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Vaccine Recommendations by AOR

AFRICOM

U.S. Africa Command

CENTCOM

U.S. Central Command

EUCOM

U.S. European Command

PACOM

U.S. Indo-Pacific Command

NORTHCOM

U.S. Northern Command

SOUTHCOM

U.S. Southern Command

For general policy guidance on every vaccine, please see the Joint Regulation on Immunizations and Chemoprophylaxis for the Prevention of Infectious Diseases (AR 40-562, BUMEDINST 6230.15B, AFI 48-110_IP, CG COMDTINST M6230.4G).

Travel Alerts

Travel notices are designed to inform travelers and clinicians about current health issues related to specific destinations. These issues may arise from disease outbreaks, special events or gatherings, natural disasters, or other conditions that may affect travelers’ health. >>View current and ongoing travel alerts

Click here for a high-resolution copy of the map below.

AOR Map

USAFRICOM

Vaccine Required for AFRICOM
COVID-19 Recommend vaccination IAW current CDC guidelines.
Hepatitis A Required.
Hepatitis B Required.
Influenza, Northern Hemisphere Required if you are residing in / traveling to a designated NH vaccine country by the WHO for 14 or more days from October through March.
Influenza, Southern Hemisphere Required if you are residing in / traveling to a designated SH vaccine country by the WHO for 14 or more days from April through September.
M-M-R Required.
Meningococcal Required.
Pneumococcal Required for high risk health conditions per ACIP.
Polio Required. See additional guidance for travel to and from USAFRICOM countries affected by polio. See also CDC Guidance for Travel to high risk countries.
Rabies Required for personnel at high risk for exposure IAW Service-Specific guidelines.
Tdap or Td Required.
Typhoid Required.
Varicella (chickenpox) Required.
Yellow Fever Required except for Comoros, Morocco and Tunisia. All YF vaccinations must be documented on a CDC 731. See exception for Ascension Island.

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USCENTCOM

Vaccine Required for CENTCOM
Anthrax
 Required for 15 or more days in theater.
COVID-19
 Recommend vaccination IAW current CDC guidelines.
Hepatitis A
 Required.
Hepatitis B
 Required.
Influenza, Northern Hemisphere
 Required.
M-M-R
 Required. Documentation must include one of the following: Born before 1957, effective immunity by titer, or administration of two lifetime doses.
Pneumococcal
 Required for high risk health conditions per ACIP.
Polio
 For individuals traveling for > 4 weeks, vaccination required to be administered within 12 months of DEPARTURE FROM Afghanistan and Pakistan.
Rabies
 Required for personnel at high risk for exposure IAW Service-Specific guidelines.
Tdap or Td Required.
Typhoid Required.
Varicella (chickenpox) Required. Documentation must include one of the following: Born before 1980, history of disease, sufficient varicella titer, or administration of vaccine.

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USEUCOM

Vaccine Required for EUCOM
COVID-19 Recommend vaccination IAW current CDC guidelines.
Hepatitis A Required.
Hepatitis B Required.
Influenza, Northern Hemisphere Required.
M-M-R Required.
Meningococcal Specific countries only - See National Center for Medical Intelligence (NCMI) recommendations (CAC authentication required).
Pneumococcal Required for high risk health conditions per ACIP.
Polio Required.
Rabies Required for personnel at high risk for exposure IAW Service-Specific guidelines.
Tdap or Td Required.
Tick-Borne Encephalitis May be indicated when traveling to forested areas where the disease is endemic, and considered if personal protective measures to prevent insect bites are difficult or suspect.
Typhoid Required for countries with intermediate or high risk per National Center for Medical Intelligence (NCMI) recommendations (CAC authentication required), to include: Albania, Georgia, Israel, Kosovo, Macedonia, Moldova, Montenegro, Romania, Russia, Serbia, Turkey and Ukraine.
Varicella (chickenpox)
 Required.
Yellow Fever Specific countries only - See YF vaccine transiting requirements.

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USINDOPACOM

Vaccine Required for INDOPACOM
Anthrax Required for travel of 15 or more days to Korea, to include forward deployed Naval forces. Required for III MEF. All others per DoD policy.
COVID-19 Recommend vaccination IAW current CDC guidelines.
Hepatitis A Required.
Hepatitis B Required.
Influenza, Northern Hemisphere (NH) Required if you are residing in / traveling to a designated NH vaccine country by the WHO for 14 or more days from October through March.
Influenza, Southern Hemisphere Required if you are residing in / traveling to a designated SH vaccine country by the WHO (including Diego Garcia) for 14 or more days from April through September.
Japanese encephalitis Required for all Air Force, Army Special Operations Forces (ARSOF), Navy and Marine Corps personnel stationed, deployed, or TAD (ashore or afloat) to Japan or Korea for more than 30 days. Recommended for all others. Every effort should be made to complete the vaccine series prior to arrival.
M-M-R Required.
Meningococcal Specific countries only - See National Center for Medical Intelligence (NCMI) recommendations (CAC authentication required).
Pneumococcal Required for high risk health conditions per ACIP.
Polio Required. In the setting of a polio outbreak, comply with CDC or WHO recommendations and if in-country deployment is > 4 weeks, vaccination is required prior to arriving in country. 
Rabies Required for personnel at high risk for exposure IAW Service-Specific guidelines.
Tdap or Td
 Required.
Tick-Borne Encephalitis
 May be indicated when traveling to forested areas where the disease is endemic, and considered if personal protective measures to prevent insect bites are difficult or suspect.
Typhoid
 Required for Korea, III MEF and Operational Forces. All others per DoD policy.
Varicella (chickenpox)
 Required.
Yellow Fever Required only for entry into some USINDOPACOM countries (per CDC Yellow Book) if traveling from, or transiting through, endemic areas (Africa & South America). CDC 731 Stamp required.

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USNORTHCOM

Vaccine Academies - ROTC Coast Guard Initial Entry Training Service members in USA
Anthrax N/A Per USCG Policy.
 N/A
 Per DoD Policy.
COVID-19 Recommend vaccination IAW current CDC guidelines. Recommend vaccination IAW current CDC guidelines.
 Recommend vaccination IAW current CDC guidelines.
 Recommend vaccination IAW current CDC guidelines.
Hepatitis A Required. Required.
 Required.
 Required.
Hepatitis B Required. Required.
 Required.
 Per DoD Policy.
Influenza, Northern Hemisphere Required. Required.
 Required.
 Required.
 M-M-R Required. Required.
 Required.
 Required.
Meningococcal Required Academies Only. N/A
 Required.
 N/A
Pneumococcal N/A Required for asplenic and other high risk health conditions per ACIP.
 San Diego: 1 dose.
Parris Island: 1 dose.
Cape May: 1 dose.
 Required for high risk health conditions per ACIP.
Polio Required.  Required. 
 Required. 
 Required. 
Rabies N/A Per USCG Policy.
 N/A
 Required for personnel at high risk for exposure IAW Service-Specific guidelines.
Tdap or Td Required. Required.
 Required.
 Required.
Typhoid N/A Per USCG Policy.
 N/A
 N/A
Varicella (chickenpox) Required. Required.
 Required.
 Required.

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USSOUTHCOM

Vaccine Required for SOUTHCOM (includes Haiti)
COVID-19 Recommend vaccination IAW current CDC guidelines.
Hepatitis A Required.
Hepatitis B Required.
Influenza, Northern Hemisphere (NH) Required if you are residing in / traveling to a designated NH vaccine country by the WHO for 14 or more days from October through March.
Influenza, Southern Hemisphere (SH) Required if you are residing in / traveling to a designated SH vaccine country by the WHO for 14 or more days from April through September. Exception: Cuba not required.
M-M-R Required.
Pneumococcal Required for high risk health conditions per ACIP.
Polio Required.
Rabies Required for personnel at high risk for exposure IAW Service-Specific guidelines.
Tdap or Td Required.
Typhoid Required.
Varicella (chickenpox) Required.
Yellow Fever

Required for countries where the disease is endemic, per the CDC.

Required if traveling from an endemic area to those countries with transiting requirements (per WHO) and per USSOUTHCOM memo dated November 28, 2018.

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Regional Vaccine Recommendations provided for informational reference purposes only.
Always vaccinate according to package inserts and DoD/Service guidelines.

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Immunization Recommendations for Disaster Response Operations

.PDF | 68.86 KB

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Last Updated: October 18, 2024
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