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What to Know About the C.D.C. Guidelines on Vaccinated Travel

In updated recommendations, the federal health agency said both domestic and international travel was low risk for fully vaccinated Americans. But travel remains far from simple.

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By Ceylan Yeginsu

The Centers for Disease Control and Prevention updated its guidance for fully vaccinated Americans in April, saying that traveling both domestically and internationally was low risk.

The long-awaited recommendations were issued by federal health officials after a series of studies found that vaccines administered in the United States were robustly effective in preventing infections in real-life conditions.

One is considered fully vaccinated two weeks after receiving the single dose of the Johnson & Johnson vaccine, or two weeks after receiving the second dose of the Pfizer-BioNTech or Moderna shots.

If you decide to travel, you might still have some questions. Here are the answers.

Will I still need to wear a mask and socially distance while traveling?

Yes. Under federal law, masks must be worn at airports in the United States, onboard domestic flights and in all transport hubs. The C.D.C. says that as long as coronavirus measures are taken in these scenarios, including mask wearing, fully vaccinated Americans can travel domestically without having to take a test or quarantine, although the agency warns that some states and territories may keep their local travel restrictions and recommendations in place.

For those wishing to travel internationally, a coronavirus test will not be required before departure from the United States unless mandated by the government of their destination. Vaccinated travelers are still required to get tested three days before travel by air into the United States, and are advised to take a test three to five days after their return, but will not need to self-quarantine.

Can I go abroad?

Yes, but only to countries that will have you.

More than half the world’s countries have reopened to tourists from the United States, including the countries of the European Union , which on June 18 added the United States to its “safe list” of countries, meaning that American travelers can now visit. While the European Union 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 based on their own epidemiological criteria, which means they may require testing or vaccination.

Some places like Turkey, Croatia and Montenegro had already been welcoming Americans with negative test results. Greece joined that growing list in May, ahead of most European countries, opening to fully vaccinated tourists and other foreigners with a negative test.

Many Caribbean nations have reopened to American tourists, but each has its own coronavirus protocols and entry requirements.

Here’s a full list of countries Americans can currently travel to.

What about domestic travel? Is it free and clear to cross state borders?

If you are fully vaccinated, the C.D.C. says you can travel freely within the United States and that you do not need to get tested, or self-quarantine, before or after traveling. But some states and local governments may choose to keep travel restrictions in place, including testing, quarantine and stay-at-home orders. Hawaii , for instance, still has travel restrictions in place.

Before you travel across state lines, check the current rules at your destination.

How are they going to check that I’m fully vaccinated?

Right now, the best way to prove that you have been vaccinated is to show your vaccine card .

Digital vaccine and health certificates showing that people have been vaccinated or tested are in various stages of development around the world and are expected, eventually, to be widely used to speed up travel.

The subject of “ vaccine passports ” is currently one of the most hotly debated topics within the travel industry, with questions over the equity of their use and concerns over health and data privacy.

In early April, Gov. Ron DeSantis of Florida issued an executive order that would ban local governments and state businesses from requiring proof of vaccination for services.

And in March, the European Union endorsed its own vaccine certificate , which some countries are already using, with more expected to adopt it by July 1.

But what about my kids? What’s the guidance on traveling with unvaccinated people?

The C.D.C. advises people against travel unless they have been vaccinated. If you must travel, the agency recommends testing one to three days before a trip and following all coronavirus guidance at your destination.

In May, the F.D.A. expanded its emergency use authorization of the Pfizer-BioNTech coronavirus vaccine to include adolescents between 12 and 15 years of age.

All air passengers aged two and older coming into the United States, including fully vaccinated people, are required to have a negative Covid-19 test result taken no more than three days before they board their flight.

What is my moral obligation to the places I visit where most people are not vaccinated?

The United States inoculation rollout has been among the fastest in the world, but there is a stark gap between its rapid rollout and the vaccination programs in different countries. Some nations have yet to report a single dose being administered.

Many countries are currently seeing a surge in new cases and are implementing strict coronavirus protocols, including mask mandates in public spaces, capacity limits at restaurants and tourist sites and other lockdown restrictions.

It is important to check coronavirus case rates, measures and medical infrastructure before traveling to your destination and not to let your guard down when you get there. Even though you are fully vaccinated, you may still be able to transmit the disease to local communities who have not yet been inoculated.

You can track coronavirus vaccination rollouts around the world here.

Follow New York Times Travel on Instagram , Twitter and Facebook . And sign up for our weekly Travel Dispatch newsletter to receive expert tips on traveling smarter and inspiration for your next vacation.

Ceylan Yeginsu is a London-based reporter. She joined The Times in 2013, and was previously a correspondent in Turkey covering politics, the migrant crisis, the Kurdish conflict, and the rise of Islamic State extremism in Syria and the region. More about Ceylan Yeginsu

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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 . 

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

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

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Fact Sheet: Biden Administration Releases Additional Detail for Implementing a Safer, More Stringent International Air Travel   System

As we continue to work to protect people from COVID-19, today, the Biden Administration is releasing additional detail around implementation of the new international air travel policy requiring foreign national travelers to the United States to be fully vaccinated. This updated policy puts in place an international travel system that is stringent, consistent across the globe, and guided by public health. Starting on November 8, non-citizen, non-immigrant air travelers to the United States will be required to be fully vaccinated and to provide proof of COVID-19 vaccination status prior to boarding an airplane to fly to the U.S., with only limited exceptions. The updated travel guidelines also include new protocols around testing. To further strengthen protections, unvaccinated travelers – whether U.S. Citizens, lawful permanent residents (LPRs), or the small number of excepted unvaccinated foreign nationals – will now need to test within one day of departure. Today, the Administration is releasing the following documents to implement these requirements: 1) a Presidential Proclamation to Advance the Safe Resumption of Global Travel During the COVID-19 Pandemic; 2) three Centers for Disease Control and  Prevention (CDC) Orders on vaccination, testing, and contact tracing; and 3) technical instructions to provide implementation details to the airlines and their passengers.  With science and public health as our guide, the United States has developed a new international air travel system that both enhances the safety of Americans here at home and enhances the safety of international air travel. The additional detail released today provides airlines and international air travelers with time to prepare for this new policy ahead of the November 8 implementation date. As previously announced, fully vaccinated foreign nationals will also be able to travel across the Northern and Southwest land borders for non-essential reasons, such as tourism, starting on November 8. Additional detail on amendments to restrictions with respect to land borders will be available in the coming days. Travelers can find full details about today’s air travel announcement on the CDC and Department of State websites.  A summary is below: Fully Vaccinated Status:

• Starting on November 8, non-citizen, non-immigrant air travelers to the United States will be required to be fully vaccinated and to provide proof of vaccination status prior to boarding an airplane to fly to the U.S.

Proof of Vaccination:

• For foreign nationals, proof of vaccination will be required – with very limited exceptions – to board the plane.
• Match the name and date of birth to confirm the passenger is the same person reflected on the proof of vaccination;
• Determine that the record was issued by an official source (e.g., public health agency, government agency) in the country where the vaccine was given;
• Review the essential information for determining if the passenger meets CDC’s definition for fully vaccinated such as vaccine product, number of vaccine doses received, date(s) of administration, site (e.g., vaccination clinic, health care facility) of vaccination.
• The Biden Administration will work closely with the airlines to ensure that these new requirements are implemented successfully.

Accepted Vaccines:

• CDC has determined that for purposes of travel to the United States, vaccines accepted will include FDA approved or authorized and World Health Organization (WHO) emergency use listed (EUL) vaccines.
• Individuals can be considered fully vaccinated ≥2 weeks after receipt of the last dose if they have received any single dose of an FDA approved/authorized or WHO EUL approved single-dose series (i.e., Janssen), or any combination of two doses of an FDA approved/authorized or WHO emergency use listed COVID-19 two-dose series (i.e. mixing and matching).
• More details are available in the CDC Annex here .

Enhanced Testing:

• Previously, all travelers were required to produce a negative viral test result within three days of travel to the United States.
• Both nucleic acid amplification tests (NAATs), such as a PCR test, and antigen tests qualify.
• As announced in September, the new system tightens those requirements, so that unvaccinated U.S. Citizens and LPRs will need to provide a negative test taken within one day of traveling.
• That means that all fully vaccinated U.S. Citizens and LPRs traveling to the United States should be prepared to present documentation of their vaccination status alongside their negative test result.
• For those Americans who can show they are fully vaccinated, the same requirement currently in place will apply – they have to produce a negative test result within three days of travel.
• For anyone traveling to the United States who cannot demonstrate proof of full vaccination, they will have to produce documentation of a negative test within one day of departure.

Requirements for Children:

• Children under 18 are excepted from the vaccination requirement for foreign national travelers, given both the ineligibility of some younger children for vaccination, as well as the global variability in access to vaccination for older children who are eligible to be vaccinated.
• Children between the ages of 2 and 17 are required to take a pre-departure test.
• If traveling with a fully vaccinated adult, an unvaccinated child can test three days prior to departure (consistent with the timeline for fully vaccinated adults). If an unvaccinated child is traveling alone or with unvaccinated adults, they will have to test within one day of departure.

Limited Exceptions from the Vaccination Requirement:

• There are a very limited set of exceptions from the vaccination requirement for foreign nationals. These include exceptions for children under 18, certain COVID-19 vaccine clinical trial participants, those with medical contraindications to the vaccines, those who need to travel for emergency or humanitarian reasons (with a US government-issued letter affirming the urgent need to travel), those who are traveling on non-tourist visas from countries with low-vaccine availability (as determined by the CDC), and other very narrow categories.
• Those who receive an exception will generally be required to attest they will comply with applicable public health requirements, including, with very limited exceptions, a requirement that they be vaccinated in the U.S. if they intend to stay here for more than 60 days.

Contact Tracing:

• The CDC is also issuing a Contact Tracing Order that requires all airlines flying into the United States to keep on hand – and promptly turn over to the CDC, when needed – contact information that will allow public health officials to follow up with inbound air travelers who are potentially infected or have been exposed to someone who is infected.
• This is a critical public health measure both to prevent the introduction, transmission, and spread of new variants of COVID-19 as well as to add a critical prevention tool to address other public health threats.

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Travel Advisory July 26, 2023

Latvia - level 1: exercise normal precautions.

Reissued with obsolete COVID-19 page links removed. 

Exercise normal precautions in Latvia.

Read the country information page for additional information on travel to Latvia.

If you decide to travel to Latvia:

• Enroll in the  Smart Traveler Enrollment Program  ( STEP ) to receive travel alerts and make it easier to locate you in an emergency.
• Follow the Department of State on  Facebook  and  Twitter .
• Review the  Country Security Report  for Latvia.
• Visit the CDC page for the latest Travel Health Information related to your travel.
• Prepare a contingency plan for emergency situations. Review the Traveler’s Checklist .

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U.s. embassy riga.

Samnera Velsa iela 1  Riga LV-1510 Latvia Telephone: +(371) 6710-7000 Emergency After-Hours Telephone: +(371) 6710-7000 or +(371) 2920-5708 Fax: +(371) 6710-7001 Email:   [email protected]

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Learn about the U.S. relationship to countries around the world.

Entry, Exit and Visa Requirements

Visit the website the Embassy of Latvia in Washington for the most current visa information.

• If you plan to stay in Latvia more than 90 days, you must apply for temporary residence.
• A criminal records check from the United States, which can be requested through the  FBI , is required for a temporary residence permit. You must also submit proof of identity and a set of ink-rolled fingerprint impressions.
• The U.S. Embassy cannot take your fingerprints, but the Latvian State Criminal Police Department is able to provide this service at Bruninieku iela 72, Riga, tel: 371 6720-8662. For more information, contact  the Latvian Embassy  at 2306 Massachusetts Avenue NW, Washington, D.C. 20008, tel: (202) 328-2840, fax: (202) 328-2860. 
• You should carry your passport when travelling to neighboring Baltic countries from Latvia – even on day trips – as random passport checks are possible.

Traveling Through Europe : If you are planning to visit or travel through European countries, you should be familiar with the requirements of the Schengen Agreement.

• Your passport should be valid for at least three months beyond the period of stay if you plan on transiting a Schengen country review our U.S. Travelers in Europe page .    
• You will need s ufficient proof of funds and a return plane ticket .  
• For additional information about visas for the Schengen area, see the Schengen Visa  page.

HIV/AIDS Restrictions : The U.S. Department of State is unaware of any HIV/AIDS entry restrictions for visitors to or foreign residents of Latvia. Find information on  dual nationality ,  prevention of international child abduction  and  customs regulations on our websites.

Safety and Security

Terrorism: Credible information indicates terrorist groups continue plotting possible attacks in Europe. European governments are taking action to guard against terrorist attacks. However, all European countries remain potentially vulnerable to attacks from transnational terrorist organizations. 

For more information, see our Terrorism page.  

Crime: Crime against foreign visitors is generally non-violent in nature; however, violent assaults and robberies have occurred. Harassment of foreigners and same-sex partners has also occurred in Latvia.

• Be aware of your surroundings and take personal security measures to stay safe.
• The most common crimes encountered by foreign tourists are purse snatching, pick pocketing, and mugging, especially during the summer tourism season.
• Thieves have targeted foreign vistiors in Riga’s Old Town (Vecriga), Central Train Station (Dzelzcela stacija), Central Bus Station (Autoosta), and Central Market (Centraltirgus).
• Avoid walking alone or using ATMs after dark.
• There have been cases of visitors partying at bars and nightclubs in Riga who have been drugged and subsequently sexually assaulted.
• Be aware of other common scams in restaurants and tourist pubs. Pay special attention to drink prices, as they may rise to exorbitant levels for tourists. Management may use force to secure payment.
• Internet crime is increasing in Latvia.  Common schemes involve internet auction or job-search sites.

Demonstrations  occur frequently. They may take place in response to political or economic issues, on politically significant holidays, and during international events.  

• Even demonstrations intended to be peaceful can turn confrontational and possibly become violent. 
• Avoid areas around protests and demonstrations.  
• Check local media for updates and traffic advisories

Information regarding demonstrations in Latvia can be found on the U.S. Embassy Latvia website .

International Financial Scams : See the  Department of State  and the  FBI  pages for information on scams.

Victims of Crime : Report crimes to the local police at 112 and contact the U.S. Embassy at +(371) 6710-7000. Remember that local authorities are responsible for investigating and prosecuting the crime.

See our webpage on  help for U.S. victims of crime overseas .

• Help you find appropriate medical care
• Assist you in reporting a crime to the police
• Contact relatives or friends with your written consent
• Provide general information regarding the victim’s role during the local investigation and following its conclusion
• Provide a list of local attorneys
• Provide our information on  victim’s compensation programs in the United States.
• Assist you with a list of non-governmental organizations and centers providing a number of programs for victims of crime in Latvia.  Please see  our website  for more information.
• Provide an emergency loan for repatriation to the United States and/or limited medical support in cases of destitution
• Help you find accommodation and arrange flights home
• Replace a stolen or lost passport

Domestic Violence:  U.S. citizen victims of domestic violence are encouraged to contact the local police at 112 and  the U.S. Embassy for assistance. Tourism:  The tourism industry is regulated and rules with regards to best practices and safety inspections are enforced. Hazardous areas/activities are identified with appropriate signage and professional staff is typically on hand in support of organized activities. In the event of an injury, appropriate medical treatment is available throughout the country. Outside of urban areas, it may take more time for first responders and medical professionals to provide assistance. U.S. citizens are encouraged to purchase medical evacuation insurance . 

Local Laws & Special Circumstances

Criminal Penalties: You are subject to local laws. If you violate local laws, even unknowingly, you may be arrested, imprisoned or deported. 

Furthermore, some laws are also prosecutable in the United States, regardless of local law. For examples, see our website on crimes against minors abroad and the Department of Justice website.

Arrest Notification:  If you are arrested or detained, ask police to notify the U.S. Embassy immediately. See our  webpage  for further information.

• Penalties for possessing, using, or trafficking in illegal drugs in Latvia are severe. You can expect long jail sentences and heavy fines.
• You can be jailed immediately for driving under the influence of alcohol.
• Your U.S. passport will not help you avoid arrest or prosecution.

Special Circumstances:  Latvia is part of the Eurozone and only euros are accepted.

• Bank and currency exchange counters may refuse to accept U.S. currency that is crumpled, torn, discolored, or defaced (even small pen strokes are considered defacing). If such notes are accepted for exchange, an additional processing fee, based on the size of the transaction, may be charged. Cashing personal and Treasury checks issued in the United States may be time-consuming and costly.
• ATMs are widely available in Riga and in major towns.  For security purposes, it is recommended that visitors use ATMs located inside major hotels or shopping malls.
• Telephone connections with the United States are reliable;  however, U.S. toll-free numbers cannot be accessed from Latvia. 

Customs:  Latvian customs authorities may enforce strict regulations concerning temporary importation into or export from Latvia of items such as firearms, religious materials, antiquities, medications, business equipment, drugs, etc.

Individuals establishing a business or practicing a profession that requires additional permits or licensing should seek information from the competent local authorities, prior to practicing or operating a business.

Contact  the Embassy of Latvia in Washington  or one of the  Latvian consulates  in the United States for specific information regarding customs requirements.

Counterfeit and Pirated Goods: Although counterfeit and pirated good are prevalent in many countries, they may still be illegal according to local laws. You may also pay fines and have to give them up if you bring them back from the United States.   See the U.S. Department of Justice website for more information. 

Faith-Based Travelers: See our following webpages for details:

• Faith-Based Travel Information
• International Religious Freedom Report – see country reports

LGBTI Travelers: There are no legal restrictions on same-sex sexual relations or the organization of LGBTI events in Latvia.

Credible non-governmental organizations report widespread intolerance and discrimination against LGBTI persons, as well as underreporting to authorities of attacks and discrimination against LGBTI individuals.

See our  LGBTI Travel Information  page and section 6 of the  Department of State's Human Rights Report  for further details.

Travelers Who Require Accessibility Assistance : While in Latvia, individuals with disabilities may find accessibility and accommodation very different than in the United States.

• The law prohibits discrimination against persons with disabilities in employment, education, access to health care, and other state services, and the government generally enforces these provisions. 
• The law mandates access to buildings for persons with disabilities; however, most buildings are not yet accessible. Although Latvia has made efforts to improve disabled access, only new and completely renovated hotels, guest houses, hostels, and public buildings provide suitable facilities for seriously disabled travelers. See our Traveling with Disabilities page.
• You may find general information on accessibility and accommodations on the website of the  Latvian Tourism Board .
• You will rarely find easy-access public transportation and taxis. Free or reduced fares on public transportation are available only to persons with disabilities who are Latvian residents.

Students: See our Students Abroad page and FBI travel tips .

Women Travelers: See our travel tips for Women Travelers .

The quality of medical care in Latvia continues to improve but often falls short of Western standards. Latvia has highly trained medical professionals, but hospitals and clinics suffer from a lack of equipment and resources. 

• Many doctors speak at least limited English.
• There are few private clinics in major cities that offer services equal to Western European or U.S. standards. 
• Western-quality dental care can be obtained in Riga.
• Payment is expected upon admission at private hospitals.

Prescription Medicines : Pharmaceuticals sold in Latvia are produced by companies certified in accordance with EU standards but may not be labeled the same as in the United States.

For general emergency services in Latvia, dial 112. For medical emergency services, dial 113.

Ambulance services are available in urban areas but not countrywide. Injured or seriously ill travelers may prefer to take a taxi or private vehicle to the nearest major hospital rather than wait for an ambulance in rural areas. 

We do not pay medical bills.  Be aware that U.S. Medicare/Medicaid does not apply overseas. Most hospitals and doctors in Latvia do not accept U.S. health insurance.

Medical Insurance:  Make sure your health insurance plan provides coverage overseas. Most care providers overseas only accept cash payments. See our webpage for more information on types of overseas insurance. Visit the U.S. Centers for Disease Control and Prevention for more information on type of insurance you should consider before you travel overseas.

We strongly recommend supplemental insurance  to cover medical evacuation.

Always carry your prescription medication in original packaging, along with your doctor’s prescription. Check with the Latvian Medicines Register Medicinal Product Register of Latvia to ensure the medication is legal in Latvia.

General Health Information:

The following diseases are prevalent:

• Tuberculosis .
• Tick-borne encephalitis and Lyme-disease are widespread throughout the country.
• Use  CDC recommended insect repellents  containing either 20% DEET, picaridin, oil of lemon eucalyptus or IR3535 to help diminish bites from ticks and other insects if you intend to visit parks or forested areas. 
• Tick-borne encephalitis vaccinations are given as a series of three doses, and are not available in the United States. 
• There are no vaccines against Lyme disease.
• Hepatitis A is a significant health concern in Latvia. Hepatitis A vaccine is available in the US and is recommended for those with prolonged stays or travel in rural areas.

Vaccinations:  Be up-to-date on all vaccinations recommended by the U.S. Centers for Disease Control and Prevention.

Further health information:

• World Health Organization
• U.S. Centers for Disease Control and Prevention (CDC)  

The U.S. Embassy maintains a list of doctors and hospitals Medical Resources . We do not endorse or recommend any specific medical provider or clinic.

Travel and Transportation

Road Conditions and Safety:  While in Latvia, you may encounter road conditions that differ significantly from those in the United States.

• Latvia’s rate of automobile accidents and fatalities is one of the highest in Europe.
• If you plan to drive in Latvia, you are required to obtain an International Driving Permit. You may get these through the American Automobile Association (AAA) or the American Automobile Touring Alliance for a small fee.
• If you drive without an International Driving Permit, police could confiscate your vehicle.
• If you are resident in Latvia more than six months, you are required to apply for a Latvian driver’s license.
• Pedestrians and cyclists are required to wear small reflectors on clothing in Latvia whenever dark outside.

Traffic Laws:  Driving while intoxicated is a very serious offense and carries heavy penalties. Latvian authorities use roadblocks and breathalyzer tests as enforcement tools.

• You must use your headlights at all times. Speed limits are usually 50 km/hr (31 mph) in the city and 90 km/hr (55 mph) on highways.
• There are many mobile and fixed speed cameras deployed throughout the country.

Public Transportation:  Public transportation is considered safe, but travelers are encouraged to select well-marked taxis.

See our  Road Safety page  for more information.

Aviation Safety Oversight:  As there is no direct commercial air service to the United States by carriers registered in Latvia, the U.S. Federal Aviation Administration (FAA) has not assessed the Government of Latvia’s Civil Aviation Authority for compliance with International Civil Aviation Organization (ICAO) aviation safety standards. Further information may be found on the  FAA’s safety assessment page.

Maritime Travel:  Mariners planning travel to Latvia should check for U.S. maritime advisories and alerts at the  Maritime Security Communications with Industry Web Portal . Information may also be posted to the  U.S. Coast Guard homeport website  and as a broadcast warning on the  National Geospatial-Intelligence Agency’s website .

For additional travel information

• Enroll in the  Smart Traveler Enrollment Program (STEP)  to receive security messages and make it easier to locate you in an emergency.
• Call us in Washington, D.C. at 1-888-407-4747 (toll-free in the United States and Canada) or 1-202-501-4444 (from all other countries) from 8:00 a.m. to 8:00 p.m., Eastern Standard Time, Monday through Friday (except U.S. federal holidays).
• See the  State Department’s travel website  for the  Worldwide Caution  and  Travel Advisories .
• Follow us on  Twitter  and  Facebook .
• See  traveling safely abroad  for useful travel tips.

Review information about International Parental Child Abduction in Latvia . For additional IPCA-related information, please see the International Child Abduction Prevention and Return Act ( ICAPRA ) report.

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Check the vaccines and medicines list and visit your doctor at least a month before your trip to get vaccines or medicines you may need. If you or your doctor need help finding a location that provides certain vaccines or medicines, visit the Find a Clinic page.

Routine vaccines

Recommendations.

Make sure you are up-to-date on all routine vaccines before every trip. Some of these vaccines include

• Chickenpox (Varicella)
• Diphtheria-Tetanus-Pertussis
• Flu (influenza)
• Measles-Mumps-Rubella (MMR)

Immunization schedules

All eligible travelers should be up to date with their COVID-19 vaccines. Please see  Your COVID-19 Vaccination  for more information. 

COVID-19 vaccine

Hepatitis A

Recommended for unvaccinated travelers one year old or older going to Jamaica.

Infants 6 to 11 months old should also be vaccinated against Hepatitis A. The dose does not count toward the routine 2-dose series.

Travelers allergic to a vaccine component or who are younger than 6 months should receive a single dose of immune globulin, which provides effective protection for up to 2 months depending on dosage given.

Unvaccinated travelers who are over 40 years old, immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.

Hepatitis A - CDC Yellow Book

Dosing info - Hep A

Hepatitis B

Recommended for unvaccinated travelers younger than 60 years old traveling to Jamaica. Unvaccinated travelers 60 years and older may get vaccinated before traveling to Jamaica.

Hepatitis B - CDC Yellow Book

Dosing info - Hep B

Cases of measles are on the rise worldwide. Travelers are at risk of measles if they have not been fully vaccinated at least two weeks prior to departure, or have not had measles in the past, and travel internationally to areas where measles is spreading.

All international travelers should be fully vaccinated against measles with the measles-mumps-rubella (MMR) vaccine, including an early dose for infants 6–11 months, according to  CDC’s measles vaccination recommendations for international travel .

Measles (Rubeola) - CDC Yellow Book

Jamaica is free of dog rabies. However, rabies may still be present in wildlife species, particularly bats. CDC recommends rabies vaccination before travel only for people working directly with wildlife. These people may include veterinarians, animal handlers, field biologists, or laboratory workers working with specimens from mammalian species.

Rabies - CDC Yellow Book

Recommended for most travelers, especially those staying with friends or relatives or visiting smaller cities or rural areas.

Typhoid - CDC Yellow Book

Dosing info - Typhoid

Yellow Fever

Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission. 1

Yellow Fever - CDC Yellow Book

Avoid contaminated water

Leptospirosis

How most people get sick (most common modes of transmission)

• Touching urine or other body fluids from an animal infected with leptospirosis
• Swimming or wading in urine-contaminated fresh water, or contact with urine-contaminated mud
• Drinking water or eating food contaminated with animal urine
• Avoid contaminated water and soil

Clinical Guidance

Avoid bug bites.

• Mosquito bite
• Avoid Bug Bites
• An infected pregnant woman can spread it to her unborn baby

Airborne & droplet

• Breathing in air or accidentally eating food contaminated with the urine, droppings, or saliva of infected rodents
• Bite from an infected rodent
• Less commonly, being around someone sick with hantavirus (only occurs with Andes virus)
• Avoid rodents and areas where they live
• Avoid sick people

Tuberculosis (TB)

• Breathe in TB bacteria that is in the air from an infected and contagious person coughing, speaking, or singing.

Learn actions you can take to stay healthy and safe on your trip. Vaccines cannot protect you from many diseases in Jamaica, so your behaviors are important.

Eat and drink safely

Food and water standards around the world vary based on the destination. Standards may also differ within a country and risk may change depending on activity type (e.g., hiking versus business trip). You can learn more about safe food and drink choices when traveling by accessing the resources below.

• Choose Safe Food and Drinks When Traveling
• Water Treatment Options When Hiking, Camping or Traveling
• Global Water, Sanitation and Hygiene | Healthy Water
• Avoid Contaminated Water During Travel

You can also visit the Department of State Country Information Pages for additional information about food and water safety.

Prevent bug bites

Bugs (like mosquitoes, ticks, and fleas) can spread a number of diseases in Jamaica. Many of these diseases cannot be prevented with a vaccine or medicine. You can reduce your risk by taking steps to prevent bug bites.

What can I do to prevent bug bites?

• Cover exposed skin by wearing long-sleeved shirts, long pants, and hats.
• Use an appropriate insect repellent (see below).
• Use permethrin-treated clothing and gear (such as boots, pants, socks, and tents). Do not use permethrin directly on skin.
• Stay and sleep in air-conditioned or screened rooms.
• Use a bed net if the area where you are sleeping is exposed to the outdoors.

What type of insect repellent should I use?

• FOR PROTECTION AGAINST TICKS AND MOSQUITOES: Use a repellent that contains 20% or more DEET for protection that lasts up to several hours.
• Picaridin (also known as KBR 3023, Bayrepel, and icaridin)
• Oil of lemon eucalyptus (OLE) or para-menthane-diol (PMD)
• 2-undecanone
• Always use insect repellent as directed.

What should I do if I am bitten by bugs?

• Avoid scratching bug bites, and apply hydrocortisone cream or calamine lotion to reduce the itching.
• Check your entire body for ticks after outdoor activity. Be sure to remove ticks properly.

What can I do to avoid bed bugs?

Although bed bugs do not carry disease, they are an annoyance. See our information page about avoiding bug bites for some easy tips to avoid them. For more information on bed bugs, see Bed Bugs .

For more detailed information on avoiding bug bites, see Avoid Bug Bites .

Stay safe outdoors

If your travel plans in Jamaica include outdoor activities, take these steps to stay safe and healthy during your trip.

• Stay alert to changing weather conditions and adjust your plans if conditions become unsafe.
• Prepare for activities by wearing the right clothes and packing protective items, such as bug spray, sunscreen, and a basic first aid kit.
• Consider learning basic first aid and CPR before travel. Bring a travel health kit with items appropriate for your activities.
• If you are outside for many hours in heat, eat salty snacks and drink water to stay hydrated and replace salt lost through sweating.
• Protect yourself from UV radiation : use sunscreen with an SPF of at least 15, wear protective clothing, and seek shade during the hottest time of day (10 a.m.–4 p.m.).
• Be especially careful during summer months and at high elevation. Because sunlight reflects off snow, sand, and water, sun exposure may be increased during activities like skiing, swimming, and sailing.
• Very cold temperatures can be dangerous. Dress in layers and cover heads, hands, and feet properly if you are visiting a cold location.

Stay safe around water

• Swim only in designated swimming areas. Obey lifeguards and warning flags on beaches.
• Practice safe boating—follow all boating safety laws, do not drink alcohol if driving a boat, and always wear a life jacket.
• Do not dive into shallow water.
• Do not swim in freshwater in developing areas or where sanitation is poor.
• Avoid swallowing water when swimming. Untreated water can carry germs that make you sick.
• To prevent infections, wear shoes on beaches where there may be animal waste.

Keep away from animals

Most animals avoid people, but they may attack if they feel threatened, are protecting their young or territory, or if they are injured or ill. Animal bites and scratches can lead to serious diseases such as rabies.

Follow these tips to protect yourself:

• Do not touch or feed any animals you do not know.
• Do not allow animals to lick open wounds, and do not get animal saliva in your eyes or mouth.
• Avoid rodents and their urine and feces.
• Traveling pets should be supervised closely and not allowed to come in contact with local animals.
• If you wake in a room with a bat, seek medical care immediately. Bat bites may be hard to see.

All animals can pose a threat, but be extra careful around dogs, bats, monkeys, sea animals such as jellyfish, and snakes. If you are bitten or scratched by an animal, immediately:

• Wash the wound with soap and clean water.
• Go to a doctor right away.
• Tell your doctor about your injury when you get back to the United States.

Consider buying medical evacuation insurance. Rabies is a deadly disease that must be treated quickly, and treatment may not be available in some countries.

Reduce your exposure to germs

Follow these tips to avoid getting sick or spreading illness to others while traveling:

• Wash your hands often, especially before eating.
• If soap and water aren’t available, clean hands with hand sanitizer (containing at least 60% alcohol).
• Don’t touch your eyes, nose, or mouth. If you need to touch your face, make sure your hands are clean.
• Cover your mouth and nose with a tissue or your sleeve (not your hands) when coughing or sneezing.
• Try to avoid contact with people who are sick.
• If you are sick, stay home or in your hotel room, unless you need medical care.

Avoid sharing body fluids

Diseases can be spread through body fluids, such as saliva, blood, vomit, and semen.

Protect yourself:

• Use latex condoms correctly.
• Do not inject drugs.
• Limit alcohol consumption. People take more risks when intoxicated.
• Do not share needles or any devices that can break the skin. That includes needles for tattoos, piercings, and acupuncture.
• If you receive medical or dental care, make sure the equipment is disinfected or sanitized.

Know how to get medical care while traveling

Plan for how you will get health care during your trip, should the need arise:

• Carry a list of local doctors and hospitals at your destination.
• Review your health insurance plan to determine what medical services it would cover during your trip. Consider purchasing travel health and medical evacuation insurance.
• Carry a card that identifies, in the local language, your blood type, chronic conditions or serious allergies, and the generic names of any medications you take.
• Some prescription drugs may be illegal in other countries. Call Jamaica’s embassy to verify that all of your prescription(s) are legal to bring with you.
• Bring all the medicines (including over-the-counter medicines) you think you might need during your trip, including extra in case of travel delays. Ask your doctor to help you get prescriptions filled early if you need to.

Many foreign hospitals and clinics are accredited by the Joint Commission International. A list of accredited facilities is available at their website ( www.jointcommissioninternational.org ).

In some countries, medicine (prescription and over-the-counter) may be substandard or counterfeit. Bring the medicines you will need from the United States to avoid having to buy them at your destination.

Select safe transportation

Motor vehicle crashes are the #1 killer of healthy US citizens in foreign countries.

In many places cars, buses, large trucks, rickshaws, bikes, people on foot, and even animals share the same lanes of traffic, increasing the risk for crashes.

Be smart when you are traveling on foot.

• Use sidewalks and marked crosswalks.
• Pay attention to the traffic around you, especially in crowded areas.
• Remember, people on foot do not always have the right of way in other countries.

Riding/Driving

Choose a safe vehicle.

• Choose official taxis or public transportation, such as trains and buses.
• Ride only in cars that have seatbelts.
• Avoid overcrowded, overloaded, top-heavy buses and minivans.
• Avoid riding on motorcycles or motorbikes, especially motorbike taxis. (Many crashes are caused by inexperienced motorbike drivers.)
• Choose newer vehicles—they may have more safety features, such as airbags, and be more reliable.
• Choose larger vehicles, which may provide more protection in crashes.

Think about the driver.

• Do not drive after drinking alcohol or ride with someone who has been drinking.
• Consider hiring a licensed, trained driver familiar with the area.
• Arrange payment before departing.

Follow basic safety tips.

• Wear a seatbelt at all times.
• Sit in the back seat of cars and taxis.
• When on motorbikes or bicycles, always wear a helmet. (Bring a helmet from home, if needed.)
• Avoid driving at night; street lighting in certain parts of Jamaica may be poor.
• Do not use a cell phone or text while driving (illegal in many countries).
• Travel during daylight hours only, especially in rural areas.
• If you choose to drive a vehicle in Jamaica, learn the local traffic laws and have the proper paperwork.
• Get any driving permits and insurance you may need. Get an International Driving Permit (IDP). Carry the IDP and a US-issued driver's license at all times.
• Check with your auto insurance policy's international coverage, and get more coverage if needed. Make sure you have liability insurance.
• Avoid using local, unscheduled aircraft.
• If possible, fly on larger planes (more than 30 seats); larger airplanes are more likely to have regular safety inspections.
• Try to schedule flights during daylight hours and in good weather.

Medical Evacuation Insurance

If you are seriously injured, emergency care may not be available or may not meet US standards. Trauma care centers are uncommon outside urban areas. Having medical evacuation insurance can be helpful for these reasons.

Helpful Resources

Road Safety Overseas (Information from the US Department of State): Includes tips on driving in other countries, International Driving Permits, auto insurance, and other resources.

The Association for International Road Travel has country-specific Road Travel Reports available for most countries for a minimal fee.

Traffic flows on the left side of the road in Jamaica.

• Always pay close attention to the flow of traffic, especially when crossing the street.
• LOOK RIGHT for approaching traffic.

Maintain personal security

Use the same common sense traveling overseas that you would at home, and always stay alert and aware of your surroundings.

Before you leave

• Research your destination(s), including local laws, customs, and culture.
• Monitor travel advisories and alerts and read travel tips from the US Department of State.
• Enroll in the Smart Traveler Enrollment Program (STEP) .
• Leave a copy of your itinerary, contact information, credit cards, and passport with someone at home.
• Pack as light as possible, and leave at home any item you could not replace.

While at your destination(s)

• Carry contact information for the nearest US embassy or consulate .
• Carry a photocopy of your passport and entry stamp; leave the actual passport securely in your hotel.
• Follow all local laws and social customs.
• Do not wear expensive clothing or jewelry.
• Always keep hotel doors locked, and store valuables in secure areas.
• If possible, choose hotel rooms between the 2nd and 6th floors.

Healthy Travel Packing List

Use the Healthy Travel Packing List for Jamaica for a list of health-related items to consider packing for your trip. Talk to your doctor about which items are most important for you.

Why does CDC recommend packing these health-related items?

It’s best to be prepared to prevent and treat common illnesses and injuries. Some supplies and medicines may be difficult to find at your destination, may have different names, or may have different ingredients than what you normally use.

If you are not feeling well after your trip, you may need to see a doctor. If you need help finding a travel medicine specialist, see Find a Clinic . Be sure to tell your doctor about your travel, including where you went and what you did on your trip. Also tell your doctor if you were bitten or scratched by an animal while traveling.

For more information on what to do if you are sick after your trip, see Getting Sick after Travel .

Map Disclaimer - The boundaries and names shown and the designations used on maps do not imply the expression of any opinion whatsoever on the part of the Centers for Disease Control and Prevention concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Approximate border lines for which there may not yet be full agreement are generally marked.

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Tick activity has surged early amid New England’s unusually warm winters

New england states have seen the largest increases in lyme disease cases over the past several decades.

As many of you know, I’m an avid gardener which means I am outside in the yard a lot. I also walk my dog through the woods nearly every morning of the year. Both of these important parts of my life mean that I am exposed to ticks.

Warmer weather brings additional opportunities for all of us to get out, but there are some risks from these parasitic arachnids to be aware of. There are three types of ticks here in Massachusetts and the rest of New England. All of them can bite humans, but the black-legged tick, also known as the deer tick by many measures, is the most dangerous.

Ticks have definitely increased across the area over the past several decades. Ticks carry multiple types of diseases, the most common of which is Lyme Disease, which is spread by the black-legged tick. The number of Lyme cases has increased dramatically across the United States over the past several decades.

Nationally, the data tracked by the EPA shows that Lyme disease cases nearly doubled between 1991 and 2018. And New England states have seen the largest increases in cases.

Deer ticks have a two-year life cycle and spring and autumn tend to be when many of us end up getting bitten by either the larvae, nymphs or adults. The larvae and nymphs are very small and often go unnoticed, almost looking like a freckle. Since I’m outside so much, I check for ticks every evening and it’s a good idea to have somebody check the parts you might not be able to see easily such as your back.

Ticks feed on the blood of mammals, birds and reptiles and they’re one of the most common vectors for transmitting human pathogens, from bacteria to protozoa to viruses and rickettsia. There is also Alpha-gal syndrome (AGS), which is an allergic condition spread primarily by the lone star tick. AGS is also called alpha-gal allergy, red meat allergy and causes some people to no longer be able to eat red meat.

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Not killed by cold weather, ticks instead just become less active. This is why in a mild winter, like the one we just had, you can find ticks even in January.

Most ticks need a different host during their life cycle. This is why as we are walking through the woods, raking our yards, or even just playing with the dog we are susceptible to becoming a host. This is another reason why checking your animals for ticks before you cuddle with them is important.

There are, of course, tick prevention measures you can take. There are tick prevention medicines for dogs and cats as well as a vaccine for dogs against Lyme Disease. Wearing long pants and using insect repellents with DEET or Picaridin are both effective ways to repel ticks as well as other insects.

In your yard you can limit exposure to ticks by creating tick-safe zones. The CDC image below outlines where ticks are likely and tips on limiting tick habitats.

The warmer weather is a gift we all can enjoy. Getting bitten by a tick isn’t inevitable, but if you do, remove it immediately and watch for a rash. Keep in mind, it may or may not look like a bulls-eye. Being judicious about ticks will limit your exposure and let you enjoy the outdoors many of us love so much.