Health in El Salvador: vaccines, water, medical care and insurance

Check that your routine immunisations (MMR, DTP, polio, seasonal flu) are up to date before travel.

Hepatitis A vaccine is advised for all visitors because the virus spreads via food and water.

Hepatitis B is advisable if you may have medical procedures, tattoos, or sexual contact with locals.

Typhoid vaccine (injectable or oral) is useful if you plan to eat street food or drink untreated water.

Rabies vaccination is only needed for high‑risk activities such as caving, wildlife handling, or extended rural stays.

Tap water is not consistently treated; use bottled water, boil tap water for at least one minute, or use a certified filter.

Avoid ice unless you know it’s made from bottled water.

Eat cooked foods served hot and peel fruit yourself. Street‑food vendors are common, but choose stalls with high turnover.

Public hospitals provide basic care; private clinics in San Salvador offer higher standards but can be costly.

Bring a travel‑insurance policy that covers hospitalisation, evacuation and COVID‑19 treatment.

Carry a small first‑aid kit, any personal medications, and a copy of your vaccination record.