There is a very low risk in a small remote foci of Al Hasakah. Advise mosquito bite avoidance.
Travellers should be up to date with routinely recommended vaccinations according to the routine UK immunisation programme.
Vaccination recommended for travellers whose activities put them at increased risk, including those visiting friends and relatives, those in contact with an infected person, young children, long-stay travellers, and those visiting areas of poor sanitation.
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.
All travellers should have completed a polio vaccination course according to the UK schedule. A booster dose of a polio-containing vaccine is recommended for those who have not received a dose within the previous 10 years.
Additional interim advice:
Travellers to settings with extremely poor hygiene (eg, refugee camps) or likely to be in close proximity with cases (eg, healthcare workers), and/or visiting for 6 months or more, are advised to have a booster dose of polio-containing vaccine if they have not received vaccination in the past 12 months.
Immunosuppressed travellers and their household contacts and pregnant travellers who plan to travel to Syria for 4 weeks or more are advised to receive inactivated polio vaccine (IPV) within 1 year before planned departure from Syria and to carry proof of polio vaccination.
Travellers who intend to visit Syria for 4 weeks or more may wish to carry proof of polio vaccination, if given in the previous 12 months.
Vaccination recommended for travellers whose activities put them at increased risk, including those at risk due to their work (eg, health workers or those working with animals), those travelling to areas where access to post-exposure treatment and medical care is limited, those planning higher risk activities such as running or cycling, and long-stay travellers.
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.