What vaccines do I need for Nepal?

CDC recommends Hepatitis A and typhoid for most travellers to Nepal. Your doctor may also discuss Hepatitis B, Japanese encephalitis, cholera, or rabies depending on your itinerary.

Do I need malaria pills for trekking in Nepal?

Typical Himalayan treks are not malaria zones. Risk is limited to lowland Sudurpashchim and Karnali provinces below 2,000 m.

How long before travel to Nepal should I get vaccines?

Book a travel health appointment 4–6 weeks before departure. Some vaccines need multiple doses or a minimum interval before travel, so earlier is better.

Vaccines for Nepal — Required & Recommended

All destinations

Planning a trip to Nepal? CDC recommends Hepatitis A and typhoid vaccines for most travellers because food- and water-borne illness is the main concern outside large hotels. Your doctor may also discuss Hepatitis B, Japanese encephalitis, cholera, or rabies depending on your itinerary and activities. See a travel doctor 4–6 weeks before departure so they can match the plan to your trip.

Malaria risk is limited to lowland Sudurpashchim and Karnali provinces. Kathmandu, Pokhara, and Himalayan trekking routes are not malaria zones.

Required for entry

No vaccines are currently required for entry to Nepal from most countries.

Recommended for most travellers

CDC advises these for all visitors to Nepal.

Food & Water

Hepatitis A

A contagious liver infection spread through contaminated food and water. Most travellers to regions with less reliable sanitation should get this vaccine.

Two doses at 0 and 6–12 months. Over 90% of people develop protective antibodies within a month of the first dose, so one dose is usually enough for the trip itself. No booster needed after the full series.

Food & Water

Typhoid

A bacterial infection spread through food and water contaminated with the faeces of an infected person. Risk is higher in rural areas and when eating with locals.

The injected vaccine is a single dose at least 2 weeks before travel and lasts 2 years. The oral version is four capsules taken every other day, completed at least a week before travel, and lasts 5 years. Neither is 100% effective — safe food and water habits still matter.

Recommended for some travellers

Depends on your itinerary, activities, duration, or health.

Blood & Body Fluids

Hepatitis B

A liver infection spread through blood, sexual contact, and contaminated medical or cosmetic equipment. Recommended for most travellers, especially those with longer stays or possible medical exposure.

Mosquito

Japanese Encephalitis

A mosquito-borne virus affecting the brain, found in rural parts of Asia. Risk is highest during rice-paddy season in rural areas.

Food & Water

Cholera

A bacterial infection spread through contaminated water, causing severe diarrhoea. Rare in travellers but worth considering for aid workers or travel to areas with active outbreaks.

Animal Contact

Rabies

A fatal viral disease spread through the bite or scratch of an infected animal — most often dogs, bats, or monkeys. Pre-travel vaccination simplifies treatment after exposure.

Malaria

Not a vaccine

Active transmission in Sudurpashchim and Karnali provinces below 2,000 m. No risk in Kathmandu, Pokhara, or on typical Himalayan treks.

Discuss prescription chemoprophylaxis with a travel doctor if your itinerary includes risk areas.

Routine vaccines to be up to date on

CDC advises every international traveller to have these current.

Measles-Mumps-Rubella (MMR)

Two doses at least 28 days apart, ideally completed at least 2 weeks before travel. Adults born before 1957 or with documented immunity are already considered protected.

Diphtheria-Tetanus-Pertussis

A single Tdap or Td booster, effective within days. Adults should have a booster every 10 years — or after 5 years if you've had a dirty wound or burn. Pregnant travellers should receive Tdap during every pregnancy.

Polio

A single lifetime adult IPV booster for travellers to at-risk countries. For some destinations, the booster must be received 4 weeks to 12 months before departure and documented on an International Certificate of Vaccination.

Flu (Influenza)

An annual dose at least 2 weeks before travel to areas with active flu circulation. A single current-season vaccine covers travel to either hemisphere.

Chickenpox (Varicella)

Two doses at least 28 days apart for adolescents and adults without immunity. Children get doses at 12–15 months and 4–6 years. Two documented doses protect most people for life.

Shingles

Two doses of Shingrix 2–6 months apart. Protection stays high for at least 7 years. Adults 19+ with weakened immune systems can use a faster schedule (2nd dose 1–2 months after).

COVID-19

Follow the current CDC schedule for your age and risk group. If you had COVID-19 recently, you may delay vaccination for up to 3 months from the onset of infection.

Entry requirements

For US citizens. Non-US travellers should check their government's guidance.

Yellow fever certificateNot required

Dog rabies is common in Nepal. Dengue, leptospirosis, leishmaniasis, and tuberculosis are present. Standard food, water, and bug-bite precautions matter.

Source: CDC Travelers' Health — Nepal.

Disclaimer:This information is for general guidance only, based on CDC Travelers' Health. It does not replace advice from a qualified travel health professional. Consult a doctor 4–6 weeks before your trip.