Guidelines for Travelers’ Health
Foreigners who will visit Brazil:
In Brazil there is no requirement for proof of vaccination for entry into the country. However, the Brazilian Ministry of Health recommends that international tourists update their vaccination status prior to arrival in Brazil, according to the guidelines of the vaccination schedule of the country of origin or residence, especially yellow fever, poliomyelitis, measles and rubella, diphtheria and tetanus.
Trips to areas with vaccination recommendation against yellow fever in Brazil:
The yellow fever vaccine is indicated for residents and / or travelers who are going to the Vaccine Recommendation Areas (ACRV) at least 10 days before the date of travel, the time it takes for the vaccine to provide protection against infection.
Check here the List of municipalities with recommendation for vaccination against yellow fever in Brazil.
Currently, the country has recorded measles outbreaks in the states of Roraima and Amazonas, with 287 confirmed cases of the disease until week 22/2018, of which 172 and 115 are in these states, respectively. Both outbreaks are related to the arrival of Venezuelan immigrants to Brazil.
Thus, because it is a potentially serious and highly transmissible disease, it is important that tourists update their measles status before they move to Brazil.
Diphtheria, tetanus and poliomyelitis
It is recommended that foreign tourists come to Brazil with a complete vaccination schedule for diphtheria, tetanus and poliomyelitis, according to the indications recommended in the country of origin.
The vaccines recommended by the Ministry of Health are offered free of charge in public vaccination services.
The traveler must include the vaccination card between the travel documents, since, according to the rules of the National Immunization Program, this is the document that proves vaccination in the national territory. However, for international travel it is also important to have the International Certificate of Vaccination and Prophylaxis (CIVP), when required for entry into the country of destination or in which there is a stopover of flights, as presented at the electronic address http://www.who.int/ith/ith-yellow-fever-annex1.pdf?ua=1.
The Ministry of Health then presents specific guidelines regarding the following diseases:
o In accordance with the International Health Regulations (IHR) 2005, some countries may require proof of the yellow fever vaccine for the entry of foreigners into their territory by submitting the International Certificate of Vaccination or Prophylaxis (CIVP) *. The list of countries that are at risk of transmission for yellow fever and of countries requiring proof of vaccination for entry into their territory should be consulted at the Anvisa website (www.anvisa.gov.br/viajante) or the World Health Organization (WHO) (http://www.who.int/ith/ith-yellow-fever-annex1.pdf?ua=1).
It is important to note that the traveler should receive the standard dose of the yellow fever vaccine at least 10 days before the trip so that the dose is considered valid at the time of shipment.
In the context of vaccination actions in Brazil and in view of the global scenario of poliomyelitis, some countries remain endemic, at risk or with outbreak of the disease, maintaining the possibility of importation by other countries. Since 1990, Brazil has not registered cases of poliomyelitis and in 1994 received from the Pan American Health Organization (PAHO) the certification of free circulation of wild poliovirus. Thus, the Brazilian Ministry of Health directs that people who travel to the endemic, at-risk, or out-of-disease countries listed in the e-mail addresses below look for the vaccination room closest to their residence at least 4 weeks before the date of the trip, to update the vaccination against polio and issue the CIVP * when necessary.
List of countries endemic, at risk or with outbreaks of the disease:
Endemic countries: http://polioeradication.org/where-we-work/polio-endemic-countries/
Main countries at risk: http://polioeradication.org/where-we-work/key-at-risk-countries/
Countries with outbreaks: http://polioeradication.org/where-we-work/polio-outbreak-countries/
* The CIVP is a document of international recognition that proves the fulfillment of the requirement of vaccination or prophylaxis carried out for immigration of international travelers in the Member States. For the issuance of the CIVP, the traveler should look for the Travelers Orientation Centers, taking his Immigration Card and an official photo identification document. For more information go to www.anvisa.gov.br/viajante
Measles and Rubella
Many countries remain endemic for measles and rubella, presenting outbreaks with large numbers of cases and even deaths from these diseases, jeopardizing the efforts made by countries, especially Brazil, to maintain the elimination of these diseases. Thus, Brazilians should update their measles and rubella vaccine status at least 15 days before the date of travel.
Diphtheria and tetanus
Recent outbreaks of diphtheria in several countries demonstrate the risk that unvaccinated people are exposed to. It is a serious, potentially lethal disease whose protection can be done through vaccination. Tetanus is also a serious vaccine preventable disease occurring all over the world. Unvaccinated people are at risk of contracting these diseases. Thus, Brazilians who will move to any country should update the vaccination situation against diphtheria and tetanus before the trip.
Foreigners who will visit Brazil
There is no proof of vaccination or prophylaxis for entry into Brazil, however, the Ministry of Health recommends that international tourists update their vaccination status prior to arrival in the country, according to the calendar of the country of origin or residence, and vaccines yellow fever, poliomyelitis, measles and rubella.
Therefore, travelers, delegations and athletes coming from or in transit from Angola and the Democratic Republic of Congo must have the CIVP with a vaccination date at least 10 days prior to travel.