* A yellow fever vaccination certificate is required from travellers over one year of age coming from infected areas and from the following countries: Africa: Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Congo, (Dem Rep), Congo (Rep), Côte d'Ivoire, Gabon, The Gambia, Ghana, Guinea, Guinea-Bissau, Kenya, Liberia, Mali, Niger, Nigeria, Rwanda, São Tomé and Príncipe, Senegal, Sierra Leone, Somalia, Tanzania, Togo and Uganda; Latin America: Belize, Bolivia, Brazil, Colombia, Costa Rica, Ecuador, French Guiana, Guatemala, Honduras, Nicaragua, Panama, Peru, Surinam and Venezuela. Travellers arriving from non-endemic zones should note that vaccination is strongly recommended for travel outside the urban areas, even if an outbreak of the disease has not been reported and they would normally not require a vaccination certificate to enter the country.

Mains water is normally chlorinated in main cities, and whilst relatively safe may cause mild abdominal upsets. Bottled water is readily available and is advised for the first few weeks of the stay. Milk is unpasteurised and should be boiled. Powdered or tinned milk is available and is advised. Avoid dairy products that are likely to have been made from unboiled milk. Local meat, poultry, seafood, fruit and vegetables are generally considered safe to eat.

Hepatitis B and D are highly endemic in the Amazon basin and precautions should be taken. Tuberculosis occurs. Jungle yellow fever may be found in forest areas. Dengue fever and American trypanosomiasis (Chagas disease) may occur. Rabies occurs. For those at high risk, vaccination before arrival should be considered. If you are bitten, seek medical advice without delay.

Comprehensive health insurance is recommended. Hospital treatment in Georgetown is free, but doctors will charge for an appointment. Medical care and prescription drugs are limited and sanitary conditions are poor in many medical facilities. Travellers are advised to bring prescription medicines sufficient for their length of stay.