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Vaccinations

All of the recommendations below have their advantages and disadvantages. In any case, it is advised by the Danish Foreign Ministry to follow the advice of your own doctor and the guidelines of the Danish Serum Institute.

At the moment, no obligatory vaccinations apply for travellers to Bhutan. However, a yellow fever vaccination certificate is required from travellers coming from countries with risk of yellow fever transmission. To have the most benefit, see a health-care provider at least 4–6 weeks before your trip to allow time for your vaccines to take effect and to start taking medicine to prevent malaria, if you need it.

  • It is recommended for all travellers to be immunized against Diphtheria, Tetanus and Hepatitis A.
  • Depending on the way of travelling, i.e. more than a few days, vaccinations against Typhoid fever and Hepatitis B is recommended.
  • Vaccination against Japanese encephalitis is recommended if travelling for more than 3-4 weeks in the country side between June and January.
  • Rabies vaccination is recommended for travellers spending a lot of time outdoors, especially in rural areas. Also recommended for travellers with significant occupational risks (such as veterinarians), for long-term travellers and expatriates living in areas with a significant risk of exposure, and for travellers involved in any activities that might bring them into direct contact with bats, carnivores, and other mammals. Children are considered at higher risk because they tend to play with animals, may receive more severe bites, or may not report bites. The incidence of rabies decreased in the interior part of the country after the launch of a nationwide rabies control program in 1992. However, rabies is still endemic in those districts situated along the southern borders; Samdrup Jongkhar, Sarpang, Chhukha and Samtse. In 2005-2006, Tashi Yangtse, Trashigang and Mongar districts in eastern Bhutan also reported rabies outbreaks for the first time in a decade.
  • Vaccination against Tuberculosis is only recommended for those having close contact with people suffering from infectious Tuberculosis.
  • Malaria risk exists throughout the year in the southern belt of the country comprising five districts: Chhukha, Samchi, Samdrup Jonkhar, Sarpang and Zhemgang. P. falciparum resistant to chloroquine and sulfadoxine- pyrimethamine has been reported. Recommended prevention in risk areas: Malarone, Doxycyklin or Lariam ( = mefloquin).