Israel, including the West Bank and GazaTraveler View

 

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Travel Health Notices

Be aware of current health issues in Israel, including the West Bank and Gaza. Learn how to protect yourself.

 

Level 2 Practice Enhanced Precautions

  • Global Polio January 05, 2024 Some international destinations have circulating poliovirus. Before any international travel, make sure you are up to date on your polio vaccines.
    Destination List: Afghanistan, Algeria, Benin, Botswana, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Côte d'Ivoire (Ivory Coast), Democratic Republic of the Congo, Egypt, Guinea, Indonesia, Israel, including the West Bank and Gaza, Kenya, Madagascar, Malawi, Mali, Mauritania, Mozambique, Niger, Nigeria, Pakistan, Republic of the Congo, Somalia, Sudan, Tanzania, including Zanzibar, Yemen, Zambia, Zimbabwe

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Vaccines and Medicines

Check the vaccines and medicines list and visit your doctor at least a month before your trip to get vaccines or medicines you may need. If you or your doctor need help finding a location that provides certain vaccines or medicines, visit the Find a Clinic page.

Vaccines for disease Recommendations Clinical Guidance for Healthcare providers
Routine vaccines

Make sure you are up-to-date on all routine vaccines before every trip. Some of these vaccines include

Immunization schedules

COVID-19

All eligible travelers should be up to date with their COVID-19 vaccines. Please see Your COVID-19 Vaccination for more information. 

COVID-19 vaccine

Hepatitis A

Recommended for unvaccinated travelers one year old or older going to Israel, including the West Bank and Gaza.

Infants 6 to 11 months old should also be vaccinated against Hepatitis A. The dose does not count toward the routine 2-dose series.

Travelers allergic to a vaccine component or who are younger than 6 months should receive a single dose of immune globulin, which provides effective protection for up to 2 months depending on dosage given.

Unvaccinated travelers who are over 40 years old, immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.

Hepatitis A - CDC Yellow Book

Dosing info - Hep A

Hepatitis B

Recommended for unvaccinated travelers younger than 60 years old traveling to Israel, including the West Bank and Gaza. Unvaccinated travelers 60 years and older may get vaccinated before traveling to Israel, including the West Bank and Gaza.

Hepatitis B - CDC Yellow Book

Dosing info - Hep B

Measles

Cases of measles are on the rise worldwide. Travelers are at risk of measles if they have not been fully vaccinated at least two weeks prior to departure, or have not had measles in the past, and travel internationally to areas where measles is spreading.

All international travelers should be fully vaccinated against measles with the measles-mumps-rubella (MMR) vaccine, including an early dose for infants 6–11 months, according to CDC’s measles vaccination recommendations for international travel.

Measles (Rubeola) - CDC Yellow Book

Polio

In Israel, including the West Bank and Gaza, poliovirus has been identified in the past year.

Travelers to Israel, including the West Bank and Gaza are at increased risk of exposure to poliovirus if: 1) they work in health care settings involving direct patient contact, 2) assist in refugee camps or other humanitarian aid settings, OR 3) have limited access to clean drinking water and sanitation .

Vaccine recommendations: Adults traveling to Israel, including the West Bank and Gaza who received a complete polio vaccination series as children, and are at increased risk of exposure to poliovirus, may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.

Polio - CDC Yellow Book

Polio: For Travelers

Rabies

Rabid dogs are commonly found in Israel, including the West Bank and Gaza. However, if you are bitten or scratched by a dog or other mammal while in Israel, including the West Bank and Gaza, rabies treatment is often available. 

Consider rabies vaccination before your trip if your activities mean you will be around dogs or wildlife.

Travelers more likely to encounter rabid animals include

  • Campers, adventure travelers, or cave explorers (spelunkers)
  • Veterinarians, animal handlers, field biologists, or laboratory workers handling animal specimens
  • Visitors to rural areas

Since children are more likely to be bitten or scratched by a dog or other animals, consider rabies vaccination for children traveling to Israel, including the West Bank and Gaza. 

Rabies - CDC Yellow Book

Typhoid

If your trip includes the West Bank and Gaza, you might want to consider getting typhoid vaccine. You can get typhoid infection from contaminated food and water.

Typhoid - CDC Yellow Book

Dosing info - Typhoid

Routine vaccines

Recommendations

Make sure you are up-to-date on all routine vaccines before every trip. Some of these vaccines include

Guidance

COVID-19

Recommendations

All eligible travelers should be up to date with their COVID-19 vaccines. Please see Your COVID-19 Vaccination for more information. 

Guidance

Hepatitis A

Recommendations

Recommended for unvaccinated travelers one year old or older going to Israel, including the West Bank and Gaza.

Infants 6 to 11 months old should also be vaccinated against Hepatitis A. The dose does not count toward the routine 2-dose series.

Travelers allergic to a vaccine component or who are younger than 6 months should receive a single dose of immune globulin, which provides effective protection for up to 2 months depending on dosage given.

Unvaccinated travelers who are over 40 years old, immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.

Guidance

Hepatitis B

Recommendations

Recommended for unvaccinated travelers younger than 60 years old traveling to Israel, including the West Bank and Gaza. Unvaccinated travelers 60 years and older may get vaccinated before traveling to Israel, including the West Bank and Gaza.

Guidance

Measles

Recommendations

Cases of measles are on the rise worldwide. Travelers are at risk of measles if they have not been fully vaccinated at least two weeks prior to departure, or have not had measles in the past, and travel internationally to areas where measles is spreading.

All international travelers should be fully vaccinated against measles with the measles-mumps-rubella (MMR) vaccine, including an early dose for infants 6–11 months, according to CDC’s measles vaccination recommendations for international travel.

Guidance

Polio

Recommendations

In Israel, including the West Bank and Gaza, poliovirus has been identified in the past year.

Travelers to Israel, including the West Bank and Gaza are at increased risk of exposure to poliovirus if: 1) they work in health care settings involving direct patient contact, 2) assist in refugee camps or other humanitarian aid settings, OR 3) have limited access to clean drinking water and sanitation .

Vaccine recommendations: Adults traveling to Israel, including the West Bank and Gaza who received a complete polio vaccination series as children, and are at increased risk of exposure to poliovirus, may receive a single lifetime booster dose of inactivated polio vaccine; travelers who are unvaccinated or not fully vaccinated should receive a complete polio vaccination series before travel. Children who are not fully vaccinated will be considered for an accelerated vaccination schedule.

Guidance

Rabies

Recommendations

Rabid dogs are commonly found in Israel, including the West Bank and Gaza. However, if you are bitten or scratched by a dog or other mammal while in Israel, including the West Bank and Gaza, rabies treatment is often available. 

Consider rabies vaccination before your trip if your activities mean you will be around dogs or wildlife.

Travelers more likely to encounter rabid animals include

  • Campers, adventure travelers, or cave explorers (spelunkers)
  • Veterinarians, animal handlers, field biologists, or laboratory workers handling animal specimens
  • Visitors to rural areas

Since children are more likely to be bitten or scratched by a dog or other animals, consider rabies vaccination for children traveling to Israel, including the West Bank and Gaza. 

Guidance

Typhoid

Recommendations

If your trip includes the West Bank and Gaza, you might want to consider getting typhoid vaccine. You can get typhoid infection from contaminated food and water.

Guidance

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Non-Vaccine-Preventable Diseases

Disease Name Common ways the disease spreads Advice Clinical Guidance for Healthcare Providers

Avoid contaminated water

Leptospirosis
  • Touching urine or other body fluids from an animal infected with leptospirosis
  • Swimming or wading in urine-contaminated fresh water, or contact with urine-contaminated mud
  • Drinking water or eating food contaminated with animal urine
  • Avoid contaminated water and soil

Leptospirosis

Avoid bug bites

Leishmaniasis
  • Sand fly bite

Leishmaniasis

Airborne & droplet

Avian/Bird Flu
  • Being around, touching, or working with infected poultry, such as visiting poultry farms or live-animal markets
  • Avoid domestic and wild poultry

Influenza

Hantavirus
  • Breathing in air or accidentally eating food contaminated with the urine, droppings, or saliva of infected rodents
  • Bite from an infected rodent
  • Less commonly, being around someone sick with hantavirus (only occurs with Andes virus)
  • Avoid rodents and areas where they live
  • Avoid sick people

Hantavirus

Middle East Respiratory Syndrome (MERS)
  • Scientists do not fully understand how the MERS virus spreads
  • May spread from to others when an infected person coughs or sneezes
  • May spread to people from camels.

Avoid sick people

Middle East Respiratory virus syndrome (MERS)

Tuberculosis (TB)
  • Breathe in TB bacteria that is in the air from an infected and contagious person coughing, speaking, or singing.
  • Avoid sick people

Tuberculosis (TB)

Avoid contaminated water

Leptospirosis

How most people get sick (most common modes of transmission)
  • Touching urine or other body fluids from an animal infected with leptospirosis
  • Swimming or wading in urine-contaminated fresh water, or contact with urine-contaminated mud
  • Drinking water or eating food contaminated with animal urine
Advice
  • Avoid contaminated water and soil
Clinical Guidance

Avoid bug bites

Leishmaniasis

How most people get sick (most common modes of transmission)
  • Sand fly bite
Advice
Clinical Guidance

Airborne & droplet

Avian/Bird Flu

How most people get sick (most common modes of transmission)
  • Being around, touching, or working with infected poultry, such as visiting poultry farms or live-animal markets
Advice
  • Avoid domestic and wild poultry
Clinical Guidance

Hantavirus

How most people get sick (most common modes of transmission)
  • Breathing in air or accidentally eating food contaminated with the urine, droppings, or saliva of infected rodents
  • Bite from an infected rodent
  • Less commonly, being around someone sick with hantavirus (only occurs with Andes virus)
Advice
  • Avoid rodents and areas where they live
  • Avoid sick people
Clinical Guidance

Middle East Respiratory Syndrome (MERS)

How most people get sick (most common modes of transmission)
  • Scientists do not fully understand how the MERS virus spreads
  • May spread from to others when an infected person coughs or sneezes
  • May spread to people from camels.
Advice

Avoid sick people

Clinical Guidance

Tuberculosis (TB)

How most people get sick (most common modes of transmission)
  • Breathe in TB bacteria that is in the air from an infected and contagious person coughing, speaking, or singing.
Advice
  • Avoid sick people
Clinical Guidance

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Stay Healthy and Safe

Learn actions you can take to stay healthy and safe on your trip. Vaccines cannot protect you from many diseases in Israel, including the West Bank and Gaza, so your behaviors are important.

 

Eat and drink safely

Food and water standards around the world vary based on the destination. Standards may also differ within a country and risk may change depending on activity type (e.g., hiking versus business trip). You can learn more about safe food and drink choices when traveling by accessing the resources below.

You can also visit the Department of State Country Information Pages for additional information about food and water safety.

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Prevent bug bites

Although Israel, including the West Bank and Gaza is an industrialized country, bug bites here can still spread diseases. Just as you would in the United States, try to avoid bug bites while spending time outside or in wooded areas.

What can I do to prevent bug bites?
  • Cover exposed skin by wearing long-sleeved shirts, long pants, and hats.
  • Use an appropriate insect repellent (see below).
  • Consider using permethrin-treated clothing and gear if spending a lot of time outside. Do not use permethrin directly on skin.
What type of insect repellent should I use?
  • FOR PROTECTION AGAINST TICKS AND MOSQUITOES: Use a repellent that contains 20% or more DEET for protection that lasts up to several hours.
  • FOR PROTECTION AGAINST MOSQUITOES ONLY: Products with one of the following active ingredients can also help prevent mosquito bites. Higher percentages of active ingredient provide longer protection.
    • DEET
    • Picaridin (also known as KBR 3023, Bayrepel, and icaridin)
    • Oil of lemon eucalyptus (OLE) or para-menthane-diol (PMD)
    • IR3535
    • 2-undecanone
  • Always use insect repellent as directed.
What should I do if I am bitten by bugs?
  • Avoid scratching bug bites, and apply hydrocortisone cream or calamine lotion to reduce the itching.
  • Check your entire body for ticks after outdoor activity. Be sure to remove ticks properly.
What can I do to avoid bed bugs?

Although bed bugs do not carry disease, they are an annoyance. See our information page about avoiding bug bites for some easy tips to avoid them. For more information on bed bugs, see Bed Bugs.

For more detailed information on avoiding bug bites, see Avoid Bug Bites.

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Stay safe outdoors

If your travel plans in Israel, including the West Bank and Gaza include outdoor activities, take these steps to stay safe and healthy during your trip:

  • Stay alert to changing weather conditions and adjust your plans if conditions become unsafe.
  • Prepare for activities by wearing the right clothes and packing protective items, such as bug spray, sunscreen, and a basic first aid kit.
  • Consider learning basic first aid and CPR before travel. Bring a travel health kit with items appropriate for your activities.
  • Heat-related illness, such as heat stroke, can be deadly. Eat and drink regularly, wear loose and lightweight clothing, and limit physical activity in the heat of the day.
    • If you are outside for many hours in the heat, eat salty snacks and drink water to stay hydrated and replace salt lost through sweating.
  • Protect yourself from UV radiation: use sunscreen with an SPF of at least 15, wear protective clothing, and seek shade during the hottest time of day (10 a.m.–4 p.m.).
  • Be especially careful during summer months and at high elevation. Because sunlight reflects off snow, sand, and water, sun exposure may be increased during activities like skiing, swimming, and sailing.
  • Very cold temperatures can be dangerous. Dress in layers and cover heads, hands, and feet properly if you are visiting a cold location.
Stay safe around water
  • Swim only in designated swimming areas. Obey lifeguards and warning flags on beaches.
  • Do not dive into shallow water.
  • Avoid swallowing water when swimming. Untreated water can carry germs that make you sick.
  • Practice safe boating—follow all boating safety laws, do not drink alcohol if you are driving a boat, and always wear a life jacket.
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Keep away from animals

Most animals avoid people, but they may attack if they feel threatened, are protecting their young or territory, or if they are injured or ill. Animal bites and scratches can lead to serious diseases such as rabies.

Follow these tips to protect yourself:

  • Do not touch or feed any animals you do not know.
  • Do not allow animals to lick open wounds, and do not get animal saliva in your eyes or mouth.
  • Avoid rodents and their urine and feces.
  • Traveling pets should be supervised closely and not allowed to come in contact with local animals.
  • If you wake in a room with a bat, seek medical care immediately.  Bat bites may be hard to see.

All animals can pose a threat, but be extra careful around dogs, bats, monkeys, sea animals such as jellyfish, and snakes. If you are bitten or scratched by an animal, immediately:

  • Wash the wound with soap and clean water.
  • Go to a doctor right away.
  • Tell your doctor about your injury when you get back to the United States.
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Reduce your exposure to germs

Follow these tips to avoid getting sick or spreading illness to others while traveling:

  • Wash your hands often, especially before eating.
  • If soap and water aren’t available, clean hands with hand sanitizer (containing at least 60% alcohol).
  • Don’t touch your eyes, nose, or mouth. If you need to touch your face, make sure your hands are clean.
  • Cover your mouth and nose with a tissue or your sleeve (not your hands) when coughing or sneezing.
  • Try to avoid contact with people who are sick.
  • If you are sick, stay home or in your hotel room, unless you need medical care.
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Avoid sharing body fluids

Diseases can be spread through body fluids, such as saliva, blood, vomit, and semen.

Protect yourself:

  • Use latex condoms correctly.
  • Do not inject drugs.
  • Limit alcohol consumption. People take more risks when intoxicated.
  • Do not share needles or any devices that can break the skin. That includes needles for tattoos, piercings, and acupuncture.
  • If you receive medical or dental care, make sure the equipment is disinfected or sanitized.
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Know how to get medical care while traveling

Plan for how you will get health care during your trip, should the need arise:

  • Carry a list of local doctors and hospitals at your destination.
  • Review your health insurance plan to determine what medical services it would cover during your trip. Consider purchasing travel health and medical evacuation insurance for things your regular insurance will not cover.
  • Carry a card that identifies, in the local language, your blood type, chronic conditions or serious allergies, and the generic names of any medicines you take.
  • Bring copies of your prescriptions for medicine and for eye glasses and contact lenses.
  • Some prescription drugs may be illegal in other countries. Call Israel, including the West Bank and Gaza’s embassy to verify that all of your prescription(s) are legal to bring with you.
  • Bring all the medicines (including over-the-counter medicines) you think you might need during your trip, including extra in case of travel delays. Ask your doctor to help you get prescriptions filled early if you need to.

Many foreign hospitals and clinics are accredited by the Joint Commission International. A list of accredited facilities is available at their website (www.jointcommissioninternational.org).

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Select safe transportation

Motor vehicle crashes are the #1 killer of healthy US citizens in foreign countries.

Walking

Be smart when you are traveling on foot.

  • Use sidewalks and marked crosswalks.
  • Pay attention to the traffic around you, especially in crowded areas.
  • Remember, people on foot do not always have the right of way in other countries.
Riding/Driving

Choose a safe vehicle.

  • Choose official taxis or public transportation, such as trains and buses.
  • Make sure there are seatbelts.
  • Avoid overcrowded, overloaded, top-heavy buses and minivans.
  • Avoid riding on motorcycles or motorbikes, especially motorbike taxis. (Many crashes are caused by inexperienced motorbike drivers.)
  • Choose newer vehicles—they may have more safety features, such as airbags, and be more reliable.
  • Choose larger vehicles, which may provide more protection in crashes.

Think about the driver.

  • Do not drive after drinking alcohol or ride with someone who has been drinking.
  • Consider hiring a licensed, trained driver familiar with the area.
  • Arrange payment before departing.

Follow basic safety tips.

  • Wear a seatbelt at all times.
  • Sit in the back seat of cars and taxis.
  • When on motorbikes or bicycles, always wear a helmet. (Bring a helmet from home, if needed.)
  • Do not use a cell phone or text while driving (illegal in many countries).
  • Travel during daylight hours only, especially in rural areas.
  • If you choose to drive a vehicle in Israel, including the West Bank and Gaza, learn the local traffic laws and have the proper paperwork.
  • Get any driving permits and insurance you may need. Get an International Driving Permit (IDP). Carry the IDP and a US-issued driver's license at all times.
  • Check with your auto insurance policy's international coverage, and get more coverage if needed. Make sure you have liability insurance.
Flying
  • Avoid using local, unscheduled aircraft.
  • If possible, fly on larger planes (more than 30 seats); larger airplanes are more likely to have regular safety inspections.
  • Try to schedule flights during daylight hours and in good weather.
Helpful Resources

Road Safety Overseas (Information from the US Department of State): Includes tips on driving in other countries, International Driving Permits, auto insurance, and other resources.

The Association for International Road Travel has country-specific Road Travel Reports available for most countries for a minimal fee.

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Maintain personal security

Use the same common sense traveling overseas that you would at home, and always stay alert and aware of your surroundings. Note that the US Department of State urges US citizens to exercise caution when traveling to the West Bank and strongly urges US citizens to avoid all travel to the Gaza Strip. See http://travel.state.gov/content/passports/en/alertswarnings/israel-travel-warning.html for more information.

Before you leave
  • Research your destination(s), including local laws, customs, and culture.
  • Monitor travel warnings and alerts and read travel tips from the US Department of State.
  • Enroll in the Smart Traveler Enrollment Program (STEP).
  • Leave a copy of your itinerary, contact information, credit cards, and passport with someone at home.
  • Pack as light as possible, and leave at home any item you could not replace.
While at your destination(s)
  • Carry contact information for the nearest US embassy or consulate.
  • Carry a photocopy of your passport and entry stamp; leave the actual passport securely in your hotel.
  • Follow all local laws and social customs.
  • Do not wear expensive clothing or jewelry.
  • Always keep hotel doors locked, and store valuables in secure areas.
  • If possible, choose hotel rooms between the 2nd and 6th floors.
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Healthy Travel Packing List

Use the Healthy Travel Packing List for Israel, including the West Bank and Gaza for a list of health-related items to consider packing for your trip. Talk to your doctor about which items are most important for you.

Why does CDC recommend packing these health-related items?

It’s best to be prepared to prevent and treat common illnesses and injuries. Some supplies and medicines may be difficult to find at your destination, may have different names, or may have different ingredients than what you normally use.

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After Your Trip

If you are not feeling well after your trip, you may need to see a doctor. If you need help finding a travel medicine specialist, see Find a Clinic. Be sure to tell your doctor about your travel, including where you went and what you did on your trip. Also tell your doctor if you were bitten or scratched by an animal while traveling.

For more information on what to do if you are sick after your trip, see Getting Sick after Travel.

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Map Disclaimer - The boundaries and names shown and the designations used on maps do not imply the expression of any opinion whatsoever on the part of the Centers for Disease Control and Prevention concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Approximate border lines for which there may not yet be full agreement are generally marked.