Updates to the Online Edition of CDC Health Information for International Travel 2014 (The Yellow Book)

This webpage contains a listing of the permanent changes made to the online text of CDC Health Information for International Travel 2014 since its May 2013 hardcopy release.

Changes are also indicated within the online sections.

Remember to also check for current recommendations related to outbreaks or emerging situations in Travel Notices that may differ temporarily from recommendations in the Yellow Book.

Content Changes

Updated polio vaccination recommendations in Chapter 3, Travel Vaccines & Malaria Information, by Country

April 07, 2014

We have updated the polio vaccination recommendations in Chapter 3, Travel Vaccines & Malaria Information, by Country based on recent polio outbreaks and surveillance assessments. For a current list of destinations where travelers are recommended to receive an adult polio booster, see the Destination-Specific Recommendations for Polio Vaccine table inClinical Update: Polio Vaccine Guidance for Travelers and Note on Travel to Israel.

Update to select destination for India

February 11, 2014

We have updated the India section in Chapter 4. This section now reflects the removal of a polio vaccine booster recommendation for India.

Updates to Migrant Health Resources section

January 17, 2014

We have updated some resources listed in the Migrant Health Resources section of Chapter 9.

Updates regarding measles, mumps, and rubella

December 13, 2013

We have updated information in the Measles (Rubeola), Mumps, and Rubella sections in Chapter 3 based on the release of the following report:

McLean HQ, Fiebelkorn AP, Temte JL, Wallace GS. Prevention of measles, rubella, congenital rubella syndrome, and mumps 2013: summary recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2013 Jun 14;62(RR-4):1–34.

Changes made include the criteria for evidence of immunity and use of MMR (measles-mumps-rubella) vaccine for people infected with HIV.

Updated polio vaccination recommendations in Chapter 3, Travel Vaccines & Malaria Information, by Country

December 02, 2013

Update to countries that reported no rabies during 2012

November 26, 2013

We have added the Solomon Islands to Table 3-14.

Update to Cambodia’s malaria recommendations

November 08, 2013

We have updated Cambodia’s malaria recommendations in Chapter 3. For recommended chemoprophylaxis, we added that travelers going to Phnom Penh need only to follow mosquito avoidance measures, since malaria cases in the city are rare.

Updated section on Japanese encephalitis

September 18, 2013

We have updated the Japanese Encephalitis section in Chapter 3 to reflect the new pediatric indication for Japanese encephalitis vaccine.

Updated polio vaccination recommendations in Chapter 3, Travel Vaccines & Malaria Information, by Country

August 27, 2013

We have updated the polio vaccination recommendations in Chapter 3, Travel Vaccines & Malaria Information, by Country based on changes documented in the Clinical Update: Polio Vaccine Guidance for Travelers and Note on Travel to Israel, summarized below.

CDC recommends that all international travelers be fully vaccinated against polio.

CDC recommends an adult inactivated poliovirus vaccine (IPV) booster dose only for travelers to countries with active poliovirus circulation. Countries are considered to have active poliovirus circulation if they have ongoing endemic circulation, active polio outbreaks, or environmental evidence of active wild poliovirus circulation.

In addition, CDC recommends an adult IPV booster dose for certain travelers to some countries that border areas with active poliovirus circulation. These recommendations are based on evidence of historical cross-border transmission. The recommendations apply only to travelers with a high risk of exposure to someone with imported wild poliovirus (WPV) infection. These travelers would include those working in health care settings, refugee camps, or other humanitarian aid settings.

Updated table regarding country-specific Japanese encephalitis risk

August 20, 2013

We have updated the China entry in Table 3-07. Risk for Japanese encephalitis (JE), by countryto clarify information about Hong Kong and other major cities. Please see the table for current information.

Updated FDA medication guide for Mefloquine

August 09, 2013

We have updated the link to the recently released (June 2013) Food and Drug Administration (FDA) medication guide for mefloquine in the Malaria section in Chapter 3.