Travel Vaccines and Advice for Bhutan
Bhutan is a country that combines traditional Buddhist traditions with sustainability and development. The Bhutanese have restricted tourism, requiring travelers to pay hefty tariffs each day and make plans with local tour operators. But, this means that visiting the country provides a very genuine look at the culture.
The country is known for its environmental protection effort. This has lead to gorgeous national parks, forests, and snowy mountains to visit. In the cities, there are also dance festivals, textiles, and handcrafts to admire.
A visit to Bhutan will be an experience unlike any other.
On This Page:
Do I Need Vaccines for Bhutan?
Other Ways to Stay Healthy in Bhutan
Do I Need a Visa for Bhutan?
What Is the Climate Like in Bhutan?
How Safe Is Bhutan?
Visiting Thimphu
What Should I Take to Bhutan?
U.S. Embassy in Bhutan
Do I Need Vaccines for Bhutan?
Yes, some vaccines are recommended or required for Bhutan. The CDC and WHO recommend the following vaccinations for Bhutan: typhoid, hepatitis A, polio, Japanese encephalitis, chikungunya, 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. - Japanese Encephalitis –
Mosquito –
Recommended depending on itinerary and activities. May be given to short- and extended-stay travelers, recurrent travelers and travel to rural areas. Most common in non-mountainous regions. - Chikungunya –
Mosquito –
Last outbreak in the region occurred in 2012. Limited cases have been reported since 2017. - Rabies –
Saliva of Infected Animals –
High risk country. Vaccine recommended for long-term travelers and those who may come in contact with animals. - 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 Bhutan |
||
| 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. |
| Japanese Encephalitis | Mosquito | Recommended depending on itinerary and activities. May be given to short- and extended-stay travelers, recurrent travelers and travel to rural areas. Most common in non-mountainous regions. |
| Chikungunya | Mosquito | Last outbreak in the region occurred in 2012. Limited cases have been reported since 2017. |
| Rabies | Saliva of Infected Animals | High risk country. Vaccine recommended for long-term travelers and those who may come in contact with animals. |
| Hepatitis B | Blood & Body Fluids | Recommended for travelers to most regions. |
Routine Vaccinations for Bhutan |
||
| 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, caused by Salmonella Typhi, spreads via contaminated food and water, especially in areas with poor sanitation. Protect yourself by practicing good hygiene and safe food habits. Vaccination can significantly reduce the risk of typhoid infection, especially when traveling to endemic areas.
- Hepatitis A – Hepatitis A is an infectious liver disease caused by the hepatitis A virus, often spread through contaminated food or water, or via direct contact with someone infected. It leads to liver inflammation, potentially impairing its function, and manifests as symptoms like tiredness, stomach pain, nausea, and yellowing of the skin or eyes. The vaccine for hepatitis A offers robust protection against this virus. It is typically given in two doses over a six-month period and is advised for those traveling to regions with higher risk or for people more likely to come into contact with the virus.
- Japanese Encephalitis – Japanese encephalitis is a viral infection transmitted by mosquitoes, affecting the nervous system. Prevention strategies include mosquito control, protective clothing, and vaccination, with vaccines available in two forms: inactivated and live attenuated.
- Chikungunya – Chikungunya is a viral disease transmitted by infected mosquitoes and can also spread through other means like blood transfusion. To prevent it, use mosquito repellents or wear protective clothing. Vaccination is available and considered the best form of protection.
- Rabies – Rabies is a lethal disease transmitted through the saliva of infected animals, and vaccination is the key to prevention. Pre-exposure vaccination is advised for individuals at risk, and immediate post-exposure vaccination is crucial if one encounters a potentially rabid animal.
- Hepatitis B – The hepatitis B vaccine is a vital tool in the prevention of this liver infection, recommended for all travelers and essential for healthcare workers and those at higher risk of exposure.
- Measles, Mumps, Rubella (MMR) – Measles, mumps, and rubella are infectious diseases that can lead to severe health issues. They are transmitted through respiratory droplets and close contact. The MMR vaccine, a safe and effective immunization, is recommended by the CDC as the best way to prevent these diseases.
Typhoid vaccination is highly recommended for travelers to Bhutan. Individuals who visit friends or relatives or go to rural areas are at greater risk and should be immunized.
Rabid dogs and other animals are common in Bhutan. Pre-exposure rabies vaccination should be considered before a trip to the country. Children are at an increased risk.
Japanese encephalitis is a serious risk in Bhutan. Even one bite can end a trip. Be sure to receive a vaccine before your trip. Dengue is also present in Bhutan. Mosquito repellents and netting can help protect against both infections.
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 Bhutan
Prevent Bug Bites in Bhutan
In case of bug bites, cleanse the area, use anti-itch treatments, and resist scratching to prevent infection. Seek medical help for severe reactions or if symptoms of vector-borne diseases emerge post-bite.
Food and Water Safety in Bhutan
While dining abroad, prioritize food safety by avoiding street food, practicing hand hygiene, and selecting fully cooked dishes. Opt for sealed bottled or canned drinks. Prevent travelers’ diarrhea by adhering to hand hygiene, skipping raw foods, and dining at reputable establishments.
Altitude Sickness in Bhutan
Altitude sickness, characterized by symptoms like headache and nausea stemming from oxygen deprivation at high elevations, can be prevented through gradual ascent, hydration, and medication like acetazolamide. Should AMS symptoms arise, immediate descent to lower altitudes, rest and seek medical attention.
Infections To Be Aware of in Bhutan
- Avian/Bird Flu – Avian flu, a highly contagious virus, can infect both birds and humans. Prevention strategies include vaccinating poultry, implementing robust biosecurity measures, ensuring safe poultry handling and cooking, monitoring for outbreaks, and educating the public about the risks.
- Dengue – Dengue fever is a mosquito-borne illness with symptoms ranging from mild to severe, including high fever and pain. The CDC emphasizes prevention through avoiding mosquito bites by using repellents and removing standing water. Treatment focuses on symptom relief and hydration, avoiding certain pain relievers that can worsen bleeding risks.
Do I Need a Visa for Bhutan?
A passport and visa are required to enter Bhutan. A visa is also needed to leave the country and can take up to five days to process in-country. Visas to Bhutan no longer need to go through approved tour operators, but using a tour operator is still highly recommended by the Bhutan government.
Bhutan Entry Requirements |
||
| Do I Need A… | For My Trip to Bhutan? | |
|---|---|---|
| Passport |  |
|
| Tourist Visa | |
|
| Business Visa | |
|
| Vaccinations | |
|
Sources: Embassy of Bhutan and U.S. State Department
Travelers must pay $100 per night fee and provide two passport photos upon arrival.
What Is the Climate Like in Bhutan?
Bhutan is a country that has different weather depending on the time of year and location. Paro, Thimphu, Punakha, and Bumthang are some of the most popular tourist destinations in Bhutan. The weather in Paro and Thimphu is generally pleasant all year round, but it can get quite cold in winter. The best time to visit these places is during spring and autumn when the weather is mild and clear.
Punakha is a good place for trekking and rafting, and the weather is warm and pleasant. Bumthang is known for its valleys and monasteries, weather there is cooler than other regions.
The best time to visit Bhutan is during spring and autumn, which is from March to May and September to November. During these months, the weather is mild and dry, making it a good time for outdoor activities and sightseeing.
How Safe Is Bhutan?
Bhutan is a peaceful and friendly country, but it’s important to take precautions to stay safe while traveling there. Some tips include respecting local customs and traditions, keeping an eye on your belongings and taking care of your health.
It’s important to dress modestly and be respectful of religious artifacts when visiting temples and monasteries. Travelers should use licensed tour operators and guides to ensure they are in safe hands. Political demonstrations and protests can occur, and it’s essential to avoid these events as they can turn violent.
Travelers should take care of their health by acclimatizing slowly to the high altitude, staying hydrated, and being cautious of the food and water they consume.
By following these tips and using common sense, travelers can have a safe and enjoyable trip to Bhutan.
Visiting Thimphu
Avoid an Embarrassing Stop
Over 70% of travelers
will have diarrhea.
Get protected with Passport Health’s
travelers’ diarrhea kit!
Thimphu is the capital city of Bhutan and a popular tourist destination for its mix of modern amenities and traditional culture.
Visitors to Thimphu can explore cultural landmarks like the Tashichho Dzong, a fortress and monastery that serves as the Bhutanese government’s seat.
Thimphu also has several museums and galleries showcasing Bhutanese art, history, and culture. Visitors can attend festivals and events, such as the Thimphu Tshechu, which celebrates Buddhist teachings. They can also shop for souvenirs and traditional handicrafts at the weekend market. Thimphu’s unique blend of modernity and tradition is sure to charm visitors.
What Should I Take to Bhutan?
It’s important to make sure you have everything you may need for your trip to Bhutan. Be sure to include these items:
- Hiking Shoes – Bhutan is known for having amazing hiking. Bring appropriate shoes to enjoy it without hurting your feet.
- Cash – Carry cash or traveler’s checks. Though use of credit cards is becoming more common in Bhutan, cash is always accepted.
- Plug Adapters – Power adapters and voltage vary by country. Make sure you bring the right options for Bhutan.
U.S. Embassy in Bhutan
When traveling it is very helpful to find out exactly where the U.S. embassy or consulates are located. Keep the address written down in case you have a legal problem, you lose your passport, or you want to report a crime. Be sure to keep a copy of your passport with you in case you lose the original.
U.S. affairs within Bhutan are handled by the embassy in New Delhi, India:
U.S. Embassy New Delhi
Shantipath, Chanakyapuri
New Delhi – 110021
Phone: 011-91-11-2419-8000
The embassy offers services like information on visas and customs, and help getting a passport. They can help if an American has an emergency, like needing medical help or getting in trouble with the law. They can also help if an American loses their important documents or property.
Ready to start your next journey? Call us at or book online now!
Customer Reviews
Passport Health – Travel Vaccines for Bhutan
Overall rating: 5 stars – 4 reviews
★★★★★
“Amazing!“
“The nurse was very nice and helpful. She took the time to explain everything to me- and I had a lot of questions! I feel better about my trip to Bhutan knowing that Passport Health made sure that I was prepared!”
Submitted by: Lauren
★★★★★
“Efficient and knowledgeable“
“We went in prior to our upcoming trip to Bhutan. The nurse had everything ready to talk to us about and gave us the immunizations we needed and answered all our questions. I had another question this morning and she responded quickly.”
Submitted by: Jenny
★★★★★
“Excellent advice about our future trip to Asia“
“The RN was extremely knowledgeable and forthcoming in reviewing our health risks in traveling extensively in India, Myanmar, Bhutan, and Thailand. Although we have lived in SE Asia for some years, and have traveled there several times since, her review was a learning experience for us. We valued her advice and time. Thank you for your kind assistance.”
Submitted by: Bob
★★★★★
“Ready for travel“
“I had my immunization records reviewed and recommendations made for my upcoming travel that includes India, Bhutan, Uganda and Rwanda.”
Submitted by: Nancy
“The nurse was very nice and helpful. She took the time to explain everything to me- and I had a lot of questions! I feel better about my trip to Bhutan knowing that Passport Health made sure that I was prepared!”
“We went in prior to our upcoming trip to Bhutan. The nurse had everything ready to talk to us about and gave us the immunizations we needed and answered all our questions. I had another question this morning and she responded quickly.”
“The RN was extremely knowledgeable and forthcoming in reviewing our health risks in traveling extensively in India, Myanmar, Bhutan, and Thailand. Although we have lived in SE Asia for some years, and have traveled there several times since, her review was a learning experience for us. We valued her advice and time. Thank you for your kind assistance.”
“I had my immunization records reviewed and recommendations made for my upcoming travel that includes India, Bhutan, Uganda and Rwanda.”
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