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Because no evidence exists of ongoing epidemics, CDC no longer recommends meningococcal vaccine for travelers to Saudi Arabia, Nepal, India, Mongolia, Kenya, Burundi, and Tanzania. This announcement supersedes the most recent edition of Health Information for International Travel,1 which recommends meningococcal vaccine for those countries. These new recommendations will be reflected in the next edition of Health Information for International Travel.
Although CDC no longer recommends vaccination, Saudi officials may require that pilgrims and "Umra" performers produce a certificate of vaccination against meningococcal disease issued not more than 3 years and not less than 10 days before arrival in Saudi Arabia. Travelers to Saudi Arabia during pilgrimage months should verify these requirements with a Saudi embassy.
From December through June, vaccination is still recommended for countries in the meningitis belt of Africa.
Change in Recommendation for Meningococcal Vaccine for Travelers. JAMA. 1999;281(10):892. doi:10.1001/jama.281.10.892-JWR0310-3-1
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