india travel vaccine requirements

Travel Vaccines and Advice for India

The Taj Mahal, Hampi, the Himalayas and the Caves of Ajanta are just the beginning for amazing sights in India. For thousands of years, the subcontinent has been the cradle of one of the most amazing cultures to visit.

Every year, tourists from around the globe flock to India to see its amazing sights and sounds. Whether you are a spiritual pilgrim, a business executive or an adventure seeker, India is sure to have something for you.

Do I Need Vaccines for India?

Yes, some vaccines are recommended or required for India. The CDC and WHO recommend the following vaccinations for India: hepatitis A , hepatitis B , typhoid , cholera , yellow fever , Japanese encephalitis , rabies , meningitis , polio , measles, mumps and rubella (MMR) , Tdap (tetanus, diphtheria and pertussis) , chickenpox , shingles , pneumonia and influenza .

COVID-19 vaccination is recommended for travel to all regions, both foreign and domestic. Check with your local Passport Health clinic if immunization is offered in your area.

See the bullets below to learn more about some of these key immunizations:

• COVID-19 – Airborne & Direct Contact – Recommended for all unvaccinated individuals who qualify for vaccination
• Hepatitis A – Food & Water – Recommended for most travelers
• Hepatitis B – Blood & Body Fluids – Accelerated schedule available
• Typhoid – Food & Water – Shot lasts 2 years. Oral vaccine lasts 5 years, must be able to swallow pills. Oral doses must be kept in refrigerator.
• Cholera – Food & Water – A risk for travelers throughout India. Avoid swimming in popular rivers or streams as cholera may be present. Vaccination is recommended for some travelers.
• Yellow Fever – Mosquito – Required if traveling from a country with risk of yellow fever transmission.
• Japanese Encephalitis – Mosquito – Recommended for all regions except: Dadra, Daman, Diu, Gujarat, Himachal Pradesh, Jammu and Kashmir, Lakshadweep, Meghalaya, Nagar Haveli, Punjab, Rajasthan, and Sikkim.
• Rabies – Saliva of Infected Animals – High risk country. Vaccine recommended for long-term travelers and those who may come in contact with animals.
• Polio – Food & Water – May be required if arriving from countries with active transmission. Recommended for some travelers to the region. Single adult booster recommended.
• Measles Mumps Rubella (MMR) – Various Vectors – Given to anyone unvaccinated and/or born after 1957. One time adult booster recommended.
• TDAP (Tetanus, Diphtheria & Pertussis) – Wounds & Airborne – Only one adult booster of pertussis required.
• Chickenpox – Direct Contact & Airborne – Given to those unvaccinated that did not have chickenpox.
• Shingles – Direct Contact – Vaccine can still be given if you have had shingles.
• Pneumonia – Airborne – Two vaccines given separately. All 65+ or immunocompromised should receive both.
• Influenza – Airborne – Vaccine components change annually.
• Meningitis – Airborne & Direct Contact – Given to anyone unvaccinated or at an increased risk, especially students.

See the tables below for more information:

Some mosquito-borne diseases are also prevalent in India including:

• Malaria – Antimalarial medication is recommended for many regions in India. Speak with a travel health specialist to learn if these are right for your itinerary.
• Dengue Fever – Another mosquito-borne disease, dengue affects millions each year. Unfortunately, there is no vaccination against dengue approved in the United States. Make sure you take precautions against mosquitoes like using repellents and mosquito netting.

Fortunately, the Zika virus has yet to arrive in India.

To learn more about these infections, see their respective vaccination or infection pages.

If you are traveling to India, make sure you are protected. Visit your local Passport Health to receive a comprehensive consultation on what you will need to stay safe. Book your appointment online now or call us at and make sure your dream trip doesn’t become a nightmare.

Do I Need A Yellow Fever Vaccine for India?

The yellow fever vaccine is not recommended for travelers to India. However, a yellow fever vaccination may be required for entry to India. If you are coming to India from a country where yellow fever is present you may be required to show proof of immunization. For example, if you are traveling from some South American countries to India, proof of yellow fever immunization may be required.

How To Prevent Delhi Belly (Travelers’ Diarrhea)

Delhi Belly (or travelers’ diarrhea ) is very common among travelers. Up to 70 percent of international travelers will come down with travelers’ diarrhea during their trips. This is especially true for visitors to India.

Causes can range from viral or bacteria infections to just a difference in cuisine. But, no matter how it happens, travelers’ diarrhea can ruin a trip.

There are a few precautions you can take to avoid travelers’ diarrhea:

• Avoid risky eating – Be smart about where and what you eat. Street carts may not be the best place to grab a snack, but you also don’t need to only eat pre-packaged foods. Use good judgment to decide where would be best to chow down.
• Watch what you drink – Indian water can be contaminated with bacteria and other biologics that could cause travelers’ diarrhea. Be sure anything you drink is clean. If at a restaurant, do not drink anything with ice as it is likely made from unclean water.
• Consider preventative care – Some products, like Travelan, will provide you with some protection against travelers’ diarrhea.

Be sure to bring a travelers’ diarrhea kit that includes antibiotics or similar products that can help stop diarrhea if it occurs.

To learn more about what you can do to avoid Delhi Belly, see our travelers’ diarrhea page . Or, book an appointment with your local Passport Health by calling or scheduling online now .

Do I Need a Visa or Passport for India?

India requires all U.S. travelers have a visa prior to entering the country. Visa requirements vary based on the purpose of travel, length of stay and family background. A passport with at least six months validity is also required.

Sources: Embassy of India and U.S. State Department

What Is the Climate Like In India?

India is a big country, the weather can be different depending on where you go. Here’s some information about the weather in some of India’s most popular places:

• Goa: Goa is a beach place in India. The best time to go is from November to February when the weather is dry and comfortable.
• Delhi: Delhi is a city in India. The best time to go is from October to March when the weather is good.
• Mumbai: Mumbai is a city in India. The best time to go is from November to February when it’s cooler.
• Jaipur: Jaipur is a city in India. The best time to go is from October to March when the weather is good.
• Agra: Agra is a city in India. The best time to go is from November to March when the weather is good.
• Kerala: Kerala is a place in India with lots of rain. The best time to go is from September to March when it’s dry.

Remember that the weather can change every year, so it’s always a good idea to check before you go.

How Safe Is India?

Avoid an embarrassing stop, over 70% of travelers will have diarrhea., get protected with passport health’s travelers’ diarrhea kit .

India is generally safe, but is still a developing country in many ways. Try to avoid the Indian-Pakistani border, as growing tensions have led to a less safe situation.

Petty crime, especially theft is common. This happens mostly in trains and buses. pick-pocketing is known to occur in some tourist areas. Violent crime is traditionally uncommon, though there has been a slight increase in recent years.

Scamming has become more common in many popular areas. Be especially careful in airports and train stations. If an offer for cheap transportation or hotel rooms seems too good, it probably is. Only use well-known travel agencies when booking your trip and planning activities in-country.

LGBT individuals will want to be especially careful as laws on homosexuality are unclear. While prosecution is rare, LGBT visitors may wish to avoid drawing attention.

What Should I Pack For India?

Packing for India can be a bit tricky, as the country is different from many popular travel destinations:

• Pack light – Moving from place to place in India can be a bit tricky. Many forms of transportation have a tight fit and having something you can easily haul around is key. Bringing an extra backpack isn’t a bad idea either as a purse or small bag may not be enough to carry water, an umbrella and similar items.
• Prepare for weather – Be sure to pack according to what season you’ll be in the country. Where you are headed is also a key factor as the Himalayas are a much cooler region.
• Wear the right footwear – You’ll likely be doing a lot of walking (or even standing) in India. Make sure your shoes are up for the trip, your feet will thank you.
• Bring a complete first-aid kit – The CDC has a complete list of recommended health items which can be found here . Some notable items include: sunscreen, insect repellent, hand sanitizer and diarrhea medicine like DiaResQ or other remedies.

Where Is the U.S. Embassy in India?

The State Department recommends all travelers to India enroll in the Smart Traveler Enrollment Program (STEP) to receive automated notifications from the U.S. Embassy. This program provides important information to travelers about potential threats in countries you may be visiting.

The U.S. Embassy in India is located at:

U.S. Embassy New Delhi Shantipath, Chanakyapuri New Delhi – 110021 India Telephone: +(91) (11) 2419-8000 Fax: +(91) (11) 2419-8407

Whether you are traveling for business or pleasure, India is an absolutely amazing destination. From the Himalayas to the coast of the Indian Ocean, the country’s unique culture and feel has something for every type of traveler.

To learn more about what you can do to prepare for an Indian trip, visit your local Passport Health clinic. Book your appointment today by calling or scheduling online now.

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On This Page: Do I Need Vaccines for India? How To Prevent Delhi Belly (Travelers’ Diarrhea) What Are the Entry and Exit Requirements for India? What Is the Climate Like In India? How Safe Is India? What Should I Pack For India? Where Is the U.S. Embassy in India?

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India vaccination requirements: Do I need a vaccination certificate to travel to India?

India is a beautiful country, and if you want to enjoy everything this unique country offers, it's essential to know about India's vaccination requirements.

Getting all the necessary vaccines and documents is just part of planning your trip so you can enjoy your experience to the fullest.

Which vaccines are required to visit India?

A yellow fever vaccination certificate is mandatory for travelers coming from countries with a high risk of yellow fever transmission.

If you're traveling (if even you're not a citizen) from any of the countries below, you must present a yellow fever vaccination certificate upon arrival in India:

Africa: Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Congo, Côte d'Ivoire, the Democratic Republic of the Congo, Equatorial Guinea, Ethiopia, Gabon, Gambia, Ghana, Guinea, Guinea-Bissau, Kenya, Liberia, Mali, Mauritania, Niger, Nigeria, Rwanda, Senegal, Sierra Leone, Sudan, South Sudan, Togo, and Uganda.

Americas: Argentina, Bolivia, Brazil, Colombia, Ecuador, French Guiana, Guyana, Panama, Paraguay, Peru, Suriname, Trinidad and Tobago, and Venezuela.

Which vaccines are recommended to visit India?

While specific vaccine requirements can vary and are subject to change based on current health advisories, commonly recommended vaccines for travelers to India may include:

• Hepatitis A
• Hepatitis B
• Japanese encephalitis

This is not health advice. Check the full list of recommended vaccinations for India at your local general practitioner.

India COVID-19 requirements

It's no longer necessary for travelers to have a COVID-19 vaccine or a negative COVID-19 test result to visit India.

What are the requirements for my COVID-19 vaccination certificate?

It is not mandatory to be fully vaccinated to travel to India, but it is highly recommended for international travel.

It's also no longer mandatory to fill out the Self Declaration Form for India. This health form was a requirement during the COVID-19 pandemic.

What other documents do I need for my trip to India?

Some nationalities require a visa. The India Tourist eVisa can be processed online through iVisa.com .

To get your Indian visa, all you require is to fill out an application form, upload some documents, and pay the fee. We recommend using our visa checker tool to confirm if you require an Indian visa.

Get your India Tourist eVisa

Tips to stay healthy in India

We're here to guide you through some essential tips to stay healthy while exploring the vibrant cities, tranquil countryside, and everything in between in India.

How to prevent Delhi belly (traveler’s diarrhea)

This widespread illness affects up to 70% of travelers who visit India.

The causes can differ from traveler to traveler, from viral or bacterial infections to gastrointestinal intolerances or foreign cuisine. To prevent Delhi Belly, here are a few tips:

Wash your hands regularly - It might sound obvious, but we touch many things when we travel and then touch our faces and mouths, and that’s the perfect way for bacteria and viruses to enter our bodies. Especially in India, where it’s customary to eat with your hands, there’s an increased risk of eating contaminated food.

Watch what you eat and drink - If possible, drink bottled water and beverages. Do not drink anything with ice. Use your judgment when selecting a place to eat to avoid contaminated food. Avoid street food, and always be careful when choosing a restaurant.

Be prepared - If all fails, you need to be ready to face it. If possible, bring your own medicine to treat symptoms of stomach issues.

Tips to avoid mosquito-borne illnesses in India

Malaria, dengue fever, yellow fever, and Japanese encephalitis are all transmitted via mosquito bites, so you’ll need to take some precautions to avoid them as much as possible.

The first thing you need to do is get a good insect repellent. Apply it every day before you leave your hotel and reapply regularly during the day, especially if you’re visiting rural areas or the riverside.

Mosquitos are most active in the early hours of the morning and at sundown, so you’ll need to be extra careful during these times of day.

Also, bring pants and long-sleeve shirts made of linen and cotton. They will protect you from mosquito bites, damaging sun rays, and heat.

Need more info about traveling to India?

If you have questions about travel documents for India, such as visas , let us know via online chat or WhatsApp . We're here to make your travel planning as smooth as possible!

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India Travel Requirements & Vaccinations

India, located in southern Asia, is the seventh largest country in the world and the second largest in terms of population. Its 4,700 miles of coastline bank the Indian Ocean, the Arabian Sea and the Bay of Bengal. Just under half of its coastline miles are sandy beaches, with the rest being comprised of rocky shores, cliffs and mudflats. Approximately 1/5 of the country’s interior is covered by forests.

Although India has no official, national language, Hindi is the most commonly spoken language with English also used extensively, especially in urban areas. Tourists to India enjoy a wide variety of attractions and geographical diversity, including:

• Sun-washed beaches
• Lush national parks and wildlife sanctuaries
• Ancient military and sacred structures
• Guided jungle walks and lake cruises

REQUIRED VACCINATIONS FOR INDIA TRAVEL: YELLOW FEVER VACCINE

Vaccination against yellow fever  may be required if entering India from a country with a risk of yellow fever transmission. UH Roe Green Center for Travel Medicine will provide you with an official certificate of vaccination for this purpose.

Additional Vaccines That May Be Recommended When Travelling to India

• Hepatitis A
• Japanese Encephalitis
• Malaria (pill form)

*Rabies vaccination is typically only recommended for very high risk travelers given that it is completely preventable if medical attention is received within 7 – 10 days of an animal bite.

Travelers may also be advised to ensure they have received the routine vaccinations listed below. Some adults may need to receive a booster for some of these diseases:

• Measles, mumps and rubella (MMR)
• Tdap (tetanus, diphtheria and pertussis)

Older adults or those with certain medical conditions may also want to ask about being vaccinated for shingles and/or pneumonia.

This information is not intended to replace the advice of a travel medicine professional. Not all of the vaccines listed here will be necessary for every individual.

Talk to the experts at UH Roe Green Center for Travel Medicine & Global Health to determine how each member of your family can obtain maximum protection against illness, disease and injury while traveling, based on age, health, medical history and travel itinerary.

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Travel Advisory June 23, 2023

India - level 2: exercise increased caution.

Reissued with updates to health information.

Exercise increased caution in India due to crime and terrorism.

Do not travel to:

• The union territory of Jammu and Kashmir (except the eastern Ladakh region and its capital, Leh) due to terrorism and civil unrest .
• Within 10 km of the India-Pakistan border due to the potential for armed conflict .

Country Summary : Indian authorities report rape is one of the fastest growing crimes in India. Violent crime, such as sexual assault, has occurred at tourist sites and in other locations.

Terrorists may attack with little or no warning, targeting tourist locations, transportation hubs, markets/shopping malls, and government facilities.

The U.S. government has limited ability to provide emergency services to U.S. citizens in rural areas from eastern Maharashtra and northern Telangana through western West Bengal as U.S. government employees must obtain special authorization to travel to these areas.

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

The Centers for Disease Control and Prevention (CDC) has determined India has a moderate level of COVID-19.  Visit the CDC page for the latest Travel Health Information related to your travel.

If you decide to travel to India:

• Do not travel alone, particularly if you are a woman. Visit our website for Women Travelers .
• Review your personal security plans and remain alert to your surroundings.
• Enroll in the Smart Traveler Enrollment Program ( STEP ) to receive 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 India.
• Prepare a contingency plan for emergency situations. Review the Traveler’s Checklist .

Union Territory of Jammu and Kashmir – Level 4: Do Not Travel

Terrorist attacks and violent civil unrest are possible in the union territory of Jammu and Kashmir. Avoid all travel to this state (with the exception of visits to the eastern Ladakh region and its capital, Leh). Sporadic violence occurs particularly along the Line of Control (LOC) separating India and Pakistan, and in tourist destinations in the Kashmir Valley: Srinagar, Gulmarg, and Pahalgam. The Indian government prohibits foreign tourists from visiting certain areas along the LOC.

Visit our website for Travel to High-Risk Areas .

India-Pakistan Border – Level 4: Do Not Travel

India and Pakistan maintain a strong military presence on both sides of the border. The only official India-Pakistan border crossing point for persons who are not citizens of India or Pakistan is in the state of Punjab between Attari, India, and Wagah, Pakistan. The border crossing is usually open but confirm the current status of the border crossing prior to commencing travel. A Pakistani visa is required to enter Pakistan. Only U.S. citizens residing in India may apply for a Pakistani visa in India. Otherwise apply for a Pakistani visa in your country of residence before traveling to India.

Northeastern States – Level 4: Do Not Travel

Incidents of violence by ethnic insurgent groups, including bombings of buses, trains, rail lines, and markets, occur occasionally in the northeast.

U.S. government employees at the U.S. Embassy and Consulates in India are prohibited from traveling to the states of Assam, Arunachal Pradesh, Mizoram, Nagaland, Meghalaya, Tripura, and Manipur without special authorization from the U.S. Consulate General in Kolkata.

Central and East India – Level 4: Do Not Travel

Maoist extremist groups, or “Naxalites,” are active in a large swath of India from eastern Maharashtra and northern Telangana through western West Bengal, particularly in rural parts of Chhattisgarh and Jharkhand and on the borders of Telangana, Andhra Pradesh, Maharashtra, Madhya Pradesh, Uttar Pradesh, Bihar, West Bengal, and Odisha. The Naxalites have conducted frequent terrorist attacks on local police, paramilitary forces, and government officials.

Due to the fluid nature of the threat, all U.S. government travelers to states with Naxalite activity must receive special authorization from the U.S. consulate responsible for the area to be visited. U.S. officials traveling only to the capital cities in these states do not need prior authorization.

Visit our website for Travel to High-Risk Areas . 

Embassy Messages

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Quick Facts

Must be valid for six months beyond date of visa application to obtain a visa.

Two pages required.

Yes. Travelers must enter in either on a paper visa, valid for 10 years for U.S. citizens, or an e-tourist visa.

Required for yellow fever if the traveler is arriving from an infected area; others are suggested.

The possession of satellite phones is prohibited in India; Currency in excess of USD $5,000 must be declared. Please check with the Indian Embassy in Washington if you are planning to carry a large amount of currency into India.

Check local law for reporting requirements for exiting with large quantities of foreign currency and Indian rupees.

Embassies and Consulates

U.s. embassy new delhi.

Shantipath, Chanakyapuri New Delhi - 110021 India Telephone: +(91) (11) 2419-8000 Emergency After-Hours Telephone: +(91) (11) 2419-8000 Fax: +(91) (11) 2419-0017 [email protected]

The U.S. Embassy, New Delhi   serves American citizens in the Indian states of  Haryana, Himachal Pradesh, Punjab, Rajasthan, Uttarakhand, and Uttar Pradesh, the union territories of Chandigarh, Delhi, Jammu and Kashmir, and Ladakh, and the country of Bhutan.

U.S. Consulate General Mumbai (Bombay) C-49, G-Block, Bandra Kurla Complex Bandra East, Mumbai 400051 India Telephone: +(91) (22) 2672-4000 Emergency After-Hours Telephone: +(91) (22) 2672-4000 If you are calling from within India, but outside Mumbai, first dial 022. Fax: 91-(0)22-2672-4786 [email protected]

The Consulate General in Mumbai provides consular services for the states of Goa, Gujarat, Chhatisgarh, Madhya Pradesh, and Maharashtra, and the union territory of Diu and Daman, and Dadra and Nagar Haveli.

U.S. Consulate General Kolkata (Calcutta) 5/1 Ho Chi Minh Sarani Kolkata - 700 071, West Bengal, India Telephone: +(91) (33) 3984-2400 Emergency After-Hours Telephone: +(91) 99030 42956 or +(91) (33) 3984-2400 then dial "0" Fax: +(91) (33) 2282-2335

The United States Consulate General in Kolkata provides consular services for the states of Bihar, West Bengal, Jharkhand, Nagaland, Mizoram, Manipur, Meghalaya, Arunachal Pradesh, Sikkim, Tripura and Assam. [email protected]

U.S. Consulate General Chennai (Madras) 220 Anna Salai at Gemini Circle Chennai, India 600006 Telephone: +(91) (44) 2857-4000 Emergency After-Hours Telephone: (0) 44-2857-4000. Ask for American Citizen Services.(Within India, but outside Chennai, first dial 044. From the United States, first dial 011-(91) (44) ) Fax: +(91) (044) 2811-2020

The Consulate General in Chennai provides consular services for the states of Tamil Nadu, Karnataka, Kerala, and the Union Territories of Andaman and Nicobar Islands, Pondicherry and Lakshwadeep Islands. [email protected]

U.S. Consulate General Hyderabad Survey No. 115/1, Financial District, Nanakramguda Hyderabad, Telangana, 500032 Phone: 040 6932 8000

The Consulate General in Hyderabad provides services to the U.S. citizens in the Indian states of Andhra Pradesh, Telangana, and Odisha. [email protected]

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Entry, Exit and Visa Requirements

All U.S. citizens need a valid passport as well as a valid Indian visa or an Overseas Citizen of India (OCI) card, to enter and exit India for any purpose. Travelers without valid documents or the correct type of visa may be denied entry into India. Indian visa regulations and instructions change frequently, often with little advance notice. Travelers are urged to check the  website of the Indian Embassy in Washington, D.C.  before any travel to India to review the most current information. The U.S. Embassy and Consulates General in India cannot assist you if you arrive without proper documentation.

U.S. citizens seeking to enter India solely for tourist purposes for stays of less than 60 days may apply for an eVisa at least four days prior to their arrival. Please visit the  Indian government's website for electronic travel authorization for additional information and to submit an application.  

U.S. citizens seeking to enter India as a tourist for longer than 60 days or for any other purpose must apply for a visa from an Indian embassy or consulate. The Government of India has appointed VFS Global to assist with visa services to individuals in the United States. Applicants may apply for Indian visas through the application link https://visa.vfsglobal.com/usa/en/ind/apply-visa .

Diplomatic and Official visa applications are accepted directly at the Indian Embassy and Consulates. All U.S. government employees traveling on official orders, including military personnel, must obtain country clearance for travel to India. Once you have received your visa, check it carefully to ensure that the type of visa and number of entries is appropriate for your travel plans.

Keep copies of your U.S. passport data page, as well as the pages containing the Indian visa and Indian immigration stamps with you at all times. Consider downloading these documents to your mobile phone in case of emergency. If your passport is lost or stolen, copies will help you apply for a replacement passport and an exit visa from the Indian government. Replacing a lost visa, which is required in order to exit the country, may take four or five business days.   

U.S. citizens of Pakistani origin or descent are subject to administrative processing and should expect additional delays when applying for Indian visas.

Foreign citizens who visit India to  study, do research, work, or act as missionaries,  as well as all travelers and residents planning to stay more than 180 days,  are required to register their visit or residency within 14 days of arrival with the Foreigners Regional Registration Office (FRRO)  closest to where they will be staying in addition  to having the appropriate visa  when they enter India. The FRRO maintains offices in New Delhi, Mumbai, Chennai, Hyderabad, Kolkata, Bengaluru (Bangalore), Lucknow, Calicut, Goa, Cochin, Trivandrum, and Amritsar. District Superintendents of Police serve as Foreigners Registration Officers (FROs) in all other places. We recommend all U.S. citizens review the entry requirements described on the  Frequently Asked Question (FAQ)  section on the Indian Bureau of Immigration website.

If you overstay your Indian visa, or otherwise violate Indian visa regulations, you may require clearance from the Ministry of Home Affairs to leave the country. Generally, you will be fined and, in some cases, may be jailed for months. Visa violators seeking an exit permit must visit  the Foreigners Regional Registration Office portal  to submit the application and pay any levied fines. Processing of an exit permit under these circumstances can take up to 90 days and decisions will be made on a case-by-case basis.  

For the most current information on entry and exit requirements, please contact the  Embassy of India  at 2536 Massachusetts Avenue NW, Washington, DC 20008, telephone (202) 939-9806 or the Indian Consulates in Atlanta ,  Chicago , Houston ,  New York , or  San Francisco . Outside the United States, inquiries should be made at the nearest Indian embassy or consulate.

General information regarding Indian visa and immigration rules, including the addresses and telephone numbers for the FRRO offices, can be found at the  Indian Ministry of Home Affairs Bureau of Immigration website.

HIV/AIDS RESTRICTIONS:  There are no disclosure requirements or restrictions for HIV/AIDS patients who enter India on a tourist visa. Disclosure regarding HIV/AIDS is required of anyone seeking a resident permit in India. Foreign residents found to be suffering from HIV/AIDS will be deported. Please verify this information with the  Embassy of India  before you travel.

Find information on  dual nationality ,  prevention of international child abduction  and  customs regulations  on our websites.

Safety and Security

U.S. citizens should always practice good personal security and situational awareness. Be aware of your surroundings (including local customs and etiquette) and keep a low profile. Monitor local news reports, vary your routes and times in carrying out daily activities, and consider the level of security present when you visit public places, including religious sites, and when choosing hotels, restaurants, and entertainment and recreation venues.

India continues to experience terrorist and insurgent activities which may affect U.S. citizens directly or indirectly. Anti-Western terrorist groups, some on the U.S. government's list of foreign terrorist organizations, are active in India, including Islamist extremist groups such as Harkat-ul-Jihad-i-Islami, Harakat ul-Mujahidin, Indian Mujahideen, Jaish-e-Mohammed, and Lashkar-e Tayyiba. The U.S. government occasionally receives information regarding possible terrorist attacks that could take place in India, monitors such information to determine credibility, and advises U.S. citizens accordingly.  Enroll in the  Smart Traveler Enrollment Program (STEP)  to receive messages from the Embassy automatically.   

Past attacks have targeted public places, including some frequented by Westerners, such as luxury and other hotels, trains, train stations, markets, cinemas, mosques, and restaurants in large urban areas. Attacks have taken place during the busy evening hours in markets and other crowded places, but could occur at any time.  Alerts are usually more frequent around major holidays. The Maoists (also known as “Naxalites”) are the most active insurgent group in India. The Naxalites typically attack Indian government officials, but have also derailed trains, targeted other government buildings such as police stations, and conducted other criminal activity.  In eastern India’s Bihar state, 10 security personnel were killed and five injured in a Naxalite-triggered Improvised Explosive Device blast on July 18, 2016.  In the eastern state of Jharkhand, seven policemen were killed and eight others injured in a landmine blast by Naxalites on January 27, 2016.   

Beyond the threat from terrorism and insurgencies, demonstrations and general strikes, or “bandh,” often cause major inconvenience and unrest. These strikes can result in the stoppage of all transportation and tourist-related services, at times for 24 hours or more. U.S. citizens caught in such a strike may find they are unable to make flight and rail connections, as local transportation can be severely limited. Local media generally give an idea of the length and geographical location of the strike. Large religious gatherings that attract hundreds of thousands of people can result in dangerous and often life-threatening stampedes. Local demonstrations can begin spontaneously and escalate with little warning, disrupting transportation systems and city services and posing risks to travelers. In response to such events, Indian authorities occasionally impose curfews and/or restrict travel. You are urged to obey such curfews and travel restrictions and to avoid demonstrations and rallies as they have the potential for violence, especially immediately preceding and following political rallies, elections, and religious festivals (particularly when Hindu and Muslim festivals coincide). Tensions between castes and religious groups can also result in disruptions and violence. In some cases, demonstrators specifically block roads near popular tourist sites and disrupt train operations in order to gain the attention of Indian authorities; occasionally vehicles transporting tourists are attacked in these incidents. India generally goes on “High Alert” status prior to major holidays or events. You should monitor local television, print media, Mission India’s American Citizens Services  Facebook  page, and enroll with the  Smart Traveler Enrollment Program  for further information about the current situation in areas where you will travel.

The U.S. Embassy and U.S. Consulates General in Chennai, Hyderabad, Kolkata, and Mumbai will post information about routine demonstrations on the U.S. Embassy and U.S. Consulates General websites, under the heading “Demonstration Notices.” Please monitor our websites regularly for information about protest activities in the country. Please note that the Embassy and Consulates General will issue emergency/security messages for other purposes, as necessary.

Religious violence occasionally occurs in India, especially when tensions between different religious communities are purposefully exacerbated by groups pushing religiously chauvinistic agendas. There are active "anti-conversion" laws in some Indian states, and acts of conversion sometimes elicit violent reactions from Hindu extremists. Foreigners suspected of proselytizing Hindus have been attacked and killed in conservative, rural areas in India in the past. 

Swimming in India:  You should exercise caution if you intend to swim in open waters along the Indian coastline, particularly during the monsoon season. Every year, several people in Goa, Mumbai, Puri (Odisha), off the Eastern Coast in the Bay of Bengal, and other areas drown due to strong undertows. It is important to heed warnings posted at beaches and to avoid swimming in the ocean during the monsoon season. Trained lifeguards are very rare along beaches.

If you visit the Andaman Islands, be aware that there have been reports of crocodile attacks in salt water resulting in fatalities.  Ask local residents about dangerous sea life before swimming and keep a safe distance from animals at all times.

Wildlife safaris:  India offers opportunities for observation of wildlife in its natural habitat and many tour operators and lodges advertise structured, safe excursions into parks and other wildlife viewing areas for close observation of flora and fauna. However, safety standards and training vary, and it is a good idea to ascertain whether operators are trained and licensed. Even animals marketed as “tame” should be respected as wild and extremely dangerous. Keep a safe distance from animals at all times, remaining in vehicles or other protected enclosures when venturing into game parks.

Trekking in India:  Trekking expeditions should be limited to routes identified for this purpose by local authorities. Use only registered trekking agencies, porters, and guides, suspend trekking after dark, camp at designated camping places, and travel in groups rather than individually or with one or two companions. Altitudes in popular trekking spots can be as high as 25,170 feet (7,672 m); please make sure that you have had a recent medical checkup to ensure that you are fit to trek at these altitudes and carry sufficient medical insurance that includes medical evacuation coverage.

Train Travel:  India has the third largest rail network in the world, and train travel in India generally is safe. Nevertheless, accidents and on-board fires are sometimes caused by aging infrastructure, poorly maintained equipment, overcrowding, and operator errors. Train accidents and fires have resulted in the death and serious injury of passengers.

Areas of Instability: Jammu & Kashmir:  The Department of State strongly recommends that you avoid travel to the union territory of Jammu & Kashmir because of the potential for terrorist incidents as well as violent public unrest. A number of terrorist groups operate in the territory targeting security forces, particularly along the Line of Control (LOC) separating Indian and Pakistani-controlled Kashmir, and those stationed in primary tourist destinations in the Kashmir Valley: Srinagar, Gulmarg, and Pahalgam. Since 1989, as many as 70,000 people (terrorists, security forces, and civilians) have been killed in the Kashmir conflict. Foreigners are particularly visible, vulnerable, and at risk. In the past, serious communal violence left the territory mostly paralyzed due to massive strikes and business shutdowns, and U.S. citizens have had to be evacuated by local police. The Indian government prohibits foreign tourists from visiting certain areas along the LOC (see the section on Restricted Areas, below).

India-Pakistan Border:  The Department of State recommends that you avoid travel to areas within ten kilometers of the border between India and Pakistan. Both India and Pakistan maintain a strong military presence on both sides of the border. The only official India-Pakistan border crossing point for persons who are not citizens of India or Pakistan is in the state of Punjab between Atari, India, and Wagah, Pakistan. The border crossing is usually open, but you are advised to confirm the current status of the border crossing prior to commencing travel. A Pakistani visa is required to enter Pakistan. Only U.S. citizens residing in India may apply for a Pakistani visa in India. Otherwise you should apply for a Pakistani visa in your country of residence before traveling to India.

Both India and Pakistan claim an area of the Karakoram mountain range that includes the Siachen glacier. Travel or mountain climbing in this area is highly dangerous. The disputed area includes the following peaks: Rimo Peak; Apsarasas I, II, and III; Tegam Kangri I, II and III; Suingri Kangri; Ghiant I and II; Indira Col; and Sia Kangri. Check with the U.S. Embassy in New Delhi for information on current conditions.

Northeastern states:  Incidents of violence by ethnic insurgent groups, including bombings of buses, trains, rail lines, and markets, occur occasionally in the northeast. While U.S. citizens have not been specifically targeted, it is possible that you could be affected as a bystander. If you travel to the northeast, you should avoid travel by train at night, travel outside major cities at night, and crowds. U.S. government employees at the U.S. Embassy and Consulates in India are prohibited from traveling to the states of Assam, Arunachal Pradesh, Mizoram, Nagaland, Meghalaya, Tripura, and Manipur without permission from the U.S. Consulate General in Kolkata. Restricted Area Permits are required for foreigners to visit certain Northeastern states (see the section on Restricted Areas, below.) Contact the U.S. Consulate General in Kolkata for information on current conditions.

East Central and Southern India:  Maoist extremist groups, or “Naxalites,” are active in East Central India primarily in rural areas. The Naxalites have a long history of conflict with state and national authorities, including frequent terrorist attacks on local police, paramilitary forces, and government officials, and are responsible for more attacks in the country than any other organization through an ongoing campaign of violence and intimidation Naxalites have not specifically targeted U.S. citizens but have attacked symbolic targets that have included Western companies and rail lines. While Naxalite violence does not normally occur in places frequented by foreigners, there is a risk that visitors could become victims of violence.

Naxalites are active in a large swath of India from eastern Maharashtra and northern Telangana through western West Bengal, particularly in rural parts of Chhattisgarh and Jharkhand and on the borders of Telangana, Andhra Pradesh, Maharashtra, Madhya Pradesh, Uttar Pradesh, Bihar, West Bengal, and Odisha. Due to the fluid nature of the threat, all U.S. government travelers to states with Naxalite activity must receive authorization from the U.S. Consulate responsible for the area to be visited. U.S. officials traveling only to the capital cities in these states do not need prior authorization.

Restricted/Protected areas:  While the Indian Government has designated that travelers to “portions” of certain areas need special advance permission, actual practice has been to require a permit to enter any portion of certain states or territories. Areas requiring a permit include:

• The state of Arunachal Pradesh
• Portions of the state of Sikkim
• Portions of the state of Himachal Pradesh near the Chinese border
• Portions of the state of Uttarakhand (Uttaranchal) near the Chinese border
• Portions of the state of Rajasthan near the Pakistani border
• Portions of the union territory of Jammu & Kashmir near the Line of Control with Pakistan and certain portions of the union territory of Ladakh
• The union territory of Andaman & Nicobar Islands
• The union territory of the Laccadives Islands (Lakshadweep)
• Portions of the state of Manipur
• Portions of the state of Mizoram
• Portions of the state of Nagaland

More information about travel to/in restricted/protected areas can be found from India’s  Bureau of Immigration .

“Restricted Area Permits" are available outside India at Indian embassies and consulates abroad, or in India from the Ministry of Home Affairs (Foreigners Division) at Jaisalmer House, 26 Man Singh Road, New Delhi. The states of Arunachal Pradesh and Sikkim maintain official guesthouses in New Delhi, which can also issue Restricted Area Permits for their respective states for certain travelers. While visiting Mamallapuram (Mahabalipuram) in Tamil Nadu, be aware the Indira Gandhi Atomic Research Center, Kalpakkam, is located just south of the site and is not clearly marked as a restricted and dangerous area.

For the latest security information, travelers should enroll in  STEP  to receive updated security information and regularly monitor travel information available from the  U.S. Embassy in New Delhi  as well as the U.S. Consulates General in  Mumbai  (Bombay),  Chennai (Madras),  Hyderabad , and  Kolkata  (Calcutta).

CRIME:  Petty crime, especially theft of personal property (including U.S. passports), is common, particularly on trains or buses, at airports, and in major tourist areas. Pickpockets can be very adept and women have reported having their bags snatched, purse-straps cut, or the bottom of their purses slit without their knowledge. If you are traveling by train, lock your sleeping compartments and take your valuables with you when leaving your berth. If you travel by air, be careful with your bags in the arrival and departure areas outside airports. Violent crime, especially directed against foreigners, has traditionally been uncommon, although in recent years there has been a modest increase. Be cautious about displaying cash or expensive items to reduce the chance of being a target for robbery or other crime, and be aware of your surroundings when you use ATMs. ATM card scams have been used to clone credit card details to withdraw money.

Sexual Assault:  Travelers should be aware that there have been reported cases of sexual assault, including rape, of U.S. citizens traveling throughout India. U.S. citizens, particularly women, are cautioned not to travel alone in India. Women traveling in India are advised to respect local dress and customs. Customary everyday dress for Indian women throughout the country is conservative, and even more so in non-urban areas,  with women wearing clothing that covers their legs and shoulders. Exceptions are vacation resorts catering to foreign clientele and some neighborhoods of the major cities of New Delhi and Mumbai. Western women, especially those of African descent, continue to report incidents of verbal and physical harassment by individuals and groups of men. Known locally as “Eve-teasing,” these incidents of sexual harassment can be quite frightening and can quickly cross the line from verbal to physical. Sexual harassment can occur anytime or anywhere, but most frequently has happened in crowded areas such as in market places, train stations, buses, and public streets. The harassment can range from sexually suggestive or lewd comments to catcalls to outright groping. The Government of India has focused greater attention on addressing issues of gender violence. One outcome has been greater reporting of incidences of sexual assault country-wide, and Indian authorities report rape is one of the fastest growing crimes in India. Among large cities, Delhi experienced the highest number of reported crimes against women. Although most victims have been local residents, recent sexual attacks against female visitors in tourist areas across India underline the fact that foreign women are at risk and should exercise vigilance.

Women should observe stringent security precautions, including avoiding use of public transport after dark without the company of known and trustworthy companions, restricting evening entertainment to well-known venues, and avoiding isolated areas when alone at any time of day. Keep your hotel room number confidential and make sure hotel room doors have chains, deadlocks, and peep holes. Travel with groups of friends rather than alone. In addition, only hire reliable cars and drivers and avoid traveling alone in hired taxis, especially at night. Use taxis from hotels and pre-paid taxis at airports rather than hailing them on the street. If you encounter threatening situations, call “100” for police assistance (“112” from mobile phones).

Scams:  Major airports, train stations, popular restaurants, and tourist sites are often used by scam artists looking to prey on visitors, often by creating a distraction. Beware of taxi drivers and others, including train porters, who solicit travelers with "come-on" offers of cheap transportation and/or hotels. Travelers accepting such offers have frequently found themselves the victims of scams, including offers to assist with "necessary" transfers to the domestic airport, disproportionately expensive hotel rooms, unwanted "tours," unwelcome "purchases," extended cab rides, and even threats when the tourists decline to pay.  There have been reports of tourists being lured, held hostage and extorted for money in the face of threats of violence against the traveler and his/her family members.

You should exercise care when hiring transportation and/or guides and use only well-known travel agents to book trips. Some scam artists have lured travelers by displaying their name on a sign when they leave the airport. Another popular scam is to drop money or to squirt something on the clothing of an unsuspecting traveler and use the distraction to rob them of their valuables. Tourists have also been given drugged drinks or tainted food to make them more vulnerable to theft, particularly at train stations. Even food or drink prepared in front of the traveler from a canteen or vendor could be tainted.

Some vendors sell carpets, jewelry, gemstones, or other expensive items that may not be of the quality promised. Deal only with reputable businesses and do not hand over your credit cards or money unless you are certain that goods being shipped are the goods you purchased. If a deal sounds too good to be true, it is best avoided. Most Indian states have official tourism bureaus set up to handle complaints.

There have been a number of other scams perpetrated against foreign travelers, particularly in Goa, Jaipur, and Agra that target younger travelers and involve suggestions that money can be made by privately transporting gems or gold (both of which can result in arrest) or by taking delivery abroad of expensive carpets, supposedly while avoiding customs duties. The scam artists describe profits that can be made upon delivery of the goods, and require the traveler to pay a "deposit" as part of the transaction.

India-based criminals use the internet to extort money from victims abroad.  In a common scam, the victim develops a close romantic relationship with an alleged U.S. citizen they meet online. When the “friend” travels to India, a series of accidents occur and the victim begins to receive requests for financial assistance, sometimes through an intermediary.  In fact, the U.S. citizen “friend” does not exist; they are only online personas used by criminal networks. Victims have been defrauded of thousands of dollars in these schemes. Do not send money to anyone you have not met in person and carefully read the Department of State’s advice on  international financial scams . 

U.S. citizens have had problems with business partners, usually involving property investments. You may wish to seek professional legal advice in reviewing any contracts for business or services offered in India. The U.S. Embassy and/or consulates are unable to provide legal advice or intervene on behalf of United States citizens with Indian courts on civil or criminal matters.  A list of local attorneys is available on the Embassy and Consulates General  websites .

In another common scam, family members in the United States, particularly older people, are approached for funds to help callers claiming to be grandchildren or relatives who have been arrested or are without money to return home. Do not send money without contacting the U.S. Embassy or Consulate General to confirm the other party’s situation. You can also call our Office of Overseas Citizens Services at 888-407-4747 (from overseas: 202-501-4444). Review our information on  Emergency Assistance to Americans Abroad . 

See the  Department of State  and the  FBI  pages for more information on scams.

Don’t buy counterfeit and pirated goods, even if they are widely available. Not only are the bootlegs illegal in the United States, if you purchase them you may also be breaking local law.

Victims of Crime:  U.S. citizen victims of sexual assault should first contact the local police, then inform the U.S. Embassy or local Consulate.

Report crimes to the local police by calling “100” or “112” from a mobile phone.                      

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
• explain the local criminal justice process in general terms
• provide a list of local attorneys
• provide our information on  victim’s compensation programs in the U.S.
• 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

Please note that you should ask for a copy of the police report, known as a “First Information Report” (FIR), from local police when you report an incident. Local authorities generally are unable to take any meaningful action without the filing of a police report. 

If your passport is stolen, you should immediately report the theft or loss to the police in the location where your passport was stolen. A FIR is required by the Indian government in order for you to obtain an exit visa to leave India if the lost passport contained your Indian visa. Although the Embassy or Consulate General is able to replace a stolen or lost passport, the Ministry of Home Affairs and the Foreigners Regional Registration Office (FRRO) are responsible for approving an exit permit. This process usually takes three to four working days, but can take longer.

In cases of sexual assault or rape, the Embassy or Consulates General can provide a list of local doctors and hospitals, if needed, to determine if you have been injured and to discuss treatment and prevention options for diseases and pregnancy. You should be aware that in order for evidence of an assault to be submitted in a court case, Indian authorities require that the medical exam be completed at a government hospital. Therefore, if a victim goes to a private hospital for treatment, the hospital will refer them to a government hospital for this aspect of the medical process. 

There are a number of resources in India for victims of rape and sexual assault. The specific toll-free Women’s Helpline Service number in Delhi is 1091; in Mumbai it is 103; in Kolkata, 1090; in Chennai, 1091 or 2345-2365; and in Hyderabad one can dial 1-800-425-2908 or 1098 for crimes in general.

The local equivalent to the “911” emergency line in India is “100.” An additional emergency number, “112,” can be accessed from mobile phones.

Please see our  information for victims of crime , including possible victim compensation programs in the United States. 

Domestic Violence:  U.S. citizen victims of domestic violence may contact the Embassy for assistance.

Tourism:  The tourism industry is unevenly regulated, and safety inspections for equipment and facilities do not commonly occur.  Hazardous areas/activities are not always identified with appropriate signage, and staff may not be trained or certified either by the host government or by recognized authorities in the field.  In the event of an injury, appropriate medical treatment is typically available only in/near major cities.  First responders are generally unable to access areas outside of major cities and to provide urgent medical treatment.  U.S. citizens are encouraged to purchase medical evacuation insurance.  See our webpage for more  information on insurance providers for overseas coverage.

Local Laws & Special Circumstances

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

Furthermore, some activities are crimes under U.S. law and can be prosecuted in the U.S. regardless of whether they are allowed under 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 or prison officials to notify the U.S. Embassy immediately. See our  webpage  for further information.

Alcohol: Each of India’s states has independent regulations concerning alcohol purchase and consumption. Legal drinking ages range from 18 to 25 and can vary by beverage type. Some states permit alcohol use for medicinal purposes only, others require you to hold a permit to buy, transport, or consume alcohol. Penalties for violation can be harsh.

Drugs:  Several U.S. citizens have been arrested at Indian airports for attempting to smuggle illegal drugs from India.  All claimed that they did not realize they were carrying narcotics.  Never transport or mail packages that do not belong to you and maintain direct control of your luggage at all times.

Beef and Cow Hide: Several states in India impose various types of prohibition on beef.  In some rural areas, cow protection vigilantes have attacked people they suspected of selling or consuming beef, or possessing items made with cow hide.

SPECIAL CIRCUMSTANCES:

Dual nationality: India does not permit its citizens to hold dual nationality. In 2006, India launched the "Overseas Citizens of India" (OCI) program, which does not grant Indian citizenship but is similar to a U.S. "green card" in that you can travel to and from India indefinitely, work in India, study in India, and own property in India (except for certain agricultural and plantation properties). If you are a U.S. citizen and obtain an OCI card you will not become a citizen of India; you will remain a citizen of the United States. An OCI card holder does not receive an Indian passport, cannot vote in Indian elections, and is not eligible for Indian government employment. The OCI program is similar to the Persons of Indian Origin (PIO) card except that PIO holders must still register with Indian immigration authorities, and PIO cards are not issued for an indefinite period. U.S. citizens of Indian descent can apply for PIO or OCI cards at the Indian Embassy in Washington, or at the Indian Consulates in Chicago, New York, San Francisco, Atlanta, and Houston. Inside India, U.S. citizens can apply at the nearest FRRO office (please see “Entry/Exit Requirements” section above for more information on the FRRO). U.S. citizens are required to travel on a U.S. passport when traveling in and out of the United States.

Religious activities and faith-based travelers:  See the Department of State’s International Religious Freedom Report .  If you plan to engage in religious proselytizing you are required by Indian law to have a "missionary" visa. Immigration authorities have determined that certain activities, including speaking at religious meetings to which the general public is invited, may violate immigration law if the traveler does not hold a missionary visa. Foreigners with tourist visas who engage in missionary activity are subject to deportation and possible criminal prosecution. The states of Odisha, Chhattisgarh, Gujarat, Himachal Pradesh, Madhya Pradesh, and Arunachal Pradesh have legislation that regulates or places restrictions on conversion from one religious faith to another. If you intend to engage in missionary activity, you may wish to seek legal advice to determine whether the activities you intend to pursue are permitted under Indian law.

Tourists should also be mindful of restrictions and observances when planning to visit any religious establishment, whether Hindu temples, mosques, churches, or other locations considered sacred by the local population. Many individual temples and mosques do not permit non-members to enter all or parts of the facilities, and may require the removal of shoes, the covering of the head, or have other specific requirements for appropriate attire.  

Customs restrictions: Before traveling to or from India, you are urged to inspect all bags and clothing thoroughly to ensure they do not inadvertently contain prohibited items. Several U.S. citizens have been arrested or detained when airport security officials discovered loose ammunition (even spent individual bullets and casings) or weapons in their luggage. If you are found to have loose ammunition or bullets (including empty bullet shells used in souvenirs) on your person or in your bags, you could be charged with violation of the Indian Arms Act, incarcerated, and/or deported from India.

In addition, U.S. citizens have been arrested for possession of satellite phones. Satellite phones, personal locator beacons, and hand-held GPS devices are illegal in India.

Indian customs authorities enforce strict regulations concerning temporary importation into or export from India of such items as, antiquities, electronic equipment, currency, ivory, gold objects, and other prohibited materials. Permission from the Government of India is required to bring in restricted items, even if you are only transiting through India. If you do not comply with these regulations, you risk arrest or fine or both and confiscation of these items. If you are charged with any legal violations by Indian law enforcement, have an attorney review any document before you sign it. The Government of India requires the registration of antique items with the local police along with a photograph of the item. It is advisable to contact the Embassy of India in Washington or one of India's consulates in the United States for specific information regarding customs requirements. More information is available from the Indian Central Board of Excise and Customs .

Indian customs authorities encourage the use of an ATA (Admission Temporaire/Temporary Admission) Carnet for the temporary admission of professional equipment, commercial samples, and/or goods for exhibitions and fair purposes. ATA Carnet Headquarters, located at the U.S. Council for International Business , 1212 Avenue of the Americas, New York, NY 10036, issues and guarantees the ATA Carnet in the United States. For additional information call (212) 354-4480, or email USCIB for details. Please see our section on Customs Information for more information.

Natural disaster threats: Parts of northern India are highly susceptible to earthquakes. Regions of highest risk, ranked 5 on a scale of 1 to 5, include areas around Srinagar, Himachal Pradesh, Rishikesh and Dehra Dun, the northern parts of Punjab, northwest Gujarat, northern Bihar, and the entire northeast. Ranked 4 (high damage risk) is an area that sweeps along the north through Jammu and Kashmir, Eastern Punjab, Haryana, Northern Uttar Pradesh, central Bihar and the northern parts of West Bengal. New Delhi is located in zone 4. Severe flooding is common in hilly and mountainous areas throughout India. Flooding in 2013 in Uttarakhand, Himachal Pradesh, Tamil Nadu and other areas left thousands of people presumed dead and temporarily stranded dozens of U.S. citizens.

Typhoons/cyclones and subsequent flooding are common along the Indian coasts, in particular the Eastern coastal states of Tamil Nadu, Andhra Pradesh, Odisha and West Bengal, and have at times resulted in massive loss of life.  Tourists and residents in areas prone to these events should remain vigilant during severe weather, monitor local media for latest developments, and heed all municipal warnings.  Residents in these areas should have contingency plans for loss of power and inavailability of goods and services, including supplies for multiple days after a severe weather event.

Accessibility: While in India, individuals with disabilities may find accessibility and accommodation very different than what you find in the United States. Despite legislation that all public buildings and transport be accessible for disabled people, accessibility remains limited. One notable exception is the Delhi metro system, designed to be accessible to those with physical disabilities.

Women Travelers: Please review our travel tips for  Women Travelers .

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

LGBTQI+ Travelers:  Section 377 of India’s penal code makes same-sex sexual acts illegal in India. On September 6, 2018, the Supreme Court of India declared unconstitutional the application of Section 377, barring discrimination on the basis of sexual orientation, effectively legalizing homosexuality in India. Reports of widespread discrimination and violence against LGBTQI+ persons, particularly in rural areas, persist. See our LGBTQI+ Travel Information page and section 6 of our Human Rights report for further details.

Zika is present in India. See the Centers for Disease Control’s website for more information.

The quality of medical care in India varies considerably. Medical care in the major population centers approaches and occasionally meets Western standards, but adequate medical care is usually very limited or unavailable in rural areas.

We do not pay medical bills. Be aware that U.S. Medicare does not apply overseas. 

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 insurance providers for overseas coverage . 

We strongly recommend supplemental insurance (our webpage) to cover medical evacuation.

If traveling with prescription medication, check with the government of India to ensure the medication is legal in India.  Always, carry your prescription medication in original packaging with your doctor’s prescription. 

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

If you are arriving in India from Sub-Saharan Africa or other yellow-fever areas, Indian health regulations require that you present evidence of vaccination against yellow fever. If you do not have such proof, you could be subjected to immediate deportation or a six-day detention in the yellow-fever quarantine center. If you transit through any part of sub-Saharan Africa, even for one day, you are advised to carry proof of yellow fever immunization.

Dogs and bats create a high risk of rabies transmission in most of India. Vaccination is recommended for all prolonged stays, especially for young children and travelers in rural areas. It is also recommended for shorter stays that involve occupational exposure, locations more than 24 hours from a reliable source of human rabies immune globulin and rabies vaccine for post-exposure treatment, adventure travelers, hikers, cave explorers, and backpackers. Monkeys also can transmit rabies and herpes B, among other diseases, to human victims. Avoid feeding monkeys. If bitten, you should immediately soak and scrub the bite for at least 15 minutes and seek urgent medical attention.

Influenza is transmitted from November to April in areas north of the Tropic of Cancer (north India), and from June through November (the rainy season) in areas south of the Tropic of Cancer (south India), with a smaller peak from February through April; off-season transmission can also occur. All travelers are at risk. Influenza vaccine is recommended for all travelers during the flu season.

Outbreaks of avian influenza (H5N1 virus) occur intermittently in eastern India, including West Bengal, Manipur, Sikkim, Andhra Pradesh, Telangana, and Assam. For further information on pandemic influenza, please refer to the Department of State's 2009-H1N1, Pandemic Influenza, and H5N1 Fact Sheet .

Malaria prophylaxis depends on time of year and area the traveler is visiting. Please consult the CDC website for more information. Dengue fever presents significant risk in urban and rural areas. The highest number of cases is reported from July to December, with cases peaking from September to October. Daytime insect precautions such as wearing long-sleeved shirts and mosquito repellent are recommended by the CDC.

Tuberculosis is an increasingly serious health concern in India. For further information, please consult the CDC’s Travel Notice on TB .

Further health information:

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

Air pollution is a significant problem in several major cities in India, and you should consult your doctor prior to travel and consider the impact seasonal smog and heavy particulate pollution may have on you.  The air quality in India varies considerably and fluctuates with the seasons.  It is typically at its worst in the winter. Anyone who travels where pollution levels are high is at risk. People at the greatest risk from particle pollution exposure include:

• Infants, children, and teens
• People over 65 years of age
• People with lung disease such as asthma and chronic obstructive pulmonary disease (COPD), which includes chronic bronchitis and emphysema;
• People with heart disease or diabetes
• People who work or are active outdoors

Current air quality data can be found on the Embassy’s Air Quality page . The data on this site are updated hourly.

Rh-negative blood may be difficult to obtain as it is not common in Asia.

For emergency services, dial 112 from a cell phone; from a land line, dial 100 for police, 102 for ambulance (108 in parts of South India), and 101 for fire. Ambulances are not equipped with state-of-the-art medical equipment, and traffic does not yield to emergency vehicles. 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. Most hospitals require advance payment or confirmation of insurance prior to treatment. Payment practices vary and credit cards are not routinely accepted for medical care.

Medical Tourism: Medical tourism is a rapidly growing industry. Companies offering vacation packages bundled with medical consultations and financing options provide direct-to-consumer advertising over the internet. Such medical packages often claim to provide high quality care, but the quality of health care in India is highly variable. People seeking health care in India should understand that medical systems operate differently from those in the United States and are not subject to the same rules and regulations. Anyone interested in traveling for medical purposes should consult with their local physician before traveling and refer to the information from the CDC . Persons traveling to India for medical purposes require the proper “medical” visa. Please check with the nearest Indian embassy or consulate for more information.

Despite reports of antibiotic-resistant bacteria in hospitals, in general travelers should not delay or avoid treatment for urgent or emergent medical situations. However, health tourists and other travelers who may be contemplating elective procedures in this country should carefully research individual hospital infection control practices.

Surrogacy: Commercial surrogacy is illegal for foreigners in India, subject to complex local regulation.  For additional information, visit the Government of India’s official information on foreigner surrogacy . 

The U.S. Embassy and Consulates General in India maintain lists of local doctors and hospitals, all of which are published on their respective websites under "U.S. Citizen Services." We cannot endorse or recommend any specific medical provider or clinic.

Travel and Transportation

Road Conditions and Safety:  Travel by road in India is dangerous. India leads the world in traffic-related deaths and a number of U.S. citizens have suffered fatal traffic accidents in recent years. You should exercise extreme caution when crossing streets, even in marked pedestrian areas, and try to use only cars that have seatbelts. Seatbelts are not common in three-wheel taxis (autos) and in taxis’ back seats. Helmets should always be worn on motorcycles and bicycles.Travel at night is particularly hazardous.

On Indian roads, the safest driving policy is always to assume that other drivers will not respond to a traffic situation in the same way you would in the United States. Buses and trucks often run red lights and merge directly into traffic at yield points and traffic circles. Cars, autos, bicycles, and pedestrians behave only slightly more cautiously. Use your horn or flash your headlights frequently to announce your presence. It is both customary and wise.

Inside and outside major cities, roads are often poorly maintained and congested. Even main roads frequently have only two lanes, with poor visibility and inadequate warning markers. On the few divided highways one can expect to meet local transportation traveling in the wrong direction, often without lights. Heavy traffic is the norm and includes (but is not limited to) overloaded trucks and buses, scooters, pedestrians, bullock and camel carts, horse or elephant riders en route to weddings, bicycles, and free-roaming livestock.

Public Transportation: Buses, patronized by hundreds of millions of Indians, are convenient in that they serve almost every city of any size. However, they are often driven fast, recklessly, and without consideration for the rules of the road. Accidents are quite common.

Traffic Laws: Traffic in India moves on the left. It is important to be alert while crossing streets and intersections, especially after dark as traffic is coming in the "wrong" direction. Travelers should remember to use seatbelts in both rear and front seats where available, and to ask their drivers to maintain a safe speed.

In order to drive in India, you must have either a valid Indian driver’s license or a valid international driver’s license. Because of difficult road and traffic conditions, you may wish to consider hiring a local driver.

If a driver hits a pedestrian or a cow, the vehicle and its occupants are at risk of being attacked by passersby. Such attacks pose significant risk of injury or death to the vehicle's occupants or risk of incineration of the vehicle. It could be unsafe to remain at the scene of an accident of this nature, and drivers may instead wish to seek out the nearest police station. Protestors often use road blockage as a means of publicizing their grievances, causing severe inconvenience to travelers. Visitors should monitor local news reports for any reports of road disturbances.

Please refer to our Road Safety page for more information.

Emergency Numbers: The following emergency numbers work in New Delhi, Mumbai, Chennai, Hyderabad, and Kolkata:

• Fire Brigade 101
• Ambulance 102

AVIATION SAFETY OVERSIGHT: The U.S. Federal Aviation Administration (FAA) has assessed the Government of India’s Civil Aviation Authority as being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for oversight of India’s air carrier operations. Further information may be found on the  FAA’s safety assessment page . Travelers are urged to use caution while booking private helicopters for travel, especially in the northeast. 

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.

India was cited in the State Department’s 2023 Annual Report to Congress on International Child Abduction for demonstrating a pattern of non-compliance with respect to international parental child abduction. Review information about International Parental Child Abduction in  India . For additional IPCA-related information, please see the  International Child Abduction Prevention and Return Act ( ICAPRA )  report.

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• Passports, travel and living abroad
• Travel abroad
• Foreign travel advice

Before you travel check that:

• your destination can provide the healthcare you may need
• you have appropriate travel insurance for local treatment or unexpected medical evacuation

This is particularly important if you have a health condition or are pregnant.

Emergency medical number

Dial 112 and ask for an ambulance.

Contact your insurance or medical assistance company promptly if you’re referred to a medical facility for treatment.

Air pollution

Severe air pollution is a major hazard to public health, especially during the winter months (October to February). North Indian cities are most affected by extremely high levels of pollution. Children, the elderly, and those with pre-existing medical conditions may be especially affected. If you’re pregnant or have a respiratory or heart condition you may wish to consult a medical practitioner before you travel. More information about outdoor air quality is available from TravelHealthPro (from the UK’s National Travel Health Network and Centre).

Mosquito-borne diseases like dengue fever and Chikungunya occur all year round but are more widespread during the monsoon season. More information about disease risk and suggested preparatory measures is available from  TravelHealthPro  (from the UK’s National Travel Health Network and Centre).

Vaccinations and health risks

At least 8 weeks before your trip check:

• the latest information on health risks and what vaccinations you need for India on TravelHealthPro
• where to get vaccines and whether you have to pay on the NHS travel vaccinations page

Altitude sickness

Altitude sickness is a risk in parts of north and northeast India, including mountainous regions in Himachal Pradesh, Uttarakhand, Ladakh, Sikkim, Arunachal Pradesh, Nagaland, and West Bengal. Certain southern India states, like Kerala and Tamil Nadu, also contain high altitude regions. More information about altitude sickness is available from TravelHealthPro (from the UK’s National Travel Health Network and Centre).

The legal status and regulation of some medicines prescribed or bought in the UK can be different in other countries.

TravelHealthPro explains best practice when travelling with medicines .

The NHS has information on whether you can take your medicine abroad.

For more information, contact the High Commission of India in London or view the  Indian Ministry of Health and Family Welfare website  and the  Indian customs website .

Healthcare facilities in India

Local medical facilities are not comparable to those in the UK, especially in more remote areas. For psychiatric illness, specialised treatment may not be available outside major cities. In major cities, private medical care is available but expensive.

FCDO has a list of English-speaking doctors in India .

COVID-19 Healthcare in India

If you have symptoms of COVID-19 and want more information, contact a registered medical practitioner.

Testing is available on demand from private laboratories. More details on testing labs are available on the  Indian Council of Medical Research website .

Travel and mental health

Read FCDO guidance on travel and mental health . There is also guidance on TravelHealthPro .

Transplant surgery

If you’re travelling to India for organ transplant surgery, check in advance with the hospital to find out what proof they need about your circumstances in the UK. You may need to submit evidence of your marriage and birth of your children before the operation can take place. You can get copies of marriage and birth certificates from the General Register Office in the UK. You may want to have them legalised by the FCDO Legalisation office before travelling. The British High Commission cannot provide guarantees and certificates on your behalf.

If you are considering travelling to India for medical treatment, you should:

• read more advice on  going abroad for medical treatment and elective surgery
• discuss plans with your UK doctor before going ahead with any medical procedures abroad 
• do your own research - private companies have a financial interest in arranging your medical treatment abroad and the information they provide should not be your only source of information

Find further  advice on medical tourism from TravelHealthPro , and NHS guidance on  going abroad for medical treatment , and (if relevant to you) on  cosmetic surgery abroad .

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Travel Vaccines and Advice for India

The Taj Mahal, Hampi, the Himalayans and the Caves of Ajanta are just the beginning for amazing sights in India. For thousands of years, the subcontinent has been the cradle of one of the most amazing cultures to visit.

Every year, tourists from around the globe flock to India to see its amazing sights and sounds. Whether you are a spiritual pilgrim, a business executive or an adventure seeker, India is sure to have something for you.

Do I Need Vaccines for India?

Yes, some vaccines are recommended or required for India. The PHAC and WHO recommend the following vaccinations for India: hepatitis A , hepatitis B , typhoid , cholera , yellow fever , Japanese encephalitis , rabies , meningitis , polio , measles, mumps and rubella (MMR) , Tdap (tetanus, diphtheria and pertussis) , chickenpox , shingles , pneumonia and influenza .

See the bullets below to learn more about some of these key immunizations:

• Hepatitis A – Food & Water – Recommended for most travellers
• Hepatitis B – Blood & Body Fluids – Accelerated schedule available
• Typhoid – Food & Water – Shot lasts 2 years. Oral vaccine lasts 5 years, must be able to swallow pills. Oral doses must be kept in refrigerator.
• Cholera – Food & Water – A risk for travellers throughout India. Avoid swimming in popular rivers or streams as cholera may be present. Vaccination is recommended for some travellers.
• Yellow Fever – Mosquito – Required if travelling from a country with risk of yellow fever transmission.
• Japanese Encephalitis – Mosquito – Recommended for all regions except: Dadra, Daman, Diu, Gujarat, Himachal Pradesh, Jammu and Kashmir, Lakshadweep, Meghalaya, Nagar Haveli, Punjab, Rajasthan, and Sikkim.
• Rabies – Saliva of Infected Animals – High risk country. Vaccine recommended for long-term travellers and those who may come in contact with animals.
• Polio – Food & Water – May be required if arriving from countries with active transmission. Recommended for some travellers to the region. Single adult booster recommended.
• Measles Mumps Rubella (MMR) – Various Vectors – Given to anyone unvaccinated and/or born after 1957. One time adult booster recommended.
• TDAP (Tetanus, Diphtheria & Pertussis) – Wounds & Airborne – Only one adult booster of pertussis required.
• Chickenpox – Direct Contact & Airborne – Given to those unvaccinated that did not have chickenpox.
• Shingles – Direct Contact – Vaccine can still be given if you have had shingles.
• Pneumonia – Airborne – Two vaccines given seperately. All 65+ or immunocompromised should receive both.
• Influenza – Airborne – Vaccine components change annually.
• Meningitis – Airborne & Direct Contact – Given to anyone unvaccinated or at an increased risk, especially students.

See the tables below for more information:

Some mosquito-borne diseases are also prevalent in India including:

• Malaria – Antimalarial medication is recommened for many regions in India. Speak with a travel health specialist to learn if these are right for your itinerary.
• Dengue Fever – Another mosquito-borne disease, dengue affects millions each year. Unfortunately, there is no vaccination against dengue approved in the United States. Make sure you take precautions against mosquitoes like using repellents and mosquito netting.

Fortunately, the Zika virus has yet to arrive in India.

To learn more about these infections, see their respective vaccination or infection pages.

If you are travelling to India, make sure you are protected. Visit your local Passport Health to receive a comprehensive consultation on what you will need to stay safe. Book your appointment online now or call us at and make sure your dream trip doesn’t become a nightmare.

How To Prevent Delhi Belly (Traveller’s Diarrhea)

Delhi Belly (or traveller’s diarrhea ) is very common among travellers. Up to 70 percent of international travellers will come down with traveller’s diarrhea during their trips. This is especially true for visitors to India.

Causes can range from viral or bacteria infections to just a difference in cuisine. But, no matter how it happens, traveller’s diarrhea can ruin a trip.

There are a few precautions you can take to avoid traveller’s diarrhea:

• Avoid risky eating – Be smart about where and what you eat. Street carts may not be the best place to grab a snack, but you also don’t need to only eat pre-packaged foods. Use good judgment to decide where would be best to chow down.
• Consider preventative care – Some products, like Travelan, will provide you with some protection against traveller’s diarrhea.

Be sure to bring a traveller’s diarrhea kit that includes antibiotics or similar products that can help stop diarrhea if it occurs.

To learn more about what you can do to avoid Delhi Belly, see our traveller’s diarrhea page . Or, book an appointment with your local Passport Health by calling or scheduling online now .

Customer Reviews

Passport health – travel vaccines for india, do i need a visa or passport for india.

Nationals of all countries, including Canadian citizens with a valid passport, require a visa. E-visas take 3-10 days to process and are valid for 2 trips up to 60 days’ total. The Indian government now allows Canadian citizens to apply for simple tourist and business visas without having to send in a passport.

Sources: Embassy of India and Canadian Travel and Tourism

What Is the Climate Like In India?

India is generally classified as a hot tropical country, except for the Himalayan north. The country has three distinct seasons:

• Summer (March to June) – Indian summers are very hot. Temperatures often climb to over 43 degrees.
• Monsoon (July to August) – The rainy season brings thunderstorms and heavy rains. These sometimes cause flooding or other damage. Bring an umbrella and be sure to take other precautions.
• Winter (October to February) – Winter temperatures are generally mild. Except in the northern regions where they will dip to near or below freezing. Remember, the higher into the mountains you go, the chillier it will get.

How Safe Is India?

India is generally safe, but is still a developing country in many ways. Try to avoid the Indian-Pakistani border, as growing tensions have led to a less safe situation.

Petty crime, especially theft is common. This happens mostly in trains and buses. Pickpocketing is known to occur in some tourist areas. Violent crime is traditionally uncommon, though there has been a slight increase in recent years.

Scamming has become more common in many popular areas. Be especially careful in airports and train stations. If an offer for cheap transportation or hotel rooms seems too good, it probably is. Only use well-known travel agencies when booking your trip and planning activities in-country.

LGBT individuals will want to be especially careful as laws on homosexuality are unclear. While prosecution is rare, LGBT visitors may wish to avoid drawing attention.

What Should I Pack For India?

Packing for India can be a bit tricky, as the country is different from many popular travel destinations:

• Pack light – Moving from place to place in India can be a bit tricky. Many forms of transportation have a tight fit and having something you can easily haul around is key. Brining an extra backpack isn’t a bad idea either as a purse or small bag may not be enough to carry water, an umbrella and similar items.
• Prepare for weather – Be sure to pack according to what season you’ll be in the country. Where you are headed is also a key factor as the Himalayas are a much cooler region.
• Wear the right footwear – You’ll likely be doing a lot of walking (or even standing) in India. Make sure your shoes are up for the trip, your feet will thank you.
• Bring a complete first-aid kit – the PHAC has a complete list of recommended health items which can be found here . Some notable items include: sunscreen, insect repellent, hand sanitizer and diarrhea medicine like DiaResQ or other remedies.

Where Is the Canadian Embassy in India?

The Canadian Embassy in India is located at:

High Commission of Canada in New Delhi 7/8 Shantipath, Chanakyapuri, New Delhi 110 021, India Telephone: 91 (11) 4178-2000

Whether you are travelling for business or pleasure, India is an absolutely amazing destination. From the Himalyas to the coast of the Indian Ocean, the country’s unique culture and feel has something for every type of traveller.

To learn more about what you can do to prepare for an Indian trip, visit your local Passport Health clinic. Book your appointment today by calling or scheduling online now.

On This Page: Do I Need Vaccines for India? How To Prevent Delhi Belly (traveller’s Diarrhea) What Are the Entry and Exit Requirements for India? What Is the Climate Like In India? How Safe Is India? What Should I Pack For India? Where Is the Canadian Embassy in India?

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• Hum Vaccin Immunother
• v.10(4); 2014 Apr

Vaccination for safe travel to India

Bharti mehta.

Department of Community Medicine; PGIMS; Rohtak, India

Harashish Jindal

Bhumika bhatt, vijay kumar dharma, satvinder choudhary.

Worldwide more than 900 million international journeys are undertaken every year. India is one of the favorite tourist destinations around the world. International travel exposes travelers to a range of health risks. Traveling to India possess a threat to travelers with waterborne diseases like bacterial diarrhea, hepatitis A and E, and typhoid fever; vector borne diseases like dengue fever, Japanese encephalitis, and malaria; animal contact disease like rabies. Furthermore diseases spreading through behavior aspects cannot be ruled out hence posing a risk for hepatitis B, HIV/AIDS, hepatitis C as well. Hence, before travel the travelers are advised about the risk of disease in the country or countries they plan to visit and the steps to be taken to prevent illness. Vaccination offers the possibility of avoiding a number of infectious diseases that may be countered abroad. There is no single vaccination schedule that fits all travelers. Each schedule must be individualized according to the traveler’s previous immunizations, countries to be visited, type and duration of travel, and the amount of time available before departure.

Introduction

Tourism has been recognized as a potent engine for socio-economic development of any nation. Because of its inter-sectorial linkages it possesses the potential to stimulate other economic factors as well. In this rapidly shrinking world, International travel has risen from 25 million international tourists in 1950 to 1.035 million international tourists in 2012 and an estimated increase to 1.8 billion tourists in 2030. 1

Worldwide more than 900 million international journeys are undertaken every year. India is one of the favorite tourist destinations around the world. In comparison to the previous year, there has been substantial growth in foreign tourist arrivals which rose from 6.31 million to 6.65 million accounting to 5.4% and Foreign Exchange Earnings which rose from US $77 591 to US $94 487 crore accounting to 21.8% during the year 2012. 2

International travel exposes travelers to a range of health risks. Many of these risks can be minimized by precautions taken before, during and after travel. Hence, before travel the travelers are advised about the risk of disease in the country or countries they plan to visit and the steps to be taken to prevent illness. 3

Vaccination offers the possibility of avoiding a number of infectious diseases that may be countered abroad. However, satisfactory vaccines have not yet been developed against several of the most life-threatening infections, including tuberculosis, malaria, dengue and HIV/AIDS. There is no single vaccination schedule that fits all travelers. Each schedule must be individualized according to the traveler’s previous immunizations, countries to be visited, type and duration of travel, and the amount of time available before departure. 3

Following vaccination, the immune response of the vaccinated individual varies with the type of vaccine, the number of doses required, and whether the individual has been vaccinated previously against the same disease. For this reason, travelers are advised to consult a travel medicine practitioner or physician 4–8 wk before departure in order to allow sufficient time for optimal immunization schedules to be completed. 3

Traveling to India possess a threat to travelers with waterborne diseases like bacterial diarrhea, hepatitis A and E, and typhoid fever; vector borne diseases like dengue fever, Japanese encephalitis, and malaria; animal contact disease like rabies. 4 Further more diseases spreading through behavior aspects cannot be ruled out hence posing a risk for hepatitis B, HIV/AIDS, hepatitis C as well.

Vaccine Recommendations for Travelers

Numerous international, national, and professional organizations publish guidelines and recommendations that assist travel health providers in giving the best possible advice to prospective travelers. Some of the reasons why guidelines differ include availability of products in different countries, a different cultural perception of risk, lack of evidence (or differing interpretations of the same evidence), and sometimes just honest differences in opinion among experts. 5

Vaccines Recommended for India Travel 6

The vaccination recommended for India travel includes yellow fever, hepatitis A, hepatitis B, tetanus-diphtheria, poliomyelitis, measles, mumps, rubella, influenza, pneumococcal, typhoid fever, and some other selective vaccines like cholera, Japanese encephalitis, and rabies ( Table 1 ).

Travel is a good opportunity for the health care provider to review the immunization status of infants, children, adolescents and adults. Unimmunized or incompletely immunized travelers should be offered vaccination as recommended. A health care provider or travel medicine clinic should be consulted 2 to 3 mo in advance of travel in order to allow sufficient time for optimal immunization schedules to be completed. Vaccination offers the possibility of avoiding a number of infectious diseases that may be countered abroad. But it is important to remember that all health problems faced by international travelers are not preventable by vaccines. It is also important to remember that immunization is not a substitute for safe practices, careful selection and handling of food and water.

10.4161/hv.27234

Disclosure of Potential Conflicts of Interest

No potential conflicts of interest were disclosed.

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Travel Vaccinations for India

Vaccinations, certificate requirements.

You need a yellow fever certificate for travel to India if you are arriving from a yellow fever country.

How much will it cost?

Recommended for all travellers.

The vaccines in this section are recommended for all travellers visiting the country.

If you have grown up in the UK, you have received a diphtheria vaccine as a part of your childhood vaccination schedule. Before going to Vietnam you should check whether you need a booster for diphtheria - this is the case if it has been over ten years since your last booster.

Hepatitis A is a viral infection which causes an inflammation of the liver. In countries where hep A is prominent, many people catch it as a child. The infection tends to be mild in children but can occasionally cause complications. In adults, however, it can lead to liver damage or even liver failure. Although infection rates appear to be on the decrease, hepatitis A is endemic to Sri Lanka and the vaccination is recommended for all travellers.

The tetanus vaccine - or a booster - is recommended for all travellers who are planning to visit a country where access to medical assistance may be limited. You can get tetanus when tetanus bacteria get into your bloodstream, usually due to injury or a wound. You need a booster if your last tetanus jab was over ten years ago.

Like hepatitis A, typhoid fever is a food- and waterborne disease. It causes digestive problems such as diarrhoea or constipation, stomach pain and a high fever. The typhoid vaccination is recommended for all travellers visiting Sri Lanka, where outbreaks continue to occur. In addition to getting vaccinated you should take care in choosing where you eat and practise good food hygiene while abroad.

Why do I need a consultation?

It is difficult to say which vaccines you need without asking a medical professional. Your itinerary, your medical history and the activities you have planned all affect which vaccinations you need. It is important that a trained travel nurse or pharmacist checks what you need.

Exactly the travel vaccinations you need - no more, no less.

During your consultation, our nurse or pharmacist will talk you through the health risks at your travel destinations to check which vaccines you need. If a vaccine is not essential, we will explain your options so you can decide whether you would like to have it.

Malaria is a serious and sometimes fatal disease transmitted by mosquitoes. You cannot be vaccinated against malaria.

Malaria Precautions

The malaria risk in India differs between regions.The areas with the highest risk of malaria include the states of Assam and Orissa, some north-eastern districts in the state of Andhra Pradesh, and some south-eastern districts in the state of Madhya Pradesh. You may need to use antimalarials when visiting these high risk areas.Antimalarials are not usually advised when travelling to low risk regions, such as the Andaman and Nicobar islands, Andhra Pradesh, Chhattisgarh, Goa, Gujarat, Madhya Pradesh, Maharashtra and West Bengal.There is no risk of malaria in the Lakshadweep islands.You need to practise insect bite avoidance in all regions. Your Superdrug nurse or pharmacist will assess your individual risk based on your itinerary and recommend a suitable antimalarial if required. Both doxycycline and Malarone can be used for malaria prevention in India.

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