Health BriefingSubject · Hajj & Umrah pilgrim health rulesChecked · 22 Jul 2026

Hajj & Umrah pilgrim health rules

Saudi Arabia's stacked requirements for pilgrims — ACWY, polio, and the rest.

Certificate Required

Hajj and Umrah are the most heavily regulated religious journeys in the world from a health-paperwork perspective. Saudi Arabia's Ministry of Health publishes an annual list of required and recommended vaccines that visa officers, airlines, and border staff all check. Miss a certificate and you can be refused a visa, denied boarding, or turned back on arrival.

One country, one visa type, a very specific stack. Meningococcal ACWY is required for every pilgrim. Polio is required for pilgrims arriving from polio-affected countries. Seasonal flu and COVID-19 boosters are strongly recommended. Yellow fever is required if you're arriving from a transmission-risk country.

Key facts

Applies to
Hajj visas and Umrah visas — not regular Saudi tourist e-visas
Meningococcal ACWY
Required — 10 days to 5 years before arrival, all pilgrims
Polio (IPV or OPV)
Required if arriving from a polio-endemic or outbreak country
Yellow fever
Required if arriving from a yellow-fever risk country (WHO list)
Seasonal influenza
Recommended — especially for older or vulnerable pilgrims
COVID-19
Recommended (not required) — up-to-date primary course or booster
Certificate format
International Certificate of Vaccination or Prophylaxis (yellow ICVP) for polio and yellow fever; signed travel certificate for ACWY

What to know

  • The ACWY certificate is the one that trips people up.

    It must be given at least 10 days before you arrive in Saudi Arabia and within the last 5 years (3 years for the older polysaccharide vaccine). MenC alone, MenB alone, and expired ACWY certificates are all rejected. See the full ACWY briefing for details.

  • Polio is now stacked on top for pilgrims from endemic countries.

    Since the WHO added Saudi Arabia's Hajj rules for pilgrims arriving from Pakistan, Afghanistan, and other outbreak countries, a polio certificate is required at the visa stage. The dose must be documented 4 weeks to 12 months before arrival on the ICVP booklet.

  • Yellow fever applies if you're transiting through a risk country.

    A layover of 12+ hours in a yellow-fever transmission country (much of sub-Saharan Africa, tropical South America) triggers the Saudi requirement. Check your full itinerary, not just your origin airport.

  • Bring paper copies of every certificate.

    Saudi visa officers, ground handlers, and Mina camp staff often check paper. Digital wallet copies are useful but not universally accepted. Photocopy your ICVP booklet and travel certificate and keep them with your passport.

  • The rules update each Hajj year.

    The Saudi MoH publishes the annual health requirements bulletin a few months before Hajj season. Umrah rules are largely stable but can pick up flu or COVID recommendations at short notice. Re-check the MoH page within a month of travel.

Certificate required for entry

Border staff can refuse entry without proof. Get vaccinated at least 10 days before travel.

  • Saudi Arabia

    Hajj and Umrah visas require the full pilgrim health stack — see key facts.

Common questions

Do the pilgrim health rules apply to a regular tourist trip to Riyadh or AlUla?

No — the stacked requirements are tied to the Hajj and Umrah visa categories. Regular tourist e-visas don't require ACWY or polio at the border, though your travel clinic may still recommend them.

I already have an ICVP booklet from a yellow fever jab years ago. Can I add polio and ACWY to it?

Yes — the yellow ICVP is designed to record multiple vaccines. Any GP or travel clinic can add new entries with the correct stamp and signature.

My teenager had MenACWY at school in the UK — does that count for Umrah?

If it was within the last 5 years and you have proof (a signed school or GP record), yes. If it's older than 5 years by the time you arrive in Saudi Arabia, they'll need a booster.

What if I catch flu or a cold between having the vaccines and travelling?

The certificate doesn't expire because of a mild illness. Postpone travel only if you're seriously unwell — Saudi authorities have historically screened arrivals for respiratory symptoms during Hajj.