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.)

ICELAND i

Reykjavik

Anchorage

NORWAY

CANADA
Dyce

an
leuti

Isla

Isle of Man (U.K.)

.)

BELGIUM

Saint Pierre
and Miquelon (Fr.)

Ottawa

L
Philadelphia

Washington

Gibraltar

Canary Islands (Es.)

BAHAMAS L

MEXICO

Nassau

CUBA

HONDURAS

Managua

NICARAGUA

San Jos

L COSTA RICA

Panama

Port of Spain TRINIDAD AND TOBAGO

VENEZUELA
H
Bogot

L
Galpagos Islands
(Ec.)

*T
 he term country refers to traditional countries or independent
states, as well as other geographic entities including dependencies,
territories and areas of special sovereignty.

Quito

CAPE VERDE Praia

L
H

GUYANA

L
Dakar

SURINAME FRENCH
GUIANA

Bissau

GUINEA-BISSAU ConakryGUINEA
Freetown

SIERRA LEONE

Monrovia

SENEGAL

GAMBIA Banjul

Paramaribo
Cayenne

Lima

L AUSTRIA

SLOVAKIA

Tunis

MALTA

TUNISIA

LIBERIA

Tripoli

E LIBYA

Ouagadougou
Bamako BURKINA FASO

L M

CTE DIVOIRE GHANA

NIGERIA
H Abuja

Yamoussoukro Kumasi
Porto-Novo
Lom
Lagos
Accra
Takoradi
Warri
Port Harcourt
Yaound
Malabo

SO TOM
AND PRNCIPE

Libreville

GABON
L

M
CONGO
H

CONGO
(DRC)

L CHILE

Easter Island
International standard of care throughout the country. Most specialist care widely available.
High-quality
(Cl.)
emergency and dental services and a wide range of quality prescription drugs available. Low risk of infectious
diseases.

Kampala

RWANDA

Bujumbura

Saint Helena
(U.K.)
Windhoek

Rio de Janeiro

ZAMBIA
Lusaka
L

BURUNDI M

OMAN L

CHINA
Thimphu

M
H

M
MYANMAR

Naypyidaw

Mumbai
Yangon

BOTSWANA

Hanoi

LAOS

Macao (SAR)

Hong Kong (SAR)

TAIWAN

Vientiane

Northern Mariana Islands

Bangkok

Manila

PHILIPPINES M

Guam

Ho Chi Minh City

Vung Tau

H
Colombo

SRI
LANKA M

Mal

SOMALIA E

Saba (N.L.)
Bandar Seri Begawan

Melekeok

Dalap-Uliga-Darrit

Palikir

i PALAU

L MICRONESIA

i MARSHALL ISLANDS

Chagos Archipelago (U.K.)

Glorioso Islands (Fr.)

Moroni

Mayotte

Cocos Island
(Au.)

Juan de Nova
Island (Fr.)

MAURITIUS

Antananarivo

Runion

i TUVALU

TIMOR-LESTE M

KIRIBATI

PAPUA NEW GUINEA

Port
Moresby

Vaiaku

Coral Sea
Islands (Au.)

Wallis and
Futuna

VANUATU

New Caledonia

SAMOA
Apia

M FIJI
Port-Vila

Suva

TONGA L
Niue (N.Z.)

Nouma

Tokelau (N.Z.)

Honiara

SOLOMON ISLANDS

Ashmore and Cartier

Islands (Au.)

Port-Louis

MADAGASCAR

Europa Island (Fr.)

Christmas Island
(Au.)

Dili

Denpasar

COMOROS L

Baker Island
(U.S.)

Yaren

M INDONESIA

Jakarta

SEYCHELLES

Howland Island (U.S.)

Bairiki

i NAURU
Victoria

Gaborone

Johnston Atoll (U.S.)

BRUNEI L
MALAYSIA
L
SINGAPORE L

MALDIVES L

Mogadishu

M
H

Wake Island (U.S.)

Kuala Lumpur

Tromelin Island (Fr.)

Maputo
Mbabane

VIETNAM

H THAILAND L

MOZAMBIQUE
M

Midway Atoll
(U.S.)

Taipei
Shenzhen

CAMBODIA

Lilongwe
Harare

JAPAN

Tokyo

Nanjing
Shanghai

Dhaka

Seoul

SOUTH
L
KOREA

Phnom Penh

Pemba

MALAWI

Pretoria
Johannesburg

INDIA

BHUTAN E
BANGLADESH

Pyongyang

Dalian

TANZANIA
M
L
L

ZIMBABWE

Muscat

Tianjin

Nairobi

Kigali

UNITED
ARAB EMIRATES

E
YEMEN

Dodoma

NAMIBIA

Pitcairn (U.K.)

Riyadh

Doha Dubai
Abu Dhabi

NORTH M
KOREA

Beijing

Djibouti

ETHIOPIA

H
UGANDA
M
KENYA

E
H

Yuzhno-Sakhalinsk

MONGOLIA

Addis Ababa

Juba

Bangui

Braslia

PARAGUAY
Asuncin L

QATAR

Sanaa

E
H SOUTH
CENTRAL
SUDAN
AFRICAN REPUBLIC

BOLIVIA

Manama

Asmara

Luanda

BRAZIL

(N.Z.)

Khartoum

Ilha da Luanda

Arequipa

SUDAN

CAMEROON

EQUATORIAL GUINEA

M
ERITREA

Kinshasa

La Paz

SAUDI
ARABIA

NDjamena

Ulan-Bator

CHAD

Brazzaville

KAZAKHSTAN

Atyrau

NIGER
Niamey

Chisinau

H
Almaty
Aktau
M GEORGIA
UZBEKISTAN
Bishkek
Tbilisi
M
L
L ARMENIA
L Tashkent KYRGYZSTAN M
Baku
Yerevan
Ankara
TURKMENISTAN
H
AZERBAIJAN
H Dushanbe
Ashgabat
L TURKEY M H
M
M
TAJIKISTAN M
H
E
M
Tehran
Nicosia
H
Erbil
Kabul
M
L CYPRUS LEBANON SYRIA
M
IRAQ
E
Damascus
Beirut
Islamabad
M ISRAELAmman E Baghdad
L IRAN
AFGHANISTAN
L
PALESTINIAN TERRITORIES JORDAN
H Basra
WEST BANK
Cairo
PAKISTAN
M NEPAL
H KUWAIT Kuwait City
New Delhi
L
Kathmandu
EGYPT
E
H
BAHRAIN M
H

MOLDOVA

Athens

ANGOLA

American Samoa i Countries where there is a wide difference between the high quality medical care available in the major cities and
what is generally available throughout the rest of the country.
In major cities: a high or international standard of medical care is available from several selected providers.
Elsewhere: medical care, emergency services and dental care may be basic. Access to prescription drugs may be limited
and counterfeiting and/or improper storage may be an issue. Serious illnesses such as dengue, malaria, typhoid,
Cook Island
and
cholera may pose a threat in some regions or throughout the country.

GREECE

Valletta

Astana

M UKRAINE

Sakhalin (Ru.)

Kiev

Bratislava
Budapest

French Polynesia

Vienna

E
MALI

L ECUADOR

Rapidly developing variable risk countries

CZECH REP.

LIECHTENSTEIN

So Tom

PERU

Low medical risk countries

Georgetown

COLOMBIA
H

Nouakchott

BONAIRE, SINT EUSTATIUS AND SABA

Caracas

PANAMA

Prague

Minsk

L BELARUS

M MAURITANIA

International SOS assigns medical ratings to

Palmyra
Atollassessing a range of factors including
countries*
by
(U.S.)
the standard of local medical and dental care
available, access to prescription drugs, the presence
of serious infectious diseases and cultural, language
or administrative
barriers.
Jarvis (U.S.)

ALGERIA

Port-au- Santo San Juan US Virgin Islands SAINT KITTS AND NEVIS
Prince Domingo Bonaire, Sint Eustatius and Saba
Saint Johns ANTIGUA AND BARBUDA
Basseterre
Montserrat
Guadeloupe
DOMINICA Roseau
Martinique
SAINT LUCIA Castries
Netherlands Antilles (N.L.)
Kingstown
Bridgetown BARBADOS
Aruba
CURAAO
SAINT VINCENT AND
THE GRENADINES Saint Georges GRENADA

JAMAICA

Tegucigalpa

H EL SALVADOR

Kingston

Belmopan

Guatemala City
San Salvador

Hassi Messaoud

WESTERN
SAHARA

Turks and Caicos

Islands (U.K.)

Warsaw

Algiers

Adrar

El Aain

DOMINICAN
Cayman Islands
British
HAITI REP.
Virgin Anguilla
Navassa Island (U.S.)
Puerto Rico Islands Saint Martin

H BELIZE L
M GUATEMALA

Clipperton Island (Fr.)

Havana

Mexico City

MEDICAL RISK RATING

DEFINITIONS
Kingman Reef (U.S.)

MOROCCO
L

GERMANY

Rabat

Madeira (Pt.)
Bermuda

L POLAND

Berne Vaduz
SLOVENIA HUNGARY
SWITZERLAND
Zagreb
ROMANIA
Geneva Ljubljana
CROATIA BOSNIA
Belgrade Bucharest
SAN MARINO
AND HERZ.
Sarajevo
SERBIA
MONACO
BULGARIA
ITALY
MONTENEGRO
KOSOVO
Corsica (Fr.)
Sofia
Podgorica
Skopje
VATICAN
Tirana
MACEDONIA
CITY Rome
ALBANIA

SPAIN

PORTUGAL

Phoenix

Madrid

Lisbon

Azores (Pt.)

TOGO
BENIN

UNITED STATES
OF AMERICA

Hawaii (U.S.)

ANDORRA

Moscow

FRANCE

LATVIA
LITHUANIA

Berlin

Frankfurt
LUXEMBOURG

Paris

ESTONIA

Vilnius

NETHERLANDS

London Amsterdam
Brussels

RUSSIA

Tallinn

Riga

UNITED

L IRELAND Dublin KINGDOM

Guernsey

Stockton-on-Tees

Isle of Man Jersey

Stockholm

DENMARK
Copenhagen

Aberdeen

Helsinki

Oslo
Kokstad
Haugesund
Stavanger

L
S
(U.
nds

FINLAND

Faroe Islands (Dk.)

Kenai

SWEDEN

Nukualofa

AUSTRALIA

SWAZILAND M
LESOTHO M

Maseru

Santiago

Medium medical risk countries

SOUTH AFRICA
M

L
ARGENTINA
URUGUAY
Buenos Aires

Norfolk Island (Au.)

Perth
Sydney

Montevideo
Canberra

High or international 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.

Auckland

NEW ZEALAND

Wellington

Chatham Islands
(N.Z.)

High medical risk countries

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.

Crozet Islands (Fr.)

Kerguelen Islands (Fr.)

Falkland Islands (G.B.)

Very high medical risk countries

Countries where 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.

South Georgia and the

South Sandwich Islands (G.B.)

South Shetland Islands

(G.B.)

TRAVEL SECURITY RISK RATING

DEFINITIONS
The travel security risk rating evaluates the threat
posed to travellers and expatriates 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
countrys susceptibility to natural disasters are also
considered where they are of sufficient magnitude
to impact the overall risk environment for travellers.

InterSOS_TravelRiskMap 2016_1000x700_v20.indd 1

Insignificant
travel risk

Rates of violent crime are very low. There is no significant

political violence or civil unrest and no 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.

Low
travel risk

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 adequate
and infrastructure is sound. Industrial action and
transport disruption are infrequent.

International SOS
Assistance
Centre
Bouvet Island (No.)
Staffed by doctors and nurses, multilingual
coordinators, security experts, and air and ground
logistics personnel, our 27 Assistance Centres deliver
24/7 medical and travel security assistance services
in more than 99 languages, all over the world.

International SOS
Response Centre
International SOS has six response centres.
They provide expertise in workplace injury, illness
case management and advice on a patients fitness
to stay at work or return to work in line with industry
regulations and/or HSE standards.

Mc Donald and
Heard Islands (Au.)

Clinic

Our clients can rely on an integrated network of

56 clinics and 850 medical remote sites around
the world. Practising international standards of
medicine in emerging countries, offshore and
remote locations.

South Orkney Islands

(G.B.)

Medium
travel risk

Periodic political unrest, violent protests, insurgency

and/or sporadic acts of terrorism occur.
Travellers and expatriates 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 or terrorism
pose significant direct or incidental risks to travellers
and expatriates. 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.

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 2015.
internationalsos.com

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 expatriates. Government and transport
services are barely functional. Large parts of the
country are inaccessible to foreigners.

Travel Security Risk Zones are areas within a country

where the risks faced by travellers and expatriates are
different from the countrys overall risk environment,
usually necessitating a different level of preparation.

04/12/2015 18:17