Most UK travellers to Nepal are advised hepatitis A, typhoid and an up-to-date tetanus, diphtheria and polio booster, with hepatitis B, rabies and Japanese encephalitis considered for some trips. Your final list is confirmed at a consultation at Crewe Travel Clinic.
For Nepal, most UK travellers are advised hepatitis A, typhoid and an up-to-date tetanus, diphtheria and polio booster, with hepatitis B, rabies and Japanese encephalitis recommended for some trips depending on your plans. Malaria is not a significant risk for most travellers, and no yellow fever vaccine is needed. The team at Crewe Travel Clinic will confirm exactly what you need at a personalised consultation.
From the temples and bustling streets of Kathmandu to teahouse treks in the Everest and Annapurna regions and wildlife safaris in the steamy Terai lowlands, Nepal is a bucket-list destination for many travellers from Crewe and across Cheshire. Whether you are tackling a high-altitude trek, exploring the Kathmandu Valley, rafting Himalayan rivers or volunteering in a rural village, the right health advice depends a great deal on exactly where you go, how long you stay and what you plan to do. A short city-and-trekking trip carries different risks from a long lowland stay or repeated rural travel.\n\nWe recommend booking your travel health appointment ideally six to eight weeks before you fly, as some vaccines are given as a course over several weeks and a little forward planning gives them time to work. That said, it is always worth contacting us even at shorter notice, as there is usually still something useful we can do. At Crewe Travel Clinic our nurse will review your itinerary, planned activities, vaccination history and general health, then talk you through a tailored, non-individualised list that follows current TravelHealthPro (NaTHNaC) and WHO guidance for Nepal, confirmed in person.
Spread through contaminated food and water, which is a genuine risk across Nepal, so this is advised for almost all previously unvaccinated travellers.
A combined booster is recommended if it has been ten years or more since your last dose, keeping your routine UK protection current.
Also food- and water-borne and common in Nepal, so it is advised for most travellers, particularly on longer trips, treks and travel away from main hotels.
Considered for longer stays, healthcare or aid work, adventure activities, tattoos or piercings, or anyone who may need medical or dental care while away.
Worth considering as rabies is present in dogs, monkeys and other animals, and pre-travel doses simplify treatment if you are bitten or scratched far from a clinic.
Considered for longer stays or trips to the rural Terai lowlands, especially during and after the monsoon when mosquito numbers in farming areas peak.
Occasionally advised for higher-risk travellers, such as aid and relief workers or those visiting areas with poor sanitation or known outbreaks.
There is no significant malaria risk for most travellers to Nepal, particularly in Kathmandu and the higher trekking regions, so antimalarial tablets are not usually recommended. A low risk exists in some southern Terai districts close to the Indian border, where tablets may occasionally be considered depending on your exact route and the time of year. Even where malaria is not a concern, mosquito-bite avoidance day and night remains sensible, as the same mosquitoes can spread other illnesses such as dengue and Japanese encephalitis.
There is no risk of yellow fever in Nepal, so the vaccine is not recommended for health reasons. However, a yellow fever vaccination certificate is required for travellers aged nine months and over arriving from countries with a risk of yellow fever transmission, mainly parts of sub-Saharan Africa and tropical South America. If you are flying directly from the UK this will not normally apply, but it can matter for multi-stop or connecting itineraries, so check your full route with us.
Check yellow fever certificate requirementsFood and water hygiene is the most common cause of illness in Nepal, so drink bottled or properly treated water, avoid ice of unknown origin, choose freshly cooked hot food and be cautious with salads and peeled fruit. Avoid contact with dogs, monkeys and other animals because of rabies, and wash any bite, scratch or lick on broken skin and seek urgent care. Crucially, if you are trekking in the Everest or Annapurna regions, ascend gradually to prevent altitude sickness; acetazolamide can help and proper acclimatisation, rest days and descending if symptoms worsen are essential.