global health and travel security risks review

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Kokstad Dyce Haugesund Stockton-on-Tees Stavanger i i i i i i i i i i i i i i i i i i L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H E E E E E E E E E E E E E E E E Saint Pierre and Miquelon (Fr.) Bermuda Cayman Islands Navassa Island (U.S.) Turks and Caicos Islands (U.K.) US Virgin Islands British Virgin Islands Bonaire, Sint Eustatius and Saba Montserrat Martinique Guadeloupe Anguilla Saint Martin Netherlands Antilles (N.L.) Falkland Islands (G.B.) South Georgia and the South Sandwich Islands (G.B.) 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.) Isle of Man (U.K.) Isle of Man 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 Island (Au.) Christmas Island (Au.) Mc Donald and Heard Islands (Au.) Chagos Archipelago (U.K.) Azores (Pt.) Canary Islands (Es.) Madeira (Pt.) Chatham Islands (N.Z.) Greenland Alaska (U.S.) Galápagos Islands (Ec.) South Orkney Islands (G.B.) South Shetland Islands (G.B.) 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 Corsica (Fr.) A l e u t i a n I s l a n d s ( U . S . ) Stockholm Wellington Lima Kinshasa Libreville Athens Reykjavik Tehran Yaren Brussels Frankfurt Buenos Aires Vienna Copenhagen Bogotá Canberra Montevideo Santiago Maseru Johannesburg Maputo Pemba Pretoria Asunción Gaborone Windhoek Nuku’alofa Port-Louis Antananarivo Suva Harare Port-Vila La Paz Brasília Lusaka Lilongwe Apia Moroni Honiara Luanda Ilha da Luanda Dili Jakarta Denpasar Victoria Brazzaville Kigali Nairobi Quito Kampala Mogadishu Kuala Lumpur Taipei Yaoundé Bangui Bandar Seri Begawan Saba (N.L.) Paramaribo Cayenne Georgetown Colombo Panama Addis Ababa Juba Abuja San José Caracas Djibouti Phnom Penh N’Djamena Tianjin Adrar Managua Ouagadougou Bamako Niamey San Salvador Bangkok Tegucigalpa Guatemala City Asmara Sana’a Erbil Yangon Sydney Perth Auckland Philadelphia Phoenix Rio de Janeiro Anchorage Deadhorse Arequipa Kenai Atyrau Aktau Khartoum Belmopan Kingston Vientiane Port-au- Prince Mexico City Hanoi Ho Chi Minh City Vung Tau Havana Muscat Dhaka Riyadh Nassau Doha Manama Thimphu Kathmandu Kuwait City Basra Cairo Amman Tripoli Baghdad Damascus Islamabad Beirut Rabat Kabul Nicosia Tokyo Seoul Valletta Algiers Tunis Ashgabat Dushanbe Lisbon Washington Pyongyang Beijing Hong Kong (SAR) Macao (SAR) Shenzhen Nanjing Dalian Yuzhno-Sakhalinsk Manila Shanghai Ankara Yerevan Baku Madrid Hassi Messaoud Tashkent Tbilisi Rome Podgorica Bishkek Bucharest Belgrade Ottawa Ljubljana Chisinau Vaduz Budapest Ulan-Bator Paris Prague Kiev Astana Almaty London Aberdeen Guernsey Jersey Warsaw Amsterdam Berlin Dublin Minsk Vilnius Moscow Riga Tallinn Oslo Helsinki Vaiaku Bairiki Palikir Dalap-Uliga-Darrit Port of Spain San Juan Santo Domingo Roseau Castries Kingstown Saint Georges Saint John’s Bridgetown El Aaiún Berne Geneva Zagreb Bratislava Tirana Sarajevo Malé Mbabane Bujumbura Skopje Dodoma Basseterre Monrovia Nouakchott Nouméa São Tomé Malabo Accra Takoradi Kumasi Lomé Porto-Novo Port Harcourt Warri Lagos Freetown Conakry Banjul Dakar Praia Bissau Yamoussoukro Abu Dhabi Dubai Sofia Port Moresby New Delhi Mumbai Melekeok Naypyidaw ZIMBABWE ZAMBIA SWAZILAND SAMOA WESTERN SAHARA NAMIBIA VATICAN CITY VIETNAM VENEZUELA SAINT VINCENT AND THE GRENADINES BONAIRE, SINT EUSTATIUS AND SABA Aruba CURAÇAO UZBEKISTAN URUGUAY BURKINA FASO UNITED STATES OF AMERICA UKRAINE UNITED KINGDOM 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 ISLANDS PALAU 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 MONTENEGRO MALDIVES OMAN MALTA MAURITANIA MAURITIUS MOROCCO MALI MACEDONIA MALAWI MONGOLIA MOLDOVA MADAGASCAR LIBYA LESOTHO LIECHTENSTEIN SLOVAKIA LITHUANIA LATVIA LAOS KAZAKHSTAN NORTH KOREA KYRGYZSTAN KENYA JAMAICA JAPAN IRAQ ITALY IRAN INDIA INDONESIA ICELAND HUNGARY CROATIA HONDURAS HAITI PALESTINIAN TERRITORIES GUYANA GUATEMALA GREECE GERMANY GRENADA GEORGIA GABON FRANCE MICRONESIA FIJI FINLAND CZECH REP. ETHIOPIA SOUTH SUDAN EL SALVADOR ESTONIA IRELAND ECUADOR DOMINICAN REP. DENMARK CYPRUS CUBA CENTRAL AFRICAN REPUBLIC COSTA RICA COLOMBIA COMOROS CAMEROON CHILE CHINA CONGO (DRC) CONGO SRI LANKA CHAD CAMBODIA CANADA BURUNDI BRUNEI BULGARIA BHUTAN BRAZIL SOLOMON ISLANDS BELARUS MYANMAR BOLIVIA BOSNIA AND HERZ. BELIZE BANGLADESH BAHAMAS BELGIUM BOTSWANA BARBADOS AUSTRIA AUSTRALIA ARGENTINA ANGOLA ARMENIA ALBANIA AZERBAIJAN ALGERIA AFGHANISTAN ANTIGUA AND BARBUDA EGYPT ERITREA YEMEN SYRIA SAUDI ARABIA QATAR LEBANON KUWAIT JORDAN ISRAEL BAHRAIN UNITED ARAB EMIRATES WEST BANK KIRIBATI TIMOR-LESTE ANDORRA MONACO SINGAPORE DOMINICA SÃO TOMÉ AND PRÍNCIPE TOGO SIERRA LEONE SENEGAL GUINEA-BISSAU LIBERIA CÔTE D’IVOIRE GUINEA GHANA GAMBIA EQUATORIAL GUINEA CAPE VERDE BENIN LUXEMBOURG SOUTH KOREA Global health and travel security risks review International SOS assigns medical ratings to countries* by assessing a range of factors including 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. * 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 countries 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, and cholera may pose a threat in some regions or throughout the country. Low medical risk countries International 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 countries 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. 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. 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. MEDICAL RISK RATING DEFINITIONS International SOS Assistance Centre International SOS Response Centre Clinic 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 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. 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. 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 i Insignificant travel risk L Low travel risk M Medium travel risk H High travel risk E Extreme travel risk 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. 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. 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. 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. 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. 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. TRAVEL SECURITY RISK RATING DEFINITIONS

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Page 1: Global health and travel security risks review

Kokstad

Dyce

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Stockton-on-Tees

Stavanger

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Saint Pierre and Miquelon (Fr.)

Bermuda

Cayman IslandsNavassa Island (U.S.)

Turks and Caicos Islands (U.K.)

US Virgin Islands

British Virgin Islands

Bonaire, Sint Eustatius and Saba

Montserrat

Martinique

Guadeloupe

AnguillaSaint Martin

Netherlands Antilles (N.L.)

Falkland Islands (G.B.)

South Georgia and the South Sandwich Islands (G.B.)

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.)

Isle of Man (U.K.)

Isle of Man

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 Island

(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(G.B.)

South Shetland Islands (G.B.)

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

Corsica (Fr.)

A l e u t i a n I s l a n d s ( U . S . )

Stockholm

Wellington

Lima

Kinshasa

Libreville

Athens

Reykjavik

Tehran

Yaren

Brussels

Frankfurt

Buenos Aires

Vienna

Copenhagen

Bogotá

CanberraMontevideo

Santiago

Maseru

Johannesburg Maputo

Pemba

PretoriaAsunciónGaborone

Windhoek Nuku’alofa

Port-LouisAntananarivo

SuvaHarare

Port-VilaLa Paz

Brasília LusakaLilongwe

Apia

MoroniHoniara

Luanda

Ilha da LuandaDili

Jakarta

Denpasar

VictoriaBrazzaville

KigaliNairobi

Quito Kampala

Mogadishu

Kuala Lumpur

Taipei

YaoundéBangui

Bandar Seri BegawanSaba (N.L.)

ParamariboCayenne

Georgetown Colombo

Panama

Addis Ababa

Juba

AbujaSan José Caracas

Djibouti Phnom PenhN’Djamena

Tianjin

Adrar

Managua

OuagadougouBamako

NiameySan Salvador

BangkokTegucigalpaGuatemala City

AsmaraSana’a

Erbil

Yangon

SydneyPerth

Auckland

Philadelphia

Phoenix

Rio de Janeiro

Anchorage

Deadhorse

Arequipa

Kenai

Atyrau

Aktau

KhartoumBelmopan

KingstonVientiane

Port-au-Prince

Mexico CityHanoi

Ho Chi Minh City Vung Tau

HavanaMuscat

DhakaRiyadh

Nassau DohaManama

ThimphuKathmandu

Kuwait City

BasraCairo

AmmanTripoli BaghdadDamascus

IslamabadBeirutRabat

KabulNicosia Tokyo

Seoul

VallettaAlgiers Tunis

Ashgabat DushanbeLisbonWashington Pyongyang

Beijing

Hong Kong (SAR)Macao (SAR)

Shenzhen

Nanjing

Dalian

Yuzhno-Sakhalinsk

Manila

Shanghai

Ankara Yerevan BakuMadrid

Hassi Messaoud

TashkentTbilisi

RomePodgorica Bishkek

BucharestBelgradeOttawa

Ljubljana

ChisinauVaduzBudapest

Ulan-BatorParis

PragueKiev

Astana

Almaty

London

Aberdeen

GuernseyJersey

WarsawAmsterdam

BerlinDublin Minsk

Vilnius

Moscow

Riga

Tallinn

Oslo Helsinki

Vaiaku

Bairiki

Palikir Dalap-Uliga-Darrit

Port of Spain

San JuanSantoDomingo

Roseau

CastriesKingstown

Saint Georges

Saint John’s

Bridgetown

El Aaiún

Berne

Geneva Zagreb

Bratislava

Tirana

Sarajevo

Malé

Mbabane

Bujumbura

Skopje

Dodoma

Basseterre

Monrovia

Nouakchott

Nouméa

São Tomé

Malabo

AccraTakoradiKumasi Lomé

Porto-Novo

Port HarcourtWarri

Lagos

Freetown

Conakry

BanjulDakar

Praia

Bissau

Yamoussoukro

Abu Dhabi

Dubai

Sofia

PortMoresby

New Delhi

Mumbai

Melekeok

Naypyidaw

ZIMBABWE

ZAMBIA

SWAZILAND

SAMOA

WESTERNSAHARA

NAMIBIA

VATICANCITY

VIETNAM

VENEZUELA

SAINT VINCENT ANDTHE GRENADINES

BONAIRE, SINT EUSTATIUS AND SABA

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

SERBIAKOSOVO

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

MONTENEGRO

MALDIVES

OMAN

MALTA

MAURITANIA

MAURITIUS

MOROCCO

MALI

MACEDONIA

MALAWI

MONGOLIAMOLDOVA

MADAGASCAR

LIBYA

LESOTHO

LIECHTENSTEIN

SLOVAKIA

LITHUANIALATVIA

LAOS

KAZAKHSTAN

NORTHKOREA

KYRGYZSTAN

KENYA

JAMAICA

JAPAN

IRAQ

ITALY

IRAN

INDIA

INDONESIA

ICELAND

HUNGARY

CROATIA

HONDURAS

HAITI

PALESTINIAN TERRITORIES

GUYANA

GUATEMALA

GREECE

GERMANY

GRENADA

GEORGIA

GABON

FRANCE

MICRONESIA

FIJI

FINLAND

CZECH REP.

ETHIOPIASOUTHSUDAN

EL SALVADOR

ESTONIA

IRELAND

ECUADOR

DOMINICAN REP.

DENMARK

CYPRUS

CUBA

CENTRAL AFRICAN REPUBLIC

COSTA RICA

COLOMBIA

COMOROS

CAMEROON

CHILE

CHINA

CONGO(DRC)

CONGO

SRILANKA

CHAD

CAMBODIA

CANADA

BURUNDI

BRUNEI

BULGARIA

BHUTAN

BRAZIL SOLOMON ISLANDS

BELARUS

MYANMAR

BOLIVIA

BOSNIAAND HERZ.

BELIZE

BANGLADESHBAHAMAS

BELGIUM

BOTSWANA

BARBADOS

AUSTRIA

AUSTRALIA

ARGENTINA

ANGOLA

ARMENIAALBANIA

AZERBAIJAN

ALGERIA

AFGHANISTAN

ANTIGUA AND BARBUDA

EGYPT

ERITREAYEMEN

SYRIA

SAUDIARABIA

QATAR

LEBANON

KUWAIT

JORDAN

ISRAEL

BAHRAIN

UNITEDARAB EMIRATES

WEST BANK

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

G 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

International SOS assigns medical ratings to countries* by assessing a range of factors including 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.

* 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 countries

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, and cholera may pose a threat in some regions or throughout the country.

Low medical risk countries

International 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 countries

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.

High medical risk countries

Basic emergency services and dental care may be available. Specialist care is limited. Access to qualityprescription 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

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.

MEDICAL RISK RATINGDEFINITIONS

International SOS Assistance Centre

International SOS Response Centre Clinic

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 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.

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.

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

i Insignificant travel risk

L Low travel risk

M Medium travel risk

H High travel risk

E Extreme travel risk

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.

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.

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.

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.

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.

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.

TRAVEL SECURITY RISK RATINGDEFINITIONS