Traveling to Sierra Leone is an adventure, but with that comes the need to stay aware of various health and safety considerations. By knowing what to expect and being prepared, you can have a safe trip and make the most of your time there.
Staying Healthy During Your Trip
Health should be your priority while traveling, especially when visiting countries like Sierra Leone. Here are some tips to stay healthy during your visit:
Water Safety
Do not drink tap water in Sierra Leone. Tap water may not be treated and can lead to stomach issues or more serious illnesses. Stick to bottled water or use water purification tablets.
Be cautious with ice as well, as it may be made from tap water. Additionally, brush your teeth with bottled or purified water, just to be safe.
Food Safety
Street food in Sierra Leone can be delicious, but it’s important to choose vendors that are busy and appear clean. Freshly cooked foods are the safest options. Avoid raw or undercooked meals, especially seafood.
Fruits and vegetables should be peeled or thoroughly washed with clean water before eating. Opting for cooked foods helps lower your risk of getting sick.
Staying Hydrated

Temperatures in Sierra Leone can be high, so staying hydrated is essential. Keep a bottle of water with you at all times, especially when walking around. Dehydration can sneak up on you in warm climates like these.
Protecting Against Mosquitoes
Malaria is present in Sierra Leone, so mosquito protection is critical. Wear long sleeves and pants around sunrise and sunset when mosquitoes are most active. Use repellents with DEET, and sleep under a mosquito net if your accommodation does not have air conditioning or screened windows.
You should also consider taking malaria prophylaxis medication before, during, and after your trip. Consult your doctor about the best medication for you.
Recommended Vaccinations
It’s important to be up to date on your vaccinations before entering Sierra Leone. Speak to your healthcare provider about the following vaccines:
Yellow Fever
A yellow fever vaccination is required to enter Sierra Leone. You’ll need to present your vaccination certificate at the border, so don’t forget it.
Hepatitis A and B
Hepatitis A is contracted through contaminated food and water, while Hepatitis B can be spread through blood or bodily fluids. Both are common travel vaccines for Sierra Leone.
Typhoid
Typhoid, which spreads through contaminated food and water, is another vaccine to consider for your Sierra Leone trip. It’s important given the risk associated with foodborne illnesses.

Other Vaccinations
Make sure you are up to date on routine vaccinations such as tetanus, diphtheria, and measles. Depending on your itinerary, you might also want to consider vaccines for meningitis or rabies.
Emergency Contact Numbers
Hopefully, you’ll never need these numbers, but it’s always good to be prepared. Here are key contacts to have handy during your trip:
- Emergency Services: Dial 999 (though response times may vary).
- Embassy: Have your embassy’s contact number on hand. For example, the U.S. Embassy in Sierra Leone can be reached at +232 99 105 000.
- Local Police: You can also contact the local police directly at +232 76 611 381.
- Medical Help: It’s a good idea to research private hospitals or clinics before your trip. The Connaught Hospital in Freetown is one of the more reliable options.
Safety Precautions in Sierra Leone
Sierra Leone is generally safe for travelers, but there are some safety tips you should follow to ensure your trip goes smoothly.
In Urban Areas
Most travelers will spend time in Freetown, the capital city. Like in any large city, you should stay alert and watch your belongings in crowded areas. Pickpocketing can occur, especially in markets or on public transport.

Stay in well-lit areas after dark, and avoid walking alone at night. Use registered taxis or ride-sharing apps to get around instead.
Freetown has a reputation for being relatively safe compared to some other capitals in West Africa, but it’s always wise to take basic precautions.
In Rural Areas
Rural Sierra Leone offers stunning landscapes and rich culture, but the further you get from the city, the more basic amenities become. Make sure you have a reliable way to communicate, especially in areas without cell service.

The roads in rural areas can be in poor condition. If you’re driving, make sure your vehicle is in good shape and plan your routes in advance. Avoid traveling at night as visibility is limited, and roads may have unexpected hazards like potholes or animals.
If you plan on hiking or visiting remote locations, always let someone know your plans. Hiring a local guide who is familiar with the trails and conditions can also be helpful.
Staying Safe at the Beach
Sierra Leone has beautiful beaches, but be cautious when swimming. Not all beaches are patrolled, and currents can be strong. Ask locals about the safest places to swim.
Be mindful of your belongings when relaxing by the water. Don’t leave valuables unattended, as theft can be an issue in crowded beach spots.
Cultural Sensitivity and Behavior
Sierra Leoneans are known for being friendly, but it’s important to respect local customs and traditions. Modesty in dress is appreciated, especially in rural and religious areas.
When taking photos, always ask for permission, especially if you’re photographing individuals or more traditional settings. Be polite and engage with people respectfully – a little friendliness goes a long way here.
Money and Scams
Cash is king in Sierra Leone as credit card usage is limited. Carry small amounts of local currency (the Leone) and keep the bulk of your money hidden in a money belt or secure pocket. ATMs can be unreliable, so be prepared with enough cash, especially when traveling outside of major cities.
Be careful when exchanging money on the street, as scams are possible. It’s safer to exchange currency at banks or reputable hotels.
Travel Insurance is a Must
Don’t forget to get travel insurance before your trip to Sierra Leone. An insurance policy will cover you for medical emergencies, theft, or other unexpected issues.
Medical facilities in rural areas are limited, so having insurance that covers emergency evacuation is a smart idea. You may need to be moved to a nearby country for better healthcare, so make sure your insurance plan includes this option.
Always keep a copy of your insurance details and emergency contact numbers with you during your travels.
Final Thoughts on Staying Safe in Sierra Leone
With proper preparation and awareness, Sierra Leone offers a unique and rewarding travel experience. Stay smart, be mindful of your surroundings, and take precautions to ensure your trip goes off without a hitch.
Sierra Leone may be off the beaten path, but by following these health and safety tips, you’ll be able to enjoy everything this beautiful country has to offer with peace of mind.
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