state department travel north macedonia

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North Macedonia 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 North Macedonia. Learn how to protect yourself.

Level 1 Practice Usual Precautions

• Carnival and Mardi Gras June 30, 2021 This notice has been removed. Destination List: Lithuania, Malta, North Macedonia, Norway, Slovakia, Slovenia, United States

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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 North Macedonia.

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 of all ages traveling to North Macedonia.

Hepatitis B - CDC Yellow Book

Dosing info - Hep B

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

North Macedonia is free of dog rabies. However, rabies may still be present in wildlife species, particularly bats. CDC recommends rabies vaccination before travel only for people working directly with wildlife. These people may include veterinarians, animal handlers, field biologists, or laboratory workers working with specimens from mammalian species.

Rabies - 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.

Leishmaniasis

• Sand fly bite
• Avoid Bug Bites

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 North Macedonia, 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 North Macedonia. 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 North Macedonia 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 North Macedonia’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.

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 North Macedonia 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 North Macedonia, 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.

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 North Macedonia 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.

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

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North Macedonia

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 as well as support for British nationals abroad which includes:

advice on preparing for travel abroad and reducing risks

information for women, LGBT+ and disabled travellers

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

Travel insurance

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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Interstate 95 North reopens in West Haven after crash

W EST HAVEN, Conn. (WTNH) — Interstate 95 Northbound in West Haven has reopened between exits 42 and 43 after a crash involving a pedestrian closed the highway for several hours, according to the Department of Transportation.

At 3:47 a.m., state police’s Troop G arrived at exit 43 for a motor vehicle accident. State police say one person sustained serious injuries and was transported to the hospital. 

Interstate 95 northbound reopened at around 9:50 a.m.

Check back with News 8 on this developing story.

For the latest news, weather, sports, and streaming video, head to WTNH.com.

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WEATHER ALERT

12 warnings, a watch and an advisory in effect for 17 regions in the area

Winner of north macedonia's parliamentary election to seek governing coalition partner.

Konstantin Testorides

Associated Press

Copyright 2024 The Associated Press. All rights reserved

Hristijan Mickoski, the leader of the opposition center-right VMRO-DPMNE party celebrates after a news conference in Skopje, North Macedonia, on Wednesday, May 8, 2024. Citizens voted in North Macedonia on Wednesday in a parliamentary election and presidential runoff dominated by the country's slow path toward European Union membership and its sluggish economy. (AP Photo/Boris Grdanoski)

SKOPJE – The head of a center-right 22-party coalition that emerged victorious in North Macedonia’s parliamentary election has fallen just short of gaining a parliamentary majority, leaving it reliant on entering a partnership with another party to form a government.

The “Your Macedonia” coalition, led by the head of the VMRO-DPMNE party, Hristijan Mickoski, won just over 43% of the votes in Wednesday’s election, giving it 58 of the country’s 120 parliamentary seats, three fewer than an outright majority, official results showed. Mickoski was expected to begin seeking a governing partner as early as Thursday.

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“Tonight we have a reason to celebrate, but starting from tomorrow, we have a job to do,” Mickoski, 46, said late Wednesday. “I’ll hold the first meeting in the morning where we will determine the principles for the composition of a government from which we will not deviate.”

The parliamentary vote was held simultaneously with a runoff for the country’s presidential election, which saw the victory of North Macedonia’s first female president in a double win for the center-right backed opposition. Law professor Gordana Siljanovska-Davkova, 70, was declared the winner after receiving nearly 65% support with more than two-thirds of the vote counted, trouncing incumbent Stevo Pendarovski, backed by the Social Democrats, who conceded after garnering just over 29%.

In the parliamentary election, the Social Democrat-led coalition that has been in power for the last seven years struggled to hold on to second place with just 15.3% of the vote, giving it 18 seats in parliament -– one less than a group of parties led by ethnic Albanian minority party DUI, which won 19 seats.

Another opposition ethnic Albanian coalition, led by the VLEN, or Worth party, earned 13 seats, while the smaller Levitsa, or Left, and the movement For our Macedonia, known by its acronym ZNAM, each won six seats.

The conservatives made sweeping gains on popular discontent over issues of corruption, the country’s slow path toward European Union membership and its flat economic growth. During his campaign, Mickoski accused the outgoing government of ineptitude and of making humiliating compromises in trying to settle disputes with North Macedonia’s neighbors.

In his victory speech, Mickoski told supporters his government would make fighting corruption its priority.

“Every last person who committed a crime and committed corruption will be held accountable,” he said. “The people have taught the government its most important lesson and saved their country. ... We have regained hope and tonight we have reason to celebrate.”

Hopes are high that the country’s new leadership will oversee North Macedonia’s long-anticipated entry into the EU. The small Balkan country has orbited the 27-nation bloc for nearly two decades with little to show for its efforts.

Although both opposing political sides support EU integration, they have differed on how to deal with neighboring Bulgaria’s demands that North Macedonia enshrine in its constitution the recognition of a Bulgarian ethnic minority.

While Social Democrats and ethnic Albanian parties agree to the constitutional changes, VMRO-DPMNE says it will not accept what it calls “Bulgaria’s diktat,” hinting it might seek to renegotiate the conditions on membership talks and seek guaranties from the EU that Bulgaria will not make any further demands for lifting its veto on North Macedonia joining the EU.

Outgoing President Kovachevski warned there must be no deviation from the path toward the EU.

“If we miss that chance, we could lose another decade, maybe even another generation,” he said, adding that could lead to falling living standards and increased ethnic tensions, and could “expose us to a security risk that none of us can understand how big it could be.”

Once the State Electoral Commission announces the final official results, the new president will be inaugurated by May 12, when the mandate for the current president officially ends. Siljanovska Davkova will make a statement before the lawmakers of the old parliament, and the new parliament must be constituted within 20 days.

It is the president who must give the formal mandate to the winner of the parliamentary election to form a government. This step takes place within 10 days of the new parliament being constituted, but negotiations between party leaders usually begin informally days earlier, right after the election.

Copyright 2024 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed without permission.

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Us tutor jailed in russia for drinking and getting naked in public: moscow court.

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An American tutor was slapped with a 10-day prison sentence in Russia on charges of “petty hooliganism” — including allegations that he got drunk and naked in public, according to Russian state media.

William Russell Nycom, 49, “drank alcoholic beverages, then was found naked in the courtyard, expressed obvious disrespect for society, citizens and public order, for which he was detained by police officers,” RIA-Novosti reported Tuesday, citing Moscow courts.

Nycom is also accused of climbing through a window of a children’s library and falling asleep inside, according to local TV channel, REN TV.

Nycom was in the country on a six-month tourist visa and was working as an English tutor, according to the TV outlet. Records show he last lived in Arkansas.

The State Department would not confirm to The Post if Nycom was one of the two Americans detained in Russia in the last week.

Reports indicate that Staff Sgt. Gordon C. Black was also arrested in Russia in the past week on allegations of stealing from a woman . Black had been stationed in South Korea and allegedly went to Vladivostok, Russia, to visit a woman.

“We reiterate our strong warnings about the danger posed to U.S. citizens inside the Russian Federation. U.S. citizens residing or traveling in Russia should depart immediately, as stated in our Travel Advisory for Russia,” a State Department official told The Post.

“When a U.S. citizen is detained abroad, consular officers seek to aid him or her with all appropriate assistance,” the official added. “Due to privacy considerations, we have no further comment.”

The White House confirmed Tuesday that there were two Americans detained in Russia.

“What I also can confirm is that there are two separate cases of US citizens being detained in Russia. The State Department is actively seeking consular access to both individuals, neither of whom were in Russia on behalf or in affiliation with the US government,” White House press secretary Karine Jean-Pierre said.

The State Department has urged all American citizens in Russia to depart immediately amid Russia’s war on Ukraine.

Other US citizens have also been recently detained in Russia, including Wall Street Journal reporter Evan Gershkovich , former Marine Paul Whelan and ballerina Ksenia Karelina.

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Ukraine war latest: 'Astonishing' Putin reshuffle points to 'serious instability' in Russian leadership, ex-MI6 officer says

Russian defence minister Sergei Shoigu is set to be replaced more than two years into the war, in a major shakeup of Vladimir Putin's cabinet.

Sunday 12 May 2024 23:13, UK

• Russian defence minister and long-time Putin ally Sergei Shoigu to be replaced
• Ivor Bennett analysis: More going on here than meets the eye - and Shoigu's replacement speaks volumes
• Reshuffle points to 'serious instability' at heart of Russian leadership, ex-MI6 officer says
• More than 4,000 civilians have fled Kharkiv region after Friday morning's surprise attack by Putin's military  
• Eyewitness: Deborah Haynes reports from town 'flattened' in offensive
• Analysis:  Russia's attack in Kharkiv region not a complete surprise - but the force of it is

We're ending our live updates on the Ukraine war and Vladimir Putin's surprise reshuffle for this evening.

Scroll through the blog to read the latest updates from today.

As we've been reporting, Vladimir Putin has proposed a reshuffle which will see longstanding defence minister Sergei Shoigu replaced with civilian Andrei Belousov.

It's a name we haven't heard much through the war, but as defence minister he'll become a key figure.

So who is Andrei Belousov? Here's a quick explainer...

The 65-year-old graduated from the Faculty of Economics of the Moscow State University in 1981 with distinction.

He was appointed a non-staff adviser to the Russian prime minister in 2000 and joined the economy ministry in 2006. Between 2008 and 2012 he served as director of the economics and finance department under Vladimir Putin.

Mr Belousov was appointed economics minister in 2012, and then served as adviser to the Russian president from 2013 to 2020.

After this he was deputy prime minister - bar a brief period where he served as prime minister when Mikhail Mishustin contracted COVID in 2020.

Unlike previous defence ministers Mr Belousov does not have a military background. He's believed to be close to Mr Putin.

Sergei Shoigu being moved to Russia's Security Council signals that Vladimir Putin sees the institution as a political holding space, according to a Russian political analyst.

Tatiana Stanovaya, a senior fellow at the Carnegie Russia Eurasia Center, said in a piece online that the council was becoming a "reservoir for Putin's 'former' key figures - people who he can't let go, but doesn't have a place for".

In posts to X, Ms Stanovaya also said Andrei Belousov was a "logical choice" as Mr Putin looks to enhance arms production and meet military needs.

But she said despite the "surprising" reshuffles, which she claimed are not at an end, the Russian leadership's "overall policy and decision-making mechanisms will remain unchanged".

By Ivor Bennett , Moscow correspondent

This has come as a huge surprise. Not one, but two key figures in Russia's leadership structure sacked simultaneously.

It suggests there's a lot more going on inside the Kremlin than meets the eye.

Sergei Shoigu is a very close Putin ally and has been for years. So why replace him?

Clearly Putin is unhappy with the direction of the war. This coincides with Russia's attempt to open up a new front in the Kharkiv region of Ukraine. New directions and new leadership - Putin's ringing the changes.

Shoigu's successor speaks volumes. Andrei Belousov is an economist. A technocrat. Not an obvious choice to run the military, but this underlines where Putin's concerns are right now ("how much longer can I afford the war?").

Russia's entire economy is geared towards the military right now. He wants to ensure it's operating as efficiently as possible, so his war can continue.

Shoigu moves to the Security Council, where he'll replace Nikolai Patrushev. Technically it's a more important role, but in reality it’s a demotion. More importantly, by replacing Patrushev, it gives Putin more command over a powerful body within Russia's leadership structure. The Security Council was seen by some as a pseudo shadow cabinet. He'll now have an ally in post, albeit a disgruntled one.

Finally, to me, this speaks to Putin's confidence right now. The start of the new presidential term, he's clearly emboldened. But it also screams instability.

Kremlin spokesman Dmitry Peskov has told reporters this evening that announcing a new defence minister makes sense as Russia's military spending balloons.

He said Russia was heading towards a situation similar to that of the Soviet Union in the mid-1980s, when 7.4% of Russia's GDP went on the military and law enforcement.

Mr Peskov said this is why Vladimir Putin wanted to hand the position to a civilian with an economic background.

"The one who is more open to innovations is the one who will be victorious on the battlefield," he said.

Vladimir Putin has likely grown frustrated with Russia's overall lack of progress in the war despite its current momentum on the battlefield, a Russian foreign policy analyst has said.

Ivan Klyszcz, from the International Centre for Defence and Security, said the "entire Kremlin" is focused on winning the war and the reshuffle should be "read in that light".

He told Sky News the Kremlin has a tendency to replace senior officials some time after a failure or defeat, or after they haven't performed at a certain level.

"With Shoigu that's part of the story. It has to do with... some of the defeats that Russia has faced in the battlefront in 2022 and lack of progress in the war for them in 2023."

Mr Klyszcz says that Mr Shoigu has been in a "weak position" for some time.

UK defence minister Grant Shapps has reacted to the news of Vladimir Putin's cabinet shakeup.

In a post to X, Mr Shapps says Sergei Shoigu has "overseen over 355,000 casualties" among Russian soldiers and caused mass suffering in Ukraine.

"Russia needs a Defence Minister who would undo that disastrous legacy & end the invasion - but all they’ll get is another of Putin’s puppets," he said.

This is not just a normal reshuffle but "serious instability right in the heart" of Russia's regime, a former MI6 intelligence officer has said.

Speaking to Sky News, Christopher Steele said Nikolai Patrushev being removed from his role as secretary of the Russian Security Council is "astonishing".

"It's important to understand that he's been one of Putin's closest allies, former head of the FSB and so on for many years... and was rated by people to be probably the second most powerful man in Russia after Putin himself. 

"I think what this indicates is not just a reshuffle along normal governmental lines. It's really quite serious instability right in the heart of this regime," he said.

Mr Steele says it has been "clear" to Russia watchers for some time that Mr Patrushev was lining up his son Dmitri, the current agriculture minister, to be Mr Putin's successor.

"I think that this is, as I say, a very significant move by Putin," he added.

'Something much deeper' going on

Asked why Mr Putin would remove Mr Shoigu as defence minister at a time when Russia appears to have the upper hand in the war, Mr Steele says it could point to something "much deeper" happening.

"It's hardly ideal from a military point of view to replace your defence minister right at the time when you're launching a new offensive," he explained.

"This underlines to me that there is something much deeper going on here."

Mr Steele also characterised Mr Shoigu's switch to the Security Council as a "demotion" - but reiterated that Mr Patrushev, a member of the Russian president's inner circle, being moved to an unknown position was "extraordinary".

Sergei Shoigu's removal has "first and foremast come as a surprise", says our Moscow correspondent Ivor Bennett .

Mr Shoigu has been part of the cabinet, and Vladimir Putin's cohort, for a "very long time", he says.

Bennett says his position came under threat last year as the late Wagner Group leader Yevgeny Prigozhin launched a short-lived mutiny against the Kremlin.

"But when he was seen off, when that coup was seen off, Prigozhin died.... Sergei Shoigu's position seemed a lot stronger, actually," he says.

"He emerged from that crisis stronger, as did Vladimir Putin."

Bennett explains that Mr Putin has, by law, to dissolve his government as he starts his new presidential term.

"We were expecting a new cabinet, but I don't think we were expecting such a big change at the top. 

"I think that reflects a few different things. First and foremost, I think Vladimir Putin... feels like he needs to do something new, certainly symbolically within the the war context," Bennett says.

Analysts say Vladimir Putin is looking to project an image of stability and satisfaction with his team's progress, with Mikhail Mishustin remaining in post as prime minister on Friday.

As he continues to confirm his top team, Mr Putin has also proposed Sergei Lavrov remain as foreign minister.

Valery Gerasimov, the chief of Russia's general staff, will remain in his position as well.

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Update May 10, 2024

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Travel Advisory September 5, 2023

Russia - level 4: do not travel.

Updated to remove COVID-specific information and the kidnapping risk indicator as well as updates to security risks.

Do not travel to Russia due to the unpredictable consequences of the  unprovoked full-scale invasion of Ukraine by Russian military forces , the potential for  harassment and the singling out of U.S. citizens for detention by Russian government security officials , the  arbitrary enforcement of local law ,  limited flights into and out of Russia , the  Embassy’s limited ability to assist U.S. citizens in Russia , and the possibility of  terrorism .  U.S. citizens residing or travelling in Russia should depart immediately.  Exercise increased caution due to  the risk of wrongful detentions.

The U.S. government’s ability to provide routine or emergency services to U.S. citizens in Russia is severely limited, particularly in areas far from the U.S. Embassy in Moscow, due to Russian government limitations on travel for embassy personnel and staffing, and the ongoing suspension of operations, including consular services, at U.S. consulates.

There have been numerous reports of drone attacks, explosions, and fires in areas in Western and Southern Russia, particularly near the Russian border with Ukraine, as well as in Moscow and St. Petersburg. In the event of an emergency, U.S. citizens should follow instructions from local authorities and seek shelter immediately.

In September 2022, the Russian government mobilized citizens to the armed forces in support of its invasion of Ukraine. Russia may refuse to acknowledge dual nationals’ U.S. citizenship, deny their access to U.S. consular assistance, subject them to mobilization, prevent their departure from Russia, and/or conscript them. 

U.S. citizens should note that U.S. credit and debit cards no longer work in Russia, and options to electronically transfer funds from the United States are extremely limited due to sanctions imposed on Russian banks. There are reports of cash shortages within Russia.

Commercial flight options are extremely limited and are often unavailable on short notice. If you wish to depart Russia, you should make independent arrangements as soon as possible. The U.S. Embassy has severe limitations on its ability to assist U.S. citizens to depart the country and transportation options may suddenly become even more limited. Click  here  for Information for U.S. Citizens Seeking to Depart Russia.

U.S. Embassy personnel are generally not permitted to travel on Russian air carriers due to safety concerns.  The Federal Aviation Administration (FAA) downgraded the air safety rating for Russia from Category 1 to Category 2 on April 21, 2022, due to Russia’s Federal Agency for Air Transport noncompliance with International Civil Aviation Organization (ICAO) safety standards.  The Federal Aviation Administration (FAA) has issued a Notice to Air Missions (NOTAM) prohibiting U.S. aviation operations into, out of, within, or over those areas of the Moscow Flight Information Region (FIR), the Samara FIR (UWWW) and the Rostov-na-Donu (URRV) FIR within 160NM of the boundaries of the Dnipro (UKDV) Flight Information Regions. For more information, U.S. citizens should consult the  Federal Aviation Administration’s Prohibitions, Restrictions, and Notices .

The right of peaceful assembly and freedom of expression are not consistently protected in Russia. U.S. citizens should avoid all political or social protests and not photograph security personnel at these events. Russian authorities have arrested U.S. citizens who have participated in demonstrations and there are numerous reports Russian nationals have been detained for social media activity. 

Country Summary:

U.S. citizens, including former and current U.S. government and military personnel and private citizens engaged in business who are visiting or residing in Russia, have been interrogated without cause and threatened by Russian officials, and may become victims of harassment, mistreatment, and extortion. 

Russian security services may fail to notify the U.S. Embassy of the detention of a U.S. citizen and unreasonably delay U.S. consular assistance. Russian security services are increasing the arbitrary enforcement of local laws to target foreign and international organizations they consider “undesirable.”

Russian security services have arrested U.S. citizens on spurious charges, singled out U.S. citizens in Russia for detention and harassment, denied them fair and transparent treatment, and convicted them in secret trials or without presenting credible evidence. Furthermore, Russian authorities arbitrarily enforce local laws against U.S. citizen religious workers and have opened questionable criminal investigations against U.S. citizens engaged in religious activity. U.S. citizens should avoid travel to Russia to perform work for or volunteer with non-governmental organizations or religious organizations.

There have been multiple security incidents in southwestern Russia related to Russia’s unprovoked and unjustified invasion of Ukraine. The Russian government declared martial law in Russia’s regions bordering Ukraine (Bryansk, Kursk, Belgorod, Voronezh, Rostov, Krasnodar) on October 20, 2022. The martial law regime allows the rapid introduction of restrictive measures such as curfew, seizure of private property, restriction of entry/exit and freedom of movement, internment of foreigners, forced relocation of local residents, and restrictions on public gatherings. U.S. citizens should avoid all travel to these areas.

Recent legislation has expanded the ability of Russian authorities to detain, question, and arrest individuals suspected of acting against Russia’s interests, including posts on personal social media accounts, engaging with foreign and international entities, discrediting the Russian state or military, as well as advocating for the rights of LGBTQI+ persons.

Terrorist groups, both transnational and local terrorist organizations, and individuals inspired by extremist ideology continue plotting possible attacks in Russia. Terrorists may attack with little or no warning, targeting tourist locations, transportation hubs and systems, markets/shopping malls, local government facilities, hotels, clubs, restaurants, places of worship, parks, major sporting and cultural events, educational institutions, airports, and other public areas. Travel to the North Caucasus (including Chechnya and Mt. Elbrus) is prohibited for U.S. government employees and strongly discouraged for U.S. citizens.

The international community, including the United States and Ukraine, does not recognize Russia’s purported annexation of Crimea as well as four other Ukrainian oblasts – Donetsk, Luhansk, Kherson, and Zaporizhzhya – that Russia has purported to annex more recently. There is extensive Russian Federation military presence in these areas. Russia staged its further invasion of Ukraine, in part, from occupied Crimea, and Russia is likely to take further military actions in Crimea, and the four other Ukrainian oblasts are the subject of intensive fighting. There are continuing abuses against foreigners and the local population by the occupation authorities in these regions, particularly against those who are seen as challenging Russia’s authority.

The U.S. Embassy in Kyiv continues to provide consular services to U.S. citizens in Crimea as well as four other Ukrainian oblasts partially occupied by Russia – Donetsk, Luhansk, Kherson, and Zaporizhzhya, although the ongoing conflict severely restricts the Embassy’s ability to provide services in these areas.

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

If you decide to travel to Russia:

• Familiarize yourself with the information on  what the U.S. government can and cannot do to assist you in a crisis overseas .
• Have a contingency plan in place that does not rely on U.S. government assistance. Review the  Traveler’s Checklist .
• Monitor local and international media for breaking events and adjust your contingency plans based on the new information.
• Ensure travel documents are valid and easily accessible.
• Visit our website for  Travel to High-Risk Areas .
• 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 Russia.
• Visit the CDC page for the latest  Travel Health Information  related to your travel.

Important Information for U.S. Citizens Seeking to Depart Russia (Updated Monthly).

Click Here for Important Information for U.S. Citizens Seeking to Depart Russia (Updated Monthly) .

Embassy Messages

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Quick Facts

Required six months beyond intended stay

2 pages per stamp

$10,000 or more must be declared

You may export up to $3,000 (or equivalent) without declaring it

Embassies and Consulates

U.S. Embassy Moscow Bolshoy Deviatinsky Pereulok No. 8 Moscow 121099 Russian Federation Telephone:  +(7) (495) 728-5000 or +(7) (495) 728-5577 Emergency After-Hours Telephone:  +(7) (495) 728-5000 Fax:  +(7) (495) 728-5084 Email:   [email protected]

U.S. Consulate General Vladivostok 32 Ulitsa Pushkinskaya Vladivostok 690001 Russian Federation

Consular services at U.S. Consulate General Vladivostok remain suspended.  Contact Embassy Moscow for all consular services.

U.S. Consulate General Yekaterinburg Ulitsa Gogolya 15a, 4th floor, Yekaterinburg 620151 Russian Federation

Effective April 1, 2021, Consulate General Yekaterinburg suspended all consular services.  Contact Embassy Moscow for all consular services.

U.S. Consulate General St. Petersburg

Due to the Russian government’s ordered closure of the U.S. Consulate General, as of March 31, 2018, U.S. citizen visitors and residents in St. Petersburg must contact the U.S. Embassy in Moscow for all consular services .

Destination Description

Learn about the U.S. relationship to countries around the world.

Entry, Exit and Visa Requirements

Russian authorities strictly enforce all visa and immigration laws. The Embassy of the Russian Federation website provides the most up to date information regarding visa regulations and requirements. In accordance with Russia’s Entry-Exit Law, Russian authorities may deny entry or reentry into Russia for 5 years or more and cancel the visas of foreigners who have committed two administrative violations within the past three years. Activities that are not specifically covered by the traveler’s visa may result in an administrative violation and deportation.

Under a bilateral agreement signed in 2012, qualified U.S. applicants for humanitarian, private, tourist, and business visas may request and receive multiple-entry visas with a validity of three years or a single entry, three-month validity visa. ( Please note that other types of visas are not part of the agreement and those visa holders should pay close attention to the terms of their visas.) You cannot enter Russia prior to the date on your visa, and you must exit Russia before your visa expires . The maximum period of stay is shown on the visa.

• You must have a current U.S. passport with the appropriate visa . Russian visas in an expired or canceled passport are not valid.
• You must obtain a valid visa for your specific purpose of travel before arriving in Russia, unless you are arriving as a cruise ship passenger (see below information for passengers of cruise ships and ferries). Do not attempt to enter Russia before the date shown on your visa. If you are staying in Russia for more than 7 days, you must register your visa and migration card with the General Administration for Migration Issues of the Ministry of Internal Affairs.
• Cruise ship passengers in St. Petersburg should seek assistance from the U.S. Embassy in Moscow for all emergency and passport services. 
• Cruise ship passengers should be aware that loss or theft of a passport and/or migration card could result in the inability to obtain lodging. Hotels and hostels may not allow guests to check in without a passport, a migration card, or Russian visa.
• We recommend U.S. citizens obtain a Russian visa before traveling to Russia, in case of an emergency while in the country, such as unexpected medical issues or if you are not able to return on the cruise ship for any reason.
• Students and English teachers should be certain that their activities are in strict keeping with their visa type. Students must not teach or coach English, whether compensated or not, while traveling on a student visa as it is considered a visa violation and may subject you to detention and deportation. 
• With the exceptions noted below, travelers will are not required to have a transit visa if they are transiting through an international airport in Russia, do not leave the Customs zone, and depart from the same airport within 24 hours.  
• Travelers must have a Russian transit visa if they plan to transit through Russia by land en route to a third country or if they transfer to another airport.
• Travelers must possess a Russian transit visa in addition to a Belarusian visa if their travel route either to or from Belarus goes through Russia.

Dual Nationals: Anyone entering Russia who has claim to Russian citizenship, regardless of any other citizenship held, is fully accountable to the Russian authorities for all obligations of a Russian citizen, including the required military service.

• U.S.-Russian dual nationals and Russian citizens who are Legal Permanent residents of the United States must register their dual nationality/foreign residency. Registration forms and further information (in Russian only) can be found on the website of the General Administration for Migration Issues of the Interior Ministry of Russia.
• U.S.-Russian dual nationals must both enter and exit on a Russian passport. You will not be permitted to depart on an expired passport. Applying for a passport can take several months. 
• U.S.-Russian dual nationals who return to Russia on a “Repatriation Certificate” are only permitted to enter Russia and will not be permitted to depart Russia until they obtain a valid Russian passport.
• Minors who also have Russian citizenship and are traveling alone or in the company of adults who are not their parents, must carry a Russian passport as well as their parents’ notarized consent for the trip, which can be obtained at a Russian embassy or consulate, or a U.S. notary public. A consent obtained in the United States from a U.S. notary public must be apostilled, translated into Russian, and properly affixed. Authorities will prevent such minors from entering or leaving Russia if they cannot present this consent.

Crimea: Follow the guidance in the Travel Advisory for Ukraine and do not travel to the Crimean Peninsula. 

Documentary Requirements for obtaining a Russian visa: Consult with the Embassy of the Russian Federation for detailed explanations of documentary requirements.

HIV/AIDS Entry Restrictions: Some HIV/AIDS entry restrictions exist for visitors to and foreign residents of Russia. Applicants for longer-term tourist and work visas or residence permits are required to undergo an HIV/AIDS test.

Find information on dual nationality , prevention of international child abduction and customs regulations  on our websites.

Safety and Security

Terrorism: Terrorist groups, transnational and local terrorist organizations, and lone actors inspired by extremist ideology and messaging continue plotting possible attacks in Russia. Terrorists may attack with little or no warning, targeting tourist locations, transportation hubs, markets/shopping malls, local government facilities, hotels, clubs, restaurants, places of worship, parks, major sporting and cultural events, educational institutions, airports, and other public areas

• Moscow and St. Petersburg have been the targets of terrorist attacks, and bomb threats against public venues are common. If you are at a location that receives a bomb threat, follow all instructions from the local police and security services.

North Caucasus Region: A risk of civil and political unrest continues throughout the North Caucasus region including Chechnya, North Ossetia, Ingushetia, Dagestan, Stavropol, Karachayevo-Cherkessiya, and Kabardino-Balkariya. Local criminal gangs have kidnapped foreigners, including U.S. citizens, for ransom. In the Republic of Chechnya, local authorities may harbor particular hostility towards U.S. travelers.

• Do not travel to Chechnya or any other areas in the North Caucasus region.
• If you reside in these areas, depart immediately.
• U.S. government travel to the region is prohibited, due to ongoing security concerns.
• The U.S. Government has no ability to assist U.S. citizens in the North Caucasus Region.

Mt. Elbrus:

• Do not attempt to climb Mt. Elbrus, as individuals must pass close to volatile and insecure areas of the North Caucasus region.
• Do not travel to this Russian occupied territory of Ukraine.
• The U.S. government is unable to provide emergency services to U.S. citizens in Crimea. Contact the U.S. Embassy in Kyiv for questions regarding consular services.
• U.S. government officials are prohibited from traveling to Crimea. See the Departments Travel Advisory for Ukraine .

Harassment:  Harassment of U.S.-based religious and student groups can take place in Russia, and you should be aware of the possibility of anti-U.S. sentiment or harassment. U.S. citizens, including current and former U.S. government and military personnel, maybe subject to additional scrutiny by Russian security services. Remain alert, avoid any protests or demonstrations, and use discretion when commenting publicly on political developments. You can find safety and security  Alerts on the Embassy’s website .

• Police do not need to show probable cause in order to stop, question, or detain individuals. Please comply with the requests of local law enforcement officials.
• Report harassment or crimes to the U.S. Embassy in Moscow or the nearest U.S. Consulate General.

Demonstrations:

• Avoid public demonstrations. U.S. citizens who have participated in demonstrations have been arrested by the Russian authorities.

Crime: Crimes against tourists do occur at popular tourist sites and on public transportation. U.S. citizens have been victims of serious crimes when visiting Russia. Russian authorities are not always willing to impartially and thoroughly investigate crimes.

• Be cautious and aware of your surroundings.
• Exercise caution in the vicinity of large crowds.
• Do not leave bags unattended. 
• Never leave your drink unattended in a bar or club. Alcohol was a significant factor in most criminal activity reported by foreign visitors.
• Report Credit card or ATM card theft to the credit card company or issuing bank immediately.
• Avoid carrying large sums of cash . 

Cybercrime: Cybercrime is a significant problem across Russia. Russian hackers and traditional organized crime structures continue to work together, raising threats to the financial sector. The risk of infection, compromise, and theft via malware, spam e-mail, sophisticated spear phishing, and social engineering attacks is significant. U.S. citizens and companies should remain vigilant against cyber threats and actively use cyber security measures to mitigate risks.

U.S. citizens have no reasonable expectation of privacy in Russia. Telephone and electronic communications are subject to surveillance at any time and without advisory, which may compromise sensitive information. The Russian System for Operational-Investigative Activities (SORM) legally permits authorities to monitor and record all data that traverses Russia’s networks.

See the Department of State and the FBI pages for additional information on scams.

Victims of Crime : U.S. citizen victims of sexual assault are encouraged to contact the nearest U.S. Embassy or Consulate for assistance. Report crimes to the local police at 02 or 102, or 112 if using a mobile phone, and the U.S. Embassy at +7 495 728-5000..

Remember that local authorities are responsible for investigating and prosecuting the crime. United States law enforcement agencies do not have jurisdiction to investigate crimes against U.S. citizens that occur on Russian territory.

See our webpage on help for U.S. victims of crime overseas .

• Help you find appropriate medical care
• Assist you in reporting a crime to the police
• Contact relatives or friends with your written consent
• Provide general information regarding the victim’s role during the local investigation and following its conclusion
• Provide a list of local attorneys
• Provide our information on victim’s compensation programs in the U.S.
• Provide an emergency loan for repatriation to the United States and/or limited medical
• Support in cases of destitution
• Help you find accommodation and arrange flights home
• Replace a stolen or lost passport.

Domestic Violence: U.S. citizen victims of domestic violence are encouraged to contact the nearest U.S. Embassy or Consulate General for assistance.

Tourism:  The tourism industry is unevenly regulated, and safety inspections for equipment and facilities do not commonly occur. Hazardous areas/activities are not always identified with appropriate signage, and staff may not be trained or certified either by the host government or by recognized authorities in the field. In the event of an injury, appropriate medical treatment is typically available only in/near major cities. First responders are generally unable to access areas outside of major cities and to provide urgent medical treatment. U.S. citizens are encouraged to purchase medical evacuation insurance . 

Local Laws & Special Circumstances

Arrest Notification: Russia routinely fails to meet its obligation to inform the U.S. Embassy of arrests of U.S. citizens. If you are detained, ask the police or prison officials to notify the U.S. Embassy or Consulate immediately. Your U.S. passport does not protect you from arrest or prosecution. See our webpage for further information.

Criminal Penalties: You are subject to all Russian laws. If you violate these laws, even unknowingly, you may be arrested, fined, imprisoned, or expelled and may be banned from re-entering Russia. 

Some crimes committed outside the United States are prosecutable in the United States, regardless of local law. For examples, see crimes against minors abroad and the Department of Justice  website.

• You can be arrested, detained, fined, deported and banned for 5 years or more if you are found to have violated Russian immigration law.
• Penalties for possessing, using, or trafficking in illegal drugs in Russia are severe. Convicted offenders can expect long jail sentences and heavy fines.
• You can be detained for not carrying your passport with you.
• You can be jailed immediately for driving under the influence of alcohol.
• It is illegal to pay for goods and services in U.S. dollars, except at authorized retail establishments.
• You can be arrested for attempting to leave the country with antiques, even if they were legally purchased from licensed vendors. Cultural value items like artwork, icons, samovars, rugs, military medals and antiques, must have certificates indicating they do not have historical or cultural value. You may obtain certificates from the Russian Ministry of Culture . 
• Retain all receipts for high-value items, including caviar.
• You must have advance approval to bring in satellite telephones.
• Global Positioning System (GPS) and other radio electronic devices, and their use, are subject to special rules and regulations in Russia. Contact the Russian Customs Service for required permissions.

Counterfeit and Pirated Goods: Although counterfeit and pirated goods are prevalent in many countries, they may still be illegal according to local laws. You may also pay fines or have to give them up if you bring them back to the United States. See the U.S. Department of Justice website for more information.

Faith-Based Travelers: Russian authorities have detained, fined, and in some cases deported travelers for engaging in religious activities. Russian officials have stated that Russia recognizes four historic religions: Orthodox Christianity, Judaism, Islam, and Buddhism. The Russian government places restrictions on missionary activity and defines it broadly – travelers engaging in certain types of religious work may risk harassment, detention, fines, or deportation for administrative violations if they do not have proper authorization from a registered religious group. Russian law criminalizes proselytizing outside of a registered house of worship. The Russian government has detained U.S. citizens for religious activities that they contend are not permitted under a tourist or humanitarian visa. See the  Department of State’s International Religious Freedom Report .

LGBTI Travelers: Russian law bans providing "the propaganda of nontraditional sexual relations" to minors. Foreign citizens face fines, up to 15 days in jail, and deportation. The law is vague as to what Russia considers propaganda of nontraditional sexual relations.

• Discrimination based on sexual orientation is widespread in Russia. Acts of violence and harassment targeting LGBTI individuals occur.
• Government officials have made derogatory comments about LGBTI persons and violence against the LGBTI community has increased.
• There have been credible reports of arrest, torture, and extrajudicial killing of LGBTI persons in Chechnya allegedly conducted by Chechen regional authorities.

See our LGBTI Travel Information page and section 6 of our Human Rights report for further details.

Travelers Who Require Accessibility Assistance: Getting around in Russia is often difficult for persons with mobility issues. In general, public transportation is not accommodating to people with disabilities. The Moscow Metro, though extremely safe and efficient in other areas, is generally not accessible to persons with disabilities.

• Sidewalks are narrow and uneven.
• Mobility is usually easier in major cities such as Moscow and St. Petersburg.
• Crossing streets in large cities can be difficult, since it usually requires the use of a pedestrian underpass, which includes stairs, steep ramps, and no elevators.

Students: See our Students Abroad page and FBI travel tips .

Women Travelers: See our travel tips for Women Travelers .

Private medical care in major metropolitan cities and tourism centers in Russia is often equal to Western standards. However, medical care is generally below Western standards in non-metropolitan areas.

• Private medical facilities require payment by cash or credit card before providing services (unless they are life threatening), and are unlikely to accept proof of U.S. insurance as guarantee of future payment. Payment is expected at the time of service .
• The Embassy does not pay the medical bills of private U.S. citizens.
• U.S. Medicare does not provide coverage outside the United States without the purchase of supplemental coverage.  
• Make sure your health insurance plan provides coverage overseas. Most care providers overseas only accept cash payments. See our webpage for more information on insurance coverage.
• Elderly travelers and those with existing health problems are particularly at risk.

Prescription Medication:

• Certain classes of over-the-counter cold medicines, such as those containing pseudoephedrine, are illegal in Russia. We recommend against bringing cold medication with you to Russia.
• Carry a copy of valid U.S. prescriptions, including a notarized translation into Russian of each prescription, when entering Russia with prescription medications. 
• Prescription medication should be in its original packaging.

Medical Insurance: Make sure your health insurance plan provides coverage overseas. We strongly recommend supplemental insurance to cover medical evacuation.

Vaccinations: Be up-to-date on all vaccinations recommended by the U.S. Centers for Disease Control and Prevention.

Further health information:

• World Health Organization
• U.S. Centers for Disease Control and Prevention (CDC)

Travel and Transportation

Road Conditions and Safety: Road conditions and driver safety customs differ significantly from those in the United States. In some more remote areas of Russia, roads are practically nonexistent or have poor or nonexistent shoulders.

• Drivers are required by law to yield to pedestrians in crosswalks, and this is generally observed. It is dangerous to cross where there is not a crosswalk present.
• Do not drive outside the major cities at night.
• Construction sites and road hazards are often unmarked. 

Traffic Laws : Russian authorities have been known to consider traffic or parking infractions as “administrative violations” that provide a sufficient basis for deportation and/or denial of entry back to Russia at a later date.

• Drivers must carry third-party liability insurance under a policy valid in Russia.
• You may drive for 60 days using your U.S. driver’s license, with a notarized Russian translation.
• Tourists may also use International Driving Permits issued by the American Automobile Association or the American Automobile Touring Alliance to drive in Russia.
• Russian law requires foreigners on business or employment visas or with permanent residence status to have a Russian driver's license.
• Driving regulations are strictly enforced and violators are subject to severe legal penalties.
• Russia practices a zero-tolerance policy for driving under the influence of alcohol. Authorities can detain an intoxicated driver and your driver’s license can be suspended up to two years.
• If you are involved in an accident, do not move your vehicle from the accident site. You may be held liable if you move your car even if you are not at fault.
• Roadside police checkpoints are commonplace. Be prepared to stop and show identity documents and proof of registration and insurance.

Public Transportation:

• Moscow and St. Petersburg have extensive, efficient public transit systems, as do many other urban areas in Russia.
• In metropolitan areas, well-marked taxis are generally safe and reliable Do not use unmarked taxis. Passengers have been the victims of robbery, kidnapping, extortion and theft.

See our Road Safety page for more information.

AVIATION SAFETY OVERSIGHT: The U.S. Federal Aviation Administration (FAA) has assessed that the Government of Russia's Civil Aviation Authority is not in compliance with the International Civil Aviation Organization (ICAO) aviation safety standards for oversight of Russia's air carrier operations. Further information may be found on the FAA's safety assessment page.

Maritime Travel:  Mariners should check the U.S. Department of Transportation’s Maritime Administration site for U.S. maritime advisories and alert s, the  U.S. Coast Guard homeport website , and  NGA broadcast warnings .

The Commandant of the Coast Guard is unable to determine if effective anti-terrorism measures are in place in Russia ports as required by 46 U.S. Code § 70108.

For additional travel information

• Enroll in the  Smart Traveler Enrollment Program (STEP)  to receive security messages and make it easier to locate you in an emergency.
• Call us in Washington, D.C. at 1-888-407-4747 (toll-free in the United States and Canada) or 1-202-501-4444 (from all other countries) from 8:00 a.m. to 8:00 p.m., Eastern Standard Time, Monday through Friday (except U.S. federal holidays).
• See the  State Department’s travel website  for the  Worldwide Caution  and  Travel Advisories .
• Follow us on  Twitter  and  Facebook .
• See  traveling safely abroad  for useful travel tips.

Review information about International Parental Child Abduction in Russia . For additional IPCA-related information, please see the International Child Abduction Prevention and Return Act ( ICAPRA ) report.

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The Bahamas

Timor-Leste

Trinidad and Tobago

Turkmenistan

Turks and Caicos Islands

United Arab Emirates

United Kingdom

Vatican City (Holy See)

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