Advice for travellers from the UK on travel abroad and reducing spread of respiratory viruses during the COVID-19 outbreak
Last updated Aug 2, 2020 by System Administrator
The outbreak of [COVID-19](https://travelhealthpro.org.uk/disease/221/covid-19-coronavirus) continues to evolve. The Foreign and Commonwealth Office (FCO) has updated its global advisory against ‘all but essential’ travel and from 4 July 2020 some destinations have been assessed as no longer presenting an unacceptably high risk to British nationals travelling abroad \[1\]. Details on the [exempted countries and territories](https://www.gov.uk/guidance/coronavirus-covid-19-countries-and-territories-exempt-from-advice-against-all-but-essential-international-travel) can be found on the GOV.UK website \[1\]. This advice is being kept under constant review \[1\]. Travellers should continue to monitor the[ GOV.UK travel advice](https://www.gov.uk/guidance/travel-advice-novel-coronavirus) and check the [UK FCO website for country specific information](https://www.gov.uk/foreign-travel-advice) regularly, as the information may change. Those who may be at greater risk of severe illness, and who fall into the [clinically vulnerable group](https://www.nhs.uk/conditions/coronavirus-covid-19/people-at-higher-risk/) due to their age or medical condition, should take particular care with [social distancing](https://www.gov.uk/government/publications/staying-alert-and-safe-social-distancing) and hand hygiene \[2,3\]. Certain individuals who are thought to be [clinically extremely vulnerable](https://www.nhs.uk/conditions/coronavirus-covid-19/people-at-higher-risk/) to severe COVID-19 have been advised to follow more stringent ‘shielding’ measures \[2,4\]. Current evidence also shows that there is a higher risk of infection and of severe disease in Black, Asian and Minority Ethnic (BAME) groups in the UK, but reasons for this are currently not clear. ## Advice for travellers When planning to travel internationally, you should follow sensible guidance to prepare for your trip and reduce your risk of exposure to COVID-19 while this outbreak is on-going: * Be aware of, and keep up to date with the latest official advice offered by the country you are departing from or travelling to during this outbreak. The pandemic has led to unprecedented international border closures and other restrictions. All countries may impose travel restrictions without notice. * If you are travelling from the UK, check your destination is on the [current list of countries/areas assessed as no longer presenting an unacceptably high risk](https://www.gov.uk/guidance/coronavirus-covid-19-countries-and-territories-exempt-from-advice-against-all-but-essential-international-travel). Also check the [Foreign and Commonwealth Office (FCO) foreign travel advice](https://www.gov.uk/foreign-travel-advice) (see the summary, health and entry requirements sections) and [UK border control measures](https://www.gov.uk/uk-border-control). * Check up to date travel health recommendations on our [Country Information pages](https://travelhealthpro.org.uk/countries). All countries have been classified as high, moderate or low risk of exposure to COVID-19 based on currently available [information assessed by Public Health England and the National Travel Health Network and Centre](https://travelhealthpro.org.uk/factsheet/11/country-specific-information--rationale). If you require further advice, speak to your GP, practice nurse, pharmacist or travel clinic. * Check the impact COVID-19 may have on your travel insurance coverage, including medical repatriation costs in case of ill health or any new restrictions on travel. Be aware that your travel insurance may be compromised if you extend your trip abroad or if you have travelled abroad against [UK Government advice](https://www.gov.uk/guidance/travel-advice-novel-coronavirus). The Association of British Insurers (ABI) has produced information on [travel insurance implications ](https://www.abi.org.uk/products-and-issues/topics-and-issues/coronavirus-qa/)following the outbreak. * Contact your airline, tour operator, cruise line or other transport and accommodation providers for up-to-date information on your itinerary and travel plans. Other useful resources may include [International Air Travel Association (IATA)](https://www.iatatravelcentre.com/international-travel-document-news/1580226297.htm) and [Cruise Lines International Association (CLIA).](https://cruising.org/news-and-research/press-room/2020/march/clia-covid-19-toolkit) However, please note that as of 9 July 2020, the [FCO advises British nationals against cruise ship travel at this time](https://www.gov.uk/guidance/cruise-ship-travel). * Be aware that there may be enhanced screening/monitoring at entry and exit ports. In some countries borders may close or you may be required to self-isolate for a set period, even if you do not have symptoms. * If you are considered to be [clinically vulnerable or extremely clinically vulnerable to COVID-19,](https://www.nhs.uk/conditions/coronavirus-covid-19/people-at-higher-risk/) you should be aware that if you are infected with COVID-19 you could be at increased risk of severe infection. * [Face coverings](https://www.gov.uk/government/publications/how-to-wear-and-make-a-cloth-face-covering) are now [required when travelling on public transport in England](https://www.gov.uk/guidance/coronavirus-covid-19-safer-travel-guidance-for-passengers#face-coverings) and may be required in other countries. Face coverings do not replace social distancing and hygiene measures; you still need to take all the other recommended precautions. * Some countries may require proof of recent COVID-19 testing for entry. Check the [Foreign and Commonwealth Office (FCO) foreign travel advice](https://www.gov.uk/foreign-travel-advice); (see the summary, health and entry requirements sections). A number of commercial COVID-19 tests are available. Testing for international travel purposes is only available as a private service with private providers e.g. some private GP services, travel clinics or other private testing services. There would be a charge made for the test and any paperwork issued. The air quality on board aircraft is carefully controlled, changed very frequently and passed through filters efficient at removing viruses; research has shown that there is little risk of any communicable disease being transmitted on board an aircraft \[5\]. However, if you are planning air travel, the following advice should be considered: * Ask your airline about physical distancing and other measures in place to reduce or limit physical contact with potentially infected passengers aboard the aircraft. Guidance for measures that are recommended aboard aircraft have been published \[6,7\]. * To reduce the risk of passing on infection, you should not travel on an aircraft if you are unwell. Exit screening may be implemented and you may be denied boarding if you have symptoms of COVID-19. * You should continue to take good hygiene measures (see below) and use the designated toilet for your area of the aircraft, washing your hands before you leave the toilet. * Avoid moving from your seat unnecessarily but do continue to exercise your legs (flex and extend the ankles) as much as possible to encourage blood flow from the lower legs. * If you are unwell on the flight, please stay in your seat and follow any instructions provided during the flight, contacting the air crew as soon as possible. In addition to the points above, consider the general advice for preventing the spread of respiratory viruses: * [Wash your hands often](https://www.nhs.uk/live-well/healthy-body/best-way-to-wash-your-hands/) with soap and running water for at least 20 seconds. Use an alcohol-based hand sanitiser that contains at least 60% alcohol if soap and water are not available. This is particularly important after taking public transport or being in a public space. * Avoid touching your eyes, nose, and mouth with unwashed hands. * Avoid close contact with people who are sick. * If you feel unwell, stay at home, do not attend work or school. * Cover your cough or sneeze with a tissue, then throw the tissue in a bin and wash hands with soap and water. * Clean and disinfect frequently touched objects and surfaces in the home and work environment. If you are unwell with any of the following: a high temperature, new continuous cough or a loss of, or change in, your normal sense of taste or smell (anosmia), you should self-isolate and arrange to have a test following the Public Health England [stay at home guidance](https://www.gov.uk/government/publications/covid-19-stay-at-home-guidance). ### Advice if you have contact with a COVID-19 case while abroad If you have been in contact with a known COVID-19 case, follow local public health advice (if available), and speak to your healthcare provider or travel insurance company as soon as possible for further guidance. ### Advice if you become unwell abroad If you develop symptoms of new continuous cough, high temperature or a loss of, or change in, your normal sense of taste or smell (anosmia) while abroad or during travel, you should immediately: * Stay indoors and avoid contact with other people, as you would with the flu. * Call your health provider and/or insurance company to discuss what you should do. * Follow local public health guidance if available. * If you become unwell at an airport, bus or train station before or during a long trip, seek medical advice and do not start or continue your journey. * Once you have fully recovered, check with your health provider if you are fit to travel, before any onward travel. ### After travel All travellers arriving back in the UK must read the [guidance on entering the UK from GOV.UK](https://www.gov.uk/uk-border-control). From 8 June 2020, new quarantine rules apply to those entering or returning to the UK. All travellers will need to provide their [journey and contact details](https://www.gov.uk/provide-journey-contact-details-before-travel-uk) to border health authorities. Self-isolation will be required for 14 days except in very [limited situations](https://www.gov.uk/government/publications/coronavirus-covid-19-travellers-exempt-from-uk-border-rules). From 10 July travellers will not have to self-isolate if arriving from a country or territory on the [‘travel corridor’ list](https://www.gov.uk/guidance/coronavirus-covid-19-travel-corridors). ## Advice for health professionals During the current COVID-19 pandemic, many individuals may present with a fever. In the returned traveller, some will have other infections including *Plasmodium falciparum* malaria, which can be fatal if not diagnosed and treated. All individuals being assessed for possible COVID-19 must be asked if they have **travelled abroad in the last six months**. If they visited a country where malaria occurs, they must have a blood test result for malaria on the same day \[8\].