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Travel Essentials

Health and Medical: Immunizations

From the US Centers for Disease Control

Latest advice:
Vaccines for disease Recommendations Clinical Guidance for Healthcare providers
Routine vaccines

Make sure you are up-to-date on all routine vaccines before every trip. Some of these vaccines include

  • Chickenpox (Varicella)
  • Diphtheria-Tetanus-Pertussis
  • Flu (influenza)
  • Measles-Mumps-Rubella (MMR)
  • Polio
  • Shingles

Immunization schedules

COVID-19

All eligible travelers should be up to date with their COVID-19 vaccines. Please see Your COVID-19 Vaccination for more information. 

COVID-19 vaccine

Chikungunya

There has been evidence of chikungunya virus transmission in India within the last 5 years. Chikungunya vaccination may be considered for the following travelers:

  • People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in India, OR
  • People planning to stay in India for a cumulative period of 6 months or more

Chikungunya - CDC Yellow Book

Cholera

Cholera is presumed to be present in India. Cholera is rare in travelers. Certain factors may increase the risk of getting cholera or having severe disease (more information). Avoiding unsafe food and water and washing your hands can also help prevent cholera. Avoiding unsafe food and water and washing your hands can also help prevent cholera.

Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.

Cholera - CDC Yellow Book

Hepatitis A

Recommended for unvaccinated travelers one year old or older going to India.

Infants 6 to 11 months old should also be vaccinated against Hepatitis A. The dose does not count toward the routine 2-dose series.

Travelers allergic to a vaccine component or who are younger than 6 months should receive a single dose of immune globulin, which provides effective protection for up to 2 months depending on dosage given.

Unvaccinated travelers who are over 40 years old, immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.

Hepatitis A - CDC Yellow Book

Dosing info - Hep A

Hepatitis B

Recommended for unvaccinated travelers younger than 60 years old traveling to India. Unvaccinated travelers 60 years and older may get vaccinated before traveling to India.

Hepatitis B - CDC Yellow Book

Dosing info - Hep B

Japanese Encephalitis

Recommended for travelers who

  • Are moving to an area with Japanese encephalitis to live
  • Spend long periods of time, such as a month or more, in areas with Japanese encephalitis
  • Frequently travel to areas with Japanese encephalitis

Consider vaccination for travelers

  • Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets
  • Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there

Not recommended for travelers planning short-term travel to urban areas or travel to areas with no clear Japanese encephalitis season. 

Japanese encephalitis - CDC Yellow Book

Japanese Encephalitis Vaccine for US Children

Malaria

CDC recommends that travelers going to certain areas of India take prescription medicine to prevent malaria. Depending on the medicine you take, you will need to start taking this medicine multiple days before your trip, as well as during and after your trip. Talk to your doctor about which malaria medication you should take.

Find country-specific information about malaria.

Malaria - CDC Yellow Book

Considerations when choosing a drug for malaria prophylaxis (CDC Yellow Book)

Malaria information for India.

Measles

Cases of measles are on the rise worldwide. Travelers are at risk of measles if they have not been fully vaccinated at least two weeks prior to departure, or have not had measles in the past, and travel internationally to areas where measles is spreading.

All international travelers should be fully vaccinated against measles with the measles-mumps-rubella (MMR) vaccine, including an early dose for infants 6–11 months, according to CDC’s measles vaccination recommendations for international travel.

Measles (Rubeola) - CDC Yellow Book

Rabies

Dogs infected with rabies are commonly found in India.

Rabies is also present in some terrestrial wildlife species.

If rabies exposures occur while in India, rabies vaccines are typically available throughout most of the country.

Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.

Please consult with a healthcare provider to determine whether you should receive pre-exposure vaccination before travel.

For more information, see country rabies status assessments.

Rabies - CDC Yellow Book

Typhoid

Recommended for most travelers, especially those staying with friends or relatives or visiting smaller cities or rural areas.

Typhoid - CDC Yellow Book

Dosing info - Typhoid

Yellow Fever

Any traveler ≥9 months old arriving by air or by sea without a YF vaccination certificate will be detained in isolation for ≤6 days if they

  • 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.
The following countries are regarded by the Government of India as areas with risk for YF virus transmission.
  • 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
When a case of YF is reported from any country, the Government of India regards that country as an area with risk for YF virus transmission and adds it to the above list.

Yellow Fever - CDC Yellow Book