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Pakistan

South Asia · Asia · Physician brief

📝Draft — pending physician review
📝Draft — pending physician review. This brief was compiled from CDC, WHO, and EKRM/HealthyTravel sources (June 2026) and has not yet been verified by a clinician. Confirm specifics with a travel-medicine professional before relying on it.

Polio — booster recommended; exit requirement applies

Pakistan is one of only two countries with endemic wild poliovirus (WPV1) transmission. Travelers should be fully immunized per the Swiss BAG schedule; adults who completed their childhood series should receive a one-time IPV booster before travel. Pakistan also imposes an EXIT requirement: travelers leaving the country after a stay of four weeks or more must show proof of polio vaccination received between 4 weeks and 12 months before departure, documented in an International Certificate of Vaccination (ICVP). Plan timing with your travel medicine specialist.

WHO Polio IHR Emergency Committee / CDC · Updated 2026

Yellow fever — certificate only if arriving from a risk country

There is no yellow fever risk in Pakistan. A YF vaccination certificate is required only for travelers aged 1 year and older arriving from a country with risk of YF transmission. Direct travel from Switzerland is not affected.

CDC / WHO · Updated 2026

Malaria

Moderate

Dengue

High

Yellow fever

None

Chikungunya

Moderate

Vaccines

VaccineRecommendationReference
Routine vaccines

Make sure you are up-to-date on all routine vaccines before every trip — per the Swiss BAG schedule. These include:

BAG Impfplan
Cholera

May be considered for aid/relief workers or travelers heading to areas of active transmission under poor sanitary conditions. Not needed for typical travel.

CDC Yellow Book
Hepatitis A

Recommended for all travelers from one year of age. Note for Swiss travelers: Hepatitis A is not part of the routine Swiss BAG childhood schedule, so most adult travelers will need vaccination.

CDC Yellow Book
Hepatitis B

Consider per individual risk and stay duration. Routine in the Swiss childhood schedule since 1998 — younger travelers are usually covered.

CDC Yellow Book
Japanese encephalitis

Consider for travelers spending extended time (typically a month or more, or shorter with high-risk rural exposure) in rural rice-growing and irrigated areas during transmission season. Not needed for short urban itineraries.

Polio booster

Pakistan has endemic wild poliovirus. Adults who completed their childhood polio series should receive a one-time IPV booster. Note the exit requirement for stays of four weeks or more (see alert). Document in an ICVP.

CDC Yellow Book
Rabies

Particularly recommended for long stays, travel to rural areas with limited access to post-exposure care, cyclists/motorbike trips, infants and children, and those working with animals. Stray dogs are a common rabies vector.

CDC Yellow Book
Typhoid

Recommended for most travelers, and particularly for those visiting friends and relatives, staying in rural areas, or for longer stays. An extensively drug-resistant (XDR) typhoid strain is circulating — vaccination and strict food/water hygiene both matter.

CDC Yellow Book

Disease-specific guidance

Malaria

Moderate

Chloroquine-resistant malaria is present in all areas, including all cities, below about 2,500 m elevation. Chemoprophylaxis is recommended for travel to risk areas; areas above 2,500 m (high-mountain regions) are risk-free. P. vivax predominates, with P. falciparum also present.

Risk
All areas incl. cities below ~2,500 m
No risk
Above ~2,500 m (high-mountain regions)
Species
Mostly P. vivax; ~20% P. falciparum (chloroquine-resistant)
Prevention
Chemoprophylaxis recommended for risk areas
Malaria risk areas in Pakistan (CDC).

Yellow fever

None

No yellow fever risk in Pakistan. A YF certificate is required only for travelers aged 1 year and older arriving from a country with risk of YF transmission. Direct travel from Switzerland is not affected.

Dengue

High

Endemic with large seasonal outbreaks in major cities including Karachi, Lahore, and Rawalpindi/Islamabad; risk peaks during and after the monsoon (roughly August–November). Daytime mosquito-bite prevention is the main protection.

Distribution
Major cities: Karachi, Lahore, Rawalpindi/Islamabad
Season
Peaks August–November (post-monsoon)
Mosquito
Aedes aegypti — bites during daytime

Chikungunya

Moderate

Transmission occurs with periodic outbreaks, including in southern urban centers. Same daytime Aedes mosquito vector as dengue, so dengue prevention also protects against chikungunya. Vaccination considered for extended stays in elevated-risk areas or outbreak settings (see EKRM statement).

General prevention

Food & water

Traveler's diarrhea, typhoid, and hepatitis A are common. Use bottled or properly treated water, avoid ice from unverified sources, and stick to thoroughly cooked food and fruit you peel yourself. An extensively drug-resistant (XDR) typhoid strain circulates, so food/water hygiene and typhoid vaccination are especially important.

Mosquito protection

Dengue causes large urban outbreaks (Karachi, Lahore, Rawalpindi/Islamabad), so daytime mosquito protection (DEET or picaridin repellent, long sleeves) is essential. Malaria is present in all areas below ~2,500 m including cities, requiring dawn/dusk and overnight protection; in rural areas also protect against Japanese encephalitis. Tick precautions reduce risk of Crimean-Congo hemorrhagic fever.

Sources

Based on CDC Travelers’ Health, CDC Yellow Book, and the Swiss Federal Vaccination Schedule (BAG). Always verify current recommendations before travel.

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This brief is for informational purposes and does not replace personalized medical advice.
Consult a travel medicine specialist 4–8 weeks before departure.