COVID-19 in Europe
Warning - Level 3, Avoid Nonessential Travel
Alert - Level 2, Practice Enhanced Precautions
Watch - Level 1, Practice Usual Precautions
Warning - Level 3, Avoid Nonessential Travel—Widespread Sustained Transmission
Key Points
- Europe is experiencing widespread sustained transmission of respiratory illness caused by the novel (new) coronavirus (COVID-19).
- CDC recommends that travelers avoid all nonessential travel to the specified countries in Europe. See: What countries are included in this notice (below).
- Older adults and people of any age with serious chronic medical conditions are at increased risk for severe disease.
- Travelers should avoid contact with sick people and wash their hands often with soap and water for at least 20 seconds. If soap and water are not readily available, use an alcohol-based hand sanitizer that contains at least 60% alcohol.
- Travelers returning from the specified countries in Europe must stay home for 14 days after returning from travel, monitor their health, and practice social distancing.
- Travelers who are sick with fever, cough, or have trouble breathing should call ahead before seeking medical care.
What countries are included in this notice?
- Austria
- Belgium
- Czech Republic
- Denmark
- Estonia
- Finland
- France
- Germany
- Greece
- Hungary
- Iceland
- Italy
- Latvia
- Liechtenstein
- Lithuania
- Luxembourg
- Malta
- Netherlands
- Norway
- Poland
- Portugal
- Slovakia
- Slovenia
- Spain
- Sweden
- Switzerland
- Monaco
- San Marino
- Vatican City
What is the current situation?
CDC recommends that travelers avoid all nonessential travel to the specified countries listed above. There may be limited access to adequate medical care in affected areas. Widespread, sustained spread of a respiratory illness caused by a new coronavirus (COVID-19) has been reported in countries in this region.
Illness with this virus has ranged from mild to severe. Signs and symptoms of infection include fever, cough, and trouble breathing. This new coronavirus has caused severe disease and death in patients who developed pneumonia. Risk factors for severe illness are not yet clear, although older adults and people of any age with serious chronic medical conditions are at higher risk for severe illness.
What can travelers do to protect themselves and others?
CDC recommends avoiding nonessential travel. If you must travel:
- Avoid contact with sick people.
- Avoid touching your eyes, nose, or mouth with unwashed hands.
- Wash your hands often with soap and water for at least 20 seconds. If soap and water are not readily available, use an alcohol-based hand sanitizer that contains at least 60% alcohol.
- It is especially important to clean hands after going to the bathroom; before eating; and after coughing, sneezing or blowing your nose.
- Avoid traveling if you are sick.
If you spent time in the specified countries above during the past 14 days:
- Stay home for 14 days from the time you return from travel, monitor your health and practice social distancing. Social distancing means staying out of crowded places, avoiding group gatherings, and maintaining distance (approximately 6 feet or 2 meters) from others when possible.
- If you get sick with fever (100.4°F/38°C or higher), cough, or have trouble breathing
- Seek medical advice. Call ahead before you go to a doctor’s office or emergency room.
- Tell your doctor about your recent travel and your symptoms.
- Avoid contact with others.
- Do not travel while sick.
- Cover your mouth and nose with a tissue when coughing or sneezing.
- Wash your hands often with soap and water for at least 20 seconds. If soap and water are not readily available, use an alcohol-based hand sanitizer that contains at least 60% alcohol. Soap and water should be used if hands are visibly dirty.
Clinician Information
Healthcare providers should obtain a detailed travel history for patients with fever or acute respiratory symptoms. If a traveler is suspected to have COVID-19, reporting, clinical care guidance, and infection control are found here.
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