Nicaragua

Ensure all routine vaccinations are up to date before travel to protect against common communicable diseases.

Ensure all routine vaccinations are up to date before travel to prevent common preventable diseases.

Ensure all routine vaccinations are up-to-date before travel.

Ensure all routine vaccinations are up to date before travel to provide general immunity.

Recommended for travelers who may be exposed to blood or body fluids, or engage in sexual activity with local partners.

To prevent foodborne illnesses, practice safe food and water consumption.

Ensure up-to-date vaccination before traveling.

Cases of New World screwworm myiasis have been reported in countries where it had previously been eliminated, including Nicaragua.

Travelers should avoid bug bites, clean and cover wounds, sleep in a room with screened windows, under a bed net, or inside a screened tent, and avoid spending time around livestock.

All travelers should take steps to prevent mosquito bites. Chikungunya vaccination is generally not recommended.

Travelers who wish to consider vaccination can visit the CDC's chikungunya vaccines page to learn more.

CDC recommends that travelers going to certain areas of Nicaragua take prescription medicine to prevent malaria. Depending on the medicine you take, you will need to start taking this medicine multiple days before your trip, as well as during and after your trip.

Transmission areas include Región Autónoma Atlántico Norte (RAAN) and Región Autónoma Atlántico Sur (RAAS). Rare cases have been reported in other departments. No malaria transmission in Managua (the capital). Consult with a healthcare provider about which malaria medication to take.

Recommended for unvaccinated travelers one year old or older going to Nicaragua. Infants 6 to 11 months old should also be vaccinated against Hepatitis A. The dose does not count toward the routine 2-dose series.

Travelers allergic to a vaccine component should receive a single dose of immune globulin, which provides effective protection for up to 2 months depending on dosage given. Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.

Recommended for unvaccinated travelers younger than 60 years old traveling to Nicaragua. Unvaccinated travelers 60 years and older may get vaccinated before traveling to Nicaragua.

Consult with a healthcare provider to determine the appropriate vaccination schedule.

Ensure vaccination is up to date for adult travelers, especially those planning extended stays.

Recommended for children to prevent measles, which may be present in Nicaragua.

Recommended to keep updated with the current COVID-19 vaccination protocols.

To prevent malaria in endemic areas, if applicable.

Essential to prevent mosquito-borne diseases like Dengue, Zika, and Chikungunya.

Use EPA-registered insect repellent, wear long-sleeved shirts and pants, and stay in climate-controlled or screened housing.

Travelers should take precautions to prevent foodborne and waterborne illnesses by consuming only safe food and beverages.

Drink only bottled, sealed, or treated water; avoid ice; eat food served hot.

Recommended for most travelers, especially those staying with friends or relatives or visiting smaller cities and rural areas where food and water might be contaminated.

Recommended for most travelers due to the risk of exposure through contaminated food or water.

Stay up to date on vaccinations to reduce the risk of severe illness.

Considered for travelers who might have sexual contact with a new partner, get a tattoo or piercing, or receive medical treatment.

For travelers who will be involved in outdoor activities that may expose them to bats or other animals.

Considered for travelers involved in outdoor and other activities in remote areas that put them at risk for animal bites.

Consider if working with animals or in rural areas.

Recommended for those who may have sexual contact or undergo medical procedures.