Whether you bother or not is up to you - there are no compulsory requirements for entry into Cuba unless you ere arriving from a region where Yellow Fever is found in which case you do need a Yellow Fever certificate but this won't apply if you are flying from the UK. As the recommendations are essentially the same as for keeping your immunisations up to date here in the UK, you might as well have them done anyway. I always have any boosters needed done before I go.
And whilst they have never bothered me, some people do react to bites from the sandflies that are found on some beaches. I don't recall any complaints about them on Cayo Levisa but as it's essentially one big sandbank and the layout means that you'll be virtually living on the beach, taking a sunscreen which contains an insect repellent might be a good precaution if you know that you are one of the people who does react to sandfly bites.
If you do get bitten and the bites become troublesome (eg infected) then rest assured that in my experience the Cuban medical services are excellent
Do have a great holiday and sit back and enjoy a mojito for me. Haven't been able to get anything sorted yet but hoping to be back there myself a bit later in the year including spending a few days on Cayo Levisa myself.
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