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General Map

General map of North Macedonia

Medical Summary

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 US 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).

General Information

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 COVID-19, hepatitis A, hepatitis B, influenza, measles, mumps, rubella, rabies, or tick-borne encephalitis. 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 US 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.

Other Concerns

Travelers' Diarrhea

See also: Library article for Travelers' Diarrhea

Moderate risk exists throughout the country, with minimal risk in deluxe accommodations. Community sanitation and food safety measures may be inadequate. Some itineraries (e.g., remote destinations, austere accommodations) and activities (e.g., ecotourism, eating street or local-market food) further increase risk.

Travelers should observe food and beverage precautions, which 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

Leishmaniasis, Lyme disease, West Nile virus may pose a risk. Personal protective measures are important.

Other Disease and Health Risks

Additional concerns include air pollution, anthrax disease, Crimean-Congo hemorrhagic fever, hantavirus, hepatitis C, leptospirosis.

Consular Advice

The material below includes information from the US Department of State (DOS), the UK Foreign, Commonwealth & Development 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.

Terrorism Risk

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).

Civil Unrest

Protests and demonstrations may infrequently occur, especially in Skopje, 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, free movement, or the ability to carry out daily activities may occur.

Transportation Safety

National incidence data on traffic-related injury or death are not available.

Seat belt laws are poorly enforced.

Structural standards for vehicles may not meet international standards.

Natural Disasters

Seismic activity frequently occurs, including in Skopje.

Consular Information

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/north-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
  • In Canada: www.mfa.gov.mk
  • In the U.K.: www.mfa.gov.mk
  • In Australia: www.mfa.gov.mk

Visa/HIV Testing

HIV testing is not required to obtain a tourist, work, or residence visa.