Health and Safety
Health concerns are minimal in the Cayman Islands, and Grand Cayman offers some of the Caribbean's finest medical facilities. Though there have been isolated cases of dengue fever (one or two annually, contracted elsewhere), the last on-island outbreak was in 2005. The CDC does recommend hepatitis A and typhoid vaccinations to be on the safe side. Airlift to Miami for serious emergencies is available. Physicians are highly qualified and speak English. Be sure to pack prescription medications; consider wearing a MedicAlert ID tag if you suffer from such chronic conditions as diabetes, epilepsy, or heart disease. Though many hospitals offer reciprocity with U.S. insurers, you can also purchase medical-only insurance. Tap water is perfectly safe to drink throughout all three islands. Be sure to wash fruit thoroughly or, better yet, peel it before eating. The subtropic sun can be fierce, especially at midday. Be sure to wear sunglasses and a hat, and use high-SPF sunscreen (most U.S. brands are available). Beware of dehydration and heat stroke; take it easy the first couple of days. Insects can be a real nuisance during the wet season (July–November); bring along repellent to ward off mosquitoes and sand flies. Shops also stock numerous name brands.
COVID-19
A novel coronavirus brought all travel to a virtual standstill in the first half of 2020. Although the illness is mild in most people, some experience severe and even life-threatening complications. Once travel started up again, albeit slowly and cautiously, travelers were asked to be particularly careful about hygiene and to avoid any unnecessary travel, especially if they are sick.
Older adults, especially those over 65, have a greater chance of having severe complications from COVID-19. The same is true for people with weaker immune systems or those living with some types of medical conditions, including diabetes, asthma, heart disease, cancer, HIV/AIDS, kidney disease, and liver disease. Starting two weeks before a trip, anyone planning to travel should be on the lookout for some of the following symptoms: cough, fever, chills, trouble breathing, muscle pain, sore throat, new loss of smell or taste. If you experience any of these symptoms, you should not travel at all.
And to protect yourself during travel, do your best to avoid contact with people showing symptoms. Wash your hands often with soap and water. Limit your time in public places, and, when you are out and about, wear a cloth face mask that covers your nose and mouth. Indeed, a mask may be required in some places, such as on an airplane or in a confined space like a theater, where you share the space with a lot of people. You may wish to bring extra supplies, such as disinfecting wipes, hand sanitizer (12-ounce bottles were allowed in carry-on luggage at this writing), and a first-aid kit with a thermometer.
Given how abruptly travel was curtailed in March 2020, it is wise to consider protecting yourself by purchasing a travel insurance policy that will reimburse you for any costs related to COVID-19 related cancellations. Not all travel insurance policies protect against pandemic-related cancellations, so always read the fine print.
Crime
Though crime isn't a major problem in the Cayman Islands, take normal precautions. Lock your room, and don't leave valuables—particularly passports, tickets, and wallets—in plain sight or unattended on the beach. Use your hotel safe. Don't carry too much money or flaunt expensive jewelry on the street. For personal safety, avoid walking on the beach or on unlighted streets at night. Lock your rental car, and don't pick up hitchhikers. Using or trafficking in illegal drugs is strictly prohibited in the Cayman Islands. Any offense is punishable by a hefty fine, imprisonment, or both.