In addition to the basic immunizations recommended above there are some additional recommended or required vaccinations for specific regions depending upon destination, length of stay, accommodation, urban vs. rural travel, etc.
CENTRAL AMERICA AND THE CARIBBEAN *
Yellow fever is present in parts of Panama. Malaria exists throughout rural areas of Central America, Haiti and the Dominican Republic.
SOUTH AMERICA *
Yellow fever vaccine is highly recommended for travellers venturing outside urban areas of tropical South America . A certificate of vaccination against yellow fever is required for travel between countries in this region. Malaria risk is high in rural areas throughout the tropical region.
NORTH AFRICA AND THE MIDDLE EAST*
Meningococcal meningitis vaccine is recommended for travel to Saudi Arabia (during the Hajj). Malaria exists in some rural areas.
SUB-SAHARAN AFRICA *
Yellow fever vaccine is highly recommended for all travellers to the central tropical part of this region. A certificate of vaccination against yellow fever is required for travel between countries in this region.
Meningococcal meningitis vaccine is recommended for travel throughout sub-Saharan Africa. Malaria risk is high in most rural areas and present in some urban areas. Malaria also occurs in rural areas of southern Africa.
INDIAN SUBCONTINENT AND NEPAL *
Japanese B encephalitis vaccine may be recommended for extended travel in rural areas where the disease is endemic or epidemic. Malaria risk is high in rural areas and present in some urban areas. Yellow fever is not a risk within this region.
EAST AND SOUTHEAST ASIA *
Japanese B encephalitis vaccine may be recommended for extended travel in rural areas where the disease is endemic or epidemic. Malaria occurs in some regions of southern interior China and throughout Southeast Asia. Yellow fever is not a risk within this region.
THROUGHOUT THE TROPICS*
Influenza is prevalent in the Tropics year round. In other areas risk is seasonal. Vaccinations should be updated annually.
*Basic immunizations are recommended for travel to all the above regions. Cholera and Rabies vaccines are recommended for high-risk individuals. Recommendations are subject to change. Check with your physician or Travel Clinic prior to departure. For further information check the Public Health Agency of Canada web site: Information For Travellers
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