Nighttime emergency care: Costa Rica has approved nighttime air ambulance flights under a national protocol, allowing transfers only from five airfields/airports plus SJO, for critically ill patients when waiting for daylight isn’t possible. Infectious disease watch: Chikungunya has resurfaced in Costa Rica, shifting from imported cases to community transmission as the mosquito vector is already present. Respiratory update: COVID-19 is again the most widely circulating respiratory virus in Costa Rica, with cases and hospitalizations rising week over week, though officials say there’s no national alert. Water safety: Costa Rica confirmed 14 hepatitis A cases tied to contamination in local water systems, with intensified surveillance and water supply inspections underway. Wellness travel (local): Casa Chameleon at Las Catalinas added complimentary access to the Las Catalinas Doorway Program, bundling wellness, hikes, farm tours, fitness classes, and cultural events for guests. Weight-loss/peptides access: Peptides Costa Rica expanded with a new San Jose service hub to broaden local access to peptide solutions, citing faster support and inventory confirmation. Public health & safety: Costa Rica warned pet owners and ranchers after rabies killed cattle in Golfito, urging vaccination in areas where vampire bats can spread the virus.