Travel health tips for Spain

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Spain might serve up world-class art, late-night tapas, and Mediterranean charm, but don’t let the easy-going pace distract you. Whether you’re hiking the Picos de Europa, road-tripping through Andalusia, or bar-hopping in Barcelona, your trip can go sideways fast if you ignore the heat, get stung by jellyfish, or underestimate the local schedule (hello, pharmacy siestas). Healthcare here is solid, but it helps to know how it works before you need it. A few smart moves up front can save you hours in a waiting room. These Spain travel health tips will help you stay sharp, sun-safe, and ready for that next plate of jamón.

Essential vaccines for traveling to Spain

You might be heading to Spain for the beaches, the fiestas, or the Gaudí, but don’t skip the boring (but important) part: checking your vaccines. While Spain’s healthcare is excellent and the disease risk is low, there are still a few jabs worth having, especially if you're venturing beyond Madrid and Barcelona. One of the top Spain travel health tips? Get travel advice early, especially if you’re planning outdoor adventures or heading into the countryside.

Which vaccines do you need?

If you grew up with standard childhood vaccinations, you’re probably covered for the basics. Still, it’s a good idea to double-check with your doctor or a travel clinic before you go.

Routine vaccines

Most visitors won’t need anything unusual, but the following are either required or strongly advised:

  • Measles, mumps, rubella (MMR) – Spain has had occasional outbreaks, so it’s smart to check you’ve had both doses.
  • Tetanus and diphtheria – If your last booster was more than 10 years ago, you’ll need a top-up.
  • Flu shot – If you’re visiting in winter, especially if you're older or have health issues, it's worth getting.

Recommended vaccines

These aren’t mandatory, but they’re worth considering depending on your travel plans.

  • Hepatitis A – Can be picked up from contaminated food or water. Tapas in Madrid? Fine. Unrefrigerated seafood at a beach shack in Cádiz? Maybe not.
  • Hepatitis B – Transmitted through blood and bodily fluids. Worth it if you’re planning medical treatment, long-term stays, or activities like tattooing.
  • Rabies – Rare, but there’s a small risk in rural areas, especially if you’re hiking or cycling. Spain has wild animals that can carry it – think foxes or bats. If you’re the “pet every stray dog” type, consider the shot.

Pre-travel health checklist

Before you're sipping vermouth in Madrid or hiking the Camino de Santiago, take a few minutes to sort your health prep. Spain has great healthcare, but rural villages, island escapes, and national parks aren’t exactly overflowing with 24-hour pharmacies. A little planning now means fewer surprises later. These Spain travel health tips will help you pack smart and stay well on the road.

Packing for a healthy trip

You don’t need to lug a mini pharmacy, but a few basics can save you time, hassle, and dodgy translations at the chemist.

  • Mosquito repellent: Especially in warmer months (May to October), and even more so if you're heading to the coast or the Balearic Islands. Look for repellent with DEET or picaridin.
  • Sunscreen: Spanish sun is no joke. Go for SPF 30 or higher, especially if you’re on the beach or in the mountains.
  • Oral rehydration salts: Handy for hot days in Andalucia or a run-in with iffy tapas.
  • Basic first-aid kit: Plasters, antiseptic wipes, painkillers, antihistamines. Spanish pharmacies are reliable, but you don’t want to be searching for one mid-hike.
  • Hand sanitizer: Useful for train travel, festival toilets, or remote pit stops.
  • Prescription meds: Bring enough for your entire trip, and pack a copy of the prescription. Pharmacies are good, but they might not carry your brand or dose.

Travel clinics

Book an appointment with a travel clinic 6-8 weeks before your trip. Even for Spain, it’s worth getting tailored advice – especially if you're planning on hiking, camping, or staying for more than a few weeks. They’ll flag any regional health alerts and make sure your jabs are up to date.

How to avoid mosquito-borne illnesses in Spain

You probably picture sangria, siestas, and seaside towns – not mosquitoes. But they’re definitely around, and some of them bite back harder than others. While Spain doesn’t have malaria, it does get cases of dengue, West Nile virus, and chikungunya – especially in warmer southern and coastal regions. You don’t need to panic, but it’s smart to be prepared.

Dengue, chikungunya, and West Nile virus

Dengue and chikungunya are transmitted by Aedes mosquitoes – the ones that bite during the day. These viruses are more common in tropical climates but have started popping up in southern Europe, especially during hot, wet summers.

West Nile virus is spread by Culex mosquitoes, which bite from dusk to dawn. Most cases in Spain are reported in Andalucia, especially near wetlands like Doñana National Park.

Spain travel health tips to avoid mosquito bites:

  • Use repellent during the day and night. Choose one with at least 30% DEET or 20% picaridin.
  • Cover up when you can. Loose-fitting long sleeves and trousers are especially useful at dawn and dusk.
  • Stay somewhere with air-con or window screens. If you're camping or in basic accommodation, a mosquito net isn't a bad shout.
  • Watch out for standing water. Empty buckets, trays, or anything collecting rain if you’re staying in rural areas – they’re mosquito breeding grounds.
  • Feeling unwell? If you’ve got a fever, headache, muscle pain, or rash, skip the ibuprofen – it can make viral symptoms worse. Stick to paracetamol and see a doctor.

Staying healthy in Spain

Once you’ve got the mosquito thing sorted, there are a few other Spain travel health tips worth knowing, especially if you're mixing beach days with hiking, partying, or remote countryside escapes.

Rabies risk

Rabies in Spain is rare, but not impossible. Bats are the main concern, especially in caves or rural areas. Stray dogs and cats exist, though they’re not a major threat in cities or tourist towns.

If you’re scratched or bitten:

  • Wash the wound right away with soap and clean water.
  • Disinfect with alcohol or iodine if you have it.
  • Get medical help fast – even if you’re vaccinated, you might still need follow-up shots.

Planning to hike, camp, or cycle in remote areas? Talk to a travel clinic about getting a rabies vaccine in advance. It’s a smart move if you're staying long-term or heading off-grid.

Food and water safety

Spain is low-risk when it comes to food-related illnesses, but that doesn’t mean you can eat everything with impunity.

  • Stick to busy tapas bars – if locals are lining up, you're probably fine.
  • Avoid raw or undercooked seafood in beach towns where food safety standards vary.
  • Tap water is safe to drink across most of Spain, including major cities and tourist hubs. In older rural homes or if the water tastes odd, bottled water is a better bet.
  • Going hiking or camping? Bring water purification tablets or a filter for natural sources.

What to do if you get traveler’s tummy

It’s rare in Spain, but a sudden change in diet can mess with your system.

  • Rehydrate with oral rehydration salts or an electrolyte drink.
  • Eat bland, starchy foods like toast, rice, or boiled potatoes.
  • Avoid dairy, alcohol, and fried food until things settle.
  • Skip anti-diarrheal meds unless necessary – let your body clear it out.
  • If symptoms last over 48 hours, or you have a fever or blood in your stool, get medical help.

Coping with heat and air quality

Spain gets seriously hot in summer, especially in inland cities like Seville, Córdoba, and Madrid. Add in wildfires and Saharan dust clouds, and it can be tough on your lungs.

  • Stay indoors or in the shade from noon to 4 pm.
  • Drink water constantly – don’t wait until you’re thirsty.
  • Use sunscreen and wear a hat – sunburn here creeps up fast.
  • Sensitive to air quality? Pack an N95 mask, especially if you're heading to cities during a heatwave or fire season.

Heading into the mountains? Spain’s peaks – like the Sierra Nevada or the Pyrenees – aren't super high, but the altitude can still affect you.

  • Give yourself a day to adjust if you're going above 2,000m.
  • Go easy on booze and heavy meals at high altitudes.
  • Listen to your body – if you're dizzy or short of breath, take a break and hydrate.

Why travel insurance is a must

Spain’s public healthcare system is one of the best in Europe – but that doesn’t mean everything’s free or easy, especially if you don’t live in the EU. Twist an ankle on the Camino, crash your scooter in Ibiza, or come down with food poisoning in a tiny mountain village, and you’ll be glad you planned ahead. Medical costs can rack up quickly, and private clinics will expect payment up front. One of the smartest Spain travel health tips? Don’t leave home without decent travel insurance.

What to look for in a policy

Not all policies are created equal. Before you hit “buy,” check that your travel insurance includes:

  • Medical coverage – Aim for at least $100,000 in coverage for hospital stays, treatment, and prescriptions.
  • Emergency evacuation – If you need to be airlifted from a remote trail in the Pyrenees or flown home after an accident, costs can hit five figures.
  • Adventure sports – Planning to surf in the Basque Country, ski in the Sierra Nevada, or cycle through Mallorca? Make sure it’s covered.
  • Trip cancellations and delays – Strikes, wildfires, and heatwaves can disrupt travel plans fast.
  • Lost or stolen belongings – Petty theft happens in tourist hotspots like Barcelona and Madrid. Look for coverage that includes phones, laptops, and other valuables.

Trusted providers

These companies offer solid coverage and are popular with travelers heading to Europe:

  • World Nomads – Flexible and great for adventure-focused trips.
  • SafetyWing – Affordable and geared towards long-term or remote workers.
  • Allianz Travel – Known for wide coverage and responsive customer support.
  • IMG Global – Offers strong emergency evacuation and medical options.

Pro tip: Always read the fine print. Some policies don’t cover scooter accidents, hiking over certain altitudes, or sports unless you add extras.

Healthcare costs in Spain

Spain offers emergency treatment to visitors, but if you’re not an EU citizen, you’ll have to pay out of pocket, and even basic care isn’t cheap. Private clinics are faster and more comfortable, but they don’t come free.

Here’s what you might pay without insurance:

  • Doctor’s visit: $50-$150
  • Emergency room visit: $150-$500
  • Private hospital room: $250-$600 per night
  • Minor surgery: From $1,000 and up
  • Evacuation to another country: $10,000-$30,000+

Even a minor incident could blow your budget. Travel insurance won’t stop bad luck, but it will stop a sprained ankle from turning into a financial disaster.

Emergency help: what to do if you get sick

Even with planning, things can go sideways. Spain’s healthcare is solid, but knowing how to navigate it when you're not at your best makes all the difference. Here’s how to get help fast if your trip takes a turn.

Emergency numbers

  • Medical emergency (ambulance): 112
  • Police (national and local): 112
  • Fire: 112

Yep, it’s simple – just dial 112 from any phone. Operators can usually speak English and will connect you to the right service.

Best hospitals and clinics

Public hospitals in Spain are of high quality and available to everyone, even if you’re not an EU citizen. That said, they can be busy. Private clinics offer faster service, often with English-speaking staff, but you’ll need to pay upfront (and claim later through insurance).

Top-rated hospitals and clinics include:

In smaller towns, hospitals and clinics are often more basic, and English may not be spoken – bring a translation app just in case.

Pharmacies and minor issues

Pharmacies (farmacias) are everywhere in Spain – even in smaller villages. Most are open from around 9 am to 9 pm, with a midday break. In cities, 24-hour options are available, and there’s always a farmacia de guardia (on-duty pharmacy) nearby.

Look for:

  • A green neon cross outside
  • A posted list of the nearest after-hours pharmacy if it's closed

What can you get without a prescription?

  • Painkillers (ibuprofen, paracetamol)
  • Antihistamines
  • Cold and flu meds
  • Some antibiotics (depending on the region and the pharmacist)
  • Gastro and anti-nausea meds

Pharmacists are knowledgeable and often speak some English. For minor issues, they’re your best first stop.