Vaccination and Health Risks
Your doctor can give you important advice and prescribe vaccines and medications to help you stay safe while traveling abroad. The following are vaccinations and medications you and your physician may wish to consider before travel to Brazil.
- To have the most benefit, see a doctor at least 4-6 weeks before your trip to allow time for your vaccines to take effect. If you are leaving sooner, it is still important to see a doctor as soon as possible for vaccines, medications and information about how to protect yourself from illness and injury while traveling.
- Your doctor will make specific recommendations, depending on your health and immunization history, areas of the country you will be visiting, planned activities and other factors. If your travel plans will take you to more than one country during a single trip, be sure to let your health-care provider know. Long-term travelers, such as those who plan to work or study abroad, may also need additional vaccinations as required by their employer or school.
- If you have a chronic medical condition, share your travel plans with any doctors who are currently treating you.
Vaccine or Disease
Vaccination or Treatment Recommendations
|Routine||Recommended if you are not up-to-date with routine shots such as, measles/mumps/rubella (MMR) vaccine, diphtheria/pertussis/tetanus (DPT) vaccine, poliovirus vaccine, etc.|
|Hepatitis A||Recommended because you can get hepatitis A through contaminated food or water in Brazil, regardless of where you are eating or staying.|
|Hepatitis B||Recommended, especially for those who have sexual contact, contaminated needles, blood products, get a tattoo or piercing, or have any medical procedures.|
|Japanese Encephalitis||Not endemic|
|Malaria||Recommended: Atovaquone-proguanil, doxycycline, or mefloquine. Chloroquine not recommended. Areas of Risk: States of States of Acre, Amapa, Amazonas, Mato Grosso, Maranhao, Para, Rondonia, Roraima, and Tocantins. Also present in urban areas, including cities such as Belem, Boa Vista, Macapa, Manaus, Maraba, Porto Velho, and Santarem. No transmission at Iguazu Falls. Areas with rare cases: Mosquito avoidance only.|
|Meningococcal Meningitis||Not endemic|
|Rabies||Recommended for travelers involved in outdoor and other activities in remote areas that put them at risk for animal bites (such as adventure travel and caving), people who will be working with or around animals (such as veterinarians, wildlife professionals, and researchers), people who are taking long trips or moving to remote areas in Brazil, and children, because they tend to play with animals, might not report bites, and are more likely to have animal bites on their head and neck.|
|Typhoid||Recommended especially if you are staying with friends or relatives, visiting smaller cities or rural areas, or if you are an adventurous eater.|
|Yellow Fever||Parts of Brazil are currently experiencing yellow fever outbreaks. Required if traveling from Angola or the Democratic Republic of Congo and are at least 9 months of age. Recommended for all travelers at least 9 months of age going to the following areas: the entire states of Acre, Amapá, Amazonas, Distrito Federal (including the capital city of Brasília), Goiás, Maranhão, Mato Grosso, Mato Grosso do Sul, Minas Gerais, Pará, Rondônia, Roraima, and Tocantins, and designated areas of the following states: Bahia, Paraná, Piauí, Rio Grande do Sul, Santa Catarina, and São Paulo (state). Vaccination is also recommended for travelers visiting Iguaçu Falls. Not recommended for travelers whose itineraries are limited to areas not listed above, including the cities of Fortaleza, Recife, Rio de Janeiro, Salvador, and São Paulo|
This document is not a complete medical guide for travelers to this region. Conditions change over time and the recommendations for various countries at the time you travel may differ from the recommendations listed here. Consult with your doctor or visit the CDC website for specific information related to your needs and your medical history; recommendations may differ for pregnant women, young children, and persons who have chronic medical conditions.
Be sure to read the information about all the regions you are planning to visit.