There are no first-class apartment buildings in Nicaragua. Numerous restaurants in Managua offer first-class international and continental cuisine. Outside of the capital, the local diet consists of chicken, beef, fish, rice, beans, plantains and potatoes. Health conditions in Nicaragua are improving, although it remains a tropical country with the presence of malaria, dengue fever, and a variety of gastro-intestinal disorders. Sanitary practices should be carefully followed, particularly outside of Managua.
Local hospitals are adequate for basic care.
However, they fall short of U.S. standards and are not recommended for serious conditions. There are a modest number of U.S.-trained physicians. There are many pharmacies with adequate supplies of most commonly used medications. The Customs office determines that amount on the spot, which can be in excess of 20 percent of the value of the item. Marketing U.S. Products and Services.