travel vaccine guidelines uk

Travel vaccination advice

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

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

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

When should I start thinking about the vaccines I need?

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

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

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

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

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

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

Which travel vaccines do I need?

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

• Travel Health Pro
• NHS Fit for Travel

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

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

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

Find out more about the vaccines available for travellers abroad

Where do I get my travel vaccines?

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

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

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

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

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

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

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

You can also get travel vaccines from:

• private travel vaccination clinics
• pharmacies offering travel healthcare services

Which travel vaccines are free?

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

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

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

Which travel vaccines will I have to pay for?

You'll have to pay for travel vaccinations against:

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

Yellow fever vaccines are only available from designated centres .

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

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

Other things to consider

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

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

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

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

Pregnancy and breastfeeding

Speak to a GP before having any vaccinations if:

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

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

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

People with immune deficiencies

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

This may be the case if:

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

A GP can give you further advice about this.

Non-travel vaccines

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

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

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

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

Find out about NHS vaccinations and when to have them

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

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United Kingdom Vaccine Requirements & What Vaccinations Are Recommended?

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The third most popular international destination for American travelers (after Canada), and the first European destination on the list, the United Kingdom is made up of England, Scotland, Wales, and Northern Ireland, and is known for its royal family, cultural contributions from Shakespeare to The Beatles, and iconic landmarks including Buckingham Palace, the Tower of London, Stonehenge, and modern feats like the London Eye. The country is also renowned for its elite education institutions, including Oxford and Cambridge, its stunning natural landscapes, and its passion for sports from soccer to rugby to cricket.

If you’re planning a trip to across the pond, it’s important to know what vaccinations are recommended by the U.S. Centers for Disease Control and Prevention (CDC) for travel to this destination. (Be sure to visit your doctor at least a month prior to your trip to get any vaccines or medicines you may need.)

Recommended vaccines for travel to the United Kingdom

As of November 2023, here are the current CDC guidelines:

Routine vaccinations

Vaccines the CDC recommends prior to every trip include those for chickenpox (varicella), Diphtheria-Tetanus-Pertussis (DTaP), flu (influenza), Measles-Mumps-Rubella (MMR), polio, and shingles.

COVID-19 is a highly contagious viral respiratory infection. It spreads when an infected person breathes out droplets or small particles containing the virus, which can then enter through the eyes, nose, or mouth of an uninfected person (or contaminate surfaces, in some cases). 

For everyone who is eligible, the CDC also recommends being up to date on COVID-19 vaccinations.

Hepatitis A

Hepatitis A is a highly contagious liver infection that is caused by the hepatitis A virus. It is primarily spread when an uninfected person consumes food or water that has been contaminated by the feces of an infected person, or when an infected person uses dirty hands to prepare food.

This vaccine is recommended for most travelers and is particularly recommended for those who will be engaging in higher-risk activities, such as visiting smaller cities, villages, or rural areas, or eating street food.

Hepatitis B

Hepatitis B is a serious liver infection caused by the hepatitis B virus. It is spread when blood, semen, or another bodily fluid from someone who is infected enters the body of someone who is not infected, as can happen during sexual contact, sharing drug-injection equipment, or during birth from mother to baby. 

The CDC recommends this vaccine for unvaccinated travelers younger than 60 going to the United Kingdom, and notes that those 60 years old and up may get vaccinated prior to traveling to the United Kingdom.

Measles is a serious, highly contagious, airborne disease that can lead to a variety of complications, including death. It is spread when an uninfected person comes into contact with infected nasal or throat secretions (for example, from coughing or sneezing) or breathes the air that was breathed by someone with the condition. 

The CDC recommends that infants 6 to 11 months old who are traveling internationally get one dose of the measles-mumps-rubella (MMR) vaccine before their trip. (The dose does not count as part of the routine childhood vaccination series.)

(Note that measles is also listed among the CDC’s “routine vaccinations” above.)

Rabies is a viral disease most often spread through the bite of an infected, or “rabid,” animal. It infects the central nervous system in mammals, causing disease in the brain and, ultimately, death.

The CDC notes that the United Kingdom is free of dog rabies but that the disease may still be present in wildlife species (especially bats). The organization recommends rabies vaccination prior to a trip to the United Kingdom only for those who will be working directly with wildlife on their trip, such as veterinarians, animal handlers, field biologists, or laboratory workers who will be working with specimens from mammals.

Tick-borne encephalitis (TBE)

Tick-borne encephalitis is a viral infectious disease that affects the central nervous system. It is transmitted to humans by the bite of infected ticks and is present in many parts of Europe and Asia. The sickness often occurs in two phases, with symptoms of the first phase including fever, fatigue, headache, muscle aches, and nausea, and the second phase involving the neurological system with symptoms of meningitis (inflammation of the membrane surrounding the brain and spinal cord) or encephalitis (inflammation of the brain). 

TBE has been found in specific areas in the United Kingdom, with three probable or confirmed human cases in England since 2019 and one in Scotland in 2022, plus infected ticks found in Thetford Forest, Hampshire/Dorset border, New Forest, and New Yorkshire Moors.

The CDC recommends the TBE vaccine for people who are “traveling to a TBE-endemic area and will have extensive exposure to ticks based on their planned outdoor activities and itinerary.”

Last-minute reminders

Prior to any travel to the United Kingdom, be sure to check the official CDC Traveler’s Health page , as vaccination recommendations may have been updated since the publication of this article. 

As you prepare to delve into the UK’s rich history and culture, from the bustling streets of London to the serene landscapes of Scotland, ensure your health is well protected. With the right vaccinations, you can safely enjoy everything from exploring historic castles and museums to experiencing the vibrant local cuisine and sports events. Remember, staying informed and vaccinated is key to a worry-free and enriching travel experience.

Disclaimer of Medical Advice: This information does not constitute medical advice or recommendation of any kind, and you should not rely on any information contained in such posts or comments to replace consultations with your qualified healthcare professionals to meet your individual needs.

Diane Fennell, a New York City-based editor and writer, served as the Editorial Director of the Wellness Division for Diabetes Self-Management and its sister publications, covering diabetes and related health conditions for more than 20 years. A graduate of Columbia University, she is a proud pharophile and enjoys traveling to visit lighthouses in her spare time.

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Immunizations - travel

Last revised in July 2023

Many diseases are endemic in many regions of the world. All travellers should be up to date with routinely recommended vaccinations

• Scenario: Initial assessment and advice
• Scenario: Cholera
• Scenario: Hepatitis A
• Scenario: Hepatitis B
• Scenario: Japanese encephalitis
• Scenario: Meningococcal meningitis
• Scenario: Poliomyelitis
• Scenario: Rabies
• Scenario: Tetanus
• Scenario: Tick-borne encephalitis
• Scenario: Typhoid fever
• Scenario: Yellow fever
• Scenario: Hajj and Umrah pilgrims
• Scenario: Rapid vaccination courses and vaccination at short notice

Background information

• Travel vaccinations
• Diseases commonly requiring vaccination
• Other diseases requiring vaccination
• Where these diseases are prevalent
• Payment for travel vaccinations

Immunizations - travel: Summary

• Hepatitis A.
• Meningococcal meningitis.
• Poliomyelitis.
• Typhoid fever.
• Yellow fever.
• Hepatitis B.
• Japanese encephalitis.
• Tick-borne encephalitis.
• Travellers' diarrhoea.
• Sexually transmitted infections.
• Parasitic infestation.
• The region visited — the risk may vary from country to country, and prevalence may vary within countries.
• The length of stay — the longer the stay, the greater the risk of exposure.
• The time of travel — some diseases are more prevalent at certain times of the year (for example, the rainy season).
• The type of holiday or work — in general, people are more at risk in rural areas than in urbanized developed areas. Hence backpacking may be more dangerous than a package holiday, and work in rural or wild areas is often particularly high risk.
• The age and health of the traveller — some people may be more susceptible to infections.
• All travellers should be up to date with routinely recommended vaccinations according to the UK schedule.
• A country-by-country guide to disease prevalence and details of additional vaccinations required for specific areas of travel can be obtained from the National Travel Health Network and Centre (NaTHNaC) TravelHealthPro website at  www.travelhealthpro.org.uk .

The content on the NICE Clinical Knowledge Summaries site (CKS) is the copyright of Clarity Informatics Limited (trading as Agilio Software Primary Care) . By using CKS, you agree to the licence set out in the CKS End User Licence Agreement .

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Travel vaccinations

Peer reviewed by Dr Colin Tidy, MRCGP Last updated by Dr Toni Hazell Last updated 10 Feb 2023

Meets Patient’s editorial guidelines

In this series: Hepatitis A vaccine Hepatitis B vaccine Rabies vaccine Tick-borne encephalitis vaccine Typhoid vaccine Yellow fever vaccine

Travel vaccinations are an essential part of holiday and travel planning, particularly if your journey takes you to an exotic destination or 'off the beaten track'. The risks are not restricted to tropical travel, although most travel vaccines are targeted at diseases which are more common in the tropics.

For more general information about travel see the separate leaflet called Health Advice for Travel Abroad .

This leaflet discusses the vaccinations that are available and gives some idea of the time you need to allow to complete a full protective course of vaccination. Further information specific to your destination can be obtained from your surgery (if they have the resources to offer this service), from specialist travel clinics and from a number of websites. You will find a selection of these listed at the bottom of this leaflet and under references.

In this article :

Why do i need travel vaccinations, what travel vaccinations do i need, malaria prevention, diseases for which no vaccine is yet available, who should be vaccinated, where can i get travel vaccinations, free travel vaccinations.

Continue reading below

The rise in worldwide and adventurous tourism has seen a massive increase in people travelling to exotic destinations. This leads to exposure to diseases that are less likely to occur at home. These are diseases against which we have no natural immunity and against which we are not routinely immunised in the UK. They include:

Insect-borne conditions such as malaria, dengue, yellow fever and Zika virus.

Diseases acquired from eating and drinking, such as hepatitis A and traveller's diarrhoea.

Diseases acquired from others or conditions of poor hygiene, such as hepatitis B and Ebola virus.

Diseases acquired directly from animals, such as rabies.

These are illnesses which might not only spoil your holiday but might also pose a risk to your life. For specific advice on travelling to more remote places: see the separate leaflet called Travelling to Remote Locations .

Patient picks for Travel vaccinations

How long before you travel should you get vaccinated?

Typhoid vaccine

Before travelling outside the UK it is important to check whether there are any vaccinations available which could protect you. You can do this by making a travel planning appointment at your GP surgery. During your consultation a specialist travel nurse will complete a risk assessment to determine which vaccines are right for you. If your GP does not offer this service, or does not have an appointment available before you travel, then you will need to seek this advice from a private travel clinic.

There are also several websites which aim to offer up-to-date, country-specific advice on vaccinations and on disease patterns.

You can find out if travel vaccines are recommended for any countries you are planning to visit from the Travel Health Pro website or NHS website Fitfortravel if you are in Scotland.

Vaccination courses need to be planned well in advance. Some vaccinations involve a course of injections at specified intervals and it can take up to six months to complete a course. Some vaccinations can't be given together.

The following table lists the travel vaccinations which are available and in common use in the UK. Always check with your surgery or online before travelling, particularly to unusual destinations, for local outbreaks of disease which mean other specific vaccinations are advised.

Travel vaccinations (adults)

The protection offered by vaccination is not always 100%. Vaccination will greatly reduce your chances of acquiring the disease and in many cases the protection level offered is extremely high. The protection will also not be lifelong. However, there isn't a vaccine available for every disease - for example, there is none at present against malaria.

Even where a vaccine is available, vaccination should not be the only thing you rely on for protection against illness. It is important to know the risks; taking sensible steps to avoid exposing yourself to disease is by far the most useful thing you can do.

Pregnant women

It is important that pregnant women also receive the necessary vaccinations before travelling. Some vaccines, however, are not safe to use in pregnancy - see table below. In some cases your doctor or nurse may ask you to consider whether the journey could wait until after the birth of your baby, as the risks of disease may be very real and you may be unable to fully protect yourself and your baby.

There is currently no vaccine or medicine to prevent Zika virus, which is transmitted by Aedes mosquitoes and which is of particular concern to pregnant women due to its link to birth defects. The recent outbreak of the virus is currently considered a Public Health Emergency of International Concern. See the separate leaflet called Zika Virus.

No vaccination is available against malaria. People who live permanently in malarial zones have partial protection but they lose this swiftly when they move away. Protection against malaria is through a combination of avoidance of mosquito bites and the use of malaria tablets.

Tablets have to be started before entering the malarial zone and continued for some days or weeks after leaving it. The recommended tablet regime varies by area. Your practice nurse will have access to up-to-date advice on recommendations for your journey. See the separate leaflet called Malaria Prevention for more details.

There are many tropical diseases for which no vaccination is yet available. These include:

Insect (arthropod)-borne viruses such as dengue, Zika and chikungunya .

Infections carried by water-dwelling organisms such as bilharzia and flukes

Parasitic diseases such as leishmaniasis, onchocerciasis, trypanosomiasis and hydatid disease. Parasites are living things (organisms) that live within, or on, another organism.

There is also as yet no vaccine against HIV .

Most of these conditions can be avoided by travellers taking reasonable precautions around:

Food and drink.

Swimming in water known to be infested with parasitic organisms.

Exposure to biting insects.

Unprotected sexual encounters.

People often at greatest risk when travelling are those visiting a country which they think of as their place of origin, where members of their family live and roots may be. People often believe - falsely - that as one-time residents who may have been born and raised there, they have a natural immunity. They feel that they are not on holiday but visiting home and that vaccinations aren't needed.

Unfortunately this is not true. We acquire natural immunity by living in a place and being constantly exposed to the diseases that are present. When we leave the area for distant shores that protection is rapidly lost and we need the protection of vaccination, together with the other precautions listed above.

This is particularly true of malaria, where visitors 'going back home' may find their relatives puzzled and even amused that they are taking anti-malarial medication. Even so, it's very important to do so. It's only by living there all the time that you acquire your resident relatives' level of immunity. Your immune system has a short memory for this sort of partial immunity.

Many NHS surgeries offer a full range of travel vaccinations. However, your surgery may not have the resources to fit you in before you travel. Alternatively, you can visit private specialist travel clinics.

The NHS does not usually cover travellers for vaccinations relating to exotic travel, although some vaccinations such as hepatitis A are usually free. Aid workers and healthcare workers are often offered free vaccinations against occupational risks but others have to pay.

Anti-malarial tablets are never free and can add a substantial sum to the cost of your trip. Whilst this may seem expensive, it is usually a small sum relative to the costs of your travel. Safeguarding your health should be considered an essential part of any trip.

If a vaccination certificate is issued keep it and update it over the years so that you have a full record. Your NHS surgery will have a record of vaccines they have administered to you and can often issue a copy. However, the yellow fever vaccination certificate needs to be saved, as this cannot be re-issued.

Further reading

There are many excellent websites offering detailed advice for travellers by country and region. You will find a selection under 'Further Reading and References', below.

Dr Mary Lowth is an author or the original author of this leaflet.

Further reading and references

• Travel Health Pro ; National Travel Health Network and Centre (NaTHNaC)
• Travelling if you have a medical condition ; British Airways (includes downloadable MEDIF forms)
• Immunisation against infectious disease - the Green Book (latest edition) ; UK Health Security Agency.
• Travellers' Health ; US Centers for Disease Control and Prevention

Article History

The information on this page is written and peer reviewed by qualified clinicians.

Next review due: 9 Feb 2028

10 feb 2023 | latest version.

Last updated by

Peer reviewed by

29 Apr 2014 | Originally published

Authored by:

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Travel Vaccines and Advice for the United Kingdom

People traveling to the United Kingdom will have a lot to see. England, Scotland, Wales, and Northern Ireland are some of the places to explore. Their activities will open the door to the history and culture of the United Kingdom.

England is filled with iconic landmarks for travelers to see. Scotland offers beautiful castles, hillsides, and wild animals. Wales has breathtaking landscapes from snow covered mountain peaks to an amazing coastline.

The United Kingdom is yours to discover. Whether you love nature, city life, or the history and culture, you’ll find what you’re looking for in the United Kingdom.

Do I Need Vaccines for the United Kingdom?

Yes, some vaccines are recommended or required for United Kingdom. The CDC and WHO recommend the following vaccinations for the United Kingdom: hepatitis A , hepatitis B , rabies , meningitis , polio , measles, mumps and rubella (MMR) , Tdap (tetanus, diphtheria and pertussis) , chickenpox , shingles , pneumonia and influenza .

COVID-19 vaccination is recommended for travel to all regions, both foreign and domestic. Check with your local Passport Health clinic if immunization is offered in your area.

See the bullets below to learn more about some of these key immunizations:

• COVID-19 – Airborne & Direct Contact – Recommended for all unvaccinated individuals who qualify for vaccination
• Hepatitis A – Food & Water – Recommended for most travelers
• Hepatitis B – Blood & Body Fluids – Accelerated schedule available
• Rabies – Saliva of Infected Animals – Vaccine recommended for long-term travelers and those who may come in contact with animals.
• Measles Mumps Rubella (MMR) – Various Vectors – Given to anyone unvaccinated and/or born after 1957. One time adult booster recommended.
• TDAP (Tetanus, Diphtheria & Pertussis) – Wounds & Airborne – Only one adult booster of pertussis required.
• Chickenpox – Direct Contact & Airborne – Given to those unvaccinated that did not have chickenpox.
• Shingles – Direct Contact – Vaccine can still be given if you have had shingles.
• Pneumonia – Airborne – Two vaccines given separately. All 65+ or immunocompromised should receive both.
• Influenza – Airborne – Vaccine components change annually.
• Meningitis – Airborne & Direct Contact – Given to anyone unvaccinated or at an increased risk, especially students.
• Polio – Food & Water – Considered a routine vaccination for most travel itineraries. Single adult booster recommended.

See the tables below for more information:

As a developed country, the United Kingdom has few health risks. Follow the same precautions you would in the United States to healthy throughout your trip.

Visit our vaccinations page to learn more. Travel safely with Passport Health and schedule your appointment today by calling or book online now .

Do I Need a Passport or Visa for the United Kingdom?

A passport is required for entry to the United Kingdom. A visa is not needed for stays under six months. Passports must have at least six months’ validity and one blank page for entry and exit stamps.

Sources: Embassy of the United Kingdom and U.S. State Department

Due to the United Kingdom leaving the European Union, entry and exit policy may change. Be sure to check this page to see if requirements have been updated.

What Is the Climate Like in the United Kingdom?

The climate in the United Kingdom is temperament with rainfall year round. Depending on the season, the temperature varies.

The winds come from the southwest and the mild and wet weather comes from the Atlantic Ocean. Eastern parts of the UK are generally drier as they are sheltered from the winds.

The currents from the Atlantic Ocean are warmed up by the Gulf Stream. Because this occurs, the winters are mild in the west where the winters are wet. Snowfall happens in the winter and early spring. The summer season is warmest in the southeast of England and coolest in the North.

Is It Safe to Travel to the United Kingdom?

Travelers should be aware of their surroundings in public places. It’s important to listen to the rules of the authorities and pay attention to the media and other local sources. Authorities have increased in public places for safety reasons.

pick-pocketing and petty theft can happen in tourist areas. Take precautions to avoid losing important items.

Travelers should also be aware of the level of terrorist threat by the United Kingdom Security Service.

There have also been some terrorist threats in Northern Ireland. Religious violence and dissent republican activity have been going on. Security forces and banks have been targeted. Their annual parades are another potential threat to terrorist attacks during the seasons of April to August.

The Eagle and Child

Avoid an embarrassing stop, over 70% of travelers will have diarrhea., get protected with passport health’s travelers’ diarrhea kit .

There are so many places to see while in the United Kingdom. If you’re looking to relax and have a good drink at a place of history, The Eagle and Child is where you want to be. This pub is nicknamed the Bird and the Baby and is located at St. Giles Street in Oxford, England.

It is famous for the associating with the Inkling’s Writers Group, which included J.R.R. Tolkien, C.S. Lewis and other authors, professors, and thinkers. It was here that some of these famous authors discussed the stories they were writing.

The pub has unique character that you won’t find anywhere else. It shows off pictures and prints of famous books on the walls of their establishment. They have an eclectic variety of ales and great pub food that is served with British hospitality.

What Should I Take to the United Kingdom?

When you travel to the United Kingdom, there are a few things you should take with you on your trip.

• Travelers’ Diarrhea Kit — While it may not seem like it, this single item can be a lifesaver. Up to 70 percent of travelers will have this symptom, including travelers to developed countries.
• Rain Gear — Because of the large amount of rainfall consider bringing some kind of rain gear. Whether it’s an umbrella, poncho or waterproof jacket, you’ll be happy you have it.
• Pack for Health and Safety — You should pack what you know you’ll need to stay healthy in the UK. Medications and supplies are just a few things you should think about taking with you. You might also need supplies to prevent illness or injury, and a first aid kit.

U.S. Embassy in the United Kingdom

The U.S. embassy in the United Kingdom offers help to American travelers in many ways. They can help with passports and visas, and also offer assistance if a traveler is in trouble. The embassy provides information on travel conditions, safety and security, and cultural events.

If you find yourself in need of help while traveling in the United Kingdom, there is a U.S. embassy in the capital city of London.

U.S. Embassy London 33 Nine Elms Lane London, SW11 7US United Kingdom Telephone: +(44)(20) 7499-9000 Emergency After-Hours Telephone: +(44)(20) 7499-9000 Fax: +(44) (20) 7891-3845

If you need help or information, it’s best to check the embassy’s website or contact them directly.

Stay safe abroad with Passport Health. Call or book online now and start traveling safely today!

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United Kingdom

Travel Advisory July 26, 2023

United kingdom - level 2: exercise increased caution.

Reissued with obsolete COVID-19 page links removed.

Exercise increased caution in the United Kingdom due to terrorism.

Country Summary:  Terrorist groups continue plotting possible attacks in the United Kingdom. Terrorists may attack with little or no warning, targeting tourist locations, transportation hubs, markets/shopping malls, local government facilities, hotels, clubs, restaurants, places of worship, parks, major sporting and cultural events, educational institutions, airports, and other public areas.

There is also a risk of isolated violence by dissident groups in Northern Ireland, focused primarily on police and military targets.

Read the  country information page  for additional information on travel to the United Kingdom.

If you decide to travel to the United Kingdom:

• Be aware of your surroundings when traveling to tourist locations and crowded public venues.
• Follow the instructions of local authorities.
• Monitor local media for breaking events and adjust your plans based on new information.
• Enroll in the  Smart Traveler Enrollment Program  ( STEP ) to receive Alerts and make it easier to locate you in an emergency.
• Follow the Department of State on  Facebook  and Twitter.com/Travelgov
• Review the  Country Security Report  for the United Kingdom.
• Visit the CDC page for the latest  Travel Health Information  related to your travel and return to the United States.
• Prepare a contingency plan for emergency situations. Review the  Traveler’s Checklist .

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Quick Facts

Must be valid for the duration of your stay in the United Kingdom   (If you have onward travel to countries outside the United Kingdom, you should check the passport validity requirements for each additional country on their respective information pages.)

Must have at least one page

Not required for stays less than six months.

Embassies and Consulates

U.s. embassy london.

33 Nine Elms Lane London, SW11 7US United Kingdom Telephone: +(44)(20) 7499-9000 Emergency After-Hours Telephone: +(44)(20) 7499-9000 Fax: +(44) (20) 7891-3845 Email:   [email protected]

U.S. Consulate General Edinburgh, Scotland 3 Regent Terrace, Edinburgh EH7 5BW Scotland Telephone: 013-1556-8315 / from the United States: 011 (44)(13) 1556-8315 Emergency After-Hours Telephone:  020-7499-9000 / from the United States: 011 (44)(20) 7499-9000 Fax: 0131-557-6023 /from the United States: 011 (44) 131-557-6023 Email:   [email protected]

U.S. Consulate General Belfast, Northern Ireland Danesfort House, 223 Stranmillis Road, Belfast BT9 5GR Northern Ireland, United Kingdom Telephone: 028-9038-6100 / from the United States: 011 (44)(28) 9038-6100 Emergency After-Hours Telephone: 01253-501106 / from the United States: 011 (44) 1253-501106 Fax: 028-9068-1301 / from the United States: 011 (44)(28) 9068-1301 Email: [email protected]

Destination Description

Learn about the U.S. relationship to countries around the world.

Entry, Exit and Visa Requirements

• To enter the United Kingdom, your passport must be valid for the entire duration of your planned stay.
• Starting June 2019, U.S. passport holders will be able to use the ePassport Gates upon arrival in the United Kingdom. U.S. citizens who had previously registered for the UK’s Registered Traveller Service (RTS) should now also use the ePassport Gates on arrival in the UK.
• If you are planning onward travel after departing the UK, note that many other countries require at least six months’ remaining validity on your passport to enter. If you are bound for Continental Europe, please see our  U.S. travelers in Europe page for additional details.
• Visas for specific categories of visitors must be obtained prior to travel. Visit the  UK Visas and Immigration (UKVI) website to determine if you need a visa to enter the United Kingdom. We cannot intervene on your behalf when you apply for a UK visa, nor can we advocate for your admission into the UK if you are denied entry.
• Students and prospective students should visit the  UKVI website  to determine if they need a visa.
• For some U.S. travelers, especially students, an entry stamp is required.  Please consult this website  for more information.
• Unpaid and paid workers, interns, volunteers, charity workers, and temporary workers can find information about obtaining a visa on the  UKVI website .
• Visitors traveling to the United Kingdom to get married, even if they do not plan to reside there, must obtain a visa in advance. See the  UKVI website  for visa information.
• Surcharges apply to certain categories of visas, generally those involving work, study, or residency for more than six months. More information is available on the  UKVI website  and in our Health section below.

The U.S. Department of State is unaware of any HIV/AIDS entry restrictions for visitors to or foreign residents of the United Kingdom.

Find information on  dual nationality ,  prevention of international child abduction  and  customs regulations  on our websites.

Safety and Security

Terrorist groups continue plotting possible near-term attacks in Europe. The UK Security Service publishes specific reasons for any changes in the threat level and recommended actions for the public via its  UK threat levels website .

There is the potential for  isolated violence  related to the political situation in Northern Ireland. The Police Service of Northern Ireland assesses there is a continued threat of violence from dissident groups in Northern Ireland, focused primarily on police and military targets, and may involve the use of  firearms  and  explosives . Tensions may be heightened during the summer marching season (April to August), particularly on and around the July 12 public holiday.

Avoid areas of demonstrations  if possible, and be careful within the vicinity of demonstrations. Demonstrations occur frequently in and around city centers and areas where tourists frequent. Even demonstrations intended to be peaceful can turn confrontational and possibly escalate to violence.

The phone number for  police/fire/ambulance emergency services  is  999  in the United Kingdom and  112  in Gibraltar. You should also use these numbers to report security threats or suspicious packages. Also see information for  contacting police from abroad .

• Be cautious and aware of your surroundings.
• Be vigilant, as  pickpocketing ,  mugging,  and “snatch and grab” theft of mobile phones, watches and jewelry can occur.
• Do not leave bags unattended in restaurants, pubs, hotel lobbies, and parked cars.
• Be alert to other criminal schemes, such as  impostors  posing as undercover police officers and “fining” tourists for bogus minor offenses. A legitimate Metropolitan Police Services officer will never demand an immediate cash payment.
• Use only licensed Black Cabs or pre-ordered car services (minicabs) . Unlicensed taxis or private cars posing as taxis may offer low fares, but in some instances, travelers have been  robbed  or  sexually assaulted  while using these cars. See Transport for London for additional information on cabs and car services .
• Avoid using ATMs that look temporary in structure or location  or are located in isolated areas – they may not be legitimate. Use ATMs located inside a bank branch.

Scams : Before sending any money to individuals you have never met in person, visit the  Embassy London website  for more information about  internet financial scams  and how to protect yourself.

See the  Department of State  and the  FBI  pages for information on scams.

Victims of Crime : Report crimes to the local police at 999 (United Kingdom) or 112 (Gibraltar) and contact the U.S. Embassy at +(44) (20) 7499-9000.

• Local authorities are responsible for investigating and prosecuting crimes.

See our webpage on  help for U.S. victims of crime overseas .

• help you find appropriate medical care
• assist you in reporting a crime to the police
• contact relatives or friends with your written consent
• explain the local criminal justice process in general terms
• provide a list of local attorneys
• provide our information on  victim compensation programs in the United States
• The Victim Support website  is maintained by an independent UK charity to help people cope with the effects of crime
• A Northern Ireland-based independent charity maintains a similar  victim support website
• In Scotland, victims of crime should contact  Victim Support Scotland
• provide an emergency loan for repatriation to the United States and/or limited medical support if you are destitute
• help you find accommodation and arrange flights home
• replace a stolen or lost passport

Domestic Violence:  U.S. citizen victims of domestic violence may contact the Embassy for assistance.

Tourism:  The tourism industry is generally regulated and rules are regularly enforced. Hazardous areas/activities are identified with appropriate signage and professional staff is typically on hand in support of organized activities. In the event of an injury, appropriate medical treatment is widely available throughout the country. Outside of a major metropolitan center, it may take more time for first responders and medical professionals to stabilize a patient and provide life-saving assistance. U.S. citizens are encouraged to purchase medical evacuation insurance . 

Local Laws & Special Circumstances

Criminal Penalties:  You are subject to local laws. If you violate local laws, even unknowingly, you may be expelled, arrested, or imprisoned. 

Furthermore, some laws are also prosecutable in the United States, regardless of local law. For examples, see our website on  crimes against minors abroad  and the  Department of Justice  website.

• You will be arrested if you bring pocket knives, blades, mace or pepper spray canisters, or any part of a gun into the United Kingdom . Please refer to the UK government publication  Travelling to the UK , which details the items visitors are prohibited from bringing into the United Kingdom.
• Penalties against  alcohol-related  and other  in-flight  crimes committed aboard aircraft to and from the United Kingdom are stiff and are enforced with  prison sentences . Please also see  our information on U.S. customs regulations  covering your return to the United States.
• Controlled Substances: UK law prohibits possession and trafficking of controlled substances and narcotics, including some substances that may be legal to possess under the law of certain U.S. states. More information on controlled substances is available here . Individuals who violate UK drug laws may face penalties including fines or prison sentences.

Arrest Notification:  If you are arrested or detained in the United Kingdom, ask police or prison officials to notify the U.S. Embassy immediately. See our  webpage  for further information.

Special Circumstances:

• The legal drinking age in the United Kingdom is 18. Parents and organizers of school trips should read our  Students Abroad website  to help plan a safe and enjoyable experience.
• Scotland’s “drink drive limit” law was amended to a lower level (roughly .05 BAC) and is stricter than the rest of the United Kingdom (roughly .08 BAC). This means that  driving after even one drink  can result in a charge of driving under the influence.
• The United Kingdom has very strict gun control laws, and importing firearms is extremely complicated.  Information on applying for a firearm and/or shotgun certificate can be found on the  London Metropolitan Police Firearms licensing webpage .  Licenses from England or Wales may not be valid in Scotland; please check with the appropriate authorities.  For firearms certificates for Scotland, please check with  Police Scotland .

Faith-Based Travelers:  See our following webpages for details:

• International Religious Freedom Report  – see country reports
• Human Rights Report  – see country reports
• Hajj Fact Sheet for Travelers
• Best Practices for Volunteering Abroad

LGBTI Travelers:  There are no legal restrictions on same-sex sexual relations or the organization of LGBTI events in the United Kingdom.

See our  LGBTI Travel Information  page and section 6 of our  Human Rights report  for further details.

Travelers Who Require Accessibility Assistance:

• UK law requires that all public service providers (except in the transportation sector) make “reasonable adjustments” to ensure their services are available to persons with disabilities.  Nevertheless, code exemptions permit many older buildings to have steps up from the street.
• Getting around in cities may be difficult at times because sidewalks can be narrow and uneven.
• Most London Underground and UK National Rail System stations are not readily accessible for people with disabilities.  Many stations do not have elevators, and have stairways and long corridors for changing trains or exiting to the street. Many UK buses are equipped with lowering platforms for limited-mobility or sight- or hearing-disabled travelers.
• Many taxis have swivel-entry seats or retractable ramps to ease entry.
• Disabled parking permits (known as “blue badges”) are issued by local government councils throughout the country. Visit the  UK government website  for contact information. Some councils may not offer permits to temporary visitors.

The  Transport for London  and  National Rail  websites provide information for passengers with disabilities.

Students:  See our  Students Abroad  page and  FBI travel tips .

Women Travelers:  See our travel tips for  women travelers .

While medical services are widely available,  free medical care  under the National Health System (NHS) is allowed only for UK residents, certain EU nationals, and some visa holders.

An NHS surcharge is assessed on certain visa applicants at the time of application.  Tourists and short-term visitors will not be assessed the surcharge, but will be charged 150 percent of the cost of any medical treatment they receive from the NHS. Unpaid balances of £1,000 or more can result in being barred from return to the United Kingdom.

• The U.S. government does not pay medical bills, and U.S. Medicare is not valid overseas.

Medical Insurance:  Make sure your health insurance plan provides  coverage overseas . Most care providers overseas only accept  cash payments . See our webpage for more information on insurance coverage overseas.

• We strongly recommend  supplemental insurance  to cover medical evacuation.

Carry  prescription medication  in original packaging, along with your doctor’s prescription. Traveling with sufficient supplies to last the duration of your trip is recommended. Mailing prescriptions is prohibitive and may be delayed or rejected by British customs.

Certain prescriptions available in the United States are classified as a "controlled drug"  in the United Kingdom and cannot be brought into the country without applying for and obtaining a prior license. This includes prescriptions for medical marijuana or products containing CBD and THC.  Please visit the https://www.gov.uk/travelling-controlled-drugs for additional information. 

Vaccinations:  Be up-to-date on all  vaccinations  recommended for international travel by the U.S. Centers for Disease Control and Prevention.

Further health information:

• World Health Organization
• U.S. Centers for Disease Control and Prevention  (CDC)

Travel and Transportation

Road Conditions and Safety:  Road conditions in the United Kingdom can differ significantly from those in the United States.

• In contrast to the United States, UK traffic drives on the left.  Read the  Highway Code  before driving.
• Emergency call boxes  (orange telephone booths with “SOS” printed on them) are found at half-mile intervals along motorways. White and blue poles point in the direction of the nearest call box. Call boxes dial directly to a motorway center. Use these phones rather than a personal cell phone, because motorway center personnel will immediately know your exact location.
• Generally,  pedestrians do not have the right of way  and should not expect vehicles to stop for them.

Many U.S. citizen pedestrians are injured, some fatally, every year in the United Kingdom, because they forget that oncoming  traffic approaches from the opposite direction  than in the United States.  Exercise extra care when crossing streets; remain alert and look both ways before stepping into the street.

Traffic Laws: 

• UK penalties for driving under the influence of  alcohol  or  drugs  are strict and often  result in prison sentences .
• Using a  hand-held cell phone  or similar device while driving is  illegal  in the United Kingdom. Only hands-free phones may be used. You will be  fined , or in the case of an accident,  arrested  and serve time in  prison .
• The speed limit on highways/motorways in the United Kingdom is 70 mph, or lower when posted.
• You will be  detained  and  arrested  if you cannot provide a UK address to receive a subpoena or are about to depart the United Kingdom and have to be brought to court quickly for a motoring offense.
• In Central London, a congestion charge is levied on all drivers who pass through the congestion zone. You will be  fined  or  arrested  if you do not pay the charge. See  Transport for London  for more information about driving in London.

Public Transportation:  Public transport in the United Kingdom is extensive.

• Information on disruptions to London transportation services can be found on the  Transport for London  website.
• Information about the status of National Rail Services can be found on the  National Rail Enquiries  website.
• Bus and train service information in Northern Ireland can be found on the  Translink  website.
• Bus and train service information in Scotland can be found on the  Traveline Scotland  website.

See our  Road Safety page  for more information. For specific information concerning UK driving permits, vehicle inspection, road tax, and mandatory insurance, refer to the  UK Department for Transport  website or the  Driver and Vehicle Standards Agency  website.

Aviation Safety Oversight:  The U.S. Federal Aviation Administration (FAA) has assessed the government of the United Kingdom’s Civil Aviation Authority as being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for oversight of United Kingdom’s air carrier operations. Further information may be found on the  FAA’s safety assessment page .

Maritime Travel: Mariners planning travel to the United Kingdom should also check for U.S. maritime advisories and alerts at  www.marad.dot.gov/msci . Information may also be posted to the U.S. Coast Guard homeport website and the NGA broadcast warnings website (select “broadcast warnings”).

For additional travel information

• Enroll in the  Smart Traveler Enrollment Program (STEP)  to receive security messages and make it easier to locate you in an emergency.
• Call us in Washington, D.C. at 1-888-407-4747 (toll-free in the United States and Canada) or 1-202-501-4444 (from all other countries) from 8:00 a.m. to 8:00 p.m., Eastern Standard Time, Monday through Friday (except U.S. federal holidays).
• See the  State Department’s travel website  for the  Worldwide Caution  and  Travel Advisories .
• Follow us on  Twitter  and  Facebook .
• See  traveling safely abroad  for useful travel tips.

Review information about International Parental Child Abduction in the United Kingdom . For additional IPCA-related information, please see the International Child Abduction Prevention and Return Act ( ICAPRA ) report.

Travel Advisory Levels

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Afghanistan

Antigua and Barbuda

Bonaire, Sint Eustatius, and Saba

Bosnia and Herzegovina

British Virgin Islands

Burkina Faso

Burma (Myanmar)

Cayman Islands

Central African Republic

Cote d Ivoire

Curaçao

Czech Republic

Democratic Republic of the Congo

Dominican Republic

El Salvador

Equatorial Guinea

Eswatini (Swaziland)

Falkland Islands

France (includes Monaco)

French Guiana

French Polynesia

French West Indies

Guadeloupe, Martinique, Saint Martin, and Saint Barthélemy (French West Indies)

Guinea-Bissau

Isle of Man

Israel, The West Bank and Gaza

Liechtenstein

Marshall Islands

Netherlands

New Caledonia

New Zealand

North Korea (Democratic People's Republic of Korea)

Papua New Guinea

Philippines

Republic of North Macedonia

Republic of the Congo

Saint Kitts and Nevis

Saint Lucia

Saint Vincent and the Grenadines

Sao Tome and Principe

Saudi Arabia

Sierra Leone

Sint Maarten

Solomon Islands

South Africa

South Korea

South Sudan

Switzerland

The Bahamas

Timor-Leste

Trinidad and Tobago

Turkmenistan

Turks and Caicos Islands

United Arab Emirates

Vatican City (Holy See)

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Need travel vaccines? Plan ahead.

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

Before Travel

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

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

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

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

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

Where can I get travel vaccines?

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

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

Examples of Vaccines

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

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

More Information

CDC Yellow Book: Travel Vaccine Summary Table

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Exit Notification / Disclaimer Policy

• The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website.
• Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website.
• You will be subject to the destination website's privacy policy when you follow the link.
• CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website.

• About the Handbook

Vaccination for international travellers

Ensure that travellers are up to date with routine vaccines. Also consider other vaccines based on travel itinerary, activities and risk of disease exposure.

Recently added

This page was added on  09 June 2018 .

Updates made

This page was updated on 23 October 2023 .  View history of updates

Millions of Australians travel overseas every year. More than half of these trips are to destinations other than New Zealand, North America and Europe. 1

This page helps with making decisions about travel vaccines. Also check the disease-specific chapters in this Handbook for details about specific vaccines.

See also Infographic. Vaccination for international travellers .

Health risks of overseas travel

Health risks associated with international travel include exposure to:

• infective agents
• altitude and temperature extremes
• other physical, psychological and environmental hazards
• poor-quality or limited access to clean water, shelter, hygiene and sanitation facilities, and health and medical care

The level of health risks depends on factors such as:

• the traveller’s underlying physical and mental health and physiological state
• the itinerary and activities undertaken
• the duration of exposure to various hazards during travel

Travellers at increased risk of serious travel-associated infections include:

• young children and infants
• pregnant women
• people with underlying medical conditions, especially immunocompromising conditions due to disease or medical treatment
• people spending extended periods in multiple regions with poor resources or in remote areas
• people participating in events where large numbers of people will gather, such as major sporting, cultural, social or religious events
• migrant families travelling back to their region of origin to visit friends and relatives

Those travelling to visit friends and relatives are more likely to: 2

• have closer contact with local populations
• stay in remote or rural areas
• consume higher-risk food and beverages

Those travelling to visit friends and relatives are less likely to: 2,3

• recognise the health risks associated with travelling
• seek pre-travel health advice
• obtain the recommended vaccines or prophylaxis

Common infections acquired by travellers

Exposure to infectious diseases is one of the many health hazards of international travel. Some of these diseases are vaccine preventable. Although some of these diseases are present in Australia, the risk of acquiring them overseas may be higher because of:

• higher disease incidence in other countries
• increased risk of exposure from participating in certain activities while travelling

Foodborne and waterborne infections

It is common for travellers to ingest contaminated food or beverages, resulting in an illness. 4-6  Practicing safe eating and drinking habits is essential to minimise the risk of contracting food and waterborne diseases while travelling. These include treating water or only drinking bottled water, avoiding undercooked meat, and avoiding raw fruit and vegetables (unless they can be peeled or washed in safe water prior to eating). Most infections are diarrhoeal diseases due to enteric pathogens, but some are due to extra-intestinal microorganisms, such as hepatitis A virus and Salmonella enterica serotype Typhi (causing typhoid).

Vaccines are available against hepatitis A, typhoid and cholera.

Vector-borne infections

Insect-borne — especially mosquito-borne — infections, such as malaria and dengue, are important causes of fever in Australian travellers returning from endemic areas, particularly Southeast Asia and Oceania. 4,6

A dengue vaccine (Dengvaxia) is available for the prevention of secondary dengue infections (not primary prevention of initial dengue infection ) in select individuals. See Clinical advice: ATAGI statement on use of Dengvaxia® for Australians .

Japanese encephalitis occurs throughout much of Asia and the Western Pacific region, including eastern Indonesia and Papua New Guinea. 7 Yellow fever occurs only in parts of Africa and South America, 8 and tick-borne encephalitis occurs in parts of Europe and Asia. 9

Vaccines are available against Japanese encephalitis , yellow fever and tick-borne encephalitis .

Some other vector-borne diseases and parasitic (including protozoal and helminthic) diseases are also important for international travellers. Some are preventable through appropriate barrier precautions and chemoprophylaxis (for example, malaria). 9

Aerosol-borne infections

Vaccine-preventable infections transmitted by aerosols and/or droplets include: 9

• influenza (the most common vaccine-preventable infection among travellers) 10
• meningococcal disease
• varicella (chickenpox)

The incidence of measles and mumps is higher in many overseas countries, including some developed countries, than in Australia.

Tuberculosis is a rare infection in travellers. 11 Expatriates who live in endemic areas for a long time are more likely to acquire tuberculosis than short-term visitors. 12

Vaccines are available against all of these diseases.

Bloodborne and sexually transmitted infections

Some Australian travellers may be at risk from bloodborne and sexually transmissible infections, such as chlamydia, gonorrhoea, hepatitis B, hepatitis C and HIV. In some areas, healthcare workers using non-sterile medical equipment or other poor infection control practices may transmit these viruses and other bloodborne agents.

Vaccines are available against hepatitis B.

Exotic infectious agents

Travellers may be exposed to a variety of other exotic infections, such as:

• rabies from bites or scratches from rabid dogs, bats and other mammals in many countries
• schistosomiasis from exposure to water infested with the parasites, especially in Africa
• leptospirosis through activities such as rafting or wading in contaminated streams

Of these diseases, vaccines are available only against rabies.

Recommending travel vaccines

Although recommending appropriate vaccines is important, it is not the only part of a pre-travel medical consultation. Travel vaccines — those relevant for travelling — include all relevant vaccines, not just the ones that prevent diseases that most commonly occur overseas.

Do not recommend a vaccine based only on the destination country, because there is no single ‘correct’ list of vaccines for travel to any particular country.

There are 3 categories of travel vaccines:

• routinely recommended vaccines (not specific to travelling overseas)
• selected vaccines based on travel itinerary, activities and likely risk of disease exposure
• vaccines required by the International Health Regulations 2005 (IHR) or for entry into specific countries

Questions for a pre-travel medical consultation

During a pre-travel medical consultation, ask questions about the traveller’s:

• personal information, including age and whether they are pregnant or planning pregnancy
• underlying medical conditions, particularly immunocompromising conditions, and current medicines
• vaccination history (including adverse events following immunisation) and allergy history
• purpose of travel and intended activities, especially those associated with various environmental risks and hazards
• plans for travel insurance

Also ask about their itinerary in detail, including:

• date of departure and time available for vaccinations
• specific localities and routes
• rural versus urban stay
• duration of stay
• likely access to health care and other services
• likelihood of changing the planned itinerary

This information helps to tailor recommendations about preventive vaccination or chemoprophylaxis for exposure risks during the proposed trip. It also allows the clinician to advise about other appropriate preventive health measures (for example, food and water precautions, avoiding bites from mosquitoes or other arthropods) and about managing possible health conditions during travel.

Organisational requirements for vaccination

Some overseas organisations, such as schools, colleges and universities, require evidence of vaccination or immunity against some vaccine-preventable diseases, such as measles and meningococcal disease. Consider these requirements when planning and scheduling vaccines before departure.

Routinely recommended vaccines (not specific to travelling overseas)

Vaccinate all prospective travellers according to the recommended vaccination schedule appropriate for their age, underlying health conditions, occupation and lifestyle. Vaccines might include, for example, pneumococcal polysaccharide vaccine for an older person, or hepatitis B vaccine for a first aid officer. 

Also ensure that all children are vaccinated according to the National Immunisation Program schedule. In exceptional circumstances, give the National Immunisation Program vaccines at the minimum age rather than the recommended age (see Table. Minimum acceptable age for the 1st dose of scheduled vaccines in infants in special circumstances ). Children vaccinated using the minimum age rather than the recommended age may need extra vaccine doses to ensure adequate protection. Observe the minimum interval requirements between doses (see Table. Minimum acceptable dose intervals for children <10 years of age ). The chances of being exposed to some diseases, such as measles and mumps, may be greater during overseas travel, even to other developed countries.

For some itineraries, it may be appropriate for the traveller to receive some booster doses earlier than the routine recommended time. An example may be diphtheria-tetanus booster.

Diphtheria, tetanus and pertussis

Vaccinate adult travellers against tetanus before departure, particularly if:

• their risk of sustaining a tetanus-prone wound is high
• there could be delays in accessing health services where they can receive tetanus toxoid boosters safely, if required

Offer dTpa vaccine during a pre-travel consultation if the traveller has never received a dose of dTpa . This provides protection against pertussis (see Pertussis ). 

For high-risk travel, consider giving a booster dose of either dTpa or dT vaccine if more than 5 years have passed (see Tetanus ).

Hepatitis B

Most Australian children born since 2000 have been vaccinated against hepatitis B under the National Immunisation Program or state and territory school-based vaccination programs.

Hepatitis B vaccine is recommended for long-term or frequent travellers to regions of intermediate or high endemicity of hepatitis B, including:

• Central and South America

This is because travellers may be exposed to hepatitis B virus through bloodborne routes (including during emergency medical or dental procedures) or sexual routes. According to 1 survey, about half of Australian travellers who spent at least 3 nights in Southeast or East Asia participated in at least 1 activity that had a risk of hepatitis B transmission. 13

See also Hepatitis B .

Influenza and pneumococcal disease

Older travellers and those with any relevant underlying medical or behavioural risk factors should receive pneumococcal vaccine. See Pneumococcal disease for more details.

Consider influenza vaccine for all travellers, especially if they are travelling to a region during its influenza season. Influenza vaccine is particularly relevant if:

• there is an influenza epidemic at the traveller’s destination
• the person is travelling in a large tourist group, especially one that includes older people
• the person is travelling on cruises, where people are relatively confined for days to weeks

See also Influenza. 

Measles, mumps and rubella

Inadequately vaccinated young adult travellers are responsible for most current measles outbreaks in Australia. This occurs when they acquire the infection overseas and bring it back to Australia. Some countries, regions or communities — including developed countries — have a higher incidence of measles and mumps than Australia. 9

Australians born during or since 1966 who have not received the recommended 2 doses of MMR (measles-mumps-rubella)–containing vaccines are recommended to receive MMR vaccine before travelling. This also applies to infants 6–12 months old travelling to areas with measles outbreaks or where measles is endemic . The exception is for pregnant women, because MMR is a live vaccine and is contraindicated in pregnancy. 

People born before 1966 do not need to receive measles-containing vaccine (unless serological evidence indicates that they are not immune). This is because circulating measles virus and disease were prevalent before 1966, so most people would have acquired immunity from natural infection .

However, confirmed cases of measles have occurred in people born before 1966. 14 If in doubt about a person’s immunity, it may be faster and easier to vaccinate the person than conduct serological testing . See Serological testing for immunity to measles . 

See also Measles . 

Unvaccinated travellers are recommended to receive varicella vaccine if they either:

• have not had clinical disease, or
• have an uncertain history of clinical disease and serology shows a lack of immunity 

The exception is for pregnant women, because varicella vaccine is a live vaccine and is contraindicated in pregnancy.

See also Varicella .

Meningococcal disease

Vaccination against meningococcal serogroups A, C, W-135, Y and B is recommended for certain age and population groups who are at increased risk of meningococcal disease.

In addition, MenACWY (quadrivalent meningococcal) vaccine is recommended for people who are:

• planning travel to, or living in, parts of the world where epidemics of serogroup A, C, W-135 or Y meningococcal disease occur, particularly the ‘meningitis belt’ of sub-Saharan Africa 15
• planning travel to mass gatherings, such as pilgrims travelling to the Hajj in Saudi Arabia

Seek up-to-date epidemiological information to determine whether a traveller needs meningococcal vaccination. See Accessing up-to-date travel information.

The Saudi Arabian authorities require that all pilgrims travelling to Mecca (for the Hajj or Umra) have evidence of recent vaccination with the quadrivalent meningococcal vaccine. 16  See Requirements for travellers to Mecca and Accessing up-to-date travel information .

See also Meningococcal disease .

Poliomyelitis

Ensure that all travellers are age-appropriately vaccinated against polio (see Poliomyelitis ).

If the person is travelling to a country where wild poliovirus is still circulating, they should receive inactivated poliovirus ( IPV ) vaccine if they have not completed a 3-dose primary course of any polio vaccine. Travellers who have completed the primary course should receive a single booster dose.

The World Health Organization (WHO) Global Polio Eradication Initiative website website has an up-to-date list of polio-affected countries.

Documented evidence of polio vaccination is not routinely required for travellers under the International Health Regulations. However, documented evidence of vaccination may be temporarily required according to WHO recommendations in response to new evidence of the spread of wild poliovirus (see Vaccines required by the International Health Regulations or for entry into specific countries and Documentation and certificates ).

International polio epidemiology and associated travel requirements can change. Check the Australian Government Department of Health website for current recommendations for Australian travellers .

Ensure that all travellers are age-appropriately vaccinated against COVID-19. Foreign governments may require evidence of COVID-19 vaccination before a traveller is allowed to enter. The Australian-issued International COVID-19 Vaccination Certificate is a secure way to prove COVID-19 vaccination history that has been developed to meet agreed international travel standards. Parents and carers of children <14 years of age, adolescents ≥14 years of age and adults can get a copy of their COVID-19 vaccination certificate at any time:

• using their Medicare online account through myGov
• through the Medicare Express Plus mobile app
• by calling 1800 653 809 (free call)

See also COVID-19 .

Vaccines based on travel itinerary, activities and likely risk of disease exposure

Use a risk assessment approach when recommending travel vaccines. Weigh the potential risks of disease exposure and protective benefits from vaccination against potential adverse effects, and the non-financial and financial costs of vaccination.

Prioritise vaccines for diseases that are:

• common and of significant impact, such as influenza and hepatitis A
• less common, but have severe potential adverse outcomes, such as Japanese encephalitis and rabies

Consider booster doses, where appropriate (see disease-specific chapters in this Handbook for recommendations). If the person is departing for travel soon, consider an accelerated schedule, if appropriate, such as for hepatitis B vaccine or the combination hepatitis A-hepatitis B vaccine (see Hepatitis A and Hepatitis B ). Although immunity may be established sooner with the accelerated schedule, people who receive an accelerated schedule need another dose about a year later to complete the course and ensure long-term protection.

Most travellers do not need cholera vaccine. 16,17  The risk of a traveller acquiring cholera is very low if they avoid contaminated food and water.

No country requires travellers to have certification of cholera vaccination. No country has official entry requirements for cholera vaccination

See also Cholera .

Hepatitis A

Hepatitis A vaccine is recommended for all travellers ≥1 year of age travelling to moderately or highly endemic countries (including all developing countries). The exceptions are people who have evidence of natural immunity after previous infection .

Normal human immunoglobulin is no longer used to protect travellers against hepatitis A.

See also Hepatitis A .

Japanese encephalitis

While now considered an emerging disease in Australia, Japanese Encephalitis is more likely in travellers to endemic regions overseas. 18 Japanese encephalitis ( JE ) vaccine is recommended for travellers spending a month or more in endemic areas in Asia, Papua New Guinea or the outer islands of Torres Strait during the JE virus transmission season.

Consider JE vaccination for shorter-term travellers, particularly if:

• travel is during the wet season 
• travel may be repeated
• the person will spend a lot of time outdoors 
• the person’s accommodation has no air-conditioning, screens or bed nets

Check a reputable source before travel for information about JE virus activity — for example, Health Information for International Travel (the ‘Yellow Book’) . 19

A traveller’s overall risk of acquiring JE in these JE - endemic countries is likely to be low (<1 case per 1 million travellers). Determine the specific risk according to the: 17

• season of travel
• regions visited 
• duration of travel
• extent of outdoor activity
• extent to which the person avoids mosquito bites 

See also Japanese encephalitis .

Before travel to rabies- endemic regions, advise people about:

• the risk of rabies infection
• avoiding close contact with wild, stray and domestic animals — especially dogs, cats, monkeys and bats 
• the importance of appropriate immediate wound care of all animal bites and scratches 

See also Rabies and other lyssaviruses, including Australian bat lyssavirus .

Recommendations for rabies vaccination as pre-exposure prophylaxis

When deciding whether to give a pre-travel prophylactic rabies vaccination, assess the:

• likelihood of exposure to potentially rabid animals
• access to appropriate health care and availability of post-exposure prophylaxis , including rabies immunoglobulin , should there be an at-risk exposure
• timeliness of access to health care after exposure

Use a lower threshold for recommending rabies pre-exposure prophylaxis for children travelling to endemic areas.

Benefits of vaccination as pre-exposure prophylaxis

Pre-travel rabies vaccination:

• ensures that the traveller has received a safe and efficacious vaccine
• simplifies the management of a subsequent exposure because the person will need fewer doses of vaccine
• means that rabies immunoglobulin — which is often extremely expensive, and difficult or even impossible to obtain in many developing countries — is not needed
• reduces the urgency of post-exposure prophylaxis

Tick-borne encephalitis

Tick-borne encephalitis (TBE) is caused by a tick-borne RNA flavivirus. The disease may involve the central nervous system. TBE is prevalent in parts of central and northern European temperate regions, and across northern Asia. Travellers are at risk when hiking or camping in forested areas in endemic regions during the summer months.

Safe and effective vaccines are available. Vaccination is recommended only for people with a high risk of exposure.

TBE vaccine is not registered in Australia, but a small stock of vaccine may be available for use under the Special Access Scheme .

Tuberculosis

Vaccination with BCG (bacille Calmette–Guérin) vaccine is generally recommended for tuberculin-negative children <5 years of age who will be staying in high-risk countries for an extended period (3 months or longer).

Vaccinating older children and adults appears to be less beneficial. However, consider vaccinating tuberculin-negative children aged ≥5 years but <16 years who may be living or travelling for long periods in high-risk countries.

A high-risk country is one that has a tuberculosis incidence of >40 per 100,000 population.

For travellers who need BCG vaccine, consider the following precautions when scheduling their vaccination visits:

• If possible, give BCG vaccine at least 3 months before the person will arrive in an endemic area.
• Give other live viral vaccines (for example, MMR , varicella, yellow fever) at the same time or with a minimum 4-week interval after BCG vaccination.
• A tuberculin skin test (TST; Mantoux), performed by trained and accredited healthcare practitioners, is recommended before receiving BCG vaccine for all individuals (except infants aged <6 months).
• People may suppress reactions to tuberculin for 4–6 weeks after viral infections or live viral vaccines, particularly measles infection and measles-containing vaccines.

State and territory tuberculosis services can provide tuberculin skin tests and BCG vaccine.

See also Tuberculosis .

Typhoid vaccine may be recommended for travellers ≥2 years of age travelling to endemic regions, including: 

• the Indian subcontinent
• most Southeast Asian countries 
• several South Pacific nations, including Papua New Guinea 

This advice is also relevant for those travelling to endemic regions to visit friends and relatives.

Inactivated parenteral and live oral typhoid vaccine formulations are available.

See also Typhoid fever .

Yellow fever

Yellow fever vaccine is recommended for all people ≥9 months of age travelling to, or living in, an area with a risk of yellow fever virus transmission. 20

To minimise the risk of introducing yellow fever, some countries require documented evidence of yellow fever vaccination for entry, in line with the International Health Regulations (see Vaccines required by the International Health Regulations or for entry into specific countries ).

When assessing the need for yellow fever vaccination, consider:

• the risk of the person being infected with yellow fever virus
• country entry requirements
• individual factors such as age, pregnancy and underlying medical conditions 

Vaccination is generally not recommended for travel to areas with a low probability of yellow fever virus exposure — that is: 

• where human yellow fever cases have never been reported 
• where evidence suggests only low levels of yellow fever virus transmission in the past 

However, consider vaccination for a small subset of travellers to lower-risk areas who are at increased risk of exposure to mosquitoes or who are unable to avoid mosquito bites. 20

People aged ≥60 years are at increased risk of severe adverse events after primary yellow fever vaccination. Weigh the adverse effects of vaccinating people in this age group against the potential for yellow fever virus exposure and, in turn, the benefits of vaccination. 17

See also Yellow fever .

Booster doses

Most people do not need a booster dose of yellow fever vaccine. A single dose induces protective antibody levels that last for many decades. However, certain people are recommended to receive a booster if their last dose was more than 10 years ago and they are at ongoing risk of yellow fever virus infection . See Yellow fever .

Vaccines required by the International Health Regulations or for entry into specific countries

Yellow fever requirements.

The International Health Regulations require yellow fever vaccination for travelling in certain circumstances. This is to:

• protect travellers who are likely to be exposed to yellow fever 
• stop importation of the virus into countries that have the relevant vectors (see Yellow fever ).

Some countries may require documented evidence of yellow fever vaccination as a condition of entry or exit (see Planning and documenting vaccines ). This includes countries that do not currently have yellow fever circulating.

Australia’s yellow fever travel requirements are detailed in the Australian Government Department of Health’s yellow fever fact sheet .

Contact the relevant embassies or consulates in Australia to confirm the entry requirements for yellow fever vaccination for the countries a traveller intends to enter or transit through. 

Requirements for travellers to Mecca

Each year, Saudi Arabia’s Ministry of Health publishes the requirements and recommendations for entry visas for travellers on pilgrimage to Mecca (Hajj and Umra). 16

For pilgrims travelling directly from Australia, only evidence of MenACWY vaccination is currently mandatory. However, check the current requirements when advising prospective Hajj and Umra pilgrims (see Meningococcal disease and Accessing up-to-date travel information ).

Temporary requirements

The International Health Regulations may temporarily introduce requirements for other vaccine-preventable diseases in response to changes in disease epidemiology that are of international health concern. An example is for polio vaccination.

Because country vaccination requirements are subject to change at any time, confirm all current vaccination requirements for the countries a traveller intends to enter or transit through before travel. See Poliomyelitis and Accessing up-to-date travel information .

Planning and documenting vaccines

Ideally, start vaccination courses early enough before departure to allow:

• monitoring of any possible adverse events 
• time for adequate immunity to develop

Requirements for multiple vaccines

A traveller may need multiple vaccines before they depart. Apply the standard recommendations and precautions when giving multiple vaccines (see Administration of vaccines ).

A traveller may need more than 1 clinic visit if they need multiple vaccines or doses (for example, rabies pre-exposure prophylaxis or hepatitis B vaccine). Pay special attention to scheduling of these visits, and consider:

• dose interval precautions (for example, for multiple live vaccines)
• requirements for pre-vaccination tests (for example, tuberculin skin test)
• potential interference by some antimalarials, if relevant (for example, rabies vaccine)

Documentation and certificates

It is important to document travel vaccines: 

• in the clinic’s record
• in the traveller’s record that they can carry with them 
• on the Australian Immunisation Register

The record should also include all the other routinely recommended vaccines that the traveller has ever received. 

For yellow fever vaccination, a traveller needs to have an International Certificate of Vaccination or Prophylaxis (ICVP), which only Yellow Fever Vaccination Centres can provide under the International Health Regulations (see Yellow fever ). 

Travellers may also need an ICVP for other vaccine-preventable diseases, such as polio, based on temporary recommendations.

See also Accessing up-to-date travel information .

Vaccinating travellers with special risk factors

See Vaccination for women who are planning pregnancy, pregnant or breastfeeding , Vaccination for people who are immunocompromised and the disease-specific chapters in this Handbook for recommendations for travellers who are pregnant or immunocompromised.

Accessing up-to-date travel information

International travellers’ health risks constantly change. Up-to-date information, and knowledge of the changing epidemiology and current outbreaks of infectious and emerging diseases are essential. Reliable online information sources include:

• World Health Organization (WHO) for disease outbreak news, and its Travel and health section for specific advice on travel and health, including travel vaccination recommendations
• Travelers’ health , United States Centers for Disease Control and Prevention (CDC)
• Travel health information , Australian Government Department of Health
• Smartraveller , the Australian Government’s travel advisory and consular information service, which provides up-to-date advice about health, safety and other risks of specific destinations for Australian travellers

The following resources have comprehensive technical advice on international travel and health, including vaccination:

• the latest edition of WHO’s International travel and health
• the CDC’s Health Information for International Travel (the ‘Yellow Book’)
• Australian Bureau of Statistics. 3401.0 – Overseas arrivals and departures, Australia, Mar 2018 (accessed May 2018). 
• Paudel P, Raina C, Zwar N, et al. Risk activities and pre-travel health seeking practices of notified cases of imported infectious diseases in Australia. Journal of Travel Medicine 2017;24(5):tax044.
• Heywood AE, Watkins RE, Iamsirithaworn S, Nilvarangkul K, MacIntyre CR. A cross-sectional study of pre-travel health-seeking practices among travelers departing Sydney and Bangkok airports. BMC Public Health 2012;12:321.
• Chen LH, Leder K, Barbre KA, et al. Business travel-associated illness: a GeoSentinel analysis. Journal of Travel Medicine 2018;25.
• Angelo KM, Kozarsky PE, Ryan ET, Chen LH, Sotir MJ. What proportion of international travellers acquire a travel-related illness? A review of the literature. Journal of Travel Medicine 2017;24.
• Freedman DO, Weld LH, Kozarsky PE, et al. Spectrum of disease and relation to place of exposure among ill returned travelers. New England Journal of Medicine 2006;354:119-30.
• Halstead SB, Hills SL, Dubischar K. Japanese encephalitis vaccines. In: Plotkin SA, Orenstein WA, Offit PA, Edwards KM, eds. Plotkin's vaccines. 7th ed. Philadelphia, PA: Elsevier; 2018.
• Staples JE , Monath TP, Gershman MD, Barrett AD. Yellow fever vaccines. In: Plotkin SA, Orenstein WA, Offit PA, Edwards KM, eds. Plotkin's vaccines. 7th ed. Philadelphia, PA: Elsevier; 2018.
• World Health Organization (WHO). Chapter 6: Vaccine-preventable diseases and vaccines . In: International travel and health. Geneva: WHO; 2017. 
• Steffen R. Travel vaccine preventable diseases-updated logarithmic scale with monthly incidence rates. Journal of Travel Medicine 2018;25.
• Denholm JT, Thevarajan I. Tuberculosis and the traveller: evaluating and reducing risk through travel consultation. Journal of Travel Medicine 2016;23.
• Lachish T, Tenenboim S, Schwartz E. 35 - Humanitarian Aid Workers. In: Keystone JS, Kozarsky PE, Connor BA, et al., eds. Travel Medicine (Fourth Edition). London: Elsevier; 2019. (Accessed 6 July 2023). https://www.sciencedirect.com/science/article/pii/B9780323546966000355
• Leggat PA, Zwar NA, Hudson BJ. Hepatitis B risks and immunisation coverage amongst Australians travelling to Southeast Asia and East Asia. Travel Medicine and Infectious Disease 2009;7:344-9.
• Winkler NE, Dey A, Quinn HE, et al. Australian vaccine preventable disease epidemiological review series: measles, 2012-2019. Commun Dis Intell (2018) 2022;46.
• World Health Organization (WHO). Epidemic meningitis control in countries of the African meningitis belt, 2017. Weekly Epidemiological Record 2018;93:173-84.
• World Health Organization (WHO). International travel and health: health conditions for travellers to Saudi Arabia for the pilgrimage to Mecca (Hajj) . 2017 (accessed May 2018). 
• Freedman DO, Chen LH. Vaccines for International Travel. Mayo Clinic Proceedings 2019;94:2314-39.
• Furuya-Kanamori L, Gyawali N, Mills DJ, et al. The Emergence of Japanese Encephalitis in Australia and the Implications for a Vaccination Strategy. Trop Med Infect Dis 2022;7.
• Hills SL, Rabe IB, Fischer M. Infectious diseases related to travel: Japanese encephalitis . In: CDC yellow book 2018: health information for international travel. New York: Oxford University Press; 2017. 
• World Health Organization (WHO). International travel and health (accessed Apr 2018). 

Page history

Minor updates to clinical guidance around routinely recommended vaccines (not specific to travelling overseas), including the addition of advice regarding COVID-19.

Editorial update to reflect changes to pneumococcal vaccine recommendations for older adults and people with medical risk factors.

Guidance on vaccination of travellers against measles, mumps and rubella updated to reflect advice in the Measles chapter.

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Acknowledgement

The Department of Health and Aged Care acknowledges First Nations peoples as the Traditional Owners of Country throughout Australia, and their continuing connection to land, sea and community. We pay our respects to them and their cultures, and to all Elders both past and present.

© Commonwealth of Australia | Department of Health and Aged Care

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Get Vaccinated Before You Travel

It’s important to plan ahead to get the shots required for all countries you and your family plan to visit.

Protect your child and family when traveling in the United States or abroad by:

• Getting the shots required for all countries you and your family plan to visit during your trip
• Making sure you and your family are up-to-date on all routine U.S. vaccines
• Staying informed about travel notices and alerts and how they can affect your family’s travel plans

Avoid getting sick or coming back home and spreading the disease to others.

Vaccinate at least a month before you travel

See your doctor when you start to plan your trip abroad. It’s important to do this well in advance.

• Your body needs time to build up immunity.
• You may need several weeks to get all the doses of the vaccine.
• Your primary doctor may not stock travel vaccines. Visit a travel medical clinic .
• You’ll need time to prepare for your pre-travel appointment .
• If the country you visit requires a yellow fever vaccine , only a limited number of clinics have the vaccine and will probably be some distance from where you live. You must get it at least 10 days before travel.

Find out which vaccines are recommended or required for the countries you plan to visit .

TIP : Save time by getting routine vaccines during the same doctor visit. Use the Vaccine Self-Assessment Tool and discuss the results with your doctor. It tells you which U.S. recommended vaccines you (19 years and older) or your child (birth – 18 years) might need.

Last-minute travelers

When traveling to another country be aware your doctor may not carry a travel vaccine and you may have to visit a medical clinic.

Many travel vaccines require multiple shots or take time to become fully effective. But some multiple-dose vaccines (like hepatitis A) can still give you partial protection after just one dose. Some can also be given on an “accelerated schedule,” meaning doses are given in a shorter period of time.

• Discover and learn about specific diseases that can affect you while traveling
• What to do if you get sick after traveling
• Vaccines & Immunizations

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Malaria prevention guidelines for travellers from the UK

The UKHSA Advisory Committee on Malaria Prevention updates and reissues these guidelines every year for UK travellers.

Ref: UKHSA publication gateway number GOV-15858

PDF , 6.92 MB , 166 pages

This file may not be suitable for users of assistive technology.

Information regarding malaria incidents, announcements and guidance amendments is available on GOV.UK.

The guidelines are for healthcare workers who advise travellers, but may also be of use to prospective travellers who wish to read about the options themselves.

The Advisory Committee on Malaria Prevention ( ACMP ) prophylaxis guidelines are for UK-based visitors to malaria-endemic areas, and may not be appropriate for use by people who live in endemic areas.

Occasionally, there may be a need to issue temporary recommendations. Please see the temporary recommendations from the National Travel Health Network and Centre for the latest updates for Pakistan.

These guidelines deal with malaria, but malaria prevention is only one aspect of pre-travel advice. An overall risk-assessment-based package of travel health advice should be provided to the traveller.

For previous malaria guidelines, see the archive of older reports on the UK government web archive .

Updated guidance.

Added link to malaria news and updates.

Added notice about discontinuation of proguanil in the UK.

Updated status of Azerbaijan and Tajikistan to malaria free.

Added notice about reported increases in malaria cases in Sudan and the impact of current civil unrest.

Update to doses of prophylactic antimalarials for children.

Added notice about the first identification of Plasmodium falciparum artemisinin resistance in the UK.

Updated to reflect the temporary recommendations currently in place.

Added temporary change to malaria advice for travellers to Pakistan.

Updated map of Namibia and section on visits to national parks.

Updated with 2021 guidelines.

Updated Malaria guidance for travellers.

Updated with 2018 guidelines.

South Africa has been added to the list of countries with temporary recommendations.

Updated with 2017 guidelines.

Updated with 2016 guidance.

Updated with 2015 guidelines.

First published.

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• Travel Insurance

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Travel Insurance With Covid Cover (2024)

Updated: Apr 25, 2024, 11:53am

Reviewed By

Important Disclosure: The content provided does not consider your particular circumstances and does not constitute personal advice. Some of the products promoted are from our affiliate partners from whom we receive compensation. Read More

If you require any personal advice, please seek such advice from an independently qualified financial advisor. While we aim to feature some of the best products available, this does not include all available products from across the market. Although the information provided is believed to be accurate at the date of publication, you should always check with the product provider to ensure that information provided is the most up to date. Read Less

The Covid pandemic is behind us and the past few years has seen ‘business as usual’ resume for UK holidaymakers. But people still fall ill with the virus which can affect their travel plans, and those of their travelling companions.

The good news is, t ravel insurers have largely adjusted their offerings so that Covid is treated like any other illness. This means you’ll get emergency medical treatment for the virus while away, as well as cover cancellation of the trip if you’re diagnosed with Covid usually up to 14 days before you travel. However, always check the terms of each policy.

Why you can trust Forbes Advisor’s ratings

Our top covid travel insurance policies, cover for you, yourtravelcover.com gold.

• Coverwise Select Silver Plus

Cedar Tree Travel Insurance

Explorer travel insurance, what's our methodology, what covid cover is provided with travel insurance, what won't be covered in relation to covid, what are the rules on international travel, which countries can i visit, tips for a covid-proof holiday, what else can travel insurance cover, frequently asked questions (faqs).

• Compare Travel Insurance
• Best Annual Multi-Trip Insurance
• Best Travel Insurance For The USA
• Best Travel Insurance For Europe
• Best Cruise Insurance
• Best Backpacker Travel Insurance

Our editors are committed to bringing you unbiased ratings and information. Our editorial content is not influenced by advertisers. We use data-driven methodologies to evaluate product providers, so all companies are measured equally. You can read more about our editorial guidelines and the methodology for the ratings below.

• Market-wide survey of leading travel insurance companies
• Rigorous assessment of policy features and cover options
• Thorough analysis of pros and cons

Compare Travel Insurance Quotes

Compare from our range of over 100 policies

With this in mind, it comes down to picking the best travel cover at the right price. We’ve rounded up our top picks below – along with the answers to the most common Covid-related travel questions. For more details on how our providers are ranked, refer to our methodology section.

Cancellation cover

Cover For You has high levels of cover for a competitive premium. This policy offers £15 million medical and repatriation cover, up to £3,000 for cancellations and £2,000 for baggage. It also has a low excess at £50 per person per section on all claims.

Hospital benefit cover is generous at up to £2,000, legal expenses cover is up to £30,000 and personal liability cover is £1.5 million.

• Up to £3,000 cancellation cover
• Low excess on claims
• Higher premium than some competitors

This policy was the cheapest we found based on our search parameters (see our methodology below).

This family policy offers cover up to £3,000 per person for trip cancellation, plus £1,500 per person for baggage cover. Medical and repatriation cover is £10 million and the excess on claims is £95 (the cancellation and baggage excess is £75 per person). Excesses will be applied per person, per section of each claim.

The cover also offers £500 cover for hospital benefit, £15,000 legal expenses cover and up to £2 million for personal liability cover.

• Low premium for cover levels
• £3,000 cancellation cover
• Relatively low excess (£75 for cancellation and baggage claims)
• No sports or gadget cover (can be included at extra cost)

Coverwise Select Silver

This cover has a competitive price and offers £20 million medical and repatriation cover, £2,000 for cancellation and £1,750 for baggage. There is a low per person excess of £50 per section per claim.

Hospital benefit cover is up to £2,000 and legal expenses cover is £50,000. Personal liability cover is up to £2 million.

• Competitive price
• £2,000 hospital benefit cover
• low £50 excess
• £20 million medical cover
• Relatively higher premium

This policy is competitively priced and includes £15 million medical and repatriation cover, £1,500 cover for baggage and £500 for a missed departure (on either leg of the journey). The £95 excess applies on all types of claim and is per person per section.

There is £200 cover for hospital benefit and £5,000 for legal expenses. Personal liability cover is £2 million.

• Low premium
• £15 million medical cover
• Higher excess than some competitors
• £200 hospital benefit cover (competitors offer more)

This is a great value policy offering £5,000 in cancellation cover, £2 million medical and repatriation cover, and £2,000 for baggage. The excess is reasonable at £75 per person per section for claims, although some policies have a lower excess. The policy premium is slightly more expensive than some competitors.

There is legal expenses cover of £25,000 and personal liability cover up to £2 million, but there is no hospital benefit included. Gadget cover is also included as standard.

• £5,000 cancellation cover
• £2,000 cover for baggage
• Gadget cover included
• No excess waiver
• No hospital benefit

We used data from our quotation journey to review single trip travel insurance policies for a family of four (two adults, both aged in their 40s, and two teenagers) travelling to Spain for seven nights in June 2024.

We identified the least expensive policies that met these credentials. Where premium prices are similar, we’ve factored in coverage limits and excesses. On this basis, we awarded each a Forbes Advisor star rating out of five.

All policies include at least £2 million in medical and repatriation cover, £2,000 in cancellation cover, and £1,500 in baggage and belongings cover. The excess listed applies to each person on the policy and to each accepted claim, unless otherwise stated.

We’ve assumed no members of the family have any pre-existing medical conditions.

While most of the insurers we work with offer cover for Covid-related medical costs, cancellation and curtailment of your trip, check with each provider to ensure you know exactly what you’re getting.

Most travel insurers have retained the cover they began offering for Covid-related issues during the pandemic (although many now refer in more general terms to ‘pandemics’ rather than specifically to ‘Covid’).

A comprehensive travel policy is likely to cover you for some or all of the following Covid scenarios:

• Emergency medical treatment, and repatriation (the cost of getting home to the UK) if you are ill due to Covid
• Cancellation cover, if you or a close relative contracts Covid or you or someone you’re due to travel with needs to isolate due to Covid
• Curtailment , which means cutting your trip short due to specific circumstances relating to Covid, such as government advice to evacuate an area of country and return home.

However, terms and conditions around the cancellation element relating to Covid can vary between insurers so, as with any insurance, check the policy wording carefully to find out what is both included and excluded from cover.

Anna-Marie Duthie, travel insurance expert at financial data company Defaqto, explained: “M edical costs will be covered in relation to Covid, as they would be in any other circumstance or illness.

“However, when it comes to cover for cancellation that is specifically due to Covid, rules will vary by insurer. For example, cancellation may be covered only with a medical note from a medical practitioner advising you not to travel, for example, rather than just a positive Covid test being enough evidence for an insurance claim.

“This is because Covid tests are no longer mandatory and – while there may be a moral argument – there are no legal restrictions regarding travelling with Covid.”

Defaqto data shows that 99% of annual travel insurance policies cover medical expenses in relation to Covid-19, and 95% cover cancellation due to a positive Covid test. 

If you are concerned about the cover you may have in relation to Covid, check with your insurer before you travel.

There are a number of Covid-related scenarios where you’re unlikely to be covered by your travel insurance. These might include:

• Travelling against government (Foreign, Commonwealth and Development Office) advice
• Cancelling or returning home early to avoid quarantine
• Being unable to travel due to a government lockdown or other restriction
• Being unable to travel due to changes in vaccination or other covid-related requirements in your destination country.

Almost every country in the world has now dropped all Covid-related entry restrictions regardless of whether you are vaccinated against the virus or not.

In terms of returning to the UK, all Covid-related restrictions were dropped in 2022. The latest information and guidance on all aspects of travel can be found at our travel blog, and any official updates via the Government website .

Even unvaccinated travellers can now enter almost every country in the world without the requirement to produce a negative Covid test.

The Foreign & Commonwealth Development Office (FCDO) issues advice on which destinations are safe to visit based on a range of factors, including those related to Covid. So, Covid aside, it’s important to check the FCDO’s advice for changes before purchasing a holiday and travel insurance, and again before departing.

Travelling against FCDO advice can render a travel insurance policy invalid unless it was bought from a specialist insurer which specified that cover would be provided in the chosen destination.

Take out travel insurance when booking the trip

It’s good practice to buy travel insurance at the same time as booking a holiday. This will ensure that cancellation cover starts straight away. In Covid terms, this might include:

• cancellation cover for testing positive within 14 days of  departure date
• cancellation cover if a loved one becomes seriously unwell or dies of Covid ahead of the departure date.

However, the ‘key features’ section of a policy document usually lists cover for specific Covid-related risks.

Check the FCDO’s travel guidelines

A travel insurer is unlikely to cover trip cancellation if the FCDO changes its advice on travel to the holiday destination, if an airline or travel company postpones the trip without offering a refund, or if a local or national lockdown prevents the holiday from going ahead.

And it won’t be possible to claim for cancellation if you simply don’t want to travel (known as ‘disinclination to travel’).

If a flight is cancelled the airline should offer a full refund or an alternative departure date. If it offers vouchers instead of a refund, some travel insurers will not pay out.

In addition to cover for medical treatment and Covid-related risks, there’s also the standard offerings under travel insurance.

• Baggage and possessions: Covers lost, stolen or damaged baggage or any other possessions
• Personal liability: Covers compensation claims made against the policyholder if they are found responsible for causing injury, death or damage
• Personal accident: If the policyholder is permanently disabled or killed in an accident, the policy will make a payment to them or to their estate
• Legal expenses: The insurer will help cover legal costs to pursue compensation or damages following personal injury or other disputed loss while abroad
• Excess: Most insurance policies require a contribution of a certain amount towards any claim made. This is known as the excess. This sum will be deducted from the claim pay-out.

What protection does cover for Covid-related risks offer?

Protection for Covid-related risks covers the cost of medical treatment and repatriation as a minimum.

Some policies also cover cancellation under certain circumstances, such as if you or a close relative are unwell with Covid or you’re required to self-isolate (subject to a positive test result or confirmation from a doctor, for example).

Others extend to cover if you’re denied boarding a flight or ferry, for example, due to displaying Covid symptoms. Or cover if someone you were due to travel with or stay with on your trip needs to self-isolate.

Does my current travel insurance policy cover Covid related risks?

There are no guarantees that an existing insurance policy will cover Covid-related risks. Check the details of the policy or contact the insurer for confirmation of the extent of cover provided.

Do I need to be vaccinated for Covid for my insurance to be valid?

Over all, travel insurance policies do not require policyholders to be vaccinated.

However, according to Defaqto, around 20% of annual multi-trip policies still require proof of vaccination under certain elements of the cover, most notably claiming on emergency Covid-related medical costs.

In insurance terms, ‘vaccination’ means all recommended doses that were offered, which includes any booster jabs. If you’ve refused any doses of the vaccine or any booster jab in the past, then you may not be covered for Covid-related claims, so be sure to read the small print of the policy wording.

You’ll still be covered if you couldn’t have the vaccine due to a medical exemption, however. 

Am I covered if I have to cut short my trip due to Covid?

Some policies cover cutting a trip short because of Covid. This is known as a ‘curtailment’. Terms and conditions around curtailment cover vary, so check the policy wording.

What happens if I contract Covid overseas?

All the insurers available through our travel insurance comparison tool offer emergency medical and repatriation cover for Covid-related claims as standard. However, as outlined above, some may require the policyholder to have the recommended vaccinations. Again, check the policy.

Can I get cover for my pre-existing medical conditions?

Some policies will cover claims related to pre-existing medical conditions , but they tend to come with higher premiums because of the greater risk of a claim being made.

All pre-existing medical conditions must be declared as part of the application process. Not doing so could invalidate any claim made.

How do I claim on my travel insurance?

If the claim is related to cancellation or delay, the first point to note is that insurers will only consider a claim after the policyholder has applied to the holiday provider for a refund.

If the policyholder accepts a refund (or vouchers or a credit note) from the holiday provider they will not also be able to claim from the insurer (known as a ‘double claim’).

If a refund from the holiday provider has been refused, the policyholder can contact the insurer to claim for all non-refundable costs.

This may include flights and accommodation but also transfer and excursion costs, for example. Deadlines for claims should be stated in the policy.

I am passionate about personal finance issues and helping consumers navigate the world of insurance, credit, savings and pensions. I have been a money journalist for almost two decades, including ten years on the award-winning personal finance desk at the Mail on Sunday.

I've been involved in personal finance and property journalism for the past 20 years, editing websites and writing for national newspapers. My objective has always been to offer no-nonsense information to readers that either saves or earns them cash.

Ukraine-Russia war latest: At least four dead in daytime missile strike on port city - as massive building on fire

It is likely to be a "very difficult summer" for Ukrainian forces in the face of increased Russian attacks, military analyst Sean Bell says. Listen to a Daily podcast on whether the UK should send troops to Ukraine as you scroll.

Monday 29 April 2024 20:01, UK

• At least four killed in daytime missile attack on Odesa
• Watch: Massive building in flames after attack
• Ukraine in for 'difficult summer' as Russia preparing 'major offensive'
• North Korea expresses 'concern' over US sending long-range missiles to Ukraine
• Explained : Why is Chasiv Yar the next target for Russia?
• Your questions answered: Will Ukraine launch another spring offensive?
• Big picture : What you need to know as a new week begins
• Listen to the Sky News Daily above and  tap here  to follow wherever you get your podcasts
• Live reporting by Katie Williams  and Ollie Cooper

Three women and a man have died after a Russian attack on Odesa.

A further 28 people have been injured, including two children aged five and 16. A pregnant woman has also been hurt.

This video shows the aftermath of the attack. 

Debris recovered from a missile that landed in the Ukrainian region of Kharkiv on 2 January was North Korean, the Reuters news agency is reporting.

Citing a United Nations sanctions monitor, Reuters said debris recovered was from a Hwasong-11 series ballistic missile - made in North Korea.

Three sanctions monitors travelled to Ukraine earlier this month to inspect the debris - and found no evidence that the missile was made by Russia. 

They "could not independently identify from where the missile was launched, nor by whom". 

"Information on the trajectory provided by Ukrainian authorities indicates it was launched within the territory of the Russian Federation," they wrote in an April 25 report to the UN Security Council's North Korea sanctions committee. 

"Such a location, if the missile was under control of Russian forces, would probably indicate procurement by nationals of the Russian Federation," they said, adding that this would be a violation of the arms embargo imposed on North Korea in 2006. 

International leaders have long accused North Korea of supplying Russia with weapons.

Both Moscow and Pyongyang have denied the accusations, but vowed last year to deepen military relations. 

The situation in Odesa is fast-moving after the city in southern Ukraine came under Russian missile attack this afternoon.

Three women and a man have died, bringing the total number of people killed to four, according to regional governor Oleg Kiper.

He said a further 28 people have been injured, including two children aged five and 16. A pregnant woman has also been hurt.

Four people are "fighting for their lives," he said in a Telegram post .

A big building housing part of the Odessa Law Academy is ablaze after the strike...

The number of people injured in Russia's missile attack on Odesa has increased.

Regional governor Oleg Kiper said he was aware of 17 injured people, of whom at least two are in a "serious condition". Separately, Odesa mayor Gennadiy Trukhanov said at least 20 people were hurt.

Emergency services continue to work at the scene, Mr Kiper said. Earlier, he reported that at least two people had been killed in the attack (see 17.46 post).

The Odesa region has been repeatedly targeted by Russia during the war.

Last month, a Russian ballistic missile attack on a residential area killed at least 20 people and wounded more than 70.

Ukrainian troops are still defending their positions on the frontline while grappling with depleted weapons supplies and increased Russian attacks.

Western support is on full display in the pictures below, with soldiers of the Ukrainian army's 25th separate airborne brigade operating a German-made Marder infantry fighting vehicle.

An update now on our previous post, as Odesa governor Oleg Kiper reports that two people and a dog have died as a result of this afternoon's missile attack.

A further eight people have injuries of "varying degrees of severity", including a 12-year-old boy, he said.

Victims are being provided with medical aid.

"Sincere condolences to the family and friends of the deceased," Mr Kiper wrote on Telegram.

At least eight people have been injured in a Russian missile attack on Ukraine's southern Odesa region, according to governor Oleg Kiper.

Mr Kiper also reported damage to residential buildings and civil infrastructure. 

Emergency services are on site, he said on Telegram .

Ukraine's air force reported a harder-to-intercept ballistic missile threat before the strike.

Unverified footage is circulating on social media of a fire that purportedly broke out after the attack.

If you're just joining us or briefly dipping in, here's a quick rundown of all the key events of the day so far:

• NATO secretary-general Jens Stoltenberg is visiting Kyiv for a meeting with Volodymyr Zelenskyy;
• In a joint news conference, Mr Stoltenberg said NATO allies had "not delivered" on their military aid pledges to Ukraine in recent months, saying that "serious delays" had led to negative consequences on the battlefield;
• Mr Zelenskyy also called for the delivery of Western weapons to Kyiv's troops to be sped up;
• Russia's defence ministry claimed its forces have taken control of the village of Semenivka in the eastern Donetsk region;
• European Council president Charles Michel said the Russian invasion of Ukraine has given "new impetus" to calls for the EU to be enlarged beyond the 27 members;
• Germany's public prosecutor's office is assessing whether a political motive was behind the killing of two Ukrainian soldiers in Murnau.

A woman has reportedly been injured after a "series of explosions" hit Kharkiv, according to the city's mayor.

Igor Terekhov wrote on Telegram that a high-rise building has been partially damaged.

"There is information about one injured woman," he said.

Germany's public prosecutor general's office has taken over a probe into the deaths of two Ukrainian soldiers in the country due to a possible political motive.

The two men, aged 36 and 23, were stabbed in southern Germany where they had been recuperating. Police said they were discovered outside a shopping centre in Murnau on Saturday night.

A 57-year-old Russian citizen was later arrested on suspicion of murder.

Preliminary investigations suggest the three people knew each other, but no names have been released in line with German privacy rules.

"The motive for the crime is currently unclear, although a political motivation cannot be ruled out and is being investigated in all directions," the prosecutor general's office in Munich said.

Ukrainian foreign minister Dmytro Kuleba is in contact with German law enforcement about the case.

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