The Gambia is considered a high-risk malaria destination, and antimalarial tablets are usually recommended. Malaria mosquitoes mainly bite from dusk to dawn, so tablets need to be paired with repellent, covered skin after sunset, screened rooms and bed nets where needed. Fever during travel, or even months after return, needs urgent medical advice. Yellow fever transmission is a risk throughout The Gambia, and vaccination is recommended for many travellers aged 9 months and over. A yellow fever certificate may also be required if you arrive from, or spend more than 12 hours transiting through, a country with yellow fever risk. The vaccine is not suitable for everyone, so medical history matters. Hepatitis A is commonly recommended for previously unvaccinated travellers because it spreads through contaminated food and water. Typhoid vaccination is also often considered, especially for longer stays, family visits or trips where food hygiene may vary. Tetanus should be up to date. Other vaccines may come up in consultation. Hepatitis B is relevant for longer stays, sexual exposure, medical or dental treatment, contact sports, or work involving blood or body fluids. Rabies is a risk, particularly after dog, cat or bat bites or scratches. The Gambia is also within the extended meningitis belt, so meningococcal ACWY vaccination may be advised for some travellers. Dengue and chikungunya risk means daytime bite avoidance matters too.