Burundi Vaccinations & Health Rules 2026 for Germans

Quick answer: German citizens travelling to Burundi in 2026 must have proof of yellow fever vaccination if they are aged 9 months or older. Burundi's entry requirement applies to all arriving travellers, so travelling directly from Germany does not remove the certificate requirement . The certificate should be recorded in the International Certificate of Vaccination or Prophylaxis (ICVP), commonly called the yellow card; CDC guidance says countries requiring proof may accept an ICVP showing vaccination or a medical waiver .

For health protection, CDC recommends typhoid vaccination for most travellers, particularly people visiting smaller cities or rural areas, and recommends hepatitis A vaccination for unvaccinated travellers aged 1 year or older. Infants aged 6–11 months travelling to Burundi should also receive hepatitis A vaccine, although that dose does not count towards the routine two-dose series . Burundi has year-round malaria risk throughout the entire country, predominantly from Plasmodium falciparum, so discuss prescription malaria prevention and mosquito-bite precautions with a clinician before departure .

Last checked July 2026 — always confirm with official sources before travelling.

Yellow fever certificate rules for German travellers

Burundi requires proof of yellow fever vaccination for every arriving traveller aged 9 months or older . This is an entry requirement, not merely a health recommendation. The rule therefore applies to German passport holders travelling directly from Germany as well as to travellers arriving after time elsewhere in Africa or another yellow-fever-risk area.

The World Health Organization's country list records Burundi's entry requirement as proof of yellow fever vaccination for all travellers aged 9 months or over. The same source records Germany as having no yellow fever vaccination requirement and no WHO yellow fever vaccination recommendation; that describes Germany, not Burundi's rule for people entering Burundi .

Carry the original ICVP with your passport and travel documents. CDC guidance explains that travellers must comply with a country's yellow fever documentation rules by showing an ICVP containing evidence of vaccination or an indication of a medical waiver, where accepted . Keep a digital copy separately, but do not rely on a photograph or scan if an immigration or airline official asks for the original certificate.

Does transit through another country change the rule?

Transit can affect how yellow fever documentation is checked. CDC advises travellers to consider the full itinerary, including airport transfers and long layovers that may require leaving the international transit area or passing through immigration . A stop in a yellow-fever-risk country may also create certificate requirements for a later destination, even where the traveller began the journey in Germany.

For Burundi itself, the published country requirement is broader: proof is required for all arriving travellers aged 9 months or older . Check every transit airport's rules with the airline and the relevant official authority before departure, particularly if the itinerary includes an overnight stop, a self-transfer, a change of airport or time outside the airside transit zone.

Medical exemptions

Travellers who cannot receive yellow fever vaccine because of a medical reason should obtain advice from a qualified travel-medicine clinician well before departure. CDC guidance refers to an ICVP that records either vaccination or a medical waiver, but acceptance and practical border procedures should be confirmed with the Burundi authorities and the airline before travel . Do not assume that a doctor's letter alone will replace the required certificate.

Recommended vaccinations for a Burundi trip from Germany

Entry rules and health recommendations are different. Yellow fever proof is required for entry, while the following vaccinations are based on exposure risk, destination, activities and individual medical history.

Vaccine or prevention	What the research says	Who should discuss it
Yellow fever	Required for all arriving travellers aged 9 months or older; CDC also recommends it for travellers aged 9 months or older .	Every traveller, unless a clinician advises that vaccination is medically unsuitable.
Hepatitis A	Recommended for unvaccinated travellers aged 1 year or older going to Burundi. Infants aged 6–11 months should also be vaccinated, but that dose does not count towards the routine two-dose series .	Unvaccinated travellers and families travelling with infants.
Typhoid	Recommended for most travellers, especially those staying with friends or relatives or visiting smaller cities and rural areas .	Travellers whose itinerary includes rural areas, local food settings or extended stays.
Cholera	Vaccination may be considered for children and adults travelling to areas of active cholera transmission . A UK government travel-health notice also reports an ongoing cholera outbreak in Burundi .	Discuss with a clinician if visiting an affected area or travelling where access to safe food, water and medical care may be limited.

Start planning early. UK travel-health guidance advises checking vaccine recommendations at least 8 weeks before a trip . That lead time allows a clinician to review your medical history, pregnancy status, age, previous vaccinations, planned activities, transit route and any medicines you take. It also leaves time to arrange the yellow fever certificate and discuss alternatives if a vaccine is unsuitable.

The CDC information supplied for Burundi specifically identifies hepatitis A, typhoid and yellow fever recommendations. A clinician should separately review your routine vaccination status and any other vaccines that may be appropriate for your circumstances; this article does not replace an individual consultation. Travellers can also review their route and compare Burundi safari routes before asking a travel-health provider to assess rural stays, park visits and time away from medical facilities.

Malaria in Burundi: risk areas, prophylaxis and prevention

WHO records malaria risk throughout Burundi all year, predominantly from P. falciparum, and lists chemoprophylaxis as the recommended prevention approach . In practical terms, do not treat malaria as a risk limited to one national park or one season. A city stay, lodge itinerary and rural safari can all require a prevention discussion.

Ask a doctor or travel-medicine clinic which prescription option is suitable for you. The choice can depend on age, pregnancy, kidney or liver conditions, mental-health history, allergies, other medicines, trip length and how soon you are leaving. Do not start, stop or share antimalarial medicine without professional advice.

Tablets are only one part of protection. Use mosquito-bite precautions recommended by your clinician, such as an effective repellent, covered clothing and screened or netted sleeping arrangements where appropriate. Seek urgent medical advice for a fever or flu-like illness during the trip or after returning from Burundi, and tell the clinician that you have travelled in a malaria-risk country. The research establishes the countrywide malaria risk and need to discuss prevention, but it does not establish a single medicine, dose or schedule suitable for every German traveller .

Health documents and travel insurance

Carry your passport, original yellow fever ICVP and copies of prescriptions or medical information relevant to your trip. CDC states that the ICVP is the document used to show yellow fever vaccination or a medical waiver when a country requires proof . Keep the certificate accessible during airline check-in, border control and transit.

Arrange travel insurance that covers medical treatment and emergency medical evacuation. UK government guidance advises travellers to check that their destination can provide the healthcare they may need and to have appropriate insurance for local treatment or unexpected medical evacuation . Confirm the policy's exclusions before travelling, including safari activities, remote-area evacuation, pre-existing conditions and treatment after a malaria-related illness.

Because public-health and entry rules can change, check the latest information with a travel-medicine provider, the Burundi diplomatic mission responsible for Germany, the airline and official government travel-health sources. For broader border documentation, consult SafariFind's guide to Burundi visa requirements for German citizens; visa rules are separate from vaccination rules.

Medication rules and what to pack

Check the legal status of every prescription and over-the-counter medicine before departure. UK government health guidance warns that the legal status and regulation of medicines prescribed or purchased in the UK can differ in another country and directs travellers to specialist guidance on travelling with medicines . The same principle applies to medicines carried from Germany.

• Ask your doctor or pharmacist whether each medicine is permitted in Burundi and whether you need supporting documentation.
• Carry medicines in their original labelled packaging and bring a copy of the prescription or a doctor's letter where appropriate.
• Pack enough essential medicine for the itinerary, allowing for delays, but confirm any quantity limits or controlled-drug procedures with the relevant official authority.
• Keep medicines in hand luggage when possible and store them according to the manufacturer's instructions.
• Include any malaria-prevention prescription, personal medication, insect repellent, sun protection, basic wound-care supplies and oral rehydration products recommended by your clinician.

The available research does not establish a Burundi-specific list of permitted brands, quantities or medication fees. Confirm those details with the Burundi authorities or a qualified pharmacist before travel rather than relying on a generic packing list.

Health facilities and emergencies in Burundi

Healthcare access can be limited outside major centres. UK government travel advice identifies three hospitals in Bujumbura that provide medical care for serious accidents and recommends appropriate insurance for treatment and unexpected evacuation . Your insurer's emergency-assistance number should be stored offline as well as in your phone.

In Burundi, call 112 and ask for an ambulance. The UK government health page also lists the Red Cross emergency number as 109 . Emergency response times and available facilities can vary by location, so ask your safari operator or accommodation provider how to reach the nearest suitable clinic before travelling into a remote area.

UK government advice reports an ongoing cholera outbreak in Burundi and recommends taking precautions, with urgent medical attention if you become unwell . Use safe food and water practices, wash your hands frequently and seek medical care promptly for severe diarrhoea, dehydration, persistent vomiting or fever. A travel-medicine clinician can tailor advice to your accommodation, activities and medical history.

Before booking, compare safari packages on SafariFind and ask each operator what emergency transport, nearest medical facility and communications support are available on the proposed route. For accommodation planning, the Burundi safari lodge guide can help you compare locations, while SafariFind's Burundi safari safety guide covers broader travel-risk considerations.

Important: This article is informational content, not legal or medical advice. Vaccination, medication, disease and entry requirements can change, and a qualified clinician must assess your personal health, itinerary and medicines. Confirm current requirements with official sources before travelling.

Frequently Asked Questions

Do German citizens need a yellow fever certificate for Burundi?

Yes. Burundi requires proof of yellow fever vaccination for all arriving travellers aged 9 months or older, including German citizens travelling directly from Germany . Carry the original ICVP, or yellow card, with your travel documents .

Is yellow fever vaccination recommended for a trip to Burundi?

Yes. CDC recommends yellow fever vaccination for travellers aged 9 months or older going to Burundi, and Burundi also makes proof an entry requirement for that age group .

Does travelling directly from Germany avoid the yellow fever requirement?

No. Burundi's published requirement applies to all arriving travellers aged 9 months or older, so a direct flight from Germany does not remove the certificate requirement .

What vaccinations are recommended for German travellers to Burundi?

CDC recommends hepatitis A for unvaccinated travellers aged 1 year or older and typhoid vaccination for most travellers, especially those visiting rural areas or smaller cities . Yellow fever vaccination is both recommended and required for entry for travellers aged 9 months or older .

How far in advance should I arrange Burundi travel vaccinations?

Begin checking your requirements at least 8 weeks before departure. UK travel-health guidance recommends that lead time, while a clinician can set the appropriate schedule for your vaccines and medical circumstances .

Do children need a yellow fever certificate for Burundi?

Yes, children aged 9 months or older must meet Burundi's yellow fever proof requirement . Children younger than 9 months should be assessed by a travel-medicine clinician because the entry threshold and vaccination decision are different.

Is malaria a risk throughout Burundi?

Yes. WHO records malaria risk throughout Burundi throughout the year, predominantly from P. falciparum . Discuss prescription prevention and mosquito-bite precautions with a clinician before travel.

Should I take malaria tablets for a Burundi safari?

Discuss malaria chemoprophylaxis with a travel-health clinician because WHO lists it as recommended prevention for Burundi . The appropriate medicine and schedule depend on your health, medicines, age, pregnancy status and itinerary.

Is cholera vaccination recommended for Burundi?

Cholera vaccination may be considered for travellers going to areas of active transmission . UK government advice also reports an ongoing cholera outbreak in Burundi, so ask a clinician about vaccination and food-and-water precautions for your route .

What health insurance do I need for Burundi?

Arrange insurance that covers medical treatment and unexpected medical evacuation. UK government guidance advises travellers to confirm that their destination can provide needed healthcare and that their insurance is appropriate for local treatment and evacuation .

What is the emergency ambulance number in Burundi?

Call 112 and ask for an ambulance. The UK government health page also lists 109 for the Red Cross . Save your insurer's emergency number and your safari operator's contact details offline.