Brazil

Vaccines for disease	Recommendations	Clinical Guidance for Healthcare providers
Routine vaccines	Make sure you are up-to-date on all routine vaccines before every trip. Some of these vaccines include Chickenpox (Varicella)Diphtheria-Tetanus-Pertussis Flu (influenza)Measles-Mumps-Rubella (MMR)Polio Shingles	Immunization schedules
COVID-19	All eligible travelers should be up to date with their COVID-19 vaccines. Please see Your COVID-19 Vaccination for more information.	COVID-19 vaccine
Hepatitis A	Recommended for unvaccinated travelers one year old or older going to Brazil. Infants 6 to 11 months old should also be vaccinated against Hepatitis A. The dose does not count toward the routine 2-dose series. Travelers allergic to a vaccine component or who are younger than 6 months should receive a single dose of immune globulin, which provides effective protection for up to 2 months depending on dosage given. Unvaccinated travelers who are over 40 years old, immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.	Hepatitis A – CDC Yellow Book Dosing info – Hep A
Hepatitis B	Recommended for unvaccinated travelers younger than 60 years old traveling to Brazil. Unvaccinated travelers 60 years and older may get vaccinated before traveling to Brazil.	Hepatitis B – CDC Yellow Book Dosing info – Hep B
Malaria	CDC recommends that travelers going to certain areas of Brazil take prescription medicine to prevent malaria. Depending on the medicine you take, you will need to start taking this medicine multiple days before your trip, as well as during and after your trip. Talk to your doctor about which malaria medication you should take. Find country-specific information about malaria.	Malaria – CDC Yellow Book Considerations when choosing a drug for malaria prophylaxis (CDC Yellow Book)Malaria information for Brazil.
Measles	Cases of measles are on the rise worldwide. Travelers are at risk of measles if they have not been fully vaccinated at least two weeks prior to departure, or have not had measles in the past, and travel internationally to areas where measles is spreading. All international travelers should be fully vaccinated against measles with the measles-mumps-rubella (MMR) vaccine, including an early dose for infants 6–11 months, according to CDC’s measles vaccination recommendations for international travel.	Measles (Rubeola) – CDC Yellow Book
Rabies	Rabid dogs are commonly found in Brazil. However, if you are bitten or scratched by a dog or other mammal while in Brazil, rabies treatment is often available. Consider rabies vaccination before your trip if your activities mean you will be around dogs or wildlife. Travelers more likely to encounter rabid animals include campers, adventure travelers, or cave explorers (spelunkers) veterinarians, animal handlers, field biologists, or laboratory workers handling animal specimens. Since children are more likely to be bitten or scratched by a dog or other animals, consider rabies vaccination for children traveling to Brazil.	Rabies – CDC Yellow Book
Typhoid	Recommended for most travelers, especially those staying with friends or relatives or visiting smaller cities or rural areas.	Typhoid – CDC Yellow Book Dosing info – Typhoid
Yellow Fever	*Recommended* for travelers ≥9 months old going to the states of Acre, Amapá, Amazonas, Distrito Federal (including the capital city, Brasília), Espírito Santo,* Goiás, Maranhão, Mato Grosso, Mato Grosso do Sul, Minas Gerais, Pará, Paraná,* Piauí, Rio de Janeiro (including the city of Rio de Janeiro and all coastal islands),* Rio Grande do Sul,* Rondônia, Roraima, Santa Catarina,* São Paulo (including the city of São Paulo and all coastal islands),* Tocantins, and designated areas of Bahia. Vaccination is also recommended for travelers going to Iguaçu Falls. Not recommended* for travel limited to any areas not listed above, including the cities of Fortaleza and Recife *In 2017, in response to a large YF outbreak in multiple eastern states, CDC expanded its vaccination recommendations for travelers going to Brazil. The expanded YF vaccination recommendations for these states are preliminary. For updates, refer to the CDC Travelers’ Health website.	Yellow Fever – CDC Yellow Book

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