Travel Health Advisory

All eligible travelers should be up to date with their COVID-19 vaccines. Please seeYour COVID-19 Vaccinationfor more information.

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.

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

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 toCDC’s measles vaccination recommendations for international travel.

In Germany poliovirus has been identified in the past year.Travelers to Germany are at increased risk of exposure to poliovirus.Vaccine recommendations: Adults traveling to Germany who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for anaccelerated vaccination schedule.

Dogs infected with rabies are not commonly found in Germany.If rabies exposures occur while in Germany, rabies vaccines are typically available throughout most of the country.Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.Please consult with a healthcare provider to determine whether you should receive pre-exposure vaccination before travel.For more information, seecountry rabies status assessments.

For travelers moving or traveling toTBE-endemic areasTBE vaccineis recommended for persons who will haveextensiveexposure to ticks based on their planned outdoor activities and itinerary.TBE vaccine may be considered for persons who might engage in outdoor activities in areas ticks are likely to be found.