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 India.
- 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 India, 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||Human cases reported from all states except Dadra, Daman, Diu, Gujarat, Himachal Pradesh, Jammu and Kashmir, Lakshadweep, Meghalaya, Nagar Haveli, Punjab, Rajasthan, and Sikkim. Most human cases reported May-October, especially in northern India; the season may be extended or year-round in some areas, especially in southern India. Highest rates of human disease reported from the states of Andhra Pradesh, Assam, Bihar, Goa, Haryana, Karnataka, Kerala, Tamil Nadu, Uttar Pradesh, and West Bengal.|
|Malaria||Recommended: Atovaquone-proguanil, doxycycline, or mefloquine. Drug resistance: Chloroquine. Areas with malaria: All areas throughout the country, including cities of Bombay (Mumbai) and Delhi, except none in areas >2,000 m (6,561 ft) in Himachal Pradesh, Jammu and Kashmir, and Sikkim.|
|Meningococcal Meningitis||Not endemic|
|Rabies||Recommended for travelers involved in outdoor and other activities (such as camping, hiking, biking, adventure travel, and caving) that put them at risk for animal bites, 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 India, 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||Any traveler (except infants <6 months old) arriving by air or sea without a yellow fever vaccination certificate is detained in isolation for up to 6 days if that person- 1) arrives within 6 days of departure from an area with risk of yellow fever transmission, 2) has been in such an area in transit (except those passengers and members of flight crews who, while in transit through an airport in an area with risk of yellow fever transmission, remained in the airport during their entire stay and the health officer agrees to such an exemption), 3) arrives on a ship that started from or touched at any port in an area with risk of yellow fever transmission up to 30 days before its arrival in India, unless such a ship has been disinsected in accordance with the procedure recommended by WHO, or 4) arrives on an aircraft that has been in an area with risk of yellow fever transmission and has not been disinsected in accordance with the Indian Aircraft Public Health Rules, 1954, or as recommended by WHO. The following are regarded as countries and areas with risk of yellow fever transmission: Africa: Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Congo, Côte dIvoire, Democratic Republic of the Congo, Equatorial Guinea, Ethiopia, Gabon, The Gambia, Ghana, Guinea, Guinea-Bissau, Kenya, Liberia, Mali, Mauritania, Niger, Nigeria, Rwanda, Senegal, Sierra Leone, South Sudan, Sudan, Togo, and Uganda. Americas: Argentina, Bolivia, Brazil, Colombia, Ecuador, French Guiana, Guyana, Panama, Paraguay, Peru, Suriname, Trinidad (Trinidad only), and Venezuela.|
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.