A yellow fever vaccination certificate is required for all
visitors over the age of one year. Malaria is prevalent countrywide
and insect protection, as well as a prophylactic that has not shown
signs of being resisted in the area, are essential. Insect
protection is also essential against other insect-borne diseases,
like dengue fever. Hepatitis A, polio and typhoid vaccinations are
recommended. Cholera is fairly common, though travellers are at low
risk. Bilharzia is present, and it is best to avoid swimming in
fresh water. African trypanosomiasis (sleeping sickness),
meningococcal disease and rabies can also occur. It is recommended
that travellers be up-to-date on all routine immunisations. Tap
water is to be avoided, unless boiled, filtered or disinfected with
chemicals and it is safest to drink bottled water. Avoid drinks
with ice. Milk is unpasteurised and should be boiled; any diary
product made from milk should be avoided. Food must be well cooked,
and all fruit and vegetables should be peeled or cooked. Medical
facilities are poor, and health insurance is recommended, as is a
supply of basic medication (e.g. for travellers diarrhoea,
headaches etc).






