Travel Health Advisory

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

All travelers should take steps to prevent mosquito bites. Chikungunya vaccination is generally not recommended. Travelers who wish to consider vaccination can visit “What to consider before traveling” on thechikungunya vaccinespage to learn more.

Active cholera transmission iswidespreadin Nepal. Cholera is rare in travelers.Certain factorsmay increase the risk of getting cholera or having severe disease (more information). Avoiding unsafe food and water and washing your hands can also help prevent cholera.Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission.

Recommended for unvaccinated travelers one year old or older going to Nepal.Infants 6 to 11 months old should also be vaccinated against Hepatitis A. The dose does not count toward the routine 2-dose series.Travelers allergic to a vaccine component should receive a single dose of immune globulin, which provides effective protection for up to 2 months depending on dosage given.Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.

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

Recommended for travelers whoAre moving to an area with Japanese encephalitis to liveSpend long periods of time, such as a month or more, in areas with Japanese encephalitisFrequently travel to areas with Japanese encephalitisConsider vaccination for travelersSpending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed netsGoing to areas with Japanese encephalitis who are uncertain of their activities or how long they will be thereNot recommended for travelers planning short-term travel to urban areas or travel to areas with no clear Japanese encephalitis season.

CDC recommends that travelers going to certain areas of Nepal take prescription medicine to prevent malaria. Depending on the medicine you take, you will need to start taking this medicine multiple days before your trip, as well as during and after your trip. Talk to your doctor about which malaria medication you should take.Transmission areasSudurpashchim and Karnali provinces in areas <2,000m (~6,500 ft) elevationRare cases in other areas throughout the country in areas <2,000 m (~6,500 ft) elevationNo malaria transmission in Kathmandu (the capital), Pokhara, or on typical Himalayan treksDrug resistanceChloroquineSpeciesP. vivax(primarily)P. falciparum(<10%)Recommended chemoprophylaxisAreas <2,000m in Sudurpashchim and Kernali Provinces: Atovaquone-proguanil, doxycycline, mefloquine, tafenoquine2All other areas with reported malaria transmission: No chemoprophylaxis recommended (insect bite precautions and mosquito avoidance only)4Updated April 23, 2025See footnotes

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.

Dogs infected with rabies are commonly found in Nepal.If rabies exposures occur while in Nepal, rabies vaccines may only be available in larger suburban/urban medical facilities.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.

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