Typhoid may occur, poliomyelitis is not reported. Malaria risk, predominantly in the malignant falciparum form, exists throughout the year in the three southern districts of the country. In Paramaribo city and the seven coastal districts, transmission risk is low or negligible. The falciparum strain is reported to be resistant to chloroquine and some quinine. Mefloquine is therefore the recommended propphylaxis.
Bottled water is available and is advised for the first few weeks of the stay.
Drinking water outside main cities and towns is likely to be contaminated and sterilisation is considered essential. 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.