Significantly below western standards, the Guyana health care system is available for minor medical conditions only. Even compared with other neighbouring countries, Guyana ranks poorly in regard to basic health indicators. Things are getting better though. Emergency care and hospitalization for major medical illnesses or surgery is limited, due to a lack of appropriately trained specialists, below standard in-hospital care, and poor sanitation. Make sure your health care insurance will cover you in Guyana. You also need to get the various necessary vaccinations and take precautions against Malaria.