Italy has no mandatory vaccination requirements for entry in 2026 for visitors from the EU, UK, US, Canada, Australia, New Zealand, or Japan. The standard passport (or ETIAS pre-travel authorization for non-EU visitors if the system is operational — verify at etias.eu) is the only entry document required. All COVID-19 entry requirements (Green Pass, testing, quarantine) were withdrawn by October 2022 and have not been reimposed.
Italy Vaccinations: Requirements and Recommendations
No Mandatory Vaccines
No proof of vaccination is required for Italy entry in 2026 from any standard tourist-origin country. No yellow fever requirement (Italy is not in the yellow fever zone). No mpox/monkeypox vaccination requirement (verify current status at salute.gov.it for any new outbreak development).
Recommended Vaccines
Tetanus-diphtheria-pertussis booster: recommended if the last booster was more than 10 years ago — standard travel and routine adult health advice. Hepatitis A: low risk in northern and central Italian cities; marginally higher for the visitor who plans to eat raw shellfish extensively at specific southern Italian seafood stalls. MMR status: verify for adults born before 1978 (the pre-universal-vaccination cohort).
Italian Healthcare Access for Tourists
EU visitor with EHIC: entitlement to Italian SSN (Servizio Sanitario Nazionale) public healthcare at the same cost as the Italian resident. UK visitor with GHIC (Global Health Insurance Card): same entitlement as EHIC holders. US/Canadian/Australian visitors: no reciprocal healthcare agreement with Italy — travel insurance with minimum 100,000 USD medical coverage is the only financial safety net. Italian tap water: safe in all Italian cities and the overwhelming majority of rural areas. The sign "acqua non potabile" means not drinkable and should be respected; the absence of the sign means the water is safe.
Q&A: Italy Vaccinations
Is the tap water safe to drink in Italy?
Yes — 99.4% of the Italian municipal water supply meets or exceeds EU drinking water standards (ISTAT 2024). The Italian preference for bottled mineral water (San Pellegrino, Acqua Panna) is cultural, not a health necessity. The restaurant that serves tap water on request is not providing inferior water — request "acqua del rubinetto, per favore" to save 3-5 euros per bottle at any Italian restaurant.