India is a good example of why country-level malaria advice can mislead. Malaria tablets are usually recommended for Assam and Odisha, plus selected districts in Andhra Pradesh and Madhya Pradesh. The rest of India, including Goa and the Andaman and Nicobar Islands, is generally classed as low risk, where bite avoidance and awareness may be enough for many travellers. Lakshadweep is not considered a malaria risk. Some people still need a more cautious plan, especially young children, pregnant travellers, older adults, people without a functioning spleen or those with complex medical conditions. Day-biting mosquitoes also spread dengue, chikungunya and Zika. These are not prevented by standard malaria tablets. Use repellent, cover skin where practical and take accommodation choices seriously, especially during wetter months and in busy towns as well as rural areas. Pregnant travellers, or anyone planning pregnancy soon after travel, should discuss Zika risk before booking or departing. Hepatitis A is commonly recommended for previously unvaccinated travellers because it spreads through contaminated food and water. Typhoid vaccination is also commonly considered for India. Tetanus-containing vaccination should be up to date. Hepatitis B may be relevant for longer stays, medical work, new sexual partners, tattoos, piercings or possible medical care abroad. Rabies is a real concern in India, particularly after dog bites or scratches. Pre-travel rabies vaccination is worth discussing for children, runners, cyclists, long stays and remote travel. Japanese encephalitis may matter for longer rural stays, repeated travel or time near rice fields or pig farming areas, particularly around and after monsoon periods in northern regions. Yellow fever is not a risk in India, but a certificate may be required if you arrive from a yellow fever risk country.