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 over one year of age arriving from infected areas. Although no human cases have been recorded, yellow fever vaccination is recommended. The yellow fever virus is present in monkeys. Mosquitoes that bite these monkeys are then a risk to humans.
Food & drink Mains water in Tobago is safe to drink, though bottled water is available in supermarkets. Drinking water outside main cities and towns may be contaminated and sterilisation is advisable. Milk is pasteurised and dairy products are safe for consumption. Local meat, poultry, seafood, fruit and vegetables throughout both islands are generally safe to eat. The authorities advise caution, however, during carnival time when buying food from the 'hawker' stalls in Port of Spain.
Other risks Hepatitis A occurs and vaccination is recommended. Hepatitis B is present and vaccination is recommended for those in intimate contact with locals or who are staying for more than six months. Mosquitoes can be inconvenient anywhere just before and after dusk. Visitors are advised to carry insect repellent and bite cream. The incidence of dengue fever is rising. Rabies is present. For those at high risk, vaccination before arrival should be considered. If you are bitten, seek medical advice without delay. Bats are a problem as far as the transmission of rabies is concerned. For more information, consult the Health appendix. Although there is no reciprocal health agreement with the UK, public sector health care is free. However, health insurance is recommended as Tobago's health care provision is basic, with limited supplies and medication.
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