There have been several incidents of carjackings, armed robberies and banditry in Bamako and in the outlying regions of Gao, Kidal and Tombouctou. Train travelers are advised to be vigilant for pickpockets, especially at night. Travelers should stay alert, remain in groups and avoid poorly lit areas after dark. The loss or theft abroad of a U.S. passport should be reported immediately to local police and to the nearest U.S. embassy or consulate. A Safe Trip Abroad and Tips for Travelers to Sub-Saharan Africa provide useful information on protecting personal security while traveling abroad and in the region in general.
Medical facilities are limited, and many medicines are unavailable.
Travelers should bring with them an adequate supply of needed medicines. U.S. medical insurance is not always valid outside the United States. U.S. Medicare and Medicaid programs do not provide payment for medical services outside the United States. Doctors and hospitals often expect immediate cash payment for health services. Uninsured travelers who require medical care overseas may face extreme difficulties.