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South Asia

🇧🇹 Vaccines for Bhutan

Entry requirements & recommendations for travel to Bhutan

Bhutan requires Yellow Fever proof if arriving from an endemic country, and Hepatitis A, Typhoid, and Japanese Encephalitis are recommended, with the latter relevant for southern border districts rather than the higher-altitude areas most visitors experience. Malaria risk is limited to southern border districts and isn't a concern for Thimphu, Paro, or most trekking routes, which sit at higher altitudes. Bhutan's tourism model involves a daily fee and largely guided itineraries, which means most visitors have a structured experience with reasonable support infrastructure even in remote areas. Rabies exists, with stray dogs present even in Thimphu. Healthcare in Thimphu is reasonable for routine needs; trekking routes have very limited access, making altitude awareness and trip insurance important.

Medical disclaimer: This is general information only — not personal medical advice. Requirements and risks change. Always consult a qualified travel health clinic before departure.
Yellow Fever
Certificate required if arriving from endemic country.
💉 1 dose (lifetime)
📅 Book at least 3 weeks before travel
⚡ Effective: 10 days after vaccination. Certificate valid for life.
🛡 Protects for: Lifetime (single dose).
Required for entry
Hepatitis A
Food and water contamination risk.
💉 2 doses
📅 Book at least 4 weeks before travel
⚡ Effective: 2 weeks after 1st dose. Full protection after 2nd dose (6–12 months later).
🛡 Protects for: 1st dose ~1 yr. 2nd dose: lifetime.
Recommended
Typhoid
Contaminated food and water.
💉 1 dose
📅 Book at least 3 weeks before travel
⚡ Effective: 2 weeks after vaccination.
🛡 Protects for: 3–5 years. Booster recommended if re-exposure.
Recommended
Japanese Encephalitis
Risk in southern border areas.
💉 2 doses
📅 Book at least 7 weeks before travel
⚡ Effective: After 2nd dose (28 days after the 1st).
🛡 Protects for: Booster after 1 year if ongoing exposure.
Recommended
Rabies
Animal bites risk.
💉 3 doses
📅 Book at least 5 weeks before travel
⚡ Effective: After 3rd dose. 2nd dose 7 days after 1st, 3rd dose 21 days after 1st.
🛡 Protects for: Pre-exposure reduces post-bite treatment needed. Boosters based on blood tests.
Recommended
  • Malaria (southern border districts only — not in Thimphu or higher altitudes)
  • Japanese Encephalitis (south)
Required vaccines
~€74
(~$81)
per person · full courses
Yellow Fever (1 dose)€74 ($81)
Recommended vaccines
~€786
(~$856)
per person · full courses
Hepatitis A (2 doses)€140 ($152)
Typhoid (1 dose)€45 ($49)
Japanese Encephalitis (2 doses)€264 ($288)
Rabies (3 doses)€273 ($297)
Malaria tablets (4 weeks) (1 dose)€64 ($70)

💡 Approximate figures based on private European travel clinic rates (April 2026). Actual costs vary by clinic and country. Not all recommended vaccines will apply to every trip — discuss your specific itinerary with a travel health clinic.

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Do I need vaccines for Bhutan?
Yellow Fever proof is required if arriving from an endemic country. Hepatitis A, Typhoid, and Japanese Encephalitis are recommended, with JE relevant mainly for southern border districts rather than Thimphu, Paro, or most trekking routes at higher elevations.
Is there malaria in Bhutan?
Malaria risk is limited to southern border districts at lower elevations. Thimphu, Paro, and the higher-altitude trekking routes that form most tourist itineraries carry no malaria risk.
Is tap water safe in Bhutan?
No. Tap water in Bhutan is not reliably safe to drink, including in Thimphu and Paro. Use bottled or properly treated water throughout your stay.
What is healthcare like in Bhutan?
Healthcare in Thimphu is reasonable for routine needs, with the country having invested significantly in basic healthcare access for its population. However, for trekking routes — a major part of Bhutan's appeal — medical access is very limited, and altitude sickness is a genuine consideration given the elevations involved. Comprehensive travel insurance with evacuation cover is important, particularly for trekking itineraries.