US Travel Advisories: Jamaica among new destinations added to Level 4 “high risk” listAlex Butler

The US Department of State and the Centers for Disease Control and Prevention (CDC) updated their travel advisories on Tuesday, moving Jamaica, Sri Lanka, and Brunei to the Level-4 alert after a surge in COVID-19 case numbers were recorded in the three countries.

The advisories aim to inform US residents about risks associated with traveling overseas, so people can make better-informed decisions about travel and enjoy hassle-free trips. If you plan to travel soon, here’s what you need to know about the latest travel advisory guidelines.

What is a travel advisory?

The ongoing risks associated with COVID-19, particularly as new variants emerge, present challenges and uncertainties for travel. To make the experience a little less confusing, the Department of State has aligned its security travel advisories with the CDC’s science-based Travel Health Notices to warn travelers about dangers and COVID-19 threats overseas.

Level 4 travel advisory

Level 4 is the highest alert. Countries that register more than 500 new cases of COVID-19 over the past 28 days per 100,000 population are designated to the CDC’s Level-4 list. Under CDC guidelines, people are asked to “avoid travel” to Level 4 destinations—but if they must travel, they should be fully vaccinated.

The Department of State takes this information into account, also looking at factors such as political instability, natural disasters and the threat of terrorism or violent crime. “[Level 4] is the highest advisory level due to greater likelihood of life-threatening risks,” the Department explains. In the context of COVID-19, Americans are urged to avoid travel to these places due to increased infection rates and COVID-19 variants.

France is designated Level 4 ©GagliardiPhotography/

What countries are designated Level 4?


Jamaica was designated Level 4 on September 7 after registering a significant rise in COVD-19 infection rates in the previous month. The Caribbean nation is in the middle of a third wave of infections; hospitals are struggling to cope and medical care is limited. A number of short lockdowns have been implemented in recent weeks and a curfew is in place. As of September 8, Jamaica has fully vaccinated nearly 30% of its population. “Avoid travel to Jamaica,” the CDC said. “Because of the current situation in Jamaica, even fully vaccinated travelers may be at risk for getting and spreading COVID-19 variants.”


France is in the middle of a fourth wave of the pandemic with rising infection numbers due to the highly-transmissible Delta variant. While the US government urges Americans to avoid travel to France, they can visit provided they are vaccinated or have tested negative for COVID-19, as per France’s entry rules. The government has also introduced a health pass for individuals to show in public places, proving they have been vaccinated or have recently tested negative for COVID-19. For instructions on how to get a health pass, see here.


Greece was one of the first European countries to open to American tourists this summer but it saw an increase in coronavirus case numbers throughout the season, particularly on the islands of Mykonos, Santorini, Paros, Ios, Zakynthos and Naxos. Additional police officers were deployed on Mykonos and Ios to ensure that nightspots complied with enhanced health and safety measures. As per Greece’s entry rules, people traveling to Greece from the US must present a negative test before arrival, if they are not fully vaccinated.

Costa Rica

The Delta variant is also an issue in Costa Rica, with the country reporting 2,482 new infections on average each day, as of September 9. According to Reuters, that’s 80% of the peak of its infections. Americans are urged to avoid travel there by their own government but Costa Rica is welcoming fully vaccinated US visitors without restrictions. Those who are unvaccinated must have travel insurance when visiting, as per Costa Rica’s entry rules.


Iceland had demonstrated relative success in containing the virus and opened its borders to vaccinated tourists in summer, but the Delta variant has increased infection rates across the country. Americans who wish to visit Iceland must be fully vaccinated and present a negative COVID-19 test result or face quarantine, as per Iceland’s entry rules.

Haiti was added to Level 4 after last month’s earthquake stalled the vaccination campaign and drove up infection rates. Other destinations at Level 4 include Ireland, Portugal, Spain, the UK, Panama, Colombia, Cuba, Nicaragua, Israel, Thailand, Switzerland, Turkey, Morocco, Zimbabwe, Nepal, Cyprus, Brazil, Aruba, French Polynesia and more.

Mexico remains a Level 3 country under CDC and State Department guidelines ©Irina Klyuchnikova/Shutterstock

Level 3 advisory

The CDC advises unvaccinated Americans to avoid nonessential travel to Level 3 destinations, where risks associated with COVID-19 remain high. Some popular destinations designated Level 3 include Italy, the Netherlands, Peru, Barbados, Belize, Chile, Croatia, Egypt, Sweden, Mexico, Japan, Finland, New Zealand, Australia and—most recently—Canada, which was downgraded to Level 3 from 2 last week.

Read more: International tourists can now travel to Canada – here’s what to expect

Level 2 advisory

Level 2 places are considered “COVID-19 moderate” destinations by the CDC. When traveling to these places people are asked to “practice enhanced precautions”. The CDC also urges unvaccinated people who are at increased risk for severe illness from COVID-19 to avoid nonessential travel to Level 2 destinations. Some countries currently at Level 2 include Singapore, South Korea and the Czech Republic, which recently opened its borders to vaccinated American tourists. After scaling back COVID-19 infection numbers following its peak in spring, India was lowered from Level 4 to Level 2 in August.

Level 1 advisory

Level 1 destinations are considered “low-risk” countries. People traveling to these places are asked to “exercise normal precautions” by the Department of State. Given the scale of the pandemic, not many countries are considered low-risk. Some countries at Level 1 include Djibouti and Slovakia.

Travel advisories are intended to help people make better-informed decisions about travel ©Getty Images

Should I cancel my trip to a Level 4 country?

The answer is up to you. Travel advisories are guidelines, not rules. You are still permitted to travel to these places, but if you choose to go a country the government is advising you to avoid, you do so at your own risk. In some extreme cases—that is, countries where there is civil unrest, widespread violence and political instability—the Department warns that some consular services may not be available to you and advises travelers to “always have a contingency plan for emergency situations”.

If I do travel, do I need to quarantine?

It depends on your destination. These travel advisories and travel health notices are set out by the US government and the CDC, not the governments of the individual countries. For example, Spain is at Level 4 but the Spanish government is permitting fully vaccinated Americans to travel there.

Will my travel insurance cover me in a Level 4 country?

It depends on your plan and provider. We asked several travel insurance experts for information on the impact travel advisories have on your insurance and you can read their answers here.

How often do these advisories change?

The Department of State confirms it reviews and updates travel advisories “as needed, based on security and safety information.”

What are the requirements for returning to the US?

Currently, all airline passengers traveling to the US aged two years and older must provide either a negative COVID-19 test taken within 72 hours of departure even if they are fully vaccinated, or provide an official health document that proves they have recovered from COVID-19 within the last three months.

The Centers for Disease Control (CDC) recommends all unvaccinated arrivals quarantine for at least seven days upon arrival, and to take a COVID-19 test three to five days after arrival. Fully vaccinated travelers with an FDA- or WHO-approved vaccine don’t have to quarantine but they are advised to take a COVID-19 test within three to five days of arrival too. See the full list of recommendations here.

How to resist the urge to travel during the coronavirus pandemic

Anyone considering heading abroad should read the entire travel advisory for their destination at; in addition to the destination’s border restrictions and entry requirements—and stay up-to-date on local public health guidelines.

This article was first published on April 20 and updated on September 9, 2021.

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