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).
North Macedonia (Republic of North Macedonia) is a developing nation classified as upper middle income. Located in southeastern Europe (south of Kosovo and north of Greece), the climate is classified as dry summer in the west and humid temperate (no dry season) in the east.
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.
Moderate risk of petty crime exists throughout the country, especially in cities; in areas frequented by tourists and foreigners; in crowded areas of Skopje; in business, entertainment, and shopping districts; at airports (particularly Skopje Airport).
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.
A dangerous security environment may exist in areas bordering Kosovo.
Risk of traffic-related injury or death exists. The road-traffic death rate is 7 to 12 per 100,000 population. The rate is less than 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.
Many taxis are unsafe. Use taxis from official ranks or dispatched via smart phone app or radio from a reputable company and ascertain the license or identification number of the dispatched vehicle.
Seismic activity frequently occurs, including in Skopje.
Selected Embassies or Consulates in North 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
North 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.