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๐Ÿ‡ต๐Ÿ‡ฐ Vaccines for Pakistan

Entry requirements & recommendations for travel to Pakistan

Pakistan requires proof of Polio vaccination for Pakistani nationals and long-term residents departing the country, under International Health Regulations โ€” Pakistan remains one of the last countries where polio is endemic. For other visitors, Hepatitis A, Typhoid (including awareness of an extensively drug-resistant typhoid strain circulating in parts of Pakistan), Hepatitis B, and Rabies are recommended. Malaria risk exists across most of Pakistan outside Islamabad and Karachi city centres. Security varies significantly by region โ€” most governments advise against travel to certain areas including parts of Balochistan and the former FATA regions near the Afghan border, while Islamabad, Lahore, and Karachi see regular business and diplomatic travel. Healthcare in major cities has good private options.

Medical disclaimer: This is general information only โ€” not personal medical advice. Requirements and risks change. Always consult a qualified travel health clinic before departure.
Polio
International Health Regulations require proof of polio vaccine for Pakistani nationals and long-term residents departing Pakistan.
๐Ÿ’‰ 1 dose booster
๐Ÿ“… Book at least 4 weeks before travel
โšก Effective: 2 weeks after booster dose.
๐Ÿ›ก Protects for: Lifetime after booster (if primary course complete).
Required for entry
Hepatitis A
Food and water contamination risk โ€” very common.
๐Ÿ’‰ 2 doses
๐Ÿ“… Book at least 4 weeks before travel
โšก Effective: 2 weeks after 1st dose. Full protection after 2nd dose (6โ€“12 months later).
๐Ÿ›ก Protects for: 1st dose ~1 yr. 2nd dose: lifetime.
Recommended
Typhoid
Highly endemic โ€” extensively drug-resistant typhoid (XDR) outbreak ongoing.
๐Ÿ’‰ 1 dose
๐Ÿ“… Book at least 3 weeks before travel
โšก Effective: 2 weeks after vaccination.
๐Ÿ›ก Protects for: 3โ€“5 years. Booster recommended if re-exposure.
Recommended
Hepatitis B
Blood and sexual contact.
๐Ÿ’‰ 3 doses
๐Ÿ“… Book at least 26 weeks before travel
โšก Effective: After full 3-dose course. Accelerated 3-week schedule available โ€” ask your clinic.
๐Ÿ›ก Protects for: Lifetime after full course.
Recommended
Rabies
High rabies burden.
๐Ÿ’‰ 3 doses
๐Ÿ“… Book at least 5 weeks before travel
โšก Effective: After 3rd dose. 2nd dose 7 days after 1st, 3rd dose 21 days after 1st.
๐Ÿ›ก Protects for: Pre-exposure reduces post-bite treatment needed. Boosters based on blood tests.
Recommended
  • โš Malaria (most of Pakistan โ€” not in Islamabad/Karachi city centres)
  • โš Dengue (urban outbreaks)
  • โš Typhoid (XDR strain circulating)
  • โš Polio (endemic)
  • โš Rabies
  • โš Cholera
Notes: Polio vaccination required for Pakistani nationals/residents departing. XDR typhoid strain circulating โ€” Typhoid vaccination recommended. Malaria prophylaxis for rural areas and Sindh/KPK/Balochistan. Check current travel advisories.
Required vaccines
~โ‚ฌ36
(~$39)
per person ยท full courses
Polio booster (1 dose)โ‚ฌ36 ($39)
Recommended vaccines
~โ‚ฌ711
(~$775)
per person ยท full courses
Hepatitis A (2 doses)โ‚ฌ140 ($152)
Typhoid (1 dose)โ‚ฌ45 ($49)
Hepatitis B (3 doses)โ‚ฌ189 ($207)
Rabies (3 doses)โ‚ฌ273 ($297)
Malaria tablets (4 weeks) (1 dose)โ‚ฌ64 ($70)

๐Ÿ’ก 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 โ€” discuss your specific itinerary with a travel health clinic.

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Do I need a Polio vaccine for Pakistan?
If you're a Pakistani national or long-term resident departing Pakistan, proof of polio vaccination is required under International Health Regulations, since Pakistan remains one of the last countries where polio is endemic. For other visitors entering Pakistan, ensuring your own routine polio immunity is current is a reasonable precaution given the endemic status.
What vaccines are needed for Pakistan?
Hepatitis A, Typhoid, Hepatitis B, and Rabies are recommended. Be aware that an extensively drug-resistant (XDR) typhoid strain has been circulating in parts of Pakistan, which makes typhoid vaccination particularly relevant. Malaria prophylaxis is recommended for most areas outside Islamabad and Karachi city centres.
Is there malaria in Pakistan?
Yes, malaria risk exists across most of Pakistan, with Islamabad and Karachi city centres carrying lower risk than rural areas and Sindh, Khyber Pakhtunkhwa, and Balochistan provinces generally. Antimalarial medication is recommended for travel outside the main city centres.
Is tap water safe in Pakistan?
No. Tap water in Pakistan is not safe to drink, including in Islamabad, Lahore, and Karachi. Use bottled or properly treated water throughout your stay.