Travellers should be up to date with routinely recommended vaccinations according to the routine UK immunisation programme.
High risk men who have sex with men with multiple partners may benefit from vaccination and should seek advice from their sexual health or travel clinic prior to travelling.
Azores and Madeira only: Vaccination recommended for travellers whose activities or medical history put them at increased risk, including those who may have unprotected sex, those who may be exposed to contaminated needles (eg, through injecting drug use or receiving medical or dental care), those who may be exposed to blood or body fluids through their work (eg, health workers), long-stay travellers, those who are participating in contact sports and families adopting children from this country.
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).
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.