Spain (Europe & Russia)
Advice for All Destinations Vaccinations Malaria Other Health Risks NewsVaccinations
- Confirm primary courses and boosters are up to date as recommended for life in Britain - including for example, seasonal flu vaccine and COVID-19 (if eligible), MMR, vaccines required for occupational risk of exposure, lifestyle risks and underlying medical conditions.
- Courses or boosters usually advised: none.
- Other vaccines to consider: Poliomyelitis; Tetanus.
- Selectively advised vaccines - only for those individuals at highest risk: Hepatitis A; Hepatitis B.
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No yellow fever vaccination certificate required for this country
Notes on the diseases mentioned above
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Hepatitis A: 
spread by consuming food or drinks that contain the virus (i.e. become contaminated by infected poo), or by touching things or people that have infected poo on them, and then touching your mouth.
Risk is higher if travelling to countries where there hepatitis A is circulating in the local population, or to areas where personal hygiene and sanitation is poor.
Risk is highest for those with underlying medical conditions where there is increased risk of developing severe disease e.g. liver/kidney disease; haemophilia (clotting disorder); and for men who have sex with men; people who inject drugs; those at risk of exposure through their jobs.
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Hepatitis B: 
spread through exposure to infected blood or bodily fluids. Occurs from sexual contact or contact with contaminated needles and medical instruments (e.g. dental / medical procedures, tattooing, body piercing, sharing intravenous needles). Mothers with the virus can also transmit the infection to their baby during childbirth.
Risk is higher for those visiting more frequently, staying longer, visiting friends and relatives, children through bites, cuts and scratches and those who may require medical treatment during travel.
Risk is highest for those with underlying medical conditions where there is increased risk of severe disease e.g. chronic liver/kidney disease; haemophiliacs (clotting disorder) and in men who have sex with men; people who change sexual partners frequently; and people who inject drugs.
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Poliomyelitis: 
spread mainly through person-to-person contact (faecal-oral route) and by consuming contaminated food and water. A total of 5 doses of polio-containing vaccine are recommended in the UK for lifetime cover. Boosters are usually recommended for travel to countries where polio remains a problem.
Countries may require proof of polio vaccination when you leave them: check the 'Alerts' section below to see if there are any 'Polio Vaccination Exit recommendations' for this country.
- Tetanus:  spread through contamination of cuts, burns and wounds with tetanus spores. Spores are found in soil worldwide. A total of 5 doses of tetanus vaccine are recommended for life in the UK. Boosters are usually recommended in a country or situation where the correct treatment of an injury may not be readily available.
Malaria
- Malaria not normally present unless the illness was contracted abroad.