I eat local foods, jerk chicken in Jamaica and conch fritters in Caymans, faijitas in cozumel. Caymans is richer place than most places in the world and cleaniness is not something to worry about, you have money if you can afford to live in the caymans, be care about anywhere you eat even here in the states, I have been sick from Taco Bell!!!! I try and avoid chain restaurants when abroad I can do them here!!! and I like to be adventurous thats why we have imodium!! and pepto!!!