Managua Practical information

Health & safety

Dangers & annoyances

Managuans seem almost proud that the city is dangerous; strangers will warn you constantly to watch your bag and back, not realizing their own friendly concern is the norm. Statistically, Managua is the safest Central American capital (though it sure doesn't feel like it); most travelers have no problems.

Still, as a 'rich foreigner' you will be targeted, so be smart. Around Tica Bus, Barrio Martha Quezada and Plaza Inter Mall, just assume that you are being watched. Stay alert, walk confidently, and leave backpacks, purses, passports and important documents in your hotel. ATM machines are under constant surveillance - see those adorable tots on bicycles? Yeah, them. Take a taxi after banking or shopping, not to mention after dark, even if it is just a few blocks. The unlit streets between the mall and Barrio Martha Quezada are particularly dangerous.

'Guides' and taxi drivers who meet the international buses will do anything to steer you toward hotels that give them a cut. Just tell them (politely - they're friends with all the muggers) that you have reservations.

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While you're there

Medical services

There are scores of pharmacies, some open 24 hours (just knock), and nine hospitals in Managua, including:

Hospital Alemán-Nicaragüense (249 3368; Km 6 Carr Norte) Has some German-speaking staff and modern equipment.

Hospital Bautista(249 7070, 249 7277) This was Managua's best hospital, and still has much of the country's top health-care facilities; some staff members speak English.

Hospital Metropolitano Vivian Pellas (255 6900; www.metropolitano.com.ni; Km 9.75 Carr Masaya) This new, US$23 million state-of-the-art hospital is Central America's most advanced, with one of the best child burn units in the world. Pellas, matriarch of Nicaragua's wealthiest family - Flor de Caña rum, Toña and Victoria beer, Toyota, Dollar, Credomatic, BAC, and that's just for starters - was burned on over 40% of her body in a horrific 1991 plane crash that killed 150 people, and decided to make sure that others in her situation would get the best treatment possible.

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