Warning – Level 3, Avoid Nonessential Travel
Alert – Level 2, Practice Enhanced Precautions
Watch – Level 1, Practice Usual Precautions
In early 2017, the Brazilian Ministry of Health reported outbreaks of yellow fever in several eastern states, including areas where yellow fever was not traditionally considered to be a risk. Although virus spread decreased by mid-2017, yellow fever cases have reappeared in several states since the end of 2017, especially in SÃ£o Paulo State, including areas close to the city of SÃ£o Paulo. In early 2018, the GeoSentinel Surveillance System reported a case of yellow fever in an unvaccinated Dutch traveler who had stayedÂ near the SÃ£o Paulo metropolitan region.
In response to the outbreak, the Worldwide Health Organization expanded the list of areas where yellow fever vaccination is recommended for international travelers to Brazil. Most recently, the city of SÃ£o Paulo was added to this expanded list (below). Please note that this list contains temporary expanded vaccine recommendations.
In addition to areas in Brazil where yellow fever vaccination has been recommended since before the recent outbreaks, it is now also recommended for people who are traveling to or living in:
- All of Espirito Santo State.
- All of Rio de Janeiro State, including the city of Rio de Janeiro.
- All of SÃ£o Paulo State, including the entire city of SÃ£o Paulo.
- A number of cities in Bahia State.
The Brazilian Ministry of Health maintains a regular list of all other cities in Brazil for which yellow fever vaccination has been recommended since before the recent outbreaks. This list does not include recently added areas above. It is located at http://portalsaude.saude.gov.br/images/pdf/2015/novembro/19/Lista-de-Municipios-ACRV-Febre-Amarela-Set-2015.pdf.
Note: Because yellow fever vaccination was previously recommended (& continues to be recommended) in western parts of the states of SÃ£o Paulo & Bahia, some cities in each of these states are included on the regular list.
Who should get this vaccine?
Anyone 9 months or older who travels to or lives in these areas should be vaccinated against yellow fever. Because of current limitations in the availability of yellow fever vaccine in the United States, travelers may need to contact a yellow fever vaccine provider well in advance of travel.
Expanded Yellow Fever Vaccine Recommendation Areas in Brazil
|Â Â Â Â Â||Â Â Vaccine recommendedÂ|
|Â Â Â Â Â||Â Â Vaccine recommended due to current outbreakÂ||Â|
|Â Â Â Â Â||Â Â Vaccine not recommendedÂ||Â|
|Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â|