B: Malaria risk exists throughout the year in the northwest region and areas along the Pomeroon River. Chloroquine-resistant falciparum is reported. The recommended prophylaxis is mefloquine unless contra-indicated, in which case use chloroquine plus proguanil plus protection against mosquito bites.

C: Mains water is normally chlorinated in main cities, and whilst relatively safe may cause mild abdominal upsets. Bottled water is available and is advised for the first few weeks of the stay. Milk is unpasteurised 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. Local meat, poultry, seafood, fruit and vegetables are generally considered safe to eat.

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 section.

Hepatitis A and B may occur and precautions should be taken.

Health care: Health insurance is recommended. Hospital treatment in Georgetown is free, but doctors will charge for an appointment. Medical care and prescription drugs are limited and sanitary conditions are poor in many medical facilities. Travellers are advised to bring prescription medicines sufficient for their length of stay.