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healthSouth Africa / Lesotho

U.S. State Department: Lesotho at Level 2, Exercise Increased Caution

The U.S. Department of State has issued a Level 2 "Exercise Increased Caution" advisory for Lesotho, citing crime and health. Crime is common in Lesotho, with armed robberies and carjackings occurring from time to time, and local police may not have enough resources to respond quickly. Lesotho's health infrastructure is inadequate; health facilities, services, hygiene, and quality control do not meet U.S. standards of care, and pharmacies are neither well-regulated nor well stocked, with locally available medications potentially unsafe. Travelers have the option to enter South Africa for health services.

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Impact and considerations

Lesotho's limited health and security conditions may affect the health coverage and safety risk management of staff travelling there, particularly business travellers requiring medical evacuation or ongoing medication.

Key points

  • The U.S. Department of State issued a Level 2 "Exercise Increased Caution" advisory for Lesotho due to crime and health.
  • Crime is common in Lesotho, and armed robberies and carjackings happen from time to time.
  • Local police may not have enough resources to respond quickly when crimes occur.
  • Lesotho's health infrastructure is inadequate; health facilities, services, hygiene, and quality control do not meet U.S. standards of care.
  • Pharmacies are neither well-regulated nor well stocked, and locally available medications may be unsafe.
  • Travelers have the option to enter South Africa for health services.
  • The State Department advises ensuring medical or travel insurance that includes medical evacuation and bringing enough prescription medications to last the entire trip.

Sources and time

Primary source
U.S. Department of State
Other sources
0
First source publication
17 Jun 2026, 08:00
Page published
24 Sept 2026, 21:24
Last updated
17 Jun 2026, 08:00
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