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Travel Advisory July 23, 2024

India - level 2: exercise increased caution.

Updated to reflect information on the northeastern states.

Exercise increased caution in India due to crime and terrorism.  Some areas have increased risk. 

Do not travel to:

• The union territory of Jammu and Kashmir (except the eastern Ladakh region and its capital, Leh) due to terrorism and civil unrest .
• Within 10 km of the India-Pakistan border due to the potential for armed conflict .
• Portions of Central and East India due to terrorism.
• Manipur due to violence and crime .

Reconsider travel to:

• The northeastern states due to terrorism and violence .

Country Summary:  Indian authorities report that rape is one of the fastest growing crimes in India. Violent crime, such as sexual assault, has happened at tourist sites and other locations.

Terrorists may attack with little or no warning. They target tourist locations, transportation hubs, markets/shopping malls, and government facilities.

The U.S. government has limited ability to provide emergency services to U.S. citizens in rural areas. These areas stretch from eastern Maharashtra and northern Telangana through western West Bengal. U.S. government employees must get special authorization to travel to these areas.

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

Visit the CDC page for the latest Travel Health Information related to your travel.

If you decide to travel to India:

• Do not travel alone, particularly if you are a woman. Visit our website for Women Travelers .
• Review your personal security plans and remain alert to your surroundings.
• 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 India.
• Prepare a contingency plan for emergency situations. Review the Traveler’s Checklist .

Union Territory of Jammu and Kashmir – Level 4: Do Not Travel

Terrorist attacks and violent civil unrest are possible in the union territory of Jammu and Kashmir. Do not travel to this state (with the exception of visits to the eastern Ladakh region and its capital, Leh). Violence happens sporadically in this area and is common along the Line of Control (LOC) between India and Pakistan. It also occurs in tourist spots in the Kashmir Valley: Srinagar, Gulmarg, and Pahalgam.  The Indian government does not allow foreign tourists to visit certain areas along the LOC.

Visit our website for Travel to High-Risk Areas .

India-Pakistan Border – Level 4: Do Not Travel

India and Pakistan have a strong military presence on both sides of the border. The only official border crossing for non-citizens of India or Pakistan is in Punjab. It is between Attari, India, and Wagah, Pakistan.  The border crossing is usually open, but check its current status before you travel. To enter Pakistan, you need a Pakistani visa. Only U.S. citizens residing in India may apply for a Pakistani visa in India. Otherwise , apply for a Pakistani visa in your home country before traveling to India

Portions of Central and East India – Level 4: Do Not Travel

Maoist extremist groups, or “Naxalites,” are active in a large area of India that spans from eastern Maharashtra and northern Telangana through western West Bengal. Attacks against officers of the Indian government continue to occur sporadically in the rural parts of Chhattisgarh and Jharkhand that border with Telangana, Andhra Pradesh, Maharashtra, Madhya Pradesh, Uttar Pradesh, Bihar, West Bengal, and Odisha. Southwest areas of Odisha are also affected. The Naxalites have carried out many terrorist attacks, targeting local police, paramilitary forces, and government officials.

Due to the fluid nature of the threat, U.S. government employees are required to obtain permission prior to traveling to most areas in the states of Bihar, Jharkhand, Chhattisgarh, West Bengal, Meghalaya, and Odisha. Permission is not required if employees are traveling only to the capital cities of these states.

U.S. government employees also need approval to travel to the eastern region of Maharashtra and the eastern region of Madhya Pradesh

Visit our website for  Travel to High-Risk Areas .

Manipur -  Level 4: Do Not Travel

Do not travel to Manipur due to the threat of violence and crime.  Ongoing ethnic-based civil conflict has resulted in reports of extensive violence and community displacement. Attacks against Indian government targets occur on a regular basis.  U.S. government employees traveling in India require prior approval before visiting Manipur. 

Visit our website for  Travel to High-Risk Areas .  

Northeastern States – Level 3: Reconsider Travel

Ethnic insurgent groups occasionally commit acts of violence in parts of the northeast. These incidents include bombings of buses, trains, rail lines, and markets. There have been no recent reports of violence in Assam, Nagaland, Arunachal Pradesh, Mizoram, Sikkim, or Tripura.

U.S. government employees traveling in India require prior approval before visiting the states of Sikkim, and Arunachal Pradesh, as well as when visiting any areas outside of the capital cities of Assam, Mizoram, Nagaland, Meghalaya, and Tripura. 

Embassy Messages

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Quick Facts

Must be valid for six months beyond date of visa application to obtain a visa.

Two pages required.

Yes. Travelers must enter with a visa in their passport. The visa is valid for 10 years for U.S. citizens. Or they can use an e-tourist visa, which varies in validity. Note that the Indian authorities issue visas with dates in the DD/MM/YY format.

Travelers arriving from an infected area must have a yellow fever vaccination. Others are suggested.

You must declare currency over USD $5,000 at entry. Please check with the Indian Embassy in Washington, D.C. if you are planning to carry a large amount of currency or gold into India.

Check local law for rules on reporting large amounts of foreign currency and Indian rupees when leaving.

Embassies and Consulates

U.s. embassy new delhi.

Shantipath, Chanakyapuri New Delhi - 110021 India Telephone: +(91) (11) 2419-8000 Emergency After-Hours Telephone: +(91) (11) 2419-8000 Fax: +(91) (11) 2419-0017 [email protected]

The U.S. Embassy, New Delhi serves U.S. citizens in the Indian states of Haryana, Himachal Pradesh, Punjab, Rajasthan, Uttarakhand, and Uttar Pradesh, the union territories of Chandigarh, Delhi, Jammu and Kashmir, and Ladakh, and the country of Bhutan.

U.S. Consulate General Mumbai C-49, G-Block, Bandra Kurla Complex Bandra East, Mumbai 400051 India Telephone: +(91) (22) 2672-4000   Emergency After-Hours Telephone: +(91) (22) 2672-4000   If you are calling from within India, but outside Mumbai, first dial 022.   Fax: 91-(0)22-2672-4786   [email protected]

The Consulate General in Mumbai provides consular services for the states of Goa, Gujarat, Chhattisgarh, Madhya Pradesh, and Maharashtra, and the union territory of Diu and Daman, and Dadra and Nagar Haveli.

U.S. Consulate General Kolkata 5/1 Ho Chi Minh Sarani Kolkata - 700 071, West Bengal, India Telephone: +(91) (33) 3984-2400 Emergency After-Hours Telephone: +(91) (33) 3984-2400 then dial "0" Fax: +(91) (33) 2282-2335 [email protected]

The United States Consulate General in Kolkata provides consular services for the states of Bihar, West Bengal, Jharkhand, Nagaland, Mizoram, Manipur, Meghalaya, Arunachal Pradesh, Sikkim, Tripura, and Assam. .

U.S. Consulate General Chennai 220 Anna Salai at Gemini Circle Chennai, India 600006 Telephone: +(91) (44) 2857-4000 Emergency After-Hours Telephone: (0) 44-2857-4000. Ask for American Citizen Services. (Within India, but outside Chennai, first dial 044. From the United States, first dial 011-(91) (44)) Fax: +(91) (044) 2811-2020 [email protected]

The Consulate General in Chennai provides consular services for the states of Tamil Nadu, Karnataka, Kerala, and the Union Territories of Andaman and Nicobar Islands, Pondicherry, and the Lakshwadeep Islands. 

U.S. Consulate General Hyderabad Survey No. 115/1, Financial District, Nanakramguda Hyderabad, Telangana, 500032 Telephone:+(91) (40) 6932 8000 Emergency After-Hours Telephone: 4033-8300 and ask for American Citizen Services. (If calling from within India, but outside Hyderabad, first dial 040. From the United States, first dial 011-(91) (40))   Fax: 4033-8306  [email protected]

The Consulate General in Hyderabad provides services to U.S. citizens in the Indian states of Andhra Pradesh, Telangana, and Odisha. 

Destination Description

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

Entry, Exit and Visa Requirements

All U.S. citizens need a valid passport as well as a valid Indian visa or an Overseas Citizen of India (OCI) card to enter and exit India for any purpose. India may deny entry to travelers without valid documents or the correct type of visa. Indian visa rules and instructions change often. They often do so with little warning. Travelers should check the  website of the Indian Embassy in Washington D.C. before any travel to India to review the most current information. The U.S. Embassy and Consulates General in India cannot assist you if you arrive without proper documentation.

U.S. citizens seeking to enter India solely for tourist purposes for stays of less than 60 days may apply for an eVisa at least four days before their arrival. Please visit the  Indian government's website for electronic travel authorization for more information and to submit an application visit the Bureau of Immigration’s website.

U.S. citizens seeking to enter India as a tourist for longer than 60 days or for any other purpose must apply for a visa from an Indian embassy or consulate. The Government of India has appointed VFS Global to assist with visa services for individuals in the United States. Applicants may apply for Indian visas through the application link . Please exercise caution and check the correct website and as there are many fake webpages that will gather your personal information.

You can submit Diplomatic and Official visa applications directly to the Indian Embassy and Consulates. All U.S. government employees traveling on official orders, including military personnel, must get country clearance for travel to India. Once you have received your visa, check it carefully to ensure that the type of visa, validity dates, and number of entries is appropriate for your travel plans.

Keep copies of your U.S. passport data page, as well as the pages containing the Indian visa and Indian immigration stamps, with you at all times. Consider saving these documents to your mobile phone in case of emergency. If your passport is lost or stolen, copies will help you apply for a replacement passport and an exit permit from the Indian government. Replacing a lost visa, which is required to exit the country, may take several business days.  

U.S. citizens of Pakistani origin or descent are subject to administrative processing and should expect additional delays when applying for Indian visas.

Foreign citizens who visit India to  study, do research, work, or act as missionaries, as well as all travelers and residents planning to stay more than 180 days, are required to register their visit or residency within 14 days of arrival with the Foreigners Regional Registration Office (FRRO)  closest to where they will be staying, in addition  to having the appropriate visa  when they enter India. Similarly, if you are traveling to India to give birth, you must register your newborn’s birth within 14 days with the FRRO office. Failure to do so will result in fines, fees, and penalties. The FRRO has offices in New Delhi, Mumbai, Chennai, Hyderabad, Kolkata, Bengaluru (Bangalore), Lucknow, Calicut, Goa, Cochin, Trivandrum, and Amritsar. District Superintendents of Police serve as Foreigners Registration Officers (FROs) in all other places. We recommend all U.S. citizens review the entry requirements described on the  Frequently Asked Question (FAQ)  section on the Indian Bureau of Immigration website.

If you overstay your Indian visa or break Indian visa rules, you may need clearance from the Ministry of Home Affairs to leave. In general, authorities will fine you and, in some cases, may even jail you for months. Visa violators seeking an exit permit must visit  the Foreigners Regional Registration Office portal  to submit the application and pay any levied fines. Processing an exit permit can take up to 90 days in these cases. Decisions will be made case by case.  

Possession of a satellite phone is strictly prohibited in India and may lead to detention or arrest.

For the most current information on entry and exit requirements, please contact the  Embassy of India’s Consular wing  at 2536 Massachusetts Avenue NW, Washington, DC 20008, telephone (202) 939-9806 or the Indian Consulates in  Atlanta ,  Chicago ,  Houston ,  New York , or  San Francisco . Outside the United States, you should inquire at the nearest Indian embassy or consulate.

General information regarding Indian visa and immigration rules, including the addresses and telephone numbers for the FRRO offices, can be found at the  Indian Ministry of Home Affairs Bureau of Immigration website.

HIV/AIDS RESTRICTIONS:  There are no disclosure requirements or restrictions for HIV/AIDS patients who enter India on a tourist visa. Disclosure regarding HIV/AIDS is required of anyone seeking a resident permit in India. Foreign residents found to be suffering from HIV/AIDS will be deported. Please verify this information with the  Embassy of India  before you travel.

Find information on  dual nationality ,  prevention of international child abduction  and  customs regulations  on our websites.

Safety and Security

U.S. citizens should always practice good personal security and situational awareness. Be aware of your surroundings. This includes local customs and etiquette. Keep a low profile. Monitor local news reports, vary routes and times in carrying out daily activities, and consider the level of security present when visiting public places, including religious sites, and when choosing hotels, restaurants, and entertainment and recreation venues.

India intermittently experiences terrorist and insurgent activities which may affect U.S. citizens directly or indirectly. Some U.S.-designated terrorist groups are active in India, including Jaish-e-Mohammed and Lashkar-e Tayyiba. The U.S. government occasionally receives information regarding possible terrorist attacks that could take place in India, monitors such information to determine credibility, and advises U.S. citizens accordingly. Enroll in the  Smart Traveler Enrollment Program (STEP)  to receive messages from the Embassy automatically.  

Past attacks have targeted public places, including some frequented by Westerners, such as luxury and other hotels, trains, train stations, markets, cinemas, mosques, and restaurants in large urban areas. Attacks have taken place during the busy evening hours in markets and other crowded places but could occur at any time. Alerts are usually more frequent around major holidays. The Maoists (also known as “Naxalites”) are the most active insurgent group in India. The Naxalites typically attack Indian government officials, but have also derailed trains, targeted other government buildings such as police stations, and conducted other criminal activity. 

Demonstrations and general strikes, or “bandh,” often cause major inconvenience and unrest. These strikes can result in the stoppage of all transportation and tourist-related services, at times for 24 hours or more. U.S. citizens caught in such a strike may find they are unable to make flight and rail connections, as local transportation can be severely limited. Local media generally give an idea of the length and geographical location of the strike. You are urged to obey any imposed curfews and travel restrictions and avoid demonstrations and rallies as they have the potential for violence, especially immediately preceding and following political rallies, elections, and religious festivals (particularly when Hindu and Muslim festivals coincide). Tensions between castes and religious groups can also result in disruptions and violence. 

There are active "anti-conversion" laws in some Indian states, and acts of conversion sometimes elicit violent reactions from Hindu extremists. Foreigners suspected of proselytizing Hindus have been attacked and killed in conservative, rural areas in India in years past. In some cases, demonstrators specifically block roads near popular tourist sites and disrupt train operations in order to gain the attention of Indian authorities; occasionally vehicles transporting tourists are attacked in these incidents. You should monitor local television, print and social media, and Mission India’s American Citizens Services  Facebook page

Swimming:  You should exercise caution if you intend to swim in open waters along the Indian coastline, particularly during the monsoon season. Every year, people in Goa, Mumbai, Puri (Odisha), off the Eastern Coast in the Bay of Bengal, and other areas drown due to strong undertows. It is important to heed warnings posted at beaches and to avoid swimming in the ocean during the monsoon season. Several years ago, there were reports of fatal crocodile attacks in the Andaman Islands. Trained lifeguards are very rare along beaches.

Wildlife Safaris:  Many tour operators and lodges advertise structured, safe excursions into parks and other wildlife viewing areas for close observation of flora and fauna. However, safety standards and training vary, and it is advisable to ascertain whether operators are trained and licensed. Even animals marketed as “tame” should be respected as wild and extremely dangerous. Keep a safe distance from animals at all times, remaining in vehicles or other protected enclosures when venturing into game parks or safaris.

Trekking:  Trekking expeditions should be limited to routes identified for this purpose by local authorities. Use only registered trekking agencies, porters, and guides, suspend trekking after dark, camp at designated camping places, and travel in groups rather than individually. Altitudes in popular trekking spots can exceed 25,000 feet (7,620 m); please ensure you are fit to trek at these altitudes and carry sufficient medical insurance that includes medical evacuation coverage.

Train Travel:  India has the third largest rail network in the world, and train travel in India is generally safe. Nevertheless, accidents and on-board fires are sometimes caused by aging infrastructure, poorly maintained equipment, overcrowding, and operator errors. Train accidents and fires have resulted in death and serious injury of passengers.

Areas of Instability: Jammu & Kashmir:  The Department of State recommends that you do not travel to the union territory of Jammu & Kashmir because of the potential for terrorist incidents as well as violent public unrest. A number of terrorist groups operate in the territory targeting security forces, particularly along the Line of Control (LOC) separating Indian and Pakistani-controlled Kashmir, and those stationed in primary tourist destinations in the Kashmir Valley: Srinagar, Gulmarg, and Pahalgam. Foreigners are particularly visible, vulnerable, and at risk. In the past, serious communal violence left the territory mostly paralyzed due to massive strikes and business shutdowns, and U.S. citizens have had to be evacuated by local police. The Indian government prohibits foreign tourists from visiting certain areas along the LOC (see the section on Restricted Areas, below) and may require a travel permit to enter this area.

India-Pakistan Border:  The Department of State recommends that you do not travel to areas within ten kilometers of the border between India and Pakistan. Both India and Pakistan maintain a strong military presence on both sides of the border. The only official India-Pakistan border crossing point for persons who are not citizens of India or Pakistan is in the state of Punjab between Atari, India, and Wagah, Pakistan. The border crossing is usually open, but you are advised to confirm the current status of the border crossing prior to commencing travel. A Pakistani visa is required to enter Pakistan. Only U.S. citizens residing in India may apply for a Pakistani visa in India. Otherwise, you should apply for a Pakistani visa in your country of residence before traveling to India.

Both India and Pakistan claim an area of the Karakoram Mountain range that includes the Siachen glacier. Travel or mountain climbing in this area is highly dangerous. The disputed area includes the following peaks: Rimo Peak; Apsarasas I, II, and III; Tegam Kangri I, II and III; Suingri Kangri; Ghiant I and II; Indira Col; and Sia Kangri. Check with the U.S. Embassy in New Delhi for information on current conditions.

Northeastern States:  Incidents of violence by ethnic insurgent groups, including bombings of buses, trains, rail lines, and markets, occur sporadically in the northeast. While U.S. citizens have not been specifically targeted, it is possible that you could be affected as a bystander. If you travel to the northeast, you should avoid travel by train at night, travel outside major cities at night, and crowds. U.S. government employees at the U.S. Embassy and Consulates in India are prohibited from traveling to certain areas in the states of Assam, Arunachal Pradesh, Sikkim, Mizoram, Nagaland, Meghalaya, Tripura, and Manipur without permission from the U.S. Consulate General in Kolkata. Restricted Area Permits are required for foreigners to visit certain Northeastern states (see the section on Restricted Areas, below.) Contact the U.S. Consulate General in Kolkata for information on current conditions.

East Central and Southern India:  Maoist extremist groups, or “Naxalites,” are active in East Central India, primarily in rural areas. The Naxalites have a long history of conflict with state and national authorities, including frequent terrorist attacks on local police, paramilitary forces, and government officials, and are responsible for more attacks in the country than any other organization through an ongoing campaign of violence and intimidation. Naxalites have not specifically targeted U.S. citizens but have attacked symbolic targets that have included Western companies and rail lines. While Naxalite violence does not normally occur in places frequented by foreigners, there is a risk that visitors could become victims of violence.

Naxalites are active in a large swath of India from eastern Maharashtra and northern Telangana through western West Bengal, particularly in rural parts of Chhattisgarh and Jharkhand and on the borders of Telangana, Andhra Pradesh, Maharashtra, Madhya Pradesh, Uttar Pradesh, Bihar, West Bengal, and Odisha. Due to the fluid nature of the threat, all U.S. government travelers to states with Naxalite activity must receive authorization from the U.S. Consulate responsible for the area to be visited, unless they are only visiting capital cities.

Restricted/Protected areas:  Certain states or portions of states require Restricted Area Permits. These include:

• The state of Arunachal Pradesh
• Portions of the state of Sikkim
• Portions of the state of Himachal Pradesh near the Chinese border
• Portions of the state of Uttarakhand (Uttaranchal) near the Chinese border
• Portions of the state of Rajasthan near the Pakistani border
• Portions of the union territory of Jammu & Kashmir near the Line of Control with Pakistan and certain portions of the union territory of Ladakh
• The union territory of Andaman & Nicobar Islands
• The union territory of the Laccadives Islands (Lakshadweep)
• Portions of the state of Manipur
• Portions of the state of Mizoram
• Portions of the state of Nagaland

More information about travel to/in restricted/protected areas can be found from India’s  Bureau of Immigration .

Restricted Area Permits are available outside India at Indian embassies and consulates abroad, or in India from the Ministry of Home Affairs (Foreigners Division) at Jaisalmer House, 26 Man Singh Road, New Delhi. The states of Arunachal Pradesh and Sikkim maintain official guesthouses in New Delhi, which can also issue Restricted Area Permits for their respective states for certain travelers. While visiting Mamallapuram (Mahabalipuram) in Tamil Nadu, you should be aware that the Indira Gandhi Atomic Research Center in Kalpakkam is located just south of the site and is not clearly marked as a restricted and dangerous area.

For the latest security information, travelers should enroll in  STEP  to receive updated security information and regularly monitor travel information available from the  U.S. Embassy in New Delhi  as well as the U.S. Consulates General in  Mumbai  ,  Chennai ,  Hyderabad , and  Kolkata .

Crime:  Violent crime, especially directed against foreigners, has traditionally been uncommon. Petty crime, especially theft of personal property (including U.S. passports), is common, particularly on trains or buses, at airports, and in major tourist areas. Pickpockets can be very skilled and travelers have reported having their bags snatched, purse-straps cut, or the bottom of their purses slit without their knowledge. If traveling by train, lock your sleeping compartments and take your valuables with you when leaving your berth. If you travel by air, be careful with your bags in the arrival and departure areas outside airports. Be cautious about displaying cash or expensive items to reduce the chance of being a target for robbery or other crime, and be aware of your surroundings when you use ATMs. Scammers have used ATM card scams to clone credit card details and withdraw money.

Individuals have reported cases of sexual assault, including rape, against U.S. citizens traveling throughout India.

The U.S. government cautions citizens, especially women, not to travel alone in India. Please observe stringent security precautions. When traveling without known and trustworthy companions, use public transport specifically designated for “women-only” travelers, which is a free service offered by the Indian government in many metropolitan cities including Delhi and Hyderabad. Please restrict evening entertainment to well-known venues and avoid isolated areas when traveling alone at any time of the day. Keep your hotel room number confidential and make sure hotel room doors have chains, deadlocks, and peep holes. Travel with groups of friends rather than alone. In addition, only hire reliable cars and drivers and avoid traveling alone in hired taxis, especially at night. Use taxis from hotels and pre-paid taxis at airports rather than hailing them on the street. If you encounter threatening situations, call “100” for police assistance (“112” from mobile phones). If you use app-based services like “Uber” or “Ola” share your ride information with a friend.

Travelers in India are advised to respect local dress and customs. Indian women typically wear conservative everyday dress. This is the norm throughout the country, and even more so in rural areas. They wear clothing that covers their legs and shoulders. Exceptions are vacation resorts catering to foreign clientele and some neighborhoods of major cities like New Delhi and Mumbai. Western women, especially those of African descent, continue to report incidents of verbal and physical harassment by individuals and groups of men. Known locally as “Eve-teasing,” these incidents of sexual harassment can be quite frightening and quickly cross the line from verbal to physical. Sexual harassment can occur anytime or anywhere, but most frequently has happened in crowded areas such as in marketplaces, train stations, buses, and public streets. The harassment can range from sexually suggestive or lewd comments to catcalls to outright groping.

The Government of India has focused more on addressing gender-based violence. One outcome has been more reports of sexual assault nationwide. Indian authorities report rape is one of India's fastest growing crimes.

If you find yourself in a life-threatening situation, you should call the police immediately and follow up with a call to the nearest U.S. Embassy or Consulate. We can sometimes connect you with an Indian non-governmental organization that may be able to provide assistance.  

Please review our travel tips for  Women Travelers .

If you are victimized overseas, you may be entitled to receive compensation for counseling and/or other services such as relocation back to the United States. For further information, visit the U.S. Department of Justice page for violence against women.

Scams are common at major airports, train stations, popular restaurants, and tourist sites. Scam artists prey on visitors by creating distractions. Be careful of taxi drivers and others. This includes train porters. They solicit travelers with "come-on" offers of cheap transportation and/or hotels. Travelers who accept such offers are often the victims of scams. These include offers to help with "necessary" transfers to the domestic airport, overpriced hotel rooms, unwanted "tours," unwelcome "purchases," long cab rides, and even threats when the tourists decline to pay. Tourists have reported being lured and extorted for money in the face of threats of violence against the traveler and his/her family members. Be careful when hiring transportation and guides. Use only well-known travel agents to book trips.

Some vendors sell carpets, jewelry, and gemstones. These items may be expensive and not of the promised quality. Deal only with reputable businesses and do not hand over your credit cards or money unless you are certain that goods being shipped are the goods you purchased. If a deal sounds too good to be true, it is best avoided. Most Indian states have official tourism bureaus set up to handle complaints. Do not agree to transport any goods on behalf of strangers in exchange for money.

India-based criminals use the internet to extort money from victims abroad. In a common scam, the victim develops a close romantic relationship with an alleged U.S. citizen they meet online. When the “friend” travels to India, a series of accidents occur and the victim begins to receive requests for financial assistance, sometimes through an intermediary. In fact, the U.S. citizen “friend” does not exist; they are only online personas used by criminal networks. Victims have been defrauded of thousands of dollars in these schemes. Do not send money to anyone you have not met in person and carefully read the Department of State’s advice on   international financial scams . 

In another common scam, family members in the United States, especially older people, are asked for money. The scammers claim to be grandchildren or relatives who have been arrested or are without money to return home. Do not send money without contacting the U.S. Embassy or Consulate General to confirm the other party’s situation. You can also call our Office of Overseas Citizens Services at 888-407-4747 (from overseas: 202-501-4444). Review our information on  emergency assistance to Americans abroad.

U.S. citizens have had problems with business partners, usually involving property investments. You may wish to seek professional legal advice in reviewing any contracts for business or services offered in India. The U.S. Embassy and consulates cannot give legal advice. They also cannot help U.S. citizens with Indian courts on civil or criminal matters. A list of local attorneys is available on the Embassy and Consulates General  websites .

See the  Department of State  and the  FBI  pages for more information on scams.

Don’t buy counterfeit and pirated goods, even if they are widely available. Not only are the bootlegs illegal in the United States, if you purchase them you may also be breaking local law.

Victims of Crime:  U.S. citizen victims of sexual assault should first contact the local police, then inform the U.S. Embassy or local Consulate.

Report crimes to the local police by calling “100” or “112” from a mobile phone.  

Remember that local authorities are responsible for investigating and prosecuting the crime.

See our webpage on  help for U.S. victims of crime overseas .

• help you find appropriate medical care
• assist you in reporting a crime to the police
• contact relatives or friends with your written consent
• explain the local criminal justice process in general terms
• provide a list of local attorneys
• provide information on victims’ compensation programs in the U.S.
• provide an emergency loan for repatriation to the United States and/or limited medical support in cases of destitution
• help you find accommodation and arrange flights home
• replace a stolen or lost passport

You should ask for a copy of the police report, known as a “First Information Report” (FIR), from local police when you report an incident. Local authorities generally can't act without a police report. 

If your passport is stolen, report the theft or loss right away. Report it to the police in the place where your passport was stolen. You need an FIR to get an exit visa to leave India. The Indian government requires it if the lost passport had your Indian visa. Although the Embassy or Consulate General is able to replace a stolen or lost passport, the Ministry of Home Affairs and the Foreigners Regional Registration Office (FRRO) are responsible for approving an exit permit. This process usually takes three to four working days but can take longer.

In cases of sexual assault or rape, the Embassy or Consulates General can provide a list of local doctors and hospitals, if needed, to discuss treatment and prevention options for diseases and pregnancy. You should be aware that for evidence of an assault to be submitted in a court case, Indian authorities require that the medical exam be completed at a government hospital. Therefore, if a victim goes to a private hospital for treatment, the hospital will refer them to a government hospital for this aspect of the medical process. 

India has many resources for victims of rape and sexual assault. The specific toll-free Women’s Helpline Service number in Delhi is 1091; in Mumbai it is 103; in Kolkata, 1090; in Chennai, 1091 or 2345-2365; and in Hyderabad 1098.

The local equivalent to the “911” emergency line in India is “100.” An additional emergency number, “112,” can be accessed from mobile phones.

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

Domestic Violence: U.S. citizen victims of domestic violence may contact the Embassy or Consulates for assistance.

Tourism:  The tourism industry is unevenly regulated, and safety inspections for equipment and facilities do not commonly occur. Hazardous areas/activities are not always identified with appropriate signage, and staff may not be trained or certified either by the host government or by recognized authorities in the field. In the event of an injury, appropriate medical treatment is typically available only in/near major cities. First responders are generally unable to access areas outside of major cities and to provide urgent medical treatment. U.S. citizens are encouraged to purchase medical evacuation insurance. See our webpage for more  information on insurance providers for overseas coverage.

Local Laws & Special Circumstances

Criminal Penalties:  You are subject to local laws. You may face arrest, imprisonment, and/or deportation if you violate local laws, even unknowingly.  

Furthermore, some activities are crimes under U.S. law and can be prosecuted in the U.S. regardless of whether they are allowed under local law. For examples, see our website on  crimes against minors abroad  and the Department of Justice website.

If police or prison officials arrest or detain you, immediately ask them to notify the U.S. Embassy. See our  webpage  for further information.

Alcohol: Each of India’s states has its own rules for buying and drinking alcohol. Legal drinking ages range from 18 to 25 and can vary by beverage type. Some states permit alcohol use for medicinal purposes only while others require you to hold a permit to buy, transport, or consume alcohol. Penalties for violation can be harsh.

Several U.S. citizens at Indian airports have been arrested for attempting to smuggle illegal drugs from India. Many claim that they did not realize they were carrying narcotics. Never transport or mail packages that do not belong to you and maintain direct control of your luggage at all times.

Beef and Cow Hide:  Several states in India impose various types of prohibition on beef. In some rural areas, cow protection vigilantes have attacked people they suspected of selling or consuming beef, or possessing items made with cow hide.

SPECIAL CIRCUMSTANCES:

Dual Nationality:  India does not permit its citizens to hold dual nationality. In 2006, India launched the "Overseas Citizens of India" (OCI) program, which does not grant Indian citizenship but is similar to a U.S. "green card" in that you can travel to and from India indefinitely, work in India, study in India, and own property in India (except for certain agricultural and plantation properties). If you are a U.S. citizen and obtain an OCI card you will not become a citizen of India; you will remain a citizen of the United States. An OCI card holder does not receive an Indian passport, cannot vote in Indian elections, and is not eligible for Indian government employment.

U.S. citizens of Indian descent can apply for OCI cards at the Indian Embassy in Washington or at the Indian Consulates in Chicago, New York, San Francisco, Atlanta, and Houston. Inside India, U.S. citizens can apply at the nearest FRRO office (please see “Entry/Exit Requirements” section above for more information on the FRRO). U.S. citizens must use a U.S. passport when traveling in and out of the United States.

Faith-based travelers and those participating in religious activities should refer to the Department of State's Report on International Religious Freedom. Indian law mandates that individuals engaging in religious proselytizing obtain a "missionary" visa. Immigration authorities have determined that engaging in certain activities, such as speaking at religious meetings open to the general public, could violate immigration law if the traveler does not possess a missionary visa. Foreigners with tourist visas who engage in missionary activity are subject to deportation and possible criminal prosecution. The states of Odisha, Chhattisgarh, Gujarat, Himachal Pradesh, Madhya Pradesh, and Arunachal Pradesh have legislation that regulates or places restrictions on conversion from one religion to another. If you plan to engage in missionary activity, you may want to seek legal advice to find out if Indian law permits the activities you plan to pursue.

Tourists should also mind restrictions and observances when planning to visit any religious establishment. These include Hindu temples, mosques, churches, and other sacred places to the local population. Many individual temples and mosques do not permit non-members to enter all or parts of the facilities, and may require the removal of shoes, the covering of the head, or have other specific requirements for appropriate attire.  

Customs rules are strict. Before traveling to or from India, inspect all bags and clothes well. Make sure they do not contain banned items. Airport security officials have arrested or detained several U.S. citizens after discovering loose ammunition (including spent individual bullets and casings) or weapons in their luggage. If authorities find loose ammunition or bullets (including empty bullet shells used in souvenirs) on your person or in your bags, they will charge you with violating the Indian Arms Act, and may incarcerate or deport you from India.

Additionally, Indian authorities have arrested and prosecuted U.S. citizens for possessing satellite phones, which is strictly prohibited in India.

Indian customs authorities enforce strict regulations. They cover temporary importation into or export from India of items like antiquities, electronics, currency, ivory, gold objects, and other banned materials. You need permission from the Government of India to bring in restricted items, even if you are only transiting through India. If you do not comply with these regulations, you risk arrest or fine or both and confiscation of these items. If Indian law enforcement charges you with any legal violations, make sure to have an attorney review any document before signing it. The Government of India requires the registration of antique items with the local police along with a photograph of the item. It is advisable to contact the Embassy of India in Washington or one of India's consulates in the United States for specific information regarding customs requirements. More information is available from the Indian Central Board of Excise and Customs.  

Indian customs authorities encourage the use of an ATA (Admission Temporaire/Temporary Admission) Carnet for the temporary admission of professional equipment, commercial samples, and/or goods for exhibitions and fair purposes. ATA Carnet Headquarters, located at the  U.S. Council for International Business , 1212 Avenue of the Americas, New York, NY 10036, issues and guarantees the ATA Carnet in the United States. For additional information call (212) 354-4480, or  email USCIB  for details. Please see our section on  Customs Information  for more information.

Natural Disaster Threats:  Parts of northern India are highly susceptible to earthquakes. Regions of highest risk, ranked 5 on a scale of 1 to 5, include areas around Srinagar, Himachal Pradesh, Rishikesh and Dehradun, the northern parts of Punjab, northwest Gujarat, northern Bihar, and the entire northeast. Ranked 4 (high damage risk) is an area that sweeps along the north through Jammu and Kashmir, Eastern Punjab, Haryana, Northern Uttar Pradesh, central Bihar and the northern parts of West Bengal. New Delhi is located in zone 4. Severe flooding is common in hilly and mountainous areas throughout India. Flooding in 2013 in Uttarakhand, Himachal Pradesh, Tamil Nadu and other areas left thousands of people presumed dead and temporarily stranded dozens of U.S. citizens.

Typhoons/cyclones and subsequent flooding are common along the Indian coasts, in particular the Eastern coastal states of Tamil Nadu, Andhra Pradesh, Odisha and West Bengal, and have at times resulted in massive loss of life. Tourists and residents in areas prone to these events should remain vigilant during severe weather, monitor local media for latest developments, and heed all municipal warnings. Residents in these areas should have contingency plans for loss of power and unavailability of goods and services, including supplies for multiple days after a severe weather event.

Accessibility:  Individuals with disabilities may find accessibility and accommodation in India very different than what you find in the United States. Despite legislation that all public buildings and transport be accessible for disabled people, accessibility remains limited. One notable exception is the Delhi metro system, designed to be accessible to those with physical disabilities.

Students:  See our  Students Abroad  page and  FBI travel tips.

LGBTQI+ Travelers: The Supreme Court of India decriminalized same-sex relationships in 2018. Since then, state and union governments have been directed to develop reforms that protect the rights of lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI+) persons, including efforts to provide gender neutral bathrooms at schools and colleges and separate housing for gender-nonconforming and transgender persons in prison.

Although Indian law prohibits discrimination by state and nonstate actors based on sexual orientation, gender identity or expression, or sex characteristics, the government is inconsistent in implementing and enforcing these laws, and reports of widespread discrimination, harassment, threats, and violence against LGBTQI+ persons, particularly in rural areas or by local police, persist. See our LGBTQI+ Travel Information page and section 6 of our  Human Rights  report for further details.

For emergency services in India, dial 112 from a cell phone; from a land line, dial 100 for police, 102 for ambulance (108 in parts of South India), and 101 for fire.

Ambulances are not equipped with state-of-the-art medical equipment, and traffic does not yield to emergency vehicles. Injured or seriously ill travelers may prefer to take a taxi or private vehicle to the nearest major hospital rather than wait for an ambulance. Most hospitals require advance payment or confirmation of insurance prior to treatment. Payment practices vary, and credit cards are not routinely accepted for medical care.

Zika, dengue, malaria, measles, and other diseases are present in India. See the Center for Disease Control’s website for more information.

The quality of medical care in India varies considerably. Medical care in the major population centers approaches and occasionally meets Western standards, but adequate medical care is usually very limited or unavailable in rural areas.

We do not pay medical bills.  Be aware that U.S. Medicare does not apply overseas. 

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

If traveling with prescription medication, check with the government of India to ensure the medication is legal in India. Always carry your prescription medication in original packaging with your doctor’s prescription. 

Pharmaceuticals: Exercise caution when purchasing medication overseas. Pharmaceuticals, both over the counter and requiring prescription in the United States, are often readily available for purchase with limited controls. Counterfeit medication is common and may prove to be ineffective, the wrong strength, or contain dangerous ingredients. When buying medication, consult with a medical professional and purchase from reputable establishments. Please visit the U.S. Center for Disease Control and Prevention website on counterfeit drugs for more information.

Water Quality: Water is a common vehicle for the transmission of disease. Impure drinking water can transmit serious diseases such as typhoid, cholera, hepatitis, and dysentery. You can make water safe for drinking by filtering/boiling, distilling, or using chemicals. Bottled water is generally safe for consumption. It is best to stick to the major brands. The water bottle seal or cap should be intact.

Vaccinations:  Be up-to-date on all vaccinations recommended by the U.S. Centers for Disease Control and Prevention.

If you are arriving in India from Sub-Saharan Africa or other areas with yellow-fever risk, Indian health regulations require that you present evidence of vaccination against yellow fever. If you lack such proof, authorities may immediately deport you or detain you in the yellow-fever quarantine center for six days. If you travel through any part of sub-Saharan Africa, even for one day, health authorities advise you to carry proof of yellow fever immunization.

Dogs and bats create a high risk of rabies transmission in most of India. Health authorities recommend vaccination for all prolonged stays, especially for young children and travelers in rural areas. It is also recommended for shorter stays that involve occupational exposure, locations more than 24 hours from a reliable source of human rabies immune globulin and rabies vaccine for post-exposure treatment, adventure travelers, hikers, cave explorers, and backpackers. Monkeys also can transmit rabies and herpes B, among other diseases, to human victims. Avoid feeding monkeys. If bitten, you should immediately soak and scrub the bite for at least 15 minutes and seek urgent medical attention.

Influenza transmission occurs from November to April in areas north of the Tropic of Cancer (north India) and from June through November (the rainy season) in areas south of the Tropic of Cancer (south India), with a smaller peak from February through April; off-season transmission can also occur. All travelers are at risk. During the flu season, health authorities recommend that all travelers get the influenza vaccine.

Outbreaks of avian influenza (H5N1 virus) occur intermittently in eastern India, including West Bengal, Manipur, Sikkim, Andhra Pradesh, Telangana, and Assam.

Malaria risk depends on time of year and area the traveler is visiting. Please consult the  CDC website for India for more information. Dengue fever presents significant risk in urban and rural areas. Health officials report the highest number of cases from July to December, with cases peaking from September to October. The CDC recommends taking daytime insect precautions, such as wearing long-sleeved shirts and mosquito repellent.

Tuberculosis is an increasingly serious health concern in India. Please visit the CDC website or more information.

Further health information:

• World Health Organization
• U.S. Centers for Disease Control and Prevention (CDC)

Air pollution is a significant problem in several major cities in India, and you should consult your doctor prior to travel and consider the impact seasonal smog and heavy particulate pollution may have on you. The air quality in India varies considerably and fluctuates with the seasons. It is typically at its worst in the winter. Anyone who travels where pollution levels are high is at risk. People at the greatest risk from particle pollution exposure include: 

• Infants, children, and teens 
• People over 65 years of age 
• People with lung disease such as asthma and chronic obstructive pulmonary disease (COPD), which includes chronic bronchitis and emphysema 
• People with heart disease or diabetes 
• People who work or are active outdoors 

Current air quality data can be found on the  Department of State’s air quality page . The data on this site are updated hourly. 

Rh-negative blood may be difficult to obtain as it is not common in Asia. 

Medical Tourism:  Medical tourism is a rapidly growing industry. Companies offering vacation packages bundled with medical consultations and financing options provide direct-to-consumer advertising over the internet. Such medical packages often claim to provide high quality care, but the quality of health care in India is highly variable. People seeking health care in India should understand that medical systems operate differently from those in the United States and are not subject to the same rules and regulations.  

Anyone interested in traveling for medical purposes should consult with their local physician before traveling and  refer to the information from the CDC . Persons traveling to India for medical purposes require the proper “medical” visa. Please check with the nearest Indian embassy or consulate for more information. 

Despite reports of antibiotic-resistant bacteria in hospitals, in general travelers should not delay or avoid treatment for urgent or emergent medical situations. However, health tourists and other travelers who may be contemplating elective procedures in this country should carefully research individual hospital infection control practices. 

Surrogacy:  Commercial surrogacy is illegal for foreigners in India, subject to complex local regulation. For additional information,  visit the Government of India’s official information on foreigner surrogacy .  

The U.S. Embassy and Consulates General in India maintain lists of local doctors and hospitals, all of which are published on their respective websites under "U.S. Citizen Services." We cannot endorse or recommend any specific medical provider or clinic. 

Travel and Transportation

Road Conditions and Safety:  Travel by road in India is dangerous. India leads the world in traffic-related deaths and a number of U.S. citizens have suffered fatal traffic accidents in recent years. You should exercise extreme caution when crossing streets, even in marked pedestrian areas, and try to use only cars that have seatbelts. Seatbelts are not common in three-wheel taxis (autos) and in back seats of taxis and rideshare vehicles. Helmets should always be worn on motorcycles and bicycles. Travel at night is particularly hazardous. 

On Indian roads, the safest driving policy is always to assume that other drivers will not respond to a traffic situation in the same way you would in the United States, including the use of driving lanes. Buses and trucks often run red lights and merge directly into traffic at yield points and traffic circles. Cars, autos, bicycles, and pedestrians behave only slightly more cautiously. Use your horn or flash your headlights frequently to announce your presence. It is both customary and wise. 

Inside and outside major cities, roads are often poorly maintained and congested. Even main roads frequently have only two lanes, with poor visibility and inadequate warning markers. On the few divided highways one can expect to meet local transportation traveling in the wrong direction, often without lights. Heavy traffic is the norm and includes (but is not limited to) overloaded trucks and buses, scooters, pedestrians, bullock and camel carts, horse or elephant riders en route to weddings, bicycles, and free-roaming livestock. 

Public Transportation:  Buses, patronized by hundreds of millions of Indians, are convenient in that they serve almost every city of any size. However, in some areas, they are often driven fast, recklessly, and without consideration for the rules of the road. Accidents are common. 

Traffic Laws:  Traffic in India moves on the left. It is important to be alert while crossing streets and intersections, especially after dark as traffic is coming in the "wrong" direction. Travelers should remember to use seatbelts in both rear and front seats where available, and to ask their drivers to maintain a safe speed. 

In order to drive in India, you must have either a valid Indian driver’s license or a valid international driver’s license. Because of difficult road and traffic conditions, you may wish to consider hiring a local driver. Your U.S. driver’s license will not work. 

If a driver hits a pedestrian or a cow, the vehicle and its occupants are at risk of being attacked by passersby. Such attacks pose significant risk of injury or death to the vehicle's occupants or risk of incineration of the vehicle. It could be unsafe to remain at the scene of an accident of this nature, and drivers may instead wish to seek out the nearest police station.      Protestors often use road blockage as a means of publicizing their grievances, causing severe inconvenience to travelers. Visitors should monitor local news reports for any reports of road disturbances. 

Please refer to our  Road Safety  page for more information. 

Emergency Numbers:  The following emergency numbers work in New Delhi, Mumbai, Chennai, Hyderabad, and Kolkata: 

• National Emergency 112 
• Police 100 
• Fire Brigade 101 
• Ambulance 102 

AVIATION SAFETY OVERSIGHT:  The U.S. Federal Aviation Administration (FAA) has assessed the Government of India’s Civil Aviation Authority as being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for oversight of India’s air carrier operations. Further information may be found on the FAA’s Safety Management page . Travelers are urged to use caution while booking private helicopters for travel, especially in the northeast.

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 X (formerly known as "Twitter") and Facebook .
• See  traveling safely abroad  for useful travel tips.

India was cited in the State Department’s 2023 Annual Report to Congress on International Child Abduction for demonstrating a pattern of non-compliance with respect to international parental child abduction. Review information about International Parental Child Abduction in  India . For additional IPCA-related information, please see the  International Child Abduction Prevention and Return Act ( ICAPRA )  report.

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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.
• P. vivax (90%)
• 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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India’s Latest Guidelines on International Travel

This timeline summarizes the most recent developments in the rules and regulations governing international travel to and from India.

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February 2023

• From February 13, 11 AM , passengers coming to India from or via China, Hong Kong, Japan, South Korea, and Thailand will not require a negative RT-PCR report from a pre-departure test for COVID-19. Travelers from these five countries will no longer have to fill the self-health declaration form on the Air Suvidha portal either. The 2% random testing on arrival in India [from any country of origin] policy that was started December 24 last year, shall continue.

January 2023

• Reported by Times of India , all Indians traveling to Sri Lanka will have to follow the country’s revised COVID-19 protocols. Sri Lanka has announced that all tourists to the country will be required to carry their vaccination cards, and unvaccinated travelers must carry a negative PCR report obtained 72 hours prior to their arrival.

December 2022

December 29, 2022.

• On December 29, 2022, India’s Federal Health Minister Mansukh Mandaviya announced that RT-PCR test would be mandatory from January 1, 2023 for international passengers travelling to India from China, Hong Kong, Japan, South Korea, Singapore and Thailand . The test must be conducted within 72 hours of undertaking the journey to India. 
• These negative RT-PCR reports must be uploaded on the Air Suvidha portal before travel.
• This requirement is in addition to the random two percent tests of all international passengers in all incoming international flights on their arrival in India irrespective of their port of departure.

December 28, 2022

Air India Express, India’s first international budget carrier that offers flights to the Middle East and Southeast Asia, has issued guidelines for the maintenance of Covid-appropriate behaviour by travellers travelling from the United Arab Emirates (UAE) to India. The guidelines include:

• All passengers from UAE should preferably be completely immunised as per the approved primary schedule of Covid vaccination. 
• All visitors should preferably use masks and follow physical distancing on flights/travel and at all points of entry.
• Post-arrival random testing is not required for children under the age of 12. However, if they have Covid-related symptoms upon arrival, they have to undergo testing in accordance with protocol. 

December 26, 2022

• On December 24, 2022, Indian Health Ministry announced that international arrivals from China, Japan, South Korea, Hong Kong and Thailand will have to mandatorily present RT-PCR test results . In case any passengers from these countries are symptomatic or test positive for Covid-19, they will be quarantined. 
• Economic Times reporting that Air Suvidha form filling to declare current health status will also be made compulsory for international passengers arriving from China, Japan, South Korea, Hong Kong and Thailand.
• Times of India reporting that Qatar has reinstated visa-on-arrival (VOA) facility for Indian travellers , which were temporarily halted due to FIFA World Cup 2022 in the country. Indian nationals can get a free VOA in Qatar for a maximum stay of 30 days or as per the hotel reservation and under the following conditions: valid passport for at least six months, confirmed return tickets, and confirmed hotel reservation through ‘Discover Qatar’ website only.
• Times of India  reporting that effective from January 1, 2023 , Serbia has discontinued visa-free travel regulations for Indian citizens , keeping in line with the requirements of European Union (EU) visa policy and measures to control illegal migrants. 

December 23, 2022

New guidelines applicable for international arrivals from December 24, 2022: “All travelers should preferably be fully vaccinated as per the approved primary schedule of vaccination against COVID-19 in their Country.” See here for the official Ministry of Health and Family Welfare notification issued December 22.

India will randomly test 2 percent of international travelers arriving in the country’s airports for COVID, with effect from Saturday (December 24) 10 am IST , as announced by Mansukh Mandaviya, Health Minister on Thursday December 21. Travelers will be allowed to leave the airport after submitting their sample. After the random testing, if found COVID-positive, the person’s sample shall be sent for genomic testing at a designated INSACOG laboratory network; reports shall be hared with Integrated Disease Surveillance Program at [email protected] by the concerned testing laboratory (besides sharing with the airport health organization APHOS) to be in turn shared with concerned state or union territory for further follow-up action.

• India is becoming increasingly cautious after a surge in cases recorded in neighboring China as well as in Brazil, US, Japan, and Korea, besides it being the ongoing holiday and festive season, which witnesses a jump in travel. In another move, visitors to the Taj Mahal (Agra, Uttar Pradesh state), will undergo a COVID-19 test before they enter, as per reporting from news agency ANI. While wearing masks are not currently mandatory in most parts of the country, it will likely be increasingly encouraged. For example, the southern state of Karnataka has made wearing masks mandatory indoors and in closed spaces in guidelines released December 22.

December 14, 2022

• DNA  reporting a travel advisory issued due to the ongoing chaos at Delhi international airport: “To ensure a quick security check, Air India has urged all travelers to bring just one piece of carry-on luggage and arrive at least 3.5 hours early.”
• Times of India  reporting that Hong Kong and Nigeria are among the latest to remove COVID-19 travel rules for international travelers. 
• Business Today  reporting that IndiGo has announced 32 connecting flights between India and Europe – flying to Milan, Manchester, Birmingham, Rome, and Venice – starting December 7, 2022. These international flights will operate in partnership with Turkish Airlines.

November 2022

• Times of India  reporting that Germany is relaxing visa appointment rules for Indian tourists. According to German Missions in the country, Indian travelers can book their visa appointment at any VFS global Visa Application Centre in major Indian cities and the Schengen visa can be applied for three months before the travel date. However, this relaxation does not apply to the D-visa category – students, employment, and family reunion visas, among others.
• New Air India flights announced between India and US, Europe ( Business Traveller ): – Air India is launching new flights connecting Mumbai with New York, Paris, and Frankfurt, and resuming non-stop flights connecting Delhi with Copenhagen, Milan, and Vienna. The new daily Mumbai-New York service to John F Kennedy International Airport will commence February 14, 2023, which will take Air India’s India-US frequency to 47 non-stop flights per week. – The new Air India flights from Delhi to Europe announced are: four weekly Delhi-Milan from February 1, 2023 and three weekly flights each on the Delhi-Vienna and Delhi-Copenhagen routes starting February 18 and March 1, 2023, respectively. – From Mumbai, new Air India flights are currently being planned to Paris* (thrice-weekly) and Frankfurt* (four weekly) from the next quarter. 
• India is discontinuing the Air Suvidha self-declaration form starting November 22, 2022. Passengers flying into India will no longer need to fill out the Air Suvidha form from November 21-22 midnight and will not need to take an RT-PCR COVID-19 test.

On November 14, the Canada  government concluded an expanded Canada-India Air Transport Agreement “to allow unlimited flights between both countries”. The announcement said: “The expanded agreement allows designated airlines to operate an unlimited number of flights between the two countries. The previous agreement limited each country to 35 flights per week. The new rights under the expanded agreement are available for use by airlines immediately. Money Control reports that this will give Canadian airlines access to the Indian cities of Bengaluru, Chennai, Delhi, Hyderabad, Kolkata, and Mumbai while Indian airlines will receive access to Toronto, Edmonton, Montreal, and Vancouver as well as two additional points (Canadian cities) selected by India. India is Canada’s fourth largest international air transport market and there are an estimated 1.5 million Indians living in Canada. Presently the only non-stop direct flights in this market are from Air India and Air Canada.

October 2022

The Financial Express  reports plans of Air India to add 20 weekly, non-stop flights to the US and UK between October and December. “With five additional flights a week to Birmingham, nine additional flights to London, and six additional flights a week to San Francisco, Air India said it will be able to offer over 5,000 additional seats every week.” Soon there will be seven Indian cities offering direct Air India flights to London.

September 2022

• No new updates were made to the “Risk Levels” and “Safety and Security” sections of the Canadian government’s travel advisory for India: The Hindu report .
• Hong Kong is lifting compulsory quarantine requirement for arrivals starting from September 26. There will be three days of medical surveillance during which inbound persons are free to go out but are obliged to comply with Amber Code restrictions under the Vaccine Pass, followed by a four-day self-monitoring period, making it a 7-day observation period in total, as per the Hong Kong government’s notification .
• Taiwan will end mandatory quarantine for travelers arriving in the country from October 13 as per reporting from Reuters . Speaking to the media, Taiwan’s Cabinet spokesperson Lo Ping-cheng stated that from September 29, visa-free entry will be resumed for overseas travelers that previously enjoyed that status. Under its ‘New Taiwan Model’, the government is set to increase weekly arrival limits for international travelers to 60,000 from 10,000 and will not require PCR tests for arrivals. If the pandemic situation is stable, the country will end quarantine from around October 13 and increase the weekly arrival limit to 150,000.
• Japan’s Prime Minister Fumio Kishida announced travel relaxations in Japan while in New York for the UN General Assemebly session. “… from 11 October, Japan will relax border control measures to be on par with the US, as well as resume visa-free travel and individual travel.”  BBC  reports that the cap on daily arrivals will also be lifted.
• Fiji removed its COVID-19 test requirements for international travelers from September 5, 2022.
• Media is reporting that Indians traveling to Indonesia can fast track their visa applications on arriving in Jakarta as VFS Global has reached an exclusive agreement with the Indonesian Immigrant Department.
• See India’s guidelines for international arrivals – dated September 2, 2022 – which came in effect the next day. The document provides protocols to be complied by international travelers as well as those to be followed by airlines and all points of entry (airports, seaports, and land border). 
• International flights resumed operations starting September 3, in Guwahati’s (Assam state) Lokapriya Gopinath Bordoloi International Airport (LGBIA), after a gap of two years. In the next few months, officials speaking to the  Hindustan Times said that the LGBIA airport will start flights from Guwahati to Yangon (Myanmar), Kathmandu (Nepal), Kuala Lumpur (Malaysia), Hanoi (Vietnam), and Bangkok (Thailand).

January – August, 2022

• Airlines and travel agents in India have to share details of international travelers with the Central Board of Excise and Customs (CBIC) 24 hours before departure and arrival. The information will be provided to the National Customs Targeting Centre-Passenger (NCTC). While this rule had been proposed five years ago, to combat tax avoidance and tax evasion, the government has only now developed a regulatory framework to implement this. India is among 60 countries collecting such details of international passengers. The Ministry of Finance issued the notification on August 8, 2022, as per media reports .
• China no longer requires COVID test information for international arrivals from August 31, 2022 : On Thursday, August 25, 2022, China’s General Administration of Customs released  a new health declaration form for international arrivals, which removes the requirement for visitors to report their nucleic acid test results, infection status, and vaccination dates. This ninth version of the health declaration form will be implemented starting from August 31, 2022, and international visitors can report their health status online by filling out a form on the related WeChat account or webpage. Some  media  interpret that with this update, the current entry requirement, that is, the requirement to have international passengers take two PCR tests for COVID-19 within 48 hours of their departure, the second of which must be within 24 hours of their departure — will be lifted.  However, considering that China is still sticking to its dynamic zero-COVID strategy, we recommend that international travelers double-check with their flight companies for further information.
• The Chinese Embassy in India has updated its “ Application Procedures and Material Requirements of China Visa “, to be implemented from August 24, 2022. See here for the list of requirements and procedures for various types of Chinese visas, including the M-Visa (commercial and trade activities) and the X1-Visa (long-term study): http://in.china-embassy.gov.cn/eng/lsfw/qz/202208/t20220822_10748221.htm 
• The  Business Standard  noted in a report that China was working to facilitate the return of foreign students, including from India, who have been stuck due to the COVID-19 visa restriction. The paper quoted Foreign Ministry spokesman Wang Wenbin who told media that the Chinese side were working intensively for the return of foreign students to China. In updated comments on the foreign ministry website, Wenbin said: “We are confident in seeing the return of the first group of Indian students in the near future. Building on that, the Chinese side will further proceed with the return of other Indian students in a well thought-out and orderly manner.”
• India’s domestic air fare caps will end from August 31, as the civil aviation regulator DGCA rolls back restrictions imposed in 2020. This minimum to maximum price band had been introduced to avoid sky high ticket prices due to pent up demand in the domestic travel market. 
• India’s passport offers visa-free access to 60 countries , including Bhutan, Nepal, Macao, Oman, Qatar, and Fiji. According to the latest Henley Passport Index, published by immigration consultancy Henley & Partners, India’s passport ranked 87th. India had ranked 90th in Q3 and Q4 in 2021. The latest index is topped by Japan, whose passport offers visa-free access to 193 countries, followed by South Korea and Singapore (at 192 countries each), and Germany and Spain (190). As per reporting by the Hindustan Times: Indians have ‘visa-on-arrival’ access in Thailand, Indonesia, Maldives, and Sri Lanka as well as 21 countries in Africa.
• Speaking at the World Economic Forum on Tuesday, the Chinese Premier, Li Keqiang, promised to relax restrictions on international travel in an “orderly” way , which would include facilitating the return of foreign students to rejoin Chinese colleges. Around 500,000 foreign students are enrolled at universities in China, including 23,000 Indians. Li said: “All international students may return to China to continue their studies should they so wish, and outbound commerce and trade activities and cross-border travel for labor services will be advanced in an orderly fashion.” The comments were made during a Special Virtual Dialogue with Global Business Leaders hosted by the forum. Foreign diplomatic missions in China are presently trying to speed up the process to facilitate the return of international students to China. While this is now in a small-scale trial mode, any large-scale opening can be expected only when the country’s epidemic outbreaks slow down.
• Competent authorities in China and India are communicating on securing the resumption of flights and to bring back the first group of Indian students to China at the earliest as reported in  The Economic Times.
• Bhutan is allowing travelers into the country from September 23, 2022 – after a two-year gap. Tourists from India should note the levy of a sustainable development fee (SDF), charged at 1,200 ngultrums (approx. INR 1200) per day; children between the age of six and 12 are charged INR 600 per day and no fee is charged from children below the age of five. The SDF fee is not applicable everywhere – there are exemptions to the levy in 11 districts in the less popular Eastern Bhutan region, until December 2024. 
• India is working to roll out e-passports as per its external affairs minister S. Jaishankar. The minister also informed that the Passport Seva System had been integrated with the DigiLocker system to facilitate paperless documentation. Jaishankar added: “The Ministry in collaboration with the Department of Posts operationalized 428 Post Office Passport Seva Kendras (POPSKs) to reach out to our citizens at their doorsteps. The Ministry has successfully integrated the passport issuance systems in 178 of our Embassies and Consulates abroad.” 
• Saudi Arabia has lifted COVID-related travel restrictions on citizens travelling to India, Ethiopia, Turkey, and Vietnam and is accepting pilgrims for the forthcoming annual Hajj season, The Hindu  reports June 20, 2022. The requirement to wear face masks in closed places has also been relaxed.
• China has updated its visa policy for Indians , including Indian professionals and students. China will accept visa applications of foreign nationals and their accompanying family members seeking to return to China for resumption of work in all fields. Visas for tourism and private purposes remain suspended. The details of over 12,000 Indian students have reportedly been forwarded to the Chinese government for visa processing. (Over 23,000 Indian students – mostly enrolled in medical colleges in China – had to return to India and were stuck during the last few years due to the coronavirus pandemic, which first broke out December 2019.) However, China is yet to announce resumption of normal flight facilities between the two countries.
• The US does not require arriving international travelers to take a COVID-19 test within a day before boarding their flights to the country from June 12, Sunday. “As of 12:01AM ET on June 12, 2022, the Centers for Disease Control and Prevention (CDC) will no longer require air passengers traveling from a foreign country to the United States to show a negative COVID-19 viral test or documentation of recovery from COVID-19 before they board their flight. For more information, see Rescission: Requirement for Negative Pre-Departure COVID-19 Test Result or Documentation of Recovery from COVID-19 for all Airline or Other Aircraft Passengers Arriving into the United States from Any Foreign Country .”
• Media reports say the DGCA has made masks mandatory at Indian airports and during flights. India recorded 7,240 new cases in 24 hours [ June 9 MoHFW update], the highest since March.
• On Wednesday, June 8, India’s aviation regulator DGCA announced fresh guidelines for COVID-appropriate behavior. The wearing of masks is now mandatory inside the flight / throughout the air travel , and mask removal is permitted only under exceptional circumstances. Violators could be treated as ‘unruly passengers’ and removed from the flight before departure. This is in line with a Delhi High Court order, which stipulates that violators can be put on ‘no fly list’. 
• India’s  overall passenger traffic  (both domestic and international) at airports reached 93 percent of pre-COVID levels in May 2022. International passenger traffic reached 63 percent and 72 percent of pre-COVID levels in April and May, respectively. Recovery of domestic travel reached 98 percent of pre-COVID levels in May 2022.
• Turkey has relaxed all the conditions for Indian travelers entering the country, Turkiye Tourism Board said on Monday, June 6.​​ Now, Indian travelers no longer have to show proof of vaccination or proof of recovery from COVID-29 or negative RT-PCR test report.
• The United States Embassy in India has tweeted (8.23pm, May 29): “The US Mission to India is pleased to announce that we are resuming routine in-person tourist visa appointments in September 2022. Previously scheduled placeholders have now been cancelled. Applicants whose placeholder appointments were cancelled may now reenter the scheduling system to book regular appointments. Appointments have been opened through 2023.”
• Media reports say that Israel has removed COVID-19-linked travel requirements for foreign visitors, such as presenting a negative RT-PCR test prior to departure, undergoing an RT-PCR test upon arrival, and quarantine observation.
• Livemint reports: “Malaysia Airlines will add new routes, increase frequencies and upgrade aircraft to cater to the Indian market, which remains a key geography for the airline.”
• Saudi Arabia has banned its citizens from travelling to sixteen countries, including India, Indonesia, and Vietnam, after the Gulf state has recorded a five-fold rise in COVID-19 cases. News18 reports : “Saudi Arabia’s General Department of Passports dropped several Covid-19 restrictions towards the end of last year but are now reimposing some of them as Covid-19 cases are being reported from various parts of the world and China and North Korea bearing the brunt of the Omicron variant which is leading to fresh cases.”
• Indian announced on May 12 that citizens planning to travel abroad are now eligible to get a third (booster/precaution) dose of vaccine three months after their second dose. The rules otherwise stipulate a nine-month gap between the second dose and booster shot. 
• Scoot, the budget airline from Singapore Airlines Group, has launched daily flight services between Thiruvananthapuram (Kerala) and Singapore, up from three times a week. As per reporting by The Hindu  [April 27, 2022], Scoot has a network of 42 destinations in 16 countries and territories, including Australia and Southeast Asia.
• VietJet has announced that it will resume operations of six flights – on the Delhi-Hanoi route and Delhi-Ho Chi Minh City route from April 29, 2022. New flights have also been added by VietJet on the Mumbai-Phu Quoc route and New Delhi-Phu Quoc route, which are scheduled to start from September 9, 2022.
• Hong Kong has banned Air India flights till April 24 due to COVID-19 as three passengers on board one of its flights had reportedly tested positive on arrival.
• On April 11,  Times of India  reported that fully vaccinated passengers from the UAE traveling to India will not necessarily require a pre-departure RT-PCR test at the airport. The move is on a reciprocity basis. However, UAE travelers will need to fill out the passenger locator form on the Air Suvidha portal – same as travelers from any other destination visiting India. Also, travelers need to upload their COVID-19 vaccination certificate onto the Air Suvidha portal.
• Scheduled international flight services have resumed from Sunday, March 27, 2022 after being suspended for two years due to COVID-19. Starting March 27, six Indian airlines and 60 foreign airlines will connect India with 63 countries . Under the new summer schedule (March 27 to October 29), foreign airlines will operate 1,783 weekly flights and Indian carriers will operate 1,466 departures every week. Among domestic airlines, IndiGo will operate 505 departures per week, followed by Tata Group-owned Air India at 361 weekly flights and its subsidiary Air India Express will operate 340 flights per week.
• From the  Indian Express : More international airlines add flights to India : “Emirates said… it will be operating the 35 weekly flights from Mumbai, 28 from Delhi, 24 from Bengaluru, 21 each from Chennai and Hyderabad, 14 from Kochi, 11 from Kolkata, nine from Ahmedabad and seven from Thiruvananthapuram.”
• On March 21, 2022, Chief Executive Carrie Lam announced  that from April 1, the Government will lift the flight ban on nine countries (i.e., Australia, Canada, France, India, Pakistan, the Philippines, the UK, the USA, and Nepal)  and cut the hotel quarantine period for arrivals. Currently, passenger aircraft from these nine countries are not allowed to land in Hong Kong. The Chief Executive also announced the preconditions for boarding a flight to Hong Kong and the COVID-19 control and prevention measures to be implemented upon arrival. Given this, there are  comments  saying that traveling to Hong Kong will not get much easier even after the ban is lifted. Cathay Pacific Airways Ltd. plans just one inbound flight every two weeks for fear to be subjected to the city’s 14-day ban on airlines that carry too many passengers found to be infected with COVID-19.
• Singapore announced it is lifting restrictions for all vaccinated travelers from next week. According to officials, from April 1, fully vaccinated adults and unvaccinated children will be allowed to enter Singapore without quarantining, if they take a pre-departure test . Only travelers on a ‘restricted list’ will face curbs in entering Singapore; as of March 24, 2022 – there are no countries on this list.
• On March 21, the Ministry of Civil Aviation (MoCA) announced relaxed COVID-19-related regulations. NDTV reports MoCA saying “cabin crew members need not wear PPE kit, airlines need not keep three seats vacant on international flights for medical emergencies and security personnel at airports can resume pat-down search of passengers.” However, the use of face mask and maintenance of hand hygiene/sanitizer continues to be mandatory . Airlines may carry additional PPE protective gear, sanitizers, and N-95 masks to handle any respiratory infections related to cases on air – for passengers as well as the crew.
• Cochin International Airport announces summer schedule (March 27 to October 29) with 1,190 weekly operations (international and domestic flights). 20 airlines will operate flights to destinations abroad (including 16 international carriers). Indigo has the most weekly departures to international destinations (42) and Air India Express accounts for 38 weekly departure operations. Other prominent carriers are Air Asia Berhad, Ethihad, Emirates, Oman Air, Qatar Air, Saudi Arabian Airlines, Kuwait Airways, Thai Airways, Sri Lankan Airlines, Gulf Air, and Fly Dubai. 44 weekly departures are scheduled for Dubai, followed by Abu Dhabi with 42. Air India Express will continue its weekly operations to London and Thai Air Asia will resume Kochi operations in June, with 4 weekly direct flights to Bangkok. Source:  The Hindu Business Line
• Useful Quick Links from the Air India portal: – Official Circular on Restoration of Indian Visa (E-Tourist Visa and Tourist Visa) for Foreign Tourists   – Circular For Generating and Accessing International Digital Covid 19 Vaccination Certificate – International Travel Advisories
• Singapore Airlines Group press release: All Singapore Airlines flights from India to Singapore will operate as vaccinated travel lane (VTL) services from March 16, 2022. This will provide eligible customers with quarantine-free entry into Singapore from eight points across India. Scoot, SIA’s low-cost subsidiary, will also progressively convert its non-VTL services from Amritsar, Coimbatore, Thiruvananthapuram, Tiruchi, and Visakhapatnam to VTL services. Short-term visitors and Singapore work-permit holders who seek to avail VTL services must apply for a Vaccinated Travel Pass (VTP) prior to their visa application. VTP applications should be made between three and 60 calendar days before the person’s intended date of entry into Singapore. Travelers must ensure their eligibility to use the VTL services before their flight. 
• Regular international flights to resume March 27, 2022 after two years suspension. This is the start of the summer schedule 2022.
• Economic Times reporting “ Global travel shedding Covid baggage as several nations ease restrictions for Indians “. 
• India has once again extended its ban on regular commercial international passenger flights – until further orders – as per a circular dated February 28, 2022 issued by the Director-General of Civil Aviation (DGCA). Flights under air bubble arrangements and international cargo flights will continue.
• On February 28, 2022 , the Indian government updated its “ List of Countries/Regions in respect of which primary vaccination schedule completion certificate is allowed to be uploaded ” on the Ministry of Health and Family Welfare website: see document here . There are 88 countries now on this list . (The Union health ministry has removed the at-risk categorization of countries.) 
• India and Thailand have finalized an air bubble arrangement, bringing the total number of such bilateral flight agreements to 37. Airline carriers between India and Thailand will begin operating flights starting in March, which will be subject to approval from the government. Thai Airways will commence flights between India and Thailand starting March 1 under this air bubble. Travelers should note the health protocols and the respective schedules of approved flights between Delhi, Mumbai, Chennai, Bengaluru, and Bangkok. Meanwhile, on February 25, SpiceJet announced it will launch six new international flights to Bangkok, commencing from March 10 in a phased manner. SpiceJet plans to launch flights connecting Delhi, Mumbai, and Kolkata with Bangkok. India reportedly has plans to reopen its regular international travel from March 15, but this is still a tentative date.
• Singapore, UAE, and Kuwait have updated their travel guidelines and COVID-prevention protocols for travelers from India. See here to know more.
• The Airport Authority of India has updated its state-wise guidelines for arriving passengers – by region. The PDF links may be accessed here: COVID Guidelines India Northern Region 14-02-2022 COVID Guidelines India Western Region 21.02.2022 COVID Guidelines India Southern Region 22-02-20212 COVID Guidelines India Eastern Region 18-02-2022 COVID Guidelines India North East Region 17-02-2022
• Dubai ends rapid RT-PCR rules for Indian travelers. Under the new rules , travelers from India have to produce a negative COVID-19 test certificate issued by an approved health service provider and generated 48 hours before scheduled departure of the flight. Passengers will undergo a PCR test upon arrival in Dubai. Transit passengers will be expected to follow rules governing entry at their final destination.
• It is being reported in The Economic Times that the aviation ministry has requested approval from the health ministry to allow resumption of international flights from mid-March. Reason cited by unnamed government source is that domestic traffic has rebounded.
• The government has removed restrictions on the number of flights that can be operated between India and Ukraine under their bilateral air bubble arrangement to facilitate travel of Indians from the eastern European country. India has advised its citizens to temporarily leave Ukraine amid its deteriorating relations with Russia.
• Indian media are reporting that the government is soon to make a decision on whether regular international flights can resume in the summer (March/April). It is being reported by The Economic Times that the aviation ministry has set an internal target of resuming international flight services once domestic airlines capacity touches 80% of pre-COVID flights. (Domestic airlines operated over 2,800 flights before the pandemic struck in 2020; as of February 13, they operated 2,058 flights. To reach the 80% mark, this number has to exceed 2,200.)
• No testing or mandatory quarantine required for international travelers from February 14, 2022: On February 10, India revised guidelines for international arrivals, which will come into effect February 14, 2022 (Monday, 00.01 Hrs IST). The new guidelines remove the category of ‘at risk’ countries and has scrapped the seven-day mandatory quarantine. Instead, India’s health authorities recommend self-monitoring of 14 days for symptoms . The Union Health Ministry stated that there is “need to monitor the continuously changing” COVID-19 virus but accepted that “economic activities need to be taken up in an unhindered manner”. As per the latest guidelines, all foreign arrivals have to fill a self-declaration form online (Air Suvidha web portal), including a travel history of the past 14 days. They must also upload a negative RT-PCR test conducted within 72 hours of the departure date. Alternatively, they can upload a certificate confirming that they are fully vaccinated. This alternative option is only available for passengers arriving from the 72 countries whose vaccination program are recognized by the Indian government. They include Canada, Hong Kong, USA, UK, Bahrain, Qatar, Australia, New Zealand, and some European countries. See here for the official notification on the Ministry of Health and Family Welfare portal.
• Australia will reopen its borders for international tourists from February 21 , subject to conditions. The move comes after almost two years of pandemic-linked travel restrictions. Australia’s Prime Minister Scott Morrison said while making the announcement: “The condition is you must be double vaccinated to come to Australia. That’s the rule. Everyone is expected to abide by it.” However, travelers to Australia should note the state-wise rules and restrictions.
• Vietnam reported to reopen for tourism, welcome foreign travelers from March 15, 2022. See here for information pertaining to travel to Vietnam .
• On February 5, Bali reopened its borders for international travelers and resumed direct international flights. See here for information on travel to Indonesia .
• On February 4, the state of Kerala released revised guidelines for international travelers. ( See here for the official notification by the Kerala government.) Any international traveler coming to Kerala, irrespective of their duration of stay, must undergo symptom surveillance. If they are found symptomatic, they must undertake an RT-PCR test at cost at the airport and take further action as per the test results. The revised rules advise home quarantine for international travelers who do not show symptoms; they must self-monitor their health for 7 days from the date of arrival and undergo testing if they develop symptoms. Rapid Antigen Test is advised on the 8th day after arrival. There will be random testing of 2% of international travelers on the flight, irrespective of the country of departure, and the costs will be borne by the Kerala state government. 
• Singapore Airlines has restarted the vaccinated travel lane (VTL) with India. VTL flights allow quarantine-free travel into Singapore. There are VTL flights from Delhi, Mumbai, and Chennai into Singapore. (Singapore has also restarted its vaccinated travel lane with Malaysia.) Passengers should note that there are limited flights and reduced seat quota on these routes.
• The West Bengal state government announced on January 31, that it is rolling back its ban on all international direct flights coming from the United Kingdom to Kolkata.
• Indians who are fully vaccinated can reportedly travel to these seven countries: UK, Thailand, Singapore, Cyprus, Vietnam, Israel, and Saint Lucia in the Caribbean.
• Canada has relaxed COVID-19 testing requirements for travelers from India, starting January 28, 2022. People traveling on direct flights or on a one-stop flight from India do not have to show a negative RT-PCR test done at the Delhi airport within 18 hours of their departure. However, Canada still requires travelers from India to show an RT-PCR test report from an ICMR-approved lab . Fully vaccinated travelers must upload their relevant details onto the ArriveCAN app or website. 
• India’s Ministry of External Affairs – Guidelines for International Arrivals – Quick Access to Documents: https://www.mohfw.gov.in/pdf/GuidelinesforInternationalarrivalsupdatedon10thFebruary2022.pdf 
• India has extended the ban on scheduled international commercial flights to 23:59 February 28, 2022: Directorate General of Civil Aviation (DGCA). This ban does not apply to international all-cargo operations and the DGCA-approved flights. The notification was released by the DGCA on January 19, 2022.
• Hong Kong bars flights from India, U.S., U.K., Australia, Canada, France, Pakistan, and Philippines over Omicron fears, reports The Hindu (Jan.5, 2022).
• Countries reported to be requiring mandatory vaccine booster shots for travelers include Kuwait, Netherlands, Switzerland, France, Croatia, Austria, Greece, and Israel. 
• Gulf News is reporting that India is currently making a “day to day” assessment on the resumption of normal international flights. “One has to balance the concerns of public safety and travel,” said Rakesh Kumar Verma, Additional Secretary, Tourism, Government of India. “We will take very expeditious action as and when things improve and the assessment is carried out. I’m hopeful that [full] international travel will resume soon.”
• Starting January 1, 2022, India’s air bubble arrangement with Saudi Arabia will be in effect. 
• India has reached an air bubble agreement with Australia. According to reporting from Livemint : “Australian airline Qantas has recently started flights between Sydney and New Delhi. The airline is also set to start flights between New Delhi and Melbourne before Christmas. Air India also operated direct commercial flights connecting New Delhi with Melbourne and Sydney before scheduled international flights were suspended by the Indian government. Air India flights between India and Australia will resume in coming days, said a senior official with the airline.”
• As of December 7, 2021 , India’s Civil Aviation and Health Ministry has made contactless self-declaration at Air Suvidha Portal mandatory for purpose of contact tracing. Exemption forms from the Air Suvidha portal has been discontinued. All international passengers arriving in India must fill in all the details.
• 108 countries recognize India’s COVID-19 vaccination certificate for travel purpose as per data available on December 6, 2021 .

Commercial international flights were suspended in India since March 25, 2020 due to the coronavirus outbreak. Travel restrictions have begun to be gradually relaxed from October 2021.

Below we highlight the latest guidelines for international travel to and from India.

Latest updates

Status of india’s international air operations.

• On March 8, an order from the government confirmed resumption of regular international flights from March 27, 2022 . “After being recognized the increase of vaccination coverage across the globe and in consultation with the stakeholders, the government of India has decided to resume scheduled commercial international passenger services to/from India from March 27, 2022, ie [that is] start of the summer schedule 2022,” said the order. India had suspended international flights for the first time in March 2020 and began operating air bubble arrangements since July 2020. 
• As of February 28, 2022, India has extended its suspension of scheduled international flights “till further orders”. 
• India rolled back its intention to resume normal international flight schedules from December due to the emergence of the Omicron COVID variant. On December 9, 2021, the civil aviation regulator announced announced the postponement of international scheduled commercial flights till February 28, 2022. Air bubble and evacuation flights schedules, approved flights, and air cargo will function.

India releases periodic guidelines for international passengers coming into India based on the trajectory of the COVID-19 pandemic and emergence of regional variants and their threat assessment. The latest travel guidelines for international arrivals to India were released on February 10, 2022 (and supersede previous notifications): https://www.mohfw.gov.in/pdf/GuidelinesforInternationalarrivalsupdatedon10thFebruary2022.pdf

• The Air Suvidha portal for submission of Self Declaration Form, which is mandatory: https://www.newdelhiairport.in/airsuvidha/apho-registration 

For evacuation flight schedule Phase 14 (October 1, 2021 to March 26, 2022), see Air India Vande Bharat Mission here (download PDF): https://www.airindia.in/images/pdf/VBM-schedule-dtd-30sep2021-PHASE14.pdf . The evacuation mission has been in place since May 7, 2020. For destinations operated under air bubble arrangement Phase 13 ( September 1, 2021 to September 30, 2021), click here for PDF download .

• As of April 15, 2021, the Ministry of Home Affairs (MHA) has restored electronic visa (e-visa) facility for foreigners from 156 countries. The e-visa facility is applicable for international tourists who wish to visit India for conferences, medical purposes, or business. The e-visa also extends to medical attendants.

Air Transport Bubbles

India has also established “Transport Bubbles” or “Air Travel Arrangements”, which are temporary arrangements between two countries aimed at restarting commercial passenger services when regular international flights are suspended as a result of the COVID-19 pandemic. They are reciprocal in nature, meaning airlines from both countries enjoy similar benefits.

The details of such arrangements were last updated in February 2022.

India now has 37 air bubble arrangements in place: Afghanistan, Australia, Bahrain, Bangladesh, Bhutan, Canada, Ethiopia, Finland, France, Germany, Iraq, Japan, Kazakhstan, Kenya, Kyrgyzstan, Kuwait, Maldives, Mauritius, Nepal, Netherlands, Nigeria, Oman, Qatar, Russia, Rwanda, Saudi Arabia, Seychelles, Singapore, Sri Lanka, Switzerland, Tanzania, Thailand, Ukraine, UAE, UK, USA, and Uzbekistan.

More details can be seen on the government website here: https://www.civilaviation.gov.in/en/about-air-transport-bubbles 

• Full service carrier Vistara has started non-stop flight services to Paris from Delhi under the air bubble agreement between India and Europe, according to reporting from The Economic Times . Under the air bubble pact, Vistara’s Boeing 787-9 (Dreamliner) aircraft will fly twice a week between Delhi and Paris – on Wednesday and Sunday. London, Frankfurt, Dubai, Doha, Sharjah, and Male are the other international destinations covered by Vistara, which is a joint venture between Tata Sons and Singapore Airlines.
• The US will be lifting travel restrictions on foreign countries from November 8, Monday. Travelers must show proof of vaccination (WHO-approved vaccines); unvaccinated minors will be subject to testing requirements; and all travelers will need to show proof of a negative COVID-19 test 72 hours before departure to the US. See here for Reuters coverage of the changing rules.
• Air India will offer non-stop flights between Delhi and Sydney starting November 15, 2021. Air India will operate the thrice-a-week service on the Delhi-Sydney-Delhi route under the Vande Bharat Mission. Australia has also formally recognized Covaxin, India’s COVID-19 vaccine.
• India’s new visa norms stipulate that visas will be granted to foreigners only if they use water and air routes, not land routes. The Ministry of Home Affairs has allowed the gradual resumption of international travel to start from October 15, 2021 and tourist and e-visas will be issued for only a single entry per month. From November 15, all individual foreign nationals (on fresh tourist visas) will be allowed to enter India after observing prevailing COVID-19 protocols as notified by the Ministry of Health & Family Welfare. 
• The Union Home Ministry announced on Thursday that India will allow foreign tourists traveling by chartered flights (Vande Bharat and air bubble flights) from October 15, rest from November 15, 2021. Foreigner tourists will be allowed to come in on non-charter flights from November 15 unless the extended restrictions on scheduled flights is substantially lifted. See the Home Ministry’s press briefing here  and reporting by the Economic Times here .
• The Hindustan Times reporting on October 2 : “Australia’s visiting trade and tourism minister Dan Tehan said foreign students will be able to start “returning towards the end of this year and the beginning of next year”, ahead of the start of the first semester in February-March 2022. The Therapeutic Goods Administration (TGA) of Australia listed Covishield and China’s Coronavac (Sinovac) as “recognised vaccines” after an initial assessment of data on protection offered by the two jabs.”
• CoWin, India’s digital platform for COVID-19 vaccination, is allowing travelers to download an international version of their COVID-19 vaccine certificate, which is compliant with WHO’s international travel guidelines. This feature went live on September 30, 2021, and allows fully vaccinated individuals to update their existing photo identity to passport number and date of birth to get their International Travel Certificate. See website: https://www.cowin.gov.in/
• The Indian Bureau of Immigration noted the specific categories of foreign nationals who are permitted to enter India by water routes or by flights, including those under the Vande Bharat Mission, or ‘Air Bubble’ (Bilateral Air Travel Arrangements) Scheme, or by any non-scheduled commercial flights as allowed by the Ministry of Civil Aviation in its notice MHA O.M. No.25022/24/2020-F.V/F.I dated October 21, 2020. See here for reference.
• Air India has said it will run direct services between Muscat and Vijayawada “once a week or thrice from the first week of July”. The Vijayawada International Airport resumed international flights to Gulf destinations, such as Dubai, Kuwait, Muscat in June, to Singapore in April.
• Budget carrier Air India Express will operate a total of 64 flights between Malaysia and India in July under Vande Bharat Mission. More below.
• Foreign nationals who wish to travel to India for medical treatment can apply for a fresh visa under this category and choose one attendant to accompany them as per the visa category provisions (that is, if the original applicant has their medical visa approved).
• On October 8, 2020, India’s civil aviation authority said the future of international flights will depend on the availability of a vaccine, hinting at the extension of air travel bubble arrangements into March-April next year.
• Low-cost carrier SpiceJet announces its new flight operations connecting Delhi and Mumbai with London, starting December 4, which will come under the India-UK air bubble agreement.
• New standard operating protocol announced August 22, 2020 for non-scheduled commercial flights under the repatriation scheme, Vande Bharat Mission, and Air Transport Bubble Agreements.

(Note: This article was originally published on August 4, 2020 and last updated on February 10, 2023.)

India Briefing  is produced by  Dezan Shira & Associates . The firm assists foreign investors throughout Asia from offices across the world, including in  Delhi  and  Mumbai . Readers may write to   [email protected]  for business support in India.

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Travel Vaccines and Advice for India

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On This Page: Do I Need Vaccines for India? Other Ways to Stay Healthy in India Do I Need a Visa or Passport for India? What Is the Climate Like in India? How Safe Is India? What Should I Pack for India? Where Is the U.S. Embassy in India?

Do I Need Vaccines for India?

Yes, some vaccines are recommended or required for India. The CDC and WHO recommend the following vaccinations for India: typhoid , cholera , hepatitis A , polio , yellow fever , Japanese encephalitis , 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.
• Cholera – Food & Water – A risk for travelers throughout India. Avoid swimming in popular rivers or streams as cholera may be present. Vaccination is recommended for some travelers.
• Hepatitis A – Food & Water – Recommended for most travelers.
• Polio – Food & Water – May be required if arriving from countries with active transmission. Recommended for some travelers to the region. Single adult booster recommended.
• Yellow Fever – Mosquito – Required if traveling from a country with risk of yellow fever transmission.
• Japanese Encephalitis – Mosquito – Recommended for all regions except: Dadra, Daman, Diu, Gujarat, Himachal Pradesh, Jammu and Kashmir, Lakshadweep, Meghalaya, Nagar Haveli, Punjab, Rajasthan, and Sikkim.
• Chikungunya – Mosquito – India has the second most chikungunya cases of any region globally. Vaccination is recommended.
• 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 highly infectious disease caused by the bacterium Vibrio cholerae, primarily spread through contaminated water. It and causes severe diarrhea and dehydration. The cholera vaccine provides long-term protection against infection.
• Hepatitis A – Be sure to protect yourself from hepatitis A, a contagious liver infection caused by HAV, through vaccination. The virus spreads through contaminated food, water, and close contact. Along with vaccination, maintaining proper hygiene and avoiding undercooked shellfish are essential for prevention.
• Japanese Encephalitis – Japanese encephalitis, a mosquito-borne virus causing neurological issues, can be prevented through mosquito control, protective clothing, and vaccination. Vaccination is highly recommended for individuals in endemic areas or travelers.
• Chikungunya – Chikungunya, a viral disease transmitted by mosquitoes, causes fever and severe joint pain. Prevention includes using mosquito repellent and eliminating breeding sites. Vaccination provides the best protection.
• Rabies – Rabies is a life-threatening viral infection transmitted primarily through bites and scratches from infected animals. Vaccination is the key to prevention, offering pre-exposure protection to high-risk individuals and post-exposure treatment for those exposed to rabies.
• Hepatitis B – The hepatitis B virus causes liver infection, spreading through contact with infected bodily fluids. Prevention measures include safe practices and, notably, hepatitis B vaccination. This vaccine effectively triggers the immune system to produce antibodies, offering reliable, long-term protection against the virus.
• Measles, Mumps, Rubella (MMR) – Measles, mumps, and rubella (MMR) are viral infections with distinct symptoms. They spread through respiratory droplets and close contact. Vaccination is the most effective way to prevent MMR infections, with the MMR vaccine offering protection against all three diseases.

Malaria in India

Malaria is present throughout India, except for regions over 6,500 feet elevation. Travelers are generally advised to take antimalarials no matter their destination or itinerary in the country.

If you are traveling to India, make sure you are protected. Visit your local Passport Health to receive a comprehensive consultation on what you will need to stay safe. Book your appointment online now or call us at and make sure your dream trip doesn’t become a nightmare.

Other Ways to Stay Healthy in India

Prevent bug bites in india.

In case of bug bites, cleanse the area, use anti-itch treatments, and resist scratching to prevent infection. Seek medical help for severe reactions or if symptoms of vector-borne diseases emerge post-bite.

Food and Water Safety in India

Abroad, practice food safety by avoiding street vendors, washing hands thoroughly, and choosing well-cooked meals. Opt for bottled or canned drinks with unbroken seals. Prevent travelers’ diarrhea by practicing hand hygiene, skipping raw foods, and dining at reputable establishments.

Altitude Sickness in India

Altitude sickness, or acute mountain sickness (AMS), manifests at high elevations due to insufficient oxygen intake. To prevent AMS, ascend slowly, hydrate adequately, and consider medication. If symptoms arise—headaches, nausea—descend to lower altitudes immediately for rest and recovery.

Infections To Be Aware of in India

• Avian/Bird Flu – Avian flu, a contagious virus affecting birds and humans, can be prevented through poultry vaccination, enhanced biosecurity on farms, proper poultry handling and cooking, vigilant outbreak surveillance, and public education on the virus and its transmission.
• Crimean-Congo Hemorrhagic Fever – Crimean-Congo Hemorrhagic Fever, caused by tick bites and person-to-person contact, requires preventive actions like tick protection and strict healthcare precautions.
• Dengue – Dengue fever is a significant global health concern. Symptoms can escalate from mild fever to life-threatening conditions. Preventing mosquito bites is key to avoidance, with recommendations including repellent and netting use.
• Leishmaniasis – The transmission of leishmaniasis primarily occurs through infected sand fly bites, with other routes of transmission possible. Preventing the disease involves minimizing exposure to sand flies. Early detection and treatment can prevent serious symptoms.
• Zika – Zika, a virus carried by Aedes mosquitoes, can pose risks, particularly for pregnant women. Preventing Zika requires using mosquito repellent, practicing safe sex, and getting rid of mosquito breeding sites.

Do I Need a Visa or Passport for India?

India requires all U.S. travelers have a visa prior to entering the country. Visa requirements vary based on the purpose of travel, length of stay and family background. A passport with at least six months validity is also required.

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

What Is the Climate Like in India?

India is a big country, the weather can be different depending on where you go. Here’s some information about the weather in some of India’s most popular places:

• Goa: Goa is a beach place in India. The best time to go is from November to February when the weather is dry and comfortable.
• Delhi: Delhi is a city in India. The best time to go is from October to March when the weather is good.
• Mumbai: Mumbai is a city in India. The best time to go is from November to February when it’s cooler.
• Jaipur: Jaipur is a city in India. The best time to go is from October to March when the weather is good.
• Agra: Agra is a city in India. The best time to go is from November to March when the weather is good.
• Kerala: Kerala is a place in India with lots of rain. The best time to go is from September to March when it’s dry.

Remember that the weather can change every year, so it’s always a good idea to check before you go.

How Safe Is India?

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

India is generally safe, but is still a developing country in many ways. Try to avoid the Indian-Pakistani border, as growing tensions have led to a less safe situation.

Petty crime, especially theft is common. This happens mostly in trains and buses. pick-pocketing is known to occur in some tourist areas. Violent crime is traditionally uncommon, though there has been a slight increase in recent years.

Scamming has become more common in many popular areas. Be especially careful in airports and train stations. If an offer for cheap transportation or hotel rooms seems too good, it probably is. Only use well-known travel agencies when booking your trip and planning activities in-country.

LGBT individuals will want to be especially careful as laws on homosexuality are unclear. While prosecution is rare, LGBT visitors may wish to avoid drawing attention.

What Should I Pack for India?

Packing for India can be a bit tricky, as the country is different from many popular travel destinations:

• Pack light – Moving from place to place in India can be a bit tricky. Many forms of transportation have a tight fit and having something you can easily haul around is key. Bringing an extra backpack isn’t a bad idea either as a purse or small bag may not be enough to carry water, an umbrella and similar items.
• Prepare for weather – Be sure to pack according to what season you’ll be in the country. Where you are headed is also a key factor as the Himalayas are a much cooler region.
• Wear the right footwear – You’ll likely be doing a lot of walking (or even standing) in India. Make sure your shoes are up for the trip, your feet will thank you.
• Bring a complete first-aid kit – The CDC has a complete list of recommended health items which can be found here . Some notable items include: sunscreen, insect repellent, hand sanitizer and diarrhea medicine like DiaResQ or other remedies.

Where Is the U.S. Embassy in India?

The State Department recommends all travelers to India enroll in the Smart Traveler Enrollment Program (STEP) to receive automated notifications from the U.S. Embassy. This program provides important information to travelers about potential threats in countries you may be visiting.

The U.S. Embassy in India is located at:

U.S. Embassy New Delhi Shantipath, Chanakyapuri New Delhi – 110021 India Telephone: +(91) (11) 2419-8000 Fax: +(91) (11) 2419-8407

Whether you are traveling for business or pleasure, India is an absolutely amazing destination. From the Himalayas to the coast of the Indian Ocean, the country’s unique culture and feel has something for every type of traveler.

To learn more about what you can do to prepare for an Indian trip, visit your local Passport Health clinic. Book your appointment today by calling or scheduling online now.

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Get Vaccinated Before You Travel

What to know.

It’s important to plan ahead to get the shots required for all countries you and your family plan to visit.

Before you travel

Protect your child and family when traveling in the United States or abroad by:

• Getting the shots required for all countries you and your family plan to visit during your trip
• Making sure you and your family are up-to-date on all routine U.S. vaccines
• Staying informed about travel notices and alerts and how they can affect your family's travel plans

Avoid getting sick or coming back home and spreading the disease to others.

Vaccinate at least a month before you travel

See your doctor when you start to plan your trip abroad. It's important to do this well in advance.

• Your body needs time to build up immunity.
• You may need several weeks to get all the doses of the vaccine.
• Your primary doctor may not stock travel vaccines. Visit a travel medical clinic .
• You'll need time to prepare for your pre-travel appointment .
• If the country you visit requires a yellow fever vaccine , only a limited number of clinics have the vaccine and will probably be some distance from where you live. You must get it at least 10 days before travel.

Find out which vaccines are recommended or required for the countries you plan to visit .

Time-saving Tip‎

Last-minute travelers.

When traveling to another country be aware your doctor may not carry a travel vaccine and you may have to visit a medical clinic.

Many travel vaccines require multiple shots or take time to become fully effective. But some multiple-dose vaccines (like hepatitis A) can still give you partial protection after just one dose. Some can also be given on an "accelerated schedule," meaning doses are given in a shorter period of time.

Specific diseases that can affect you while traveling

What to do if you get sick after traveling

Childhood Vaccines

Vaccines can help protect babies and children from serious, even deadly, diseases. It’s important to stay up to date on recommended vaccines.

For Everyone

Health care providers.

What Travelers Need to Know About the Mpox Vaccine

The UN World Health Organization (WHO) declared on August 14, 2024, that the recent upsurge in mpox cases constitutes “a public health emergency of international concern," the organization's highest alert level. The next day, Sweden confirmed the first case of the new strain, mpox Clade 1, to be diagnosed outside Africa .

As of August 21, 2024, there have been more than 17,000 suspected cases of mpox (formerly known as monkeypox) reported in Africa since the beginning of the year—a significant increase in the total suspected cases in 2023. The current consensus states that the rise in cases is due to the new mpox Clade 1 strain. Mpox Clade 2 was the milder variant behind 2022's global outbreak of less severe infections. More than 99.9% of those infected with mpox Clade 2 survive. Compared to Clade 2, Clade 1 typically causes a higher percentage of people with mpox to get severely sick—it can also cause fatalities—per the Centers for Disease Control and Prevention (CDC); some outbreaks of Clade 1 were reported to have killed up to 10% of people who got sick.

The latest global health emergency declaration is the result of an IHR Emergency Committee decision, which met to review data presented by experts from WHO and affected countries. There are concerns that the disease could spread further across Africa and across continents, however, Mpox is “not the ‘new COVID,'” a top WHO official  said on August 20. At the time of publication, no cases of Clade 1 mpox have been reported in the United States.

Following WHO's announcement, there have been instances of mpox misinformation and disinformation going viral on social media, as USA Today reported Tuesday. Platforms such as X , Meta , and TikTok have pages outlining their policies on combatting the spread of misinformation and misleading content, but the most reliable sources for information concerning mpox remain the official channels of public health organizations such as the WHO and the CDC.

Do I need the mpox vaccine to travel?

As of August 21, 2024, there is no official call for general travelers to be vaccinated against mpox ahead of their trips.

However, the CDC issued a Level 2 Travel Health Notice on August 7, 2024, regarding travel to DRC and neighboring countries. The notice advises travelers to “practice enhanced precautions,” which includes vaccinating with both doses of the JYNNEOS vaccine at least 28 days apart as soon as possible if you visit DRC or its neighboring countries (Burundi, Central African Republic, the Republic of the Congo, Rwanda, and Uganda). While there is currently no official recommendation for how far in advance travelers should receive the second dose prior to their trip, the CDC notes that “it takes two weeks after the second dose to be the most protected.” Research on how long protection lasts is ongoing, with studies being conducted on data from the most recent outbreak. All of the CDC's advisories on travel to those countries can be found on their respective Travel Health Notice pages , and updates on the effectiveness of the JYNNEOS vaccine can be found on their mpox vaccination recommendations page .

In 2022, the United States launched its Mpox Vaccine Equity Pilot Program (MVEPP) in response to the Clade 2 outbreak. The CDC, which administered the program, offered the JYNNEOS vaccine as, "free and available to everyone, regardless of immigration status, gender identity, or sexual orientation.” MVEPP rolled out in two phases: the first involved outreach in public events attended largely by gay, bisexual, and other MSM (men who have sex with men) populations such as Pride festivals, and its second phase was mpox vaccination proposals designed by health departments to mitigate medical racial prejudices.

The current CDC guidance recommends vaccinations for those who are gay, bisexual, MSM, transgender, gender non-binary, or gender-diverse AND in the last six months have had, or expect to have:

• One or more sexually transmitted infections
• More than one sexual partner, or anonymous sexual or intimate contact
• Sex at a commercial sex venue
• Sex in association with a large public event in a geographic area where mpox transmission is occurring

Additionally, the vaccine is recommended for those who have had sexual or intimate contact with a person who is at risk of mpox as described above, those who have had sexual or intimate contact with someone who may have mpox, and those with occupational exposure to orthopoxviruses (e.g. healthcare, laboratory, and wildlife professionals) regardless of sexual or gender identity. For the most up-to-date information on the CDC's vaccination recommendations, visit their page , and the US Government's official health recommendations for travelers can be found on their Travelers' Health page on mpox .

A version of this article was originally published on Condé Nast Traveller UK. Condé Nast Traveler does not provide medical advice, diagnosis, or treatment. Any information published on this website or by this brand is not intended as a substitute for medical advice, and you should not take any action before consulting with a healthcare professional.

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Recommended vaccines for international travelers to India

Ramesh verma.

1 Department of Community Medicine; Pt. B.D. Sharma PGIMS; Rohtak, Haryana, India

Pardeep Khanna

Suraj chawla.

2 Department of Community Medicine; SHKM Govt. Medical College; Nalhar, Haryana, India

India's tourism industry generated 6.6% of the nation's Gross Domestic Product (GDP) during 2012. International travel to India is predicted to grow at an average annual rate of ∼8% over the next decade. The number of foreign tourists has increased by 9% to 5.8 million. Approximately 8% of travelers to developing countries require medical care during or after travel; the main diagnoses are vaccine-preventable diseases. Travelers to India can be exposed to various infectious diseases; water-borne, water-related, and zoonotic diseases may be imported to India where the disease is not endemic. The World Health Organization (WHO) emphasizes that all international travelers should be up to date with routine vaccinations. The recommended vaccinations for travelers to India vary according to the traveler's age, immunization history, existing medical conditions, duration, legal requirements for entry into countries being visited, travelers preferences, and values. Travelers should consult with a doctor so that there is sufficient time for completion of optimal vaccination schedules. No matter where traveling, one should be aware of potential exposure to certain organisms that can cause severely illnesses, even death. There is no doubt that vaccines have reduced or virtually eliminated many diseases that killed or severely disabled children and adults just a few generations ago. Thus, travelers must take recommended vaccines per schedule before traveling to India.

International travel to India has grown dramatically over the last decade, which supports the economically important and rapidly growing tourism industry. The World Travel and Tourism Council reported that Indian tourism generated 6.6% of the nation's GDP during 2012. International travel to India is predicted to grow at an average annual rate of ∼8% for 2013–23, 1 which gives India the third rank among countries with the fastest growing tourism industries. 2

India's large medical tourism sector is expected to grow at an annual rate of ∼30% to reach ∼95 billion Rupee by 2015. According to provisional statistics, India received 6.3 million tourists in 2011, an increase of 9% from 2010, thus ranking as the 38th country in terms of foreign tourist arrivals. Domestic tourist visits to all states and Union Territories numbered 1036 billion in 2012, an increase of 17% from 2011. 3

Approximately 8% of travelers to developing countries require medical care during or after travel, with the main diagnoses being vaccine-preventable diseases. 4 Travelers to India can be exposed to infectious diseases including water-borne diseases (diarrhea, enteric fever, acute viral hepatitis), water-related diseases (malaria, dengue, Japanese encephalitis), zoonotic diseases (rabies), and imported non-endemic diseases (yellow fever). Importation of vaccine-preventable diseases has been recognized as an important travel-related problem. Vaccination for travelers can be life-saving and is a cornerstone of health protection during travel.

The WHO emphasizes that all international travelers should be up to date with routine vaccinations, which vary according to the traveler's age, immunization history; existing medical conditions, duration, legal requirements for entry into countries being visited, travelers own preferences, and values. Travelers should consult with physicians at least 4–6 wk prior to travel in India so that there is sufficient time for completion of optimal vaccination schedules.

WHO Recommends These Vaccinations for Travelers to India (As Well as Being Up to Date with Measles, Mumps, and Rubella Vaccinations)

Adult diphtheria and tetanus vaccine.

Single booster recommended if none in the previous 10 y. Side effects include mild pain at injection site and fever.

Hepatitis A vaccine

Efficacy is almost 100% for up to 1 y; a booster after 12 mo provides at least another 20 y of protection. Mild side effects such as headache and sore arm occur in 5–10% of people. 5

Hepatitis B vaccine

Now considered routine for most travelers. This vaccine given at 0, 3, and at 6 mo. A rapid schedule is also available as a combined vaccination with Hepatitis A. Side effects are uncommon and mild, usually headache and mild pain at the injection site. Efficacy of is ∼95%. 6

Oral polio vaccine (OPV)

From January 2014, this vaccine is a mandated requirement for all travelers visiting India from Afghanistan, Ethiopia, Israel, Kenya, Nigeria, Pakistan, and Somalia to receive OPV at least 6 wk before departure for India. OPV is valid for 1 y from the date of its administration. This country list goes beyond the 3 WHO-designated endemic countries. Any adult who received the recommended childhood immunizations but never received a booster as an adult should be given a single dose of inactivated polio vaccine. All children should be up-to-date in their polio vaccinations, and any adult who never completed the initial series of vaccinations should do so before departure. 7

Typhoid vaccine

Typhoid fever is a life-threatening illness. Typhoid vaccine is recommended for all travelers to India, even if visiting only urban areas. This single-shot vaccine offers ∼70% protection, lasts for 2–3 y. Tablets also are available for administration to an empty stomach in 3 doses is on alternate days. However, injection is usually recommended in that is has fewer side effects. The injectable vaccine is preferable to oral vaccine in pregnant and immuno-compromised travelers. 8

Varicella vaccine

This vaccine recommended for any international traveler over 1 y of age who does not have either a history of documented chickenpox or a blood test showing immunity. Many people who believe they never had chickenpox show immunity when tested and do not need the vaccine. Varicella vaccine should not be given to pregnant or immuno-compromised individuals. The varicella vaccine is also recommended for long-term travelers (more than 1 mo) or those at special risk. 9

Japanese encephalitis vaccine

This vaccine is recommended for long-term (>1 mo) travelers to rural areas or travelers who may engage in extensive unprotected outdoor activities in rural areas, especially in the evening, during shorter trips. For age >16, the recommended vaccine is Cell Culture Derived Live SA-14–14–2 Vaccine given as 0.5 mL subcutaneously for all ages, followed by a second dose 28 d later. The series should be completed at least 1 wk before travel. The most common side effects are headaches, muscle aches, and pain and tenderness at the injection site. Safety has not been established in pregnant women, nursing mothers, or children age <17. 10-12

Meningococcal vaccine

This vaccine is given as a single injection. The quadrivalent vaccine gives 2–3 y protection. 10,11

Rabies vaccine

Rabies is a deadly viral infection. The disease is rare in travelers, but risk increases with extended travel and any likelihood of animal contact. The vaccine is recommended for travelers spending a lot of time outdoors, travelers at high risk for animal bites (veterinarians and animal handlers), long-term travelers and expatriates, and travelers involved in any activities that might bring them into direct contact with animals. Children are considered at higher risk because they tend to play with animals, may receive more severe bites, or may not report bites. Dog bites account for most cases of rabies in India, while bites from cats, tigers, camels, and the Indian civet also may transmit rabies. Any animal bite or scratch should be thoroughly cleaned with large amounts of soap and water, and local health authorities should be contacted immediately for possible post-exposure treatment whether or not the person has been immunized against rabies. A complete pre-exposure series consists of 3 doses injected into the deltoid muscle on days 0, 7, and 21 or 28. Side-effects may include pain at the injection site, headache, nausea, abdominal pain, muscle aches, dizziness, or allergic reactions. 13

Yellow fever (YF) vaccine

Many countries require an ‘international certificate of vaccination or prophylaxis’ signed by a medical provider for YF vaccine for travelers from an infected area. Indian health regulations may ask for evidence of YF vaccination if one is arriving from Africa or South America or other YF areas. Proof of vaccination will be required only if one has visited a country in the YF zone within 6 d prior to entering India. Any person (except infants up to the age of 6 mo) arriving without a certificate within 6 d of departure from or transit through an infected area, or arriving on a ship that started from or touched at any port in an area with risk of YF transmission up to 30 d before its arrival in India, unless such a ship has been disinfected in accordance with the procedure recommended by WHO, will be isolated for up to 6 d. YF vaccine must be administered at an approved YF vaccination center, which will give each vaccinee a fully validated International Certificate of Vaccination. YF vaccine should not be given to those younger than 9 mo, pregnant, immuno-compromised, or allergic to eggs. It also should not be given to those with a history of thymus disease or thymectomy. Vaccine is not recommended or required for travelers arriving directly from North America, Europe, Australia, or other Asian countries. 9

No matter where traveling, one should know that exposure to certain microorganisms can result in severe illness, even death. There is no doubt that vaccines have reduced or virtually eliminated many diseases that killed or severely disabled children and adults just a few generations ago. Thus, travelers must take recommended vaccines per schedule before travel to India.

Disclosure of Potential Conflicts of Interest

No potential conflicts of interest were disclosed.

Health Risks To Be Aware Of When Traveling To India

W here do you start with a country as vast as India? From its mountainous north to its tropical south — with scorching deserts and countless mega cities in between — you could spend a lifetime here and barely scratch the surface. It's a must-see destination for all travelers and one that begs to be explored beyond well-known tourist hotspots like the Taj Mahal . But you'd be forgiven for feeling an ounce of trepidation, given the number of health-related scare stories you may have heard from other visitors. Here's the thing — yes, you need to familiarize yourself with the risks of a trip to India before you travel. Still, it certainly doesn't mean you can't do so safely.

Let's take hygiene and sanitation first. The standards in India, in some regions, are not as high as you'd expect from mainland Europe or Australia, but there are plenty of ways to arm yourself with protection during your trip. Vaccines, for one, are super important here. And then there's personal hygiene, not to mention educating yourself on the risks of altitude sickness and air pollution, depending on where in India you'll be exploring. To help get the ball rolling, book an appointment with your doctor at least eight weeks before you jet off — they'll be able to provide ample travel advice tailored specifically to you. But for now, here are some of the most important health risks to consider before you explore the many wonders of India.

Read more: Dangerous European Destinations To Skip On Your Next Trip

Get Yourself Up To Date With These Vaccines

Many of the vaccines here will have been given to you as a child, but it's possible that one could have slipped through the net, or you may need a booster shot. You likely had 2 doses of the chickenpox vaccine at 12 months and 4 years old, but if you didn't, get yourself up to date — a new variant (clade 9) has been detected in India. Diphtheria, tetanus, and pertussis are also present in the country. As a baby, you probably had three shots of the combined vaccine and three boosters as a child. If you didn't, get 1 shot before heading to India and a booster dose every 10 years thereafter. Make sure you're fully vaccinated against measles, mumps, rubella (MMR) and polio, too. The MMR vaccine should have been given to you in 2 shots — at 12 months and 4 years old. And the polio vaccine comes in four doses — usually given at two months, four months, six months, and four years old.

The CDC also recommends that everyone over 6 months get the flu vaccine yearly, and those over 50, or those with a weakened immune system, should have the shingles vaccine. You must be protected against both illnesses in India — more than 1 million cases of shingles are recorded here yearly, and the country's peak flu season coincides with what's considered the best time to visit India — October to May.

These Additional Jabs Are Also Recommended

Traveling to exotic, new places is one of life's ultimate pleasures, but it brings with it the risk of new diseases. First up is cholera — thought to be present in India and spread through dirty water or contaminated food. The vaccine is given as a drink in two doses, each taken a week apart. Japanese encephalitis is next — this rare but dangerous infection is spread by mosquitoes, with outbreaks in India typically occurring during the rainy season — from May to October. If you're traveling during this time, especially if you'll be staying in rural areas, consider this two-dose vaccine for peace of mind.

You should also protect yourself from typhoid fever, especially if you plan to stay with friends or relatives. It's spread through unclean water and food and is especially prevalent in rural parts of the country. Two types of vaccine are available for typhoid — one in pill form (four pills taken every other day) or a shot vaccine. Both should be given at least two weeks before traveling.

Ensure your doses of Hepatitis A and B are up to date, too. Each is spread in similar ways, whether that's contaminated food or drink, having sex with an infected person, or sharing needles with one. Both vaccines are routine and given to children in the U.S., but as an adult traveling to India, you should get the combined vaccine as a booster shot to make sure you're still protected.

Keep Away From All Animals

Do you love to pet every dog, stroke every cat, and take pictures of every monkey you see? Well, this isn't advised in India. In fact, it will increase your risk of contracting certain diseases. Animal bites and wounds can play host to a whole load of these — cellulitis and fasciitis are just some examples common in India, with both almost always requiring strong antibiotics for treatment.

What's more, India has the highest number of reported cases of rabies in the world — a rare but serious infection that's usually fatal once symptoms appear. Rabid dogs are often the problem here, but you can get rabies from any infected animal if it bites you, scratches you, or licks a wound on your body. It all sounds terrifying, but there are easy ways to stay safe. 

First, steer clear of all animals, including those cute-looking monkeys at temples. Second, get the pre-exposure vaccine before traveling — this is two doses (one given seven days after the other), and a third dose is needed within three years if you continue to visit high-risk areas. It'll protect you from a rabies infection for a little while (if you've been exposed to the virus), giving you time to reach a hospital in India for the two-dose post-exposure vaccine. Depending on where you are in the country, this may be difficult to come by. So, having a medical evacuation insurance policy covering emergency travel to receive it can give you peace of mind.

Consider Your Malaria Risk

You've probably heard about malaria — a serious flu-like illness caused by a parasite that infects certain types of mosquitoes. Whether you'll need extra special medication depends on where your adventures in India are taking you and when you plan to travel. Most regions are low-risk — malaria has been found in cities like Mumbai and Delhi. Still, most cases occur in West Bengal, Jharkhand, Chhattisgarh, Gujarat, Madhya Pradesh, and Odisha. There's also a higher risk if you're traveling to India during its monsoon season (June to September), when hot temperatures, heavy rains, and a risk of flooding bring more mosquitoes.

Make sure to have a strong insect repellent on hand, and wear long, loose-fitted clothing to avoid being bitten. But if you're going to high-risk areas, get prescription antimalarials, too. Some of these tablets will need to be taken before your trip, during your travels, and after you get back — your doctor can help you determine which medication is best for you.

Another mosquito-borne illness to be aware of is Dengue — it's become more common in India over recent years. The mosquitos that carry it are often found in urban areas, but there's no vaccine. This means using a strong insect repellent, sleeping under a mosquito net, and covering your skin is your best defense. Dengue can cause nausea, vomiting, headache, and joint and muscle pain, but not everyone infected will feel sick.

Prepare For Diarrhea

One key symptom across many of the illnesses we've spoken about already is (the dreaded) diarrhea. While you can "get the runs" from anywhere in the world, "Delhi belly" is fairly common for visitors to India. From a 24-hour bout of loose stools to a full-on episode of travelers' diarrhea (TD) or giardiasis, the risk is exceptionally high here. You have a 60% chance of getting TD during a two-week trip. It's usually caused by eating or drinking contaminated foods or liquids, so it pays to be vigilant at all times.

Washing your hands as often as possible or using an antibacterial gel (when running water isn't available) can help protect you from germs. But you'll also want to avoid drinking tap water (even when brushing your teeth) and always ask for drinks without ice when you're out and about. Stick to filtered, boiled, or bottled water wherever you can. Oh, and when it comes to eating at restaurants or from food stalls in India, say no to anything that's been reheated, not to mention seafood and meat, which can also pose real risks if they're not fresh. Steering clear of raw, unpeeled fruit and veg is a good idea, too. If you're concerned about getting diarrhea while you're away, bring along some anti-diarrhea medication and oral rehydration salts, which can help relieve symptoms and give you peace of mind.

Protect Yourself From COVID-19

Sorry — it's likely you're a bit fed up hearing about this virus and the three-year-long global emergency it caused. Nevertheless, it's another jab you should consider getting before you make your way to India. True, there are no COVID-19 testing requirements to enter the country — you don't even need to prove you're vaccinated — but it's a good idea to make sure you're covered should you become infected while you're out there. Why? India is so densely populated. 

Despite being one-third the size of the U.S., it has four times the population, which increases the likelihood of virus transmission. Daily cases in the country are indeed low at this time. Still, the virus appears to circulate during specific seasons — India's last spike saw a total of 12,193 people infected with COVID-19 on April 21, 2023. With all this in mind, it's better to be safe than sorry, so do your part to stay protected from the illness. The CDC recommends everyone over the age of 5 get one dose of an updated COVID-19 vaccine yearly, especially those traveling internationally.

Air Quality Is A Huge Problem

With its sumptuous mix of traditions, stunning architecture, and jaw-dropping landscapes, India is a real sight to behold. But if you're planning a trip here, you'll want to think carefully about the time of year you visit. Perhaps more so than any other country in the world, India has an air quality problem, thanks to many of its mega-cities with dangerous pollution levels , especially during the annual "pollution season" — from October to December.

If you need any more convincing, the air quality index in Delhi hit 500 in November 2023. For context, this is the highest measurement the index will go to and is 100 times the limit deemed healthy by the World Health Organisation (WHO). Thick smog covering the capital, brought on by car emissions, construction, and farmers burning their fields during the crop planting season, has forced schools to shut and all but non-essential construction work to be paused in the past. Avoiding India's urban areas may help, but beware that air quality is a real problem in rural settings, too.

To properly take in the sights and smells of this wondrous country, you're much better off timing your trip outside of the pollution season. But if you must travel at this time, take plenty of precautions. You'll want to bring multiple face masks and avoid going outside wherever possible, especially if you have a preexisting health condition like asthma or chronic lung disease.

Beware Of Altitude Sickness

Frankly, India is ginormous — you'd need years, perhaps decades, to explore every ounce of its captivating land mass. For this reason, some travelers choose to visit the country in sections, organizing trips to and from India over the course of many years. But if this holiday sees you planning to take in all that the north has to offer — a word of caution. The high-elevation Himalayan areas that are both stunningly beautiful and have a perfect climate during India's summertime can also bring on the symptoms of altitude sickness. We're talking about places like the home of the 14th Dalai Lama — Dharamshala, mountainous Manali, the hill resort of Shimla, and spiritual Rishikesh.

But what exactly is altitude sickness? It's when your body doesn't have time to adjust to lower oxygen levels in the atmosphere. You're looking for the tell-tale signs of a headache, nausea and vomiting, a loss of appetite, fatigue (even when resting), trouble sleeping, and dizziness. To fight altitude sickness , make sure you ascend gradually and give yourself time to acclimate to your surroundings. If your symptoms worsen, especially at rest, you should descend slowly. Planning on taking a hiking or trekking excursion in the Himalayas? Your doctor can advise you on how to physically prepare for trips to high altitudes , including using a preventative altitude sickness treatment, such as acetazolamide. But if you notice troublesome symptoms on this medication, follow the safety guidance above.

Protect Yourself From The Sun

Regardless of the time of year, you're visiting India, you need to be careful when it comes to sun exposure. In Mumbai, for example, the UV Index (UVI) has been recorded as 8.2, which falls under the high-risk category — meaning you should avoid direct sunlight wherever possible, especially in the middle of the day. This is particularly important during the summer months (March to May) and where elevation is high, such as in the Himalayan areas in the north.

Other ways to stay as safe as possible are using a high-SPF sunscreen and reapplying it every two hours to protect yourself from sunburn . Wear loose, lightweight clothing and a sun hat to ward off heat-related illnesses like heat stroke . Steering clear of any physical activity when temperatures are high is also advised. So, too, is drinking plenty of water often and eating small, regular meals throughout the day.

Be Aware Of Sexually Transmitted Infections (STIs)

Arming yourself with protection against STIs is always a good idea, whether you're exploring new sights abroad or going about your normal routine at home. But make sure you stay extra vigilant during your trip to India — especially if you're a member of a high-risk population group, such as someone who's transgender, a man who has sex with men, or a female sex worker. Why? In 2019, it was found that 2.3 million people in India were living with HIV, especially in areas such as Manipur, Mizoram, and Nagaland. Compare this with 1.2 million people living with HIV in the U.S.

None of this is anything to worry about, though — you just need to be sensible and follow all the same general advice as you would at home. First off — don't have unprotected sex. If you do choose to have sex while in India, make sure you use latex condoms correctly. Second, don't share any needles, including needles used for getting a new tattoo, a piercing, or health therapies like acupuncture. Lastly, don't inject drugs. HIV can be spread through each of these means via bodily fluids, such as saliva, blood, and semen. Not to mention other STIs that can be contracted in similar ways, including chlamydia, gonorrhea, and syphilis.

Get Pre-Travel Advice, Even If Visiting People You Know

Are you jetting off to India to visit relatives or old friends? Chances are you're counting down the days until you're reunited with your loved ones. But before you hop on a flight, make sure you've checked in with a doctor. While your trip to India may technically be a return to your homeland, it's just as important for you to be made aware of the health risks at play, if not more so. For instance, you might be staying in a rural area not set up properly for tourists — somewhere that doesn't have a hospital or medical facilities nearby. Or maybe you'll be eating all of your meals with local family members who don't have adequate running water or the same sanitation measures you're used to when it comes to preparing food.

Even if you think it's a waste of time, book an appointment with your doctor at least eight weeks before you travel anyway. It can give you peace of mind that you're up to date with all the necessary vaccines, are aware of the risks you might be facing, and have all the right precautions in place should something go wrong.

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