However, cholera is a serious risk in this country and precautions are essential. See the Health appendix for further information. Malaria risk, predominantly in the benign vivax form, is high throughout the year below 1500m in 148 cantons in 19 provinces. A high proportion of falciparum cases in Esmeraldes Province are reportedly resistant to chloroquine. Water used for drinking, brushing teeth or making ice should have first been boiled or otherwise sterilised.
Bottled water is available.
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 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.