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" Region: Central America Vaccine recommendations   Disease Recommendation When to see a doctor    Typhoid *Vaccination sometimes recommended 2 weeks before travel   Hepatitis A *Vaccination sometimes recommended 2 weeks before travel   Tuberculosis *Vaccination sometimes recommended 3 months before travel   Hepatitis B *Vaccination sometimes recommended 2 months before travel   Rabies *Vaccination sometimes recommended 1 month before travel   Meningococcal meningitis Not required    Cholera Not required    Yellow fever Certificate of vaccination required if arriving from an area with a risk of yellow fever transmission 10 days before travel   Japanese B encephalitis Not required    Tick-borne encephalitis Not required     * Recommendations that are marked &amp;quot;Vaccination sometimes recommended&amp;quot; should be considered as &amp;quot;Vaccination strongly recommended&amp;quot; if a person is travelling frequently or spending extended time in that country, or if a person&amp;#039;s occupation or planned activities could put them at higher risk. It is important to get expert advice. All travellers are advised to ensure that their diphtheria, tetanus and polio vaccinations are kept up to date. A booster dose is needed if it is longer than ten years since you last had a vaccine against these diseases. Recommendations do change from time to time and it is important to discuss your personal requirements with your doctor. Malaria recommendations  The risk of malaria varies throughout the regions of South America, Central America and the Caribbean but in some areas appropriate preventive medicines are needed. Measures should always be taken to avoid mosquito bites, such as nets and creams.  Foreign travel advice Stay safe abroad - read the latest guidance on travelling to Nicaragua from the Foreign &amp;amp;amp; Commonwealth Office. Last updated 10.09.2013 "^^<http://www.w3.org/2001/XMLSchema#string>
<http://www.netdoctor.co.uk/healthy-living/home-and-travel/a5842/nicaragua/>