Travellers arriving from non-endemic zones should note that vaccination is strongly recommended for travel outside the urban areas, even if an outbreak of the disease has not been reported and they would normally not require a vaccination certificate to enter the country. Malaria risk exists throughout the year in the northwest region and areas along the Pomeroon River. Chloroquine-resistant falciparum is reported. The recommended prophylaxis is mefloquine unless contra-indicated, in which case use chloroquine plus proguanil plus protection against mosquito bites. Mains water is normally chlorinated in main cities, and whilst relatively safe may cause mild abdominal upsets.
Bottled water is available and is advised for the first few weeks of the stay.
Milk is unpasteurised and should be boiled. Powdered or tinned milk is available and is advised, but make sure that it is reconstituted with pure water. Avoid dairy products that are likely to have been made from unboiled milk. Local meat, poultry, seafood, fruit and vegetables are generally considered safe to eat. Rabies is present.