Travellers should be up to date with routinely recommended vaccinations according to the routine UK immunisation programme.
Vaccination recommended for all previously unvaccinated travellers. Hepatitis A vaccine is well tolerated and affords long-lasting protection.
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.
Consider immunisation depending on type of activity (eg, running, cycling), occupation (eg, veterinary surgeons) and length of stay. Travellers should be aware of first aid measures and the need to seek prompt medical attention in the event of possible rabies exposure.
Vaccination recommended for travellers visiting affected areas (eg, Tulcea county and Transylvania at the base of the Carpathian Mountains and the Transylvanian Alps) whose activities put them at increased risk, including those working in forestry, woodcutting, farming and the military and travellers to forested areas (eg, campers, hikers, hunters and individuals who undertake fieldwork).
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.
Vaccination recommended for travellers at increased risk of developing severe disease and/or of exposure to TB, including unvaccinated children under 16 years of age who are going to live for more than 3 months in this country and unvaccinated, tuberculin skin test negative individuals under 35 years of age at risk because of their work (eg, healthcare workers, prison staff and vets).