Tunisia

Tunisia's map matters more than its vaccine list. The five Level 4 zones — the Algerian border strip except Tabarka and Ain Draham, the Libyan border, the Kasserine mountains, Mount Orbata, and the desert south of Remada — are western and southern border country, nowhere near Carthage, Sidi Bou Said, Hammamet, Sousse, El Jem, or Djerba. The tourist corridor is manageable with ordinary vigilance under the countrywide state of emergency; checkpoints are routine, so carry ID. The trap that actually catches travelers is currency: Tunisian dinars cannot be brought into the country at all, foreign currency above roughly $3,000 must be declared on entry, and departing with more than about $1,600 requires declaration — pack accordingly.

Clinical prep is standard North Africa: hepatitis A and typhoid, no malaria, bottled water, and an ORS-plus-azithromycin standby kit for the enteric risk that is the most probable medical event of the trip. Road traffic is the most probable serious one — Tunisia's accident rate is among North Africa's highest, and night driving is genuinely hazardous. Tunis's private clinics, Clinique Hannibal foremost, are strong by regional standards; anything beyond them means Paris, two and a half hours by air, which is what the medevac coverage is for. Desert south: scorpions are real — shake out shoes.