Guinea-Bissau is a small country in West Africa that isn’t on most travelers’ itineraries, but it’s a fantastic destination with rich culture, wildlife, and history. However, like any country, traveling there requires some basic precautions for health and safety. In this guide, I’ll break everything down so you can have a smooth, stress-free trip.
Staying Healthy
Your health should be a priority when you’re traveling, and Guinea-Bissau is no different. It’s essential to stay healthy throughout your trip so you can make the most of your time there.
Preventing Malaria
Malaria is a major concern in Guinea-Bissau. You’ll need to take anti-malarial tablets before, during, and after your trip. Consult with your doctor to get the best prescription for you.
Also, bring insect repellent with DEET to avoid mosquito bites. Try to wear long sleeves and pants, especially in the evening when mosquitoes are most active. Sleep under a mosquito net where possible.
Water Safety
The water in Guinea-Bissau isn’t safe to drink for most travelers. Stick to bottled or filtered water. Carry a reusable water bottle with a filter if you’re moving between rural areas, and avoid ice unless you’re sure it’s from bottled water.
Food Safety
Street food is tasty, but exercise caution: choose stalls where the food is cooked fresh and served hot. Avoid raw vegetables and unpeeled fruits unless you wash them yourself with clean water.
Vaccinations

Before your trip, check with your doctor about recommended vaccinations. Here’s a quick rundown of the most important ones:
- Yellow Fever: Proof of vaccination is required to enter Guinea-Bissau.
- Hepatitis A and B: Both are strongly recommended if you plan to be adventurous with food or if you’re spending extended time in rural areas.
- Typhoid: Water and food in Guinea-Bissau can carry the bacteria that cause typhoid. This vaccine is highly advised.
- Tetanus: Make sure you’re up to date on your tetanus shot, especially if you plan to do outdoor activities.
Safety Precautions
Like any destination, it’s important to be mindful of your surroundings in Guinea-Bissau. While the country is generally peaceful, the poverty levels mean crime can be an issue. However, with basic precautions, you can avoid most problems.
Urban Safety
If you’re staying in the capital, Bissau, it’s important to be aware of petty crime, especially pickpocketing. Stick to well-lit areas at night and avoid flashing valuable items like cameras, jewelry, or large amounts of cash.
Bissau also has poor infrastructure and low police presence in some areas, so travel with a companion if possible. Stick with reputable taxis for getting around, and avoid shared taxis late at night.
Rural Safety
Traveling in rural areas is usually safe, but limited infrastructure can make healthcare and emergency services harder to access. Make sure you’re stocked with any essential medicines you may need since pharmacies might not carry everything.
Stay updated about local news, especially if you’re near the borders, as unrest or conflicts can occur. While clashes are rare, the situation can change fast, so it’s good to have up-to-date information from locals or your accommodation staff.
Dealing with Authorities
Carry your passport and visa information with you at all times. Police or military may ask to see it during routine checks. Most encounters will be smooth if you show the proper documents with respect.

If you’re renting a car, make sure you can show the correct paperwork. It’s common to be stopped at checkpoints where documents will be checked. Having everything in order will save you time and hassle.
Scams to Watch Out For
Like many countries with large tourist populations, scams can happen in Guinea-Bissau, though they are less common. If someone offers you a service or tour and it feels off, walk away. Stick to licensed companies or recommendations from your hotel or trusted sources.
Don’t exchange money on the streets. Use local banks or authorized exchange offices to avoid being shortchanged with bad rates or counterfeit currency.
Emergency Numbers
In case things go wrong, it’s always good to have the emergency numbers saved on your phone. Here are the key contacts you should have at hand:

- Police: 117
- Ambulance: 119
- Fire Department: 118
Remember, services may not respond as quickly as you’re used to in more developed regions. It’s best to avoid risky situations to keep the need for these numbers to a minimum.
Health Care
Make sure you have comprehensive travel insurance before heading to Guinea-Bissau. Healthcare infrastructure is limited, especially outside the capital, and it’s likely you will need to be evacuated to another country (like Senegal) in case of serious illness or injury.
Hospitals and Clinics
There are a few hospitals available in Bissau, but they may lack adequate supplies or modern equipment. Always have a basic first aid kit with you, including painkillers, antiseptics, bandages, and any prescription medication you need.

Pharmacies
You’ll find pharmacies in the capital, but they may not stock a wide range of medications. Always carry your own, especially for more serious conditions. Delivery can be slow, so don’t rely on finding specific prescriptions in Guinea-Bissau.
Travel Insurance
Don’t skip travel insurance. If an accident happens or you get sick, you’ll want evacuation coverage. Medical evacuations are expensive, and most basic insurance won’t cover that unless specified.
Get insurance that covers the entire span of your trip, along with emergency medical needs, theft, and any cancellations you might face. Companies like World Nomads provide good coverage for African nations.
Road Safety
Guinea-Bissau’s roads can be dangerous. Potholes, lack of lighting, and unpredictable driving make long-distance travel a challenge. If you’re renting a vehicle, make sure the car is in good condition and has all the proper paperwork, including insurance.
Driving Tips
Always drive during daylight hours. Roads are poorly lit at night, and hazards can come up unexpectedly. Also, make sure your vehicle has enough fuel, as gas stations may not be available in more remote areas.
If you’re not comfortable driving, use reputable taxi services or private drivers, especially for longer trips.
Respect Local Customs
Guinea-Bissau is welcoming to foreigners, but respecting local culture goes a long way. Dress modestly in rural areas, especially if visiting religious or community gatherings. Always ask before taking pictures of people, and be respectful during any interactions with elders or community leaders.
Final Safety Tips
Plan ahead: Guinea-Bissau is a unique experience, but it does come with challenges. However, a little preparation goes a long way. Always stay aware of the latest local information, and if your gut tells you a situation isn’t right, trust it.
Stick to main roads, respect local customs, avoid showing wealth, and be open to learning from locals. By preparing for malaria, bringing crucial medicines, and respecting the environment and people, you’ll have an unforgettable and safe trip.
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