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Somalia

East Africa · Africa · 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.

Armed conflict and insecurity — travel strongly discouraged

Somalia is affected by ongoing armed conflict, terrorism and kidnapping. The Swiss Federal Department of Foreign Affairs (FDFA) advises against all travel. Medical infrastructure is minimal and evacuation may be impossible. Anyone who must travel should arrange comprehensive security and medical-evacuation support in advance.

Swiss FDFA / EDA travel advice · Updated 2026

Cholera — active transmission

Active cholera transmission is documented in Somalia. Maintain strict food and water hygiene; the oral cholera vaccine may be considered for aid/health workers and those in higher-risk settings.

CDC / WHO · Updated 2026

Yellow fever — entry certificate may be required

Somalia is not yellow-fever-endemic, but a vaccination certificate is required for travelers arriving from (or transiting through) a country with risk of YF transmission. Direct travel from Switzerland is not affected.

WHO / Somali entry requirements · Updated 2026

Recent alerts

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Level 1 - Diphtheria in Sub-Saharan Africa

There are outbreaks of diphtheria in several countries in Africa. Vaccination against diphtheria is essential to protect against the disease. Country List : Chad, Guinea, Niger, Nigeria, Mali, Mauritania, Somalia

CDC Travel Health Notices · Jun 2, 2026

Malaria

Moderate

Dengue

Moderate

Yellow fever

Moderate

Chikungunya

None

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 given active transmission, particularly for aid/health workers and those with limited access to safe food and water. Disease remains rare in ordinary travelers who maintain strict hygiene.

CDC Yellow Book
Hepatitis A

Recommended for all travelers. 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 Swiss childhood schedule since 1998 — younger travelers usually covered.

CDC Yellow Book
Rabies

Recommended for long stays, rural travel, work with animals, and for infants and children. Post-exposure rabies vaccine is typically not readily available in-country.

CDC Yellow Book
Typhoid

Recommended for most travelers, especially those staying with friends and relatives or in poor hygienic conditions.

CDC Yellow Book
Yellow fever

Not recommended by CDC for the listed regions and not endemic; relevant mainly for the entry certificate when arriving from a YF-risk country (see country alert).

CDC Yellow Book

Disease-specific guidance

Malaria

Moderate

Malaria is present year-round in all areas of Somalia. P. falciparum strongly predominates (~90%) and is chloroquine-resistant. Chemoprophylaxis (atovaquone-proguanil, doxycycline, mefloquine or tafenoquine) is recommended for all travelers, together with strict bite prevention.

Risk area
All areas, year-round
Species
P. falciparum ~90%, P. vivax 5–10%
Resistance
Chloroquine-resistant
Prevention
Chemoprophylaxis for all travelers + bite protection

Yellow fever

Moderate

Somalia is not yellow-fever-endemic, and CDC does not recommend the vaccine for the listed regions. A vaccination certificate is required for travelers arriving from a YF-risk country (see country alert). Direct travel from Switzerland is not affected.

CDC
Not recommended (not endemic)
Entry rule
Cert required if arriving from YF-risk country

Dengue

Moderate

Dengue is transmitted by daytime-biting Aedes mosquitoes and occurs in Somalia. Daytime mosquito-bite prevention (repellent with ≥20% DEET, protective clothing) is the main protection.

Distribution
Present; urban and lowland areas
Mosquito
Aedes — bites during daytime

General prevention

Food & water

Strict food and water precautions are essential — active cholera transmission is documented. Drink only bottled or treated water, avoid ice and unpeeled produce, and eat thoroughly cooked food. Healthcare access is severely limited.

Mosquito protection

Mosquito-bite prevention (DEET or picaridin repellent, long sleeves, treated bed nets) is essential. Malaria is present year-round in all areas. Active armed conflict makes much of the country unsafe for travel; the Swiss FDFA advises against travel to Somalia.

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.