All U.S. military personnel on official or leisure travel; Department of Defense civilians, contractors, subcontractors, volunteers on official travel; and U.S. interagency personnel traveling in support of U.S. Africa Command missions must adhere to the medical theater entry requirements outlined in Africa Command Instruction (ACI) 4200.09. This instruction applies for travel of any duration. 

Waiver authority is delegated to the USAFRICOM Component/Joint Task Force Surgeons by the USAFRICOM Command Surgeon for all traveling personnel within their respective component/Joint Task Force for all health conditions:

1. SOCAFRICA: The SOCAFRICA Command Surgeon has medical waiver authority for any Special Operations Forces and all personnel (uniformed service, government civilian, or civilian contractors) deploying in support of SOCAFRICA, regardless of location. The SOCAFRICA Command Surgeon contact information is socafrica.hq.sg.waivers.dl@socom.mil; DSN: 324-379-9085 or Comm: +49(0)711-7077-9085.

2. Combined Joint Task Force-Horn of Africa (CJTF-HOA).: Excluding personnel covered in Enclosure 3 paragraph 1.b and 1.c (1), the CJTF-HOA Command Surgeon has medical waiver authority for any personnel (uniformed service, government civilian, or contractors) entering CJTF-HOA on DOD orders, regardless of Service. The CJTF-HOA AOR includes: Burundi, Djibouti, Eritrea, Ethiopia, Kenya, Rwanda, Seychelles, Somalia, South Sudan, Sudan, Tanzania, and Uganda. For additional guidance, contact CJTF-HOA Command Surgeon at africom.lemonnier.hoa-surgeon.mbx.surgeon-cell@mail.mil; DSN: 311-824- 4282; Comm: +253-21-358-993.

3. U.S. Air Forces Europe-Africa: usafesg.sgo.waivers@us.af.mil; DSN: 314-480-4698; Comm: +49(0)6371-47-4698.

4. Southern European Task Force – Africa (SETAF – AF Travel Medicine Team: usarmy.usag-italy.setaf-af.mbx.medical@army.mil; DSN: 314-636-9250; Comm: +39(0)444-61-9250.

5. U.S. Naval Forces Africa: naveuraf6fltforcemedical@us.navy.mil; DSN: 314-626- 6298; Comm: +39(0)81-568-6298.

 After reading waiver guidance above, and if does not apply or for AFRICOM HQ personnel with waiver RFIs, please email africom.stuttgart.acsg.mbx.j004-force-health-protection@mail.mil.

Relevant Documents

1. AC Form 42, USAFRICOM Travel Medical Screening Checklist
2. AC Form 43, USAFRICOM Medical Waiver Request
3. USAFRICOM_GUIDANCE_AND_INFORMATION_REGARDING_MPOX_VIRUS_-_041031ZOCT24
4. YELLOW_FEVER_VACCINATION_REQUIREMENTS_FOR_THE_USAFRICOM_THEATER_140953ZJUN24
5. ACN 4200.09B Force Health Protection (18 March 2025)
6. ACI 4200.09B Force Health Protection (18 March 2025)