Staying healthy in Guatemala involves some common-sense precautions and a few destination-specific ones.
Despite relatively low costs for health care, it is generally recommended that travelers to Guatemala take out travel insurance, which almost always covers medical costs. Check your policy carefully to see what is and is not covered before buying.
Discuss your requirements with your doctor, but the vaccines that are usually recommended for travel to Central America are hepatitis A and B and typhoid. If you are planning to spend time handling animals or exploring caves, consider getting vaccinated for rabies.
Larger towns have both public (cheap, with long waiting times) and private (expensive, but faster) hospitals, often with doctors who speak at least a little English. In smaller towns there will be a health clinic, and in villages there is usually a doctor. Guatemala City naturally has the best range of health services in the country.
Health care is relatively cheap in Guatemala (around Q25 for a standard doctor’s consultation).
While 'medical tourism' is taking off in Guatemala (dentistry, for example, is a serious bargain compared to what you will pay elsewhere), if you have a serious complaint that does not require immediate attention, consider returning to your home country for treatment.
By far the most common health issue that travelers to Guatemala experience is stomach-related. This can range from serious diseases such as cholera to simple cases of diarrhea. Watch what you eat, drink and generally put in your mouth. Here are a few simple guidelines to keep you out of the bathroom and on the road:
Mosquitoes can transmit two serious diseases: malaria and dengue fever. Malaria tablets are available and recommended if you are planning to travel in rural areas at altitudes lower than 1500m, especially in the rainy season (June to November). It’s worth noting that there is no malaria risk in Antigua or around Lake Atitlán. The best prevention against mosquito-borne diseases is to avoid getting bitten. In high-risk areas this means a DEET–based insect repellent (bring one from home), long sleeves and pant legs, avoiding being outside around sunrise and sunset, and checking window screens and mosquito nets in hotel rooms for holes.
In late 2015 it was reported that the Zika virus had reached Guatemala, and by early 2016 there were over 100 confirmed cases. Also spread by mosquitoes, Zika's symptoms include fever, rash, joint pain and red eyes, and sufferers tend to recover after a week or so. Complications for pregnant women and infants are more serious – see the Center for Disease Control website (www.cdc.gov) for details. As with other mosquito-borne diseases, the best prevention is not getting bitten.
While many Guatemalans drink the tap water (often through necessity rather than choice), it is not recommended that foreigners do so. Purified water is cheap and readily available in tourist areas and many back-country regions as well, and picking up a stomach bug is no fun.