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Health Information for Travelers to SpainTraveler View

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Vaccines and Medicines

Check the vaccines and medicines list and visit your doctor (ideally, 4-6 weeks) before your trip to get vaccines or medicines you may need.

 

  Find Out Why Protect Yourself

All travelers

You should be up to date on routine vaccinations while traveling to any destination. Some vaccines may also be required for travel.

Routine vaccines

Make sure you are up-to-date on routine vaccines before every trip. These vaccines include measles-mumps-rubella (MMR) vaccine, diphtheria-tetanus-pertussis vaccine, varicella (chickenpox) vaccine, polio vaccine, and your yearly flu shot.

get_vaccinated hygiene

Some travelers

Ask your doctor what vaccines and medicines you need based on where you are going, how long you are staying, what you will be doing, and if you are traveling from a country other than the US.

Hepatitis A

Hepatitis A outbreaks occur throughout the world and sometimes in countries with a low risk for hepatitis A (including the US). You can get hepatitis A through contaminated food or water in Spain, so talk to your doctor to see if the hepatitis A vaccine is right for you.

Traveling with Children

This vaccine should not be given to children younger than 1 year.

Immune-Compromised Travelers

Talk to your doctor about whether you should get a dose of immunoglobulin before your trip, in addition to hepatitis A vaccine.

Pregnant Women

Talk to your doctor about whether you should get this vaccine if you are pregnant.

get_vaccinated eat_drink
Hepatitis B

You can get hepatitis B through sexual contact, contaminated needles, and blood products, so CDC recommends this vaccine if you might have sex with a new partner, get a tattoo or piercing, or have any medical procedures.

get_vaccinated avoid_body_fluids avoid-non-sterile-equipment
Rabies

Rabies is present in bats in Spain. However, it is not a major risk to most travelers. CDC recommends rabies vaccine for only these groups:

  • Travelers involved in outdoor and other activities in remote areas that put them at risk for bat bites (such as adventure travel and caving).
  • People who will be working with or around bats (such as wildlife professionals and researchers).
get_vaccinated animals

All travelers

You should be up to date on routine vaccinations while traveling to any destination. Some vaccines may also be required for travel.

get_vaccinated hygiene
Routine vaccines

Make sure you are up-to-date on routine vaccines before every trip. These vaccines include measles-mumps-rubella (MMR) vaccine, diphtheria-tetanus-pertussis vaccine, varicella (chickenpox) vaccine, polio vaccine, and your yearly flu shot.

Some travelers

Ask your doctor what vaccines and medicines you need based on where you are going, how long you are staying, what you will be doing, and if you are traveling from a country other than the US.

get_vaccinated eat_drink
Hepatitis A

Hepatitis A outbreaks occur throughout the world and sometimes in countries with a low risk for hepatitis A (including the US). You can get hepatitis A through contaminated food or water in Spain, so talk to your doctor to see if the hepatitis A vaccine is right for you.

Traveling with Children

This vaccine should not be given to children younger than 1 year.

Immune-Compromised Travelers

Talk to your doctor about whether you should get a dose of immunoglobulin before your trip, in addition to hepatitis A vaccine.

Pregnant Women

Talk to your doctor about whether you should get this vaccine if you are pregnant.

get_vaccinated avoid_body_fluids avoid-non-sterile-equipment
Hepatitis B

You can get hepatitis B through sexual contact, contaminated needles, and blood products, so CDC recommends this vaccine if you might have sex with a new partner, get a tattoo or piercing, or have any medical procedures.

get_vaccinated animals
Rabies

Rabies is present in bats in Spain. However, it is not a major risk to most travelers. CDC recommends rabies vaccine for only these groups:

  • Travelers involved in outdoor and other activities in remote areas that put them at risk for bat bites (such as adventure travel and caving).
  • People who will be working with or around bats (such as wildlife professionals and researchers).
Key
  • Get vaccinated
  • Eat and drink safely
  • Keep away from animals
  • Reduce your exposure to germs
  • Avoid sharing body fluids
  • Avoid non-sterile medical or cosmetic equipment

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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 Spain, so your behaviors are important.

 

Eat and drink safely

Food and water standards in Spain are similar to those in the United States. Most travelers do not need to take special food or water precautions beyond what they normally do at home.

Cruise Ship

Food and drinks served on board cruise ships are generally safe. However, be careful about what you eat and drink at ports of call.

Pregnant Women

Pregnant women should not take Pepto-Bismol or Kaopectate to treat diarrhea. Imodium can be used when necessary, but drinking a lot of fluids is usually the best way to deal with diarrhea.

Mission/Disaster Relief

A natural disaster may contaminate food and water sources. Make sure to eat and drink only things that have come from a reliable source.

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Prevent bug bites

Although Spain 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 PMD
    • IR3535
  • 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.

Traveling with Children

Is it safe to use insect repellent on my children?

Most insect repellent is safe to use on your children. However, products containing OLE should not be used on children less than 3 years old.

Children over 2 months old can use products containing DEET, up to 30% concentration.

Protect infants less than 2 months of age by using a carrier draped with mosquito netting with an elastic edge for a tight fit.

How should I use insect repellent on my children?
  • Children should not handle insect repellent. Instead, adults should apply it to their own hands first, then gently spread on the child’s exposed skin.
  • Do not apply insect repellent to children's hands, because they tend to put their hands in their mouths.
  • Keep insect repellent out of reach of children.

Immune-Compromised Travelers

Diseases spread by bugs can be severe and difficult to treat in people with compromised immune systems, so make sure you are careful to avoid bites.

Pregnant Women

It is safe to use insect repellent while pregnant. Consult your doctor if you have questions.

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Stay safe outdoors

If your travel plans in Spain 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.

Traveling with Children

Sun Safety for Children

Protect your children from the sun. Seek shade during the hottest part of the day (10 a.m.-4 p.m.), make sure your child wears protective clothing (including hats and sunglasses), and apply sunscreen. Take sunscreen with you to reapply during the day, especially after your child swims or exercises. All products do not have the same ingredients; if your child's skin reacts badly to one product, try another one or call a doctor.

Sunscreen is recommended for children over 6 months old. Babies 6 months of age and younger are more sensitive to the sun and should be kept in the shade and wear clothing that covers most of their skin. A small amount of sunscreen can be used on parts of their body that are not covered, like the face and hands; follow the directions on the package for using sunscreen on babies less than 6 months old.

Children and Water Safety

Keep your child safe when swimming. Children should wear lifejackets and be supervised when they are in or near water. Make sure children do not swallow water while swimming or playing in the water.

Chronic Disease

Dehydration can be especially dangerous if you suffer from a chronic disease. During outdoor activity, drink plenty of water.

Swimming can make you sick if you swallow water. You should never swim in water that you suspect might contain even very small amounts of sewage or animal waste.

Immune-Compromised Travelers

Swimming can make you sick if you swallow water. You should never swim in water that might contain even very small amounts of sewage or animal waste.

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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.

Traveling with Children

Children love animals, but they are more likely than adults to suffer serious injuries if they are bitten or scratched. If you are traveling with a child, remind the child of these animal safety tips:

  • Do not touch any animals without permission.
  • Always tell an adult if the child has any contact with an animal. (Children may be afraid to tell if they think they will get in trouble.)
  • Always tell an adult if the child sees a bat in a room. If you or a child wakes in a room with a bat, seek medical care immediately.

Pregnant Women

Pregnant women may receive rabies vaccine.

Mission/Disaster Relief

Talk with a health care provider about the rabies vaccine before your trip. You may be at high risk for rabies in some areas. Bites from stray animals, like dogs, are especially dangerous.

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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.

Traveling with Children

Young children may need supervision when washing their hands to make sure that they get them clean.

Keep your child’s bottles, pacifiers, and teething rings thoroughly clean. Wash toys that the child drops or that are handled by others. Wash items only in clean (drinkable) water.

Be especially careful to wash your hands after changing diapers.

Cruise Ship

Outbreaks of diarrhea or respiratory disease sometimes occur on cruise ships. To avoid getting sick, wash your hands often (or use hand sanitizer), especially before eating and after touching surfaces that other people have touched (such as door handles and stair rails).

Immune-Compromised Travelers

Keeping your hands clean is the best way for people with compromised immune systems to avoid getting travelers’ diarrhea. Wash your hands often, especially before eating and after touching surfaces that other people have touched (such as door handles and stair rails).

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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 Spain’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).

Traveling with Children

  • Infant formula that you buy abroad may not be the same as in the United States. If you feed your child formula, bring enough for your entire trip, plus extra in case of travel delays.
  • Double-check medical insurance for overseas coverage for the children who are traveling with you. Consider travel health and medical evacuation insurance for things your regular insurance will not cover.
  • Diarrhea in babies and young children can quickly lead to dehydration. Learn the signs and symptoms of dehydration, including what you can do and when you should see a doctor.
  • More information: Traveling with Children.

Chronic Disease

  • When changing time zones, take medicine according to time between doses, rather than time of day. Set an alarm to help remind you when to take your medicine.
  • Develop a plan for how to manage minor health problems or flare-ups of your chronic condition during your trip.

Cruise Ship

Medical facilities available on cruise ships are generally similar to clinics in the United States and are equipped to handle a wide variety of illnesses and injuries. However, some medical issues, particularly dental problems, may require evacuation or consultation at a port.

Extended Stay/Study Abroad

The more time you spend abroad, the more likely it is that you will need medical care while you are there. Consider where you will get this care and whether you will need additional insurance to pay for it.

Get a medical and dental check-up before you go, and fill any prescriptions you’ll need before you leave.

Immune-Compromised Travelers

  • When changing time zones, take medicine according to time between doses, rather than time of day. Set an alarm to help remind you when to take your medicine.
  • Develop a plan for how to manage minor health problems or flare-ups of your underlying condition during your trip.

Pregnant Women

  • Pay extra attention to what your health insurance will cover abroad. When purchasing travel health and medical evacuation insurance, be sure that pregnancy-related issues will be covered. Many policies do not cover pregnancy-related problems.
  • If you travel in the last 3 months of pregnancy, carry contact information for local hospitals or clinics that could manage pregnancy complications, and have a summary of prenatal care you have received. Travel health insurance may not cover birth or the newborn, should he or she need care.
  • Determine whether you will need prenatal care while abroad. It is very important to maintain your schedule of prenatal visits, particularly those that require specific timing.

Mission/Disaster Relief

In areas affected by disaster or conflict, medical services may not be available. Prepare a travel health kit with supplies to treat minor injuries and illnesses yourself. Research the resources in the areas where you will be working to determine how extensive your travel kit should be.

Carry a copy of your medical information with you, including vaccine records and blood type.

Visiting Friends or Family

People who are visiting friends and family abroad may be offered traditional medicine (such as herbal remedies) if they get sick. However, many of these remedies might not be effective, and some could be harmful. Talk to your doctor about traditional medicines if you are likely to be offered them.

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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 Spain, 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.

Traveling with Children

Motor Vehicles

Vehicle-related crashes are the leading cause of death in children who travel.

  • Children who weigh less than 40 lbs should be restrained in car seats or booster seats.
  • You may need to bring your own car or booster seat from home, since safety seats may be limited or unavailable.
  • Children who weigh more than 40 lbs should always wear a seatbelt.
  • In general, children are safest riding in the back seat.
  • Do not allow children to ride in the bed of a pickup truck or an open vehicle without restraints.
Air Travel
  • Children who are less than 1 year old or who weigh less than 20 lbs should be placed in a rear-facing FAA-approved child-safety seat.
  • Children at least 1 year old who weigh 20 to 40 lbs should use a forward-facing FAA-approved child-safety seat.

Children may have intense ear pain as a plane is landing. Swallowing and chewing can help equalize the pressure. You may want to try letting infants breastfeed or suck on a bottle, and older children chew gum.

Cruise Ship

Although you will be on the cruise ship for a large portion of your trip, be sure to choose safe transportation for any land excursions you take at port.

Extended Stay/Study Abroad

Crashes involving in-country travel are a major cause of injury to people studying abroad, so find and use safe modes of travel. (See advice above.)

If you are considering buying a bicycle, vehicle, or motorbike during your stay, make sure you have the appropriate permits and insurance.

Pregnant Women

General Tips
  • Fasten seatbelts at the pelvic area, not across the lower abdomen. Lap and shoulder restraints are best.
  • If you are in a crash, usually the fetus will recover quickly from the seatbelt pressure. However, consult a doctor to be sure, even for a minor crash.
  • Carry a letter from your doctor stating your baby’s due date, contact information for your doctor, and your blood type.
Air Travel Tips
  • If you have any problems with your placenta or risks for early labor, avoid air travel.
  • Check with your airline about their policies and any paperwork they require for traveling while pregnant. International travel may be permitted until weeks 32–35, depending on the airline.
  • An aisle seat in the bulkhead will provide the most space and comfort, but a seat over the wing near the middle of the plane will give the smoothest ride.
  • Walk every half hour during a smooth flight and flex and extend ankles frequently to prevent swelling.
  • Drink plenty of fluids during flights.

Mission/Disaster Relief

Depending on the type and extent of the disaster, normal transportation services and routes may be limited or nonexistent. Learn as much as you can about transportation options before you go.

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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.

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.

Traveling with Children

Conditions at hotels and other lodging may not be as safe as those in the United States. It’s a good idea to check your accommodations for potential hazards to children, such as exposed wiring or inadequate stairway or balcony railings.

Your children should carry their own identifying information and contact numbers, in case family members become separated. Develop a family plan for what to do in an emergency or if a child gets lost.

If you are the only parent traveling with the child, you may need to carry custody papers or a notarized permission letter from the other parent, as there is worldwide concern about child abductions.

Chronic Disease

Carry a letter from your doctor that describes your medical condition and any prescription medicines you take for it, including their generic names. When you pack your medicines, make sure they are in your carry-on luggage and are clearly labeled and in their original containers.

Some prescription drugs that are legal in the United States may be illegal in other countries. If you need to take any prescription medicines with you on your trip, check with Spain’s embassy in the United States to verify that all your prescription(s) are legal to bring with you.

Extended Stay/Study Abroad

To be sure that you are able to fully enjoy your time abroad, pay attention to your safety. Check out the Students Abroad website from the US Department of State for tips on staying safe during your study abroad experience.

Immune-Compromised Travelers

Carry a letter from your doctor that describes your medical condition and any prescription medicines you take for it, including their generic names. When you pack your medicines, make sure they are in your carry-on luggage and are clearly labeled and in their original containers.

Some prescription drugs that are legal in the United States may be illegal in other countries. If you need to take any prescription medicines with you on your trip, check with Spain’s embassy in the United States to verify that all your prescription(s) are legal to bring with you.

Mission/Disaster Relief

  • Carry extra passport-style photos, as these may be required for certain types of visas or for additional work permits.
  • Carry contact information for a person who can be notified in an emergency. 
  • Understand the level of support you can expect to receive from your organization during an emergency. Make sure you are comfortable with your organization’s support resources.
  • Workers deployed to conflict areas should also be aware of landmines and other potential hazards.
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Healthy Travel Packing List

Use the Healthy Travel Packing List for Spain 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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Travel Health Notices

Be aware of current health issues in Spain. Learn how to protect yourself.

 

Watch Level 1, Practice Usual Precautions

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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.

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