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. Reliable medical services are available in Costa Rica. Standards of health and hygiene are among the best in Latin America.