ENTRY/EXIT REQUIREMENTS:  A passport and onward/return ticket are required.  All travelers to Comoros are given a free, 24-hour transit visa upon entry.  The following day, visitors are required to go to the immigration office in Moroni to change their visa status.  A fee is charged, depending on length of stay.  Travelers should obtain the latest details from the Mission of the Union of Comoros, 420 East 50th Street, New York, NY 10022; telephone number (212) 972-8010, fax (212) 983-4712. 

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MEDICAL FACILITIES AND HEALTH INFORMATION: Medical facilities in Comoros are poorly equipped.  Travelers should bring their own supplies of prescription drugs and preventive medicines.

Malaria is prevalent in Comoros.  Travelers to Comoros should take malaria prophylaxis.  The serious and sometimes fatal strain of malaria, P. falciparum, is resistant to the anti-malarial drug chloroquine.  Because travelers to Comoros are at high risk for contracting malaria, the Center for Disease Control and Prevention (CDC) advises that travelers should take one of the following antimalarial drugs: mefloquine (Lariam™), doxycycline, or atovaquone/proguanil (Malarone™).  The CDC has determined that a traveler who is on an appropriate antimalarial drug has a greatly reduced chance of contracting the disease.  In addition, other personal protective measures, such as the use of insect repellents, help to reduce malaria risk.  Travelers who become ill with a fever or flu-like illness while traveling in a malaria-risk area and up to one year after returning home should seek prompt medical attention and tell the physician their travel history and what antimalarials they have been taking. 

Information on vaccinations and other health precautions, such as safe food and water precautions and insect bite protection, may be obtained from the Centers for Disease Control and Prevention’s hotline for international travelers at 1-877-FYI-TRIP (1-877-394-8747)

The East African Indian Ocean islands have seen a rise in the cases of Chikungunya, a viral dengue-like ailment, and dengue itself.  As with Malaria, Chikungunya and Dengue are transmitted by mosquitoes.  Every effort should be made to use repellants, proper clothing and barriers that discourage/prevent mosquito bites. 

MEDICAL INSURANCE:  The Department of State strongly urges Americans to consult with their medical insurance company prior to traveling abroad to confirm whether their policy applies overseas and whether it will cover emergency expenses such as a medical evacuation.

REGISTRATION / EMBASSY LOCATION: The United States has no Embassy in Comoros.  Americans living or traveling in Comoros are encouraged to register with the U.S. Embassy in Antananarivo, Madagascar through the State Department's travel registration website, and to obtain updated information on travel and security within Comoros.  Americans without Internet access may register directly with the U.S. Embassy in Antananarivo.  By registering, American citizens make it easier for the Embassy to contact them in case of emergency. The U.S. Embassy is located at 14-16 Rue Rainitovo, Antsahavola, Antananarivo.  The mailing address is B.P. 620, Antsahavola, Antananarivo, Madagascar; telephone [261] (20) 22-212-57; fax [261] (20) 22-345-39.  The Embassy website is  http://www.antananarivo.usembassy.gov.