Hepatitis A and Brucellosis are endemic in Macedonia. Travelers to the region may wish to consult their physicians about the advisability of getting a Hepatitis A vaccination. While in a foreign country, U.S. citizens may encounter road conditions that differ significantly from those in the United States. The information below concerning Macedonia is provided for general reference only, and it may not be totally accurate in a particular location or circumstance. Poor Most major highways are in good repair, but secondary roads are poorly maintained and lit and are used by horse-drawn carts and livestock.
Some vehicles are old and lack standard front or rear lights.
Secondary mountain roads can be narrow, poorly marked, lack guardrails and can quickly become dangerous in inclement weather. Military convoys may cause traffic delays on roads approaching Skopje Petrovec Airport. Macedonian Customs authorities may enforce strict regulations concerning temporary importation or export from Macedonia of certain items. Failure to complete such a declaration may result in the confiscation of any cash over that amount upon leaving the country. Personal importation of duty-free liquor is limited to one liter.