Travellers should be up to date with routinely recommended vaccinations according to the routine UK immunisation programme.
Rabies has not been reported in domestic or wild animals in this country but bats may carry bat lyssavirus (bat rabies). Vaccination is recommended for travellers whose activities put them at increased risk, including those at risk due to their work (eg, those working with bats).
Vaccination recommended for travellers visiting affected areas whose activities put them at increased risk, including those working in forestry, woodcutting, farming and the military and travellers to forested areas typically during spring to late autumn (eg, campers, hikers, hunters and individuals who undertake fieldwork).
Saint Martin and Saint Barthélemy (islands in the Caribbean sea) only:
International Certificate of Vaccination or Prophylaxis (ICVP) required if arriving from a country with a risk of yellow fever transmission or having transited for more than 12 hours through an airport of a risk country.
- applies to children from 12 months.
If a receiving country requires an ICVP as a condition of entry, and the individual should not receive the vaccine on medical grounds, a letter of medical exemption can be considered.Tetanus
Travellers should have completed a primary vaccination course according to the UK schedule. If travelling to a country where medical facilities may be limited, a booster dose of a tetanus-containing vaccine is recommended if the last dose was more than ten years ago even if five doses of vaccine have been given previously.