Petty street crime such as purse snatching and pickpocketing is common, especially on crowded local public transportation. The Embassy has received an increase in reports of incidents involving violence in the coastal towns of Negombo and Hikkaduwa. Exercise caution in these towns, especially at night. The loss or theft of a U.S. passport should be reported immediately to local police and the U.S. Embassy. U.S. citizens may refer to the Department of State s pamphlets A Safe Trip Abroad and Tips for Travelers to South Asia for ways to promote a more trouble-free journey.
Medical facilities are limited.
Serious medical problems may require evacuation to the nearest country where adequate medical facilities or treatment are available, usually Thailand, Singapore, or the United States. 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.