Vegetables should be cooked and fruit peeled. Travellers should ask their doctor for advice before travelling. Visceral leishmaniasis occurs in this country, as well as cutaneous and mucocutaneous leishmanisis . Hepatitis A occurs and precautions should be taken. See the Health appendix for further information.
Rabies is widespread, particularly in dogs and bats.
If you are bitten, seek medical advice without delay. For persons at high risk of exposure on a continuing basis, it may be advisable to have a course of rabies vaccine. Persons taking animals to El Salvador should be certain that the animals are immunised against rabies.