Vaccinations
| Special Precautions | |
|---|---|
| Diphtheria | Yes |
| Hepatitis A | Yes |
| Malaria | Sometimes* |
| Rabies | Sometimes |
| Tetanus | Yes |
| Typhoid | Yes |
| Yellow Fever | No |
|
Inoculation regulations can change at short notice. Please take medical advice in the case of doubt. Where 'Sometimes' appears in the table above, precautions may be
required, depending on the season and region visited.
|
* Malaria risk exists throughout the year, especially in the western provinces and in La Altagracia province. Risk in other areas is low to negligible.
Food and Drink
All water should be regarded as being potentially contaminated and sterilisation should be considered essential. Water used for drinking, brushing teeth or making ice should have first been boiled or otherwise sterilised. Milk is pasteurised. Only eat well-cooked meat and fish. Vegetables should be cooked and fruit peeled.
Other Risks
Vaccinations for tuberculosis and hepatitis B are sometimes recommended. Bilharzia (schistosomiasis) is endemic; avoid swimming and paddling in fresh water. Outbreaks of dengue fever occur in the area. Rabies may be present. For those at high risk, vaccination before arrival should be considered. If you are bitten, seek medical advice without delay.
Health Care
Health insurance (to include emergency repatriation) is strongly recommended. Medical care is limited and variable in quality. An emergency service is available in Santo Domingo.