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 All COVID-19 entry requirements (Green Pass, testing, quarantine) were withdrawn by October 2022 and haven't been reimposed.
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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 isn't 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 isn't providing inferior water, request "acqua del rubinetto, per favore" to save €3-5 per bottle at any Italian restaurant.
