Food and water risks sit high on the India list. Hepatitis A is commonly recommended for previously unvaccinated travellers, and typhoid vaccination is usually discussed because typhoid spreads through contaminated food and water. Tetanus should be up to date, particularly if you may be away from reliable medical care or doing activities where cuts are plausible. Your routine UK vaccines, including MMR and diphtheria-tetanus-polio, should be checked before departure. Malaria advice is regional. Risk is higher in Assam and Odisha, in parts of Andhra Pradesh including East Godavari, Srikakulam, Vishakhapatnam and Vizianagaram, and in parts of Madhya Pradesh including Balaghat, Dindori, Mandla and Seoni. Tablets may be advised for those areas. Much of the rest of India, including Goa and the Andaman and Nicobar Islands, is classed as lower risk, where bite avoidance and awareness are usually the main points. Lakshadweep is not considered a malaria risk area. Mosquitoes also spread dengue, chikungunya and Zika in India, and these are not prevented by standard malaria tablets. Daytime bite prevention matters in towns as well as rural areas. Japanese encephalitis vaccination may be worth discussing for longer rural stays, repeated travel, uncertain routes or time near rice fields, especially around monsoon periods. Rabies is a real issue because dogs and other mammals can carry it. Children, runners, cyclists, long-stay travellers and anyone heading away from prompt medical care should discuss pre-travel rabies vaccination. Yellow fever is not a risk in India, but a certificate may be required if you arrive from, or transit through, a yellow fever risk area.