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No vaccination certificates are required but precautions are recommended against Hepatitis A, typhoid, rabies and polio for those who plan to spend time outside the main tourist resort areas. There is a malaria risk throughout the year. Between May and September there is a risk of dengue fever, which is contracted from mosquitoes that bite during the day. It is advisable to use mosquito repellent. Travellers should be aware of the high prevalence of the HIV/AIDS virus in the Dominican Republic and take the relevant precautions. Water should be regarded as being potentially contaminated in undeveloped areas; bottled water is available. Some species of fish, including tropical reef fish, may be poisonous to eat even when well cooked. There are good hospitals and other private medical facilities located in Puerto Plata, Santiago and Santo Domingo, but outside of these cities facilities are limited, and staff are unlikely to understand English. Most resorts have doctors that can treat minor medical complaints. Health insurance, including provision for medical evacuation, is recommended.
View information on diseases: Rabies, Malaria, Leptospirosis (including Weil disease), HIV/AIDS and Sexually Transmitted Diseases, Hepatitis A, Dengue Fever, Typhoid fever