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Vaccinations are not required for direct entry from Europe.
However, the Foreign Office recommends that the standard vaccinations to be carried out or completed. These include: vaccinations against tetanus, diphtheria, pertussis (whooping cough) and polio (children’s paralysis), possibly also measles, mumps, rubella (MMR) and influenza (flu), as well as pneumococci.

It is also recommended to vaccinate against hepatitis A and typhoid during long-term stays or special hazards also against hepatitis B, rabies, meningococcal meningitis ACWY and Japanese encephalitis.


Malaria is prevalent throughout India year-round with seasonal variations. Especially during and after the monsoon season, the risk of infection is higher. However, malaria no longer occurs from heights of 1500 metres and therefore there is no risk of infection in Himachal Pradesh and Ladakh.

One should protect oneanother from mosquitoes that transmit the disease by clothing and mosquito repellent, as well as with an impregnated mosquito net at dusk and at night. This also makes sense to protect against dengue fever (day-active mosquitoes) that is common on coasts and cities.

It is also recommended to have a drug prescribed here in Germany for emergency therapy.


The risk of rabies in India is high. Many stray dogs, especially in the cities, but also monkeys are infected. therefore they should  never be fed. On a trek, you’re sometimes out of reach for days from any civilization. Therefore, one should think about vaccinating against rabies.

Gastrointestinal diseases

Gastrointestinal diseases are a major problem in India and many travelers suffer from corresponding ailments. This sometimes has nothing to do with the quality of the food, but rather with the unusual and unknown ingredients of the food.

Water is often heavily polluted in India and is strongly discouraged from drinking water from the pipes. Only filtered or packaged bottled water should always be consumed. On trekking tours, it makes sense to have water purification tablets with you.

Travel pharmacy

– Water purification tablets

– paving/dressing material

– broadband antibiotic,

–anti-inflammatory cream

– Malaria emergency medicines

– acute diarrhoea

– medicines for pain, fever and travel sickness

Altitude and altitude sickness

Altitude sickness is a serious issue that should not be underestimated, especially during our trekking tours and expeditions in the Indian Himalayas. At altitudes above 3500 m, our body has to slowly get used to the low air pressure, which also causes less oxygen to enter our lungs. The first signs of altitude sickness are headaches, which are accompanied by dizziness, nausea, insomnia and loss of appetite. It becomes problematic when water accumulates in the lungs and brain and edema occurs. Then only the immediate descent to lower altitudes will help. During the trek we will slowly ascend to acclimatize. If we notice that there are problems with our guests (each person is otherwise able to acclimatize, regardless of age, gender and fitness level), either the entire tour group or the participant with a team member descends/returns. In addition, it makes sense to take emergency medications (Diamox, Dexamethasone, Nifedipine) against altitude sickness. For this, it is best to inform yourself at the pharmacy or seek advice from the travel doctor. In addition, we will have oxygen with us for the emergency. Click here for our blog article “Emergency pharmacy for trekking tours and mountain expeditions in the Himalayas”.

In addition, if not already done, you can have a free information call from the BCRT (Berlin Center for Travel and Tropical Medicine) on vaccinations, health and height adjustment with our vouchers. Simply make an appointment at one of the many locations and mention the voucher.