Central America

Mandatory: None.

Recommended: Hepatitis A&B, Typhoid, Malaria Prophylaxis, childhood vaccinations & adult boosters.

Suggested: Meningitis B,  Meningitis ACWY.

Not routinely recommended:  Rabies vaccination is only recommended for travellers in Mexico involved in outdoor and other activities in remote areas that might bring them into direct contact with bats and other mammals (such as adventure travellers and cavers); and those with occupational risks (such as wildlife professionals and researchers).

Mosquito Protection:  Zika and Malaria are present in Mexico. Mosquito precautions recommended for a trip to Mexico. Malaria is present in Campeche, Chiapas, Chihuahua, Nayarit, and Sinaloa. Rare cases in Durango, Jalisco, Oaxaca, Sonora, and Tabasco. Rare cases in the municipality of Othon P. Blanco in the southern part of Quintana Roo bordering Belize. No malaria along the US–Mexico border.

Pregnancy Warning: Zika is a risk in Mexico. Zika infection during pregnancy can cause serious birth defects. Therefore, pregnant women should not travel to Mexico. Partners of pregnant women and couples planning pregnancy should know the possible risks to pregnancy and take preventive steps.

Mandatory: None.

However, if travelling from Yellow Fever endemic country then ‘proof of Yellow Fever vaccination’ is required for entry into the country.

Recommended: Hepatitis A&B, Typhoid, Malaria Prophylaxis, childhood vaccinations & adult boosters.

Suggested:  Meningitis B,  Meningitis ACWY.

Not routinely recommended:  Rabies vaccination is only recommended for travellers in El Salvador involved in outdoor and other activities in remote areas that might bring them into direct contact with bats and other mammals (such as adventure travellers and cavers); and those with occupational risks (such as wildlife professionals and researchers). Carried by mammals including dogs.

Mosquito Protection Required: The CDC report the presence of Zika, Malaria, and Dengue in El Salvador. Please discuss your destinations and itinerary so that we can assess risk.

Pregnancy Warning: Zika is a risk in El Salvador. Zika infection during pregnancy can cause serious birth defects. Therefore, pregnant women should not travel to El Salvador. Partners of pregnant women and couples planning pregnancy should know the possible risks to pregnancy and take preventive steps.

Mandatory: None.

However, if travelling from Yellow Fever endemic country then ‘proof of Yellow Fever vaccination’ is required for entry into the country.

Recommended: Hepatitis A&B, Typhoid, Malaria Prophylaxis, childhood vaccinations & adult boosters.

Suggested: Meningitis B,  Meningitis ACWY.

Not routinely recommended:  Rabies vaccination is only recommended for travellers in Guatemala involved in outdoor and other activities in remote areas that might bring them into direct contact with bats and other mammals (such as adventure travellers and cavers); and those with occupational risks (such as wildlife professionals and researchers). Carried by mammals including dogs.

Mosquito Protection Required: The CDC report the presence of Zika, Malaria, and Dengue in Guatemala. Malaria is in rural areas only at altitudes <1,500 m (4,921 ft). None in Antigua, Guatemala City, or Lake Atitlán. Please discuss your destinations and itinerary so that we can assess risk.

Pregnancy Warning: Zika is a risk in Guatemala. Zika infection during pregnancy can cause serious birth defects. Therefore, pregnant women should not travel to Guatemala. Partners of pregnant women and couples planning pregnancy should know the possible risks to pregnancy and take preventive steps.

Mandatory: None.

However, if travelling from Yellow Fever endemic country then ‘proof of Yellow Fever vaccination’ is required for entry into the country.

Recommended: Hepatitis A&B, Typhoid, Malaria Prophylaxis, childhood vaccinations & adult boosters.

Suggested: Meningitis B,  Meningitis ACWY.

Not routinely recommended:  Rabies vaccination is only recommended for travellers in Honduras involved in outdoor and other activities in remote areas that might bring them into direct contact with bats and other mammals (such as adventure travellers and cavers); and those with occupational risks (such as wildlife professionals and researchers). Carried by mammals including dogs.

Mosquito Protection Required: The CDC report the presence of Zika, Malaria, and Dengue in Honduras. Please discuss your destinations and itinerary so that we can assess risk. Malaria is present throughout the country and in Roatán and other Bay Islands. None in San Pedro Sula and Tegucigalpa.

Pregnancy Warning: Zika is a risk in Honduras. Zika infection during pregnancy can cause serious birth defects. Therefore, pregnant women should not travel to Honduras. Partners of pregnant women and couples planning pregnancy should know the possible risks to pregnancy and take preventive steps.

Mandatory: None.

Recommended: Hepatitis A&B, Typhoid, Malaria Prophylaxis, childhood vaccinations & adult boosters.

Suggested: Meningitis B,  Meningitis ACWY.

Not routinely recommended:  Rabies vaccination is only recommended for travellers in Nicaragua involved in outdoor and other activities in remote areas that might bring them into direct contact with bats and other mammals (such as adventure travellers and cavers); and those with occupational risks (such as wildlife professionals and researchers). Carried by mammals including dogs.

Mosquito Protection Required: The CDC report the presence of Zika, Malaria, and Dengue in Nicaragua. Malaria is present in Región Autónoma Atlántico Norte (RAAN) and Región Autónoma Atlántico Sur (RAAS).  Rare cases in Boaco, Chinandega, Esteli, Jinotega, Leon, Matagalpa, and Nueva Segovia.  No malaria in the city of Managua. Please discuss your destinations and itinerary so that we can assess risk.

Pregnancy Warning: Zika is a risk in Nicaragua. Zika infection during pregnancy can cause serious birth defects. Therefore, pregnant women should not travel to Nicaragua. Partners of pregnant women and couples planning pregnancy should know the possible risks to pregnancy and take preventive steps.

Mandatory: None.

However, if travelling from Yellow Fever endemic country then proof of Yellow Fever vaccination is required for entry into the country.

Recommended: Hepatitis A&B, Typhoid, Malaria Prophylaxis, childhood vaccinations & adult boosters.

Suggested: Meningitis B,  Meningitis ACWY.

Not routinely recommended:  Rabies vaccination is only recommended for travellers in Belize involved in outdoor and other activities in remote areas that might bring them into direct contact with bats and other

mammals (such as adventure travellers and cavers); and those with occupational risks (such as wildlife professionals and researchers). Carried by mammals including dogs.

Mosquito Protection Required: The CDC report the presence of Zika, Malaria, and Dengue in Belize. Please discuss your destinations and itinerary so that we can assess risk.

Pregnancy Warning: Zika is a risk in Belize. Zika infection during pregnancy can cause serious birth defects. Therefore, pregnant women should not travel to Belize. Partners of pregnant women and couples planning pregnancy should know the possible risks to pregnancy and take preventive steps.

Mandatory: None.

However, if travelling from Yellow Fever endemic country then proof of Yellow Fever vaccination is required for entry into the country.

Recommended: Hepatitis A&B, Typhoid, Malaria Prophylaxis, childhood vaccinations & adult boosters.

Suggested: Meningitis B,  Meningitis ACWY.

Not routinely recommended:  Rabies vaccination is only recommended for travellers in Costa Rica involved in outdoor and other activities in remote areas that might bring them into direct contact with bats and other mammals (such as adventure travellers and cavers); and those with occupational risks (such as wildlife professionals and researchers). Carried by mammals including dogs.

Mosquito Protection Required: The CDC report the presence of Zika, Malaria, and Dengue in Costa Rica. Please discuss your destinations and itinerary so that we can assess risk.

Pregnancy Warning: Zika is a risk in Costa Rica. Zika infection during pregnancy can cause serious birth defects. Therefore, pregnant women should not travel to Costa Rica. Partners of pregnant women and couples planning pregnancy should know the possible risks to pregnancy and take preventive steps.