The health risk information presented here is summarized from Shoreland Travax®, a decision-support tool used by health care providers to perform a detailed health risk analysis based on specific locations, individual travel styles, and traveler risk behaviors. Travax provides practitioners current, independently researched malaria risk and prevention recommendations in a map-based format that goes beyond the annual WHO and CDC statements included here. Not included here are current reports from Travax of disease outbreaks or environmental events that may pose elevated risks to travelers’ health and safety. The Providers section of this site offers a directory of health care providers who utilize Shoreland Travax for travel health counseling. Learn more about the detailed reports and maps available from these practitioners (includes links to samples).
Macedonia (Republic of Macedonia) is a developing nation but is in the upper half of the world's economies. Macedonia is located in southeastern Europe. Its summers are warm and dry and winters are cold with heavy snowfall.
Depending on your itinerary, your personal risk factors, and the length of your visit, your health care provider may offer you vaccination against hepatitis A, hepatitis B, influenza, measles, mumps, rubella, or rabies. Routine immunizations, such as those that prevent tetanus/diphtheria or "childhood" diseases, should be reviewed and updated as needed.
See also: Library article for Malaria
The following is current information as reported by the World Health Organization (WHO) and the U.S. Centers for Disease Control (CDC):
WHO—International Travel and Health (current online update, Country List)No statement given.
CDC—Health Information for International Travel (current online edition)Areas with malaria: None.
Drug resistance: Not applicable.
See also: Library article for Travelers' Diarrhea
Moderate risk exists throughout the country, with minimal risk in deluxe accommodations. Food and beverage precautions may reduce the likelihood of illness.
Travelers should carry loperamide for self-treatment of diarrhea and, if risk is moderate to high, an antibiotic to add if diarrhea is severe. Consult a knowledgeable health care provider regarding which antibiotic is appropriate for you and most effective for your destination.
Other Food-Borne Illnesses
Precautions to prevent brucellosis may be needed.
Insect- and Arthropod-Borne Diseases
Other Disease and Health Risks
The material below includes information from the U.S. Department of State (DOS), U.K. Foreign & Commonwealth Office (FCO), Global Affairs Canada (GAC), and Australia's Department of Foreign Affairs and Trade (DFAT), as well as from additional open-source material. Standard safety precautions that apply to all international travel can be found in the Library article Safety and Security.
Risk of attack by transnational terrorist groups exists throughout Europe. Targets may include domestic and international organizations and businesses; public places and events, including those frequented by tourists; and transportation systems.
Negligible risk of violent crime exists throughout the country. Organized criminal groups are active in casinos and nightclubs.
Risk of petty crime exists throughout the country, especially in cities; areas frequented by tourists and foreigners; crowded areas of Skopje; business, entertainment, and shopping districts; and at airports (particularly Skopje Airport).
Scams involving credit cards and the use of distraction techniques to commit robbery have been reported.
Protests and demonstrations occur throughout the country, especially in Skopje and other cities, and have the potential to turn violent without warning. Bystanders are at risk of harm from violence or from the response by authorities. Disruption to transportation may occur.
The border between Macedonia and Kosovo can be closed to all traffic at short notice. Land mines and unexploded ordnance are present in the mountainous areas bordering Kosovo. The immediate border areas beyond designated crossing points are restricted zones.
Tensions also exist between Macedonia's ethnic Macedonian and ethnic Albanian communities in the region. Isolated incidents of inter-ethnic violence continue to occur.
Risk of traffic-related injury or death exists. The road-traffic death rate is 7 to 12 per 100,000 population. The rate is < 10 in most high-income countries.
Traffic flows on the right-hand side of the road. Travelers (including drivers and pedestrians) accustomed to traffic moving on the opposite side should be vigilant when navigating traffic.
Seismic activity frequently occurs, including in Skopje.
Selected Embassies or Consulates in Macedonia* United States: [+389] 2-310-2000; mk.usembassy.gov
- Canada: [+389] 2-3225-630; travel.gc.ca/assistance/embassies-consulates/macedonia
- United Kingdom: [+389] 2-3299-299; www.gov.uk/world/organisations/british-embassy-skopje
- Australia: [+389] 2-3061-114
Macedonia's Embassies or Consulates in Selected Countries
- In the U.S.: www.mfa.gov.mk/washington/index.php/mk
- In Canada: www3.sympatico.ca/emb.macedonia.ottawa
- In the U.K.: [+44] 020-7976-0539
- In Australia: www.mfa.gov.mk/canberra/index.php/en
HIV testing is not required to obtain a tourist, work, or residence visa.