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Home  >  World  > Caribbean  > Puerto Rico Health   Special Precautions Certificate Required Yellow Fever No No Cholera No No Typhoid and Polio No N/A Malaria No N/A Food & drink: Water is purified in main areas, although bottled water may be preferable. Tap water is considered safe to drink. Milk is pasteurised and dairy products are safe for consumption. Local meat, poultry, seafood, fruit and vegetables are considered safe to eat. Other risks: Hepatitis A occurs in the northern Caribbean region. The incidence of dengue fever has increased in the past few years. Bilharzia (schistosomiasis) is present. Avoid swimming and paddling in fresh water. Swimming pools which are well chlorinated and maintained are safe. 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 appendix. Health care: Health services are good but costly; health insurance is recommended. Copyright © 2003 Columbus Publishing Ltd. Terms and Conditions apply.