health map 2014, aspire lifestyles, an international sos company

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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.

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StockholmStockholm

Wellington

Lima

Kinshasa

Libreville

Athens

Reykjavik

Tehran

Yaren

BrusselsBrusselsBrussels

Frankfurt

Buenos Aires

ViennaViennaVienna

Copenhagen

Bogotá

CanberraMontevideo

Santiago

MaseruMaseruMaseru

Johannesburg Maputo

Pemba

PretoriaAsunciónAsunciónAsunciónGaborone

Windhoek Nuku’alofa

Port-LouisAntananarivo

SuvaHarare Port-VilaLa Paz

Brasília LusakaLilongweLilongweLilongweLilongweLilongwe

ApiaApia

Moroni

HoniaraLuanda

Ilha da LuandaDili

Jakarta

Denpasar

VictoriaBrazzavilleBrazzavilleBrazzaville

KigaliKigaliKigaliKigaliNairobi

QuitoKampalaKampalaKampalaKampalaKampala

Mogadishu

Kuala Lumpur

Taipei

Yaoundé BanguiBandar Seri Begawan Saba (N.L.)ParamariboParamaribo

Cayenne

Georgetown Colombo

Panama

Addis Ababa

Juba

AbujaSan José Caracas

Djibouti Phnom PenhN’Djamena

Tianjin

Adrar

Managua

OuagadougouOuagadougouOuagadougouOuagadougouBamakoNiameyNiameyNiameyNiameySan SalvadorSan SalvadorSan Salvador

BangkokTegucigalpaTegucigalpaTegucigalpaGuatemala CityGuatemala CityGuatemala City

AsmaraAsmaraAsmaraSana’a

Erbil

Yangon

SydneyPerth

Auckland

Philadelphia

Phoenix

Rio de Janeiro

Houston

Vancouver

Atyrau

Aktau

KhartoumBelmopan Kingston

VientianeVientianePort-au-Port-au-

PrincePort-au-

PrincePort-au-

Mexico CityHanoi

Ho Chi Minh City Vung Tau

HavanaMuscat

DhakaDhakaRiyadhNassau Doha

Manama

ThimphuThimphuThimphuKathmanduKathmandu

Kuwait City

BasraCairo

AmmanAmmanAmmanAmmanAmmanTripoli BaghdadDamascusDamascusDamascus

IslamabadBeirutRabat

KabulNicosia Tokyo

Seoul

VallettaAlgiers Tunis

Ashgabat DushanbeDushanbeLisbonWashington Pyongyang

Beijing

Hong KongMacao

Shenzhen

Nanjing

Yuzhno-Sakhalinsk

Manila

Shanghai

Ankara YerevanYerevan BakuMadrid

Hassi Messaoud

TashkentTashkentTbilisiTbilisiRome PodgoricaPodgoricaPodgorica BishkekBishkekBishkek

BucharestBelgradeBelgradeOttawa

LjubljanaLjubljana

ChisinauChisinauVaduzVaduzVaduzBudapestBudapest

Ulan-BatorParis

Prague KievAstana

Almaty

London

Aberdeen

GuernseyJersey

GuernseyJersey

Guernsey

WarsawAmsterdam

BerlinBerlinDublinDublin Minsk

VilniusVilnius

Moscow

Riga

Tallinn

Oslo Helsinki

Vaiaku

Bairiki

Palikir Dalap-Uliga-Darrit

Port of Spain

San JuanSantoDomingoSantoDomingoSanto

Roseau

CastriesKingstown

Saint Georges

Saint John’s

Bridgetown

El Aaiún

Jerusalem

Berne

Geneva

Baden-Baden

ZagrebZagreb

BratislavaBratislava

Tirana

SarajevoSarajevo

Malé

MbabaneMbabaneMbabaneMbabane

Bujumbura

SkopjeSkopjeSkopje

Dodoma

Basseterre

MonroviaMonrovia

Nouakchott

Nouméa

São Tomé

Malabo

AccraTakoradi

Lom

é Porto-NovoPorto-NovoPorto-Novo

Port HarcourtWarri

Lagos

Freetown

Conakry

BanjulBanjulBanjulDakar

Praia

Bissau

Yamoussoukro

Abu Dhabi

Dubai

Sofia

PortMoresby

New Delhi

Melekeok

Naypyidaw

ZIMBABWE

ZAMBIA

SWAZILAND

SAMOA

WESTERNSAHARA

NAMIBIA

VATICANCITY

VIETNAM

VENEZUELA

SAINT VINCENT ANDTHE GRENADINES

BONAIRE (N.L.)

Aruba (N.L.)CURACAO (N.L.)

UZBEKISTAN

URUGUAY

BURKINA FASO

UNITED STATESOF AMERICA

UKRAINE

UNITEDKINGDOM

UGANDA

TANZANIA

TURKMENISTAN

TAIWAN

TUVALU

TURKEY

TUNISIA

TONGA

TAJIKISTAN

THAILAND

TRINIDAD AND TOBAGO

SWITZERLAND

SWEDEN

SUDANSAINT LUCIA

SERBIAKOSOVO

SPAIN

SOMALIA

SAN MARINO

SLOVENIA

SOUTH AFRICA

SEYCHELLES

SAINT KITTS AND NEVIS

RWANDA

RUSSIA

PHILIPPINES

ROMANIA

MARSHALL ISLANDSPALAU

PAPUA NEW GUINEA

PORTUGAL

PANAMA

POLAND

PAKISTAN

PERU

PARAGUAY

NEW ZEALAND

NICARAGUA

SURINAME FRENCH GUIANA

NAURU

NEPAL

NORWAY

NETHERLANDS

NIGERIA

VANUATU

NIGER

MOZAMBIQUE

MALAYSIA

MEXICO

MONTENEGRO

MALDIVES

OMAN

MALTA

MAURITANIA

MAURITIUS

MOROCCO

MALI

MACEDONIA

MALAWI

MONGOLIA

MOLDOVA

MADAGASCAR

LIBYA

LESOTHO

LIECHTENSTEIN

SLOVAKIA

LITHUANIALATVIA

LAOS

KAZAKHSTAN

NORTHKOREA

KYRGYZSTAN

KENYA

JAMAICA

JAPAN

IRAQ

ITALY

IRAN

INDIA

INDONESIA

ICELAND

HUNGARY

CROATIA

HONDURAS

HAITI

GAZA STRIP

GUYANA

GUATEMALA

GREECE

GERMANY

GRENADA

GEORGIA

GABON

FRANCE

MICRONESIA

FIJI

FINLAND

CZECH REP.

ETHIOPIASOUTHSUDAN

EL SALVADOR

ESTONIA

IRELAND

ECUADOR

DOMINICAN REP.

DENMARK

CYPRUS

CUBA

CENTRAL AFRICAN REPUBLIC

COSTA RICA

COLOMBIA

COMOROS

CAMEROON

CHILE

CHINA

CONGO(DEM. REP. OF) CONGO

SRILANKA

CHAD

CAMBODIA

CANADA

BURUNDI

BRUNEI

BULGARIA

BHUTAN

BRAZIL SOLOMON ISLANDS

BELARUS

MYANMAR

BOLIVIA

BOSNIAAND HERZ.

BELIZE

BANGLADESHTHE BAHAMAS

BELGIUM

BOTSWANA

BARBADOS

AUSTRIA

AUSTRALIA

ARGENTINA

ANGOLA

ARMENIAALBANIA

AZERBAIJAN

ALGERIA

AFGHANISTAN

ANTIGUA AND BARBUDA

EGYPT

ERITREA YEMEN

SYRIA

SAUDI ARABIA

QATAR

LEBANON

KUWAIT

JORDAN

ISRAEL

BAHRAIN

UNITEDARAB EMIRATES

WEST BANK

KIRIBATI

TIMOR-LESTE

ANDORRA

MONACO

SINGAPORE

DOMINICA

SÃO TOMÉAND PRÍNCIPE

TOGO

SIERRA LEONE

SENEGAL

GUINEA-BISSAU

LIBERIA

IVORY COAST

GUINEA

GHANA

GAMBIA

EQUATORIAL GUINEA

CAPE VERDE

BEN

IN

LUXEMBOURG

SOUTHKOREA

Bergen

Dyce

Haugesund

Stockton-on-Tees

Stavanger

Saint Pierre and Miquelon (Fr.)

Bermuda (U.K.)

Cayman Islands (UK.)Navassa Island (U.S.)

Turks and Caicos Islands (U.K.)

Virgin Islands (U.K. - U.S.)

St Eustatius (N.L.)(U.K. - U.S.)

St Eustatius (N.L.)(U.K. - U.S.)

Montserrat (U.K.)

Martinique (Fr.)CastriesMartinique (Fr.)

Castries

Guadeloupe (Fr.)

Anguilla (U.K.)Saint Martin (Fr.)

Anguilla (U.K.)Saint Martin (Fr.)

Anguilla (U.K.)

Netherlands Antilles (N.L.)

Falkland Islands (G.B.)

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

Bouvet Island (No.)

Niue (N.Z.)

Midway Atoll(U.S.)

Johnston Atoll (U.S.)

American Samoa(U.S.)

Tokelau (N.Z.)

Wallis andFutuna (Fr.)

Jan Mayen (No.)

Faroe Islands (Dk.)

Svalbard (No.)

Isle of Man (U.K.) Isle of Man (U.K.)

Channel Islands (U.K.)Guernsey

Channel Islands (U.K.)Guernsey

Saint Helena(U.K.)

Europa Island (Fr.)Réunion (Fr.)

Tromelin Island (Fr.)

Juan de Nova Island (Fr.)

Glorioso Islands (Fr.)

Mayotte (Fr.)

Crozet Islands (Fr.)

Wake Island (U.S.)Mariana Islands (U.S.)

Guam (U.S.)

New Caledonia (Fr.)

Norfolk Island (Au.)

Coral Sea Islands (Au.)

Ashmore and Cartier Islands (Au.)Cocos Island

(Au.)

Christmas Island(Au.)

Mc Donald andHeard Islands (Au.)

Chagos Archipelago (U.K.)

Azores (Pt.)

Canary Islands (Es.)

Madeira (Pt.)

Chatham Islands(N.Z.)

G r e e n l a n d(Dk.)

Alaska(U.S.)

Galápagos Islands(Ec.)

South Orkney Islands(G.B.)

South Shetland Islands (G.B.)

Hawaii (U.S.)

Kingman Reef (U.S.)

Howland Island (U.S.)

Baker Island(U.S.)

Puerto Rico (U.S.)

Kerguelen Islands (Fr.)

Sakhalin (Ru.)

New Siberian Islands (Ru.)

Severnaya Zemlya (Ru.)Franz Josef Land (Ru.)

Novaya Zemlya (Ru.)

Gibraltar (U.K.)

Corsica (Fr.)

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

2014 Understanding Global Health

Clipperton Island (Fr.)

Pitcairn (U.K.)

(U.S.)

French Polynesia(Fr.)

Cook Island(N.Z.)

Easter Island(Cl.)

Kingman Reef (U.S.)MEDICAL RISK RATINGS

International SOS s ire Lifestyles re e re t y assigns medical ratings to countries* by assessing a range of factors including the st 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 r e 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 RISKInternational 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 of infectious disease. Medical assistance: Medical referral. Assistance with language and cultural differences. Payment. Evacuation rarely required.

MEDIUM RISKHigh 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.

MEDIUM & HIGH RISKLarge emerging countries where the standard of medical care is generally limited. Signi�cantly 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.

HIGH RISKDeveloping 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.

EXTREME RISKCountries 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.

International SOS Assistance CentreStaffed 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.

Response CentreInternational 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 �tness to stay at work or return to work in line with industry regulations and/or HSE standards.

ClinicOur 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—speci�c occupational health standards.

Medical Services CentreTo support our clients’ medical needs in remote locations, we deliver medical staf�ng, 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 Air AmbulanceInternational SOS dedicated �eet of ten air ambulances functions as intensive care units in the sky and are monitored by our own regional �ight 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.

Aspire Lifestyles Concierge CentersWith a fully integrated, PCI-compliant CRM supporting our service delivery across 19 concierge centres, Aspire provides the highest levels of data security, consistency in quality and local relevance in request fulfilment than anyone else.

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