International Certificate of Vaccination for Yellow Fever is required upon arrival by all nationals above 1 year of age.

Following WHO guidelines issued in 1973, a cholera vaccination certificate is no longer a condition of entry to Ghana . However, it is reported in areas of the country and precautions are essential.

Malaria exists throughout the year in all areas including urban areas. Resistance to Chloroquine is confirmed.

Immunisation against typhoid is usually advised.

Visitors are advised to buy bottled drinking water, which is widely available.

Milk is unpasteurised and should be boiled. Powdered or tinned milk is available and is advised, but make sure that it is reconstituted with pure water. Avoid dairy products which are likely to have been made from unboiled milk. Only eat well-cooked meat and fish, preferably served hot. Pork, salad and mayonnaise may carry increased risk. Vegetables should be cooked and fruit peeled.

Other risks:  Diarrhoeal diseases , including giardiasis , and typhoid fevers are common. Bilharzia ( schistosomiasis ) is present. Avoid swimming and paddling in fresh water; swimming pools that are well chlorinated and maintained are safe.

Health care:  Health insurance is essential, preferably with cover for emergency evacuation. Good medical facilities are found in all the cities and major towns, but facilities outside urban areas are poor and emergency services are limited. Medical insurance is advised and should cover medical evacuation.