TRAVEL RISK MAP 2020

G l o b a l h e a l t h a n d travel s e c u r i t y r i s k s r e v i e w

Franz Josef Land (Ru.)

Severnaya Zemlya (Ru.)

Novaya Zemlya (Ru.)

New Siberian Islands (Ru.)
Greenland

Deadhorse Jan Mayen (No.)

Alaska
(U.S.) Fairbanks
ICELAND SWEDEN
Reykjavik
Trondheim
FINLAND
NORWAY
Kenai
Anchorage
Bergen Oslo Helsinki
RUSSIA
CANADA
Sunnhordland
Haugesund Stockholm Tallinn
Ryfylke
Stavanger ESTONIA
Inverness
DENMARK Riga LATVIA
Glasgow Aberdeen
Copenhagen Moscow
LITHUANIA
Teesside
Vilnius
u .) UNITED Minsk
S. & R IRELAND
Dublin
KINGDOM POLAND
ds (U. NETHERLANDS Berlin BELARUS Sakhalin (Ru.)
n
Isla London Amsterdam
GERMANY Warsaw
Ale utian Brussels Nur-Sultan (Astana)
BELGIUM Kiev
Frankfurt Prague
Paris
LUXEMBOURG CZECHIA UKRAINE
LIECHTENSTEIN AUSTRIA HUNGARY
SLOVAKIA
MOLDOVA KAZAKHSTAN Ulaanbaatar
Atyrau Yuzhno-Sakhalinsk
Ottawa FRANCE
SWITZERLAND
Geneva
SLOVENIA
CROATIA BOSNIA SERBIA
ROMANIA MONGOLIA
SAN MARINO AND HERZ.
MONACO Aktau Almaty
ITALY MONTENEGRO KOSOVO BULGARIA UZBEKISTAN
GEORGIA NORTH
ANDORRA
Rome NORTH MACEDONIA Tbilisi KYRGYZSTAN
UNITED STATES ALBANIA
ARMENIA Baku Tashkent Beijing KOREA
Philadelphia Madrid Ankara Yerevan
AZERBAIJAN TURKMENISTAN
Washington GREECE Tianjin Pyongyang
Azores (Pt.) Lisbon
TURKEY Ashgabat Dushanbe

OF AMERICA SPAIN Dalian

JAPAN
Athens TAJIKISTAN
PORTUGAL Seoul

Gibraltar Algiers Tunis Valletta

CYPRUS Nicosia Erbil
Tehran SOUTH Tokyo
MALTA
CHINA
SYRIA Bagram
KOREA
Madeira (Pt.) Rabat
TUNISIA
LEBANON
Beirut Damascus IRAQ Kabul Islamabad
Phoenix
MOROCCO Hassi Messaoud
Tripoli
ISRAEL Baghdad
IRAN AFGHANISTAN
Bermuda Amman Kandahar Nanjing
Baton Rouge
PALESTINIAN TERRITORIES
Lafayette LaPlace JORDAN Basra Shanghai
Beglis New Orleans East
Canary Islands (Es.)
Cairo
KUWAIT Kuwait City
PAKISTAN NEPAL
Kathmandu
Adrar EGYPT Thimphu
BAHAMAS El Aaiún LIBYA Dammam
BHUTAN
ALGERIA SAUDI Manama BAHRAIN
Doha Dubai
MEXICO Nassau SOUTHERN
PROVINCES
ARABIA
QATAR
Abu Dhabi BANGLADESH Taipei
Havana Riyadh Dhaka
Turks and Caicos UNITED Muscat Shenzhen TAIWAN
CUBA Islands (U.K.) ARAB EMIRATES VIETNAM Hong Kong (SAR)
Hawaii (U.S.) INDIA MYANMAR Hanoi
Macau (SAR)
DOMINICAN Naypyidaw
Mexico City
Cayman Islands
HAITI REP. MAURITANIA LAOS
Navassa Island (U.S.) Puerto Rico Anguilla
St.Martin / St.Maarten MALI NIGER OMAN Mumbai Vientiane
Wake Island (U.S.)
BELIZE Kingston Port-au- Santo
British Virgin Islands
Nouakchott
SUDAN
SAINT KITTS AND NEVIS
U.S. Virgin Islands

Belmopan JAMAICA Prince Domingo Sint Eustatius and Saba

Montserrat
ANTIGUA AND BARBUDA CHAD ERITREA
Yangon
Northern Mariana Islands
GUATEMALA
Islas de la Bahia
Guadeloupe
CAPE VERDE Praia THAILAND
HONDURAS Khartoum Asmara Johnston Atoll (U.S.)
Guatemala City
San Salvador Tegucigalpa
DOMINICA
Martinique
SAINT LUCIA
Dakar SENEGAL YEMEN Bangkok Manila
GAMBIA Banjul Niamey
CAMBODIA
EL SALVADOR NICARAGUA
Aruba
CURAÇAO SAINT VINCENT
THE GRENADINES
AND BARBADOS Ouagadougou
Phnom Penh PHILIPPINES Guam
Clipperton Island (Fr.) Bamako BURKINA FASO Djibouti
Managua
BONAIRE GRENADA

TRINIDAD AND TOBAGO

Bissau
GUINEA-BISSAU ConakryGUINEA NIGERIA N’Djamena
Ho Chi Minh City
San José Caracas
Vung Tau

BENIN
Panama
COSTA RICA Abuja
City
VENEZUELA Freetown CÔTE D’IVOIRE GHANA SRI

TOGO
PANAMA Georgetown SIERRA LEONE Yamoussoukro Kumasi Porto-Novo CENTRAL SOUTH Addis Ababa
Colombo
Melekeok Palikir Dalap-Uliga-Darrit
Monrovia Accra
Lomé Lagos SUDAN ETHIOPIA LANKA Sabah (N.L.)
Paramaribo Takoradi Warri AFRICAN REPUBLIC PALAU
Palmyra Atoll Bogotá GUYANA Cayenne LIBERIA Port Harcourt Bangui Juba
Malé
Bandar Seri Begawan
MICRONESIA MARSHALL ISLANDS Howland Island (U.S.)
(U.S.) SURINAME FRENCH Malabo Yaoundé
UGANDA SOMALIA BRUNEI
COLOMBIA GUIANA CAMEROON Kuala Lumpur MALAYSIA
EQUATORIAL GUINEA Mogadishu MALDIVES SINGAPORE Bairiki Baker Island
Quito Libreville CONGO KENYA (U.S.)
SÃO TOMÉ Kampala Nairobi Addu City Yaren
Jarvis (U.S.)
ECUADOR AND PRÍNCIPE GABON RWANDA
Kigali NAURU
Galápagos Islands CONGO KIRIBATI
(Ec.) BURUNDI
Brazzaville (DRC) Victoria
Kinshasa Dodoma Jakarta INDONESIA PAPUA NEW GUINEA
SEYCHELLES
TANZANIA TUVALU
PERU Bali Dili
Vaiaku
Luanda Glorioso Islands (Fr.) Port
TIMOR-LESTE Honiara

Lima
BRAZIL Moroni COMOROS
Mayotte Ashmore and Cartier
Moresby
SOLOMON ISLANDS SAMOA
MALAWI Pemba Islands (Au.) Wallis and
French Polynesia
American Samoa ANGOLA ZAMBIA Futuna Apia
Lilongwe Tromelin Island (Fr.)
Brasília Lusaka
Arequipa
La Paz MOZAMBIQUE FIJI
BOLIVIA
Harare
Juan de Nova
VANUATU Port-Vila Suva
Antananarivo MAURITIUS Coral Sea
New Caledonia
TONGA
ZIMBABWE Island (Fr.) Islands (Au.)
Cook Island NAMIBIA MADAGASCAR Port-Louis
(N.Z.) Windhoek Réunion Nouméa Nuku’alofa
PARAGUAY Rio de Janeiro BOTSWANA Europa Island (Fr.)

CHILE
Asunción
Gaborone
Pretoria AUSTRALIA
TRAVEL MEDICAL RISK RATING DEFINITIONS
Johannesburg Maputo
Mbabane
Easter Island
ESWATINI
International SOS assigns travel medical risk ratings by assessing a range of health risks and
(Cl.)
Maseru

mitigating factors, including but not limited to: infectious disease burden, environmental factors, LESOTHO
SOUTH AFRICA
medical evacuation data, road trauma data, standard of emergency medical services, outpatient Perth
and inpatient medical care, access to quality pharmaceutical supplies, and cultural, language or Santiago URUGUAY Sydney

administrative barriers. Buenos Aires

Montevideo
Canberra
An overall single rating is given for a location; however the medical landscape can vary widely. ARGENTINA Auckland

For example, major cities may have better access to quality medical care; whereas remote or NEW ZEALAND
rural locations may have limited availability of health facilities and specialist care.
Wellington

Chatham Islands
(N.Z.)
LOW TRAVEL MEDICAL RISK
Quality medical care is available throughout the country. Specialist care, emergency and
dental services, and quality prescription drugs are widely available. Low risk of infectious
diseases.

MEDIUM TRAVEL MEDICAL RISK INTERNATIONAL SOS CLINIC

Quality medical care is available from selected providers. Reliable emergency services, ASSISTANCE CENTRE
limited specialist and dental care are usually available. Some risk of food or water-borne
diseases. Potentially life-threatening infectious diseases such as malaria and typhoid may
Staffed by doctors and nurses, security specialists, An accredited, integrated network of International SOS
be present.
South Shetland Islands air and ground logistics personnel and multilingual and partner clinics, practising a supervised
(U.K.) coordinators, our 26 Assistance Centres deliver 24/7 international standard of medicine. International SOS
South Orkney Islands
(U.K.) medical and travel security services in more than 99 also manages over 1,000 remote clinics and medical
VARIABLE TRAVEL MEDICAL RISK languages, all over the world. sites in developed and emerging countries, offshore
Significant variation of travel medical risk: Quality medical care, emergency services, and remote locations on behalf of clients.
and dental care is available from selected providers in major cities, including prescription
drugs. Elsewhere: availability of these services may be limited. Similarly, exposure to
food, water-borne or potentially life-threatening infectious diseases may vary.

TRAVEL SECURITY RISK RATING

INSIGNIFICANT TRAVEL LOW TRAVEL MEDIUM TRAVEL HIGH TRAVEL EXTREME TRAVEL REGIONAL
HIGH TRAVEL MEDICAL RISK DEFINITIONS
The travel security risk rating evaluates the threat
SECURITY RISK SECURITY RISK SECURITY RISK SECURITY RISK SECURITY RISK VARIATIONS
Basic emergency services, medical and dental care may be available. Specialist care
is limited even in major cities. A wide range of quality prescription drugs may not be posed to travellers and international assignees by
available. Food and water-borne infections are common. Potentially life-threatening political violence (including terrorism, insurgency, Rates of violent crime are very low. There is no Violent crime rates are low and racial, sectarian or Periodic political unrest, violent protests, insurgency Protests are frequently violent and may target or Government control and law and order may be Travel Security Risk Zones are areas within a country
infectious diseases such as malaria, typhoid and cholera may persistently pose a threat. politically motivated unrest and war), social unrest significant political violence or civil unrest and little political violence or civil unrest is uncommon. If and/or sporadic acts of terrorism occur. Travellers disrupt foreigners; they may be exacerbated by minimal or non-existent across large areas. Serious where the risks faced by travellers and international
(including sectarian, communal and ethnic violence) sectarian, communal, racial or targeted violence terrorism is a threat, groups have limited operational and international assignees may face risk from governance issues, including security or law and threat of violent attacks by armed groups targeting assignees are different from the country’s overall risk
as well as violent and petty crime. Other factors, such against foreigners. Security and emergency services capabilities, and acts of terrorism are rare. Security communal, sectarian or racial violence and violent order capacity. Violent crime and terrorism pose travellers and international assignees. Government environment, usually necessitating a different level of
as the robustness of the transport infrastructure, the are effective and infrastructure is sound. Transport and emergency services are effective and crime. Capacity of security and emergency services significant direct or incidental risks to travellers and and transport services are barely functional. Large preparation.
VERY HIGH TRAVEL MEDICAL RISK state of industrial relations, the effectiveness of the services are of a high standard with good safety infrastructure is sound. Industrial action and transport and infrastructure varies. Industrial action can disrupt parts of the country are inaccessible to foreigners.
international assignees. Communal, sectarian or racial
Healthcare is almost non-existent or severely overtaxed. There may be very limited or no security and emergency services and the country’s records and only occasional travel disruption. disruption are infrequent. travel. violence is common and foreigners may be directly
primary care, emergency care or dental services. Quality prescription drugs are frequently susceptibility to natural disasters are also considered Industrial action affecting essential services is rare. targeted. Certain parts of the country are
unavailable. Food and water-borne infections are common. Potentially life-threatening where they are of sufficient magnitude to impact the
inaccessible or off-limits to the traveller.
infectious diseases such as malaria and cholera may be persistently present and large overall risk environment for travellers.
outbreaks may occur.

The Travel Risk Map is a global representation of travel 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 2019. internationalsos.com/risk-outlook