Travel Health
DTP
DTP stands for diphtheria, tetanus and polio.
Source: National Coordination Centre for Travellers' Health (LCR). Last updated December 7, 2023 · Open the LCR page
What is DTP?
According to LCR (Dutch travel advice)
DTP stands for diphtheria, tetanus and polio.
Diphtheria
Diphtheria is an infectious disease caused by the bacterium Corynebacterium diphtheriae. You can get it from people who carry the bacterium in their throat or on their skin, through coughing or wound fluid.
The bacterium produces toxins that swell the throat and make breathing difficult. If the toxins enter the blood, they can inflame the heart and you can die. A skin infection is less serious.
Tetanus
Tetanus is an infectious disease caused by Clostridium tetani. The bacterium lives in soil and dirt. It enters through a wound or mucous membranes. You cannot infect other people.
If the bacterium enters a wound, toxins can cause muscle cramps throughout the body. Cramps in the breathing muscles can be fatal.
Polio
Polio (infantile paralysis) is caused by poliovirus. You can get it from other people, via faeces or through food and drink contaminated with faeces.
There are usually no symptoms. Sometimes you feel flu-like. A small share of infections cause temporary paralysis, usually in the legs, sometimes in the breathing muscles. Rarely the paralysis is permanent: in about one in two hundred people who get polio.
Almost everyone born in the Netherlands after 1950 was vaccinated as a child. If your last vaccination was more than ten years ago, get a DTP booster. Ask a travel clinic for advice.
According to WHO
- Diphtheria: without proper treatment, about 30% of unvaccinated cases are fatal; young children are at higher risk. Multiple doses and boosters are needed.
- Tetanus: it is acquired through a wound, not person to person. Tetanus-toxoid vaccines prevent the disease.
- Polio: 1 in 200 infections leads to irreversible paralysis; of those paralysed, 5–10% die when breathing muscles fail. There is no cure, only vaccination.
Diphtheria · Tetanus · Polio
According to the Dutch national immunisation programme
- DTP in the Dutch national programme is the booster against diphtheria, tetanus and polio, now given at age 14.
- After that dose you are probably protected for life against polio, and for about 10 years against diphtheria and tetanus. The programme then advises a diphtheria-tetanus booster every 10 years.
- Diphtheria is now rare in the Netherlands (fewer than 5 cases a year). No death has been reported since 1994.
- Tetanus is not spread person to person. Untreated it is fatal. Polio no longer occurs in the Netherlands; wild poliovirus still circulates in Pakistan and Afghanistan.
DTP vaccine · Diphtheria · Tetanus · Polio · Rijksvaccinatieprogramma.nl
General advice
- Afghanistan
- Albania
- Algeria
- American Samoa
- Angola
- Anguilla (Brits overzees gebied)
- Antigua and Barbuda
- Argentina
- Armenia
- Azerbaijan
- Bangladesh
- Belarus
- Belize
- Benin
- Bhutan
- Bolivia
- Bosnia and Herzegovina
- Botswana
- Brazil
- Brunei
- Bulgaria
- Burkina Faso
- Burundi
- Cambodia
- Cameroon
- Cape Verde
- Central African Republic
- Chad
- Chile (incl. Paaseiland)
- China
- Christmas Island (Australia)
- Colombia
- Comoros
- Congo (Brazzaville)
- Congo, the Democratic Republic of the (Kinshasa)
- Cook Islands (New Zealand)
- Coral Sea Islands (Australia)
- Costa Rica
- Croatia
- Cuba
- Djibouti
- Dominica
- Dominican Republic
- Ecuador (incl. Galapagos eilanden)
- Egypt
- El Salvador
- Equatorial Guinea
- Eritrea
- Ethiopia
- Falkland Eilanden (Brits overzees gebied)
- Franse Antillen (Guadeloupe, Martinique, St Barthélemy & St Martin)
- French Guiana
- French Polynesia (incl. Tahiti)
- Gabon
- Gambia
- Georgia
- Ghana
- Grenada
- Guam (United States)
- Guatemala
- Guinea (Conakry)
- Guinea-Bissau
- Guyana
- Haiti
- Honduras
- India
- Indonesia
- Iran, Islamic Republic of
- Iraq
- Israel
- Ivoorkust
- Jamaica
- Jordan
- Kaaiman eilanden (Brits overzees gebied)
- Kazakhstan
- Kenya
- Kirgistan (Kirgizië)
- Kiribati
- Korea, Democratic People’s Republic of (Democratische Volksrepubliek Korea)
- Korea, Republic of (Republiek Korea)
- Kosovo
- Kuwait
- Laos (Democratische Volksrepubliek Laos)
- Lebanon
- Lesotho
- Liberia
- Libië
- Madagascar
- Malawi
- Malaysia
- Maldives
- Mali
- Marshall Islands
- Mauritania
- Mauritius
- Mayotte (Frans overzees gebied)
- Mexico
- Micronesia, Federated States of
- Moldova, Republic of
- Mongolia
- Montenegro
- Montserrat (Brits overzees gebied)
- Morocco
- Mozambique
- Myanmar (voormalig Birma)
- Namibia
- Nauru
- Nepal
- New Caledonia (Frans overzees gebied)
- Nicaragua
- Niger
- Nigeria
- Niue (New Zealand)
- Norfolk Island (Australia)
- North Macedonia
- Northern Mariana Islands (United States)
- Pakistan
- Palau
- Palestinian Territory, Occupied
- Panama
- Papua New Guinea
- Paraguay
- Peru
- Philippines
- Pitcairn (Brits overzees gebied)
- Puerto Rico (United States)
- Qatar
- Réunion (Frans overzees gebied)
- Romania
- Russian Federation
- Rwanda
- Samoa (West Onafhankelijke Staat Samoa)
- Saudi Arabia
- Senegal
- Serbia
- Seychelles
- Sierra Leone
- Slovenia
- Solomon Islands (Brits overzees gebied)
- Somalia
- South Africa
- Sri Lanka
- St Helena (Brits overzees gebied)
- St Kitts en Nevis
- St Lucia
- St Vincent en de Grenadines
- Sudan
- Suriname
- Swaziland
- Syrian Arab Republic
- Tajikistan
- Tanzania, United Republic of
- Thailand
- Timor-Leste
- Togo
- Tokelau (New Zealand)
- Tonga
- Trinidad and Tobago
- Tunisia
- Turkey
- Turkmenistan
- Turks and Caicos Islands
- Tuvalu
- Uganda
- Ukraine
- United Arab Emirates (incl. Dubai)
- United Kingdom (Brits territorium Indische oceaan)
- Uruguay
- Uzbekistan
- Vanuatu
- Venezuela
- Vietnam
- Virgin Islands, British
- Virgin Islands, U.S.
- Wake Island (Verenigde Staten) (United States)
- Wallis and Futuna (Frans overzees gebied)
- Western Sahara
- Yemen
- Zambia
- Zimbabwe
- Zuid-Sudan
Frequently asked questions
- What is DTP?
- DTP stands for diphtheria, tetanus and polio.
- Which countries is DTP relevant for?
- LCR mentions DTP for 181 destinations, including Afghanistan, Albania, Algeria, American Samoa, Virgin Islands, U.S.. Open a country for the full advice.
- Is vaccination against DTP required?
- LCR lists DTP mainly as advice, not as a required entry vaccination. Whether you need it depends on your trip.
- When should I get travel vaccinations?
- Book a travel clinic appointment 4 to 6 weeks before departure. Some vaccines need more than one dose.