nhs fit for travel brazil

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

Entry requirements

This advice reflects the UK government’s understanding of current rules for people travelling on a full ‘British citizen’ passport from the UK, for the most common types of travel.

The authorities in Brazil set and enforce entry rules. If you’re not sure how these requirements apply to you, contact the Brazilian Embassy in the UK .

COVID-19 rules

There are no COVID-19 testing or vaccination requirements for travellers entering Brazil.

Passport validity requirements

To enter Brazil, your passport must have an ‘expiry date’ at least 6 months after the date you arrive.

Check with your travel provider that your passport and other travel documents meet requirements. Renew your passport if you need to.

You will be denied entry if you do not have a valid travel document or try to use a passport that has been reported lost or stolen.

Visa requirements

You can visit Brazil without a visa for up to 90 days for tourism.

If you want to extend your tourist visa, contact the Federal Police (in Portuguese) before your visa expires.

For more information about visas, contact the Brazilian Consulate in London .

If you overstay your visa, you’ll face a daily fine. You have the option to pay this fine either when you leave Brazil or during your next visit. You will not be allowed to re-enter Brazil if you do not pay the fine. Overstaying your visa will result in a 6-month ban from re-entering the country.

Make sure you get your passport stamped.

Make sure the border control officer puts a stamp in your passport. If it is not stamped, you may be fined when you leave.

Read about passport stamping if you live in Brazil  (in Portuguese).  

At Brazil border control, you must be able to show:

• information about the purpose of your visit
• evidence you have enough money for your whole stay
• details of your accommodation
• evidence of return or onward travel

British-Brazilian dual nationals

Brazilian immigration authorities often require dual British-Brazilian nationals visiting Brazil to travel on Brazilian (rather than British) passports.

Travelling with children

Children with dual british-brazilian citizenship.

British-Brazilian dual nationals under the age of 18 who are travelling without all parents or legal guardians need authorisation from all parents or legal guardians to travel in Brazil or leave the country.

If they travel with only one parent (or guardian) or without any parent, they must have 2 original written authorisations from all parents or guardians. Read more about the formal travel authorisation process for Brazilian minors and the frequently asked questions .

You must show this permission when the under-18 leaves Brazil. One copy will be kept by the Federal Police inspection agent, together with a copy of the under-18’s identification document, and the other must stay with the under-18 or the adult accompanying them on the trip.

Children who are not dual British-Brazilian nationals

The Federal Police have sometimes delayed the travel of non-Brazilian under-18s who travel without authorisation from both parents. Families of non-Brazilian under-18s travelling through Brazil without one or both parents should follow the instructions for dual British-Brazilian under-18s. Make sure the under-18 or their travelling companion also carries the original or notarised copy of the under-18’s birth certificate. Contact the Brazilian Consulate in London for more information.

Vaccination requirements

At least 8 weeks before your trip, check the vaccinations and certificates you need in TravelHealthPro’s Brazil guide . Depending on your circumstances, this may include a yellow fever vaccine.

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Health advice for travel abroad

Peer reviewed by Dr Colin Tidy, MRCGP Last updated by Dr Toni Hazell Last updated 10 Feb 2023

Meets Patient’s editorial guidelines

In this series: Travelling to remote locations Ears and flying Jet lag Motion sickness Altitude sickness

Travelling abroad means encountering unfamiliar places and situations which may carry unexpected risks. Good planning and risk assessment allow us to anticipate and avoid many possible difficulties. This leaflet considers preparation for travel, aspects of personal safety, and health when travelling. It points to sources of information and advice to help in planning.

In this article :

Research and planning, personal safety when travelling abroad, special groups of travellers, and finally.

Continue reading below

Country information

In these days of adventure travel, when it can seem as though travelling to somewhere unusual, remote or simply very different is a commonplace event, it is easy to forget the dangers and importance of being informed and prepared.

Read more about travelling to remote locations .

It is always advisable to know about the places you are travelling to, particularly if they are unfamiliar and even more so if you have never travelled there before. There are many sources of specific advice on the countries you are visiting.

Consider checking the UK government's Foreign Travel Advice by Country, which will update you if there are specific issues which might affect your safety in the countries you are visiting. Watch the news, pay attention and give yourself the opportunity to be aware of the things which might affect your decision to travel. Remember that if the UK government issues a travel warning regarding a particular country or area of the world, this may invalidate your travel insurance. Check, additionally, the CIA's World Factbook, which offers a slightly different view with information on history, people, government and transportation.

Travel insurance is an important part of your trip. Insurance protects your possessions and travel arrangements, but also your health. Accidents and illnesses happen everywhere, including overseas. The cost of medical treatment can be very high. An uninsured patient may struggle to find treatment without paying upfront. The cost of medical repatriation, if needed, can be extremely high.

Adventure tourism and sports

Make sure that your insurance covers the type of holiday you are taking. Make sure that you understand the limitations of your policy.

Some insurers will not cover high-altitude trekking holidays, for example. These travellers are strongly advised to obtain specialist insurance which includes helicopter evacuation.

Most insurers charge an extra premium for dangerous activities, including winter sports.

Many insurers will not cover travellers to any area if the Foreign Office has advised against travel there.

Your insurer may also decline to cover you if you deliberately put yourself in harm's way by taking unusual risks without informing them. For example, a policy which covers scuba diving may only cover you to a certain depth and not below.

Medical conditions

Your insurer must be fully informed of any pre-existing medical issues which might invalidate your policy if not notified:

Remember that if your doctor advises you against travelling on medical grounds then it is likely that your insurance, even if already in place, will become invalid.

Global Health Insurance Card (formerly European Health Insurance Card)

If travelling to Europe make sure you have a GHIC card. These may be applied for through the GOV.UK website (see 'Further Reading and References' below), and are free. The GHIC card is the post-Brexit version of the European Health Insurance Card (EHIC), which itself replaced the E111 form.

It will not cover any private medical healthcare or costs, such as mountain rescue in ski resorts, repatriation to the UK, or lost property.

It is also not valid on cruises.

It is therefore important to have both a GHIC and a valid travel insurance policy in place before you travel.

Some insurers now insist you hold a GHIC and many will waive the excess if you have one.

If you need urgent health help during a visit to Europe, dial 112. The European emergency number is valid in all EU/EEA member states and is free of charge.

Reciprocal health agreements

Some non-European countries also offer 'reciprocal' health treatment for UK visitors. This means that if you're visiting any of these countries and need urgent or immediate medical treatment, it will be provided at a reduced cost or, in some cases, free. The range of medical services may be more restricted than under the NHS.

A list of reciprocal agreements, by country, is available on the GOV.UK website (see 'Further Reading and References' below).

Personal documents

Obtain passports and visas well in advance. You may be refused permission to travel at the airport if you don't have the right documentation and visas. Keep a copy of the front page of your passport at home in case of loss. Check the requirements of the country that you are visiting - some will not accept a passport which is more than 10 years old, even if it has not yet expired, and some need you to have a passport which is valid for at least six months after you leave the country.

It can be useful to take some passport photographs with you for unexpected visas and other permits. Some national parks, for example, will require a photo permit for entry.

Consider how you will obtain cash at your destination. Advise your bank of your travel plans and keep access to more than one way of accessing money overseas, in case you lose a card or a card fails to work. Keep a record of your credit card numbers, passport number, driving licence number and the 'stop' numbers for lost credit cards and phones.

Patient picks for Travel advice

Travelling to remote locations

Accidental injury.

The greatest risk to travellers is not of tropical diseases, dangerous animals or high-risk sport, but of death on the road. Worldwide, road accidents are the most frequent cause of death amongst travellers. Less-developed countries typically have much higher rates of road deaths and injuries compared with their richer counterparts. Therefore, the more adventurous your travel plans, the more danger you are likely to face on the roads. This problem is compounded by the fact that poorer countries usually have less quantity and quality in their hospital and ambulance services too. Any badly injured person who cannot be transported rapidly to an adequate hospital is more likely to die. You can minimise the risks of driving abroad in several ways:

Always wear a seatbelt (or a helmet if on a bike).

Never drive under the influence of alcohol. In many countries driving with any blood alcohol present at all is illegal.

Rent cars from reputable car companies which regularly service their vehicles.

Check the tyres, lights and brakes yourself.

Make yourself aware of the rules of the road in the country you are in.

Consider whether there is an alternative to driving yourself, particularly if conditions are very unfamiliar.

Avoid hiring motorbikes and mopeds, which are statistically associated with a higher incidence of personal injury and death.

Lock the doors of your car when driving, particularly after dark.

Alcohol and drugs

Consider your personal safety when using substances that can impair your judgement and common sense.

Use alcohol in moderation only and never use it when driving.

Remember that the effects of alcohol may be more marked if you are lacking in fluid in the body (dehydrated) and you may drink more than you intended to.

Drink water, rather than alcohol, for thirst.

Don't swim if you've been drinking alcohol.

Avoid illicit drugs. Even if you are not breaking the law, you may be stepping outside your comfort zone and ability to take care of yourself. Don't make yourself vulnerable.

Most crime is minor and opportunistic; however, it occurs worldwide. Some destinations have a higher risk of violent crime and sexual assault than others. Be sensible and plan ahead. Be vigilant regarding personal security.

Try not to stand out as a potential target.

Consider whether wearing valuable or visible jewellery may be inappropriate for your destination.

Keep your cash hidden and try to carry some low-denomination notes.

Use only licensed taxis and don't share them with strangers.

Be cautious with alcohol and don't leave drinks where they can be tampered with.

Look as though you know where you're going.

Keep your credit card in sight when using it to pay and ask for the printed receipt.

Stay aware of your surroundings.

Don't commit a crime yourself, either deliberately or through ignorance of the law. Obey the law in countries that you visit; respect dress codes and traditions.

Don't buy or use illegal drugs. Most countries take a very strong view on travellers carrying illegal drugs.

Don't carry packages through customs for other people; pack your own luggage and don't leave it unattended.

Be aware that some countries prohibit the consumption of alcohol.

Be aware that flouting dress codes may break the law in some countries..

Climate and environmental hazards

Understand your destination and what you plan to do there. What risks will you face? There may be several aspects of your destination that are not only unfamiliar to you in everyday life but which also pose a risk. These include:

Remember that the sun can damage your skin at altitude, even in the absence of heat, in the shade and even when wearing sunscreen. See the separate leaflet called Sun and Sunburn for more details .

Observe sensible precautions when swimming:

Pay attention to local signs alerting you to dangerous tides or currents, or to dangerous marine animals, including jellyfish, snails and biting fish.

Watch children carefully: the sea is not like a swimming pool and it can be very easy to lose track of them.

Don't swim beyond your capabilities.

Don't swim when alone - particularly not in the sea.

Take care when diving - consider hidden rocks. Don't dive in harbours and off jetties. Beware of swimming where there are jet skiers or other vessels.

Don't swim immediately after a heavy meal.

Heat and humidity

These can cause a number of adverse effects, including prickly heat, fainting, cramps, swelling of hands and feet and heatstroke.

Risks are greater if undertaking strenuous activity in the heat of the day.

Heat exhaustion and heatstroke cause headache, dizziness, feeling sick (nauseated) and sweating and, as the condition gets worse, dry skin, collapse and confusion. Heatstroke is a life-threatening condition and needs urgent medical help. Patients need to be rested, given sufficient fluids (hydrated) and cooled.

Small children may just become quiet and listless.

Take suitable clothing to stay cool; avoid overexertion in the heat of the day. Remember to stay hydrated. Be aware of the dangers of overheating and don't overdo it. If trekking or backpacking, be particularly aware of the need for water, salt and energy replenishment. Whatever you are doing, stay hydrated and seek attention if you become unwell. See the separate leaflet called Sun and Sunburn for more details.

Sea - boats and boards Make sure that you know the rules of navigation and the waters that you are in. Understand the hazards, including dangers from marine animals and from other boats. If in charge of a motorboat, always wear the kill cord and make sure your crew members have the right flotation aids. Know how to use the radio and your flares.

Lakes and rivers Understand your environment. Some lakes and rivers may not be safe for swimming, due to the presence of freshwater parasites which can cause serious infections in human beings. Parasites are living things (organisms) that live within, or on, another organism.

Snow and ice Insurance is essential when taking part in winter sports, as mountain rescue services and helicopter evacuations in most countries are not free of charge. See the separate leaflet called Dealing with the Effects of Cold and the section providing advice for travelling to remote locations.

Altitude sickness If you are travelling to altitude, see separate sections dealing with altitude sickness and advice for travelling to remote locations for more details. Follow the guidance on how quickly to ascend and when to stop or go back down. In some cases it may be appropriate to consult a private travel clinic (not your GP) for an altitude sickness medication prescription to take with you.

Building standards Building construction in holiday destinations is not always as reliable as we expect it to be at home. Fire regulations may not be adhered to. Recent accidents abroad have highlighted risks of poorly maintained boilers, of dangerous balconies and of cloudy swimming pools:

If you have concerns about where you are staying, move to different accommodation.

Sleep with windows open and don't lean on balcony parapets.

Don't swim in cloudy swimming pools or trust poorly constructed safety barriers.

Check fire escapes and make sure that there is a way out and that you know what it is.

Extreme activities Many holidaymakers now seek the thrill of 'extreme' adventures, such as bungee jumping, swimming with sharks or paragliding. If taking part in these activities make sure that you feel happy with the way the operation is being run - ask yourself:

Do the guides seem sensible and experienced?

Are they paying attention to safety?

Do you feel comfortable that the activity is well organised?

If in doubt, go elsewhere.

Wildlife Make yourself aware of the wildlife hazards in the places you are visiting.

Large predatory animals may need particular precautions. Attacks are uncommon compared to other travel dangers and most are avoidable. In parts of the Northern USA, trekkers and campers should carry bear spray to ward off bear attacks. In parts of Australia, beaches are not safe for swimming, due to the presence of sharks and crocodiles. Large predators on African safari trips are a threat to life and limb if proper precautions are not observed.

Biting animals (including dogs, cats, bats, foxes and monkeys) may carry rabies (see below). If you are bitten, seek help. Consider whether you need rabies vaccination (generally recommended for those more likely to come into contact with local animals, including those travelling 'off the beaten track' for prolonged periods).

Venomous animals such as snakes and scorpions may pose a risk to health. Be aware of what you may encounter and know how to identify it. Never touch insects, caterpillars, spiders, snails or other animals you find on your path. It is best to assume that all snakes are both aggressive and venomous.

Whilst large or venomous animals pose the most dramatic wildlife risk to travellers, mosquitoes are a much greater threat to travellers' health. Take all possible precautions to minimise insect bites, including covering your skin and using insect repellent and mosquito nets. Use prevention (prophylaxis) against malaria and vaccination against yellow fever where appropriate (see under 'Health', below).

Remember also the dangers posed by marine life such as corals, jellyfish and octopuses.

Terrorism and civil unrest

Country-specific travel sites advise of specific dangers. However, in 2017 the range of countries where terrorism could possibly take place includes many places that UK travellers visit regularly (and of course terrorist attacks also occur in the UK). Also, the types of attacks we have seen were often impossible to predict.

Be alert to what is going on around you. Watch the news before you leave. Learn what you can about the country you are visiting.

The NHS Fit for Travel website (see under 'Further Reading and References' below) offers updated information, by country, on specific and general health issues which you might expect there.

Vaccinations

Make sure that you have all the vaccinations you need. Book an appointment with your GP or practice nurse three to six months ahead of your holiday in order to plan a programme of vaccination. Some vaccinations are given as a course of separate jabs and some cannot be given together. See the separate leaflet called Travel Vaccinations for more details . If your GP does not have the resources to offer the appointments that you need then you may need to attend a private travel clinic instead. These costs should be seen as a necessary part of the cost of travel.

Be aware of the risks of deep vein thrombosis and pulmonary embolism associated with air travel. Speak to a private travel doctor if you feel you may be at particular risk. Protective travel socks may be recommended and some patients are advised to take aspirin for travel.

If you have any doubts about whether you are fit to travel by air then speak to a private travel doctor. Your GP is very unlikely to be trained or insured to write a letter to say that you are fit to fly, and consultant assessment for this purpose is generally not available on the NHS. l. Some groups of people should not travel by air. These include:

Women more than 36 weeks pregnant.

Those with active communicable diseases, including tuberculosis, although the risk of transmission is generally low.

Those who have angina or chest pain at rest, or have had a recent heart attack (myocardial infarction) or stroke.

People with ear infections, or infection of the sinuses, nose and Eustachian tubes.

Those who have had recent surgery or injury where trapped air or gas may be present. For example, gastrointestinal surgery, face and eye injuries, brain surgery or eye operations.

People with severe chronic respiratory disease, or breathlessness at rest.

People with air trapped between the chest wall and the lung ( pneumothorax ).

Those who have sickle cell anaemia.

Those who have psychotic illness, except where fully controlled.

Try to minimise jet lag: get maximum sleep on the flight and drink all the water you can. Read more about jet lag .

if you are affected by travel sickness, take the precautions which usually help you. If using medication, make sure that you tolerate your medication well. Remember, however, that medicine that makes you appear sleepy or drunk may result in you not being allowed to travel. See separate section on dealing with motion (travel) sickness for more details.

Malaria prevention

Take all necessary precautions against malaria. It is a serious disease which can, at the very least, spoil your holiday and, at the very worst, be fatal. This includes medication to prevent malaria and protection against biting mosquitoes. It is very important to protect yourself, even if returning to a country where you have family or where you have previously lived. Immunity is not inherited and is only partially acquired by living there for a long time.

Garlic and citronella do not prevent mosquitoes from biting you. Cover your skin to avoid bites, especially after sunset when malarial mosquitoes bite. Use mosquito nets and insect repellent devices such as candles and coil burners.

Consult the NHS Fit for Travel website for up-to-date advice on the malaria regimen recommended for the countries you will be visiting. There is normally a choice of medication. Make sure that you can tolerate the medication you choose before you go. Remember that malaria prophylaxis does not offer absolute protection: minimising exposure to mosquito bites is also important. The risks of mosquito-borne disease are always greater where there is disease in the human population.

See the separate leaflet called Malaria Prevention for more details .

Water, and traveller's diarrhoea

In the UK we are accustomed to trusting the water that comes out of the tap. However, this isn't possible all over the world. Stream water and river water are not usually clean enough to drink, unless you are so high up a hill that it is certain that no people, cattle or other animals have been in the water above you.

Travellers who drink the contaminated water may find themselves exposed to the organisms that cause travellers' diarrhoea.

If you are not sure that you can trust the water in the countries you are visiting, obtain bottled water. Only drink this from a bottle if it was sealed when you purchased it. Alternatively, purify water yourself. Where bottled water is readily available, it may be a good idea to have a back-up system for purification. Purification is also more environmentally friendly than bottled water since the same bottle can be refilled.

If water needs to be purified for drinking then it should also be purified for brushing teeth.

The best ways to purify water are boiling, water purification tablets, ultraviolet devices or filtration using purpose-designed filters:

If boiling, a rolling boil for one minute is sufficient at normal altitudes (three minutes at altitudes above 2000 metres).

Water purification tablets are not palatable to everyone but are fast and effective.

Filtration is very effective, even for brackish or sandy water. Filters for sterilising water are usually sold by travel equipment shops. These filters must not be confused with those designed only to remove smells and chlorine from domestic water.

Battery-operated pen devices are easy to carry and can destroy bacteria, viruses and cryptosporidium parasite in clear water.

Diet and traveller's diarrhoea

It is important to find a middle ground between sampling local cuisine and avoiding 'traveller's tummy'. Be aware of the risks and apply commonsense when eating out. The most common causes of infection from food are salmonella , Escherichia coli ( E. coli ) and norovirus . Others, including campylobacter and giardia are also common, particularly in the developing world.

Whilst these illnesses are acquired from contaminated food, cutlery or plates, they may also be acquired from elsewhere. For example, your fellow travellers, from local people and even from touching contaminated lavatory flushers or taps.

Take precautions around drinking water (see above). Don't have ice or ice cream in places where you wouldn't drink the tap water.

Cook it, wash it, peel it or forget it. Eat freshly cooked food and fruit that you can peel.

Avoid cold cooked meats, salad (which may have been washed in contaminated water), runny eggs and unpasteurised dairy products.

Think about fish. Do you trust the source? Is it really fresh? Shellfish can accumulate contaminants whilst in the sea. Shellfish may be better avoided in many places. Smaller fish tend to be safer than larger fish where there is any doubt.

Make sure hot food is thoroughly cooked and, ideally, not reheated. Be particularly wary of undercooked chicken or pork. In some developing countries food may not have been refrigerated. If you see evidence that food is left lying around uncovered where you are, take care.

Avoid unsealed mayonnaise, although sealed condiments are fine.

If purchasing from street vendors consider how the food has been kept and cooked.

Generally, busier restaurants have a better throughput of food and so it's more likely to be fresh.

it is easier, these days, for vegetarians and vegans to travel. However, the concept of what you are happy - or not happy - to eat may not be familiar wherever you go. This, combined with potential barriers of language, may make it difficult to obtain exactly what you want.

If you have special dietary needs, particularly food allergies, consider in advance whether the countries you are visiting will be able to meet them. If you are uncertain, you may need to take energy bars and other supplements with you, or purchase food at a local store.

It is difficult to avoid all hazards completely, particularly if you are travelling off the beaten track. Therefore, it is best, whilst taking the necessary precautions, to travel prepared. Take treatments for traveller's diarrhoea in your medical kit. See the separate leaflet called Traveller's Diarrhoea .

Infections and diseases

See individual leaflets on this website for specific illnesses and conditions. Some of these may be illnesses to which you are not normally exposed when at home, such as malaria and typhoid . Others are conditions which you can acquire anywhere, such as the common cold.

It is important to remind yourself that most travellers do not acquire serious illnesses abroad and that with sensible precautions you are also unlikely to do so. These include:

Make yourself aware of the risks of disease in the countries you are visiting: read the news, check country advice.

Have the recommended vaccinations.

Take the advised protective measures against malaria.

Protect yourself against insect bites.

Be careful where you swim, take local advice before swimming in fresh water.

Take care with diet and hygiene.

Take care when exposed to those who are infected (this is particularly important for aid workers - see below).

Avoid areas where there are disease outbreaks, civil unrest and natural disaster.

If the worst happens and you develop symptoms, seek medical advice early. Avoid self-medication unless there is really no alternative. Local experts are more likely than you are to know what your symptoms are most likely to represent.

If you develop an unexplained temperature within six months of returning home from a malarial region, tell your doctor or health professional. The risk of this being malaria or another 'tropical' disease declines considerably after the first month. However, it does not drop to almost zero until six months.

Bites and stings

Most bites and stings are a nuisance rather than a serious threat to health. However, there are exceptions to this. See the separate leaflet called Insect Bites and Stings . Protect yourself against insects: take an effective insect repellent (at least 20% DEET) and cover your arms and legs as much as possible to minimise biting.

Venomous bites . Make yourself aware of the biting animals that you could encounter on your travels. Find out what you should do if you are bitten. Don't panic - seek help urgently, as you may need antivenom or other supportive treatment. Remember that most venomous bites and stings are not lethal, as most are designed to disable smaller animals than you.

Infected bites . A bite is a 'dirty' puncture wound and even a tiny insect bite can become infected. If redness around a bite continues to increase on the second and third day then it may be infected. Remember in particular to check boots for insects in the morning.

Diseases acquired from insect bites . In addition to malaria there are many other insect and arthropod-borne diseases. These include yellow fever , dengue, Zika virus, chikungunya fever, West Nile virus and Japanese encephalitis . Be aware of what the risks are where you are travelling and seek advice if you develop symptoms. The best prevention for the avoidance of mosquito-borne diseases against which there is no vaccine is the avoidance of bites.

Rabies is endemic in wild animal populations in many parts of the world. It can be acquired from the bites or scratches of various mammals, including dogs, cats, bats, monkeys and foxes. Rabies can, less commonly, be acquired through inhalation of bat droppings. Don't touch animals and if bitten seek medical advice (and if it is possible to isolate the animal for testing, do so.) If you think you are at increased risk of animal contact, consider rabies vaccination.

The risk of acquiring a sexually transmitted infection (STI) from casual sex when travelling is high. Condoms provide good but not complete protection. STIs like gonorrhoea , chlamydia and syphilis may cause serious long-term disability. Hepatitis B and HIV are also spread sexually.

High proportions of sex workers are infected with STIs. Large numbers of the population in many parts of Africa are infected with HIV, and AIDS is common. Infection is widespread in many countries in Asia and South America.

It is safest to avoid casual sex when travelling. You are taking a risk which, if you were not on holiday, you might find unacceptable. If you do have sex with a stranger, always use a condom.

Needing emergency treatment abroad

In some developing countries medical supplies, including needles and syringes, are cleaned and re-used. Travel packs are available from some chemists and travel clinics. Packs contain sterile equipment for use in an emergency. A needle kit should be supplied with a certificate showing contents and the reason for its purchase - useful for clearance at customs.

In most of Western Europe, North America, Japan and Australasia all donated blood is now screened for HIV antibodies. However, in most developing countries much of the blood donated is unscreened. The risks from blood transfusion may be high. Points to consider are:

Accidents are the most common reason for needing a blood transfusion.

Blood transfusion should only be accepted when essential.

Pregnancy or any medical condition which may lead to heavy blood loss should be taken into account before travelling to destinations where good medical facilities will not be available.

Knowing your blood group in advance may make it easier to find a blood donor in an emergency.

Travelling with children

This presents different challenges, depending on the age of your child or children. Of course travel broadens the mind and can teach children a great deal. It may, however, be easier for adults to tolerate or forget the difficulties of travelling than it is for children. When making any journey with children consider what special risks, if any, your journey and destination may mean for them. Ask yourself, are the benefits of your trip worth this, or should you delay or go elsewhere? Children will need special consideration - in particular, in areas of:

Vaccination.

Malaria prevention.

Motion (travel) sickness.

Managing long journeys.

Air travel, including ear pain.

Diet and hygiene.

Water purification.

Adventure tourism.

Environmental hazards, including sun, sea and altitude.

Understanding risk (clearly this will vary with the age of the child).

Safety in motor vehicles (for example, child seats).

Planning ahead

Allow plenty of time for journeys with young children.

Book ahead to be sure of your accommodation.

Arrange vaccinations well in advance and explain the purpose to children old enough to understand.

Take something to occupy your child on the journey.

Avoid sweets. Use savoury snacks instead.

Consider investing in a child location device for your journey. The child wears a small device fixed to their clothes and you keep the transmitter. When you have a small wandering child in a busy airport consider writing your mobile number on their arm in case they wander off and become lost.

Take the child's usual painkilling medicine (nothing else will taste the same).

Keep them involved in your plans and experiences.

Take appropriate clothing for them.

Children generally find antimalarial medication difficult. Chewable tablets taste bitter, and liquid preparations are often even worse. Make sure your children can cope with the recommended medication before you arrive in the malarial zone. The Further Reading resources section contains information on how to teach children to swallow tablets.

Travelling with medication

Permission to carry drugs Travellers carrying prescribed controlled drugs carry a letter of confirmation from their doctor. This includes personal details, travel dates and the drug/s and amount to be carried.

The Home Office allows you to take up to 90 days of controlled drug medication abroad. However, you must also comply with the entry requirements of the countries you are visiting, which may be different. It is also advisable to contact the embassy/consulate/high commission of the destination country to check regulations. Some countries have specific lists of restricted medicines and may confiscate your supply.

A copy of a recent prescription should be carried for any prescribed psychotropic including antidepressants.

For other prescribed medicines it is unlikely that any restrictions will be imposed although carrying a copy of the prescription is advisable.

For suspected restricted medication check the International Narcotics Control Board (INCB) website (see 'Further Reading and References' below) for the requirements. In many cases the regulations allow you to take up to 30 days' supply as long as you are carrying a prescription or doctor's certificate. Carrying greater than 30 days' supply may require special importation licences.

Travelling with medication Always keep medicines in packaging together with the patient information leaflet. If taking liquid medication through an airport try to take volumes of less than 100 ml, with your name and dose clearly indicated on the bottle.

Crossing time zones Travel may significantly lengthen or shorten your day through the crossing of time zones. If you are taking regular medication then seek advice from your health professional regarding whether you need an extra dose or a reduced dose to address this. For many medications this won't be necessary. However, for some, such as patients with diabetes who are taking insulin, a change of four hours or more to the length of the day is likely to need addressing. Keep sufficient medication in your hand luggage for your journey, allowing for delays.

Relief workers

Relief workers are at greater risk than other travellers. They may face greater hazards and health risks because of flooding, unstable buildings, debris, lack of electricity, water, sanitation, health facilities and law enforcement. They are in close contact with local people and may share their exposure to infectious disease and lack of access to clean water for washing and drinking.

Those undertaking this work should consult with a travel health advisor as soon as practicable for advice on vaccine and malaria recommendations and other advice on protecting their health. Relief workers should ideally be in good physical and mental health, well briefed, and equipped as necessary to deal with the challenges of their environment.

Travelling when pregnant

Travelling when pregnant needs special consideration and planning. You should research your intended destination and consider whether it is right for you. Consider the medical facilities in the country you are visiting and any outbreaks or travel warnings. Advise your doctor or a doctor specialising in pregnancy and childbirth (an obstetrician) of your intention to travel. In particular:

There are restrictions on the vaccinations pregnant women can receive.

Pregnant women and their babies are at increased risk if they contract malaria.

Pregnant women can take some kinds of malaria prophylaxis, although others are not safe in pregnancy.

Pregnancy carries an increased risk of deep vein thrombosis.

Some diseases such as Zika virus are a particular threat to pregnancy.

Most commercial airlines accept a pregnant traveller up to 36 weeks of gestation (up to 32 weeks for multiple pregnancies). Some airlines require documentation from your doctor or midwife to confirm you are in good health, and the due date. Your GP will not be trained or insured to write a letter to say that you are 'fit to fly' - they will only be able to give you a letter stating the facts of your pregnancy. If the letter needs to contain the words 'fit to fly' then you will need to visit a private travel doctor.

Travelling to visit relatives abroad

If you are normally resident in the UK but are travelling to visit relatives abroad, it's easy not to think of this as a 'holiday' and not to think of it as needing the same level of planning.

Remember that if you travel abroad to visit relatives - even if this is to a country in which you yourself were formerly resident - you need to do much of the same planning. In particular:

Insurance: your residence in the UK may mean that you have no more entitlement to healthcare on your trip than any other traveller.

Vaccinations: protect yourself against disease with a normal travel vaccine schedule - you are as vulnerable as the next person. Consider rabies vaccination if you are likely to encounter stray dogs, and educate your children about the risks of petting stray animals.

Malaria: don't be tempted to ignore the recommended precautions because your relatives say they never get malaria. They may be immune or partially immune due to repeated infections. However, you will not be, even if you once were.

Food and water: the food and water in the country you are visiting is now as foreign to your digestive system as it is to anyone else's, so you have the same vulnerability to traveller's diarrhoea as any other traveller. Take the usual precautions.

Cultural and social differences can be a challenge to you and to your children, even if your ethnic origin is in the country you are visiting. You and they will be adjusting to a different climate and possibly to other situations:

Seeing different religious practices.

Separation from family and friends at home.

Changes in living standards.

Different social amenities.

Language differences.

Economic inequalities.

Many problems can be overcome through experience and sympathetic support from family and friends.

The key to a successful holiday is careful, thorough preparation. This is true even if you are off on a carefree, backpacking, 'go where the mood takes me' trip. The NHS Fit for Travel website offers the following 'Ten Tips' to help you remain safe and healthy:

Before your trip

See a health professional specialist several months before travel.

Ask about vaccinations that are recommended for your specific destinations.

Make up a first aid and medical kit containing regular and special medication for the trip - carry it in your hand luggage.

Make sure you have evacuation and travel insurance.

During your trip

Take precautions against malaria when needed. Prevent mosquito bites and take malaria pills as advised.

Road safety is important - wear safety belts in cars, helmets on bikes and avoid night-time driving and driving under the influence of alcohol.

Abstain from casual sex or practise safe sex with condoms to prevent HIV and other STIs.

Verify and consume safe water and food. Have a supply of medicine for self-treatment of diarrhoea.

Use sunscreen. Sun can be more intense over water, over snow and at altitude.

Leave animals alone, as they may transmit rabies. Seek help if bitten.

If fever develops during or after a trip, seek medical help immediately .

Dr Mary Lowth is an author or the original author of this leaflet.

Further reading and references

• Lackner JR ; Motion sickness: more than nausea and vomiting. Exp Brain Res. 2014 Aug;232(8):2493-510. doi: 10.1007/s00221-014-4008-8. Epub 2014 Jun 25.
• Foreign Travel Advice by Country ; GOV.UK
• The World Factbook ; Central Intelligence Agency
• NHS Fit For Travel: Travel health information for people travelling abroad from the UK ; Health Protection Scotland
• Information on carrying medication overseas ; International Narcotics Control Board
• Wright T ; Middle-ear pain and trauma during air travel. BMJ Clin Evid. 2015 Jan 19;2015. pii: 0501.
• Sleep disorders - shift work and jet lag ; NICE CKS, November 2019 (UK access only)
• Apply for a UK Global Health Insurance Card (GHIC) ; GOV.UK
• Helping your child to swallow tablets ; Medicines for children, 2017

Article History

The information on this page is written and peer reviewed by qualified clinicians.

Next review due: 9 Feb 2028

10 feb 2023 | latest version.

Last updated by

Peer reviewed by

8 Jul 2016 | Originally published

Authored by:

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Travel Health & Vaccinations

Key contact

NHS Borders Vaccination Service                          01896 809 250

NHS Fit For Travel website                                        www.fitfortravel.nhs.uk

Visiting another country can put individuals at risk from diseases that may not normally be found in the UK.

Start planning as soon as possible – book your holiday, book your vaccinations

Travellers should start arranging advice and vaccinations as soon as possible after booking their trip abroad, at least 10 weeks before departure date . This will ensure any vaccinations provided take full effect before travelling.  If you are travelling sooner, you will be advised to contact a private travel clinic.

Many individuals travel abroad on holiday, to work, study or live. There are always risks associated with travelling.  The most common destinations for UK travellers are considered low risk but if travelling to certain destinations, specific advice, vaccinations or additional protection, such as anti-malarials, might be necessary.

Getting risk assessed and vaccinated against certain diseases before travelling is one of the most effective things a traveller can do to protect their health abroad.

Some vaccinations are given as a precaution, while other vaccinations may be required to enter a particular country.

NHS Borders runs a weekly travel health clinic in Galashiels Health Centre, offering essential risk assessment, guidance and vaccinations before starting patients start their journeys.

______________________________________________________________________________________

Visit the NHS Fit For Travel website to understand any risks and recommendations associated with your destination(s).

Fit For Travel  is a free website that provides up to date health information and advice about how to avoid illness and stay healthy when travelling abroad.

The website has specific advice covering:

• Country/destination specific health risks and recommended vaccinations
• Travel news and alerts
• General travel advice, including guidance about air travel, breast/bottle feeding abroad, staying safe in the sun, cruises and personal safety.

Complete a health questionnaire and return it to NHS Borders Vaccination Service.

If, after reviewing the Fit For Travel site, you identify that there may be risks associated with your destination(s) and you need expert advice, you should complete a health questionnaire.

The questionnaire will be used by a travel nurse to help risk assess your journey and identify whether you need any vaccinations.

Click here  to download and print a health questionnaire as a PDF.

Click here  to download and print a health questionnaire as a Word document.

To receive a printed copy by post, call the NHS Borders Vaccination Hub on 01896 809 250. Please note this may take 2–5 days to arrive.

Completed forms may be:

E-mailed to [email protected]

Posted to NHS Borders Vaccination Hub, 7 Tweedside Park, Tweedbank, Galashiels, TD1 3TE

Handed to an NHS Borders reception in a health centre in a sealed envelope addressed to NHS Borders Vaccination Hub, 7 Tweedside Park, Tweedbank, Galashiels, TD1 3TE.

Book and attend a consultation

Once you return a health questionnaire, NHS Borders Vaccination Hub will be in touch to book an initial travel risk assessment consultation.

You will be seen by a nurse who is fully qualified and trained to give travel health advice and vaccinations.

The nurse will initially review your health questionnaire and carry out a travel risk assessment by talking through your intended itinerary and destinations.

The nurse will provide advice and may recommend certain vaccinations or medications such as anti-malarials.

The nurse will discuss next steps, including booking any follow up appointments to receive vaccinations that require multiple doses.

Book and attend vaccination appointments

If the nurse recommends travel vaccinations, NHS Borders Vaccination Hub will be in touch to book appointments and take any payment.

Certain vaccinations are provided by the NHS at no cost to a patient - hepatitis A, typhoid, cholera, polio.

Other vaccinations will be available but at a cost to a patient.

NHS Borders Vaccination Hub will accept credit or debit card payments.

Vaccination clinics take place in Galashiels Health Centre on a weekly basis.

Schedule of fees for NHS Borders patient

Please note there may occasionally be some changes to costs due to vaccine availability.

Click here for further information on protecting yourself against Malaria.

Frequently asked questions

How can I get help if I have accessibility needs?

For support with accessibility needs, including filling in the health questionnaire, please contact NHS Borders Vaccination Hub 01896 809 250.

What should I do if I have existing health conditions?

If you have any underlying health conditions such as diabetes, chronic heart, kidney or liver disease or if you have recently undergone surgery or treatment such as chemotherapy, please contact your GP for advice. Your GP will be best placed to advise you on any risks or requirements associated with existing conditions.

Do I have to pay for travel vaccinations?

There is no cost for attending the initial risk assessment consultation.

Certain vaccinations (Hepatitis A, typhoid, cholera and polio) are available at no cost to NHS Borders patients but other vaccinations are chargeable to patients as per the schedule of fees.

How far in advance should I start my travel health and vaccinations journey?

It’s important to start planning as soon as possible. Usually, it’s best to start arranging advice and vaccinations at least 10 weeks in advance of your departure date.

I have been away travelling and have returned unwell...

Please contact your GP in the first instance or NHS 24 on 111.

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Brazil Traveler View

Travel health notices, vaccines and medicines, non-vaccine-preventable diseases, stay healthy and safe.

• Packing List

After Your Trip

Be aware of current health issues in Brazil. Learn how to protect yourself.

Level 1 Practice Usual Precautions

• Updated   Oropouche Fever in South America April 24, 2024 There are outbreaks of Oropouche fever in parts of Brazil, Bolivia, and Peru. Travelers to affected areas should take steps to avoid bug bites. Destination List: Bolivia, Brazil, Peru
• Dengue in the Americas April 18, 2024 Dengue is a risk in many parts of Central and South America, Mexico, and the Caribbean. Some countries are reporting increased numbers of cases of the disease. Travelers to the Americas can protect themselves by preventing mosquito bites. Destination List: Argentina, Brazil, Colombia, Costa Rica, Ecuador, including the Galápagos Islands, French Guiana (France), Guadeloupe, Guatemala, Martinique (France), Mexico, Nicaragua, Panama, Paraguay, Peru, Turks and Caicos Islands (U.K.), Uruguay

⇧ Top

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

Routine vaccines

Recommendations.

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

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

Immunization schedules

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

COVID-19 vaccine

Hepatitis A

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

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

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

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

Hepatitis A - CDC Yellow Book

Dosing info - Hep A

Hepatitis B

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

Hepatitis B - CDC Yellow Book

Dosing info - Hep B

CDC recommends that travelers going to certain areas of Brazil take prescription medicine to prevent malaria. Depending on the medicine you take, you will need to start taking this medicine multiple days before your trip, as well as during and after your trip. Talk to your doctor about which malaria medication you should take.

Find  country-specific information  about malaria.

Malaria - CDC Yellow Book

Considerations when choosing a drug for malaria prophylaxis (CDC Yellow Book)

Malaria information for Brazil.

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

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

Measles (Rubeola) - CDC Yellow Book

Rabid dogs are commonly found in Brazil. However, if you are bitten or scratched by a dog or other mammal while in Brazil, rabies treatment is often available. 

Consider rabies vaccination before your trip if your activities mean you will be around dogs or wildlife.

Travelers more likely to encounter rabid animals include

• Campers, adventure travelers, or cave explorers (spelunkers)
• Veterinarians, animal handlers, field biologists, or laboratory workers handling animal specimens
• Visitors to rural areas

Since children are more likely to be bitten or scratched by a dog or other animals, consider rabies vaccination for children traveling to Brazil. 

Rabies - CDC Yellow Book

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

Typhoid - CDC Yellow Book

Dosing info - Typhoid

Yellow Fever

Recommended for travelers ≥9 months old going to the states of Acre, Amapá, Amazonas, Distrito Federal (including the capital city, Brasília), Espírito Santo,* Goiás, Maranhão, Mato Grosso, Mato Grosso do Sul, Minas Gerais, Pará, Paraná,* Piauí, Rio de Janeiro (including the city of Rio de Janeiro and all coastal islands),* Rio Grande do Sul,* Rondônia, Roraima, Santa Catarina,* São Paulo (including the city of São Paulo and all coastal islands),* Tocantins, and designated areas of Bahia*. Vaccination is also recommended for travelers going to Iguaçu Falls. Not recommended for travel limited to any areas not listed above, including the cities of Fortaleza and Recife *In 2017, in response to a large YF outbreak in multiple eastern states, CDC expanded its vaccination recommendations for travelers going to Brazil. The expanded YF vaccination recommendations for these states are preliminary. For updates, refer to the CDC Travelers’ Health website.

Yellow Fever - CDC Yellow Book

• Avoid contaminated water

Leptospirosis

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

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

Clinical Guidance

Schistosomiasis

• Wading, swimming, bathing, or washing in contaminated freshwater streams, rivers, ponds, lakes, or untreated pools.

Avoid bug bites

Chagas disease (american trypanosomiasis).

• Accidentally rub feces (poop) of the triatomine bug into the bug bite, other breaks in the skin, your eyes, or mouth
• From pregnant woman to her baby, contaminated blood products (transfusions), or contaminated food or drink.
• Avoid Bug Bites

Chagas disease

• Mosquito bite

Leishmaniasis

• Sand fly bite
• An infected pregnant woman can spread it to her unborn baby

Airborne & droplet

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

Tuberculosis (TB)

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

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

Eat and drink safely

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

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

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

Prevent bug bites

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

What can I do to prevent bug bites?

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

What type of insect repellent should I use?

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

What should I do if I am bitten by bugs?

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

What can I do to avoid bed bugs?

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

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

Some diseases in Brazil—such as dengue, Zika, leishmaniasis, and Chagas disease—are spread by bugs and cannot be prevented with a vaccine. Follow the insect avoidance measures described above to prevent these and other illnesses.

Stay safe outdoors

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

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

Stay safe around water

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

Schistosomiasis, a parasitic infection that can be spread in fresh water, is found in Brazil. Avoid swimming in fresh, unchlorinated water, such as lakes, ponds, or rivers.

Keep away from animals

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

Follow these tips to protect yourself:

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

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

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

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

Reduce your exposure to germs

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

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

Avoid sharing body fluids

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

Protect yourself:

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

Know how to get medical care while traveling

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

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

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

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

Malaria is a risk in some parts of Brazil. If you are going to a risk area, fill your malaria prescription before you leave, and take enough with you for the entire length of your trip. Follow your doctor’s instructions for taking the pills; some need to be started before you leave.

Select safe transportation

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

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

Be smart when you are traveling on foot.

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

Riding/Driving

Choose a safe vehicle.

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

Think about the driver.

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

Follow basic safety tips.

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

Medical Evacuation Insurance

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

Helpful Resources

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

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

For information traffic safety and road conditions in Brazil, see Travel and Transportation on US Department of State's country-specific information for Brazil .

Maintain personal security

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

Before you leave

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

While at your destination(s)

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

To call for emergency services while in Brazil, dial 192 for an ambulance, 193 for the fire department, and 190 for the police. Write these numbers down to carry with you during your trip.

Learn as much as you can about Brazil before you travel there. A good place to start is the country-specific information on Brazil from the US Department of State.

Healthy Travel Packing List

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

Why does CDC recommend packing these health-related items?

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

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

If your doctor prescribed antimalarial medicine for your trip, keep taking the rest of your pills after you return home. If you stop taking your medicine too soon, you could still get sick.

Malaria is always a serious disease and may be a deadly illness. If you become ill with a fever either while traveling in a malaria-risk area or after you return home (for up to 1 year), you should seek immediate medical attention and should tell the doctor about your travel history.

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

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Travel Vaccines and Advice for Brazil

Rich with beaches, rain forests, and vibrant urban centers, Brazil offers a wide variety of attractions.

For the adventurous, there are mountains to climb and islands to explore. For the more historically inclined, there are whole settlements from the colonial era that have not been renovated since their construction.

To experience the rich culture of Brazil, it is best to come during the time of Carnaval. Dancers flood the streets showing off sambo rhythms and other aspects of Brazil’s musical fabric. This is not to say Carnaval is the only time to behold such an event. Smaller versions of the festival happen throughout the year, and serve as a perfect window into the country’s heart.

Due to Brazil’s history as a trading port and colony, it is a melting pot of African, European, and Latin American cultures.

Brazil is also home to one of the most diverse ecosystems on the planet, offering an incredible range of flora and fauna. A trip to Brazil is a chance to experience a taste of everything.

On This Page: Do I Need Vaccines for Brazil? Other Ways to Stay Healthy in Brazil Health Notices and Outbreaks in Brazil Do I Need a Visa or Passport for Brazil? What Is the Climate Like in Brazil? Is It Safe to Travel to Brazil? Amazing Rio What Should I Take to Brazil? U.S. Embassy in Brazil

Do I Need Vaccines for Brazil?

Yes, some vaccines are recommended or required for Brazil. The CDC and WHO recommend the following vaccinations for Brazil: typhoid , hepatitis A , polio , yellow fever , chikungunya , rabies , hepatitis B , influenza , COVID-19 , pneumonia , meningitis , chickenpox , shingles , Tdap (tetanus, diphtheria and pertussis) and measles, mumps and rubella (MMR) .

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

• 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.
• Hepatitis A – Food & Water – Recommended for most travelers.
• Polio – Food & Water – Due to an increase in cases globally, an additional adult booster is recommended for most travelers to any destination.
• Yellow Fever – Mosquito – Recommended for all regions except Fortaleza and Recife.
• Chikungunya – Mosquito – Brazil has the most chikungunya cases of any region globally. Vaccination is recommended.
• Rabies – Saliva of Infected Animals – Moderate risk country. Vaccine recommended for certain travelers based on destination, activities and length of stay.
• Hepatitis B – Blood & Body Fluids – Recommended for travelers to most regions.
• Influenza – Airborne – Vaccine components change annually.
• COVID-19 – Airborne – Recommended for travel to all regions, both foreign and domestic.
• Pneumonia – Airborne – Two vaccines given separately. All 65+ or immunocompromised should receive both.
• Meningitis – Direct Contact & Airborne – Given to anyone unvaccinated or at an increased risk, especially students.
• 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.
• Polio – Food & Water – Considered a routine vaccination for most travel itineraries. Single adult booster recommended.
• TDAP (Tetanus, Diphtheria & Pertussis) – Wounds & Airborne – Only one adult booster of pertussis required.
• Measles Mumps Rubella (MMR) – Various Vectors – Given to anyone unvaccinated and/or born after 1957. One time adult booster recommended.

See the table below for more information:

Specific Vaccine Information

• Typhoid – Typhoid fever, a bacterial infection caused by Salmonella Typhi, spreads through contaminated food and water sources. Vaccination is recommended for travelers and those at risk, along with maintaining good hygiene and food safety.
• Hepatitis A – Contagious hepatitis A, caused by the hepatitis A virus (HAV), spreads through contaminated food, water, or close contact. Prevention involves vaccination and practicing good hygiene, particularly when traveling to high-risk areas.
• Yellow Fever – Yellow fever is a viral disease transmitted by infected mosquitoes, mainly Aedes aegypti and Haemagogus species. Vaccination is a key preventive measure, and the vaccine is highly effective.
• Chikungunya – Chikungunya, transmitted via mosquito bites, poses a health threat. Prevention involves mosquito bite avoidance and vaccination against the disease.
• Rabies – Rabies is a deadly viral disease that affects mammals and spreads through the saliva of infected animals, primarily through bites or scratches. Preventing rabies involves vaccinating pets, avoiding contact with wild animals, and seeking immediate medical attention if exposed. The rabies vaccine is a crucial preventive measure that stimulates the immune system to produce antibodies against the virus.
• Hepatitis B – The hepatitis B virus leads to liver infection through contact with infected fluids. The most effective safeguard is the hepatitis B vaccine, administered in a series of shots that stimulate the body to produce antibodies, providing long-term immunity. It is crucial for infants and those at an increased risk of exposure.
• Measles, Mumps, Rubella (MMR) – Measles, mumps, and rubella are infectious diseases that can easily spread. Vaccination remains the primary defense against these threats. The MMR vaccine, with its two-dose regimen, is a reliable way to bolster immunity and reduce the risk of infection and outbreaks.

Yellow Fever in Brazil

Most travelers to Brazil should receive the yellow fever vaccine . This includes for travel to Rio de Janeiro, Sao Paulo and Brasilia. Vaccination is generally not recommended for travel to only Fortaleza and Recife.

Malaria in Brazil

Malaria in Brazil is mostly present in more rural areas. Transmission is widespread in Acre, Amapa, Amazonas, Rondonia and Roraima. Maranhao, Mato Grosso and Para have malaria in the regions, but it is rare in urban areas like their capitals. Rural and forested areas of all other states have at least some malaria transmission. No malaria has been reported at Iguacu Falls.

Atovaquone, doxycycline, mefloquine and tafenoquine are recommended for travelers to the region. Malaria parasites in Brazil are resistant to chloroquine. Speak with your travel health specialist to identify which antimalarial is best for your trip and medical history.

Malaria and dengue are present in Brazil. Be sure to take proper precautions to avoid these mosquito-borne diseases. Bring repellents netting and antimalarials, if needed.

Zika virus has been found in Brazil. Some travelers are at an increased risk including women who are pregnant or may become pregnant. Make sure you use repellents and netting where needed.

Visit our vaccinations page to learn more. Travel safely with Passport Health and schedule your appointment today by calling or book online now .

Other Ways to Stay Healthy in Brazil

Prevent bug bites in brazil.

In case of bug bites, cleanse the area, use anti-itch treatments, and resist scratching to prevent infection. Seek medical help for severe reactions or if symptoms of vector-borne diseases emerge post-bite.

Food and Water Safety in Brazil

Abroad, make wise food choices by familiarizing yourself with local cuisine and favoring established restaurants. Frequent hand-washing is crucial, and it’s advisable to steer clear of street food, opting for thoroughly cooked options. A travelers’ diarrhea kit is recommended for travel to all regions throughout the world.

Altitude Sickness in Brazil

When ascending to high altitudes, beware of altitude sickness, which can cause headaches, nausea, and dizziness due to reduced oxygen levels. Preventive measures include gradual ascent, staying hydrated, and possibly using medications like acetazolamide. If symptoms appear, swift descent to lower elevations, rest, and medical evaluation are essential.

Infections To Be Aware of in Brazil

• Chagas disease (American Trypanosomiasis) – Chagas disease, also known as American Trypanosomiasis, is a tropical parasitic infection transmitted by kissing bugs. Preventing Chagas disease involves using repellents and avoiding contacting with the insects.
• Dengue – According to the CDC, dengue fever, caused by a virus from mosquito bites, manifests through fever, headaches, and severe muscle pain. Preventative measures include using insect repellent and wearing protective clothing. While no specific treatment exists, early medical intervention can mitigate severe complications.
• Leishmaniasis – The transmission of leishmaniasis primarily occurs through infected sand fly bites, with other routes of transmission possible. Preventing the disease involves minimizing exposure to sand flies. Early detection and treatment can prevent serious symptoms.
• Schistosomiasis – Schistosomiasis, a prevalent tropical parasitic disease, spreads through contact with contaminated water. To combat it, avoid infected water sources and use protective clothing.
• Zika – Zika, a virus carried by Aedes mosquitoes, can pose risks, particularly for pregnant women. Preventing Zika requires using mosquito repellent, practicing safe sex, and getting rid of mosquito breeding sites.

Health Notices and Outbreaks in Brazil

• Oropouche Fever – Amazona and Acre have active Oropouche fever outbreaks. This disease is spread through infected midges (a small fly-like insect) and mosquitoes. Travelers to these regions should use insect repellents. Seek immediate medical care if, while in these areas, you experience high fever, stiff joints, chills or sensitivity to light.

Do I Need a Visa or Passport for Brazil?

As of June 2019, a visa is no longer required for entry to Brazil for stays under 90 days. Proof of a return or onward travel may still be required at entry.

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

What Is the Climate Like in Brazil?

Brazil’s climate can vary depending on which region you are visiting.

In the northern parts of the country, the climate is tropical, while in the southern regions the climate is more temperate. Most of the population lives in cooler areas like high altitudes or the coast.

Popular tourist destinations like Rio de Janeiro suffer from an extremely hot climate. Temperatures there are usually above 100 degrees Fahrenheit during the dry season.

In the areas closer to the Amazon rain forest, temperatures higher than 90 degrees Fahrenheit are rare. If you are traveling to cities in the upper region of the Amazon belt like Belem, heavy rainfall is common between December and April.

It is best to study the micro-climate of the region you are visiting while planning a trip to Brazil.

Is It Safe to Travel to Brazil?

U.S. citizens should travel with their passports on them at all times and be prepared to present it to local law enforcement, if necessary.

As a whole, the danger level of Brazil is classified as high. The murder rate if four times that of developed nations, and the crime rate reaches similar numbers. Travelers should remain vigilant at all times. Try not to travel outside of where you are staying after dark.

Do not ever enter the favelas. They are mostly operated by gangs, and are extremely dangerous even for locals. It is best to avoid them completely. If you are planning on going somewhere that is off the beaten path, consult with locals first to find out if it is safe.

Avoid carrying large amounts of money with you. If absolutely necessary, divide it up between several pockets. The efficiency of the police force varies depending on the region. It is imperative that you do not attempt to bribe them for any reason.

Amazing Rio

Avoid mosquitoes and other bugs, insect-borne disease are a threat throughout the world., keep the bugs away with passport health’s repellent options .

Rio de Janeiro is a city in Brazil that is popular for tourists to visit. People go there to see famous landmarks like the Christ the Redeemer statue and Sugarloaf Mountain.

Travelers can also go to the beach at Copacabana, Ipanema, and Leblon to swim, surf and play. Rio de Janeiro is also famous for Carnival, a big party with music, dancing, and colorful parades. Visitors can try different kinds of food like feijoada and churrasco, and drinks like caipirinhas.

At night, there are many bars and clubs to go to, or visitors can have drinks and watch the sunset at the beach. People can also go hiking, biking, or take a jeep tour to explore the city’s parks and natural areas like Tijuca National Park and the Botanical Garden.

Rio de Janeiro has something for everyone and is a great place to experience Brazil’s unique blend of culture and natural beauty.

What Should I Take to Brazil?

Here are some essential items to consider for your trip to Brazil:

• Medical Supplies – These can be expensive in Brazil. It is important to bring one’s own. Make sure to include anti-diarrheal medication, antimalarials, and basic over the counter aides.
• Breathable Clothing – The climate of Brazil in the central areas like Rio de Janeiro can be quite hot. Wear clothing that is not too thick, and that you wouldn’t mind sweating in.
• Warm Clothing – This is advised if traveling to an area south of the Tropic of Capricorn where the climate is more temperate.
• Documents – Be sure to bring your passport, visa and other forms of identification.
• Cash – It is safest to operate on a cash-only basis while in Brazil.

U.S. Embassy in Brazil

All Americans visiting Brazil should register online with the U.S. Department of State before departure. This will inform the office of your travel plans within the country and will allow them to reach out in the case of an emergency or evacuation.

Once in Brazil, the information for the U.S. Embassy is:

U.S. Embassy Brasilia SES 801- Avenida das Nacoes, Lote 03 70403-900 – Brasilia, DF Brazil Telephone: 011-55-61-3312-7000 Emergency After-Hours Telephone: 011-55-61-3312-7400 Fax: (61) 3312-7651 Email: [email protected]

Visit the Embassy to Brazil website before departure to confirm correct contact details for the office.

If you have any questions about traveling to Brazil or are wondering what shots you may need for your trip, schedule an appointment with your local Passport Health travel medicine clinic. Call us at or book online now !

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Home » Countries » America » Brazil

An expat guide to healthcare and health insurance in Brazil

Are you researching an expat health insurance for Brazil? It is important to learn about the local healthcare system first.

Whether you are moving to Brazil or you are already living there as an expat, read our guide to the Brazilian healthcare system, your different options of medical insurance for Brazil and an overview of the average cost of local healthcare.

Health statistics

• Total population (2017): 209.3 million
• Gross national income per capita (PPP international $, 2017): 15,160
• Life expectancy at birth m/f (years, 2016): 71/79
• Probability of dying between 15 and 60 years m/f (per 1 000 population, 2016): 194/91
• Total expenditure on health per capita (Intl $, 2014): 1,318
• Total expenditure on health as % of GDP (2014): 8.3

* Data from the WHO

Healthcare in Brazil for expats

The healthcare system is a great source of pride in Brazil, whose universality and free of charge service is written into the constitution. However, the system is often under-financed and this can impact the quality of the services. Opposite this, the private healthcare system offers high quality care, but often at a high price. It is therefore advisable to subscribe to a private health insurance for Brazil in order to be able to use the private system and be reimbursed for your costs.

The Brazilian public healthcare system is called the « Sistema Unico de Saude » (SUS). It is open to Brazilians as well as foreign residents.

While developing the SUS in the 1980s, Brazil made giants strides in progress when looking to cover its 199 million residents. With the SUS, all care is free: GP consultation, lab tests/diagnostic tests, hospitalisation, surgery and even prescribed medicines. This is the strong point of the Brazilian healthcare system.

Furthermore, on top of the network of public medical establishments available, the SUS also relies heavily on the private sector. Over half of the procedures carried out are carried out by private hospitals, who are then reimbursed by the state. Moreover, many of the SUS doctors also work in the private sector – similarly to in the United Kingdom where many NHS doctors also work in the private sector.

The problem with the SUS is therefore not the quality of the care itself, but the access to the care.

The limits of the Brazilian public healthcare system

• The medical and hospital infrastructures are often concentrated within urban areas and these are often insufficient in rural areas (60% of the hospitals are situates in the south or the south-east of the country).
• In the provincial cities, hospitals do not necessarily have all the necessary equipment or the specialised doctors to treat certain conditions.
• The hospitals in the big cities have much more equipment and specialised consultants; however these hospitals are often over-subscribed as patients are sent there from all over the country to be treated. As such, waiting lists can be very long for certain treatments or for certain operations (many months, even up to two years).
• Some hospitals are understaffed or lack air-conditioning (which can be a major problem in a country as hot as Brazil).

Generally, the A&E system tends to be efficient. What can be a problem is access to the treatment for non-urgent conditions.

Due to the difficulties faced by the public healthcare system, the use of the private sector (In Brazil or abroad) has grown tremendously. Today, around 25% of the Brazilian population have private medical insurance. In comparison to other countries offering a public health service, with private medical insurance as an optional additional form of care, this figure is very high.

The private healthcare system

The contrast between the public and private sectors is stark. While the public sector is struggling, the private hospitals and clinics are excelling, offering a quality of care which is equivalent or even superior to European or North American standard. The best hospitals are internationally recognised, with state of the art equipment and highly qualified doctors, often trained in the States.

This has led Brazil to becoming a centre of medical tourism for residents from neighbouring countries, especially Sao Paulo which has the highest concentration of high quality hospitals.

You can cover yourself in 4 different ways:

•    Medical plans (planos de saúde)

This is a group medical insurance where the treatment is provided by doctors and medical establishments which are approved by the insurance company. These plans offer good value for money, but are limited to a geographic zone of cover and a network of doctors/medical centres.

•    Brazilian private medical insurance

There are around 15 insurance companies authorised to offer their products within Brazil. The difference between these and a « planos de saude » is the fact that there is no restrictive geographic zone of cover or network.

•    Self-management plans

Some companies will arrange a contract directly with certain hospitals and doctors in order to manage the health cover of their employees.

•    Medical cooperatives

These represent groups of doctors who own a hospital: members would be covered by these doctors/medical establishments.

International health insurance for expats in Brazil

An international health insurance for Brazil is often a better option for expats than a local health plan. It offers you the freedom of your choice of doctors or medical centre, and the possibility of being covered internationally. If you prefer to be treated in your home country or in another country within your zone of cover your medical costs will be reimbursed by your insurance company (within the limits of your policy). Moreover, if you leave Brazil and move elsewhere your international insurance may be able to follow you.

It is always important that your medical insurance complies with local legislation.

Expat Assure helps you decide the most appropriate expat health insurance for Brazil depending on your situation and needs. Don’t hesitate to contact us for your personalised health insurance comparison .

What is the best health insurance for expats in Brazil

The best health insurance in Brazil for one expat might not be the best for you as everyone has different needs and expectations.

In order to find which one is the best health insurance in Brazil for you , it is important to consider several aspects such as your medical history, your age, your specific needs in terms of medical cover, your situation in Brazil, alongside other parameters.

Expat Assure helps you to find the international medical insurance for Brazil that best suits your profile and requirements. Contact us today to request your free and non-obligatory health insurance comparison.

How much does healthcare cost in Brazil

As the public healthcare system is free the costs below are representative of the costs within the private sector.

As a general rule, private medical costs are quite high in Brazil. They have also greatly increased over the past several years; from 2009, private hospitals operating with standards similar to those found in the States and in Europe increased their costs between 20% and 30%. This means that today Brazil is the country with the most expensive private healthcare system in Latin America.

In regards to a consultation with a GP or a specialist, the fees are set individually and they can vary depending on a number of factors: the urgency and time of the consultation, the qualifications of the doctor, their reputation, and also the area or the place where the surgery is located.

Average costs in 3 large cities:

Brasilia :  The cost of a consultation with a GP can vary between 120 R$ and 500 R$ (£25 – £100/ $31 – $130). A consultation alone costs around 150 R$ (£30/ $40). In a private clinic, a routine surgical procedure with no complications can cost between 7,600 R$ and 18000 R$ (£1,500 – £3,700 / $2,000 – $4,700). The cost of a day in hospital is generally around 9,000 R$ (£1,800 /$2,300). (This does not include treatment or tests. Therefore for a cancer, for example, the cost will be much higher).

Rio de Janeiro :  A consultation with a GP is often around 200 R$ to 250 R$ (£40– £50 / $50 – $65), with a specialist it would be around 350 R$ – 400 R$ (£70– £80 / $90 – $100).

Sao Paulo :  A consultation in a surgery is usually around 210 R$ (£43 / $55) for and GP and 280 R$ (£58/ $72) for a specialist. A consultation with a dentist tends to cost around 150 R$ (£30/ $40). A simple surgical procedure can cost between £2,200 and £4,370 ($2,780 – $5,530) and the cost of a day in hospital can be between £365 and £730 ($460 – $925), not including any treatment or tests.

*Exchange rate December 2018

  What is the cost of private health insurance in Brazil?

Such as with any type of health insurance, the price of a medical insurance for expats in Brazil varies greatly depending on the personal situation, the age, the medical history of each individual as well as other parameters.

If you would like to have an idea of the cost of private health insurance for Brazil, we can prepare for you a personalised comparison of different international health insurance plans. Contact us today for your free health insurance comparison.

Practical information

Be sure to have your immunization schedule up-to-date (diphtheria/tetanus/polio). Other vaccinations also recommended by the NHS Fit-For-Travel website as well as the Pasteur Institute are cholera, hepatitis A and B, rabies, tetanus, typhoid, and yellow fever. Please see the NHS Fit-for-Travel website for more information.

Emergencies:

Ambulance: 192 Fire brigade: 193 Please note: Many private hospitals have their own ambulance service. Contact them directly if you require their services.

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Travel health advice and travel vaccinations

You should make an appointment for a travel health risk assessment if you’re travelling abroad and think you need:

• a malaria risk assessment
• further advice

A travel health professional will take you through your travel health risk assessment.

Your GP is no longer your point of contact for a travel health risk assessment, including travel vaccines.

NHS travel health service

NHS Scotland provides a travel health service that includes some free vaccines.

To find information on how to make an appointment for a travel health risk assessment in Scotland, contact the NHS health board where you live.

Private travel clinics

You can also visit an independent (private) travel clinic for:

• a travel health risk assessment
• travel advice
• other travel vaccines

You should arrange a travel health risk assessment 6 to 8 weeks before you travel. This gives time for any vaccines you need to become fully effective.

If your trip is sooner, remember it’s never too late to get advice.

Travel health risk assessment

If you’re planning to travel outside the UK, your travel health needs will depend on your individual situation. This includes:

• your destination
• how long you’ll stay
• what you’ll be doing
• your general health

The fitfortravel website provides country-specific advice on:

• recommended vaccines
• other risk prevention advice

If you think you need vaccines and/or a malaria risk assessment, you should make an appointment with a travel health professional.

A travel health risk assessment is also recommended for some people, even when vaccines or malaria tablets aren’t required. This includes:

• older people
• those with a weakened immune system
• those with long-term conditions that need medications
• pregnant women

Travel vaccines

The following travel vaccines are free on the NHS in Scotland:

• diphtheria, polio and tetanus (combined booster)
• hepatitis A

It’s likely that you’ll have to pay for vaccines against:

• yellow fever
• Japanese encephalitis
• tick-borne encephalitis

You may also have to pay for the following vaccines if they’re only needed for travel purposes:

• hepatitis B
• tuberculosis (TB)

Proof of vaccination

To enter some countries you may need proof that you have had particular vaccines. This includes the yellow fever vaccine.

Yellow fever vaccines are only available from designated centres. To find out if you need a yellow fever vaccine or proof of the vaccine, you should contact a yellow fever clinic.

To request a list of any other vaccines held on your GP record, contact your GP practice. GP practices cannot provide proof of COVID vaccine.

Preventing risk while travelling

Vaccines or anti-malarial tablets will not protect against all travel health risks. This means you’ll need to take extra steps to protect your health whilst travelling abroad.

The fitfortravel website has further advice on preventing health risks whilst travelling. This includes information on:

• general travel advice
• disease prevention

Travelling abroad to visit friends and relatives

If you’re travelling abroad to visit friends or relatives, you may be at higher risk of developing travel-related illnesses. For example, malaria or typhoid. This could be because:

• you may be living with the local community
• your trip might be longer than the average holiday
• you might be visiting more rural areas where it’s difficult to take precautions that reduce your risk

The fitfortravel website provides information and advice on visiting friends and family abroad .

Travel safety advice

You can find country-specific safety and security advice through the UK government website .

Travel insurance advice

Many countries don’t have the same access to medical treatments as the UK and can be expensive.

It’s recommended that all travellers get comprehensive travel insurance before travelling.

When you return home

If you become unwell and/or develop a fever when you return home, it’s important to get medical advice as soon as possible. You should seek medical help even if it’s up to 1 month after you’ve been travelling.

Always make sure you tell the health professional that you’ve recently travelled abroad. This is especially important if you have been to a country where malaria is a risk.

Donating blood after travelling abroad

Travel outside the UK can affect whether you can give blood donations. This is because some infections may be caught abroad. This is usually through mosquito or other insect bites.

There are conditions for donating blood if you’ve been to certain countries. This can depend on your length of stay and some other factors.

Further information on donating blood after travelling abroad

Source: Public Health Scotland - Opens in new browser window

Last updated: 01 March 2024

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• Christmas Island
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• Cook Islands
• Cote d'Ivoire
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• Dominican Republic
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• New Caledonia
• New Zealand
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• North Korea
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• Pitcairn Islands
• Puerto Rico
• Republic of the Congo
• Saint Barthelemy
• Saint Helena
• Saint Kitts and Nevis
• Saint Lucia
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• Saint Pierre-et-Miquelon
• Saint Vincent and the Grenadines
• Sao Tome and Principe
• Saudi Arabia
• Sierra Leone
• Sint Eustatius
• Solomon Islands
• South Georgia and the South Sandwich Islands
• South Korea
• South Sudan
• Switzerland
• Trinidad and Tobago
• Turkmenistan
• Turks and Caicos Islands
• U.S. Virgin Islands
• United Arab Emirates
• United Kingdom
• United States
• Wake Island
• Western Sahara
• Travel Vaccines
• Travel Health Consultations
• Travellers’ Diarrhea Kits
• Dengue Fever Prevention
• Malaria Prevention
• Chikungunya Prevention
• Zika Prevention
• Ebola Virus
• Yellow Fever
• Hepatitis A
• Japanese Encephalitis
• Hepatitis B
• Tickborne Encephalitis (TBE)
• Tetanus-Diphtheria-Pertussis
• Measles-Mumps-Rubella
• Influenza (Flu)
• Blood Tests
• Vitamin Injections
• Physician Referral Program
• London – Euston Travel Clinic

Travel Vaccines and Advice for Brazil

Rich with seasides, rainforests, and vibrant urban centers, Brazil offers a wide variety of attractions.

For the adventurous, there are mountains to climb and islands to explore. For the more historically inclined, there are whole settlements from the colonial era that have not been renovated since their construction.

To experience the rich culture of Brazil, it is best to come during the time of Carnaval. Dancers flood the streets showing off sambo rhythms and other aspects of Brazil’s musical fabric. This is not to say Carnaval is the only time to behold such an event. Smaller versions of the festival happen throughout the year, and serve as a perfect window into the country’s heart.

Due to Brazil’s history as a trading port and colony, it is a melting pot of African, European, and Latin American cultures.

Brazil is also home to one of the most diverse ecosystems on the planet, offering an incredible range of flora and fauna. A trip to Brazil is a chance to experience a taste of everything.

Do I Need Vaccines for Brazil?

Yes, some vaccines are recommended or required for Brazil. The National Travel Health Network and Centre and WHO recommend the following vaccinations for Brazil: hepatitis A , typhoid , yellow fever , rabies and tetanus .

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

• Hepatitis A – Food & Water – Recommended for most travellers to the region, especially if unvaccinated.
• Typhoid – Food & Water – Jab lasts 3 years. Oral vaccine lasts 5 years, must be able to swallow pills. Oral doses must be kept in refrigerator.
• Yellow Fever – Mosquito – Required if travelling from a Angola or the Democratic Republic of the Congo. Recommended for all regions except: Fortaleza, Recife, Rio de Janeiro, Salvador, and São Paulo
• Rabies – Saliva of Infected Animals – High risk country. Vaccine recommended for long-stay travellers and those who may come in contact with animals.
• Tetanus – Wounds or Breaks in Skin – Recommended for travellers to most regions, especially if not previously vaccinated.

See the tables below for more information:

A yellow fever vaccination is not required to enter Brazil, but is highly recommended. See the yellow fever section below.

Malaria and dengue are present in Brazil. Be sure to take proper precautions to avoid these mosquito-borne diseases. Bring repellents netting and antimalarials, if needed.

Zika virus has been found in Brazil. Some travellers are at an increased risk including women who are pregnant or may become pregnant. Ensure you use repellents and netting where needed.

Visit our vaccinations page to learn more. Travel safely with Passport Health and schedule your appointment today by calling or book online now .

Yellow Fever in Brazil

Brazil has been the site of multiple yellow fever outbreaks in the past few years. The most recent outbreak started in December 2016 and is still ongoing.

Yellow fever vaccination is highly recommended for travellers to:

• Espirito Santo
• Rio de Janeiro

Do I Need a Visa or Passport for Brazil?

Visas are not required for tourist purposes in Brazil. Other types of visas are required. Passports must be valid for at least six months. Proof of yellow fever vaccination may be required if you are travelling from a region where yellow fever is present.

Immigration authorities may request proof of sufficient funds, return travel or similar items upon entry.

Sources: Embassy of Brazil and GOV.UK

What is the Climate Like in Brazil?

Brazil’s climate can vary depending on which region you are visiting.

In the northern parts of the country, the climate is tropical, whilst in the southern regions the climate is more temperate. Most of the population lives in cooler areas like high altitudes or the coast.

Popular tourist destinations like Rio de Janeiro suffer from an extremely hot climate. Temperatures there are usually above 38 degrees during the dry season.

In the areas closer to the Amazon rainforest, temperatures higher than 32 are rare. If you are travelling to cities in the upper region of the Amazon belt like Belem, heavy rainfall is common between December and April.

It is best to study the microclimate of the region you are visiting whilst planning a trip to Brazil.

How Safe is Brazil?

Be sure to travel with your passports on your person at all times and be prepared to present it to local law enforcement, if necessary.

As a whole, the danger level of Brazil is classified as high. The murder rate if four times that of developed nations, and the crime rate reaches similar numbers. Travellers should remain vigilant at all times. Try not to travel outside of where you are staying after dark.

Do not ever enter the favelas. They are mostly operated by gangs, and are extremely dangerous even for locals. It is best to avoid them completely. If you are planning on going somewhere that is off the beaten path, consult with locals first to find out if it is safe.

Avoid carrying large amounts of money with you. If necessary, divide it up between several pockets. The efficiency of the police force varies depending on the region. It is imperative that you do not attempt to bribe them for any reason.

Amazing Rio

Rio de Janeiro is a city in Brazil that is popular for tourists to visit. People go there to see famous landmarks like the Christ the Redeemer statue and Sugarloaf Mountain.

Travelers can also go to the beach at Copacabana, Ipanema, and Leblon to swim, surf and play. Rio de Janeiro is also famous for Carnival, a big party with music, dancing, and colorful parades. Visitors can try different kinds of food like feijoada and churrasco, and drinks like caipirinhas.

At night, there are many bars and clubs to go to, or visitors can have drinks and watch the sunset at the beach. People can also go hiking, biking, or take a jeep tour to explore the city’s parks and natural areas like Tijuca National Park and the Botanical Garden.

Rio de Janeiro has something for everyone and is a great place to experience Brazil’s unique blend of culture and natural beauty.

What Should I Take To Brazil?

Here are some essential items to consider for your trip to Brazil:

• Medical Supplies – These can be expensive in Brazil. It is important to bring one’s own. Ensure to include antidiarrhoeal medication, antimalarials, and basic over the counter aides.
• Breathable Clothing – The climate of Brazil in the central areas like Rio de Janeiro can be quite hot. Wear clothing that is not too thick, and that you wouldn’t mind sweating in.
• Warm Clothing – This is advised if travelling to an area south of the Tropic of Capricorn where the climate is more temperate.
• Documents – Be sure to bring your passport, visa and other forms of identification.
• Cash – It is safest to operate on a cash-only basis whilst in Brazil.

Embassy of the United Kingdom in Brazil

If you are in Brazil and have an emergency (for example, been attacked, arrested or someone has died) contact the nearest consular services. Contact the embassy before arrival if you have additional questions on entry requirements, safety concerns or are in need of assistance.

British Embassy Brasilia Quadra 801 – Conjunto K – Lote 08 Av. das Nações – Asa Sul CEP 70408-900 Brasilia Brazil Telephone: +55 (61) 3329 2300 Emergency Phone: +55 61 3329 2300 Fax: +55 (61) 3329 2369 Contact Form: Click Here

If you have any questions about travelling to Brazil or are wondering which jabs you may need for your trip, schedule an appointment with your local Passport Health travel medicine clinic. Ring us up at or book online now !

On This Page: Do I Need Vaccines for Brazil? Yellow Fever in Brazil Do I Need a Visa or Passport for Brazil? What is the Climate Like in Brazil? How Safe is Brazil? Seaside in Brazil What Should I Take To Brazil? Embassy of the United Kingdom in Brazil

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Travel vaccinations

How to find out what vaccinations you’ll need when travelling abroad.

• Vaccination (Sub-topic)

In the UK, the  NHS routine vaccination schedule   protects you against a number of diseases. However, this does not cover all infectious diseases found overseas.

If you are planning to travel outside the UK, you should consider whether you need additional vaccinations. These will depend on the areas you will be visiting. You can find out which vaccinations are necessary or recommended on these websites:

• Travel Health Pro
• NHS Fit for Travel

From the 1 st October 2023, you can get the following travel vaccinations for free with the NHS. Ask your GP practice for details:

• hepatitis A

Some travel vaccinations are only available privately. Your healthcare professional will be able to advise you on the cost for these. If your GP practice does not provide the travel vaccinations you need, contact a:

• private travel vaccination clinic 
• pharmacy offering travel healthcare services

You can find further information on  NHS 111 Wales .

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Available travel vaccines

The following vaccinations are available for people travelling abroad.

Cholera vaccination

Vaccination against  cholera isn't routinely needed for most travellers.

But in some cases it may be recommended for aid workers and people likely to have limited access to medical services – for example, people working in refugee camps or after natural disasters.

Most cases of cholera are confined to regions of the world with poor sanitation and water hygiene, such as parts of:

• South America

The vaccine is usually given as a drink in 2 separate doses, taken 1 to 6 weeks apart.

Children aged 2 to 6 years old should have a third dose taken 1 to 6 weeks after the second dose.

You should make sure you have the final dose of this vaccine at least a week before you travel.

A single booster dose or full revaccination is usually recommended if you have previously been vaccinated against cholera and you're planning to travel to an area where the infection is common.

Diphtheria vaccination

A combined vaccination that protects against diphtheria , polio and tetanus is routinely given to all children in the UK.

You should make sure you and your children are up-to-date with your routine vaccinations before travelling.

Further booster doses are usually only recommended if you're going to visit parts of the world where diphtheria is widespread and your last vaccination dose was more than 10 years ago.

Diphtheria is more common in parts of the world where fewer people are vaccinated, such as:

• Central and Southeast Asia
• Eastern Europe

Additional doses of the vaccination are given in a single 3-in-1 Td/IPV (tetanus, diphtheria and polio) injection.

Hepatitis A vaccination

Vaccination against  hepatitis A is recommended if you're travelling to countries where there are poor levels of sanitation and hygiene, and hepatitis A is common.

Ask your GP, pharmacy or travel clinic if you should have the hepatitis A vaccine if you're travelling to:

• Sub-Saharan and North Africa
• the Middle East
• South and Central America

The vaccination against hepatitis A is usually given as a single initial injection, with a second dose 6 to 12 months later. Two doses should protect you for at least 25 years.

You should preferably have the initial dose at least 2 weeks before you leave, although it can be given up to the day of your departure if needed.

Jabs that offer combined protection against hepatitis A and hepatitis B or typhoid are also available if you're likely to also be at risk of these conditions.

Hepatitis B vaccination

Vaccination against  hepatitis B is recommended if you're travelling in parts of the world where hepatitis B is common, especially if you'll be doing activities that increase your risk of developing the infection.

Hepatitis B is spread through blood and body fluids. Things like having sex, injecting drugs or playing contact sports on your travels can increase your risk.

Anyone travelling for long periods or who's likely to need medical care while abroad is also at increased risk.

Hepatitis B is found worldwide, but it's more common in parts of:

• Sub-Saharan Africa
• Southern and Eastern Europe

The hepatitis B vaccination generally involves a course of 3 injections. Depending on how quickly you need protection, these may be spread over a period as long as 6 months or as short as 3 weeks.

A combined hepatitis A and hepatitis B jab is also available if you're likely to be at risk of both these conditions while travelling.

Japanese encephalitis vaccination

Vaccination against  Japanese encephalitis  is usually recommended if you're planning a long stay (usually at least a month) in a country where you could get the condition.

It's particularly important if:

• you're visiting during the rainy season or there's a year-round risk because of a tropical climate
• you're going to visit rural areas, such as rice fields or marshlands
• you'll be taking part in any activities that may increase your risk of becoming infected, such as cycling or camping

Japanese encephalitis is found throughout Asia and beyond. The area it's found in stretches from the western Pacific islands in the east, across to the borders of Pakistan in the west.

It's found as far north as Northeastern China and as far south as the islands of the Torres Strait and Cape York in Northeastern Australia.

Despite its name, Japanese encephalitis is now relatively rare in Japan because of mass immunisation programmes.

Find out more about risk areas on the Travel Health Pro website

Vaccination against Japanese encephalitis usually consists of 2 injections, with the second dose given 28 days after the first.

Ideally, you need to have the second dose a week before you leave.

Meningococcal meningitis vaccination

Vaccination against some types of meningococcal meningitis  is usually recommended if you're travelling to areas at risk and your planned activities put you at higher risk – for example, if you're a long-term traveller who has close contact with the local population.

High-risk areas for meningococcal meningitis include:

• parts of Africa
• Saudi Arabia during the mass gatherings of Hajj or Umrah

All travellers to Saudi Arabia for the Hajj or Umrah pilgrimages are required to show proof of vaccination.

If travelling to a high-risk area, you should be vaccinated against meningococcal meningitis with a MenACWY vaccine , also known as the quadrivalent meningococcal meningitis vaccine.

This is a single injection that should be given 2 to 3 weeks before you travel. Babies under a year old need 2 injections.

You should have the MenACWY vaccine before travelling to high-risk areas, even if you had the  meningitis C vaccine as a child.

Read more about the  meningococcal meningitis vaccines .

Measles, mumps and rubella (MMR) vaccination

The MMR vaccine that protects against measles ,  mumps and  rubella is routinely given to all children in the UK. 

You should make sure you and your children are up-to-date with routine vaccinations, including MMR, before travelling.

If you haven't been fully vaccinated against these conditions or you're not already immune, you should ask about MMR vaccination before you travel.

The MMR vaccine is given as 2 injections. These are usually given when a child is 3 years and 4 months old.

But if vaccination has been missed previously, adults can have the doses 1 month apart, and children can have them 3 months apart if necessary.

Read more about the MMR vaccine .

Polio vaccination

A combined vaccination that protects against diphtheria,  polio and tetanus is routinely given to all children in the UK.

Further booster doses are usually only recommended if you're going to visit parts of the world where polio is, or has recently been, present and your last vaccination dose was more than 10 years ago.

Currently the condition is most common in Pakistan and Afghanistan, but it's also a risk in other regions of the world.

Read more about the  Td/IPV (3-in-1) vaccine .

Rabies vaccination

Vaccination against rabies is advised if you're travelling to an area where you could get rabies, particularly if:

• you're staying for a month or more
• there's unlikely to be quick access to appropriate medical care
• you plan to do activities that could put you at increased risk of exposure to rabies, such as cycling or running

Rabies can be found in many parts of the world. GOV.UK provides a detailed list of countries that have rabies in domestic animals or wildlife .

Vaccination involves a course of 3 injections before you travel, usually given over a period of 28 days.

If you're bitten, licked or scratched by an animal in a country where rabies is a problem, further doses of rabies vaccine (with or without a special anti-rabies injection given around the wound) may be required as emergency treatment.

Find out more about the rabies vaccine

GOV.UK: Rabies risks for travellers

Tetanus vaccination

A combined vaccination that protects against diphtheria, polio and tetanus is routinely given to all children in the UK.

Further booster doses are usually only recommended if:

• you're travelling to areas where access to medical services is likely to be limited and your last vaccination dose was more than 10 years ago
• you've not had two booster doses

Read more about the Td/IPV (3-in-1) vaccine .

Tick-borne encephalitis vaccination

Vaccination against  tick-borne encephalitis (TBE)  is usually recommended for anyone who plans to live or work in a high-risk area, or hike and camp in these areas during late spring or summer.

The ticks that cause TBE are mainly found in forested areas of central, eastern and northern Europe, although at-risk areas also include eastern Russia and some countries in east Asia, including some regions of China and Japan.

The vaccination requires a course of 3 injections for full protection. The second dose is given 1 to 3 months after the first and provides immunity for about a year.

A third dose, given 5 to 12 months after the second, provides immunity for up to 3 years.

The course can sometimes be accelerated if necessary. This involves 2 doses being given 2 weeks apart.

Booster doses of the vaccine are recommended every 3 years, if necessary.

Tuberculosis (TB) vaccination

The BCG vaccine (which stands for Bacillus Calmette-Guérin vaccine) protects against tuberculosis , which is also known as TB.

The BCG vaccine isn't given as part of the routine NHS vaccination schedule. It's given on the NHS only when a child or adult is thought to have an increased risk of coming into contact with TB.

When preparing for travel abroad, the BCG vaccine is recommended for any unvaccinated people under 16 who'll be living or working with friends, family or local people for more than 3 months in a country where TB is common or the risk of multi-drug resistant TB is high.

The BCG vaccine is given as a single injection.

Areas of the world where the risk of TB is high enough to recommend BCG vaccination for previously unvaccinated travellers include:

• parts of South and Southeast Asia

Read more about the BCG vaccine .

Typhoid vaccination

Vaccination against typhoid fever is recommended if you're travelling to parts of the world where the condition is common, particularly if you'll: 

• have frequent or prolonged exposure to conditions where sanitation and food hygiene are likely to be poor
• be staying or working with local people

High-risk areas include:

• parts of South and Central America

Two main vaccines are available for typhoid fever in the UK. One is given as a single injection, and the other is given as 3 capsules to take on alternate days.

It's also possible to have a combined hepatitis A and typhoid jab.

Ideally, the typhoid vaccine should be given at least 1 month before you travel, but it can be given closer to your travel date if necessary.

Booster vaccinations are recommended every 3 years if you continue to be at risk of infection.

Read more about the typhoid vaccine .

Yellow fever vaccination

Vaccination against yellow fever is advised if you're travelling to areas where there's a risk of getting yellow fever.

Some countries require a proof of vaccination certificate before they let you enter the country.

Yellow fever occurs in some areas of tropical Africa and Central and South America. More information about yellow fever and areas where it's found is available on Travel Health Pro .

A single dose of the yellow fever vaccine is thought to provide lifelong protection. For most people, a booster dose is no longer recommended.

You must have a yellow fever vaccination at least 10 days before you travel. You will also need to complete a yellow fever vaccination checklist to make sure you can have the vaccine.

Find out more about the yellow fever vaccination checklist on the Travel Health Pro website

You should be issued with an International Certificate of Vaccination or Prophylaxis when you have the vaccine. This certificate is valid for life.

Some people cannot have the yellow fever vaccine.

Read more about the  yellow fever vaccine and who can have it .

When to get further advice

Speak to your GP before having any vaccinations if:

• you're planning to get pregnant
• you're pregnant
• you're breastfeeding
• you have an immune deficiency
• you have any allergies

Page last reviewed: 16 March 2023 Next review due: 16 March 2026

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