There are no health risks associated with travel to Spain, and no vaccination certificates are required for entry. Bird flu was detected in Spain in 2006, and although there is little risk to travellers, close contact with live birds should be avoided and all poultry products well cooked as a precaution (no human deaths or infections have been reported). Spain has a reciprocal health agreement with most EU countries, including the UK, providing emergency health care on the same terms as Spanish nationals. EU travellers should take a European Health Insurance Card (EHIC). Note that the scheme gives no entitlement to medical repatriation costs, nor does it cover ongoing illnesses of a non-urgent nature, so comprehensive travel insurance is advised.