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Advice for All Destinations Vaccinations Malaria Other Health Risks NewsAdvice for All Destinations
Vaccinations and malaria risk
Review both the Vaccination and Malaria sections on this page to find out if you may need vaccines and/or a malaria risk assessment before you travel to this country.
If you think you require vaccines and/or malaria risk assessment, you should make an appointment with a travel health professional:
A travel health risk assessment is also advisable for some people, even when vaccines or malaria tablets are not required.
Risk prevention advice
Many of the health risks experienced by travellers cannot be prevented by vaccines and other measures need to be taken.
Always make sure you understand the wider risks at your destination and take precautions, including:
- food and water safety
- accident prevention
- sun safety
- avoiding insect bites
- preventing and treating animal bites
- respiratory hygiene
- hand hygiene
Our advice section gives detailed information on minimising specific health risks abroad:
Other health considerations
Make sure you have travel insurance before travel to cover healthcare abroad.
Find out if there are any restrictions you need to consider if you are travelling with medicines.
Know how to access healthcare at your destination: see the GOV.UK English speaking doctors and medical facilities: worldwide list
If you feel unwell on your return home from travelling abroad, always seek advice from a healthcare professional and let them know your travel history.
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: Diphtheria; Tetanus.
- Selectively advised vaccines - only for those individuals at highest risk: Hepatitis A; Hepatitis B; Rabies.
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No yellow fever vaccination certificate required for this country.
Notes on the diseases mentioned above
- Diphtheria: spread person to person through respiratory droplets. Risk is higher if mixing with locals in poor, overcrowded living conditions.
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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.
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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.
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Rabies:
spread through the saliva of infected animals (especially dogs, cats, bats and monkeys), usually through a bite, scratch or lick to broken skin. Risk is higher for those working or living in remote or rural areas (with no easy access to medical facilities), longer stay travellers, those planning on undertaking activities such as trekking, cycling or running in a 'high risk' country, those working with, or regularly handling animals or bats, as part of their job, and children.
Urgent medical advice should be sought after any animal bite, scratch or lick to broken skin, or bat bite, even after receiving pre-travel rabies vaccine.
- 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.