India
South Asia · Asia· Physician brief
Polio entry rule for arrivals from affected countries
Travelers arriving in India from Afghanistan, Cameroon, DRC, Madagascar, Malawi, Mozambique, Nigeria, Pakistan, Somalia, Republic of Congo, or Syria are advised to carry an international vaccination certificate showing polio vaccination preferably 4 weeks but not more than 1 year before travel. Those without documentation may receive a dose of oral polio vaccine on arrival. Direct travel from Switzerland is not affected.
EKRM / Indian Government polio entry requirement ↗ · Updated 2026
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Vaccines
Disease-specific guidance
Malaria
ModerateRisk is altitude- and region-dependent. High and moderate risk concentrated in eastern and northeastern states <2500m; the rest of the country including major cities is low risk (mosquito protection only). No risk above 2500m in Himachal Pradesh, Jammu, Kashmir, and Sikkim. Discuss chemoprophylaxis with a travel medicine specialist based on specific destinations — many tourist routes are low-risk.
- High risk
- <2500m in parts of east and northeast
- Moderate risk
- <2500m in further parts of east and northeast
- Low risk
- <2500m elsewhere — Delhi, Mumbai, Kolkata, Rajasthan, Andaman/Nicobar Islands
- No risk
- >2500m in Himachal Pradesh, Jammu, Kashmir, Sikkim
- Species
- P. vivax (60–65%), P. falciparum (35–40%)
- Resistance
- Chloroquine-resistant — use AP, doxycycline, or mefloquine
Yellow fever
NoneNo yellow fever risk in country, but India enforces a strict entry rule: travelers arriving within 6 days from a yellow-fever-endemic country (or in transit through one) without a valid YF vaccination certificate face 6 days of quarantine. Quarantine facilities exist only at Delhi (DEL), Chennai (MAA), and Mumbai (BOM) airports — at other airports, travelers are deported. India only accepts single-page YF certificates in Hindi, English, and French. Direct flights from Switzerland are not affected.
Dengue
HighEndemic and rising. Year-round risk in southern India; northern India sees monsoon-driven peaks (June–October). Major urban outbreaks have become common, including Delhi, Mumbai, Bangalore, Kolkata. Qdenga® vaccine currently recommended only for travelers with prior documented dengue infection who will be in high-transmission regions; daytime mosquito-bite prevention is the main protection for everyone else.
- Distribution
- Nationwide; all major cities
- Season (north)
- June–November (monsoon-driven)
- Season (south)
- Year-round
- Mosquito
- Aedes aegypti — bites during daytime
Chikungunya
HighRecurrent outbreaks across India, distribution similar to dengue (urban and peri-urban). Same daytime Aedes mosquito vector means dengue precautions also protect against chikungunya. Vaccination considered in outbreak settings or for elevated individual risk (see EKRM statement).
General prevention
Food & water
Strict food and water precautions are essential. Use bottled or filtered water, avoid ice, raw produce, and street food in all settings — including major cities and high-end accommodations. Foodborne illness affects most travelers regardless of accommodation level.
Mosquito protection
Year-round dengue and chikungunya risk requires daytime mosquito protection (DEET or picaridin repellent, long sleeves). For rural travel and stays >1 month in transmission areas, also protect at dawn/dusk for malaria and Japanese encephalitis. Sleep under treated bed nets in lower-quality accommodations.
Sources
Based on CDC Travelers’ Health, CDC Yellow Book, and the Swiss Federal Vaccination Schedule (BAG). Always verify current recommendations before travel.
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This brief is for informational purposes and does not replace personalized medical advice.
Consult a travel medicine specialist 4–8 weeks before departure.