COVID-19 Information

Last updated: [1/17/2023]

On January 5, at 12:01 Eastern Time in the United States, the U.S. Centers for Disease Control and Prevention (CDC) will require a negative COVID-19 test result (taken within two days of departure), or proof of recovery from the virus (within the last 90 days), from all travelers (including U.S. citizens and legal permanent residents) aged two years and older arriving in the United States on flights originating in the People’s Republic of China (PRC), including the Special Administrative Regions of Hong Kong and Macau.  This requirement also applies to individuals boarding a flight to the United States from Incheon International Airport, Vancouver International Airport, or Toronto Pearson International Airport who have been in the PRC, including the Special Administrative Regions of Hong Kong or Macau, within the past ten days.  The COVID-19 test can be a PCR test, or it can be a RAT taken under medical supervision, and the traveler should provide the negative test certificate to the airline at check-in.  For further information on this new requirement, please see the Health Alert on the U.S. Consulate website or the press release on the CDC website.

The CDC’s Order requiring proof of vaccination for non-U.S. citizen nonimmigrants to travel to the United States is still in effect.  For more information see Requirement for Proof of COVID-19 Vaccination for Air Passengers.

Check the CDC website for additional information and Frequently Asked Questions.

HONG KONG

Country-Specific Information:

  • Hong Kong: The Hong Kong government has confirmed cases of COVID-19 within its borders.  Safety and security information is provided in our Travel Advisory for Hong Kong, currently at Level 3.  For more information on conditions in Hong Kong, please see the Hong Kong government’s website.

  • Are U.S. citizens permitted to enter?  Yes.
    • Starting from May 1, 2022, travelers do NOT need to be Hong Kong residents to enter Hong Kong.  All American citizens may enter.
  • Are there COVID-related entry requirements for U.S. citizens?  Yes.
    • Non-Hong Kong residents 12 years of age and older entering Hong Kong from any destination must be fully vaccinated against COVID and hold a recognized vaccination record.  For further information, please see the Hong Kong government press release.
    • Full vaccination from COVID means receiving at least two doses of a recognized COVID vaccine, the second dose at least 14 days before entry into Hong Kong, OR a letter from a doctor attesting to the traveler’s recovery from COVID, plus one dose of a recognized COVID vaccine, OR a letter from a doctor attesting to the traveler’s inability to receive a COVID vaccine due to a medical contraindication.
    • Unvaccinated children under 12 will be allowed to enter Hong Kong accompanying adults that are eligible to enter because of their vaccination or residency status.  For more details, please see the Hong Kong government’s press release.
  • Is a negative COVID-19 test (PCR and/or serology) required for entry?  No, however:
    • To enter Hong Kong, all travelers from all destinations (including the Mainland and Macau) must take a RAT within 24 hours of their flight departure and take a photo of the negative result after they have written their name and the date on the testing stick.  Alternatively, they may obtain a negative result on a PCR test within 48 hours and provide a certificate to that effect.  They are encouraged to declare the negative result at the online Health & Quarantine Information Declaration of the Department of Health, but this is no longer required.  The proof of their negative COVID test result must be retained for 90 days.  For further information, please see the Hong Kong government press release.
    • Travelers from the Mainland and Macau now have the same requirements as those entering from all other destinations.  The Return2hk and the Come2hk schemes still exist, but there are no more daily quotas.  (See the Hong Kong Government websites for further information: Come2hk Scheme and Return2hk Scheme.)
    • Hong Kong residents are encouraged to register a trip outside of Hong Kong with the Hong Kong government so that they can be notified of any changes in entry or quarantine policy that occur while they are traveling.  The program is called the Registration of Outbound Travel Information Service, and the website is Registration of Outbound Travel Information (“ROTI”).  For further information, please see the Hong Kong government press release.
    • For a full breakdown of entry requirements, please consult the Hong Kong government’s website.  For more information on Hong Kong’s updated entry requirements, please see the Hong Kong Government’s website.
  • Are health screening procedures in place at airports and other ports of entry?  Yes.
  • Are U.S. citizens permitted to transit through Hong Kong?
    • Travelers are allowed to transit through Hong Kong.  Hong Kong’s vaccination requirements do not apply to transit passengers who do not pass through immigration control.  Starting June 1, 2022, the Hong Kong Government has dropped the requirement that all passengers who board a flight from overseas places and Taiwan for transit through Hong Kong must present a negative COVID-19 PCR test.  Starting September 9, 2022, health authorities are no longer subjecting transit passengers to temperature screenings, eliminating the risk of being COVID tested, quarantined and/or hospitalized en route through Hong Kong.  Refer to the Hong Kong Government press release for the most recent information.
    • Travelers who are traveling via Hong Kong into Mainland China or Macau will need to satisfy China’s/Macau’s entry requirements before crossing the land border or taking their next flight.  Please note, now that there is community transmission of COVID in Hong Kong, some travelers are contracting the illness during their short stay here, are then testing positive for COVID when they take the entry test for China/Macau, and are subsequently getting sent to quarantine.  Please weigh the risks of transiting Hong Kong before making travel plans.
  • Testing Positive on Arrival
  • Are U.S. citizens required to quarantine?  Yes, U.S. citizens are required to quarantine if they test positive during their stay in Hong Kong.
  • Quarantine upon entry:
    • Starting on September 26, 2022, the Hong Kong government has dropped all mandatory hotel quarantines for arriving travelers in the territory.  The previous three-day hotel quarantine is no longer required, nor is it necessary to present a reservation for the hotel quarantine in order to board a flight to Hong Kong.  For further information, see the Hong Kong Government press releases (September 24 and November 17).
    • Under the Return2hk and Come2hk schemes, travelers from mainland China or Macau were already exempt from quarantine.  Starting September 22, 2022, their entry requirements are the same as those above for travelers from all destinations.  For more information on these travel schemes, please consult this page of the Hong Kong government’s website.
  • Quarantine documents:
    • Proof of a negative result on a COVID-19 RAT taken within 24 hours of the flight into Hong Kong, and proof of vaccination against COVID for all non-residents aged 12 or older, are required for entry into Hong Kong.  Before traveling, please make sure the names on all COVID-19 documents are identical to the names used on travel documents.  U.S. Center for Disease Control (CDC) vaccination cards will not be accepted unless they include the bearer’s full middle name as listed on their travel document; CDC vaccination cards that only contain the bearer’s middle initial will not be accepted as proof of valid vaccination.  For more details about these required documents, please see the Hong Kong government’s website.
  • Quarantine for close contacts:
    • Effective December 29, 2022, there are no longer quarantines for close contacts, including household members, of those who have tested positive for COVID.  They are merely encouraged to conduct a daily RAT for five days starting from the date of contact with the infected person.
  • Compulsory Hospitalization for Positive Cases:
    • Someone who tests positive for COVID-19 and who is exhibiting strong symptoms of the disease will be transferred immediately to a Hong Kong Government-managed hospital for a mandatory in-patient stay, during which those who are symptomatic will receive all necessary treatment.  Patients should expect to remain in the hospital indefinitely—for as long medical staff feel that they pose a risk of COVID-19 transmission to the community.  Please note that the Hong Kong Health Department has stricter COVID-19 discharge criteria than the United States or other countries.  After discharge from the hospital, patients will then need to perform 7 or 14 days of self-monitoring (depending on their vaccination status–see Discharge Criteria below), to include checking their temperatures twice a day.  Those who test positive for COVID and are exhibiting mild or no symptoms should immediately go into home quarantine (see the next bullet point for further information).  For a discussion of possible parent-child separation, please see the separate bullet point below.  For additional information, please visit the Hong Kong government’s website.
  • On February 25, 2022, the Hong Kong government released new criteria for discharge from home quarantine, community isolation facilities (CIFs) and the hospital.  Overall, in recognition of the large and growing number of positive COVID cases in the community and the burden currently placed on CIFs and hospitals, the goal is to hospitalize fewer cases and to release people earlier from CIFs and hospitals.  A summary of the current discharge policy is in the chart below (effective midnight on 12/9/2022):
    2 Vaccine Doses 0 or 1 Vaccine Doses
    Asymptomatic/Mild Cases At home or CIF (definitely at a CIF if the home does not qualify): 5-day quarantine, if negative RAT results on days 4 & 5. At home or CIF (definitely at a CIF if the home does not qualify):  14-day quarantine, with early release on day 5 if all RAT results are negative on days 1-5; if there is any positive result, quarantine continues until negative results on two consecutive days.
    Symptomatic Cases
    (Requiring Medical Attention)
    Admitted to hospital; HA will exercise professional judgment on specific discharge criteria.

    – If discharge before Day 7, then asymptomatic/mild rules apply.

    Admitted to hospital; HA will exercise professional judgment on specific discharge criteria.

    – If discharge before Day 7, then asymptomatic/mild rules apply.

    Please see the Hong Kong government press releases (February 26 and December 8).

  • If an American citizen faces immediate separation from their child by the Hong Kong Government authorities, please contact the consulate immediately.  There is no right of non-separation, but we will do everything within our power to ensure that American families are kept together.  In cases where both parents and children are COVID-positive, the issue should not arise, and the families should be hospitalized or placed in isolation together.  On February 25, 2022, the Hong Kong authorities announced that asymptomatic COVID positive children would not be separated from their parents but could isolate and recuperate with their families at home.  The danger of parent-child separation arises in cases where the child is COVID-positive and symptomatic and in need of medical care, but the parents are negative, or where the parents are positive but the child is negative.  In these cases, the Hospital Authority’s policy is to not permit contact between those who are positive and negative to avoid transmission.  Special arrangements can be made in exceptional cases, like breast-feeding mothers, and video calls between parents and children can be arranged.  See the press release.
    COVID STATUS Positive Child Negative Child
    Positive parent HA will try to keep parent and child together. HA will separate parent and child until discharge.
    Negative parent If child is in stable condition, parent and child can stay at home together.

    If child is hospitalized, HA will separate parent and child until discharge — except in special circumstances such as breastfeeding.

    N/A
  • Are PCR and/or antigen tests available for U.S. citizens in the Hong Kong Special Administration Region?  Yes
  • If so, are test results reliably available within 1 day?  Usually, yes.
  • Hong Kong’s Community Testing Centers are operated by contractors who are approved by the HKSAR government and are able to take combined nasal and throat swabs and provide results for a COVID-19 nucleic acid test within 24 hours via email, SMS, and physical copy.  The HKSAR government has capped the cost for this service at 240 HKD.  If an individual has symptoms, they should not visit the Community Testing Center.  Individuals with symptoms should seek medical advice and testing through their medical provider, a private medical institution, or one of Hong Kong’s public hospitals or general outpatient clinics.  Some private hospitals and testing facilities in Hong Kong are able to deliver COVID test results in only a few hours.  You can find a list of private testing facilities recognized by the Hong Kong government here.  COVID testing with same-day results is also available in the Hong Kong International Airport.  Please contact your preferred testing facility directly for information about testing options, pricing, and scheduling.
  • On February 25, 2022, the Hong Kong government announced that a positive result from a self-administered rapid antigen tests (RAT) purchased from a pharmacy should be considered official.  Those who test positive from a RAT but who are asymptomatic should stay at home and obey home quarantine protocols.  HOWEVER, a negative result from a RAT is NOT considered definitive and must be substantiated by a second RAT or an official test administered by the Hong Kong health authorities.  Use of a RAT does NOT fulfill a compulsory testing order.  Please see the Hong Kong government press release.
  • Hong Kong health authorities request that those who test positive for COVID at home using a RAT make an official declaration of their positive status at www.chp.gov.hk/ratp.  Starting March 8, 2022, these persons will be contacted “on a random basis” to conduct a follow-up COVID test through a contractor, who will deliver a nasal swab self-sampling kit to them at home, collect the samples, and then provide a result via SMS.  For further information, see the press release.
  • Has the government of the Hong Kong Special Administrative Region approved a COVID-19 vaccine for use?
    • Yes, the government of Hong Kong began vaccinations in late February 2021.
  • Are vaccines available in Hong Kong for U.S. citizens to receive?
    • Through the Hong Kong Government’s Vaccination Program, any Hong Kong resident aged 12 or above is eligible to receive free vaccination with the Fosun Pharma-BioNTech/Comirnaty or Sinovac Biotech/CoronaVac vaccine at a Community Vaccination Center.  Those aged 12-17 are required to bring along a consent form signed by their parents to receive their vaccination.  For more information about local availability of COVID-19 vaccines, please consult the Hong Kong Government’s Vaccination Program site.
    • Non-residents with UNHCR refugee status and non-residents holding valid travel documents who can complete a full course of vaccination within their stay limit are eligible to receive vaccination in Hong Kong.  For more information on vaccinations for non-Hong Kong residents, please see the Hong Kong Government’s press release.
    • Beginning December 6, 2021, certain private healthcare institutions will be offering vaccination appointments with the BioNTech vaccine.  For more information on vaccinations by private hospitals, please see the Hong Kong government’s press release.
    • As of January 24, 2022, the restriction on visitors that they had received at least one of their previous doses of COVID vaccine in Hong Kong in order to receive a booster shot has been removed.  Visitors who have had both their doses outside Hong Kong cannot use the online appointment system but may appear without an appointment at a vaccination center to request a booster.  They should be sure to bring with them full documentation of both previous doses of the vaccine.  Full information is available on the Hong Kong COVID vaccination website under Third Dose COVID-19 vaccination arrangement → “Arrangements of third dose vaccination for non-Hong Kong residents” and “Local residents who received the first and/or second dose vaccine outside Hong Kong.”
    • Starting May 21, 2022, persons aged 18-59 who consider themselves to be at high-risk for COVID may choose to have a fourth dose six months after administration of their third dose.  The online appointment system will be available for fourth dose appointments starting May 26, 2022.
  • Which vaccines are available in Hong Kong?
    • As of January 25, 2021 and February 18, 2021 respectively, the Hong Kong government has approved the Fosun Pharma-BioNTech/Comirnaty and the Sinovac Biotech/CoronaVac vaccines for emergency use.  For more information, please consult the Hong Kong Government’s Vaccination Program site.
  • Does the United States Government recommend that their citizens take Chinese-produced vaccines?
    • The United States has expressed concerns that Russia and the People’s Republic of China are sharing or marketing vaccines to the international community without providing transparent, peer-reviewed scientific evidence of their safety and efficacy.  U.S. citizens abroad should consult with medical providers they trust and review information published by relevant public health authorities as they consider their options for accessing a COVID-19 vaccine.  U.S. citizens traveling or resident abroad are subject to local laws and to the authority of local health officials.
    • Visit the FDA’s website to learn more about FDA-approved vaccines in the United States.
    • The United States Government does not plan to provide COVID-19 vaccinations to private U.S. citizens overseas.  Please follow host country developments and guidelines for COVID-19 vaccination.
  • Does Hong Kong recognize non-local COVID-19 vaccines and vaccination records?
    • The Government of Hong Kong has published a list of the COVID-19 vaccines and the vaccination records they recognize for travel into Hong Kong.  Please see the Hong Kong government website’s Vaccination proof section for this information.  Travelers with foreign vaccination records arriving at Hong Kong’s land boundary control points and to Hong Kong International Airport will be issued a vaccination record QR code for local use.  Please see the Hong Kong government’s press release for more information.
    • Starting February 24, 2022, all persons will be required to have uploaded their COVID-19 vaccination records to the LeaveHomeSafe app in order to enter a wide range of locations.  (Please see under Movement Restrictions below.) This requires your vaccination record to have a QR code readable by the LeaveHomeSafe app.  If your vaccination and/or booster shot was administered outside Hong Kong, please follow the instructions in this document (PDF 191 KB) in order to obtain the necessary Hong Kong QR code at a post office.  Starting May 20, 2022, you may also declare non-local vaccination records at the following website: COVID-19 Vaccination Information Declaration Form
    • Starting May 5, 2022, now that non-Hong Kong residents are being permitted to enter the territory, and since full COVID vaccination is required for all arriving persons, travelers with non-local vaccination records will automatically be issued a QR code at the port of entry for use with the LeaveHomeSafe app so that they can comply with the requirements of the Vaccine Pass program (see Movement Restrictions).  Those who have received only two doses of the COVID vaccine will be granted provisional full vaccination status (i.e. three doses) for 180 days and must arrange to obtain a booster shot locally if they will stay in Hong Kong longer.  Those who enter Hong Kong using the CometoHK or ReturntoHK schemes, however, will not be issued QR codes at the port of entry and must proceed to one of the 18 designated post offices to obtain one.  These same provisions apply to those entering with non-local proof of COVID recovery.  For further information, please see the Hong Kong government press release.
  • Is a curfew in place?  No
  • Are there restrictions on intercity or interstate travel?  No
  • Social distancing requirements:
    • Effective December 29, 2022, all social distancing restrictions remaining in place in Hong Kong have been lifted.  There are no longer limitations on the types of establishments that may remain open; on the hours restaurants, bars and places of entertainment may serve customers; on the number of persons who may participate in a group gathering; on the number of persons per table at a restaurant or bar; on the number of persons who may attend a banquet.  Previous bans on live music and dancing have been lifted.  Similarly, the requirement to present a negative RAT result to attend a group gathering has been lifted.  In addition, the Vaccine Pass system has been eliminated entirely, and there are no longer color codes.  It is no longer necessary to show proof of COVID vaccination to enter restaurants and other premises that were covered by the scheme.  For further information, please see the Hong Kong government press release.
  • Mask wearing requirements:
    • Despite the lifting of all other social distancing measures on December 29, 2022, The Hong Kong government still requires the wearing of masks in all indoor and outdoor public places, including public transportation.  For more information, please see the Hong Kong government’s press releases (September 8, 2020 and  December 29, 2022).  On May 5, 2022, the Hong Kong government restored the exemption for those in country parks and those engaged in strenuous physical activity in public outdoor spaces.
  • Any person in violation of his/her quarantine requirement may be committing a criminal offense.  The penalty upon conviction is imprisonment and a fine.
  • Any person in violation of the mask requirement may face a fine of up to $10,000 HKD.
  • Any person who does not comply with a mandatory testing notice may face a fine of up to $10,000 HKD.
  • Any person in violation of social distancing restrictions may face a fine of up to $25,000 HKD.


MACAU

Country-Specific Information:

  • Macau: The Macau government has confirmed cases of COVID-19 within its borders.  Safety and security information is provided in our Travel Advisory for Macau, currently at Level 3.  For more information on conditions in Macau, please see the Macau government’s website.
  • Are U.S. citizens permitted to enter?  Yes.
    • Starting September 1, 2022, passport holders of the United States and 40 other countries (including most of Europe, Canada, Australia, New Zealand, Japan, South Korea, Thailand, Malaysia and Singapore) may now enter Macau without prior approval.  See the Macau press release for more information.  Starting November 13, 2022, travelers from beyond the 41 countries already stipulated may also enter Macau without prior approval if they fall into certain categories.  See the Macau press release for more information.
  • Are there COVID-related entry requirements for U.S. citizens?  Yes.
    • Starting January 8, travelers from Hong Kong, Mainland China, and Taiwan will no longer have to present proof of a negative COVID-19 test.  The COVID-19 exemption only applies to arrivals in Macau from Hong Kong, Mainland China, and Taiwan.  All other international arrivals, including arrivals from the United States, must provide a negative antigen or nucleic acid test obtained within 48 hours of their arrival in Macau.
    • *Please note that different jurisdictions have different standards for what constitutes a negative test result.  In Macau, a negative result is one with a CT value greater than -35.  If you arrive with a COVID test result marked “negative,” but the CT value is -35 or less, Macau will count this as a positive and will send you to a hospital.  If you arrive in Macau with a COVID test marked “positive,” but the CT value is greater than -35, Macau will count this as a negative.  Travelers with such positive COVID test results may enter so long as the traveler can present TWO positive test results (both greater than -35), taken at least 24 hours, but no more than 72 hours apart.  The second test date should be within 48 hours of arrival in Macau.
  • Are health screening procedures in place at airports and other ports of entry?  Yes
  • Is a negative COVID-19 test (PCR and/or serology) required for exit?  Yes
    • Starting at 12:01 AM ET on January 5, all air passengers two years and older originating from the People’s Republic of China (PRC) to the United States will be required to get a test (such as a PCR test or an antigen self-test administered and monitored by a telehealth service or a licensed provider and authorized by the Food and Drug Administration or the relevant national authority) no more than 2 days before their departure from the PRC, Hong Kong, or Macau, and show a negative test result to the airline upon departure.  Please see the CDC guidance for full information of the requirements.
    • All travelers entering Macau from Mainland China, whether by vessel or by the Zhuhai land border, need only a negative COVID test* taken within 48 hours.  Persons entering from the Mainland are not required to undergo any quarantine in Macau.  See the Macau government press release for further information.
  • If you wish to extend your stay in Macau, please contact the Macau Immigration Department before your visa or limit of stay will expire.  For more information, please see the Macau Immigration Department website.
  • Are U.S. citizens required to quarantine?  No
    • Travelers may enter Macau quarantine-free.  However, Macau still requires multiple COVID-19 tests and a restriction on when you can travel from Macau to Mainland China.  If you’re travelling to Macau, monitor entry requirements on the Macau Immigration Service website.  For more information, please visit the Macau government infographic.
  • Are PCR and/or antigen tests available for U.S. citizens in the Macau Special Administration Region?  Yes
  • If so, are test results reliably available within 1 day?  Yes, but only if the traveler pays to have the test conducted by a third-party entity.  If the traveler is a Macau resident who opts for a free government test, the result will be available within 72 hours.
    • Individuals may book an appointment at one of Macau’s approved COVID-19 testing locations.  Some testing locations allow Macau residents a free first test, while others charge 100 MOP.  Test results are provided via email and SMS.  For more information on COVID-19 testing, please see the Macau government’s website.  Testing locations can be found under “Nucleic Acid Test of COVID-19” tab of the Macau government’s COVID site homepage.
    • In cases of “immediate pandemic prevention status”, to secure public order, safety, and health the Macau government may mandate that 100% of the population undergo COVID-19 testing.  As a response to positive COVID cases, the Macau government has launched mass testing on three different occasions : August 4 to August 10, 2021, September 25 to September 28, 2021, and October 4 to October 7, 2021.
  • Has the government of the Macau Special Administrative Region approved a COVID-19 vaccine for use?
    • Yes.  On January 25, 2021, the Macau government announced that local residents, non-resident workers and non-resident students will get their COVID-19 vaccine free of charge with the goal of rapidly achieving herd immunity.
  • Are vaccines available in Macau for U.S. citizens to receive?
    • U.S. citizens who are Macao residents, hold non-resident worker’s identity card, or are studying or incarcerated in Macau can receive the vaccination free of charge.  Other U.S. citizen non-residents with authorization to stay in Macao can also get vaccinated at a cost of MOP250 per dose.  Macau currently does not recommend vaccination for children under 12.  Individuals may receive a third dose of a COVID-19 vaccine if they meet the eligibility criteria.  For more information, please consult the Macau COVID-19 Vaccine page.
  • Which vaccines are available in Macau?
    • Two types of vaccine are available in Macau: the inactivated vaccine from Sinopharm CNBG Beijing and the mRNA vaccine from BioNTech.  For more information, please consult the Macau COVID-19 Vaccine page.
  • Does the United States Government recommend that their citizens take Chinese-produced vaccines?
    • The United States has expressed concerns that Russia and the People’s Republic of China are sharing or marketing vaccines to the international community without providing transparent, peer-reviewed scientific evidence of their safety and efficacy.  U.S. citizens abroad should consult with medical providers they trust and review information published by relevant public health authorities as they consider their options for accessing a COVID-19 vaccine.  U.S. citizens traveling or resident abroad are subject to local laws and to the authority of local health officials.
    • Visit the FDA’s website to learn more about FDA-approved vaccines in the United States.
    • The United States Government does not plan to provide COVID-19 vaccinations to private U.S. citizens overseas. Please follow host country developments and guidelines for COVID-19 vaccination.
  • Is a curfew in place?  No
  • Are there restrictions on intercity or interstate travel?  No
  • Social distancing requirements:
    • Ferry service between Macau, Hong Kong, and mainland China has resumed.  Education institutions resumed in-person classes on October 25, 2021.
  • Mask wearing requirements:
    • Macau requires the wearing of a face mask in many public settings including, banks, casinos, and on public transportation.  For more details, please see the Macau government’s COVID-19 website.