Vax-Before-Travel Vaccines

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Last reviewed
February 15, 2024
Content Overview
Yellow fever, Zika, polio, malaria, measles, Lyme, cholera, chikungunya, and dengue disease outbreaks.

Vax-Before-Travel Travel Vaccines 2024

Getting vaccinated against infectious diseases is one of the most effective ways to protect your health while traveling abroad, says the World Health Organization (WHO). According to the U.S. Centers for Disease Control and Prevention (CDC), most travel vaccines should be administered at least one month before departure to ensure maximum protection. Various U.S. Food and Drug (FDA), UK NHS, and European Medicines Agency (EMA) travel vaccines are approved, and the WHO published an updated List of vaccines in 2024.

Travel Vaccine Advisories

The U.S. Centers for Disease Control and Prevention publishes Travel Health Advisories and Travel Assessment, which enable international travelers to confirm vaccine requirements for each country. In addition, the CDC issued an update to Frequently Asked Travel Questions and Answers. The CDC lists the minimum ages and intervals between doses for available travel vaccines recommended in the U.S. The Pan American Health Organization (PAHO)U.K. Foreign Travel Advice, and the European Centers for Disease Control (ECDC) publish vaccine recommendations. Travel vaccine hotspots in 2024 include BrazilCancunCosta RicaFlorida, HaitiJamaica, New York, and Puerto Rico. And publishes disease outbreaks segment by country. The Walter Reed Biosystematics Unit provides actionable entomological intelligence that best assesses global vector-borne disease risks.

The U.S. Department of State publishes Travel Advisories, and U.S. embassies issue travel security notices for cities and countries. 

Travel Vaccine Cruise Ships

As of 2024, the CDC publishes guidance for cruise ships for Acute Respiratory Illness management and prevention. The Vessel Sanitation Program (VSP) requires cruise ships to report the number of people who say they have symptoms of gastrointestinal illness. The VSP report was updated in February 2024.

Travel Vaccination Appointments

In Texas, pre-departure travel vaccination services are offered in Austin, Cedar Park, Dallas, Houston, Lubbock, San Antonio, San Marcus, and Tyler. And in Massachusetts at Destination Health Travel Clinic.


Anthrax Vaccines

A total of 1,166 suspected anthrax cases have been recorded in Kenya, Malawi, Uganda, Zambia, and Zimbabwe in 2023. Zambia is witnessing its largest outbreak since 2011, reporting 684 suspected cases and four deaths. 

CYFENDUS ™ (AV7909, BioThrax®), a two-dose anthrax vaccine for Post-Exposure Prophylaxis, was approved on July 20, 2023.

Avian Influenza Vaccines

Avian influenza (bird flu) outbreaks continue in 2024, as well as vaccine candidate development.

Audenz™ is a U.S. FDA-approved monovalent, adjuvanted, cell-based inactivated subunit vaccine.

Chikungunya Vaccines

As of 2024, there is one approved chikungunya vaccine. The U.S. CDC published Recommendations for  Chikungunya Vaccine Use Among Adult Travelers on October 26, 2023. Chikungunya outbreaks are primarily found in Africa, the Americas, Asia, and the Indian subcontinent.

IXCHIQ® (VLA1553) is an approved monovalent, single-dose, live-attenuated chikungunya vaccine. Valneva SE's VLA1553 is currently the only chikungunya vaccine showing fully sustained titers 1-year after a single vaccination. 

CHIKV-VLP Chikungunya vaccine candidate is a multi-protein structure that mimics the organization and conformation of naturally occurring viruses without the viral genome, which could promote a more robust immune response and increased antibody production.

mRNA-1944 encodes a fully human IgG antibody isolated initially from the B cells of a patient with a prior history of potent immunity against Chikungunya infection. 

Cholera Vaccine

As of 2024, cholera vaccines remain on allocation, with limited availability. Three WHO-prequalified two-dose oral cholera vaccines, Dukoral®, Shanchol™, and Euvichol®, are used for international travelers. Cholera outbreaks have been reported in Haiti, Malawi, Africa, and Syria during 2023.

Vaxchora is an oral cholera vaccine for active immunization against disease caused by Vibrio cholerae serogroup O1.

DUKORAL® is available in Europe, the U.K., and various countries. 

Dengue Vaccines

Dengue is a vaccine-preventable disease causing outbreaks in 2024. Various countries have approved two dengue vaccines, and several candidates are conducting clinical trials in 2024.

Dengvaxia® is a live attenuated tetravalent chimeric vaccine licensed in the U.S. and elsewhere.

QDENGA® is a tetravalent dengue vaccine licensed in Indonesia, Europe, the U.K., and Brazil.

Diphtheria Vaccines

Diphtheria outbreaks continue in countries such as Guinea and Niger. In recent years, there have been outbreaks of diphtheria due to inadequate vaccine coverage, as about 16% of children are not fully vaccinated, says the WHO. The U.S. CDC says travelers two months and older traveling to outbreak areas should receive an age-appropriate dose of diphtheria toxoid-containing vaccine if they are not fully vaccinated or have not received a booster dose within five years before departure. There are 11 vaccines available to help protect against diphtheria in 2024.

Ebola Vaccines

Ebola outbreaks in Africa began in 1976 and continued in 2024.

Ervebo, Ebola Zaire Vaccine, Live, is a recombinant, replication-competent Ebola vaccine with a vesicular stomatitis virus, which has been genetically engineered to express a glycoprotein from the Zaire ebolavirus to provoke a neutralizing immune response to the Ebola virus.

Combining Zabdeno (Ad26.ZEBOV) and Mvabea (MVA-BN-Filo) is an Ebola vaccine therapy.

Ebanga™ (mAb114, Ansuvimab-zykl) is a human monoclonal antibody approved for treating Zaire ebolavirus infections.

Sudan Ebolavirus vaccines are being developed in clinical trials.

Hajj and Umrah Vaccinations

The Saudi Ministry of Health established vaccine requirements for visitors to obtain an Entry Visa for Hajj and Umrah in 2024. 

Influenza Vaccines

Flu shots are recommended for international travelers wherever influenza viruses spread. The 2023-2024 flu season began in the United States in October 2023.

Japanese Encephalitis Vaccines

JENVAC is a single-dose inactivated Japanese Encephalitis Vaccine. This Vero cell-derived vaccine is prepared from the virus's Indian strain (Kolar- 821564XYs).

Ixiaro is an inactivated, adsorbed Vero cell culture-derived vaccine targeted against the Japanese encephalitis virus. It is prepared by propagating JEV strain SA14-14-2 in Vero cells.

Lassa Fever Vaccine

Lassa fever is an acute viral hemorrhagic fever without an approved vaccine in 2024.


The risk of acquiring leptospirosis, a bacterial disease, is reduced by not swimming in water contaminated with animal urine. Leptospirosis, also called Weil disease, is the most common zoonotic infection in the world. At least one-third of patients who develop aseptic meningitis continue to complain of headaches and other neurological deficits chronically. 

Lyme Disease Vaccines

Lyme disease outbreaks continue in Europe and the United States in 2023. Various Lyme disease vaccine candidates are completing late-stage clinical studies.

VLA15 is a multivalent recombinant protein vaccine candidate targeting Borrelia's outer surface protein A designed for prophylactic, active immunization against Lyme disease to protect people

Malaria Vaccines

Malaria outbreaks continue in 2024, and malaria vaccines are available in Africa but not in the U.S.

Mosquirix (RTS,S/AS01e) is a recombinant vaccine that triggers the immune system to defend against the first stages of infections when the Plasmodium falciparum malaria parasite enters the human host's bloodstream through a mosquito bite.

R21/Matrix-M™ Malaria vaccine is produced by the Serum Institute of India and developed by scientists at the University of Oxford in England. As of October 2023, the WHO recommends it.

Marburg Disease Vaccines

Marburg vaccine candidates are conducting clinical trials, and various Marburg disease outbreaks have been reported in 2022 and 2023.

Measles Vaccines

Measles outbreaks continue in 2024, including in the U.S. Various measles vaccines are available.

M-M-R II vaccine is also known as the Measles, Mumps, and Rubella Virus Vaccine Live, a live virus vaccine containing weakened forms of the measles, mumps, and rubella virus. M-M-R II works by helping the immune system protect itself from these viruses.

Priorix is currently licensed in over 100 countries. It is recommended for use in individuals aged ≥nine months, according to a 1- or 2-dose vaccination scenery.

MERS Vaccine

As of 2024, no approved MERS-CoV vaccines exist, but cases continue to be reported in the Middle East.

VTP-500 vaccine candidate completed Phase I clinical trials in Britain and Saudi Arabia, and the University of Oxford a Phase Ib trial in the U.K. to assess vaccination of older adults.

Norovirus Vaccine

As of 2024, the U.S. FDA has not approved a norovirus vaccine candidate.

Mpox Vaccine

The JYNNEOS smallpox-mpox vaccine is available in certain cities reporting mpox outbreaks.

Nipah Virus Vaccines

Nipah virus vaccine candidates continue in phase 1 clinical trials in 2023. Since 1999, Nipah outbreaks have occurred in Asia, including Bangladesh and India.

Plague Vaccine

Because human plague is rare in most parts of the world, there is no need to vaccinate persons other than those at exceptionally high risk of exposure, says the WHO. Many plague patients in the western United States are infected due to wild-rodent plague. According to Gendarmerie, there have been at least twenty suspicious deaths linked to the plague in Madagascar since September 2023.

The WHO-Plague Vaccines in Preclinical Development and Clinical Trials was published in 2023. Primary outcomes were efficacy, safety, and immunogenicity assessed using the Cochrane Collaborations tool. Only 2 RCTs on subunit vaccines were included out of the 75 screened articles. The study concluded a single-dose F1-based mRNA-LNP vaccine protects the lethal plague bacterium.

Polio Vaccines

Polio vaccination, including booster shots, is recommended when visiting polio-endemic countries in 2024.

IPOL is a sterile suspension of three types of poliovirus: Type 1 (Mahoney), Type 2 (MEF-1), and Type 3 (Saukett). Sanofi Pasteur's single-antigen IPOL vaccine is a highly purified, inactivated poliovirus vaccine with enhanced potency.

Sabin Inactivated Poliovirus Vaccine is a liquid trivalent vaccine produced from Sabin poliovirus type 1, 2, and 3 strains grown on Vero cells.

nOPV2 polio vaccine is derived from the live, infectious virus, but it has been 'triple-locked using genetic engineering to prevent it from becoming harmful. nOPV2 is genetically more stable than existing OPVs.

Rabies Vaccines

Various rabies vaccines and candidates seek to reduce rabies mortality in 2024.

Rocky Mountain Spotted Fever

RMSF is endemic in multiple border states in northern Mexico, including but not exclusive to Baja California, Sonora, Chihuahua, Coahuila, and Nuevo León. As of December 8, 2023, five patients have been diagnosed with confirmed RMSF since late July 2023; all had traveled to or residence in Tecate within two weeks of illness onset. As of December 2023, there is no approved RMSF vaccine. However, the CDC says early treatment with doxycycline saves lives.

Rotavirus Vaccines

Since 2019, four rotavirus vaccines have been prequalified by the WHO. 

GSK's Rotarix is a live, attenuated rotavirus vaccine that exposes your child to a small dose of the virus, which causes the body to develop immunity to the disease.

Tick-Borne Encephalitis Vaccine

TicoVac vaccine is marketed by Pfizer Inc. under the brand names FSME-Immun® in Europe and TICOVAC™ in the U.S. It was developed using a master 'seed' virus similar to the tick-borne encephalitis virus found in nature.

Tuberculosis Vaccine

The BCG vaccine can prevent tuberculosis and tuberculosis meningitis and is used for nonspecific protective effects. Various BCG vaccines are available globally in 2023. T.B. outbreaks have been reported in certain U.S. states and multiple countries.

Typhoid Vaccine

Typhoid vaccines are available in 2023 and are recommended for people traveling to places where typhoid fever is common, such as South Asia (India).

Vivotif oral vaccine (capsules) is indicated for the immunization of adults and children over six years of age against disease caused by Salmonella Typhi. It contains live bacteria called Salmonella typhi strain Ty21a, which does not cause typhoid fever. Bavarian Nordic A/S owns Vivotif Oral and is available in the U.S.

Typbar TCV is a vaccine containing polysaccharide of Salmonella typhi Ty2 conjugated to Tetanus Toxoid.

Typhim VI is a sterile solution prepared from the purified polysaccharide capsule of Salmonella typhi (Ty 2 strain). 

Yellow Fever Vaccines

The WHO updated the country list containing yellow fever vaccine requirements. The 'yellow card' (ICVP) must provide proof of vaccination against yellow fever.

YF-VAX® vaccine is licensed in the U.S. and requires about ten days to produce maximum immunity.

Stamaril® is distributed in over 70 countries in 2023, but not in the U.S. 

Zika Virus Vaccines

While Zika virus outbreaks continue in 2023. The Region of the Americas has reported 31,780 Zika Cases in 2023. No approved Zika vaccines are available.

Combination Travel Vaccines

Kinrix is a vaccine to prevent Diphtheria, Tetanus Toxoids, Pertussis, and Polio.

Pediarix is a vaccine containing noninfectious proteins from diphtheria, tetanus, pertussis bacteria, hepatitis B virus, and inactivated polioviruses.

Travel Vaccine Certificates

Travel vaccination certificate information for yellow fever and polio is posted by Precision Vax. The WHO and European Commission announced in 2023 that the European Union digital certification system will become a global system facilitating international mobility. In May 2023, a notice of End to Requirement was issued for air passengers to provide proof of vaccination before visiting the U.S.

Travel Vaccine FAQs

The U.S. CDC's Traveler-based Genomic Surveillance (TGS) is a nasal sampling program testing people for Flu A/B, RSV, SARS-CoV-2, and other respiratory pathogens at leading airports in the U.S. TGS offers an early warning system to detect emerging infectious threats in near real-time. Frequently asked questions and answers related to travel vaccines are published by trusted sources, such as:

Note: This content is aggregated from various news sources and vaccine research organizations and has been fact-checked by healthcare providers, such as Dr. Robert Carlson.