CDC adds a Caribbean beach hot spot to its 'high' Covid-19 risk list - CNN

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(CNN) — The US Centers for Disease Control and Prevention has added two destinations to its "high" category for Covid-19 risk -- including a Caribbean nation popular for its beaches.

The Dominican Republic and Kuwait, a Middle Eastern country known for its cultural offerings, are both now listed as "Level 3: Covid-19 High."

Level 3, or "high," is now the top rung in terms of risk level and 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.

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.

In a weekly update with little movement overall, Monday's move to Level 3 is a big jump up for Kuwait, which had been at Level 1. The Dominican Republic moved up from Level 2.

There were almost 115 destinations at Level 3 on June 27. Level 3 locations account for almost half of the roughly 235 places monitored by the CDC.

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 June 27, the following popular European destinations were among those remaining at Level 3:

• France
• Germany
• Greece
• Ireland
• Italy
• The Netherlands
• Norway
• Portugal
• Spain
• United Kingdom

Sightseeing ships give magnificent views of Istanbul. Turkey is at the CDC's Level 3.

Nikolay N. Antonov/Adobe Stock

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.

Level 2

A late afternoon view of Journalists' Park in Bogota, Colombia. The South American nation is now at Level 2.

Danaan Andrew-Pacleb/Adobe Stock

Destinations carrying the "Level 2: Covid-19 Moderate" designation reported 50 to 100 Covid-19 cases per 100,000 residents in the past 28 days. The CDC moved four places to this level on Monday:

• Colombia
• Iraq
• Russia
• Saudi Arabia

The move was not good news for Colombia, Iraq and Saudi Arabia, which had been at Level 1.

There are a total of 21 places in the "moderate" risk category this week.

In its broader travel guidance, the CDC has recommended avoiding all international travel until you are fully vaccinated.

Level 1

The Taj Mahal is India's most iconic structure. India is currently at Level 1.

Ludovic Marin/AFP via Getty Images

To be listed as "Level 1: Covid-19 Low," a destination must have had 49 or fewer new cases per 100,000 residents over the past 28 days. No new destinations were added to the category on June 27.

A few of the more popular places in the "low" risk category this week include Indonesia, India and the Philippines.

Unknown

Finally, there are the destinations the CDC has deemed to be of "unknown" risk because of a lack of information. Usually, but not always, these are small, remote places or places with ongoing warfare or unrest.

This week, only rarely visited Djibouti in the Horn of Africa was added to this category.

The CDC advises against travel to these places precisely because the risks are unknown. Other destinations in this category that typically draw more tourist attention include French Polynesia, Macau and the Maldives.

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.

"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.

If you're concerned about a travel-specific health situation not related to Covid-19, check here.

Top image: Tropical beach in Punta Cana, Dominican Republic. (Valentin Valkov/Adobe Stock)

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