There is no apparent pattern to this situation, and incidents have been sporadic. Americans should report to the U.S. Embassy any trouble with provincial authorities regarding internal travel. Surface roads are in poor repair, even in the capital, but most are passable. Street lighting, where available, is often turned off at night. Lane markings are scarce and potholes are common.
Pedestrians frequently dart out in front of cars.
Visitors should use special caution if driving at night. Travelers may experience prolonged delays, unexpected re-routing and sudden cancelations of flights. Air travel to Almaty is available on reliable carriers via Amsterdam, Frankfurt, London, Vienna, Istanbul, and Moscow. Travelers are encouraged to obtain overseas medical insurance that includes coverage for medical air evacuations. Elderly travelers and those with existing health problems may be at particular risk due to inadequate medical facilities.