travel advisories panama

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Requirements to Travel to Panamá

To enjoy your trip to Panamá, you must comply with the following documents and regulations:

• Valid passport within at least six months of expiration
• Return ticket to the country of origin or the next destination to visit
• Proof of economic solvency of at least five hundred dollars (USD $500.00) in cash, credit card, bank reference, work letter, or traveler's checks. Some nationalities must present a higher amount. We recommend validating this information with the consulate of Panamá in your country or with your airline.
• Address of the place of lodging and purpose of travel.
• Some nationalities must present a tourist visa before their trip to Panamá. If this is your case, we recommend going directly to the Panamanian consulate in your country. For any other query, visit the National Migration Service of Panam á page or check with your airline.
• The yellow fever vaccine is mandatory for all people traveling from Brazil, who must present the international vaccination certificate issued by ANVISA at least 10 days before arrival. Exceptions:
• Currently, there are no restrictions or requirements specific to COVID-19. However, in this link , you can always review updated information.
• For more information, visit Tocumen Panamá .

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Exercise a high degree of caution in Panama overall due to the threat of violent crime.

Higher levels apply in some areas.

Panama (PDF 725.47 KB)

Americas (PDF 3.25 MB)

Local emergency contacts

Fire and rescue services, medical emergencies.

Call 911, or go to the hospital.

Call 104, or go to the nearest police station.

Advice levels

Exercise a high degree of caution in Panama.

Exercise a high degree of caution  in Panama overall due to the threat of violent crime.

Do not travel to the Darien Gap, beyond Yaviza.

Do not travel to the Darien Gap, beyond Yaviza, due to the threat of violent crime.

See  Safety

• Protests are causing significant disruption to essential services, including transport and food. Avoid protests and demonstrations as they may turn violent. Monitor local media and follow advice of local authorities.
• Panama has high crime rates. Petty crime is more common than violent crime. Take care of your belongings, especially in transport hubs. Violent crime includes armed robbery and muggings. Avoid high-crime areas of Panama City. Only use ATMs in banks or shopping centres. Don't go out alone.
• Colombian guerrilla groups and drug traffickers are active in the Darien Gap, near the Colombian border. Violent crime is common. Do not travel to this area.
• Popular protest areas include the University of Panama, the National Assembly, the Presidential Palace, and main roads. Protests can turn violent. Avoid large public gatherings.
• The hurricane season is from June to November, but storms can happen year-round. They can cause flooding and landslides and disrupt services. Know your hotel or cruise ship's evacuation plan. Find your nearest shelter.
• Panama experiences earthquakes. Tsunamis can also happen. Know the tsunami warning signs and move immediately to high ground. Don't wait for official alerts.

Full travel advice:  Safety

• Yellow fever is widespread. Get vaccinated before you travel.
• Malaria is a year-round risk in Bocas del Toro, Darien and San Blas. It's not a risk in Panama City. Consider taking anti-malarial medication. Other insect-borne diseases include Zika virus, dengue and chikungunya. Ensure your accommodation is insect-proof. Use insect repellent.
• HIV/AIDS is common. Take precautions if you're taking part in high-risk activities.
• Waterborne, foodborne and other infectious diseases include hantavirus, hepatitis, tuberculosis, rabies and brucellosis. Drink boiled or bottled water. Avoid raw or undercooked food. If you're bitten or scratched by an animal, get immediate medical help.
• Some private hospitals and clinics are good. Facilities outside Panama City are limited. If you're seriously ill or injured, you'll need medical evacuation to the United States. Ensure your travel insurance covers this.

Full travel advice:  Health

• Don't use or carry illegal drugs. Penalties for drug offences are severe. They include long prison sentences. Officials may also arrest you if you're with someone who's using drugs.
• Always carry photo identification, such as a certified copy of your passport.
• If you're under 18, abide by all curfews in Panama City. Police can detain you if you're out past the curfew time without a permit.
• Understand and follow local laws. It's illegal to take photos of official buildings. If you're in a traffic accident, you must wait with your vehicle until traffic police arrive.
• Ask for permission before photographing anyone, especially women, children and Indigenous people.
• Same-sex relationships are legal, but they aren't socially accepted in all areas. Consider avoiding public displays of affection.

Full travel advice:  Local laws

• Ongoing protests are causing significant disruption to transport services. Your travel plans may be disrupted. Check with your airline or travel provider.

If you arrive by air or land, you won't need a visa. You'll be granted an initial stay of 180 days when you arrive.

• Entry and exit conditions can change at short notice. You should contact the nearest embassy or consulate of Panama for the latest details or check with your airline or travel provider.
• You must obtain an entry stamp from immigration officials upon entry into Panama. You may be fined up to USD1,000 if you don't do this.

Full travel advice:  Travel

Local contacts

• The  Consular Services Charter  details what the Australian Government can and can't do to help you overseas.
• Australia has a Consulate in Panama City. The Consulate doesn't issue Australian passports.
• You can get full consular help from the Australian Embassy in Mexico.
• To stay up to date with local information, follow the embassy’s social media accounts.

Full travel advice:  Local contacts

Full advice

Crime levels are high in Panama.

Petty crime

Petty crime is common, mainly pickpocketing and bag-snatching. You're most at risk in Panama City and Colon.

Take extra care of your valuables in:

• bus terminals
• public transport

To prevent petty crime:

• be alert after dark
• avoid being on the streets alone
• pay attention in crowded areas

Violent crime

Armed  robbery and muggings  occur in Panama. Violent crime is less common than petty crime.

Hotspots for crime in Panama City include:

• San Miguelito
• El Chorrillo
• Veracruz Beach
• Parque Soberania
• Panama Viejo
• Casco Viejo
• shopping areas on Avenida Central

Armed criminals may target you at Madden Dam, a tourist site in the Chagres National Park.

' Express kidnappings ' also happen, where criminals force you to withdraw money from ATMs.

To protect yourself from violent crime:

• avoid high-crime areas in Panama City
• travel with others
• only use ATMs in controlled areas, such as banks or shopping centres
• pay close attention to your personal security

Scams and fraud

Credit card and ATM fraud occur.

House break-ins and robbery  scams  also happen. Criminals may gain your trust and then rob your house.

Be aware of your surroundings. Always keep your credit card secure.

Colombian guerrilla groups and drug traffickers are active in the Darien Gap, near the Colombian border.

Violent crime is common, including:

• murder, including of foreigners
• armed robbery
• disappearances

The danger zone starts at the end of the Pan American highway at Yaviza and extends to the Colombian border. This area includes the Darien National Park and privately owned nature reserves, and tourist resorts.

Be aware of landmines in the area. 

The Australian Government's longstanding policy is that it doesn't make payments or concessions to kidnappers.

More information:

Cyber security

You may be at risk of cyber-based threats during overseas travel to any country. Digital identity theft is a growing concern. Your devices and personal data can be compromised, especially if you're connecting to Wi-Fi, using or connecting to shared or public computers, or to Bluetooth. 

Social media can also be risky in destinations where there are social or political tensions or laws that may seem unreasonable by Australian standards. Travellers have been arrested for things they have said on social media. Don't comment on local or political events on your social media. 

More information:   

• Cyber security when travelling overseas  

Civil unrest and political tension

Demonstrations and protests.

Protests and demonstrations can happen:

• on campus at the University of Panama
• at the National Assembly
• at the Presidential Palace in Panama City
• on main streets and highways

Public protests and events that draw large groups of people can turn violent.

To protect yourself during periods of unrest:

• avoid demonstrations, protests and public gatherings
• monitor the media for reports of potential unrest
• avoid affected areas
• follow instructions from local authorities

If you encounter a protest, leave as soon as it is safe.

• Demonstrations and civil unrest

Terrorism is a threat worldwide.

Swimming safety

Panama doesn't have many lifeguards. Rescue equipment at public beaches is limited.

Strong currents and rips can make swimming dangerous.

The Bay of Panama is polluted with untreated sewage and industrial waste.

If you decide to go swimming:

• check conditions with your hotel or local authorities before entering the water
• never swim alone

Climate and natural disasters

Panama experiences  natural disasters  and  severe weather , including:

• earthquakes
• volcanic activity

In the event of a natural disaster:

• secure your passport in a safe, waterproof location
• monitor local media and other sources
• follow the advice of local authorities
• keep in touch with your friends and family

To get alerts and advice, register with:

• Global Disaster Alert and Coordination System
• Caribbean Disaster Emergency Response Agency

Hurricanes and severe weather

Severe weather  can happen, including:

Severe weather may affect:

• access to ports
• road travel
• essential services, such as communication, water and electricity

The hurricane season is from June to November. Storms and hurricanes can happen in other months.

The direction and strength of hurricanes can change suddenly.

If there's a hurricane or severe storm:

• you may get stuck in the area
• flights could be delayed or suspended
• available flights may fill quickly
• adequate shelter may not be available

If a hurricane is approaching:

• know the evacuation plan for your hotel or cruise ship
• identify your local shelter
• monitor alerts and advice from the  National Hurricane and Tropical Prediction Center

Earthquakes and tsunamis

Panama experiences  earthquakes . Tsunamis can also happen. 

Get to know the earthquake safety measures for each place you stay and visit.

To receive tsunami alerts, register with the  Global Disaster Alert and Coordination System .

If you're near the coast, move immediately to high ground if advised by authorities, or if you:

• feel a strong earthquake that makes it hard to stand up
• feel a weak, rolling earthquake that lasts a minute or more
• see a sudden rise or fall in sea level
• hear loud and unusual noises from the sea

Don't wait for official warnings, such as alarms or sirens. Once on high ground, monitor local media.

Travel insurance

Get comprehensive  travel insurance  before you leave.

Your policy needs to cover all overseas medical costs, including medical evacuation. The Australian Government won’t pay for these costs.

If you can't afford travel insurance, you can't afford to travel. This applies to everyone, no matter how healthy and fit you are.

If you're not insured, you may have to pay many thousands of dollars up-front for medical care.

• what activities and care your policy covers
• that your insurance covers you for the whole time you’ll be away

Physical and mental health

Consider your physical and mental health before you travel, especially if you have an existing medical condition. 

See your doctor or travel clinic to:

• have a basic health check-up
• ask if your travel plans may affect your health
• plan any vaccinations you need

Do this at least 8 weeks before you leave.

If you have immediate concerns for your welfare, or the welfare of another Australian, call the 24-hour Consular Emergency Centre on +61 2 6261 3305 or contact your  nearest Australian Embassy, High Commission or Consulate  to discuss counselling hotlines and services available in your location.

• General health advice
• Healthy holiday tips  (Healthdirect Australia)

Not all medication available over the counter or by prescription in Australia is available in other countries. Some may even be considered illegal or a controlled substance, even if prescribed by an Australian doctor.

Medication with pseudoephedrine is banned in Panama.

If you plan to bring medication, check if it's legal in Panama. Take enough legal medication for your trip.

Carry a copy of your prescription and a dated letter from your doctor stating:

• what the medication is
• your required dosage
• that it's for personal use

Health risks

Insect-borne diseases.

Yellow fever  is widespread in Panama. Yellow fever is a potentially fatal virus spread by mosquitoes. It's prevented by vaccination. Get vaccinated before you travel.

Zika virus  is also widespread. If you're pregnant, the Australian Department of Health and Aged Care recommends that you:

• discuss travel plans with your doctor
• consider deferring non-essential travel to affected areas

Malaria  is a risk throughout the year in Bocas del Toro, Darien and San Blas. It's not a risk in Panama City.

Outbreaks of  dengue  and  chikungunya  also happen.

To protect yourself from disease:

• make sure your accommodation is insect-proof
• use insect repellent
• wear long, loose, light-coloured clothing
• consider taking medicine to prevent malaria

Get medical advice if you have a fever, muscle pain, rash, bleeding nose or gums, or a severe headache.

HIV/AIDS  is common in Panama.

Take steps to reduce your risk of exposure to the virus.

Many  hantavirus pulmonary syndrome  cases are reported in Los Santos province.

To protect yourself:

• don't touch live or dead rodents, burrows or nests
• avoid activities that stir up dust, such as sweeping or vacuuming

For outdoor activities:

• choose a campsite that's open and dry
• don't rest in tall grass or haystacks
• remove any food that may attract rodents

Other health risks

Waterborne, foodborne and other infectious diseases are common, including:

• tuberculosis
• brucellosis

Serious outbreaks sometimes occur.

• Infectious diseases

Medical care

Medical facilities.

Some private hospitals and clinics are good. Facilities outside Panama City are limited.

Many doctors and hospitals need cash payment before treating you, even in an emergency.

If you're seriously ill or injured, you'll need to be moved to the US or another country with better facilities. Medical evacuation can be very expensive. Treatment in the US can be extremely expensive.

You're subject to all local laws and penalties, including those that may appear harsh by Australian standards. Research local laws before travelling.

If you're arrested or jailed, the Australian Government will do what it can to help you under our  Consular Services Charter . But we can't get you out of trouble or out of jail.

Penalties for drug offences are severe. They include lengthy prison sentences in local jails.

Authorities may arrest you for illegal drugs if you're either:

• carrying even a very small amount of drugs, or
• with someone who's using them
• Carrying or using drugs

Proof of identity

You must always carry an ID, such as a certified copy of your passport.

If you're aged under 18, curfews may apply in Panama City.

To be out after curfew, you'll need a special permit.

Police can detain you for violating the curfew. A guardian will need to collect you from the police station.

In Panama, it's illegal to:

• take photos of an official building
• fail to wait with your vehicle after an accident until traffic police arrive

Australian laws

Some Australian criminal laws still apply when you’re overseas. If you break these laws, you may face prosecution in Australia.

• Staying within the law and respecting customs

Dual citizenship

Panama recognises dual citizenship.

• Dual nationals

Local customs

Get permission before photographing anyone, especially women, children and Indigenous people.

LGBTI information

Same-sex relationships are legal, but not socially acceptable.

Consider the risks of public displays of affection.

• Advice for LGBTI people

Visas and Border Measures

Every country or territory decides who can enter or leave through its borders. For specific information about the evidence you'll need to enter a foreign destination, check with the nearest embassy, consulate or immigration department of the destination you're entering. 

Visa-free travel for short stays

To enter, you'll need to show proof of:

• the equivalent of $US500 or a credit card
• a return or onward travel ticket

If you're transiting on a cruise ship and Panama is a port of call, you won't need a visa. An immigration official will stamp your passport, and you'll be granted a stay of up to 90 days.

If you arrive by another type of boat, you'll need a visa.

You must obtain an entry stamp from immigration officials upon entry into Panama. You may be fined up to USD 1,000 if you don't do this.     

Entry and exit conditions can change. Contact the  nearest Panamanian embassy or consulate  for details about visas, currency, customs and quarantine rules.

Entry into Panama

Travel via the united states.

If you're travelling through  the US , ensure you meet all US entry or transit requirements, even if you are transiting through Hawaii. 

• Travel advice for the US

Travel via Canada

If you're travelling via Canada, you'll need an ETA (Electronic Travel Authorisation) for Canada. 

• Canada travel advice

Travel via Chile

If you’re travelling via Chile, ensure you meet all current entry or transit requirements.

• Travel advice for Chile

Yellow fever vaccination

You may need a valid yellow fever vaccination certificate to enter Panama. Some airlines may want to see one when you leave.

Find out about returning to Australia  after exposure to yellow fever .

Airport requirements

You'll need to pay a departure tax at the Tocumen Airport in Panama City. Check if your airline ticket already includes this cost.

If you're travelling to the US, you'll need evidence of an onward or return ticket. This applies even if you can enter the US under its visa waiver program.

Travel with children

Children who are Panamanian dual nationals or residents require additional documents to leave Panama without both parents.

Documents include:

• their original birth certificate
• notarised consent  from non-travelling parents

If these documents are from outside Panama, you must have them  verified with an apostille stamp .

• Advice for people travelling with children

Some countries won’t let you enter unless your passport is valid for 6 months after you plan to leave that country. This can apply even if you’re just transiting or stopping over.

Some foreign governments and airlines apply the rule inconsistently. Travellers can receive conflicting advice from different sources.

You can end up stranded if your passport is not valid for more than 6 months.

The Australian Government does not set these rules. Check your passport’s expiry date before you travel. If you’re not sure it’ll be valid for long enough, consider getting  a new passport .

Lost or stolen passport

Your passport is a valuable document. It's attractive to people who may try to use your identity to commit crimes.

Some people may try to trick you into giving them your passport. Always keep it in a safe place.

If your passport is lost or stolen, tell the Australian Government as soon as possible:

• In Australia, contact the  Australian Passport Information Service
• If you're overseas, contact the nearest  Australian embassy or consulate

Passport with 'X' gender identifier

Although Australian passports comply with international standards for sex and gender, we can't guarantee that a passport showing 'X' in the sex field will be accepted for entry or transit by another country. Contact the nearest  embassy, high commission or consulate of your destination  before you arrive at the border to confirm if authorities will accept passports with 'X' gender markers. 

• LGBTI travellers  

The local coin currency is the Panama Balboa (PAB).

The banknote currency is the US Dollar (USD).

Beware of counterfeit currency, especially $US50 and $US100 notes.

Access to money

Only exchange money at official banks and exchange services.

ATMs and credit card facilities are widely available. Check with your bank to make sure your cards will work.

Local travel

Driving permit.

You can drive with:

• an International Driving Permit (IDP)
• an Australian driver's licence

You must get your IDP before you leave Australia.

Road travel

Driving hazards in Panama include:

• poor road conditions
• inadequate street lighting
• poor vehicle maintenance

Driving at night is dangerous. There are often night roadworks on the Pan-American Highway. There may not be signage for these roadworks.

Don't move your vehicle if you're in a motor vehicle accident. By law, you must remain at the scene until the traffic police arrive.

If you plan to travel by road:

• check your travel insurance covers it
• learn local traffic laws and practices
• lock doors and keep car windows up, even when moving
• avoid travel at night
• Driving or riding

Motorcycles

Make sure your travel insurance covers you when using a motorbike, quad bike or similar vehicle.

Always wear a helmet.

Only use registered taxis. It's best to arrange them at your hotel.

To reduce your risks if using taxis:

• don't hail taxis on the street
• never share taxis with strangers
• always sit in the back seat

Public transport

Avoid public transport. Local buses don't follow set routes and are poorly maintained.

Many international cruise liners visit Panama.

The Pacific and Caribbean coastlines are transport routes for illegal drugs. Consider this security risk before deciding to travel by sea.

• Going on a cruise

DFAT doesn't provide information on the safety of individual commercial airlines or flight paths.

Check  Panama's air safety profile  with the Aviation Safety Network.

Coiba Island

If you plan to visit the National Park on Coiba Island, you'll need a special permit.

Contact the  National Authority for the Environment  (ANAM in Spanish) or your tour operator.

Emergencies

Depending on what you need, contact your:

• family and friends
• travel agent
• insurance provider

Call 911 or go to the hospital.

Call 104 or go to the nearest police station.

Always get a police report when you report a crime.

Your insurer should have a 24-hour emergency number.

Consular contacts

Read the  Consular Services Charter  for what the Australian Government can and can’t do to help you overseas.

Australia has a consulate in Panama City, headed by an Honorary Consul. The consulate provides limited consular assistance to Australians in Panama. The Consulate can conduct passport interviews and provide provisional travel documents for emergency travel to the nearest Australian embassy.  The Consulate can’t issue Australian passports. You can get full consular assistance from the Australian Embassy in Mexico City.

Australian Consulate, Panama

PH Midtown, 10th floor, office 10-4 San Francisco Panama City, Panama

Phone: +507 6325 3852 Email:  [email protected]

Australian Embassy, Mexico City

Ruben Dario 55 Corner of Campos Eliseos, Polanco Colonia Bosque de Chapultepec 11580 CDMX Mexico

Phone: +52 55 1101 2200 Website:  mexico.embassy.gov.au Email:  [email protected] Facebook: @AusEmbMex Twitter: @AusEmbMex

See the Embassy website for details about opening hours and any temporary closures.

24-hour Consular Emergency Centre

In a consular emergency, if you can't contact an embassy, call the 24-hour Consular Emergency Centre on:

• +61 2 6261 3305 from overseas
• 1300 555 135 in Australia

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Panama Traveler View

Travel health notices, vaccines and medicines, non-vaccine-preventable diseases, stay healthy and safe.

• Packing List

After Your Trip

Be aware of current health issues in Panama. Learn how to protect yourself.

Level 1 Practice Usual Precautions

• Dengue in the Americas February 28, 2024 Dengue is a risk in many parts of Central and South America, Mexico, and the Caribbean. Some countries are reporting increased numbers of cases of the disease. Travelers to the Americas can protect themselves by preventing mosquito bites. Destination List: Argentina, Brazil, Colombia, Costa Rica, French Guiana (France), Guadeloupe, Guatemala, Haiti, Jamaica, Martinique (France), Mexico, Nicaragua, Panama, Paraguay, Peru, Saint Barthelemy, Saint Martin, Turks and Caicos Islands (U.K.)

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Check the vaccines and medicines list and visit your doctor at least a month before your trip to get vaccines or medicines you may need. If you or your doctor need help finding a location that provides certain vaccines or medicines, visit the Find a Clinic page.

Routine vaccines

Recommendations.

Make sure you are up-to-date on all routine vaccines before every trip. Some of these vaccines include

• Chickenpox (Varicella)
• Diphtheria-Tetanus-Pertussis
• Flu (influenza)
• Measles-Mumps-Rubella (MMR)

Immunization schedules

All eligible travelers should be up to date with their COVID-19 vaccines. Please see  Your COVID-19 Vaccination  for more information. 

COVID-19 vaccine

Hepatitis A

Recommended for unvaccinated travelers one year old or older going to Panama.

Infants 6 to 11 months old should also be vaccinated against Hepatitis A. The dose does not count toward the routine 2-dose series.

Travelers allergic to a vaccine component or who are younger than 6 months should receive a single dose of immune globulin, which provides effective protection for up to 2 months depending on dosage given.

Unvaccinated travelers who are over 40 years old, immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.

Hepatitis A - CDC Yellow Book

Dosing info - Hep A

Hepatitis B

Recommended for unvaccinated travelers younger than 60 years old traveling to Panama. Unvaccinated travelers 60 years and older may get vaccinated before traveling to Panama.

Hepatitis B - CDC Yellow Book

Dosing info - Hep B

CDC recommends that travelers going to certain areas of Panama take prescription medicine to prevent malaria. Depending on the medicine you take, you will need to start taking this medicine multiple days before your trip, as well as during and after your trip. Talk to your doctor about which malaria medication you should take.

Find  country-specific information  about malaria.

Malaria - CDC Yellow Book

Considerations when choosing a drug for malaria prophylaxis (CDC Yellow Book)

Malaria information for Panama.

Cases of measles are on the rise worldwide. Travelers are at risk of measles if they have not been fully vaccinated at least two weeks prior to departure, or have not had measles in the past, and travel internationally to areas where measles is spreading.

All international travelers should be fully vaccinated against measles with the measles-mumps-rubella (MMR) vaccine, including an early dose for infants 6–11 months, according to  CDC’s measles vaccination recommendations for international travel .

Measles (Rubeola) - CDC Yellow Book

Rabid dogs are commonly found in Panama. However, if you are bitten or scratched by a dog or other mammal while in Panama, rabies treatment is often available. 

Consider rabies vaccination before your trip if your activities mean you will be around dogs or wildlife.

Travelers more likely to encounter rabid animals include

• Campers, adventure travelers, or cave explorers (spelunkers)
• Veterinarians, animal handlers, field biologists, or laboratory workers handling animal specimens
• Visitors to rural areas

Since children are more likely to be bitten or scratched by a dog or other animals, consider rabies vaccination for children traveling to Panama. 

Rabies - CDC Yellow Book

Recommended for most travelers, especially those staying with friends or relatives or visiting smaller cities or rural areas.

Typhoid - CDC Yellow Book

Dosing info - Typhoid

Yellow Fever

Required for travelers ≥1 year old arriving from countries with risk for YF virus transmission. 1

Recommended for travelers ≥9 months old going to all mainland areas east of the Canal Zone including Darién Province, the indigenous provinces (comarcas indígena) of Emberá and Kuna Yala (also spelled Guna Yala), and areas of the provinces of Colón and Panamá, east of the Canal Zone. Not recommended for travel limited to the Canal Zone; areas west of the Canal Zone; Panama City (the capital); Balboa district (Pearl Islands) of Panamá Province; or the San Blas Islands of Kuna Yala Province.

Yellow Fever - CDC Yellow Book

Avoid contaminated water

Leptospirosis

How most people get sick (most common modes of transmission)

• Touching urine or other body fluids from an animal infected with leptospirosis
• Swimming or wading in urine-contaminated fresh water, or contact with urine-contaminated mud
• Drinking water or eating food contaminated with animal urine
• Avoid contaminated water and soil

Clinical Guidance

Avoid bug bites, chagas disease (american trypanosomiasis).

• Accidentally rub feces (poop) of the triatomine bug into the bug bite, other breaks in the skin, your eyes, or mouth
• From pregnant woman to her baby, contaminated blood products (transfusions), or contaminated food or drink.
• Avoid Bug Bites

Chagas disease

• Mosquito bite

Leishmaniasis

• Sand fly bite
• An infected pregnant woman can spread it to her unborn baby

Airborne & droplet

• Breathing in air or accidentally eating food contaminated with the urine, droppings, or saliva of infected rodents
• Bite from an infected rodent
• Less commonly, being around someone sick with hantavirus (only occurs with Andes virus)
• Avoid rodents and areas where they live
• Avoid sick people

Tuberculosis (TB)

• Breathe in TB bacteria that is in the air from an infected and contagious person coughing, speaking, or singing.

Learn actions you can take to stay healthy and safe on your trip. Vaccines cannot protect you from many diseases in Panama, so your behaviors are important.

Eat and drink safely

Food and water standards around the world vary based on the destination. Standards may also differ within a country and risk may change depending on activity type (e.g., hiking versus business trip). You can learn more about safe food and drink choices when traveling by accessing the resources below.

• Choose Safe Food and Drinks When Traveling
• Water Treatment Options When Hiking, Camping or Traveling
• Global Water, Sanitation and Hygiene | Healthy Water
• Avoid Contaminated Water During Travel

You can also visit the Department of State Country Information Pages for additional information about food and water safety.

Prevent bug bites

Bugs (like mosquitoes, ticks, and fleas) can spread a number of diseases in Panama. Many of these diseases cannot be prevented with a vaccine or medicine. You can reduce your risk by taking steps to prevent bug bites.

What can I do to prevent bug bites?

• Cover exposed skin by wearing long-sleeved shirts, long pants, and hats.
• Use an appropriate insect repellent (see below).
• Use permethrin-treated clothing and gear (such as boots, pants, socks, and tents). Do not use permethrin directly on skin.
• Stay and sleep in air-conditioned or screened rooms.
• Use a bed net if the area where you are sleeping is exposed to the outdoors.

What type of insect repellent should I use?

• FOR PROTECTION AGAINST TICKS AND MOSQUITOES: Use a repellent that contains 20% or more DEET for protection that lasts up to several hours.
• Picaridin (also known as KBR 3023, Bayrepel, and icaridin)
• Oil of lemon eucalyptus (OLE) or para-menthane-diol (PMD)
• 2-undecanone
• Always use insect repellent as directed.

What should I do if I am bitten by bugs?

• Avoid scratching bug bites, and apply hydrocortisone cream or calamine lotion to reduce the itching.
• Check your entire body for ticks after outdoor activity. Be sure to remove ticks properly.

What can I do to avoid bed bugs?

Although bed bugs do not carry disease, they are an annoyance. See our information page about avoiding bug bites for some easy tips to avoid them. For more information on bed bugs, see Bed Bugs .

For more detailed information on avoiding bug bites, see Avoid Bug Bites .

Stay safe outdoors

If your travel plans in Panama include outdoor activities, take these steps to stay safe and healthy during your trip.

• Stay alert to changing weather conditions and adjust your plans if conditions become unsafe.
• Prepare for activities by wearing the right clothes and packing protective items, such as bug spray, sunscreen, and a basic first aid kit.
• Consider learning basic first aid and CPR before travel. Bring a travel health kit with items appropriate for your activities.
• If you are outside for many hours in heat, eat salty snacks and drink water to stay hydrated and replace salt lost through sweating.
• Protect yourself from UV radiation : use sunscreen with an SPF of at least 15, wear protective clothing, and seek shade during the hottest time of day (10 a.m.–4 p.m.).
• Be especially careful during summer months and at high elevation. Because sunlight reflects off snow, sand, and water, sun exposure may be increased during activities like skiing, swimming, and sailing.
• Very cold temperatures can be dangerous. Dress in layers and cover heads, hands, and feet properly if you are visiting a cold location.

Stay safe around water

• Swim only in designated swimming areas. Obey lifeguards and warning flags on beaches.
• Practice safe boating—follow all boating safety laws, do not drink alcohol if driving a boat, and always wear a life jacket.
• Do not dive into shallow water.
• Do not swim in freshwater in developing areas or where sanitation is poor.
• Avoid swallowing water when swimming. Untreated water can carry germs that make you sick.
• To prevent infections, wear shoes on beaches where there may be animal waste.

Keep away from animals

Most animals avoid people, but they may attack if they feel threatened, are protecting their young or territory, or if they are injured or ill. Animal bites and scratches can lead to serious diseases such as rabies.

Follow these tips to protect yourself:

• Do not touch or feed any animals you do not know.
• Do not allow animals to lick open wounds, and do not get animal saliva in your eyes or mouth.
• Avoid rodents and their urine and feces.
• Traveling pets should be supervised closely and not allowed to come in contact with local animals.
• If you wake in a room with a bat, seek medical care immediately. Bat bites may be hard to see.

All animals can pose a threat, but be extra careful around dogs, bats, monkeys, sea animals such as jellyfish, and snakes. If you are bitten or scratched by an animal, immediately:

• Wash the wound with soap and clean water.
• Go to a doctor right away.
• Tell your doctor about your injury when you get back to the United States.

Consider buying medical evacuation insurance. Rabies is a deadly disease that must be treated quickly, and treatment may not be available in some countries.

Reduce your exposure to germs

Follow these tips to avoid getting sick or spreading illness to others while traveling:

• Wash your hands often, especially before eating.
• If soap and water aren’t available, clean hands with hand sanitizer (containing at least 60% alcohol).
• Don’t touch your eyes, nose, or mouth. If you need to touch your face, make sure your hands are clean.
• Cover your mouth and nose with a tissue or your sleeve (not your hands) when coughing or sneezing.
• Try to avoid contact with people who are sick.
• If you are sick, stay home or in your hotel room, unless you need medical care.

Avoid sharing body fluids

Diseases can be spread through body fluids, such as saliva, blood, vomit, and semen.

Protect yourself:

• Use latex condoms correctly.
• Do not inject drugs.
• Limit alcohol consumption. People take more risks when intoxicated.
• Do not share needles or any devices that can break the skin. That includes needles for tattoos, piercings, and acupuncture.
• If you receive medical or dental care, make sure the equipment is disinfected or sanitized.

Know how to get medical care while traveling

Plan for how you will get health care during your trip, should the need arise:

• Carry a list of local doctors and hospitals at your destination.
• Review your health insurance plan to determine what medical services it would cover during your trip. Consider purchasing travel health and medical evacuation insurance.
• Carry a card that identifies, in the local language, your blood type, chronic conditions or serious allergies, and the generic names of any medications you take.
• Some prescription drugs may be illegal in other countries. Call Panama’s embassy to verify that all of your prescription(s) are legal to bring with you.
• Bring all the medicines (including over-the-counter medicines) you think you might need during your trip, including extra in case of travel delays. Ask your doctor to help you get prescriptions filled early if you need to.

Many foreign hospitals and clinics are accredited by the Joint Commission International. A list of accredited facilities is available at their website ( www.jointcommissioninternational.org ).

In some countries, medicine (prescription and over-the-counter) may be substandard or counterfeit. Bring the medicines you will need from the United States to avoid having to buy them at your destination.

Malaria is a risk in some parts of Panama. If you are going to a risk area, fill your malaria prescription before you leave, and take enough with you for the entire length of your trip. Follow your doctor’s instructions for taking the pills; some need to be started before you leave.

Select safe transportation

Motor vehicle crashes are the #1 killer of healthy US citizens in foreign countries.

In many places cars, buses, large trucks, rickshaws, bikes, people on foot, and even animals share the same lanes of traffic, increasing the risk for crashes.

Be smart when you are traveling on foot.

• Use sidewalks and marked crosswalks.
• Pay attention to the traffic around you, especially in crowded areas.
• Remember, people on foot do not always have the right of way in other countries.

Riding/Driving

Choose a safe vehicle.

• Choose official taxis or public transportation, such as trains and buses.
• Ride only in cars that have seatbelts.
• Avoid overcrowded, overloaded, top-heavy buses and minivans.
• Avoid riding on motorcycles or motorbikes, especially motorbike taxis. (Many crashes are caused by inexperienced motorbike drivers.)
• Choose newer vehicles—they may have more safety features, such as airbags, and be more reliable.
• Choose larger vehicles, which may provide more protection in crashes.

Think about the driver.

• Do not drive after drinking alcohol or ride with someone who has been drinking.
• Consider hiring a licensed, trained driver familiar with the area.
• Arrange payment before departing.

Follow basic safety tips.

• Wear a seatbelt at all times.
• Sit in the back seat of cars and taxis.
• When on motorbikes or bicycles, always wear a helmet. (Bring a helmet from home, if needed.)
• Avoid driving at night; street lighting in certain parts of Panama may be poor.
• Do not use a cell phone or text while driving (illegal in many countries).
• Travel during daylight hours only, especially in rural areas.
• If you choose to drive a vehicle in Panama, learn the local traffic laws and have the proper paperwork.
• Get any driving permits and insurance you may need. Get an International Driving Permit (IDP). Carry the IDP and a US-issued driver's license at all times.
• Check with your auto insurance policy's international coverage, and get more coverage if needed. Make sure you have liability insurance.
• Avoid using local, unscheduled aircraft.
• If possible, fly on larger planes (more than 30 seats); larger airplanes are more likely to have regular safety inspections.
• Try to schedule flights during daylight hours and in good weather.

Medical Evacuation Insurance

If you are seriously injured, emergency care may not be available or may not meet US standards. Trauma care centers are uncommon outside urban areas. Having medical evacuation insurance can be helpful for these reasons.

Helpful Resources

Road Safety Overseas (Information from the US Department of State): Includes tips on driving in other countries, International Driving Permits, auto insurance, and other resources.

The Association for International Road Travel has country-specific Road Travel Reports available for most countries for a minimal fee.

For information traffic safety and road conditions in Panama, see Travel and Transportation on US Department of State's country-specific information for Panama .

Maintain personal security

Use the same common sense traveling overseas that you would at home, and always stay alert and aware of your surroundings.

Before you leave

• Research your destination(s), including local laws, customs, and culture.
• Monitor travel advisories and alerts and read travel tips from the US Department of State.
• Enroll in the Smart Traveler Enrollment Program (STEP) .
• Leave a copy of your itinerary, contact information, credit cards, and passport with someone at home.
• Pack as light as possible, and leave at home any item you could not replace.

While at your destination(s)

• Carry contact information for the nearest US embassy or consulate .
• Carry a photocopy of your passport and entry stamp; leave the actual passport securely in your hotel.
• Follow all local laws and social customs.
• Do not wear expensive clothing or jewelry.
• Always keep hotel doors locked, and store valuables in secure areas.
• If possible, choose hotel rooms between the 2nd and 6th floors.

Healthy Travel Packing List

Use the Healthy Travel Packing List for Panama for a list of health-related items to consider packing for your trip. Talk to your doctor about which items are most important for you.

Why does CDC recommend packing these health-related items?

It’s best to be prepared to prevent and treat common illnesses and injuries. Some supplies and medicines may be difficult to find at your destination, may have different names, or may have different ingredients than what you normally use.

If you are not feeling well after your trip, you may need to see a doctor. If you need help finding a travel medicine specialist, see Find a Clinic . Be sure to tell your doctor about your travel, including where you went and what you did on your trip. Also tell your doctor if you were bitten or scratched by an animal while traveling.

If your doctor prescribed antimalarial medicine for your trip, keep taking the rest of your pills after you return home. If you stop taking your medicine too soon, you could still get sick.

Malaria is always a serious disease and may be a deadly illness. If you become ill with a fever either while traveling in a malaria-risk area or after you return home (for up to 1 year), you should seek immediate medical attention and should tell the doctor about your travel history.

For more information on what to do if you are sick after your trip, see Getting Sick after Travel .

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Warnings and insurance

The Foreign, Commonwealth & Development Office ( FCDO ) provides advice about risks of travel to help British nationals make informed decisions. Find out more about FCDO travel advice .

Before you travel

No travel can be guaranteed safe. Read all the advice in this guide and see support for British nationals abroad for information about specific travel topics.

Follow and contact FCDO travel on Twitter , Facebook and Instagram . You can also sign up to get email notifications when this advice is updated.

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If you choose to travel, research your destinations and get appropriate travel insurance . Insurance should cover your itinerary, planned activities and expenses in an emergency.

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Panama Travel Advisory

Travel advisory july 17, 2023, panama - level 2: exercise increased caution.

Reissued with obsolete COVID-19 page links removed.

Exercise increased caution in Panama due to  crime . Some areas have increased risk. Read the entire Travel Advisory.

Do not travel to:

• Parts of the Mosquito Gulf due to  crime .
• Parts of the Darién Region due to  crime .

Read the  country information page  for additional information on travel to Panama.

If you decide to travel to Panama:

• Enroll in the  Smart Traveler Enrollment Program (STEP)  to receive Alerts and make it easier to locate you in an emergency.
• Follow the Department of State on  Facebook  and  Twitter .
• Review the  Country Security Report  for Panama.
• Prepare a contingency plan for emergency situations. Review the  Traveler’s Checklist .
• Visit the CDC page for the latest  Travel Health Information  related to your travel.

Parts of the "Mosquito Gulf" – Level 4: Do Not Travel

The “Mosquito Gulf” is an extremely remote and inaccessible area along part of the north (Caribbean) coast.

Do not travel within 10 miles of the coastline, from Boca de Rio, Chiriqui to Cocle del Norte. Drug trafficking and other illicit activities occur in this area.

The U.S. government has limited ability to provide emergency services to U.S. citizens in this region as U.S. government personnel must obtain prior approval before traveling there and face additional restrictions before such travel is approved.

Visit our website for  Travel to High-Risk Areas .

Parts of the Darién Region – Level 4: Do Not Travel

Do not travel to the following areas of the Darien:

• All areas south of Jaque to Manene to Yaviza to Lajas Blancas cities to the Colombian border
• The city of Lajas Blancas
• The city of El Salto

Criminal elements and drug and human trafficking networks operate in these areas. Police presence and emergency response are extremely limited.

The U.S. government has limited ability to provide emergency services to U.S. citizens in these regions as U.S. government personnel must obtain prior approval before traveling there and face additional restrictions before such travel is approved.

Travel Advisory Levels

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Places the U.S. Government Warns Not to Travel Right Now

You may want to reconsider traveling to these countries right now.

Do Not Travel to These Countries

Getty Images

Crime, civil unrest and terrorism are common risk factors for countries that end up on the State Department's "Do Not Travel" advisory list.

In 2024, tourism across the globe is “well on track” to return to pre-pandemic levels, according to projections by UN Tourism.

Global conflicts and natural disasters , ranging from a series of coups across Africa to catastrophic earthquakes in the Middle East affected international travel patterns throughout 2023. Still, international tourist arrivals reached 87% of pre-pandemic levels in 2023, according to estimates by UN Tourism .

In January 2024 alone, about 4.6 million U.S. citizens left the country for international destinations, 17% higher than the same month in 2019, according to the International Trade Administration . But some destinations warrant more caution than others.

On Oct. 19, 2023, following the outbreak of war between Israel and Gaza and flaring tensions in the region, the U.S. State Department issued a worldwide caution advisory due to “increased tensions in various locations around the world, the potential for terrorist attacks, demonstrations or violent actions against U.S. citizens and interests.” Prior to this update, the most recent worldwide caution advisory was issued in 2022 after a U.S. strike killed Ayman al-Zawahiri, Osama bin Laden’s successor as leader of Al Qaeda, causing “a higher potential for anti-American violence.” The worldwide caution advisory remains in effect.

The U.S. State Department also issues individual travel advisory levels for more than 200 countries globally, continually updating them based on a variety of risk indicators such as health, terrorism and civil unrest. Travel advisory levels range from Level 1, which means exercise normal precautions, to Level 4, which means do not travel there.

About 10% of countries – 19 total – have a Level 4: “Do Not Travel” advisory as of Mar. 4. In Level 4 countries, the U.S. government may have “very limited ability” to step in should travelers’ safety or security be at risk, according to the State Department. Crime, civil unrest, kidnapping and terrorism are common risk factors associated with Level 4 countries.

So far in 2024, the State Department made changes to the existing Level 4 advisories for Myanmar, Iran and Gaza, and moved Niger and Lebanon off of the Level 4 list.

Places With a Level 4 Travel Advisory

These are the primary areas the U.S. government says not to travel to right now, in alphabetical order:

Jump to Place: Afghanistan Belarus Burkina Faso Central African Republic Myanmar (formerly Burma) Gaza Haiti Iran Iraq Libya Mali Mexico North Korea (Democratic People's Republic of Korea) Russia Somalia South Sudan Sudan Syria Ukraine Venezuela Yemen

Afghanistan: The Central Asian country is wrestling with “terrorism, risk of wrongful detention, kidnapping and crime,” according to the State Department. U.S. citizens are specifically at risk for wrongful detention and kidnapping. In 2022, the government reinstituted public floggings and executions, and women’s rights are disappearing under Taliban control. The U.S. Embassy in Kabul halted operations in August 2021. Since the Taliban took control , many forms of international aid have been halted . Meanwhile, in 2023, some of the year’s deadliest earthquakes killed more than 2,400 in Afghanistan while the country continues to face a years-long extreme drought.

Belarus: Belarus, which shares a western border with Russia and a southern border with Ukraine, has been flagged for “Belarusian authorities’ continued facilitation of Russia’s war against Ukraine, the buildup of Russian military forces in Belarus, the arbitrary enforcement of local laws, the potential of civil unrest, the risk of detention, and the Embassy’s limited ability to assist U.S. citizens residing in or traveling to Belarus.” The U.S. Embassy in Minsk halted operations in February 2022.

Burkina Faso: Terrorism, crime and kidnapping are plaguing this West African nation. Terrorist attacks may target hotels, restaurants and schools with little to no warning, and the East and Sahel regions of the country are under a state of emergency. In late November 2023, hundreds died in clashes between state security forces and rebels near the country’s border with Mali. In June, more than 2 million people in Burkina Faso were displaced due to “violence linked to al-Qaida and the Islamic State group.”

Central African Republic: While there have not been specific incidents of U.S. citizens targeted with violence or crime, violent crime and sudden closure of roads and borders is common. The advisory states that “Embassy Bangui’s limited capacity to provide support to U.S. citizens, crime, civil unrest, and kidnapping” is a factor in its assessment. Recent data from UNICEF suggests the country has the worst drinking water accessibility of all countries in 2022.

Myanmar (Formerly Burma): Armed conflict and civil unrest are the primary reasons to not travel to this Southeast Asian country, which experienced a military coup in early 2021. Limited health care resources, wrongful detentions and “areas with land mines and unexploded ordnance” are also listed as risk factors. After Ukraine and Israel, Myanmar had the highest conflict-related death toll in 2023.

Gaza : Hamas, a foreign terrorist organization as designated by the State Department, controls much of the Gaza Strip, which shares borders with both Israel and Egypt. On Oct. 7, 2023, Hamas fighters broke across the border into Israel, killing hundreds of civilians and soldiers in a brazen attack that stunned Israelis. On Oct. 10, Israel hit the Gaza Strip with “the fiercest air strikes in its 75-year conflict” according to Reuters . The conflict has since escalated into war between Israel and Hamas, with regular Israeli airstrikes leading to extensive civilian casualties in Gaza. As of mid-December, nearly 85% of Gaza’s population were displaced from their homes, according to UN estimates . The region continues to face shortages of food , water, electricity and medical supplies , with conditions deemed “far beyond a humanitarian crisis.” The State Department warns of terrorism and armed conflict within Gaza’s borders.

Haiti: In July 2023, the Department of State ordered all non-emergency U.S. government personnel and family members to leave the U.S. Embassy in Port-au-Prince in response to the increased risk of kidnapping and violent crime in the country , as well as armed conflict between gangs and police. The travel advisory states that cases of kidnapping “often involve ransom negotiations and U.S. citizen victims have been physically harmed during kidnappings.” The travel advisory also states that “U.S. citizens in Haiti should depart Haiti as soon as possible” given “the current security situation and infrastructure challenges.” A series of gang attacks in late September 2023 caused thousands to flee their homes, and many aid groups have been forced to cut or suspend operations amid escalating violence in recent months.

Iran: Terrorism, kidnapping and civil unrest are risk factors for all travelers to Iran, while U.S. citizens are specifically at risk for “arbitrary arrest.” U.S.-Iranian nationals such as students, journalists and business travelers have been arrested on charges of espionage and threatening national security. Executions in Iran rose sharply between 2021 and 2022, bringing the country’s total to nearly 580 people over the year, according to a report by Amnesty International released in May 2023.

Iraq: The State Department cites “terrorism, kidnapping, armed conflict [and] civil unrest” as cause for the country’s Level 4 distinction. Iraq’s northern borders, and its border with Syria, are especially dangerous. Since the escalation of conflict in neighboring Israel in October, there has been an increase in attacks against Iraqi military bases, which host U.S. troops and other international forces. In October 2023, non-emergency U.S. government personnel and eligible family members were ordered to leave the U.S. embassy in Baghdad.

Libya: Following the end of its dictatorship over a decade ago, Libya has been wrought with internal conflict between armed groups in the East and West. Armed conflict, civil unrest, crime, kidnapping and terrorism are all risk factors. U.S. citizens have been targets of kidnapping for ransom, with terrorists targeting hotels and airports frequented by Westerners. The U.S. Embassy in Tripoli halted operations in 2014. In mid-September 2023, floods, which some say were intensified by climate change , killed thousands in eastern Libya. Clashes between armed factions escalated across the country in the latter half of 2023, including in the capital city of Tripoli and in Benghazi.

Mali: After experiencing military coups in 2020 and 2021, crime, terrorism and kidnapping are all prevalent threats in this West African landlocked nation. In July 2022, non-emergency U.S. government employees and their families were ordered to leave the country due to higher risk of terrorist activity. A U.N. report in August 2023 said that military groups in the country, including both Mali security forces and possibly Russian Wagner mercenaries, were spreading terror through the use of violence against women and human rights abuses. Democratic elections were supposed to occur in February 2024, but Mali’s military junta postponed the plans indefinitely. In December, the U.N. officially ended a decade-long peacekeeping presence in the country, which had been among the agency’s deadliest missions, with hundreds of the mission personnel killed since 2013.

Mexico: Each state in Mexico is assessed separately for travel advisory levels. Six of the 32 states in Mexico are designated as Level 4: Colima, Guerrero, Michoacan, Sinaloa, Tamaulipas and Zacatecas. Crime and kidnapping are listed as the primary risk factors throughout the country. Nearly 112,000 people were missing across the country as of October, a number the U.N. has called “alarming.”

North Korea (Democratic People’s Republic of Korea): U.S. passports are not valid for travel “to, in, or through” this country, home to one of the world's longest-running dynastic dictatorships. The travel advisory states that the Level 4 distinction is due to “the continuing serious risk of arrest and long-term detention of U.S. nationals.” In July 2023, a U.S. soldier fled across the border into North Korea, where he is believed to be in North Korean custody, the first American detained in the North in nearly five years. He was returned to U.S. custody in September 2023.

Russia: The travel advisory for Russia cites its invasion of Ukraine , harassment of U.S. citizens by Russian government officials and arbitrary law enforcement as a few of the reasons for the Level 4 designation. Chechnya and Mount Elbrus are specifically listed as Level 4 regions. Terrorism, civil unrest, health, kidnapping and wrongful detention are all noted as risks.

Russia Invades Ukraine: A Timeline

Somalia: A severe drought resulting from five failed rainy seasons in a row killed 43,000 people in 2022, and caused a famine amid conflict with Islamist insurgents . Violent crime is common throughout Somalia , pirates frequent its coast off the Horn of Africa, and medical facilities, where they exist, have limited capacity. Crime, terrorism, civil unrest, health and kidnapping are all risk factors. In January 2024, some passengers aboard a U.N.-contracted helicopter were taken hostage by al-Shabaab militants after the vehicle crashed in central Somalia.

South Sudan: Crime, kidnapping and armed conflict are the primary risk factors for South Sudan, which separated from Sudan in 2011, making it the world’s newest country . Weapons are readily available, and travelers have been victims of sexual assault and armed robbery.

Sudan: The U.S. evacuated its embassy in Khartoum in April 2023, and the country closed its airspace due to the ongoing conflict in the country, only permitting humanitarian aid and evacuation efforts. Fighting has escalated in the region between two warring generals seeking to gain control after a military coup in 2021 ousted the country’s prime minister. Civil unrest is the primary risk factor for Africa’s third largest country by area. Crime, terrorism, kidnapping and armed conflict are also noted. The International Criminal Court began investigating alleged war crimes and violence against African ethnic groups in the country in 2023. Millions have fled their homes due to conflict, and the U.N. has said its efforts to provide aid have been hindered by a lack of support, safety and resources. As recently as December 2023, the United Nations warned of catastrophic famine , with millions of children at-risk for malnutrition .

Syria: The advisory states that “No part of Syria is safe from violence,” with terrorism, civil unrest, kidnapping, armed conflict and risk of unjust detention all potential risk factors. U.S. citizens are often a target for kidnappings and detention. The U.S. Embassy in Damascus halted operations in 2012. Fighting in neighboring Israel has escalated since October, and the conflict has spilled over into Syria, where the U.S. has carried out air strikes following drone and rocket attacks against American troops in Syria and Iraq, triggered by the Israel-Hamas war.

Ukraine: Russian setbacks in their invasion of Ukraine buoyed hopes in Ukraine in 2023. However, Ukraine is a Level 4 country due to Russia’s invasion, with crime and civil unrest also noted as risk factors. The country’s forces shot down two Russian fighter jets on Christmas Eve 2023, in a move Ukrainian President Volodymyr Zelenskyy said “sets the right mood for the entire year ahead.”

Venezuela: Human rights abuses and lack of health care plague this South American nation, which has been in a political crisis since 2014. In 2019, diplomatic personnel were withdrawn from the U.S. Embassy in Caracas. Threats in the country include crime, civil unrest, kidnapping, wrongful detention and poor health infrastructure.

Yemen: Six of the nine risk factors defined by the State Department – terrorism, civil unrest, health risks, kidnapping, armed conflict and landmines – are all present in Yemen. Despite private companies offering tourist visits to the Yemeni island of Socotra, the U.S. government argues those arranging such visits “are putting tourists in danger.” Civil war and cholera are also both present throughout the country. The U.S. Embassy in Sanaa halted operations in 2015. The country has experienced a relative lull in the civil war fighting, but as peace negotiations have gotten traction, flare ups in the fighting have jeopardized progress. Most recently, the U.S. and U.K. have carried out a series of airstrikes in the country, targeting Iran-backed Houthi sites.

Other Countries to Watch

Since Jan. 1, the State Department has updated travel advisories for 17 different countries as well as for the West Bank and Gaza, adding information about specific regions or risk factors, or simply renewing an existing advisory. Travel advisory levels can change based on several factors in a nation, such as increased civil unrest, policies that affect human rights or higher risks of unlawful detention.

The State Department has given about 25 countries an assessment of Level 3, meaning it recommends people “reconsider travel” to those destinations.

On Oct. 14, one week after the deadly Hamas attack on Israel, Israel and the West Bank were both moved from Level 2 to Level 3, while Gaza remains at Level 4. The region’s travel advisory was updated in November to reflect travel restrictions for certain government employees who have not already left the area, and it was updated again on Jan. 3.

Following the outbreak of the Israel-Hamas war in early October, the U.S. State Department raised Lebanon ’s travel advisory level from a Level 3 to a Level 4 level due to “the unpredictable security situation related to rocket, missile, and artillery exchanges” between Israel and Hezbollah or other militant groups. In December, the U.S. Embassy in Beirut returned to normal staffing and presence, and on Jan. 29, the country was moved back to Level 3. Crime, terrorism, armed conflict, civil unrest, kidnapping and unexploded landmines are listed as the country’s primary risk factors. However, the country’s borders with Syria and with Israel, as well as refugee settlements within Lebanon, are specifically noted as Level 4 regions.

China became a Level 3 country in late 2020, with an update in December 2022 citing “the surge in COVID-19 cases, arbitrary enforcement of local laws, and COVID-19-related restrictions” as the reason for the advisory. In June 2023, the Hong Kong Special Administrative Region (SAR) was moved from the Level 3 to the Level 2 list, but travelers are still advised to be cautious in the area due to “arbitrary enforcement of local laws.” Meanwhile, Macau remains at Level 3.

Following an attempted coup in August 2023, Niger was elevated to Level 4 in August and the Department of State ordered all non-emergency U.S. government personnel and family members to leave the U.S. Embassy in Niamey. In early January 2024, the overall risk level for the country was lowered back to Level 3. Despite the new classification, the State Department still asks non-emergency government personnel and eligible family members to depart the country.

In mid-December 2023 there was an explosion at Guinea’s main fuel depot which has since affected access to health care and basic goods and services. The country was subsequently designated a Level 3 nation after having previously been Level 2. Concerns about civil unrest, health, crime and fuel shortages impacting local infrastructure were listed as the primary risk factors contributing to the change.

Several Level 3 countries are among the worst countries for human trafficking, as designated by the State Department’s annual Trafficking in Persons Report . Level 3 countries on this list include Papua New Guinea, Guinea Bissau, China and Chad. There are also nine Level 4 countries designated as among the worst for human trafficking: Afghanistan, Belarus, Iran, Myanmar, North Korea, Russia, Syria, South Sudan and Venezuela.

Over 70 countries are currently at Level 2, meaning the State Department recommends travelers “exercise increased caution” when traveling to those destinations.

Botswana became the newest Level 2 country on Feb. 26 after having previously been Level 1, with crime noted as the primary risk factor.

France, which saw nationwide protests throughout 2023, has civil unrest and terrorism noted as risk factors for its Level 2 status, and Sweden’s Level 2 status is associated with risks of terrorism.

The Level 2 travel advisory for the Bahamas was updated in January to reflect water safety concerns. The advisory warns that “activities involving commercial recreational watercraft, including water tours, are not consistently regulated” and notes that government personnel are “not permitted to use independently operated jet-ski rentals on New Providence and Paradise Islands.” It also warns visitors to be mindful of sharks, weather and water conditions. The advisory also says that crime is a primary risk factor with gang-on-gang violence contributing to high homicide rates in some areas. Visitors are asked to “be vigilant” and to not physically resist robbery attempts.

Bangladesh 's Level 2 travel advisory was updated in October 2023 to add a note about the country’s general election , which took place Jan. 7, 2024. The advisory states “demonstrations intended to be peaceful can turn confrontational and escalate into violence.” The U.S. has since claimed the country’s election was not free nor fair.

In November 2023, several Level 2 travel advisories were updated with new cautionary information. The advisory for Ghana was updated to reflect threats against LGBTQI+ travelers specifically, noting “anti-LGBTQI+ rhetoric and violence have increased in recent years.” Meanwhile, the advisory for South Africa was updated in February to note that routes recommended by GPS may be unsafe with higher risk for crime.

Turkmenistan was moved off of the Level 2 list to become the newest addition to the Level 1 list on Jan. 22, meaning normal precautions are recommended but there are no risk factors causing travelers to practice increased caution.

The State Department asks travelers to pay attention to travel advisory levels and alerts , review country information pages for their destinations and read related country security reports before going abroad.

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