Time Zone: -4 hours. No daylight saving time in 2008.
Tel. Country Code: 1
USADirect Tel.: 1
Electrical Standards: Electrical current 240/50 (voltz/hz). North American Style Adaptor Plug and United Kingdom Style Adaptor Plugs. Grounding Adaptors Plugs A, C.
Travel Advisory - Anguilla
Travelers to Central and South America and the Caribbean need to protect themselves against mosquito-transmitted viruses, such as dengue and Zika, as well as nighttime biting mosquitoes in countries where there is the threat of malaria. I recommend all travelers use a combination of DEET or Picaridin repellent on their skin and Permethrin fabric insecticide on their clothing for greater than 99% protection against mosquito and tick bites.
Dr. Rose Recommends for Travel to Anguilla
Anguilla is a British Overseas Territory. There is no formal British diplomatic or consular representation in Anguilla and the local authorities deal with all requests for consular assistance. Neither the United States nor Canada has an embassy in Anguilla. U.S diplomatic matters are handled by the U.S. Embassy in Nassau.
• U.S. Embassy
Tel:  (242) 322-1181, after hours Tel:  (242) 328-2206
The Canadian High Commission in Barbados provides services to the six OECS countries (Antigua and Barbuda, Dominica, Grenada, Kitts and Nevis, Saint Lucia, St. Vincent and the Grenadines), and the three British overseas territories (Anguilla, British Virgin Islands and Montserrat) in the region. They also offer consular and trade services in Guadeloupe, Martinique, Saint-Martin and Sint Maarten.
• The Canadian High Commission
Bishop's Court Hill
Tel:  (242) 429-3550
Fax:  (242) 429-3780
Overseas Territories of the UK include Anguilla, Montserrat, Cayman Islands, Turks and Caicos.
Anguilla is an internally self-governing British Overseas Territory and as such there is no formal British Consular Representation. The Governor's Office (Tel:  497 2621/2) will assist British nationals in a genuine emergency, but all enquiries regarding passport services should be made to the British High Commission in Bridgetown, Barbados at the address shown below.
• British High Commission
Lower Collymore Rock
Tel:  (242) 430 7800
Fax:  (242) 430 7860
• Passport/Visa: Overseas Territory of the UK - These Territories include Anguilla, Montserrat, Cayman Islands, Turks and Caicos. Proof of U.S. citizenship, photo ID, onward/return ticket and sufficient funds required for tourist stay up to 6 months. Consult the British Embassy in the U.S. for further information (202/588-7800).
HIV Test: Not required.
Required Vaccinations: Proof of yellow fever vaccination is required of all travelers >1 year of age arriving from any country in the yellow fever endemic zones.
Passport required. For information, travelers may contact the British Embassy, 19 Observatory Circle N.W., Washington, D.C. 20008; telephone (202) 588-7800; or the nearest consulate of the United Kingdom in Atlanta, Boston, Chicago, Dallas, Los Angeles, New York, Denver, Houston, Miami, Orlando, Seattle, or San Francisco. Visit the British Embassy's web site at http://www.britainusa.com/ for the most current visa information.
Vaccinations: Recommended and Routine
Hepatitis A: Recommended for all travelers >1 year of age not previously immunized against hepatitis A.
Hepatitis B: Recommended for all non-immune travelers at potential risk for acquiring this infection. Hepatitis B is transmitted via infected blood or bodily fluids. Travelers may be exposed by needle sharing and unprotected sex; when receiving non-sterile medical or dental injections, or unscreened blood transfusions; by direct contact with open skin sores on an infected person. Recommended for long-term travelers, expatriates, and any traveler requesting protection against hepatitis B infection.
Influenza: Vaccination recommended for all travelers >6 months of age who have not received a flu shot in the previous 12 months.
Routine Immunizations: Immunizations against tetanus-diphtheria, measles, mumps, rubella (MMR vaccine) and varicella (chickenpox) should be updated, if necessary, before departure. MMR protection is especially important for any female of childbearing age who may become pregnant.
• The new Tdap vaccine, ADACEL, which also boosts immunity against pertussis (whooping cough) should be considered when a tetanus-diphtheria booster is indicated.
Typhoid: Recommended for all travelers with the exception of short-term visitors who restrict their meals to major restaurants and hotels.
Yellow Fever: Travelers >1 year of age entering the country from an endemic area are required to present a certificate of immunization against yellow fever.
Hospitals / Doctors
Medical care on Anguilla is adequate, but limited, with just one small hospital and three private clinics on the Island.
All travelers should be up-to-date on their immunizations and are advised to carry a medical kit as well as antibiotics to treat travelers• diarrhea or other infections. Travelers who are taking regular medications should carry them properly labeled and in sufficient quantity to last for the duration of their trip; they should not expect to obtain prescription or over-the-counter drugs in local stores or pharmacies in this country - the equivalent drugs may not be available.
• Travelers are advised to obtain comprehensive travel insurance with specific overseas coverage. Policies should cover: ground and air ambulance transport, including evacuation to home country; payment of hospital bills; 24-hour telephone assistance. When a serious illness or injury can't be treated adequately in this country, most travelers are evacuated by air ambulance to Miami.
There is no recompression chamber for divers on Anguilla. The closest recompression/hyperbaric chamber is located in Saba, a distance of 38 miles.
Facilities used by travelers include:
• Princess Alexandra Hospital
Tel.  (242) 497-2551
Routine medical and surgical care as well as 24-hour emergency services.
• Hughes Medical Centre
Lower South Hill
Tel:  (242) 497-3053
Multi-specialty complex providing plastic and reconstructive surgery, ambulatory general surgery, gynecological surgery (including laparoscopic surgery), family practice and radiologic services, (x-rays, mammography, ultrasounds).
• Dialysis services are offered by Hotel de Health, Palm Court at Sea Feathers Bay, Anguilla
Tel:  (242) 497-4166
Destination Health Info for Travelers
AIDS/HIV: The Caribbean has a well-established HIV epidemic and the incidence of HIV/AIDS in the region is now second only to sub-Saharan Africa, making the region the second most affected in the world. The prevalence of HIV in the Caribbean is estimated to be between 1.1% and 2.2%. The Bahamas and Haiti are most affected countries, with incidence rates exceeding 3%. Trinidad and Tobago’s national adult incidence of HIV exceeds 2%. The United Nations does not currently publish HIV/AIDS epidemiological fact sheets for Anguilla and thus specific HIV/AIDS data are not available for this country.
• Transmission of HIV can be prevented by avoiding: sexual contact with a high-risk partner; injecting drug use with shared needles; non-sterile medical injections; unscreened blood transfusions.
• The threat of HIV/AIDS should not be a primary concern for the traveler. However, there may be a concern for a subset of travelers who may be exposed to HIV, the virus that causes AIDS, through contact with another person’s body fluids or blood. Although travel has contributed in a general way to the global spread of AIDS, fear of traveling because of this disease is not warranted.
Accidents & Medical Insurance: Accidents and injuries are the leading cause of death among travelers under the age of 55 and are most often caused by motor vehicle and motorcycle crashes; drownings, aircraft crashes, homicides, and burns are lesser causes.
• Heart attacks cause most fatalities in older travelers.
• Infections cause only 1% of fatalities in overseas travelers, but, overall, infections are the most common cause of travel-related illness.
• Travelers are advised to obtain, prior to departure, supplemental travel health insurance with specific overseas coverage. The policy should provide for direct payment to the overseas hospital and/or physician at the time of service and include a medical evacuation benefit. The policy should also provide 24-hour hotline access to a multilingual assistance center that can help arrange and monitor delivery of medical care and determine if medevac or air ambulance services are required.
Dengue Fever: Dengue fever is a mosquito-transmitted, flu-like viral illness widespread in the Caribbean and is the most common cause of fever in travelers returned from this region. Symptoms consist of sudden onset of fever, headache, muscle aches, and a rash. It is sometimes complicated by hemorrhage or shock. Dengue is transmitted via the bite of an infected Aedes aegypti mosquito. Aedes mosquitoes feed predominantly during daylight hours.
• All travelers are at risk and should take measures to prevent daytime mosquito bites. Insect-bite prevention measures include applying a DEET-containing repellent to exposed skin and applying permethrin spray or solution to clothing and gear.
• There is no vaccination or medication to prevent or treat dengue.
A dengue fever map is at:http://www.nathnac.org/ds/c_pages/documents/dengue_map.pdf
Food-Borne Disease: Mains water on Anguilla is chlorinated, but bottled water is available and recommended for visitors. All food on the island is safe to eat. Travelers should be aware that some types of tropical reef fish are poisonous, even when cooked.
• Ciguatera poisoning is prevalent and can result from eating coral reef fish such as grouper, snapper, sea bass, jack, and barracuda. The ciguatoxin is not destroyed by cooking.
Hepatitis: There is a low to moderate risk of hepatitis A. All travelers not previously immunized against hepatitis A should be vaccinated against this disease. Travelers who are non-immune to hepatitis A (i.e. have never had the disease and have not been vaccinated) should take particular care to avoid potentially contaminated food and water. Travelers who will have access to safe food and water are at lower risk. Those at higher risk include travelers visiting friends and relatives, long-term travelers, and those visiting areas of poor sanitation.
• Hepatitis E may be endemic, but levels are unclear. Transmission of the hepatitis E virus (HEV) occurs primarily through drinking water contaminated by sewage and also through raw or uncooked shellfish. Farm animals may serve as a viral reservoir. In developing countries, prevention of hepatitis E relies primarily on the provision of clean water supplies and overall improved sanitation and hygiene. There is no vaccine.
• Hepatitis B is hyperendemic. The overall hepatitis B (HBsAg) carrier rate in the general population is estimated at 5% to 7%. Hepatitis B is transmitted via infected blood or bodily fluids. Travelers may be exposed by needle sharing and unprotected sex; from non-sterile medical or dental injections, and acupuncture; from unscreened blood transfusions; by direct contact with open skin lesions of an infected person. The average traveler at is low risk for acquiring this infection. Vaccination against hepatitis B is recommended for: persons having casual/unprotected sex with new partners; sexual tourists; injecting drug users; long-term visitors; expatriates, and anybody wanting increased protection against the hepatitis B virus.
• Hepatitis C is endemic at a low, but undetermined, level in the general population. Most hepatitis C virus (HCV) is spread either through intravenous drug use or, in lesser-developed countries, through blood contamination during medical procedures. Over 200 million people around the world are infected with hepatitis C - an overall incidence of around 3.3% of the population of the world. Statistically, as many people are infected with HCV as are with HIV, the virus that causes AIDS.
Malaria: There is no risk of malaria in Anguilla.
Marine Hazards: Swimming related hazards include jellyfish, Portuguese Man-o-War, sharp coral, fire coral, poisonous sponges (the red fire sponge and the touch-me-not), bristle worm, sea urchins, scorpionfish, puffer fish, Moray eel, stingrays, barracudas and sharks. There are no sea snakes in the Caribbean Sea.
• Scuba Diving-Hyperbaric Chamber Referral: Divers Alert Network (DAN) maintains an up-to-date list of all functioning hyperbaric chambers in North America and the Caribbean. DAN does not publish this list, since at any one time a given chamber may be non-functioning, or its operator(s) may be away or otherwise unavailable. Through Duke University, DAN operates a 24-hour emergency phone line for anyone (members and non-members) to call and ask for diving accident assistance. Dive medicine physicians at Duke University Medical Center carry beepers, so someone is always on call to answer questions and, if necessary, make referral to the closest functioning hyperbaric chamber. In a diving emergency, or for the location of the nearest decompression chamber, call 919-684-8111.
Rabies: Anguilla is considered to be rabies-free, but stray and sometimes viscous dogs may be encountered. All unprovoked animal bites should be medically evaluated for possible post-exposure treatment.
Travelers' Diarrhea: Low to moderate risk. A quinolone antibiotic, azithromycin, or rifaximin (Xifaxan), combined with loperamide (Imodium), is recommended for the treatment of acute diarrhea. Diarrhea not responding to antibiotic treatment may be due to a parasitic disease such as giardiasis, amebiasis, or cryptosporidiosis.
Typhoid Fever: Typhoid is the most serious of the Salmonella infections. Typhoid vaccine is recommended by the CDC for all people (except short-stay visitors and cruise ship passengers) traveling to or working in the Caribbean, especially if visiting smaller cities, villages, or rural areas and staying with friends or relatives where exposure might occur through food or water. Current vaccines against Salmonella typhi are only 50-80% protective and do not protect against Salmonella paratyphi, the cause of paratyphoid fever. (Paratyphoid fever bears similarities with typhoid fever, but the course is generally more benign.) Travelers should continue to practice strict food, water and personal hygiene precautions, even if vaccinated.
Yellow Fever: There is no risk of yellow fever in this country, however, there is a certificate of vaccination requirement if arriving from a country where there is risk of yellow fever. (Endemic Zone country.)