January 16, 2004 COUNTRY DESCRIPTION: The Cayman Islands are a British dependent territory consisting of three main islands with a total area of approximately 100 square miles and located about 100 miles west of Jamaica . There is an international airport located in Grand Cayman , and facilities for tourists are widely available. The U.S. Embassy in Kingston , Jamaica has consular responsibility for the Cayman Islands . ENTRY/EXIT REQUIREMENTS: U.S. citizens traveling as tourists or attending meetings can enter the Cayman Islands with a U.S. passport, a naturalization certificate or an original, certified birth certificate and photo identification. Persons traveling with U.S. passports tend to encounter fewer difficulties when departing than those who choose to use other documents. U.S. citizens traveling to the Cayman Islands for work must obtain a temporary work permit from the Department of Immigration of the Cayman Islands , telephone (345) 949-8344. There is a departure tax for travelers age 12 and older, which is regularly included in airfare. For further information travelers may contact Cayman Islands Department of Tourism offices in Miami at (305) 599-9033, New York (212) 889-9009, Houston (713) 461-1317 and Chicago (630) 705-0650; or via the Internet at http://www.caymanislands.ky. 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 travel authorization from the parent(s) or legal guardian not present. Having such documentation on hand, even if not required, may facilitate entry/departure when travelling with children. SAFETY AND SECURITY: The Cayman Islands are considered politically stable and enjoy a high standard of living. There have been no reported incidences of terrorism or threats made against Americans or American interests in the Cayman Islands . 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. The Overseas Citizens Services call center at 1-888-407-4747 can answer general inquiries on safety and security overseas. 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. CRIME: The crime threat in Cayman Islands is generally considered low although travelers should always take normal precautions when in unfamiliar surroundings. Petty theft, pick pocketing and purse snatchings occur. It is difficult to gauge the number of sexual assaults, especially situations involving acquaintance rape or use of "date rape" drugs as incidents may go unreported. Police in the Cayman Islands have alluded to increased availability of drugs and several persons have been arrested for possession with intent to distribute Ecstasy, among other drugs. American citizens should avoid buying, selling, holding or taking illegal drugs under any circumstances. The loss or theft abroad of a U.S. passport should be reported immediately to the local police and the nearest U.S. Embassy, Consulate or Consular Agency. If you are the victim of a crime while overseas, in addition to reporting to local police, please contact the nearest U.S. Embassy, Consulate or Consular Agency. Consular officials 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. This publication and others, such as “Tips for Travelers to the Caribbean ” are 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 home page at http://travel.state.gov. MEDICAL FACILITIES: The quality of medical care is generally comparable to that available in the U.S. However, some procedures and cases requiring critical care require medical evacuation to the United States . On average one American citizen per month drowns or suffers cardiac arrest while snorkeling or SCUBA diving in the Cayman Islands . These deaths may be attributed in part to tourists attempting to do more than they are trained to do or may be due to poor physical conditioning or preexisting medical conditions that are exacerbated when snorkeling or diving. A hyperbaric chamber is available for treatment of decompression illness. Doctors and hospitals often expect immediate 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 home page. 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 . For example, in the Cayman Islands vehicles drive on the left side of the road and steering wheels in cars are often located on the right side. The information below concerning the Cayman Islands is provided for general reference only, and may not be totally accurate in a particular location or circumstance. Safety of Public Transportation: good Urban Road Conditions/Maintenance: good Rural Road Conditions/Maintenance: good Availability of Roadside Assistance: good | | |