Yellow Fever Vaccine Requirements and Information on Malaria Risk and Prophylaxis, by Country

Country Yellow Fever Malaria
Requirements1 CDC recommendations2 Area of risk Chloroquine resistance Recommended prophylaxis

Afghanistan

If travelling from an endemic zone

None

Risk April-December in all areas at altitudes <2,000m (<6,561ft)

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Albania

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Algeria

If travelling from an endemic zone and >1 year of age

None

Risk is limited to one small focus in Sahara region in Ihrir (Illizi Department). Risk is very limited; therefore, prophylaxis is not recommended.

None

None

Andorra

Not required

None

None

Not applicable

Not applicable

Angola

If travelling from an endemic zone and >1 year of age

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Anguilla (U.K.)

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Antigua and Barbuda

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Argentina

Not required

For all travellers >9 months of age going to the northern and northeastern forested areas, including Iguaçu Falls.

Rural areas of Salta and Jujuy province (along Bolivian border) and Misiones and Corrientes province (along border of Paraguay).

None

Chloroquine

Armenia

Not required

None

Risk limited to western border areas: Masis, Ararat, and Artashat regions in Ararat District.

None

Chloroquine

Aruba

If travelling from an endemic zone and >6 months of age

  • None

    None

    Not applicable

    Not applicable

    Australia; Including Cocos (Keeling) Islands. Note: Australia is not bound by the International Health Regulations.

    All persons >1 year of age who, within 6 days of arrival in Australia, have been in or have passed through an endemic zone

    None

    None

    Not applicable

    Not applicable

    Austria

    Not required

    None

    Nonle

    Not applicable

    Not applicable

    Azerbaijan

    Not required

    None

    Rural lowlands in the provinces of Agcabadi, Barda, Beylaqan, Bilasuvar, Calilabad, Fuzuli, Imisli, Kurdamir, Saatli, Sabirabad, and Zardab, between the Kura and Arax rivers.

    None

    Chloroquine

    Azores (Portugal)

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Bahamas, The

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Bahrain

    Not required

    None

    None

    Not applicable

    Not applicable

    Bangladesh

    If travelling from an endemic zone. Any person (including infants)3 arriving by air or sea without a certificate within 6 days of departure from or transit through an infected area will be quarantined up to 6 days.

    Required also for travellers arriving from or transiting:

    Africa: Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Congo, Côte d'Ivoire, Democratic Republic of Congo, Equatorial Guinea, Ethiopia, Gabon, The Gambia, Ghana, Guinea, Guinea Bissau, Kenya, Liberia, Malawi, Mali, Mauritania, Niger, Nigeria, Rwanda, São Tomé and Principe, Senegal, Sierra Leone, Somalia, Sudan (south of 15° N), Tanzania, Togo, Uganda, and Zambia.

    Americas: Belize, Bolivia, Brazil, Colombia, Costa Rica, Ecuador, French Guiana, Guatemala, Guyana, Honduras, Nicaragua, Panama, Peru, Suriname, and Venezuela.

    Caribbean: Trinidad and Tobago.

    None

    All, except no risk in city of Dhaka

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Barbados

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Belarus

    Not required

    None

    None

    Not applicable

    Not applicable

    Belgium

    Not required

    None

    None

    Not applicable

    Not applicable

    Belize

    If travelling from an endemic zone and >1 year of age

    None

    All, except no risk in Belize City

    Nonle

    Chloroquine

    Benin

    Required upon arrival from all countries if traveller is >1 year of age

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Bermuda (U.K.)

    Not required

    None

    None

    Not applicable

    Not applicable

    Bhutan

    If travelling from an endemic zone

    None

    Risk in the southern belt of five districts: Chirang, Samchi, Samdrupjongkhar, Sarpang and Shemgang

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Bolivia

    If travelling from an endemic zone

    For all travellers >9 months of age travelling to areas east of the Andes Mountains. Does not include the cities of La Paz or Sucre.

    Risk in areas <2,500m (<8,202ft) in the following departments: Beni, Chuquisaca, Cochabamba, La Paz, Pando, Santa Cruz, and Tarija. No risk in city of La Paz.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Bosnia and Herzegovina

    Not required

    None

    None

    Not applicable

    Not applicable

    Botswana

    If travelling from an endemic zone and >1 year of age

    None

    Risk north of 21°S in the northern districts of Central, Chobe, Ngamiland, North East, and Okavango.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Brazil

    If travelling from the endemic zones listed below and >9 months of age:

    Africa: Angola, Benin, Burkina Faso, Burundi, Cameroon, Cape Verde, Central African Republic, Democratic Republic of Congo, Congo, Côte D'Ivoire, Ethiopia, Gabon, The Gambia, Ghana, Guinea, Guinea Bissau, Equitorial Guinea, Liberia, Mali, Mauritania, Niger, Nigeria, Kenya, Rwanda, São Tomé and Principe, Senegal, Sierra Leone, Somalia, Sudan, Tanzania, Togo, and Uganda.

    Americas: Bolivia, Colombia, Ecuador, Guyana, French Guyana, Peru, Surinam, and Venezuela.

    Central America & Caribbean: Panama, and Trinidad and Tobago.

    For all travellers >9 months of age going to the endemic zone in Brazil, which includes the states of Acre, Amapa, Amazones, Goias, Maranhao, Mato Grosso, Mato Grosso do Sul, Minas Gerais, Para, Rondonia, Roraima, and Tocantins, and areas in the endemic zone of the states of Bahia, Parana, Piaui, Rio Grande do Sul, and Sao Paulo. Vaccination is recommended for travellers visiting Iguaçu Falls. Coastal cities, including Rio de Janeiro, Sao Paulo, Salvador, Recife, and Fortaleza, are NOT within the endemic zone.

    States of Acre, Rondônia, Amapá, Amazonas, Roraima, and Tocantins. Parts of states of Maranhaõ (western part), Mato Grosso (northern part), and Pará (except Belem City). There is also transmission in urban areas, including large cities such as Porto Velho, Boa Vista, Macapa, Manaus, Santarem, and Maraba, where the transmission occurs on the periphery of these cities.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

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

    Not required

    None

    None

    Not applicable

    Not applicable

    Brunei

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Bulgaria

    Not required

    None

    None

    Not applicable

    Not applicable

    Burkina Faso

    Required upon arrival from all countries if traveller is >1 year of age

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Burma (Myanmar)

    If travelling from an endemic zone.

    Required also for nationals and residents of Burma (Myanmar) departing for an endemic zone.

    None

    Rural only. No risk in cities of Rangoon (Yangon) and Mandalay

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine in all areas except in the states of Shan, Kayah, and Kayin must take atovaquone/ proguanil or doxycycline only

    Burundi

    If travelling from an endemic zone and >1 year of age

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Cambodia

    If travelling from an endemic zone

    None

    All, including risk in the temple complex at Angkor Wat. No risk in Phnom Penh and around Lake Tonle Sap.

    Confirmed

    Atovaquone/ proguanil or doxycycline must be taken in western provinces bordering Thailand; other areas can use Atovaquone/ proguanil; doxycycline; or mefloquine.

    Cameroon

    Required upon arrival from all countries if traveller is >1 year of age

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Canada

    Not required

    None

    None

    Not applicable

    Not applicable

    Canary Islands (Spain)

    Not required

    None

    Nonle

    Not applicable

    Not applicable

    Cape Verde

    If travelling from an endemic zone and >1 year of age

    For all travellers >9 months of age

    Limited risk on the island of Saõ Tiago only.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Cayman Islands (U.K.)

    Not required

    None

    None

    Not applicable

    Not applicable

    Central African Republic

    Required upon arrival from all countries if traveller is >1 year of age

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Chad

    Not required

    For all travellers >9 months of age. Chad recommends vaccination for all travellers >1 year of age.

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Chile

    Not required

    None

    None

    Not applicable

    Not applicable

    China

    If travelling from an endemic zone

    None

    Travellers to cities and popular tourist areas, including Yangtze River cruises, are not at risk and do not need to take chemo- prophylaxis. Rural areas only of the following provinces: Hainan, Yunnan, Fuijan, Guangdong, Guangxi, Guizhou, Sichuan, Tibet (in the Zangbo River valley only), Anhui, Hubei, Hunan, Jiangsu, Jiangxi, and Shandong. In provinces with risk, transmission exists in rural communities <1,500m only during warm weather: north of latitude 33°N, July-November; between latitude 25°N and 33°N, May-December. South of latitude 25°N, transmission occurs year-round.

    Confirmed in the provinces of Hainin and Yunnan. Other provinces do not have chloroquine- resistant malaria.

    Atovaquone/ proguanil; doxycycline; or mefloquine in Hainan and Yunnan; Chloroquine in all other areas.

    Christmas Island (Australia) Note: Christmas Island is not bound by the International Health Regulations.

    All travellers >1 year of age, who within the past 6 days have traveled or passed through an endemic area, as listed by WHO.

    None

    None

    Not applicable

    Not applicable

    Colombia

    Not required

    Recommended for all travellers >9 months of age. Travellers whose itinerary is limited to the cities of Bogotá, Cali, or Medellín are at lower risk and may consider foregoing vaccination.

    Risk in all rural areas at altitudes <800m (<2,624ft). No risk in Bogotá and vicinity.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Comoros

    Not required

    None

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Congo

    Required upon arrival from all countries if traveller is >1 year of age

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Cook Islands (New Zealand)

    Not required

    None

    None

    Not applicable

    Not applicable

    Costa Rica

    Not required

    None

    Risk in Alajuela, Limón, Guanacaste, and Heredia provinces. No risk in Limón city (Puerto Limón).

    None

    Chloroquine

    Côte d'Ivoire (Ivory Coast)

    Required upon arrival from all countries if traveller is >1 year of age

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Croatia

    Not required

    None

    None

    Not applicable

    Not applicable

    Cuba

    Not required

    None

    None

    Not applicable

    Not applicable

    Cyprus

    Not required

    None

    None

    Not applicable

    Not applicable

    Czech Republic

    Not required

    None

    None

    Not applicable

    Not applicable

    Democratic Republic of the Congo (formerly Zaire)

    Required upon arrival from all countries if traveller is >1 year of age

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Denmark

    Not required

    None

    None

    Not applicable

    Not applicable

    Djibouti

    If travelling from an endemic zone and >1 year of age

    None

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Dominica

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Dominican Republic

    Not required

    None

    Rural, with highest risk in provinces bordering Haiti. In addition, risk in all areas of La Altagracia Province, including resort areas. (Updated October 21, 2005)

    None

    Chloroquine

    Easter Island (Chile)

    Not required

    None

    None

    Not applicable

    Not applicable

    East Timor

    Required from travellers coming from an endemic zone

    None

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Ecuador; Including the Galápagos Islands

    If travelling from an endemic zone and >1 year of age

    For all travellers >9 months of age who are travelling to areas east of the Andes Mountains, NOT including the cities of Quito and Guayaquil, or the Galápagos Islands.

    Risk in all areas at altitudes <1,500m (<4,921ft). No risk in the cities of Guayaquil and Quito, the central highland tourist areas, and the Galápagos Islands.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Egypt

    If travelling from an endemic zone and >1 year of age. Air passengers in transit but coming from these countries or areas without a certificate will be detained in the precincts of the airport until they resume their journey. All travellers arriving from Sudan are required to have a vaccination certificate or a location certificate issued by a Sudanese official center stating that they have not been in Sudan south of 15° N within the previous 6 days.

    Required also for travellers arriving from or transiting:

    Africa: Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Congo, Côte D'Ivoire, Democratic Republic of Congo, Equatorial Guinea, Ethiopia, Gabon, Gambia, Ghana, Guinea, Guinea Bissau, Kenya, Liberia, Mali, Niger, Nigeria, Rwanda, São Tomé and Principe, Senegal, Sierra Leone, Somalia, Sudan (south of 15° N), Tanzania, Togo, Uganda, and Zambia.

    Americas: Belize, Bolivia, Brazil, Colombia, Costa Rica, Ecuador, French Guyana, Guyana, Panama, Peru, Suriname, and Venezuela.

    Caribbean: Trinidad and Tobago.

    None

    Very limited risk in El Faiyûm area only. No risk in tourist areas, including Nile River cruises. Risk is very limited; therefore, prophylaxis is not recommended.

    None

    None

    El Salvador

    If travelling from an endemic zone and >6 months of age3

    None

    Rural areas of Santa Ana, Ahuachapán, and La Unión departments.

    Nonle

    Chloroquine

    Equatorial Guinea

    If travelling from an endemic zone

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Eritrea

    If travelling from an endemic zone

    None

    All areas at altitudes <2,200m (<7,218ft). No risk in Asmara.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Estonia

    Not required

    None

    None

    Not applicable

    Not applicable

    Ethiopia

    If travelling from an endemic zone and >1 year of age

    For all travellers >9 months of age

    All areas at altitudes <2,000m (<6,561ft). No risk in Addis Ababa.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Falkland, South Georgia & South Sandwich Islands (U.K.)

    Not required

    None

    None

    Not applicable

    Not applicable

    Faroe Islands (Denmark)

    Not required

    None

    None

    Not applicable

    Not applicable

    Fiji

    If travelling from an endemic zone and >1 year of age, and within 10 days of having stayed overnight or longer in an endemic zone.

    None

    None

    Not applicable

    Not applicable

    Finland

    Not required

    None

    None

    Not applicable

    Not applicable

    France

    Not required

    None

    None

    Not applicable

    Not applicable

    French Guiana

    Required upon arrival from all countries if traveller is >1 year of age

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    French Polynesia, includes the island groups of Society Islands (Tahiti, Moorea, and Bora-Bora); Marquesas Islands (Hiva Oa and Ua Huka); and Austral Islands (Tubuai and Rurutu)

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Gabon

    Required upon arrival from all countries if traveller is >1 year of age

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Gambia, The

    If travelling from an endemic zone and >1 year of age

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Georgia

    Not required

    None

    Southeastern part of the country in the districts of Lagodekhi, Sighnaghi, Dedophilistskaro, Saraejo, Gardabani, and Marneuli in the Kakheti and Kveno Kartli regions. No risk in Tiblisi.

    None

    Chloroquine

    Germany

    Not required

    None

    None

    Not applicable

    Not applicable

    Ghana

    Required upon arrival from all countries

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Gibraltar (U.K.)

    Not required

    None

    None

    Not applicable

    Not applicable

    Greece

    Not required

    None

    None

    Not applicable

    Not applicable

    Greenland (Denmark)

    Not required

    None

    None

    Not applicable

    Not applicable

    Grenada

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Guadeloupe, including St. Barthelemy and Saint Martin (France)

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Guam (U.S.)

    Not required

    None

    None

    Not applicable

    Not applicable

    Guatemala

    If travelling from an endemic zone and >1 year of age

    None

    Rural areas only at altitudes <1,500m (<4,921ft). No risk in Antigua or Lake Atitlán.

    None

    Chloroquine

    Guinea

    If travelling from an endemic zone and >1 year of age

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Guinea-Bissau

    If travelling from an endemic zone and >1 year of age.

    Required also for travellers arriving from:

    Africa: Angola, Benin, Burkina Faso, Burundi, Cape Verde, Central African Republic, Chad, Congo, Côte D'Ivoire, Democratic Republic of Congo, Djibouti, Equatorial Guinea, Ethiopia, Gabon, Gambia, Ghana, Guinea, Kenya, Liberia, Madagascar, Mali, Mauritania, Mozambique, Niger, Nigeria, Rwanda, São Tomé and Principe, Senegal, Sierra Leone, Somalia, Tanzania, Togo, Uganda, and Zambia.

    Americas: Bolivia, Brazil, Colombia, Ecuador, French Guiana, Guyana, Panama, Peru, Suriname, and Venezuela.

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Guyana

    If travelling from an endemic zone.

    Required also for travellers arriving from:

    Africa: Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Congo, Côte D'Ivoire, Democratic Republic of Congo, Gabon, Gambia, Ghana, Guinea, Guinea-Bissau, Kenya, Liberia, Mali, Niger, Nigeria, Rwanda, São Tomé and Principe, Senegal, Sierra Leone, Somalia, Tanzania, Togo, and Uganda.

    Americas: Belize, Bolivia, Brazil, Colombia, Costa Rica, Ecuador, French Guiana, Guatemala, Honduras, Nicaragua, Panama, Peru, Suriname, and Venezuela.

    For all travellers >9 months of age

    Risk in all areas of the interior; sporadic cases have also been reported along the coastal region.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Haiti

    If travelling from an endemic zone

    None

    All except no risk in cruise port of Labadee

    None

    Chloroquine

    Holy See

    Not required

    None

    None

    Not applicable

    Not applicable

    Honduras

    If travelling from an endemic zone

    None

    Risk in rural areas only and in Roatán and other Bay Islands.

    None

    Chloroquine

    Hong Kong SAR (China)

    Not required

    None

    None

    Not applicable

    Not applicable

    Hungary

    Not required

    None

    None

    Not applicable

    Not applicable

    Iceland

    Not required

    None

    None

    Not applicable

    Not applicable

    India

    If travelling from an endemic zone.

    Required also for travellers arriving from or transiting:

    Africa: Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Congo, Côte D'Ivoire, Democratic Republic of Congo, Equatorial Guinea, Ethiopia, Gabon, Gambia, Ghana, Guinea, Guinea-Bissau, Kenya, Liberia, Mali, Niger, Nigeria, Rwanda, São Tomé and Principe, Senegal, Sierra Leone, Somalia, Sudan, Togo, Uganda, Tanzania, and Zambia.

    Americas: Bolivia, Brazil, Colombia, Ecuador, French Guiana, Guyana, Panama, Peru, Suriname, and Venezuela.

    Caribbean: Trinidad and Tobago.

    Any person (except infants ≤6 months) arriving without a certificate within 6 days of departure from or transit through an endemic area will be isolated for up to 6 days.

  • None

    All areas, including the cities of Delhi and Bombay. Risk in areas at altitudes <2,000m (<6,561ft) in Himachal Pradesh, Jammu, Kashmir, and Sikkim.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Indonesia

    If travelling from an endemic zone

    None

    Risk in all areas of Irian Jaya (western half of the island of New Guinea) and at the temple complex of Borobudur. Risk in rural areas only in remainder of islands and in the province Aceh. No risk for the cities of Java and Sumatra or in the main resort areas of Java and Bali. (Updated March 24, 2005)

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Iran

    Not required

    None

    Risk in the provinces of Sistan- Baluchestan, the southern tropical part of Kerman, and Hormozgan.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Iraq

    If travelling from an endemic zone

    None

    Risk in Basrah province and in areas at altitudes <1,500m (<4,921ft) in provinces of Duhok, Erbil, Ninawa, Sulaimaninya, and Ta'mim.

    None

    Chloroquine

    Ireland

    Not required

    None

    None

    Not applicable

    Not applicable

    Israel

    Not required

    None

    None

    Not applicable

    Not applicable

    Italy

    Not required

    None

    None

    Not applicable

    Not applicable

    Jamaica

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Japan

    Not required

    None

    None

    Not applicable

    Not applicable

    Jordan

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Kazakhstan

    If travelling from an endemic zone

    None

    None

    Not applicable

    Not applicable

    Kenya

    If travelling from an endemic zone and >1 year of age

    For all travellers >9 months of age. The cities of Nairobi and Mombasa have lower risk of transmission than rural areas.

    All areas (including game parks) at altitudes <2,500m (<8,202ft). No risk in Nairobi.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

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

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Korea, North

    Not required

    None

    Limited malaria risk in some southern areas.

    None

    Chloroquine

    Korea, South

    Not required

    None

    Risk limited to demilitarized zone (DMZ) and to rural areas in the northern parts of Kyonggi and Kangwon provinces.

    None

    Chloroquine

    Kuwait

    Not required

    None

    None

    Not applicable

    Not applicable

    Kyrgyzstan

    Not required

    None

    Risk in some southern and western parts of the country, mainly in the provinces of Batken, Osh, and Zhele-Abadskaya in the areas bordering Tajikistan and Uzbekistan.

    None

    Chloroquine

    Laos

    If travelling from an endemic zone

    None

    All, except no risk in the city of Vientiane.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Latvia

    Not required

    None

    None

    Not applicable

    Not applicable

    Lebanon

    If travelling from an endemic zone

    None

    None

    Not applicable

    Not applicable

    Lesotho

    If travelling from an endemic zone

    None

    None

    Not applicable

    Not applicable

    Liberia

    Required upon arrival from all countries if traveller is >1 year of age

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Libya

    If travelling from an endemic zone

    None

    None

    Not applicable

    Not applicable

    Liechtenstein

    Not required

    None

    None

    Not applicable

    Not applicable

    Lithuania

    Not required

    None

    None

    Not applicable

    Not applicable

    Luxembourg

    Not required

    None

    None

    Not applicable

    Not applicable

    Macao SAR (China)

    Not required

    None

    None

    Not applicable

    Not applicable

    Macedonia, The Former Yugoslav Republic of

    Not required

    None

    None

    Not applicable

    Not applicable

    Madagascar

    If travelling from an endemic zone

    None

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Madeira Islands (Portugal)

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Malawi

    If travelling from an endemic zone

    None

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Malaysia

    If travelling from an endemic zone and >1 year of age. A certificate is also required from travellers who have transited an endemic area within the preceeding 6 days.

    None

    Risk limited to rural areas. No risk in urban and coastal areas. Note: No risk in Republic of Singapore.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Maldives

    If travelling from an endemic zone

    None

    None

    Not applicable

    Not applicable

    Mali

    Required upon arrival from all countries if traveller is >1 year of age

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycyline; or mefloquine

    Malta

    If travelling from an endemic zone and >9 months of age.

    Children <9 months of age arriving from an endemic zone may be subject to isolation or surveillance.

    None

    None

    Not applicable

    Not applicable

    Marshall Islands

    Not required

    None

    None

    Not applicable

    Not applicable

    Martinique (France)

    Not required

    None

    None

    Not applicable

    Not applicable

    Mauritania

    Required upon arrival from all countries if traveller is >1 year of age.

    Exception: Not required for travellers from a non-endemic zone who stay <2 weeks.

    For all travellers >9 months of age

    All, except no risk in the northern areas of Dakhlet- Nouadhibou and Tiris-Zemmour

    Probable

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Mauritius

    If travelling from an endemic zone

    None

    Rural only. No risk on Rodrigues Island.

    None

    Chloroquine

    Mayotte (French territorial collectivity)

    Not required

    None

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Mexico

    Not required

    None

    Risk in rural areas, including resorts in rural areas of the following states: Campeche, Chiapas, Guerrero, Michoacán, Nayarit, Oaxaca, Quintana Roo, Sinaloa, and Tabasco. In addition, risk exists in the state of Jalisco (in its mountainous northern area only). Risk also exists in an area between 24°N and 28°N latitude, and 106°W and 110°W longitude, which lies in parts of Sonora, Chihuahua, and Durango. No malaria risk exists along the United States-Mexico border. No malaria risk exists in the major resorts along the Pacific and Gulf coasts.

    None

    Chloroquine

    Micronesia, Federated States of; Includes: Yap Islands, Pohnpei, Chuuk, and Kosrae

    Not required

    None

    None

    Not applicable

    Not applicable

    Moldova

    Not required

    None

    None

    Not applicable

    Not applicable

    Monaco

    Not required

    None

    None

    Not applicable

    Not applicable

    Mongolia

    Not required

    None

    None

    Not applicable

    Not applicable

    Montserrat (U.K.)

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Morocco

    Not required

    None

    Risk in rural areas of Chefchaouen province. No risk in Tangier, Rabat, Casablanca, Marrakech, and Fès. Risk is very limited; therefore, prophylaxis is not recommended.

    None

    None

    Mozambique

    If travelling from an endemic zone and >1 year of age

    None

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Namibia

    If travelling from an endemic zone and >1 year of age. Required also for travellers on unscheduled flights who have transited an infected area. Children <1 year of age may be subject to surveillance.

    None

    Risk in the provinces of Kunene, Ohangwena, Okavango, Caprivi, Omaheke, Omusati, Oshana, Oshikoto, and Otjozondjupa.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Nauru

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Nepal

    If travelling from an endemic zone

    None

    Rural areas in the Terai and Hill districts. Risk at altitudes <1,200m (<3,937ft). No risk in Kathmandu on typical Himalayan treks.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Netherlands

    Not required

    None

    None

    Not applicable

    Not applicable

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

    If travelling from an endemic zone and >6 months of age³

    None

    None

    Not applicable

    Not applicable

    New Caledonia (France)

    If travelling from an endemic zone and >1 year of age.

    Note: In the event of an epidemic threat to the territory, a specific vaccination certificate may be required.

    None

    None

    Not applicable

    Not applicable

    New Zealand

    Not required

    None

    None

    Not applicable

    Not applicable

    Nicaragua

    If travelling from an endemic zone and >1 year of age

    None

    Risk in rural areas only and in outskirts of Managua.

    None

    Chloroquine

    Niger

    Required upon arrival from all countries if traveller is >1 year of age

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Nigeria

    If travelling from an endemic zone and >1 year of age

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Niue (New Zealand)

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Norfolk Island (Aust)

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Northern Mariana Islands (US) Includes Saipan, Tinian, and Rota Island

    Not required

    None

    None

    Not applicable

    Not applicable

    Norway

    Not required

    None

    None

    Not applicable

    Not applicable

    Oman

    If travelling from an endemic zone

    None

    Limited risk in remote areas of Musandam Province. Risk is very limited; therefore, prophylaxis is not recommended.

    Confirmed

    None

    Pakistan

    If travelling from an endemic zone. Not required for infants <6 months of age if the mother's certificate shows she was vaccinated before the child's birth.³

    None

    Risk in all areas (including all cities) at altitudes <2,000m (<6,562ft).

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Palau

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Panama

    Not required

    For all travellers >9 months of age travelling to the provinces of Darien, Kunayala (San Blas) and Panama, excluding the Canal Zone.

    Risk exists in rural areas of Bocas Del Toro, Darién, and San Blas provinces. No risk in Panama City or in the former Canal Zone.

    Confirmed in Darién and San Blas provinces, including San Blas islands.

    Chloroquine in Bocas Del Toro; Atovaquone/ proguanil; doxycycline; or mefloquine in Darién and San Blas.

    Papua New Guinea

    If travelling from an endemic zone and >1 year of age

    None

    Risk throughout at altitudes <1,800m (<5,906ft).

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Paraguay

    If travelling from an endemic zone

    For all travellers >9 months of age travelling to the forested areas on the east and west.

    Risk in the departments of Alto Paraná, Caaguazú, and Canendiyú.

    None

    Chloroquine

    Peru

    If travelling from an endemic zone and >6 months of age³

    For all travellers >9 months of age travelling to the areas east of the Andes Mountains. Travellers who are limiting travel to the cities of Cuzco and Machu Picchu do not need vaccination. Peru recommends vaccination for those who intend to visit any jungle areas of the country <2,300m (<7,546ft.).

    Risk in all departments except: Arequipa, Moquegua, Puno, and Tacna. Risk in Puerto Maldonado. Travellers who will visit only in Lima and its vicinity, coastal areas south of Lima, or the highland tourist areas (Cuzco, Machu Picchu, and Lake Titicaca) are not at risk and need no prophylaxis.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Philippines

    If travelling from an endemic zone and >1 year of age

    None

    Risk exists in areas below 600m (1,969ft), except no risk in the provinces of Aklan, Bilaran, Bohol, Camiguin, Capiz, Catanduanes, Cebu, Guimaras, Iloilo, Leyte, Masbate, northern Samar, Sequijor, and metropolitan Manila. No risk is considered to exist in urban areas.

    Confirmed on islands of Basilan, Luzon, Mindanao, Mindoro, Palawan, and Sulu Archipelago.

    Atovaquone/ proguanil; doxycycline; or mefloquine on islands of Basilan, Luzon, Mindanao, Mindoro, Palawan, and Sulu Archipelago. All other areas: chloroquine.

    Pitcairn Islands (U.K.)

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Poland

    Not required

    None

    None

    Not applicable

    Not applicable

    Portugal

    Required only for travellers >1 year of age arriving from an endemic zone and destined for the Azores and Madeira. However, no certificate is required for travellers in transit at Funchal, Santa Maria, and Porto Santo.

    None

    None

    Not applicable

    Not applicable

    Puerto Rico (U.S.)

    Not required

    None

    None

    Not applicable

    Not applicable

    Qatar

    Not required

    None

    None

    Not applicable

    Not applicable

    Réunion (France)

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Romania

    Not required

    None

    None

    Not applicable

    Not applicable

    Russia

    Not required

    None

    None

    Not applicable

    Not applicable

    Rwanda

    Required upon arrival from all countries if traveller is >1 year of age

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Saint Helena (U.K.)

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Saint Kitts (Saint Christopher) and Nevis (U.K.)

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Saint Lucia

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Saint Pierre and Miquelon (France)

    Not required

    None

    None

    Not applicable

    Not applicable

    Saint Vincent and the Grenadines

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Samoa (formerly Western Samoa)

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Samoa, American (U.S.)

    Not required
    (Corrected April 5, 2006)

    None

    None

    Not applicable

    Not applicable

    San Marino

    Not required

    None

    None

    Not applicable

    Not applicable

    São Tomé and Príncipe

    Required upon arrival from all countries if traveller is >1 year of age

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Saudi Arabia

    If travelling from an endemic zone

    None

    Risk in Al Bahah, Al Madinah, Asir, Jizan, Makkah, Najran, and Tabuk province. No risk in urban areas of Jeddah, Mecca, Medina, and Ta'if.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Senegal

    If travelling from an endemic zone

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Serbia and Montenegro

    Not required

    None

    None

    Not applicable

    Not applicable

    Seychelles

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Sierra Leone

    If travelling from an endemic zone

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Singapore

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Slovakia

    Not required

    None

    None

    Not applicable

    Not applicable

    Slovenia

    Not required

    None

    None

    Not applicable

    Not applicable

    Solomon Islands

    If travelling from an endemic zone

    None

    Risk in all areas except for the southern province of Rennell and Bellona, the eastern province of Temotu, and the outer islands of Tikopia, Anuta, and Fatutaka.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Somalia

    If travelling from an endemic zone

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    South Africa

    If travelling from an endemic zone and >1 year of age

    None

    Risk exists in the low altitude areas of the Mpumalanga Province, Northern Province, and northeastern KwaZulu-Natal as far south as the Tugela River. Risk in Kruger National Park.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Spain

    Not required

    None

    None

    Not applicable

    Not applicable

    Sri Lanka

    If travelling from an endemic zone and >1 year of age

    None

    Risk in all areas, except no risk in the districts of Colombo, Galle, Kalutara, and Nuwara Eliya.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Sudan

    If travelling from an endemic zone and >1 year of age. May be required for travellers leaving Sudan.

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Suriname

    If travelling from an endemic zone

    For all travellers >9 months of age

    Risk in all areas, except no risk in Paramaribo and coastal districts of Nickerie, Coronie, Saramacca, Wanica, Commewijne, and Marowijne north of latitude 5°N.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Swaziland

    If travelling from an endemic zone

    None

    All lowlands

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Sweden

    Not required

    None

    None

    Not applicable

    Not applicable

    Switzerland

    Not required

    None

    None

    Not applicable

    Not applicable

    Syria

    If travelling from an endemic zone

    None

    Risk along the northern border in El Hassaka province.

    None

    Chloroquine

    Taiwan

    If travelling from an endemic zone

    None

    None

    Not applicable

    Not applicable

    Tajikistan

    Not required

    None

    Southern border; some central (Dushanbe), western (Gorno- Badakhshan), and northern (Leninabad) areas.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Tanzania

    If travelling from an endemic zone and >1 year of age

    For all travellers >9 months of age. The city of Dar es Salaam has a lower risk of transmission than rural areas.

    All areas at altitudes <1,800m (<5,906ft).

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Thailand

    If travelling from an endemic zone and >1 year of age

    None

    Limited risk in the areas that border Cambodia, Laos, and Myanmar (Burma). No risk in cities and no risk in major tourist resorts. No risk in Bangkok, Chiang Mai, Chiang Rai, Pattaya, Phuket Island, and Ko Samui.

    Confirmed

    Atovaquone/ proguanil or doxycycline in areas of the Thailand/Burma and Thailand/ Cambodia borders. All other areas: Atovaquone/ proguanil; doxycycline; or mefloquine.

    Togo

    Required upon arrival from all countries if traveller is >1 year of age

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Tokelau (New Zealand)

    Not required

    None

    None

    Not applicable

    Not applicable

    Tonga

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Trinidad and Tobago

    If travelling from an endemic zone and >1 year of age

    For all travellers >9 months of age

    None

    Not applicable

    Not applicable

    Tunisia

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Turkey

    Not required

    None

    Risk in the provinces of Icel, Adana, Osmaniyeh, Hatay, Kahraman Maras, Gaziantep, Kilis, Adryaman, Sanliurfa, Elazig, Diyarbakar, Mardin, Bingol, Mus, Batman, Bitlis, Siirt, Sirnak, Van, and Hakkari. No risk on the Incerlik U.S. Air Force base and on typical cruise itineraries.

    None

    Chloroquine

    Turkmenistan

    Not required

    None

    Risk in some villages in the Mary district.

    None

    Chloroquine

    Turks and Caicos Islands (U.K.)

    If travelling from an endemic zone and >1 year of age

    None

    None

    Not applicable

    Not applicable

    Tuvalu

    Not required

    None

    None

    Not applicable

    Not applicable

    Uganda

    If travelling from an endemic zone and >1 year of age

    For all travellers >9 months of age

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Ukraine

    Not required

    None

    None

    Not applicable

    Not applicable

    United Arab Emirates

    Not required

    None

    None

    Not applicable

    Not applicable

    United Kingdom (with Channel Islands and Isle of Man)

    Not required

    None

    None

    Not applicable

    Not applicable

    United States

    Not required

    None

    None

    Not applicable

    Not applicable

    Uruguay

    Not required

    None

    None

    Not applicable

    Not applicable

    Uzbekistan

    Not required

    None

    Sporadic cases reported in Uzunskiy, Sariassiskiy, and Shurchinskiy districts (Surkhanda- Rinskaya Region).

    None

    Chloroquine

    Vanuatu

    Not required

    None

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Venezuela

    Not required

    For all travellers >9 months of age travelling to Venezuela, except the northern coastal area. The cities of Caracas and Valencia are not in the endemic zone.

    Risk exists in rural areas of the following states: Apure, Amazonas, Barinas, Bolivar, Sucre, Tachira, and Delta Amacuro. Risk in Angel Falls.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Vietnam

    If travelling from an endemic zone and >1 year of age

    None

    Rural only, except no risk in the Red River delta and the coastal plain north of the Nha Trang. No risk in Hanoi, Ho Chi Minh City (Saigon), Da Nang, Nha Trang, Qui Nhon, and Haiphong.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Virgin Islands, British

    Not required

    None

    None

    Not applicable

    Not applicable

    Virgin Islands, U.S.

    Not required

    None

    None

    Not applicable

    Not applicable

    Wake Island, U.S.

    Not required

    None

    None

    Not applicable

    Not applicable

    Western Sahara

    Not required

    None

    Risk is very limited; therefore, prophylaxis is not recommended.

    None

    None

    Yemen

    If travelling from an endemic zone and >1 year of age

    None

    All areas at altitudes <2,000m (<6,561ft). No risk in Sana'a.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Zambia

    Not required

    None

    All

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    Zimbabwe

    If travelling from an endemic zone and >1 year of age

    None

    All, except no risk in cities of Harare and Bulawayo.

    Confirmed

    Atovaquone/ proguanil; doxycycline; or mefloquine

    1Yellow fever vaccine entry requirements are necessary for travellers to comply with in order to enter the country. In general, these are in place to prevent importation and transmission of yellow fever virus. Countries requiring yellow fever vaccination for entry adhere to the regulations put forth by WHO as stated in the International Health Regulations. Some countries require vaccination for travellers coming from an endemic zone. “Travelling from an endemic zone” is defined as transit through an endemic zone in the previous 6 days.
    2The information in the section on yellow fever vaccine recommendations is advice given by CDC to prevent yellow fever infections among travellers.
    3Please note, the U.S. Advisory Committee for Immunisation Practices recommends avoiding vaccination in infants <9 months of age; travel of infants <9 months of age to countries in the yellow fever endemic zone or to countries experiencing a yellow fever epidemic should be postponed or avoided, whenever possible. If travel is unavoidable, medical waivers may be considered for infants <9 months of age to meet the entry requirements of these countries.

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