Antigua and Barbuda (Caribbean)

Advice for All Destinations Vaccinations Malaria Other Health Risks Alerts News

Vaccinations

• Confirm primary courses and boosters are up to date as recommended for life in Britain - including for example, seasonal flu vaccine and COVID-19 (if eligible), MMR, vaccines required for occupational risk of exposure, lifestyle risks and underlying medical conditions.
• Courses or boosters usually advised: none.
• Other vaccines to consider: Hepatitis A; Tetanus.
• Selectively advised vaccines - only for those individuals at highest risk: Hepatitis B.

• Yellow fever vaccination certificate is required for travellers aged 1 year or over arriving from countries with risk of yellow fever transmission and for travellers having transited for more than 12 hours through an airport of a country with risk of yellow fever transmission.

Notes on the diseases mentioned above

• Hepatitis A:  spread by consuming food or drinks that contain the virus (i.e. become contaminated by infected poo), or by touching things or people that have infected poo on them, and then touching your mouth.

  Risk is higher if travelling to countries where there hepatitis A is circulating in the local population, or to areas where personal hygiene and sanitation is poor.

  Risk is highest for those with underlying medical conditions where there is increased risk of developing severe disease e.g. liver/kidney disease; haemophilia (clotting disorder); and for men who have sex with men; people who inject drugs; those at risk of exposure through their jobs.

• Hepatitis B:  spread through exposure to infected blood or bodily fluids. Occurs from sexual contact or contact with contaminated needles and medical instruments (e.g. dental / medical procedures, tattooing, body piercing, sharing intravenous needles). Mothers with the virus can also transmit the infection to their baby during childbirth.

  Risk is higher for those visiting more frequently, staying longer, visiting friends and relatives, children through bites, cuts and scratches and those who may require medical treatment during travel.

  Risk is highest for those with underlying medical conditions where there is increased risk of severe disease e.g. chronic liver/kidney disease; haemophiliacs (clotting disorder) and in men who have sex with men; people who change sexual partners frequently; and people who inject drugs.

• Tetanus:  spread through contamination of cuts, burns and wounds with tetanus spores. Spores are found in soil worldwide. A total of 5 doses of tetanus vaccine are recommended for life in the UK. Boosters are usually recommended in a country or situation where the correct treatment of an injury may not be readily available.

Malaria

• Malaria not normally present unless the illness was contracted abroad.

Other Health Risks

Dengue Fever

A viral illness that is transmitted to humans by mosquito bites. The mosquito that spreads dengue bites during the day and is more common in urban areas. Symptoms include fever, headache, severe joint, bone and muscular pain - hence its other name 'breakbone fever'. There is no vaccine and prevention is through avoidance of mosquito bites. For further information see Dengue Fever. 

Schistosomiasis

A parasitic infection (also known as bilharzia) that is transmitted to humans through contact with fresh water. The parasite enters humans through the skin and prevention is dependant on avoidance of swimming, bathing or paddling in fresh water lakes and streams. For further information see Schistosomiasis. 

Alerts

Zika Virus Infection

This country has been categorised as having a risk of Zika (ZIKV) virus transmission.

ZIKV is mainly spread through mosquito bites. The mosquito responsible most commonly bites during daylight hours and is common in towns and cities. 

The illness is usually mild but infection during pregnancy may lead to babies being born with birth defects. There is no vaccine currently available against ZIKV.

Advice for All Travellers

You should practice strict mosquito bite avoidance at all times.
Do not travel without adequate travel insurance.
Seek pre-travel health advice from a travel health professional 6 to 8 weeks in advance of travel.

Additional recommendations for pregnant travellers or those planning pregnancy

If you are planning pregnancy in the very near future you should consider whether you should avoid travel to this country.

• If you visit this country while pregnant, or become pregnant within 2 months after leaving this country you should:
  • contact your GP, obstetrician or midwife for further advice, even if you have not been unwell or had any symptoms of ZIKV infection
  • use barrier methods of contraception during and after travel and for the duration of your pregnancy, even in you have not been unwell or had any symptoms of ZIKV infection
• You should avoid becoming pregnant while travelling in this country
  • If you develop symptoms of ZIKV infection, it is recommended that you avoid becoming pregnant for a further 2 months following your recovery
• If you are planning pregnancy, you should use barrier methods of contraception during travel and for:
  • 2 months afterwards if you are female
  • 3 months afterwards if you are male or if both partners travelled

These measures reduce the chance of sexual transmission of ZIKV and/or the risk of ZIKV infection in pregnancy.

For further information, see Zika virus infection page.

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