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Travel Essentials

Health and Medical: Immunizations

From the US Centers for Disease Control

Latest advice:
Vaccines for disease Recommendations Clinical Guidance for Healthcare providers
Routine vaccines

Make sure you are up-to-date on all routine vaccines before every trip. Some of these vaccines include

  • Chickenpox (Varicella)
  • Diphtheria-Tetanus-Pertussis
  • Flu (influenza)
  • Measles-Mumps-Rubella (MMR)
  • Polio
  • Shingles

Immunization schedules

COVID-19

All eligible travelers should be up to date with their COVID-19 vaccines. Please see Your COVID-19 Vaccination for more information. 

COVID-19 vaccine

Chikungunya

There has been evidence of chikungunya virus transmission in China within the last 5 years. Chikungunya vaccination may be considered for the following travelers:

  • People aged 65 years or older, especially those with underlying medical conditions, who may spend at least 2 weeks (cumulative time) in indoor or outdoor areas where mosquitoes are present in China, OR
  • People planning to stay in China for a cumulative period of 6 months or more

Chikungunya - CDC Yellow Book

Hepatitis A

Recommended for unvaccinated travelers one year old or older going to China.

Infants 6 to 11 months old should also be vaccinated against Hepatitis A. The dose does not count toward the routine 2-dose series.

Travelers allergic to a vaccine component should receive a single dose of immune globulin, which provides effective protection for up to 2 months depending on dosage given.

Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.

Hepatitis A - CDC Yellow Book

Dosing info - Hep A

Hepatitis B

Recommended for unvaccinated travelers of all ages traveling to China.

Hepatitis B - CDC Yellow Book

Dosing info - Hep B

Japanese Encephalitis

Recommended for travelers who

  • Are moving to an area with Japanese encephalitis to live
  • Spend long periods of time, such as a month or more, in areas with Japanese encephalitis
  • Frequently travel to areas with Japanese encephalitis

Consider vaccination for travelers

  • Spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets
  • Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there

Not recommended for travelers planning short-term travel to urban areas or travel to areas with no clear Japanese encephalitis season. 

Japanese encephalitis - CDC Yellow Book

Japanese Encephalitis Vaccine for US Children

Measles

Cases of measles are on the rise worldwide. Travelers are at risk of measles if they have not been fully vaccinated at least two weeks prior to departure, or have not had measles in the past, and travel internationally to areas where measles is spreading.

All international travelers should be fully vaccinated against measles with the measles-mumps-rubella (MMR) vaccine, including an early dose for infants 6–11 months, according to CDC’s measles vaccination recommendations for international travel.

Measles (Rubeola) - CDC Yellow Book

Rabies

Dogs infected with rabies are commonly found in China.

Rabies is also present in some terrestrial wildlife species.

If rabies exposures occur while in China, rabies vaccines are typically available throughout most of the country.

Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.

Please consult with a healthcare provider to determine whether you should receive pre-exposure vaccination before travel.

For more information, see country rabies status assessments.

Rabies - CDC Yellow Book

Tick-borne Encephalitis

For travelers moving or traveling to TBE-endemic areas

TBE vaccine is recommended for persons who will have extensive exposure to ticks based on their planned outdoor activities and itinerary.

TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found. 

Tick-borne Encephalitis - CDC Yellow Book

Typhoid

Recommended for most travelers, especially those staying with friends or relatives or visiting smaller cities or rural areas.

Typhoid - CDC Yellow Book

Dosing info - Typhoid

Yellow Fever

Required for travelers ≥9 months old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission.1 Travelers with itineraries limited to Hong Kong Special Administrative Region (SAR) or Macao SAR are exempt from this requirement.

Yellow Fever - CDC Yellow Book