| 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-PertussisFlu (influenza)Measles-Mumps-Rubella (MMR)PolioShingles | 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 |
| Cholera | Cholera is presumed to be present in Pakistan. Cholera is rare in travelers. Certain factors may increase the risk of getting cholera or having severe disease (more information). Avoiding unsafe food and water and washing your hands can also help prevent cholera. Avoiding unsafe food and water and washing your hands can also help prevent cholera. Vaccination may be considered for children and adults who are traveling to areas of active cholera transmission. | Cholera – CDC Yellow Book |
| Hepatitis A | Recommended for unvaccinated travelers one year old or older going to Pakistan. 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 BookDosing info – Hep A |
| Hepatitis B | Recommended for unvaccinated travelers younger than 60 years old traveling to Pakistan. Unvaccinated travelers 60 years and older may get vaccinated before traveling to Pakistan. | Hepatitis B – CDC Yellow BookDosing info – Hep B |
| Japanese Encephalitis | Recommended for travelers who are moving to an area with Japanese encephalitis to spend long periods of time, such as a month or more, in areas with Japanese encephalitis frequently travel to areas with Japanese encephalitis. Consider vaccination for travelers spending less than a month in areas with Japanese encephalitis but will be doing activities that increase risk of infection, such as visiting rural areas, hiking or camping, or staying in places without air conditioning, screens, or bed nets. Going to areas with Japanese encephalitis who are uncertain of their activities or how long they will be there. Not recommended for travelers planning short-term travel to urban areas or travel to areas with no clear Japanese encephalitis season. | Japanese encephalitis – CDC Yellow BookJapanese Encephalitis Vaccine for US Children |
| Malaria | CDC recommends that travelers going to certain areas of Pakistan 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 BookConsiderations when choosing a drug for malaria prophylaxis (CDC Yellow Book)Malaria information for Pakistan. |
| 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 |
| Polio | In Pakistan poliovirus has been identified in the past year.Travelers to Pakistan are at increased risk of exposure to poliovirus. Vaccine recommendations: Adults traveling to Pakistan who received a complete polio vaccination series as children may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule. | Polio – CDC Yellow BookPolio: For Travelers |
| Rabies | Rabid dogs are commonly found in Pakistan. If you are bitten or scratched by a dog or other mammal while in Pakistan, there may be limited or no rabies treatment 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 Pakistan. | Rabies – CDC Yellow Book |
| Typhoid | Recommended for most travelers, especially those who are staying with friends or relatives; visiting smaller cities, villages, or rural areas where exposure might occur through food or water; or prone to “adventurous eating.” A significant proportion of Salmonella Typhi strains found in Pakistan are extensively drug resistant but remain susceptible to azithromycin and carbapenems (more information). | Typhoid – CDC Yellow BookDosing info – Typhoid |
| Yellow Fever | Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission; this includes >12-hour airport transits or layovers in countries with risk for YF virus transmission.1 | Yellow Fever – CDC Yellow Book |
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