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      Latest update: - Authors: Mieke Croughs, Ula Maniewski

      This page contains the main health risks for travellers and general recommendations. Travel conditions are different for everyone and each patient's health condition varies. Discuss your trip during a travel consultation with your doctor or in a travel clinic, preferably six to eight weeks before departure.

      Check the current security situation on the federal government website.

      Important health risks


      The malaria risk is:

      • high in the Amazon basin some areas of the states Acre, Amapá, Amazonas, Roraima as well as partial areas in the northeast and southwest of Pará state. We recommend the use of mosquito-repellent measures from dusk till morning, in combination with the use of malaria tablets.
      • moderate in in the states Rondônia, northern and western part of Pará, western part of Mato Grosso, travelling on the Amazon River (e.g. from Iquitos in Peru to the delta mouth including Manaus),  parts of the state of Amazonas (exceptions see above) city centers of Boa Vista and Porto Velho. We recommend the use of mosquito-repellent measures from dusk till morning. For people with an increased risk, we sometimes recommend preventive malaria tablets, or taking an emergency treatment with you.
      • low in the rest of the states Pará, Mato Grosso and partial areas of the states of Mato Grosso do Sul, Maranão, and the rural and forested regions of the states Alagoas, Bahia, Ceará, Espirito Santo, Goiás, Minas Gerais, Paraná, Piauí, Rio Grande do Sul, Rio de Janeiro, São Paulo, Santa Catarina and Tocantins. We recommend the use of mosquito-repellent measures from dusk till morning.

      There is no malaria risk in the cities of Brasilia, Rio de Janeiro, São Paulo, Recife, Fortaleza, Salvador, Iguaçu-falls.

      In case of fever during or after your journey, get tested for malaria as soon as possible.

      Yellow fever

      There is risk of yellow fever almost in the entire country, with the exception of a part of the northeastern coast, Salvador, Recife and Fortaleza (see map).

      Other insect-borne diseases

      Insects can transmit diseases such as dengue, chikungunyazika, leishmaniasis and Chagas disease.

      Protect yourself against insects


      Ticks can transmit diseases.


      Dogs and other mammals can be infected with rabies.


      There is a risk of infection with schistosomiasis when swimming or bathing in lakes and rivers.

      Altitude sickness

      You may experience altitude sickness in areas above 2500 metres.

      Other frequent health risks while travelling

      Read these tips before you leave.


      Yellow fever


      Yellow fever vaccination is recommended for all travellers and must be administered at least ten days prior to arrival by an official yellow fever vaccination centre.

      Hepatitis A


      Hepatitis A vaccination is recommended for all travellers.

      Update of basic vaccinations


      Other vaccinations

      Recommended for some travellers

      Discuss with your doctor whether one of the following vaccinations is recommended for you:

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