Inoculation regulations can change at short notice. Please take medical advice in the case of doubt. 1 It is sometimes advised to get immunisation against typhoid and poliomyelitis.
Food & drink Mains water is normally chlorinated and, whilst relatively safe, can cause mild abdominal upsets. Some travellers may prefer to drink bottled water for the first few weeks of their stay. Milk is pasteurised and dairy products are safe for consumption. It is sometimes recommended to avoid local fruit and vegetables unless they have been peeled and cooked. Some types of fish (including barracuda, red snapper, grouper, amber jack and sea bass) may contain poisonous biotoxins even when cooked.
Other risks Hepatitis B is endemic. Hepatitis C may occur. Tick-borne encephalitis exists. Immunisation against hepatitis A is recommended for all travellers. Immunisation against diphtheria and tuberculosis is also sometimes recommended. Up-to-date immunisations of tetanus and measles-mumps-rubella are advised. Bacillary dysentery and typhoid fever are common, especially in summer and influenza is especially common from November until April. Rabies is present. For those at high risk, vaccination before arrival should be considered. If you are bitten, seek medical advice without delay. For further information, consult the Health appendix. There is a reciprocal health agreement with the UK. On production of a UK passport and an NHS medical card, hospital and other medical and dental care will normally be provided free of charge; prescribed medicines must be paid for and can be supplied by public pharmacies. Basic medical supplies are widely available but specialised treatments may not be.
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