How it works:
- Medical standard:
- Good in Puerto Rico and facilities are readily available.
- Diseases to watch out for:
- Insect borne diseases: dengue, chikungunya, zika, west nile virus
- Food and water borne diseases: travellers’ diarrhoea, typhoid, hepatitis, schistosomiasis
- Animal borne diseases: rabies
- Human borne diseases: HIV, tuberculosis
What to do:
- Get sufficient travel insurance (e.g. World Nomads – review) as:
- Emergency health services can cost a bomb.
- Insurers can make complex logistical arrangements to get you the best medical treatment fast.
- Vaccinations to consider:
- All travellers: measles-mumps-rubella (MMR) vaccine, diphtheria-tetanus-pertussis vaccine, varicella (chickenpox) vaccine, polio vaccine, flu shot
- Most travellers: hepatitis A, typhoid
- Some travellers: hepatitis B, rabies (for outdoor/adventure/rural/contact with animals)
- Prevent insect bites:
- Wear protective clothing
- Use insect repellents; insecticide treated bed/cot nets; plug-in insecticides
- Avoid wooded and bushy areas with high grass
- Food safety:
- Practise safe hygiene (e.g. washing hands with soap)
- Drink bottled water or water that has been boiled
- Avoid unpasteurised dairy products, ice cubes, uncooked and under-cooked food