Nicaragua

The malaria risk is:

• high in the North Caribbean Coast Autonomous Region, parts of the South Caribbean Coast Autonomous Region, parts of the province San Juan and Island Miskito Cay ("Mosquito island"). We recommend the use of mosquito-repellent measures from dusk till morning, in combination with the use of malaria tablets. 
• moderate in the rest of the autonomous Atlantic regions, northeast of the department Jinotega and in the southern part of the department Rio San Juan. We recommend the use of mosquito-repellent measures from dusk till morning. For people with an increased risk, we sometimes recommend preventive malaria tablets, or taking an emergency treatment with them. 
• low in the rest of the country, including Corn Islands. We recommend the use of mosquito-repellent measures from dusk till morning.

In case of fever during or after your journey, get tested for malaria as soon as possible.

Insects can transmit diseases such as dengue, chikungunya, zika, leishmaniasis and Chagas disease.

Protect yourself against insects. 

Ticks can transmit diseases.

Dogs and other mammals can be infected with rabies.

Read these tips before you leave.

Hepatitis A vaccination is recommended for all travellers.

• COVID-19
• Tetanus-diphtheria-pertussis 
• Polio  
• Measles-mumps-rubella

Discuss with your doctor whether one of the following vaccinations is recommended for you:

• Rabies
• Dengue
• Hepatitis B 
• Influenza
• Pneumococci

Yellow fever vaccination is not necessary if you are travelling from Belgium.    

Vaccination is exceptionally compulsory if you have been in certain countries in the past six days.
This vaccination must be administered at least ten days prior to arrival by an official yellow fever vaccination centre and must be registered in an International Certificate of Vaccination and Prophylaxis.