North and Central America and Caribbean

Medical treatment can be very expensive and serious cases are transferred overseas (usually to Miami or Martinique) incurring air ambulance costs.

In the event of a medical evacuation to Martinique, you may be entitled to emergency medical treatment on the same terms as residents of Martinique if you have a European Health Insurance Card (EHIC) which was issued in the UK or France. The EHIC provides emergency health cover for treatment in Guadeloupe by the French state health service for which you will have to pay but for which you will be able to claim back up to 70% of the costs on your return to the UK. For more general information see EHIC.

Dengue fever is common to Latin America and the Caribbean and can occur throughout the year.

You should exercise normal precautions to avoid exposure to HIV/AIDS. For more general information on how to do this see HIV and AIDS.

You should seek medical advice before travelling to St Lucia and ensure that all appropriate vaccinations are up-to-date.  For further information on vaccination requirements, health outbreaks and general disease protection and prevention you should visit the websites of the National Travel Health Network and Centre NaTHNaC and NHS Scotland's Fit For Travel or call NHS Direct on 0845 46 47.

For more general health information see Travel Health and Swine Flu and UK Department of Health.  You should also monitor local media reports for any developments and advice.