Some mosquitoes on Montserrat are infected with the Zika virus and are spreading it to people. Protect yourself with a good insect repellent containing at least 25% DEET at all times. Pregnant women should not travel to Montserrat because of the risk of Zika-related birth defects.
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Before You Go
Aside from routine vaccinations – measles-mumps-rubella (MMR), diphtheria-tetanus-pertussis, chickenpox, polio – the US-based Center for Disease Control (CDC) recommends vaccinations against hepatitis A and typhoid for most travelers to Montserrat.
The government of Montserrat requires proof of yellow fever vaccination if you are arriving from a country with risk of yellow fever.
For details see wwwnc.cdc.gov/travel/destinations/traveler/none/montserrat.
If your health insurance does not cover you for medical expenses while in Montserrat, it's recommended that you take out supplemental insurance. Be sure to get a policy that also covers emergency repatriation.
Hospital and clinics may not accept medical travel insurance as payment for treatment. In that case, you need to foot the bill upfront and get reimbursed by your insurer later on.
Note that some policies specifically exclude dangerous activities, such as scuba diving, trekking and mountain biking. If you plan on engaging in any of those, make sure you're covered.
Availability & Cost of Healthcare
Only basic medical care is available on Montserrat, the best option is St John's Hospital. The nearest full-service hospital is in Antigua, the nearest hyperbaric chamber in Guadeloupe.
The US-based Center for Disease Control (CDC) recommends avoiding tap water, but the Montserrat Tourist Board claims the island has one of the purest supplies of drinking water and that it’s perfectly safe to drink from the tap. Bottled water is cheap and widely available.