General information

The information on these pages should be used to research health risks and to inform the pre-travel consultation. For advice regarding safety and security please check the UK Foreign and Commonwealth Office (FCO) website.

Travellers should ideally arrange an appointment with their health professional at least four to six weeks before travel. However, even if time is short, an appointment is still worthwhile. This appointment provides an opportunity to assess health risks taking into account a number of factors including destination, medical history, and planned activities. For those with pre-existing health problems, an earlier appointment is recommended.

While most travellers have a healthy and safe trip, there are some risks that are relevant to travellers regardless of destination. These may for example include road traffic and other accidents, diseases transmitted by insects or ticks, diseases transmitted by contaminated food and water, sexually transmitted infections, or health issues related to the heat or cold.

All travellers should ensure they have adequate travel health insurance. If visiting European Economic Area (EEA) countries carry an European health insurance card (EHIC) as this will allow access to state-provided healthcare in EEA countries, at a reduced cost, or sometimes for free. The EHIC, however, is not an alternative to travel insurance.

A list of useful resources including advice on how to reduce the risk of certain health problems is available below.

Resources

Vaccine recommendations

Details of vaccination recommendations and requirements are provided below.

All Travellers

Travellers should be up to date with routine vaccination courses and boosters as recommended in the UK. These vaccinations include for example measles-mumps-rubella (MMR) vaccine and diphtheria-tetanus-polio vaccine.

Those who may be at increased risk of an infectious disease due to their work, lifestyle choice, or certain underlying health problems should be up to date with additional recommended vaccines. See the individual chapters of the ‘Green Book’ Immunisation against infectious disease for further details.

Certificate Requirements

There are no certificate requirements under International Health Regulations.

Most Travellers

The vaccines in this section are recommended for most travellers visiting this country. Information on these vaccines can be found by clicking on the blue arrow. Vaccines are listed alphabetically.

Tetanus

Tetanus is caused by a toxin released from Clostridium tetani and occurs worldwide.  Tetanus bacteria are present in soil and manure and may be introduced through open wounds such as a puncture wound, burn or scratch.

Prevention
Travellers should thoroughly clean all wounds and seek appropriate medical attention.

Tetanus vaccination
  • Travellers should have completed a primary vaccination course according to the UK schedule.
  • If travelling to a country where medical facilities may be limited, a booster dose of a tetanus-containing vaccine is recommended if the last dose was more than ten years ago even if five doses of vaccine have been given previously.

Country specific information on medical facilities may be found in the ‘health’ section of the FCO foreign travel advice website.

Tetanus in brief

Some Travellers

The vaccines in this section are recommended for some travellers visiting this country. Information on when these vaccines should be considered can be found by clicking on the arrow. Vaccines are listed alphabetically.

Rabies (Bat Lyssavirus)

Although rare, bat lyssaviruses (bat rabies) can be transmitted to humans or other animals following contact with the saliva of an infected bat most often by a bite. The disease can also be transmitted if the saliva of an infected bat gets into open wounds or mucous membranes (such as on the eye, nose or mouth). Bat lyssaviruses can cause disease in humans that is indistinguishable from rabies.

Symptoms can take some time to develop, but when they do the condition is almost always fatal.

The risk to most travellers is low. However, it is increased for certain occupations for example bat handlers and veterinarians, or certain activities such as caving.

Bat Lyssavirus in the Netherlands

Rabies has not been reported in domestic or wild animals in this country; therefore most travellers are considered to be at low risk. However, bats may carry bat lyssavirus (bat rabies).

Prevention

Travellers should avoid contact with bats. Bites from bats are frequently unrecognised. Rabies-like disease caused by bat lyssaviruses is preventable with prompt post-exposure rabies treatment.

Following a possible exposure, wounds should be thoroughly cleansed and an urgent local medical assessment sought, even if the wound appears trivial. Although rabies has not been reported in other animals in this country, it is sensible to seek prompt medical advice if bitten or scratched. It is possible, although very rare for bats to pass rabies like viruses to other animals including pets.

Post-exposure treatment and advice should be in accordance with national guidelines.

Rabies vaccination
  • Pre-exposure rabies vaccinations are recommended for those who are at increased risk due to their work (e.g. laboratory staff working with the virus and those working with bats).
  • Pre exposure vaccines could be considered for those whose activities put them at increased risk of exposure to bats.

Rabies in brief

Important News

22 Jun 2015

MERS-CoV update: Republic of Korea and China

Ongoing surveillance of Middle East respiratory syndrome coronavirus (MERS-CoV) in Republic of Korea (South Korea) and China Read more

05 Jun 2015

MERS-CoV: Republic of Korea and China

Middle East respiratory syndrome coronavirus (MERS-CoV) update: Republic of Korea and China Read more

18 Feb 2015

Measles: worldwide

A measles reminder for health professionals and travellers Read more

Outbreaks

13 Mar 2017 View Countries + Netherlands
Suriname

As of 13 March 2017, the first case for Suriname in 45 years has been reported in a Dutch traveller.

Human

Imported

Vector-Borne

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State - Read more

14 Dec 2016 View Countries + Austria
Croatia
Denmark
Finland
France
Germany
Hungary
Netherlands
Poland
Romania
Russia
Serbia
Sweden
Switzerland

As 8 December 2016, outbreaks have been reported from 30 October to 6 December in 14 countries in the European region: Austria, Croatia, Denmark, Finland, France, Germany, Hungary, Netherlands, Poland, Romania, Russia, Serbia, Switzerland, Sweden. In 2016, outbreaks in poultry holdings have been reported in eight countries: Austria, Denmark, France, Germany, Hungary, Netherlands, Poland, Sweden. Six European countries were affected by outbreaks in the 2014/15 winter: Germany, Italy, Hungary, Netherlands, Sweden, and the UK.

Animal

Air-Borne

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Eurosurveillance - Read more

02 Dec 2016 View Countries + Austria
Belgium
Czech Republic
Denmark
France
Germany
Ireland
Italy
Lithuania
Netherlands
Norway
Portugal
Slovenia
Spain
Sweden

As of 25 November 2016, a range of Dutch cured fish products exported to 16 European countries have been recalled due to the risk of food poisoning with Clostridium botulinum Type E

Human

Food and water-borne

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European Commission - Read more

28 Oct 2016 Netherlands

As of 28 October 2016, a total of 107 probable and confirmed cases have been reported from May to October 2016. The infection is part of a multi-country outbreak linked to Polish chicken eggs. Consumers are reminded to wash their hands after handling raw eggs and to cook eggs before eating.

Human

Food and water-borne

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EFSA - Read more

23 Sep 2016 Netherlands

As of 22 September 2016, an increase in respiratory enterovirus D68 infections have been reported in adults and children. Some cases have required intensive care due to respiratory insufficiency; concomitant acute flaccid myelitis was observed in one case. From January to July this year, 33 cases were reported, whereas no cases were reported in 2015 and only 17 cases in 2014. The cases originated from different regions in the north of the Netherlands.  

Human

Miscellaneous

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CDC - Read more

22 Jul 2016 Utrecht. Netherlands

As of 21 July 2016, a case has been reported in the Netherlands. The individual is thought to have acquired the infection in the Utrecht Hill Ridge area. This is the first report of a case acquired in the Netherlands although the virus has previously been found in circulation in deer and ticks in the Salland Ridge National Park in eastern Netherlands.

Human

Vector-Borne

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State - Read more