There are good doctors, a hospital, dentists and pharmacies in town.
French Guiana does have Malaria, and being right on the river is contributing to it. Please be aware.
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No formalities required. We asked the customs and they said they did not expect us to check in. Same with immigration. They just don’t care. We anchored to the north of the Yatcht Club. Holding was good. We left the dingy at the Yacht Club’s pontoon, the security guy was ok with it.
Reserve well in advance if you want to visit the Space Center (you can’t miss it).
Provisioning is okaish, fruits and veggies at the farmer’s market are very expensive (especially after you get used to Brazilian prices).
You can also anchor out in front of Ile Saint-Joseph