Health Regulations
Meningococcal Meningitis

​​Required Vaccinations (Meningococcal meningitis):

  • All travelers, domestic or international, adults and children aged over 2 years arriving for Umrah, Hajj or for seasonal work in Hajj zones, are required to submit a valid vaccination certificate with a quadrivalent (ACYW) meningococcal vaccine administered not less than 10 days prior to the planned arrival to Hajj areas.
  • Vaccination with ONE of the following vaccines is acceptable:
  • Quadrivalent (ACYW) polysaccharide vaccine within the last 3 years.
  • Quadrivalent (ACYW) conjugate vaccine within the last 5 years.
  • Current scientific evidence suggests that conjugate vaccines are safe and effective for those above 55 years of age.
  • Health authorities at the pilgrims' country of origin should ensure vaccination within the required validity period and make sure that the type of vaccine is clearly showed in the vaccination certificate.
  • If the vaccine type is not indicated in the certificate, the certificate will be valid for 3 years. 
  • Vaccination with Quadrivalent (ACYW) conjugate vaccine is also required for:
    • Residents of the two holy cities (Makkah and Medina).
    • Any person who might get in contact with pilgrims including personnel in healthcare settings and other authorities. 

Preventive Measures by Health Authority at Points of Entry (Meningococcal meningitis​):
  • The Ministry of Health in the Kingdom of Saudi Arabia may opt to administer prophylactic antibiotics to some travelers arriving from countries with frequent epidemics of meningococcal meningitis, countries at risk for meningitis epidemics, and countries with outbreaks of non-vaccine groups of N. meningitides (Appendix 3) at the points of entry if deemed necessary. 

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