Time Zone: -5 hours. No daylight saving time in 2008
Tel. Country Code: 345
USADirect Tel.: 1
Electrical Standards: Electrical Current 110/60 (voltz/hz). North American Style Adaptor Plug. Grounding Adaptor Plug A.
Travel Advisory - Cayman Islands
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 Cayman Islands
The U.S. Consular Agency in George Town, Grand Cayman is located at 222 Micro Centre. Hours of operation are Monday, Wednesday, Friday 7:30 a.m. to 11:00 a.m. and Tuesday and Thursday 12:00 p.m. to 3:30 p.m. The phone number is (345) 945-8173, fax (345) 945-8192, e-mail firstname.lastname@example.org. The agency is closed on official U.S. and Cayman Islands holidays.
The Consular Section of the U.S. Embassy is located in the Life of Jamaica Building at 16 Oxford Road, Kingston, Jamaica. The phone number is (876) 935-6044. Office hours are Monday through Friday (except Jamaican and U.S. holidays), 7:15 a.m. to 4:00 p.m., with window services 8:30 to 11:30 a.m. Both the Consular Agency and Embassy may provide updated information on travel and security within the Cayman Islands. The Embassy website is http://usembassy.state.gov/kingston/.
The Cayman Islands does not maintain an embassy in the United States or Canada.
Passport/Visa: The Cayman Islands are a British dependent territory consisting of three main islands with a total area of approximately 100 square miles and located about 500 miles west of Jamaica. There is an international airport located in Grand Cayman, and facilities for tourists are widely available. The U.S. Embassy in Kingston, Jamaica has consular responsibility for the Cayman Islands. For information travelers may contact Cayman Islands Department of Tourism offices in Miami at (305) 599-9033, New York (212) 889-9009, Houston (713) 461-1317 and Chicago (630) 705-0650; or via the Internet at http://www.caymanislands.ky.
For information travelers may contact Cayman Islands Department of Tourism offices in Miami at (305) 599-9033, New York (212) 889-9009, Houston (713) 461-1317 and Chicago (630) 705-0650; or via the Internet at http://www.caymanislands.ky. See our Foreign Entry Requirements brochure for more information on the Cayman Islands and other countries.
Sea travelers must have a valid U.S. passport (or other original proof of U.S. citizenship, such as a certified U.S. birth certificate with a government-issued photo ID). While a U.S. passport is not mandatory for sea travel, it is recommended since it is a more readily recognized form of positive proof of citizenship. Persons traveling with U.S. passports tend to encounter fewer difficulties when departing than those who choose to use other documents.
HIV Test: Not required.
Required Vaccinations: None required.
The Cayman Islands are a British dependent territory consisting of three main islands with a total area of approximately 100 square miles and located about 500 miles west of Jamaica. There is an international airport located in Grand Cayman, and facilities for tourists are widely available. The U.S. Embassy in Kingston, Jamaica has consular responsibility for the Cayman Islands. For information travelers may contact Cayman Islands Department of Tourism offices in Miami at (305) 599-9033, New York (212) 889-9009, Houston (713) 461-1317 and Chicago (630) 705-0650; or via the Internet at http://www.caymanislands.ky. For information travelers may contact Cayman Islands Department of Tourism offices in Miami at (305) 599-9033, New York (212) 889-9009, Houston (713) 461-1317 and Chicago (630) 705-0650; or via the Internet at http://www.caymanislands.ky. See our Foreign Entry Requirements brochure for more information on the Cayman Islands and other countries. Sea travelers must have a valid U.S. passport (or other original proof of U.S. citizenship, such as a certified U.S. birth certificate with a government-issued photo ID). While a U.S. passport is not mandatory for sea travel, it is recommended since it is a more readily recognized form of positive proof of citizenship. Persons traveling with U.S. passports tend to encounter fewer difficulties when departing than those who choose to use other documents.
Vaccinations: Recommended and Routine
Hepatitis A: Recommended for all travelers >1 year of age.
Hepatitis B: Recommended for all non-immune travelers who might be exposed to blood or body fluids from unsafe/unprotected sexual contact; from injecting drug use with shared/re-used needles and syringes; from medical treatment with non-sterile (re-used) needles and syringes. Recommended for any traveler requesting protection against hepatitis B infection.
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 unvaccinated people 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.
Hospitals / Doctors
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. Serious illness or injury may require medical evacuation to Miami.
The Health Services Authority provides care through the 124-bed Cayman Islands Hospital (104 inpatient and 12 observation beds) and the 18-bed Faith Hospital on Cayman Brac. Ancillary services are offered at district health centres, and clinics for dental and eye care.
• Cayman Islands Hospital
Two-storey facility with 124 beds. It offers accident and emergency services; a wide range of surgical services; a Critical Care Unit, physiotherapy; a pharmacy; a central sterilisation unit; and laboratory services, including a state-of-the-art forensic unit - along with many other facilities a person would expect in a modern health care setting. 24-hour emergency services.
• Faith Hospital is a community hospital, serving the residents of Cayman Brac and Little Cayman. The Hospital, an 18-bed facility provides primary, secondary, and emergency care.
• Chrissie Tomlinson Memorial Hospital
Tel:  949 6066
Privately-owned facility. They have outpatient clinics in family medicine, general surgery, cardiology, paediatrics, dermatology, ENT, and Ob/Gyn.
The Urgent Care Clinic is available 24 hours for lacerations, fractures, respiratory infections, and other medical and minor surgical problems.
• Cayman Hyperbaric Services’ team of 30 qualified and dedicated part-time operators and attendants operate Cayman’s only decompression chamber which is located at the Cayman Islands Hospital. The unit is readily available 24 hours a day, 365 days a year on an on-call basis to treat diving emergencies and other elective medical problems.
Tel:  949-8600, extension 2579, or 949-2989.
Destination Health Info for Travelers
AIDS/HIV: Heterosexual sex, including commercial sex, is now the main route of transmission throughout the Caribbean and women and young people are particularly vulnerable. It is estimated that men who have sex with men (MSM) account for at least 10% of infections, but the actual proportion is probably higher, due to denial and under-reporting. Within the Caribbean, each country faces a unique situation. At one extreme, Haiti has the highest HIV prevalence in the entire western hemisphere (3.8%); at the other, Cuba has one of the lowest (0.1%). The Bahamas (3.3%), Trinidad and Tobago (2.6%) and Guyana (2.4%) are all heavily affected, while Puerto Rico is the only Caribbean country apart from Cuba where it is thought that less than 1% of the population is living with HIV. There are signs that the epidemic is receding in parts of Jamaica, Barbados and the Bahamas. In Trinidad and Tobago, Suriname and Guyana, however, there are no signs that the spread of HIV is slowing. Furthermore, HIV surveillance in the Caribbean is generally considered inadequate, so these reported trends are only vague indicators. Both HIV prevalence and AIDS cases are thought to be widely underestimated in the region. (Source: www.Avert.org)
• No official data on the prevalence of HIV/AIDS in the Cayman Islands is currently available but the incidence appears to be low; less than one pregnant woman in 500 tests positive for HIV.
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: Low risk, year-round. Dengue fever, however, is again being reported from this country. (Until 1989, the Cayman Islands were disease-free.) Dengue fever is a mosquito-transmitted, flu-like viral illness occurring throughout the Caribbean. Symptoms consist of sudden onset of fever, headache, muscle aches, and a rash. A syndrome of hemorrhagic shock can occur in severe cases. Dengue is transmitted via the bite of an infected Aedes aegypti mosquito. Aedes mosquitoes feed predominantly during daylight hours.
• You 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 your clothing and gear. There is no vaccination or medication to prevent or treat dengue.
Recent information about the incidence of dengue in the Cayman Islands is here: http://www.hsa.ky/index.aspx
A world dengue fever map is at: http://www.nathnac.org/ds/c_pages/documents/dengue_map.pdf
Another map of endemic areas is here: http://www.phac-aspc.gc.ca/tmp-pmv/2008/gfx/dengue080428-eng.gif
Hepatitis: 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. Sporadic cases may be underdiagnosed or underreported. Transmission of the hepatitis E virus (HEV) occurs primarily through drinking water contaminated by sewage and also through raw or uncooked shellfish. Farm animals, such as swine, and also deer and wild boar, may serve as a viral reservoirs. (HEV is one of the few viruses which has been shown to be transmitted directly from animals through food.) 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 moderately endemic. The overall hepatitis B (HBsAg) carrier rate in the general population is estimated at 2% 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 is at 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 but the prevalence is not well documented. 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.
Influenza: Influenza is transmitted year-round in the tropics. The flu vaccine is recommended for all travelers over age 6 months.
Marine Hazards: Swimming related hazards include jellyfish, spiny sea urchins, and sharp coral.
• Ciguatera poisoning occurs and can result from eating coral reef fish such as grouper, snapper, sea bass, jack, and barracuda. The ciguatoxin is not destroyed by cooking.
• 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 the DAN Emergency Hotline:  919-684-8111 or  919-684-4DAN (Collect).
• A decompression chamber is located at the Cayman Islands Hospital.
Tel: 949-8600, extension 2579, or 949-2989.
Rabies: The Cayman Islands is presumed to be rabies-free. All animal bite wounds, however, especially from a dog, should be thoroughly cleansed with soap and water and then medically evaluated for possible post-exposure treatment.
Travelers' Diarrhea: Low to medium risk. Hotel food and water is considered generally safe in this country. Outside of hotels and resorts, we recommend that you filter or purify all drinking water or drink only bottled water or other bottled beverages and do not use ice cubes. Avoid unpasteurized dairy products. Do not eat raw or undercooked food, especially meat, fish, raw vegetables. Peel all fruits.
• Good hand hygiene reduces the incidence of travelers’ diarrhea by 30%.
• A quinolone antibiotic, azithromycin, or rifaximin (Xifaxin), combined with loperamide (Imodium), is recommended for the treatment of diarrhea. Diarrhea not responding to antibiotic treatment may be due to a parasitic disease such as giardiasis, amebiasis, or cryptosporidiosis.
• Seek qualified medical care if you have bloody diarrhea and fever, severe abdominal pain, uncontrolled vomiting, or dehydration.
Typhoid Fever: Typhoid fever is the most serious of the Salmonella infections. Typhoid vaccine is recommended by the CDC for all people (with the exception of short-term visitors who restrict their meals to hotels or resorts and cruise ship passenger) 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.