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Travel Medical Advice for The United States of America





United States Overview for Medical Travel Advice

For information on recent United States outbreaks, please see the Morbidity and Mortality Weekly Report.

Note: New security measures were implemented on August 10, 2006, regarding what passengers may carry onto the airplane. Up-to-date information may be obtained at the Transportation Security Administration’s Guidance For Airline Passengers Fact Sheet and Frequently Asked Questions.

Health Information on Specific States.

The links below will link to an external, non-Security Website site. The links will open in another browser window.

Links found at this site are provided solely as a service to our users. These links do not constitute an endorsement of these organizations or their programs by the Security Website, and none should be inferred. The Security Website is not responsible for the content of the individual organization Web pages found at these links.

Preparing for Your Trip to the United States

Before visiting United States, you may need to get the following vaccinations and medications for vaccine-preventable diseases and other diseases you might be at risk for at your destination:

If your travel plans will take you to more than one country during a single trip, be sure to let your health-care provider know so that you can receive the appropriate vaccinations and information for all of your destinations. Long-term travelers, such as those who plan to work or study abroad, may also need additional vaccinations as required by their employer or school.

Be sure your routine vaccinations are up-to-date. Check the links below to see which vaccinations adults and children should get.

Routine vaccines, as they are often called, such as for influenza, chickenpox (or varicella), polio, measles/mumps/rubella (MMR), and diphtheria/pertussis/tetanus (DPT) are given at all stages of life; see the childhood and adolescent immunization schedule and routine adult immunization schedule.

Routine vaccines are recommended even if you do not travel.

Vaccine-Preventable Diseases

Vaccine recommendations are based on the best available risk information. Please note that the level of risk for vaccine-preventable diseases can change at any time.

Vaccination or Disease Recommendations or Requirements for Vaccine-Preventable Diseases

Routine  Recommended if you are not up-to-date with routine shots such as, measles/mumps/rubella (MMR) vaccine, diphtheria/pertussis/tetanus (DPT) vaccine, poliovirus vaccine, etc.

Hepatitis B  Recommended for all unvaccinated persons who might be exposed to blood or body fluids, have sexual contact with the local population, or be exposed through medical treatment, such as for an accident, even in developed countries, and for all adults requesting protection from HBV infection.

Rabies vaccination is only recommended for travelers involved in any activities that might bring them into direct contact with bats, carnivores, and other mammals. These travelers include wildlife professionals, researchers, veterinarians, or adventure travelers visiting areas where bats, carnivores, and other mammals are commonly found.

Other Diseases Found in North America

Risk can vary between countries within this region and also within a country; the quality of in-country surveillance also varies.

The incidence of communicable diseases is such that they are unlikely to prove a hazard for international travelers greater than that found in their own country. There are, of course, health risks, but in general, the precautions required are minimal.

Certain diseases occasionally occur, such as plague, rabies in wildlife, including bats, raccoons, foxes, and other wild animals. Coccidioidomycosis is endemic in the southwestern United States and can occur in visitors to the area. Its incidence has increased in Arizona and California in recent years. Histoplasmosis is highly endemic, especially in the Mississippi, Ohio, and St. Lawrence River valleys. Sporadic cases and large outbreaks occur.

Cases of hantavirus pulmonary syndrome have been widely distributed in North America, with the greatest concentration in the western and southwestern United States. Infections in animals were reported in agricultural regions of the United States and Canada in 2006; infection in humans is rare.

Lyme disease is endemic in northeastern, north central (upper Midwest), and Pacific coastal areas of North America. West Nile fever was first documented in the United States (New York) in 1999 and has since spread throughout continental United States and southern Canada.

Outbreaks of diarrhea caused by enterohemorrhagic Escherichia coli O157:H7 have occurred in many areas and have increased in the past decade. Campylobacter and Salmonella are the most common causes of acute bacterial diarrhea.

Isolated cases of bovine spongiform encephalopathy (BSE/mad cow disease) have been reported in Canada and the United States. For more information, see and and cases of pertussis have been increasing for more than a decade.

After You Return Home

If you are not feeling well, you should see your doctor and mention that you have recently traveled.  Also tell your doctor if you were bitten or scratched by an animal while traveling.

Important Note: This document is not a complete medical guide for travelers to this region. Consult with your doctor for specific information related to your needs and your medical history; recommendations may differ for pregnant women, young children, and persons who have chronic medical conditions.

Map Disclaimer - The boundaries and names shown and the designations used on maps do not imply the expression of any opinion whatsoever on the part of the Security Website concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Approximate border lines for which there may not yet be full agreement are generally marked.




You can also check out the Travel Security Advice for The United States HERE......

The UK Foreign & Commonwealth Office also has information regarding travel to The United States HERE....


The SW Team..............