Travel Risk Map for 2016

Global health and travel security risks review
Franz Josef Land (Ru.)
Severnaya Zemlya (Ru.)
Svalbard (No.)
i
Novaya Zemlya (Ru.)
New Siberian Islands (Ru.)
Greenland
Jan Mayen (No.)
Deadhorse
Alaska
(U.S.)
ICELAND i
Reykjavik
L
Anchorage
NORWAY
CANADA
Dyce
A
an
leuti
Isla
Isle of Man (U.K.)
.)
BELGIUM
Saint Pierre
and Miquelon (Fr.)
Ottawa
L
Philadelphia
Washington
Gibraltar
L
M
Canary Islands (Es.)
H
BAHAMAS L
MEXICO
Nassau
i
CUBA
HONDURAS
Managua
NICARAGUA
San José
L COSTA RICA
M
M
L
Panama
Port of Spain TRINIDAD AND TOBAGO
VENEZUELA
H
Bogotá
L
Galápagos 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
M
GUYANA
M
M
L
Dakar
SURINAME FRENCH
GUIANA
Bissau
M
M
GUINEA-BISSAU ConakryGUINEA
Freetown
SIERRA LEONE
Monrovia
M
L
L
SENEGAL
GAMBIA Banjul
M
Paramaribo
Cayenne
Lima
L AUSTRIA
SLOVAKIA
Tunis
MALTA
TUNISIA
M
LIBERIA
H
Tripoli
E LIBYA
M
Ouagadougou
Bamako BURKINA FASO
H
L M
CÔTE D’IVOIRE GHANA
L
NIGERIA
H Abuja
E
Yamoussoukro Kumasi
Porto-Novo
Lomé
Lagos
Accra
Takoradi
Warri
Port Harcourt
Yaoundé
Malabo
M
M
L
SÃO TOMÉ
AND PRÍNCIPE
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
E
Saint Helena
(U.K.)
Windhoek
Rio de Janeiro
L
ZAMBIA
Lusaka
L
BURUNDI M
OMAN L
CHINA
Thimphu
M
M
H
M
MYANMAR
Naypyidaw
Mumbai
Yangon
BOTSWANA
Hanoi
LAOS
Macao (SAR)
Hong Kong (SAR)
TAIWAN
L
L
Vientiane
Northern Mariana Islands
Bangkok
Manila
PHILIPPINES M
Guam
Ho Chi Minh City
Vung Tau
H
Colombo
SRI
LANKA M
L
Malé
SOMALIA E
Saba (N.L.)
Bandar Seri Begawan
M
Melekeok
H
Dalap-Uliga-Darrit
Palikir
i PALAU
L MICRONESIA
i MARSHALL ISLANDS
Chagos Archipelago (U.K.)
Glorioso Islands (Fr.)
Moroni
Mayotte
L
Cocos Island
(Au.)
Juan de Nova
Island (Fr.)
M
MAURITIUS
Antananarivo
M
Réunion
i TUVALU
H
TIMOR-LESTE M
i
KIRIBATI
PAPUA NEW GUINEA
M
Port
Moresby
Vaiaku
L
Coral Sea
Islands (Au.)
L
Wallis and
Futuna
VANUATU
L
New Caledonia
L
SAMOA
Apia
L
M FIJI
Port-Vila
Suva
TONGA L
Niue (N.Z.)
Nouméa
H
Tokelau (N.Z.)
Honiara
SOLOMON ISLANDS
Ashmore and Cartier
Islands (Au.)
Port-Louis
MADAGASCAR
Europa Island (Fr.)
Christmas Island
(Au.)
H
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.)
L
BRUNEI L
MALAYSIA
L
SINGAPORE L
MALDIVES L
Mogadishu
M
H
Wake Island (U.S.)
L
Kuala Lumpur
Tromelin Island (Fr.)
Maputo
Mbabane
VIETNAM
H THAILAND L
H
MOZAMBIQUE
M
L
Midway Atoll
(U.S.)
Taipei
Shenzhen
CAMBODIA
Lilongwe
Harare
JAPAN
Tokyo
Nanjing
Shanghai
L
Dhaka
L
Seoul
SOUTH
L
KOREA
Phnom Penh
H
Pemba
MALAWI
Pretoria
Johannesburg
INDIA
L
BHUTAN E
BANGLADESH
H
Pyongyang
Dalian
M
TANZANIA
M
L
L
ZIMBABWE
L
M
Muscat
Tianjin
Nairobi
Kigali
M
UNITED
ARAB EMIRATES
E
YEMEN
Dodoma
L
NAMIBIA
Pitcairn (U.K.)
L
L
Riyadh
Doha Dubai
Abu Dhabi
NORTH M
KOREA
Beijing
Djibouti
ETHIOPIA
H
UGANDA
M
KENYA
E
H
Yuzhno-Sakhalinsk
MONGOLIA
M
L
Addis Ababa
Juba
Bangui
Brasília
PARAGUAY
Asunción L
QATAR
Sana’a
M
M
E
H SOUTH
CENTRAL
SUDAN
AFRICAN REPUBLIC
M
BOLIVIA
Manama
H
Asmara
H
Luanda
BRAZIL
(N.Z.)
Khartoum
Ilha da Luanda
M
Arequipa
SUDAN
CAMEROON
EQUATORIAL GUINEA
M
ERITREA
E
Kinshasa
La Paz
SAUDI
ARABIA
M
E
N’Djamena
H
Ulan-Bator
L
M
CHAD
Brazzaville
M
L
H
H
M
KAZAKHSTAN
Atyrau
M
NIGER
Niamey
M
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
L
L
E
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.
L
GREECE
Valletta
Astana
M UKRAINE
H
L
H
L
M
L
Sakhalin (Ru.)
Kiev
Bratislava
Budapest
L
M
French Polynesia
Vienna
M
E
MALI
L ECUADOR
Rapidly developing variable risk countries
CZECH REP.
LIECHTENSTEIN
São Tomé
PERU
Low medical risk countries
i
Georgetown
COLOMBIA
H
Nouakchott
L
L
BONAIRE, SINT EUSTATIUS AND SABA
Caracas
H
PANAMA
L
L
Prague
Minsk
L BELARUS
H
M MAURITANIA
L
L
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.)
M
L
ALGERIA
M
Port-au- Santo San Juan US Virgin Islands SAINT KITTS AND NEVIS
Prince Domingo Bonaire, Sint Eustatius and Saba
Saint John’s ANTIGUA AND BARBUDA
Basseterre
Montserrat
Guadeloupe
DOMINICA Roseau
Martinique
SAINT LUCIA Castries
Netherlands Antilles (N.L.)
Kingstown
Bridgetown BARBADOS
Aruba
CURAÇAO
SAINT VINCENT AND
THE GRENADINES Saint Georges GRENADA
JAMAICA
H
Tegucigalpa
H EL SALVADOR
H
Kingston
Belmopan
Guatemala City
San Salvador
L
H
Hassi Messaoud
WESTERN
SAHARA
Turks and Caicos
Islands (U.K.)
Warsaw
L
Algiers
Adrar
El Aaiún
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.)
i
Havana
Mexico City
MEDICAL RISK RATING
DEFINITIONS
Kingman Reef (U.S.)
MOROCCO
L
GERMANY
i
Rabat
Madeira (Pt.)
Bermuda
L
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
H
L
Madrid
Lisbon
Azores (Pt.)
TOGO
BENIN
UNITED STATES
OF AMERICA
Hawaii (U.S.)
i
ANDORRA
Moscow
L
FRANCE
L
L
i
L
L
LATVIA
LITHUANIA
Berlin
Frankfurt
LUXEMBOURG
Paris
ESTONIA
Vilnius
NETHERLANDS
London Amsterdam
Brussels
RUSSIA
Tallinn
Riga
L
L
UNITED
L IRELAND Dublin KINGDOM
Guernsey
L
i
Stockton-on-Tees
Isle of Man Jersey
Stockholm
DENMARK
Copenhagen
Aberdeen
M
Helsinki
Oslo
Kokstad
Haugesund
Stavanger
L
S
(U.
nds
FINLAND
i
i
Faroe Islands (Dk.)
Kenai
i
SWEDEN
Nuku’alofa
AUSTRALIA
SWAZILAND M
LESOTHO M
Maseru
L
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
L
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.)
L
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
country’s 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
i
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.
L
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 patient’s 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.)
M
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.
H
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.
E
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 country’s overall risk environment,
usually necessitating a different level of preparation.
04/12/2015 18:17