boston travel vaccine clinic

Travel Clinic

Shapiro Center 725 Albany Street, Suite 9B Boston, MA 02118 United States

Phone: (617) 414-4290 (Appointments by phone only) Fax: (617) 414-5503 Hours Available: Monday to Friday, 9 am – 5 pm

Boston Medical Center Travel Clinic

The Boston Medical Center Travel Clinic provides comprehensive travelers’ health services, including routine and travel vaccines, malaria prevention, travelers’ diarrhea prevention and management, general advice about keeping healthy during travel, and diagnosis and treatment of travel-related illness. Our team is made up of nurses, nurse practitioners, and physicians with experience in internal medicine, pediatrics, infectious diseases, travel and tropical medicine, parasitology, and immigrant medicine. Some members of our team have additional certifications in Travel and Tropical Medicine from the International Society of Travel Medicine (ISTM) and/or the American Society of Tropical Medicine and Hygiene (ASTMH).

We stock and provide all routine childhood and adult vaccines as well as specialized travel immunizations including yellow fever vaccine, Japanese encephalitis vaccine, typhoid vaccines, meningococcal vaccines, and rabies vaccine. Our team can provide individualized services to travelers with special travel health needs, including infants and young children, travelers with special medical needs, immunocompromised travelers, pregnant travelers, those preparing to work or live overseas for prolonged periods, and business and adventure travelers. We can arrange to provide sessions for groups of travelers such as students, volunteers, and missionaries .

We are located in Suite 9B of the Shapiro Ambulatory Care Center at Boston Medical Center, 725 Albany Street, Boston. The clinic is located in Boston’s South End. We can be reached at 617-414-4290. We offer appointments for adults 8 am – 5 pm Monday through Friday and specialized clinics for children and families Wednesday from 8 am – noon and Thursday from 9 am – noon. Although we recommend that the prospective traveler make an appointment 4-6 weeks in advance of the trip, we are pleased to accommodate those with time constraints.

Please contact us at 617-414-4290 to make an appointment or receive assistance with any questions.

Please visit www.bmc.org/travelclinic.htm for more information.

Services Offered

Boston Medical Center’s Travel Clinic offers expertise in travel medicine to all areas of the world including:

• Latin America
• Middle East

Additionally, we offer the following services :

Pre-Travel Care

Immunizations:

• Routine childhood and adult vaccines

Travel vaccines, including:

• Yellow fever vaccine
• Hepatitis A vaccine
• Japanese encephalitis vaccine
• Meningococcal vaccine
• Typhoid vaccines (oral and injectable)

Pre-travel advice on the following topics:

• Avoidance of insect bites
• Prevention of diseases transmitted by mosquitoes and other insects, such as malaria, dengue fever and Japanese encephalitis
• Prevention and treatment of traveler’s diarrhea
• Prevention and management of animal bites
• Prevention and management of travel-related health problems such as traffic accidents, altitude illness, motion sickness, and jet lag
• Travel with children
• Travel during pregnancy evacuation insurance
• Healthy travel for individuals with chronic diseases or immunosuppressive disorders
• Topics for long-term travelers including adjustment issues, need for tuberculosis testing, and healthcare options abroad

We will prescribe medications as needed :

• To prevent malaria
• To treat travelers’ diarrhea
• To manage altitude sickness and motion sickness
• For HIV post-exposure prophylaxis for people who will be providing medical care overseas

Post-Travel Care

Diagnosis and treatment of travel-related health problems:

• Fever after travel
• Acute and chronic diarrhea
• Skin diseases
• Parasitic diseases including malaria, schistosomiasis, filarial diseases, and chagas disease

Frequently Asked Questions

• Which shots will I need?
• How soon before my trip should I see you?
• How do I make an appointment?
• Where is the Travel Clinic located?
• Will my insurance cover all this?
• Should I bring anything with me to my appointment?

1.   Which shots will I need?

At the time of your visit, your healthcare provider will determine which vaccines are needed. The choice of vaccines depends on where and when you are traveling, your past vaccination history and your health history. We will review your routine vaccine record and update your vaccines as needed.  Additional vaccines may include one or more of the following:

• Hepatitis A
• Hepatitis B
• Japanese encephalitis
• Meningococcus
• Pneumococcus
• Typhoid fever
• Yellow fever
• Standard adult/children vaccinations including: Tetanus/diphtheria/acellular pertussis and MMR

2.   How soon before my trip should I see you?

Ideally, schedule your appointment at least 4 to 6 weeks in advance of your trip. While it is possible to receive most of the vaccines within 2-4 weeks of your trip, a few vaccines (rabies, Japanese encephalitis) require you to get multiple doses within a 4 week span.

3.   How do I make an appointment?

To schedule an appointment, please call 617.414.4290. Appointments are available Monday thru Friday, 9 am – 5 pm for adults and Wednesdays (8-noon) and Thursdays (9-noon) for children and families.

4.   Where is the Travel Clinic located?

The Travel Clinic is located in the Shapiro Ambulatory Care Center at 725 Albany Street, 9th Floor, Suite 9B.

Directions to BMC

The nearest parking garage is located at 710 Albany Street. Metered street parking also is available nearby. Valet parking is available for $12 per day in front of the Menino Pavilion.

5.   Will my insurance cover all this?

We accept most major forms of insurance. Please check with your primary care doctor first to see if you need a referral. Also, please be aware that some insurance companies may NOT cover all services. Please check with your insurance company regarding what services will be covered, prior to your appointment. All uncovered services will be the responsibility of the traveler. If your insurance company does not cover the specialized services that we offer or if you do not have health insurance, then you will be responsible for paying all charges at the end of your travel clinic appointment.

6.   Should I bring anything with me to my appointment?

Please bring your vaccine records, your WHO International Certificate of Immunization (yellow book) if you have one and a list of medications you are taking.

Travel Medicine Resources

• Centers for Disease Control and Prevention Traveler’s Health http://wwwn.cdc.gov/travel/
• WHO Travel Health http://www.who.int/topics/travel/en/
• State Department Security Alerts  http://travel.state.gov/travel/cis_pa_tw/pa/pa_1766.html
• US Department of State Health Information http://travel.state.gov/travel/tips/health/health_4971.html
• CIA World Factbook https://www.cia.gov/library/publications/the-world-factbook/
• Fit for Travel www.fitfortravel.nhs.uk/home.aspx

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Travel & Immunization Center

• 617-724-6454

Contact Information

Travel & Immunization Center

Cox Building, 5th Floor 55 Fruit Street Boston , MA   02114

Phone: 617-724-6454

Hours: Monday, 5:00 pm – 7:30 pm Tuesday, 8:30 am – 4:00 pm Wednesday, 8:30 am – 4:00 pm Thursday, 9:00 am – 3:30 pm Friday, 8:30 am – 11:30 am" itemprop="openingHours"> By appointment only Monday, 5:00 pm – 7:30 pm Tuesday, 8:30 am – 4:00 pm Wednesday, 8:30 am – 4:00 pm Thursday, 9:00 am – 3:30 pm Friday, 8:30 am – 11:30 am

Please call 866-211-6588 to register with the hospital before calling to make an appointment.

Explore This Center

About the program.

Our Travelers' Advice and Immunization Practices provide complete pre-travel medical evaluation, including education about prevention of illness (food and water precautions, mosquito precautions, precautions for altitude sickness) and immunizations and prophylaxis. Immunizations which are available include yellow fever, Japanese encephalitis, typhoid, hepatitis A, rabies, meningococcal meningitis, tetanus/diphtheria/pertussis and others. We also offer prophylaxis for malaria and diarrheal diseases. We provide care to adults, children and families.

These practices also serve as full immunization centers for routine and specialty vaccines unrelated to international travel, including vaccines against chicken pox (varicella), zoster (shingles), pneumococcus (pneumonia vaccine), Haemophilus influenzae b (Hib), meningococcus (meningitis vaccine), hepatitis B, rabies (pre- and post-exposure prophylaxis), measles/mumps/rubella, tetanus/diphtheria/pertussis, polio, human papillomavirus (HPV) and others.

Many immunizations require multiple injections and take weeks to reach full effectiveness, so please make your appointment as soon after you make your travel plans as possible.

The Travel & Immunization Center is a Member of the Global TravEpiNet Program . Global TravEpiNet is a national network of travel clinics across the United States. The network is supported by the Centers for Disease Control and Prevention and is aimed at advancing the health of individuals who travel internationally. The network is coordinated by Massachusetts General Hospital. The MGH Travel & Immunization Center is also a Member of the Heading Home Healthy Program, also supported by the US Centers for Disease Control and Prevention and coordinated by Mass General. The Heading Home Healthy Program includes a number of free resources, including web tools that allow you to generate CDC-based recommendations based on your proposed international travel.

Hospital and the Centers for Disease Control and Prevention. Our goal is to help travelers stay healthy when they are returning home to visit friends and relatives. We also are working with travel agents and clinicians to help them prepare international travelers to stay healthy.

Patient Guide

A guide to our personalized, up-to-date medical care for infectious diseases.

Heading Home Healthy

Helping travelers stay healthy when they are visiting friends and relatives.

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View the treatments and services offered by the Division of Infectious Diseases.

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Boston – Back Bay Travel Clinic

Typhoid , hepatitis A and rabies pose a risk to almost all travelers. Our nursing staff will help you identify what you need most for your trip.

Yellow fever is a mosquito-borne disease. This vaccine is recommended for most of South America and Africa. Please note, some countries require proof of immunization for entry.

Passport Health provides everything from onsite flu clinics to travel vaccines and biometric screenings . We help employees stay happy and healthy all year long.

Our travel health consultations are as unique as you. Every Passport Health client receives a booklet outlining what they may need for their trip. Whether you’re going to one country or traveling through an entire continent, we provide you with the most up-to-date and relevant information for your trip.

Details & Directions

Passport Health’s Boston – Back Bay travel clinic is conveniently located for your travel health and vaccination needs. We are on Beacon Street between Exeter and Dartmouth.

Book an appointment today online or by calling .

• Parking: Ample parking is available behind the building off Back Street. Individuals arriving via car will park there and enter from the back of the building.
• Public Transit: The Green and Orange lines are the best ways to reach the clinic. On either, exit at Dartmouth Street and head north. Turn left at Beacon, our clinic will be on your right.

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Department of Medicine

• Travel Clinic

Division of Infectious Diseases Travel Clinic

The Division of Infectious Diseases Travel Clinic is here to help you have a safer, healthier trip abroad. Our team offers pre-travel immunizations, vaccines and medications to prevent disease. We also consult on:

• Precautions to take when visiting certain countries
• Healthcare access abroad, medication schedule and other common travel-related issues
• The concerns of travelers who are pregnant, immunocompromised or have an underlying medical condition
• Managing environmental risks, including high-altitude travel
• COVID-related concerns

Information for Travelers

The following immunizations and vaccines are available at our clinic:

• COVID-19, primary and booster doses
• Hepatitis A
• Hepatitis B
• Japanese encephalitis
• Measles/mumps/rubella (MMR)
• Pneumococcus 
• Tetanus/diphtheria/pertussis (Tdap)
• Tick-borne encephalitis
• Varicella (chickenpox)
• Yellow Fever

We prescribe any medications needed for travel, including for the prevention of:

• Traveler's diarrhea
• Altitude sickness

Appointment charges include professional fees (for physician consultation) and may include immunization charges. Insurance typically covers 100% of the cost of immunizations, with some exceptions. 

Since these are preventive services, some health insurance plans do not cover the costs. We provide receipts to support claim reimbursement from a third party such as your insurance company. However, we strongly recommend checking with your insurance company prior to your appointment to confirm your plan covers travel medicine.

Please see the links below for information about international travel. Note: The Brigham does not maintain these websites and is not responsible for their content.

• Centers for Disease Control and Prevention (CDC) Travelers' Health : This is a comprehensive guide on infectious diseases you may encounter while traveling, including COVID-19.
• Travel.State.gov : Hosted by the U.S. Department of State, this website includes travel advisories, details on getting a U.S. passport or visa and much more.
• International Society of Travel Medicine : Search for travel clinics in countries around the world.
• What Can I Bring? : Find out what items you can and cannot pack in your carry-on and checked baggage, according to the U.S. Transportation Security Administration.
• CDC Yellow Book : Learn about or purchase this book, which compiles the U.S. government's latest travel health guidelines.

Our staff includes doctors and nurse practitioners with expertise in infectious disease and travel medicine.

Jacob Johnson, MD

Travel Clinic Physician, Brigham and Women's Faulkner Hospital

Catherine Franklin, NP

Travel Clinic Nurse Practitioner, Brigham and Women's Hospital

Mary W. Montgomery, MD

Travel Clinic Physician, Brigham and Women's Hospital

We offer all our services at our three locations:

Brigham and Women's Hospital 45 Francis St., 2nd Floor – Lung Center C Boston, MA 02115 (Monday afternoons)

Brigham and Women’s Health Care Center, Chestnut Hill 850 Boylston St, Suite 130 Chestnut Hill, MA 02467 (Wednesday afternoons)

Brigham and Women's Faulkner Hospital 1153 Centre St., Suite 4F Jamaica Plain, MA 02130 (Thursday afternoons)

Appointments

To schedule an appointment at either location, please call 617-732-8881. We prefer to see travelers four to six weeks before departure when possible.

Learn more about Brigham and Women's Hospital

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Harvard University Health Services will be completing necessary repairs and modernization to the Smith Campus Center 3 rd Floor during the summer months . Learn more about the renovation .

Travel Clinic

Smith Campus Center 3rd Floor 75 Mount Auburn Street Cambridge, MA 02138

Location Hours: Monday: 9:00am – 5:00pm, Tuesday: 12:00pm – 8:00pm

Phone Numbers: Emergency: Dial 911 Office: (617) 495-2001

We provide immunizations and expert advice prior to your international travel.

These consultations are available to all Harvard students and all Harvard University Group Health Plan members with an HUHS primary care physician. We recommend scheduling appointments six to eight weeks prior to travel by calling (617) 495-2001.

The University offers 24/7 medical, mental health, and security support and evacuation services through International SOS. Visit the  Harvard Global Support Services  website for more information. Please note that International SOS is not a health insurance policy.

Harvard University Group Health Plan (HUGHP) and Harvard University Student Health Program (HUSHP) members should contact  BlueCard Worldwide  to coordinate their care and HUGHP/HUSHP  Member Services  at (617) 495-2008 for additional information. All other members of the Harvard community should contact their insurance provider directly for coverage details.

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Newton Centre, MA 02459

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Walpole, MA 02081maps

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Wellesley, Massachusetts 02482

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Wellesley, Massachusetts 02481

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Sunday: 9:00 am to 2:00 pm

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Travel Medicine

Harry M. Schrager, MD Matthew R. Leibowitz, MD 2000 Washington Street Blue 320 Newton, MA 02462 Phone: 617-243-6597 Fax: 617-243-6575 The Travel Medicine service provides counseling, medication, and vaccinations to those planning foreign travel.

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BMC’s Yawkey building doors are now closed as an entrance as part of our ongoing efforts to enhance our campus and provide you with the best clinical care.

All patients and visitors on our main campus must enter our hospital via Shapiro, Menino, or Moakley buildings, where they will be greeted by team members at a new centralized check-in desk before continuing to the hospital. We are excited to welcome you and appreciate your patience as we improve our facilities.

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Did you know that you may need vaccines for your next trip out of the United States?

One of the last things you may consider when you are about to go on a big trip is “Do I need any vaccinations?”

Most are surprised to find that depending on your destination the answer may be “yes.” This is where the Boston Medical Center Travel Clinic comes in. Whether travelling for business or pleasure, a visit to the Travel Clinic can help prevent the contraction of many diseases. And, many people will be surprised to know that even if they are returning to their home country for a visit, they still require inoculation from diseases present in said country.

At the Travel Clinic, our team provides a patient-centered, culturally conscious, and individualized approach to care and offers expert regional-specific travel consultation due to their experience caring for a diverse array of patients and working in a variety of resource-limited settings around the world and provides services for both adult and pediatric patients.

The BMC Travel Clinic is a one-stop shop for your international vaccination travel needs. Unlike many primary care physicians, the Clinic maintains an inventory of travel vaccines to prevent various regional diseases. The vaccines needed depend on where and when you are travelling, your past vaccination history and your health history. At your appointment, the provider will review your vaccine history, update any immunizations that are not current, and provide any vaccinations and medication you need prior to travel.

Ideally, you should schedule your appointment to take place 4 to 6 weeks before you travel. While it is possible to receive most of the vaccines within 2 to 4 weeks of your trip, a few vaccines require you to get multiple doses within a 4 week span. With that in mind, scheduling your appointment well in advance of your trip is the best course of action when it comes to your health and travel needs.

For more information please contact the clinic at 617.414.4290 for adult appointments and 617.414.4841 for pediatric appointments.

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COVID-19 Vaccine in Boston

The COVID-19 vaccine is an important and effective tool to keep ourselves and our communities safe. Along with getting tested, wearing masks, social distancing, and frequent handwashing, the vaccine will help us end the COVID-19 pandemic.

Find answers to common questions and connect with resources at  COVID-19: Know the Facts, Find the Truth .

The COVID-19 pandemic has unfairly affected Boston's Black, Latinx, immigrant, and other communities of color. Systemic racism, including in healthcare and vaccine development, also contributes to concerns and mistrust of the COVID-19 vaccine. We're committed to making information available in multiple languages, through multiple methods, and on an ongoing basis. Our goal is to help our residents make informed decisions.

Have questions? Contact:

Important Vaccine Information

As of September 12, 2023, CDC recommends everyone 6 months and older get an updated COVID-19 vaccine to protect against the potentially serious outcomes of COVID-19 illness this fall and winter. Updated COVID-19 vaccines from Pfizer-BioNTech and Moderna will be available. The virus that causes COVID-19 is always changing, and protection from COVID-19 vaccines declines over time. Receiving an updated COVID-19 vaccine can restore protection and provide enhanced protection. For more information, check out the CDC's latest information .

On May 11, 2023, the Public Health Emergency will expire, which means there will be changes to your COVID-19 Health Benefits.

• After March 31, 2023, if you have Medicaid, you will have to prove you are eligible every year.
• After May 11, 2023, the cost of treatments, tests, and vaccines may depend on your health insurance.
• After May 11, 2023, if you use the Supplemental Nutrition Assistance Program (SNAP) you may receive less money for food from the government.
• Call the Mayor’s Health Line at 617-534-5050 for support with Health Benefits and resources that can help.  It's free, multilingual, confidential, and open Monday through Friday from 9 a.m. to 5 p.m.

COVID-19 vaccination is recommended and approved for everyone ages 6 months and older in the United States.

Check out the fact sheets  in your language for more information on steps you can take before and after the Public Health Emergency ends to protect yourself and your community. You will also find a cost table to help you understand how your costs may change.

Recommendations and Information

• Everyone ages 6 months and older should be vaccinated against COVID-19 and stay up to date with their vaccines. Staying up to date on your vaccines is essential. People are best protected against infection, severe illness, hospitalization and death when they are up to date with their vaccines.
• COVID-19 vaccines offer the best protection against becoming seriously ill, being hospitalized or dying from COVID-19.

The Bruce C. Bolling Building and City Hall will begin providing the updated COVID-19 vaccines on November 1, 2023 . Flu vaccinations are also available at both sites. Vaccines are free and available at both sites. No insurance needed. See below for site locations and operating hours.

For more information about COVID-19 vaccine recommendations for people who are moderately or severely immunocompromised, please visit the CDC's website.

More Vaccination Recommendations

Walk-in City Clinics

The Bruce C. Bolling Building and City Hall will begin providing the updated COVID-19 vaccines on November 1, 2023 . Flu vaccinations are also available at both sites. Vaccines are free and available at both sites. No insurance needed.

Bruce C. Bolling Municipal Building 2300 Washington St, Roxbury, MA 02119

• Thursdays through Saturdays: 12p.m. - 6 p.m.

Boston City Hall 1 City Hall Square, Boston, MA 02201; Outside Haymarket Room 240 (2nd Floor)

• Mondays: 7 a.m. - 1 p.m.
• Wednesdays: 12 p.m. - 5 p.m.

List of Boston vaccine sites

Site schedules may vary or change due to holidays and unforeseen circumstances. We recommend contacting these sites to confirm availability before showing up. One-day sites open to all residents ages 5 and older unless otherwise specified.

Map of vaccine sites in Boston

Help for seniors.

Older Boston residents that are interested in the COVID vaccine and who need help with online registration or transportation should call 3-1-1 for help. Ask to be connected to the Age Strong Commission for vaccine assistance. Eligible Massachusetts residents can also call 2-1-1 if they need help for registration.

More resources

Find City of Boston resources and more.

How to make your vaccination appointment and get ready for it.

Learn more about the COVID-19 vaccine.

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Who's Involved:

Everything You Need to Know Before Traveling During a Pandemic

As more people make travel plans and the holiday season approaches, nbc10 boston asked three top boston doctors for travel tips and requirements, by mary markos • published november 10, 2021 • updated on november 10, 2021 at 1:53 pm.

Experts are predicting travel levels of pre-pandemic proportions this holiday season, but the ubiquitous risk of contracting coronavirus remains.

On Monday, the U.S. fully reopened its borders with Mexico and Canada and lifted restrictions on travel that covered most of Europe . Meanwhile, travel experts are predicting more than 53 million Americans will hit the road or take to the skies this year in what would be the highest single-year travel increase the country has seen since 2005.

Watch NBC10 Boston news for free, 24/7, wherever you are

As more people make travel plans and the holiday season approaches, NBC10 Boston asked three top Boston doctors Tuesday about travel requirements and tips during the weekly series, " COVID Q&A ."

Is it safe to travel in this stage of the COVID-19 pandemic?

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Now that some of the most severe travel restrictions in U.S. history have been lifted, the stage is set for emotional reunions nearly two years in the making.

"I think now is the time to allow people to be with their loved ones," said Dr. Shira Doron of Tufts Medical Center. "It's been so long and families have been separated and so it is time to be thinking about how to be somewhat more permissive and allow people to be together again."

Doron identified two main risks to consider when it comes to travel and COVID-19: infection rates and variants of the virus.

"Like everything with COVID-19, there's the need to balance different harms and benefits against each other," Doron said.

Different regions vary in their infection rates and with it their risk levels, the experts said, which is why travel bans were implemented in the first place. But based on what we've learned, Doron said, variants will inevitably travel to different parts of the world "despite our best efforts."

"You really have to assess the risk," said Dr. Daniel Kuritzkes of Brigham and Women's Hospital. "Traveling where? To visit whom and for how long and under what circumstances?"

Since the risk level will vary on a case-by-case basis, Kuritzkes emphasized the importance of taking precautions.

"If you're vaccinated, if you're careful while you're abroad, wearing masks the majority of the time and choosing carefully which venues you go to where you're not going to be masked for meals and the like, then I think, you know, it's reasonably safe," Kuritzkes said. "I don't think we can ever assure that anything is absolutely safe, but we've never been able to assure that travel is absolutely safe, even before COVID."

The second issue to be aware of is variants, since the virus constantly mutates.

"There could be a variant that is more transmissible -- more deadly, immune innovating -- in an area of the world, and we don't want to bring it to an area of the world where that where it does not yet exist," Doron said, but added, "There's probably no way to prevent that with strict travel restrictions."

What travel requirements are there?

"There there are a lot of challenges today to travel," said Boston Medical Center's Dr. Davidson Hamer. "One of them is the need to, in some cases, provide evidence of having been vaccinated."

From vaccines to testing requirements, there is a lot to juggle. Testing is often conducted before arrival in another country.

Travelers are usually required to show proof of a negative COVID-19 test within 72 hours of departure, Hamer noted, and then again before returning to the U.S.

Kuritzkes stressed that people should be aware of the timing to avoid complications.

"Read the guidelines carefully and do the math," Kuritzkes said. "Because, some places, it's 72 hours negative before departure, but many places and 72 hours before arriving. If you're taking an overnight flight to go somewhere internationally, you have to factor that in and you've got to test on on Tuesday morning and you're arriving Friday midday, you're out of luck because your 72 hours have expired. So you have to time the test appropriately."

"And then that leads into questions of which vaccines are acceptable," Hamer added.

Which vaccine is approved for international travel?

Most organizations are abiding by the World Health Organization's Emergency Use List of approved COVID-19 vaccines, Hamer said.

"All the vaccines that we have in the U.S. are on that list," he said.

There are many others, Hamer noted, including the AstraZeneca vaccine, which is likely one of the most widespread vaccines globally.

"If it's approved by the WHO another emergency use listing, that's an acceptable vaccine," Hamer said.

More COVID Questions and Answers

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• When to Seek Medical Care for Rabies
• Suspected Human Rabies

About Rabies

• Rabies is a viral disease that is deadly in people if medical care is not received before symptoms start.
• Rabies is spread to humans and pets primarily through bites or scratches from an infected animal.
• Rabies control measures in the United States have significantly reduced rabies as a public health threat.
• Each year 60,000 Americans receive medical care following a potential rabies exposure.

What you need to know

Rabies is a fatal but preventable viral disease. It can be spread to people and pets through the bites and scratches of an infected animal. Rabies primarily affects the central nervous system, leading to severe brain disease and death if medical care is not received before symptoms start.

Immediate medical attention following suspected rabies exposure is critical. Medical care following a rabies exposure is called post-exposure prophylaxis or PEP. PEP includes wound care, a dose of human rabies immune globulin (HRIG), and a series of four or five rabies vaccines, which must be administered as soon as possible after exposure. This care is vital to prevent the disease from developing. It is nearly 100% effective if administered promptly. Each year, 60,000 Americans receive PEP after a potential rabies exposure.

The disease is rare in humans in the United States, with only 1 to 3 cases reported each year. Still, rabies poses a serious public health threat, because of its high death rate in people. It is also present in many wildlife species, nearly 3 in 4 Americans live in a community where raccoons, skunks, or foxes carry rabies.

Animals and rabies

In the United States, more than 90% of reported cases of rabies in animals occur in wildlife. Contact with infected bats is the leading cause of human rabies deaths in this country; at least 7 out of 10 Americans who die from rabies in the US were infected by bats. The animals most often found with rabies in the U.S. include:

While rabid dogs in the US are uncommon, around the world, domestic dogs are responsible for more than 95% of the estimated 70,000 human deaths that occur each year.

People at risk

People who are at increased risk for rabies exposures may want to consider pre-exposure vaccination for increased protection.

People who travel

Since 1990, over 80 people have died from rabies after an exposure during travel. Rabies is prevalent globally except in Antarctica. In Africa, Asia, and specific areas of Central and South America, rabies in dogs is still a major problem. Additionally, access to PEP may be hard to get in those places. As a result, tens of thousands of people die of the disease each year.

When traveling, it is important to keep your distance from wild and unfamiliar animals, including dogs and cats.

Before traveling abroad, consult your doctor, a travel clinic , or your local or state health department about your risk of exposure to rabies.

People who participate in certain leisure activities

People who enjoy outdoor certain outdoor activities that may lead to contact with wildlife, such as spelunking, camping, and hunting are at higher risk of being exposed to rabies, because they may encounter wildlife while participating in these activities.

People who have jobs with animals

People with jobs that involve frequent animal contact, such as veterinary professionals (including technicians), animal control workers, wildlife researchers, wildlife rehabilitation workers, and certain agricultural workers, are at increased risk of a rabies exposure. People who work with or are exposed to wild animals could encounter a wild animal with rabies. People who work with pets may be exposed if a pet is not vaccinated for rabies and/or has encountered a wild animal with rabies.

Rabies prevention efforts by veterinary, wildlife management, and public health professionals mean that human cases of rabies in the U.S. are rare. Veterinarians vaccinate over 40 million cats and dogs each year, and these vaccinations significantly reduce the risk of you or your pets getting rabies. Each year, wildlife management professionals distribute oral vaccines to wildlife, through baits, to control rabies at its source, especially in areas where rabies in wild animals is common.

The best way you can prevent rabies is by:

• Making sure your pets are up-to-date on their rabies vaccines;
• Keeping wildlife wild - stay away from wildlife for both human and animal safety;
• Calling animal control to remove stray animals from your neighborhood;
• Washing bites or scratches immediately with soap and water; and
• Seeking medical care shortly after potential exposures.

Around the world, large-scale dog vaccination programs are the most effective way to prevent rabies. However, in many countries, there aren't enough resources to reach all the dogs that need it. CDC works with public and private partners to improve vaccine access for people and animals, making travel safer and improving global health.

• International Rabies Taskforce

Rabies is a preventable viral disease of mammals usually transmitted through the bite of an infected animal.

For Everyone

Health care providers.