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Information regarding the health and safety of our student applicants and those overseas will be updated as needed to provide materials and relevant information regarding health and safety. Please continue to revisit this site for updates.

The following information is taken from the 2007 Work Abroad Handbook that is provided to all students upon acceptance by their overseas employer. The Work Abroad Handbook provides comprehensive information about your IAESTE internship and should be carried with you during your trip; simply click on the "PDF" icon below to download it. 


*Adobe Acrobat Reader must be used to view the application materials that are saved as Portable Document Format (PDF) files.  If you do not have this program, connect to the Adobe Web site and obtain your free copy. 


The health and safety risks in most foreign countries are fundamentally no greater than those in the United States. However, there are some additional concerns you need to be aware of as you travel:


Before You Go

Research
One of the most important things you can do to ensure your safety during an overseas trip is to research the country to which you will be traveling so you can better understand the health and safety issues that you may encounter. Illness, crime, civil unrest, natural disasters and terrorism are issues which might affect your stay.

Pay particular attention to the crime issues. While street violence may be rare, muggings and theft can be quite common in larger cities and you should know how the locals protect themselves from being victims. Each year, several program participants fall victim to mugging or theft while they are abroad. Do everything you can to make sure you are not one of them! 

The State Department's Bureau of Consular Affairs offers helpful country profiles which describe safety and health concerns. The U.S. State Department also offers safety tips.

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Embassy Registration
IAESTE United States requires all students to register with the nearest U.S. or their home Embassy or Consulate online before departure or upon arrival in person. The registration process allows the embassy or consulate to contact you in case of emergency. We recommend that you also register with U.S. or your home embassy in other countries you may visit if your stay extends beyond one week.

If you are a U.S. citizen, please go to the State Department's Embassy Registration Web page. For more information on services offered by the U.S. Embassy you can visit http://travel.state.gov.

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Immunizations
You may not be allowed to enter a country if you don't have the proper immunization(s). Contact your doctor, clinic, or local or state health department regarding immunizations. Check with the Embassy of the country you will be working in (as well as countries you plan to visit) about immunization requirements. If the U.S. Health Service requires a shot that you didn't obtain, you may be quarantined upon your return to the U.S. You should make sure that your tetanus shot is updated. The Center for Disease Control's Web site also offers a great deal of health information for international travelers.

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Medical Services Overseas
The style of medical care abroad is largely dependent on the country. It is extremely important that your medical insurance provides you with international coverage, because non-routine medical costs (including hospitalization), dental care, and eye exams are generally the full responsibility of the student. Please read your medical coverage plan fully to understand your benefits and services.

Please make the program staff aware of any medical issues or disabilities, so that we can make necessary arrangements and advise you regarding conditions and resources abroad.
If you suffer from a chronic or serious physical condition, you should consult with your physician before making the decision to intern abroad. We cannot guarantee access to the same kind of medical care or medications you receive in the U.S.

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Medic Alert
If you have specific allergies that are debilitating or life threatening, or if you have a medical condition that is not immediately apparent or easily identifiable (such as diabetes, allergies to drugs, or epilepsy), you should wear a medic alert bracelet. You may also want to notify your roommate, housemate, or supervisor so that he/she knows what to do in case of an emergency.

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Physician's Letter & Prescriptions
If you take a narcotic or more than two medications, ask your physician for a letter that describes your medical condition and lists the generic name and dosage of each prescription. If you require routine injections, carry a physician's letter detailing your condition and the need to carry needles and syringes for medical purposes. Take sufficient amounts of all necessary prescription drugs with you, including birth control pills.

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Corrective Lenses
If you wear glasses or contact lenses you should take an extra pair with you; a lost or broken pair of glasses can be difficult to replace in a short time. If you have contact lenses you should also take a supply of cleaning solutions.

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Medical Directories
The International Association for Medical Assistance to Travelers (IAMAT) publishes a directory of English-speaking doctors on duty 24 hours a day, have a set fee schedule, and can be found overseas. To obtain a directory, write to one of the following organizations:

IAMAT
417 Center Street
Lewiston, NY 14092
www.iamat.org

World Medical Association
536 North State Street
Chicago, IL 60610
www.wma.net

International Health Care Service
New York Hospital
Cornell Medical Center
1300 York Avenue
New York, NY 10021
www.nyp.org

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First Aid Kit
Make sure to pack a small first aid kit with you, and include the following: insect repellant (30% DEET), a thermometer, Band Aids, Pepto Bismol, antacid, aspirin, antidiarrhea medication, cough and cold remedies, a mild laxative, sunburn medication, and antibacterial cream. 

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Once You're Abroad - Health Issues

Take good care of yourself!
There is so much to do and see overseas that many students who go abroad have a tendency to try to cram everything in a very limited amount of time. Make time for adequate rest, especially when you are traveling.

Differences in climate, food, water, and bacteria common to a given area can affect your health. These differences may cause health problems such as colds, sore throats, the flu, and the almost inevitable gastrointestinal problems. Your body simply needs time to acclimate itself.

In some places, you should not drink tap water, eat uncooked foods washed in tap water, or use ice cubes without checking local conditions first; many people drink only bottled water as a precaution. Another option is to bring water disinfectant from home.

After your body is acclimated to your host country, you may find that the same problem happens when you go to other places. Before traveling to another country, you should find out about health precautions. For example, in some places, it's risky to eat food from sidewalk stands. Talk to your host IAESTE committee about things you are unsure of.

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Living Abroad & Depression
When you are overseas, you may feel more stressed rather than more relaxed. This is due to the added pressures of learning a new language, meeting new people, and the inevitable time management demands of working and traveling. When you first arrive you may also experience jetlag: where your body hasn't adjusted to your new time zone and sleeping and eating times.

If you have had psychological difficulties in the past or if you are hoping that time spent overseas will help you "solve" a problem facing you at home, you should talk with a counselor before deciding to work abroad. While abroad, keep an open mind. Use your time alone to get to know yourself. Make sure you eat nutritious balanced meals, get adequate sleep, and regular exercise. Keep yourself active so you won't spend too much time thinking about home.

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Eating Disorders
It is very easy when you are abroad to become susceptible to eating disorders: you are in a different place and the food is different. Your stomach may not agree with the types of food there, or you may feel like you're eating too much. You may also experience depression or loneliness manifesting itself in the form of an eating disorder. If you think you may have a problem, talk to a counselor or nutritionist and learn about good nutrition. You can contact the National Association of Anorexia Nervosa at www.anad.org for more information.

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Substance Abuse & Sexual Assault
Especially when in a foreign place where you may not fully understand the culture or language, particular care should be taken when going out to bars, clubs, discos, etc.
The following precautions are highly recommended:

  • Limit alcohol consumption so you are better able to assess your surroundings.
  • Be cautious about mixing different types of alcoholic beverages.
  • Eat substantive food before consuming alcohol.
  • Make arrangements to go home with a friend before you go.
  • Don't leave beverages unattended.
  • Don't take any beverages from someone you don't know well.
  • Do not accept open-container drinks at parties.
  • Accept drinks at a bar only from the bartender.
  • Be alert to the behavior of friends and ask them to watch out for you too.
  • Be aware of your surroundings.

If you have been sexually assaulted, get to a safe place and call a rape crisis center or the police. If you want to report the incident, you may not be allowed to shower, douche or change clothes until medical evidence is collected. Contact the IAESTE committee in your host country.

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Contraception
Information on contraception may be more difficult to obtain outside the U.S. You should inquire before you leave. If you plan to be sexually active, purchase condoms before you go.

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Preventing AIDS & Sexually Transmitted Diseases
Take adequate precautions to avoid contracting sexually transmitted diseases. Use latex condoms during vaginal, anal, or oral sex. Do not use intravenous drugs or share needles. Be aware that tattoos, acupuncture treatments, and injections for medical or dental procedures may put you at risk. Avoid the use of locally produced immune globulin and blood-clotting factors in countries where the blood supply is not routinely tested for communicable diseases. If a blood transfusion is necessary, contact the nearest American Embassy or consulate for advice. If you are concerned that you may have a sexually transmitted disease, see a doctor immediately.
 
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Once You're Abroad - Safety and Security Issues

You should be registered at the U.S. or your home country Embassy/Consulate when you arrive in your host country.
If you have not already registered online, please do so once you arrive in your host country. If you are a U.S. citizen, ask the U.S. Consulate or Embassy if there is a warden network in your host country. In the case of an emergency, warden networks disseminate vital information. It is important for each participant to ask about the Warden Network and their set up in your host country, as they vary country to country.

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The Law
American travelers abroad are subject solely to the laws of the country they are visiting. They are NOT protected by U.S. laws. You are responsible for obeying all of the laws of the country you are in, regardless of whether you are traveling or a resident; penalties are often much tougher than in the United States.

IAESTE cannot intervene if you are arrested or prosecuted for violation of local laws, including laws on drug use, currency exchange, and disturbances of the peace. What may seem to you like a harmless prank may have serious consequences. Do not assume that, as an American or a student, you will be treated leniently; the opposite is often the case. Do not count on the American Consulate or Embassy to assist you except in a superficial advisory capacity. If you do become involved in any legal problems, notify IAESTE immediately.

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Drugs and Alcohol
Be aware of the drug and alcohol laws of your host country. Several countries, especially those in the south and east, have drug laws that are far stricter than those in the U.S. Penalties can range from years in prison to death. Be aware that U.S. customs officials are extremely thorough in their inspections for smuggled drugs coming into this country. If any of your prescription drugs have even small amounts of illegal substances as part of their composition, have your doctor write a note indicating why that drug is in your prescription. Even that small amount could get you arrested in another country.

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Street Safety
While you are abroad, you will have to be particularly street savvy. Gender roles, traffic laws, and drinking laws may not be the same as in the United States. As a traveler, it is your responsibility to be observant and cautious.

In many places, pedestrians do not necessarily have the right of way. Traffic laws might not be obeyed. Use caution on busy city streets, and do not assume that any car, truck, bus, or scooter will stop for you.
 
Know where you are going when you leave. Just like in any big city, a foreigner holding a huge map could invite trouble. Take time to study a map before you go out, and get to know your city's layout and culture.

Observe local behaviors. Cues will be different than what you are used to. In particular, body language is not universal. Your actions may be interpreted very differently than you intended. For example, Americans often present conflicting body language to what they say, such as smiling while saying no. Be aware of your own mixed signals. Remember that safety in numbers is a smart idea wherever you are.

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Driving While Abroad
Let us begin by stating that we do not recommend that students drive while they are abroad. However, if you choose to drive, please take the following tips into mind.

  • Be certain of your responsibilities and the status of your insurance. Familiarize yourself with the rules of the road for the location in which you will be using an automobile.
  • Be certain that your automobile always contains at least a half tank of fuel. Make sure your lights, signals, horn and brakes are in proper order.
  • Avoid traveling by road after dark (especially in rural areas). Park in a well-lit place.
  • Avoid riding motorcycles - if you do, wear a helmet.

Pay particular attention to all of the following, which are common on the roads of some countries:

  • Passing on the right and cutting in front of other vehicles from the right side. 
  • Unexpected stops or turns without signaling for any apparent reason.
  • Stopping in unexpected locations to pick up or let off passengers by cars, buses, and trucks, including main highway entrance ramps, intersections, and along major highways.
  • Trucks parked at night without lights on the highway rather than on the side of the road.
  • Disabled vehicles parked without warning signs. 
  • Many countries also require that all vehicles have certain equipment available (i.e. first-aid kit, reflective warning triangle, spare fuses and light bulbs, fire extinguisher), check local laws.
  • The Association for Safe International Road Travel (ASIRT) collects, analyzes, and distributes Road Travel Reports to travelers. These reports enable travelers to make informed travel decisions and may, therefore, minimize the risk of road accidents abroad. Visit  www.asirt.org for more information.
  • Keeping your valuables safe. Here are some tips to secure your valuables during travel:
    • While you are traveling, you should always wear a money belt or pouch to keep your money, passport, traveler's checks, and other valuables safe from theft. This is especially important on long trips when you may fall asleep, when it would be easy for someone to go through your purse or backpack.
    • Buy a padlock for your backpack. This is useful while traveling, and when you leave your backpack unattended at a youth hostel.
    • Don't carry everything in one place! You should organize your funds and essential documents into two separate packs. When in country, one of these packs should always be left at your residence as a back up.
    • If you must carry a purse, use a shoulder strap and keep the purse in front of your body. Carry your wallet in an inside coat or front pant pocket.
    • Don't leave your luggage or handbag unattended anywhere. Should you put a backpack down, place it on the floor between your legs and wrap a strap around a fixed object.

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Violence and Terrorism
While most countries in the world have less street crime and personal violence than is potentially present in urban and suburban America, public political demonstrations are not uncommon in some cities and countries abroad. Do NOT participate or go to observe these demonstrations as your hosts may not appreciate that you, a foreign visitor, are publicly opposing their political or social system. Your behavior abroad is your responsibility, not IAESTE's, and you should think about the consequences before acting.

Violence and terrorism are now clear realities of the twenty-first century, and are not likely to diminish significantly. Nevertheless, there are certain rather obvious precautions that American students abroad can take:

  • Do your homework, listen and heed the counsel you are given.
  • Keep a low profile and try not to make yourself conspicuous by dress, speech, or behavior, in ways that might identify you as a target or uniquely American. This includes: wearing U.S. college or university insignia clothing or heavily patriotic American clothing, wearing baseball caps or U.S. sports teams' shirts or jackets.
  • Do not draw attention to yourself either through expensive dress, personal accessories (cameras, radios, sunglasses, etc.) or careless behavior.
  • Avoid crowds, protest groups, or other potentially volatile situations. Keep abreast of local news. Read local newspapers, magazines, etc. and speak with local officials to learn about any potential civil unrest. If there should be any political unrest, do not get involved.
  • When in large cities and other popular tourist destinations, avoid or spend as little time as possible in potential target areas for terrorist activities, especially places frequented by Americans: bars, discos, and U.S. fast food restaurants; branches of American banks; American churches; and American consulates or embassies.
  • Try not to engage in conversations about contentious political issues with host nationals and avoid retaliating against hostile or bigoted remarks about Americans.
  • Be wary of unexpected packages and stay clear of unattended luggage or parcels in airports, train stations, or other areas of uncontrolled public access.
  • Report to the responsible authority any suspicious persons loitering around residence or instructional facilities, or following you; keep your residence area locked; use common sense in divulging information to strangers about your study program and your fellow students.
  • If you haven't already done so, please register with the nearest Embassy or Consulate of your home country. Additionally, if you travel to countries beyond your internship site and expect to be there for more than a week, register upon arrival at a consulate or embassy of your home country having jurisdiction over the location.
  • Make sure that IAESTE or your host employer always knows where and how to contact you in an emergency (make sure that someone always knows where you are!).
  • Develop a plan with your family for regular telephone or e-mail contact, so that in times of heightened political tension, you will be able to communicate with your parents directly about your safety.

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Anti-Americanism
American travelers abroad should be aware that anti-Americanism is on the rise in some countries around the world. Many people cite the United States' foreign policy, popular culture, collective personality or the negative effects of globalization as reasons why they feel negatively towards the United States. The current geo-political situation has increased anti-American sentiments around the world. While it may be easy to dismiss these attitudes as irrelevant, there are very real problems which arise when the United States loses friends in the world. It is bad for American businesses and products, it means there is less cooperation on issues important to our country, and it means that countries may be less hospitable to American travelers or workers.

As an intern overseas, there are many things you can do to help combat negative impressions of the United States . You may not be able to do much to influence America 's foreign policy or the negative impacts of globalization, but you can change how people view America 's popular culture and collective identity.
 
American products are pervasive around the world, and some people only know the United States by McDonalds, Coca-Cola, and Jerry Springer. While overseas, share some of the lesser known aspects of American culture with your new friends, such as an art, jazz music, sports like ultimate Frisbee or baseball, local traditions from your hometown/ state, or literature. You should also make sure that you are showing respect and appreciation for your host country's culture.

You can also do much to combat the negative impressions of America 's collective personality. Some people feel that Americans are loud, arrogant, insincere, wasteful and ignorant of world affairs. Be mindful of these stereotypes and do what can to make a positive impact. Use your internship as an opportunity to serve as an unofficial ambassador of the United States.

While in general, anti-Americanism does not pose a personal threat to travelers abroad, you may want to follow the below precautions to help prevent conflict during your time overseas. 

  • Do not attend political demonstrations against the United States.
  • Do not speak loudly or behave boisterously when in public.
  • Do not frequent American chains or travel with large groups of Americans.
  • Treat people respectfully.
  • Follow local customs with regards to manners.
  • Do not wear overtly American clothing or flags. 
  • Do not respond with anger when you hear anti-American rhetoric. Listen first and take time to decide whether the criticism is valid or not. If you choose to engage in discussion about America, make sure that you are not speaking emotionally. Present your thoughts calmly and rationally.

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U.S. Department of State
The U.S. government monitors the political conditions in every country around the world. Their Web site contains country background reports, travel advisories, contact information for U.S. Embassies and Consulates worldwide and much additional information for U.S. citizens traveling abroad.

All IAESTE interns are required to register with the nearest U.S. Embassy or Consulate or their home Embassy or Consulate upon arrival in their host country. This is helpful to students and their families if there is a need to locate family members in the event of an emergency.

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See the following links from the U.S. Department of State Web site for more information:

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