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Europe - travel vaccination advice

Vaccination against various diseases is recommended when travelling to some European countries, particularly Eastern Europe. The vaccines depend on the destination, type of accommodation, sanitary conditions, length of stay and the general health of the traveller.

Malaria precautions are important in a few countries in the very eastern part of Europe. Avoid mosquito bites by covering up with clothing such as long sleeves and long trousers especially after sunset, using insect repellents on exposed skin and, when necessary, sleeping under a mosquito net. 

Some countries have their own recommendations for the meningococcal vaccine. People who are unsure if they have had the MMR vaccine or whether they have had measles, mumps and rubella are recommended to have the vaccine.

International travel can be divided into two main groups 

GROUP I   

Business and tourist travel to cities and tourist resorts, staying in standard tourist-class hotels with good food hygiene and adequate sanitary conditions.

GROUP II

Long-term foreign travel or residence in areas with poor hygiene and sanitation, and / or close and prolonged contact with locals (such as work, back-packing trips, immigrants on a visit to their former homeland).  

( ): Parentheses around the abbreviation means that the proposed prevention should be considered individually depending on the trip type and local geographic and seasonal variations in disease prevalence. In addition, the traveller's health, age and previous immunisation status should be considered.

Recommended vaccines

DESTINATION GROUP I GROUP II
Czech Republic, Hungary, Poland, Slovakia, Slovenia  dTP-IPV*

dTP-IPV*
(TBE)
(Rab)

Estonia

dTP-IPV*

dTP-IPV*
(Hep A) 
(TBE) 

Latvia, Lithuania

 

dTP-IPV*

dTP-IPV*
(Hep A) 
(Rab) 
(TBE) 
(BCG)

Bulgaria, Serbia 

dTP-IPV*
(Hep A)

dTP-IPV*
Hep A 
(Hep B) 
(Rab) 
(TBE) 
(Typh)

Albania, Macedonia, Montenegro,Turkey  dTP-IPV*
(Hep A)

dTP-IPV*
Hep A 
(Rab) 
(TBE) 
(Typh)

Belarus, Bosnia-Herzegovina, Kosovo, Moldova, Romania,

Russia (European part), Ukraine

dTP-IPV*
(Hep A)

dTP-IPV*
Hep A
(Hep B)
(Rab)
(TBE)
(BCG)
(Typh)

Armenia, Azerbaidjan, Georgia dTP-IPV*
Hep A

dTP-IPV*
Hep A
(Hep B)
(Rab)
(BCG)
(Typh)

Croatia dTP-IPV*

dTP-IPV*
(Hep A)
(Rab)
(TBE)

Austria, Denmark, Finland, France, Germany,
Greece, Italy, Sweden, Switzerland

dTP-IPV*

dTP-IPV*
(TBE)

Other European countries dTP-IPV*

dTP-IPV*

*) Everybody should be vaccinated against diphtheria, tetanus, pertussis (whooping cough) and poliomyelitis. Adults who have had the basic vaccinations should have a booster dose against these diseases every 10 years. Even though the current journey will not increase the risk of these diseases, it is appropriate to update these vaccines together with travel vaccinations and advice.

Abbreviations for travel vaccines

  • dTP-IPV: Diphtheria, tetanus, whooping cough and polio vaccine
  • Hep A: Hepatitis A vaccine
  • Hep B: Hepatitis B vaccine
  • IPV: Poliomyelitis vaccine
  • Rab: Rabies vaccine
  • TBE: Tick-borne encephalitis vaccine
  • Typh: Typhoid vaccine
  • BCG: Tuberculosis vaccine

Source for travel vaccination advice given by the Norwegian Institute of Public Health 

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