General recommendations

Zika may be a risk in the USA. Because of the risk of birth defects in babies born to women who were infected with Zika while pregnant, women who are pregnant or planning to become pregnant should discuss their travel plans with their doctor. For further information on this recommendation, please visit the CDC Zika Risk in Countries with Endemic Zika.

Chikungunya cases have been reported in the USA. For further information, please visit the CDCChikungunya Advice.

HIV may be a risk in the USA. For further information, please visit the CDCHIV Advice.

Recommendations

It is recommended that travellers are up to date on routine vaccinations including measles-mumps-rubella (MMR), diphtheria-pertussis-tetanus (DPT), varicella (chickenpox), polio, and yearly flu shots.

As hepatitis A outbreaks occur throughout the world and sometimes in countries with a low risk for hepatitis A, travellers should consult with their doctor prior to travel to see if the hepatitis A vaccine is necessary.

A hepatitis B vaccination is recommended for those who may have sexual contact with a new partner, who may get a tattoo or piercing, or have any medical procedures.

A rabies vaccination is recommended for those planning an outdoor holiday, for wildlife professionals and researchers, or for those who may come into contact with bats.

Regulation

Zika Risk in Countries with Endemic Zika.

Chikungunya Advice.

HIV Advice.