Nicaragua - Fit for Travel (2024)

Advice for All Destinations Vaccinations Malaria Malaria Map Other Health Risks Alerts News

Advice for All Destinations

Vaccinations and malaria risk

Review both the Vaccination and Malaria sections on this page to find out if you may need vaccines and/or a malaria risk assessment before you travel to this country.

If you think you require vaccines and/or malaria risk assessment, you should make an appointment with a travel health professional:

  • How to make an appointment with a travel health professional

A travel health risk assessment is also advisable for some people, even when vaccines or malaria tablets are not required.

  • Do I need a travel health risk assessment?

Risk prevention advice

Many of the health risks experienced by travellers cannot be prevented by vaccines and other measures need to be taken.

Always make sure you understand the wider risks at your destination and take precautions, including:

  • food and water safety
  • accident prevention
  • sun safety
  • avoiding insect bites
  • preventing and treating animal bites
  • respiratory hygiene
  • hand hygiene

Our advice section gives detailed information on minimising specific health risks abroad:

  • Travel Health Advice A-Z

Other health considerations

Make sure you have travel insurance before travel to cover healthcare abroad.

Find out if there are any restrictions you need to consider if you are travelling with medicines.

Know how to access healthcare at your destination: see the GOV.UK English speaking doctors and medical facilities: worldwide list

If you feel unwell on your return home from travelling abroad, always seek advice from a healthcare professional and let them know your travel history.

Vaccinations

  • Confirm primary courses and boosters are up to date as recommended for life in Britain - including for example, seasonal flu vaccine and COVID-19 (if eligible), MMR, vaccines required for occupational risk of exposure, lifestyle risks and underlying medical conditions.
  • Courses or boosters usually advised: Hepatitis A.
  • Other vaccines to consider: Rabies; Tetanus; Typhoid.
  • Selectively advised vaccines - only for those individuals at highest risk: Hepatitis B.
  • Yellow fever vaccination certificate required for travellers aged 1 year or over arriving fromcountries with risk of yellow fever transmission.

Notes on the diseases mentioned above

  • Hepatitis A:&nbsp spread by consuming food or drinks that contain the virus (i.e. become contaminated by infected poo), or by touching things or people that have infected poo on them, and then touching your mouth.

    Risk is higher if travelling to countries where there hepatitis A is circulating in the local population, or to areas where personal hygiene and sanitation is poor.

    Risk is highest for those with underlying medical conditions where there is increased risk of developing severe disease e.g. liver/kidney disease; haemophilia (clotting disorder); and for men who have sex with men; people who inject drugs; those at risk of exposure through their jobs.

  • Hepatitis B:&nbsp spread through exposure to infected blood or bodily fluids. Occurs from sexual contact or contact with contaminated needles and medical instruments (e.g. dental / medical procedures, tattooing, body piercing, sharing intravenous needles). Mothers with the virus can also transmit the infection to their baby during childbirth.

    Risk is higher for those visiting more frequently, staying longer, visiting friends and relatives, children through bites, cuts and scratches and those who may require medical treatment during travel.

    Risk is highest for those with underlying medical conditions where there is increased risk of severe disease e.g. chronic liver/kidney disease; haemophiliacs (clotting disorder) and in men who have sex with men; people who change sexual partners frequently; and people who inject drugs.

  • Rabies:&nbsp spread through the saliva of infected animals (especially dogs, cats, bats and monkeys), usually through a bite, scratch or lick to broken skin. Risk is higher for those working or living in remote or rural areas (with no easy access to medical facilities), longer stay travellers, those planning on undertaking activities such as trekking, cycling or running in a 'high risk' country, those working with, or regularly handling animals or bats, as part of their job, and children.

    Urgent medical advice should be sought after any animal bite, scratch or lick to broken skin, or bat bite, even after receiving pre-travel rabies vaccine.

  • Tetanus:&nbsp spread through contamination of cuts, burns and wounds with tetanus spores. Spores are found in soil worldwide. A total of 5 doses of tetanus vaccine are recommended for life in the UK. Boosters are usually recommended in a country or situation where the correct treatment of an injury may not be readily available.
  • Typhoid:&nbsp spread mainly through consumption of contaminated food and drink. Risk is higher where access to adequate sanitation and safe water is limited.

Malaria

Malaria is a serious and sometimes fatal disease transmitted by mosquitoes.You cannot be vaccinated against malaria.

Malaria precautions

Malaria Map

  • Malaria risk is present throughout the year, in a number of municipalities, mainly within Atlantico Norte.
  • Malaria precautions are essential. Avoid mosquitobites by covering up with clothing such as long sleeves and long trousersespecially after sunset, using insect repellents on exposed skin and, whennecessary, sleeping under a mosquito net.
  • Check with your doctor or nurse about suitable antimalarial tablets.
  • See malaria map – additional information can be found by clicking on the Regional Information icon below the map.
  • Low risk areas withadditional advice: antimalarial tablets are not usually recommended, however, they can be considered for certain travellers who may be at higher risk e.g. longer stays in rural areas, visiting friends or relatives, those with medical conditions, immunosuppression or those without a spleen. Chloroquine is advised for those at risk.
  • Low to no risk areas: antimalarials are notusually recommended.
  • If you have been travelling in a malarious area and develop a feverseek medical attention promptly. Remember malaria can develop even up toone year after exposure.
  • If travelling to an arearemote from medical facilities, carrying standby emergency treatment formalariamay be considered.

Other Health Risks

Dengue Fever

A viral illness that is transmitted to humans by mosquito bites. The mosquito that spreads dengue bites during the day and is more common in urban areas. Symptoms include fever, headache, severe joint, bone and muscular pain - hence its other name 'breakbone fever'. There is no vaccine and prevention is through avoidance of mosquito bites. For further information see Dengue Fever.

Alerts

Zika Virus Infection

This country has been categorised as having a risk of Zika (ZIKV) virus transmission.

ZIKV is mainly spread through mosquito bites. The mosquito responsible most commonly bites during daylight hours and is common in towns and cities.

The illness is usually mild but infection during pregnancy may lead to babies being born with birth defects. There is no vaccine currently available against ZIKV.

Advice for All Travellers

You should practice strict mosquito bite avoidance at all times.
Do not travel without adequate travel insurance.
Seek pre-travel health advice from a travel health professional 6 to 8 weeks in advance of travel.

Additional recommendations for pregnant travellers or those planning pregnancy

If you are planning pregnancy in the very near future you should consider whether you should avoid travel to this country.

  • If you visit this country while pregnant, or become pregnant within 2 months after leaving this country you should:
    • contact your GP, obstetrician or midwife for further advice, even if you have not been unwell or had any symptoms of ZIKV infection
    • use barrier methods of contraception during and after travel and for the duration of your pregnancy, even in you have not been unwell or had any symptoms of ZIKV infection
  • You should avoid becoming pregnant while travelling in this country
    • If you develop symptoms of ZIKV infection, it is recommended that you avoid becoming pregnant for a further 2 months following your recovery
  • If you are planning pregnancy, you should use barrier methods of contraception during travel and for:
    • 2 months afterwards if you are female
    • 3 months afterwards if you are male or if both partners travelled

These measures reduce the chance of sexual transmission of ZIKV and/or the risk of ZIKV infection in pregnancy.

For further information, see Zika virus infection page.

News

  • 70 additional items in the news archive for this country

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Nicaragua - Fit for Travel (2024)

FAQs

Is it safe to travel to Nicaragua right now? ›

Nicaragua - Level 3: Reconsider Travel. Reissued with updates to information on arbitrary enforcement of laws. Reconsider travel to Nicaragua due to arbitrary enforcement of laws, the risk of wrongful detention, and limited healthcare availability. Exercise increased caution in Nicaragua due to crime.

What to know before traveling to Nicaragua? ›

Nicaragua has a high crime rate, including armed robbery, assault and express kidnapping. There aren't many police outside major urban areas. Avoid remote locations. Don't go out alone or at night.

What injections do you need for Nicaragua? ›

Courses or boosters usually advised: Hepatitis A. Other vaccines to consider: Rabies; Tetanus; Typhoid. Selectively advised vaccines - only for those individuals at highest risk: Hepatitis B.

How to avoid getting sick in Nicaragua? ›

Vaccines cannot protect you from many diseases in Nicaragua, so your behaviors are important.
  1. Eat and drink safely. ...
  2. Prevent bug bites. ...
  3. Stay safe outdoors. ...
  4. Keep away from animals. ...
  5. Reduce your exposure to germs. ...
  6. Avoid sharing body fluids. ...
  7. Know how to get medical care while traveling. ...
  8. Select safe transportation.

Is Nicaragua safer than Costa Rica? ›

Violent Crime. Nicaragua has the lowest violent crime rate in Central America with far less violent crime than the more popular tourist destinations of Costa Rica, Belize, Panama, Mexico, or Guatemala*. In fact, Nicaragua has a violent crime rate considerably lower than the average in urban areas of the USA**.

What areas should I avoid in Nicaragua? ›

Crime hot spots in Nicaragua

Most crime occurs in the capital Managua, and typically in certain hot-spots. Pickpocketing is common at bus stations, on crowded buses, and in the markets – especially the Oriental, Huembes, and Mayoreo Markets.

Are US dollars accepted in Nicaragua? ›

Before traveling to Nicaragua, it is important to know that the official currency is the córdoba (NIO). It is advisable to take US dollars with you, as they are widely accepted in stores and restaurants.

What can you not bring into Nicaragua? ›

(Please be aware that your luggage may be hand checked, you may not bring plants, seeds, vegetables or fruits into Nicaragua). 4. After customs you will see a glass door on your left hand side. Pass through this door and your driver will be waiting for you with a sign with your name on it.

Can US citizens go to Nicaragua? ›

Nicaraguan Immigration

U.S. citizens coming for short visits to Nicaragua as a tourist must pay $10 USD in cash for a tourist entry stamp upon arrival.. However, if you plan to live in Nicaragua, you will need to obtain a residency permit.

Do I need malaria pills for Nicaragua? ›

If you are visiting low-altitude areas malaria can be a risk. Consider getting an antimalarial medication from your local Passport Health travel health specialist. Zika virus is present in Nicaragua. Women who or pregnant or may become pregnant should avoid travel to the region.

Can you drink the tap water in Nicaragua? ›

Although the water quality in urban areas is adequate for drinking, we do recommend bottled or filtered water. Tap water might cause traveler's diarrhea. In order to consider the environment we recommend to buy a bottle and refill it with filtered water.

Are there bed bugs in Nicaragua? ›

Previous reports from Nicaragua, Panama and Costa Rica did note the presence of the tropical bed bug (C. hemipterus), though no bed bugs of any species were reported in Costa Rica for 20 years.

What is the most common disease in Nicaragua? ›

Acute respiratory infections: Acute respiratory infections were the most common notifiable disease with an incidence rate for the 1997–2000 period of 2,658 per 10,000 population.

Can you eat salad in Nicaragua? ›

Nicaraguan cuisine is based around the ubiquitous beans, rice and meat, and everything is cooked with oil. Lunch usually includes chicken, beef or pork, most deliciously cooked a la plancha, on a grill or griddle, and served with beans, rice, plantain and shredded cabbage salad.

Do I need bug spray in Nicaragua? ›

Protect yourself from mosquito bites at all times: Cover your skin and use an approved insect repellent on uncovered skin.

What is the current situation in Nicaragua? ›

Political situation

The country has experienced periods of political unrest since April 2018, resulting in hundreds of deaths and detentions. Since the 2021 Presidential elections, Nicaraguan government officials and law enforcement have severely repressed those critical or opposed to government policies.

Are Americans allowed to visit Nicaragua? ›

Nicaraguan Immigration

U.S. citizens coming for short visits to Nicaragua as a tourist must pay $10 USD in cash for a tourist entry stamp upon arrival.. However, if you plan to live in Nicaragua, you will need to obtain a residency permit.

Is Mexico or Nicaragua safer? ›

Crime Comparison Between Mexico and Nicaragua
IndexMexicoNicaragua
Crime Index:53.6051.18
Safety Scale:46.4048.82

Is Nicaragua safe for Americans to live? ›

If you're a surfer or want to learn, Nicaragua is definitely a country you should consider moving to. You might be surprised, but Nicaragua is a very safe country. According to the United Nations, Nicaragua is the second safest country in Central America.

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