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BergenHaugesund
Stockton-on-Tees
Stavanger
Erbil
Saint Pierre and Miquelon (Fr.)
Bermuda
Cayman IslandsNavassa Island (U.S.)
Turks and Caicos Islands (U.K.)
U.S. Virgin IslandsBritish Virgin Islands St.Martin
Sint Eustatius and SabaMontserrat
Martinique
Guadeloupe
Anguilla
Falkland Islands (U.K.)
South Georgia and the South Sandwich Islands (U.K.)
Bouvet Island (No.)
Clipperton Island (Fr.)
Pitcairn (U.K.)
Niue (N.Z.)
Midway Atoll(U.S.)
Palmyra Atoll(U.S.)
Johnston Atoll (U.S.)
French Polynesia
Cook Island(N.Z.)
American Samoa
Tokelau (N.Z.)
Wallis and Futuna
Jan Mayen (No.)
Faroe Islands (Dk.)
Svalbard (No.)
Saint Helena(U.K.)
Europa Island (Fr.)Réunion
Tromelin Island (Fr.)
Juan de Nova Island (Fr.)
Glorioso Islands (Fr.)
Mayotte
Crozet Islands (Fr.)
Wake Island (U.S.)Northern Mariana Islands
Guam
New Caledonia
Norfolk Island (Au.)
Coral Sea Islands (Au.)
Ashmore and Cartier Islands (Au.)Cocos (Keeling) Islands
(Au.)
Christmas Island(Au.)
Mc Donald andHeard Islands (Au.)
Chagos Archipelago (U.K.)
Azores (Pt.)
Canary Islands (Es.)
Madeira (Pt.)
Chatham Islands(N.Z.)
G r e e n l a n d
Alaska(U.S.)
Galápagos Islands(Ec.)
South Orkney Islands(U.K.)
South Shetland Islands (U.K.)
Hawaii (U.S.)
Easter Island(Cl.)
Kingman Reef (U.S.)
Howland Island (U.S.)
Baker Island(U.S.)
Jarvis (U.S.)
Puerto Rico
Kerguelen Islands (Fr.)
Sakhalin (Ru.)
New Siberian Islands (Ru.)
Severnaya Zemlya (Ru.)Franz Josef Land (Ru.)
Novaya Zemlya (Ru.)
Gibraltar
A l e u t i a n I s l a n d s ( U . S . & R u . )
Stockholm
Wellington
Lima
Kinshasa
Libreville
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Yaren
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ZIMBABWE
ZAMBIA
SWAZILAND
SAMOA
WESTERNSAHARA
NAMIBIA
VIETNAM
VENEZUELA
SAINT VINCENT ANDTHE GRENADINES
BONAIRE
ArubaCURAÇAO
UZBEKISTAN
URUGUAY
BURKINA FASO
UNITED STATESOF AMERICA
UKRAINE
UNITEDKINGDOM
UGANDA
TANZANIA
TURKMENISTAN
TAIWAN
TUVALU
TURKEY
TUNISIA
TONGA
TAJIKISTAN
THAILAND
TRINIDAD AND TOBAGO
SWITZERLAND
SWEDEN
SUDAN
SAINT LUCIA
SERBIA
KOSOVO
SPAIN
SOMALIA
SAN MARINO
SLOVENIA
SOUTH AFRICA
SEYCHELLES
SAINT KITTS AND NEVIS
RWANDA
RUSSIA
PHILIPPINES
ROMANIA
MARSHALL ISLANDSPALAU
PAPUA NEW GUINEA
PORTUGAL
PANAMA
POLAND
PAKISTAN
PERU
PARAGUAY
NEW ZEALAND
NICARAGUA
SURINAME FRENCH GUIANA
NAURU
NEPAL
NORWAY
NETHERLANDS
NIGERIA
VANUATU
NIGER
MOZAMBIQUE
MALAYSIA
MEXICO
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OMAN
MALTA
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MAURITIUS
MOROCCO
MALI
MACEDONIA
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MONGOLIAMOLDOVA
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LITHUANIA
LATVIA
LAOS
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KYRGYZSTAN
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JAMAICA
JAPAN
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ITALY
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GRENADA
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MICRONESIA
FIJI
FINLAND
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ETHIOPIASOUTHSUDAN
EL SALVADOR
ESTONIA
IRELAND
ECUADOR
DOMINICAN REP.
DENMARK
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CENTRAL AFRICAN REPUBLIC
COSTA RICA
COLOMBIA
COMOROS
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CONGO(DRC)
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BELIZE
BANGLADESHBAHAMAS
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BOTSWANA
BARBADOS
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AUSTRALIA
ARGENTINA
ANGOLA
ARMENIAALBANIA
AZERBAIJAN
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AFGHANISTAN
ANTIGUA AND BARBUDA
EGYPT
ERITREAYEMEN
SYRIA
SAUDIARABIA
QATAR
LEBANON
KUWAITJORDAN
ISRAEL
BAHRAIN
UNITEDARAB EMIRATES
KIRIBATI
TIMOR-LESTE
ANDORRA
MONACO
SINGAPORE
DOMINICA
SÃO TOMÉAND PRÍNCIPE
TOGO
SIERRA LEONE
SENEGAL
GUINEA-BISSAU
LIBERIA
CÔTE D’IVOIRE
GUINEA
GHANA
GAMBIA
EQUATORIAL GUINEA
CAPE VERDE
BENI
N
LUXEMBOURG
SOUTHKOREA
MEDICAL RISK RATING DEFINITIONSInternational 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 and dental care, access to quality pharmaceutical supplies, and cultural, language or administrative barriers.
* The term ‘country’ refers to traditional countries or independent states, as well as other geographic entities including dependencies, territories and areas of special sovereignty.
RAPIDLY DEVELOPING VARIABLE RISK COUNTRIESWide variation of medical risk rating between the quality of medical care available in the major cities and what is generally available throughout the rest of the country. • In major cities: 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.
LOW MEDICAL RISK COUNTRIESAppropriate 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.
MEDIUM MEDICAL RISK COUNTRIESAppropriate 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.
HIGH MEDICAL RISK COUNTRIESBasic 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 COUNTRIESHealthcare 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 DEFINITIONSThe 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 e�ectiveness of the security and emergency services and the country’s susceptibility to natural disasters are also considered where they are of su�cient magnitude to impact the overall risk environment for travellers.
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 e�ective and infrastructure is sound. Transport services are of a high standard with good safety records and only occasional travel disruption. Industrial action a�ecting essential services is rare.
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 e�ective and infrastructure is sound. Industrial action and transport disruption are infrequent.
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.
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 o�-limits to the traveller.
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.
Travel Security Risk Zones are areas within a country where the risks faced by travellers and international assignees are di�erent from the country’s overall risk environment, usually necessitating a di�erent level of preparation.
Sta�ed 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.
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.
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, o�shore and remote locations.
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
TRAVEL RISK MAP 2017G l o b a l h e a l t h a n d t r a v e l s e c u r i t y r i s k s r e v i e w
INSIGNIFICANT TRAVEL RISK
LOW TRAVEL RISK
MEDIUM TRAVEL RISK
HIGH TRAVEL RISK
EXTREME TRAVEL RISK
REGIONAL VARIATIONS
INTERNATIONAL SOS ASSISTANCE CENTRE
INTERNATIONAL SOS RESPONSE CENTRE
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