag snatching is common in tourist areas. In particular, be aware of your surroundings on public transportation. Trains between Budapest and Vienna are especially targeted by pickpockets. Do not leave any valuables unattended and remain alert to any suspicious people nearby. Keep your car and accommodation locked. Avoid walking on any empty streets after dark.

2. Check Prices and Be Aware of Scams

Always double-check the prices at restaurants and bars before you order. Some places will overcharge tourists. Be cautious of friendly strangers or taxi drivers who invite you to specific restaurants or clubs. They may receive a commission or be a part of the scam. Arguing over prices after the fact can lead to violent situations.

3. Be Aware of Intolerances

New government policies have raised concerns about the treatment of minorities in Hungary. Roma communities, LGBTQIA+ people, refugees, religious minorities and other marginalized groups may face discrimination or even hate crimes. So, if you are a member of any of these groups, use added caution when traveling to Hungary. If you can, talk to people there about their experiences and how to stay safe.

4. Carry Your Passport

Police can ask to see your identification at any time. A photocopy of your passport will not be accepted as an ID. You may be taken into custody if you try to prove your identity without your passport.

5. Avoid Demonstrations

Political demonstrations commonly occur in Budapest. Nationalist groups are sometimes intolerant towards minorities and migrants. While these demonstrations tend not to turn violent, they can be unpredictable. It is best to avoid any demonstrations or confrontations with these groups.

6. Check for Ticks

From spring to late autumn, ticks are common in forests and rural areas. There is a risk of tick-borne encephalitis. Wear long sleeves and protective clothing if visiting these areas. After leaving, make sure to check your body for ticks and remove any you find as soon as possible. If you find any, monitor yourself for signs of infection.

7. Be Prepared for Natural Disasters

Severe snowstorms can leave parts of the country isolated for days at a time. Flooding is common from March to May along the rivers in the northeast region of Hungary. You can register with the Global Disaster Alert and Coordination System to receive alerts if any severe weather is headed your way.

Peace of Mind in Hungary

The Ottoman castles and mosques, relaxing thermal springs and delicious goulash make Hungary a popular tourist destination in Europe. Even so, health emergencies, unexpected delays, or natural disasters can happen. That’s why it’s important to buy travel insurance for Hungary before your trip. Knowing you are protected while traveling offers peace of mind so you can focus on the fun stuff.

Related Articles:

• Hungary’s Healthcare System
• International Health Insurance in Hungary
• Hospitals in Hungary

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Hungary reopens for people holding COVID-19 immunity cards

A Hungarian woman shows her government-issued COVID-19 immunity card in Budapest, Hungary on Friday April. 30, 2021. Beginning Saturday morning, card holders may access indoor dining rooms, hotels, theaters, cinemas, spas, gyms, libraries, museums and other recreational venues. The latest round of re-openings, which the government has tied to the number of administered vaccines, will come as Hungary reaches 4 million first-dose vaccinations, representing about 40% of the population. (AP Photo/Bela Szandelszky)

An Hungarian woman shows her government-issued COVID-19 immunity card in Budapest, Hungary on Friday April. 30, 2021. Beginning Saturday morning, card holders may access indoor dining rooms, hotels, theaters, cinemas, spas, gyms, libraries, museums and other recreational venues. The latest round of re-openings, which the government has tied to the number of administered vaccines, will come as Hungary reaches 4 million first-dose vaccinations, representing about 40% of the population. (AP Photo/Bela Szandelszky)

A young boy shows his father an Immunity certificate card in front of the Budapest Zoo, in Budapest, Hungary, Saturday, May 1, 2021. Hungary on Saturday loosened several COVID-19 restrictions for people with government-issued immunity cards, the latest in a series of reopening measures that have followed an ambitious vaccination campaign. (AP Photo/Laszlo Balogh)

People wait for the Budapest Zoo to reopen in Budapest, Hungary, Saturday, May 1, 2021. Hungary on Saturday loosened several COVID-19 restrictions for people with government-issued immunity cards, the latest in a series of reopening measures that have followed an ambitious vaccination campaign. (AP Photo/Laszlo Balogh)

A young boy waits for the Budapest Zoo reopen, Hungary, Saturday, May 1, 2021. Hungary on Saturday loosened several COVID-19 restrictions for people with government-issued immunity cards, the latest in a series of reopening measures that have followed an ambitious vaccination campaign. (AP Photo/Laszlo Balogh)

One week old baby elephant is seen in the reopened Budapest Zoo, in Budapest, Hungary, Saturday, May 1, 2021. Hungary on Saturday loosened several COVID-19 restrictions for people with government-issued immunity cards, the latest in a series of reopening measures that have followed an ambitious vaccination campaign. (AP Photo/Laszlo Balogh)

People playing chess in the reopened Szechenyi bath in Budapest, Hungary, Saturday, May 1, 2021. Hungary has loosened several COVID-19 pandemic restrictions for people holding a government-issued immunity card. As of Saturday, individuals with the plastic cards may enter indoor dining rooms, hotels, theaters, cinemas, spas, gyms, libraries, museums, zoos and other recreational venues. Vaccinated people and those who have recovered from COVID-19 are eligible for the Hungarian immunity cards, which must be presented at establishments before entry. (AP Photo/Laszlo Balogh)

People in the reopened Szechenyi bath in Budapest, Hungary, Saturday, May 1, 2021. Hungary has loosened several COVID-19 pandemic restrictions for people holding a government-issued immunity card. As of Saturday, individuals with the plastic cards may enter indoor dining rooms, hotels, theaters, cinemas, spas, gyms, libraries, museums, zoos and other recreational venues. Vaccinated people and those who have recovered from COVID-19 are eligible for the Hungarian immunity cards, which must be presented at establishments before entry. (AP Photo/Laszlo Balogh)

A couple relax, in the reopened Szechenyi bath in Budapest, Hungary, Saturday, May 1, 2021. Hungary has loosened several COVID-19 pandemic restrictions for people holding a government-issued immunity card. As of Saturday, individuals with the plastic cards may enter indoor dining rooms, hotels, theaters, cinemas, spas, gyms, libraries, museums, zoos and other recreational venues. Vaccinated people and those who have recovered from COVID-19 are eligible for the Hungarian immunity cards, which must be presented at establishments before entry. (AP Photo/Laszlo Balogh)

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BUDAPEST, Hungary (AP) — Hungary on Saturday loosened several COVID-19 restrictions for people with government-issued immunity cards, the latest in a series of reopening measures that have followed an ambitious vaccination campaign.

As of Saturday, individuals with the plastic cards may enter indoor dining rooms, hotels, theaters, cinemas, spas, gyms, libraries, museums and other recreational venues. Opening hours for businesses were extended to 11 p.m. and an overnight curfew in place since November will now start later, at midnight.

People who have received at least one vaccine dose and those who have recovered from COVID-19 are eligible for the Hungarian immunity cards, which must be presented at establishments before entry. Businesses can be issued heavy fines if they allow non-cardholders to enter.

The whole issue of so-called COVID-19 passports is fraught in many parts of the world, with critics saying they discriminate against people in poorer nations or younger age groups who do not have access to vaccines. In Hungary, bureaucratic hiccups meant that many vaccinated residents did not receive immunity cards within eight days of their first shot as planned.

Hungary’s famous thermal baths, a hallmark of its tourism industry, opened their pools, saunas and steam rooms to guests Saturday after nearly six months of closure. Budapest, which operates 12 such spas, opened six of them.

Ildiko Szucs, the CEO of Budapest Spas Ltd., told The Associated Press that she thinks the baths will benefit people who have suffered physically and mentally during the pandemic.

“The effect of medicinal water on stress management and mental rejuvenation is very important, and we hope as many people as possible will recognize this and visit us,” Szucs said.

Speaking from Budapest’s neo-Baroque Szecheyni Baths, the largest medicinal spa in Europe, Szucs said many guests arrived Saturday with proof of vaccination issued by their doctors but had not received their government-issued cards and had to be turned away.

“We will try to take action on this matter and, if necessary, ask for an amendment to the legislation...since these guests have already received two vaccinations in many cases,” she said.

Maria and Gabor Gal, a retired married couple, received their first dose on March 21, and their second in early April. But six weeks after their initial shots, they said they hadn’t received their cards.

“They told us that the vaccination certificate will come when it comes. Now we’re asking when it will come, because it would be good if we could use it,” Maria Gal, 67, said. “We’re sitting here locked in for a year-and-a-half.”

The Hungarian government launched a website and special email address where people waiting for their cards could submit inquiries. Earlier plans indicated a mobile application would be available to provide proof of vaccination, but the system has yet to go online.

A devastating pandemic surge this spring gave Hungary the world’s highest overall COVID-19 mortality rate per 1 million residents, according to Johns Hopkins University. The country of about 9.7 million people has reported over 27,500 deaths in the pandemic.

But the government has moved aggressively to vaccinate the population. Hungary has administered 4 million first doses of coronavirus vaccines, reaching about 40% of the population, giving the country the second-highest vaccination rate in the European Union .

Hungary also is the only one of the EU’s 27 nations to use vaccines from China and Russia in addition to Western jabs. The government is trying to counter possible EU moves to issue such certificates only to those who received vaccines approved by the European Medicines Agency, which so far do not include the vaccines made in China and Russia.

A soccer match in Budapest on Saturday was expected to admit fans holding immunity cards. A competing club issued a statement saying masks would not be required in the stadium but urged fans to wear them anyway.

Earlier in the day, parents and eager children lined up to be among the guests let into the Budapest Zoo when it reopened for the first time in nearly six months. Children under 18 who are accompanied by adult cardholders may enter establishments without a card.

“The zoo is the best when it’s full of visitors, when a lot of people come to get to know the world of animals and have a good time,” “This is a big day,” spokesperson Zoltan Hanga said, noting that the attraction had not been closed for so long a period since World War II. “Finally, the time for this has arrived.”

Eva Marozsan, who brought her son Zoltan to visit the animals, said she looked forward to the regained freedom the immunity cards gave her family.

“It was very bad to be closed inside, and now that places are opening, it’s really uplifting for us,” she said.

Follow more of AP’s pandemic coverage at https://apnews.com/hub/coronavirus-pandemic and https://apnews.com/hub/coronavirus-vaccine

Update April 12, 2024

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Measles — United States, January 1, 2020–March 28, 2024

Weekly / April 11, 2024 / 73(14);295–300

Adria D. Mathis, MSPH 1 ; Kelley Raines, MPH 1 ; Nina B. Masters, PhD 1 ; Thomas D. Filardo, MD 1 ; Gimin Kim, MS 1 ; Stephen N. Crooke, PhD 1 ; Bettina Bankamp, PhD 1 ; Paul A. Rota, PhD 1 ; David E. Sugerman, MD 1 ( View author affiliations )

What is already known about this topic?

Although endemic U.S. measles was declared eliminated in 2000, measles importations continue to occur. Prolonged outbreaks during 2019 threatened the U.S. measles elimination status.

What is added by this report?

During January 1, 2020–March 28, 2024, a total of 338 U.S. measles cases were reported; 29% of these cases occurred during the first quarter of 2024, almost all in persons who were unvaccinated or whose vaccination status was unknown. As of the end of 2023, U.S. measles elimination status was maintained.

What are the implications for public health practice?

Risk for widespread U.S. measles transmission remains low because of high population immunity. Enhanced efforts are needed to increase routine U.S. vaccination coverage, encourage vaccination before international travel, identify communities at risk for measles transmission, and rapidly investigate suspected measles cases to reduce cases and complications of measles.

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Measles is a highly infectious febrile rash illness and was declared eliminated in the United States in 2000. However, measles importations continue to occur, and U.S. measles elimination status was threatened in 2019 as the result of two prolonged outbreaks among undervaccinated communities in New York and New York City. To assess U.S. measles elimination status after the 2019 outbreaks and to provide context to understand more recent increases in measles cases, CDC analyzed epidemiologic and laboratory surveillance data and the performance of the U.S. measles surveillance system after these outbreaks. During January 1, 2020–March 28, 2024, CDC was notified of 338 confirmed measles cases; 97 (29%) of these cases occurred during the first quarter of 2024, representing a more than seventeenfold increase over the mean number of cases reported during the first quarter of 2020–2023. Among the 338 reported cases, the median patient age was 3 years (range = 0–64 years); 309 (91%) patients were unvaccinated or had unknown vaccination status, and 336 case investigations included information on ≥80% of critical surveillance indicators. During 2020–2023, the longest transmission chain lasted 63 days. As of the end of 2023, because of the absence of sustained measles virus transmission for 12 consecutive months in the presence of a well-performing surveillance system, U.S. measles elimination status was maintained. Risk for widespread U.S. measles transmission remains low because of high population immunity. However, because of the increase in cases during the first quarter of 2024, additional activities are needed to increase U.S. routine measles, mumps, and rubella vaccination coverage, especially among close-knit and undervaccinated communities. These activities include encouraging vaccination before international travel and rapidly investigating suspected measles cases.

Introduction

Measles is a highly infectious acute, febrile rash illness with a >90% secondary attack rate among susceptible contacts ( 1 ). High national 2-dose coverage with the measles, mumps, and rubella (MMR) vaccine led to the declaration of U.S. measles elimination* in 2000 ( 2 ). However, this elimination status was threatened in 2019 because of two prolonged outbreaks among undervaccinated communities in New York and New York City; these outbreaks accounted for 29% of all reported cases during 2001–2019 ( 2 ). To assess U.S. measles elimination status after the 2019 outbreaks and to provide context for understanding more recent increases in measles cases in 2024, † CDC assessed the epidemiologic and laboratory-based surveillance of measles in the United States and the performance of the U.S. measles surveillance system during January 1, 2020–March 28, 2024.

Reporting and Classification of Measles Cases

Confirmed measles cases § ( 1 ) are reported to CDC by state health departments through the National Notifiable Disease Surveillance System and directly (by email or telephone) to the National Center for Immunization and Respiratory Diseases. Measles cases are classified by the Council of State and Territorial Epidemiologists as import-associated if they were internationally imported, epidemiologically linked to an imported case, or had viral genetic evidence of an imported measles genotype ( 1 ); cases with no epidemiologic or virologic link to an imported case are classified as having an unknown source ( 1 ). For this analysis, unique sequences were defined as those differing by at least one nucleotide in the N-450 sequence (the 450 nucleotides encoding the carboxyl-terminal 150 nucleoprotein amino acids) based on the standard World Health Organization (WHO) recommendations for describing sequence variants ¶ ( 3 ). Unvaccinated patients were classified as eligible for vaccination if they were not vaccinated according to Advisory Committee on Immunization Practices recommendations ( 4 ). A well-performing surveillance system was defined as one with ≥80% of cases meeting each of the following three criteria: classified as import-associated, reported with complete information on at least eight of 10 critical surveillance indicators (i.e., place of residence, sex, age, occurrence of fever and rash, date of rash onset, vaccination status, travel history, hospitalization, transmission setting, and whether the case was outbreak-related) ( 5 ), and laboratory-confirmed.

Assessment of Chains of Transmission

Cases were classified into chains of transmission on the basis of known epidemiologic linkages: isolated (single) cases, two-case chains (two epidemiologically linked cases), and outbreaks (three or more epidemiologically linked cases). The potential for missed cases within two-case chains and outbreaks was assessed by measuring the interval between measles rash onset dates in each chain; chains with more than one maximum incubation period (21 days) between cases could indicate a missing case in the chain. This activity was reviewed by CDC, deemed not research, and was conducted consistent with applicable federal law and CDC policy.**

Reported Measles Cases and Outbreaks

CDC was notified of 338 confirmed measles cases with rash onset during January 1, 2020–March 28, 2024 ( Figure ); cases occurred in 30 jurisdictions. During 2020, 12 of 13 cases preceded the commencement of COVID-19 mitigation efforts in March 2020. Among the 170 cases reported during 2021 and 2022, 133 (78%) were associated with distinct outbreaks: 47 (96%) of 49 cases in 2021 occurred among Afghan evacuees temporarily housed at U.S. military bases during Operation Allies Welcome, and 86 (71%) of 121 cases in 2022 were associated with an outbreak in central Ohio. During 2023, 28 (48%) of 58 cases were associated with four outbreaks. As of March 28, 2024, a total of 97 cases have been reported in 2024, representing 29% of all 338 measles cases reported during January 1, 2020–March 28, 2024, and more than a seventeenfold increase over the mean number of cases reported during the first quarter of 2020–2023 (five cases).

Characteristics of Reported Measles Cases

The median patient age was 3 years (range = 0–64 years); more than one half of cases (191; 58%) occurred in persons aged 16 months–19 years ( Table ). Overall, 309 (91%) patients were unvaccinated (68%) or had unknown vaccination status (23%); 29 (9%) had previously received ≥1 MMR vaccine dose. Among the 309 cases among unvaccinated persons or persons with unknown vaccination status, 259 (84%) patients were eligible for vaccination, 40 (13%) were aged 6–11 months and therefore not recommended for routine MMR vaccination, and 10 (3%) were ineligible for MMR because they were aged <6 months. †† Among 155 (46%) hospitalized measles patients, 109 (70%) cases occurred in persons aged <5 years; 142 (92%) hospitalized patients were unvaccinated or had unknown vaccination status. No measles-associated deaths were reported to CDC.

Imported Measles Cases

Among all 338 cases, 326 (96%) were associated with an importation; 12 (4%) had an unknown source. Among the 326 import-associated cases, 200 (61%) occurred among U.S. residents who were eligible for vaccination but who were unvaccinated or whose vaccination status was unknown. Among 93 (28%) measles cases that were directly imported from other countries, 34 (37%) occurred in foreign visitors, and 59 (63%) occurred in U.S. residents, 53 (90%) of whom were eligible for vaccination but were unvaccinated or whose vaccination status was unknown. One (2%) case in a U.S. resident occurred in a person too young for vaccination, two (3%) in persons who had previously received 1 MMR vaccine dose, and three (5%) in persons who had previously received 2 MMR vaccine doses. The most common source for internationally imported cases during the study period were the Eastern Mediterranean (48) and African (24) WHO regions. During the first quarter of 2024, a total of six internationally imported cases were reported from the European and South-East Asia WHO regions, representing a 50% increase over the mean number of importations from these regions during 2020–2023 (mean of two importations per year from each region).

Surveillance Quality Indicators

Overall, all but two of the 338 case investigations included information on ≥80% of the critical surveillance indicators; those two case investigations included information on 70% of critical surveillance indicators. Date of first case report to a health department was available for 219 (65%) case investigations; 127 (58%) cases were reported to health departments on or before the day of rash onset (IQR = 4 days before to 3 days after). Overall, 314 (93%) measles cases were laboratory confirmed, including 16 (5%) by immunoglobulin M (serologic) testing alone and 298 (95%) by real-time reverse transcription–polymerase chain reaction (rRT-PCR). Among 298 rRT-PCR–positive specimens, 221 (74%) were successfully genotyped: 177 (80%) were genotype B3, and 44 (20%) were genotype D8. Twenty-two distinct sequence identifiers (DSIds) ( 3 ) for genotype B3 and 13 DSIds for genotype D8 were detected (Supplementary Figure, https://stacks.cdc.gov/view/cdc/152776 ). The longest period of detection for any DSId was 15 weeks (DSId 8346).

Chains of Transmission

The 338 measles cases were categorized into 92 transmission chains (Table); 62 (67%) were isolated cases, 10 (11%) were two-case chains, and 20 (22%) were outbreaks of three or more cases. Seven (35%) of 20 outbreaks occurred during 2024. §§ The median outbreak size was six cases (range = three–86 cases) and median duration of transmission was 20 days (range = 6–63 days). Among the 30 two-case chains and outbreaks, more than one maximum incubation period (21 days) did not elapse between any two cases.

Because of the absence of endemic measles virus transmission for 12 consecutive months in the presence of a well-performing surveillance system, as of the end of 2023, measles elimination has been maintained in the United States. U.S. measles elimination reduces the number of cases, deaths, and costs that would occur if endemic measles transmission were reestablished. Investigation of almost all U.S. measles cases reported since January 2020 were import-associated, included complete information on critical surveillance variables, were laboratory-confirmed by rRT-PCR, and underwent genotyping; these findings indicate that the U.S. measles surveillance system is performing well. A variety of transmission chain sizes were detected, including isolated cases, suggesting that sustained measles transmission would be rapidly detected. However, the rapid increase in the number of reported measles cases during the first quarter of 2024 represents a renewed threat to elimination.

Most measles importations were cases among persons traveling to and from countries in the Eastern Mediterranean and African WHO regions; these regions experienced the highest reported measles incidence among all WHO regions during 2021–2022 ( 6 ). During November 2022–October 2023, the number of countries reporting large or disruptive outbreaks increased by 123%, from 22 to 49. Global estimates suggest that first-dose measles vaccination coverage had declined from 86% in 2019 to 83% in 2022, leaving almost 22 million children aged <1 year susceptible to measles ( 6 ).

As has been the case in previous postelimination years ( 7 ), most imported measles cases occurred among unvaccinated U.S. residents. Increasing global measles incidence and decreasing vaccination coverage will increase the risk for importations into U.S. communities, as has been observed during the first quarter of 2024, further supporting CDC’s recommendation for persons to receive MMR vaccine before international travel ( 4 ).

Maintaining high national and local MMR vaccination coverage remains central to sustaining measles elimination. Risk for widespread U.S. measles transmission remains low because of high population immunity; however, national 2-dose MMR vaccination coverage has remained below the Healthy People 2030 target of 95% (the estimated population-level immunity necessary to prevent sustained measles transmission) ( 8 ) for 3 consecutive years, leaving approximately 250,000 kindergarten children susceptible to measles each year ( 9 ). Furthermore, 2-dose MMR vaccination coverage estimates in 12 states and the District of Columbia were <90%, and during the 2022–23 school year, exemption rates among kindergarten children exceeded 5% in 10 states ( 9 ). Clusters of unvaccinated persons placed communities at risk for large outbreaks, as occurred during the central Ohio outbreak in 2022: 94% of measles patients were unvaccinated and 42% were hospitalized ( 10 ). Monitoring MMR vaccination coverage at county and zip code levels could help public health agencies identify undervaccinated communities for targeted interventions to improve vaccination coverage while preparing for possible measles outbreaks. As of March 28, 2024, a total of 97 confirmed measles cases have been reported in the United States in 2024, compared with a mean of five cases during the first quarter of each year during 2020–2023. Similar to cases reported during 2020–2023, most cases reported during 2024 occurred among patients aged <20 years who were unvaccinated or whose vaccination status was unknown, and were associated with an importation. Rapid detection of cases, prompt implementation of control measures, and maintenance of high national measles vaccination coverage, including improving coverage in undervaccinated populations, is essential to preventing measles and its complications and to maintaining U.S. elimination status.

Limitations

The findings in this report are subject to at least three limitations. First, importations might have been underreported: 4% of reported cases during the study period had no known source. Second, case investigations resulting in discarded measles cases (i.e., a diagnosis of measles excluded) are not nationally reportable, which limits the ability to directly evaluate the sensitivity of measles case investigations. However, surveillance remains sufficiently sensitive to detect isolated cases and outbreaks, and robust molecular epidemiology provides further evidence supporting the absence of sustained measles transmission in the United States. Finally, the date of first case report to a health department was not available for 35% of case investigations.

Implications for Public Health Practice

The U.S. measles elimination status will continue to be threatened by global increases in measles incidence and decreases in global, national, and local measles vaccination coverage. Because of high population immunity, the risk of widespread measles transmission in the United States remains low; however, efforts are needed to increase routine MMR vaccination coverage, encourage vaccination before international travel, identify communities at risk for measles transmission, and rapidly investigate suspected measles cases to maintain elimination.

Corresponding author: Adria D. Mathis, [email protected] .

1 Division of Viral Diseases, National Center for Immunization and Respiratory Diseases, CDC.

All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. Stephen N. Crooke reports institutional support from PATH. No other potential conflicts of interest were disclosed.

* Elimination is defined as the absence of endemic measles virus transmission in a defined geographic area for ≥12 months in the presence of a well-performing surveillance system.

† https://emergency.cdc.gov/han/2024/han00504.asp

§ A confirmed measles case was defined as an acute febrile rash illness with laboratory confirmation or direct epidemiologic linkage to a laboratory-confirmed case. Laboratory confirmation was defined as detection of measles virus–specific nucleic acid from a clinical specimen using real-time reverse transcription–polymerase chain reaction or a positive serologic test for measles immunoglobulin M antibody.

¶ Genotyping was performed at CDC and at the Vaccine Preventable Disease Reference Centers of the Association of Public Health Laboratories.

** 45 C.F.R. part 46.102(l)(2), 21 C.F.R. part 56; 42 U.S.C. Sect. 241(d); 5 U.S.C. Sect. 552a; 44 U.S.C. Sect. 3501 et seq.

†† MMR vaccine is not licensed for use in persons aged <6 months.

§§ At the time of this report, six measles outbreaks have ended, and one outbreak is ongoing. A measles outbreak is considered to be over when no new cases have been identified during two incubation periods (42 days) since the rash onset in the last outbreak-related case.

• Gastañaduy PA, Redd SB, Clemmons NS, et al. Measles [Chapter 7]. In: Manual for the surveillance of vaccine-preventable diseases. Atlanta, GA: US Department of Health and Human Services, CDC; 2023. https://www.cdc.gov/vaccines/pubs/surv-manual/chpt07-measles.html
• Mathis AD, Clemmons NS, Redd SB, et al. Maintenance of measles elimination status in the United States for 20 years despite increasing challenges. Clin Infect Dis 2022;75:416–24. https://doi.org/10.1093/cid/ciab979 PMID:34849648
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FIGURE . Confirmed measles cases, by month of rash onset (N = 338) — United States, January 1, 2020–March 28, 2024

Abbreviations: IgM = immunoglobulin M; rRT-PCR = real-time reverse transcription–polymerase chain reaction; WHO = World Health Organization. * A case resulting from exposure to measles virus outside the United States as evidenced by at least some of the exposure period (7–21 days before rash onset) occurring outside the United States and rash onset occurring within 21 days of entering the United States without known exposure to measles during that time. † A case in a transmission chain epidemiologically linked to an internationally imported case. § A case for which an epidemiologic link to an internationally imported case was not identified, but for which viral sequence data indicate an imported measles genotype (i.e., a genotype that is not detected in the United States with a pattern indicative of endemic transmission). ¶ A case for which an epidemiologic or virologic link to importation or to endemic transmission within the United States cannot be established after a thorough investigation. ** Percentage is percentage of international importations. Four cases among persons who traveled to both the Eastern Mediterranean and African regions and one case in a person who traveled to both the Eastern Mediterranean and European regions were counted twice. †† Place of residence, sex, age or date of birth, fever and rash, date of rash onset, vaccination status, travel history, hospitalization, transmission setting, and whether the case was outbreak related. §§ Includes 65 cases among patients who received both positive rRT-PCR and positive IgM results. ¶¶ Percentage is percentage of total chains.

Suggested citation for this article: Mathis AD, Raines K, Masters NB, et al. Measles — United States, January 1, 2020–March 28, 2024. MMWR Morb Mortal Wkly Rep 2024;73:295–300. DOI: http://dx.doi.org/10.15585/mmwr.mm7314a1 .

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