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Yellow Fever Certificate East Africa: Uganda Dropped the Requirement, Neighbours Still Ask
Health, Safety & Practical Prep

Yellow Fever Certificate East Africa: Uganda Dropped the Requirement, Neighbours Still Ask

Uganda dropped its yellow fever entry certificate on 2 October 2026, but Kenya, Rwanda and Tanzania still ask. Journey table, 12 hour transit rule and border outcomes, dated.

October 11, 2026Published
19 minRead time
Paramount Gorilla Expeditions Team East AfricaAuthor

The yellow fever certificate East Africa border officials ask about is the vaccination card (the ICVP, often called the yellow card), and the rule is set country by country, not for the region. Since 2 October 2026 Uganda no longer requires it for entry. Kenya, Rwanda and Tanzania still ask arrivals from listed countries, and those lists include Uganda. This guide shows who asks, from where, and what happens without one.

Written by Paramount Gorilla Expeditions Team East Africa. Facts last checked 11 October 2026.

A mountain gorilla silverback, the kind of trip that needs the right yellow fever certificate for East Africa
A mountain gorilla silverback. Gorilla trips in Uganda and Rwanda often continue to Kenya or Tanzania, which is where the card matters.
2 Oct 2026Date of Uganda's notice dropping the entry certificate
For lifeValidity of a yellow fever certificate under WHO rules since 2016
10 daysWait after the injection before the certificate counts
12 hoursTransit length that Tanzania and Kenya say can trigger the rule
The short answer A notice posted on 2 October 2026 says Uganda no longer requires a yellow fever certificate for entry. Kenya, Rwanda and Tanzania still ask for one from travellers arriving from the countries on their own lists. Kenya's list names Uganda, Rwanda's names Uganda and Kenya, and Tanzania's 2023 notice names Kenya, Uganda and Rwanda. A transit of 12 hours or more can count. The certificate is valid for life from 10 days after the injection, so carry it.

Lists of countries can change without notice. Confirm with the arrival country's health authority before you travel.

Yellow fever certificate East Africa: what changed when Uganda dropped the requirement

On 2 October 2026 Uganda's immigration authority posted a notice on its website saying that "A Yellow Fever Vaccination certificate is no longer a mandatory requirement for entry into Uganda." The notice adds that the certificate is not listed on the e-visa portal or on the immigration site. You can read it on the Uganda immigration website. That is when Uganda dropped the requirement, and it makes most older advice wrong for Uganda.

A Ministry of Internal Affairs letter sits behind the notice. It replied to a request from the Uganda Tourism Board and, according to press reports, covers all travellers. We read press reports (Kenyans.co.ke, The EastAfrican, ATC News), not the letter itself. The UK Foreign Office (FCDO) page for Uganda, updated on 8 October 2026, no longer carries a yellow fever line.

What the notice does not say

The notice gives no effective date, no legal basis, no conditions and no exemptions. Nothing we found says how officers at Entebbe or at land borders have been briefed. Before the change, Uganda's 2024 health guidance asked for a card from people "entering and leaving" the country, while the new notice speaks only of entry. Whether the exit rule or any airline check at departure has changed is not addressed anywhere we looked.

Some pages still say the card is required: the Uganda Civil Aviation Authority page, the UK TravelHealthPro Uganda page and the East Africa tourist visa page on Uganda's own site, plus several operator blogs. We treat these as out of date because the dated notice is newer, but the notice itself is days old.

Why you should still carry the card

  • The next country decides, not Uganda. Kenya, Rwanda and Tanzania test the country you arrive from. Uganda changing its own entry rule changes nothing for them.
  • The notice is new and thin. With no conditions published, a card in your passport wallet removes the question.
  • It is for life. If you already hold a valid card, carrying it costs nothing.
  • Onward travel may ask. ATC News reported on 2 October that Seychelles still requires a certificate from arrivals in Africa via Nairobi or Addis Ababa. We did not check Seychelles' own pages, so confirm if your route ends there.

This guide covers the yellow fever certificate East Africa entry paper only. It is not medical advice and it does not cover malaria. For whether to be vaccinated, and the health side, read our guide to malaria, yellow fever and vaccinations and speak to your doctor or travel clinic.

Yellow fever certificate East Africa journey by journey: what the arrival country asks

The yellow fever certificate East Africa travellers carry is judged by the country you arrive from. A yellow fever card for East Africa is judged where you land, not where you started. Each government keeps its own list of countries, so the same traveller can be asked in one direction and not in the other. The table sets out what each arrival country's own list says.

JourneyWhat the arrival country's own list saysSource and confidence
Any country to UgandaCertificate not required for entry since the 2 October 2026 notice; no conditions publishedUganda immigration notice; high, but days old
Uganda to KenyaUganda is on Kenya's list: certificate expected on arrival; transit of 12 hours or more also countsKenya Airports Authority page; high source, undated
Rwanda to Kenya, Tanzania to KenyaNeither Rwanda nor Tanzania is on Kenya's listSame page; high source, undated
Uganda to Rwanda, Kenya to RwandaBoth are on Rwanda's list: certificate mandatory; without one, vaccination on arrival at your cost plus quarantine until the card is 10 days oldRwanda RBC info note, 22 May 2026; high
Tanzania to RwandaTanzania is not on Rwanda's listSame note; high
Uganda to TanzaniaUganda is on Tanzania's list: certificate required, or vaccination on arrivalTanzania Ministry of Health notice, 31 July 2023; medium to high
Kenya to TanzaniaKenya is on Tanzania's listSame notice; medium to high
Rwanda to TanzaniaRwanda is on Tanzania's list, although Rwanda's own note does not list TanzaniaSame notice; medium to high
Mainland Tanzania to Zanzibar, or Uganda, Kenya or Rwanda to ZanzibarWe found no government statementGap, see below

The Tanzania list is three years old, so confirm it before you travel.

The yellow fever certificate when arriving from Uganda

Uganda is on the lists of all three neighbours that we could read. So the journeys where a card is most likely to be asked are the ones arriving from Uganda: into Kenya, into Rwanda and into Tanzania. How officers treat those arrivals after 2 October is not stated in any source we found. Until it is, assume the card may be asked.

The lists are not symmetrical, which most guides miss. Kenya does not list Rwanda or Tanzania, Rwanda does not list Tanzania, and Tanzania lists Kenya, Uganda and Rwanda. A route that ends in Tanzania has usually passed through a listed country first. For the order of countries on a four-country trip, see our route guide. The wider paper trail is in our visa rules for five destinations.

Pro tip: Print the table for your own route and mark each border. Any arrival in Tanzania from Kenya, Uganda or Rwanda is the one to carry the card for.

Yellow fever certificate Rwanda and Kenya: what each country's own page says

Yellow fever certificate Rwanda

Rwanda's Ministry of Health and Biomedical Centre (RBC) published an info note for travellers dated Kigali, 22 May 2026. It says a certificate is not required from non-endemic countries without an active outbreak, but is mandatory from endemic countries or countries with active transmission, for residents and non-residents alike. The note's list is described as dynamic and able to change at any time. It includes Kenya and Uganda, along with Burundi, DR Congo, Ethiopia, South Sudan, Sudan and Nigeria among others. Tanzania and Rwanda are not on it. Read the RBC note for travellers for the full list.

The WHO country list gives Rwanda's rule as a certificate for travellers aged one year or over arriving from countries with a risk of yellow fever transmission. The FCDO says the same without ages. Rwanda's migration pages add that extra rules can apply during an outbreak. The note also says a traveller from a country with an active outbreak, or who visited one in the previous 24 days, must have no fever (below 38.5 C) and report symptoms for 6 days. We found no list of active-outbreak countries.

Yellow fever certificate Kenya

The Kenya Airports Authority page says travellers from listed countries are "expected to possess valid yellow fever vaccination certificates upon arrival", and adds "(These include airport transit for 12 hours or more)". The list of 41 countries includes Uganda, Ethiopia, Burundi, South Sudan and DR Congo. Tanzania and Rwanda are not on it. The page is undated, says the list may be updated according to disease patterns, and states no age rule or medical exemption. See the Kenya Airports Authority page.

The WHO list gives Kenya's rule as a certificate for travellers aged one year or over arriving from risk countries, and the FCDO page for Kenya agrees. Kenya's separate electronic travel authorisation is a different document, covered in our Kenya eTA guide.

In short, the yellow fever certificate Uganda travellers once needed is gone, but the yellow fever certificate Kenya asks for from arrivals out of Uganda is still on Kenya's published list.

Lions resting on open grassland, a safari where the yellow fever certificate for East Africa matters at the border
Lions on open grassland. Each safari country keeps its own list, so a route across borders needs each arrival checked.

Yellow fever certificate Tanzania and Zanzibar: the 2023 list and the gap

Yellow fever certificate Tanzania

The mainland rule is the one that affects most four-country routes. A Tanzania Ministry of Health notice titled "List of countries for which a valid certificate of vaccination against yellow fever is required for entry in Tanzania", dated 31 July 2023, lists Kenya, Uganda and Rwanda, along with Burundi, DR Congo, Ethiopia, South Sudan, Sudan and others. It is based on the WHO list as of 3 January 2023. It also says travellers from countries not on the list are not screened or vaccinated at entry. The notice is hosted on the Air Tanzania website.

We rate this as medium to high confidence. It is three years old and we could not open it on a live Ministry page. The UK FCDO page for Tanzania, updated 9 October 2026, says you must have a certificate if arriving from a yellow fever risk country, but names no countries. UK TravelHealthPro says the same and links to the WHO list. So the 2023 notice is the only published list we found for the yellow fever certificate Tanzania asks for, and lists can change.

Tanzania's visa and its mandatory inbound insurance are separate documents, explained in our Tanzania travel insurance guide. For a route built around the country, see our Rwanda and Tanzania safari guide.

Zanzibar: what we could not find

We found no government source for a separate Zanzibar yellow fever rule. UK TravelHealthPro covers "Tanzania including Zanzibar" with one entry. The Ministry of Health notice for the mainland says "mainland" in its title. Nothing we read states what applies to a traveller flying from the mainland to Zanzibar, or from Uganda, Kenya or Rwanda direct to Zanzibar or via Dar es Salaam. Zanzibar has run its own port health regime for Ebola (see below), but we found nothing on yellow fever.

The safe reading for a yellow fever certificate East Africa route that includes Zanzibar is to carry the card on the whole journey and to ask your planner to confirm the Zanzibar position in writing for your dates. We do not state a rule the sources do not give.

The 12 hour transit rule for a yellow fever certificate

For a yellow fever certificate East Africa trip, two of the three governments state a transit trigger. Tanzania's notice includes vaccination for a "long flight connection (transit) in yellow fever endemic country for twelve hours (12hrs) or more". Kenya's page says the arrival rule includes "airport transit for 12 hours or more". UK TravelHealthPro describes the Tanzania rule as applying to people who transited for more than 12 hours through an airport in a risk country. Rwanda's note does not mention transit at all.

So a 12 hour transit is the figure to remember, with one wrinkle: "12 hours or more" in the government wording becomes "more than 12 hours" in the UK summary. If your layover is close to the line, carry the card and do not argue the hour. None of the sources says how the hours are measured, or whether airside passengers are treated differently.

How the transit rule meets a normal route

Most safari connections are far shorter than 12 hours. The rule matters for overnight layovers. Because Kenya is on Tanzania's list, a layover of 12 hours or more in Nairobi on the way to Tanzania sits inside the rule as Tanzania words it (our reading, not an official ruling). For the same reason a long wait in Entebbe before a flight to Tanzania could count, and we found nothing saying whether the 2 October change alters that.

Check each connection against the 12 hour figure before you book. Our flight logistics guide covers the legs.

Yellow fever certificate East Africa: a certificate valid for life, from day 10

Under the International Health Regulations, a yellow fever certificate East Africa border officers inspect has been valid for life since 11 July 2016. WHO states that validity "shall extend for the life of the person vaccinated", applies automatically to certificates already issued, and that a booster dose "cannot be required of international travellers". UK TravelHealthPro repeats the point on its Kenya, Rwanda, Tanzania and Uganda pages: a valid certificate cannot be rejected because more than ten years have passed. The US CDC adds that the vaccine is valid for a person's lifetime even if the card prints an expiry date.

The clock starts late. The certificate is valid from 10 days after the date of vaccination (WHO). Rwanda's note says a certificate under 10 days old is invalid. Tanzania's older annex asks for a single dose at least 10 days before entry. So a shot given the week before you fly may not count on arrival. That is a timing fact about the paper, not a medical statement about the vaccine.

What a correct card looks like

The CDC's page on the international certificate of vaccination lists what officers check. The name must match the passport exactly. Dates use day, month in letters and year. "Yellow Fever" is printed. The clinician's signature must be handwritten, since a stamp does not replace it, and the card must carry the vaccination centre's official stamp. See the CDC ICVP page. Carry the original card, not only a photo.

Age rules and the medical exemption letter

The entry requirement applies from age one year (WHO list; TravelHealthPro). Tanzania's own mainland documents describe exemptions for travellers under one and over 60. WHO and TravelHealthPro give no upper age limit, so we treat the over-60 exemption as medium confidence and not something to rely on at the desk.

For a medical exemption, the CDC describes a signed, dated letter on letterhead with the centre's stamp, plus the contraindication section of the card completed. Reasons other than a medical contraindication are not acceptable, and the destination country may still refuse a waiver. Whether you qualify is for your doctor, not for this page.

Check before you travel: an exemption letter is a request, not a right. Ask the arrival country's health authority in advance whether it accepts the letter for your journey, and keep the answer in writing with the card.

No yellow fever certificate East Africa border: vaccination on arrival and what follows

Without a yellow fever certificate East Africa entry rules differ by country, and the published consequences are less settled than the headline rules. Here is what the sources say, in the order a four-country route usually meets them.

Rwanda

The RBC note says travellers from the listed countries who lack a certificate are vaccinated on arrival at their own cost. Because a certificate under 10 days old is invalid, the traveller is quarantined until it becomes valid. Refusing the measures means denial of entry. This is the strictest wording we found in the region, from an official May 2026 note, so we rate it high. It is why late vaccination is a poor plan for Rwanda. Our Uganda Rwanda border crossing guide covers the crossing days themselves.

Tanzania

An Annex 1 document (updated February 2017, hosted by an operator in 2023) says a traveller without a certificate "may be refused entry or vaccinated on arrival and monitored for up to 10 days". It quotes USD 50 for foreigners and says a government receipt is issued. Treat the amount and the monitoring as medium confidence and reported, not current. Confirm the position before you rely on it, because we found no live Ministry page repeating it.

Kenya, and Uganda

The Kenya Airports Authority page says port health clinics at Kenyan airports vaccinate, quoting Ksh 3,500, undated. It states no consequence for arriving without a certificate, and we found none. For Uganda, nothing is required for entry now, so the question does not arise, although the notice sets no conditions.

Not a plan: vaccination at the border is a fallback. The new certificate only counts 10 days after the shot, Rwanda quarantines until then, and Tanzania may monitor you. Arriving without the card can cost you days.

Yellow fever certificate East Africa emergency vaccination points, as documented

This is the short list of places where the sources say a yellow fever certificate East Africa travellers lack can be obtained, with the confidence of each. We have not invented a clinic where the sources name none.

  • Entebbe: the Uganda Civil Aviation Authority page says passengers can obtain vaccination at the Airport Medical Centre, open 24 hours, quoting "US $ 40". The same page wrongly says a certificate is required, so treat the price as unverified.
  • Kampala: a 2017 Ministry of Health list of accredited facilities named several clinics. It is nine years old, so we do not name them. Ask your planner for a current provider.
  • Nairobi and other Kenyan airports: port health clinics vaccinate (Kenya Airports Authority, undated, Ksh 3,500 quoted).
  • Kigali: the RBC note says unvaccinated arrivals from listed countries are vaccinated on arrival at their cost. We found no named Kigali clinic.
  • Tanzania: vaccination on arrival at USD 50 with up to 10 days' monitoring, per the 2017 annex above (medium confidence).

A clinic can only help you if you have time. Vaccination on arrival issues a card, but under the WHO rule that card is valid from day 10. At home, ask your clinic early. At the border, expect the 10 day rule to apply.

The Ngorongoro rim in Tanzania, a stop where the yellow fever certificate for East Africa may have been checked on entry
The Ngorongoro rim in northern Tanzania. Tanzania lists Kenya, Uganda and Rwanda, so arrivals here often carry the card.

Ebola forms are not a yellow fever certificate for East Africa

Travellers this season may be asked for health forms and screening for Ebola (Bundibugyo virus). None of the official sources we read describes an Ebola certificate or proof-of-health document. The papers they mention are health declaration or surveillance forms. We state dated facts only, and the live pages below always win.

  • WHO, 8 October 2026: the outbreak is centred on DR Congo, with 8,728 confirmed cases to 6 October. WHO advises against any restriction of travel or trade. The notice mentions no documents or certificates.
  • Uganda: the outbreak was declared over on 27 August 2026 (UK FCDO health page). Some countries still screen travellers from Uganda.
  • Kenya: a first imported case was confirmed on 6 October 2026. A Kenyan press report of 7 October says flights from ten countries, including Uganda, Tanzania and Rwanda, go to a screening point with a health declaration form. That is a press report, not an official page.
  • Rwanda: the RBC note of 22 May 2026 describes enhanced entry control at Kigali airport and says foreign nationals who were in DR Congo within 30 days will be denied entry. We could not confirm that this is unchanged in October.
  • Zanzibar: an advisory of 20 May 2026 (reported 23 May) asks travellers arriving from or transiting DR Congo or Uganda to complete a surveillance form. We could not confirm whether it still applies to Uganda after 27 August.

Read the live pages, because they change daily: the WHO outbreak notice, the CDC situation summary and the UK FCDO health pages for Uganda, Kenya and Rwanda. Our hub keeps a running note under health alerts.

Who the yellow fever certificate East Africa rules affect, and the mistakes to avoid

Who this affects

Anyone whose route crosses a border, which is every multi-country guest, needs to plan their yellow fever certificate East Africa paperwork. A Uganda-only trip needs nothing for Uganda today, but the flight home or onward may involve another country. A route that includes Kenya, Rwanda or Tanzania should assume the card may be asked at each arrival from a listed country. Routes that end in Tanzania, such as a Uganda Rwanda Tanzania safari, face the longest list, because Tanzania names all three neighbours. A route such as our 12 day Uganda Rwanda Tanzania safari is planned with that in mind.

Guests on a Rwanda and Kenya plan, such as our 8 day Rwanda Kenya safari, meet a different pair: Rwanda to Kenya is not on Kenya's list, while Kenya to Rwanda is on Rwanda's. The Rwanda and Kenya safari and Uganda Rwanda Kenya safari guides give the route detail.

Common mistakes

  • Reading Uganda's change as a regional change. Kenya, Rwanda and Tanzania did not follow it.
  • Treating the lists as one list. They are asymmetric, so a rule that applies in one direction may not apply in reverse.
  • Forgetting transit. A long layover of 12 hours or more in a listed country can count.
  • Leaving it late. The card counts only from day 10, and Rwanda quarantines until then.
  • Counting on border vaccination. It is a fallback with a cost, a wait and sometimes monitoring.
  • A card that does not match. Check the name against the passport, the handwritten signature and the stamp.
  • Believing a ten year renewal is needed. WHO treats it as a certificate valid for life.
  • Mixing up Ebola forms and the certificate. They are separate papers.
  • Trusting stale pages. Some pages still describe the yellow fever certificate Uganda used to demand.

What most guides get wrong is the direction. They announce that Uganda dropped the requirement and stop, or they list Uganda's old rule as if it were the whole region. This page keeps the rule attached to the arrival country, and dates every fact.

A leopard resting in a tree, one of the animals guests carry a yellow fever certificate for East Africa to see
A leopard. Once the paperwork is in order, the border is the easy part of the trip.

Next steps for your yellow fever certificate and East Africa safari

Put your yellow fever card for East Africa in the same wallet as your passport and visa papers; our safari packing list covers the rest. Then ask your planner, in writing, which borders the route crosses, which arrivals are on a published list, how the route handles a layover of 12 hours or more, and what the position is for Zanzibar. Our planners in Entebbe confirm each point before we quote and flag anything the published rules leave open.

Before you fly, run through a short yellow fever certificate East Africa checklist.

  1. Confirm your card is valid for life and was issued at least 10 days before the first arrival that might ask.
  2. Check the name, the signature and the stamp against the passport.
  3. Mark each border on your route against the table above.
  4. Check for any layover of 12 hours or more.
  5. Read the live Ebola pages the week you travel, and carry any form the airline or arrival country asks for.
  6. Ask your doctor about anything medical, including an exemption letter.

Related reading: our multi-country safari hub, the East Africa tourist visa guide and the travel insurance guide. For the four-country route itself, see our 14 day four country safari.

Plan my trip with the right papers for each border

Tell us your dates and the countries you want to see. We will mark each arrival on your route and say plainly what is still unconfirmed.

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#yellow fever certificate#yellow fever card#uganda yellow fever#kenya yellow fever#rwanda yellow fever#tanzania yellow fever#12 hour transit#vaccination on arrival#ebola forms#east africa entry requirements
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Common questions

Frequently asked questions

Do I need a yellow fever certificate to enter Uganda now?
No, not for entry, according to a notice posted by Uganda's immigration authority on 2 October 2026. The notice sets no effective date, conditions or exemptions, and some pages still say a certificate is required, including Uganda's own East Africa tourist visa page. Because the notice is days old, and because the next country on your route decides separately, carry your card if you have one. Checked 11 October 2026.
Do I need a yellow fever certificate for Kenya?
Kenya expects a certificate from travellers arriving from the countries on its list, and Uganda is on it. Transit of 12 hours or more also counts, per the Kenya Airports Authority page. That page is undated, and Tanzania and Rwanda are not on its list. Arrivals from home are judged on the country they fly from, so check the list for your departure country before you travel.
Do I need a yellow fever certificate for Rwanda?
Rwanda's health note of 22 May 2026 makes a certificate mandatory for arrivals from countries on its list, and Kenya and Uganda are both on it. Tanzania is not. Without a certificate, a traveller is vaccinated on arrival at their own cost and quarantined until the certificate is 10 days old. Refusing those measures means denial of entry. Rwanda's list can change at any time.
Do I need a yellow fever certificate for Tanzania?
If you arrive from a country on Tanzania's list, yes. A Ministry of Health notice dated 31 July 2023 lists Kenya, Uganda and Rwanda. It is three years old and we could not open it on a live Ministry page, so confirm it before you travel. The UK FCDO says a certificate is needed when arriving from a yellow fever risk country but names none. Carry the card on any route into Tanzania.
If I arrive from Uganda, which countries may ask for the card?
Kenya, Rwanda and Tanzania all list Uganda on their published lists. Uganda changing its own entry rule on 2 October 2026 does not alter what those three ask of someone arriving from Uganda. We found no source saying how their officers treat Uganda arrivals since the change, so assume the card may be asked and keep the original in your travel wallet.
What is the 12 hour transit rule?
Tanzania's notice and the Kenya Airports Authority page both say a transit of 12 hours or more in a listed country can trigger the certificate rule. UK TravelHealthPro words the Tanzania rule as more than 12 hours. Rwanda's note does not mention transit. No source says how the hours are counted, so if your layover is close to 12 hours, carry the card and ask your airline or planner.
Is a yellow fever certificate valid for life?
Yes. Under WHO rules binding on member states since 11 July 2016, a certificate is valid for the life of the person vaccinated, and a booster cannot be required of international travellers. UK TravelHealthPro says a valid certificate cannot be rejected because more than ten years have passed, and the CDC says this holds even if the card prints an expiry date.
How many days before travel must the vaccination be done?
The certificate counts from 10 days after the injection, according to WHO. Rwanda's note says a certificate under 10 days old is invalid, and Tanzania's older annex asks for a dose at least 10 days before entry. That is a rule about the paper, not medical advice. Whether and when to be vaccinated is for your doctor or travel clinic, and our vaccinations guide covers the health side.
What happens at the border if I have no certificate?
It depends on the country, and the sources differ in age. Rwanda's May 2026 note says vaccination on arrival at your cost and quarantine until the certificate is 10 days old. An older Tanzania annex says you may be refused entry or vaccinated on arrival and monitored for up to 10 days, quoting USD 50 for foreigners. For Kenya we found no published consequence.
Does Zanzibar need a yellow fever certificate?
We found no government source stating a separate Zanzibar yellow fever rule. UK TravelHealthPro covers Tanzania including Zanzibar as one entry, and the Ministry of Health notice we read is titled for the mainland. So we cannot state what applies when you fly to Zanzibar from the mainland or from Uganda, Kenya or Rwanda. Carry your card and ask your planner to confirm in writing.
Is an Ebola health form the same as a yellow fever certificate?
No. None of the official sources we read describes an Ebola certificate. The papers they mention are health declaration or traveller surveillance forms and screening, and they change often. Read the live WHO, CDC and UK FCDO pages the week you travel. Rwanda, Kenya and Zanzibar each described their own entry measures between May and October 2026, and we could not confirm which still apply.
Can I use a medical exemption letter instead of a certificate?
Only in limited cases, and the arrival country may still refuse it. The CDC describes a signed, dated letter on letterhead with the clinic's official stamp, plus the contraindication section of the vaccination card completed. Reasons other than a medical contraindication are not acceptable. Whether you qualify is a medical question for your doctor. Ask the arrival country's health authority in advance, and keep the reply in writing.
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