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The US Centers for Disease Control and Prevention updated its “high” risk category for travel on Monday with five places, including two nations in South America.
Colombia and Paraguay moved to the Level 3 “high” risk category along with Iraq in the Middle East and Kosovo and North Macedonia in the Balkans.
Level 3 became the top rung in terms of risk level in April after the CDC overhauled its ratings system for assessing Covid-19 risk for travelers.
The designation applies to places that have had more than 100 cases per 100,000 residents in the past 28 days. Level 2 and Level 1 are considered “moderate” and “low” risk, respectively.
Kosovo moved up two rungs this week from Level 1. The other four were previously listed as Level 2.
To recap, these five destinations received “high” risk designations on Monday:
• Colombia
• Iraq
• Kosovo
• North Macedonia
• Paraguay
There were about 115 destinations at Level 3 on July 18. Level 3 locations account for almost half of the roughly 235 places monitored by the CDC.
Level 4, previously the highest risk category, is now reserved only for special circumstances, such as extremely high case counts, emergence of a new variant of concern or health care infrastructure collapse. Under the new system, no destinations have been placed at Level 4 so far.
More on Level 3
Much of Europe has been stubbornly lodged at Level 3 for months with the summer travel season in full swing. As of July 18, the following popular European destinations were among those remaining at Level 3:
• France
• Germany
• Greece
• Ireland
• Italy
• The Netherlands
• Norway
• Portugal
• Spain
• United Kingdom
Those aren’t the only high-profile spots that find themselves at Level 3. Numerous other destinations around the world are among those in the “high” risk category, including the following:
• Brazil
• Canada
• Costa Rica
• Malaysia
• Mexico
• South Korea
• Thailand
• Turkey
The CDC advises that you get up to date with your Covid-19 vaccines before traveling to a Level 3 destination. Being “ up to date ” means you have had not only the full initial vaccinations but any boosters for which you’re eligible.
A medical expert weighs in on risk levels
Transmission rates are just “one guidepost” for travelers’ personal risk calculations, according to CNN Medical Analyst Dr. Leana Wen.
We’ve moved into “a phase in the pandemic where people need to make their own decisions based on their medical circumstances as well as their risk tolerance when it comes to contracting Covid-19,” said Wen, who is an emergency physician and professor of health policy and management at the George Washington University Milken Institute School of Public Health.
There are other factors to weigh in addition to transmission rates, according to Wen.
“Another is what precautions are required and followed in the place that you’re going and then the third is what are you planning to do once you’re there,” she said.
“Are you planning to visit a lot of attractions and go to indoor bars? That’s very different from you’re going somewhere where you’re planning to lie on the beach all day and not interact with anyone else. That’s very different. Those are very different levels of risk.”
Vaccination is the most significant safety factor for travel, since unvaccinated travelers are more likely to become ill and transmit Covid-19 to others, Wen said.
And it’s also important to consider what you would do if you end up testing positive away from home.
While US-bound travelers no longer have to present a negative Covid-19 test to get home, the CDC still advises testing before boarding flights back to the States and not traveling if you are sick.
“Of course, if people have symptoms or exposure while traveling, they need to get tested, and if they test positive, to follow CDC’s isolation guidelines,” Wen told CNN Travel recently.