|Illness||Vaccination Protection||Risk Groups|
|Diphtheria||yes||Basically, all persons should have a valid vaccination protection (booster every 10 years)|
|Tick-borne Encephalitis||risk groups - yes||Travellers to TBE endemic areas, especially involving frequent forest hikes or "days in the country", etc. The professional high-risk group includes hunters, forest warden, forestry workers.|
|Hepatitis B||risk groups - yes||All travellers to areas with increased rates of hepatitis B or high-risk groups (among others, medical personnel, persons with a frequent change of sexual partners, drug addicts, dialysis patients and hemophiliacs).|
|Influenza||risk groups - yes||Recommended for adults ages 60yrs. and older and for people who have chronic illness (risk groups). For other travellers vaccine can be reasonable if risk of exposure is given like e.g. in influenza season|
|Pertussis||yes||All people need protection against diphtheria, tetanus, and pertussis. Therefore all adults should receive a single dose of Tdap preferably with the next Td doses.|
|Measles||risk groups - yes||Vaccine is recommended for travellers visiting regions with measles outbreaks. The German "STIKO" recommends a single dose of MMR (measles, mumps, rubella) for adults age 18yrs and older and born after 1970, if there is no evidence of immunity or no documentation of vaccine or only one documented dose given in the childhood.|
|Pneumokokken||risk groups - yes||Recommended for people through age 2 years with increased health risk due to chronic illness (risk groups).|
|Tetanus (Lockjaw)||yes||Basically, all persons should have a valid vaccination protection (booster every 10 years)|
Special Health Risks
risk of infection throughout the country
vector: ticks (especially in grass, woods, forests and bushes)
increased risk of transmission from April through October
|Tick protection through skin-covering clothes; use of insect repellents (creames, lotions, sprays).|
vector: ticks with TBE-virus (especially in grass, woods, forests and bushes)
Rhineland-Palatinate: district of Birkenfeld
Thuringia: district of Saale-Holzland Kreis, Hildburghausen, Saale-Orla Kreis, Saalfeld-Rudolstadt, Sonneberg, Greiz, Jena, and Gera.
Hesse: districts of Marburg-Biedenkopf, Odenwaldkreis und Bergstrasse, Darmstadt-Dieburg, Offenbach Main-Kinzig Kreis, Groß Gerau, and Darmstadt.
Additional areas of sporadic TBE-disease exist, but are not declared as TBE-risk areas due to sporadic occurence.
|Vaccination; Tick protection through skin-covering clothes; use of insect repellents (creames, lotions, sprays).|
|Rabies||risk of infection throughout the country||Vaccination. Keep away from stray animals (especially dogs and cats).|