Confirm primary courses and boosters are up to date as recommended - including for example, vaccines required for occupational risk of exposure, lifestyle risks and underlying medical conditions.

• Diphtheria

  Travel health advice relating to diphtheria.

  Spread person to person through respiratory droplets. Risk is higher if mixing with locals in poor, overcrowded living conditions.

  Last Updated: 8th Sep, 2016

• Hepatitis A

  Travel health advice relating to hepatitis A.

  Spread through consuming contaminated food and water or person to person through the faecal-oral route. Risk is higher where personal hygiene and sanitation are poor.

  Last Updated: 6th Aug, 2014

• Rabies

  Travel health advice relating to rabies.

  Spread through the saliva of an infected animal, usually through a bite, scratch or lick on broken skin. Particularly dogs and related species, but also bats. Risk is higher for those going to remote areas (who may not be able to promptly access appropriate treatment in the event of a bite), long stays, those at higher risk of contact with animals and bats, and children. Even when pre-exposure vaccine has been received, urgent medical advice should be sought after any animal or bat bite.

  Last Updated: 11th Aug, 2016

• Tetanus

  Travel health advice relating to tetanus.

  Spread through contamination of cuts, burns and wounds with tetanus spores. Spores are found in soil worldwide. A total of 5 doses of tetanus vaccine are recommended for life in the UK. Boosters are usually recommended in a country or situation where the correct treatment of an injury may not be readily available.

  Last Updated: 11th Aug, 2016

• Typhoid

  Travel health advice relating to typhoid.

  Spread mainly through consumption of contaminated food and drink. Risk is higher where access to adequate sanitation and safe water is limited.

  Last Updated: 11th Aug, 2016

No yellow fever vaccination certificate required for this country.

Malaria is a serious and sometimes fatal disease transmitted by mosquitoes. You cannot be vaccinated against malaria.

Precaution

• Malaria risk is low and is present intermittently throughout the year in some rural areas not normally visited by tourists. There is a low risk in some localities of the state of Chiapas. There is a very low risk in other areas including Chihuahua, Durango, Nayarit, Quintana Roo and Sinaloa.
• Malaria precautions are essential. Avoid mosquito bites by covering up with clothing such as long sleeves and long trousers especially after sunset, using insect repellents on exposed skin and, when necessary, sleeping under a mosquito net.
• See malaria map – additional information can be found by clicking on the Regional Information icon below the map.
• Low to no risk areas: antimalarials are not usually advised.
• If you have been travelling in a malarious area and develop a fever seek medical attention promptly. Remember malaria can develop even up to one year after exposure.

• Altitude and Travel
  This country has either areas with high altitude (2400m or more) or/and areas with very high altitude (3658m or more). Travellers who may go into areas of high altitude should take care to avoid ill effects of being at altitude including Acute Mountain Sickness, a potentially life-threatening condition.

• Dengue Fever
  A viral illness that is transmitted to humans by mosquito bites. The mosquito that spreads dengue bites during the day and is more common in urban areas. Symptoms include fever, headache, severe joint, bone and muscular pain - hence its other name 'breakbone fever'. There is no vaccine and prevention is through avoidance of mosquito bites.

This country has reported cases of ZIKV virus infection. ZIKV is most commonly spread by mosquito bites, but there is also a risk of sexual transmission. There is a link between ZIKV infection and babies being born with birth defects.

Advice for Travellers:

• All travellers should practice strict mosquito bite avoidance, at all times.
• Do not travel without adequate travel insurance.
• Seek pre-travel advice from your health care provider 6-8 weeks in advance of travel, particularly important if you are pregnant or planning pregnancy.
• Pregnant women are advised to postpone non-essential travel to countries or areas with High risk of ZIKV transmission.
• Pregnant women are advised to consider postponing non-essential travel to countries or areas with Moderate risk of ZIKV transmission.
• If you develop any feverish illness whilst travelling or on return medical attention must be sought quickly.

Look at the additional advice on the ZIKV Infection page, which includes how to avoid sexual transmission of ZIKV.

• Cyclospora Risk for Travellers to Mexico (Update) - published 15th Aug, 2016

• Cyclospora Risk for Travellers to Mexico - published 2nd Aug, 2016

• Cyclospora Infection in the UK (Ex Mexico) - published 20th Jul, 2016

• Zika Virus Infection in Mexico (Update) - published 26th Apr, 2016

• Zika Virus Infection in Mexico (Update) - published 14th Mar, 2016

• Zika Virus Infection in Mexico (Update) - published 17th Feb, 2016

• Zika Virus in Mexico (Update) - published 8th Feb, 2016

• Chikungunya Virus Infection in Mexico (Update) - published 12th Jan, 2016

• Dengue Fever in Mexico - published 14th Dec, 2015

• Zika Virus in Mexico - published 27th Nov, 2015

• Dengue Fever in Mexico - published 28th Oct, 2015

• Chikungunya Virus Infection in Mexico (Update) - published 29th Sep, 2015

• Cyclospora Infection in the UK (Ex Mexico) - published 27th Jul, 2015

• Chikungunya Virus Infection in Mexico (Update) - published 22nd Jun, 2015

• Dengue Fever in Mexico (Update) - published 3rd Jun, 2015

• Hepatitis A in Mexico - published 5th May, 2015

• Dengue Fever in Mexico - published 1st Apr, 2015

• Dengue Fever in Mexico - published 1st Dec, 2014

• Hepatitis A in Mexico - published 19th Sep, 2014

• Cholera in Mexico - published 19th Sep, 2014

• Dengue Fever in Mexico - published 1st Aug, 2014

• Cholera in Mexico (Update) - published 14th Nov, 2013

• Dengue Fever in Mexico (Update) - published 6th Nov, 2013

• Cholera in Mexico (Update) - published 29th Oct, 2013

• Cholera in Mexico - published 17th Oct, 2013

• Hurricane and Tropical Storm in Mexico - published 18th Sep, 2013

• Hepatitis A in Mexico - published 7th Jun, 2013

• Dengue Fever in Mexico (Update) - published 28th May, 2013

• Dengue Fever in Mexico (Update) - published 15th Apr, 2013

• Hepatitis A in Mexico - published 14th Mar, 2013

• Dengue Fever in Mexico - published 19th Feb, 2013

• Dengue Fever in Mexico (Update) - published 3rd Jan, 2013

• Dengue Fever in Mexico (Update) - published 19th Nov, 2012

• Hepatitis A in Mexico - published 1st Nov, 2012

• Dengue Fever in Mexico (Update) - published 11th Sep, 2012

• Dengue Fever in Mexico - published 25th Jul, 2012