Inoculation regulations can change at short notice. Please take medical advice in the case of doubt.

1
A yellow fever certificate is required from travellers aged one year arriving from infected areas.

2
Vaccination against typhoid is sometimes advised.

Food & drink
Mains water is normally chlorinated and, whilst relatively safe, may cause mild abdominal upsets. Bottled water is available and is advised for the first few weeks of the stay. Milk is pasteurised and dairy products are safe for consumption. Local meat, poultry, seafood, fruit and vegetables are generally considered safe to eat.

Other risks
Hepatitis A and dengue fever may occur. Normal precautions against mosquito bites should be heeded. There is a high prevalence of HIV/AIDS in the Caribbean. Diphtheria, tuberculosis and hepatitis B vaccinations are sometimes recommended.

Health insurance is strongly recommended as medical treatment is expensive. There are several GPs on the island as well as one hospital and one private clinic. Recompression chambers are on nearby Saba and St Thomas (travel by air ambulance). Please note that the private health clinic, Adelin, will not accept medical travel insurance in payment for treatment. A deposit must be paid of US$4000 by credit card.