United States of America (North America)

Includes the following destinations: Alaska and the Hawaiian Islands (inlcuding Hawaii, Maui and Oahu)

Immunisations Malaria News

Advice for All Destinations

The risks to health whilst travelling will vary between individuals and many issues need to be taken into account, e.g. activities abroad, length of stay and general health of the traveller. It is recommended that you consult with your General Practitioner or Practice Nurse who will assess your particular health risks before recommending vaccines and /or antimalarial tablets. This is also a good opportunity to discuss important travel health issues including safe food and water, accidents, sun exposure and insect bites. Many of the problems experienced by travellers cannot be prevented by vaccinations and other preventive measures need to be taken.

Ensure you are fully insured for medical emergencies including repatriation. The 'T7' leaflet (from Post Offices) gives details of health care agreements between countries and is accompanied by an application form for the European Health Insurance Card (EHIC). The completed form must submitted about 6 weeks before you plan to leave to allow the card to reach you on time. The EHIC entitles travellers to reduced-cost, sometimes free, medical treatment in most European countries.

For Travel Safety Advice you should visit the UK Foreign and Commonwealth Office website.

A worldwide list of clinics, run by members of the International Society of Travel Medicine is availble on the ISTM website.

Immunisations

  • Confirm primary courses and boosters are up to date as recommended for life in Britain - including vaccines given to special groups because of risk exposure or complications (e.g. hepatitis B for health care workers, influenza and pneumococcal vaccines for the elderly).
  • Some states have specific regulations for school and college pupils.
  • Rabies is present, but post exposure treatment should be readily available.

Malaria

  • Malaria not normally present unless the illness was contracted abroad.