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Compulsory vaccinations
YELLOW FEVER se….
YELLOW FEVER: Any person (except children under 9 months of age), arriving by air or sea without a certificate of vaccination is isolated for a maximum of 6 days, (i) if he/she has left an area where there is a risk of transmission of the disease less than 6 days before his/her arrival or (ii) if it has passed through one of those areas in transit, with the exception of those passengers and crew members who, for the duration of their transit through an airport situated in an area where there is a risk of transmission of the disease, stay in the buildings of the airport, provided that the airport doctor allows this exemption or (iii) if it has arrived in a ship which has left or touched a port situated in an area where the risk of transmission of the disease is present less than 30 days before its arrival in India, unless that ship has been disinfected in accordance with the procedure laid down by WHO, or (iv) if it has arrived in an aircraft which, having been in an area where the risk of transmission of the disease is present, has not been disinfected in accordance with the provisions of the Indian Air Navigation (Public Health) Regulations, 1954 or the provisions recommended by WHO. The following countries and areas are considered to be at risk of transmission: -Africa: Angola, Benin, Burkina Faso, Burundi, Cameroon, Chad, Congo, Ivory Coast, Ethiopia, Gabon, Gambia, Ghana, Guinea, Guinea Bissau, Equatorial Guinea, Kenya, Liberia, Mali, Mauritania, Niger, Nigeria, Central African Republic, Democratic Republic of Congo, Rwanda, Senegal, Sierra Leone, Sudan, South Sudan, Togo, Uganda. -America: Argentina, Bolivia, Brazil, Colombia, Ecuador, French Guiana, Panama, Paraguay, Peru, Suriname, Trinidad and Tobago, Venezuela. Note: When a case of yellow fever is reported in a country other than those mentioned above, that country is considered by the Government of India as an area where the risk of transmission of the disease is present and is added to this list.
This country considers the Yellow Fever vaccination certificate valid for life (amendment 0MS 11.07.2016). However, we recommend direct verification before travelling, considering the constant changes in the regulations of individual countries.
Updated January 2023
Recommended vaccinations
HEPATITIS A
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EPATITIS B
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TYPHOID FEVER
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POLIO
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DIARRHOEAL AND CHOLERIFORM SYNDROMES
- Vaccination is not compulsory, but should be considered depending on the type of trip and stay, and above all on the epidemiological situation of the country at the time of the trip. The new ‘oral’ formulation of the cholera vaccine now also protects against intestinal infections caused by many enterotoxic agents that cause ‘traveller’s diarrhoea’. The vaccine is therefore recommended for travel to many countries in the world.
TETANUS
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ROUTINE VACCINATIONS
Make sure you have had all the vaccinations required by the National Health System. These include: tetanus, diphtheria, polio, pertussis, haemophilus B, hepatitis B, measles, mumps, rubella, chickenpox.
JAPANESE ENCEPHALITIS
Japanese Encephalitis is a viral disease carried by mosquitoes of the genus Culex, endemic in a vast area of Asia, from China to Australia, from Pakistan to Japan and the Philippines.
Transmission is generally predominant in agricultural and rural areas, often associated with rice production,
but more and more cases are also found in large urban agglomerations.
Learn more about malaria
WHAT IT IS
Malaria is an infectious, acute disease present in the country, very much linked to wet, rainy environments, seasons and weather conditions. Check your travel itinerary and the weather conditions in the areas where you will be staying before you leave. Remember that Malaria is a potentially serious and even fatal disease. Do not underestimate it. It can be prevented by paying attention to clothing that covers your uncovered parts at sunset and at night, the use of repellents and the use of appropriate prophylaxis drugs in the seasons of greatest risk.
IN THE COUNTRY
The risk of malaria (P. vivax 50%, P. falciparum 40%, P. malariae and P. ovale rare) exists year-round throughout the country, including the cities of Bombay (Mumbai) and Delhi, except in areas > 2,000 m (6,562 ft) in Himachal Pradesh, Jammu and Kashmir and Sikkim .
Updated to January 2023
from CDC- YELLOW BOOK 2020
PROFILASIS
It is advisable to enquire at specialised centres about the need for pharmacological prophylaxis and with which drug.In areas at risk for Pl. Vivax the use of Chloroquine is recommended, without other drugs; in other areas, where the presence of Pl. Falciparum, the use of the following drugs is recommended: doxycycline, above 12 years of age, even for prolonged periods, in adventurous stays, in tents, or for treccking, or atovaquone-proguanil, in the under-12 population, and in the adult population, as an alternative to bassado.
It is advisable to inquire at specialised centres about the need for pharmacological prophylaxis and with which drug. In areas at risk for Pl. Vivax, the use of Chloroquine is recommended, without other drugs; in other areas, where Pl. Falciparum the use of the following drugs is recommended: doxycycline, over 12 years of age, even for prolonged periods, in adventurous stays, in tents, or for trekking, or atovaquone-proguanil, in the under-12 population, and in the adult population, as an alternative to doxycycline.
Mefloquine, in young adults in good health and subjects free of cardiovascular, neurological and psychiatric diseases. Do not use in states of anxiety and in cases of insomnia.
RETURN
In the event of fever, diarrhoea or otherwise feeling unwell, it is essential to consult a specialist doctor or expert in tropical diseases without delay (if possible within 24 hours, due to the possibility of having contracted malaria, if you are returning from a risk zone).
