The presence of extensive minefields on both sides of the border, particularly along the Rio Coco and in the Atlantic Coast region, present a danger to anyone venturing close to the border at other than El Espino, Las Manos, and Guasaule border crossings. Several small explosive devices were detonated at local government buildings over the past year. While most of these explosions occurred at night, at least one incident occurred during business hours and resulted in a loss of life. The attacks, which occurred during business hours, caused no injuries or loss of life. No motivations for or perpetrators of these attacks have been identified.
Medical care varies in quality.
Doctors and hospitals often expect immediate cash payment for health services. U.S. medical insurance is not always valid outside the United States. In some cases, supplemental medical insurance with specific overseas coverage, including medical evacuation, has proven useful. Street crime is the principal concern. Thefts in urban and coastal recreational areas, including purse snatching, pickpocketing and armed robberies, are on the rise.