Which vaccines do you need for Nepal?
Information checked against: TravelHealthPro · CDC Travelers’ Health · WHO where relevant. Last checked: 7 October 2026. Entry requirements can change at short notice. Always verify current rules before departure.
1. Routine vaccinations
Everyone should be up to date with routine vaccines for their age — including measles (MMR) and diphtheria-tetanus-polio. Bring your records so missing doses can be caught up.
2. Recommended for most travellers
- Hepatitis ASpread through contaminated food and water; advised for previously unvaccinated travellers.
- TetanusCheck your course is complete; a booster may be advised if your last dose was over 10 years ago and care may be limited.
- TyphoidLinked to food and water hygiene; particularly relevant for longer stays, visiting family or rural travel.
3. Recommended for some travellers, based on risk
- ChikungunyaVaccine may be considered for some travellers during outbreaks or long stays; bite avoidance is key.
- CholeraFor aid or disaster work, outbreak areas, or very limited access to safe water and medical care.
- DengueVaccine suitability depends on previous dengue infection and other factors; bite avoidance is key.
- Hepatitis BFor longer stays, possible medical or dental treatment, sexual exposure or close contact with local people.
- Japanese encephalitisFor longer or rural stays and outdoor activity in areas and seasons with transmission.
- Measles (MMR)Make sure you have had two doses of MMR, or are otherwise immune.
- RabiesFor likely animal contact, remote travel, longer stays or limited access to urgent rabies treatment.
- Tuberculosis (BCG)For some children and adults planning long stays with close local contact.
Entry requirements and certificates
A certificate is required only from travellers aged 9 months and over arriving from a country with yellow fever transmission risk, including some airport transits. Travelling directly from Malta does not normally trigger this rule.
Proof of polio vaccination may be requested from some travellers, particularly those arriving from countries where polio is circulating.
Entry rules can change at short notice; confirm them close to departure.
Yellow fever in Nepal
Transmission risk
No yellow fever transmission risk is listed for Nepal.
Vaccine recommendation
Yellow fever vaccine is not generally recommended for Nepal itself.
Certificate
A certificate is required only from travellers aged 9 months and over arriving from a country with yellow fever transmission risk, including some airport transits. Travelling directly from Malta does not normally trigger this rule.
Malaria in Nepal
- Low risk
Low risk of malaria in areas of Nepal below 1,500m, particularly in the Terai district.
Awareness of risk and mosquito bite avoidance; tablets usually not needed. - No risk
No risk of malaria in the city of Kathmandu and on typical Himalayan treks.
Mosquito bite avoidance.
This is not a prescription. Discuss malaria prevention with a travel-health clinician. If you develop a fever during or up to a year after visiting a risk area, seek medical help urgently and mention your travel.
Other travel health risks
- Altitude
- Biting insects or ticks
- Influenza
- Outdoor air quality
- Sexually transmitted infections
- Zika virus
What travellers to Nepal should consider
Kathmandu, Himalayan trekking routes and the Terai lowlands have distinct health considerations. Altitude illness requires careful itinerary planning and cannot be prevented by vaccines. Remote walking routes also make access to care and evacuation insurance essential discussion points.
Malaria risk in Nepal is limited and uneven, so the exact places you visit matter more than the country name.
Nepal has no local yellow fever risk listed, but it checks certificates for some arrivals — relevant if your route from Malta passes through Africa or South America.
High-altitude areas mean acclimatisation planning matters; vaccines do not prevent altitude illness.
Rabies vaccination is usually discussed for travellers with likely animal contact, adventurous or remote trips, or limited access to urgent care.
Japanese encephalitis vaccine may be considered for longer stays or rural, outdoor travel during transmission seasons.
Cholera vaccine is reserved for particular situations, such as humanitarian work or very limited access to safe water.
Day-biting mosquitoes can spread infections such as dengue, so bite avoidance is worthwhile throughout the trip.
- Plan gradual ascent and acclimatisation.
- Check rescue coverage for your trekking altitude.
- Include lowland wildlife trips as well as mountain routes.
Tell us about your trip
Book travel-health consultationTravelling to Nepal?
Your exact vaccination needs depend on your previous vaccines, itinerary, trip length and individual health circumstances. Book a travel-health consultation at Spinola Clinic in Malta. Vaccine availability and prices should be confirmed with the clinic.
Book travel-health consultationSources and review
Information checked against official sources on 7 October 2026. Next scheduled check: 7 October 2027.
Travel Vaccine Malta is independent and not affiliated with these organisations. Guidance is summarised in our own words.