Health Information For International Travel.pdf

INFORMATION for INTERNATIONAL TRAVEL INCLUDING UNITED STATES DESIGNATED YELLOW FEVER VACCINATION CENTERS = VOL H 23 1 WEEKLY | REPORT = September = 1974 U S D EPA R TM EN T OF H EA LTH , E D U C A TIO[.]

Trang 1

INFORMATION for

INTERNATIONAL

TRAVEL

INCLUDING - UNITED STATES

DESIGNATED YELLOW FEVER VACCINATION CENTERS

Trang 2

HEALTH INFORMATION

FOR INTERNATIONAL TRAVEL

DHEW Publication No (CDC) 75-8280

Trang 3

O ne o f th e m o st im p o rta n t responsibilities o f th e C en ter for Disease C o n tro l is th a t o f providing h e a lth in fo rm atio n , including recom m ended and req u ired vaccinations, for

w orld travelers S uch in fo rm atio n m u st be as u p-to-date and as com prehensive as possible

It is h o p ed th a t this p am p h let w h ich has been extensively revised and replaces the previous supp lem en t to th e Morbidity and Morbidity Weekly Report en title d

“ V accination C ertificate R eq u irem en ts for In tern atio n al T ravel” will su bstantially m e et

th e need for th is k ind o f in fo rm atio n C om m ents, suggestions, and criticism s from readers are m o st w elcom e and should be addressed to :

C en ter for Disease C o n tro l

A tte n tio n : D irector, Q uarantine Division

B ureau o f E pidem iology

A tla n ta, G eorgia 30 3 3 3

T he follow ing CDC s ta ff co m m ittee p articip a ted in th e p re p a ra tio n o f this p am plet:

Trang 4

B H ow to Use this P am phlet to D eterm ine V accinations R equired 3

C E xem p tio n from V accination 3

D U nvaccinated Persons 3

E Persons A uth o rized to V accinate and V alidate C ertificates 4

F P ersons A u thorized to Sign C ertificates 4

G Model o f a C orrectly C om pleted C ertificate 4

H Travel on M ilitary O rders 4

V V accination C ertificate R equirem ents 4

A Sum m ary o f R equirem ents for U nited S tates Travelers to C ountries M ost F re q u en tly V isited 4

1 E urope 4

2 Canada and M exico 4

3 The C aribbean 5

4 R e tu rn to the U nited S tates 5

B Travel from the U nited S tates To and B etw een O th er C ountries 5

1 R eference list o f co u n tries w hich com prise A frica, th e A m ericas, including th e C aribbean, Asia, E urope, and O ceania 5

2 Index o f co u n tries 7

3 V accination req uirem ents and reco m m en d atio n s, by c o u n try 9

4 Y ellow fever endem ic zones 50

V I U nited S tates Public H ealth Service R eco m m en d atio n s 52

A In tro d u c tio n 52

B Im m unizations and Prophylaxis 52

1 In tro d u c tio n 52

2 S um m ary o f im m unizations and p rophylaxis 52

3 Specific recom m endations 53

4 S im ultaneous ad m in istra tio n o f certain vaccines 65

V II H ealth H ints fo r th e Traveler 66

VIII U nited S tates D esignated Y ellow Fever V accination C enters 67

Trang 5

HEALTH INFO RM ATIO N FOR IN TER N A TIO N A L T R A V E L

I In trod u ction

T his p am p h le t is p ublished annu ally as a supplem ent

to th e Morbidity and Mortality Weekly Report (MMWR)

b y th e B ureau o f E pidem iology, C en ter for Disease

C ontrol (CDC) It is in te n d e d to provide, fo r th o se w ho

m ust advise in te rn a tio n a l travelers on m easures for

h ea lth p ro te c tio n , th e necessary in fo rm atio n on required

vaccinations, U.S Public H ea lth Service reco m m en d a

tions, In te rn a tio n a l C ertificates o f V accin atio n , and

h ea lth h in ts so th a t transm ission o f in te rn a tio n a lly

q u arantinable diseases can b e p revented and in te rn a

tional travel facilitated

T he p am p h le t is organized in to these prim ary

sections:

S ources — T his section gives th e sources o f d a ta used

to p rep a re and u p d a te th is p am p h le t so th a t th e reader

will have a b e tte r u n d ersta n d in g o f how it should be

used

D efin itio n s — This section clarifies k ey w ords, term s,

and phrases used th ro u g h o u t th e p am p h let

V ac cin a tio n In fo rm a tio n — T his section provides

practical in fo rm a tio n a b o u t th e reasons for In te rn a tio n a l

C ertificates o f V accin atio n , use o f this p am p h let, valida

tio n o f C ertificates, and ex c ep tio n s to regulations

V ac cin a tio n C e rtifica te R e q u irem e n ts fo r In te rn a

tio n a l T ravel — This sectio n gives in fo rm a tio n on the

vaccinations req u ired b y each c o u n try ; these req u ire

m ents have b e e n assem bled b y th e W orld H ealth

O rganization (WHO)

U S Public H ea lth Service (USPH S) R eco m m en d a

tio n s — This section gives vaccinations and p ro p h y lac tic

m easures rec o m m en d e d b y th e U.S Public H ealth

Service (U SPH S) b u t n o t req u ired b y th e U nited S tates

or an y o th e r c o u n try

H ealth H ints fo r th e T raveler — This sectio n gives

practical suggestions for avoiding illness w hile traveling

U S D esignated Y ellow F ev er V accin atio n C en ters —

This sectio n gives in fo rm a tio n o n the C enters designated

to adm inister yellow fever vaccine in th e U nited S tates

This p am p h le t supersedes Vaccination Certificate

Requirements fo r International Travel, S u p p lem en t to

th e MMWR, V ol 2 2 , N o 17, A pril 18, 1973, a n d th e

c h a rt “ Im m u n izatio n s and P rophylaxis R ecom m ended

b y th e Public H ealth Service” revised M ay 10, 1973 T he

p rio r p u b lic atio n s Health Information fo r International

Travel, PHS P u b lica tio n N o 2 0 4 5 , A pril 1970, and

Immunization Information fo r International Travel, PHS

P u b licatio n N o 3 8 4 , Ju ly 1967, are also o b so le te In

ad d itio n , this p am p h le t co n tain s an u p -to -d a te listing o f

Y ellow F ever V ac cin a tio n C enters, previously published separately, and th u s supersedes United States Designated Yellow Fever Vaccination Centers, S u p p lem e n t to the MMWR, V ol 22, N o 3 2 , A ugust 11, 1973

Because th e situ atio n w ith regard to q u ara n tin ab le diseases (sm allpox, cholera, yellow fever, and plague)

an d v accinations req u ired b y various c o u n tries m ay change fre q u e n tly , CDC d istrib u te s w eekly a sheet

e n title d “ C o u n tries w ith A reas In fe cte d w ith

Q uaran tin ab le Diseases” w hich lists co u n tries cu rren tly rep o rtin g cases o f sm allpox, cholera, yellow fever, and plague Because it is alw ays p rin te d o n b lu e p ap er, it has com e to b e k n o w n as th e “ Blue S h eet.” In ad d itio n , changes in vaccination req u irem en ts re p o rte d b y WHO are published a t th e b o tto m o f th e “ Blue S h e e t” and also in th e MMWR u n d e r “ In te rn a tio n a l N o tes —

Q u a r a n t i n e M easures.” C hanges in vaccination req u irem en ts should b e en te re d in th e “ V ac cin a tio n

R eq u irem en ts” sectio n o f th is p am p h let so th a t individuals advising travelers can k ee p in fo rm a tio n on

v accination req u irem en ts c u rren t

O ccasionally, th e B ureau o f E pidem iology, CDC, issues an “ A dvisory M em o ran d u m ” w hich re p o rts and describes new ly id e n tified h e a lth problem s associated

w ith som e in te rn a tio n a l travel

II Sources

T his p am p h le t h as b ee n prep ared from in fo rm a tio n inclu d ed in th e follow ing do cu m en ts:

1 International Health Regulations (1 9 6 9 ) F irst

A n n o ta te d E d itio n , W orld H ea lth O rganization, G eneva, 1971

2 Vaccination Certificate Requirements fo r Interna tional Travel — situ atio n as o f 1 Ja n u a ry 1974 W orld

Trang 6

IN TER N A TIO N A L HEALTH R EG U LATIO NS

(19 6 9)

aJopinl ht thr TucnlySrcond IVorU Itrahh Autmbty

FIRST ANNOTATED EDITION

WORLD HEALTH ORGANIZATION

ORGANISATION MONDIALE DE LA SANTÉ

WORLD HEALTH ORGANIZATION ORGANISATION MONDIALE DE LA SANTÉ

F.iatvUsii D'AHtnoM - U 2* àéctmbn 1*7» vue jounw-

li.M-pho<o«r«phc <K U mirine l |t f dt 22 tnt qui mvaillail * bord d'un na«irc-hApiul contuta qu'cilv •»■HVn^iauch« iirtK,

Th« Public Health Service Advisory Committee on Immunization Practices hat made recommendations con

cerning the use of vaccines and othei biologies in the

regularly published in the Morbidity and Mortality

Wttkly Report upon completion or revision.

The full series of recommendations was first printed

as a collection in 1969 {MMWR, Volume 18, Number

43-Supplement).

The Committee has reviewed all of its statements within the past months Minor revisions and editorial

ation on Smallpox Vaccine incorporates the

policy of th i Public Health Service (MMWR, V V Number 38 pp 339 345, 1971) A lished statement on Rocky Mountain SP011*“ Vaccine is included Each of the statements came, dales of original publication an i past revisions.

A brief list of selected references is appendedtoe.cn statement These bibliographies are not mea definitive, but are a starling point for •n0,f * ^ review of the pertinent literature on the disea vaccine, and its appropriate uses.

SUM M ARY FO R T H E W E E K EN DIN G 5 JU N E 1974

C O U N TRIES W ITH A R E A S IN F E C T E D W ITH Q U A R A N TIN A B LE D IS EA SE S

n D V i s o R v m e m o n o 3 1

2

Trang 7

III D efin ition s

CDC — C e n te r for Disease C o n tro l

D irect tra n sit area — A special area established in an

airport, approved and supervised directly b y th e h ealth

adm inistration co ncerned, fo r segregating passengers and

crews

Diseases subject to In tern atio n al H ealth R egulations

- Sm allpox, cholera, yellow fever, and plague

E ndem ic — P resent in a co m m u n ity at all tim es, b u t

occurring in low frequency

E pidem ic — A ttacking m o re th a n th e usual n um ber

o f people in a co m m u n ity or region at th e same tim e;

m ay rem ain localized b u t can also spread

Im p o rted case — A n in fec ted person arriving on an

in te rn atio n a l voyage

In fe cte d area — A n area w hich, because o f pop u la

tion ch aracteristics, density and m o b ility , a n d /o r v ector

and anim al reservoir p o ten tial, could su p p o rt tran s

m ission o f disease(s) id e ntified th ere It is defined on

epidem iologic principles b y th e h ea lth adm inistration

reporting th e disease and need n o t correspond to

adm inistrative boundaries

In q u ara n tin e - T h at state or co n d itio n during

w hich m easures are applied by a h ea lth adm inistration to

a ship, an aircraft, a train , road vehicle, o th e r m eans o f

tran sp o rt o r c o n tain e r, or individuals, to p revent th e

spread o f disease from th e o b ject o f q u ara n tin e to

reservoirs, vectors o f disease, o r to o th e r individuals

In tern atio n al C ertificates o f V accination — The

official C ertificates used to d o c u m e n t th e vaccinations a

traveler has received, w hen and w here received, and w ho

adm inistered them

Isolation - The separation o f a person or group o f

persons from o th e rs (ex c ep t th e h ea lth s ta ff on d u ty ) to

Prevent th e spread o f infectio n

MMWR — Morbidity and Mortality Weekly Report

Quarrantinable diseases — S m allpox, cholera, yellow

fever, and plague

R ecom m ended vaccination — V accination n o t

required b y In tern atio n al H ealth R egulations b u t sug

gested for travelers visiting o r living in certain countries

R equired vaccination — V accination th e traveler

m ust have for e n try (and som etim es e x it) from a

c o u n try The traveler m ust present a validated In te rn a

tional C ertificate o f V accination w hich d o cu m en ts the

vaccination(s) received

V alidation — A pplication o f an official stam p to the

V accination C ertificate b y th e h ea lth d e p a rtm e n t o r

o th e r ap p ro p riate agency

V alid C ertiticate — A C ertificate conform ing w ith

th e m odel w hich appears on page 4

WHO — World H ealth O rganization

IV V accination Inform ation

A In tro d u c tio n

U nder th e In tern atio n al H ealth R egulations a d o p ted

by th e WHO a c o u n try m ay require In te rn a tio n a l

C ertificates o f V accin atio n against S m allpox, C holera, and Y ellow Fever from in te rn a tio n a l travelers T h erefore, this p am p h let has b ee n com piled for use as a reference b y physicians, h ea lth d ep a rtm e n ts, organizations, agencies, and in stitu tio n s w ho m ake vaccination recom m endations for U.S residents engaging in

m e n t 2 w eeks p rio r to d e p a rtu re to o b ta in th e m o st

c u rren t in fo rm atio n on co u n tries to be visited

B H ow T o Use T his P am phlet to D eterm ine

V accinations R eq u ired

1 List th e traveler’s itin erary in th e sequence in

w hich th e co u n tries will b e visited C onsider th e length

o f stay in each c o u n try

2 C heck th e cu rren t w eekly “ Blue S h e e t” to determ ine if any c o u n try on th e itin erary is cu rren tly infected w ith sm allpox, cholera, or yellow fever

3 Use this p am p h let to check th e vaccination requ irem en ts o f each c o u n try (in th e sequence o f travel) Read th e code u n d er each disease first; th e n read all

n o tes carefully T he codes are explained a t th e b o tto m

o f each page If code I appears, vaccination against th a t disease is required from all travelers EXCEPT as indicated in th e notes I f code II appears, vaccination against th a t disease is required only if any c o u n try on

th e traveler’s itinerary is listed on the w eekly “ Blue

S h eet” EXCEPT as in d icated in th e notes

C E x em p tio n from V accinationAge: Som e co u n tries do n o t require In tern atio n al

C ertificates o f V accination fo r in fan ts C heck th e individual co u n try req u irem en ts for age exem ptions

Medical grounds: If a physician th in k s th a t vaccinatio n should n o t be perfo rm ed on m edical grounds, the traveler should be given a signed, d ated sta te m e n t o f these reasons on th e physician’s le tte rh e ad sta tio n e ry

T H E R E A R E N O O T H E R ACCEPTABLE REASONS F O R EXEM PTION FROM VA CCIN ATIO N

D U nvaccinated PersonsTravelers w ho d o n o t have th e required vaccinations

u p o n en tering a c o u n try m ay be subject to m edical follow -up o r isolation In a few co u n tries, unvaccinated travelers are denied en try

3

Trang 8

E P ersons A u th o rized to V accinate and to Vali

d a te C ertificates

S m allpox and cholera vaccinations m ay be given by

an y licensed physician, and validation o f the C ertificate

can b e o b tain ed a t m o st city, c o u n ty , and state h ealth

d ep a rtm e n ts Y ellow fever vaccinations m u st be given at

an officially designated Y ellow Fever V accination C enter

(see pages 67-76), and th e C ertificate m ust be vali

d a te d b y th e C en ter w hich adm inisters th e vaccine

Physicians adm inistering vaccine to travelers should

em phasize th a t In tern atio n al C ertificates m u st b e vali

d ated to be acceptable to q u ara n tin e au th o rities Failure

to secure v alidation m ay cause a traveler to be revacci

n a te d or q u ara n tin ed

F Persons A u th o rize d to Sign C ertificates

In tern atio n al C ertificates o f V accination m u st be

signed b y a licensed physician o r b y a person u n d er th e

physician’s supervision w h o has been designated b y th e

physician to sign th e C ertificate A signature stam p is

n o t acceptable

G M odel o f a C orrectly C om p leted C ertificate

In tern atio n al C ertificates o f V accination m u st be

com plete in every detail; i f in co m p lete or inaccurate,

th e y are n o t valid Revisions o f tliis C ertificate dated

9 -6 6 ,9 -6 9 , o r 9-71 are still acceptable

H Travel on M ilitary O rdersSince m ilitary req u irem en ts m ay exceed th e require

m ents in dicated in this p am p h let, any person w ho plans

to travel o n m ilitary orders (civilians and m ilitary personnel) should c o n ta c t th e n earest m ilitary medical facility to d eterm in e th e requ irem en ts for th e trip

V V accination C ertificate R equirem ents

A S um m ary o f R eq u irem e n ts fo r U nited States Travelers to C ou n tries M ost F re q u en tly Visited

I E u ro p e — T here are no vaccination require

m ents for travel d irec tly b etw e en th e U nited S tates and

co u n tries in E urope T he co u n tries w hich are considered

to com prise E urope are listed o n page 6 I f an outbreak

o f sm allpox, cholera, or yellow fever occurs in any ot these co u n tries, and if th e traveler visits an infected area, m ost co u n tries rem aining on liis o r h er itinerary will require a S m allpox C ertificate; a few countries will require a C holera o r Y ellow Fever C ertificate

2 C anada and M exico — T here are no vaccination requ irem en ts for travel d irec tly b etw e en the United

S tates and eith er o f these co u n tries If an o u tb rea k of

sm allpox, cholera, o r yellow fever occurs in any country and th e traveler visits an infected area, a Sm allpox

C ertificate will be required b y b o th C anada and Mexico, and a Y ellow Fever C ertificate b y M exico b u t n o t by

M ODEL OF A CO R R EC TLY COM PLETED IN TER N A TIO N A L

PUBLIC HEALTH SERVICE

INTERNATIONAL CE R T IF IC A T E OF VACCINATION OR R IV A C C I NATION AGAINST SM ALLPOX

C E R T IF IC A T INTERNATIONAL D E VACCINATION OU OE REVACCINATION CON TRE L A VA R IO LE

This II to certify that , »•* y

Je souulgné(e) certifie q u e - X — MO n n j M -«e«e H wnote Ugnature follows

dont le signature suit né(e) le has on the dete Indicated been vacTTnated or revaccinated against smallpox with e freeie-dried or liquid vaccine certified to fulfill the recommanded requirements of the World Health Organization.

-a été v-acciné(e) ou rev-acciné contre l-a v-ariole à l-a d-ate Indiquée ci-dessous, -avec un v-accin lyophilisé ou liquide certifié conforme au» normes recommandées par l'Organisatlon mondiale de la Santé.

Approved stamp

Prim ary vac-v clnatlon A

performed l _ Prlmovacd-

15/S«pt/< ^effectuée / Read as successful Prise I®

46033-0650

U 8 A.

OFFICIAI VACCINATION VAUINCW 46-033-06SO

4

Trang 9

C anada; n e ith e r c o u n try w o u ld require a C holera C ertifi

cate

3 T he C aribbean — T h ere are n o vaccination

req uirem ents fo r travel d irec tly b etw e en th e U nited

S tates and an y one o f th e C aribbean co u n tries F o r

travel to m o re th a n one c o u n try in th e C aribbean, check

th e individual c o u n try requirem ents T he countries

w hich are considered to com prise th e C aribbean are

listed on page 5 I f an o u tb re a k o f sm allpox, cholera,

or yellow fever occurs in any o f these co u n tries, and

if th e traveler visits an in fec ted area, m o st countries

rem aining o n his o r h e r itin erary will require a S m allpox

C ertificate; a few c o u n tries w ill require a Y ellow Fever

C ertificate N o C aribbean c o u n try has a cholera vaccina

tio n req u irem en t

4 R e tu rn to th e U n ite d S tate s — T o re tu rn to th e

U nited S tates, sm allpox vaccination is th e only

req u irem en t and th a t is necessary o n ly if, w ith in th e 14

days b efo re arrival in th e U n ite d S tates, th e traveler has

been in a c o u n try rep o rtin g sm allpox

B Travel fro m th e U nited S tates T o a n d B etw een

C anary Islands Nigeria

Cape V erde Islands P ortuguese G uinea

C entral A frican R epublic R eunion

C om oro A rchipelago R w anda

C ongo S ain t Helena

D ahom ey Sao T om e & Principe

Ivory C oast S w aziland

K enya T anzania, U nited R epublic o f

L iberia Tunisia

L ibyan A rab R epublic Uganda

M adagascar U pper V o lta

B erm uda G uyanaBolivia H onduras

Canada N icaragua

C anal Z one Panam a

C olom bia P eru

C osta Rica S ain t P ierre an d M iquelon

T he B aham a Islands All L eew ard Islands:

C aym an Islands Anguilla, A ntigua,

G reater A ntilles: B arbuda, th e B ritish V irgin

D om inican R epublic Islands, G uadeloupe,

H aiti M o n tserrat, Nevis,Jam aica R ed o n d a, S t K itts,Lesser A ntilles: S t M artin

A ruba, B onaire, All W indw ard Islands:

C uracao, T rinidad B arbados, D om inica,and T obago G renada, T he G renadines,

M artinique, S t L ucia,

S t V in ce n tASIA

A fghanistan M acaoBahrain M alaysiaBangladesh MaldivesBrunei M ongolia

C hina (P eople’s R e public) O m an

C hina, R epu b lic o f P akistan(T aiw an) P hilippines

C yprus P ortuguese T im or

H ong K ong Q atarIndia R y u k y u IslandsIndonesia S audi A rabia

K hm er R epublic U nited A rab E m irates

K orea, R epu b lic o f V iet-N am

K uw ait Y em enLaos Y em en, ¡Democratic

L ebanon

Trang 10

EU R O PE OCEANIA

A lbania Italy A m erican Sam oa New H ebrides

Azores L iechtenstein B ritish S o lo m o n Islands N iue Island

Belgium L uxem bourg C hristm as Island N o rfo lk IslandBulgaria M alta C ocos (K eeling) Island Pacific Islands

C zechoslovakia M onaco C o o k Islands P apua

D en m ark N etherlands Fiji P itcairn Island

F aro e Islands N orw ay F re n c h Polynesia T okelau Islands

F in lan d Poland G ilbert and Ellice Islands Tonga

G erm any (E ast) R om ania N au ru Wallis & F u tu n a Island

G erm any (W est) Russia (U SSR ) N ew C aledonia W estern Sam oa

Greece S w eden

G uernsey, S w itzerland

A lderney & S ark U nited K ingdom

H ungary (England, S cotland,

Iceland N o rth e rn Ireland &

Isle o f M an Yugoslavia

6

Trang 11

INDEX OF COUNTRIES

Afars and the I s s a s 9

A fg h a n is ta n 9

Albania 9

Algeria 9

Angola 9

A n g u illa 41

Antigua 9

Argentina 10

A u stra lia 10

Austria 11

Azores 11

B a h a m a s 11

Bahrain 11

Bangladesh 11

B arbados 12

Belgium 12

Belize (formerly British Honduras) 12

B e rm u d a 12

Bolivia 13

Botswana 13

B ra z il 13

British Honduras (now Belize) 12

Brunei 13

Bulgaria 13

Burma 13

Burundi 14

Cambodia (now Khmer Republic) 29

Cameroon .' 14

Canada 14

Canal Z o n e 14

Canary Islands 14

Cape Verde Islands 14

Cayman Is la n d s 14

Central African R e p u b lic IS Ceylon (now Sri Lanka) 45

C h a d 15

C h i l e 15

China, People’s R e p u b lic 15

China, Republic of (T a iw a n ) 15

Christmas Island 15

Colombia 15

Comoro Archipelago 15

Congo 15

Cook I s l a n d s 15

Costa Rica 16

C u b a 16

Cyprus 16

C zech o slo v a k ia 17

Dahomey 17

D e n m a rk ' 17

Dominica 17

Dominican Republic 17

E c u a d o r 18

E g y p t 18

Ellice Islands 22

El S a lv a d o r 18

England (United K in g d o m ) 48

Equatorial G u i n e a 18

E th i o p ia 18

Falkland (Malvinas) Islands 18

Faroe Islands 18

Fiji 19

Finland 19

Country Page France 19

French G u i a n a 20

French Polynesia (T a h iti) 21

G a b o n 21

Gambia 21

German Democratic Republic ( E a s t ) 21

Germany, Federal Republic o f ( W e s t ) 21

G h a n a 22

G ib ra lta r 22

Gilbert Islands 22

Greece 22

Greenland 23

G r e n a d a 23

G u a d e lo u p e 23

G u a m 24

Guatemala - 24

Guernsey, Alderney & Sark .' 24

G u in e a 24

Guyana 24

H a i t i 24

Honduras 24

Hong K o n g 24

H u n g a r y 25

Iceland 25

I n d i a 25

Indonesia 26

Iran 26

Iraq 26

I r e la n d 26

Ireland, Northern (U nited Kingdom) .48

Isle o f M a n 27

I s r a e l 27

Italy 27

Ivory C o a s t 28

Jamaica 28

Japan 28

Jersey 28

J o r d a n 29

K enya 29

Khmer Republic (formerly C a m b o d ia ) 29

Korea, Republic of 29

K u w a i t 29

Laos 29

L e b a n o n 29

Lesotho 29

L ib e r i a 29

Libyan Arab Republic 30

Liechtenstein 30

L u x em b o u rg 30

Macao 31

Madagascar 31

Madeira 31

Malawi 31

M a la y s ia 31

M a ld iv e s 31

Mali 31

M a lta 31

M artin iq u e 32

Mauritania 32

M auritius 32

Mexico 32

Trang 12

INDEX OF COUNTRIES - Continued

M iq u e lo n 41

M onaco 33

M o n g o lia 33

M ontserrat .33

M o r o c c o 33

M o z a m b iq u e 33

N a m i b i a 33

N auru 33

N e p a l 34

N e t h e r l a n d s 34

N etherlands A ntilles 34

N e v i s 4 1 New Caledonia an d D ependencies 35

New G u i n e a 35

New Hebrides 36

New Zealand 36

Nicaragua 36

N i g e r 36

Nigeria 36

N orw ay 37

O m a n 37

Pacific Islands, T ru st T errito ry o f USA 37

P a k i s t a n 37

P anam a 37

P a p u a 37

P a r a g u a y 38

Peru 38

Philippines 38

Pitcairn Island 38

P oland 39

P o r t u g a l 39

P ortuguese G u i n e a 39

Portuguese T im o r 39

P u erto R i c o 39

Q a t a r 39

R e u n i o n 40

R h o d e s ia 40

R o m a n i a 40

Russia ( U S S R ) 47

R w anda 40

R yu k y u I s la n d s 40

S aint H e le n a 41

S aint K itts ' 41

Saint L u c i a 41

Saint P i e r r e 41

Saint V incent 42

Sam oa, Am erican .42

Country Samoa, W estern ^

Sao Tome & P rin c ip e

Saudi Arabia .^

Scotland (United Kingdom)

Senegal

Seychelles .T? Sierra Leone

Singapore

Solomon Islands, British Protectorate

S o m a l i

South Africa

S p a i n 45

Spanish S a h a r a *

Sri Lanka (formerly C e y lo n ) ,

S u d a n ~

S u r i n a m ^

S w a z ila n d

S w ed en

S w itz e r la n d

Syrian Arab R e p u b lic

Tahiti (French P o ly n esia)

Tanzania, United Republic o f 'J* T h a ila n d

T o g o Y T o n g a f Trinidad & Tobago

Trucial Sheikhdoms (now U nited Arab E m ir a te s )

T u n is ia

T u r k e y 47

Uganda ^

Union o f Soviet Socialist Republics

United Arab Emirates (formerly Trucial Sheikhdoms) • •

United Kingdom

United States o f A m erica

Upper V o lta

U r u g u a y

Venezuela

Viet-Nam, South

Virgin Islands (USA)

Wake I s la n d

Wales (United K in g d o m )

Y e m e n ^

Yemen, Democratic

Yugoslavia **

Z a i r e

Zambia

8

Trang 13

Vaccination Requirements and Recom m endations for Cholera, Y ellow Fever, and Sm allpox, by Country

A FA R S AND THE ISSAS

ALBANIA

S m allpox — E x c e p t th a t NO C ertificate is required from

travelers w ho have b ee n resid e n t in th e follow ing c o u n tries for

15 d ay s b efo re arriving in A lbania:

H ow ever, a C e rtifica te w ill be req u ired fro m travelers arriving

fro m th ese co u n trie s i f any p a rt is in fec ted w ith sm allpox

II

> 1 year

I

ALGERIA

S m allp o x — E x c e p t th a t NO C ertificate is req u ired from

travelers w ho have b ee n resid e n t in th e follow ing co u n trie s for

14 d ay s b efo re arriving in Algeria:

A m ericas: U SA , C anada

E u ro p e : A ll c o u n tries

A frica: M orocco, T unisia

H ow ever, a C ertificate w ill be req u ired fro m travelers arriving

fro m th ese co u n trie s if any p a rt is in fec ted w ith sm allpox

II

> 1 year

I

C holera — A ngola reco m m en d s vaccination

Y ellow fever — A ngola reco m m en d s v accination

> 1 y ear > 3 m o n th s

ANTIGUA

S m allpox — E x c e p t th a t NO C ertificate is req u ired from

travelers arriving fro m :

A m ericas: U SA , B erm uda, C anada

C aribbean: B aham as, B arbados, B ritish Virgin Islands,

D o m in ica, G renada, S t K itts-N evis-

A nguilla, S t L ucia, M o n tserra t, T rinidad

I Vaccination Certificate required of arrivals from all countries E X C E P T as indicated in notes for individual countries.

II Vaccination Certificate required of arrivals from infected areas E X C E P T as indicated in notes for individual countries.

> Older than

9

Trang 14

C ountry V accinations R equired by th e C ountry

ANTIGUA (Continued)

H ow ever, a C ertificate will be required from travelers arriving

from these countries if th e y have been in a sm allpox endem ic

c o u n try , o r w here a recent case o f sm allpox o ccu rred , during

th e 14 days before arriving in A ntigua

AUSTRALIA

C holera — A C ertificate is ALSO required from travelers

arriving fro m all co u n tries any p a rt o f w hich is infected

II

> 1 year

Travelers arriving in A ustralia from a c o u n try any p art o f

w hich is infected w ith o u t a C ertificate will be offered

vaccination I f refused, th e traveler will be d etained in

quaran tin e fo r 5 days

Yellow fever — A C ertificate is ALSO required from

travelers arriving fro m co u n tries in th e endem ic zones (see

pp 50-51)

Smallpox — E x cep t th a t NO C ertificate is required from

travelers w ho have been resident in th e follow ing co u n tries for

14 days before arriving in A ustralia b y th e d irec t trans-Paciflc

air ro u tes and these areas are free from sm allpox:

A m ericas: USA, Canada

O ceania: A m erican S am oa, A n tarc tic T erritories,

C hristm as (In d ian O cean), Cocos (K eeling) and

C ook Islands, Fiji, F rench P olynesia, G ilbert

an d Ellice Islands C olony (including O cean and

F anning Islands), Hawaii, L ord H owe Island,

N auru, New C aledonia, New G uinea-Papua,

N ew H ebrides, New Z ealand, N iue and N orfolk

Islands, S olom on and T okelau Islands, T onga,

W estern Sam oa

Travelers arriving in A ustralia from any o th e r c o u n try , or by

any o th e r ro u te, are R E Q U IR ED to have a V accination

C ertificate against Sm allpox V accination will be o ffered , b u t

if refused, th e traveler will be detained in q u ara n tin e for 14

days

Arrivals b y air: U nvaccinated travelers from th e USA or

C anada m u st sign on arrival a sta tu to ry declaration stating

(Continued next page)

EXPLANATION OF CODES

II Vaccination Certificate required of Arrivals from infected areas E X C E P T as indicated in notes for individual countries.

> Older than

1 0

Trang 15

Country Vaccinations Required by the Country

AUSTRALIA (Continued)

th e y have n o t been outsid e th e above listed areas in th e 14

days befo re arriving in A ustralia O therw ise vaccination will be

o ffe re d ; if refused, th e traveler will be detained in quaran tin e

for 14 days

N o ex c ep tio n is m ade o n ac co u n t o f pregnancy

Arrivals by sea: A m edical certificate stating traveler has a

m edical c o n d itio n w hich m akes vaccination inadvisable o r a

sta tu to ry d eclaratio n th a t th e traveler o bjects to vaccination

o n religious grounds is acceptable

N O TE: A ustralia is n o t b o u n d by th e In tern atio n al H ealth

R egulations

AUSTRIA

S m allpox - E xcept th a t NO C ertificate is req u ired from

travelers arriving from :

I

> 1 year

E urope: All countries

A frica: Algeria, E gypt, L ibyan A rab R epublic,

M orocco, Tunisia

Asia : Israel, J o rd a n , L e b a n o n , S yrian A rab R e p u b lic,

T u rk ey

O ceania: A ll co u n tries

from any sm allpox in fec ted area

AZORES

Yellow fever - E xcept th a t NO C ertificate is required from

travelers in tran sit at S anta Maria

> Older than

Trang 16

Smallpox — E x ce p t th a t NO C ertificate is required from

> 1 year > 1 year

A m ericas: USA , B erm uda, C anada

C aribbean: A ntigua, Baham as, British Virgin Islands,

D om inica, G renada, G uadeloupe, Jam aica,

M artinique, M o ntserrat, St Kitts-Nevis- Anguilla, St Lucia, S t V in ce n t, T rinidad and T obago

H ow ever, a C ertificate is req u ired from travelers from G uade

loupe and M artinique w h o , w ith in 14 days before arriving in

B arbados, have been in a co u n try NOT listed above

travelers w ho have b ee n resid en t in th e follow ing co u n tries for

15 days before arriving in Belgium:

A m ericas: USA , B erm uda, C anada, F re n c h G uiana,

G reenland, G uy an a, M exico, S t P ierre and

M iquelon, Surinam

C aribbean: A ll co u n tries

E u ro p e: A ll co u n tries

A frica: Algeria, C anary Islands, E g y p t, L ibyan A rab

R epublic, M adeira, M orocco, R eu n io n ,

T unisiaAsia: Israel, Ja p an (b y trans-polar, trans-Pacific,

o r trans-Siberia flights), T u rk e y

O ceania: A ustralia an d N ew Z ealand (b y trans-polar,

trans-Pacific, o r trans-Siberia flights)

fro m any sm allpox in fec ted area

Smallpox - E x ce p t th a t NO C ertificate is required from

A m ericas: U SA , C anada, Canal Z o n e, G reenland,

M exico, S t P ierre an d M iquelon

I Vaccination Certificate required of arrivals from all countries EXCEPT as indicated in notes for individual countries.

II Vaccination Certificate required of arrivals from infected areas EXCEPT as indicated in notes for individual countries

> Older than

12

Trang 17

Country V accinations R equired by th e C o u n try

BERMUDA (Continued)

C aribbean: A ru b a, B aham as, B arbados, B onaire, B ritish

V irgin Islands, C aym an Islands, C uracao,

D om inica, D om in ican R e p u b lic , G ren ad a,

H aiti, Jam aica, M o n tserra t, P u e rto R ico , S t

Kitts-N evis-A nguilla, S t L ucia, S t V in ce n t,

T rin id ad and T obago

Y ellow fever - A C e rtifica te is req u ired O N LY fro m

travelers fro m in fec ted areas w h o arrive in o r are d estin e d fo r

S m allp o x — E x c e p t th a t NO C ertificate is req u ired from

travelers w h o have b ee n résid e n t in th e follow ing co u n trie s for

14 days b efo re arriving in Bulgaria:

I

> 6 m o n th s

E u ro p e: A ll co u n tries

Asia: C hina (P eking), M ongolia

H ow ever, a C e rtifica te will be req u ired fro m travelers arriving

fro m th ese co u n trie s if any p a rt is in fe c te d w ith sm allpox

C holera — A C e rtifica te is req u ired O N LY fro m travelers

proceed in g to co u n trie s w hich req u ire a C ertificate

Y ellow fever — A C e rtifica te is ALSO req u ired from

travelers w ho arrive w ith in 9 days o f d e p a rtu re fro m or

tra n sit th ro u g h co u n trie s in th e en d em ic zones (see pp 50-51)

EXPLANATIO N OF CODES

> Older than

Trang 18

C o untry V accinations R equired by th e C ountry

Yellow fever — E x c e p t th a t NO C e rtifica te is req u ired for

stay o f less th a n 2 w eeks

I

> 1 year

I

CANADA

Smallpox - A C ertificate is ALSO req u ired fro m travelers

w h o w ith in 14 days b efo re arriving in C anada have b ee n in an

endem ic area, o r w ho have b e e n o r are suspected o f having been

in c o n ta c t w ith a k n o w n or suspect case o f sm allpox

II

> 1 year

CANARY ISLANDS

Smallpox - E x c e p t th a t NO C e rtifica te is req u ired from

travelers w iio have b ee n resid e n t in th e follow ing co u n tries for

m ore th a n 14 days b efo re arriving in th e C anary Islands:

CAPE VERDE ISLANDS

Yellow fever — E x c e p t th a t N O C e rtifica te is req u ired from

travelers arriving in B oa V ista, M aio, Sal, S antiago, and Sao

Smallpox - E x c e p t th a t NO C e rtifica te is req u ired from

A m ericas: USA

C aribbean: Jam aica

> Older than

Trang 19

> 1 year

I

CHAD

Y ellow fever — C had reco m m en d s v accin atio n for all

travelers over 1 y ear o f age

(N o official in fo rm a tio n has b e e n received These

re c o m m en d a tio n s are m ad e.)

(N o o f f ic ia l in fo rm a tio n has b ee n received T hese

re c o m m en d a tio n s are m ad e.)

CHRISTMAS ISLAND (Indian Ocean)

Cholera — A C ertificate is A LSO re q u ire d fro m travelers

arriving fro m all c o u n trie s any p a rts o f w hich are in fe c te d

II

> 1 year

> 1 year

Y ellow fever — A C ertificate is A LSO req u ired fro m

travelers arriving fro m c o u n tries in th e en dem ic zones (see

Y ellow fever — E x c e p t th a t N O C e rtifica te is req u ired fro m

travelers w ho arrive fro m a n o n -in fe cted area an d sta y less th a n

S m allpox — E x c e p t th a t N O C e rtifica te is req u ired from

travelers w ho have b e e n resid e n t in th e follow ing co u n trie s for

14 days p rio r to arriving in th e C o o k Islands:

> Older than

Trang 20

Vaccinations Required by the Country

COOK ISLANDS (Continued)

O ceania: A m erican S am oa, A u stralia, B ritish S olom on

Islands, Fiji, F re n c h Polynesia, G ilb ert and

Ellice Islands, H aw aii, N au ru , N ew C aledonia,

N ew H ebrides, N ew Z ealand, N iue, N o rfo lk

an d T o k elau Islands, T onga, W estern S am oa

H ow ever, a C ertificate will be req u ired from travelers arriving

A C ertificate is ALSO req u ired from travelers arriving by

sea from :

A m ericas: All S o u th A m erican c o u n tries

Asia: All co u n tries

Yellow fever - A C ertificate is ALSO req u ired from

A m ericas: Bolivia, Brazil, C olom bia, E cuador, F ren ch

G uiana, G u y an a , P anam a, P eru, S urinam ,

V enezuela

A frica: A ngola, B uru n d i, C am ero o n , C entral A frican

R ep u b lic, C had, C ongo, D ah o m e y , E th io p ia,

G ab o n , G am bia, G h an a, G uinea, K enya,

L iberia, Mali, M auritania, N iger, N igeria,

P o rtu g u ese G uinea, R w an d a, Sao T o m e and

P rincipe, Senegal, Sierra L eone, S om ali, T ogo,

U ganda, U n ite d R epublic o f T anzania, U pper

V o lta , Z aire, Z am bia

CYPRUS

Yellow fever — A C ertificate is ALSO req u ired from

travelers arriving from co u n tries in the endem ic zones (see

pp 50-51)

> 1 year

Smallpox - E x ce p t th a t NO C e rtifica te is req u ired from

A m ericas: N o rth A m erica only

E u ro p e: A ll c o u n tries

> Older than

Trang 21

Smallpox - E x c e p t th a t NO C ertificate is req u ired from

travelers w ho have been resid en t in th e follow ing co u n trie s for

15 days befo re arriving in C zechoslovakia:

A m ericas: U SA , C anada, C uba

E u ro p e : All c o u n tries

Asia: M ongolia (via U SS R ), T u rk e y

DAHOMEY

Yellow fever - E x ce p t th a t NO C ertificate is req u ired fro m

travelers w ho arrive from a non -in fected area a n d stay less

Smallpox - E x ce p t th a t NO C ertificate is req u ired fro m

travelers w ho arrive fro m a non -in fected area a n d stay less

th a n 2 w eeks

Smallpox — E x ce p t th a t NO C ertificate is req u ired from

travelers w ho have been resid en t in th e follow ing co u n tries for

14 days befo re arriving in D enm ark:

E urope: All co u n tries

A frica: C anary Islands, M adeira, M orocco

H ow ever, a C ertificate will be required fro m travelers arriving

fro m these co u n tries if any p a rt is in fe c te d w ith sm allpox

DOMINICA

II

> 1 year

I

A m ericas: USA and te rrito rie s, B erm uda, C anada

C aribbean: A n tig u a, B aham as, B arbados, B ritish Virgin

Islands, C aym an Islands, G ren ad a, Jam aica,

M o n tserra t, S t K itts-N evis-A nguilla, S t

L ucia, S t V in c e n t, T rin id ad an d T obago

I V accinatio n C ertificate required of arrivals from all countries E X C E P T as indicated in notes for individual countries.

II Vaccination C ertificate required of arrivals from infected areas E X C E P T as indicated in notes fo r individual countries

> Older than

Trang 22

C o u n try V accinations R equired by th e C o untry

EGYPT

Yellow fever — A C ertificate is ALSO req u ired fro m

A m ericas: B elize, Bolivia, Brazil, C anal Z o n e , C olom bia,

C osta R ica, E c u a d o r, F re n c h G uiana,

G u ate m a la, G u y an a , H o n d u ras, N icaragua,

P anam a, P eru , S u rin am , T rin id ad , V enezuela

A frica: A ngola, B otsw ana, B u ru n d i, C am ero o n ,

C en tral A frican R e p u b lic , C had, C ongo,

D ah o m e y , E q u a to ria l G uinea, E th io p ia ,

G ab o n , G am bia, G h an a, G u in ea, Ivory C oast,

K en y a , L iberia, M alaw i, M ali, M auritania,

N iger, Nigeria, P ortuguese G uinea, R w anda,

Sao T o m e an d P rin cip e, Senegal, S ierra L eone,

S om ali, S udan (s o u th o f 15° N la titu d e ), T ogo,

U ganda, U n ite d R ep u b lic o f T an z an ia , U pper

V o lta , Z aire, Z am bia

EL SALVADOR

Smallpox — E x ce p t th a t NO C e rtifica te is req u ired from

travelers w h o have b e e n resid e n t in th e follow ing co u n trie s for

14 d ay s b efo re arriving in E l S alvador:

Smallpox — E x c e p t th a t N O C e rtifica te is req u ired from

travelers w h o have b e e n resid e n t in th e follow ing co u n tries for

14 days b efo re arriving in th e F aro e Islands:

> Older than

Trang 23

Country V accinations R e quired by th e C o u n try

FAROE ISLANDS (Continued)

H ow ever, a C ertificate will be req u ired fro m travelers arriving

fro m these co u n trie s if any p a rt is in fe c te d w ith sm allpox

FIJI

Smallpox — E x ce p t th a t NO C e rtifica te is req u ired from

travelers w ho have been resid en t in th e follow ing c o u n tries for

14 d ay s b efo re d e p a rtu re fo r Fiji:

O ceania: A m erican S am oa, A ustralia, B ritish S o lo m o n

Islands, C o o k Islands, F re n c h P olynesia,

G ilbert an d Ellice Islands, N au ru , N ew

C aledonia, N ew H ebrides, N ew Z ealand, N iue,

N o rfo lk a n d T o k elau Islands, T o n g a, W estern

S am oa

A C e rtifica te is ALSO req u ired fro m arrivals b y sea fro m :

Asia: B angladesh, In d ia, P akistan

Smallpox - E x c e p t th a t NO C e rtifica te is req u ired fro m

travelers w ho have been resid e n t in th e follow ing c o u n tries fo r

14 days b efo re arriving in F in lan d :

E u ro p e : A ll co u n trie s

A frica: C anary Island, M adeira, M orocco

fro m any sm allpox in fe c te d area

Smallpox — E x c e p t th a t N O C e rtifica te is req u ired from

A m ericas: U SA , B erm uda, C anada, G reen lan d ,

G u y an a , M exico, S t P ierre an d M iquelon,

S urinam

C aribbean: All co u n trie s

E u ro p e A ll co u n trie s

A frica: A lgeria, C anary Islands, L ib y an A rab

R e p u b lic , M adeira, M o ro cco , T unisia

> Older than

Trang 24

(Read all notes carefully)

Vaccinations Required by the CountryCholera Yellow Fever Smallpox

FRANCE (Continued)

Asia: Israel, Ja p a n (b y trans-polar, trans-Pacific,

o r trans-S iberia flights), T u rk e y

trans-Pacific, or trans-Siberia flights)

H ow ever, a C ertifícate will b e req u ired fro m travelers arriving

NO C e rtifica te is req u ired fro m sea travelers w ho have left an

in fec ted area o r a c o u n try NOT listed above m ore th a n 14

days b efo re arriving in F rance

FRENCH GUIANA

Smallpox - E x c e p t th a t NO C ertificate is req u ired fro m

U SA , B erm uda, C anada, G reen lan d ,

G u y an a , M exico, S t P ierre an d M iquelon,

S urinamAll co u n triesAll co u n triesAlgeria, C anary Islands, L ibyan A rab

R e p u b lic, M adeira, M orocco, T unisia Israel, Ja p a n ( b y trans-polar, trans-Pacific,

A ustralia a n d N ew Z ealand (b y trans-polar, trans-P acific, o r trans-S iberia flights)

NO C ertificate is req u ired fro m sea travelers w ho have left an

in fec ted area o r a c o u n try N O T listed above m o re th a n 14

days b efo re arriving in F re n ch G uiana

Yellow fever - E x ce p t th a t NO C ertificate is required from

travelers w ho arrive fro m a n o n -in fe cted area and stay less th a n

2 w eeks

I

> 1 year

> Older than

2 0

Trang 25

(Read all notes carefully)

FRENCH POLYNESIA (TAHITI)

S m allpox - E x c e p t th a t NO C ertificate is req u ired from

travelers w ho have b ee n resid en t in th e follow ing c o u n tries for

14 days befo re d e p a rtu re fo r F re n ch P olynesia:

O ceania: A m erican S am oa, A ustralia, B ritish S o lom on

Islands, C o o k Islands, Fiji, G ilb ert and Ellice Islands, N au ru , N ew C aledonia, N ew H ebrides,

N ew Z ealand, T onga, W estern S am oa

GABON

Y ellow fever - E x c e p t th a t NO C ertificate is required from

travelers w ho arrive fro m a n o n -in fected area and stay less th a n

2 w eeks

GAMBIA

GERMAN DEMOCRATIC REPUBLIC (EAST)

S m allpox — E x ce p t th a t NO C ertificate is req u ired from

travelers w h o have b ee n resid en t in th e follow ing c o u n tries for

14 days befo re arriving in the G erm an D em o cratic R epublic:

A m ericas: U SA , C anada, C uba

Asia: Ja p an , M ongolia, N o rth K o re a, N o rth V iet- N am

E u ro p e : All c o u n tries

O ceania: A ll c o u n tries

GERMANY, FEDER AL REPUBLIC OF (WEST)

travelers w ho have b ee n resid e n t in th e follow ing c o u n tries for

14 days b efo re arriving in th e F ed eral R epublic o f G erm any:

A m ericas: All c o u n tries

C aribbean: A ll co u n tries

A frica: C anary Islands, M adeira

A sia: C yprus, T u rk e y

O ceania: All co u n tries

> Older than

Trang 26

GERMANY, FEDERAL REPUBLIC OF (WEST)

(Continued)

H ow ever, a C ertificate w ill be req u ired from travelers arriving

GHANA

GIBRALTAR

GILBERT AND ELLICE ISLANDS

travelers w ho have been resident in th e follow ing c o u n tries for

14 days prior to d ep a rtu re for th e G ilbert and Ellice Islands:

O ceania: A m erican S am oa, A ustralia, B ritish S olom on

Islands, C ook Islands, Fiji, F re n c h P olynesia,

N au ru , N ew C aledonia, N ew H ebrides, New

Z ealand, N iue, N o rfo lk and T okelau Islands,

T onga, W estern S am oa

GREECE

Smallpox — E x cep t th a t NO C ertificate is required from

USA , B erm uda, C anada, F re n ch G uiana,

G reen lan d , G uy an a, M exico, S t Pierre and

M iquelon, S urinam

A ll co u n tries

A ll co u n triesAlgeria, C anary Islands, L ibyan A rab

R ep u b lic, M adeira, M orocco, R e u n io n ,

> 3 m o n th sI

> Older than

Trang 27

Smallpox — E x cep t th a t NO C e rtifica te is required fro m

14 days b efo re arriving in G reenland:

A m ericas: USA , C anada

fro m these co u n trie s i f an y p a rt is in fec ted w ith sm allpox

Smallpox - E x ce p t th a t NO C ertificate is required from

A m ericas: USA, Belize, B erm uda, G uyana

C aribbean: A ntigua, B aham as, B arbados, B ritish Virgin

Islands, C aym an Islands, D om inica, Jam aica, S t K itts-N evis-A nguilla, S t L ucia,

S t V in ce n t, T rin id ad an d T obago

GUADELOUPE

Smallpox — E x cep t th a t NO C ertificate is req u ired from

II

> 1 year

I

A m ericas: USA , ' B erm uda, C anada, G reen lan d ,

G u y an a , M exico, S t P ierre and M iquelon,

S urinam

C aribbean: All co u n tries

E u ro p e: All co u n tries

A frica: Algeria, C anary Islands, L ibyan A rab

R ep u b lic, M adeira, M orocco T unisia Asia: Israel, Ja p an (b y tran s-p o lar, trans-P acific,

o r trans-S iberia flights), T u rk ey

O ceania: A ustralia and New Zealand (by trans-polar,

trans-Pacific, or trans-Siberia flights)

fro m any sm allpox infected area

NO C ertificate is required from sea travelers w ho have left an

in fec ted area o r a co u n try N OT listed above m ore th a n 14

d ay s b efo re arriving in G uadeloupe

> Older than

Trang 28

S m allpox — A C ertificate is ALSO req u ired from travelers

w ho w ith in th e preceding 14 days have been in a co u n try any

part o f w hich is in fec ted

GUINEA

C holera — A C ertificate is ALSO required fro m travelers

arriving fro m all co u n tries an y p arts o f w hich are infected

Y ellow fever — A C ertificate is ALSO req u ired from

> 3 m o n th s

A m ericas: Belize, Bolivia, Brazil, C olom bia, C osta R ica,

E cu ad o r, F re n ch G uiana, G uatem ala,

H onduras, N icaragua, P anam a, P eru, S urinam ,

V enezuela

A frica: A ngola, B urundi, C am eroon, C entral A frican

R epu b lic, C had, C ongo, D ahom ey, E th io p ia,

G ab o n , G am bia, G hana, G uinea, K enya,

L iberia, M ali, N iger, Nigeria, P ortuguese

G uinea, R w anda, Sao T om e and P rincipe, Senegal, Sierra L eone, Som ali, T ogo, U ganda,

U n ite d R epu b lic o f T anzania, U pper V o lta, Zaire

S m allpox — E x cep t th a t NO C ertificate is required fro m

travelers arriving directly from :

> Older than

24

Trang 29

C o untry V accinations R equired by th e C o untry

S m allpox — E x cep t th a t NO C ertificate is required from

15 days befo re arriving in H ungary:

A m erica: USA , Canada

Asia: M ongolia, T u rk e y

1

I I

1

fro m these co u n tries if any p art is infected w ith sm allpox

S m allpox - E x cep t th a t NO C ertificate is req u ired from

travelers w h o have been resid en t in th e follow ing c o u n tries for

14 days befo re arriving in Iceland:

A frica: C anary Islands, M adeira, M orocco ( '

I

1

C holera — A C ertificate is req u ired O N LY from travelers

proceeding to co u n tries w hich require a C ertificate India

reco m m en d s vacin atio n

Y ellow fever — A C ertificate is ALSO req u ired from

A m ericas: Belize, Bolivia, Brazil, Canal Z o n e, C olom bia,

C osta R ica, E cu ad o r, F re n ch G uiana,

G uatem ala, G u y an a, H o n d u ras, N icaragua,

P anam a, P eru, S urinam , T rin id ad and T obago,

V enezuela

A frica: A ngola, B otsw ana, B uru n d i, C am eroon,

C entral A frican R epu b lic, C had, C ongo,

D ah o m ey , E q u ato rial G uinea, E th io p ia,

G abon, G am bia, G hana, G uinea, Ivory C oast,

K enya, L iberia, M alawi, Mali, M auritania,

N iger, N igeria, P ortuguese G uinea, R w anda, Sao T om e and P rincipe, Senegal, S ierra L eone,

S om ali, S udan (so u th o f 15° N ), T ogo, U ganda,

> Older than

Trang 30

C o u n try Vaccinations Required by the Country

INDIA (Continued)

U n ite d R e p u b lic o f T an zan ia, U pper V o lta ,

Z aire, Z am bia

A ny p erso n (in clu d in g in fan ts) w ho arrives w ith o u t a

C ertificate w ill be iso lated u p to 6 days if h e arrives w ith in 6

d ay s o f d e p a rtu re fro m o r tra n sit th ro u g h an in fe c te d area

Asia: A fghanistan, B ahrain, B angladesh, Burm a,

In d ia, Ira q , M alaysia, P ak istan , P hilippines, Saudi A rabia, S ingapore, T h ailan d , V iet-N am (S o u th )

A frica: Malawi

E u ro p e : P ortugal

A C e rtifica te is A LSO req u ired fro m travelers w h o have been

in an in fe c te d area in tra n sit

Yellow fever — A C e rtifica te is A LSO req u ired fro m

travelers arriving fro m c o u n trie s in th e en d em ic zones (see pp

Smallpox — E x c e p t th a t NO C e rtifica te is req u ired fro m

I

> 1 year

A m ericas: U SA , B erm u d a, C anada, F re n c h G uiana,

G re en lan d , G u y a n a , M exico, S t P ierre and

M iquelon, S urinam

C aribbean: A ll co u n trie s

E u ro p e : A ll co u n trie s

A frica: A lgeria, C anary Islands, M adeira, L ib y an

A rab R e p u b lic , M o ro cco , R e u n io n , T unisia

> Older than

2 6 '

Trang 31

IRELAND (Continued)

Asia: Israel, Ja p a n , (b y tran s-p o lar, trans-P acific,

O ceania: A u stralia and N ew Z ealand (b y tran s-p o lar,

trans-P acific, o r trans-S iberia flights)

H ow ever, a C e rtifica te w ill be req u ired from travelers arriving

ISLE OF MAN

Smallpox - E x ce p t th a t NO C ertificate is req u ired fro m

I

> 1 year

A m ericas: U SA , B erm uda, C anada, F re n c h G uiana,

G reen lan d , G u y an a, M exico, S t P ierre and

M iquelon, S urinam

E u ro p e : All co u n trie s

R e p u b lic , M adeira, M orocco, R e u n io n , Tunisia

A sia: Israel, Ja p an (b y tran s-p o lar, trans-P acific,

O ceania: A ustralia an d N ew Z ealand (b y tran s-p o lar,

Smallpox — A C e rtifica te is ALSO req u ired fro m travelers

arriving from all c o u n trie s any p arts o f w hich are in fec ted

A C e rtifica te is A LSO req u ired fro m travelers arriving fro m all

c o u n tries an y p a rts o f w h ich are in fec ted

> Older than

27

Trang 32

C o u n try V accinations R equired by th e C o u n try

ITALY (Continued)

Smallpox — E x ce p t th a t NO C e rtifica te is req u ired from

A m ericas: USA , B erm uda, C anada, F re n ch G uiana,

G re en lan d , G u y an a , M exico, S t P ierre and

M iquelon, S urinam

E u ro p e : A ll co u n tries

R e p u b lic, M adeira, M orocco, R e u n io n ,

T unisiaAsia: Israel, Ja p a n (b y tran s-p o lar, trans-P acific,

or trans-S iberia flights), T u rk e y

O ceania: A ustralia a n d N ew Z ealan d (b y trans-polar,

fro m an y sm allpox in fec ted area

> 1 year

I

JAMAICA

Smallpox — E x ce p t th a t NO C e rtifica te is req u ired from

II

> 1 year

I

> 6 m o n th s

A m ericas: U SA , B erm uda, C anada, C uba

C aribbean: A ru b a, B aham as, B arbados, B ritish Virgin

Islands, C uracao, G ren ad a, T rin id ad and

T obago

JERSEY

Smallpox — E x c e p t th a t NO C e rtifica te is req u ired from

I

> 1 year

A m ericas: U SA , B erm uda, C anada, F re n ch G uiana,

G reen lan d , G uy an a, M exico, S t P ierre and

M iquelon, S urinam

> Older than

2 8

Trang 33

Country Vaccinations Required by the Country

JERSEY (Continued)

C aribbean: All c o u n tries

E u ro p e: Ail co u n tries

A frica: A lgeria, C anary Islands, L ibyan A rab

R e p u b lic , M adeira, M orocco, R e u n io n , Tunisia

Asia: Israel, Ja p a n (b y tran s-p o lar, trans-P acific,

or trans-S iberia flights), T u rk e y

trans-P acific, or trans-S iberia flights)

KENYA

Y ellow fever - A C ertificate is ALSO req u ired fro m arrivals

fro m th e en dem ic zones (see pp 50-51 )

> Older than

Trang 34

(Read a ll notes carefully)

LIBYAN ARAB REPUBLIC

Y ellow fever — C hildren u n d er one year o f age m ay be

subject to isolation o r surveillance

children u n d e r o n e y ear o f age arriving from a non -in fected

c o u n try

LIECHTENSTEIN

S m allpox — E x c e p t th a t NO C e rtifica te is req u ired from

LUXEMBOURG

S m allpox — E x c e p t th a t NO C ertificate is required from

15 days befo re arriving in L uxem bourg:

A m ericas: USA, B erm uda, C anada, F rench G uiana,

G reen lan d , G uy an a, M exico St P icric and

M iquelon, S urinam

A frica: Algeria, C anary Islands, E gypt, L ibyan Arab

R ep u b lic, M adeira, M orocco, R e u n io n , Tunisia

Asia: Israel, Ja p an (b y trans-polar, trans-Pacific,

o r trans-S iberia flights), T u rk ey

O ceania: A ustralia and N ew Z ealand (b y trans-polar,

trans-P acific, or trans-Siberia flights)

30

Trang 35

Yellow fever — E x ce p t th a t N O C e rtifica te is req u ired from

travelers w ho arrive fro m a n o n -in fe cted co u n try an d stay less

Y ellow fever — C hildren u n d er 6 m o n th s o f age m ay be

su b ject to iso latio n o r surveillance

Smallpox - E x c e p t th a t N O C e rtifica te is req u ired from

E u ro p e : All co u n tries

O ceania: All c o u n tries

> Older than

Trang 36

M A R T IN IQ U E

S m allpox — E x cep t th a t NO C ertificate is required from

A m ericas: USA , B erm uda, C anada, G reenland,

G uy an a, M exico, S t Pierre and M iquelon, Surinam

C aribbean: All c o u n tries

R epublic, M adeira, M orocco, T unisia Asia: Israel, Ja p an (b y trans-polar, trans-Pacific,

O ceania: A ustralia and N ew Z ealand (b y trans-polar,

trans-P acific, or trans-Siberia flights)

NO C ertificate is required from sea travelers w ho have left an

infected area or a c o u n try NOT listed above m ore th a n 14

days before arriving in M artinique

M A U R IT A N IA

Yellow fever — E x cep t th a t NO C e rtifica te is req u ired from

travelers w ho arrive from a non -in fected te rrito ry and stay less

th a n 2 weeks

M A U R IT IU S

Yellow fever — A C ertificate is ALSO req u ired from

travelers arriving from th e en dem ic zones (see pp 5 0 - 5 1 )

Smallpox — E xcept th a t NO C ertificate is required from

A frica:

M EX IC O

R eunion

Smallpox — E xcept th a t NO C ertificate is required from

14 d ay s befo re arriving in M exico

Am ericas: USA , Canada

I Vaccination C ertificate required of arrivals from all countries E X C E P T as indicated in notes for individual countries.

II V accination C ertificate required of arrivals from infected areas E X C E P T as indicated in notes fo r individual countries.

> Older than

E X P L A N A T IO N O F C O D E S

32

Trang 37

Vaccinations Required by the Country

A m ericas: All co u n tries

E u ro p e: All c o u n tries

M O Z A M B IQ U E

Yellow fever — E x cep t th a t NO C e rtifica te is req u ired from

travelers w ho arrive fro m a non -in fected area and stay less than

Yellow fever — A C ertificate is ALSO required from

travelers arriving from c o u n tries in th e en dem ic zone in A frica

C hildren u n d er one y ea r o f age m ay be su b ject to surveillance

T hey m ay n o t proceed to N atal or to th e Low vcld o f the

T ransvaal w ith in 6 days o f leaving an infected area

N A U R U

Smallpox — E xcept th a t NO C e rtifica te is required from

14 d ay s befo re d e p a rtu re for N auru:

Islands, C ook Islands, F iji, F re n c h P olynesia,

G ilb ert and Ellice Islands, N ew C aledonia, New

G uinea-Papua, N ew H ebrides, New Z ealand,

N iue, N o rfo lk Island, T okelau Islands, T onga,

W estern Sam oa

E X P L A N A T IO N O F C O D E S

I Vaccination C ertificate required of arrivals from all countries E X C E P T as indicated in notes for individual countries.

II Vaccination C ertificate required of arrivals from infected areas E X C E P T as indicated in notes for individual countries.

> Older than

Trang 38

Country Vaccinations Required by the Country

(Read all not es carefully) Cholera Yellow Fever Smallpox

Smallpox - Except that NO Certificate is required from

travelers arriving from:

Americas: USA, Bermuda, Canada, French Guiana,

Greenland, Guyana, Mexico, St Ptere and Miquelon, Surinam

Caribbean: All countries

Republic, Madeira, Morocco, Reunion, Tunisia

Asia: Israel, Japan (by trans-polar, trans-Pacific,

or trans-Siberia flights) Oceania: Australia and New Zealand (by trans-polar,

trans-Pacific, or trans-Siberia flights)

!’ ■ 1 ■ ■ ■'/ •

However, a Certificate will be required from travelers arriving

from any smallpox infected area.

NETHERLANDS ANTILLES

Smallpox - Except that NO Certificate is required from

travelers who have been resident in the following countries for

14 days before arriving in the Netherlands Antilles:

II

> 6 months

I

> 3 months

French Guiana, Greenland, Mexico, St

Pierre and Miquelon, Surinam Caribbean: Bahamas, British Virgin Islands, Guade

loupe, Jamaica, Martinique, Puerto Rico, Virgin Islands (USA)

Africa: Canary Islands, Madeira, Reunion

However, a Certificate will be required from travelers arriving

from any smallpox infected area.

EX PLA N A T IO N OF CODES

I V accination C ertificate required of arrivals from all countries E X C E P T as indicated in notes for individual countries.

> Older than

34

Trang 39

N EW C A L E D O N IA A N D D E P E N D E N C IE S

Smallpox — E x cep t th a t NO C ertificate is req u ired from

travelers w ho have been resid e n t in th e follow ing co u n trie s for

14 days b efo re d e p a rtu re for N ew C aledonia:

O ceania: A m erican S am oa, A u stralia, B ritish S o lom on

Islands, C o o k Islands, F iji, F re n c h P olynesia,

G ilb ert an d Ellice Islands, N au ru , N ew

H ebrides, N ew Z ealand, T onga, W estern Sam oa

Typhoid — N ew C aledonia reco m m en d s vaccination

NEW G U IN E A

Cholera — E x cep t th a t NO C ertificate is req u ired from

travelers w ho have been resid en t in th e follow ing co u n trie s for

6 days b efo re arriving in New G uinea:

O ceania: A m erican S am oa, A u stralia, A ustralian

A n ta rc tic T e rrito ries, B ritish S o lo m o n Islands

P ro te c to ra te , C ook Islands, F iji, G ilb ert and Ellice Islands C o lo n y , L ord H ow e Island,

N au ru , N ew C aledonia, N ew H ebrides, New

Z ealand, N o rfo lk Island, P apua, S o ciety

A rchipelago, T onga, W estern Sam oa

fro m any cholera in fec ted area

Smallpox - E x c e p t th a t NO C ertificate is req u ired fro m

travelers w ho have been resid en t in th e follow ing c o u n tries for

14 d ay s b efore arriving in N ew G uinea:

O ceania: A m erican S am oa, A ustralia, A ustralian

A n ta rc tic T errito ries, B ritish S o lo m o n Islands

P ro te c to ra te , C ook Islands, F iji, G ilb e rt and Ellice Islands C o lo n y , L ord H ow e Island,

N au ru , New C aledonia, N ew H ebrides, N ew

Z ealand, N o rfo lk Islan d , P ap u a, S ociety

A rchipelago, T onga, W estern Sam oa

II V accination C ertificate required of arrivals from infected areas E X C E P T as indicated in notes for individual countries.

> Older than

35

Trang 40

NEW H E B R ID E S

Smallpox — E xcept th a t NO C ertificate is req u ired from

14 days befo re arriving in N ew H ebrides:

II

> 1 year

I

> 1 year

O ceania: A m erican S am oa, A u stralia, C o o k Islands, Fiji,

F re n c h Polynesia, G ilbert and Ellice Islands

C olo n y , H aw aii, L ord H ow e Island, N au ru ,

N ew C aledonia, New G uinea-Papua, New

Z ealand, N iue and N o rfo lk Islands, S olom on

and T o k elau Islands, T onga, W estern Sam oa

NEW Z E A L A N D

Smallpox — E xcept th a t NO C ertificate is req u ired from

14 days p rio r to arriving in New Z ealand:

I

b y air

> 3 m o n th s

Am ericas: USA, C anada

Islands, C ook Islands, F iji, F re n c h Polynesia,

G ilb ert an d Ellice Islands, H aw aii, N au ru , New

C aledonia, N ew H ebrides, N iue, N o rfo lk and

T okelau Islands, T onga, W estern Sam oa

A C ertificate is ALSO req u ired fro m travelers arriving by

sea from :

A m ericas: All S o u th A m erican c o u n tries

Asia: All co u n tries

N IG E R

Yellow fever - E x cep t th a t NO C e rtifica te is req u ired from

travelers w ho arrive fro m a n o n -in fected area and stay less th a n

15 days Niger reco m m en d s vaccination

II Vaccination C ertificate required of arrivals from infected areas E X C E P T as indicated in notes fo r individual countries.

> Older than

36

Tiêu đề	Health Information For International Travel
Tác giả	U.S. Department of Health, Education, and Welfare Public Health Service Centre for Disease Control Bureau of Epidemiology
Trường học	Georgia State University
Chuyên ngành	International Travel Health and Vaccinations
Thể loại	publications
Năm xuất bản	1974
Thành phố	Atlanta

Định dạng
Số trang	80
Dung lượng	4,85 MB

Health Information For International Travel.pdf

United States Public Health Service Recom