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Yellow Fever in Brazil

Warning - Level 3, Avoid Nonessential Travel
Alert - Level 2, Practice Enhanced Precautions
Watch - Level 1, Practice Usual Precautions

In early 2017, the Brazilian Ministry of Health reported outbreaks of yellow fever in several eastern states, including areas where yellow fever was not traditionally considered to be a risk. Although virus spread decreased by mid-2017, yellow fever cases have reappeared in several states since the end of 2017, especially in São Paulo State, including areas close to the city of São Paulo. In early 2018, the GeoSentinel Surveillance System reported a case of yellow fever in an unvaccinated Dutch traveler who had stayed near the São Paulo metropolitan region.

In response to the outbreak, the World Health Organization expanded the list of areas where yellow fever vaccination is recommended for international travelers to Brazil. Most recently, the city of São Paulo was added to this expanded list (below). Please note that this list contains temporary expanded vaccine recommendations.

In addition to areas in Brazil where yellow fever vaccination has been recommended since before the recent outbreaks, it is now also recommended for people who are traveling to or living in:

  • All of Espirito Santo State.
  • All of Rio de Janeiro State, including the city of Rio de Janeiro.
  • All of São Paulo State, including the entire city of São Paulo.
  • A number of cities in Bahia State.

State of Bahia: new areas in which yellow fever vaccination is recommended for travelers Expand expand Collapse collapse

  • Acajutiba
  • Agua Fria
  • Aiquara
  • Alagoinhas
  • Alcobasa
  • Almadina
  • Amargosa
  • Amelia Rodrigues
  • Anage
  • Anguera
  • Antonio Cardoso
  • Apora
  • Apuarema
  • Aracas
  • Aracatu
  • Aramari
  • Arataca
  • Aratuipe
  • Aurelino Leal
  • Barra da Estiva
  • Barra do Chosa
  • Barra do Rocha
  • Barro Preto
  • Barrocas
  • Belmonte
  • Belo Campo
  • Biritinga
  • Boa Nova
  • Boa Vista do Tupim
  • Bom Jesus da Serra
  • Breoes
  • Buerarema
  • Caatiba
  • Cabaceiras do Paraguacu
  • Cachoeira
  • Caetanos
  • Cairu
  • Camacan
  • Camacari
  • Camamu
  • Canavieiras
  • Candeal
  • Candeias
  • Candido Sales
  • Caraibas
  • Caravelas
  • Cardeal da Silva
  • Castro Alves
  • Catu
  • Coaraci
  • Conceicada Feira
  • Conceicado Almeida
  • Conceicado Jacuipe
  • Conde
  • CondeUba
  • Contendas do Sincora
  • Coracade Maria
  • Cordeiros
  • Cravolandia
  • Cruz das Almas
  • Dario Meira
  • Dias d'Avila
  • Dom Macedo Costa
  • Elisio Medrado
  • Encruzilhada
  • Entre Rios
  • Esplanada
  • Eunapolis
  • Feira de Santana
  • Firmino Alves
  • Floresta Azul
  • Gandu
  • Gongogi
  • Governador Mangabeira
  • Guajeru
  • Guaratinga
  • Iacu
  • Ibicarai
  • Ibicui
  • Ibirapitanga
  • Ibirapua
  • Ibirataia
  • Igrapiuna
  • Iguai
  • Ilheus
  • Inhambupe
  • Ipecaeta
  • Ipiau
  • Ipira
  • Irajuba
  • Iramaia
  • Irara
  • Itabela
  • Itaberaba
  • Itabuna
  • Itacare
  • Itagi
  • Itagiba
  • Itagimirim
  • Itaju do Colonia
  • Itajuipe
  • Itamaraju
  • Itamari
  • Itambe
  • Itanagra
  • Itanhem
  • Itaparica
  • Itape
  • Itapebi
  • Itapetinga
  • Itapitanga
  • Itaquara
  • Itarantim
  • Itatim
  • Itirucu
  • Itororo
  • Itubera
  • Jacaraci
  • Jaguaquara
  • Jaguaripe
  • Jandaira
  • Jequie
  • Jiquirica
  • Jitauna
  • Jucurusu
  • Jussari
  • Lafaiete Coutinho
  • Laje
  • Lajedao
  • Lajedo do Tabocal
  • Lamarao
  • Lauro de Freitas
  • Licinio de Almeida
  • Macarani
  • Madre de Deus
  • Maetinga
  • Maiquinique
  • Manoel Vitorino
  • Maracas
  • Maragogipe
  • Marau
  • Marcionilio Souza
  • Mascote
  • Mata de Sao Joao
  • Medeiros Neto
  • Milagres
  • Mirante
  • Mortugaba
  • Mucuri
  • Muniz Ferreira
  • Muritiba
  • Mutuipe
  • Nazare
  • Nilo Pecanha
  • Nova Canaa
  • Nova Ibia
  • Nova Itarana
  • Nova Visosa
  • Ouricangas
  • Pau Brasil
  • Pedrao
  • Pindai
  • Pirai do Norte
  • Piripa
  • Planaltino
  • Planalto
  • Pojuca
  • Porto Seguro
  • Posoes
  • Potiragua
  • Prado
  • Presidente Janio Quadros
  • Presidente Tancredo Neves
  • Rafael Jambeiro
  • Riachao do Jacuipe
  • Ribeirao do Largo
  • Rio Real
  • Salinas da Margarida
  • Salvador
  • Santa Barbara
  • Santa Cruz Cabralia
  • Santa Cruz da Vitoria
  • Santa Ines
  • Santa Luzia
  • Santa Teresinha
  • Santanopolis
  • Santo Amaro
  • Santo Antonio de Jesus
  • Santo Estevao
  • Sao Felipe
  • Sao Felix
  • Sao Francisco do Conde
  • Sao Goncalo dos Campos
  • São Jose da Vitoria
  • Sao Miguel das Matas
  • Sao Sebastiao do Passe
  • Sapeacu
  • Saubara
  • Sebastiao Laranjeiras
  • Serra Preta
  • Serrinha
  • Simoes Filho
  • Tanhacu
  • Tanquinho
  • Taperoa
  • Teixeira de Freitas
  • Teodoro Sampaio
  • Teofilandia
  • Teolandia
  • Terra Nova
  • Tremedal
  • Ubaira
  • Ubaitaba
  • Ubata
  • Una
  • Urandi
  • Urusuca
  • Valenca
  • Varzedo
  • Vera Cruz
  • Vereda
  • Vitoria da Conquista
  • Wenceslau Guimaraes

Source: World Health Organzation

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The Brazilian Ministry of Health maintains a regular list of all other cities in Brazil for which yellow fever vaccination has been recommended since before the recent outbreaks. This list does not include recently added areas above. It is located at http://portalsaude.saude.gov.br/images/pdf/2015/novembro/19/Lista-de-Municipios-ACRV-Febre-Amarela-Set-2015.pdf.

Note: Because yellow fever vaccination was previously recommended (and continues to be recommended) in western parts of the states of São Paulo and Bahia, some cities in each of these states are included on the regular list.

Who should get this vaccine?

Anyone 9 months or older who travels to or lives in these areas should be vaccinated against yellow fever. Because of current limitations in the availability of yellow fever vaccine in the United States, travelers may need to contact a yellow fever vaccine provider well in advance of travel.

Expanded Yellow Fever Vaccine Recommendation Areas in Brazil

Clinician Information:

Additional Information:

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