CDC Yellow Book

Martinique (France)

Yellow Fever

Requirements: Required if traveling from a country with risk of YFV transmission and ≥1 year of age.1

Recommendations: None

Malaria

No malaria transmission.

Other Vaccines to Consider

Routine, hepatitis A & B, typhoid, and rabies.9

Footnotes

Yellow Fever
1 The official WHO list of countries with risk of YFV transmission can be found in Table 3-21. Proof of yellow fever vaccination should be required only if traveling from a country on the WHO list, unless otherwise specified. The following countries, containing only areas with low potential for exposure to YFV, are not on the WHO list: Eritrea, São Tomé and Príncipe, Somalia, Tanzania, Zambia.
2 An elevation of 2,300 m is equivalent to 7,546 ft.

Malaria
3 The estimated relative risk value for Afghanistan is based largely on cases occurring in US military personnel who travel for extended periods of time with unique itineraries that likely do not reflect the risk for the average US traveler.
4 Refers to P. falciparum malaria unless otherwise noted.
5 Primaquine can cause hemolytic anemia in people with glucose-6-phosphate dehydrogenase (G6PD) deficiency. Patients must be screened for G6PD deficiency before starting primaquine.

Rabies
6 Canine rabies and bat lyssavirus present. Rabies also present in other mammals. Vaccine recommended for the following groups:

  • Travelers involved in outdoor and other activities that might bring them into direct contact with dogs, bats, and other mammals (such as campers, hikers, bikers, adventure travelers, and cavers).
  • Those with occupational risks (such as veterinarians, wildlife professionals, researchers).
  • Long-term travelers and expatriates.
  • Children are considered at higher risk; consider lower threshold for vaccination.

7 Bat lyssavirus and rabies in other mammalian carnivores present. Canine rabies present but not a significant concern to travelers. Vaccine is recommended only for the following groups:

  • Travelers involved in outdoor and other activities in remote areas that might bring them into direct contact with dogs, bats, and other mammals (such as adventure travelers and cavers).
  • Those with occupational risks (such as veterinarians, wildlife professionals, researchers).
  • Long-term travelers and expatriates visiting remote areas.
  • Children are considered at higher risk; consider lower threshold for vaccination.

8 Bat lyssavirus and rabies in other mammalian carnivores present. Canine rabies is not present. Vaccine is recommended only for the following groups:

  • Travelers involved in outdoor and other activities in remote areas that might bring them into direct contact with bats and other mammals (such as adventure travelers and cavers).
  • Those with occupational risks (such as wildlife professionals and researchers).

9 Bat lyssavirus present or suspected; canine rabies not present. Vaccine is recommended only for the following groups:

  • Travelers involved in outdoor and other activities in remote areas that might bring them into direct contact with bats (such as adventure travelers and cavers).
  • Those with occupational risks (such as wildlife professionals and researchers).

Author(s)


Mark D. Gershman, Emily S. Jentes, Katherine J. Johnson (YELLOW FEVER)
Kathrine R. Tan, Paul M. Arguin, Stefanie F. Steele (MALARIA)
Stefanie Erskine, C. Virginia Lee (OTHER VACCINES)