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

1
A yellow fever vaccination certificate is required from travellers arriving within six days from infected areas.

2
Typhoid occurs in rural areas.

3
Malaria risk, in the malignant falciparum form, exists throughout the year in all areas, except in the cruise port of Labadee. Chloroquine is the recommended prophylaxis.

Food & drink
All water should be regarded as being potentially contaminated. Water used for drinking, brushing teeth or making ice should have first been boiled or otherwise sterilised. Milk is unpasteurised and should be boiled. Powdered or tinned milk is available and is advised, but make sure that it is reconstituted with pure water. Avoid dairy products which are likely to have been made from unboiled milk. Only eat well-cooked meat and fish, preferably served hot. Pork, salad and mayonnaise may carry increased risk. Vegetables should be cooked and fruit peeled.

Other risks
Hepatitis A, B and Bancroftian filariasis occur. Tularaemia and seasonal meningococcal meningitis have been reported. Outbreaks of dengue fever occur in the area. HIV is also a serious problem.
Rabies is present. For those at high risk, vaccination before arrival should be considered. If you are bitten, seek medical advice without delay. For more information, consult the Health appendix.

Health insurance providing cover for repatriation in the event of serious illness is strongly recommended. Medical facilities are fairly good. The local herb tea is said to be good for stomach upsets.