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COUNTRY DESCRIPTION: Tuvalu is a South Pacific island nation consisting of four reef islands and five atolls. A self-governing member of the British Commonwealth, Tuvalu has a parliamentary system of government.

ENTRY REQUIREMENTS: A passport, onward/return ticket, and proof of sufficient funds for the trip are required. Visitor permits valid for up to three months are issued upon arrival. For further information about entry requirements, travelers may wish to contact the Tuvalu Permanent Mission to the United Nations in New York, Suite 400 B, 800 2nd Avenue, NY 10017, tel: (212) 490-0534, fax: (212) 808-4975. This is particularly true for those persons planning to enter by sea.

In an effort to prevent international child abduction, many governments have initiated procedures at entry/exit points. These often include requiring documentary evidence of relationship and permission for the child's travel from the parent(s) or legal guardian if not present. Having such documentation on hand, even if not required, may facilitate entry/departure.

SAFETY AND SECURITY: For the latest security information, Americans traveling abroad should regularly monitor the Department's Internet web site at http://travel.state.gov where the current Worldwide Caution Public Announcement, Travel Warnings and Public Announcements can be found.

Up to date information on security can also be obtained by calling 1-888-407-4747 toll free in the U.S., or, for callers outside the United States and Canada, a regular toll line at 1-317-472-2328. These numbers are available from 8:00 a.m. to 8:00 p.m. Eastern Standard Time, Monday through Friday (except U.S. federal holidays). Americans in Tuvalu requiring immediate emergency assistance should call the 24-hour police command center in Tuvalu at (688) 20726.

CRIME INFORMATION: Tuvalu has a low crime rate. The loss or theft of a U.S. passport should be reported immediately to the local police and the U.S. Embassy in Suva, Fiji at (679) 331-4466 (ask for American Citizen Services). If you are the victim of a crime while overseas, in addition to reporting to local police, please contact the U.S. Embassy for assistance. The Embassy staff can, for example, assist you to find appropriate medical care, to contact family members or friends and explain how funds could be transferred. Although the investigation and prosecution of the crime is solely the responsibility of local authorities, consular officers can help you to understand the local criminal justice process and to find an attorney if needed.

U.S. citizens may refer to the Department of State's pamphlet, A Safe Trip Abroad, for ways to promote a trouble-free journey. The pamphlet is available by mail from the Superintendent of Documents, U.S. Government Printing Office, Washington, D.C. 20402, via the Internet at http://www.gpoaccess.gov, or via the Bureau of Consular Affairs' web site, http://travel.state.gov.

MEDICAL FACILITIES: Medical and dental care is very limited in the capital of Funafuti. Serious medical problems are referred to Guam or Hawaii. Serious medical conditions requiring hospitalization and/or medical evacuation to the United States can cost thousands of dollars. Doctors and hospitals often expect immediate cash payment for health services.

MEDICAL INSURANCE: The Department of State strongly urges Americans to consult with their medical insurance company prior to traveling abroad to confirm whether their policy applies overseas and if it will cover emergency expenses such as a medical evacuation. U.S. medical insurance plans seldom cover health costs incurred outside the United States unless supplemental coverage is purchased. Further, U.S. Medicare and Medicaid programs do not provide payment for medical services outside the United States. However, many travel agents and private companies offer insurance plans that will cover health care expenses incurred overseas including emergency services such as medical evacuations.

When making a decision regarding health insurance, Americans should consider that many foreign doctors and hospitals require payment in cash prior to providing service and that a medical evacuation to the U.S. may cost well in excess of $50,000. Uninsured travelers who require medical care overseas often face extreme difficulties. When consulting with your insurer prior to your trip, ascertain whether payment will be made to the overseas healthcare provider or if you will be reimbursed later for expenses you incur. Some insurance policies also include coverage for psychiatric treatment and for disposition of remains in the event of death.

Useful information on medical emergencies abroad, including overseas insurance programs, is provided in the Department of State's Bureau of Consular Affairs brochure, Medical Information for Americans Traveling Abroad, available via the Bureau of Consular Affairs' web site.

OTHER HEALTH INFORMATION: Information on vaccinations and other health precautions, such as safe food and water precautions and insect bite protection, may be obtained from the Centers for Disease Control and Prevention's hotline for international travelers at 1-877-FYI-TRIP
(1-877-394-8747); fax 1-888-CDC-FAXX (1-888-232-3299), or via the CDC's Internet site at http://www.cdc.gov/travel. For information about outbreaks of infectious diseases abroad consult the World Health Organization's website at http://www.who.int/en. Further health information for travelers is available at http://www.who.int/ith.

TRAFFIC SAFETY AND ROAD CONDITIONS: While in a foreign country, U.S. citizens may encounter road conditions that differ significantly from those in the United States. The information below concerning Tuvalu is provided for general reference only, and may not be totally accurate in a particular location or circumstance:

Safety of Public Transportation: Not Applicable.
Urban Road Conditions/Maintenance: Fair
Rural Road Conditions/Maintenance: Fair
Availability of Roadside Assistance: Not Available.

Traffic moves on the left in Tuvalu. The few roads on these tiny islands are generally unpaved. Animals and unwary pedestrians walking in the road make night driving on unlit secondary roads hazardous.

For additional general information about road safety, including links to foreign government sites, see the Department of State, Bureau of Consular Affairs home page at http://travel.state.gov/road-safety.html. For specific information concerning Tuvalu driving permits, vehicle inspection, road tax and mandatory insurance, contact the Tuvalu Permanent Mission to the United Nations in New York

AVIATION SAFETY OVERSIGHT: As there is no direct commercial air service by local carriers at present, or economic authority to operate such service, between the U.S. and Tuvalu, the U.S. Federal Aviation Administration (FAA) has not assessed Tuvalu's Civil Aviation Authority for compliance with international aviation safety standards. For further information, travelers may contact the Department of Transportation within the U.S. at 1-800-322-7873, or visit the FAA web site, http://www.faa.gov/avr/iasa/index.cfm.

The U.S. Department of Defense (DOD) separately assesses some foreign air carriers for suitability as official providers of air services. For information regarding the DOD policy on specific carriers, travelers may contact DOD at (618) 229-4801.

CUSTOMS REGULATIONS: Tuvalu's customs authorities may enforce strict regulations concerning temporary importation into or export from Tuvalu of items such as agricultural products. It is advisable to contact the Office of the Tuvalu Permanent Representative in New York, for specific information regarding customs requirements. In many countries around the world, counterfeit and pirated goods are widely available. Transactions involving such products are illegal and bringing them back to the United States may result in forfeitures and/or fines. A current list of those countries with serious problems in this regard can be found at http://www.ustr.gov/reports/2003/special301.htm.

CRIMINAL PENALTIES: While in a foreign country, a U.S. citizen is subject to that country's laws and regulations, which sometimes differ significantly from those in the United States and may not afford the protections available to the individual under U.S. law. Penalties for breaking the law can be more severe than in the United States for similar offenses. Persons violating Tuvalu law, even unknowingly, may be expelled, arrested or imprisoned. Penalties for possession, use, or trafficking in illegal drugs are strict, and convicted offenders can expect jail sentences and fines. Under the PROTECT Act of April 2003, it is a crime, prosecutable in the United States, for U.S. citizens or permanent resident aliens to exploit children sexually via pornography, the Internet or other means or to engage in illicit sexual conduct with a person under the age of 18 in a foreign country, regardless of whether there was intent.

CONSULAR ACCESS: U.S. citizens are encouraged to carry a copy of their U.S. passports with them at all times, so that, if questioned by local officials, proof of identity and U.S. citizenship are readily available. If detained, U.S. citizens are encouraged to request that a consular officer at the U.S. Embassy in Suva, Fiji be notified.

CHILDREN'S ISSUES: For information on international adoption of children and international parental child abduction, please refer to our Internet site at http://travel.state.gov/children's-issues.html. For answers to general inquiries regarding international adoptions and abductions, and to be forwarded to the appropriate country officer in the Office of Children's Issues, telephone Overseas Citizen Services at 1-888-407-4747. This number is available from 8:00 a.m. to 8:00 p.m. Eastern Time, Monday through Friday (except U.S. federal holidays). Callers who are unable to use toll-free numbers, such as those calling from overseas, may obtain information and assistance during these hours by calling
1-317-472-2328.

REGISTRATION/EMBASSY LOCATION: There is no U.S. Embassy or diplomatic post in Tuvalu. The U.S. Embassy in Fiji provides assistance for U.S. citizens in Tuvalu. It is located at 31 Loftus Street in Fiji's capital city of Suva. The telephone number is (679) 331-4-466; the fax number is (679) 330-2-267. Americans may register with the U.S. Embassy in Suva, Fiji and obtain up-to-date information on travel and security in Tuvalu from the Embassy. Information may also be obtained by visiting the Embassy's home page at http://www.amembassy-fiji.gov.