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COVID-19 international travel advisories
Visitors to the U.S. do not need to be tested or vaccinated for COVID-19. U.S. citizens going abroad, check Department of State travel advisories for the country you will visit.
COVID-19 testing and vaccine rules for entering the U.S.
You do not need to show proof of being fully vaccinated against COVID-19 or take a COVID-19 test to enter the U.S. This applies to U.S. citizens and non-citizens.
U.S. citizens traveling to a country outside the U.S.
Find country-specific travel advisories, including COVID-19 restrictions, from the Department of State.
See the CDC's COVID-19 guidance for safer international travel to learn:
- If you can travel if you recently had COVID-19
- What you can do to help prevent COVID-19
LAST UPDATED: May 31, 2024
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- Fact Sheets
Frequently Asked Questions: Guidance for Travelers to Enter the U.S.
Updated Date: April 21, 2022
Since January 22, 2022, DHS has required non-U.S. individuals seeking to enter the United States via land ports of entry and ferry terminals at the U.S.-Mexico and U.S.-Canada borders to be fully vaccinated for COVID-19 and provide proof of vaccination upon request. On April 21, 2022, DHS announced that it would extend these requirements. In determining whether and when to rescind this order, DHS anticipates that it will take account of whether the vaccination requirement for non-U.S. air travelers remains in place.
These requirements apply to non-U.S. individuals who are traveling for essential or non-essential reasons. They do not apply to U.S. citizens, Lawful Permanent Residents, or U.S. nationals.
Effective November 8, 2021, new air travel requirements applied to many noncitizens who are visiting the United States temporarily. These travelers are also required to show proof of COVID-19 vaccination. All air travelers, including U.S. persons, must test negative for COVID-19 prior to departure. Limited exceptions apply. See CDC guidance for more details regarding air travel requirements.
Below is more information about what to know before you go, and answers to Frequently Asked Questions about cross-border travel.
Entering the U.S. Through a Land Port of Entry or Ferry Terminal
Q. what are the requirements for travelers entering the united states through land poes.
A: Before embarking on a trip to the United States, non-U.S. travelers should be prepared for the following:
- Possess proof of an approved COVID-19 vaccination as outlined on the CDC website.
- During border inspection, verbally attest to their COVID-19 vaccination status.
- Bring a Western Hemisphere Travel Initiative compliant border crossing document, such as a valid passport (and visa if required), Trusted Traveler Program card, a Department of State-issued Border Crossing Card, Enhanced Driver’s License or Enhanced Tribal Card when entering the country. Travelers (including U.S. citizens) should be prepared to present the WHTI-compliant document and any other documents requested by the CBP officer.
Q. What are the requirements to enter the United States for children under the age of 18 who can't be vaccinated?
A: Children under 18 years of age are excepted from the vaccination requirement at land and ferry POEs.
Q: Which vaccines/combination of vaccines will be accepted?
A: Per CDC guidelines, all Food and Drug Administration (FDA) approved and authorized vaccines, as well as all vaccines that have an Emergency Use Listing (EUL) from the World Health Organization (WHO), will be accepted.
Accepted Vaccines:
- More details are available in CDC guidance here .
- 2 weeks (14 days) after your dose of an accepted single-dose COVID-19 vaccine;
- 2 weeks (14 days) after your second dose of an accepted 2-dose series;
- 2 weeks (14 days) after you received the full series of an accepted COVID-19 vaccine (not placebo) in a clinical trial;
- 2 weeks (14 days) after you received 2 doses of any “mix-and-match” combination of accepted COVID-19 vaccines administered at least 17 days apart.
Q. Is the United States requiring travelers to have a booster dose to be considered fully vaccinated for border entry purposes?
A: No. The CDC guidance for “full vaccination” can be found here.
Q: Do U.S. citizens or lawful permanent residents need proof of vaccination to return to the United States via land POEs and ferry terminals?
A: No. Vaccination requirements do not apply to U.S. citizens, U.S. nationals, or Lawful Permanent Residents (LPRs). Travelers that exhibit signs or symptoms of illness will be referred to CDC for additional medical evaluation.
Q: Is pre- or at-arrival COVID testing required to enter the United States via land POEs or ferry terminals?
A: No, there is no COVID testing requirement to enter the United States via land POE or ferry terminals. In this respect, the requirement for entering by a land POE or ferry terminal differs from arrival via air, where there is a requirement to have a negative test result before departure.
Processing Changes Announced on January 22, 2022
Q: new changes were recently announced. what changed on january 22.
A: Since January 22, 2022, non-citizens who are not U.S. nationals or Lawful Permanent Residents have been required to be vaccinated against COVID-19 to enter the United States at land ports of entry and ferry terminals, whether for essential or nonessential purposes. Previously, DHS required that non-U.S. persons be vaccinated against COVID-19 to enter the United States for nonessential purposes. Effective January 22, all non-U.S. individuals, to include essential travelers, must be prepared to attest to vaccination status and present proof of vaccination to a CBP officer upon request. DHS announced an extension of this policy on April 21, 2022.
Q: Who is affected by the changes announced on January 22?
A: This requirement does not apply to U.S. citizens, U.S. nationals, or U.S. Lawful Permanent Residents. It applies to other noncitizens, such as a citizen of Mexico, Canada, or any other country seeking to enter the United States through a land port of entry or ferry terminal.
Q: Do U.S. citizens need proof of vaccination to return to the United States via land port of entry or ferry terminals?
A: Vaccination requirements do not apply to U.S. Citizens, U.S. nationals or U.S. Lawful Permanent Residents. Travelers that exhibit signs or symptoms of illness will be referred to CDC for additional medical evaluation.
Q: What is essential travel?
A: Under the prior policy, there was an exception from temporary travel restrictions for “essential travel.” Essential travel included travel to attend educational institutions, travel to work in the United States, travel for emergency response and public health purposes, and travel for lawful cross-border trade (e.g., commercial truckers). Under current policy, there is no exception for essential travel.
Q: Will there be any exemptions?
A: While most non-U.S. individuals seeking to enter the United States will need to be vaccinated, there is a narrow list of exemptions consistent with the Centers for Disease Control and Prevention (CDC) Order in the air travel context.
- Certain categories of individuals on diplomatic or official foreign government travel as specified in the CDC Order
- Children under 18 years of age;
- Certain participants in certain COVID-19 vaccine trials as specified in the CDC Order;
- Individuals with medical contraindications to receiving a COVID-19 vaccine as specified in the CDC Order;
- Individuals issued a humanitarian or emergency exception by the Secretary of Homeland Security;
- Individuals with valid nonimmigrant visas (excluding B-1 [business] or B-2 [tourism] visas) who are citizens of a country with limited COVID-19 vaccine availability, as specified in the CDC Order
- Members of the U.S. Armed Forces or their spouses or children (under 18 years of age) as specified in the CDC Order; and
- Individuals whose entry would be in the U.S. national interest, as determined by the Secretary of Homeland Security.
Q: What documentation will be required to show vaccination status?
A: Non-U.S. individuals are required to be prepared to attest to vaccination status and present proof of vaccination to a CBP officer upon request regardless of the purpose of travel.
The current documentation requirement remains the same and is available on the CDC website . Documentation requirements for entry at land ports of entry and ferry terminals mirror those for entry by air.
Q: What happens if someone doesn’t have proof of vaccine status?
A: If non-U.S. individuals cannot present proof of vaccination upon request, they will not be admitted into the United States and will either be subject to removal or be allowed to withdraw their application for entry.
Q: Will incoming travelers be required to present COVID-19 test results?
A: There is no COVID-19 testing requirement for travelers at land border ports of entry, including ferry terminals.
Q: What does this mean for those who can't be vaccinated, either due to age or other health considerations?
A: See CDC guidance for additional information on this topic. Note that the vaccine requirement does not apply to children under 18 years of age.
Q: Does this requirement apply to amateur and professional athletes?
A: Yes, unless they qualify for one of the narrow CDC exemptions.
Q: Are commercial truckers required to be vaccinated?
A: Yes, unless they qualify for one of the narrow CDC exemptions. These requirements also apply to bus drivers as well as rail and ferry operators.
Q. Do you expect border wait times to increase?
A: As travelers navigate these new travel requirements, wait times may increase. Travelers should account for the possibility of longer than normal wait times and lines at U.S. land border crossings when planning their trip and are kindly encouraged to exercise patience.
To help reduce wait times and long lines, travelers can take advantage of innovative technology, such as facial biometrics and the CBP OneTM mobile application, which serves as a single portal for individuals to access CBP mobile applications and services.
Q: How is Customs and Border Protection staffing the ports of entry?
A: CBP’s current staffing levels at ports of entry throughout the United States are commensurate with pre-pandemic levels. CBP has continued to hire and train new employees throughout the pandemic. CBP expects some travelers to be non-compliant with the proof of vaccination requirements, which may at times lead to an increase in border wait times. Although trade and travel facilitation remain a priority, we cannot compromise national security, which is our primary mission. CBP Office of Field Operations will continue to dedicate its finite resources to the processing of arriving traffic with emphasis on trade facilitation to ensure economic recovery.
Q: What happens if a vaccinated individual is traveling with an unvaccinated individual?
A: The unvaccinated individual (if 18 or over) would not be eligible for admission.
Q: If I am traveling for an essential reason but am not vaccinated can I still enter?
A: No, if you are a non-U.S. individual. The policy announced on January 22, 2022 applies to both essential and non-essential travel by non-U.S. individual travelers. Since January 22, DHS has required that all inbound non-U.S. individuals crossing U.S. land or ferry POEs – whether for essential or non-essential reasons – be fully vaccinated for COVID-19 and provide related proof of vaccination upon request.
Q: Are sea crew members on vessels required to have a COVID vaccine to disembark?
A: Sea crew members traveling pursuant to a C-1 or D nonimmigrant visa are not excepted from COVID-19 vaccine requirements at the land border. This is a difference from the international air transportation context.
Entering the U.S. via Air Travel
Q: what are the covid vaccination requirements for air passengers to the united states .
A: According to CDC requirements [www.cdc.gov/coronavirus/2019-ncov/travelers/noncitizens-US-air-travel.html | Link no longer valid], most noncitizens who are visiting the United States temporarily must be fully vaccinated prior to boarding a flight to the United States. These travelers are required to show proof of vaccination. A list of covered individuals is available on the CDC website.
Q: What are the COVID testing requirements for air passengers to the United States?
A: Effective Sunday, June 12 at 12:01 a.m. ET, CDC will no longer require pre-departure COVID-19 testing for U.S.-bound air travelers.
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Executive Order on Promoting COVID- 19 Safety in Domestic and International Travel
By the authority vested in me as President by the Constitution and the laws of the United States of America, it is hereby ordered as follows:
Section 1. Policy. Science-based public health measures are critical to preventing the spread of coronavirus disease 2019 (COVID-19) by travelers within the United States and those who enter the country from abroad. The Centers for Disease Control and Prevention (CDC), the Surgeon General, and the National Institutes of Health have concluded that mask-wearing, physical distancing, appropriate ventilation, and timely testing can mitigate the risk of travelers spreading COVID-19. Accordingly, to save lives and allow all Americans, including the millions of people employed in the transportation industry, to travel and work safely, it is the policy of my Administration to implement these public health measures consistent with CDC guidelines on public modes of transportation and at ports of entry to the United States.
Sec. 2. Immediate Action to Require Mask-Wearing on Certain Domestic Modes of Transportation.
(a) Mask Requirement. The Secretary of Labor, the Secretary of Health and Human Services (HHS), the Secretary of Transportation (including through the Administrator of the Federal Aviation Administration (FAA)), the Secretary of Homeland Security (including through the Administrator of the Transportation Security Administration (TSA) and the Commandant of the United States Coast Guard), and the heads of any other executive departments and agencies (agencies) that have relevant regulatory authority (heads of agencies) shall immediately take action, to the extent appropriate and consistent with applicable law, to require masks to be worn in compliance with CDC guidelines in or on:
(i) airports;
(ii) commercial aircraft;
(iii) trains;
(iv) public maritime vessels, including ferries;
(v) intercity bus services; and
(vi) all forms of public transportation as defined in section 5302 of title 49, United States Code.
(b) Consultation. In implementing this section, the heads of agencies shall consult, as appropriate, with interested parties, including State, local, Tribal, and territorial officials; industry and union representatives from the transportation sector; and consumer representatives.
(c) Exceptions. The heads of agencies may make categorical or case-by-case exceptions to policies developed under this section, consistent with applicable law, to the extent that doing so is necessary or required by law. If the heads of agencies do make exceptions, they shall require alternative and appropriate safeguards, and shall document all exceptions in writing.
(d) Preemption. To the extent permitted by applicable law, the heads of agencies shall ensure that any action taken to implement this section does not preempt State, local, Tribal, and territorial laws or rules imposing public health measures that are more protective of public health than those required by the heads of agencies.
(e) Coordination. The Coordinator of the COVID-19 Response and Counselor to the President (COVID-19 Response Coordinator) shall coordinate the implementation of this section. The heads of agencies shall update the COVID-19 Response Coordinator on their progress in implementing this section, including any categorical exceptions established under subsection (c) of this section, within 7 days of the date of this order and regularly thereafter. The heads of agencies are encouraged to bring to the attention of the COVID-19 Response Coordinator any questions regarding the scope or implementation of this section.
Sec. 3. Action to Implement Additional Public Health Measures for Domestic Travel.
(a) Recommendations. The Secretary of Transportation (including through the Administrator of the FAA) and the Secretary of Homeland Security (including through the Administrator of the TSA and the Commandant of the Coast Guard), in consultation with the Director of CDC, shall promptly provide to the COVID-19 Response Coordinator recommendations concerning how their respective agencies may impose additional public health measures for domestic travel.
(b) Consultation. In implementing this section, the Secretary of Transportation and the Secretary of Homeland Security shall engage with interested parties, including State, local, Tribal, and territorial officials; industry and union representatives from the transportation sector; and consumer representatives.
Sec. 4. Support for State, Local, Tribal, and Territorial Authorities. The COVID-19 Response Coordinator, in coordination with the Secretary of Transportation and the heads of any other relevant agencies, shall promptly identify and inform agencies of options to incentivize, support, and encourage widespread mask-wearing and physical distancing on public modes of transportation, consistent with CDC guidelines and applicable law.
Sec. 5. International Travel.
(a) Policy. It is the policy of my Administration that, to the extent feasible, travelers seeking to enter the United States from a foreign country shall be:
(i) required to produce proof of a recent negative COVID-19 test prior to entry; and
(ii) required to comply with other applicable CDC guidelines concerning international travel, including recommended periods of self-quarantine or self-isolation after entry into the United States.
(b) Air Travel.
(i) The Secretary of HHS, including through the Director of CDC, and in coordination with the Secretary of Transportation (including through the Administrator of the FAA) and the Secretary of Homeland Security (including through the Administrator of the TSA), shall, within 14 days of the date of this order, assess the CDC order of January 12, 2021, regarding the requirement of a negative COVID-19 test result for airline passengers traveling into the United States, in light of subsection (a) of this section. Based on such assessment, the Secretary of HHS and the Secretary of Homeland Security shall take any further appropriate regulatory action, to the extent feasible and consistent with CDC guidelines and applicable law. Such assessment and regulatory action shall include consideration of:
(A) the timing and types of COVID-19 tests that should satisfy the negative test requirement, including consideration of additional testing immediately prior to departure; (B) the proof of test results that travelers should be required to provide; (C) the feasibility of implementing alternative and sufficiently protective public health measures, such as testing, self-quarantine, and self-isolation on arrival, for travelers entering the United States from countries where COVID-19 tests are inaccessible, particularly where such inaccessibility of tests would affect the ability of United States citizens and lawful permanent residents to return to the United States; and (D) measures to prevent fraud.
(ii) The Secretary of HHS, in coordination with the Secretary of Transportation (including through the Administrator of the FAA) and the Secretary of Homeland Security (including through the Administrator of the TSA), shall promptly provide to the President, through the COVID-19 Response Coordinator, a plan for how the Secretary and other Federal Government actors could implement the policy stated in subsection (a) of this section with respect to CDC-recommended periods of self-quarantine or self-isolation after a flight to the United States from a foreign country, as he deems appropriate and consistent with applicable law. The plan shall identify agencies’ tools and mechanisms to assist travelers in complying with such policy.
(iii) The Secretary of State, in consultation with the Secretary of HHS (including through the Director of CDC), the Secretary of Transportation (including through the Administrator of the FAA), and the Secretary of Homeland Security, shall seek to consult with foreign governments, the World Health Organization, the International Civil Aviation Organization, the International Air Transport Association, and any other relevant stakeholders to establish guidelines for public health measures associated with safe international travel, including on aircraft and at ports of entry. Any such guidelines should address quarantine, testing, COVID-19 vaccination, follow-up testing and symptom-monitoring, air filtration requirements, environmental decontamination standards, and contact tracing.
(c) Land Travel. The Secretary of State, in consultation with the Secretary of HHS, the Secretary of Transportation, the Secretary of Homeland Security, and the Director of CDC, shall immediately commence diplomatic outreach to the governments of Canada and Mexico regarding public health protocols for land ports of entry. Based on this diplomatic engagement, within 14 days of the date of this order, the Secretary of HHS (including through the Director of CDC), the Secretary of Transportation, and the Secretary of Homeland Security shall submit to the President a plan to implement appropriate public health measures at land ports of entry. The plan should implement CDC guidelines, consistent with applicable law, and take into account the operational considerations relevant to the different populations who enter the United States by land.
(d) Sea Travel. The Secretary of Homeland Security, through the Commandant of the Coast Guard and in consultation with the Secretary of HHS and the Director of CDC, shall, within 14 days of the date of this order, submit to the President a plan to implement appropriate public health measures at sea ports. The plan should implement CDC guidelines, consistent with applicable law, and take into account operational considerations.
(e) International Certificates of Vaccination or Prophylaxis. Consistent with applicable law, the Secretary of State, the Secretary of HHS, and the Secretary of Homeland Security (including through the Administrator of the TSA), in coordination with any relevant international organizations, shall assess the feasibility of linking COVID-19 vaccination to International Certificates of Vaccination or Prophylaxis (ICVP) and producing electronic versions of ICVPs.
(f) Coordination. The COVID-19 Response Coordinator, in consultation with the Assistant to the President for National Security Affairs and the Assistant to the President for Domestic Policy, shall coordinate the implementation of this section. The Secretary of State, the Secretary of HHS, the Secretary of Transportation, and the Secretary of Homeland Security shall update the COVID-19 Response Coordinator on their progress in implementing this section within 7 days of the date of this order and regularly thereafter. The heads of all agencies are encouraged to bring to the attention of the COVID-19 Response Coordinator any questions regarding the scope or implementation of this section.
Sec. 6. General Provisions. (a) Nothing in this order shall be construed to impair or otherwise affect:
(i) the authority granted by law to an executive department or agency, or the head thereof; or
(ii) the functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.
(b) This order shall be implemented consistent with applicable law and subject to the availability of appropriations.
(c) This order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.
JOSEPH R. BIDEN JR.
THE WHITE HOUSE, January 21, 2021.
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The Administration will end the COVID-19 vaccine requirements for international air travelers at the end of the day on May 11, the same day that the COVID-19 public health emergency ends. This means starting May 12, noncitizen nonimmigrant air passengers will no longer need to show proof of being fully vaccinated with an accepted COVID-19 vaccine to board a flight to the United States. CDC’s Amended Order Implementing Presidential Proclamation on Safe Resumption of Global Travel During the COVID-19 Pandemic will no longer be in effect when the Presidential Proclamation Advancing the Safe Resumption of Global Travel During the COVID-19 Pandemic is revoked .
Please see: https://www.whitehouse.gov/briefing-room/statements-releases/2023/05/01/the-biden-administration-will-end-covid-19-vaccination-requirements-for-federal-employees-contractors-international-travelers-head-start-educators-and-cms-certified-facilities/
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- COVID-19 travel advice
Lower your risk of COVID-19 as you travel for a safe and fun adventure.
Successful travel starts with being prepared for the unexpected. Coronavirus disease 2019, known as COVID-19, is now a part of standard travel planning.
As you choose a destination, travel group or event, add COVID-19 to the list of things to research. When packing for yourself or anyone you're caring for on the trip, consider COVID-19 prevention and testing.
No one wants to plan for the worst. But having a plan in case you catch the COVID-19 virus while traveling can save time if you need medical care.
To start, it can help to ask these basic questions as you make plans.
Am I up to date with my COVID-19 vaccine?
Staying up to date on your COVID-19 vaccine helps prevent serious illness, the need for hospital care and death due to COVID-19 .
If you need a vaccine, plan to get it at least a few weeks before you travel. Protection from the vaccine isn't immediate.
Am I, a travel companion or a person I live with at high risk of serious COVID-19 illness?
Many people with COVID-19 have no symptoms or mild illness. But for older adults and people of any age with certain medical conditions, COVID-19 can lead to the need for care in the hospital or death.
If you or those around you are at high risk of serious COVID-19 illness, take extra safety measures during or after travel.
Ask a healthcare professional if there are any specific actions you should take.
Does my destination, tour group or event need proof that I had a COVID-19 vaccine? Do I need to show proof of a negative COVID-19 test?
The country you travel to may not need to know your COVID-19 status. But you might need the information for other reasons.
Events, venues or tour groups might require proof that you are COVID-19 negative or are up to date on a COVID-19 vaccine. Check before you go so you have all the paperwork you need.
What's the plan if I get COVID-19 on my trip?
No one wants to get sick while traveling. But in case you do, it helps to know where you can get medical care and whether you'll be able to stay apart from others while you have symptoms.
Put together a COVID-19 kit with rapid home tests, masks, a thermometer, disinfectant wipes and hand sanitizer that contains at least 60% alcohol.
Before you leave, gather health information from your healthcare professional. Make sure it gives the details on any health conditions you're managing and medicine you take.
COVID-19 spread during travel
The virus that causes COVID-19 spreads mainly from person to person. When the virus is spreading, spending time indoors with a crowd of people raises your risk of catching it. The risk is higher if the indoor space has poor airflow.
The coronavirus is carried by a person's breath.
The virus spreads when a person with COVID-19 breathes, coughs, sneezes, sings or talks. The droplets or particles the infected person breathes out could possibly be breathed in by other people if they are close together or in areas with low airflow.
The virus carried by a person's breath can land directly on the face of a nearby person, after a sneeze or cough, for example. And people may touch a surface that has respiratory droplets and then touch their faces with hands that have the coronavirus on them.
Clean hands
While you travel, one way to lower your risk of COVID-19 is to clean your hands often.
Wash your hands after using the bathroom, before making food or eating, and after coughing, sneezing or blowing your nose. If you touch something that others regularly touch, such as an elevator button or a handrail, make sure to clean your hands afterward.
Also, try to avoid touching your eyes, nose or mouth.
Wearing a face mask is another way to lower your risk of COVID-19 .
Travel brings people together from areas where viruses may be spreading at higher levels. Masks can help slow the spread of respiratory viruses in general, including the COVID-19 virus.
Masks help the most in places with low airflow and where you are in close contact with other people. Also, masks can help if viruses are spreading at high levels in the places you travel to or through.
Masking is especially important if you or a companion have a high risk of serious COVID-19 illness. Choose the most protective mask that fits well and is comfortable.
Get the COVID-19 vaccine
As the virus that causes COVID-19 changes, COVID-19 vaccines are updated, so stay up to date with the recommended shots.
Know when the COVID-19 virus is spreading in your area
Check with health agencies in the area to see where the COVID-19 virus is spreading. Information about the spread of the virus may include the number of people in the hospital with COVID-19 or the number of people who test positive for the disease.
Keep some space around you
Choose outdoor activities and keep some distance between yourself and others. Poor airflow plus lots of people crowded together equals a higher chance you'll come in contact with the virus that causes COVID-19 .
If you can, try to avoid spending time with people who have COVID-19 symptoms or who are sick.
There will likely be times during travel when you don't have a choice about how close you are to others. Here are some tips for air travel, public transportation and lodging.
The risk of catching the virus that causes COVID-19 from air travel is thought to be low.
Air in the plane's cabin changes over quickly during the flight, being replaced every few minutes in some planes. Airplane air also is often filtered. So germs, including viruses, are trapped before they spread.
The air flowing down from vents above the seats in each row may help keep germs from spreading. Seats also may act as a barrier to germ spread on a plane, unless the person who is ill is sitting close to you.
You can help lower your risk by spreading out to keep distance between you and others when you can and cleaning your hands regularly.
Wearing a mask in crowded areas, such as security lines and bathrooms, can help protect you from COVID-19 and other respiratory illnesses.
Trains, buses and cars
Trains and buses may have good airflow and air filtering. But check before you travel so you know what to expect. When a vehicle is crowded, wear a face mask and take other steps, such as cleaning your hands.
Taxis and private cars used for ride-sharing may not have air filtering. But in most cases, rolling down a window could be an option to improve airflow.
Rental car companies may post their cleaning policies on the internet, or you can ask directly when you book the vehicle.
Hotels and other lodging
Cleaning protocols at hotels, vacation rentals and other lodging have largely returned to the way they were before the COVID-19 pandemic. If you have questions about how hosts or businesses protect guests, contact them directly. In public areas of hotels, take steps to lower your risk of catching the virus that causes COVID-19 .
Put safety first
Despite your planning, an illness may delay or cancel your trip. Stay home if you or anyone you're traveling with has:
- Symptoms of COVID-19 , such as fever or new loss of taste or smell.
- Taken a COVID-19 test and is waiting for results.
- Been diagnosed with COVID-19 .
Keep watch for serious symptoms of COVID-19 , such as trouble breathing or chest pain. If you or a person you're taking care of has symptoms that worry you, get help.
Once the fever is gone and symptoms are getting better, you may choose to travel. But for about five days after feeling better, you could still give others the virus that causes COVID-19 . Take extra actions to protect the people around you.
- Wear a mask.
- Keep your distance from others, especially when indoors.
- Clean your hands regularly.
- Keep the air flowing by turning on fans or opening windows when you can.
If you start to feel worse or your fever comes back, avoid being around others again until you feel better.
Stay flexible
With COVID-19 vaccinations, testing and treatment, events and travel are back to typical levels in many places. But as waves of COVID-19 outbreaks happen, it's important to stay flexible with your plans. Knowing whether the COVID-19 virus is spreading in your area or in places where you're traveling can help you make decisions about whether to go and what to put on your agenda.
- Stay up to date with COVID-19 vaccines. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/vaccines/stay-up-to-date.html. Accessed May 15, 2024.
- Understanding how COVID-19 vaccines work. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/vaccines/different-vaccines/how-they-work.html. Accessed May 15, 2024.
- People with certain medical conditions. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html. Accessed May 15, 2024.
- Coronavirus disease (COVID-19): Travel advice for the general public. World Health Organization. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub/q-a-detail/coronavirus-disease-covid-19-travel-advice-for-the-general-public. Accessed May 15, 2024.
- Centers for Disease Control and Prevention. COVID-19. In: CDC Yellow Book 2024. https://wwwnc.cdc.gov/travel/yellowbook/2024/infections-diseases/covid-19. Accessed May 15, 2024.
- Centers for Disease Control and Prevention. Obtaining health care abroad. In: CDC Yellow Book 2024. https://wwwnc.cdc.gov/travel/yellowbook/2024/health-care-abroad/health-care-abroad. Accessed May 15, 2024.
- Goldman L, et al., eds. COVID-19: Epidemiology, clinical manifestations, diagnosis, community prevention, and prognosis. In: Goldman-Cecil Medicine. 27th ed. Elsevier; 2024. https://www.clinicalkey.com. Accessed May 16, 202.
- Taking steps for cleaner air for respiratory virus prevention. Centers for Disease Control and Prevention. https://www.cdc.gov/respiratory-viruses/prevention/air-quality.html. Accessed May 16, 2024.
- How COVID-19 spreads. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/how-covid-spreads.html. Accessed May 16, 2024.
- COVID-19 overview and infection prevention and control priorities in non-U.S. healthcare settings. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/hcp/non-us-settings/overview/index.html. Accessed May 16, 2024.
- Hygiene and respiratory viruses prevention. Centers for Disease Control and Prevention. https://www.cdc.gov/respiratory-viruses/prevention/hygiene.html. Accessed May 14, 2024.
- About handwashing. Centers for Disease Control and Prevention. https://www.cdc.gov/clean-hands/about/index.html. Accessed May 16, 2024.
- Masking during travel. Centers for Disease Control and Prevention. https://wwwnc.cdc.gov/travel/page/masks. Accessed May 16, 2024.
- Masks and respiratory virus prevention. Centers for Disease Control and Prevention. https://www.cdc.gov/respiratory-viruses/prevention/masks.html. Accessed May 16, 2024.
- How to protect yourself and others. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html. Accessed May 16, 2024.
- About physical distancing and respiratory viruses. Centers for Disease Control and Prevention. https://www.cdc.gov/respiratory-viruses/prevention/physical-distancing.html. Accessed May 16, 2024.
- How can ventilation reduce the risk of contracting COVID-19 on airplanes? World Health Organization. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub/q-a-detail/coronavirus-disease-covid-19-travel-advice-for-the-general-public. Accessed May 16, 2024.
- Bielecki M, et al. Air travel and COVID-19 prevention in the pandemic and peri-pandemic period: A narrative review. Travel Medicine and Infectious Disease. 2021; doi:10.1016/j.tmaid.2020.101915.
- Symptoms of COVID-19. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html. Accessed May 16, 2024.
- Preventing spread of respiratory viruses when you're sick. Centers for Disease Control and Prevention. https://www.cdc.gov/respiratory-viruses/prevention/precautions-when-sick.html. Accessed May 16, 2024.
Products and Services
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- COVID-19 vaccines
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- COVID-19 vs. flu: Similarities and differences
- COVID-19: Who's at higher risk of serious symptoms?
- Debunking coronavirus myths
- Different COVID-19 vaccines
- Extracorporeal membrane oxygenation (ECMO)
- Fever: First aid
- Fever treatment: Quick guide to treating a fever
- Fight coronavirus (COVID-19) transmission at home
- Honey: An effective cough remedy?
- How do COVID-19 antibody tests differ from diagnostic tests?
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- Thermometers: Understand the options
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- Unusual symptoms of coronavirus
- Vaccine guidance from Mayo Clinic
- Watery eyes
Related Information
- Coronavirus: What is it and how can I protect myself?
- COVID-19 vaccines: Get the facts
- COVID-19 , cold, allergies and the flu: What are the differences?
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![travel in the usa covid The novel coronavirus, first detected at the end of 2019, has caused a global pandemic.](https://media.npr.org/assets/img/2020/03/19/c_virus_outbreak_sq-da13c5d35151937526bb15807fbc7e93183fa9b1.jpg?s=100&c=85&f=jpeg)
Coronavirus Updates
The u.s. lifts the pandemic travel ban and opens the doors to international visitors.
The Associated Press
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Passengers walk through Salt Lake City International Airport, Oct. 27, 2020. More than a year and a half after COVID-19 concerns prompted the U.S. to close its borders to international travelers from countries including Brazil, China, India, South Africa, the U.K. and much of Europe, restrictions are shifting to focus on vaccine status. Rick Bowmer/AP hide caption
Passengers walk through Salt Lake City International Airport, Oct. 27, 2020. More than a year and a half after COVID-19 concerns prompted the U.S. to close its borders to international travelers from countries including Brazil, China, India, South Africa, the U.K. and much of Europe, restrictions are shifting to focus on vaccine status.
The U.S. lifted restrictions Monday on travel from a long list of countries including Mexico, Canada and most of Europe, allowing tourists to make long-delayed trips and family members to reconnect with loved ones after more than a year and a half apart because of the pandemic.
Starting Monday, the U.S. is accepting fully vaccinated travelers at airports and land borders, doing away with a COVID-19 restriction that dates back to the Trump administration. The new rules allow air travel from previously restricted countries as long as the traveler has proof of vaccination and a negative COVID-19 test. Land travel from Mexico and Canada will require proof of vaccination but no test.
Airlines are expecting more travelers from Europe and elsewhere. Data from travel and analytics firm Cirium showed airlines are increasing flights between the United Kingdom and the U.S. by 21% this month over last month.
The change will have a profound effect on the borders with Mexico and Canada, where traveling back and forth was a way of life until the pandemic hit and the U.S. shut down nonessential travel.
Malls, restaurants and Main Street shops in U.S. border towns have been devastated by the lack of visitors from Mexico. On the boundary with Canada, cross-border hockey rivalries were community traditions until being upended by the pandemic. Churches that had members on both sides of the border are hoping to welcome parishioners they haven't seen during COVID-19 shutdown.
Loved ones have missed holidays, birthdays and funerals while nonessential air travel was barred, and they are now eager to reconnect.
River Robinson's American partner wasn't able to be in Canada for the birth of their baby boy 17 months ago because of pandemic-related border closures. She was thrilled to hear the U.S. is reopening its land crossings to vaccinated travelers.
"I'm planning to take my baby down for the American Thanksgiving," said Robinson, who lives in St. Thomas, Ontario. "If all goes smoothly at the border I'll plan on taking him down as much as I can. Is crazy to think he has a whole other side of the family he hasn't even met yet."
According to the Centers for Disease Control and Prevention, the U.S. will accept travelers who have been fully vaccinated with any of the vaccines approved for emergency use by the World Health Organization, not just those in use in the U.S. That means that the AstraZeneca vaccine, widely used in Canada, will be accepted.
For air travelers, the airlines are required to verify vaccine records and match them against ID, and if they don't, they could face fines of up to nearly $35,000 per violation. Airlines will also collect information about passengers for contact tracing efforts. There will be CDC workers spot-checking travelers for compliance in the U.S. At land borders, Customs and Border Protection agents will check vaccine proof.
The moves come as the U.S. has seen its COVID-19 outlook improve dramatically in recent weeks since the summer delta surge that pushed hospitals to the brink in many locations.
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Heat Illnesses
Your chances of getting heat stroke, heat exhaustion, or other heat-related illness during travel depend on your destination, activities, level of hydration, and age. Learn ways to prevent, recognize, and treat heat-related illness .
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Plan your Travel
⚠ The COVID-19 Public Health Emergency expired as of May 11, 2023. This site will no longer be updated and will remain online for historical purposes only.
For current COVID-19 guidance, please visit the Centers for Disease Control and Prevention (CDC) .
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- Before booking your trip, check for international travel advisories and destination-specific COVID-19 risk . Refer to individual state, territorial, tribal, and local government websites for domestic travel advisories and information about quarantine or other restrictions.
- The UNWTO-IATA Destination Tracker is a free online tool for travelers to get information on COVID-19 requirements for international travel and the measures in place at the destination.
- Review CDC’s considerations for Travel During COVID-19 before you go to determine your personal risk.
- Pack Smart! Pack Safe! Know what is in your carry-on and checked bags and make sure there are no prohibited items inside before arriving at the checkpoint. As a temporary exemption from the 3-1-1 rule, TSA is allowing one oversized liquid hand sanitizer container, up to 12 ounces per passenger, in carry-on bags. These will need to be placed in a bin during the screening process. Passengers may also bring hand wipes through checkpoints.
- Unused COVID-19 test kits do not contain dangerous goods and are typically allowed in both carry-on and checked baggage.
- COVID-19 test kits containing diagnostic samples (e.g., nasal swabs and vials of sputum) are not allowed in carry-on baggage. These samples must be properly packaged, handled, and identified as a UN3373 Category B Infectious Substance (PDF) during transportation. Passengers should check with their carrier before packing COVID-19 test kits containing diagnostic samples in checked baggage or shipping as cargo. Individual carriers and international requirements may be more restrictive than domestic regulations. Visit FAA’s Pack Safe site for more information.
- CDC recommends wearing a mask throughout your travel experience.
- Consider joining TSA PreCheck ™. Members continue to be eligible for expedited screening procedures and have the shortest wait times. TSA PreCheck provides the most convenience and least amount of physical contact at the TSA checkpoint. Visit TSA PreCheck to enroll today.
- Have a travel plan that does not rely on the U.S. government for assistance. Visit travel.state.gov for more information.
- Make two copies of all your travel documents in case of emergency, and leave one with a trusted friend or relative.
- Remember, if you are sick, stay home and do not travel! Contact your airline regarding their re-booking and cancellation policies .
*All information developed in accordance with CDC guidelines.
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United States Travel Restrictions
Traveler's COVID-19 vaccination status
Traveling from the United States to the United States
Open for vaccinated visitors
COVID-19 testing
Not required
Not required for vaccinated visitors
Restaurants
Not required on public transportation.
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Can I travel to the United States from the United States?
Most visitors from the United States, regardless of vaccination status, can enter the United States.
Can I travel to the United States if I am vaccinated?
Fully vaccinated visitors from the United States can enter the United States without restrictions.
Can I travel to the United States without being vaccinated?
Unvaccinated visitors from the United States can enter the United States without restrictions.
Do I need a COVID test to enter the United States?
Visitors from the United States are not required to present a negative COVID-19 PCR test or antigen result upon entering the United States.
Can I travel to the United States without quarantine?
Travelers from the United States are not required to quarantine.
Do I need to wear a mask in the United States?
Mask usage in the United States is not required on public transportation.
Are the restaurants and bars open in the United States?
Restaurants in the United States are open. Bars in the United States are .
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COVID-19: travel health notice for all travellers
United States travel advice
Latest updates: Editorial change
Last updated: August 7, 2024 15:50 ET
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Safety and security, entry and exit requirements, laws and culture, natural disasters and climate, united states - take normal security precautions.
Take normal security precautions in the United States.
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Border with Mexico
Criminal incidents associated with drug trafficking are more frequent at the border with Mexico, in the following states:
If crossing the U.S.– Mexico border by car:
- remain extremely vigilant
- only use officially recognized border crossings
- avoid travelling at night
Petty crime
Petty crime, such as pickpocketing and purse snatching, occurs, particularly in urban centres and tourist locations.
- Don’t leave bags or valuables unattended in parked cars, especially rental vehicles, even in trunks
- Ensure that your belongings, including passports and other travel documents, are secure at all times
Violent crime
Within large urban areas, violent crime more commonly occurs in poor neighbourhoods, particularly from dusk to dawn. It often involves intoxication. Incidents of violent crime are mainly carried out by gangs or members of organized crime groups but may also be perpetrated by lone individuals. Although violent crime rarely affects tourists:
- be mindful of your surroundings at all time
- verify official neighbourhood crime statistics before planning an outing
- if threatened by robbers, stay calm and don’t resist
Crime Data Explorer – Federal Bureau of Investigation
Gun violence
The rate of firearm possession in the US is high. It’s legal in many states for US citizens to openly carry firearms in public.
Incidences of mass shootings occur, resulting most often in casualties. Although tourists are rarely involved, there is a risk of being in the wrong place at the wrong time.
Familiarize yourself on how to respond to an active shooter situation.
Active Shooter Event Quick Reference Guide - Cybersecurity and Infrastructure Security Agency
Home break-ins
Canadians living in holiday homes have been the victims of break-ins and burglary.
Make sure you lock windows and doors securely at night and when you are away.
Common criminal strategies
Be on alert for robbery ploys targeting visitors.
Some criminals on highways target travellers leaving airports or other tourist destinations. They signal tourists to stop due to an issue with their vehicle. They then wait for the driver to pull over or exit the car before grabbing exposed valuables. Criminals may also throw items at the windshield, obscuring the view of the road and forcing the driver to pull over.
If you’re the victim of such a ploy:
- avoid pulling over on the side of the road
- put on your hazard lights and slowly drive to a gas station, police station or other safe and populated area
Demonstrations
Demonstrations may occur. Even peaceful demonstrations can turn violent at any time. They can also lead to disruptions to traffic and public transportation.
- Avoid areas where demonstrations and large gatherings are taking place
- Follow the instructions of local authorities
- Monitor local media for information on ongoing demonstrations
Mass gatherings (large-scale events)
Credit card and ATM fraud occurs, including debit card cloning. Be cautious when using debit or credit cards:
- pay careful attention when your cards are being handled by others
- use ATMs located in well-lit public areas or inside a bank or business
- avoid using card readers with an irregular or unusual feature
- cover the keypad with one hand when entering your PIN
- check for any unauthorized transactions on your account statements
Overseas fraud
There is a threat of terrorism. Terrorist attacks could occur at any time.
Targets could include:
- government buildings, including schools
- places of worship
- airports and other transportation hubs and networks
- public areas such as tourist attractions, restaurants, bars, coffee shops, shopping centres, markets, and hotels
Always be aware of your surroundings when in public places.
The U.S. Department of Homeland Security (DHS) maintains a public alert system on terrorism to communicate information about terrorist threats.
National Terrorism Advisory System – U.S. Department of Homeland Security
Hiking and mountaineering
If you intend on hiking, backpacking or skiing:
- never practise these activities alone and always hire an experienced guide from a reputable company
- buy travel insurance that includes helicopter rescue and medical evacuation
- obtain detailed information on hiking routes or ski slopes before setting out and do not venture off marked trails or slopes
- ensure that your physical condition is good enough to meet the challenges of your activity
- ensure that you are properly equipped and well informed about weather and other conditions that may pose a hazard
- inform a family member or friend of your itinerary, including when you expect to be back to camp
- know the symptoms of acute altitude sickness, which can be fatal
We do not make assessments on the compliance of foreign domestic airlines with international safety standards.
Information about foreign domestic airlines
Every country or territory decides who can enter or exit through its borders. The Government of Canada cannot intervene on your behalf if you do not meet your destination’s entry or exit requirements.
We have obtained the information on this page from the US authorities. It can, however, change at any time.
Verify this information with the Foreign Representatives in Canada .
You must provide proof of your Canadian citizenship upon entry to the U.S. There are several documents that can satisfy this requirement.
Travel by air
Canadian citizens travelling by air to the United States must present one of the following documents:
- a passport, which must be valid for the duration of their stay
- a valid NEXUS card, used at self-serve kiosks at designated airports
This requirement applies to all Canadian citizens, including children, travelling by air to or even just transiting through the United States.
Useful links
- Canadian passports
- Mobile Passport Control app – U.S. Customs and Border Protection
Travel by land or water
As per the Western Hemisphere Travel Initiative (WHTI), Canadian citizens aged 16 years and older must present one of the following documents when entering the United States by land or water:
- a valid passport
- a Trusted Traveler Program card
- an enhanced driver’s licence (EDL) or enhanced identification card (EIC) from a province or territory where a U.S. approved EDL/EIC program has been implemented
- a Secure Certificate of Indian Status
The WHTI-compliant document you choose to use must be valid for the duration of your stay.
Canadian citizens aged 15 years and under entering the United States by land or water require one of the following documents:
- an original or a copy of a birth certificate
- an original Canadian citizenship certificate
- Western Hemisphere Travel Initiative (WHTI ) – U.S. Customs and Border Protection
- Trusted Traveler Programs – U.S. Customs and Border Protection
- Enhanced Driver’s Licenses: What Are They? – U.S. Department of Homeland Security
- Apply for a Secure Certificate of Indian Status – Indigenous Services Canada
Other travel documents
Different entry rules may apply when travelling with a temporary passport or an emergency travel document. Before you leave, check with the closest diplomatic mission for your destination.
- Foreign representatives in Canada
Additional information at borders
Customs officials may ask you to provide your address while in the United States (including Puerto Rico). Customs Border Protection (CBP) officers may also ask for:
- evidence of residential, employment or educational ties to Canada
- proof that the trip is for a legitimate purpose and is of a reasonable length
- proof of sufficient funds to cover your stay
- Dual citizens
Although U.S. authorities don’t formally require dual nationals to carry both a U.S. and a Canadian passport, carrying both documents as proof of citizenship may facilitate your entry into the United States and your return to Canada.
- Travelling as a dual citizen
- Dual Nationality – U.S. Department of State, Bureau of Consular Affairs
Canadian visitors can usually stay in the United States for 6 months without a visa. You must declare your intended duration of stay upon entry into the United States.
In most circumstances, Canadian citizens don’t require visitor, business, transit or other visas to enter the United States from Canada but there are some exceptions.
Canadians Requiring Visas – U.S. Embassy & Consulates in Canada
Canadian permanent residents
Canadian permanent residents may need a non-immigrant visa to enter the United States.
You must obtain this visa from the U.S. authorities before entering the country. You must also have a valid passport from your country of citizenship.
Cross U.S. Borders – U.S. Customs and Border Protection
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Visa Waiver Program
If you are a citizen of a country that is part of the visa waiver program (VWP), you don’t need a visa to enter the U.S. for stays up to 90 days. Instead, you must obtain pre-travel authorization via the Electronic System for Travel Authorization (ESTA) prior your departure.
- Visa Waiver Program – U.S. Customs and Border Protection
- Countries participating in the Visa Waiver Program – U.S. Customs and Border Protection
- Electronic System for Travel Authorization (ESTA) – U.S. Department of Homeland Security
You must also carry proof of Permanent Resident Status in Canada upon re-entry into Canada.
U.S. permanent residents
Canadians who are permanent residents of the United States must present a valid U.S. permanent resident card upon entry.
International travel as a U.S. Permanent Resident – U.S. Citizenship and Immigration Services
First Nations and Native Americans born in Canada
Members of Canada’s First Nations and Native Americans born in Canada may freely enter the United States for the purposes of employment, study, retirement, investing, or immigration.
- Entry and exit for First Nations and Native Americans – U.S. Embassy & Consulates in Canada
- Green Card for an American Indian Born in Canada – U.S. Citizenship and Immigration Services
Working in the United States
Most Canadian business travellers may apply for admission at a U.S. port of entry without first obtaining a non-immigrant visa. However, travellers entering the United States in certain business-related categories are required to present specific documents to establish eligibility for admission.
If you plan to work in the United States, contact the nearest U.S. embassy or consulate for specific requirements.
- Foreign Representatives in Canada
Studying in the United States
Canadian citizens don’t need visas to study or participate in a student exchange program in the United States. However, they need to be registered with SEVIS, a U.S. student tracking system. Students must present their registration form to CBP officers each time they enter the United States.
- SEVIS – U.S. Department of Homeland Security
- Canadian students – U.S. Embassy & Consulates in Canada
Length of stay
If you wish to stay longer than 6 months, you must apply for an extension at the nearest U.S. Citizenship and Immigration Services (USCIS) office once you are in the United States and before the expiry of your initial authorized stay. Immigration officers may ask you to demonstrate that you are a temporary visitor in the United States.
The U.S. government strictly enforces immigration regulations. Remaining in the United States beyond your authorized period of stay can result in serious consequences such as detention or deportation.
There is no set period that you must wait to re-enter the United States after the end of your authorized stay. However, if a CBP officer suspects you are spending more time in the United States than in Canada, it will be up to you to prove to the officer that you are a temporary visitor, not a U.S. resident.
Extend your stay – U.S. Citizenship and Immigration Services
Upon entry into the United States, non-U.S. citizens must provide biometrics, such as digital fingerprints and a photograph.
Most Canadian citizens are exempt from this requirement. However, it will apply to Canadian citizens who:
- need a visa or a waiver of ineligibility
- must obtain an I-94 Arrival/Departure Record form to document dates of entry and exit from the country
Random screenings of exempt Canadians have occurred at border crossings and airports. If you feel that your information has been wrongfully collected, you can address the issue directly with the U.S. Department of Homeland Security.
- Biometrics – U.S. Department of Homeland Security
- Arrival/Departure Forms: I-94 and I-94W – U.S. Customs and Border Protection
Electronic devices
U.S. border agents are entitled to search your electronic devices, such as your phones, computers or tablets, when you are entering the United States. They don’t need to provide a reason when requesting a password to open your device.
If you refuse, they may seize your device. The border agent could also delay your travel or deny entry if you are not a U.S. citizen.
Before crossing the border, put your device in airplane mode to ensure remote files don’t get downloaded accidentally.
Inspection of Electronic Devices – U.S. Customs and Border Protection
Preclearance
The preclearance service provides clearance for entry into the United States for persons and their luggage at a Canadian preclearance airport before departure instead of on arrival in the United States.
When using U.S. preclearance facilities at a Canadian airport, you must meet U.S. entry requirements. You will be interviewed by a U.S. preclearance officer. They are authorized to inspect your luggage and can refuse you entry into the United States.
It’s an offence under Canada’s Preclearance Act to knowingly make a false or deceptive statement to a preclearance officer. While you are in a preclearance area, you are subject to Canadian law, including:
- the Canadian Charter of Rights and Freedoms
- the Canadian Bill of Rights
- the Canadian Human Rights Act
- Canada’s Preclearance Act
- Canadian criminal law
You may withdraw your request to enter the United States and leave the preclearance area at any time unless a U.S. preclearance officer suspects on reasonable grounds that you have made a false or deceptive statement or obstructed an officer. The officer may then detain you for violations of Canadian law.
Preclearance Locations – U.S. Customs and Border Protection
Criminal Record
If you have a criminal record, no matter the severity or the date of the offence, you may be refused entry to the United States. You may also experience problems when travelling through U.S. airport facilities. A pardon for an offence issued by Canadian authorities is not recognized under U.S. law to enter the United States.
If you are ineligible to enter the United States, you may apply directly to U.S. Customs and Border Protection for a temporary waiver of inadmissibility via the nearest U.S. embassy or consulate. Canadian citizens may also apply at land borders.
U.S. ports of entry are computerized and connected to a centralized database. Information is readily available on criminal convictions in both Canada and the United States. Even though you may have entered the United States without hindrance in the past, you could run into difficulty if your record shows a criminal conviction or a previous denial of entry. Attempting to gain entry without a waiver could result in several weeks of detention and a permanent ban from entering the United States.
- Applying for Waiver – Person entering into the United States with criminal record or overstay – U.S. Customs and Border Protection
Previous use of cannabis, or any substance prohibited by U.S. federal laws, could mean that you are denied entry to the U.S. If you attempt to enter the U.S. for reasons related to the cannabis industry, you may be deemed inadmissible.
- Cannabis and international travel
- Cannabis and the U.S. – U.S. Embassy and Consulates in Canada
- Laws pertaining to cannabis
Boating in U.S. waters
Operators of small pleasure vessels arriving in the United States from a foreign port must report their arrival to U.S. Customs and Border Protection immediately for face-to-face inspection at a designated reporting location.
Some exceptions apply, including under Nexus Marine.
Pleasure Boat Reporting Requirements – U.S. Customs and Border Protection
You must have a valid Canadian passport to take a cruise from the United States. Some of the countries you visit will not permit entry without a passport. A passport is also important to re-enter the United States at the end of the cruise.
Ship authorities might retain your passport during the cruise, in accordance with their own administrative regulations and to facilitate clearance with U.S. Immigration.
If your passport is kept:
- obtain a receipt
- ensure you recuperate your passport at the end of the cruise
- always keep a photocopy of your passport with you
Pets must appear healthy when examined at a port of entry. If there is evidence of poor animal health, your pet may be subject to examination and/or testing at your expense or may be denied entry.
Pets may also need to meet additional requirements, such as having:
- an import permit
- an export certificate or health certificate
- proof of vaccination (for example, rabies vaccination)
Animals may be subject to quarantine requirements.
- Dogs travelling to the United States
- Bringing a Dog into the U.S. – Centers for Disease Control and Prevention
- Bring a Pet From Another Country into the United States (Import) – United States Department of Agriculture
- Bringing Pets and Wildlife into the United States – U.S. Customs and Border Protection
- Children and travel
Canadian citizens under 19 travelling with a school or other organized group under adult supervision must travel with written consent from their own parent/guardian.
- Children: Traveling into the U.S. as Canadian Citizen – U.S. Customs and Border Protection
- Consent letter for travel with children
- Travelling with children
Yellow fever
Learn about potential entry requirements related to yellow fever (vaccines section).
Relevant Travel Health Notices
- Global Measles Notice - 13 March, 2024
- Zika virus: Advice for travellers - 31 August, 2023
- COVID-19 and International Travel - 13 March, 2024
This section contains information on possible health risks and restrictions regularly found or ongoing in the destination. Follow this advice to lower your risk of becoming ill while travelling. Not all risks are listed below.
Consult a health care professional or visit a travel health clinic preferably 6 weeks before you travel to get personalized health advice and recommendations.
Routine vaccines
Be sure that your routine vaccinations , as per your province or territory , are up-to-date before travelling, regardless of your destination.
Some of these vaccinations include measles-mumps-rubella (MMR), diphtheria, tetanus, pertussis, polio, varicella (chickenpox), influenza and others.
Pre-travel vaccines and medications
You may be at risk for preventable diseases while travelling in this destination. Talk to a travel health professional about which medications or vaccines may be right for you, based on your destination and itinerary.
Yellow fever is a disease caused by a flavivirus from the bite of an infected mosquito.
Travellers get vaccinated either because it is required to enter a country or because it is recommended for their protection.
- There is no risk of yellow fever in this country.
Country Entry Requirement*
- Proof of vaccination is not required to enter this country.
Recommendation
- Vaccination is not recommended.
* It is important to note that country entry requirements may not reflect your risk of yellow fever at your destination. It is recommended that you contact the nearest diplomatic or consular office of the destination(s) you will be visiting to verify any additional entry requirements.
About Yellow Fever
Yellow Fever Vaccination Centres in Canada
Measles is a highly contagious viral disease. It can spread quickly from person to person by direct contact and through droplets in the air.
Anyone who is not protected against measles is at risk of being infected with it when travelling internationally.
Regardless of where you are going, talk to a health care professional before travelling to make sure you are fully protected against measles.
Hepatitis B is a risk in every destination. It is a viral liver disease that is easily transmitted from one person to another through exposure to blood and body fluids containing the hepatitis B virus. Travellers who may be exposed to blood or other bodily fluids (e.g., through sexual contact, medical treatment, sharing needles, tattooing, acupuncture or occupational exposure) are at higher risk of getting hepatitis B.
Hepatitis B vaccination is recommended for all travellers. Prevent hepatitis B infection by practicing safe sex, only using new and sterile drug equipment, and only getting tattoos and piercings in settings that follow public health regulations and standards.
The best way to protect yourself from seasonal influenza (flu) is to get vaccinated every year. Get the flu shot at least 2 weeks before travelling.
The flu occurs worldwide.
- In the Northern Hemisphere, the flu season usually runs from November to April.
- In the Southern Hemisphere, the flu season usually runs between April and October.
- In the tropics, there is flu activity year round.
The flu vaccine available in one hemisphere may only offer partial protection against the flu in the other hemisphere.
The flu virus spreads from person to person when they cough or sneeze or by touching objects and surfaces that have been contaminated with the virus. Clean your hands often and wear a mask if you have a fever or respiratory symptoms.
Coronavirus disease (COVID-19) is an infectious viral disease. It can spread from person to person by direct contact and through droplets in the air.
It is recommended that all eligible travellers complete a COVID-19 vaccine series along with any additional recommended doses in Canada before travelling. Evidence shows that vaccines are very effective at preventing severe illness, hospitalization and death from COVID-19. While vaccination provides better protection against serious illness, you may still be at risk of infection from the virus that causes COVID-19. Anyone who has not completed a vaccine series is at increased risk of being infected with the virus that causes COVID-19 and is at greater risk for severe disease when travelling internationally.
Before travelling, verify your destination’s COVID-19 vaccination entry/exit requirements. Regardless of where you are going, talk to a health care professional before travelling to make sure you are adequately protected against COVID-19.
In this destination, rabies may be present in some wildlife species, including bats. Rabies is a deadly disease that spreads to humans primarily through bites or scratches from an infected animal.
If you are bitten or scratched by an animal while travelling, immediately wash the wound with soap and clean water and see a health care professional.
Before travel, discuss rabies vaccination with a health care professional. It may be recommended for travellers who will be working directly with wildlife.
Polio (poliomyelitis) is an infectious disease that can be prevented by vaccination. It is caused by poliovirus type 1, 2 or 3. Circulating vaccine-derived poliovirus 2 (cVDPV2) is present in this country. Polio is spread from person to person and through contaminated food and water. Infection with the polio virus can cause paralysis and death in individuals of any age who are not immune.
Recommendations:
- Be sure that your polio vaccinations are up to date before travelling. Polio is part of the routine vaccine schedule for children in Canada.
- One booster dose of the polio vaccine is recommended as an adult .
Safe food and water precautions
Many illnesses can be caused by eating food or drinking beverages contaminated by bacteria, parasites, toxins, or viruses, or by swimming or bathing in contaminated water.
- Learn more about food and water precautions to take to avoid getting sick by visiting our eat and drink safely abroad page. Remember: Boil it, cook it, peel it, or leave it!
- Avoid getting water into your eyes, mouth or nose when swimming or participating in activities in freshwater (streams, canals, lakes), particularly after flooding or heavy rain. Water may look clean but could still be polluted or contaminated.
- Avoid inhaling or swallowing water while bathing, showering, or swimming in pools or hot tubs.
Insect bite prevention
Many diseases are spread by the bites of infected insects such as mosquitoes, ticks, fleas or flies. When travelling to areas where infected insects may be present:
- Use insect repellent (bug spray) on exposed skin
- Cover up with light-coloured, loose clothes made of tightly woven materials such as nylon or polyester
- Minimize exposure to insects
- Use mosquito netting when sleeping outdoors or in buildings that are not fully enclosed
To learn more about how you can reduce your risk of infection and disease caused by bites, both at home and abroad, visit our insect bite prevention page.
Find out what types of insects are present where you’re travelling, when they’re most active, and the symptoms of the diseases they spread.
Zika virus may be a risk in some areas of the United States.
Zika virus is primarily spread through the bite of an infected mosquito. It can also be sexually transmitted. Zika virus can cause serious birth defects.
Visit the Centers for Disease Control and Prevention’s webpage Areas at Risk for Zika for the most up-to-date information on Zika risk in the United States.
During your trip to a Zika risk area:
- Prevent mosquito bites at all times.
- Use condoms correctly or avoid sexual contact, particularly if you are pregnant.
If you are pregnant or planning a pregnancy, you should discuss the potential risks of travelling to areas where Zika is a risk with your health care provider. You may choose to avoid or postpone travel to these areas.
For more information, see Zika virus: Pregnant or planning a pregnancy .
- In this country, risk of dengue is sporadic. It is a viral disease spread to humans by mosquito bites.
- Dengue can cause flu-like symptoms. In some cases, it can lead to severe dengue, which can be fatal.
- Visit the Centers for Disease Control and Preventions webpage on Dengue in the U.S. States and Territories for the most up-to-date information on dengue outbreaks in the United States
- Mosquitoes carrying dengue typically bite during the daytime, particularly around sunrise and sunset.
- Protect yourself from mosquito bites . There is no vaccine or medication that protects against dengue fever.
Animal precautions
Some infections, such as rabies and influenza, can be shared between humans and animals. Certain types of activities may increase your chance of contact with animals, such as travelling in rural or forested areas, camping, hiking, and visiting wet markets (places where live animals are slaughtered and sold) or caves.
Travellers are cautioned to avoid contact with animals, including dogs, livestock (pigs, cows), monkeys, snakes, rodents, birds, and bats, and to avoid eating undercooked wild game.
Closely supervise children, as they are more likely to come in contact with animals.
Human cases of avian influenza have been reported in this destination. Avian influenza is a viral infection that can spread quickly and easily among birds and in rare cases it can infect mammals, including people. The risk is low for most travellers.
Avoid contact with birds, including wild, farm, and backyard birds (alive or dead) and surfaces that may have bird droppings on them. Ensure all poultry dishes, including eggs and wild game, are properly cooked.
Travellers with a higher risk of exposure include those:
- visiting live bird/animal markets or poultry farms
- working with poultry (such as chickens, turkeys, domestic ducks)
- hunting, de-feathering, field dressing and butchering wild birds and wild mammals
- working with wild birds for activities such as research, conservation, or rehabilitation
- working with wild mammals, especially those that eat wild birds (e.g., foxes)
All eligible people are encouraged to get the seasonal influenza shot, which will protect them against human influenza viruses. While the seasonal influenza shot does not prevent infection with avian influenza, it can reduce the chance of getting sick with human and avian influenza viruses at the same time.
Person-to-person infections
Stay home if you’re sick and practise proper cough and sneeze etiquette , which includes coughing or sneezing into a tissue or the bend of your arm, not your hand. Reduce your risk of colds, the flu and other illnesses by:
- washing your hands often
- avoiding or limiting the amount of time spent in closed spaces, crowded places, or at large-scale events (concerts, sporting events, rallies)
- avoiding close physical contact with people who may be showing symptoms of illness
Sexually transmitted infections (STIs) , HIV , and mpox are spread through blood and bodily fluids; use condoms, practise safe sex, and limit your number of sexual partners. Check with your local public health authority pre-travel to determine your eligibility for mpox vaccine.
Medical services and facilities
Health care is excellent. Service is available throughout the country. However, treatment costs are expensive.
All hospitals must accept and treat emergencies, regardless of the person’s ability to pay. Clients will, however, be charged for all services rendered. Foreign visitors without travel health insurance will have to pay out of pocket for their medical treatment.
Make sure you get travel insurance that includes coverage for medical evacuation and hospital stays.
Health and safety outside Canada
There are restrictions and prohibitions on the import of certain prescription drugs into the United States.
Some medication that can be purchased over-the-counter in Canada is restricted to prescription-only status in the United States.
- Bring sufficient quantities of your medication
- Ensure to have a physician’s note explaining your medical condition, if applicable
Keep in Mind...
The decision to travel is the sole responsibility of the traveller. The traveller is also responsible for his or her own personal safety.
Be prepared. Do not expect medical services to be the same as in Canada. Pack a travel health kit , especially if you will be travelling away from major city centres.
You must abide by local laws.
Learn about what you should do and how we can help if you are arrested or detained abroad .
Laws vary greatly from state to state. Consult the website of the state you wish to visit prior to arrival.
Penalties and transfer of offenders
A serious violation of the law may lead to a jail sentence or, in some states, a death sentence. Canadian citizenship confers no immunity, special protection or rights to preferential treatment.
If a jail sentence is imposed, it will be served in a U.S. prison, unless a request for a transfer to a Canadian prison is approved by the United States and Canada. Both countries have signed a treaty that permits a Canadian imprisoned in the United States to request a transfer to complete the sentence in a Canadian prison.
Penalties for possession, use or trafficking of illegal drugs are severe. Convicted offenders can expect lengthy jail sentences and heavy fines.
Drugs, alcohol and travel
Although the possession of cannabis is legal in some U.S. states, it remains illegal under U.S. federal laws in any form and quantity, making it illegal to bring across the Canada-U.S. border.
Don’t attempt to cross the Canada-U.S. border with any amount of cannabis in any form, even if you are traveling to a U.S. state that has legalized possession of cannabis. If you do so, you can expect legal prosecution and fines, and possibly jail time.
- Entry/exit requirements pertaining to cannabis
Prescription medication
Personal medication may be subject to U.S. drug importation laws and regulations.
In general, personal importation of a 90-day supply of medication is allowed. U.S. Customs and Border Protection has absolute discretion to allow or not your Canadian-purchased medication into the United States.
When taking any prescription medication to the United States, it’s important to:
- take only the quantity that you would normally take for the number of days you will be in the United States, plus an additional week’s worth
- pack medicines in their original packaging with the dispensary label intact that shows your name and other pertinent information such as the drug’s name, dosage and DIN (drug identification number)
- keep a duplicate of your original prescription, listing both the generic and trade names of the drug
- have a physician’s note explaining your condition and the reason for you to be legitimately carrying syringes, if applicable
Prohibited and restricted items – U.S. Customs and Border Protection
2SLGBTQI+ persons
Some states have enacted laws and policies that may affect 2SLGBTQI+ persons. Check relevant state and local laws.
Travel and your sexual orientation, gender identity, gender expression and sex characteristics
Dual citizenship
Dual citizenship is legally recognized in the United States .
If you are a Canadian citizen, but also a citizen of the United States , our ability to offer you consular services may be limited while you're there. You may also be subject to different entry/exit requirements .
International Child Abduction
The Hague Convention on the Civil Aspects of International Child Abduction is an international treaty. It can help parents with the return of children who have been removed to or retained in certain countries in violation of custody rights. The convention applies between Canada and the United States.
If your child was wrongfully taken to, or is being held in the United States, and if the applicable conditions are met, you may apply for the return of your child to the American court.
If you are in this situation:
- act as quickly as you can
- contact the Central Authority for your province or territory of residence for information on starting an application under The Hague Convention
- consult a lawyer in Canada and in the United States to explore all the legal options for the return of your child
- report the situation to the nearest Canadian government office abroad or to the Vulnerable Children's Consular Unit at Global Affairs Canada by calling the Emergency Watch and Response Centre
If your child was removed from a country other than Canada, consult a lawyer to determine if The Hague Convention applies.
Be aware that Canadian consular officials cannot interfere in private legal matters or in another country's judicial affairs.
- List of Canadian Central Authorities for the Hague Convention
- International Child Abductions: A guide for affected parents
- The Hague Convention – Hague Conference on Private International Law
- Canadian embassies and consulates by destination
- Request emergency assistance
Expedited removal
U.S. Customs and Border Protection can bar non-citizens from the United States for five years if, in their judgment, the individuals presented false documentation or misrepresented themselves. Lying to a customs official is a serious offence.
There is no formal appeal process under expedited removal. However, if you believe the law has been misapplied in your case, you can request a supervisory review by writing to the U.S. Citizenship and Immigration Services district director responsible for the port of entry where the decision was made.
Find a USCIS office – U.S. Citizenship and Immigration Services
Imports and exports
Contact the specific U.S. Customs and Border Protection office at the Canada/U.S. border crossing you are planning to use before starting your trip for the latest information on allowances and restrictions on bringing items into the United States. These change frequently.
Declare all items at your point of entry.
Contact information for USCBP – U.S. Customs and Border Protection
Travel to Cuba from the United States
Existing U.S. sanctions restrict travel between the United States and Cuba. Tourists may not travel between the two countries. However, you may go to Cuba from the United States on other types of travel, if you meet certain requirements.
Cuba sanctions – U.S. Department of the Treasury
You can drive in the United States if you have a valid Canadian driver’s license.
Traffic laws can vary from state to state.
Automobile insurance
Many states have mandatory automobile insurance requirements, and many require motorists to carry appropriate proof of insurance. Each state’s motor vehicles department can give you more specific information.
If you are in the United States and wish to drive to Mexico in your personal vehicle, you may need to purchase liability insurance and additional auto insurance.
- Foreign Nationals Driving in the U.S. – U.S. government
- States’ motor vehicle department – U.S. government
- Canadian Automobile Association
- American Automobile Association
- Road safety risks when travelling by land to Mexico
- Travel advice for Mexico
Hitchhiking
Never cross the border with a hitchhiker or as a hitchhiker. Though you may not be carrying anything illegal, the hitchhiker or driver might be, and you could be implicated.
Be equally careful about who and what you carry in your vehicle. As the driver, you could be held responsible for the misdeeds and belongings of your passengers, even if you were unaware of the problem.
The currency in the United States is the U.S. dollar (USD).
Canadian currency and personal cheques from Canadian banks are not widely accepted. Most banking transactions require a U.S. bank account.
There’s no limit to the amount of money that you may legally take into or out of the United States. However, you must declare to U.S. Customs and Border Protection:
- if you carry more than US$10,000 (in cash, cheque, money order, travellers’ cheque or any other convertible asset) into or out of the United States
- if you will receive more than US$10,000 while in the United States
Failure to comply can result in civil and criminal penalties, including seizure of the currency or monetary instruments.
Natural disasters can occur at any time.
Plan Ahead for Disasters – U.S. Department of Homeland Security
Tropical storm Debby
On August 5, 2024, tropical storm Debby made landfall as a category 1 hurricane, in the Big Bend region in Florida, near Steinhatchee.
Tropical storm Debby continues to bring heavy rainfall and violent winds.
Major flooding is expected. There are reports of significant disruptions to the following essential services:
- transportation, including operations at airports
- power distribution
- water and food supply
- telecommunications networks
- emergency services
- medical care
If you are in the Florida Gulf Coast:
- exercise caution
- monitor local news and weather reports
- follow the instructions of local authorities
Latest advisories – U.S. National Hurricane Centre
Hurricanes usually occur from:
- May to November in the eastern Pacific Ocean, including Hawaii and Guam
- June to November in the Atlantic Ocean, the Caribbean Sea and the Gulf of Mexico
These severe storms can put you at risk and hamper the provision of essential services.
If you decide to travel to these regions during the hurricane season:
- know that you expose yourself to serious safety risks
- be prepared to change your travel plans on short notice, including cutting short or cancelling your trip
- stay informed of the latest regional weather forecasts
- carry emergency contact information for your airline or tour operator
- follow the advice and instructions of local authorities
- Tornadoes, cyclones, hurricanes, typhoons and monsoons
- Large-scale emergencies abroad
- Latest advisories – U.S. National Hurricane Center
- US National Weather Service
Seasonal flooding can hamper overland travel and reduce the provision of essential services. Roads may become impassable and bridges damaged.
- Stay away from flooded areas
- Follow the advice of local authorities
- Monitor local news to stay up-to-date on the current situation
Earthquakes
Earthquakes pose a risk in the following states:
- Washington State
If you're in an area prone to earthquakes, familiarize yourself with emergency procedures.
- Earthquake – Get prepared
- Earthquakes – Federal Emergency Management
Heat and humidity
Humidity and heat may be most severe during the hot season, from June to September, particularly in the South and South-West of the country.
Know the symptoms of dehydration and heatstroke, which can both be fatal.
- Sun and heat safety tips for travellers – Government of Canada
- Heat & Health Tracker – Centers for Disease Control and Prevention
Bush and forest fires
Bush and forest fires are common and a risk across much of the United States, particularly during the summer months.
Wildfires can occur year-round but they are most common during periods of low rainfall and high temperatures.
The air quality in areas near active fires may deteriorate due to heavy smoke. In case of a major fire:
- stay away from the affected area, particularly if you suffer from respiratory ailments
- always follow the instructions of local emergency services personnel, including any evacuation order
- monitor local media for up-to-date information on the situation
- Forest fire information – National Interagency Fire Centre
- National Wildfire Risk Index – Federal Emergency Management Agency
- Latest wildfire information – United States National Wildfire Coordinating Group
- Map of wildfires – Fire weather & Avalanche Center
- California forest fires – California Department of Forestry and Fire Protection
Tornadoes pose a risk across much of the United States, particularly in central, mid-west and southern states. Tornadoes may occur with little warning.
- Monitor local news and weather reports
Useful links:
- National tornado risk index – Federal Emergency Management Agency
- U.S. National Weather Service
There are several active volcanoes in the United States.
In the event of a volcanic eruption, ash could lead to air travel disruptions. The air quality may deteriorate and affect you, especially if you suffer from respiratory ailments.
- Monitor local media for the latest updates
- Follow the advice of local authorities, including evacuation order
- Be prepared to modify your travel arrangements or even evacuate the area on short notice
- Volcanic eruptions – U.S. National Park Service
- Vog – Government of Hawaii
The state of Hawaii is prone to tsunamis. A tsunami can occur within minutes of a nearby earthquake. However, the risk of tsunami can remain for several hours following the first tremor.
If you're staying on the coast, familiarize yourself with the region's evacuation plans in the event of a tsunami warning.
Tsunami Evacuation Zones – Government of Hawaii
Local services
Dial 911 for emergency assistance.
Consular assistance
Delaware, District of Columbia, Maryland, Virginia and West Virginia.
Alabama, Georgia, Mississippi, North Carolina, South Carolina, Tennessee.
Illinois, Indiana (Jasper, Lake, Laporte, Newton, and Porter counties), Kansas City, Kansas, Missouri, Wisconsin.
Colorado, Kansas, Montana, Utah, Wyoming.
Indiana (excluding Jasper, Lake, LaPorte, Newton and Porter counties), Kentucky, Michigan, Ohio.
Arizona, Nevada, Southern California
Florida, Puerto Rico, US Virgin Islands
Bermuda, Connecticut, New Jersey, New York State and Pennsylvania.
Northern California, Hawaii.
Alaska, Idaho, Oregon, Washington.
For emergency consular assistance, call the Embassy of Canada to the United States, in Washington, and follow the instructions. At any time, you may also contact the Emergency Watch and Response Centre in Ottawa.
You may call the Emergency Watch and Response Centre in Ottawa toll-free at 1-888-949-9993.
The decision to travel is your choice and you are responsible for your personal safety abroad. We take the safety and security of Canadians abroad very seriously and provide credible and timely information in our Travel Advice to enable you to make well-informed decisions regarding your travel abroad.
The content on this page is provided for information only. While we make every effort to give you correct information, it is provided on an "as is" basis without warranty of any kind, expressed or implied. The Government of Canada does not assume responsibility and will not be liable for any damages in connection to the information provided.
If you need consular assistance while abroad, we will make every effort to help you. However, there may be constraints that will limit the ability of the Government of Canada to provide services.
Learn more about consular services .
Risk Levels
take normal security precautions.
Take similar precautions to those you would take in Canada.
Exercise a high degree of caution
There are certain safety and security concerns or the situation could change quickly. Be very cautious at all times, monitor local media and follow the instructions of local authorities.
IMPORTANT: The two levels below are official Government of Canada Travel Advisories and are issued when the safety and security of Canadians travelling or living in the country or region may be at risk.
Avoid non-essential travel
Your safety and security could be at risk. You should think about your need to travel to this country, territory or region based on family or business requirements, knowledge of or familiarity with the region, and other factors. If you are already there, think about whether you really need to be there. If you do not need to be there, you should think about leaving.
Avoid all travel
You should not travel to this country, territory or region. Your personal safety and security are at great risk. If you are already there, you should think about leaving if it is safe to do so.
![travel in the usa covid NBC Connecticut](https://media.nbcconnecticut.com/2024/04/WVIT-Dgtl-Oly-On-Dark.png?fit=198%2C120&quality=85&strip=all&w=66&h=40)
Olympian Noah Lyles leaves track in wheelchair after COVID diagnosis. Here's what we know
Lyles' mother said her son has covid-19 but opted to compete anyway., by holley ford • published august 8, 2024 • updated on august 8, 2024 at 7:38 pm.
"Fastest man in the world" Noah Lyles was taken from the track in a wheelchair Thursday after winning a bronze medal in the men's 200-meter final at the 2024 Olympics in Paris.
Lyles was diagnosed with COVID-19 two days prior, but opted to run anyway.
Free 24/7 Connecticut news stream: Watch NBC CT wherever you are
What happened to Noah Lyles at the 2024 Olympics?
After securing a bronze medal, the sprinter was struggling to walk so he laid down on the track where he appeared to be breathing heavily. He left the arena in a wheelchair and received medical attention before returning the track and speaking with reporters.
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![travel in the usa covid](https://media.nbcconnecticut.com/2024/08/GettyImages-2165366636.jpg?quality=85&strip=all&resize=218%2C123)
Does Noah Lyles have COVID?
According to Lyles' mother, he was diagnosed with COVID on Tuesday, Aug. 6.
Paris 2024 Summer Olympics
Watch all the action from the Paris Olympics live on NBC
![travel in the usa covid](https://media.nbcconnecticut.com/2024/08/33698425133-1080pnbcstations.jpg?quality=85&strip=all)
Chiles responds to CAS decision to strip bronze medal
![travel in the usa covid](https://media.nbcconnecticut.com/2024/07/GettyImages-2163577829.jpg?quality=85&strip=all)
Jordan Chiles speaks out for first time since losing bronze medal
NBC Olympics' Lewis Johnson reported on the track broadcast that Lyles' mother confirmed the COVID diagnosis.
“I ran into his mom Keisha Caine Bishop who was distraught trying to find him as well,” Johnson said. “We found Noah Lyles in medical, they're being tended to and she did confirm that Noah had been diagnosed with COVID two days ago.”
Lewis Johnson provides an update on Noah Lyles’ condition after he received medical attention following the 200m final. #ParisOlympics 📺 NBC & Peacock pic.twitter.com/3qRHsNe4JE — NBC Olympics & Paralympics (@NBCOlympics) August 8, 2024
Several minutes later, Lyles spoke to Johnson during his broadcast.
"Yeah, I woke up early, about 5 a.m. on Tuesday morning and I just was feeling really horrible. I knew it was more than just being sore from the [100m race]. Woke up the doctor's, and we tested, and unfortunately, it came up that I was positive for COVID. My first thought was not to panic, thinking, 'I've been in worse situations, I've run with worse conditions,'" he said.
Lyles previously said he has asthma, which the CDC has said can put people "at increased risk for getting very sick from COVID-19.
Will Noah Lyles compete in the rest of the 2024 Olympics?
Lyles was slated to run in the men's 4x100m relay race on Friday; he won a gold medal in the men’s 100-meter dash last Sunday. But late Thursday, he said he was done at the Paris Olympics.
Noah Lyles has announced that he will not be competing for the remainder of the #ParisOlympics . pic.twitter.com/whkGOImuEF — NBC Olympics & Paralympics (@NBCOlympics) August 8, 2024
How many Olympians have tested positive for COVID-19 at the 2024 Olympics?
So far, at least 40 athletes have tested positive for COVID at the Paris Olympics, according to a report from the TODAY Show .
What are the COVID protocols at the 2024 Olympics?
The U.S. Olympic & Paralympic Committee told TODAY.com that it has the following protocols in place to reduce the risk of COVID among Team USA athletes:
"We implemented an infection prevention program prior to the Games ('Don’t let a cold keep you from the gold') that encouraged athletes to wash their hands, wear face masks when indoors during their travel from the US to Paris, etc.
"If they have an infectious disease, we will set them up with the indicated treatment/medications, and provide them with a private room so they don’t have to worry about getting their roommate sick.
"We will help with transportation so they aren’t in a bus with other athletes, and we will deliver their meals.
"We will have them wear a mask anytime they are inside and around other people.
"We will allow them to train and compete as long as they feel up to it."
The CDC issued the following statement on its website regarding the 2024 Olympics:
"Mass gatherings are associated with unique health risks, including an increased risk for respiratory illnesses. If you plan to travel to Paris for these events, make sure you are up to date on routine and recommended vaccines, including for COVID-19."
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Late-Summer Travel Plans? You Might Want to Put On a Mask.
With U.S. Covid-19 cases at very high levels and new vaccines still several weeks away, we asked experts for their advice on when and where to wear a mask.
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By Ceylan Yeğinsu and Dani Blum
It is the height of the summer travel season: Airplanes and cruises are packed, hotels are booked, and travelers are crowding theme parks and attractions. Yet throughout the United States, Covid-19 is currently circulating at very high levels.
During the peak of the pandemic, masks were ubiquitous in hotels, airports and other public places. They were required to fly , and many travelers donned them elsewhere to help reduce the transmission of the deadly coronavirus. Since the end of the mandate, and as travel has returned to or surpassed prepandemic levels , most travelers have abandoned preventive measures, particularly masks.
With updated vaccines not available until the fall , experts are reminding travelers about the benefits of masking, particularly in airports and poorly ventilated indoor environments.
Here’s what you need to know about masks and your travel plans.
What’s going on with Covid right now?
The number of reported cases appears to be climbing both in the United States and abroad. In the United States, there are “very high” levels of the virus in wastewater samples nationwide, according to the Centers for Disease Control and Prevention. The World Health Organization reported that cases around the globe rose by 30 percent from June 24 to July 21, compared with the previous 28 days. Put simply: There’s a lot of Covid out there.
How effective are masks? What is the best mask to use?
People who want to minimize their risk of respiratory illnesses like Covid (along with colds and the flu) should wear a mask while traveling, experts say. Even if you’re the only person wearing one on a train or at an airport, a mask continues to offer protection — provided you wear it properly, which means covering both your nose and your mouth.
“It does not eliminate the risk, but it substantially reduces the risk of exposure,” said Dr. Ziyad Al-Aly, the chief of research and development at the Veterans Affairs St. Louis Healthcare System, in Missouri. Aim for a high-quality mask, like an N95, a KN95 or a KF94 , all of which filter out the overwhelming majority of virus particles and are far more effective at reducing the chance of a Covid infection than cloth or surgical versions. Masks should fit snugly on your face.
“If you have symptoms and you have any question about it, I would wear a mask, just to protect other people,” said Dr. Marc Sala, a co-director of the Northwestern Medicine Comprehensive Covid-19 Center in Chicago. Common symptoms of Covid include coughing, fever, sneezing, congestion, headaches, sore muscles, fatigue and gastrointestinal issues . Those who are asymptomatic but have been exposed to Covid may also consider masking.
If you have tested positive during a trip but cannot delay traveling, you should wear a mask whenever you are around other people, Dr. Sala said.
Where should travelers wear a mask?
The C.D.C. urges travelers to “consider wearing masks in crowded or poorly ventilated indoor areas, including on public transportation and in transportation hubs.”
Dr. Al-Aly recommended carrying around a few masks in your bag or pockets, so that you have them on hand when you enter a crowded indoor space. “Maintain situational awareness,” he said. If you’re in a crowded indoor space, like a train station or busy museum, you may want to put on a mask. Although airplanes filter and circulate air , there is still a risk that comes with being in close quarters with large groups of people, Dr. Al-Aly said.
What is the travel industry’s stance on masking?
The mask mandate on airplanes became a heated issue at the height of the pandemic, with travel representatives arguing that it was harming the recovery of a hard-hit industry.
The U.S. Travel Association , a trade group that promotes travel to and within the country, believes mask wearing should be up to individual travelers. It welcomed the lifting of the mask mandate on U.S. transportation in 2022, calling it “a step further toward the endemic management of Covid.” That stance has not changed.
The International Air Transportation Association , another industry group, argues that aircraft are designed to reduce the transmission of viruses on board. “Cabin air is refreshed every two to three minutes — much more frequently than most other indoor environments,” the agency said in a statement. “It is also filtered and flows from ceiling to floor, all of which helps to maintain a healthy onboard environment.”
Passengers always have a choice to wear masks, the statement continued, and many airlines provide them upon request.
Major cruise lines do not require guests to wear masks, but passengers are required to undergo a health screening before boarding a ship, and some companies, including Carnival Cruise Line, encourage passengers to be up-to-date with Covid vaccines.
Follow New York Times Travel on Instagram and sign up for our weekly Travel Dispatch newsletter to get expert tips on traveling smarter and inspiration for your next vacation. Dreaming up a future getaway or just armchair traveling? Check out our 52 Places to Go in 2024 .
Ceylan Yeğinsu is a travel reporter for The Times who frequently writes about the cruise industry and Europe, where she is based. More about Ceylan Yeğinsu
Dani Blum is a health reporter for The Times. More about Dani Blum
As cases of mpox rise again, here's what you need to know
![travel in the usa covid A woman holds a mock-up vial labeled "Mpox vaccine" and medical syringe in this illustration taken, May 25, 2022. REUTERS/Dado Ruvic/Illustration](https://assets.weforum.org/article/image/NWSvcZarYxiUyWINoMZBulP4rQWSliKn_i2cl4KJymk.jpeg)
The WHO has declared mpox as a “public health emergency of international concern" (PHEIC). Image: REUTERS/Dado Ruvic
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This article was originally published on 26 May 2022 and most recently updated in August 2024.
- The WHO has declared mpox a “public health emergency of international concern", a declaration that could prompt a coordinated international response.
- Mpox is in the same family of viruses that cause smallpox, but while symptoms are similar, it is less severe.
- Vaccines and drugs developed for smallpox work well against mpox but as with COVID-19, equitable distribution and access to vaccines will be a key challenge globally.
A growing mpox outbreak in Africa has led the World Health Organization (WHO) to declare a public health emergency . The outbreak, primarily affecting the Democratic Republic of the Congo (DRC), has seen over 14,000 cases this year. Since 2023, the DRC has reported about 12,600 suspected cases and 580 deaths, a sharp rise from previous years, according to the CDC.
The WHO originally declared mpox a “public health emergency of international concern" (PHEIC) on 23 July 2022, which lasted until May 2023 by which time cases had been brought under control. The last time it made such a designation was in January 2020 in response to the COVID-19 outbreak.
To date, more than 16,000 cases have been reported in more than 75 countries and the number of confirmed infections has risen 77% from late June through early July, according to WHO and UN data.
The World Economic Forum's Head of Health and Healthcare, Shyam Bishen , says, "With this declaration countries will need to invest significant resources in controlling this outbreak."
He adds, "Fortunately, vaccines and drugs developed for smallpox may work well against mpox. But there is a very limited supply. While we encourage nations to share vaccines, treatments and other key resources for containing the outbreak, we believe a multistakeholder partnership is necessary among private sector, governments, and international organizations to quickly scale-up vaccine and treatment production for this disease."
Europe was the epicentre of the first mpox outbreak, reporting more than 80% of cases worldwide in 2022. There have been no deaths reported from the virus outside of Africa, where there have been five to date.
While considered high in Europe, the global risk remains moderate and is unlikely to disrupt travel or trade.
The virus was discovered in 1970 and previous cases had been mainly in Africa. Cases outside of Africa have historically been rare, traced back to infected travelers or imported animals.
Here's what you need to know about mpox and how public health authorities worldwide are responding.
What is mpox?
There are two identified genetic clades – or groups – of the virus: the Congo Basin clade and the West African clade . The Congo Basin clade typically causes a more severe version of the disease and was thought to be more transmissible. Cases recently identified have been in the West African clade.
Have you read?
Smallpox – the only infectious disease we've ever eradicated, what is mpox a microbiologist explains, how does mpox spread.
Mpox is classified as a zoonosis, which means a disease that is transmitted between humans and animals. Cases often appear in tropical climates and rainforests where there are animals carrying the virus, including types of squirrels, dormice and certain types of monkeys and rats. The disease is transmitted through bites, scratches or bush meat preparation.
Human-to-human transmission is limited and the virus is transmitted through direct contact with bodily fluids or skin lesions as well as indirect contact with lesion materials through items such as contaminated bedding or clothing. It can also spread through respiratory droplets, but does not travel easily by air and requires direct, prolonged contact with someone who has an active rash.
![travel in the usa covid Map of mpox infections, May 2022](https://assets.weforum.org/editor/KvhWTKciZWAx8rSmRZ0U3fbea_wA9B68zO2WKLR0OVk.jpeg)
What are the symptoms?
Mpox usually presents with a fever, rash and swollen lymph nodes. Early stages (1-3 days) involve headache and backache, sore muscles and lack of energy. Individuals with the infection will also often develop a rash 1-5 days from the onset of symptoms, starting as raised spots before turning into fluid-filled blisters, which ultimately turn into scabs and fall off.
What is the prognosis?
Mpox symptoms usually clear within 2-4 weeks without treatment. In recent times, the mortality rate has been between 3-6%, mostly among young children and immunocompromised individuals.
The cases diagnosed to date have been mild.
How is mpox being diagnosed?
All individuals who have tested positive have had the infection confirmed by a PCR test. Genomic sequencing was also used to confirm a case in Portugal.
How is it treated?
There is currently no medication for the mpox virus itself. However, the antiviral drugs cidofovir, brincidofovir and tecovirimat may be used.
The WHO is currently convening experts to discuss recommendations on vaccination.
How are public health authorities responding?
According to the WHO, health authorities are responding through the following measures:
- Ongoing p ublic health investigations in non-endemic countries that have identified cases, including contact tracing, lab investigation, clinical management and isolation with supportive care.
- Genomic sequencing , where available, has determined the mpox virus clade(s) infecting individuals. Scientists are working to determine if the recent infections in Europe are related to strains in Africa.
- Vaccination for mpox, where available, is being deployed to manage close contacts, such as health workers.
- Robust surveillance , contact tracing and infection prevention and control: Strong surveillance and diagnostic systems, partnered with swift information-sharing, has ensured that health authorities can rapidly report and communicate on the outbreak.
- The WHO has also released emergency funds to countries with limited testing capabilities and supplies to establish mpox virus identification and sequencing.
Shyam Bishen explains, "The availability of a vaccine is encouraging news in the fight against mpox, but as with COVID-19, equitable distribution and access to vaccines will be a key challenge globally due to uneven rollouts and uptake rates between high-income and low-and-middle-income countries.
"To counter this challenge, the World Economic Forum - in partnership with the Coalition for Epidemic Preparedness Innovations (CEPI) and the US National Academy of Medicine - has launched the Distributed Vaccine Manufacturing Collaborative . The Collaborative addresses inequitable vaccine access by supporting the establishment of a sustainable and robust global network of versatile vaccine manufacturing facilities capable of producing vaccines to protect individuals in pandemic and non-pandemic times."
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Cheryl Walter does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.
University of Hull provides funding as a member of The Conversation UK.
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Alarmed by the surge in mpox cases, the Africa Centres for Disease Control and Prevention has taken the unprecedented step of declaring the outbreak sweeping through African countries a continental public health emergency. A day later, the World Health Organization declared that the outbreak constitutes a global health emergency.
These moves come after a virulent strain of the disease spread rapidly to 16 countries and six new countries were affected in 10 days.
There have been 15,132 mpox confirmed cases in Africa since the beginning of 2024. Some of the countries affected are Burundi, Cameroon, Congo, Ghana, Liberia, Nigeria, Rwanda, the Democratic Republic of Congo, South Africa, Uganda and Kenya.
Virologist Cheryl Walter sets out some of the reasons the mpox outbreaks are so worrying.
How many strains of mpox are there and which ones should we be worried about?
Mpox is one species of pox virus, such as smallpox and cowpox, characterised by a rash followed by bumps that appear on the skin. With mpox the bumps then fill with liquid and eventually scab over.
As we’ve come to know through diseases such as COVID-19, viruses change genetically and mutate quite quickly.
Mpox is no different, although pox viruses typically mutate much more slowly compared to other viruses, such as HIV. HIV changes approximately every three times a single virus replicates.
There are two strains of mpox – clade I and clade II. Think of them as two big branches on a tree.
Until about five or six years ago these clades weren’t that diverse.
Something has changed. These branches are growing and the leaves on the branches are becoming more numerous. In fact, we have new subclades for both I and II, so two new offshoot branches have appeared.
Clade II is far less dangerous with a case fatality rate of about 0.1% . In other words, roughly one person in a thousand dies.
Now scientists are seeing thousands of cases of clade I being reported in 16 countries in Africa and a case fatality rate of anything from 3% to 4%. That means three or four people in a hundred die. Many cases are children.
Let’s use COVID-19 again as a comparison. It was declared an international public emergency from 30 January 2020 to 31 December 2021, with an estimated case fatality rate of 1.2% .
Mpox is a relatively understudied virus. Until recently there were a handful of confirmed cases every year. It occurred primarily in tropical rainforest areas of central and west Africa. There was very little opportunity for the virus to adapt to a human host.
We don’t understand if genetic changes are making these viruses spread more easily and if the variants in circulation are more dangerous.
We do know the virus is changing and moving through lots of people. Viruses can only mutate when they’re passing through a host such as a human.
The more people it passes through, the more opportunity it has to change and potentially become more virulent or more transmissible.
Now this virus is moving through lots of people, there are lots of these opportunities.
![travel in the usa covid Virus illie](https://images.theconversation.com/files/613188/original/file-20240813-21-aqzv9a.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&fit=clip)
Read more: Mpox: what to watch out for, treatment and what to worry about
How does the disease spread to new areas?
The virus spreads through contact such as sharing utensils, plates, towels and bedding.
Women and children are disproportionately affected through skin-to-skin contact because they are close to each other every day. Children play games in schools and creches and touch objects and each other all the time.
Viruses also spread easily when people live in densely populated, low income areas and can’t isolate themselves because they have to bring in an income.
Two of the other other reasons mpox spreads quickly is the longer incubation period and vague symptoms.
The incubation period ranges quite widely from five to up to 21 days. A person can become infected with mpox during this period and travel to another country and transmit the disease to others.
The initial symptoms are vague and include swollen glands, fever and feeling a bit run down. It is estimated 10% of people infected with mpox are asymptomatic.
It’s only when the rash appears that it might become apparent that it’s not a cold or flu or COVID-19.
To add to that challenge, when children get those rashes they could be mistaken for chickenpox or one of the other childhood infectious diseases.
What emergency measures need to be put in place to ensure the outbreak doesn’t explode into a pandemic?
There are a couple of things stacked against African health agencies trying to contain the virus.
There are few resources to fight this disease and the shortage of vaccines is a major problem. The Africa Centres for Disease Control estimates there are only 200,000 doses available to African countries compared with a demand of at least 10 million.
However, there’s still a lot that can be done.
Testing: This is the number one tool in this fight. We need to know where these cases are and who in the community mpox is passing through. We also need to use this data to trace contacts. We can do this with simple lateral flow tests – using a swab of the nose and/or throat that can be done in the community and give results within 30 minutes.
Messaging: In the previous outbreak across the world, a lot of communications that were going out were aimed at sex workers and men who have sex with men. As a result, people may have thought that this is only a sexually transmitted disease. It’s not.
Now women and children are getting the virus, so communities need to be told what symptoms to look for and what action to take.
Vaccinating: Because mpox is so similar to smallpox, we can use that vaccine. However there are limited stockpiles and we can’t manufacture smallpox vaccines quickly enough. The WHO has called for vaccine candidates for fast approval and distribution.
These measures and others need to be taken urgently to contain and to repress this epidemic before it potentially becomes a global pandemic.
Read more: At what point is a disease deemed to be a global threat? Here's the answer
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What is mpox and why has WHO declared it a global health emergency?
The WHO has issued its highest level of alert for the viral disease as it spreads rapidly in Africa.
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For the second time since 2022, mpox has been declared a global health emergency as the virus spreads rapidly across the African continent and risks entering other continents.
The World Health Organization (WHO) on Wednesday issued its highest level of alert for the viral disease, noting that more than 14,000 cases and 524 deaths in Africa this year have already exceeded last year’s figures.
Keep reading
Who declares mpox a global public health emergency, africa cdc declares mpox a public health emergency, where and why is mpox disease spreading in the drc, south africa reports second mpox death this week.
The announcement came a day after the Centers for Disease Control and Prevention (CDC) in Africa declared mpox a public health emergency.
So what is mpox, how is it transmitted, and how serious is its current spread compared with previous outbreaks?
Here’s what you should know:
What is mpox?
Mpox is a viral infection that primarily affects humans and animals.
It belongs to the group of viruses classified as “Orthopoxvirus genus”. These typically cause pox-like disease, which includes a rash with raised bumps or blisters on the skin. The bumps are often filled with fluid or pus and can eventually crust over and heal.
Mpox is similar to the now eradicated smallpox, and and other poxviruses like cowpox and vaccinia.
![travel in the usa covid INTERACTIVE_MONKEYPOX August 15_2024_Monkeypox symptoms-1723724421](https://www.aljazeera.com/wp-content/uploads/2024/08/INTERACTIVE_MONKEYPOX-August-15_2024_INTERACTIVE-Monkeypox-signs-and-symptoms-1723724421.jpg?w=770&resize=770%2C770)
It was originally named “monkeypox” when first identified in monkeys in 1958. These captive research monkeys were in Denmark at the time. In 1970, the first reported human case was a nine-month-old boy in the Democratic Republic of Congo.
In 2022, the WHO recommended updating its name to “mpox” to reduce stigma and association with monkeys, as the disease can also infect rodents and humans.
How is mpox virus transmitted?
The mpox virus is transmitted to humans through close contact with an infected animal or person.
Animal-to-human transmission typically occurs through bites, scratches, or direct contact with the blood, body fluids, or wounds of an infected animal.
Human-to-human transmission can happen through:
- Direct contact with skin lesions, body fluids, or respiratory droplets of an infected person.
- Prolonged face-to-face contact with an infected person.
- Touching contaminated objects, such as bedding or clothing that have been in contact with the infectious material, although this is a rare mode of transmission.
The virus enters the body through broken skin, the respiratory tract, or mucous membranes (which include eyes, nose, and mouth).
What are the mpox symptoms?
Symptoms include fever, headache, muscle aches, and a distinctive rash that can appear on the face, hands, feet, and other parts of the body. The rash eventually forms pustules and scabs before healing.
A pustule – which looks like a big white or yellow pimple – is a small, raised bump on the skin that is filled with pus.
![travel in the usa covid INTERACTIVE_MONKEYPOX August 15_2024_Monkeypox symptoms](https://www.aljazeera.com/wp-content/uploads/2024/08/INTERACTIVE_MONKEYPOX-August-15_2024_INTERACTIVE-xxx-Monkeypox-signs-and-symptoms-xxxx-1723724432.jpg?w=770&resize=770%2C770)
Lymph nodes, bean-shaped glands that are part of the immune system, can also swell up as they try to fight the virus. Some of the places these are located include under each arm, and the sides and back of the neck.
In rare cases, an infection may be deadly.
Overall, an infection can last two to four weeks. It can take three to 21 days to develop symptoms after being exposed to the virus. However, a person can transmit the disease to others one to four days before symptoms appear.
Mpox can be identified by testing a sample of fluid swabbed from the rash.
Why has mpox been declared a global emergency?
On Wednesday, the WHO declared mpox a public health emergency of international concern (PHEIC) – its highest level of alert due to a new variant of mpox being found and cases being reported for the first time in several countries, such as Kenya and Rwanda.
WHO Director-General Tedros Adhanom Ghebreyesus said there was concern for the further spread of the disease within Africa and beyond, after after a meeting of the United Nations health agency’s emergency committee.
An emergency declaration from the WHO is meant to spur donor agencies and countries into action.
“There is a real attempt right now to mobilise resources and that is why in part WHO called for the public health emergency now,” said Amita Gupta, director of the Division of Infectious Diseases at the Johns Hopkins School of Medicine.
The WHO declared mpox a global health emergency in July 2022 as well, when the virus was first found to spread through sexual contact and was reported in more than 70 countries across the world. Once cases declined, the WHO lifted the emergency status in May 2023.
Today, the Emergency Committee on #mpox met and advised me that in its view, the situation constitutes a public health emergency of international concern. I have accepted that advice. @WHO is on the ground, working with the affected countries, and others at risk, through our… — Tedros Adhanom Ghebreyesus (@DrTedros) August 14, 2024
Where has mpox spread?
Last week, the Africa CDC reported that mpox has now been detected in at least 13 African countries. Compared with the same period last year, the agency said cases are up 160 percent and deaths have increased by 19 percent.
So far, more than 96 percent of cases have been reported in Congo, where earlier this year scientists found a new form of the virus that causes milder symptoms and lesions on the genitals. That makes it harder to spot, meaning people might transmit it to others without knowing they’re infected.
“There is not much international mobility in/out of the DRC so the risk of spread has been low. However, if the spread goes more widely in Africa then the risk of more global spread becomes a concern,” Gupta told Al Jazeera.
While the 2022 outbreak was driven by clade (or group) II of mpox, the current outbreak is being fueled by clade I which can be more deadly, Otim Patrick Ramadan, Health Emergency Office at WHO regional office for Africa, told Al Jazeera.
Cases of the new clade I variant outbreak have not yet been reported outside Africa.
Is there a vaccination against it?
While mild cases can resolve on their own, there are no approved treatments or vaccines specifically for mpox.
The antiviral drug tecovirimat (TPOXX), originally for smallpox, is being studied for treating mpox. The United States Food and Drug Administration has also approved JYNNEOS (also known as Imvamune or Imvanex), a smallpox vaccine for severe mpox cases in people aged 18 years and older.
However, some 60 percent of the cases in Congo, the country most overwhelmed by mpox are in people aged below 18, according to Ramadan.
The CDC has recommended getting vaccinated and isolating once exposed to someone with mpox.
Gupta said that while “much has been learned from COVID” and surveillance capacity across the world has increased, rapid diagnosis and access to substitute treatments is lacking in African countries where the virus is spreading.
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