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Haiti
Risk:
Very High
Health Overview
Haiti is Level 4 where gang-designated terrorist organizations control Port-au-Prince, FAA banned U.S. commercial flights, healthcare collapsed. Cholera actively re-circulating, rabies highest in Americas, chloroquine-sensitive P. falciparum malaria.
Key Health Risks
Very High
Gang Violence / Trauma
Armed gangs control Port-au-Prince. Kidnapping widespread. Roadblocks lethal.
High
Cholera / Waterborne Disease
Cholera re-emerged 2022 actively circulating. Previous outbreak 820,000 cases. Vaxchora strongly recommended.
Moderate-High
Malaria and Rabies
Chloroquine-sensitive malaria. Rabies highest in Western Hemisphere. Post-exposure prophylaxis unlikely available.
Health Risk Callout
Active cholera, chloroquine-sensitive malaria, Americas' highest rabies burden, collapsed healthcare simultaneously.
Other Health Risks
Rabies (highest in Americas); Cholera (active); Typhoid; Leptospirosis; TB; HIV; Schistosomiasis | 2026 UPDATE: Diphtheria: Sharp increase in diphtheria cases in 2026; CDC Travel Health Notice and U.S. Embassy Health Alert issued (https://ht.usembassy.gov/health-alert-u-s-embassy-port-au-prince-haiti-june-26-2026-2/, 2026-06-26)
Regional Information
Regional Risk Callout
Risk uniformly extreme. Port-au-Prince gang-controlled. Northern route passes through gang territory. Cap-Haitien accessible only by charter. Southern departments have zero medical infrastructure.
Regional Healthcare Callout
Outside Port-au-Prince care nonexistent. Medevac to Santo Domingo or Miami. FAA NOTAM — charter only.
Vaccine and Malaria Prevention
💉 Entry Vaccine Required
YF required for travelers from YF-endemic countries.
🛡️ Recommended Vaccines
Routine; Hep A; Hep B; Typhoid; Rabies pre-exposure (highest rabies burden in Americas); Cholera (Vaxchora — active); Chikungunya
🦟 Malaria Information
- Risk Level: Moderate
- Areas: All areas; highest in southern departments; peaks after rainy seasons
- Recommended Drug: Atovaquone-proguanil; chloroquine; doxycycline; mefloquine; tafenoquine
- Drug Resistance: No
Haiti has chloroquine-sensitive P. falciparum — one of last remaining exceptions globally. Chloroquine 500mg base weekly legitimate.
Moderate
Physician Note
Dr. Robert
Emergency Medicine · 25+ Years · 40+ Countries
Haiti is the most clinically complex Level 4 in the Western Hemisphere. Cholera is back (Vaxchora for all); rabies highest in Americas (pre-exposure for field workers); chloroquine-sensitive P. falciparum — rare remaining exception.
FAA ban means charter only for medevac.
Pre-Departure Checklist
8+ Weeks
- DO NOT TRAVEL HERE
Trip Type Guidance
No trip types appropriate. Even authorized humanitarian personnel face extreme risk.
Notes
Special Evacuation Notes
FAA NOTAM bans U.S. carrier flights. Charter required. Evacuation to Santo Domingo or San Juan.
Safety Notes
Gangs control major roads. Kidnapping targets Haitian-Americans. No civilian travel advisable.
partner recommendation
Medical Evacuation & Assistance
A medical crisis far from home can cost $50,000+ to evacuate. Global Rescue — the partner we personally trust — provides worldwide evacuation and round-the-clock medical assistance.
Good For
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