What immunizations are needed prior to a trip to Hawaii, including vaccinations such as Measles, Mumps, and Rubella (MMR), Diphtheria, Tetanus, and Pertussis (DTaP), and Polio?

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Last updated: June 17, 2025View editorial policy

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From the Guidelines

No special immunizations are required for travel to Hawaii beyond routine vaccinations recommended for all U.S. residents. Since Hawaii is a U.S. state, travelers from the mainland United States do not need additional vaccines specifically for this destination. The routine vaccinations that should be up-to-date include MMR (Measles, Mumps, and Rubella), DTaP or Tdap (Diphtheria, Tetanus, and Pertussis), Polio, Varicella (chickenpox), and annual influenza vaccines. If you're not current on these standard immunizations, it's advisable to get them updated at least 4-6 weeks before travel to ensure full immunity. International travelers coming to Hawaii should follow U.S. entry requirements regarding vaccinations. Hawaii's tropical climate doesn't present unique disease risks requiring special immunizations like yellow fever or typhoid that might be recommended for travel to certain international destinations. However, it's always good practice to consult with a healthcare provider before any trip to review your specific health needs based on your vaccination history, planned activities, and current health status, as recommended by the Advisory Committee on Immunization Practices 1.

Some key points to consider:

  • MMR vaccination is recommended for adults born during or after 1957 who have not received 1 or more doses, unless they have a medical contraindication, documentation of 1 or more doses, history of measles based on health care provider diagnosis, or laboratory evidence of immunity 1.
  • DTaP or Tdap vaccination is recommended for adults who have not received a tetanus and diphtheria toxoids vaccine (Td) booster dose, with a one-time dose of Tdap replacing one of the 10-year Td boosters 1.
  • Annual influenza vaccination is recommended for all persons 6 months of age and older, with healthy, nonpregnant adults younger than age 50 years without high-risk medical conditions able to receive either intranasally administered live, attenuated influenza vaccine (LAIV) or TIV 1.

It's essential to prioritize routine vaccinations and consult with a healthcare provider to determine the best course of action for individual health needs.

From the Research

Immunizations Needed for Travel to Hawaii

The immunizations needed for travel to Hawaii include:

  • Measles, Mumps, and Rubella (MMR) vaccine: recommended for all travelers, as outbreaks can occur in any region 2
  • Diphtheria, Tetanus, and Pertussis (DTaP) vaccine: recommended for all travelers, as it is a routine vaccination 2
  • Polio vaccine: recommended for all destinations where eradication is not yet confirmed, but Hawaii is not considered a high-risk area 3

Additional Vaccinations

Other vaccinations that may be recommended for travel to Hawaii include:

  • Hepatitis A vaccine: recommended for travelers to areas of increased risk, but Hawaii is not typically considered high-risk 3, 4
  • Hepatitis B vaccine: recommended for travelers who will be having medical procedures, getting a tattoo, or having sex while traveling 5
  • Pneumococcal vaccine: recommended for certain travelers, such as those with chronic medical conditions 5
  • Influenza vaccine: recommended for all travelers, especially during flu season 6

Special Considerations

It's essential to consult with a healthcare professional to determine the specific vaccinations needed for travel to Hawaii, as recommendations may vary depending on individual circumstances, such as age, health status, and activities planned during the trip 6

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Hepatitis A vaccine in the last-minute traveler.

The American journal of medicine, 2005

Research

[Immunization for children travelling to the tropics: neglected vaccines].

Medecine tropicale : revue du Corps de sante colonial, 2008

Research

Travel health: routine, recommended and required vaccines.

British journal of nursing (Mark Allen Publishing), 2011

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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