TRAVEL RISK MAP 2017
Global health and travel security risks review
Franz Josef Land (Ru.)
Severnaya Zemlya (Ru.)
Svalbard (No.)
Novaya Zemlya (Ru.)
New Siberian Islands (Ru.)
Greenland
Jan Mayen (No.)
Deadhorse
Alaska (U.S.) Reykjavik
ICELAND
SWEDEN FINLAND
Faroe Islands (Dk.)
NORWAY
Anchorage Kenai
CANADA
Ale
Isla utian
nds
S. (U.
u & R
Tallinn
Stockholm
ESTONIA
DENMARK Copenhagen
Aberdeen
Riga LATVIA
IRELAND
Dublin
Vilnius
UNITED KINGDOM
Berlin
POLAND
GERMANY
Warsaw
NETHERLANDS
London Amsterdam Brussels
BELGIUM
Guernsey Jersey
Frankfurt LUXEMBOURG
Paris
SLOVENIA CROATIA BOSNIA SERBIA SAN MARINO AND HERZ. MONACO ITALY MONTENEGRO KOSOVO
ANDORRA
UNITED STATES OF AMERICA
Philadelphia
Washington
Phoenix
Tunis
Algiers
MOROCCO
Bermuda
TURKEY
Valletta
TUNISIA
Hassi Messaoud
Nicosia
MALTA
ISRAEL
Tripoli Cairo
Canary Islands (Es.)
Havana
Mexico City
BELIZE
Kingston
JAMAICA
Belmopan
GUATEMALA
Managua
San José
COSTA RICA
Montserrat Guadeloupe DOMINICA
CURAÇAO BONAIRE
CAPE VERDE Praia Martinique SAINT LUCIA BARBADOS
VENEZUELA
PANAMA
GUINEA-BISSAU ConakryGUINEA SIERRA LEONE
Monrovia
Paramaribo Cayenne
LIBERIA
SURINAME FRENCH GUIANA
COLOMBIA
Ouagadougou Bamako BURKINA FASO
CÔTE D’IVOIRE GHANA
NIGERIA
GABON
CONGO
Kampala
KENYA
SRI LANKA
Guam
Melekeok Sabah (N.L.) Bandar Seri Begawan
Malé
MALDIVES
MALAYSIA
Kuala Lumpur
PALAU
MICRONESIA
BRUNEI
MARSHALL ISLANDS
Howland Island (U.S.) Baker Island (U.S.)
Bairiki Yaren
NAURU
Chagos Archipelago (U.K.)
Denpasar
COMOROS
Lilongwe
Cocos (Keeling) Islands (Au.)
Tromelin Island (Fr.)
Christmas Island (Au.)
TUVALU
Dili
Vaiaku
Port Moresby
SOLOMON ISLANDS
Ashmore and Cartier Islands (Au.)
Coral Sea Islands (Au.)
MAURITIUS
Antananarivo
Port-Louis
MADAGASCAR
Tokelau (N.Z.)
Honiara
MOZAMBIQUE
Juan de Nova Island (Fr.)
KIRIBATI
PAPUA NEW GUINEA
TIMOR-LESTE
Mayotte
Pemba
INDONESIA
Jakarta
SEYCHELLES
Europa Island (Fr.)
Pretoria Johannesburg
Dalap-Uliga-Darrit
Palikir
SINGAPORE
Victoria
MALAWI
BOTSWANA
SOUTH AFRICA
ARGENTINA
PHILIPPINES
Nairobi
ZIMBABWE
Maseru
Santiago
CAMBODIA
Réunion
Wallis and Futuna
VANUATU
SAMOA Apia
FIJI Port-Vila
New Caledonia
Suva
TONGA Niue (N.Z.)
Nouméa
Nuku’alofa
AUSTRALIA
Gaborone
Asunción
Johnston Atoll (U.S.)
Manila
Kigali
Harare
Easter Island (Cl.)
Appropriate standard of care throughout the country. Most specialist care widely available. High-quality emergency and dental services and a wide range of quality prescription drugs available. Low risk of infectious diseases.
ZAMBIA
NAMIBIA
CHILE
Wake Island (U.S.) Northern Mariana Islands
Phnom Penh
Mogadishu
Dodoma
Lusaka
Rio de Janeiro
TAIWAN
THAILAND Bangkok
BURUNDI
Saint Helena (U.K.)
PARAGUAY
Hanoi
LAOS
Hong Kong (SAR)
Macau (SAR)
Vientiane Yangon
Glorioso Islands (Fr.)
Windhoek
Naypyidaw
Mumbai
Colombo
Moroni
BOLIVIA
Shenzhen
VIETNAM
MYANMAR
INDIA
Midway Atoll (U.S.)
Taipei
Dhaka
Muscat
SOMALIA
BRAZIL La Paz
UNITED ARAB EMIRATES
ETHIOPIA
Luanda
Arequipa
Doha Dubai Abu Dhabi
Addis Ababa
TANZANIA
Brasília
Wide variation of medical risk rating between the quality of medical care available in the major cities and what is generally available Cook Island throughout the rest of the country. • In major cities: (N.Z.) an appropriate standard of medical care is available from selected providers. • Elsewhere: medical care, emergency services and dental care may be basic. Access to prescription drugs may be limited and medication quality may be an issue. Infectious diseases may pose a threat in some regions. Pitcairn (U.K.)
RWANDA
CONGO (DRC)
ANGOLA
RAPIDLY DEVELOPING VARIABLE RISK COUNTRIES
Riyadh
Thimphu
BHUTAN BANGLADESH
YEMEN
UGANDA
Ilha de Luanda
Lima
Kathmandu
Juba
Bangui
Brazzaville
PERU
French Polynesia
SOUTH SUDAN
CAMEROON
SÃO TOMÉ AND PRÍNCIPE
QATAR
Tokyo
Nanjing Shanghai
NEPAL
BAHRAIN
Manama
SOUTH KOREA
Ho Chi Minh City Vung Tau
CENTRAL AFRICAN REPUBLIC
Kinshasa
* The term ‘country’ refers to traditional countries or independent states, as well as other geographic entities including dependencies, territories and areas of special sovereignty.
Asmara
EQUATORIAL GUINEA
ECUADOR
PAKISTAN
Kuwait City
JAPAN
Seoul
CHINA
Islamabad
Djibouti
Abuja
Libreville
AFGHANISTAN
Pyongyang
Dalian
TAJIKISTAN
ERITREA
Khartoum
N’Djamena
Yamoussoukro Kumasi Porto-Novo Lomé Lagos Accra Takoradi Warri Port Harcourt Yaoundé Malabo
Quito
Galápagos Islands (Ec.)
SUDAN
Tianjin
Dushanbe
OMAN
Niamey
Freetown
GUYANA
NIGER CHAD
Bissau
Georgetown
MALI
SENEGAL
Dakar
GAMBIA Banjul
TRINIDAD AND TOBAGO
Caracas
Panama City
Nouakchott
KITTS AND NEVIS ANTIGUA AND BARBUDA
SAINT VINCENT AND THE GRENADINES GRENADA
Bogotá
International SOS assigns medical risk ratings to countries* by assessing a range of health risks and mitigating factors including: infectious diseases, environmental factors, medical evacuation data, the standard of available local emergency medical Jarvis (U.S.) and dental care, access to quality pharmaceutical supplies, and cultural, language or administrative barriers.
LOW MEDICAL RISK COUNTRIES
Aruba
NICARAGUA
Palmyra Atoll RATING DEFINITIONS MEDICAL RISK (U.S.)
American Samoa
Anguilla
Sint Eustatius and Saba
Tegucigalpa
EL SALVADOR
Kingman Reef (U.S.)
MAURITANIA
British Virgin Islands St.Martin U.S. Virgin Islands SAINT
Santo Domingo
Port-auPrince
HONDURAS
Guatemala City San Salvador
Clipperton Island (Fr.)
DOMINICAN Cayman Islands HAITI REP. Puerto Rico Navassa Island (U.S.)
Basra
SAUDI ARABIA
Beijing
Kabul
IRAN
KUWAIT
Turks and Caicos Islands (U.K.)
CUBA Hawaii (U.S.)
LIBYA
ALGERIA
WESTERN SAHARA
Nassau
TOGO BENIN
MEXICO
Adrar
El Aaiún
Amman
JORDAN
EGYPT
Tashkent
Tehran
Baghdad
NORTH KOREA
KYRGYZSTAN
Ashgabat
IRAQ
Damascus
Beirut
TURKMENISTAN
AZERBAIJAN
Erbil
CYPRUS LEBANON SYRIA PALESTINIAN TERRITORIES
BAHAMAS
Yerevan
Ankara
Baku
Almaty
UZBEKISTAN
Tbilisi
ARMENIA
Yuzhno-Sakhalinsk
MONGOLIA
Aktau
GEORGIA
BULGARIA
Athens
Rabat
Madeira (Pt.)
ROMANIA
GREECE
Gibraltar
Ulaanbaatar
Atyrau
ALBANIA
SPAIN
PORTUGAL
KAZAKHSTAN
MOLDOVA
MACEDONIA
Rome
Madrid
Lisbon
Azores (Pt.)
Astana
UKRAINE
CZECH REP. SLOVAKIA AUSTRIA HUNGARY
Geneva
FRANCE
Sakhalin (Ru.)
Kiev
SWITZERLAND
Saint Pierre and Miquelon (Fr.)
Minsk
BELARUS
Prague
LIECHTENSTEIN
Ottawa
Moscow
LITHUANIA
Stockton-on-Tees
.)
RUSSIA
Helsinki
Oslo Bergen Haugesund Stavanger
Maputo Mbabane
SWAZILAND
LESOTHO
Norfolk Island (Au.) Perth
URUGUAY
Buenos Aires
Sydney
Montevideo Canberra
Auckland
NEW ZEALAND
MEDIUM MEDICAL RISK COUNTRIES
Wellington
Chatham Islands (N.Z.)
Appropriate standard of care available from selected providers. Reliable emergency services and dental care usually available. Some risk of food or water-borne diseases. Infectious diseases such as malaria and dengue fever may be present. Crozet Islands (Fr.)
HIGH MEDICAL RISK COUNTRIES
Falkland Islands (U.K.)
Basic emergency services and dental care may be available. Specialist care is limited. Access to quality prescription drugs may be limited and, in some cases, counterfeiting and/or improper storage of drugs is an issue. Serious infectious diseases such as typhoid, cholera, dengue fever and malaria may pose a threat.
VERY HIGH MEDICAL RISK COUNTRIES Healthcare is almost non-existent or severely overtaxed. There may be very limited or no primary care, emergency care or dental services. Quality prescription drugs are usually not available. There is a high risk for food or water-borne infections. Serious infectious diseases such as dengue, malaria, typhoid, and cholera may pose a threat.
TRAVEL SECURITY RISK RATING DEFINITIONS The travel security risk rating evaluates the threat posed to travellers and international assignees by political violence (including terrorism, insurgency, politically motivated unrest and war), social unrest (including sectarian, communal and ethnic violence) as well as violent and petty crime. Other factors, such as the robustness of the transport infrastructure, the state of industrial relations, the effectiveness of the security and emergency services and the country’s susceptibility to natural disasters are also considered where they are of sufficient magnitude to impact the overall risk environment for travellers.
Kerguelen Islands (Fr.)
INSIGNIFICANT TRAVEL RISK Rates of violent crime are very low. There is no significant political violence or civil unrest and little sectarian, communal, racial or targeted violence against foreigners. Security and emergency services are effective and infrastructure is sound. Transport services are of a high standard with good safety records and only occasional travel disruption. Industrial action affecting essential services is rare.
South Georgia and the South Sandwich Islands (U.K.)
South Shetland Islands (U.K.)
Violent crime rates are low and racial, sectarian or political violence or civil unrest is uncommon. If terrorism is a threat, groups have limited operational capabilities, and acts of terrorism are rare. Security and emergency services are effective and infrastructure is sound. Industrial action and transport disruption are infrequent.
INTERNATIONAL SOS ASSISTANCE CENTRE
Staffed by doctors and nurses, security specialists, air and ground logistics personnel and multilingual coordinators, our 27 Assistance Centres deliver 24/7 medical and travel security services in more than 99 languages, all over the world.
South Orkney Islands (U.K.)
LOW TRAVEL RISK
Bouvet Island (No.)
MEDIUM TRAVEL RISK Periodic political unrest, violent protests, insurgency and/or sporadic acts of terrorism occur. Travellers and international assignees may face risk from communal, sectarian or racial violence and violent crime. Capacity of security and emergency services and infrastructure varies. Industrial action can disrupt travel.
HIGH TRAVEL RISK Protests are frequently violent and may target or disrupt foreigners; they may be exacerbated by governance issues, including security or law and order capacity. Violent crime and terrorism pose significant direct or incidental risks to travellers and international assignees. Communal, sectarian or racial violence is common and foreigners may be directly targeted. Certain parts of the country are inaccessible or off-limits to the traveller.
Mc Donald and INTERNATIONAL SOS Heard Islands (Au.) RESPONSE CENTRE
International SOS has six response centres. They provide expertise in workplace injury, illness case management and advice on a patient’s fitness to stay at work or return to work in line with industry regulations and/or HSE standards.
EXTREME TRAVEL RISK Government control and law and order may be minimal or non-existent across large areas. Serious threat of violent attacks by armed groups targeting travellers and international assignees. Government and transport services are barely functional. Large parts of the country are inaccessible to foreigners.
CLINIC An accredited, integrated network of clinics and 1,000 medical sites around the world. Practising a supervised international standard of medicine – in developed and emerging countries, offshore and remote locations.
REGIONAL VARIATIONS Travel Security Risk Zones are areas within a country where the risks faced by travellers and international assignees are different from the country’s overall risk environment, usually necessitating a different level of preparation.
The Travel Risk Map is a global representation of medical and travel security risks. Please consult International SOS for more detailed information on country-specific risks. All risk ratings shown are taken in November 2016. www.internationalsos.com
