Pakistan

The malaria risk is:

• high all year round: in floodplains. We recommend the use of mosquito-repellent measures from dusk till morning, in combination with the use of malaria tablets.
• seasonal in non-flooded areas below 2500 m elevation: parts of the center and southern half of the country:
  • from May till November: the malaria risk is high. We recommend the use of mosquito-repellent measures from dusk till morning, in combination with the use of malaria tablets.
  • from December till April: the malaria risk is moderate. 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.
• moderate all year round: below 2500 m elevation in remaining regions of the northwestern and southwestern provinces, including city Karachi. We recommend the use of 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 regions below 2500 m elevation in the northeastern of the country, east of Indus river, including Islamabad. We recommend the use of mosquito-repellent measures from dusk till morning.

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

Insects can transmit diseases such as leishmaniasis and dengue. Dengue is present throughout the country and especially in the eastern provinces Punjab and Sindh including the city of Karachi.

Japanese encephalitis occurs mainly in the area around Karachi.

Protect yourself against insects. 

Ticks can transmit diseases.

Dogs and other mammals can be infected with rabies.

You may experience altitude sickness in areas above 2500 metres.

Tuberculosis

Read these tips before you leave.

Hepatitis A vaccination is recommended for all travellers.

• COVID-19
• Tetanus-diphtheria-pertussis 
• Polio  
• Measles-mumps-rubella:
  • Check your vaccination status. Early measles vaccination is recommended for some young children.

A single booster of polio vaccination is recommended for all travellers to Asia or Africa aged 16 years or older.

Polio vaccination is compulsory for all travellers who will be spending more than four weeks in this country. This vaccination must be administered at least four weeks and no more than twelve months prior to departure from the country and must be registered in an International Certificate of Vaccination and Prophylaxis.

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

• Typhoid fever
• Japanese encephalitis
• Rabies 
• Dengue
• Hepatitis B
• Influenza
• Pneumococci

There is no risk of yellow fever in this country. Vaccination is not required if you are travelling from Belgium.    

Vaccination is exceptionally compulsory if you have been in a country where yellow fever may occur in the past six days (see map). This also applies to transit through an airport.
This vaccination must be administered at least ten days prior to arrival by an official yellow fever vaccination centre and must be registered in an International Certificate of Vaccination and Prophylaxis.