Health & Vaccinations

The Dominican Republic is not a dangerous travel destination — but you should take some health issues seriously.

Vaccinations

No mandatory vaccinations for entry from Germany (except yellow fever if entering from a yellow fever area). Recommended are:

• Standard: Tetanus, Diphtheria, Polio, Measles (check booster!)
• Recommended: Hepatitis A (strongly!), Hepatitis B
• For longer stays/adventure travel: Typhoid, Rabies
• COVID-19: No vaccination requirement upon entry (as of 2025)

Drinking Water

NEVER drink tap water! This applies without exception — not even for brushing teeth in budget hotels. Only bottled water (Agua Purificada) or water from Garrafones (large 5-gallon bottles found everywhere). In hotels and resorts: Tap water is safe for showering but not for drinking. Ice in restaurants and resorts is generally made from purified water (but be cautious at street stalls).

Gastrointestinal

The "Dominican Diarrhea" (Diarrea del Viajero) affects many travelers in the first 2–3 days — usually harmless but annoying. Causes: different water, spicier spices, unfamiliar bacteria. Prevention: No tap water, be cautious with salads and unpeeled fruit at street stalls, wash hands often. In case of emergency: Imodium + ORS (Oral Rehydration Salts), available at any pharmacy.

Mosquitoes & Dengue

Dengue fever is endemic in the Dominican Republic — especially during the rainy season (June–November). There is no vaccine and no prophylaxis. Protection: Mosquito spray with DEET (30–50%), long clothing at dusk, air conditioning in the room. Malaria is practically eliminated in the Dominican Republic — no prophylaxis needed. Chikungunya and Zika occur occasionally (pregnant women should seek advice).

Sun & Heat

The tropical sun is significantly more intense than in Europe — even on cloudy days. Sunburn happens in 15–20 minutes. Sunscreen SPF 50+ (preferably coral-friendly), hat, and sunglasses are mandatory. Drink at least 2–3 liters of water a day. Heatstroke and sunstroke are real dangers, especially during activities like hiking or horseback riding.

Medical Care

• In tourist centers: Good private clinics (Clínicas) with English-speaking doctors. Centro Médico Punta Cana, Hospiten Bavaro, CECANOT in Santo Domingo
• In rural areas: Basic care in public hospitals, but limited. For serious problems: Transfer to the nearest city
• Pharmacies (Farmacias): Well-stocked, many things available without prescription (antibiotics, painkillers). Farmacias Carol and Farmacia La Economía are the largest chains