vaccinations travel to canada

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Canada Traveler View

Travel health notices, vaccines and medicines.

• Non-Vaccine-Preventable Diseases

Stay Healthy and Safe

• Packing List

After Your Trip

There are no notices currently in effect for Canada.

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

Routine vaccines

Recommendations.

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

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

Immunization schedules

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

COVID-19 vaccine

Hepatitis A

Consider hepatitis A vaccination for most travelers. It is recommended for travelers who will be doing higher risk activities, such as visiting smaller cities, villages, or rural areas where a traveler might get infected through food or water. It is recommended for travelers who plan on eating street food.

Hepatitis A - CDC Yellow Book

Dosing info - Hep A

Hepatitis B

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

Hepatitis B - CDC Yellow Book

Dosing info - Hep B

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

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

Measles (Rubeola) - CDC Yellow Book

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

Rabies - CDC Yellow Book

Learn actions you can take to stay healthy and safe on your trip. Vaccines cannot protect you from many diseases in Canada, 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

Although Canada is an industrialized country, bug bites here can still spread diseases. Just as you would in the United States, try to avoid bug bites while spending time outside or in wooded areas.

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).
• Consider using permethrin-treated clothing and gear if spending a lot of time outside. Do not use permethrin directly on skin.

What type of insect repellent should I use?

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

What should I do if I am bitten by bugs?

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

What can I do to avoid bed bugs?

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

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

Stay safe outdoors

If your travel plans in Canada 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 the 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.
• Do not dive into shallow water.
• Avoid swallowing water when swimming. Untreated water can carry germs that make you sick.
• Practice safe boating—follow all boating safety laws, do not drink alcohol if you are driving a boat, and always wear a life jacket.

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.

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 for things your regular insurance will not cover.
• Carry a card that identifies, in the local language, your blood type, chronic conditions or serious allergies, and the generic names of any medicines you take.
• Bring copies of your prescriptions for medicine and for eye glasses and contact lenses.
• Some prescription drugs may be illegal in other countries. Call Canada’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 ).

Select safe transportation

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

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.
• Make sure there are 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.)
• 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 Canada, 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.

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.

Maintain personal security

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

Before you leave

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

While at your destination(s)

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

Healthy Travel Packing List

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

Why does CDC recommend packing these health-related items?

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

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

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

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I am an American citizen. What do I need to enter Canada?

American citizens, including American-Canadian citizens, must carry proper identification and meet the basic requirements to enter Canada . You do not need a Canadian passport, a Canadian visa or an eTA to enter Canada if you are travelling with a valid U.S. passport.

New entry requirement now in effect

Visa-exempt foreign nationals need an Electronic Travel Authorization (eTA) to fly to or transit through Canada by air. Exceptions include U.S. citizens and travellers with a valid Canadian visa. Canadian citizens, including dual citizens , and Canadian permanent residents cannot apply for an eTA.

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Entering Canada

On this page, by private boat, required identification, permanent residents, travelling with children, you and the border services officer.

Whether you’re returning home or visiting, you’ll follow the same 3 steps to enter Canada:

Step 1. Pre-arrival: Use Advance Declaration or complete a Declaration Card

If you’re arriving by air at one of Canada’s participating international airports, you can save time at the border. Submit your customs and immigration declaration online using Advance Declaration up to 72 hours before you arrive in Canada.

If you choose not to submit your declaration in advance, you can complete it at an airport kiosk or eGate. If you’re landing at an airport without kiosks or eGates, you’ll receive a Declaration Card on board the aircraft or other conveyance. Read the instructions and complete the card before you arrive. Have it ready to present to Canadian officials at the airport, along with your identification and other travel documents. If you're travelling with children, please have their documentation ready as well.

If using a Declaration Card, detach and discard the instructions. To help us serve you faster, do not fold the card.

Everyone arriving in Canada must complete a declaration. You can list up to 4 people living at the same residence on one card, or 8 people per Advance Declaration submission.

The Declaration Card or Advance Declaration submission tells us what we need to know about you, your travels and what you’re bringing into the country.

Connecting to another flight

If you’re connecting to another flight or travelling on to another destination and re-boarding the same plane, follow the signs. At some airports, you may have to check your baggage and have it screened again.

If you travel frequently our trusted traveller programs can help

If you're a member of a trusted traveller program, you can skip Step 2 and go directly to the automated kiosks or eGates for faster processing.

Step 2. Arrival: First CBSA checkpoint

When you arrive at the terminal, follow the signs to the first Canada Border Services Agency (CBSA) checkpoint, also called “primary inspection.”

If you used Advance Declaration, go to a kiosk or eGate to retrieve your confirmed declaration receipt. Up to 5 people may use a kiosk as a group upon arrival.

Next, a border services officer will examine your:

• Declaration Card or Advance Declaration kiosk receipt
• your identification
• other travel documents

The officer may ask you a series of questions to determine:

• your immigration status
• the type of any goods you're bringing with you
• your duty-free allowance
• your personal exemption entitlements

Goods not properly declared that are restricted or prohibited in Canada can, under the law, be seized.

Newcomer or coming to Canada to study or work

If you’re a newcomer to Canada, coming to study or work in Canada, you may need to present further documentation. The officer will help guide you through this process. You may ask the officer for help if you don’t speak English or French well.

Step 3. Baggage and second CBSA checkpoint

Go to the baggage claim area. If you must pay duty and taxes, you can pay at most major airports while waiting for your luggage.

Once you’ve picked up your luggage:

• go to the next CBSA checkpoint
• Declaration Card, Advance Declaration kiosk or eGate receipt
• receipt, if you paid duty and taxes for your goods

The officer may direct you to a secondary inspection area.

Here, officers may ask you:

• for detailed information about your travels
• to present your luggage and goods for examination

This is a normal part of the travelling process. Your cooperation is appreciated and helps us ensure the safety of Canada, its economy and its residents.

If you’re arriving by land, follow the signs to the first checkpoint, also called “primary inspection.” Here, a border services officer will examine your identification and other travel documents and take your verbal declaration.

Visit U.S. to Canada border wait times for estimated wait times at certain locations.

If you’re arriving by private boat, go directly to a designated marine telephone reporting site and call the CBSA Telephone Reporting Centre (TRC) at 1-888-226-7277 to obtain clearance.

Private boaters that meet certain conditions may report to the CBSA by calling the TRC using cell phone from their location in Canadian waters.

Learn more about reporting requirements for private boaters.

Make sure you carry proper identification for yourself and any children travelling with you to help confirm your legal right to enter Canada. Canada has introduced a new entry requirement, known as an Electronic Travel Authorization (eTA), for certain international travellers who fly to Canada.

Read about the changes and how they may affect you.

The Government of Canada recommends that Canadian citizens travel with a valid Canadian passport because it’s the only reliable and universally accepted travel and identification document available to Canadians for the purpose of international travel.

International transportation companies such as airlines may require travellers to present a passport before boarding. Canadian citizens may face delays or may not be allowed to board the plane or other conveyance if they present other documents such as a:

• Enhanced Driver's License (EDL)/Enhanced Identification Card (EIC)
• NEXUS card (used where the program is available)
• Free and Secure Trade (FAST) card used in FAST lanes
• Canadian citizenship card
• Certificate of Indian Status
• Birth certificate in combination with either a driver's licence or a government-issued photo identification

Permanent residents (immigrants living in Canada who are not yet Canadian citizens) need a valid permanent resident card to return to Canada. Check the expiry date on your card.

Note that a Certificate of Canadian Citizenship is not a travel document.

See Canadian Citizenship for further details.

Parents who share custody of their children should bring copies of the legal custody documents to the border when travelling with their children.

A consent letter should be used for all cross-border travel when a child is travelling:

• with only 1 parent or guardian
• in the care of friends or relatives
• with a group, such as a sports, school, musical or religious group

Example of a consent letter to permit travel by a child with a single custodian or parent.

When travelling with a group of vehicles, parents or guardians should arrive at the border in the same vehicle as the children.

Adults who aren’t parents or guardians should have written permission from the parents or guardians to supervise the children. The consent letter should include addresses and telephone numbers where the parents or guardian can be reached.

Border officers watch for missing children, and may ask detailed questions about the children who are travelling with you.

You may occasionally find yourself going through a more detailed inspection. In some cases, this simply means that you may have to complete a form. In other cases, the border services officer will need to identify the goods you’re bringing into the country or examine your luggage.

Border services officers are legally entitled to examine your luggage as part of their responsibility to protect Canada's safety, economy and environment. You are responsible for opening, unpacking and repacking your luggage.

By making your goods easily accessible for inspection and having your receipts handy, you will be helping the CBSA to help you. It’s a good idea to keep all your receipts for accommodation and purchases, and for any repairs done to, or parts bought for, your vehicle. The border services officer may ask to see them as evidence of the length of your stay and of the value of the goods or repairs.

If you disagree with the amount of duty and taxes that you have to pay, please ask to speak with the CBSA superintendent on duty. A consultation can often resolve the issue quickly and without cost. If you’re still not satisfied, our officers can tell you how to make a formal appeal.

Border services officers may arrest an individual for an offence under the Criminal Code (for example, impaired driving, outstanding arrest warrants, stolen property, abductions/kidnappings) and for infractions under other acts of Parliament (for example, the Customs Act , the Immigration and Refugee Protection Act ).

If you’re arrested, you may be compelled to attend court in Canada. You should note that anyone arrested in Canada is protected by and will be treated in accordance with the Canadian Charter of Rights and Freedoms .

Related links

• Bringing goods to Canada
• Traveller entry requirements
• Travel documents
• Programs for trusted travellers
• Travelling as a dual citizen

More Canadian provinces now require vaccine passports - here's what to know before traveling

Sep 15, 2021 • 6 min read

Vaccine passports are increasingly required across Canada © Marc Dufresne/Getty Images/iStock

Ontario  and British Columbia  are the latest Canadian provinces to mandate vaccine passports as a condition of entry to restaurants, entertainment and leisure venues. It comes a week after  Canada opened to fully vaccinated international travelers as it further relaxed its COVID-19 border rules. 

Now the doors are open, tourists are gradually returning to explore Canada's cities, national parks, mountains, islands and forests after months of shutdowns. But across the country, public health policies are returning as provinces see an uptick in COVID-19 cases. So before you dig out your passport and jump online to book flights, here are some things to consider while planning a trip there.

Traveling to Canada? Here's what you need

The main requirement to enter Canada is for travelers to be fully vaccinated. Canada currently accepts the Pfizer, Moderna, AstraZeneca and Johnson & Johnson vaccines from visitors. Those who are vaccinated can travel safely two weeks after their final dose, or two weeks after their one-shot Johnson & Johnson vaccine.

Travelers will also be required to present a negative COVID-19 result from a test taken within 72 hours of their departure—regardless of their vaccination status—and must present the results before boarding their flight. They're also asked to provide their proof of vaccination, test results and contact information through the ArriveCAN mobile app , a web-based form or a paper form, within three days of departure, and some may be randomly selected to a screening at the border to assess their potential risk to public health.

If your proof of vaccination is in a language other than English or French, you must obtain a certified translation into English or French and upload this certified translation in place of the original document.

Can unvaccinated children visit Canada?

Fully vaccinated parents or guardians will be allowed to bring unvaccinated children under 12 years of age to Canada, but those children will still be required to take a COVID-19 test upon arrival.

Read more: Do I need a visa to visit Canada?

Will I have to quarantine when I arrive in Canada?

No, fully vaccinated travelers won’t need to quarantine upon their arrival. However, the government advised visitors to have a two-week quarantine plan in place in case officials determine they don’t meet all of Canada’s pandemic border requirements.

Read more: Why do I need to have a "suitable quarantine plan" to travel to Canada?

Current COVID-19 rules in Canada

Province entry rules.

Lockdowns began to lift in late spring, but with the Delta variant circulating widely some public health measures are in place and generally vary between provinces and territories, so check the government’s resource page for destination-specific information. Newfoundland and Labrador , for example, require visitors to fill in an additional travel form before their trip, as does Nova Scotia (see here ). Also, it's important to be aware that some Indigenous communities are not accepting visitors at this time.

Read more: 15 best places to visit in Canada

Vaccine passports

Hotels have reopened with enhanced cleaning protocols, and in some regions restaurants and bars are also welcoming guests for both outdoor and indoor service, though some have strict entry rules in place. In Québec and Manitoba , for instance, customers must show proof of vaccination to enter restaurants, bars, gyms, concerts, sporting events and movie theaters.

In British Columbia, people must be at least partially vaccinated (one dose) to enter restaurants, bars, nightclubs, gyms, and any indoor ticketed sporting event or concert with more than 50 people. That rule came into effect on September 13 and by October 24 the rules will be tightened again and you will need to be fully vaccinated (two doses) to enter the same venues .

From September 22, proof of vaccination will be required to enter similar venues in Ontario. Those eligible for a vaccine certificate must have both doses of an approved COVID-19 vaccine, which will allow them to dine and drink indoors and visit sporting events, cinemas and theaters. 

Businesses in Edmonton are requiring patrons show proof of vaccination before entering their premises but the Alberta government has so far refused to implement a province-wide mandate. Gyms, restaurants, theatres, and clubs are among the businesses in the city introducing vaccine passports, according to CBC .

Children under 12 are generally exempt from vaccine passport rules. International tourists are permitted to show the proof of vaccination they used to enter Canada at venues where vaccine passports are required, along with their passports as a form of ID.

By the end of October, proof of vaccination will be required from passengers to board any domestic flight, interprovincial train or cruise ship.

Mask mandates

Some provinces have reinstated mask mandates including Alberta , British Columbia, Manitoba, Nova Scotia and Québec. Saskatchewan has dropped its mask mandate, and even though masks are not required in New Brunswick , Prince Edward Island and Newfoundland and Labrador, they're still encouraged. So it's a good idea to pack a mask regardless of where you're traveling to in Canada as you'll need it for your flight, and rules may change suddenly so that it may be required on public transport and in some public spaces anyway.

Tourist attractions

Cultural spaces like museums and theaters in some provinces are limiting the number of people allowed at a time, installing physical barriers, and increasing their ventilation systems, among other preventative measures. Always plan ahead before visiting as you may need to book tickets in advance to gain entry.

If you're after Canada's famous outdoor adventure activities and extreme sports, you'll be happy to know that most of the major parks are open but be aware that access to some visitor sites may be limited. According to Parks Canada, "only those places where measures can be implemented to minimize health and safety risks will be open to the public. Changes to services or even closures may happen quickly as the situation with COVID-19 changes." Plan your visit and check the latest updates for your destination here .

Niagara Falls is open for viewing in Queen Victoria Park and most attractions in the area are open, as well as shuttles, restaurants and accommodation. Most hiking and cycling trails in Banff National Park are open for day use and many of the park’s campgrounds are accepting guests.

Skiing and snowboarding season is likely to be impacted by COVID-19 variants but we'll update this article as we know more. In the meantime, always plan ahead and check the latest public health advice in Canada as rules vary and can change with little notice.

This article was first published in August 2020 and updated on September 15, 2021.

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Editor's note: Effective Oct. 1, 2022 all previous border measures to enter Canada have ended.

Traveling in the COVID era comes with all sorts of questions, logistics and concerns that travelers didn't think about before 2020. Traveling to Canada, despite its proximity to the U.S., has been no different.

In March 2020, the U.S. and Canada both closed their land borders to nonessential travel due to COVID-19. What started as a monthlong closure was extended 18 times.

So, if you gave up following the news or tracking border rules, you might be wondering: Can Americans travel to Canada? As of Oct. 1, the answer is yes, with no COVID-related restrictions.

Here's what Americans need to know about traveling to Canada.

What do Americans need to enter Canada?

As a U.S. citizen, you will need to provide proof of citizenship and identity to enter Canada. This can include a U.S. passport , passport card or a NEXUS card . No visa is required as long as your stay is under 180 days.

While the border between the U.S. and Canada reopened for nonessential travel in both directions in November 2021, several COVID-related protocols remained in place for entry until October 2022. Those rules have now been lifted.

Do you need to be vaccinated to enter Canada?

According to the Canadian government travel website, vaccination is no longer required to enter the country.

Previous policies including mandatory use of the ArriveCAN app, proof of vaccination, pre- or on-arrival testing, quarantine and health checks have also been lifted.

» Learn more: How to travel to Toronto on points and miles

Do you have to wear a mask on a plane to Canada?

In mid-2022, many Americans may have been surprised to find that they were required to wear a mask on all flights to and from Canada (flights throughout the U.S. had lifted that restriction). However, as part of the Oct. 1 policy changes, masks are no longer required on planes or trains in Canada.

Can unvaccinated people travel to Canada?

As of Oct. 1, 2022, you can travel to Canada unvaccinated as travel restrictions have been lifted.

» Learn more: TSA PreCheck or Global Entry — Which is right for you?

If you’re planning to travel to Canada

Travel to Canada is back to pre-pandemic rules which simply require U.S. citizens to provide valid proof of citizenship and identification using a passport, passport card or NEXUS card for stays under 180 days. Standard customs and immigration paperwork will still be required, as has always been the case for travel into Canada.

How to maximize your rewards

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Flexibility, point transfers and a large bonus: Chase Sapphire Preferred® Card

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Flat-rate travel rewards: Capital One Venture Rewards Credit Card

Bonus travel rewards and high-end perks: Chase Sapphire Reserve®

Luxury perks: The Platinum Card® from American Express

Business travelers: Ink Business Preferred® Credit Card

on Chase's website

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60,000 Earn 60,000 bonus points after you spend $4,000 on purchases in the first 3 months from account opening. That's $750 when you redeem through Chase Travel℠.

1.5%-6.5% Enjoy 6.5% cash back on travel purchased through Chase Travel; 4.5% cash back on drugstore purchases and dining at restaurants, including takeout and eligible delivery service, and 3% on all other purchases (on up to $20,000 spent in the first year). After your first year or $20,000 spent, enjoy 5% cash back on travel purchased through Chase Travel, 3% cash back on drugstore purchases and dining at restaurants, including takeout and eligible delivery service, and unlimited 1.5% cash back on all other purchases.

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75,000 Enjoy a one-time bonus of 75,000 miles once you spend $4,000 on purchases within 3 months from account opening, equal to $750 in travel.

Update April 12, 2024

Information for u.s. citizens in the middle east.

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Travel Advisory July 17, 2023

Canada - level 1: exercise normal precautions.

Reissued with obsolete COVID-19 page links removed.

Exercise normal precautions in Canada.

Read the Country Information page for additional information on travel to Canada.

If you decide to travel to Canada: 

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

Embassy Messages

View Alerts and Messages Archive

Quick Facts

Valid at time of entry

One page required.

Not required for stays under 180 days

Embassies and Consulates

U.S. Embassy Ottawa

490 Sussex Drive Ottawa, Ontario K1N 1G8 Canada Telephone:  +1 (613) 688-5335 Emergency After-Hours Telephone:  +1 (613) 238-5335 Fax:  +1 (613) 688-3082 Email:   [email protected]

The Ottawa consular district includes the counties of Kingston, Lanark, Leeds, Prescott, Refrew, Russell, and Stormont in Eastern Ontario, and those parts of the Québec regions of Outaouais and Abitibi-Témiscamingue near Ottawa.

U.S. Consulate General Montreal

1134 Rue Ste- Catherine West Montréal, Quebec H3B 1H4 Canada Telephone:  +1 (514) 398-9695 Emergency After-Hours Telephone:  +1 (416) 645-9124 Fax:  +1 (514) 398-9748 Email:  [email protected]

The Montreal consular district includes Greater Montreal and the regions of Southern Quebec Province (Laurentides, Lanaudiere, Laval, Montreal, Montregie, Estrie, and the southern parts of Centre-du-Quebec), including Joliete, Drummondville, and Sherbrooke.

U.S. Consulate General Toronto

360 University Ave Toronto, Ontario M5G 1S4 Canada Telephone:  +1 (416) 595-1700 Emergency After-Hours Telephone:  +1 (416) 201-4056 Fax:  +1 (416) 595-5466 Email:  [email protected]

The consular district includes the province of Ontario except for the counties of Kingston, Lanark, Leeds, Prescott, Refrew, Russell, and Stormont, which are served by the U.S. Embassy in Ottawa.

U.S. Consulate General Vancouver

1075 West Pender Street Vancouver, British Columbia V6E 2M6 Canada Telephone:  +1 (604) 685-4311 Emergency After-Hours Telephone:  +1 (604) 685-4311 Fax:  +1 (604) 685-7175 Email:  [email protected]

The consular district includes British Columbia and the Yukon Territory.

U.S. Consulate General Halifax

Purdy's Wharf Tower II 1969 Upper Water Street, Suite 904 Halifax, Nova Scotia B3J 3R7 Canada Telephone:  +1 (902) 429-2480 Emergency After-Hours Telephone:  +1 (902) 429-2480, Press 1 Email:  [email protected]

The Halifax consular district includes New Brunswick, Newfoundland and Labrador, Nova Scotia, Prince Edward Island, and the French islands of Saint Pierre and Miquelon.

U.S. Consulate Winnipeg

201 Portage Avenue, Suite 860 Winnipeg, Manitoba R3B 3K6 Canada Telephone:  +1 (204) 940-1800 Emergency After-Hours Telephone:  +1 (403) 266-8962 and press "0" for assistance (Consulate General Calgary) Fax:  +1 (204) 940-1809

The Consulate in Winnipeg provides only emergency services for U.S. citizens. Routine services such as visas, passports and notarials are handled at other U.S. Consulates General, primarily Calgary.

U.S. Consulate General Quebec  2, rue de la Terrasse Dufferin (Vieux Quebec, behind Chateau Frontenac) Quebec, Quebec G1R 4T9 Canada Telephone:  +1 (418) 692-2095 Emergency After-Hours Telephone:  +1 (418) 692-2096 Fax:  +1 (418) 692-4640 Email:   [email protected]

The consular district includes Quebec City and those regions of Quebec Province to the North and East of the Montreal and Ottawa Districts (indicated above) – to include the area around Saguenay/Lac Saint-Jean, Rimouski and the Gaspé Peninsula – as well as the Territory of Nunavut.

U.S. Consulate General Calgary  615 Macleod Trail S.E., 10th Floor Calgary, Alberta T2G 4T8 Canada Telephone:  +1 (403) 266-8962 Fax:  +1 (403) 264-6630 Email:   [email protected] The consular district includes Alberta, Manitoba, Saskatchewan, and the Northwest Territories, excluding Nunavut.

Destination Description

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

Entry, Exit and Visa Requirements

For tourist visits to Canada of less than 180 days, U.S. citizens do not need visas. Other types of travel generally require visas. Visit the Immigration, Refugees and Citizenship Canada (IRCC) website for current information.

If you have a criminal record, you may be unable to enter Canada. To determine whether you are criminally inadmissible and get information about how to overcome this finding, refer to the  IRCC website .  Canada Border Services Agency (CBSA) officials determine if you can enter Canada in accordance with Canadian law.  

Travel Programs:  Both the U.S. and Canadian governments urge frequent travelers to join the  NEXUS trusted traveler program .

Entry into Canada:  Canadian law requires that all persons entering Canada carry proof of citizenship and identity. A valid U.S. passport, passport card, or NEXUS card satisfies these requirements for U.S. citizens.

Children under 16 only need proof of U.S. citizenship.

Entry into the United States:  When traveling by air from Canada, U.S. citizens must present a U.S. passport book or other approved identification document. The U.S. Customs and Border Protection (CBP) website provides a full list of allowable documents.

Travel with Minors:  If you plan to travel to Canada with a minor for whom you do not have full legal custody, CBSA may require a letter of authorization from the minor’s parents or legal guardian(s). Please refer to the  CBSA website  for more details.

Private Boaters Entering Canada:  Canadian law requires all foreign private boaters, including recreational vessels, to present themselves upon their arrival in Canada to the CBSA. See the  CBSA website  for relevant reporting requirements.

Private Boaters Exiting Canada: Boaters may report their arrival to the United States or apply for a registered boater program using the CBP Reporting Offsite Arrival – Mobile (CBP ROAM) app. Please visit the  CBP ROAM webpage for more information.

The U.S. Department of State is unaware of any HIV/AIDS entry restrictions for visitors to Canada. For information on restrictions for HIV positive foreign residents of Canada visit the IRCC website .

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

Safety and Security

911 is the emergency telephone number in Canada.

Crime: Although Canada generally has a lower crime rate than the United States, violent crimes occur throughout the country, especially in urban areas. Criminals may target parked cars, especially in large cities and popular tourist destination, for opportunistic smash-and-grab thefts. Do not leave unattended possessions in a vehicle, even in the trunk. Some jurisdictions such as Montreal, Toronto, and Vancouver may fine you for leaving your car doors unlocked or for leaving valuables in view. Pickpockets may target you, especially in popular tourist areas. Exercise caution. Safeguard yourself and your property.

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

• Demonstrations can be unpredictable, avoid areas around protests and demonstrations. 
• Check local media for updates and traffic advisories.

While there is a very small likelihood of violence at a political gathering in Canada, we strongly encourage U.S. citizens to avoid all protests and demonstrations and maintain a high level of vigilance and practice good situational awareness when traveling abroad.

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

Victims of Crime:  U.S. citizen victims of sexual assault are encouraged to contact the U.S. Embassy for assistance.  Report crimes to the local police at 911 and contact the U.S. Embassy at +1(613) 688-5335. Remember that local authorities are responsible for investigating and prosecuting crime.

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

•    Help you find appropriate medical care

•    Assist you in reporting a crime to the police

•    Contact relatives or friends with your written consent

•    Provide general information regarding the victim’s role during the local investigation and following its conclusion

•    Provide a list of local attorneys

•    Provide our information on victim’s compensation programs in the U.S.

•    Provide an emergency loan for repatriation to the United States and/or limited medical support in cases of destitution

•    Help you find accommodation and arrange flights home

•    Replace a stolen or lost passport

Domestic Violence:  U.S. citizen victims of domestic violence are encouraged to contact the U.S. Embassy or Consulates for assistance.

Tourism: The tourism industry is generally regulated and rules with regard to best practices and safety inspections are regularly enforced. Hazardous areas/activities are identified with appropriate signage and professional staff is typically on hand in support of organized activities. In the event of an injury, appropriate medical treatment is widely available throughout the country. 

Outside of a major metropolitan center, it may take more time for first responders and medical professionals to stabilize a patient and provide life-saving assistance. If you are considering travel outside of populated areas, particularly in the northern Arctic territories, you need to know that search and rescue capabilities are limited because of extreme isolation and the harsh climate. You must be prepared for significant delays in receiving emergency assistance in these areas and plan accordingly.

U.S. citizens are encouraged to purchase medical evacuation insurance .  

Local Laws & Special Circumstances

Criminal Penalties:  You are subject to local laws. If you violate local laws, even unknowingly, you may be expelled, arrested, or imprisoned.  Individuals establishing a business or practicing a profession that requires additional permits or licensing should seek information from the competent local authorities, prior to practicing or operating a business.

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

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

Controlled Substances:  Canadian law prohibits possession and trafficking of controlled substances and narcotics, including some substances that may be legal to possess under the law of certain U.S. states. Canada has legalized the personal consumption of recreational cannabis, but Canadian law prohibits taking cannabis across Canada’s national borders . Drug smugglers risk substantial fines, a permanent bar from Canada, and imprisonment.

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

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

• Faith-Based Travel Information
• International Religious Freedom Report – see country reports
• Human Rights Report – see country reports
• Hajj Fact Sheet for Travelers
• Best Practices for Volunteering Abroad  

Firearms : Canada controls firearms more strictly than the United States. Violation of firearms restrictions may result in prosecution and imprisonment.

Visitors bringing any firearms or ammunition into Canada must declare the firearms in writing using a Non-Resident Firearm Declaration form. If you plan to borrow and use a firearm in Canada, you must obtain a Temporary Firearms Borrowing License in advance. You must present these forms in triplicate and sign them in front of a CBSA officer at the border. (It is not possible to make photocopies at the border). Full details and downloadable forms are available at the Canadian Firearms Program website .

Canadian law requires officials to confiscate firearms, ammunition, and other weapons from persons crossing the border who do not declare having the items in their possession. Officials will not return confiscated firearms, ammunition, and weapons and possession of any of these items may result in your arrest and imprisonment. You should inspect all belongings thoroughly before traveling to Canada to avoid the accidentally importing firearms, ammunition, or other weapons.

LGBTQI+ Travelers:  There are no legal restrictions on same-sex sexual relations or the organization of LGBTQI+ events in Canada. See our LGBTQI+ Travel Information page and section 6 of our Human Rights report for further details.

Pornography: Canada has strict laws concerning child pornography, and in recent years there has been an increase in random checks of electronic media of travelers entering Canada.

Canadian officials may search your computers, cell phones, and other electronic devices without a warrant at the border and illegal content can result in the seizure of the device as well as detention, arrest, and prosecution of the bearer.

Tax Issues:  For information on U.S. Federal tax issues, please refer to the Internal Revenue Service (IRS) website for international taxpayers .

• Refer to this link for reporting requirements regarding Foreign Bank and Financial Accounts (FBAR) .
• Refer to this link for information on the Foreign Account Tax Compliance Act (FATCA) .
• Refer to this link for information about the Voluntary Disclosure Practice .

Travelers with Disabilities:  The law in Canada prohibitsdiscrimination against persons with physical or mental disabilities and the law is enforced.  Social acceptance of persons with disabilities in public is as prevalent as in the United States. For more information, visit the Accessibility Standards Canada website .

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

Women Travelers:  See our travel tips for Women Travelers .

For emergency services in Canada, dial 911 . Ambulance services are widely available.

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

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

We strongly recommend supplemental insurance to cover medical evacuation.

Always carry your prescription medication in original packaging, along with your doctor’s prescription. Check with Health Canada to ensure the medication is legal in Canada.

Healthcare in Canada : The level of public health and sanitation in Canada is high. Adequate health facilities are available throughout Canada.  Canada’s medical care is of a high standard but is government controlled. Access to ongoing medical care is difficult for temporary visitors who are not members of a Canadian province’s government-run health care plan. Many physicians will not take new patients. Specialist care is only by referral and may take months to obtain. Although trauma-care is on par with that in the United States, emergency room waits for non-life threatening problems can be very long. Some health care professionals in the Quebec may only speak French.

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

Vaccinations:  Be up-to-date on all CDC-recommended vaccinations .

Further health information:

World Health Organization U.S. Centers for Disease Control and Prevention

Air Quality:  Visit AirNow Department of State for information on air quality at U.S. Embassies and Consulates.

Medical Tourism and Elective Surgery: We strongly recommend supplemental insurance  to cover medical evacuation in the event of unforeseen medical complications.

Pharmaceuticals:  U.S. Customs and Border Protection and the Food and Drug Administration are responsible for rules governing the transport of medication back to the United States. Medication purchased abroad must meet their requirements to be legally brought back into the United States. Medication should be for personal use and must be approved for usage in the United States. Please visit the U.S. Customs and Border Protection and the Food and Drug Administration websites for more information.

Assisted Reproductive Technology and Surrogacy:  If you are considering traveling to Canada to have a child through use of assisted reproductive technology (ART) or surrogacy, please see our ART and Surrogacy Abroad page .

Travel and Transportation

Road Conditions and Safety:  As in the United States, all emergency assistance in Canada can be reached by dialing 911.

For detailed information on road conditions throughout Canada, as well as links to provincial government websites, please see the Transport Canada website or the Canadian Automobile Association (CAA) website. The CAA honors American Automobile Association memberships. Automobile warranties of vehicles purchased in the United States may not be valid in Canada.

Winter travel can be dangerous due to heavy snowfalls and hazardous icy conditions. Some provinces require snow tires. CAA has tips for winter driving . Both winter conditions and wildfires may prompt the sudden closure of highways. Provincial ministries of transport typically post closures and other alerts about road conditions on their websites.

Traffic Laws:  Driving in Canada is similar to driving in many parts of the United States. Distances and speeds, however, are posted in kilometers per hour and some signs, particularly in Québec, may only be in French. U.S. driver’s licenses are valid for visitors in Canada. Proof of auto insurance is required. U.S. auto insurance is accepted  for tourists in Canada. For specific information concerning Canadian driving permits, mandatory insurance, and entry regulations, please contact the Canadian National Tourist Organization .

Some provinces require drivers to keep their vehicles’ headlights on during the day and some have banned driving while using a hand-held cell phone. Motorcycles cannot share a lane, and safety helmets for motorcycle riders and passengers are mandatory.

It is illegal to take automobile radar detectors into Québec, Ontario, Manitoba, the Yukon, or the Northwest Territories, regardless of whether they are used. Police may confiscate radar detectors and impose substantial fines.

Drivers approaching border crossings into the United States may encounter traffic backups. Drivers should be alert, as lane restrictions at border approaches exist for drivers in NEXUS and FAST expedited inspection programs.

Public Transportation: Public transportation options vary across Canada, but all cities and most major towns have a public transit system .

Aviation Safety Oversight:   The U.S. Federal Aviation Administration (FAA) has assessed the government of Canada’s Civil Aviation Authority as being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for oversight of Canada’s air carrier operations.  Further information may be found on the FAA’s safety assessment page .

Maritime Travel: Mariners planning travel to Canada should also check for U.S. maritime advisories and alerts . Information may also be posted to the  U.S. Coast Guard homeport website , and the NGA broadcast warnings .

For additional travel information

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

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

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Check passport expiration dates carefully for all travelers! Children’s passports are issued for 5 years, adult passports for 10 years.

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Czech Republic

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El Salvador

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

Entry requirements

This information is for people travelling on a full ‘British citizen’ passport from the UK. It is based on the UK government’s understanding of the current rules for the most common types of travel. 

The authorities in Canada set and enforce entry rules. If you’re not sure how these requirements apply to you, contact the Canadian High Commission in the UK .

COVID-19 rules

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

Passport validity requirements

To enter Canada, your passport must be valid for the length of your planned stay.

If you’re travelling through another country on your way to or from Canada, check the entry requirements for that country. Many countries will only allow entry if you have at least 6 months validity remaining on your passport. 

Visa requirements

To enter or transit through Canada, most people need a visa or an Electronic Travel Authorization ( eTA ) – not both.

Check if you need a visa or an eTA online .

You do not need a visa for short visits (normally up to 6 months). You may need an eTA instead.

You do not need an eTA , if you are:

• arriving by land and sea – you must have acceptable travel documents and ID
• a British-Canadian dual national – you must have a valid Canadian passport

See Canada’s entry requirements for full details of eTA and visa requirements.

Contact the Canadian High Commission in the UK if you are unsure about visa requirements or your eligibility to enter the country, for example, if you have a criminal record or have been arrested.

Checks at border control

Canadian border officials may ask you to show a return or onward ticket and proof that you have sufficient funds to support yourself for the duration of your stay, even if you are staying with family or friends.

Visas for permanent residence, study or work

See information on visas for permanent residence, study or work in Canada .  

Transiting through Canada

If you are travelling through Canada (transiting) by air, you must have an eTA or a transit visa.     

If you have questions, contact:

• your airline
• Immigration, Refugees and Citizenship Canada
• your nearest Canadian high commission, embassy or consulate

Find out more about transiting Canada .

Visa and eTA scams

Some unauthorised websites charge for submitting visa applications. These websites are not associated with the Canadian government.

You can check your eTA status online with the Canadian government . If it has been 72 hours since you applied, and you have not received confirmation of your application, complete an enquiry form .   

Travelling with children

If a child travels alone or with only one parent or legal guardian, they should carry a letter of consent from the non-travelling parents or guardians. Immigration officers have the right to question children using simple and appropriate language to see if there are any concerns about child abduction.

For more information, check with the Canadian High Commission in the UK or the Canada Border Services Agency .

Vaccine requirements

For details about medical entry requirements and recommended vaccinations, see TravelHealthPro’s Canada guide . 

Customs rules

There are strict rules about goods that can be taken into and out of Canada . You must declare anything that may be prohibited or subject to tax or duty.

The Canadian authorities will confiscate banned food products and you could get a fine. For more information, see importing food, plants or animals to Canada .

If you visit a farm or have contact with wild animals before entering Canada, and plan to visit a farm during your stay, you must declare this on your Customs Declaration Card. For more information, see biosecurity at the Canadian border .

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Routine childhood vaccinations (fact sheet)

Download the alternative format (PDF format, 324 KB, 1 pages)

Organization: Public Health Agency Of Canada

Published: 2024-04-19

Vaccines are an important way to protect your child from serious and life-threatening diseases.

Benefits of childhood vaccines

Vaccines prevent 3.5 to 5 million deaths worldwide every year and have been around for decades.

Childhood vaccines protect against 15 vaccine-preventable diseases.

Childhood vaccination schedules are made to provide immunity early in life before children are exposure to serious and potentially life-threatening vaccine-preventable diseases. Some vaccines require more than one dose to give the most protection.

Vaccines help the body develop protection against disease without your child having to get the disease itself.

Vaccine safety

Getting vaccinated is safer than catching the diseases that vaccines protect against.

All vaccines are put through a review process that assesses safety, effectiveness and quality before they can be used in Canada. Vaccines continue to be monitored for safety and effectiveness once in use.

Mild side effects after vaccination are common. These can include fussiness, mild fever, mild pain, swelling or redness at the spot where the vaccine was given. These side effects are temporary and not a cause for concern. This is your child's body developing an immune response that helps protect them against infection.

If your child missed a vaccine

If you fall behind on your child's vaccination schedule, you can still catch up. Let your health care provider know so you can work together to get back on schedule.

If you have questions about vaccines, talk to a health care provider or learn how to protect your child with routine vaccination .

Page details

As national measles vaccine shortage extends another month, some travel to U.S.

Supplier merck canada now lists estimated end date for shortage as may 17.

Social Sharing

A national shortage of measles vaccines will continue for at least another month.

That means most people born before 1970 won't be able to follow public health advice and get a shot before travel outside Canada — unless they cross the border to get the shot.

Some New Brunswickers have been doing just that, according to Joleen Fowler, a pharmacy technician at Walgreens in Calais, Maine.

"We've had a few people come over and ask, you know, if they were able to get it from us, and we were able to oblige," she said.

Merck, Canada's supplier, had expected the shortage of its MMR II vaccine, for measles, mumps and rubella, for the private market such as travel clinics, to end by April 19 , but now lists May 15 as the estimated end date on Health Canada's Drug Shortages website.

• Canada faces shortage of measles vaccines amid rise in cases, demand

Merck has also posted an anticipated shortage of its ProQuad vaccine from April 26 until Aug. 30. ProQuad is used for the prevention of measles, mumps, rubella, and chickenpox in children between 12 months and 12 years old.

An increase in demand for measles vaccines, due to a rise in cases and outbreaks across the country and the world, led to the shortage, Merck Canada said in an email to CBC News Friday.

Remaining doses of the company's measles vaccines are being reserved for publicly funded childhood immunization programs.

Working to ensure consistent supply for public programs

Asked whether Merck still expects to be able to fully meet the demands of these public immunization programs, the company replied via email: "We continue to work diligently with all relevant stakeholders, including provincial and federal health authorities, to provide a consistent supply of MMR®II vaccines in a timely manner.

"Our priority remains firmly focused on ensuring the availability of this vaccine to those who need it the most."

Canada's other measles vaccine supplier, GSK, continues to meet the public market demand for its vaccine Priorix, and its current supply is allocated to fulfilling contractual commitments in Canada for 2024, according to spokesperson Rita Moutinho.

Although GSK does not supply the private market with its Priorix vaccine, it too has posted a shortage report to proactively indicate it cannot fulfil private orders. Its estimated end date is listed as unknown.

Measles: Understanding the most contagious preventable disease | About That

Both Merck and GSK "have confirmed they continue to meet the demand for Canada's public immunization programs," said Health Canada spokesperson Nicholas Janveau.

According to Health Canada's website, "There is enough supply of the measles-containing vaccine and post-exposure prophylaxis to support targeted vaccination campaigns and manage a measles outbreak."

The private market for measles vaccines "makes up a very small portion of the overall demand," it says.

"Health Canada and the Public Health Agency of Canada continue to work closely with the manufacturers, provinces and territories and stakeholders to monitor supply and identify options to mitigate the impact of the shortage," Janveau said in an emailed statement. He did not elaborate.

Public health recommendations

The  Public Health Agency of Canada recommends  people born before 1970 get at least one dose before any international travel, amid an increase in cases in many parts of the world.

This dose is not currently publicly funded, as these people have been considered immune from past exposure to the measles virus.

People born after 1970 should have two vaccine doses, the Public Health Agency of Canada says.

Major measles outbreak expected without better vaccination rates, modelling shows

Measles is a highly contagious disease that can cause serious illness and severe complications, including deafness, brain damage and even death.

The virus is transmitted through the air when an infected person breathes, coughs, sneezes or talks, or by direct contact with infected nasal or throat secretions.

Costs about $250 in Calais

The New Brunswickers who have visited Walgreens in Calais said they were having a hard time getting the vaccine at home, said Fowler.

"The ones that I can recall, they had mentioned that they had tried to go [to] Saint John or Fredericton and were unable to get the vaccine in either area," she said.

"They didn't say where they were going, they just said that they were trying to travel overseas and so they needed to get the measles vaccine in order to do so."

They were grateful to get the shot, said Fowler, and didn't mind paying the roughly $110 US, plus another estimated $70 for the administration fee. That's about $250 Cdn.

People don't need an appointment or any medical records, she said. They just need to fill out a questionnaire for the pharmacist to review.

Being fully vaccinated almost 100% effective

Measles typically starts with cold-like symptoms, such as fever, cough, red, watery eyes, and runny nose.

About three to seven days after symptoms begin, a rash that looks like small red spots appears. It usually starts on the head/neck and spreads down the body, arms and legs.

Having two doses of a measles-containing vaccine after one year of age is almost 100 per cent effective at preventing measles , according to the Public Health Agency of Canada.

In New Brunswick, children are covered to get two doses of a combined measles, mumps, rubella and varicella (MMRV) vaccine, at 12 and 18 months.

Adults born in 1970 or later who haven't received two doses are also covered.

In addition, children aged six to 11 months are also eligible to get one dose now, if they're going to travel outside the country.

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Ottawa injects another $36M into vaccine injury compensation fund

More than 105 million doses of COVID vaccines have been administered since Dec. 14, 2020, and 0.01 per cent led to serious adverse effects, Health Canada data show

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OTTAWA — The federal government has added $36.4 million to a program designed to support people who have been seriously injured or killed by vaccines since the end of 2020.

The program was announced shortly after COVID-19 shots first became available to the public, and provides financial compensation to people who were adversely affected by Health Canada-approved vaccines.

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The Liberals earmarked $75 million for the first five years of the program. To date, a private firm called Oxaro has received $56.2 million from Ottawa to run the program and pay out valid claims that originate outside of Quebec.

As of December, the firm had paid $11.2 million in compensation.

Quebec has had its own vaccine injury compensation program since 1985, and received $7.75 million when the federal program launched.

The Liberal government set aside another $36 million for Oxaro and Quebec to cover the next two years of the program as part of the federal budget tabled in the House of Commons last week.

The Public Health Agency of Canada says it contracted the work to Oxaro to ensure the impartiality of the claims process.

“Oxaro operates independently and at arm’s-length from PHAC,” the agency said in a statement. “This means that PHAC has no involvement in program delivery, including assessment of claims or appeals of claims.”

The cost of the program is dependent on how many people apply for compensation, the agency said.

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The distance between the government and the claims process is important, said Dr. Kumanan Wilson, who was vocal in advocating for a vaccine injury program during the pandemic.

“We don’t want the same people potentially advocating for vaccines and working to get higher coverage to be adjudicating these,” said Wilson, a researcher at Bruyere Research Institute in Ottawa.

There were several reasons he advocated for the program, but it became an important part of the social contract during the pandemic, he said.

“There was likely going to be some requirement of vaccination, as there turned out to be, and you were basically asking people to partake in a public good,” he said.

“If they were to partake in a public good and they were hurt in the process, there would be a need for just compensation.”

Though adverse effects associated with the COVID-19 vaccine are rare, there were instances of blood clots linked to the AstraZeneca vaccine and cases of inflammation around the heart muscle connected to the Moderna shot.

As of December, Oxaro has received 2,233 claims and approved 138 of them.

The available statistics do not specify which vaccines were involved.

But there are likely ways to make the program more cost efficient, Wilson said. One of the things he advocated for early on was to streamline similar claims where a causal link between a vaccine and serious injuries is well established, a process already used in the United States.

The same is possible for claims where a risk of injury has been debunked, such as the refuted link between autism and the mumps, measles and rubella vaccine, he added.

“This could reduce some of the administrative burden.”

The program was launched during the COVID-19 pandemic, but covers injuries and deaths associated with vaccines approved for any illness, as long as they were administered after Dec. 8, 2020.

At the time, the department underscored that a serious adverse reaction to a vaccine is extremely rare — affecting less than one in a million people — but that the government has a duty to help if a reaction does happen.

A little less than a year later, Ottawa made it mandatory to be vaccinated against COVID-19 to travel by plane or train, or to work in the federal public service.

To be eligible for compensation, the patient or their beneficiary must be able to prove they suffered a severe, life-threatening or life-altering injury that resulted in a persistent or significant disability, incapacity, a birth defect or death.

More than 105 million doses of COVID-19 vaccines have been administered since Dec. 14, 2020, and 0.01 per cent led to serious adverse effects, Health Canada data show.

Of the 488 deaths reported after people were vaccinated for COVID-19, four were directly linked to the shot, the most recent Health Canada report indicates.

Quebec saw an uptick in claims to its vaccine injury compensation program during the pandemic, from one claim in 2020 to 98 in both 2021 and 2022.

Only three of those cases had been approved for compensation as of March 2023.

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