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South Sudan

Destination photograph: South Sudan
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South Sudan travel health

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Overview

South Sudan has a fragile health system with ongoing large-scale outbreaks and frequent disruptions to services and transport. Prepare for high malaria risk across the country, a long-running cholera epidemic with focal transmission in many counties, and recent vaccine-preventable outbreaks (measles, circulating vaccine‑derived poliovirus). Health facilities are limited outside Juba; medical evacuation to regional hubs is commonly required. Carry documentation of routine vaccinations, plan for evacuation/insurance, and seek pre-travel advice tailored to your itinerary and health history.

Entry vaccination certificate (Yellow fever)

The Government of the Republic of South Sudan requires incoming travellers aged 9 months and older to present a valid International Certificate of Vaccination or Prophylaxis for yellow fever; exceptions apply for those medically ineligible or infants too young. Confirm current entry rules with the Ministry of Health or your nearest South Sudan mission before travel. South Sudan Ministry of Health travel advisory and routine travel guidance from the US Centers for Disease Control and Prevention recommend yellow fever vaccination for travellers to South Sudan. CDC: South Sudan travel health.

Vaccinations and entry requirements

Separate legal entry requirements from medical recommendations. Get routine and travel‑specific vaccines well before departure; some need multiple doses or time to take effect.

Routine vaccines

Make sure you are up to date with routine immunizations (MMR, diphtheria–tetanus–pertussis, polio, routine childhood vaccines). Low routine coverage and ongoing measles transmission increase the risk to unvaccinated people; children and non‑immune adults should complete recommended schedules before travel. CDC: routine vaccine advice for South Sudan.

Measles

Measles transmission has been reported in South Sudan. All international travellers should be fully immunized with MMR (two doses for most adults/children) or have documented immunity; infants 6–11 months travelling to high‑risk areas may be given an early dose (this does not replace the routine series). Check records and vaccinate before travel. CDC: measles and travel and national surveillance reports showing recent measles activity. WHO AFRO IDSR bulletin (South Sudan).

Yellow fever (vaccine required and recommended)

Yellow fever vaccination is required for entry for travellers aged 9 months and older. Vaccination is also recommended for protection when travelling in areas with transmission. Carry an up‑to‑date International Certificate of Vaccination. Seek vaccination at an approved centre; allow time before travel for the certificate to be valid. Ministry of Health, South Sudan and CDC travel guidance.

Polio

South Sudan has reported detections of circulating vaccine‑derived poliovirus in 2025–2026. Ensure you and your child(ren) are fully vaccinated against polio. Adults who completed their childhood series and who will be working in high‑risk settings or travelling to outbreak areas should consult a clinician about an additional inactivated polio vaccine (IPV) booster. WHO Regional Office for Africa: polio updates and CDC: polio and travel.

Hepatitis A and B, and other recommended vaccines

Hepatitis A vaccine is recommended for most unvaccinated travellers to South Sudan; hepatitis B vaccination is recommended for those at risk (long stays, medical procedures, sexual exposure). Depending on itinerary and exposures, also consider typhoid and influenza vaccines. Discuss your travel plans with a clinician at least 4–8 weeks before departure. CDC: vaccine recommendations for South Sudan.

Other health risks

Non‑vaccine prevention, insect avoidance, and practical steps are often the most important measures for traveller safety in South Sudan.

Malaria

Malaria risk is high throughout South Sudan, with Plasmodium falciparum the main species. The CDC recommends that all travellers to South Sudan take effective antimalarial prophylaxis and use insect‑bite prevention (long‑lasting insecticide‑treated nets, repellents with DEET/icaridin, protective clothing, sleeping in screened/air‑conditioned rooms). Choose chemoprophylaxis in discussion with your clinician (options include atovaquone‑proguanil, doxycycline, mefloquine, tafenoquine where appropriate). CDC: malaria guidance for South Sudan.

Cholera, hepatitis E and water‑borne illness

A large cholera outbreak has been ongoing since 2024, and hepatitis E outbreaks have also been reported in multiple counties. Travelers should assume limited safe water and sanitation in many areas: drink bottled or boiled water, avoid raw foods washed in untreated water, practise frequent hand hygiene, and seek prompt care for watery diarrhea (oral rehydration can be lifesaving). Oral cholera vaccination may be considered for people who will work or live in areas with active transmission—discuss with a travel clinician. WHO AFRO: cholera response and South Sudan IDSR weekly bulletin (WHO AFRO).

Mpox and other communicable threats

Clusters of mpox have been reported in 2025–2026 in several counties. Avoid close contact with symptomatic people, practice standard precautions for personal protective measures, and ensure routine vaccinations where indicated. Monitor national surveillance updates for localized risks. WHO AFRO: IDSR bulletin.

Healthcare access, evacuations and medicines

Medical services are limited nationally; emergency care and diagnostics may be unavailable outside Juba. Travelers should have travel insurance that covers medical evacuation and repatriation, carry a supply of essential prescription medicines with original labelling, and be prepared to pay for care locally. Verify legal status of prescription drugs before travel. UK FCDO: health and healthcare in South Sudan.

Injury, transport and environmental risks

Roads and emergency response can be poor; road injuries, flooding during rainy season, and limited search‑and‑rescue capacity raise non‑infectious risks. In eastern highlands (near Uganda) altitude sickness can occur above 3,000 m. Plan safe transport, avoid travel at night, and carry adequate first‑aid supplies. FCDO: travel health overview.

Current health alerts

Active or recent events that affect traveller risk—check official updates close to departure.

Cholera (ongoing epidemic)

A protracted cholera outbreak that began in September 2024 has continued into 2026, affecting many counties with periodic focal transmission. Large vaccination and response campaigns have reduced transmission in some areas, but cholera remains a significant public‑health emergency in South Sudan. Avoid unsafe food/water and seek immediate care for severe watery diarrhea. WHO AFRO: cholera response (Feb 2026) and WHO IDSR weekly bulletin (Mar 2026).

Poliovirus detections (cVDPV)

Circulating vaccine‑derived poliovirus (cVDPV) has been detected in 2025–2026, prompting national and cross‑border vaccination campaigns. Ensure polio immunization is up to date; travellers to outbreak or high‑risk areas should seek clinician advice about a booster. WHO AFRO: regional polio update (May 2026).

Measles and vaccine‑preventable outbreaks

Measles cases have continued in 2025–2026 in the context of low routine immunization coverage; travellers should confirm MMR immunity and obtain missing doses. WHO IDSR bulletin (Mar 2026).

Situational note on insecurity and health services

Conflict, floods and displacement continue to disrupt health services and access to care in many areas. This influences outbreak patterns and limits response capacity; follow travel advisories from your government and humanitarian partners. WHO: South Sudan Health Emergency Appeal 2026 and FCDO: South Sudan health advice.

Before you travel

Plan early, vaccinate if indicated, and pack for care in remote settings.

Practical preparation

See a travel‑medicine clinician 4–8 weeks before departure to review vaccinations (yellow fever certificate, MMR, polio, hepatitis A/B, typhoid where appropriate), start malaria prophylaxis, and discuss cholera vaccination only if your itinerary places you at risk. Carry proof of yellow fever vaccination if required, adequate prescription medicines and a travel insurance policy that covers medical evacuation. For country‑level health system limits and safety considerations consult national travel advice. CDC: South Sudan travel health and UK FCDO: South Sudan health.

This information summarizes published public-health guidance. A travel-health professional can advise on your itinerary, medical history and vaccination needs.

AI-generated landscape illustration inspired by South Sudan
AI-generated illustration inspired by South Sudan.

South Sudan: recent disease outbreaks

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Recent reports

Cholera — ongoing, concentrated hotspots (Unity, Upper Nile and other counties)

South Sudan continues to report active cholera transmission concentrated in a small number of counties (notably Rubkona, Mayom, Leer in Unity State and Renk in Upper Nile), although national weekly reports show cases have declined from earlier 2026 peaks. The Republic of South Sudan IDSR weekly bulletin for the week ending 2 August 2026 described ongoing localized transmission and identified Rubkona as a principal hotspot. WHO/IDSR weekly bulletin (Week 31, 27 Jul–2 Aug 2026). National and UN partners reported reactive oral cholera vaccination campaigns and large cumulative outbreak totals (more than 100,000 cases reported since late 2024 in government/partner statements), and response activity (case management, WASH) continues in affected counties. United Nations South Sudan: cholera response and Radio Tamazuj (Aug 2026).

Poliovirus (circulating vaccine-derived poliovirus, cVDPV) — sporadic detections

Global polio monitoring and WHO statements show South Sudan has recorded variant poliovirus detections in 2026 (including cVDPV types) and remains covered by WHO temporary recommendations under the International Health Regulations because of variant poliovirus circulation and cross‑border risk. These detections have prompted surveillance and synchronized vaccination responses in border and high‑risk areas. WHO polio IHR Emergency Committee statement (25 Aug 2026). Travelers should be aware that polio risk is location‑specific and that public health authorities continue vaccination and surveillance measures in affected counties.

Ebola (Bundibugyo in neighboring DRC/Uganda) — entry screening and health declarations at points of entry

Although South Sudan had not reported confirmed Bundibugyo virus disease cases as of the reporting window, regional outbreaks in the Democratic Republic of the Congo and Uganda led South Sudanese authorities to maintain targeted entry screening measures. Public‑health monitoring at Juba International Airport and some land crossings has included temperature screening and the use of health‑declaration forms for arrivals or departing passengers from high‑risk neighbouring areas. These measures were reported by regional public‑health summaries and national travel‑advice updates during September–October 2026. ECDC report (22 Oct 2026) and FCDO / GOV.UK entry‑requirements note.

Mpox — confirmed clusters in Western Equatoria and Juba

Mpox transmission in South Sudan has produced confirmed clusters in counties including Yambio, Ezo and Juba; weekly IDSR reports and WHO situation summaries through mid‑2026 documented continuing confirmed cases and local response measures (case investigation, isolation, contact follow‑up). National surveillance reported confirmed mpox cases in those counties and partners have supported localized response activities. WHO/IDSR bulletins and WHO multi‑country mpox external situation report.

Measles — localized outbreak reported in Magwi County, Eastern Equatoria

Local health authorities in Magwi County reported a cluster of suspected measles cases (dozens of suspected cases, with multiple laboratory confirmations reported in samples collected in 2026) and called for mass vaccination to stop further spread; independent local outlets covered the event in late August 2026. Reporting described cases first detected in March with ongoing transmission into August. Eye Radio (28 Aug 2026) and South Sudan Press (29 Aug 2026). Measles risk is highest in communities with low vaccination coverage; public authorities may conduct targeted vaccination campaigns.

Hepatitis E virus (HEV) — focal outbreaks and vaccination responses

Hepatitis E remains an intermittent outbreak concern in displaced‑person settings and flood‑affected areas in South Sudan; WHO and national bulletins report HEV activity and partner vaccination or response campaigns in counties such as Fangak and Renk in earlier 2026 and ongoing surveillance in mid‑2026. Response actions have included targeted vaccination of women of reproductive age in high‑risk settings. WHO/IDSR bulletins and WHO situation material on hepatitis E response are the primary sources.

Anthrax — focal animal‑to‑human events under investigation

National surveillance documents list ongoing or recent anthrax events affecting people and livestock in limited counties and describe One‑Health investigations and response work; IDSR summaries in 2026 noted anthrax clusters and coordinated rapid‑response actions in affected states. These events are typically geographically limited but present zoonotic risk where people handle or consume meat from animals that died suddenly. WHO/IDSR weekly bulletin (Week 31).

This page summarises verified reports published or updated within the 90‑day window ending 27 October 2026 and is a dated snapshot of events and measures; local transmission patterns, health‑screening rules at ports of entry, and response activities can change rapidly. Travelers should check national public‑health announcements, WHO updates, and their embassy or travel clinic for current advice immediately before travel.