Health Map 2014 from Aspire Lifestyles, an International SOS company. The HealthMap is now in its fifth year. It illustrates the global medical risk and can support a better understanding of the medical environment facing travelers. It can provide a guide to trip preparation, from pre-trip travel medical consultations right through to the provision of medical services in areas with poor local medical infrastructure.

1. 2014 Understanding Global Health
Franz Josef Land (Ru.)
Severnaya Zemlya (Ru.)
Svalbard (No.)
Novaya Zemlya (Ru.)
New Siberian Islands (Ru.)
Greenland
(Dk.)
Jan Mayen (No.)
Reykjavik
Alaska
(U.S.)
ICELAND
SWEDEN
FINLAND
Faroe Islands (Dk.)
NORWAY
Dyce
CANADA
Ale
Isl
utian
s
and
(U.
Isle of Man (U.K.)
S.)
Dublin
IRELAND
ESTONIA
Riga LATVIA
LITHUANIA
Stockton-on-Tees
UNITED
KINGDOM
Saint Pierre
and Miquelon (Fr.)
PORTUGAL
Philadelphia
Washington
Madrid
Lisbon
Azores (Pt.)
Phoenix
SPAIN
Havana
DOMINICAN
Cayman Islands (UK.)
HAITI REP.
Navassa Island (U.S.)
Puerto Rico (U.S.)
BELIZE
GUATEMALA
Belmopan
Tegucigalpa
EL SALVADOR
Managua
NICARAGUA
San José
COSTA RICA
International SOS s ire Lifestyles re
e
re t
y assigns medical ratings to countries* by
(U.S.)range of factors including the st
assessing a
r f l l e i l
e t l re
il le
ess t
res ri ti
r s t e rese e f seri s i fe ti s ise ses
lt r l l
e r
i istr ti e
rriers
e e i l ris it i
try
ry i ely
re
le
r ities
y
e l er ris
ere s re te r r r l re s y
e i er ris
e st ff i
r
ter ti l
ssist e e tres
li i s s ell s
e i l re te sites
e i ti te
le e f t e st
r f e i l re i
t eir re i s i l i t t ffere y i i i l e i l f ilities is
s li te
le e is se y r
ysi i s e
isi
e i l ssist e re ire e ts
* The term “country” refers to not only traditional countries or independent states, but also to other geographic entities, including dependencies, territories and areas of special sovereignty.
LOW RISK
Kingston
HONDURAS
Guatemala City
San Salvador
Kingman Reef (U.S.)
JAMAICA
CAPE VERDE
Praia
Panama
PANAMA
GAMBIA Banjul
Bamako
GUINEA
GUINEA-BISSAU Conakry
Freetown
VENEZUELA
SIERRA LEONE
Georgetown
Monrovia
Paramaribo
Cayenne
GUYANA
Bogotá
LIBERIA
SURINAME FRENCH
GUIANA
COLOMBIA
Ouagadougou
BURKINA FASO
IVORY COAST
Yamoussoukro
GHANA
Takoradi
Accra
Libreville
GABON
CONGO
RWANDA
Bujumbura
Pitcairn (U.K.)
Wake Island (U.S.)
Mariana Islands (U.S.)
PHILIPPINES
SRI
LANKA
Melekeok
Bandar Seri Begawan
Malé
Kuala Lumpur
MALDIVES
MALAYSIA
MICRONESIA
BRUNEI
Buenos Aires
Howland Island (U.S.)
Baker Island
(U.S.)
Bairiki
Chagos Archipelago (U.K.)
Glorioso Islands (Fr.)
Denpasar
Tromelin Island (Fr.)
MOZAMBIQUE
Juan de Nova
Island (Fr.)
Europa Island (Fr.)
Cocos Island
(Au.)
Christmas Island
(Au.)
TUVALU
Dili
SOLOMON ISLANDS
Ashmore and Cartier
Islands (Au.)
Coral Sea
Islands (Au.)
Port-Louis
Réunion (Fr.)
Tokelau (N.Z.)
Wallis and
Futuna (Fr.)
VANUATU
SAMOA
Apia
FIJI
Port-Vila
New Caledonia
(Fr.)
Suva
TONGA
Niue (N.Z.)
Nouméa
AUSTRALIA
Maputo
Mbabane
Vaiaku
Honiara
Port
Moresby
MAURITIUS
Antananarivo
KIRIBATI
PAPUA NEW GUINEA
TIMOR-LESTE
COMOROS
Mayotte (Fr.)
Pemba
INDONESIA
Jakarta
SEYCHELLES
Nuku’alofa
SWAZILAND
Norfolk Island (Au.)
SOUTH AFRICA
URUGUAY
MARSHALL ISLANDS
SINGAPORE
LESOTHO
Santiago
Dalap-Uliga-Darrit
Palikir
PALAU
Saba (N.L.)
Gaborone
Maseru
Guam (U.S.)
NAURU
MADAGASCAR
Pretoria
Johannesburg
Johnston Atoll (U.S.)
Manila
Yaren
Lilongwe
BOTSWANA
Easter Island
(Cl.)
High or international standard of care available from selected providers; other providers offer a lower standard of
care. Adequate emergency services and dental care usually available. Some risk of food or water-borne diseases.
Diseases such as malaria and dengue fever may be present.
Medical assistance: Selection of quality providers. Case monitoring. Severe illness/injury may require evacuation.
Vientiane
Victoria
ZIMBABWE
Asunción
TAIWAN
Ho Chi Minh City
Vung Tau
BURUNDI
Harare
Windhoek
Hong Kong
Nairobi
Kigali
Lusaka
Saint Helena
(U.K.)
NAMIBIA
CHILE
KENYA
MALAWI
ZAMBIA
Hanoi
LAOS
Macao
Phnom Penh
Mogadishu
TANZANIA
Brasília
VIETNAM
THAILAND
SOMALIA
Dodoma
ANGOLA
Shenzhen
Yangon
Colombo
Moroni
Rio de Janeiro
Naypyidaw
INDIA
Midway Atoll
(U.S.)
Taipei
MYANMAR
ETHIOPIA
Kampala
Luanda
BRAZIL
Thimphu
BHUTAN
BANGLADESH
Dhaka
Muscat
Addis Ababa
UGANDA
CONGO
(DEM. REP. OF)
Ilha da Luanda
PARAGUAY
Doha Dubai
Abu Dhabi
Juba
Bangui
Brazzaville
Kinshasa
BOLIVIA
Kathmandu
CAMBODIA
SOUTH
SUDAN
CENTRAL
AFRICAN REPUBLIC
CAMEROON
PERU
NEPAL
Djibouti
Abuja
SÃO TOMÉ
AND PRÍNCIPE
New Delhi
Bangkok
N’Djamena
Porto-Novo
Lagos
Warri
Port Harcourt
Yaoundé
Malabo
ECUADOR
International standard of care throughout. All tertiary-level, specialist and sub-specialist care widely available.
High-quality emergency and dental services and a wide range of quality prescription drugs available. Low risk
Cook Island
of infectious disease.
(N.Z.)
Medical assistance: Medical referral. Assistance with language and cultural differences. Payment. Evacuation
rarely required.
PAKISTAN
YEMEN
Sana’a
Asmara
Tokyo
Nanjing
Shanghai
SUDAN
NIGERIA
São Tomé
ERITREA
Khartoum
SOUTH
KOREA
Islamabad
BAHRAIN
QATAR
JAPAN
Seoul
CHINA
OMAN
CHAD
EQUATORIAL GUINEA
La Paz
AFGHANISTAN
Kuwait City
Manama
Pyongyang
TAJIKISTAN
Basra
KUWAIT
Tianjin
Kabul
IRAN
Baghdad
SAUDI
ARABIA
EGYPT
Niamey
Quito
Galápagos Islands
(Ec.)
IRAQ
Damascus
Beijing
Dushanbe
Tehran
Erbil
NORTH
KOREA
KYRGYZSTAN
Tashkent
Ashgabat
Riyadh
NIGER
SENEGAL
Bissau
Port of Spain TRINIDAD AND TOBAGO
Caracas
Dakar
AZERBAIJAN TURKMENISTAN
Yerevan
Jerusalem Amman
JORDAN
GAZA STRIP
WEST BANK
Cairo
LIBYA
MALI
Nouakchott
BONAIRE (N.L.)
Lima
French Polynesia
(Fr.)
MEDIUM RISK
Anguilla (U.K.)
Baku
UNITED
ARAB EMIRATES
MAURITANIA
Saint Martin (Fr.)
Virgin Islands
SAINT KITTS AND NEVIS
Port-au- Santo San Juan (U.K. - U.S.)
St Eustatius (N.L.)
Prince Domingo
Saint John’s ANTIGUA AND BARBUDA
Basseterre
Montserrat (U.K.)
Guadeloupe (Fr.)
DOMINICA Roseau
Martinique (Fr.)
SAINT LUCIA Castries
Netherlands Antilles (N.L.)
Kingstown
Bridgetown BARBADOS
Aruba (N.L.)
CURACAO (N.L.) SAINT VINCENT AND
THE GRENADINES Saint Georges GRENADA
ARMENIA
Yuzhno-Sakhalinsk
Almaty
Bishkek
UZBEKISTAN
Tbilisi
ISRAEL
Tripoli
Ulan-Bator
MONGOLIA
Aktau
GEORGIA
CYPRUS LEBANON SYRIA
Beirut
ALGERIA
WESTERN
SAHARA
Turks and Caicos
Islands (U.K.)
KAZAKHSTAN
Atyrau
Nicosia
MALTA
Adrar
BENIN
Nassau
Mexico City
MEDICAL RISK RATINGS
TUNISIA
Hassi Messaoud
Lomé TOGO
THE BAHAMAS
CUBA
Clipperton Island (Fr.)
Valletta
Canary Islands (Es.)
MEXICO
Hawaii (U.S.)
Tunis
Algiers
MOROCCO
El Aaiún
Astana
TURKEY
Athens
Rabat
Bermuda (U.K.)
Houston
Warsaw
Prague
GREECE
Gibraltar (U.K.)
Madeira (Pt.)
Sakhalin (Ru.)
BELARUS
Kiev
Frankfurt
CZECH REP.
UKRAINE
LUXEMBOURG Baden-Baden
Paris
SLOVAKIA
GERMANY Vienna Bratislava
MOLDOVA
LIECHTENSTEIN
Budapest
AUSTRIA
Chisinau
Berne Vaduz
SLOVENIA HUNGARY
SWITZERLAND
ROMANIA
FRANCE
Zagreb
Geneva Ljubljana
Belgrade Bucharest
CROATIA BOSNIA
SAN MARINO
AND HERZ.
Sarajevo
SERBIA
MONACO
BULGARIA
Corsica (Fr.) ITALY MONTENEGRO KOSOVO Sofia
Podgorica
Skopje
ANDORRA
VATICAN Rome
Tirana
MACEDONIA
CITY
ALBANIA
Ankara
Guernsey
UNITED STATES
OF AMERICA
Minsk
POLAND
Berlin
NETHERLANDS
BELGIUM
Channel Islands (U.K.) Jersey
Ottawa
Moscow
Vilnius
London Amsterdam
Brussels
Vancouver
American Samoa
(U.S.)
Tallinn
Stockholm
DENMARK
Copenhagen
Aberdeen
RUSSIA
Helsinki
Oslo
Bergen
Haugesund
Stavanger
Perth
Sydney
Montevideo
Canberra
ARGENTINA
Auckland
NEW ZEALAND
Wellington
MEDIUM & HIGH RISK
Large emerging countries where the standard of medical care is generally limited. Significantly better care is
available in some major cities from selected providers. Outside these cities, medical care, emergency services
and dental care may be basic. Access to quality prescription drugs may be limited and, in some cases,
counterfeiting and/or improper storage of drugs is an issue. Serious illnesses such as dengue, malaria, typhoid,
and cholera may pose a threat.
Medical assistance: In major cities, selection of quality providers. Elsewhere, selection of best care available.
Case monitoring. Moderate and severe illness/injury may require evacuation.
Chatham Islands
(N.Z.)
Crozet Islands (Fr.)
Falkland Islands (G.B.)
South Georgia and the
South Sandwich Islands (G.B.)
HIGH RISK
Developing countries with very limited medical capabilities. Emergency services and dental care may be basic.
Access to quality prescription drugs may be limited and in some cases, counterfeiting and/or improper storage of
drugs are an issue. Serious infectious diseases such as typhoid, cholera, dengue fever and malaria may pose a threat.
Medical assistance: Selection of best care available. Case monitoring. Moderate and severe illness/injury may
require international evacuation.
Kerguelen Islands (Fr.)
South Shetland Islands
(G.B.)
Mc Donald and
Heard Islands (Au.)
Bouvet Island (No.)
South Orkney Islands
(G.B.)
International SOS Assistance Centre
EXTREME RISK
Countries where healthcare is almost non-existent or severely overtaxed. There may be no emergency or
dental services. Quality prescription drugs are usually not available. There is a high risk of food or water-borne
infections. Serious infectious diseases such as dengue, malaria, typhoid, and cholera are common.
Medical assistance: Selection of best care available. Case monitoring. Moderate and severe cases may require
international evacuation.
Response Centre
Clinic
Medical Services Centre
International SOS Air Ambulance
Staffed by doctors and nurses, multilingual
coordinators, security experts, air and ground
logistics personnel, our 27 assistance centres
deliver 24/7 medical and security assistance
services in over 90 languages, all over the world.
International SOS has established six response
centres to support the offshore oil and gas industry.
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 36 International SOS clinics practise the
highest standards of healthcare, operating in areas
where gaps in quality of care are evident and/or
where there may be cultural or language barriers.
Additionally, ten of our other clinics operate in hostile
environments and/or in environments that require
industry—specific occupational health standards.
To support our clients’ medical needs in remote
locations, we deliver medical staffing, consulting,
training, supplies, operations, quality improvements
and occupational health through more than 600
remote medical services sites across 70 countries,
seamlessly co-ordinated by 36 medical services
centres.
International SOS dedicated fleet of ten air
ambulances functions as intensive care units in
the sky and are monitored by our own regional
flight desks. They are equipped with state-of-the-art
medical equipment and staffed by aero-medical
specialists. International SOS has access to
additional planes available 24/7.
The HealthMap is a global representation of medical risk. Please use International SOS Country Guides for operational decision making or more detailed information on country-specific medical risk.
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