This page summarises public health guidance. It is not medical advice. See a travel clinic or your doctor at least eight weeks before you travel: they can look at your health, your route and your dates, and tell you what you need.
Last checked: 1 November 2026. Rules, fees and advice change, so confirm them with the official source named at the end of this page before you book and again before you fly.
Tanzania requires a yellow fever vaccination certificate from travellers aged one year and over who arrive from a country with yellow fever risk, including after more than 12 hours in transit at an airport in such a country. Arriving directly from a country without yellow fever risk does not trigger the requirement.
The UK and US health agencies (TravelHealthPro and the CDC) do not generally recommend the vaccine for a trip to Tanzania itself. A travel clinic can tell you whether your route means you need the certificate.
TravelHealthPro rates the malaria risk as high in all areas of Tanzania below 1,800 metres, including Zanzibar. Above 1,800 metres there is no malaria risk. The CDC recommends antimalarial tablets for travel below that height. Some must be started before you arrive and continued after you leave, so see a travel clinic in good time.
The CDC lists these for travellers to Tanzania. A travel clinic will tell you which apply to you.
Dengue is also present. Avoiding bites is the main protection, even in places with no malaria.
Altitude illness is a risk above 2,500 metres. Kilimanjaro reaches 5,895 metres. If you plan to climb, talk to a doctor about acclimatisation and your medical history before you book.
Sources: TravelHealthPro (UK National Travel Health Network and Centre), the US Centers for Disease Control and Prevention (CDC) and the UK FCDO health advice for Tanzania. Confirm current requirements with a travel clinic and with TravelHealthPro or the CDC before you travel.