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

1
Vaccination against typhoid and poliomyelitis is advised.

Food & drink
Water precautions are advised outside the main centres. Mains water is considered safe to drink. 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
Bilharzia (schistosomiasis) may be present in some fresh water; swimming pools that are well chlorinated and maintained are safe. Leptospirosis is a risk. Visitors should enquire locally. Immunisation against hepatitis A should be considered. Rabies is present; if you are bitten, seek medical advice without delay. For more information, consult the Health appendix.

Medical costs are very high and health insurance is essential. Medical facilities are of a similar standard to those in the USA. There are hospitals on St Croix and St Thomas; a clinic is located on St John.