Brazil

The malaria risk is:

• high in the Amazon basin some areas of the states Acre, Amapá, Amazonas, Roraima as well as partial areas in the northeast and southwest of Pará state. We recommend the use of mosquito-repellent measures from dusk till morning, in combination with the use of malaria tablets.
• moderate in in the states Rondônia, northern and western part of Pará, western part of Mato Grosso, travelling on the Amazon River (e.g. from Iquitos in Peru to the delta mouth including Manaus),  parts of the state of Amazonas (exceptions see above) city centers of Boa Vista and Porto Velho. We recommend the use of mosquito-repellent measures from dusk till morning. For people with an increased risk, we sometimes recommend preventive malaria tablets, or taking an emergency treatment with you.
• low in the rest of the states Pará, Mato Grosso and partial areas of the states of Mato Grosso do Sul, Maranão, and the rural and forested regions of the states Alagoas, Bahia, Ceará, Espirito Santo, Goiás, Minas Gerais, Paraná, Piauí, Rio Grande do Sul, Rio de Janeiro, São Paulo, Santa Catarina and Tocantins. We recommend the use of mosquito-repellent measures from dusk till morning.

There is no malaria risk in the cities of Brasilia, Rio de Janeiro, São Paulo, Recife, Fortaleza, Salvador, Iguaçu-falls.

In case of fever during or after your journey, get tested for malaria as soon as possible.

There is risk of yellow fever almost in the entire country, with the exception of a part of the northeastern coast, Salvador, Recife and Fortaleza (see map).

Insects can transmit diseases such as dengue, chikungunya, zika, leishmaniasis and Chagas disease.

Protect yourself against insects. 

Ticks can transmit diseases.

Dogs and other mammals can be infected with rabies.

There is a risk of infection with schistosomiasis when swimming or bathing in lakes and rivers.

You may experience altitude sickness in areas above 2500 metres.

Take a look at the general preventive measures related to COVID-19.

• Carefully read the entry conditions and local measures of this country.

Read these tips before you leave.

Yellow fever vaccination is recommended for all travellers from the age of nine months.
This vaccination must be administered at least ten days prior to arrival by an official yellow fever vaccination centre and must be registered in an International Certificate of Vaccination and Prophylaxis.

Hepatitis A vaccination is recommended for all travellers.

• COVID-19
• Tetanus-diphtheria-pertussis
• Polio  
• Measles-mumps-rubella

Discuss with your doctor whether one of the following vaccinations is recommended for you:

• Rabies
• Dengue
• Hepatitis B 
• Influenza
• Pneumococci