travel india immunization

Travel Vaccines and Advice for India

The Taj Mahal, Hampi, the Himalayas and the Caves of Ajanta are just the beginning for amazing sights in India. For thousands of years, the subcontinent has been the cradle of one of the most amazing cultures to visit.

Every year, tourists from around the globe flock to India to see its amazing sights and sounds. Whether you are a spiritual pilgrim, a business executive or an adventure seeker, India is sure to have something for you.

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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India Travel Requirements & Vaccinations

India, located in southern Asia, is the seventh largest country in the world and the second largest in terms of population. Its 4,700 miles of coastline bank the Indian Ocean, the Arabian Sea and the Bay of Bengal. Just under half of its coastline miles are sandy beaches, with the rest being comprised of rocky shores, cliffs and mudflats. Approximately 1/5 of the country’s interior is covered by forests.

Although India has no official, national language, Hindi is the most commonly spoken language with English also used extensively, especially in urban areas. Tourists to India enjoy a wide variety of attractions and geographical diversity, including:

• Sun-washed beaches
• Lush national parks and wildlife sanctuaries
• Ancient military and sacred structures
• Guided jungle walks and lake cruises

REQUIRED VACCINATIONS FOR INDIA TRAVEL: YELLOW FEVER VACCINE

Vaccination against yellow fever  may be required if entering India from a country with a risk of yellow fever transmission. UH Roe Green Center for Travel Medicine will provide you with an official certificate of vaccination for this purpose.

Additional Vaccines That May Be Recommended When Travelling to India

• Hepatitis A
• Japanese Encephalitis
• Malaria (pill form)

*Rabies vaccination is typically only recommended for very high risk travelers given that it is completely preventable if medical attention is received within 7 – 10 days of an animal bite.

Travelers may also be advised to ensure they have received the routine vaccinations listed below. Some adults may need to receive a booster for some of these diseases:

• Measles, mumps and rubella (MMR)
• Tdap (tetanus, diphtheria and pertussis)

Older adults or those with certain medical conditions may also want to ask about being vaccinated for shingles and/or pneumonia.

This information is not intended to replace the advice of a travel medicine professional. Not all of the vaccines listed here will be necessary for every individual.

Talk to the experts at UH Roe Green Center for Travel Medicine & Global Health to determine how each member of your family can obtain maximum protection against illness, disease and injury while traveling, based on age, health, medical history and travel itinerary.

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Travel Vaccines and Advice for India

The Taj Mahal, Hampi, the Himalayans and the Caves of Ajanta are just the beginning for amazing sights in India. For thousands of years, the subcontinent has been the cradle of one of the most amazing cultures to visit.

Every year, tourists from around the globe flock to India to see its amazing sights and sounds. Whether you are a spiritual pilgrim, a business executive or an adventure seeker, India is sure to have something for you.

Do I Need Vaccines for India?

Yes, some vaccines are recommended or required for India. The National Travel Health Network and Centre and WHO recommend the following vaccinations for India: hepatitis A , hepatitis B , typhoid , cholera , yellow fever , Japanese encephalitis , rabies , polio and tetanus .

See the bullets below to learn more about some of these key immunisations:

• Hepatitis A – Food & Water – Recommended for most travellers to the region, especially if unvaccinated.
• Hepatitis B – Blood & Body Fluids – Recommended for travellers to most regions.
• Tetanus – Wounds or Breaks in Skin – Recommended for travellers to most regions, especially if not previously vaccinated.
• Typhoid – Food & Water – Jab lasts 3 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 travellers throughout India. Avoid swimming in popular rivers or streams as cholera may be present.
• Yellow Fever – Mosquito – Required if travelling 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.
• Rabies – Saliva of Infected Animals – High risk country. Vaccine recommended for long-stay travellers and those who may come in contact with animals.
• Polio – Food & Water – May be required if arriving from countries with active transmission. Recommended for some travellers to the region. Single adult booster recommended.

See the tables below for more information:

Some mosquito-borne diseases are also prevalent in India including:

• Malaria – Antimalarial medication is recommened for many regions in India. Speak with a travel health specialist to learn if these are right for your itinerary.
• Dengue Fever – Another mosquito-borne disease, dengue affects millions each year. Unfortunately, there is no vaccination against dengue approved in the United States. Ensure you take precautions against mosquitoes like using repellents and mosquito netting.

Fortunately, the Zika virus has yet to arrive in India.

To learn more about these infections, see their respective vaccination or infection pages.

If you are travelling to India, ensure 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 ring us up at and ensure your dream trip doesn’t become a nightmare.

How To Prevent Delhi Belly (Traveller’s diarrhoea)

Delhi Belly (or traveller’s diarrhoea ) is very common amongst travellers. Up to 70 percent of international travellers will come down with traveller’s diarrhoea during their trips. This is especially true for visitors to India.

Causes can range from viral or bacteria infections to just a difference in cuisine. But, no matter how it happens, traveller’s diarrhoea can ruin a trip.

There are a few precautions you can take to avoid traveller’s diarrhoea:

• Avoid risky eating – Be smart about where and what you eat. Street carts may not be the best place to grab a snack, but you also don’t need to only eat pre-packaged foods. Use good judgement to decide where would be best to chow down.
• Consider preventative care – Some products, like Travelan, will provide you with some protection against traveller’s diarrhoea.

Be sure to bring a traveller’s diarrhoea kit that includes antibiotics or similar products that can help stop diarrhoea if it occurs.

To learn more about what you can do to avoid Delhi Belly, see our traveller’s diarrhoea page . Or, book an appointment with your local Passport Health by calling or scheduling online now .

Do I Need a Visa or Passport for India?

Visas are required for all travellers to India. Passport requirements are a bit more intensive than other regions. Passports must have 180 days validity from the date of visa application and another 180 days from the time of entry. Ensure you have this amount of remaining time before expiration at minimum. Proof of yellow fever vaccination may be required if you are travelling from a region where yellow fever is present.

Sources: Embassy of India and GOV.UK

What Is the Climate Like In India?

India is generally classified as a hot tropical country, except for the Himalayan north. The country has three distinct seasons:

• Summer (March to June) – Indian summers are very hot. Temperatures often climb to over 43 degrees.
• Monsoon (July to August) – The rainy season brings thunderstorms and heavy rains. These sometimes cause flooding or other damage. Bring an umbrella and be sure to take other precautions.
• Winter (October to February) – Winter temperatures are generally mild. Except in the northern regions where they will dip to near or below freezing. Remember, the higher into the mountains you go, the chillier it will get.

How Safe Is India?

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. Pickpocketing 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 transportation or hotel rooms on the cheap 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. Brining an extra rucksack 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. Ensure your shoes are up for the trip, your feet will thank you.

Where Is the Embassy of the United Kingdom in India?

If you are in India and have an emergency (for example, been attacked, arrested or someone has died) contact the nearest consular services. Contact the embassy before arrival if you have additional questions on entry requirements, safety concerns or are in need of assistance.

British High Commission New Delhi Shantipath, Chanakyapuri New Delhi 110021 India Telephone: +91 (11) 2419 2100 Emergency Phone: +91 (11) 2419 2100 Fax: +91 (11) 2419 2492 Contact Form: Click Here

Whether you are travelling for business or pleasure, India is an amazing destination. From the Himalyas to the coast of the Indian Ocean, the country’s peculiar culture and feel has something for every type of traveller.

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.

On This Page: Do I Need Vaccines for India? How To Prevent Delhi Belly (traveller’s diarrhoea) What Are the Entry and Exit Requirements for India? What Is the Climate Like In India? How Safe Is India? What Should I Pack For India? Where Is the Embassy of the United Kingdom in India?

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Travelling to India

All you need to know about travel vaccinations for india.

Are you planning on travelling to India soon? Be sure to get all the required travel vaccines for India and visit your doctor at least 6-8 weeks before you depart.

India is geographically and culturally diverse, rich with historic attractions like the Taj Mahal and Golden Temple, unique enticing local cuisines, and memorable adventures.

But there are a range of potential diseases in India you may be exposed to which can easily ruin what would otherwise be an incredible vacation!

It is important to have a good understanding of the essential vaccinations required for travel to India from Australia, so you can properly plan your next trip.

How long before travelling do I need vaccinations? Don’t wait until the last minute, because many of the vaccinations required for India need time to build immunity, and some of them may need to be spaced apart. You should receive all the vaccinations needed for India at least 4-6 weeks before your departure date to give them time to work.

That means you should schedule an appointment with your doctor as soon as you know for certain that you are travelling to India. They will provide you with your India vaccine schedule, customised depending on the ones you need.

This quick guide will help you understand which vaccinations you need to travel to India. However, your medical provider will confirm your specific vaccinations with you, as they can vary substantially depending on your unique needs.

Pre-travel Preparation Will Help Protect Your Health While You Are Away

Pre-travel preparation will help keep you safe and healthy while you are away. Please consult the Travel Doctor-TMVC before you travel to India. We will provide specific recommendations tailored to your itinerary. Our doctors will assess and advise you on your risks, and recommend appropriate vaccination and medication to minimise your risk of becoming seriously unwell on your trip.

Safe Eating and Drinking Practices

One of the great pleasures of India travel is sampling the local cuisine. However, contaminated food and beverages are a common cause of traveller’s diarrhoea and other gastrointestinal illnesses. Safe eating and drinking practices are essential in minimising your risk of contracting traveller’s diarrhoea.

What Vaccinations Do I Need for India?

Your routine vaccinations should be updated before you travel to India. If you do not have evidence of immunity, you may need to receive one or more of the following routine vaccines for India:

• Measles-Mumps-Rubella Your medical provider will check to ensure that you are up to date on your measles-mumps-rubella vaccine. If you have no evidence of prior vaccination you will likely receive an initial MMR vaccine or booster.  
• Tetanus-Diphtheria-Pertussis You may need a tetanus-diphtheria-pertussis (TdapdTpa) vaccination or booster before you depart to India. You will receive the booster if it has been more than 10 years since your prior vaccination.  
• Polio Up until 2014, polio was endemic in India. Now, to maintain a polio-free country, India sometimes requires evidence of polio immunity before travelling from a polio infected country. Anyone travelling to India should be up to date on their polio vaccinations. If you received the polio vaccine as a child but have never received the booster as an adult, you may be advised to receive a dose of the polio vaccination (IPV).

Additional Potential Vaccinations for India

These are additional potential vaccinations for India that may be recommended by your medical provider depending on which regions you are travelling to, your prior vaccinations and other factors:

• Cholera A cholera vaccination is rarely recommended for travel to India. It may be recommended for some with underlying medical conditions as it has been shown to reduce the risk of travellers’ diarrhoea for a limited time after vaccination. Following safe food and water guidelines and hand washing will reduce risk of infection from this and other food and water borne diseases.  
• Hepatitis A A Hepatitis A vaccination may be required as this viral illness can be transmitted through food and water and it is frequently recommended for most travellers to India.  
• Hepatitis B This is another potentially serious viral illness that is transmitted through bodily fluids or blood and it is now considered routine for most travellers to India. A rapid schedule Hepatitis B vaccine is available in combination with Hepatitis A. Hepatitis B is considered a routine vaccination and many people under 30, in Australia, have had this as part of the standard vaccine schedule.  
• Typhoid This vaccination is often recommended for those travelling to India, even those who are staying mostly in urban areas, as it is a potentially fatal illness. India is a high-risk part of the world for typhoid disease. Two forms of typhoid vaccine are available: an injection or oral form.  
• Malaria Parts of India have an active risk of Malaria, especially low-altitude areas, and therefore you may be recommended to take an anti-malarial prescription before, during and after your trip. Speak to your doctor about your risk for malaria while traveling in India.  
• Yellow Fever Proof of yellow fever vaccination is only required if you have visited a yellow fever affected area within 6 days of travelling to India. Otherwise, if you have not, you will not typically be required to get this vaccination before you travel to India unless you are travelling to an area with a yellow fever outbreak.  
• Japanese Encephalitis The Japanese encephalitis vaccine may be required for those who will be staying longer than one month in India in rural areas or those who are participating in outdoor activities on shorter trips during the evening. This vaccine helps prevent this serious mosquito-borne illness.  
• Rabies some animals within India transmit rabies including bats, dogs and others, so the rabies vaccination may be recommended depending on where you travel and your activities. Those who will encounter animals, children, and those who are traveling outdoors may be recommended to receive a rabies vaccine before travel.

Other Health Considerations

Traveller’s diarrhoea is quite common for those travelling to India from Australia, with up to 70 percent of travellers being affected during their trip. To avoid this, make sure to eat only from well known, sanitary restaurants, wash your hands frequently and only drink treated water. Check the seals on bottles of water bought from stores.

The causes for this illness can be varied – from pathogens like viruses, bacteria and parasites to simple incompatibility with a particular meal.

It is a good idea to talk with your medical provider about potentially bringing a traveller’s diarrhoea kit with you that you can use to treat diarrhoea if you become unwell overseas.

Getting the required vaccinations for India from Australia before you travel and following some basic sanitary and hygiene practices will ensure that you can enjoy a culturally enriching experience and bring back nothing more than your souvenirs and great memories!

Health Risks

How can we help.

Travel Doctor-TMVC provides specific health recommendations tailored to your individual holiday plans. Our medical and nursing staff at Travel Doctor-TMVC have extensive knowledge of international health issues, immunisation and preventative medicine. Travellers should have individual risk assessments by one of our doctors whether they are holiday makers, businesspeople, or long-term expatriates.

Travel Doctor-TMVC has clinics throughout Australia. We are always available to assist you before you travel, on your holiday, or when you return. You can book an appointment online at any time of the day or night by visiting our locations pages, or you can talk to one of our friendly team members during business hours on 1300 658 844.

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Before you travel check that:

• your destination can provide the healthcare you may need
• you have appropriate travel insurance for local treatment or unexpected medical evacuation

This is particularly important if you have a health condition or are pregnant.

Emergency medical number

Dial 112 and ask for an ambulance.

Contact your insurance or medical assistance company promptly if you’re referred to a medical facility for treatment.

Air pollution

Severe air pollution is a major hazard to public health, especially during the winter months (October to February). North Indian cities are most affected by extremely high levels of pollution. Children, the elderly, and those with pre-existing medical conditions may be especially affected. If you’re pregnant or have a respiratory or heart condition you may wish to consult a medical practitioner before you travel. More information about outdoor air quality is available from TravelHealthPro (from the UK’s National Travel Health Network and Centre).

Mosquito-borne diseases like dengue fever and Chikungunya occur all year round but are more widespread during the monsoon season. More information about disease risk and suggested preparatory measures is available from  TravelHealthPro  (from the UK’s National Travel Health Network and Centre).

Vaccinations and health risks

At least 8 weeks before your trip check:

• the latest information on health risks and what vaccinations you need for India on TravelHealthPro
• where to get vaccines and whether you have to pay on the NHS travel vaccinations page

Altitude sickness

Altitude sickness is a risk in parts of north and northeast India, including mountainous regions in Himachal Pradesh, Uttarakhand, Ladakh, Sikkim, Arunachal Pradesh, Nagaland, and West Bengal. Certain southern India states, like Kerala and Tamil Nadu, also contain high altitude regions. More information about altitude sickness is available from TravelHealthPro (from the UK’s National Travel Health Network and Centre).

The legal status and regulation of some medicines prescribed or bought in the UK can be different in other countries.

TravelHealthPro explains best practice when travelling with medicines .

The NHS has information on whether you can take your medicine abroad.

For more information, contact the High Commission of India in London or view the  Indian Ministry of Health and Family Welfare website  and the  Indian customs website .

Healthcare facilities in India

Local medical facilities are not comparable to those in the UK, especially in more remote areas. For psychiatric illness, specialised treatment may not be available outside major cities. In major cities, private medical care is available but expensive.

FCDO has a list of English-speaking doctors in India .

COVID-19 Healthcare in India

If you have symptoms of COVID-19 and want more information, contact a registered medical practitioner.

Testing is available on demand from private laboratories. More details on testing labs are available on the  Indian Council of Medical Research website .

Travel and mental health

Read FCDO guidance on travel and mental health . There is also guidance on TravelHealthPro .

Transplant surgery

If you’re travelling to India for organ transplant surgery, check in advance with the hospital to find out what proof they need about your circumstances in the UK. You may need to submit evidence of your marriage and birth of your children before the operation can take place. You can get copies of marriage and birth certificates from the General Register Office in the UK. You may want to have them legalised by the FCDO Legalisation office before travelling. The British High Commission cannot provide guarantees and certificates on your behalf.

If you are considering travelling to India for medical treatment, you should:

• read more advice on  going abroad for medical treatment and elective surgery
• discuss plans with your UK doctor before going ahead with any medical procedures abroad 
• do your own research - private companies have a financial interest in arranging your medical treatment abroad and the information they provide should not be your only source of information

Find further  advice on medical tourism from TravelHealthPro , and NHS guidance on  going abroad for medical treatment , and (if relevant to you) on  cosmetic surgery abroad .

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22 things you need to know before visiting India

Dec 15, 2023 • 14 min read

India is a feast for the senses and we've got everything you need to know before you visit © Andrii Lutsyk / Ascent Xmedia / Getty Images

India is a place that overwhelms your senses in the best possible way – nowhere else delivers quite the same barrage of sights, sounds and sensations as this continent-sized country at the heart of Asia.

It would take a lifetime to see all of India , let alone understand every nuance and facet of this nation of 1.4 billion inhabitants. But with a little preparation, you can learn to navigate the richness of this country, from its snow-capped peaks and velvety beaches to its historic temples and luxuriant palaces.

We've collated the top things you need to know about visiting India, but the journey begins before you leave home. Apply for your Indian visa online for a smooth arrival on the subcontinent. Read on for 22 more insider tips that will help make your vacation unforgettable.

1. Plan your trip around the seasons

India has a reputation for being hot and humid, but with beaches, mountains, hills, coastlines and plains all jammed into a relatively small geographical area, the climate is quite diverse. The southwest monsoon brings rainy weather to most of the country from June to September, but this is the best time of year to visit the high-altitude deserts of Ladakh , although depending on the route you take, you risk encountering landslides and floods.

In the far south, there’s also a milder rainy season from October to December. The ideal weather window for travel is from October to May, though temperatures and humidity climb to agonizing levels from March onwards in the run-up to the monsoon. If you find yourself in India in the spring, head to the Himalayan foothills for milder temperatures and good trekking conditions.

2. Get your jabs before you travel

There is no official requirement for vaccinations to enter India (although yellow fever vaccination is needed if you are traveling from a country where the disease is endemic).

That said, it is important that you contact a health professional at least eight weeks before you travel to ensure your jabs are up to date. Vaccinations for diphtheria and tetanus, hepatitis A and B, polio and typhoid are usually recommended, on top of childhood vaccinations for measles, mumps, rubella and varicella.

Vaccinations worth considering for longer trips include Japanese B encephalitis, meningitis and rabies. Monkeys, dogs and cats can all carry the rabies parasite, and infection is fatal if untreated.

3. Take malaria precautions

Depending on where in India you are traveling to, you may want to speak to your healthcare provider about taking a course of anti-malarial tablets. For instance, northeastern and eastern parts of India, as well as the city of Mangalore, have a higher malaria risk.

Always take precautions to avoid mosquito bites – this will also help you avoid dengue fever, a viral infection that is transmitted by mosquitoes to humans. Sleeping under a mosquito net, wearing long sleeves and trousers in light colors, and using a repellent and/or a plug-in mosquito killer with a high concentration of DEET (diethyltoluamide) is advisable.

4. Get insured

Travel insurance is essential for India. Depending on where you travel to, you may find public hospitals are poorly equipped. Additionally, most private clinics and hospitals require payment ahead of treatment. Make sure you are covered for emergency evacuation and also for any adventure activities you plan to get involved in.

If you’re unlucky enough to be a victim of crime, contact the local police station or dial 100 or 112, the national emergency number. You’ll need to get the police to file a report (a “FIR" – First Information Report) to make a claim on your travel insurance.

5. Book ahead for busy times and festivals

India can get very busy from November to February, so affordable accommodation is usually swamped in peak season. It’s a good idea to book ahead, either directly with the venues or via booking aggregator sites such as Agoda and MakeMyTrip .

Also, book train tickets in advance where possible , particularly for popular routes. Tickets can be booked (with a fair amount of hassle) via the government booking site IRCTC or more easily through local booking sites such as 12Go or Cleartrip .

6. Plan your comms before you travel

Many things in India (including train bookings or ordering food online) get easier if you have a local SIM card. Bring an unlocked phone from home (or pick one up locally) and get a phone shop to sign you up for a local pay-as-you-go SIM package on arrival. You’ll need to bring passport photos and photocopies of your passport ID pages to complete the application.

7. Check your lunar calendars

While India officially follows the Gregorian calendar, the major festivals for Hinduism, Buddhism, Jainism, Islam and several other religions follow lunar calendars and fall on different dates from year to year. Always check festival dates before you book your trip (bearing in mind these dates are subject to change); the Indian government maintains a useful online list of public holidays .

8. Learn local etiquette

English is the  lingua franca in most metropolitan areas in India, and you’ll get away with polite hellos, goodbyes and thank yous in smaller towns too. However, if you’re traveling in northern India, you can say "namaste" (I bow to you) with your hands together in a prayer-like gesture in front of your chest. Similarly, when meeting Muslims in north India, you can say "salaam alaikum" (peace be with you) – the correct response is "alaikum salaam." Most of the time, it’s the effort that’s welcomed over pronunciation, so don’t be shy!

Shaking hands is a standard business greeting between men, but outside metropolitan regions, men and women rarely shake. Only ever use your right hand. The same rule applies when passing things to people – including money.

If you get invited to someone’s home, bring a small gift (flowers or sweets are always a safe bet) and remove your shoes before entering. It’s polite to eat and drink what you are offered, even if you don’t really fancy it.

9. Dress modestly

Depending on where in India you are, modesty is taken seriously – especially for women. Travelers of any gender will have an easier time if they wear loose-fitting clothing that covers their legs and arms. Swimwear is only appropriate for the beach – although it is not uncommon to see locals swim fully clothed. To fit in, consider investing in a kurta pyjama (a traditional garment resembling a long shirt and loose trousers for men) or a salwar kameez (a long shirt, loose trousers and scarf for women).

10. What to eat and how to eat it

Many religions in India have their own dietary rules. Muslims avoid pork, many Hindus avoid beef, and some Hindus and Buddhists are vegetarian or vegan. Many Jains are vegetarians who avoid some vegetables (most notably onions, garlic and potatoes) and who try to avoid causing harm to all living creatures. These rules mean vegan and vegetarian food is often easy to find in India.

Eating with your hands is the norm in many restaurants, particularly in parts of southern India. Take your cue from other patrons in the restaurant, and remember to eat with your right hand. Mix rice and curry into balls with your fingers and push it into your mouth with your thumb. Some thalis (plate meals consisting of multiple dishes served in tandem) are served not on a plate but on a washed and flash-heated banana leaf.

11. Haggling is not a game of life and death

Haggling for a fair price when buying things – in street stalls and open-air markets – is a way of life in India. Although it can sometimes be a frustrating experience, losing your temper is extremely bad form – if you can’t agree on a price with the vendor that you are both happy with, politely decline and shop somewhere else.

The rules of the game are as follows. The vendor will quote you a price that is more than the item is worth, then you’ll come back with a counter-offer, working up from there until you reach a mutually agreeable figure.

The “walking away” trick may bring a few last-minute adjustments, but before long, you’ll reach a threshold that the vendor won’t go below. Throwing in extra items may bring a discount on the overall cost. Many travelers prefer not to haggle in places where the money goes directly to artisans.

12. Respect etiquette at religious sites

Religion is taken very seriously in India, so it pays to know the rules and expectations for visits to temples, mosques, monasteries, gurdwaras (Sikh shrines), synagogues and churches. Always check if you are allowed to enter – some temples and mosques are closed to people who don’t follow the faith. Mosques may also be closed to visitors during prayers or on Fridays.

If asked to do so, remove your shoes before entering any religious building, and be prepared to cover your head with a scarf or shawl. Generally, always cover your legs and arms (a sarong can be handy as an emergency cover-all). Some temples also ban leather goods, and many religious sites do not allow photography.

Avoid pointing the soles of your feet towards a person or deity – this is considered disrespectful. The same goes for touching any person or effigy on the head. It is conventional to walk around Buddhist and Hindu shrines in a clockwise direction, in a ceremonial circuit known as a parikrama .

Making an offering or leaving a donation is often expected – locals always offer something, but be wary of people waving receipts showing huge donations. Giving something is appropriate, but don’t feel pressured into leaving large sums.

13. Giving alms is common but up to you

The giving of alms has a long history in India, and foreigners can expect to be approached regularly with requests for money. Whether you give or not is a personal choice, but many Indians give on a daily basis, particularly when visiting temples and mosques. Be aware that some requests for money will be scams, and you may be able to do more good by giving your time or cash to charity or aid organizations you’ve taken time to research, rather than handing out cash.

14. Respect local social attitudes

India has complex social rules about respect for elders. Depending on where you are traveling to, older people are often greeted with the honorific “auntie” or “uncle,” and the ending ji may also be added to someone’s name as a sign of respect.

Outside bigger cities, India can be quite conservative when it comes to interactions between unmarried men and women. Also, most parts of India are conservative when it comes to same-sex relationships. Whatever your sexuality, it’s best to avoid public displays of affection.

15. Street harassment is unfortunately common

Although harassment can happen anywhere, parts of India are constantly in the news owing to a lack of women’s safety. Beyond long, unwelcome stares and persistent attempts to start a conversation, more serious assaults are also a risk. Groping is common in crowds (particularly during festivals).

Exercise caution like you would anywhere else, and remain alert. Never get into a taxi or auto rickshaw containing anyone other than the driver, and avoid walking alone in quiet areas, particularly at night. Decline offers of food or drinks from strangers.

If traveling by public transport as a woman, it's best to seek out train carriages and designated seating reserved for women. Wearing a wedding ring (even if not married) and using dark sunglasses and headphones can buy you some privacy on public transport. If you are being hassled, drawing loud attention to the intrusion may encourage others to come to your aid.

16. Keep track of security situations in India

India has seen deadly attacks by separatist and Marxist groups and Kashmiri insurgents. Monitor the local news and be alert for suspicious behavior, particularly around major tourist sites. Always check the security situation before traveling to Srinagar and the Kashmir Valley in case of flare-ups of unrest. Strikes, demonstrations and protests are also best avoided, as violence is a risk. It goes without saying but in the event of trouble, obey local curfews and stay inside – your hotel is probably the safest place to be.

17. Take the altitude seriously when hiking

Acute Mountain Sickness (AMS) is a risk when traveling above 2500m (8202ft), which covers most of the Indian Himalayas . AMS can be fatal, so always ascend slowly and take rest days to allow your body to acclimate to significant elevation changes. If you begin to feel ill while hiking in the mountains, stop, and if your symptoms don’t improve, descend immediately.

18. Familiarize yourself with local rules and regulations

India has a few laws and regulations that visitors might be unfamiliar with. For instance, taking photographs of bridges, the periphery of military camps and border crossings – or flying drones over them – is considered a serious security issue.

When traveling by plane internally in India, you may be asked to surrender batteries from devices in your cabin bags. Smoking is banned in most public places, and a few states also have bans on the consumption of beef – killing or injuring a cow in a road accident, even accidentally, can lead to violent reprisals.

To avoid sticky situations, take the time to research where you’re going, and talk to staff at your hotel or hostel or your B&B host for advice on things to be aware of.

19. Steer clear of drugs

India may have a reputation amongst travelers as a place to push boundaries, but its drug laws are strict. Possessing even small amounts of drugs for personal use can lead to a prison sentence.

Some religious groups are permitted to consume marijuana for ceremonial purposes, but that often doesn’t extend to tourists. You can, however, find bhaang – a marijuana mixture made with the leaves (rather than the bud) of the cannabis plant – at government-approved bhaang shops.

20. Avoid the tap water

The tap water in India is not potable. Drinking or brushing your teeth with it can be a fast track to stomach troubles – the most common illness tourists experience in India. Stick to purified or bottled water (or even better, purify your own to avoid contributing to India’s plastic waste mountain).

The water rule extends to ice (be wary of ice in drinks and ice cream) and to uncooked foods, particularly salads and dishes such as coriander chutneys, which may have been washed with contaminated water. When eating fruit, stick to things you can peel or wash thoroughly yourself, and be cautious of freshly prepared juices. Hot drinks are generally fine, so drink your fill of chai (milky tea, often spiced and sweet).

21. Watch local news to keep track of natural disasters

Some geographical areas in India are prone to natural disasters, and the risk is higher in certain seasons. Hilly areas of Himachal Pradesh, for instance, often see flash flooding and landslides during the monsoon. Be alert to signs of natural disasters and keep an eye on the local news so you know which areas to avoid. Follow the Indian Meteorological Department’s website as well as their social media handle for timely updates.

If you are caught up in a natural disaster, follow the advice of emergency workers and try to leave the area quickly.

22. Spot the scams

India has a reputation for scams designed to separate tourists from their money, and touts and confidence tricksters can often be found where tourists gather. Get tourist information and make bookings at official offices, rather than “tourist offices” you have been led to by people offering unsolicited help.

If anyone steers you to a hotel, shop or other establishment without you asking, they may be angling for a commission, which will be added to the price you pay. Be dubious of claims that the place you want to go is “closed” – always check yourself to be sure.

Exercise common sense and be wary of deals that sound too good to be true – for example, the gem scam, where travelers are tricked into buying worthless gems to “sell at a profit back home.”

This article was first published Mar 19, 2022 and updated Dec 15, 2023.

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Vaccination for safe travel to India

Bharti mehta.

Department of Community Medicine; PGIMS; Rohtak, India

Harashish Jindal

Bhumika bhatt, vijay kumar dharma, satvinder choudhary.

Worldwide more than 900 million international journeys are undertaken every year. India is one of the favorite tourist destinations around the world. International travel exposes travelers to a range of health risks. Traveling to India possess a threat to travelers with waterborne diseases like bacterial diarrhea, hepatitis A and E, and typhoid fever; vector borne diseases like dengue fever, Japanese encephalitis, and malaria; animal contact disease like rabies. Furthermore diseases spreading through behavior aspects cannot be ruled out hence posing a risk for hepatitis B, HIV/AIDS, hepatitis C as well. Hence, before travel the travelers are advised about the risk of disease in the country or countries they plan to visit and the steps to be taken to prevent illness. Vaccination offers the possibility of avoiding a number of infectious diseases that may be countered abroad. There is no single vaccination schedule that fits all travelers. Each schedule must be individualized according to the traveler’s previous immunizations, countries to be visited, type and duration of travel, and the amount of time available before departure.

Introduction

Tourism has been recognized as a potent engine for socio-economic development of any nation. Because of its inter-sectorial linkages it possesses the potential to stimulate other economic factors as well. In this rapidly shrinking world, International travel has risen from 25 million international tourists in 1950 to 1.035 million international tourists in 2012 and an estimated increase to 1.8 billion tourists in 2030. 1

Worldwide more than 900 million international journeys are undertaken every year. India is one of the favorite tourist destinations around the world. In comparison to the previous year, there has been substantial growth in foreign tourist arrivals which rose from 6.31 million to 6.65 million accounting to 5.4% and Foreign Exchange Earnings which rose from US $77 591 to US $94 487 crore accounting to 21.8% during the year 2012. 2

International travel exposes travelers to a range of health risks. Many of these risks can be minimized by precautions taken before, during and after travel. Hence, before travel the travelers are advised about the risk of disease in the country or countries they plan to visit and the steps to be taken to prevent illness. 3

Vaccination offers the possibility of avoiding a number of infectious diseases that may be countered abroad. However, satisfactory vaccines have not yet been developed against several of the most life-threatening infections, including tuberculosis, malaria, dengue and HIV/AIDS. There is no single vaccination schedule that fits all travelers. Each schedule must be individualized according to the traveler’s previous immunizations, countries to be visited, type and duration of travel, and the amount of time available before departure. 3

Following vaccination, the immune response of the vaccinated individual varies with the type of vaccine, the number of doses required, and whether the individual has been vaccinated previously against the same disease. For this reason, travelers are advised to consult a travel medicine practitioner or physician 4–8 wk before departure in order to allow sufficient time for optimal immunization schedules to be completed. 3

Traveling to India possess a threat to travelers with waterborne diseases like bacterial diarrhea, hepatitis A and E, and typhoid fever; vector borne diseases like dengue fever, Japanese encephalitis, and malaria; animal contact disease like rabies. 4 Further more diseases spreading through behavior aspects cannot be ruled out hence posing a risk for hepatitis B, HIV/AIDS, hepatitis C as well.

Vaccine Recommendations for Travelers

Numerous international, national, and professional organizations publish guidelines and recommendations that assist travel health providers in giving the best possible advice to prospective travelers. Some of the reasons why guidelines differ include availability of products in different countries, a different cultural perception of risk, lack of evidence (or differing interpretations of the same evidence), and sometimes just honest differences in opinion among experts. 5

Vaccines Recommended for India Travel 6

The vaccination recommended for India travel includes yellow fever, hepatitis A, hepatitis B, tetanus-diphtheria, poliomyelitis, measles, mumps, rubella, influenza, pneumococcal, typhoid fever, and some other selective vaccines like cholera, Japanese encephalitis, and rabies ( Table 1 ).

Travel is a good opportunity for the health care provider to review the immunization status of infants, children, adolescents and adults. Unimmunized or incompletely immunized travelers should be offered vaccination as recommended. A health care provider or travel medicine clinic should be consulted 2 to 3 mo in advance of travel in order to allow sufficient time for optimal immunization schedules to be completed. Vaccination offers the possibility of avoiding a number of infectious diseases that may be countered abroad. But it is important to remember that all health problems faced by international travelers are not preventable by vaccines. It is also important to remember that immunization is not a substitute for safe practices, careful selection and handling of food and water.

10.4161/hv.27234

Disclosure of Potential Conflicts of Interest

No potential conflicts of interest were disclosed.

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Travel Advisory June 23, 2023

India - level 2: exercise increased caution.

Reissued with updates to health information.

Exercise increased caution in India due to crime and terrorism.

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 .

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

Terrorists may attack with little or no warning, targeting 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 from eastern Maharashtra and northern Telangana through western West Bengal as U.S. government employees must obtain special authorization to travel to these areas.

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

The Centers for Disease Control and Prevention (CDC) has determined India has a moderate level of COVID-19.  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. Avoid all travel to this state (with the exception of visits to the eastern Ladakh region and its capital, Leh). Sporadic violence occurs particularly along the Line of Control (LOC) separating India and Pakistan, and in tourist destinations in the Kashmir Valley: Srinagar, Gulmarg, and Pahalgam. The Indian government prohibits foreign tourists from visiting 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 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 Attari, India, and Wagah, Pakistan. The border crossing is usually open but 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 apply for a Pakistani visa in your country of residence before traveling to India.

Northeastern States – Level 4: Do Not Travel

Incidents of violence by ethnic insurgent groups, including bombings of buses, trains, rail lines, and markets, occur occasionally in the northeast.

U.S. government employees at the U.S. Embassy and Consulates in India are prohibited from traveling to the states of Assam, Arunachal Pradesh, Mizoram, Nagaland, Meghalaya, Tripura, and Manipur without special authorization from the U.S. Consulate General in Kolkata.

Central and East India – Level 4: Do Not Travel

Maoist extremist groups, or “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. The Naxalites have conducted frequent terrorist attacks on local police, paramilitary forces, and government officials.

Due to the fluid nature of the threat, all U.S. government travelers to states with Naxalite activity must receive special authorization from the U.S. consulate responsible for the area to be visited. U.S. officials traveling only to the capital cities in these states do not need prior authorization.

Visit our website for Travel to High-Risk Areas . 

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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  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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Vaccines for Travelers

Vaccines protect travelers from serious diseases. Depending on where you travel, you may come into contact with diseases that are rare in the United States, like yellow fever. Some vaccines may also be required for you to travel to certain places.

Getting vaccinated will help keep you safe and healthy while you’re traveling. It will also help make sure that you don’t bring any serious diseases home to your family, friends, and community.

On this page, you'll find answers to common questions about vaccines for travelers.

Which vaccines do I need before traveling?

The vaccines you need to get before traveling will depend on few things, including:

• Where you plan to travel . Some countries require proof of vaccination for certain diseases, like yellow fever or polio. And traveling in developing countries and rural areas may bring you into contact with more diseases, which means you might need more vaccines before you visit.
• Your health . If you’re pregnant or have an ongoing illness or weakened immune system, you may need additional vaccines.
• The vaccinations you’ve already had . It’s important to be up to date on your routine vaccinations. While diseases like measles are rare in the United States, they are more common in other countries. Learn more about routine vaccines for specific age groups .

How far in advance should I get vaccinated before traveling?

It’s important to get vaccinated at least 4 to 6 weeks before you travel. This will give the vaccines time to start working, so you’re protected while you’re traveling. It will also usually make sure there’s enough time for you to get vaccines that require more than 1 dose.

Where can I go to get travel vaccines?

Start by finding a:

• Travel clinic
• Health department
• Yellow fever vaccination clinic

Learn more about where you can get vaccines .

What resources can I use to prepare for my trip?

Here are some resources that may come in handy as you’re planning your trip:

• Visit CDC’s travel website to find out which vaccines you may need based on where you plan to travel, what you’ll be doing, and any health conditions you have.
• Download CDC's TravWell app to get recommended vaccines, a checklist to help prepare for travel, and a personalized packing list. You can also use it to store travel documents and keep a record of your medicines and vaccinations.
• Read the current travel notices to learn about any new disease outbreaks in or vaccine recommendations for the areas where you plan to travel.
• Visit the State Department’s website to learn about vaccinations, insurance, and medical emergencies while traveling.

Traveling with a child? Make sure they get the measles vaccine.

Measles is still common in some countries. Getting your child vaccinated will protect them from getting measles — and from bringing it back to the United States where it can spread to others. Learn more about the measles vaccine.

Find out which vaccines you need

CDC’s Adult Vaccine Quiz helps you create a list of vaccines you may need based on your age, health conditions, and more.

Take the quiz now !

Get Immunized

Getting immunized is easy. Vaccines and preventive antibodies are available at the doctor’s office or pharmacies — and are usually covered by insurance.

Find out how to get protected .

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CDC in India

At a glance.

For over 50 years, CDC has engaged in highly successful technical collaboration with the Government of India (GOI) and Ministry of Health and Family Welfare (MoHFW) while addressing India’s public health priorities. As new health threats emerge, CDC and national partners are well-placed to leverage past successful initiatives to strengthen global health security capabilities and rapidly respond to new public health challenges.

For over 50 years, CDC has engaged in highly successful technical collaboration with GOI and MoHFW . The collaboration addresses India’s public health priorities:

• Global health security
• Tuberculosis (TB)

Vaccine-preventable diseases (VPDs)

Antimicrobial resistance (amr).

As new health threats emerge, CDC and national partners are well-placed to leverage past successful initiatives. Together they work to strengthen global health security capabilities and rapidly respond to new public health challenges.

Public health systems

CDC provides technical expertise in strengthening public health systems to prevent, detect, and respond to emerging infectious diseases. This work helps advance global health security priorities. CDC focuses on real-time disease surveillance, laboratory systems and diagnostics. The work also focuses on workforce development and emergency management.

CDC supports GOI in the conceptualization, development, and implementation of Integrated Public Health Laboratory (IPHL). CDC now supports the scale-up of IPHL across all 730 districts in India. IPHLs have streamlined district- and block-level laboratory practices and increased laboratory diagnostic capacity. CDC supports training in the application of evidence-based techniques. This work helps strengthen infectious diseases diagnostic capacity and assure quality in sub-district, district, and state referral laboratories.

CDC's ongoing efforts to strengthen molecular detection capabilities increase the capacity of district laboratories to detect emerging pathogens. CDC also improves infection prevention and control at 50 hospitals led by the All-India Institute for Medical Sciences.

CDC has supported training for over 10,000 workers in:

• epidemiology and disease surveillance
• public health emergency management
• laboratory diagnostic testing
• biosafety and quality management

Field Epidemiology Training Program (FETP)

FETP strengthens the public health workforce’s abilities to detect, respond, and control disease outbreaks at the source. CDC supports FETPs across India through mentorship for outbreak investigations, surveillance evaluations, COVID-19 activities, and regular training.

Since 2012, India FETP officers investigated over 550 outbreaks and conducted over 300 surveillance evaluations. FETP officers have responded to the COVID-19 pandemic in 22 states and union territories and support measles and rubella elimination efforts.

Emergency management

CDC collaborates with GOI and partners to enhance India’s emergency management capabilities and resilience. CDC supports the establishment, operation, and management of national and sub-national EOCs. EOCs can coordinate and direct response to disease outbreaks, natural or humanmade disasters, and other public health emergencies. CDC also supports creation, development, and maintenance of a comprehensive five-tiered Public Health Emergency and Disaster Management Professional Development Program.

CDC also aims to:

• Increase emergency management human resource capacity.
• Strengthen national and sub-national emergency operations centers (EOCs).
• Develop and update emergency response plans, protocols, and procedures.
• Build and sustain crisis and risk communication capacity.
• Enhance points of entry preparedness and response capabilities.
• Train and equip rapid response teams in management and operations.
• Offer real-time support for multiple EOC activations and outbreak response systems.

Through the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) , CDC works to implement prevention, testing, and treatment, programs. CDC closely collaborates with partners such as the National AIDS Control Organization (NACO) and State AIDS Control Societies.

CDC uses an equity lens while striving to close access gaps among key populations. CDC implements strategies to improve prevention, testing, and treatment options for people in Manipur, Mizoram, and Nagaland. These are states where HIV prevalence is highest.

CDC supports strategies to improve medication delivery and services in community and health system settings. NACO has adopted these strategies across a network of 712 ART centers.

CDC uses diagnostic network optimization and workforce development to strengthen viral load testing capacity and increase access to services.

Key achievements

• Support nationwide HIV behavioral sentinel surveillance—the largest in the world.
• Implement the HIV Advanced Disease Management for early screening of tuberculosis and cryptococcus .
• This includes screening and management of cervical cancer, hypertension, and diabetes, into HIV care to ensure treatment continuity.
• These guidelines were disseminated to 712 ART centers and 29 state AIDS Control Societies.
• This has included index testing services and social network strategy, which now have been included in the revised national HIV counseling and testing guidelines.
• Establish community one stop centers in Manipur and Andhra Pradesh for HIV testing and treatment services.
• This has lead to early and accurate diagnosis of HIV and other STIs.

CDC supports the National Tuberculosis Elimination Program to end TB by supporting four strategic pillars: detect, treat, prevent, and strengthen capacity.

CDC successfully implemented ‘Strengthening TB Action and Response (STAR)’ project in Mumbai. STAR provides public sector drug susceptibility testing to support initiation of individualized drug-resistant TB (DR TB) treatment and improve treatment adherence. STAR also focuses on strengthening infection prevention and control (IPC) practices to reduce TB transmission at 144 healthcare facilities in Mumbai.

This model of TB IPC in Mumbai is based on CDC’s ‘Building and Strengthening Infection Control Strategies (BASICS)’. This model was successfully scaled up in ten states as the ‘TB Mukt Bharat IPC’ project. CDC and partners trained 953 health staff, including hospital infection committee members (HICC) on TB IPC guidelines. HICC members completed baseline assessments in 131 health facilities across the 10 states. CDC is supporting TB IPC among healthcare workers at Mahatma Gandhi Institute of Medical Sciences and Kasturba hospital in Maharashtra.

During the COVID-19 pandemic, CDC helped improved treatment outcomes among patients with DR TB in Mumbai’s informal urban settlements. The results of this project has been published in CDC's MMWR report .

CDC successfully implemented early TB preventive treatment programs in India which included diagnosing and treating latent TB. CDC used patient-friendly diagnostic tests and treatment regimens. CDC helped increase capacity for next generation sequencing at the National Institute of Research in Chennai. This effort identified common and new TB mutations and led to the first Indian TB catalogue of mutations. CDC works with the National Tuberculosis Elimination Program to strengthen state- and district-level capacity to accelerate TB control and elimination efforts.

CDC supports efforts to eradicate or control VPDs through the Universal Immunization Program.

Since the mid 1990's, CDC has helped strengthen:

• Epidemiology and laboratory methods.
• Routine immunization services.
• Training methods.
• Data systems.
• Case-based disease surveillance.
• Outbreak preparedness and response.

CDC's support of the National Public Health Surveillance Project strengthened:

• Implementation of polio , measles , and COVID-19 vaccination campaigns.
• Outbreak response activities.
• Surveillance.

CDC works to increase AMR and healthcare-associated infections (HAIs) surveillance and institutionalize IPC capacity nationally and sub-nationally.

CDC supported GOI to establish the National Antimicrobial Surveillance Network. This increased the country's network from 10 laboratories in 2013 to 40 laboratories across 29 states and union territories.

CDC, the Indian Council of Medical Research and All India Institute of Medical Sciences implemented a HAIs surveillance and prevention network. These networks were used to quickly disseminate COVID-19 information to hospitals.

• CDC supported GOI to strengthen and expand AMR and HAI surveillance across 29 states.
• CDC contributed to technical advisory and core working groups on AMR, IPC, and AMSP committees of MoHFW, Government of India, that guide policy and implementation of AMR surveillance and response activities.
• CDC has developed AMR focused tools, guidelines, SOPs, and training materials for MoHFW.

CDC's influenza program focuses on strengthening three main areas: the surveillance network, public health research, and pandemic preparedness. Influenza viruses change constantly and require continued vigilance.

CDC supports India prepare for pandemics in alignment with India's Pandemic Influenza Preparedness and Response Plan. CDC helps by strengthening laboratories and training clinicians on effective case management and infection control. Many of these activities were developed during the 2009 influenza A/H1N1 pandemic and leveraged during the COVID-19 pandemic.

CDC supports strengthening India's influenza surveillance network by building lab capacity. Lab strengthening is achieved by building capacity for molecular diagnostics and providing critical laboratory supplies. Strong influenza surveillance enabled India to detect seasonal peaks during monsoons, understand seasonality in tropical countries, and guide influenza vaccination timing.

• In collaboration with the All India Institute of Medical Sciences, CDC helps determine the disease and economic burdens of influenza and other respiratory viruses in priority groups, evaluates effectiveness of influenza vaccines, and identifies optimal timing for influenza vaccination.
• CDC fosters collaboration for influenza prevention and control across government bodies, healthcare professionals, researchers, and professional organizations in India through multiple stakeholder meetings during 2022-23 period involving representatives from more than 15 states.
• CDC helped advance molecular diagnostic capacity developed during CDC's collaborations with National Institute of Virology.
• CDC supported trainings on Flu-COVID-19 RT-PCR and next-generation sequencing for participants from medical colleges across India and neighboring countries to strengthen laboratory capacity for rapid detection of viruses and other emerging pathogens for disease prevention and control.

Related links

U.S. Embassy and Consulates in India

CDC India Anniversary Report

India - CDC Travelers' Health

CDC Flickr India Photos

India - Emerging Infectious Diseases journal

Progress Toward Measles and Rubella Elimination — India, 2005–2021

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Travel vaccinations

Measles cases are increasing worldwide.

Before travelling, check that you and your family have received the recommended measles vaccinations.

Do not travel if you have symptoms of measles or have been in contact with someone with measles.

If you develop symptoms of measles after your return to Canada, call a health care provider right away.

Global Measles Notice

When travelling outside Canada, you may be at risk for a number of vaccine preventable illnesses.

You should consult a health care provider or visit a travel health clinic preferably six weeks before you travel. This is an opportunity to:

• review your immunization history
• make sure your provincial/territorial vaccination schedule is up-to-date
• discuss any trip-related health concerns you may have
• assess your needs based on where you plan to travel and what you plan to do

You may need additional vaccinations depending on your age, planned travel activities and local conditions. Preventing disease through vaccination is a lifelong process.

Use the reference below to determine which vaccinations may be recommended or required for your destination.

Vaccination recommendations by destination

Yellow fever vaccination.

Some countries require proof that you have received a yellow fever vaccination before allowing you to enter the country. Consult an embassy or consulate of your destination country in Canada for up-to-date information on its entry and exit requirements before you travel abroad.

Other countries may require you to have been vaccinated for yellow fever if you have passed through an area where yellow fever may occur .

Proof of vaccination must be documented on an International Certificate of Vaccination or Prophylaxis . You must carry the original certificate with you.

In Canada, the vaccination is only given at designated yellow fever vaccination centres .

Immunization records

• Download the free CANImmunize app from the iOS App Store or Google Play, and manage your family’s vaccination records on the go.
• Carry copies of your family’s immunization records while you travel and leave the originals at home.
• Sickness or injury
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• Receiving medical care in other countries
• Travel health kit
• Travel insurance
• Well on Your Way - A Canadian’s Guide to Healthy Travel Abroad
• Tips for healthy travel
• Yellow Fever Vaccination Centres in Canada , Public Health Agency of Canada (PHAC)
• Recommended Immunization Schedules , PHAC

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UAE travel vaccines: List of essential jabs, costs and key information

Vaccinations may depend upon your destination, travel duration, planned activities, and individual health profile.

Ajanta Paul

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Are you planning to travel outside the UAE? Preparing for an international trip involves more than booking flight tickets and packing your bags. It is essential to be aware of the potential health risks in your destination and take necessary precautions to protect yourself.

You may need to be vaccinated against diseases as international travel increases your chances of getting and spreading diseases that are rare or not found in the UAE. The travellers' vaccinations service provides residents with medical consultation and the recommended vaccines against diseases in other countries as per Centers for Disease Control (CDC) and World Health Organization (WHO) recommendations.

Find out which travel vaccines you may need to help you stay healthy on your trip.

What vaccinations do you need?

Almost all public health centres, clinics and private hospitals in UAE provide residents with travellers' vaccine. Schedule your travel consultation at least 4-6 weeks before your departure. Some vaccines should be given well in advance, to allow the body time to develop immunity.

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Vaccinations may depend upon your destination, travel duration, planned activities, and individual health profile. However, here’s a general overview:

Hepatitis A & B: Protects against liver inflammation caused by contaminated food or water.

Typhoid fever: A bacterial infection transmitted through contaminated water or food.

Tdap (Tetanus, Diphtheria, Pertussis): Safeguards against muscle spasms and respiratory distress, respectively.

Rabies: A fatal viral infection transmitted through animal bites. Considered high-risk in some regions.

Meningococcal Meningitis: Bacterial meningitis affecting the brain and spinal cord. Certain strains are prevalent in specific countries.

Vaccinations based on destination & activities:

Malaria : You may need a prescription to prevent you from contracting Malaria. Mosquito-borne parasitic infection endemic in parts of Africa, Asia, and South America.

Japanese Encephalitis: Viral infection transmitted by mosquitoes in Southeast Asia. Vaccination is recommended for travel during monsoon season.

Yellow Fever: Mosquito-borne viral illness prevalent in parts of Africa and South America. Vaccination required for entry to some countries.

Haemorrhagic Fever Viruses: These can include Dengue Fever, Zika Virus, and Ebola Virus. Vaccination options vary depending on the specific virus and region.

Besides the above mentioned, CDC also lists more possible vaccines that you may need to get for the first time or boosters before you travel:

• Flu (Influenza)
• MMR (Measles, Mumps, Rubella)
• Pneumococcal

It is mandatory to take all required doses of vaccination, especially influenza, and to follow all instructions and precautions before UAE pilgrims travel to Saudi Arabia for Umrah and Haj rituals. The UAE's Ministry of Health and Prevention has confirmed that it will be required to present influenza vaccination cards for travellers to Saudi Arabia.

Consult a family medicine doctor to seek advice if you are:

• Pregnant, planning to be pregnant or breastfeeding
• Have an immune deficiency disease
• Have any type of allergy
• You may need a prescription to prevent you from contracting Malaria

Conditions & requirements

— Vaccines should not be administered to any patient who has previously experienced an allergic reaction to any component of the vaccine

— A medical certificate is required for people with immune deficiencies and cancer patients who are undergoing treatment

— Vaccines should not be administered to patients with moderate to severe health conditions at the time of vaccination

— In case of travelling children, ensure that all vaccinations are administered according to the National Immunisation Programme based on the doses specified for the stage of childhood development

— UAE nationals and residents must pay for the first-time issuance of an International Immunisation Card, as well as a replacement fee in case of card loss

— Immunisation for the purpose of travel is free of charge for UAE nationals regardless of whether or not they hold an EHS Health Card

— UAE residents in the country who hold a valid EHS Health Card are exempt from doctor consultation fees

— UAE residents are not exempt from vaccination fees, regardless of whether or not they hold a valid EHS Health Card

Service fees

Through Emirates Health Services (EHS) First International Immunisation Card/Replacement of lost or damaged card: Dh20

• Yellow Fever vaccination: Dh120
• Meningococcal polysaccharide vaccination: Dh75
• Meningococcal conjugate vaccination: Dh100
• Hepatitis B vaccination (3 doses): Dh50 per dose
• Hepatitis A vaccination (2 doses): Dh150 per dose
• Typhoid vaccination: Dh50
• Measles, mumps & rubella (MMR) vaccination: Dh50
• Tetanus & diphtheria vaccination (TD): Dh40
• Poliomyelitis vaccination: Dh50
• Smallpox vaccination (2 doses): Dh250 per dose
• Seasonal influenza vaccination: Dh50
• Rabies vaccination (3 doses): Dh300 per dose
• Pneumococcal polysaccharide vaccination: Dh75
• Pneumococcal conjugate vaccination: Dh150
• Tuberculosis vaccination (BCG): Dh75

Vaccination is free at all health centres under Abu Dhabi Health Services Company (Seha). However, consultations with doctors are chargeable and will depend on individual insurance coverage.

In Dubai, a fee of Dh150 will be charged for an online consultation through the Dubai Health app. During the consultation, the doctor will guide you to the nearest clinic and prescribe the necessary vaccination, the cost of which varies.

Service process

• Book an appointment for consultation
• Residents can visit the service centre for registration
• Payment of fees for first-time international vaccination card holders, or those who wish to be issued with a replacement, as well as payment of a consultation fee
• Customer will advise the doctor of his/her current health condition, medical history, previous vaccinations and the destination to which he/she is travelling
• Based on the results of the medical examination, the doctor will provide advice and guidance, answer all questions regarding the patient's condition and recommend the appropriate vaccination
• Payment of fees according to the type of vaccination recommended
• The vaccination should be provided according to the doctor's recommendation and the international vaccination card should be updated accordingly

Required documents

• Emirates National ID
• Health insurance
• Health card issued by Emirates health services for residents residing in the UAE exempting them from paying consultation fees
• Fear of germs in public toilets? Dubai students have a solution for Dh10
• Coughing for 3 weeks? UAE doctors see rise in bronchitis, pneumonia cases
• UAE flights: New protocol issued to combat spread of infectious diseases during travel
• UAE: Filipino mums take precautions as whooping cough kills 54 kids back home
• Newsletters
• [email protected]

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There’s a New Covid Variant. What Will That Mean for Spring and Summer?

Experts are closely watching KP.2, now the leading variant.

• Share full article

By Dani Blum

For most of this year, the JN.1 variant of the coronavirus accounted for an overwhelming majority of Covid cases . But now, an offshoot variant called KP.2 is taking off. The variant, which made up just one percent of cases in the United States in mid-March, now makes up over a quarter.

KP.2 belongs to a subset of Covid variants that scientists have cheekily nicknamed “FLiRT,” drawn from the letters in the names of their mutations. They are descendants of JN.1, and KP.2 is “very, very close” to JN.1, said Dr. David Ho, a virologist at Columbia University. But Dr. Ho has conducted early lab tests in cells that suggest that slight differences in KP.2’s spike protein might make it better at evading our immune defenses and slightly more infectious than JN.1.

While cases currently don’t appear to be on the rise, researchers and physicians are closely watching whether the variant will drive a summer surge.

“I don’t think anybody’s expecting things to change abruptly, necessarily,” said Dr. Marc Sala, co-director of the Northwestern Medicine Comprehensive Covid-19 Center in Chicago. But KP.2 will most likely “be our new norm,’” he said. Here’s what to know.

The current spread of Covid

Experts said it would take several weeks to see whether KP.2 might lead to a rise in Covid cases, and noted that we have only a limited understanding of how the virus is spreading. Since the public health emergency ended , there is less robust data available on cases, and doctors said fewer people were using Covid tests.

But what we do know is reassuring: Despite the shift in variants, data from the C.D.C. suggests there are only “minimal ” levels of the virus circulating in wastewater nationally, and emergency department visits and hospitalizations fell between early March and late April.

“I don’t want to say that we already know everything about KP.2,” said Dr. Ziyad Al-Aly, the chief of research and development at the Veterans Affairs St. Louis Healthcare System. “But at this time, I’m not seeing any major indications of anything ominous.”

Protection from vaccines and past infections

Experts said that even if you had JN.1, you may still get reinfected with KP.2 — particularly if it’s been several months or longer since your last bout of Covid.

KP.2 could infect even people who got the most updated vaccine, Dr. Ho said, since that shot targets XBB.1.5, a variant that is notably different from JN.1 and its descendants. An early version of a paper released in April by researchers in Japan suggested that KP.2 might be more adept than JN.1 at infecting people who received the most recent Covid vaccine. (The research has not yet been peer-reviewed or published.) A spokesperson for the C.D.C. said the agency was continuing to monitor how vaccines perform against KP.2.

Still, the shot does provide some protection, especially against severe disease, doctors said, as do previous infections. At this point, there isn’t reason to believe that KP.2 would cause more severe illness than other strains, the C.D.C. spokesperson said. But people who are 65 and older, pregnant or immunocompromised remain at higher risk of serious complications from Covid.

Those groups, in particular, may want to get the updated vaccine if they haven’t yet, said Dr. Peter Chin-Hong, an infectious disease specialist at the University of California, San Francisco. The C.D.C. has recommended t hat people 65 and older who already received one dose of the updated vaccine get an additional shot at least four months later.

“Even though it’s the lowest level of deaths and hospitalizations we’ve seen, I’m still taking care of sick people with Covid,” he said. “And they all have one unifying theme, which is that they’re older and they didn’t get the latest shot.”

The latest on symptoms and long Covid

Doctors said that the symptoms of both KP.2 and JN.1 — which now makes up around 16 percent of cases — are most likely similar to those seen with other variants . These include sore throat, runny nose, coughing, head and body aches, fever, congestion, fatigue and in severe cases, shortness of breath. Fewer people lose their sense of taste and smell now than did at the start of the pandemic, but some people will still experience those symptoms.

Dr. Chin-Hong said that patients were often surprised that diarrhea, nausea and vomiting could be Covid symptoms as well, and that they sometimes confused those issues as signs that they had norovirus .

For many people who’ve already had Covid, a reinfection is often as mild or milder than their first case. While new cases of long Covid are less common now than they were at the start of the pandemic, repeat infections do raise the risk of developing long Covid, said Fikadu Tafesse, a virologist at Oregon Health & Science University. But researchers are still trying to determine by how much — one of many issues scientists are trying to untangle as the pandemic continues to evolve.

“That’s the nature of the virus,” Dr. Tafesse said. “It keeps mutating.”

Dani Blum is a health reporter for The Times. More about Dani Blum

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Meningococcal Disease Cases Linked to Travel to the Kingdom of Saudi Arabia (KSA): Ensure Pilgrims are Current on Meningococcal Vaccination

Distributed via the CDC Health Alert Network May 20 2024, 10:30 AM ET CDCHAN-00508

Summary The Centers for Disease Control and Prevention (CDC) is issuing this Health Alert Network (HAN) Health Advisory to alert healthcare providers to cases of meningococcal disease linked to Umrah travel to the Kingdom of Saudi Arabia (KSA). Umrah is an Islamic pilgrimage to Mecca, Kingdom of Saudi Arabia, that can be performed any time in the year; the Hajj is an annual Islamic pilgrimage this year taking place June 14–19, 2024. Since April 2024, 12 cases of meningococcal disease linked to KSA travel for Umrah have been reported to national public health agencies in the United States (5 cases), France (4 cases), and the United Kingdom (3 cases). Two cases were in children aged ≤18 years, four cases were in adults aged 18–44 years, four cases were in adults aged 45–64 years, and two cases were in adults aged 65 years or older. Ten cases were in patients who traveled to KSA, and two were in patients who had close contact with travelers to KSA. Ten cases were caused by Neisseria meningitidis serogroup W (NmW), one U.S. case was caused by serogroup C (NmC), and the serogroup is unknown for one U.S. case. Of nine patients with known vaccination status, all were unvaccinated. The isolates from the one U.S. NmC case and two NmW cases (one U.S., one France) were resistant to ciprofloxacin; based on whole-genome sequencing, the remaining eight NmW isolates were all sensitive to penicillin and ciprofloxacin.

In the United States, quadrivalent meningococcal (MenACWY) conjugate vaccination is routinely recommended for adolescents, and also recommended for travelers to countries where meningococcal disease is hyperendemic or epidemic, including a booster dose of MenACWY if the last dose was administered 3–5 or more years previously (depending on the age at most recent dose received). In addition, all Hajj and Umrah pilgrims aged one year and older are required by KSA to receive quadrivalent meningococcal vaccine. Healthcare providers should work with their patients considering travel to perform Hajj or Umrah to ensure that those aged one year or older have received a MenACWY conjugate vaccine within the last 5 years administered at least 10 days prior to arrival in KSA. Healthcare providers should also maintain increased suspicion for meningococcal disease in anyone presenting with symptoms of meningococcal disease after recent travel to KSA for Hajj or Umrah pilgrimage. U.S. health departments and healthcare providers should preferentially consider using rifampin, ceftriaxone, or azithromycin instead of ciprofloxacin for chemoprophylaxis of close contacts of meningococcal disease cases associated with travel to KSA.

Background Meningococcal disease , caused by the bacterium Neisseria meningitidis , is a rare but severe illness with a case-fatality rate of 10–15%, even with appropriate antibiotic treatment. Meningococcal disease often presents as meningitis with symptoms that may include fever, headache, stiff neck, nausea, vomiting, photophobia, or altered mental status. Meningococcal disease may also present as a meningococcal bloodstream infection with symptoms that may include fever, chills, fatigue, vomiting, cold hands and feet, severe aches and pains, rapid breathing, diarrhea, or, in later stages, a petechial or dark purple rash (purpura fulminans). While initial symptoms of meningococcal disease can at first be nonspecific, they worsen rapidly and can become life-threatening within hours. Survivors may experience long-term effects such as deafness or amputations of the extremities. Immediate antibiotic treatment for meningococcal disease is critical. Blood and cerebrospinal fluid (CSF) cultures are indicated for patients with suspected meningococcal disease. Healthcare providers should not wait for diagnostic testing or receipt of laboratory results before initiating treatment for suspected cases of meningococcal disease.

Meningococcal disease outbreaks have occurred previously in conjunction with mass gatherings including the Hajj pilgrimage. The most recent global outbreak of meningococcal disease associated with travel to KSA for Hajj was in 2000–2001 and was primarily caused by NmW. Since 2002, KSA has required that all travelers aged one year or older performing Hajj or Umrah provide documentation of either a) a MenACWY polysaccharide vaccine (MPSV4 is no longer available in the United States) within the last 3 years administered at least 10 days prior to arrival or b) a MenACWY conjugate vaccine within the last 5 years administered at least 10 days prior to arrival. This requirement aligns with ACIP recommendations for revaccination of U.S. travelers to endemic areas who received their last dose 3–5 or more years previously (depending on the age at most recent dose received). Nevertheless, meningococcal vaccination coverage among Umrah travelers is known to be incomplete.

Close contacts of people with meningococcal disease should receive antibiotic chemoprophylaxis as soon as possible after exposure, regardless of immunization status, ideally less than 24 hours after the index patient is identified. Ciprofloxacin, rifampin, and ceftriaxone are the first-line antibiotics recommended for use as chemoprophylaxis. However, ciprofloxacin-resistant strains of N. meningitidis have been emerging in the United States and globally. CDC recently released implementation guidance for the preferential use of other recommended prophylaxis antibiotics in areas with multiple cases caused by ciprofloxacin-resistant strains. Health departments should discontinue using ciprofloxacin as prophylaxis for close contacts when, in a catchment area during a rolling 12-month period, both a) ≥2 invasive meningococcal disease cases caused by ciprofloxacin-resistant strains have been reported, and b) cases caused by ciprofloxacin-resistant strains account for ≥20% of all reported invasive meningococcal disease cases. Though a catchment area is defined as a “single contiguous area that contains all counties reporting ciprofloxacin-resistant cases,” in this circumstance, it is more appropriate to determine the catchment population based on travel history rather than geographic location at the time of diagnosis. Among the 11 global cases associated with travel to KSA that have antimicrobial sensitivity results available, 3 cases (27%) were caused by ciprofloxacin-resistant strains. Rifampin, ceftriaxone, or azithromycin should be preferentially considered instead of ciprofloxacin as prophylaxis for close contacts in the United States of meningococcal disease cases associated with travel to KSA.

Recommendations for Healthcare Providers

• Recommend vaccination with MenACWY conjugate vaccine for people considering travel to KSA to perform Hajj or Umrah (pilgrims) in addition to routine meningococcal vaccination for adolescents and other people at increased meningococcal disease risk.
• Maintain a heightened index of suspicion for meningococcal disease among symptomatic people who have recently been in KSA and among close contacts of people who have recently been in KSA, regardless of vaccination status.
• Immediately notify state, tribal, local, or territorial health departments about any suspected or confirmed cases of meningococcal disease in the United States.
• Preferentially consider using rifampin, ceftriaxone, or azithromycin instead of ciprofloxacin as prophylaxis for close contacts in the United States of meningococcal disease cases associated with travel in KSA.

Recommendations for Health Departments

• Consider outreach to local communities to promote meningococcal vaccination for Hajj and Umrah pilgrims to KSA.
• Collect a detailed travel history for all reported cases of meningococcal disease.
• Continue to report cases of meningococcal disease in people who have recently been in KSA, or in close contacts of people who have recently been in KSA, to CDC at [email protected] in addition to routine reporting through the National Notifiable Diseases Surveillance System ( NNDSS ).

Recommendations for the Public

• People considering travel to KSA to perform Hajj or Umrah should ensure they are current on vaccination with MenACWY vaccine as required by KSA . All travelers aged one year or older performing Hajj or Umrah should have received either a) a MenACWY polysaccharide vaccine (MPSV4, no longer available in the United States) within the last 3 years administered at least 10 days prior to arrival or b) a quadrivalent MenACWY conjugate vaccine within the last 5 years administered at least 10 days prior to arrival.
• Symptoms of meningococcal meningitis may include fever, headache, stiff neck, nausea, vomiting, photophobia (eyes being more sensitive to light), or altered mental status (confusion).
• Symptoms of meningococcal bloodstream infection may include fever and chills, fatigue, vomiting, cold hands and feet, severe aches and pains, rapid breathing, diarrhea, or, in later stages, a dark purple rash.
• Initial symptoms of meningococcal disease can at first be vague, but worsen rapidly, and can become life-threatening within hours.

For More Information

Healthcare Providers

• Clinical Information | Meningococcal Disease | CDC
• Meningococcal Vaccination: Information for Healthcare Professionals | CDC
• Meningococcal Disease | CDC Yellow Book 2024

Health Departments

• Meningococcal Disease Surveillance | CDC
• Meningococcal Disease | Manual for the Surveillance of Vaccine-Preventable Diseases | CDC
• Meningococcal Disease Outbreaks and Public Health Response | CDC
• Meningococcal Vaccination | CDC
• Signs and Symptoms | Meningococcal Disease | CDC
• Travelers’ Health: Saudi Arabia | CDC  
• Ministry of Health, Kingdom of Saudi Arabia
• Visit CDC-INFO or call 1-800-232-4636
• American Academy of Pediatrics. Meningococcal Infections. [Section 3]. In: Kimberlin DW, Barnett ED, Lynfield R, Sawyer MH, eds. Red Book: 2021–2024 Report of the Committee on Infectious Diseases. Itasca, IL : American Academy of Pediatrics ; 2021;519–32. https://publications.aap.org/redbook/book/347/chapter/5754116/Meningococcal-Infections
• Mbaeyi SA, Bozio CH, Duffy J, et al. Meningococcal Vaccination: Recommendations of the Advisory Committee on Immunization Practices, United States, 2020. MMWR Recomm Rep 2020;69(No. RR-9):1–41. doi: https://dx.doi.org/10.15585/mmwr.rr6909a1
• Badur S, Khalaf M, Öztürk S, et al. Meningococcal Disease and Immunization Activities in Hajj and Umrah Pilgrimage: A review. Infectious Diseases and Therapy 2022;11(4):1343–1369. doi: https://doi.org/10.1007/s40121-022-00620-0
• Yezli S, Gautret P, Assiri AM, Gessner BD, Alotaibi B. Prevention of meningococcal disease at mass gatherings: Lessons from the Hajj and Umrah. Vaccine . 2018;36(31):4603–4609. doi: https://doi.org/10.1016/j.vaccine.2018.06.030 .
• Berry I, Rubis AB, Howie RL, et al. Selection of Antibiotics as Prophylaxis for Close Contacts of Patients with Meningococcal Disease in Areas with Ciprofloxacin Resistance — United States, 2024. MMWR Morb Mortal Wkly Rep 2024; 73:99–103. doi: https://dx.doi.org/10.15585/mmwr.mm7305a2
• Willerton L, Lucidarme J, Campbell H, et al. Geographically widespread invasive meningococcal disease caused by a ciprofloxacin resistant non-groupable strain of the ST-175 clonal complex. Journal of Infection 2020;81(4): 575–584. doi: https://doi.org/10.1016/j.jinf.2020.08.030

The Centers for Disease Control and Prevention (CDC) protects people’s health and safety by preventing and controlling diseases and injuries; enhances health decisions by providing credible information on critical health issues; and promotes healthy living through strong partnerships with local, national and international organizations.

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Think Travel Vaccine Guide

As a health care provider, be sure to prepare your globe-trotting patients for travel by providing a quick pretravel risk assessment, consultation, and care. THINK TRAVEL:

• Ask your patients if they plan on any international travel .
• Make sure they are up- to- date on all routine vaccines before their trip.
• Hepatitis A
• Hepatitis B
• Yellow fever
• Japanese encephalitis
• Meningococcal diseases

For destination-specific vaccine recommendations, search CDC’s Destination pages.

Think about...

*Travelers may also need routine (non-travel) vaccines or boosters before travel including influenza; measles, mumps, and rubella (MMR); tetanus (Td or Tdap); varicella; pneumococcus; and polio. Check CDC’s Destination Pages for country-specific vaccine recommendations.

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• CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website.

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