24 Feb 2021

COVID-19: general advice for travellers

Advice for travellers from the UK on travel abroad and reducing spread of respiratory viruses during the COVID-19 outbreak COVID-19: general advice for travellers
  • This updates the news item of 11 February 2021

Travel within the UK and international travel, may be restricted because of domestic regulations to control the spread of COVID-19. Different rules apply in England, Scotland, Wales and Northern Ireland. Travellers must follow the rules that apply to them [1]. Only if you are legally permitted to travel overseas should you do so. There will be an increased police presence at ports and airports to enforce the regulations.

The Foreign, Commonwealth & Development Office (FCDO) provides guidance on COVID and non-COVID risks overseas. The FCDO currently advises against all but essential travel to many countries and territories on the basis of COVID risks. Travellers should check the travel advice for their destination and their general travel guidance regularly, as the information may change. Travel disruption is occurring worldwide as national control measures such as border closures, movement restrictions or quarantine rules are introduced with limited notice [1]. Travellers should be prepared to stay overseas longer than planned.

People at higher risk from COVID-19 (particularly those who are clinically extremely vulnerable, or clinically vulnerable) [2], are at greater risk of severe illness and should continue to be vigilant regarding social distancing and hand washing. Those who are in this group should check the advice in the UK nation they live in: England, Scotland, Wales or Northern Ireland.

Current evidence also shows that there is a higher risk of infection and of severe disease in Black, Asian and Minority Ethnic (BAME) groups in the UK, but reasons for this are currently not clear [3].

Advice for travellers

Preparations before travelling internationally

If you are legally permitted to travel internationally, you should consider the following guidance to prepare for your trip and reduce your risk of exposure to COVID-19:

  • Be aware of, and keep up to date with the latest official advice offered by the country you are departing from and travelling to. The pandemic has led to unprecedented international border closures and other restrictions. All countries may impose travel restrictions without notice.
  • If you are travelling from the UK, check the Foreign, Commonwealth & Development Office (FCDO) foreign travel advice (see the summary, health and entry requirements sections) and know in advance the entry requirements for your return to the UK.
  • Find out about any entry restrictions, screening or quarantine requirements on arrival that might affect you. Contact the UK-based embassy of the country you are travelling to if you need more information. Be aware that there may be enhanced screening/monitoring at entry and exit ports. In some countries borders may close or you may be required to self-isolate for a set period, even if you do not have symptoms.
  • Check up to date travel health recommendations on our Country Information pages. All countries have been classified as high, moderate or low risk of exposure to COVID-19 based on currently available information assessed by Public Health England and the National Travel Health Network and Centre. If you require further advice, speak to your GP, practice nurse, pharmacist or travel clinic.
  • Check the impact COVID-19 may have on your travel insurance coverage, including medical repatriation costs in case of ill health or any new restrictions on travel. Note that if you are required to quarantine or self-isolate, you should expect to do so in the country you are in. Your travel insurance may be compromised if you extend your trip abroad or if you have travelled abroad against UK Government advice. The Association of British Insurers (ABI) has produced information on travel insurance implications following the outbreak. Plan ahead for any possible delays to your return home and the financial implications or practical arrangements you may need to make.
  • Contact your airline, tour operator, cruise line or other transport and accommodation providers for up-to-date information on your itinerary and travel plans. Other useful resources may include International Air Travel Association (IATA) and Cruise Lines International Association (CLIA). However, please note that as of 9 July 2020, the FCDO advises British nationals against cruise ship travel at this time. Ask about physical distancing and other measures in place to reduce or limit physical contact with potentially infected passengers. Guidance for measures that are recommended aboard aircraft have been published [4,5].
  • If you are considered to be clinically vulnerable or extremely clinically vulnerable to COVID-19, you should be aware that if you are infected with COVID-19 you are at increased risk of severe infection.
  • Face coverings are now required when travelling on public transport in the UK and may be required in other countries. Face coverings do not replace social distancing and hygiene measures; you still need to take all the other recommended precautions.
  • All travellers arriving back in the UK must read and follow the guidance on entering the UK.
  • COVID-19 vaccines are currently in use for priority groups only in the UK. The NHS will contact individuals to let them know when it is their turn to have the vaccine.

COVID-19 testing and travel

  • Some countries may require proof of recent COVID-19 testing for entry (or require you to take one or more tests when you arrive in the country). To be clear what type of test is required, check the Foreign, Commonwealth & Development Office (FCDO) foreign travel advice; (see the summary, health and entry requirements sections) and contact the UK-based embassy of the country you are travelling to if you need more information.
  • You cannot use the NHS test and trace service to get a test for international travel purposes.
  • Testing before you leave the UK for international travel is only available as a private service with private providers e.g. some private GP services, travel clinics or other private testing services. If you are travelling for work purposes, you should discuss options for testing with your employer.
  • When arranging a test, you should check the requirements of the country you are travelling to and consider the time it will take to process your test and get your result. A charge is usually made for testing and any paperwork issued privately.
  • You should ensure that testing is carried out by a laboratory accredited by the United Kingdom Accredited Service (UKAS).
  • The type of test that is usually required is a swab PCR test (a home test kit may be supplied). This test can pick up the genetic material of the virus on the swab and can tell you if you had COVID-19 infection at the time the swab was taken.
  • All international arrivals into England are required to present a negative COVID-19 test taken up to 72 hours before departure. Further details, including the information that the test must include and those travellers exempt from testing, may be found here: UK Coronavirus (COVID-19) testing for people travelling to England.
  • As of 15 February 2021, additional COVID-19 testing on day 2 and day 8 will be required by all international arrivals, whether under home or hotel quarantine [6].
  • In addition to a negative COVID-19 test result, all passengers arriving in England by boat, plane or train must complete a passenger locator form and are subject to any national lockdown restrictions.
  • Different rules may apply in Scotland, Wales and Northern Ireland. See our news item for further details.

Air travel

The air quality on board aircraft is carefully controlled, changed very frequently and passed through filters efficient at removing viruses; research has shown that there is little risk of any communicable disease being transmitted on board an aircraft [7]. IATA research published October 2020 indicates that so far, only a small number of cases (44) have been associated with a flight journey (inclusive of confirmed, probable and potential cases) during which time 1.2 billion passengers travelled [8]. However, there is definitive evidence of in-flight transmission of COVID-19 [9], the addition of mask-wearing on a flight appears to add an extra layer of protection [10].

If you are planning air travel, the following advice should be considered:

  • To reduce the risk of passing on infection, you should not travel on an aircraft if you are unwell. Exit screening may be implemented and you may be denied boarding if you have symptoms of COVID-19.
  • You should continue to take good hygiene measures (see below) and use the designated toilet for your area of the aircraft, washing your hands before you leave the toilet.
  • Avoid moving from your seat unnecessarily but do continue to exercise your legs (flex and extend the ankles) as much as possible to encourage blood flow from the lower legs.
  • If you are unwell on the flight, please stay in your seat and follow any instructions provided during the flight, contacting the air crew as soon as possible.

General advice for preventing the spread of respiratory viruses

  • Wash your hands often with soap and running water for at least 20 seconds. Use an alcohol-based hand sanitiser that contains at least 60% alcohol if soap and water are not available. This is particularly important after taking public transport or being in a public space.
  • Avoid touching your eyes, nose, and mouth with unwashed hands.
  • Avoid close contact with people who are sick.
  • If you feel unwell, stay at home, do not travel or attend work/school.
  • Cover your cough or sneeze with a tissue, then throw the tissue in a bin and wash hands with soap and water.
  • Clean and disinfect frequently touched objects and surfaces in the home and work environment.
  • If you are unwell with any of the following: a high temperature, new continuous cough or a loss of, or change in, your normal sense of taste or smell (anosmia), you should self-isolate and arrange to have a test, (seek local guidance if you are overseas).

Advice if you have contact with a COVID-19 case while abroad

If you have been in contact with a known COVID-19 case, follow relevant public health advice (if available), and speak to your healthcare provider or travel insurance company as soon as possible for further guidance. If you are required to quarantine or self-isolate by local authorities, you should expect to do so in the country you are in.

Advice if you become unwell abroad

If you develop symptoms of new continuous cough, high temperature or a loss of, or change in, your normal sense of taste or smell (anosmia) while abroad or during travel, you should immediately:

  • Stay indoors and avoid contact with other people, as you would with the flu.
  • Call your health provider and/or insurance company to discuss what you should do. Remember that if you have been in a malaria affected area in the last year, it is important to exclude malaria as a cause of high temperature (blood test required).
  • Follow local public health guidance if available.
  • If you become unwell at an airport, bus or train station before or during a long trip, seek medical advice and do not start or continue your journey.
  • If you test positive for COVID-19 while abroad you will need to follow local public health advice regarding self-isolation. You should expect to self-isolate in the country you are in, so you may need to stay longer than planned. Plan ahead for any possible delays to your return home and the entry requirements at your next destination.
  • Once you have fully recovered, check with your health provider if you are fit to travel, before any onward travel.

Advice after travel

All travellers need to provide their journey and contact details to border health authorities on entering or returning to the UK. Current detailed information on entry requirements into England are available and include evidence of a negative COVID-19 test 3 days before arrival.

All travellers must self-isolate on arrival unless they have a valid exemption. Some travellers are not required to complete a passenger locator form or take a coronavirus test because of the jobs they do. Information about jobs qualifying for exemptions is available.

From 15 February 2021, anyone arriving in England from countries where there is a travel ban must quarantine in a government approved hotel for 10 days. The testing, self-isolation and quarantine rules from 15 February 2021 for England, Northern Ireland, Scotland and Wales are available.

Advice for health professionals

During the current COVID-19 pandemic, many individuals may present with a fever. In the returned traveller, some will have other infections including Plasmodium falciparum malaria, which can be fatal if not diagnosed and treated. All individuals being assessed for possible COVID-19 must be asked if they have travelled abroad in the last six months. If they visited a country where malaria occurs, they must have a blood test result for malaria on the same day [11].

Resources

  1. Foreign, Commonwealth & Development Office, Foreign travel advice [Accessed 11 February 2021]
  2. NHS Choices. People at higher risk from Coronavirus. [Accessed 11 February 2021]
  3. Public Health England, Beyond the data: Understanding the impact of COVID-19 on BAME groups. June 2020, [Accessed 11 February 2021]
  4. International Aircraft Transport Association (IATA). Guidance for Cabin Operations During and Post Pandemic Edition 4– 8 September 2020. [Accessed 11 February 2021]
  5. World Health Organization. Operational considerations for managing COVID-19 cases or outbreak in aviation: Interim guidance 18 March 2020 [Accessed 11 February 2021]
  6. GOV.UK Government to introduce tougher measures and enforcement rules for quarantined passengers, 9 February 2021. [Accessed 11 February 2021]
  7. World Health Organization. Air travel advice Q&A. 27 April 2020. [Accessed 11 February 2021]
  8. IATA, Research Points to Low Risk for COVID-19 Transmission Inflight. Press release 81, 8 October 2020 [Accessed 11 February 2021]
  9. Choi, E., Chu, D., Cheng, D. et al, In-Flight Transmission of SARS-CoV-2. Emerging Infectious Diseases, Volume 26, Number 11—November 2020 [Accessed 11 February 2021]
  10. Freedman, D.O., Wilder-Smith, A. In-flight transmission of SARS-CoV-2: a review of the attack rates and available data on the efficacy of face masks. Journal of Travel Medicine, 2020, 1–7, published 25 Sept 2020 [Accessed 11 February 2021]
  11. Public Health England, Guidelines for malaria prevention in travellers from the UK 2019. September 2019. [Accessed 11 February 2021]

Notice: Yellow Fever Vaccination Centres - Annual Return for YFVCS (1 January - 31 December 2020)

The Annual Return for Yellow Fever Vaccination Centres (YFVCs) in England, Wales and Northern Ireland is open Read more

RCN and NaTHNaC 4th Travel Health Event

The RCN and NaTHNaC have announced their first joint virtual event on Saturday 8 May 2021 Read more

Maintenance of the advice line for health professionals

The telephone advice line will be undergoing essential maintenance work on 11 March 2021 Read more

Polio: Public Health Emergency of International Concern

An update on the polio Public Health Emergency of International Concern (PHEIC) Read more
Back to Top

Map

VIEW FULL INDEX