Inoculation regulations can change at short notice. Please take medical advice in the case of doubt.
1A yellow fever vaccination certificate is required from travellers over six months of age coming from infected areas.
2Following WHO guidelines issued in 1973, a cholera vaccination certificate is no longer a condition of entry into El Salvador. However, cases of cholera were reported in 1996 and precautions are essential. Up-to-date advice should be sought before deciding whether these precautions should include vaccination, as medical opinion is divided over its effectiveness.
Other risks
Dengue fever (including dengue haemorrhagic fever) is reported to be on the increase. Travellers should ask their doctor for advice before travelling. Visceral leishmaniasis occurs in this country, as well as cutaneous and mucocutaneous leishmanisis. Hepatitis A occurs and precautions should be taken; see the Health appendix for further information.
Rabies is widespread, particularly in dogs and bats. If you are bitten, seek medical advice without delay. For persons at high risk of exposure on a continuing basis, it may be advisable to have a course of rabies vaccine. Persons taking animals to El Salvador should be certain that the animals are immunised against rabies.
There are about 50 state-run hospitals with a total of more than 7000 beds. Medical facilities are limited and doctors and hospitals expect immediate cash payment. Health insurance is essential as there is no reciprocal health agreement with the UK. Most hospitals accept credit cards for hospital charges, but not for doctor's fees.
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