A yellow fever vaccination certificate is required from travelers over 1 year of age coming from countries with areas with risk of yellow fever transmission. Your health care provider may offer you vaccinations against hepatitis A, hepatitis B, influenza, rabies, or typhoid. Routine immunizations, such as those that prevent tetanus/diphtheria or "childhood" diseases, should be reviewed and updated as needed.

High risk of Malaria exists throughout the year in rural lowland areas. There is no risk in tourist areas of the central highlands of Guatamala (e.g., Lake Atitlan, Panajachel, Antigua, and Chichicastenango). .

Hepatitis A and typhoid fever, are transmitted by unsanitary food handling procedures and contaminated water. Food and beverage precautions are essential in order to reduce chance of illness. Anti-diarrheal drugs may be of assistance.

Enteric diseases, including amebic and bacillary dysenteries, are extremely common.

Insect-borne diseases: Mosquitoes and flies transmit a variety of diseases in this country, including malaria, dengue fever, and leishmaniasis. Personal protective measures are extremely important since insects cannot be avoided.

A high percentage of sex workers are estimated to be HIV positive.

Tuberculosis is common in all developing countries. This region, while not in the highest risk category, has a high prevalence.Travelers planning to stay more than 3 months should have pre-departure PPD skin test status documented. Those who expect to have close contact with the local populace should be tested if staying more than 1 month. Travelers should avoid persons who are coughing in crowded public places whenever possible. Domestic help should be screened for TB.

Please visit: http://www.who.int/countries/en/ for specific country information.