Only overland travel to Kayes, Mali from Kankossa in south-central Mauritania can be considered safe. It is not possible to get a Malian visa in Mauritania. Surface travel between Mauritania and the former Western Sahara is dangerous because of the continuing conflict between Morocco and the Polisario movement. Although a ceasefire is presently in place, several violations have occurred and the area cannot be considered safe. Medical facilities in Mauritania are limited.
Medicines are difficult to obtain.
Cash payments must be made directly to doctors and hospitals in most cases. U.S. medical insurance is not always valid outside the United States. Supplemental medical insurance with specific overseas coverage has proved to be useful. Local currency may not be imported or exported. Credit cards other than American Express are not accepted in Mauritania and American Express cards can only be used at a few hotels in Nouakchott and Nouadhibou.