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COVID-19 international travel advisories

If you plan to visit the U.S., you do not need to be tested or vaccinated for COVID-19. U.S. citizens going abroad, check with the Department of State for travel advisories.

COVID-19 testing and vaccine rules for entering the U.S.

• As of May 12, 2023, noncitizen nonimmigrant visitors to the U.S.  arriving by air  or  arriving by land or sea  no longer need to show proof of being fully vaccinated against COVID-19. 
• As of June 12, 2022,  people entering the U.S. no longer need to show proof of a negative COVID-19 test . 

U.S. citizens traveling to a country outside the U.S.

Find country-specific COVID-19 travel rules from the Department of State.

See the  CDC's COVID-19 guidance for safer international travel.

LAST UPDATED: December 6, 2023

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An official website of the United States government

Here’s how you know

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Secure .gov websites use HTTPS A lock ( Lock A locked padlock ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

• For International Visitors

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Almost a million individuals enter the U.S. daily. Everyone arriving at a port of entry to the U.S. is subject to inspection by Customs and Border Protection officers for compliance with immigration, customs and agriculture regulations. The more international travelers know about what to expect, the easier and quicker the process becomes.  

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• Fact Sheets

Fact Sheet: Guidance for Travelers to Enter the U.S. at Land Ports of Entry and Ferry Terminals

Updated Date: May 1, 2023

DHS Statement on the Lifting of Title 19 Requirements

Beginning May 12, 2023, DHS will no longer require non-U.S. travelers entering the United States via land ports of entry and ferry terminals to be fully vaccinated against COVID-19 and provide related proof of vaccination upon request. DHS intends to rescind these Title 19 travel restrictions in alignment with the end of the Public Health Emergency and the termination of the Presidential Proclamation on air travel .

Updated Date: April 21, 2022

As of Thursday, April 21, 2022, DHS will extend COVID-19-related land border entry requirements. Non-U.S. travelers seeking to enter the United States via land ports of entry and ferry terminals at the U.S.-Mexico and U.S.-Canada borders are required to be fully vaccinated against COVID-19 and provide proof of vaccination upon request.  

These restrictions apply to non-U.S. travelers who are traveling for essential or non-essential reasons. They do not apply to U.S. citizens, Lawful Permanent Residents, or U.S. nationals. 

This announcement does not affect requirements for entry into the United States by air.

What To Expect

As travel returns to pre-pandemic levels, wait times are expected to increase. The resources below are intended to prepare travelers to improve the cross-border travel experience. Travelers should plan for longer than normal wait times and longer lines at U.S. land border crossings when planning their trip and are reminded to exercise patience.

To help reduce wait times and long lines, travelers arriving or departing from air, sea or land ports of entry are encouraged to opt in to using Simplified Arrival or Mobile Passport Control , which can make the inspection process touchless and more expedient with the use of facial comparison technology . Documented non-citizens may also apply for and manage their I-94s through the CBP One TM mobile application, which serves as a single portal for individuals to access CBP mobile applications and services.

Arrival at Land Port of Entry or Ferry Terminal

Since January 22, 2022, DHS has allowed inbound non-U.S. travelers (non-U.S. citizens who are neither U.S. nationals nor lawful permanent residents) to seek to enter the United States via a land port of entry (POE) or ferry terminal if they are fully vaccinated and have appropriate documentation.

Non-U.S. individuals traveling to the United States via land ports of entry or ferry terminals, whether for essential or non-essential reasons, must: 

• verbally attest to their COVID-19 vaccination status;
• provide, upon request, proof of a CDC-approved COVID-19 vaccination, as outlined on the CDC website ;  
• present a valid  Western Hemisphere Travel Initiative  (WHTI)-compliant document, such as a valid passport, Trusted Traveler Program Card, or Enhanced Tribal Card;   
• be prepared to present any other relevant documents requested by a U.S. Customs and Border Protection (CBP) officer during a border inspection; and   

COVID-19 testing is not required for entry via a land or ferry port of entry. 

Click here to see answers to frequently asked questions

In March 2020, to prevent the further spread of COVID-19, the U.S. government issued restrictions on travel into the United States. DHS implemented temporary restrictions, limiting entry at the U.S. northern and southern land borders to persons engaged in essential travel, including lawful trade, emergency response, and public health purposes. The White House also suspended entry to foreign nationals who had recently been in certain countries.

In October 2021, the White House  announced  that, starting November 8, 2021, the U.S. government would move away from the country-by-country restrictions previously applied during the COVID-19 pandemic and adopt travel policies that rely primarily on vaccination to advance the safe resumption of travel. Since January 22, 2022, DHS has imposed a vaccination requirement on non-U.S. individuals seeking to cross into the United States at land ports of entry or ferry terminals. 

CDC Resources

• International Travel Landing Page
• Travel Requirements: Quiz
• International Travel : Information for U.S. Citizens, U.S. Nationals, Lawful Permanent Residents, and People Traveling to the U.S. on Immigrant Visas
• Non-U.S. Citizen Non-U.S. Immigrants: Air Travel to the United States

Additional Information

• Vaccines.gov
• DHS Response to Coronavirus Disease 2019
• Coronavirus.gov
• CDC.gov: Coronavirus Disease 2019 (COVID-19)
• USA.gov: What the U.S. Government is Doing (link is no longer valid)
• Border Security
• Transportation Security
• Coronavirus (COVID-19)
• Customs and Border Protection (CBP)

Traveling with Pets

CDC is extending its temporary suspension of dog importation from high-risk dog rabies countries until July 31, 2024. This suspension includes dogs arriving from countries without high risk of rabies if the dogs have been in a high-risk country in the past 6 months. Learn about the current rules: What Your Dog Needs to Enter the United States

Photo Credit: Audilis Sanchez, CDC

Taking your dog or cat on a flight abroad? Make sure you have your pet’s documents when traveling internationally and returning home to the United States. Leave yourself plenty of time before the trip to take care of your pet’s required medical care and paperwork. Remember to start the process early.

First Stop—Your Vet’s Office

If you are traveling internationally, tell your veterinarian about your plans as soon as possible. Together, you can make sure your pet is healthy enough to travel and meets the requirements for your destination country  and for your return to the United States. Requirements may include

• Blood tests
• Vaccinations
• Microchips for identification
• Health certificates

Airlines and countries often have different requirements, so make sure you know what the specific ones are.

Research How to Fly with Your Pet

Talk to your vet about your travel plans and your dog’s rabies vaccination. Photo credit: David Heaberlin, CDC

Give yourself plenty of time to do your homework before your trip. A great place to start is the Pet Travel website  of the US Department of Agriculture’s Animal and Plant Health Inspection Service (APHIS).

Different airlines have different rules about whether and how a pet can travel. Depending on the airline, your pet may be able to travel on your flight either in the cabin or in the cargo hold. Confirm this ahead of time with your airline.

On airlines that allow pets to travel, only small dogs and cats that can fit in special carriers under the seat are allowed in the cabin. Their owners must care for them during any layovers. Some airlines may not allow them in the cabin and will transport them as cargo in a heated and ventilated hold. Cats and dogs may travel and rest better this way, since it is quieter and darker, according to the International Air Transport Association.

Research how to fly with your pet. Photo credit: Misty Ellis, CDC

Another way for your pet to travel is on a separate flight as an air cargo shipment. If this is your preference, or a requirement based on your dog’s size or the destination country’s rules, then get your pet used to the shipping kennel ahead of time. Make sure the door latches securely to avoid any mishaps in transit. Ask your veterinarian for advice about when to give food and water. If a pet is traveling as an air cargo shipment , you must make arrangements for pickup at the final destination.

Some US carriers don’t allow pets to be shipped between May and September, the hottest months for animals to travel in the Northern Hemisphere.  No matter what time of year, safety is always a concern when pets travel by airplane. If absolutely necessary for a dog or cat to travel in cargo, it must be in a sturdy container with enough room to stand and sit, to turn around normally while standing, and to lie down in a natural position. For more information, visit the US Department of Agriculture pet travel website .

When waiting for a connecting flight, you may have to care for a pet traveling with you in the cabin, while the airline staff or ground handlers care for a pet traveling in cargo. Check with your airline(s) beforehand to see what is required.

Consider Your Pet’s Comfort

Consider your pet’s comfort when traveling. Photo credit: Misty Ellis, CDC

Loading and unloading can be the most stressful part of travel for animals. Consider these tips:

• Get your pet used to its carrier before the flight.
• Purchase flights with fewer connections or layovers.
• Pick departure and arrival times to avoid extreme heat or cold. For example, planning a nighttime arrival to a hot destination may be better for your pet.
• Consult with your veterinarian. The International Air Transport Association discourages the use of sedatives or tranquilizers because they could harm animals while in flight.
• Walk your pet before leaving home and again before checking in.
• If your pet is allowed in the cabin, check in as late as possible to reduce stress.
• If your pet will be transported as cargo, check in early so it can go to the quiet and dimly lit hold of the plane.

Cruise Ships and Travel by Sea

Different cruise ships have different rules about whether a pet or service animal can travel with you and what documents they require. Confirm this ahead of time with your cruise ship. If you travel with your pets internationally on a cruise ship or other maritime vessel, you will be required to meet federal entry requirements to enter or re-enter the United States with your pets. Note that CDC has temporarily suspended the importation of dogs arriving from countries that CDC considers high risk for dog rabies , including dogs that have visited a high-risk country in the past 6 months.

Requirements for Dogs Leaving the United States

CDC does not have requirements for dogs leaving the United States. However, if you plan to return to the United States with your dog, the dog will be required to meet the same entry requirements as dogs arriving from foreign countries (see below). If you plan to take your dog to a country at high risk for dog rabies , be sure to review the importation requirements  before leaving the United States, because your dog may not be allowed to return to the United States due to the current temporary suspension , which applies to dogs that live in the United States and have traveled to high-risk countries, even if only for a short visit.

Visit the US Department of Agriculture  website for pet entry requirements in foreign countries.

Requirements for Dogs Arriving in the United States

Meet the requirements for dogs entering the United States. Photo credit: Derek Sakris, CDC

Whether returning or coming to the United States, all dogs must appear healthy . There is a temporary suspension   for dogs imported from countries that CDC considers high risk for dog rabies .

Some states may require vaccinations and health certificates. Check with your destination state’s health department  before you leave on your trip.

Some airlines, cities, or states restrict certain breeds, so be sure to check before you travel.

The US Department of Agriculture  has additional restrictions for some dogs arriving in the United States, such as working dogs and dogs intended for resale or adoption.

Requirements for Cats Arriving in the United States

Cats aren’t required by CDC to have a rabies vaccination certificate to enter the United States. However, most states and many other countries require them for cats, and CDC recommends that all cats be vaccinated against rabies. Be sure to check your destination’s requirements and ask your veterinarian before traveling.

Other kinds of pets

If your pet is not a cat or dog, there may be different requirements. Some animals , such as primates (monkeys and apes) or African rodents , won’t be allowed back into the United States. Even if they originally came from the United States, they can’t be brought back here as pets.

With careful planning, your pet can stay healthy and safe while traveling. Photo credit: Audilis Sanchez, CDC

Illness or Death of a Pet During Travel

Despite all precautions, pets sometimes get sick or even die on an airplane. Public health officials are required to make sure an animal didn’t die of a disease that can spread to people. They may have to do an animal autopsy or conduct other tests, at your cost, to figure out the cause of death. The animal’s remains often cannot be returned to you after this testing.

Think of Different Options

Make sure your pet is healthy enough to travel by air. If you have any doubts, consider leaving your pet with a trusted friend, family member, or boarding kennel during your trip, or taking another mode of transportation.

With careful planning, your pet will arrive both at its destination and return home healthy and safe.

• Information on Dog Importation for US Rescues, Shelters, and Adoption Agencies
• Information on Dog Importation for US Veterinary Clinics
• International Air Transport Association- Traveler’s Pet Corner
• Animal Transportation Association
• International Pet and Animal Transportation Association
• Centers for Disease Control and Prevention
• U.S. Department of Agriculture
• National Agricultural Library
• U.S. Fish & Wildlife Service
• U.S. Department of State
• U.S. Department of Transportation 
• American Veterinary Medical Association
• CDC’s Healthy Pets, Healthy People website
• Travelers' Health
• Healthy Pets Healthy People
• Southern Border Health and Migration
• Port Health
• Division of Global Migration Health

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'Breaking up families': CDC announces strict rules for traveling to the US with your dog

The Centers for Disease Control and Prevention announced new restrictions Wednesday on dogs traveling to the U.S., which some say will make it harder for families returning to the country with their pets or adopting pets internationally.

The new regulation, which goes into effect August 1, bans all dogs under six months from entering the U.S. Dogs over six months must show proof they have not been in a country identified as high-risk for rabies. Without proof, the dog faces potential quarantine. Dogs must also be microchipped.

The tighter restrictions are meant "to protect the health and safety of people and animals by making sure any dog arriving in the United States is healthy and doesn’t present a risk to our communities," the CDC said in a press release Wednesday.

The U.S. eliminated rabies in 2007, and the new rules are meant to prevent the re-introduction of the viral disease, which is transmitted through biting. The agency has identified 131 countries as high risk for rabies as of Aug. 2023.

The CDC also said it has seen "recent challenges with international dog importations," such as fraudulent documents or dogs kept in unsafe conditions.

Traveling with a pet can be difficult. Download these helpful apps

However, some say the restrictions will negatively impact families and those wanting to rescue pets overseas from legitimate organizations because it can be “especially challenging” to provide proof of a dog’s whereabouts," according to the Humane Society Legislative Fund in a press release on Wednesday. “Far fewer dogs will be able to find loving homes in the U.S.," the release said.

“The CDC’s job is to maintain public health, but these new requirements may needlessly delay Americans – including government personnel and military families – from returning to the United States with their pets, creating great anguish and breaking up families in the process,” said Tracie Letterman, vice president of federal affairs at Humane Society Legislative Fund, in a statement in the release. 

Airlines may also struggle to implement the new restrictions.

“Airlines will be left to their own discretion to enforce these rules, and if they err, it’s up to the airline to export the dog back to the dog’s country of origin,” the Humane Society Legislative Fund said. “To avoid confusion or difficulties, some airlines may opt out of allowing customers to travel into the U.S. with dogs.”

Kathleen Wong is a travel reporter for USA TODAY based in Hawaii. You can reach her at [email protected] .

Traveling with dogs to the U.S.? The new CDC rules you'll have to follow

All dogs coming into the U.S. from other countries must be at least 6 months old and microchipped to help prevent the spread of rabies, according to  new government rules  published Wednesday.

The new rules require vaccination for dogs that have been in countries where rabies is common. The update applies to dogs brought in by breeders or rescue groups as well as pets traveling with their U.S. owners.

“This new regulation is going to address the current challenges that we’re facing,” said Emily Pieracci, a rabies expert at the Centers for Disease Control and Prevention who was involved in drafting the updated regulations.

The CDC posted the  new rules in the federal register  on Wednesday. They take effect Aug. 1 when a temporary 2021 order expires. That order suspended bringing in dogs from  more than 100 countries  where rabies is still a problem.

The new rules require all dogs entering the U.S. to be at least 6 months, old enough to be vaccinated if required and for the shots to take effect; have a microchip placed under their skin with a code that can be used to verify rabies vaccination; and have completed a new CDC import form.

There may be additional restrictions and requirements based on where the dog was the previous six months, which may include blood testing from CDC-approved labs.

The CDC regulations were last updated in 1956, and a lot has changed, Pieracci said. More people travel internationally with their pets, and more rescue groups and breeders have set up overseas operations to meet the demand for pets, she said. Now, about 1 million dogs enter the U.S. each year.

Dogs were once common carriers of the rabies virus in the U.S. but the type that normally circulates in dogs was eliminated through vaccinations in the 1970s. The virus invades the central nervous system and is usually a fatal disease in animals and humans. It’s most commonly spread through a bite from an infected animal. There is no cure for it once symptoms begin.

Four rabid dogs have been identified entering the U.S. since 2015, and officials worried more might get through. CDC officials also were seeing an increase of incomplete or fraudulent rabies vaccination certificates and more puppies denied entry because they weren’t old enough to be fully vaccinated.

A draft version of the updated regulations last year drew a range of public comments.

Angela Passman, owner of a Dallas company that helps people move their pets internationally, supports the new rules. It can be especially tricky for families that buy or adopt a dog while overseas and then try to bring it to the U.S., she said. The update means little change from how things have been handled in recent years, she said.

“It’s more work for the pet owner, but the end result is a good thing,” said Passman, who is a board member for the International Pet and Animal Transportation Association.

But Jennifer Skiff said some of the changes are unwarranted and too costly. She works for Animal Wellness Action, a Washington group focused on preventing animal cruelty that helps organizations import animals. She said those groups work with diplomats and military personnel who have had trouble meeting requirements, a reason some owners were forced to leave their dogs behind.

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In a decade of drug overdoses, more than 320,000 American children lost a parent

Rhitu Chatterjee

Esther Nesbitt lost two of her children to drug overdoses, and her grandchildren are among more than 320,000 who lost parents in the overdose epidemic. Andrew Lichtenstein/Corbis via Getty Images hide caption

Esther Nesbitt lost two of her children to drug overdoses, and her grandchildren are among more than 320,000 who lost parents in the overdose epidemic.

More than 320,000 children across the United States lost a parent due to a drug overdose between 2011 and 2021. That's according to a new study published in JAMA Psychiatry Wednesday.

"It's a call to arms to pay close attention to the consequences of a parent who dies due to a drug overdose," saysHarvard neuroscientist Charles Nelson III , who wasn't involved in the new study.

The impact of the country's overdose epidemic on children is something "we really don't speak much about," says Dr. Nora Volkow , director of the National Institute on Drug Abuse and an author of the new study.

"The [overdose] numbers and mortality are so high that it attracts all of the attention and urgency to address it, to protect people from dying," she adds. "But at the same time, we've basically neglected to realize that when someone dies, there is a family that's left behind. And if the family has young children, that makes them very, very vulnerable."

Several federal agencies including the Substance Abuse and Mental Health administration and the US Centers for Disease Control and Prevention conducted the study.

Kids who experience the death of a parent or a primary caregiver are at risk of a range of poor health and educational outcomes, according to previous research.

For example, the death of a parent makes children more likely to do poorly at school and even drop out . A 2018 study found that children who experienced the sudden death of a parent are more likely to have trouble functioning and have symptoms of depression and post traumatic stress disorder.

The new paper was inspired by recent studies on estimates of children who lost a parent or primary caregiver to Covid-19 , says Volkow, drawing attention to the multigenerational effects of the pandemic.

Volkow and her co-authors found that the rate of children who lost a parent from an overdose rose by 134% during the study period – from 27 per 100,000 children in 2011 to 63 per 100,000 in 2021.

More children — over 192,000 — lost a father to drug overdose compared to the 129,000 who lost a mother.

More than half of these bereaved kids had parents who died between the ages of 26 to 40 years, followed by 41 to 64 years, and 18 to 25 years.

The largest number of parents who died were non-Hispanic White, followed by Hispanic and Black. However, the highest rate of parental drug overdose losses were among American Indian and Alaska Native children.

"Children that come from underrepresented groups with higher adversity, economic and social, which already puts them at higher risk for behavioral health disorders and mental health disorders," says Volkow. Those risks can be further exacerbated by the death of a parent due to overdose, she adds.

"When I read the [new] paper, I had this sense of déja vu," says Nelson, who is an author of a 2021 study that estimated the number of children in the United States who lost a parent due to COVID-19-related causes.

However, the long term risks may be even greater for kids who lost a parent due to a drug overdose, says Nelson.

A memorial for those lost to the opioid epidemic in Binghamton, NY, in Aug. 2021. A study in JAMA Psychiatry Wednesday tallies how many children lost parents to overdoses. Andrew Lichtenstein/Corbis via Getty Images hide caption

A memorial for those lost to the opioid epidemic in Binghamton, NY, in Aug. 2021. A study in JAMA Psychiatry Wednesday tallies how many children lost parents to overdoses.

"There's so many factors involved so that kids could get very, very tangled up in their thinking about why their parent overdosed," says Nelson.

For example, a child might get preoccupied with questions like "Was it preventable? Why did my father do this? Why didn't they stop taking drugs?" he says.

Besides, as the study points out, growing up in a household where a parent uses substances is itself a childhood trauma with potential for long-term health consequences for a child. "There's all the neglect that goes along with that, with certain substances. That's very common," says Nelson. "There is the abuse that sometimes travels with that."

As a result, a child whose parent died from a drug overdose may experience complex grief, and need more specialized mental health care, he adds.

There are other factors adding more stress to the lives of these bereaved children, says Nelson. "The worst of it is the stigma associated with having lost a parent to an overdose," he says. "So that would mean that these kids could be stigmatized in school."

Then there is the risk of future substance use. "As these kids get to adolescence, they too might start using drugs," says Nelson. "It gets really complicated."

Volkow hopes the study will spur actions to better address the needs of these children, so their long-term risks can be minimized. For example, she hopes there will be efforts made to keep children with their siblings and/or other relatives, with families receiving the supports and services they need to address these children's mental health needs.

"If a child loses a parent, [and] the child welfare system comes in and they remove them and take them away from other siblings, and then they lose not just the parent, they lose the sibling, they lose the school system that they have," says Volkow.

And there is a lot more to be done to prevent the death of parents due to overdoses in the first place, says Volkow, through policies that encourage parents to seek treatment for their substance use.

However, parents, especially mothers (and pregnant women) face tremendous stigma and punitive state laws which discourage them from seeking treatment, she says.

'As a physician, if someone comes to me and they are actually taking drugs and say they are pregnant, I have to report that," Volkow says.

In some states, such reporting eventually leads to the child being taken away from the mother soon after birth. Laws like these discourage women from seeking treatment for substance use, she adds. "Seeking treatment should not be something that people should be afraid of."

• opioid addiciton
• opioid crisis
• children grief