Inoculation regulations can change at short notice. Please take medical advice in the case of doubt.

1
A yellow fever vaccination certificate is required from all travellers arriving from areas in the endemic zone

2
Following WHO guidelines issued in 1973, a cholera vaccination certificate is no longer a condition of entry into Honduras. However, cases of cholera were reported in 1996 and 1999 and precautions are essential. Up-to-date advice should be sought before deciding whether these precautions should include vaccination as medical opinion is divided over its effectiveness.

3
Typhoid may be a risk in rural areas.

4
Malaria risk, in the benign vivax form, exists throughout the year in 80 per cent of the municipalities, especially in the rural areas such as Roatán and the other Bay Islands.

Food & drink
All water should be regarded as being potentially contaminated. Water used for drinking, brushing teeth or making ice should first be boiled or otherwise sterilised. Milk is unpasteurised in rural areas and should be boiled. Powdered or tinned milk is available and is advised, but make sure that it is reconstituted with pure water. Avoid dairy products that are likely to have been made from unboiled milk. Only eat well-cooked meat and fish, preferably served hot. Pork, salad and mayonnaise may carry increased risk. Vegetables should be cooked and fruit peeled.

Other risks
Visceral, cutaneous and mucocutaneous leishmaniasis and hepatitis A and B all occur. Dengue fever, filariasis, onchocerciasis and American trypanosomiasis (Chagas Disease) may also occur. Paragonimiasis (oriental lung fluke) has been reported. Hepatitis B is present.
Rabies is present. For those at high risk, vaccination before arrival should be considered. If you are bitten, seek medical advice without delay. For more information, consult the Health appendix.

Health insurance is recommended. There are hospitals in Tegucigalpa and all the large towns. Mosquito nets are recommended for coastal areas.