Any traveler going to Russia, even in transit, will require a Russian visa prior to entry into Latvia. Travelers who plan to remain in Latvia for more than 90 days must apply in-country for temporary residence. For more information, travelers may contact the Latvian Embassy at 4325 17th Street, N.W., Washington, D.C. 20011, tel. Within Latvia, contact the Ministry of Interior's Citizenship and Immigration Department at Raina Bulvaris 5, Riga LV-1508, tel. There is a serious shortage of basic medical supplies, including disposable needles and anesthetics.
Many antibiotics are now available, although they are quite costly.
Elderly travelers and those with existing health problems may be at risk due to inadequate medical facilities. Doctors and hospitals often expect immediate cash payment for medical services. U.S. medical insurance is not always valid outside the United States. Travelers have found that in some cases, supplemental medical insurance with specific overseas coverage, including medical evacuation, has proved useful. Further information on health matters can be obtained from the Center for Disease Control and Prevention's international travelers hotline, tel.