Drinking water outside main cities and towns may be contaminated and sterilisation is advisable. Bottled water is available and is advised for the first few weeks of the stay. Milk is pasteurised and dairy products are safe for consumption. Local meat, poultry, seafood, fruit and vegetables are generally considered safe to eat. Hepatitis A occurs.
Dengue fever occurs.
Cutaneous and mucocutaneous leishmanisis have also been reported. Rabies is widespread throughout Central America. For those at high risk, vaccination before arrival should be considered. If you are bitten, seek medical advice without delay. For more information, consult the Health appendix.