Rabies is present. 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. Only emergency cases are treated without prior payment and treatment will often be refused without evidence of insurance or a deposit.
Medical facilities are generally of an extremely high standard.
Those visiting the USA for long periods with school-age children should be aware that school entry requirements include proof of immunisation against diphtheria, measles, poliomyelitis and rubella throughout the USA, and schools in many States also require immunisation against tetanus, pertussis and mumps. HIV-positive visitors must apply at the Embassy for a waiver of ineligibility before entry.