
| Vorsichtsmaßnahmen | Impfschein erforderlich | |
|---|---|---|
| Diphtheria | Yes | |
| Hepatitis A | Yes | |
| Malaria | Sometimes* | |
| Rabies | Sometimes | |
| Tetanus | Yes | |
| Typhoid | Yes | |
| Yellow Fever | Sometimes** |
There is no reciprocal health agreement with the UK or USA. Full insurance is strongly recommended as medical costs are high. The standard of medical care is generally very good in major towns and cities. English-speaking medical staff are found mainly in São Paulo and Rio de Janeiro. The main hospital in São Paulo is the Hospital das Clinicas.
* Malaria risk exists throughout the year below 900m (2,953ft) in Acre, Amapá, Amazonas, Maranhão (western part), Mato Grosso (northern part), Pará (except Belém City), Rondônia, Roraima and Tocantins states, as well as some larger cities, such as on the periphery of Pôrto Velho, Boa Vista, Macapá, Manaus, Santerém, Rio Branco and Maraba.
** A yellow fever vaccination certificate is required from all travellers over nine months old arriving within from infected regions. Vaccination is strongly recommended for those intending to visit some rural areas.