Iran

Middle East
Capital:
Tehran
Currency:
Iranian Rial (IRR); US sanctions severely complicate financial transactions)
Risk:
Very High
📋

Health Overview

DO NOT TRAVEL: CRITICAL: Iran is Level 4 with FIVE risk indicators (unrest; terrorism; kidnapping; wrongful detention; other). US-Iran military hostilities ongoing since Feb 28 2025. 'Having a US passport or connections to the United States can be reason enough for detention.' No US Embassy — Swiss Embassy handles limited interests. Dual US-Iranian nationals: Iran does not recognize dual nationality; treated only as Iranian citizens. US sanctions severely complicate financial transactions; insurance; and travel logistics.

Key Health Risks

Very High
Wrongful Detention of US Citizens
'Iranian authorities unjustly detain US nationals without warning or evidence they committed a crime.' 'Having a US passport or connections to the United States can be reason enough.' Dual US-Iranian nationals treated ONLY as Iranian citizens. No US Embassy to provide assistance. Swiss Embassy has limited ability to help.
Very High
Active Military Hostilities (US-Iran since Feb 28 2025)
US-Iran military hostilities began Feb 28 2025. Active conflict with strikes on Iranian and US-allied targets. This fundamentally changes the risk calculus for any US citizen in Iran. [VERIFY current status — situation is dynamic and may have escalated or de-escalated]
High
Terrorism and Unrest
Terrorist groups active. Domestic unrest (Woman; Life; Freedom movement and ongoing civic tensions). Kurdish areas (western Iran) and Baluchistan (southeast) have elevated terrorism/kidnapping risk.
⛑️

Health Risk Callout

Iran is the most dangerous Level 4 destination for US citizens. DO NOT TRAVEL THERE
🏥

Other Health Risks

Sanctions complications (US sanctions severely limit financial transactions; credit cards; insurance; banking); No US Embassy (Swiss Embassy Tehran handles limited US protective interests); Extreme heat (summer temperatures in southern Iran exceed 50°C)
🗺

Regional Information

Regional Risk Callout
Uniformly Very High risk for US citizens throughout Iran. Tehran: all services but detention risk. Isfahan; Shiraz; Persepolis: extraordinary cultural sites but same detention risk. Border areas (Iraq; Afghanistan; Pakistan; Azerbaijan; Turkmenistan): elevated security risks. Kurdish areas (west): additional unrest. Baluchistan (southeast): terrorism and kidnapping.
Regional Healthcare Callout
Academic only. Tehran has functional private hospitals. No US Embassy support. Swiss Embassy limited capability. Active military hostilities.
💉

Vaccine and Malaria Prevention

💉 Entry Vaccine Required
None for vaccines. Tourist visa required except Kish Island. US passport itself is grounds for detention per State Dept.
🛡️ Recommended Vaccines
Routine (MMR); Hep A; Hep B; Typhoid; Rabies (consider for extended rural)
🦟 Malaria Information

No malaria risk.

None
👨

Physician Note

R
Dr. Robert
Emergency Medicine · 25+ Years · 40+ Countries

DO NOT TRAVEL

Pre-Departure Checklist

  • DO NOT TRAVEL. If cannot avoid: State Dept 24/7 +1-202-501-4444
  • Swiss Embassy Tehran +98-21-2254-2178
✈️

Trip Type Guidance

No trip types appropriate. Level 4 with active military hostilities and wrongful detention risk. For compelling circumstances: State Dept 24/7 +1-202-501-4444 before any Iran travel.

🗒️

Notes

Special Evacuation Notes
CRITICAL: No US Embassy. Active US-Iran hostilities since Feb 28 2025. Swiss Embassy Tehran has LIMITED ability to assist US citizens. Medical evacuation extremely complicated given hostilities and sanctions. Some evacuation providers will not operate in Iran. State Dept 24/7: +1-202-501-4444.
Safety Notes
DO NOT TRAVEL. Active US-Iran hostilities. Wrongful detention risk: 'US passport alone can be grounds for detention.' No US Embassy. Dual nationals treated as Iranian only. Sanctions complicate everything. [VERIFY current hostilities status]
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Quick Info
  • Capital
    Tehran
  • Language
    Persian/Farsi (official); Azerbaijani Turkish; Kurdish; Arabic; English limited
  • Currency
    Iranian Rial (IRR); US sanctions severely complicate financial transactions)
  • State Dept Level
    4
  • Crime Risk
    Moderate-High (detention by authorities is primary risk for US citizens; street crime moderate; kidnapping risk in border areas)
  • Disaster Risk
    Moderate — earthquakes (Iran sits on major fault lines; Bam earthquake 2003 killed 26000); extreme heat (southern Iran >50°C); flooding
Water Safety
⛔️ Tap Water Not Safe to Drink
Tap water variable. Tehran: generally treated but variable quality. Bottled recommended throughout.
Top Hospital
Milad Hospital
Tehran
Tehran's large modern hospital. 1000+ beds. Also: Pars Hospital; Atieh Hospital (private; international patients). Quality exists in Tehran private sector but US citizens cannot access consular assistance if problems arise. [Academic — DO NOT TRAVEL]
Emergency Numbers
115 (ambulance)
Emergency
115
Ambulance
US EMbassy
No US Embassy. Swiss Embassy Tehran (US Interests Section): +98-21-2254-2178. State Dept 24/7: +1-202-501-4444
https://www.eda.admin.ch/tehran
Resources
Primary Sources
Direct lines to the agencies that publish the world's most trusted travel-health guidance.