Travel Health Advisory

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

Recommended for unvaccinated travelers one year old or older going to Estonia.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 Estonia. Unvaccinated travelers 60 years and older may get vaccinated before traveling to Estonia.

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 not commonly found in Estonia.If rabies exposures occur while in Estonia, 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.

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.