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.
All travellers should ensure they have adequate travel health insurance.
A list of useful resources including advice on how to reduce the risk of certain health problems is available below.
Details of vaccination recommendations and requirements are provided below.
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.
Country specific diphtheria recommendations are not provided here. Diphtheria tetanus and polio are combined in a single vaccine in the UK. Therefore, when a tetanus booster is recommended for travellers, diphtheria vaccine is also given. Should there be an outbreak of diphtheria in a country, diphtheria vaccination guidance will be provided.
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.
Please read the information below carefully, as certificate requirements may be relevant to certain travellers only. For travellers further details, if required, should be sought from their healthcare professional.
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 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.
Travellers should thoroughly clean all wounds and seek appropriate medical attention.
Country specific information on medical facilities may be found in the ‘health’ section of the FCO foreign travel advice website.
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.
Hepatitis B is a viral infection; it is transmitted by exposure to infected blood or body fluids. This mostly occurs during sexual contact or as a result of blood-to-blood contact (for example from contaminated equipment during medical and dental procedures, tattooing or body piercing procedures, and sharing of intravenous needles). Mothers with the virus can also transmit the infection to their baby during childbirth.
2% or more of the population are known or thought to be persistently infected with the hepatitis B virus (intermediate/high prevalence).
Travellers should avoid contact with blood or body fluids. This includes:
A sterile medical equipment kit may be helpful when travelling to resource poor areas.
Vaccination could be considered for all travellers, and is recommended for those whose activities or medical history put them at increased risk including:
Japanese Encepahalitis (JE)
Japanese encephalitis (JE) is a viral infection transmitted to humans from animals (mainly pigs and birds) by mosquitoes which typically breed in rice paddy fields, swamps and marshes. These mosquitoes predominantly feed between dusk and dawn.
Those at increased risk include travellers who are staying for a month or longer during the transmission season, especially if travel will include rural areas with rice fields and marshland.
Travellers on shorter trips (typically less than a month) and those who restrict their visits to urban areas are usually considered to be at very low risk.
Japanese encephalitis occurs in limited areas of this country with year-round transmission. The affected areas are the Islands of Torres Strait and the Cape York Peninsula (in the north east of Australia).
All travellers should avoid mosquito bites particularly between dusk and dawn.
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.
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).
A full course of pre-exposure vaccines simplifies and shortens the course of post-exposure treatment and removes the need for rabies immunoglobulin which is in short supply world-wide.
There are some risks that are relevant to all 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. Some additional risks (which may be present in all or part of this country) are mentioned below and are presented alphabetically.
Dengue is a viral infection transmitted by mosquitoes which predominantly feed between dawn and dusk. It causes a flu-like illness, which can occasionally develop into a more serious life-threatening form of the disease. Severe dengue is rare in travellers.
The mosquitoes that transmit dengue are most abundant in towns, cities and surrounding areas. All travellers to dengue areas are at risk.
There is a risk of dengue in the state of Queensland. At present the risk of dengue in other parts of Australia is minimal.
19 Apr 2018 Victoria. Australia
As of 16 April 2018, research indicates a significant increase in Buruli ulcer diagnosis in south-eastern Australia, with a total of 236 cases detected in 2017 (data up to 11 November 2017).
19 Apr 2018
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As of 17 April 2018, two cases of multi-drug resistant gonorrhoea were detected in Australia. One of these cases may have acquired their infection in Southeast Asia. The situation is being closely monitored by public health authorities.
21 Mar 2018 Australia
As of 20 March 2018, a total of six listeriosis deaths linked to contaminated rockmelon (cantaloupe) have now been reported, with 19 cases overall nationwide.
08 Mar 2018 Australia
As of 6 March 2018, an outbreak involving a total of 65 cases (58 confirmed) with a death has been reported in Victoria since November 2017. Many of the cases have identified as men who have sex with men.
11 Dec 2017 Victoria. Australia
As of 11 December 2017, eight cases of Invasive Meningococcal Disease due to serogroup C have been reported since May 2017 in Melbourne. The Department of Health and Human Services is offering a meningococcal C containing vaccine to all gay, bisexual men and MSM in response to this outbreak.
03 Oct 2017 Victoria. Australia
As of 2 October 2017, eleven confirmed cases of measles have been notified in Melbourne in the last two weeks. There may be further cases in the community which have not been diagnosed.
05 Sep 2017 New South Wales. Australia
As of 5 September 2017, an outbreak of hepatitis A has been reported with 12 cases in the past five weeks alone in Sydney and surrounding areas. An investigation has been launched.
05 Jun 2017
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As of 3 June 2017, a case of Japanese encephalitis is reported in a short term traveller to Thailand.