Travel Vaccines and Advice for Eswatini
Located near Mozambique and South Africa, Eswatini and is one of the smallest countries in Africa. Travelers should not be fooled by the size of Eswatini. This nation has a lot of different attractions and activities to discover.
The Eswatini people value culture and heritage in their everyday lives. Their friendliness will make travelers feel safe and more than welcome. The people aren’t the only amazing thing about Eswatini. The mountains, valleys, forests, and plains are just some some of the breathtaking landscapes.
Whether you’re immersing yourself in the people, wildlife or art, Eswatini awaits you.
On This Page:
Do I Need Vaccines for Eswatini?
Other Ways to Stay Healthy in Eswatini
Do I Need a Visa or Passport for Eswatini?
What Is the Climate Like in Eswatini?
How Safe Is Eswatini?
Mlilwane Wildlife Sanctuary
What Should I Take to Eswatini?
U.S. Embassy in Eswatini
Do I Need Vaccines for Eswatini?
Yes, some vaccines are recommended or required for Eswatini. The CDC and WHO recommend the following vaccinations for Eswatini: typhoid, hepatitis A, polio, yellow fever, rabies, hepatitis B, influenza, COVID-19, pneumonia, meningitis, chickenpox, shingles, Tdap (tetanus, diphtheria and pertussis) and measles, mumps and rubella (MMR).
See the bullets below to learn more about some of these key immunizations:
- Typhoid –
Food & Water –
Shot lasts 2 years. Oral vaccine lasts 5 years, must be able to swallow pills. Oral doses must be kept in refrigerator. - Hepatitis A –
Food & Water –
Recommended for most travelers. - Polio –
Food & Water –
Due to an increase in cases globally, an additional adult booster is recommended for most travelers to any destination. - Yellow Fever –
Mosquito –
Required if traveling from a country with risk of yellow fever transmission. - Rabies –
Saliva of Infected Animals –
Vaccine recommended for certain travelers based on destination, activities and length of stay. - Hepatitis B –
Blood & Body Fluids –
Recommended for travelers to most regions. - Influenza –
Airborne –
Vaccine components change annually. - COVID-19 –
Airborne –
Recommended for travel to all regions, both foreign and domestic. - Pneumonia –
Airborne –
Two vaccines given separately. All 65+ or immunocompromised should receive both. - Meningitis –
Direct Contact & Airborne –
Given to anyone unvaccinated or at an increased risk, especially students. - Chickenpox –
Direct Contact & Airborne –
Given to those unvaccinated that did not have chickenpox. - Shingles –
Direct Contact –
Vaccine can still be given if you have had shingles. - Polio –
Food & Water –
Considered a routine vaccination for most travel itineraries. Single adult booster recommended. - TDAP (Tetanus, Diphtheria & Pertussis) –
Wounds & Airborne –
Only one adult booster of pertussis required. - Measles Mumps Rubella (MMR) –
Various Vectors –
Given to anyone unvaccinated and/or born after 1957. One time adult booster recommended.
See the table below for more information:
Recommended Travel Vaccinations for Eswatini |
||
| VACCINE | HOW DISEASE SPREADS | DETAILS |
|---|---|---|
| Typhoid | Food & Water | Shot lasts 2 years. Oral vaccine lasts 5 years, must be able to swallow pills. Oral doses must be kept in refrigerator. |
| Hepatitis A | Food & Water | Recommended for most travelers. |
| Polio | Food & Water | Due to an increase in cases globally, an additional adult booster is recommended for most travelers to any destination. |
| Yellow Fever | Mosquito | Required if traveling from a country with risk of yellow fever transmission. |
| Rabies | Saliva of Infected Animals | Vaccine recommended for certain travelers based on destination, activities and length of stay. |
| Hepatitis B | Blood & Body Fluids | Recommended for travelers to most regions. |
Routine Vaccinations for Eswatini |
||
| VACCINE | HOW DISEASE SPREADS | DETAILS |
|---|---|---|
| Influenza | Airborne | Vaccine components change annually. |
| COVID-19 | Airborne | Recommended for travel to all regions, both foreign and domestic. |
| Pneumonia | Airborne | Two vaccines given separately. All 65+ or immunocompromised should receive both. |
| Meningitis | Direct Contact & Airborne | Given to anyone unvaccinated or at an increased risk, especially students. |
| Chickenpox | Direct Contact & Airborne | Given to those unvaccinated that did not have chickenpox. |
| Shingles | Direct Contact | Vaccine can still be given if you have had shingles. |
| TDAP (Tetanus, Diphtheria & Pertussis) | Wounds & Airborne | Only one adult booster of pertussis required. |
| Measles Mumps Rubella (MMR) | Various Vectors | Given to anyone unvaccinated and/or born after 1957. One time adult booster recommended. |
Specific Vaccine Information
- Typhoid – Typhoid, a bacterial infection, is primarily transmitted through contaminated food, water, or direct contact with infected people. Vaccination is a key preventive measure, recommended for travelers to endemic regions and those at risk due to occupation.
- Hepatitis A – Hepatitis A is a highly contagious liver infection caused by the hepatitis A virus, typically spreading through contaminated food or water, or close contact with an infected person. Symptoms can include fatigue, nausea, stomach pain, and jaundice. The hepatitis A vaccine is a safe and effective shot that provides immunity against the virus, usually given in two doses.
- Yellow Fever – Vaccination is the cornerstone of yellow fever prevention. The live, attenuated yellow fever vaccine is highly effective and provides lifetime immunity. It is a crucial measure for individuals traveling to or residing in areas where the disease is endemic, as it combats the primary mode of transmission via infected mosquitoes.
- Rabies – The rabies virus is a deadly threat that spreads through bites and scratches from infected animals. Preventing rabies involves timely vaccination, avoiding contact with wildlife and seeking immediate medical attention if bitten. The rabies vaccine is instrumental in developing immunity and safeguarding against this fatal disease.
- Hepatitis B – Hepatitis B is a serious liver infection caused by the hepatitis B virus, primarily spread through blood and bodily fluids. The hepatitis B vaccine, given in a series of injections, effectively prevents the infection, offering long-term protection against this potentially life-threatening disease.
- Measles, Mumps, Rubella (MMR) – Measles, mumps, and rubella are contagious diseases transmitted via respiratory droplets and touch. Preventing these illnesses is primarily achieved through vaccination, using the MMR vaccine. It’s administered in two doses and provides immunity against all three viruses.
Malaria in Eswatini
Malaria is most common in the eastern regions of Eswatini. This includes Lubombo and the eastern regions of Hhohho, Manzini and Shiselweni.
Malaria parasite are resistant to chloroquine in the region. Be sure to consult with a travel health specialist on which antimalarials are best for your itinerary and health situation.
Rabies-afflicted dogs are commonly found in the country of Eswatini. Rabies vaccination may be recommended based on your travel itinerary. Special consideration should be given to children visiting the region.
There is a risk for malaria in the eastern areas close to Mozambique and South Africa. This also includes the Lubombo district and the eastern half of Hhohho, Manzini and Shiselweni districts. Antimalarials are recommended for these areas.
See our vaccinations page to learn more about these infections and vaccines. Ready to protect yourself? Book your travel health appointment today by calling or schedule online now.
Other Ways to Stay Healthy in Eswatini
Prevent Bug Bites in Eswatini
Shield yourself from bug bites with proper attire and EPA-approved repellents such as DEET, picaridin, or oil of lemon eucalyptus. Safeguard your sleep area with bed nets and screens. In case of bug bites, clean the area, resist scratching, and utilize over-the-counter solutions while seeking professional assistance for severe reactions.
Food and Water Safety in Eswatini
When traveling, prioritize food safety with CDC’s advice: consume fully cooked foods, avoid raw seafood, and pick clean eateries. Opt for bottled drinks, exercise caution with ice, and practice responsible alcohol consumption. Prevent travelers’ diarrhea by maintaining good hand hygiene and avoiding street food in unsanitary conditions.
Infections To Be Aware of in Eswatini
- African Tick-Bite Fever – Prevent African Tick-Bite Fever (ATBF) by wearing protective clothing, applying insect repellent, and regularly inspecting for ticks. For added defense, discuss options with healthcare experts before planning trips to endemic areas.
- Dengue – The CDC describes dengue fever as a viral disease transmitted by mosquitoes, presenting symptoms such as rash and joint pain. Prevention strategies focus on reducing mosquito exposure and breeding grounds. Treatment is supportive, emphasizing the importance of mosquito bite prevention.
- Schistosomiasis – Schistosomiasis, a parasitic disease transmitted through contaminated water, poses a health risk. Prevention strategies include avoiding freshwater activities and wearing protective clothing. Prompt medical attention is necessary if symptoms like fever or abdominal pain occur.
Do I Need a Visa or Passport for Eswatini?
A passport is needed, but visas are not required for people who plan to stay less than 30 days. Passports must have two blank pages for entry/exit stamps.
A yellow fever vaccine is recommended for Eswatini, but required if passing through South Africa.
Eswatini Entry Requirements |
||
| Do I Need A… | For My Trip to Eswatini? | |
|---|---|---|
| Passport |  |
|
| Tourist Visa | ||
| Business Visa | ||
| Vaccinations | |
|
Sources: Embassy of Eswatini and U.S. State Department
What Is the Climate Like in Eswatini?
Eswatini has a subtropical climate affected by the moist air from the Indian Ocean. Here is what to expect from the climate in Eswatini:
- Climatic Regions – There are three different regions of Eswatini. The west experiences wet summers and dry winters, and a subtropical climate. The east experiences a difference in climate in the mountainous Lubombo area. The mountains see a different kind of climate because of their altitude of about 4,000 feet.
- Temperature – The low-veld part of Eswatini is warmer, in the mid-70’s. The middle-veld temperature is a bit lower. The high-veld is warmer in the summer (January), but, the temperature drops to high-50’s at night.
- Rainfall – Moisture varies depending on time of year. October and March are the wettest seasons when 80% of rainfall happens. The high-veld has the most rainfall between 35 to 59 inches. The mid-veld experiences 23 to 32 inches of rain.
How Safe Is Eswatini?
Eswatini does have a high level of political and other demonstrations. It’s recommended for travelers to avoid crowds, rallies, and demonstrations.
Petty and violent crimes also occur in Eswatini and are a threat to U.S. citizens. Carjacking is does occur in Eswatini as well. It is better for the victim to cooperate to avoid violence.
It’s important to take precautions when traveling in Eswatini. Travelers should avoid congested, urban areas, especially at night. Cell phones and carrying large amounts of cash are not recommended.
Travelers should not leave items in their car. Use caution when taking local taxis. Make sure the taxi company is reputable. Do not enter a taxi with another person besides the driver.
Mlilwane Wildlife Sanctuary
Avoid an Embarrassing Stop
Over 70% of travelers
will have diarrhea.
Get protected with Passport Health’s
travelers’ diarrhea kit!
Mlilwane Wildlife Sanctuary is a popular place in Eswatini where tourists go to see animals like zebras, giraffes, antelopes and birds. People visit the sanctuary to see nature and its wildlife, hike, ride bikes or horses, or spend the night in one of the lodges.
The sanctuary is one of the oldest protected areas in Eswatini and covers over 4,500 hectares of land. There are many different trails to choose from for hiking, mountain biking, or horseback riding. The sanctuary also has places for visitors to stay overnight, like campsites, self-catering cottages, and luxury lodges.
It is a safe and protected environment to experience the natural beauty of Eswatini.
What Should I Take to Eswatini?
Here are some essential items to consider for your trip to Eswatini:
- Packing for Health — Be sure to bring any prescription medications with you. Traveler’s diarrhea kits, suture/syringe kit, altitude sickness medicine, antimalarials are also recommended.
- Passport and Visa — Travelers going to Eswatini need a passport that has at least three months validity. A visa is not required for travel to Eswatini.
- Money — The currency is Lilangeni. Credit cards like American Express, MasterCard, and Visa are accepted at hotels, shops, and markets. There aren’t many ATMs that accept international/debit cards. But, traveler’s checks are widely accepted.
U.S. Embassy in Eswatini
The U.S. Embassy’s mission is to advance the interests of the United States and to serve and protect U.S. citizens. The embassy offers the following services:
U.S. Embassy Mbabane
Corner of MR103 and Cultural Centre Drive PO Box D202
The Gables H106, Eswatini
Telephone: 268 2417 9000
Emergency after-hours telephone: 268-7602-8414
Facsimile: 268-2416 3344
Visit the Embassy to Eswatini website before departure to confirm correct contact details for the office.
Ready to start your next journey? Call us at or book online now!
Customer Reviews
Passport Health – Travel Vaccines for Eswatini
Overall rating: 5 stars – 8 reviews
★★★★★
“Great experience“
“So informative and helpful as I prepare for my trip to Eswatini. Made getting immunized quick and easy. Would totally recommend to others before traveling.”
Submitted by: Erica
★★★★★
“Great Experience“
“I heard about Passport Health from a friend who is helping organize the missions trip to Eswatini that my son and I hare going on in a few weeks. Our experience with Passport Health was great from our first contact by phone, to their electronic communications, and finally, our visit to their office this afternoon. We were greeted immediately upon our arrival to the office and hardly had to wait at all. The nurse who assisted us was outstanding. I would highly recommend Passport Health to anyone preparing to travel abroad, and hope to have the opportunity to deal with them again in the near future. Thank you!”
Submitted by: Mary
★★★★★
“Informative“
“We found our visit to be informative and quite helpful as we plan our trip to Eswatini.”
Submitted by: Gordon
★★★★★
“Excellent Experience“
“What an awesome way to start an adventure! Starting my journey to Eswatini at Passport Health gave me an exciting push towards preparing for my trip! Although I learned about all of the many ways I should take precautions, they were shared in an amicable way! I appreciated the thorough yet nurturing instructions I received and I will definitely come back again!”
Submitted by: Natoya
★★★★★
“Excellent service“
“Meet with our nurse to prepare for my trip to Eswatini. Received my vaccines and information regarding my trip. She was very thorough and answered all my questions. The information packet is very helpful. Highly recommend for anyone traveling or of the country. These only improvement would be a ballpark estimate of the cost before the appointment.”
Submitted by: Lisa
★★★★★
“Great Clinic“
“I visited Wilmington’s Passport Health Clinic in preparation for a trip to the Eswatini. I was given a packet of information which was reviewed with me during my appointment. I was able to get booster shots as well as purchase items necessary for my trip. The woman who helped me, was extremely helpful, pleasant, polite, and answered my questions. She also provided me with information I hadn’t thought to ask about. Great service overall!”
Submitted by: Cheryl
★★★★★
“Wonderful Experience“
“Our 15 year old daughter has chosen to go on a service adventure to Eswatini this summer. This is clearly a LONG way from home, so nervous Mom was very appreciative of the “hand holding” that Lisa Bell gave me – complete confidence that our daughter is well prepared medically for a trip of a lifetime!”
Submitted by: Susan
★★★★★
“South Africa“
“Sue was great. She was very thorough in explaining the vaccines and safety issues we may encounter in Eswatini.”
Submitted by: Beth
“So informative and helpful as I prepare for my trip to Eswatini. Made getting immunized quick and easy. Would totally recommend to others before traveling.”
“I heard about Passport Health from a friend who is helping organize the missions trip to Eswatini that my son and I hare going on in a few weeks. Our experience with Passport Health was great from our first contact by phone, to their electronic communications, and finally, our visit to their office this afternoon. We were greeted immediately upon our arrival to the office and hardly had to wait at all. The nurse who assisted us was outstanding. I would highly recommend Passport Health to anyone preparing to travel abroad, and hope to have the opportunity to deal with them again in the near future. Thank you!”
“We found our visit to be informative and quite helpful as we plan our trip to Eswatini.”
“What an awesome way to start an adventure! Starting my journey to Eswatini at Passport Health gave me an exciting push towards preparing for my trip! Although I learned about all of the many ways I should take precautions, they were shared in an amicable way! I appreciated the thorough yet nurturing instructions I received and I will definitely come back again!”
“Meet with our nurse to prepare for my trip to Eswatini. Received my vaccines and information regarding my trip. She was very thorough and answered all my questions. The information packet is very helpful. Highly recommend for anyone traveling or of the country. These only improvement would be a ballpark estimate of the cost before the appointment.”
“I visited Wilmington’s Passport Health Clinic in preparation for a trip to the Eswatini. I was given a packet of information which was reviewed with me during my appointment. I was able to get booster shots as well as purchase items necessary for my trip. The woman who helped me, was extremely helpful, pleasant, polite, and answered my questions. She also provided me with information I hadn’t thought to ask about. Great service overall!”
“Our 15 year old daughter has chosen to go on a service adventure to Eswatini this summer. This is clearly a LONG way from home, so nervous Mom was very appreciative of the “hand holding” that Lisa Bell gave me – complete confidence that our daughter is well prepared medically for a trip of a lifetime!”
“Sue was great. She was very thorough in explaining the vaccines and safety issues we may encounter in Eswatini.”
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