travel vaccines cdc tanzania

Travel Vaccines and Advice for Tanzania

Tanzania is a picturesque destination where travelers can explore the Serengeti, encountering incredible wildlife. For particularly ambitious hikers, Tanzania also provides the challenge of a lifetime: Mt. Kilimanjaro.

For visitors who aren’t quite up to the challenge of Kilimanjaro, there are many other natural landscapes to explore.

Tanzania’s landscape makes for impressive sunrises and sunsets. The food is also unforgettable, a mixture of Arabic, Indian and African influences.

On This Page: Do I Need Vaccines for Tanzania? Other Ways to Stay Healthy in Tanzania Health Notices and Outbreaks in Tanzania Do I Need a Visa or Passport for Tanzania? What Is the Climate Like in Tanzania? Is It Safe to Travel to Tanzania? Visiting Zanzibar Tanzania’s Rules What Should I Pack for Tanzania? U.S. Embassy in Tanzania

Do I Need Vaccines for Tanzania?

Yes, some vaccines are recommended or required for Tanzania. The CDC and WHO recommend the following vaccinations for Tanzania: typhoid , hepatitis A , polio , yellow fever , chikungunya , rabies , hepatitis B , influenza , COVID-19 , pneumonia , meningitis , chickenpox , shingles , Tdap (tetanus, diphtheria and pertussis) and measles, mumps and rubella (MMR) .

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

• Typhoid – Food & Water – Shot lasts 2 years. Oral vaccine lasts 5 years, must be able to swallow pills. Oral doses must be kept in refrigerator.
• Hepatitis A – Food & Water – Recommended for most travelers.
• Polio – Food & Water – Due to an increase in cases globally, an additional adult booster is recommended for most travelers to any destination.
• Yellow Fever – Mosquito – Required if traveling from a country with risk of yellow fever transmission.
• Chikungunya – Mosquito – Limited cases in Tanzania since 2016. But, it is believed the virus is underreported in the region.
• Rabies – Saliva of Infected Animals – High risk country. Vaccine recommended for long-term travelers and those who may come in contact with animals.
• Hepatitis B – Blood & Body Fluids – Recommended for travelers to most regions.
• Influenza – Airborne – Vaccine components change annually.
• COVID-19 – Airborne – Recommended for travel to all regions, both foreign and domestic.
• Pneumonia – Airborne – Two vaccines given separately. All 65+ or immunocompromised should receive both.
• Meningitis – Direct Contact & Airborne – Given to anyone unvaccinated or at an increased risk, especially students.
• 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.
• Polio – Food & Water – Considered a routine vaccination for most travel itineraries. Single adult booster recommended.
• TDAP (Tetanus, Diphtheria & Pertussis) – Wounds & Airborne – Only one adult booster of pertussis required.
• Measles Mumps Rubella (MMR) – Various Vectors – Given to anyone unvaccinated and/or born after 1957. One time adult booster recommended.

See the table below for more information:

Specific Vaccine Information

• Typhoid – Salmonella Typhi causes typhoid, a severe infection transmitted via contaminated food and water. Vaccination is recommended for travelers and those with elevated infection risks. Practicing proper hygiene and safe food handling can also reduce the likelihood of contracting typhoid.
• Cholera – Cholera is a bacterial infection caused by Vibrio cholerae, typically spread through contaminated water, leading to severe diarrhea and dehydration. The cholera vaccine, administered orally, effectively prevents this infection. It’s recommended for travelers to areas with high cholera incidence and during outbreaks.
• Hepatitis A – Hepatitis A is an infectious liver disease caused by the hepatitis A virus, often spread through contaminated food or water, or via direct contact with someone infected. It leads to liver inflammation, potentially impairing its function, and manifests as symptoms like tiredness, stomach pain, nausea, and yellowing of the skin or eyes. The vaccine for hepatitis A offers robust protection against this virus. It is typically given in two doses over a six-month period and is advised for those traveling to regions with higher risk or for people more likely to come into contact with the virus.
• Yellow Fever – Yellow fever, caused by the yellow fever virus and primarily spread by infected mosquitoes, can be effectively prevented with vaccination. The yellow fever vaccine, with its long-lasting immunity, is essential for travelers to endemic areas and residents in regions where the disease is prevalent.
• Chikungunya – Chikungunya, carried by Aedes mosquitoes, can be prevented through use of repellents, netting and vaccination.
• Rabies – Preventing rabies involves avoiding contact with infected animals and ensuring timely vaccination. The rabies vaccine is a critical tool, offering protection through post-exposure prophylaxis (PEP) and preemptive vaccination for high-risk individuals like travelers.
• Hepatitis B – Hepatitis B, a liver infection spread through bodily fluids, poses a significant health risk. Safe practices help, but vaccination is the ultimate safeguard. It prompts the immune system to produce antibodies, ensuring strong and persistent protection.
• Measles, Mumps, Rubella (MMR) – Measles, mumps, and rubella are highly contagious diseases with potentially severe consequences. Preventing their transmission is possible through vaccination with the MMR vaccine. This two-dose vaccine not only safeguards individuals but also helps create herd immunity, reducing the risk of outbreaks within communities.

Malaria in Tanzania

Malaria is present in all regions of Tanzania under 5,900 feet elevation. Travelers are advised to take antimalarials no matter their destination or itinerary in the country. Malaria in Tanzania is chloroquine resistant, be sure to speak with a travel health specialist on which antimalarial is best for your trip.

You may be required to present proof of yellow fever vaccination if you are traveling from a country where yellow fever is present.

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

Other Ways to Stay Healthy in Tanzania

Prevent bug bites in tanzania.

If you get bitten by bugs, clean the area, resist scratching, and use over-the-counter remedies like hydrocortisone or antihistamines to relieve itching. Seek medical attention for severe reactions.

Food and Water Safety in Tanzania

Safely enjoying meals abroad involves precautions like washing hands, avoiding street food, and consuming well-cooked dishes. Opt for bottled or canned drinks and stay vigilant about seal integrity. Preventing travelers’ diarrhea means maintaining hand hygiene, avoiding raw foods, and selecting reputable eateries.

Altitude Sickness in Tanzania

Altitude sickness, or acute mountain sickness (AMS), results from oxygen deprivation at high altitudes, leading to symptoms like headaches and nausea. Prevent AMS by ascending slowly, staying hydrated, and considering medication. If symptoms worsen, descend immediately to lower altitudes and seek medical assistance.

Infections To Be Aware of in Tanzania

• African Sleeping Sickness – In Africa, African Trypanosomiasis can be prevented through wearing long-sleeved clothing, and using insect repellent to reduce the risk of tsetse fly bites, which transmit the parasites causing the disease.
• African Tick-Bite Fever – African Tick-Bite Fever (ATBF) is a tick-borne disease in sub-Saharan Africa. Preventive measures include wearing protective clothing, using insect repellent, and checking for ticks.
• Crimean-Congo Hemorrhagic Fever – Crimean-Congo Hemorrhagic Fever, a severe viral illness, spreads through infected ticks and direct human contact with bodily fluids. Prevention includes tick avoidance, protective measures in healthcare settings, and the development of a potential vaccine to curb its transmission.
• Dengue – Dengue fever, a viral infection spread by mosquitoes, is characterized by symptoms like high fever and rash. Prevention involves protective measures against mosquito bites and eliminating breeding sites. For those affected, seeking prompt medical care, staying hydrated, and using specific pain relievers under guidance is essential for recovery.
• Rift Valley Fever – Rift Valley Fever, transmitted by mosquitoes and infected animal contact, can be prevented through livestock vaccination, mosquito control, and safe animal handling practices.
• Schistosomiasis – Schistosomiasis, caused by parasitic flatworms, is prevalent in areas with contaminated freshwater sources. Prevention involves staying out of potentially infected waters and using protective clothing. Recognizing symptoms such as fever and seeking medical help promptly is crucial for diagnosis and treatment.

Health Notices and Outbreaks in Tanzania

• Polio – Tanzania is one of many countries that has reported an instance of polio in the last 12 months. Travelers are advised to make sure their polio vaccination is up-to-date before travel to the region. Those who previously received a full set of polio immunization may need a single, lifetime booster shot.

Do I Need a Visa or Passport for Tanzania?

A valid passport and visa are required for entry to Tanzania. It is best to get a visa before arrival to avoid any problems at entry.

Sources: Embassy of Tanzania and U.S. State Department

Volunteer activity is prohibited on a tourist visa.

What Is the Climate Like in Tanzania?

Tanzania’s climate is very diverse, with tropical and coastal areas as well as cool mountainous regions. Tanzania has two main rainy seasons, the short rains and long rains.

• Short rains: October through December
• Long rains: March through June

Outside of the two rainy seasons, Tanzania’s climate is often dry and hot. In February, Tanzania’s average high temperatures are in the mid-80’s and lows are in the mid-60’s. Highs in July reach the high-70’s and lows reaching the high-50’s.

The best season for travel is from June to September, when animal sightings are common.

Is It Safe to Travel to Tanzania?

Travelers to Tanzania can take steps to stay safe while they explore the country. It is important to be aware of your surroundings, especially in busy areas where pickpockets may be around. Avoid walking alone at night and keep your valuables, such as your passport and money, close to you.

Use reputable taxis or public transportation and be careful with food and water. Dress appropriately, especially when visiting cultural or religious sites. Before you go, research the areas you plan to visit to make sure they are safe and to learn about local customs and laws. During your stay, be respectful of local customs and obey local laws.

By using common sense and following these tips, travelers can have a safe and enjoyable experience in Tanzania.

Visiting Zanzibar

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

Off the coast of Tanzania lies Zanzibar, or the Spice Island, a former slave Island. Travelers can wander around Stone Town, a UNESCO world heritage site with impressive architecture, beautiful beaches and a fascinating historical legacy.

Beyond Zanzibar, there are many smaller islands around Tanzania that offer bright blue waters and white beaches.

There are many differences between Zanzibar and the mainland. The island is almost entirely Muslim and it uses it’s own system of timekeeping.

Tanzania’s Rules

Possession and sale of drugs in Tanzania are punished severely.

It may not always be clearly marked where photography is not permitted.

Tanzania is a majority Islamic state. During the holy month of Ramadan, when Muslims fast during daylight hours, avoid eating, drinking, smoking, or chewing gum in public.

Consensual same-sex relations are illegal in Tanzania and on Zanzibar. These relationships are punishable by prison time. LGBTI travelers may face targeting or harassment.

Travelers should exercise extreme caution while driving, taking taxis and public transportation.

In Tanzania, it is recommended to dress conservatively.

It is illegal to export animals or animal parts and to gather, collect or remove flora or fauna from marine parks.

What Should I Pack for Tanzania?

Here are some essential items to consider for your trip to Tanzania:

• Insect repellent and sunscreen.
• Travelers may experience diarrhea from contaminated water or food they are not used to. Travelers’ diarrhea kits are highly recommended.
• Beach supplies if you’re headed to the coast or Zanzibar!
• Light clothing for hot temperatures.

U.S. Embassy in Tanzania

All Americans visiting Tanzania should register online with the U.S. Department of State before departure. This will inform the office of your travel plans within the country and will allow them to reach out in the case of an emergency or evacuation.

Once in Tanzania, here is the information for the U.S. Embassy:

U.S. Embassy Dar es Salaam 686 Old Bagamoyo Road Msasani, Dar es Salaam Telephone: 255-22-229-4000 Fax: +(255) 22-229-4721

Visit the Embassy to Tanzania website prior to your departure to confirm correct contact details for the office.

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

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Travel Advisory July 31, 2023

Tanzania - level 2: exercise increased caution.

Reissued with obsolete COVID-19 page links removed.

Exercise increased caution in Tanzania due to crime, terrorism, and targeting of LGBTI persons .  Some areas have increased risk.  Read the entire Travel Advisory.

Reconsider Travel To:

• Mtwara Region in southern Tanzania due to the threat of terrorism.

Country Summary : Violent crime, such as assault, sexual assault, robberies, mugging, and carjacking, is common.  Local police may lack the resources to respond effectively to serious crime.

Terrorist groups could attack in Tanzania with little or no warning, targeting embassies, police stations, mosques, and other places frequented by Westerners. Please see the additional information below regarding the increased threat of terrorism in Mtwara Region.

Members of the LGBTI community have been arrested, targeted, harassed, and/or charged with unrelated offenses.  Individuals detained under suspicion of same-sex sexual conduct could be subject to forced anal examinations.

Read the country information page for additional information on travel to Tanzania.

If you decide to travel to Tanzania:

• Always carry a copy of your U.S. passport and visa and keep original documents in a secure location.
• Be aware of your surroundings.
• Do not leave your food or drink unattended.
• Stay alert in all locations, especially those frequented by Westerners.
• Avoid public displays of affection particularly between same-sex couples.
• 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.
• Review the Country Security Report for Tanzania.
• Prepare a contingency plan for emergency situations. Review the Traveler’s Checklist .
• Visit the CDC page for the latest Travel Health Information related to your travel.

Mtwara Region in southern Tanzania – Level 3: Reconsider Travel There have been reports of violence in Mtwara Region in southern Tanzania. Increased activity by extremists along the southern border has led to attacks against both government and civilian targets.

Embassy Messages

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Quick Facts

6 months. Passports with the “X” gender marker are not accepted.

Yellow fever required if traveling from a country where the disease is endemic.

Travelers must declare international currency valuing more than $10,000 on both entrance to and exit from Tanzania. Non-resident American citizens may not import or export Tanzanian Shillings (TSH).

Non-residents (except Kenyans and Ugandans) may not import or export Tanzanian Shillings (TZS)

Embassies and Consulates

U.s. embassy dar es salaam.

686 Old Bagamoyo Road, Msasani, Dar es Salaam, Tanzania Telephone:  +(255) 22-229-4000 Emergency After-Hours Telephone: +(255) 22-229-4000, dial '1' for an emergency operator Email:   [email protected]

Destination Description

The United Republic of Tanzania is a constitutional republic located in East Africa. It enjoys a relatively stable economy; it is resource-rich and has a growing tourist industry. Tourist facilities are centered around the “northern and southern circuit” of National Parks which include the Serengeti, Ngorongoro Crater, Kilimanjaro, Arusha, Nyerere, and Ruaha as well as the islands in the semi-autonomous Zanzibar archipelago.

See the Department of State’s Fact Sheet on Tanzania for information on U.S.-Tanzania relations. 

Entry, Exit and Visa Requirements

Visas: Tourists must obtain a one-year multiple entry visa for $100. Applicants can apply and pay online for an e-visa in advance of travel. If approved, the applicant will receive a “grant notice” via email which they present to the Immigration Officer upon arrival at the airport in Tanzania. U.S. citizens can also obtain a tourist visa upon arrival.

Volunteer work is prohibited on a tourist visa. Volunteers must obtain a Class “C” Residence Permit .

Contact the Tanzanian Immigration Services Department for information on obtaining a residence permit .

Obtain the latest information on visas from the Embassy of Tanzania in Washington D.C.

Information about dual nationality or the prevention of international child abduction can be found on our website. For further information about customs regulations, please read our Customs Information page . Please note that Tanzania does not permit dual citizenship for adults.

Entry Requirements:

• Passport with at least one blank page and six months’ validity.
• Visitors must present a round-trip ticket and be prepared to demonstrate they have sufficient funds for their stay.
• Proof of yellow fever vaccination is required for all travelers arriving from countries where the disease is endemic, including 12+ hour airport transit and layovers. The Embassy of Tanzania has further information, including on waivers for this requirement.

Information about recommended vaccinations and medications can be found on the CDC’s website .

HIV/AIDS restrictions: The U.S. Department of State is unaware of any HIV/AIDS entry restrictions for visitors to, or foreign residents of, Tanzania.

Safety and Security

You should review the Department of State’s Travel Advisory for Tanzania before considering travel to Tanzania.

Terrorism: Travelers should be aware that terrorists are increasingly using less sophisticated methods of attack – including knives, firearms, and vehicles – to more effectively target crowds. Frequently, their aim is unprotected or vulnerable targets, such as:

• High-profile public events (sporting contests, political rallies, demonstrations, holiday events, celebratory gatherings, etc.) 
• Hotels, clubs, and restaurants frequented by tourists 
• Places of worship 
• Schools 
• Parks 
• Shopping malls and markets 
• Public transportation systems (including subways, buses, trains, and scheduled commercial flights) 

There have been reports of violence in the Mtwara region in southern Tanzania. Increased activity by extremists along the southern border has led to attacks against both government and civilian targets.

For more information, see our Terrorism page.

Crime: Crime in Tanzania is a regular occurrence and Tanzanian authorities have limited capacity to deter and investigate such acts.

• Home invasions, sometimes violent, have been reported in Arusha and Dar es Salaam.
• Pickpockets and bag snatchers target Westerners in tourist areas.

International Financial Scams: See the  Department of State  and the  FBI  pages for information on scams.

Victims of Crime: If you or someone you know becomes the victim of a crime abroad, you should contact the local police and the U.S. embassy.

• Replace a stolen passport.
• Help you find appropriate medical care if you are the victim of violent crimes such as assault or rape.
• Put you in contact with the appropriate police authorities, and if you want us to, contact family members or friends.
• Direct you to local attorneys, although it is important to remember that local authorities are responsible for investigating and prosecuting the crime.

Domestic Violence: U.S. citizen victims of domestic violence may have difficulty accessing sufficient social and/or medical support and local police have limited resources. The Embassy can provide information on the limited resources available in Tanzania to support survivors of domestic violence.

Sexual Assault: is a risk for all U.S. citizens and especially for women travelers.

• Victims of sexual assault may have difficulty accessing sufficient social and/or medical support.
• Local police have limited resources and investigations are often not completed. Prosecutions are very rare.

The local equivalent to the “911” emergency line in Tanzania is “111”, “112”, and “+255 787 668 306” however response times can be very slow and service unreliable.

Please see our information for victims of crime , including possible victim compensation programs in the United States.

Local Laws & Special Circumstances

Criminal Penalties: While you are traveling in Tanzania, you are subject to its laws. Foreign laws and legal systems can be vastly different from our own. Persons violating Tanzania’s laws, even unknowingly, may be expelled, arrested, or imprisoned.

• Penalties for possessing, using, or trafficking in illegal drugs in Tanzania are severe, and convicted offenders can expect long jail sentences and heavy fines.
• Photographing military installations is forbidden. Individuals have been detained and/or had their cameras confiscated for taking photos of hospitals, schools, bridges, industrial sites and airports. Sites where photography is prohibited are not always marked.
• It is illegal to import or export an animal or animal part without export certification from the Tanzanian government.
• It is illegal to gather, collect, or remove flora or fauna, including seashells, ebony or mpingo wood.

Furthermore, certain acts of U.S. citizens overseas are prosecutable as crimes in the United States even if they are not illegal under the local law. For examples, see our website on  crimes against minors abroad .

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

What to Wear: While visiting Tanzania, you should dress modestly outside of the hotel or resort. Entering public areas in a bathing suit or in clothes that would be deemed immodest according to the local community may attract negative public attention.

Ramadan: During the holy month of Ramadan, when Muslims fast during daylight hours, U.S. citizens should be mindful and respectful of local culture and religious views.

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

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

LGBTQI+ Travelers: Consensual same-sex sexual relations are a criminal offense in Tanzania. Those convicted may be sentenced to up to 30 years in prison. Authorities use the penal code to intimidate and arrest individuals based on their real or perceived sexual orientation or gender identity. Individuals detained under suspicion of same-sex sexual conduct may be subject to or threatened with forced anal examinations.

Members of the LGBTQI+ community may be denied entry to Tanzania by immigration authorities (including on Zanzibar) or once admitted may be targeted, harassed, and/or charged with unrelated offenses.

Public displays of affection between persons of the same sex may be met with harassment or violence. Non-governmental organizations that support the LGBTQI+ community and their staff may also be targeted, harassed, or have staff members detained by local authorities.

For more detailed information about respect for the human rights of LGBTQI+ persons in Tanzania, you may review the State Department’s annual Country Reports on Human Rights Practices . For further information specific to LGBTQI+ travel, please read our LGBTQI+ Travel Information page .

The Tanzanian government does not accept passports with the “X” gender marker. This applies to travel to, within, or through Tanzania.

Accessibility: Individuals may find accessible accommodation challenging to find in Tanzania. Sidewalks are nearly non-existent and there are frequent power outages.

Medical Emergencies, Ambulance Services:

• Are unreliable and/or not easily accessible throughout the country. Travelers may prefer to take a taxi or private vehicle to the nearest major hospital.
• Not equipped with state-of-the-art medical equipment.
• Click  here  to access the list of medical facilities in Tanzania from the Embassy website. 

The Department of State, U.S. embassies and U.S. consulates do not pay medical bills. Be aware that U.S. Medicare/Medicaid does not apply overseas. Most hospitals and doctors overseas do not accept U.S. health insurance.

Medical Insurance: Make sure your health insurance plan provides coverage overseas, including in Tanzania. Most care providers overseas only accept cash payments. See our webpage for more  information on insurance providers for overseas coverage . We strongly recommend  supplemental insurance  to cover medical evacuation. Visit the U.S. Centers for Disease Control and Prevention for more information on type of insurance you should consider before you travel overseas.

Prescription Medication: Always carry your prescription medication in original packaging with your doctor’s prescription.  Check with the Embassy of Tanzania in Washington D.C. to ensure the medication is legal in Tanzania.

You can find detailed information on vaccinations and other health precautions on the CDC website .  For information about outbreaks of infectious diseases abroad, consult the World Health Organization (WHO) website , which contains additional health information for travelers, including detailed country-specific health information .

Water Quality & Food Safety

• In many areas, tap water is not potable. Bottled water and beverages are generally safe, although you should be aware that many restaurants and hotels serve tap water unless bottled water is specifically requested. Be aware that ice for drinks may be made using tap water.
• If ascending Mount Kilimanjaro or other mountains in Tanzania, be aware of the symptoms of altitude sickness, and take precautions before you travel.
• Visit the U.S. Centers for Disease Control and Prevention website for more information about Travel to High Altitudes.

Adventure Travel

Visit the U.S. Centers for Disease Control and Prevention website for more information about Adventure Travel.

Travel and Transportation

TRAFFIC SAFETY AND ROAD CONDITIONS: While in Tanzania, you may encounter dangerous road conditions. Road accidents are a major threat to travelers in Tanzania. Roads are poorly maintained and often bumpy, potholed, and unpaved. Even good roads may deteriorate quickly due to weather conditions. Travelers should note that traffic moves on the left side of the road, which can be very disorienting to those not accustomed to it.

• Beware of vehicles traveling at excessive speed, and unpredictable local driving habits.
• Many vehicles are poorly maintained and lack basic safety equipment.
• Heavy traffic jams, either due to rush hour or because of accidents, are common.
• Vehicles may cross the median strip and drive against the flow of traffic.
• During the rainy season ((late March to mid-June and mid-November to mid-December), many roads in Tanzania, both urban and rural, are passable only with four-wheel-drive vehicles.
• Please refer to our Road Safety page for more information.

Traffic Laws: Tanzanian law requires all motor vehicle operators to be in possession of a valid driver’s license. Persons staying in Tanzania for fewer than six months may use a valid U.S. driver’s license after validation by local traffic authorities, or an international driver’s license. Persons intending to remain in Tanzania for more than six months are required to obtain a Tanzanian driver’s license. All vehicles are required to carry third-party liability insurance and to post the decal in the front window.

Public Transport:

• Use taxis or hire a driver from a reputable source.
• Travelers should avoid using public buses known as “dala-dalas”; three-wheeled taxis known as “bajajis”; and motorcycle taxis called “boda-bodas”. These modes of transport are often poorly maintained and ignore traffic rules.
• When traveling to Zanzibar by ferry, use the high-speed ferry and purchase your tickets from inside the ferry terminal or online in advance. Tickets should include your name, date of travel, and class of travel.

Aviation Safety Oversight: As there is no direct commercial air service to the United States by carriers registered in Tanzania, the U.S. Federal Aviation Administration (FAA) has not assessed the government of Tanzania's   Civil Aviation Authority for compliance with International Civil Aviation Organization (ICAO) aviation safety standards. Further information may be found on the  FAA's safety assessment page .

Maritime Travel:  Mariners planning travel to Tanzania should also check for U.S. maritime advisories and alerts . Information may also be posted to the U.S. Coast Guard homeport website  and the  NGA broadcast warnings website .

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 Tanzania . For additional IPCA-related information, please see the International Child Abduction Prevention and Return Act ( ICAPRA ) report.

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Tanzania Travel Vaccines & Requirements

Tanzania is a country in eastern Africa, officially known as the United Republic of Tanzania. The national language is Swahili but there are over 100 different languages spoken. English is not commonly used, so travelers may want to learn some key phrases in Swahili in advance of their trip.

Tanzanian terrain varies greatly, with almost 40 percent of its land area dedicated to protected areas for the conservation of both wildlife and forest reserves. The climate is typically cool in the high mountainous regions in the north and hot and humid along the eastern shore. The hottest months are between November and February and the coldest, between May and August.

Some popular tourist attractions and destination locations include:

• Serengeti, Tarangire and Lake Manvara National Parks
• The Serengeti Migration of the wildebeest, which is listed among the seven natural wonders of Africa
• Mount Kilimanjaro – Africa’s highest mountain
• Ngorongoro Conservation Area
• Gombe Stream National Park – the site of Jane Goodall’s studies of chimpanzee behavior
• Kalambo Falls – the second-highest waterfall in Africa

Recommended Vaccinations for Tanzania Travel

• Hepatitis A
• Malaria (pill form)
• Yellow Fever

*Rabies vaccination is typically only recommended for very high risk travelers given that it is completely preventable if medical attention is received within 7 – 10 days of an animal bite.

Travelers may also be advised to ensure they have received the routine vaccinations listed below. Some adults may need to receive a booster for some of these diseases:

• Measles, mumps and rubella (MMR)
• Tdap (tetanus, diphtheria and pertussis)

Older adults or those with certain medical conditions may also want to ask about being vaccinated for shingles and/or pneumonia.

This information is not intended to replace the advice of a travel medicine professional. Not all of the vaccines listed here will be necessary for every individual.

Talk to the experts at UH Roe Green Center for Travel Medicine & Global Health to determine how each member of your family can obtain maximum protection against illness, disease and injury while traveling, based on age, health, medical history and travel itinerary.

Trusted Travel

My covid pass.

The African Union Commission and the Africa Centres for Disease Control and Prevention (Africa CDC) launched the Saving Lives, Economies and Livelihoods campaign to promote hassle-free travel across Africa while, at the same time, preventing cross-border spread of COVID-19 infection.

Together with its partners, African Union and Africa CDC are providing this #TrustedTravel, My COVID Pass tool to simplify verification of public health documentation for travellers during exit and entry across borders.

For enquiries and support, please contact: [email protected] .

Click to view

Trusted Vaccines

The africa union's digital vaccination platform is now open to the public..., trusted health, the africa union and its strategic partners have consolidated the digital vaccination and cross-border digital biosurveillance platform into a single e-network: trusted health., key features.

• Information about the latest travel restrictions and entry requirements applicable to the entire stretch of your journey.  
• Database of authorised laboratories and vaccination compliance information.
• Africa CDC “mutual recognition protocol” for COVID-19 testing and test results, and vaccination certificates (including yellow fever and a future COVID-19 vaccine).
• Simplified health-related immigration processing for travellers and port officials.  
• The information is supplied by African Union Member States and validated by Africa CDC.

#TrustedTravel Technology Partners are:

The system then retrieves the latest set of restrictions that apply to your journey. The results are close to instant.

For enquiries and support, please contact: [email protected]

How to use the Portal

• 1 On the left side of the page, select your country of departure.
• 2 To the right, the system automatically populates the possible airports of departure in the country.
• 3 Select your departure airport.
• 4 Then select your destination country.
• 5 The system automatically populates the possible airports of arrival.
• 6 Select one.
• 7 Click "Get Restrictions" to see the latest set of restrictions that apply to your journey.

Countries' Travel Guides

Ministry of health - kenya, download resources.

Saving Lives, Economies and Livelihoods in Africa

Promoting harmonized, standardized and coordinated entry and exit for travellers in African Union Member States through digital solutions.

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• Passports, travel and living abroad
• Travel abroad
• Foreign travel advice

Before you travel check that:

• your destination can provide the healthcare you may need
• you have appropriate travel insurance for local treatment or unexpected medical evacuation

This is particularly important if you have a health condition or are pregnant.

Emergency medical number

Call 112 and ask for an ambulance.

Contact your insurance company quickly if you’re referred to a medical facility for treatment.

Vaccinations and health risks

At least 8 weeks before your trip check:

At least 8 weeks before your trip:  

• check the latest vaccine recommendations for Tanzania
• see where to get vaccines and whether you have to pay on the NHS travel vaccinations page   

See what health risks you’ll face in Tanzania , including:

Altitude sickness is a risk in parts of Tanzania. Read more about altitude sickness on TravelHealthPro .

The legal status and regulation of some medicines prescribed or bought in the UK can be different in other countries.

Read best practice when travelling with medicines on TravelHealthPro .

Healthcare facilities in Tanzania

Medical facilities are limited, especially outside Dar es Salaam.

FCDO has a list of English-speaking doctors in Tanzania .

There is also guidance on healthcare if you’re living in Tanzania .

Travel and mental health

Read FCDO guidance on travel and mental health . There is also mental health guidance on TravelHealthPro .

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• Section 2 - Interactions Between Travel Vaccines & Drugs
• Section 2 - Travelers’ Diarrhea

Yellow Fever Vaccine & Malaria Prevention Information, by Country

Cdc yellow book 2024.

Author(s): Mark Gershman, Rhett Stoney (Yellow Fever) Holly Biggs, Kathrine Tan (Malaria)

The following pages present country-specific information on yellow fever (YF) vaccine requirements and recommendations, and malaria transmission information and prevention recommendations. Country-specific maps are included to aid in interpreting the information. The information in this chapter was accurate at the time of publication; however, it is subject to change at any time due to changes in disease transmission or, in the case of YF, changing entry requirements for travelers. Updated information reflecting changes since publication can be found in the online version of this book and on the Centers for Disease Control and Prevention (CDC) Travelers’ Health website. Recommendations for prevention of other travel-associated illnesses can also be found on the CDC Travelers’ Health website .

Yellow Fever Vaccine

Entry requirements.

Entry requirements for proof of YF vaccination under the International Health Regulations (IHR) differ from CDC’s YF vaccination recommendations. Under the IHR, countries are permitted to establish YF vaccine entry requirements to prevent the importation and transmission of YF virus within their boundaries. Certain countries require proof of vaccination from travelers arriving from all countries ( Table 5-25 ); some countries require proof of vaccination only for travelers above a certain age coming from countries with risk for YF virus transmission. The World Health Organization (WHO) defines areas with risk for YF virus transmission as countries or areas where YF virus activity has been reported currently or in the past, and where vectors and animal reservoirs exist.

Unless issued a medical waiver by a yellow fever vaccine provider, travelers must comply with entry requirements for proof of vaccination against YF.

WHO publishes a list of YF vaccine country entry requirements and recommendations for international travelers approximately annually. But because entry requirements are subject to change at any time, health care professionals and travelers should refer to the online version of this book and the CDC Travelers’ Health website for any updates before departure.

CDC Recommendations

CDC’s YF vaccine recommendations are guidance intended to protect travelers from acquiring YF virus infections during international travel. These recommendations are based on a classification system for destination-specific risk for YF virus transmission: endemic, transitional, low potential for exposure, and no risk ( Table 2-08 ). CDC recommends YF vaccination for travel to areas classified as having endemic or transitional risk (Maps 5-10 and 5-11 ). Because of changes in YF virus circulation, however, recommendations can change; therefore, before departure, travelers and clinicians should check CDC’s destination pages for up-to-date YF vaccine information.

Duration of Protection

In 2015, the US Advisory Committee on Immunization Practices published a recommendation that 1 dose of YF vaccine provides long-lasting protection and is adequate for most travelers. The recommendation also identifies specific groups of travelers who should receive additional doses, and others for whom additional doses should be considered (see Sec. 5, Part 2, Ch. 26, Yellow Fever ). In July 2016, WHO officially amended the IHR to stipulate that a completed International Certificate of Vaccination or Prophylaxis is valid for the lifetime of the vaccinee, and YF vaccine booster doses are not necessary. Moreover, countries cannot require proof of revaccination (booster) against YF as a condition of entry, even if the traveler’s last vaccination was >10 years ago.

Ultimately, when deciding whether to vaccinate travelers, clinicians should take into account destination-specific risks for YF virus infection, and individual risk factors (e.g., age, immune status) for serious YF vaccine–associated adverse events, in the context of the entry requirements. See Sec. 5, Part 2, Ch. 26, Yellow Fever , for a full discussion of YF disease and vaccination guidance.

Table 2-08 Yellow fever (YF) vaccine recommendation categories 1

Malaria prevention.

The following recommendations to protect travelers from malaria were developed using the best available data from multiple sources. Countries are not required to submit malaria surveillance data to CDC. On an ongoing basis, CDC actively solicits data from multiple sources, including WHO (main and regional offices); national malaria control programs; international organizations; CDC overseas offices; US military; academic, research, and aid organizations; and the published scientific literature. The reliability and accuracy of those data are also assessed.

If the information is available, trends in malaria incidence and other data are considered in the context of malaria control activities within a given country or other mitigating factors (e.g., natural disasters, wars, the coronavirus disease 2019 pandemic) that can affect the ability to control malaria or accurately count and report it. Factors such as the volume of travel to that country and the number of acquired cases reported in the US surveillance system are also examined. In developing its recommendations, CDC considers areas within countries where malaria transmission occurs, substantial occurrences of antimalarial drug resistance, the proportions of species present, and the available malaria prophylaxis options.

Clinicians should use these recommendations in conjunction with an individual risk assessment and consider not only the destination but also the detailed itinerary, including specific cities, types of accommodations, season, and style of travel, as well as special health conditions (e.g., pregnancy). Several medications are available for malaria prophylaxis. When deciding which drug to use, consider the itinerary and length of trip, travelers’ previous adverse reactions to antimalarials, drug allergies, medical history, and drug costs. For a thorough discussion of malaria and guidance for prophylaxis, see Sec. 5, Part 3, Ch. 16, Malaria .

Afghanistan

Entry requirements : None

CDC recommendations : Not recommended

• All areas <2,500 m (≈8,200 ft) elevation (April–December)
• Chloroquine
• P. vivax  (primarily)
• P. falciparum (less commonly)
• Atovaquone-proguanil, doxycycline, mefloquine, tafenoquine 3

Other Vaccines to Consider

See Health Information for Travelers to Afghanistan

Entry requirements : Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission 1

No malaria transmission

See Health Information for Travelers to Albania

Entry requirements : Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission. 1

See Health Information for Travelers to Algeria

American Samoa (US)

See Health Information for Travelers to American Samoa

See Health Information for Travelers to Andorra

Entry requirements : Required for arriving travelers  ≥9 months old

CDC recommendations : Recommended for all travelers ≥9 months old

• P. falciparum (primarily)
• P. malariae , P. ovale , and P. vivax (less commonly)

See Health Information for Travelers to Angola

Anguilla (U.K.)

See Health Information for Travelers to Anguilla (U.K.)

See Health Information for Travelers to Antarctica

Antigua and Barbuda

Entry requirements : Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission. 1

See Health Information for Travelers to Antigua and Barbuda

CDC recommendations : Recommended for travelers ≥9 months old going to Corrientes and Misiones Provinces. Generally not recommended for travel to Formosa Province or to designated areas of Chaco, Jujuy, and Salta Provinces. Not recommended for travel limited to provinces and areas not listed above.

Related Maps

Map 2-01 Yellow fever vaccine recommendations for Argentina & neighboring countries

See Health Information for Travelers to Argentina

See Health Information for Travelers to Armenia

Entry requirements : Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission. 1 Entry will be denied if a valid vaccination certificate cannot be provided.

See Health Information for Travelers to Aruba

Entry requirements : Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission. 1 Travelers arriving from the Galápagos Islands of Ecuador are exempt from this requirement.

See Health Information for Travelers to Australia

See Health Information for Travelers to Austria

See Health Information for Travelers to Azerbaijan

Azores (Portugal)

See Health Information for Travelers to Azores

Bahamas, The

Entry requirements : Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission. 1

See Health Information for Travelers to The Bahamas

See Health Information for Travelers to Bahrain

Entry requirements : Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes airport transits or layovers in countries with risk for YF virus transmission. 1

• Districts of Chittagong Hill Tract (Bandarban, Khagrachari, and Rangamati); and the following districts: Chattogram (Chittagong) and Cox’s Bazar (in Chattogram [Chittagong] Division); Mymensingh, Netrakona, and Sherpur (in Mymensingh Division); Kurigram (in Rangpur Division); Habiganj, Moulvibazar, Sunamganj, and Sylhet (in Sylhet Division)
• No malaria transmission in Dhaka (the capital)
• P. falciparum (90%)
• P. vivax (10%)
• P. malariae  (rare)

See Health Information for Travelers to Bangladesh

Entry requirements : Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission. 1 Travelers arriving from Guyana or Trinidad & Tobago are exempt from this requirement, unless an outbreak is occurring.

See Health Information for Travelers to Barbados

See Health Information for Travelers to Belarus

See Health Information for Travelers to Belgium

• Rare transmission
• No malaria transmission in Belize City or on islands frequented by tourists (e.g., Ambergris Caye)
• P. vivax (primarily)
• None (insect bite precautions / mosquito avoidance only) 4

See Health Information for Travelers to Belize

Entry requirements : Required for all arriving travelers ≥9 months old

• P. falciparum  (primarily)
• P. malariae ,  P. ovale,  and  P. vivax  (less commonly)

See Health Information for Travelers to Benin

Bermuda (U.K.)

See Health Information for Travelers to Bermuda (U.K.)

• Rare cases in rural areas <1,700 m (≈5,500 ft) elevation in districts along the southern border shared with India
• P. falciparum  (less commonly)
• None (insect bite precautions and mosquito avoidance only) 4

See Health Information for Travelers to Bhutan

Entry requirements : Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission. 1

CDC recommendations : Recommended for travelers ≥9 months old going to areas <2,300 m (≈7,550 ft) elevation, east of the Andes Mountains: the entire departments of Beni, Pando, Santa Cruz, and designated areas in the departments of Chuquisaca, Cochabamba, La Paz, and Tarija. Not recommended for travel limited to areas >2,300 m (≈7,550 ft) elevation and any areas not listed above, including the cities of La Paz (administrative capital) and Sucre (constitutional [legislative and judicial] capital).

• All areas <2,500 m (≈8,200 ft) elevation
• No malaria transmission in La Paz (administrative capital)
• P. vivax  (99%)
• P. falciparum  (1%)
• Atovaquone-proguanil, doxycycline, mefloquine, primaquine 5 , tafenoquine 3

Map 2-02. Yellow fever vaccine recommendations for Bolivia & neighboring countries

See Health Information for Travelers to Bolivia

See Health Information for Travelers to Bonaire

Bosnia and Herzegovina

See Health Information for Travelers to Bosnia and Herzegovina

Entry requirements : Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes transits through countries with risk for YF virus transmission. 1

• Districts/ subdistricts of Bobirwa, Boteti, Chobe (including Chobe National Park), Ghanzi, Mahalapye, Ngamiland (Ngami), North East (including its capital, Francistown), Okavango, Serowe/ Palapye, and Tutume
• Rare cases or sporadic foci of transmission in districts/ subdistricts of Kgalagadi North, Kgatleng, Kweneng, and Southern
• No malaria transmission in Gaborone (the capital)
• P. malariae ,  P. ovale , and  P. vivax  (less commonly)
• Districts/subdistricts of Bobirwa, Boteti, Chobe (including Chobe National Park), Ghanzi, Mahalapye, Ngamiland (Ngami), North-East (including its capital, Francistown), Okavango, Serowe/Palapye, and Tutume: Atovaquone-proguanil, doxycycline, mefloquine, tafenoquine 3
• Areas with rare cases or sporadic foci of transmission: no chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only) 4

See Health Information for Travelers to Botswana

CDC recommendations : Recommended for travelers ≥9 months old going to the states of Acre, Amapá, Amazonas, Distrito Federal (including the capital city, Brasília), Espírito Santo,* Goiás, Maranhão, Mato Grosso, Mato Grosso do Sul, Minas Gerais, Pará, Paraná,* Piauí, Rio de Janeiro (including the city of Rio de Janeiro and all coastal islands),* Rio Grande do Sul,* Rondônia, Roraima, Santa Catarina,* São Paulo (including the city of São Paulo and all coastal islands),* Tocantins, and designated areas of Bahia*. Vaccination is also recommended for travelers going to Iguaçu Falls. Not recommended for travel limited to any areas not listed above, including the cities of Fortaleza and Recife *In 2017, in response to a large YF outbreak in multiple eastern states, CDC expanded its vaccination recommendations for travelers going to Brazil. The expanded YF vaccination recommendations for these states are preliminary. For updates, refer to the CDC Travelers’ Health website.

• All areas in the states of Acre, Amapá, Amazonas, Rondônia, and Roraima
• Present in the states of Maranhão, Mato Grosso, and Pará, but rare cases in their capital cities (São Luis [capital of Maranhão], Cuiabá [capital of Mato Grosso], Belém [capital of Pará])
• Rural and forested areas in the states of Espírito Santo, Goiás, Minas Gerais, Mato Grosso do Sul, Piauí, Rio de Janeiro, São Paolo, and Tocantins
• No malaria transmission in the cities of Brasília (the capital), Rio de Janeiro, or São Paolo
• No malaria transmission at Iguaçu Falls
• P. vivax  (90%)
• P. falciparum  (10%)
• Areas with rare cases: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only) 4
• Map 2-03 Yellow fever vaccine recommendations for Brazil & neighboring countries
• Map 2-04 Malaria prevention in Brazil

See Health Information for Travelers to Brazil

British Indian Ocean Territory; includes Diego Garcia (U.K.)

See Health Information for Travelers to British Indian Ocean Territory (U.K.)

• No human malaria
• Rare transmission of P. knowlesi 6 in primarily forested or forest-fringe areas
• P. knowlesi 6 (100%)
• None (insect bite precautions and mosquito avoidance only) 4

See Health Information for Travelers to Brunei

See Health Information for Travelers to Bulgaria

Burkina Faso

Entry requirements : Required for all arriving travelers ≥9 months old

CDC recommendations : Recommended for all travelers ≥9 months old.

• P. malariae ,  P. ovale , and  P. vivax (less commonly)

See Health Information for Travelers to Burkina Faso

Burma (Myanmar)

• All areas <1,000 m (≈3,300 ft) elevation, including Bagan
• Rare transmission in areas >1,000 m (≈3,300 ft) elevation
• Chloroquine and mefloquine
• P. vivax (60%)
• P. falciparum (40%)
• P. knowlesi 6 , P. malariae , and P. ovale (rare)
• Areas <1,000 m (≈3,300 ft) elevation in the regions of Bago and Tanintharyi, and in the states of Kachin, Kayah, Kayin, and Shan: Atovaquone-proguanil, doxycycline, tafenoquine 3
• Areas <1,000 m (≈3,300 ft) elevation in all other areas: Atovaquone-proguanil, doxycycline, mefloquine, tafenoquine  3
• Areas >1,000 m (≈3,300 ft) elevation: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only)  4

See Health Information for Travelers to Burma (Myanmar)

Entry requirements : Required for all arriving travelers ≥9 months old.

CDC recommendations : Recommended for all travelers ≥9 months old.

See Health Information for Travelers to Burundi

• Present throughout the country
• No (or negligible) malaria transmission in the cities of Phnom Penh (the capital) and Siem Reap
• No (or negligible) malaria transmission at the main temple complex at Angkor Wat
• P. vivax (80%)
• P. falciparum (20%)
• P. knowlesi 6 (rare)
• Atovaquone-proguanil, doxycycline, tafenoquine 3

See Health Information for Travelers to Cambodia

Entry requirements : Required for all arriving travelers ≥1 year old.

See Health Information for Travelers to Cameroon

See Health Information for Travelers to Canada

Canary Islands ( Spain )

See Health Information for Travelers to Canary Islands (Spain)

• No indigenous cases reported since 2018
• Previously, rare cases on Santiago (São Tiago) Island and Boa Vista Island
• Previously, chloroquine
• Previously, P. falciparum (primarily)

See Health Information for Travelers to Cape Verde

Cayman Islands (U.K.)

See Health Information for Travelers to Cayman Islands (U.K.)

Central African Republic

Entry requirements : Required for all arriving travelers ≥9 months old .

See Health Information for Travelers to Central African Republic

Entry requirements : Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission. 1

CDC recommendations : Recommended for travelers ≥9 months old going to areas south of the Sahara Desert. Not recommended for travel limited to areas in the Sahara Desert.

See Health Information for Travelers to Chad

See Health Information for Travelers to Chile

Entry requirements : Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission. 1 Travelers with itineraries limited to Hong Kong Special Administrative Region (SAR) or Macao SAR are exempt from this requirement.

See Health Information for Travelers to China

Christmas Island (Australia)

See Health Information for Travelers to Christmas Island (Australia)

Cocos (Keeling) Islands (Australia)

See Health Information for Travelers to Cocos (Keeling) Islands (Australia)

Entry requirements : Required for travelers ≥1 year old arriving from Angola, Brazil, Democratic Republic of the Congo, or Uganda; this includes >12-hour airport transits or layovers in any of these countries.

CDC recommendations : Recommended for all travelers ≥9 months old except as follows. Generally not recommended for travel limited to the cities of Barranquilla, Cali, Cartagena, or Medellín. Not recommended for travel limited to areas >2,300 m (≈7,550 ft) elevation, the archipelago department of San Andrés and Providencia, or the city of Bogotá (the capital).

• All areas <1,700 m (≈5,600 ft) elevation
• No malaria transmission in the cities of Bogotá (the capital), Cartagena, or Medellín
• P. falciparum  (50%)
• P. vivax  (50%)

Map 2-05 Yellow fever vaccine recommendations for Colombia & neighboring countries

See Health Information for Travelers to Colombia

• P. malariae and P. vivax (rare)

See Health Information for Travelers to Comoros

Congo, Republic of the (Congo-Brazzaville)

Entry requirements : Required for all arriving travelers ≥9 months old.

See Health Information for Travelers to Congo, Republic of the

Cook Islands (New Zealand)

See Health Information for Travelers to Cook Islands (New Zealand)

Entry requirements : Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission. 1 Included in this requirement are travelers arriving from Tanzania and Zambia, and designated areas of: Colombia (the entire country, except the cities of Barranquilla, Bogotá, Cali, Cartagena, and Medellín, and the archipelago department, San Andrés and Providencia); Ecuador (the provinces of Morona-Santiago, Napo, Orellana, Pastaza, Sucumbíos, and Zamora-Chinchipe, and excluding the rest of the country); Paraguay (the entire country, except the city of Asunción); Peru (the entire country, except the cities of Cusco and Lima, the regions of Cajamarca, Lambayeque, Piura, and Tumbes, and the highland tourist areas of Machu Picchu and the Inca Trail); Trinidad & Tobago (the entire country, except the urban areas of Port of Spain; travelers with itineraries limited to the island of Tobago, and travelers with airport transits or layovers are also exempt from this requirement). Travelers arriving from Argentina and Panama are exempt from this requirement.

• Present in the provinces of Alajuela and Limón
• Rare to no transmission in other parts of the country
• P. falciparum (86%)
• P. vivax (14%)
• Alajuela and Limón Provinces: Atovaquone-proguanil, chloroquine, doxycycline, mefloquine, tafenoquine 3
• All other areas: None (insect bite precautions and mosquito avoidance only) 4

See Health Information for Travelers to Costa Rica

Côte d'Ivoire (Ivory Coast)

See Health Information for Travelers to Côte d'Ivoire

See Health Information for Travelers to Croatia

See Health Information for Travelers to Cuba

Curaçao, Netherlands

See other recommended vaccines and medicines for travelers to Curaçao

See Health Information for Travelers to Cyprus

See Health Information for Travelers to Czech Republic

Democratic Republic of the Congo (Congo-Kinshasa)

CDC recommendations : Recommended for all travelers ≥9 months old

See Health Information for Travelers to Democratic Republic of the Congo

See Health Information for Travelers to Denmark

• P. falciparum (60–70%)
• P. vivax (30–40%)
• P. ovale (rare)

See Health Information for Travelers to Djibouti

See Health Information for Travelers to Dominica

Dominican Republic

Entry requirements : Required for travelers ≥1 year old arriving from the following states in Brazil: Espírito Santo, Mina Gerais, Rio de Janeiro, São Paulo; this includes >12-hour airport transits or layovers in any of these states

• Primarily in the provinces near the border with Haiti, and the provinces (including resort areas) of La Altagracia, San Cristóbal, San Juan, and Santo Domingo
• In the Distrito Nacional, city of Santo Domingo (the capital), primarily in the La Ciénaga and Los Tres Brazos areas
• Rare transmission in other provinces
• P. falciparum  (100%)
• Provinces near the border with Haiti, and the provinces (including resort areas) of La Altagracia, San Cristóbal, San Juan, and Santo Domingo: Atovaquone-proguanil, chloroquine, doxycycline, mefloquine, tafenoquine 3
• All other areas: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only) 4

See Health Information for Travelers to Dominican Republic

Easter Island (Chile)

Entry requirements : Easter Island has not stated its YF vaccination certificate requirements

See Health Information for Travelers to Easter Island (Chile) .

Ecuador, including the Galápagos Islands

Entry requirements : Required for travelers ≥1 year old arriving from Brazil, Democratic Republic of the Congo, or Uganda; this includes >12-hour airport transits or layovers in any of these countries .

CDC recommendations : Recommended for travelers ≥9 months old going to areas <2,300 m (≈7,550 ft) elevation, east of the Andes Mountains, in the provinces of Morona-Santiago, Napo, Orellana, Pastaza, Sucumbíos, Tungurahua,* and Zamora-Chinchipe. Generally not recommended for travel limited to areas <2,300 m (≈7,550 ft) elevation, west of the Andes Mountains, in the provinces of Esmeraldas,* Guayas, Los Ríos, Manabí, Santa Elena, Santo Domingo de los Tsáchilas, and designated areas in the provinces of Azuay, Bolívar, Cañar, Carchi, Chimborazo, Cotopaxi, El Oro, Imbabura, Loja, and Pichincha. Not recommended for travel limited to areas >2,300 m (≈7,550 ft) elevation, the cities of Guayaquil or Quito (the capital), or the Galápagos Islands *CDC recommendations differ from those published by WHO .

• Areas <1,500 m (≈5,000 ft) elevation in the provinces of Carchi, Cotopaxi, Esmeraldas, Morona-Santiago, Orellana, Pastaza, and Sucumbíos
• Rare cases <1,500 m (≈5,000 ft) in all other provinces
• No malaria transmission in the cities of Guayaquil or Quito (the capital)
• No malaria transmission on the Galápagos Islands
• P. vivax  (85%)
• P. falciparum  (15%)
• Transmission areas in the provinces of Carchi, Cotopaxi, Esmeraldas, Morona-Santiago, Orellana, Pastaza, and Sucumbíos: Atovaquone-proguanil, doxycycline, mefloquine, tafenoquine 3
• All other areas with reported malaria transmission: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only) 4

Map 2-06 Yellow fever vaccine recommendations for Ecuador & neighboring countries

See Health Information for Travelers to Ecuador .

See Health Information for Travelers to Egypt .

El Salvador

See Health Information for Travelers to El Salvador .

Equatorial Guinea

• P. malariae, P. ovale , and P. vivax  (less commonly)

See Health Information for Travelers to Equatorial Guinea .

CDC recommendations : Generally not recommended for travel to the regions of: Anseba, Debub (also known as South or Southern Region), Gash Barka, Ma’ekel (also known as Ma’akel or Central Region), or Semenawi K’eyih Bahri (also known as Northern Red Sea Region). Not recommended for travel to any areas not listed above, including the Dahlak Archipelago.

• All areas <2,200 m (≈7,200 ft) elevation
• No malaria transmission in Asmara (the capital)
• P. falciparum  (80–85%)
• P. vivax (15–20%)
• P. malariae and P. ovale (rare)

Map 5-10 Yellow fever vaccine recommendations for Africa

See Health Information for Travelers to Eritrea .

See Health Information for Travelers to Estonia .

Eswatini (Swaziland)

Entry requirements : Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes airport transits or layovers in countries with risk for YF virus transmission. 1

• Eastern areas bordering Mozambique and South Africa, including the entire region of Lubombo and the eastern half of Hhohho, Manzini, and Shiselweni Regions
• P. malariae , P. ovale , and  P. vivax  (less commonly)

See Health Information for Travelers to Swaziland .

CDC recommendations : Recommended for all travelers ≥9 months old except as follows. Generally not recommended for travel limited to the regions of Afar or Somali.

• All areas <2,500 m (≈8,200 ft) elevation, except none in Addis Ababa (the capital)
• P. falciparum  (80%)
• P. vivax  (20%)
• P. malariae and P. ovale  (rare)

Map 2-07 Yellow fever vaccine recommendations for Ethiopia & neighboring countries

See Health Information for Travelers to Ethiopia .

Falkland Islands (Islas Malvinas), UK Overseas Territory (also claimed by Argentina)

See Health Information for Travelers to Falkland Islands (Islas Malvinas) .

Faroe Islands (Denmark)

See Health Information for Travelers to Faroe Islands (Denmark) .

See Health Information for Travelers to Fiji .

See Health Information for Travelers to Finland .

See Health Information for Travelers to France .

French Guiana

• Areas associated with gold mining, primarily the communes near the border with Brazil and Suriname, especially Régina and Saint-Georges-de-l’Oyapock; also, the communes of Kourou, Matoury, and Saint-Élie
• No malaria transmission in coastal areas west of Kourou
• No malaria transmission in Cayenne City (the capital)
• P. falciparum (15%)

See Health Information for Travelers to French Guiana (France) .

French Polynesia, including the Society Islands [Bora-Bora, Moorea & Tahiti]; Marquesas Islands [Hiva Oa & Ua Huka]; and Austral Islands (Tubuai & Rurutu), France

See Health Information for Travelers to French Polynesia (France) .

• P. malariae , P. ovale , and P. vivax  (less commonly)

See Health Information for Travelers to Gabon .

Gambia, The

See Health Information for Travelers to The Gambia .

See Health Information for Travelers to Georgia .

See Health Information for Travelers to Germany .

• P. malariae,   P. ovale, and   P. vivax (less commonly)

See Health Information for Travelers to Ghana .

Gibraltar (U.K.)

See Health Information for Travelers to Gibraltar (U.K.) .

• Rare, local transmission in agricultural areas, associated with imported malaria (May–November)
• No malaria transmission in tourist areas
• Not applicable
• P. vivax  (100%)

See Health Information for Travelers to Greece .

Greenland (Denmark)

See Health Information for Travelers to Greenland (Denmark) .

See Health Information for Travelers to Grenada .

Guadeloupe (including Marie-Galante, La Désirade & Îles des Saintes)

See Health Information for Travelers to Guadeloupe .

Guam (U.S.)

See Health Information for Travelers to Guam (U.S.) .

• Primarily in the departments of Alta Verapaz, Escuintla, Izabal, Petén, and Suchitapéquez
• Few cases reported in other departments
• No malaria transmission in the cities of Antigua or Guatemala City (the capital)
• No malaria transmission at Lake Atitlán
• P. vivax (99%)
• P. falciparum  (1%)
• Departments of Alta Verapaz, Escuintla, Izabal, Petén, and Suchitapéquez: Atovaquone-proguanil, chloroquine, doxycycline, mefloquine, primaquine 5 , tafenoquine 3
• Other areas with reported malaria transmission: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only) 4

See Health Information for Travelers to Guatemala .

Entry requirements : Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission. 1 Required for all arriving travelers from all countries if traveler is ≥9 months of age and arriving at Ahmed Sékou Touré International Airport in Conakry.

See Health Information for Travelers to Guinea .

Guinea-Bissau

See Health Information for Travelers to Guinea-Bissau .

Entry requirements : Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >4-hour airport transits or layovers in countries with risk for YF virus transmission. 1

• Rare cases in the cities of Georgetown (the capital) and New Amsterdam
• All areas (except the cities of Georgetown and New Amsterdam): Atovaquone-proguanil, doxycycline, mefloquine, tafenoquine 3
• Cities of Georgetown and Amsterdam: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only) 4

See Health Information for Travelers to Guyana .

• All (including Labadee, also known as Port Labadee)
• P. falciparum (99%)
• P. malariae  (rare)
• Atovaquone-proguanil, chloroquine, doxycycline, mefloquine, tafenoquine 3

See Health Information for Travelers to Haiti .

Entry requirements : Required for travelers 1-60 years old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission. 1

• Throughout the country and on the island of Roat á n and other Bay Islands
• No malaria transmission in the cities of San Pedro Sula or Tegucigalpa (the capital)
• P. vivax (93%)
• P. falciparum  (7%)
• Atovaquone-proguanil, chloroquine, doxycycline, mefloquine, tafenoquine 3

See Health Information for Travelers to Honduras .

Hong Kong Special Administrative Region, China

See Health Information for Travelers to Hong Kong SAR (China) .

See Health Information for Travelers to Hungary .

See Health Information for Travelers to Iceland .

• Arrive within 6 days of leaving an area with risk for YF virus transmission, or
• Have been in such an area in transit (exception: passengers and members of flight crews who, while in transit through an airport in an area with risk for YF virus transmission, remained in the airport during their entire stay and the health officer agrees to such an exemption), or
• Arrive on a ship that started from or touched at any port in an area with risk for YF virus transmission ≤30 days before its arrival in India, unless such a ship has been disinsected in accordance with the procedure recommended by the World Health Organization (WHO), or
• Arrive on an aircraft that has been in an area with risk for YF virus transmission and has not been disinsected in accordance with the Indian Aircraft Public Health Rules, 1954, or as recommended by WHO.
• Africa: Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Congo, Côte d’Ivoire, Democratic Republic of the Congo, Equatorial Guinea, Ethiopia, Gabon, The Gambia, Ghana, Guinea, Guinea-Bissau, Kenya, Liberia, Mali, Mauritania, Niger, Nigeria, Rwanda, Senegal, Sierra Leone, South Sudan, Sudan, Togo, Uganda
• Americas: Argentina, Bolivia, Brazil, Colombia, Ecuador, French Guiana, Guyana, Panama, Paraguay, Peru, Suriname, Trinidad & Tobago (Trinidad only), Venezuela
• Throughout the country, including the cities of Bombay (Mumbai) and New Delhi (the capital)
• No malaria transmission in areas >2,000 m (≈6,500 ft) elevation in Himachal Pradesh, Jammu and Kashmir, or Sikkim
• P. vivax (50%)
• P. falciparum (>40%)

See Health Information for Travelers to India .

• All areas of eastern Indonesia (the provinces of Maluku, North Maluku, East Nusa Tenggara, Papua, and West Papua), including the town of Labuan Bajo and the Komodo Islands in the Nusa Tenggara region
• Rural areas of Kalimantan (Borneo), West Nusa Tenggara (includes the island of Lombok), Sulawesi, and Sumatra
• Low transmission in rural areas of Java, including Pangandaran, Sukabumi, and Ujung Kulon
• No malaria transmission in the cities of Jakarta (the capital) or Ubud
• No malaria transmission in the resort areas of Bali or Java, the Gili Islands, or the Thousand Islands (Pulau Seribu)
• Chloroquine ( P. falciparum and P. vivax )
• P. falciparum (60%)
• P. vivax (40%)

See Health Information for Travelers to Indonesia .

• Previously, March-November in rural areas of Fars Province, Sistan-Baluchestan Province, and southern, tropical parts of Hormozgan and Kerman Provinces.
• Recent outbreaks in Sistan-Baluchestan Province near the border with Pakistan.
• Previously, P. vivax (93%)
• Previously, P. falciparum  (7%)
• Sistan-Baluchestan Province along the border with Pakistan: Atovaquone-proguanil, doxycycline, mefloquine, tafenoquine 2
• All other areas with previous transmission: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only) 4

See Health Information for Travelers to Iran .

See Health Information for Travelers to Iraq .

See Health Information for Travelers to Ireland .

See Health Information for Travelers to Israel, including the West Bank and Gaza .

Italy (including Holy See [Vatican City])

See Health Information for Travelers to Italy .

See Health Information for Travelers to Jamaica .

See Health Information for Travelers to Japan .

See Health Information for Travelers to Jordan .

Entry requirements : Required for travelers arriving from countries with risk for YF virus transmission; this includes airport transits or layovers in countries with risk for YF virus transmission. 1

See Health Information for Travelers to Kazakhstan .

CDC recommendations : Recommended for all travelers ≥9 months old except as follows. Generally not recommended for travel limited to: the city of Nairobi (the capital); the counties of the former North Eastern Province (Mandera, Wajir, and Garissa); or the counties (except Taita-Taveta) of the former Coast Province (Kilifi, including the city of Malindi; Kwale; Lamu; Mombasa, including the city of Mombasa; Tana River) .

• All areas (including game parks) <2,500 m (≈8,200 ft) elevation, including the city of Nairobi (the capital)
• Map 2-08 Yellow fever vaccine recommendations for Kenya & neighboring countries
• Map 2-09 Malaria prevention in Kenya

See Health Information for Travelers to Kenya .

Kiribati (formerly Gilbert Islands), includes Tarawa, Tabuaeran (Fanning Island), and Banaba (Ocean Island)

See Health Information for Travelers to Kiribati .

See Health Information for Travelers to Kosovo .

See Health Information for Travelers to Kuwait .

See Health Information for Travelers to Kyrgyzstan .

• All, except in Vientiane (the capital) where there is no transmission
• P. vivax (55%)
• P. falciparum (45%)
• P. knowlesi 6 , P. malariae, and P. ovale (rare)
• Areas bordering Burma (the provinces of Bokeo and Luang Namtha), Cambodia; Thailand (the provinces of Champasak and Salavan); and Vietnam: Atovaquone-proguanil, doxycycline, tafenoquine 3
• All other areas with malaria transmission: Atovaquone-proguanil, doxycycline, mefloquine, tafenoquine 3

See Health Information for Travelers to Laos .

See Health Information for Travelers to Latvia .

See Health Information for Travelers to Lebanon .

See Health Information for Travelers to Lesotho .

See Health Information for Travelers to Liberia .

See Health Information for Travelers to Libya .

Liechtenstein

See Health Information for Travelers to Liechtenstein .

See Health Information for Travelers to Lithuania .

See Health Information for Travelers to Luxembourg .

Macau Special Administrative Region, China

See Health Information for Travelers to Macau SAR (China) .

• All; except in Antananarivo (the capital) where malaria transmission is rare
• P. ovale and P. vivax (less commonly)
• All areas (except the city of Antananarivo): Atovaquone-proguanil, doxycycline, mefloquine, tafenoquine 3
• Antananarivo: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only) 4

See Health Information for Travelers to Madagascar .

Madeira Islands (Portugal)

See Health Information for Travelers to Madeira Islands (Portugal) .

See Health Information for Travelers to Malawi .

• No indigenous cases of human malaria since 2017
• Zoonotic transmission of simian malaria occurs in rural, forested areas
• No malaria transmission in other areas, including Kuala Lumpur (the capital), in Penang State, on Penang Island, or in George Town (capital of Penang State)
• P. knowlesi 6 (primarily)
• Previously, P. falciparum , P. malariae , P. ovale , and P. vivax
• In rural, forested areas: atovaquone-proguanil, doxycycline, mefloquine, tafenoquine 3

See Health Information for Travelers to Malaysia .

See Health Information for Travelers to Maldives .

See Health Information for Travelers to Mali .

See Health Information for Travelers to Malta .

Marshall Islands

See Health Information for Travelers to Marshall Islands .

See Health Information for Travelers to Martinique (France) .

• All; except in the regions of Dakhlet Nouadhibou and Tiris Zemmour where there is no transmission

See Health Information for Travelers to Mauritania .

See Health Information for Travelers to Mauritius .

Mayotte (France)

See Health Information for Travelers to Mayotte (France) .

• Chiapas and southern part of Chihuahua state
• Rare in the states of Campeche, Durango, Nayarit, Quintana Roo, Sinaloa, Sonora, and Tabasco
• No malaria transmission along the U.S.–Mexico border
• Chiapas and southern part of Chihuahua state: Atovaquone-proguanil, chloroquine, doxycycline, mefloquine, primaquine 5 , tafenoquine 3
• All other areas with malaria transmission: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only) 4

Map 2-10 Malaria prevention in Mexico

See Health Information for Travelers to Mexico .

Micronesia, Federated States of (including Chuuk, Kosrae, Pohnpei & Yap)

See Health Information for Travelers to Micronesia, Federated States of .

See Health Information for Travelers to Moldova .

See Health Information for Travelers to Monaco .

See Health Information for Travelers to Mongolia .

See Health Information for Travelers to Montenegro .

Montserrat, United Kingdom

See Health Information for Travelers to Montserrat (U.K.) .

See Health Information for Travelers to Morocco .

See Health Information for Travelers to Mozambique .

• In the regions of Kavango (East and West), Kunene, Ohangwena, Omaheke, Omusati, Oshana, Oshikoto, Otjozondjupa, and Zambezi
• Rare in other parts of the country
• No malaria transmission in Windhoek (the capital)
• Kavango (East and West), Kunene, Ohangwena, Omaheke, Omusati, Oshana, Oshikoto, Otjozondjupa, and Zambezi: Atovaquone-proguanil, doxycycline, mefloquine, tafenoquine 3

See Health Information for Travelers to Namibia .

See Health Information for Travelers to Nauru .

• Throughout the country in areas <2,000 m (≈6,500 ft) elevation
• No malaria transmission in Kathmandu (the capital) or on typical Himalayan treks
• P. falciparum (<10%)

See Health Information for Travelers to Nepal .

Netherlands

See Health Information for Travelers to The Netherlands .

Netherlands Antilles (Bonaire, Curaçao, Saba, St. Eustasius, and St. Maarten)

Entry requirements : See Bonaire, Curaçao, Saba, St. Eustasius, and St. Maarten for yellow fever information.

• See Bonaire, Curaçao, Saba, St. Eustasius, and St. Maarten for malaria information.

New Caledonia (France)

Entry requirements : Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission. 1 In the event of an epidemic threat to the territory, a specific vaccination certificate may be required.

See Health Information for Travelers to New Caledonia (France) .

New Zealand

See Health Information for Travelers to New Zealand .

• Región Autónoma Atlántico Norte (RAAN) and Región Autónoma Atlántico Sur (RAAS)
• Rare cases in the departments of Boaco, Chinandega, Estelí, Jinotega, León, Matagalpa, and Nueva Segovia
• No malaria transmission in Managua (the capital)
• P. falciparum  (20%)
• Región Autónoma Atlántico Norte (RAAN) and Región Autónoma Atlántico Sur (RAAS): Atovaquone-proguanil, chloroquine, doxycycline, mefloquine, tafenoquine 3

See Health Information for Travelers to Nicaragua .

See Health Information for Travelers to Niger .

CDC recommendations : Recommended for all travelers ≥9 months old.  

See Health Information for Travelers to Nigeria .

Niue (New Zealand)

See Health Information for Travelers to Niue (New Zealand) .

Norfolk Island (Australia)

See Health Information for Travelers to Norfolk Island (Australia) .

North Korea

• Southern provinces
• P. vivax (100%)
• Atovaquone-proguanil, chloroquine, doxycycline, mefloquine, primaquine 5 , tafenoquine 3

See Health Information for Travelers to North Korea .

North Macedonia

See Health Information for Travelers to North Macedonia .

Northern Mariana Islands (U.S.), includes Saipan, Tinian, and Rota Island

See Health Information for Travelers to Northern Mariana Islands (U.S.) .

See Health Information for Travelers to Norway .

Entry requirements : Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission, with the addition of Rwanda and Tanzania; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission. 1

• Rare sporadic transmission after importation only
• Previously, P. falciparum and P. vivax

See Health Information for Travelers to Oman .

• All areas (including all cities) <2,500 m (≈8,200 ft) elevation

See Health Information for Travelers to Pakistan .

See Health Information for Travelers to Palau .

CDC recommendations : Recommended for travelers ≥9 months old going to all mainland areas east of the Canal Zone including Darién Province, the indigenous provinces (comarcas indígena) of Emberá and Kuna Yala (also spelled Guna Yala), and areas of the provinces of Colón and Panamá, east of the Canal Zone. Not recommended for travel limited to the Canal Zone; areas west of the Canal Zone; Panama City (the capital); Balboa district (Pearl Islands) of Panamá Province; or the San Blas Islands of Kuna Yala Province.

• The provinces of Bocas del Toro, Chiriquí, Colón, Darién, Panamá, and Veraguas
• The indigenous provinces (comarcas indígena) of Emberá, Kuna Yala (also spelled Guna Yala) and Ngäbe-Buglé
• No malaria transmission in the province of Panamá Oeste, in the Canal Zone, or in Panama City (the capital)
• Chloroquine (east of the Panama Canal)
• P. vivax (97%)
• P. falciparum  (3%)
• Darién, Emberá, Kuna Yala, and eastern Panamá Provinces : Atovaquone-proguanil, doxycycline, mefloquine, primaquine 5 , tafenoquine 3
• Bocas del Toro, Chiriquí, Colón, Veraguas, and Ngäbe-Buglé Provinces : Atovaquone-proguanil, chloroquine, doxycycline, mefloquine, primaquine 5 , tafenoquine 3
• Map 2-11 Yellow fever vaccine recommendations for Panama & neighboring countries
• Map 2-12 Malaria prevention in Panama

See Health Information for Travelers to Panama .

Papua New Guinea

• Chloroquine (both P. falciparum and P. vivax )
• P. falciparum (75%)
• P. vivax (25%)

See Health Information for Travelers to Papua New Guinea .

Entry requirements : Required for travelers ≥1 year old arriving from Bolivia, Brazil, Peru, or Venezuela; this includes this includes >24-hour transits or layovers in those countries 1

CDC recommendations : Recommended for all travelers ≥9 months old except as follows. Generally not recommended for travel limited to the city of Asunción (the capital).

See Health Information for Travelers to Paraguay .

CDC recommendations : Recommended for travelers ≥9 months old going to areas <2,300 m (≈7,550 ft) elevation in the regions of Amazonas, Cusco, Huánuco, Junín, Loreto, Madre de Dios, Pasco, Puno, San Martín, and Ucayali, and designated areas of Ancash (far northeast), Apurímac (far north), Ayacucho (north and northeast), Cajamarca (north and east), Huancavelica (far north), La Libertad (east), and Piura (east). Generally not recommended for travel limited to the following areas west of the Andes: the regions of Lambayeque and Tumbes, and designated areas of Cajamarca (west-central), and Piura (west). Not recommended for travel limited to areas >2,300 m (≈7,550 ft) elevation, areas west of the Andes not listed above, the city of Lima (the capital), and the highland tourist areas (the city of Cusco, the Inca Trail, and Machu Picchu).

• All areas of the country <2,500 m (≈8,200 ft) elevation, including the cities of Iquitos and Puerto Maldonado, and only the remote eastern areas in the regions of La Libertad and Lambayeque
• No malaria transmission in the following areas: Lima Province; the cities of Arequipa, Ica, Moquegua, Nazca, Puno, or Tacna; the highland tourist areas (the city of Cusco, Machu Picchu, Lake Titicaca); along the Pacific Coast
• Map 2-13 Yellow fever vaccine recommendations for Peru & neighboring countries
• Map 2-14 Malaria prevention in Peru

See Health Information for Travelers to Peru .

Philippines

• Palawan and Mindanao Islands
• No malaria transmission in metropolitan Manila (the capital) or other urban areas
• P. falciparum (85%)
• P. vivax (15%)

See Health Information for Travelers to Philippines .

Pitcairn Islands (U.K.)

See Health Information for Travelers to Pitcairn Islands (U.K.) .

See Health Information for Travelers to Poland .

See Health Information for Travelers to Portugal .

Puerto Rico (U.S.)

See Health Information for Travelers to Puerto Rico (U.S.) .

See Health Information for Travelers to Qatar .

Réunion (France)

See Health Information for Travelers to Réunion (France) .

See Health Information for Travelers to Romania .

See Health Information for Travelers to Russia .

CDC recommendations : Generally not recommended for travel to Rwanda.

See Health Information for Travelers to Rwanda .

Saba, Netherlands

See Health Information for Travelers to Saba .

Saint Barthelemy, France

Saint helena, united kingdom.

Entry requirements : Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission. 1 *For YF vaccine entry requirements and recommendations and malaria prevention information for Ascension Island and Tristan da Cunha archipelago, see: UNITED KINGDOM (including CHANNEL ISLANDS, ISLE OF MAN, ASCENSION ISLAND & TRISTAN DA CUNHA ARCHIPELAGO)

See Health Information for Travelers to Saint Helena (U.K.) .

Saint Kitts (Saint Christopher) & Nevis

See Health Information for Travelers to Saint Kitts and Nevis .

Saint Lucia

See Health Information for Travelers to Saint Lucia .

Saint Martin, France

Saint pierre and miquelon (france).

See Health Information for Travelers to Saint Pierre and Miquelon (France) .

Saint Vincent and the Grenadines

See Health Information for Travelers to Saint Vincent and the Grenadines .

Samoa (formerly Western Somoa)

See Health Information for Travelers to Samoa (formerly Western Samoa) .

See Health Information for Travelers to San Marino .

São Tomé and Príncipe

CDC recommendations : Generally not recommended for travel to São Tomé and Príncipe.

See Health Information for Travelers to São Tomé and Príncipe.

Saudi Arabia

• Asir and Jazan (also spelled Jizan) Regions near the Yemen border only
• No malaria transmission in the cities of Jeddah, Mecca, Medina, Riyadh (the capital), or Ta’if
• P. vivax (rare)

See Health Information for Travelers to Saudi Arabia .

See Health Information for Travelers to Senegal .

See Health Information for Travelers to Serbia .

See Health Information for Travelers to Seychelles .

Sierra Leone

Entry requirements : Required for all arriving travelers.

See Health Information for Travelers to Sierra Leone .

See Health Information for Travelers to Singapore .

Sint Eustatius, Netherlands

Entry requirements : Required for travelers ≥6 months old arriving from countries with risk for YF virus transmission. 1

See Health Information for Travelers to Sint Eustatius .

Sint Maarten, Netherlands

See Health Information for Travelers to Sint Maarten .

See Health Information for Travelers to Slovakia .

See Health Information for Travelers to Slovenia .

Solomon Islands

• P. vivax (70%)
• P. falciparum (30%)
• P. ovale (<1%)

See Health Information for Travelers to Solomon Islands .

CDC recommendations : Generally not recommended for travel to the regions of Bakool, Banaadir, Bay, Galguduud, Gedo, Hiiraan (also spelled Hiran), Lower Juba (also known as Jubbada Hoose), Middle Juba (also known as Jubbada Dhexe), Lower Shabelle (also known as Shabeellaha Hoose), or Middle Shabelle (also known as Shabeellaha Dhexe). Not recommended for travel to areas not listed above.

• P. vivax (5–10%)

See Health Information for Travelers to Somalia .

South Africa

• Along the border with Mozambique and Zimbabwe
• KwaZulu-Natal Province: uMkhanyakude District; the districts of King Cetshwayo and Zululand (few cases) Limpopo Province: the districts of Mopani and Vhembe; the districts of Capricorn, Greater Sekhukhune, and Waterberg (few cases)
• Mpumalanga Province: Ehlanzeni District
• Kruger National Park
• KwaZulu-Natal Province (uMkhanyakude District); Limpopo Province (the districts of Mopani and Vhembe); Mpumalanga Province (Ehlanzeni District); and Kruger National Park: Atovaquone-proguanil, doxycycline, mefloquine, tafenoquine 3
• All other areas with malaria transmission (including the districts of King Cetshwayo and Zululand in KwaZulu-Natal Province, and the districts of Capricorn, Greater Sekhukhune, and Waterberg in Limpopo Province): No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only) 4

Map 2-15 Malaria prevention in South Africa

See Health Information for Travelers to South Africa .

South Georgia & the South Sandwich Islands, UK Overseas Territory (also claimed by Argentina)

Entry requirements : South Georgia & the South Sandwich Islands has not stated its YF vaccination certificate requirements.

See Health Information for Travelers to South Georgia and the South Sandwich Islands (U.K.) .

South Korea

Entry requirements : Required if traveling from a country with risk of YF virus transmission and ≥1 year of age. 1

• Limited to the months of March– December in rural areas in the northern parts of the provinces of Inch’ŏn (also spelled Incheon), Kangwŏn (also spelled Gangwon), and Kyŏnggi (also spelled Gyeonggi), including the demilitarized zone (DMZ)
• Atovaquone-proguanil, chloroquine, doxycycline, mefloquine, primaquine 5 , or tafenoquine 3

See Health Information for Travelers to South Korea .

South Sudan

See Health Information for Travelers to South Sudan .

See Health Information for Travelers to Spain .

See Health Information for Travelers to Sri Lanka .

CDC recommendations : Recommended for travelers ≥9 months old going to areas south of the Sahara Desert. Not recommended for travel limited to areas in the Sahara Desert or the city of Khartoum (the capital).

See Health Information for Travelers to Sudan .

• Primarily in Sipaliwini District, near the border with French Guiana
• Limited transmission in Brokopondo, Marowijne, and Para (near the border with French Guiana)
• No malaria transmission in the districts along the Atlantic Coast or in Paramaribo (the capital)
• Sipaliwini District near the border with French Guiana: Atovaquone-proguanil, doxycycline, mefloquine, tafenoquine 3
• All other areas with malaria transmission: No chemoprophylaxis recommended (insect bite precautions / mosquito avoidance only) 4

See Health Information for Travelers to Suriname .

See Health Information for Travelers to Sweden .

Switzerland

See Health Information for Travelers to Switzerland .

See Health Information for Travelers to Syria .

See Health Information for Travelers to Taiwan .

• No indigenous cases reported since 2014
• Previously, P. vivax (90%)
• Previously, P. falciparum  (10%)

See Health Information for Travelers to Tajikistan .

CDC recommendations : Generally not recommended for travel to Tanzania.

• All areas below 1,800 m (≈5,900 ft) elevation
• P. malariae and P. ovale (less commonly)

See Health Information for Travelers to Tanzania .

• Primarily the provinces that border Burma, Cambodia (few cases in Buri Ram Province), and Malaysia (few cases in Satun Province) Also, the provinces of Phitsanulok and Ubon Ratchathani (bordering Laos), and Surat Thani (especially in the rural forest and forest-fringe areas of these provinces)
• Rare to few cases in other parts of Thailand, including the cities of Bangkok (the capital), Chiang Mai, and Chiang Rai, or on the islands of Koh Pha Ngan, Koh Samui, or Phuket
• No malaria transmission on the islands of Krabi Province (Ko Lanta, Koh Phi, Koh Yao Noi, Koh Yao Yai) or in Pattaya City
• P. falciparum (<20%)
• Provinces that border Burma, Cambodia (except Buri Ram Province), and Malaysia (except Satun Province); the provinces of Phitsanulok, Ubon Ratchathani, and Surat Thani: Atovaquone-proguanil, doxycycline, tafenoquine 3
• All other areas with malaria transmission (including the provinces of Buri Ram and Satun): No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only) 4

Map 2-16 Malaria prevention in Thailand

See Health Information for Travelers to Thailand .

Timor-Leste

• Rare cases; outbreak in Indonesia border area in mid-2020
• Previously, P. falciparum (50%)
• Previously, P. vivax (50%)
• Previously, P. malariae  and  P. ovale  (each <1%)

See Health Information for Travelers to Timor-Leste (East Timor) .

See Health Information for Travelers to Togo .

Tokelau (New Zealand)

See Health Information for Travelers to Tokelau (New Zealand) .

See Health Information for Travelers to Tonga .

Trinidad and Tobago

CDC recommendations : Recommended for travelers ≥9 months old going to densely forested areas on Trinidad. Not recommended for cruise ship passengers, airplane passengers in transit, or travel limited to Tobago.

See Health Information for Travelers to Trinidad and Tobago .

See Health Information for Travelers to Tunisia .

See Health Information for Travelers to Turkey .

Turkmenistan

See Health Information for Travelers to Turkmenistan .

Turks and Caicos Islands (U.K.)

See Health Information for Travelers to Turks and Caicos Islands (U.K.) .

See Health Information for Travelers to Tuvalu .

See Health Information for Travelers to Uganda .

See Health Information for Travelers to Ukraine .

United Arab Emirates

See Health Information for Travelers to United Arab Emirates .

United Kingdom (including Channel Islands, Isle of Man, Ascension Island & Tristan Da Cunha Archipelago)

See Health Information for Travelers to United Kingdom .

United States of America

See Health Information for Travelers to United States .

See Health Information for Travelers to Uruguay .

See Health Information for Travelers to Uzbekistan .

• P. vivax (75%–90%)
• P. falciparum (10-25%)

See Health Information for Travelers to Vanuatu .

Entry requirements : Required for travelers ≥1 year old arriving from Brazil; this includes >12-hour airport transits or layovers in Brazil

CDC recommendations : Recommended for all travelers ≥9 months old except as follows. Generally not recommended for travel limited to the Distrito Capital or the states of Aragua, Carabobo, Miranda, Vargas, or Yaracuy. Not recommended for travel limited to areas >2,300m (≈7,550 ft) elevation in the states of Mérida, Táchira, or Trujillo; the states of Falcón or Lara; Margarita Island; or the cities of Caracas (the capital) or Valencia .

• All areas <1,700 m (≈5,600 ft) elevation and Angel Falls
• P. vivax (75%)
• P. falciparum  (25%)

Map 2-17 Yellow fever vaccine recommendations for Venezuela & neighboring countries

See Health Information for Travelers to Venezuela .

• Rural areas only. Rare cases in the Mekong and Red River Deltas
• None in the cities of Da Nang, Hai Phong, Hanoi, Ho Chi Minh City (Saigon), Nha Trang, and Quy Nhon.
• P. falciparum (65%)
• P. vivax (35%)
• Provinces of Bình Dương, Bình Phước, Đắk Lắk, Đắk Nông, Gia Lai, Khánh Hòa, Kon Tum, Lâm Đồng, Ninh Thuận, Tây Ninh: Atovaquone-proguanil, doxycycline, tafenoquine 3
• All other areas with malaria transmission (except Mekong and Red River Deltas): Atovaquone-proguanil, doxycycline, mefloquine, tafenoquine 3
• Mekong and Red River Deltas: No chemoprophylaxis recommended (insect bite precautions / mosquito avoidance only) 4

See Health Information for Travelers to Vietnam .

Virgin Islands, British

See Health Information for Travelers to Virgin Islands, British .

Virgin Islands, U.S.

See Health Information for Travelers to Virgin Islands, U.S. .

Wake Island, U.S.

See Health Information for Travelers to Wake Island .

• All areas <2,000 m (≈6,500 ft) elevation
• No malaria transmission in Sana’a (the capital)

See Health Information for Travelers to Yemen .

Entry requirements : Required for travelers ≥1 year of age arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission. 1

CDC recommendations : Generally not recommended for travel to North-Western Province or Western Province. Not recommended for travel to any areas not listed above.

See Health Information for Travelers to Zambia .

See Health Information for Travelers to Zimbabwe .

1 Current as of November 2022. This is an update of the 2010 map created by the Informal WHO Working Group on the Geographic Risk of Yellow Fever.

2 Refers to Plasmodium falciparum malaria, unless otherwise noted.

3 Tafenoquine can cause potentially life-threatening hemolysis in people with glucose-6-phosphate-dehydrogenase (G6PD) deficiency. Rule out G6PD deficiency with a quantitative laboratory test before prescribing tafenoquine to patients.

4 Mosquito avoidance includes applying topical mosquito repellant, sleeping under an insecticide-treated mosquito net, and wearing protective clothing (e.g., long pants and socks, long-sleeve shirt). For additional details on insect bite precautions, see Sec. 4, Ch. 6, Mosquitoes, Ticks & Other Arthropods.

5 Primaquine can cause potentially life-threatening hemolysis in people with G6PD deficiency. Rule out G6PD deficiency with a quantitative laboratory test before prescribing primaquine to patients.

6 P. knowlesi is a malaria species with a simian (macaque) host. Human cases have been reported from most countries in Southwest Asia and are associated with activities in forest or forest-fringe areas. P. knowlesi has no known resistance to antimalarials.

Yellow Fever Maps

2 In 2017, the Centers for Disease Control and Prevention (CDC) expanded its YF vaccination recommendations for travelers going to Brazil because of a large YF outbreak in multiple states in that country. Please refer to the CDC  Travelers’ Health website for more information and updated recommendations.

3 YF vaccination is generally not recommended for travel to areas where the potential for YF virus exposure is low. Vaccination might be considered, however, for a small subset of travelers going to these areas who are at increased risk for exposure to YF virus due to prolonged travel, heavy exposure to mosquitoes, or inability to avoid mosquito bites. Factors to consider when deciding whether to vaccinate a traveler include destination-specific and travel-associated risks for YF virus infection; individual, underlying risk factors for having a serious YF vaccine–associated adverse event; and destination entry requirements.

The following authors contributed to the previous version of this chapter: Mark D. Gershman, Emily S. Jentes, Rhett J. Stoney (Yellow Fever) Kathrine R. Tan, Paul M. Arguin (Malaria)

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HIV and TB Overview: Tanzania

At a glance.

CDC works with partners in Tanzania to strengthen the country's public health and clinical systems. CDC delivers quality HIV testing and treatment services and responds to emerging public health threats.

The partnership between the U.S. Centers for Disease Control and Prevention (CDC) and the Government of Tanzania (GOT) began in 2001. CDC is a key implementer of the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR). CDC works with GOT to build a sustainable, high impact national HIV response program. CDC also collaborates with the Ministry of Health in mainland Tanzania and Zanzibar. This collaboration supports HIV testing, prevention, and treatment services and strengthens health systems.

Current programmatic priorities include:

• Strategies include index testing and social network testing.
• Limiting treatment interruption of antiretroviral therapy (ART).
• Switching to optimal treatment regimens for adult and pediatric clients.
• Achieving viral suppression.
• Tuberculosis preventative treatment for all people living with HIV.
• Eliminating mother-to-child transmission of HIV.

Download CDC Tanzania's Fact Sheet ‎

Hiv and tb data.

Estimated HIV Prevalence (Ages 15-49)

Estimated AIDS Deaths (Age≥15)

Estimated Orphans Due to AIDS

Reported Number Receiving Antiretroviral Therapy (Age≥15)

Tuberculosis (TB)

Estimated TB Incidence

TB Patients with Known HIV-Status who are HIV-Positive

TB Treatment Success Rate

Key activities and accomplishments

Scaling up targeted testing strategies.

Tanzania began index testing in 2018. Index testing yield has increased from less than 10 percent to around 20 percent. The number of individuals with HIV infection identified through index testing increased from about 10 percent to more than 50 percent. Tanzania monitors the modality by tracking performance across the cascade of service provision. This is key to ensuring the safe and ethical implementation of index testing services.

Implementing newer strategies, such as social network testing and self-testing, will also help reach additional populations whose HIV status remains unknown.

Keeping adolescents and young adults on treatment

Data from Tanzania shows that adolescents and young adults living with HIV are more likely to experience interrupted treatment. CDC-Tanzania leverages a combination of data driven interventions supporting adolescents and young adults living with HIV to continue treatment. Interventions include:

• Using map cues and details to locate clients.
• Peer-driven psychosocial support.
• Appointment reminders.
• Same-day tracking of missed appointments.
• Multi-month drug dispensing and community ART provision.

Laboratory accreditation and certification

In 2010, Tanzania introduced Strengthening Medical Laboratory Quality Management Toward Accreditation (SLMTA) approach for medical laboratories. To date, 96 laboratories have been enrolled in SLMTA cohorts. Sixty-one laboratories have been accredited to international standards, and over 600 personnel were trained in laboratory quality management systems. Improvements in lab capacity mean improvements for the HIV program. In 2017, the national viral load coverage was 38 percent, and coverage now exceeds 95 percent as of December 2022.

Project Extension for Community Healthcare Outcomes (ECHO)

Project ECHO is a distance learning and mentorship model for building healthcare worker capacity. It extensively trains and mentors HIV testing providers in all 31 regions of Tanzania and Zanzibar. Nine hubs and more than 421 high-volume health facilities use Project ECHO for knowledge sharing. Project ECHO has expanded to include other public health issues. Project ECHO also provided site level management to increase support when in-person engagement was limited during COVID-19.

Workforce development

In 2008, CDC established the Field Epidemiology & Laboratory Training Program (FELTP) in Tanzania. In 2016, Tanzania’s FELTP expanded to include three training programs for frontline, intermediate, and advanced residents. To date, FELTP Tanzania has produced more than 924 FELTP graduates across the three programs (as of July 2023). The three different programs ensure critical epidemiologic skills in all levels of the health care system.

Data driving decision-making and programmatic action

CDC actively uses monthly near-real-time, granular site-level data to monitor and drive program performance. Significant improvements can be seen in reductions in client treatment interruption and the rapid scale-up of key interventions. Interventions include multi-month dispensing and the introduction of optimized ARV regimens.

A regional approach to reaching epidemic control

Since 2019, CDC-Tanzania has leveraged a regional approach to implement and monitor programs to align with the country’s evolving epidemic. In August 2021, CDC implemented an intensive regional support structure. In this structure, selected staff were identified to oversee all program activities in a specific CDC-supported region. This structure provided an effective and flexible model leading to key improvements in routine HIV/Tuberculosis (TB) service delivery. Throughout 2021-2022, CDC-Tanzania effectively leveraged its regional support structure to drive COVID-19 vaccination uptake among PLHIV and healthcare workers.

TB/HIV prevention services

CDC supports end TB efforts contributing to PEPFAR through three main objectives: intensified TB case finding, optimized TB and HIV care and treatment, and TB prevention. CDC supports successful models for integrating TB and HIV services, including prevention services. CDC supports the National TB & Leprosy Programme to review and update national TB infection prevention control guidelines and implementation of TB infection prevention control measures in health facilities

Support for CDC's global HIV and TB efforts. ‎

Our success is built on the backbone of science and strong partnerships.

• Tanzania: Development news, research, data | World Bank
• AIDSinfo | UNAIDS
• Global Tuberculosis Programme (who.int)

Global HIV and TB

CDC's Division of Global HIV and TB works to end the public health threats of HIV and TB in partnership with countries supported by PEPFAR.

There's another COVID variant you should know about: KP.3 now makes up 25% of COVID cases

The Centers for Disease Control and Prevention data shows that a new COVID variant, the KP.3 variant , is rising to dominance across the United States.

For the two-week period starting on May 26 and ending on June 8, the government agency data shows that KP.3 accounts for 25% of COVID cases in the U.S. and is now the dominant variant. This knocks down previous frontrunner, the JN.1 variant , which spread globally last winter. KP.2 is right after KP.3 and now makes up 22.5% of cases.

The CDC uses Nowcast data tracker to project the COVID variants over a two-week period. The tool is used to help estimate current prevalence of variants, but does not predict future spread of the virus, the CDC said.

Could there be a summer surge?: New COVID-19 FLiRT variants are now the dominant variant.

What is the KP.3 variant?

Like JN.1 and "FLiRT" variants KP.1.1 and KP.2, KP.3 is a similar strand.

USA TODAY reached out to the CDC for more information on the variant but have not heard back.

State of COVID cases in US

Although the rates for deaths and hospitalizations have declined significantly, the data also shows that the rates for positive tests and emergency room visits are on the rise.

The CDC recently reported on June 4 that "COVID-19 infections are growing or likely growing in 30 states."

COVID fall vaccine will target JN.1

The dominant emergence of the KP.3 variant comes on the heels of an FDA panel meeting this week to discuss updates to a COVID vaccine for the fall.

During the Vaccines and Related Biological Products Advisory Committee , health experts from vaccine manufacturers Pfizer, Moderna and Novavax each told the panel they were prepared to make JN.1-targeted vaccines available in August pending FDA approval.

The updated vaccines are set to be  released in the fall , ahead of expected winter upticks in COVID-19 cases.

Contributing:   Eduardo Cuevas , USA TODAY.

Ahjané Forbes is a reporter on the National Trending Team at USA TODAY. Ahjané covers breaking news, car recalls, crime, health, lottery and public policy stories. Email her at  [email protected] . Follow her on  Instagram ,  Threads  and  X (Twitter) .