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The Administration will end the COVID-19 vaccine requirements for international air travelers at the end of the day on May 11, the same day that the COVID-19 public health emergency ends. This means starting May 12, noncitizen nonimmigrant air passengers will no longer need to show proof of being fully vaccinated with an accepted COVID-19 vaccine to board a flight to the United States. CDC’s Amended Order Implementing Presidential Proclamation on Safe Resumption of Global Travel During the COVID-19 Pandemic will no longer be in effect when the Presidential Proclamation Advancing the Safe Resumption of Global Travel During the COVID-19 Pandemic is revoked .

Please see: https://www.whitehouse.gov/briefing-room/statements-releases/2023/05/01/the-biden-administration-will-end-covid-19-vaccination-requirements-for-federal-employees-contractors-international-travelers-head-start-educators-and-cms-certified-facilities/

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COVID-19 international travel advisories

If you plan to visit the U.S., you do not need to be tested or vaccinated for COVID-19. U.S. citizens going abroad, check with the Department of State for travel advisories.

COVID-19 testing and vaccine rules for entering the U.S.

  • As of May 12, 2023, noncitizen nonimmigrant visitors to the U.S.  arriving by air  or  arriving by land or sea  no longer need to show proof of being fully vaccinated against COVID-19. 
  • As of June 12, 2022,  people entering the U.S. no longer need to show proof of a negative COVID-19 test . 

U.S. citizens traveling to a country outside the U.S.

Find country-specific COVID-19 travel rules from the Department of State.

See the  CDC's COVID-19 guidance for safer international travel.

LAST UPDATED: December 6, 2023

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Travelers' Health Most Frequently Asked Questions

On this page, travel vaccines and medications, yellow fever vaccine.

CDC Travelers’ Health Branch provides health advice to international travelers, including advice about medications and vaccines. On this page, you’ll find some of our most frequently asked questions and responses.

1. What vaccines or medicines should I get before traveling to my destination?

A: It depends on where you are going and what you will be doing. Use our destination tool to find the vaccines and medications you need for your next trip, and schedule an appointment with your doctor or a travel medicine specialist at least a month before traveling to get recommended or required vaccines and medicines.

2. If I am going on a cruise that will stop in several countries, which vaccines should I get for each country?

suitcase on yellow background

A: You should be up-to-date on routine vaccines, such as measles-mumps-rubella (MMR), tetanus, and flu. Depending on where you’re going and what activities you plan, other vaccines may be recommended. More cruise information .

3. What is the difference between routine, recommended, and required vaccines?

A: Routine vaccines are those that are recommended for everyone in the United States based on their age, health condition, or other risk factors. You may think of these as the childhood vaccines you got before starting school, but some are routinely recommended for adults, like the adult pertussis booster Tdap, and some every year (like the flu vaccine) or every 10 years (like the tetanus booster for adults).

A required vaccine is one that travelers must have in order to enter a country, based on that country’s regulations. Yellow fever , meningococcal, and polio vaccines may be required by certain countries.

Recommended vaccines are those that CDC recommends travelers get to protect their health, even if they aren't required for entry by the government of the country you are visiting. They protect travelers from illnesses that are usually travel-related. For example, a typhoid vaccine can prevent typhoid , a serious disease spread by contaminated food and water, which is not usually found in the United States. The vaccines recommended for a traveler depend on several things, including age, health, and itinerary.

Find out more about travel vaccines . Clinicians: Use our 2-page Quick Guide to Travel Vaccination Recommendations .

4. What are the prices of vaccines needed for travel outside the United States?

A: Prices vary by provider and insurance coverage. You should be able to get routine vaccines from your primary health care provider, health clinic, or health department. Travel clinics and yellow fever vaccine clinics should be able to give you any vaccines that your health care provider cannot.  

5. How long do travel vaccines last (when do I need to get a booster dose)?

A: How long travel vaccines last depends on the vaccine. If you're traveling outside the United States, you should see a health care provider who is familiar with travel medicine at least a month before your trip. They can give you advice about any vaccines and vaccine boosters based on where you are going and your previous vaccinations. Be sure to bring your vaccine records to your appointment!

6. Which medications can I travel with?

A: When packing for trips abroad, don’t forget there may be special considerations for bringing your prescriptions and other medicines with you. Some medicines that are commonly prescribed or available over-the-counter in the United States can be illegal in other countries. Check with the embassy or consulate in the country you will be visiting to make sure your medicines are permitted in that country.

See your health care provider at least a month before you go to get any needed or extra medications, and pack medications in your carry-on in case your luggage is lost.

Yellow fever vaccination certificate

7. Which countries require yellow fever vaccine for travel?

A: Some countries in South America and Africa require you to provide proof that you have been vaccinated against yellow fever by presenting an International Certificate of Vaccination or Prophylaxis when entering the country. However, there are other popular travel destinations where the threat of infection with yellow fever virus is very real, and there is no requirement for you to be vaccinated to enter the country.

If you only get the yellow fever vaccine before going to countries that require it, you could be putting your health at risk. Since yellow fever disease can be serious or even fatal, CDC recommends that individuals be vaccinated when traveling to any areas where there is a risk of acquiring infection with yellow fever virus. Use our   destination tool to find out which vaccines the CDC recommends you have for anywhere you travel around the world and talk to a travel medicine provider for more details.

Yellow fever vaccine is only available at yellow fever vaccine clinic , so call ahead (well in advance of travel) and book your appointment.

Even if you get the yellow fever vaccine, you can still get other diseases from mosquito bites, like malaria, dengue, and Zika. The best ways to prevent mosquito-borne diseases are to use insect repellent while outdoors, wear long pants and long sleeves, and choose accommodations with air conditioning or mosquito nets. For travel to areas where malaria is a risk , taking medicine that can prevent malaria may also be advised.

8. How far in advance of my trip do I need to get the yellow fever vaccine?

A: For most people, it takes up to 10 days after the vaccine is given to be protected against the yellow fever virus . If your destination requires yellow fever vaccine, the proof of vaccination does not become valid until 10 days after the vaccine is given.

9. Where can I get a yellow fever vaccine in my area?

A: The nearest yellow fever vaccination clinic may be far away from where you live, and appointments may be limited. Be sure to contact the clinic ahead of time.

10. Who should not get the yellow fever vaccine?

A: Some people should not get the yellow fever vaccine : infants younger than 6 months, or people with a history of a bad reaction to the vaccine should not receive yellow fever vaccine. If you have a thymus disorder associated with abnormal immune cell function (such as a thymoma or myasthenia gravis) you should not receive yellow fever vaccine. If cancer, or the drugs or radiation used to treat cancer, has weakened your immune system, you should not receive yellow fever vaccine. If you received an organ transplant and take medicines to prevent rejection of that transplant, you should not receive yellow fever vaccine. Other conditions and medicines can also affect your immune system and could be a reason not to receive yellow fever vaccine. Check with your doctor to find out more.

If you are older than 60 years old, pregnant, or breastfeeding, talk to your doctor before getting a yellow fever vaccine. There are potential risks to your health from the vaccine. If you are infected with HIV, talk to your doctor; you may still be able to get yellow fever vaccine, depending on your CD4 cell count and immune function. Infants 6–8 months old can receive yellow fever vaccine, although it is less risky to postpone travel to areas with yellow fever until the baby is 9 months of age or older. After the age of 9 months, the health risks from the vaccine are considerably lower.

Graphic: Zika Virus - Plan for Travel

11. Is Zika a risk in my next destination?

A: Check our world map of areas with risk of Zika for the most up-to-date information before you make international travel plans. Please be advised: CDC does not track the number of Zika cases outside the United States.

It is difficult to determine the risk of Zika in other countries. Zika frequently causes only mild symptoms, and people with Zika might not go to the doctor. If they go to a doctor, the doctor might not test for Zika or report cases to the government. A lack of reported cases does not mean a lack of risk. CDC considers any country that has ever had Zika cases to have possible risk, but we cannot say how high or low that risk is.

CDC now recommends pregnant women and couples trying to become pregnant within the next 3 months first talk to their healthcare providers and carefully consider the risks and possible consequences of Zika infection before traveling to areas that report past or current spread of Zika but no current outbreak. Pregnant women: avoid mosquito bites and sexual exposure during travel. If partner travels, avoid sex or use condoms for remainder of pregnancy. Women planning to conceive may wish to delay pregnancy,

CDC continues to recommend that pregnant women not travel to areas where a Zika outbreak is occurring.

12. How can I contact the local US embassy?

Graphic: Smart Traveler Enrollment Program

A: 1. Enroll with the nearest US embassy or consulate through the Smart Traveler Enrollment Program (STEP) . It’s a FREE service that allows US citizens traveling or living abroad to receive the latest security updates for their location. 2. If you need to contact a US embassy or consulate, call 1-888-407-4747 (from the US or Canada) OR 00-1-202-501-4444 (from other countries).

Travel healthy, from CDC’s Travelers’ Health!

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Executive Order on Promoting COVID- ⁠ 19 Safety in Domestic and International   Travel

By the authority vested in me as President by the Constitution and the laws of the United States of America, it is hereby ordered as follows: 

Section 1.  Policy.  Science-based public health measures are critical to preventing the spread of coronavirus disease 2019 (COVID-19) by travelers within the United States and those who enter the country from abroad.  The Centers for Disease Control and Prevention (CDC), the Surgeon General, and the National Institutes of Health have concluded that mask-wearing, physical distancing, appropriate ventilation, and timely testing can mitigate the risk of travelers spreading COVID-19.  Accordingly, to save lives and allow all Americans, including the millions of people employed in the transportation industry, to travel and work safely, it is the policy of my Administration to implement these public health measures consistent with CDC guidelines on public modes of transportation and at ports of entry to the United States.   

Sec. 2.  Immediate Action to Require Mask-Wearing on Certain Domestic Modes of Transportation.

(a)  Mask Requirement.   The Secretary of Labor, the Secretary of Health and Human Services (HHS), the Secretary of Transportation (including through the Administrator of the Federal Aviation Administration (FAA)), the Secretary of Homeland Security (including through the Administrator of the Transportation Security Administration (TSA) and the Commandant of the United States Coast Guard), and the heads of any other executive departments and agencies (agencies) that have relevant regulatory authority (heads of agencies) shall immediately take action, to the extent appropriate and consistent with applicable law, to require masks to be worn in compliance with CDC guidelines in or on: 

(i)    airports; 

(ii)   commercial aircraft; 

(iii)  trains; 

(iv)   public maritime vessels, including ferries; 

(v)    intercity bus services; and

(vi)   all forms of public transportation as defined in section 5302 of title 49, United States Code.

(b)  Consultation.   In implementing this section, the heads of agencies shall consult, as appropriate, with interested parties, including State, local, Tribal, and territorial officials; industry and union representatives from the transportation sector; and consumer representatives.

(c)  Exceptions.   The heads of agencies may make categorical or case-by-case exceptions to policies developed under this section, consistent with applicable law, to the extent that doing so is necessary or required by law.  If the heads of agencies do make exceptions, they shall require alternative and appropriate safeguards, and shall document all exceptions in writing.

(d)  Preemption.  To the extent permitted by applicable law, the heads of agencies shall ensure that any action taken to implement this section does not preempt State, local, Tribal, and territorial laws or rules imposing public health measures that are more protective of public health than those required by the heads of agencies. 

(e)  Coordination.  The Coordinator of the COVID-19 Response and Counselor to the President (COVID-19 Response Coordinator) shall coordinate the implementation of this section.  The heads of agencies shall update the COVID-19 Response Coordinator on their progress in implementing this section, including any categorical exceptions established under subsection (c) of this section, within 7 days of the date of this order and regularly thereafter.  The heads of agencies are encouraged to bring to the attention of the COVID-19 Response Coordinator any questions regarding the scope or implementation of this section.

Sec. 3.  Action to Implement Additional Public Health Measures for Domestic Travel. 

(a)  Recommendations.   The Secretary of Transportation (including through the Administrator of the FAA) and the Secretary of Homeland Security (including through the Administrator of the TSA and the Commandant of the Coast Guard), in consultation with the Director of CDC, shall promptly provide to the COVID-19 Response Coordinator recommendations concerning how their respective agencies may impose additional public health measures for domestic travel.

(b)  Consultation.   In implementing this section, the Secretary of Transportation and the Secretary of Homeland Security shall engage with interested parties, including State, local, Tribal, and territorial officials; industry and union representatives from the transportation sector; and consumer representatives.  

Sec. 4.  Support for State, Local, Tribal, and Territorial Authorities.  The COVID-19 Response Coordinator, in coordination with the Secretary of Transportation and the heads of any other relevant agencies, shall promptly identify and inform agencies of options to incentivize, support, and encourage widespread mask-wearing and physical distancing on public modes of transportation, consistent with CDC guidelines and applicable law.

Sec. 5.  International Travel. 

(a)  Policy.   It is the policy of my Administration that, to the extent feasible, travelers seeking to enter the United States from a foreign country shall be: 

(i)   required to produce proof of a recent negative COVID-19 test prior to entry; and 

(ii)  required to comply with other applicable CDC guidelines concerning international travel, including recommended periods of self-quarantine or self-isolation after entry into the United States.

(b)  Air Travel.  

(i)    The Secretary of HHS, including through the Director of CDC, and in coordination with the Secretary of Transportation (including through the Administrator of the FAA) and the Secretary of Homeland Security (including through the Administrator of the TSA), shall, within 14 days of the date of this order, assess the CDC order of January 12, 2021, regarding the requirement of a negative COVID-19 test result for airline passengers traveling into the United States, in light of subsection (a) of this section.  Based on such assessment, the Secretary of HHS and the Secretary of Homeland Security shall take any further appropriate regulatory action, to the extent feasible and consistent with CDC guidelines and applicable law.  Such assessment and regulatory action shall include consideration of: 

(A)  the timing and types of COVID-19 tests that should satisfy the negative test requirement, including consideration of additional testing immediately prior to departure; (B)  the proof of test results that travelers should be required to provide; (C)  the feasibility of implementing alternative and sufficiently protective public health measures, such as testing, self-quarantine, and self-isolation on arrival, for travelers entering the United States from countries where COVID-19 tests are inaccessible, particularly where such inaccessibility of tests would affect the ability of United States citizens and lawful permanent residents to return to the United States; and (D)  measures to prevent fraud.

(ii)   The Secretary of HHS, in coordination with the Secretary of Transportation (including through the Administrator of the FAA) and the Secretary of Homeland Security (including through the Administrator of the TSA), shall promptly provide to the President, through the COVID-19 Response Coordinator, a plan for how the Secretary and other Federal Government actors could implement the policy stated in subsection (a) of this section with respect to CDC-recommended periods of self-quarantine or self-isolation after a flight to the United States from a foreign country, as he deems appropriate and consistent with applicable law.  The plan shall identify agencies’ tools and mechanisms to assist travelers in complying with such policy.

(iii)  The Secretary of State, in consultation with the Secretary of HHS (including through the Director of CDC), the Secretary of Transportation (including through the Administrator of the FAA), and the Secretary of Homeland Security, shall seek to consult with foreign governments, the World Health Organization, the International Civil Aviation Organization, the International Air Transport Association, and any other relevant stakeholders to establish guidelines for public health measures associated with safe international travel, including on aircraft and at ports of entry.  Any such guidelines should address quarantine, testing, COVID-19 vaccination, follow-up testing and symptom-monitoring, air filtration requirements, environmental decontamination standards, and contact tracing.  

(c)  Land Travel.  The Secretary of State, in consultation with the Secretary of HHS, the Secretary of Transportation, the Secretary of Homeland Security, and the Director of CDC, shall immediately commence diplomatic outreach to the governments of Canada and Mexico regarding public health protocols for land ports of entry.  Based on this diplomatic engagement, within 14 days of the date of this order, the Secretary of HHS (including through the Director of CDC), the Secretary of Transportation, and the Secretary of Homeland Security shall submit to the President a plan to implement appropriate public health measures at land ports of entry.  The plan should implement CDC guidelines, consistent with applicable law, and take into account the operational considerations relevant to the different populations who enter the United States by land.

(d)  Sea Travel.  The Secretary of Homeland Security, through the Commandant of the Coast Guard and in consultation with the Secretary of HHS and the Director of CDC, shall, within 14 days of the date of this order, submit to the President a plan to implement appropriate public health measures at sea ports.  The plan should implement CDC guidelines, consistent with applicable law, and take into account operational considerations.  

(e)  International Certificates of Vaccination or Prophylaxis.  Consistent with applicable law, the Secretary of State, the Secretary of HHS, and the Secretary of Homeland Security (including through the Administrator of the TSA), in coordination with any relevant international organizations, shall assess the feasibility of linking COVID-19 vaccination to International Certificates of Vaccination or Prophylaxis (ICVP) and producing electronic versions of ICVPs.  

(f)  Coordination.  The COVID-19 Response Coordinator, in consultation with the Assistant to the President for National Security Affairs and the Assistant to the President for Domestic Policy, shall coordinate the implementation of this section.  The Secretary of State, the Secretary of HHS, the Secretary of Transportation, and the Secretary of Homeland Security shall update the COVID-19 Response Coordinator on their progress in implementing this section within 7 days of the date of this order and regularly thereafter.  The heads of all agencies are encouraged to bring to the attention of the COVID-19 Response Coordinator any questions regarding the scope or implementation of this section.

Sec. 6.  General Provisions.   (a)  Nothing in this order shall be construed to impair or otherwise affect:

(i)   the authority granted by law to an executive department or agency, or the head thereof; or

(ii)  the functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.

(b)  This order shall be implemented consistent with applicable law and subject to the availability of appropriations.

(c)  This order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.

JOSEPH R. BIDEN JR.

THE WHITE HOUSE, January 21, 2021.

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Watch CBS News

CDC eases COVID vaccination rule on international travelers as expiration looms

By Alexander Tin

April 27, 2023 / 4:47 PM EDT / CBS News

The Centers for Disease Control and Prevention moved Thursday to formally loosen its COVID-19 vaccination requirement on foreign visitors, which will now allow some to board flights into the U.S. with only a single dose of a COVID-19 vaccine from Pfizer or Moderna. 

"Because some traveler vaccine records might not specify whether recent Moderna or Pfizer doses received were bivalent, CDC will consider anybody with record of a single dose of Moderna or Pfizer vaccine issued on or after August 16, 2022, to meet the requirements," the agency said in updates published Thursday to its website .

The agency said it chose August because it is the "earliest that travelers could have received a bivalent vaccine."

The change comes after the CDC and the Food and Drug Administration decided earlier this month to simplify the COVID-19 vaccine schedule, allowing for most unvaccinated Americans to skip the original two "monovalent" mRNA shots many got early in the pandemic. 

Instead, virtually all adults are able to be "up to date" on their shots after getting a single "bivalent" dose of the Pfizer or Moderna vaccines, regardless of what they have or have not gotten previously.

Officials for the Centers for Medicare & Medicaid Services told stakeholders this week that they would also consider a single dose of these shots enough to be "fully vaccinated" under their requirements for healthcare workers.

"We note that if someone is currently unvaccinated, they can meet this rules requirements by receiving one dose of the new bivalent vaccines," CMS official Lauren Oviatt said Wednesday at a webinar .

The CDC's change come as a potential end to the requirement is nearing.

Multiple travel industry officials have said that the requirement on foreign visitors, which has resulted in a handful of high-profile spats over unvaccinated athletes and celebrities being denied entry into the country, is widely expected to be allowed to expire.

Many countries have already long-since eased or ended their vaccination requirements on travelers.

The Transportation Security Administration last moved to renew the rule earlier this month only through May 11 , the same day as the public health emergency is due to end.

The White House first ordered the requirement in October 2021. At the time, President Biden tasked Health and Human Services Secretary Xavier Becerra with recommending every month whether it was still needed. 

Asked whether Becerra has decided to end the rule, a spokesperson for the Department of Health and Human Services said there was no update to share on the future of the requirement.

Alexander Tin is a digital reporter for CBS News based in the Washington, D.C. bureau. He covers the Biden administration's public health agencies, including the federal response to infectious disease outbreaks like COVID-19.

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Get Vaccinated Before You Travel

It’s important to plan ahead to get the shots required for all countries you and your family plan to visit.

Family of three in an airport waiting

Protect your child and family when traveling in the United States or abroad by:

  • Getting the shots required for all countries you and your family plan to visit during your trip
  • Making sure you and your family are up-to-date on all routine U.S. vaccines
  • Staying informed about travel notices and alerts and how they can affect your family’s travel plans

Avoid getting sick or coming back home and spreading the disease to others.

Vaccinate at least a month before you travel

See your doctor when you start to plan your trip abroad. It’s important to do this well in advance.

  • Your body needs time to build up immunity.
  • You may need several weeks to get all the doses of the vaccine.
  • Your primary doctor may not stock travel vaccines. Visit a travel medical clinic .
  • You’ll need time to prepare for your pre-travel appointment .
  • If the country you visit requires a yellow fever vaccine , only a limited number of clinics have the vaccine and will probably be some distance from where you live. You must get it at least 10 days before travel.

Find out which vaccines are recommended or required for the countries you plan to visit .

TIP : Save time by getting routine vaccines during the same doctor visit. Use the Vaccine Self-Assessment Tool and discuss the results with your doctor. It tells you which U.S. recommended vaccines you (19 years and older) or your child (birth – 18 years) might need.

Last-minute travelers

When traveling to another country be aware your doctor may not carry a travel vaccine and you may have to visit a medical clinic.

Many travel vaccines require multiple shots or take time to become fully effective. But some multiple-dose vaccines (like hepatitis A) can still give you partial protection after just one dose. Some can also be given on an “accelerated schedule,” meaning doses are given in a shorter period of time.

  • Discover and learn about specific diseases that can affect you while traveling
  • What to do if you get sick after traveling
  • Vaccines & Immunizations

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  • Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website.
  • You will be subject to the destination website's privacy policy when you follow the link.
  • CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website.
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The novel coronavirus, first detected at the end of 2019, has caused a global pandemic.

Coronavirus Updates

Cdc says travel is safe for fully vaccinated people, but opposes nonessential trips.

Rachel Treisman

cdc international travel covid vaccine

The Centers for Disease Control and Prevention updated its domestic travel guidance for fully vaccinated people on Friday, lifting certain requirements while continuing to advise mitigation measures like mask-wearing and hand-washing. Angus Mordant/Bloomberg via Getty Images hide caption

The Centers for Disease Control and Prevention updated its domestic travel guidance for fully vaccinated people on Friday, lifting certain requirements while continuing to advise mitigation measures like mask-wearing and hand-washing.

The Centers for Disease Control and Prevention has updated its domestic travel guidance for fully vaccinated people, lifting certain testing and self-quarantine requirements and recommending precautions like wearing a mask and avoiding crowds. But health officials continue to discourage nonessential travel, citing a sustained rise in cases and hospitalizations.

The CDC updated its website on Friday to reflect the latest scientific evidence, writing that "people who are fully vaccinated with an FDA-authorized vaccine can travel safely within the United States."

The announcement comes less than a month after the CDC first released updated guidance about gatherings for fully vaccinated people, which it described as a "first step" toward returning to everyday activities.

Air Travel Is Opening Up Again, But That Doesn't Mean The Pandemic Is Over

The CDC considers someone fully vaccinated two weeks after they receive the last dose of vaccine. Those individuals will no longer need to get tested before or after travel unless their destination requires it, and do not need to self-quarantine upon return.

The new guidance means, for example, that fully vaccinated grandparents can fly to visit their healthy grandkids without getting a COVID-19 test or self-quarantining as long as they follow other recommended measures while traveling, according to CDC Director Rochelle Walensky.

Those measures include wearing a mask over their nose and mouth, staying 6 feet from others and washing their hands frequently. Masks are required on all planes traveling into, within or out of the U.S., under an executive order issued by President Biden.

But Walensky, speaking at a White House COVID-19 Response Team briefing on Friday, nonetheless discouraged all nonessential travel, citing a continued increase in the seven-day average of cases and hospitalizations.

"While we believe that fully vaccinated people can travel at low risk to themselves, CDC is not recommending travel at this time due to the rising number of cases," Walensky said.

CDC Director Fears 'Impending Doom' If U.S. Opens Too Quickly

CDC Director Fears 'Impending Doom' If U.S. Opens Too Quickly

She said that while vaccinated people can do more things safely, most Americans are not yet fully vaccinated. Those who are not must have a negative test 1-3 days before they travel under CDC guidance. They must either get tested 3-5 days after they return and self-quarantine for 7 days, or self-quarantine for 10 days with no test.

Walensky said on Monday that there is more travel occurring now than throughout the pandemic, including the winter holidays. She acknowledged that people have been looking to get away over spring break or take advantage of what they perceive as a "relative paucity in cases," and she said the country was seeing an uptick in cases as a result.

"The thing that's different this time is that we actually have it in our power to be done with the scale of the vaccination," she said. "And that will be so much slower if we have another surge to deal with as well."

The U.S. is already seeing an uptick in domestic travel, and many Americans are looking to book trips in the coming months in what experts described to NPR as a sign of "clear pent up demand for travel."

As the country's supply of COVID-19 doses has grown, so has Biden's goal for the number of shots in arms during his first 100 days, doubling the target to 200 million by the end of this month. Many states have already expanded eligibility to all adults or are set to do so in the coming weeks, well ahead of the president's May 1 deadline.

According to NPR's vaccine tracker , 16.9% of the U.S. population is fully vaccinated, and 30% has had at least one dose. Researchers estimate that 70% to 85% of the country would need to have immunity for COVID-19 to stop spreading through communities.

International travel restrictions remain

The CDC is not lifting travel restrictions barring the entry of most non-U.S. citizens from places including China, Brazil, South Africa and parts of Europe. It will continue to require airline passengers entering the U.S. to get a test within three days of their departure and show proof of a negative result before boarding.

The travel industry has been pushing for some of these restrictions to end. A group of 26 organizations sent a letter to White House COVID-19 czar Jeffrey Zients urging the federal government "to partner with us to develop, by May 1, 2021, a risk-based, data-driven roadmap to rescind inbound international travel restrictions."

While Some Spring Breakers Swarm Beaches, Many Stay Home, Dreaming Of Summer Travel

While Some Spring Breakers Swarm Beaches, Many Stay Home, Dreaming Of Summer Travel

"To be clear, at this time, we do not support removal or easing of core public health protections, such as the universal mask mandate, inbound international testing requirement, physical distancing or other measures that have made travel safer and reduced transmission of the virus," they wrote. "However, the data and science demonstrate that the right public health measures are now in place to effectively mitigate risk and allow for the safe removal of entry restrictions."

Travel and tourism have taken a considerable hit because of the pandemic with industry groups noting that overseas travel to the U.S. declined by 81% in 2020, causing billions of dollars in losses. Without lifting international travel bans, the U.S. Travel Association estimates that some 1.1 million American jobs will not be restored and billions in spending will be lost by the end of the year.

"Fortunately, enough progress has been made on the health front that a rebound for domestic leisure travel looks possible this year, but that alone won't get the job done," Roger Dow, the association's president and CEO, said in a statement . "A full travel recovery will depend on reopening international markets, and we must also contend with the challenge of reviving business travel."

Fauci Expects Surge In Vaccinations To Keep A 4th Coronavirus Wave At Bay

Fauci Expects Surge In Vaccinations To Keep A 4th Coronavirus Wave At Bay

  • Centers for Disease Control and Prevention
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What to Know About Testing and Vaccine Requirements for Travel

Do you need to be vaccinated or have a negative Covid-19 test for your next trip? Check this guide before traveling domestically or abroad.

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By Concepción de León

As vaccinations ramp up and regulations loosen for people in the United States, many are planning travel for summer and beyond, with experts predicting that July 4 will be the biggest travel weekend since the beginning of the pandemic.

But with regulations shifting, people might have questions about testing or vaccination requirements for their trips. The Centers for Disease Control and Prevention recently eased travel recommendations to more than 100 countries. On June 18, the European Union added the United States to its “safe list” of countries , meaning that both vaccinated and unvaccinated American travelers should now be able to visit the 27 member countries, but these member states are allowed to set their own requirements and restrictions for travelers.

In the United States, the C.D.C. has advised that vaccinated people no longer need to wear masks in most places and released new travel guidelines that said domestic travel is safe for them. But travelers must take note of local advice and regulations, as these can vary state by state.

Here’s everything you need to consider about testing and vaccinations before you travel within the U.S. or internationally.

Are there testing and vaccination requirements for domestic travel?

For most places, no. You do not need to be vaccinated for any domestic travel. Hawaii is the only state that requires a negative test for travel.

In Hawaii, the test must be administered within 72 hours of arrival and the results uploaded to its Safe Travel platform to avoid a mandatory quarantine when entering the state.

Alternatively in Hawaii, you can also provide proof that you’ve recovered from Covid-19 in the past 90 days, including both a positive test result and a letter from a doctor clearing you to travel.

The state’s governor, David Ige, said this month that people who received their vaccination in the state of Hawaii may bypass testing and quarantine requirements starting on June 15, and that anyone vaccinated in the U.S. will be able to enter Hawaii without testing once the state has reached a 60 percent vaccination rate.

If you are unvaccinated, you should continue to adhere to social distancing and mask-wearing protocols while traveling domestically, the C.D.C. said . You can use the C.D.C.’s Travel Planner to check guidelines by state.

What are the testing and vaccination rules for international travel?

While testing and vaccination requirements vary by destination country, everyone arriving in the U.S. — even vaccinated Americans — must present a negative test result upon entry .

Many nations are still closed to American travelers. Those that are open may require a negative test, proof of vaccination or evidence of recovery (or a combination of these) to enter.

The United Kingdom , for instance, requires that American travelers, regardless of vaccination status, provide proof of a negative test taken within 72 hours of departure, quarantine upon arrival and take two additional tests during their stay. Children under 11 are exempt from these requirements, as are some other people depending on their reason for travel.

Some European countries have been allowing in Americans who are vaccinated or who can show a negative test. Americans are on the European Union’s “safe list” of countries, but while the bloc aims to take a coordinated approach to travel this summer, member states will be allowed to set their own requirements for travelers from individual countries, which could include testing and vaccination.

The E.U. “safe list” also applies to Europe’s border-free Schengen Zone, which includes non-E.U. countries such as Norway, Switzerland, Iceland and Lichtenstein.

Canada is still closed to Americans , with few exceptions, and will remain so until at least early July, said Patty Hajdu, the country’s minister of health, in a news conference in June.

The U.S.-Mexico land border is closed for nonessential travel until at least June 21, but air travel is allowed and the country does not require a negative test for entry. Because of its high risk level, the C.D.C. recommends that travelers be fully vaccinated before traveling to Mexico.

Consult the C.D.C.’s inventory of international travel health notices for more information on regulations by country.

“Travelers should always check with their airline and the embassy of the country they are visiting to ensure they have the proper documentation required to enter the country,” said Perry Flint, a spokesman for The International Air Transport Association, a global airline industry group.

What test should I take, and where and when?

To enter the U.S., travelers must show a negative result to a nucleic acid amplification test (NAAT) — PCR is a type of NAAT test — or an antigen test, also known as a rapid test, taken in the three days before departure, according to the C.D.C .

Some airports offer on-site testing, such as Heathrow Airport in England, or Rome’s Fiumicino International Airport in Italy.

Josh Alexander, a New York-based luxury travel agent for Protravel International, said that many international hotels, including most Four Seasons hotels and resorts , are offering on-site rapid tests for free or at a nominal cost.

Testing at local clinics is also available in many places, though you should check availability at your destination ahead of time and book if you can. It may also come at a high cost. Mr. Alexander said that PCR tests abroad can range from $50 to $150.

The C.D.C. said that it allows for a three-day time frame rather than 72 hours to allow flexibility in the time of day the test can be taken. For instance, if you are flying out on a Friday, the test may be taken at any time on Tuesday.

But, when it comes to international destinations, Mr. Alexander recommends erring on the side of caution when timing your test by calculating it based on time of arrival at your destination.

“Rules are constantly changing,” he said, “so we’re just trying to always tell people they should always be as conservative as possible to eliminate any gray area.”

What are the requirements for minors?

The C.D.C. testing recommendations apply to all children 2 years and older, which means your toddler also needs to deliver a negative Covid-19 test to enter the U.S. from abroad. When traveling, children should wear masks, practice social distancing and wash hands often, the C.D.C. said .

“If the kids are age 12 and older, get ’em vaccinated,” said William Schaffner, an infectious disease expert at Vanderbilt University, in an email.

If you’re traveling to a country within the European Union that is open to travelers from the U.S., children who cannot be vaccinated should have a negative PCR test taken no more than 72 hours before arrival at your destination, and additional testing may be required upon arrival.

Travelers should check with their airline or destination country website for relevant requirements.

What if I want to go on a cruise?

Rules vary from one cruise line to another, with some planning to require that all passengers and crew be vaccinated, and others adopting a hybrid model.

But recent laws passed in Florida and Texas banning businesses from requiring proof of vaccination to use their services may complicate this plan.

Celebrity Cruises, set to be the first U.S. cruise ship to restart operations on June 26 from Fort Lauderdale, Fla., said it’s optimistic that a resolution would be reached in time . It is requiring that guests 16 years and older be vaccinated, while children will be tested at the terminal.

Carnival Cruises said on Monday that its first ship would set sail from the Port of Galveston, in Texas, on July 3 and would be available only for vaccinated passengers. Norwegian, which will begin to operate cruises from Miami in August, said it will require the same through October 31 and has threatened to skip Florida ports if the state does not allow cruise lines an exemption from the law banning vaccine requirements.

Christine Duffy, the president of Carnival Cruise Line, said in a statement on June 7 that “the current CDC requirements for cruising with a guest base that is unvaccinated will make it very difficult to deliver the experience our guests expect, especially given the large number of families with younger children who sail with us.”

“As a result, our alternative is to operate our ships from the U.S. during the month of July with vaccinated guests,” she said.

But even if you are vaccinated, you must also consider the requirements of the country where the cruise is disembarking. The Caribbean island of St. Maarten, for instance, where Celebrity Cruises started sailing on June 5, requires a negative test in addition to proof of vaccination.

What documents should I bring with me if I travel?

This will also depend on where you’re going, but a good rule of thumb is to carry your physical vaccine card, if you have it, and proof of a negative test, if it is required.

Mr. Alexander, the travel agent, recommends people bring the original documents. While a number of digital health certificates — which show vaccine status and test results — are in the works, he said, they are not yet widely accepted. You should check, also, that your document is in the correct language. The United Kingdom , for instance, requires that test results be in English, Spanish or French.

CommonPass , from the Geneva-based nonprofit the Commons Project Foundation, and the I.A.T.A. Travel Pass are two apps providing digital access to vaccine and testing records for travel. The European Union will be releasing its own digital Covid certificate for E.U. citizens by July 1, though it is unclear whether Americans will be able to use it.

You should check with your airline to see if the app you want to use will be accepted at your destination. Both the CommonPass and I.A.T.A. websites list destinations and airline partners accepting the digital health certificates.

Mr. Alexander added that some countries, such as Croatia, may also require proof of a return flight or confirmation of your hotel booking or other accommodation, though this is rare. In South Africa, which has implemented a curfew, travelers may need to show their flight ticket to law enforcement officers to show they are allowed to be in transit.

But these shifting regulations should not dissuade people from traveling, Mr. Alexander said.

“If you’re vaccinated and you’re following safe precautions, you can still have a great experience,” he said.

Concepción de León is a travel reporter based in New York. More about Concepción de León

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