Dear Brooke ( and all students and families),
Thank you for posting your question to the Yak board. Over the past several years, we have seen several instances of dog bites on our Latin America programming, and two of those cases merited an international evacuation to obtain the HRIG vaccine. We have not had to evacuate a student from Nicaragua specifically, although stray dogs are known to be common in many parts of Latin America. We generally consider the rabies risk on this program to be low, and make efforts to mitigate that risk through appropriate training and other measures. However, if a dog bite were to occur the follow up treatment is generally more straightforward for students that have the pre-exposure vaccine.
We realize this can be a difficult decision, feel free to give us a call if you would like to discuss this further.