U.S. medical insurance is not always valid outside the United States. In some instances, supplementary medical insurance with specific overseas coverage, including medical evacuation, has proved useful. Valuables left unattended on beaches are subject to theft. The loss or theft of a U.S. passport overseas should be reported to the local police and the nearest U.S. embassy or consulate. Criminal penalties for possession, use, and dealing in illegal drugs are strict, and convicted offenders can expect lengthy jail sentences and heavy fines.
Roads are narrow, with steep inclines and declines throughout the island.
Road conditions vary from fair to poor, with few guard rails in areas that have precipitous drop-offs from the road. While consultations to correct the deficiencies are ongoing, member states air carriers are permitted to conduct limited operations to the U.S. subject to heightened FAA surveillance. The United States does not maintain an embassy in Dominica. Americans are encouraged to register in the Consular Section of the U.S. Embassy at Bridgetown and to obtain updated information on travel and security in Dominica and the other areas that the U.S. Embassy covers.