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Travel and Tourism

Travel and Tourism in Russia

Travel alerts, currency, climate, transit, health, and safety information for visitors to Russia.

Practical Information

Travel alert status, currency, climate, and transit details.

Travel Alert Status
Level 4: Do Not Travel
Time Difference
UTC+3 (8 hours ahead of Washington, DC, during Standard Time) time zone note: Russia has 11 time zones, the largest number of contiguous time zones of any country in the world; in 2014, two time zones were added and DST dropped
Currency
Russian ruble (RUB)
Climate
Climate ranges from steppes in the south through humid continental in much of European Russia, subarctic in Siberia to tundra climate in the polar north; winters vary from excellent along the Black Sea coast to frigid in Siberia. In Moscow, Snow begins in October and continues periodically through April, although snowfall in May is not unusual. Annual rainfall averages 21 inches, with the heaviest rains falling between May and October. Prevailing winds are southerly and southwesterly. Due to Moscow's northern location, daylight varies from 7 hours in December to 17 1/2 hours in June. The average temperature in June and July is 66°F, but the summer temperatures frequently reach the low 90s. In the winter, the temperature may fall to minus 40°F, but the average December and January temperature is 14°F. Though Moscow's winter air is usually dry, the wind chill factor makes the temperature feel much colder. The climate in St. Petersburg is milder than in Moscow but is damp and misty. Average temperatures are 64°F in July and 17°F in January. St. Petersburg is famous for its "white nights," which occur in June when the sun shines for nearly 19 hours and sunset only brings semidarkness. The climate in Vladivostok is milder than in many other Russian cities due to its location on the Pacific Ocean. Winter temperatures range between -68°F and 25°F.
Language(s) Spoken
Russian (official) 85.7%, Tatar 3.2%, Chechen 1%, other 10.1%; note - data represent native language spoken
Ethnic Groups
Russian 77.7%, Tatar 3.7%, Ukrainian 1.4%, Bashkir 1.1%, Chuvash 1%, Chechen 1%, other 10.2%, unspecified 3.9%
National Holiday
Russia Day, 12 June (1990); note - commemorates the adoption of the Declaration of State Sovereignty of the Russian Soviet Federative Socialist Republic (RSFSR)
Geographic Coordinates
60 00 N, 100 00 E
Location
North Asia bordering the Arctic Ocean, extending from Europe (the portion west of the Urals) to the North Pacific Ocean
Airports
1218

Destinations

Regions and cities, top sights, national parks, UNESCO sites, and festivals for visitors.

Russia's UNESCO World Heritage Sites

Russia has thirty-three properties inscribed on the UNESCO World Heritage List, representing an extraordinary range of natural and cultural heritage from the Arctic to the subtropics, from prehistoric rock art to imperial palaces.

Kremlin and Red Square, Moscow (1990) — The political and spiritual heart of Russia, encompassing the medieval fortress walls and towers, the cathedral churches of the Kremlin's Cathedral Square, the Grand Kremlin Palace, the Armory Museum, and the great public space of Red Square with Saint Basil's Cathedral. The ensemble represents the full sweep of Russian history from the fifteenth century to the present.

Historic Centre of Saint Petersburg and Related Groups of Monuments (1990) — One of the most ambitious and successful examples of deliberate city planning in history, encompassing the city center, its suburban imperial palaces (Peterhof, Tsarskoye Selo, Pavlovsk, Gatchina, Oranienbaum), Kronstadt fortress on Kotlin Island, and several outlying architectural ensembles. The property covers an enormous geographic area and represents the concentrated ambition of the Russian imperial state to create a world-class European capital in a northern location.

Kizhi Pogost (1990) — On Kizhi Island in Lake Onega in the Republic of Karelia, one of the world's most extraordinary ensembles of wooden architecture: the twenty-two-domed Church of the Transfiguration (1714), the ten-domed Church of the Intercession (1764), and the hexagonal bell tower (1873), all built without nails using traditional Russian wooden construction techniques. The church domes, covered in aspen shingles that turn silver-gray with age, create an extraordinary silhouette above the island.

Historic Monuments of Novgorod and Surroundings (1992) — Novgorod, on the Volkhov River south of Lake Ilmen, was one of the most important cities of medieval Russia, a major trading center on the route from Scandinavia to Byzantium and the home of a distinctive school of icon painting and architecture. The property includes the Novgorod Kremlin (Detinets) with its medieval walls and towers, the Cathedral of Saint Sophia (1045-50, one of the oldest surviving stone buildings in Russia), and numerous medieval churches throughout the city and surrounding region.

Solovetsky Islands (1992) — An archipelago of six islands in the White Sea, the Solovetsky Islands contain one of the most historically layered sites in Russia: a medieval monastery founded in the fifteenth century that became one of the great centers of Russian Orthodox monasticism and later served as one of the first camps of the Soviet gulag system. The monastery's fortifications, churches, canals, and the strange boulder labyrinths left by prehistoric Bronze Age inhabitants create an extraordinary landscape.

White Monuments of Vladimir and Suzdal (1992) — Eight white stone medieval buildings in Vladimir and Suzdal representing the apogee of Vladimir-Suzdal architecture, including the Cathedral of the Assumption in Vladimir, the Cathedral of Saint Dmitry in Vladimir, the Cathedral of the Nativity in Suzdal, and the Church of the Intercession on the Nerl.

Trinity Sergius Lavra in Sergiev Posad (1993) — Russia's most important Orthodox monastery, founded in the fourteenth century by Saint Sergius of Radonezh and remaining the spiritual center of Russian Orthodoxy. The ensemble of religious buildings spanning five centuries from the fifteenth to the nineteenth represents the full development of Russian religious architecture.

Church of the Ascension, Kolomenskoye (1994) — Built in 1532 in the Kolomenskoye estate on the Moscow River south of the city center, the Church of the Ascension is considered one of the most remarkable buildings in Russian architecture: a tent-roofed stone church that represents the translation of traditional wooden tent-architecture into masonry construction, creating a distinctive and historically significant architectural form.

Virgin Komi Forests (1995) — The largest area of virgin boreal forest remaining in Europe, covering approximately three million hectares in the Komi Republic in northeastern European Russia, encompassing the Pechora-Ilych Nature Reserve and the Yugyd Va National Park. The forests represent an intact ecosystem of subarctic and boreal forest, mountain tundra, and river valleys.

Lake Baikal (1996) — Described at length in the Siberia section above, Lake Baikal represents outstanding examples of freshwater ecosystems, extraordinary biodiversity with a high proportion of endemic species, and geological processes of continental rifting on a geological timescale.

Volcanoes of Kamchatka (1996, extended 2001) — Six protected areas encompassing the most outstanding examples of volcanic activity in Eurasia, with the greatest variety of volcanic landforms in the world including shield volcanoes, stratovolcanoes, calderas, lava plateaus, and geothermal fields, supporting exceptional biodiversity.

Golden Mountains of Altai (1998) — Three protected areas in the Altai Republic representing outstanding alpine landscapes, containing the headwaters of major Siberian rivers and supporting populations of endangered species including snow leopard, Altai argali sheep, and Siberian ibex.

Western Caucasus (1999) — The only large mountain area in Europe that has not experienced significant human impact, encompassing the Caucasus Nature Reserve and adjacent protected areas in Krasnodar Krai. The property includes the western slopes of the Greater Caucasus Range and supports a unique diversity of Caucasian flora and fauna.

Kazan Kremlin Historic and Architectural Complex (2000) — The only surviving Tatar fortress in Russia, incorporating layers of heritage from the original medieval Tatar city through the Russian conquest of 1552 and subsequent development to the present, including both Orthodox and Islamic religious architecture.

Central Sikhote-Alin (2001) — A vast temperate forest area in the Russian Far East representing one of the richest and most unusual temperate forests in the world, supporting the world's largest population of endangered Amur (Siberian) tiger as well as Amur leopard, Himalayan black bear, and other rare species.

Citadel, Ancient City and Fortress Buildings of Derbent (2003) — The ancient Persian-built citadel of Naryn-Kala controlling the coastal passage between the Caucasus and the Caspian Sea, together with the ancient city fabric of Derbent and its medieval city walls.

Uvs Nuur Basin (2003, shared with Mongolia) — A closed basin on the border of Russia (Tuva Republic) and Mongolia, representing an outstanding example of steppe ecosystems and desert environments, with one of the most significant bird nesting areas in Central Asia.

Ensemble of the Novodevichy Convent (2004) — The complete architectural ensemble of the Novodevichy Convent in Moscow, representing an outstanding example of Moscow Baroque ecclesiastical architecture of the late seventeenth century.

Natural System of Wrangel Island Reserve (2004) — The Arctic island reserve described in the Far East section, distinguished by its extraordinary diversity of Arctic life and its significance as the last refuge of the woolly mammoth.

Historical Centre of the City of Yaroslavl (2005) — The historic urban center of Yaroslavl, containing the outstanding collection of seventeenth-century Russian ecclesiastical architecture together with the planned urban development of the eighteenth and nineteenth centuries.

Struve Geodetic Arc (2005, shared with nine other countries) — A chain of survey triangulation points stretching from Norway to the Black Sea, established between 1816 and 1855 by the astronomer Friedrich Georg Wilhelm Struve to measure the exact shape and size of the Earth.

Putorana Plateau (2010) — A vast basalt plateau in the central Siberian uplands (Krasnoyarsk Krai), one of the largest traps in the world, dissected by deep river canyons and containing the largest concentration of waterfalls in Russia. The plateau supports significant populations of wild reindeer and other subarctic wildlife.

Lena Pillars Nature Park (2012) — The extraordinary sandstone columns rising up to 100 meters from the banks of the Lena River in the Sakha Republic, formed over approximately 560 million years by the erosion of Cambrian-period limestone and presenting an outstanding example of geological landform evolution.

Bolgar Historical and Archaeological Complex (2014) — The ruins of Bolgar (Bulgar), the medieval capital of Volga Bulgaria and one of the first capitals of the Golden Horde, on the left bank of the Volga River in Tatarstan, representing the first place in Russia where Islam was officially adopted (922 AD).

Sviyazhsk (2017) — The island-town of Sviyazhsk, built by Ivan the Terrible in 1551 as a military base for the conquest of Kazan, together with its collection of sixteenth-century religious buildings representing the early development of post-Byzantine Russian architecture.

Landscapes of Dauria (2017, shared with Mongolia) — A transboundary property in the Daurian steppe of southern Siberia and Mongolia, representing an outstanding example of steppe and wetland ecosystems and particularly important for migratory birds including the Demoiselle crane and White-naped crane.

Churches of the Pskov School of Architecture (2019) — A group of medieval stone churches in the city of Pskov and surrounding area representing a distinctive regional school of ecclesiastical architecture that developed in the independent Pskov Republic between the twelfth and seventeenth centuries.

Petroglyphs of Lake Onega and the White Sea (2021) — Two concentrations of prehistoric rock carvings in the Republic of Karelia representing the earliest known evidence of complex cosmological and spiritual beliefs in northern Europe, dating from approximately 6,000 years ago. The images include elk, waterfowl, boats, and celestial symbols.

Kenozero Lake Cultural Landscape (2024) — Located in the Arkhangelsk Oblast of northwestern Russia, the Kenozero National Park cultural landscape was inscribed on the UNESCO World Heritage List in 2024. This outstanding example of a traditional Russian cultural landscape encompasses the Kenozero lake system, historic villages, ancient wooden Orthodox churches, chapels decorated with folk painting, and sacred forests known as "shchelye" or "zapovedny les." The landscape represents centuries of harmonious coexistence between human settlement and the natural environment of the Russian North, preserving traditions of agricultural land use, fishing, and woodcrafting that have sustained communities since medieval times. The inscription recognizes the exceptional ensemble of vernacular architecture and living cultural traditions that have survived largely intact in this remote northern setting.

Rock Paintings of Shulgan-Tash Cave / Kapova Cave (2025) — Inscribed in 2025, the Shulgan-Tash Cave (also known as Kapova Cave) in the Republic of Bashkortostan in the southern Ural Mountains contains one of the most significant concentrations of Upper Paleolithic cave art in Eastern Europe. Dating back approximately 16,000 to 19,000 years, the cave's walls are adorned with hundreds of paintings depicting woolly mammoths, woolly rhinoceroses, horses, bison, and geometric symbols created with red ochre and charcoal by prehistoric hunter-gatherers. The cave extends for nearly 3 kilometers through a karst landscape and includes multiple levels of galleries and chambers. The Shulgan-Tash inscription represents Russia's first Upper Paleolithic rock art site on the World Heritage List, placing it alongside famous painted caves such as Lascaux in France and Altamira in Spain.

As of this writing, Russia continues to maintain its UNESCO nomination pipeline with additional sites under consideration. Travelers interested in the full current status of Russia's UNESCO properties should consult the UNESCO World Heritage Centre website directly for the most current list.

Outdoor Activities and Nature

Russia's extraordinary geographic diversity creates opportunities for outdoor activities that range from relatively accessible nature tourism at Lake Baikal or in the Altai Mountains to extreme expeditions in the Arctic or on Kamchatka's volcanoes. The country's sheer size means that wilderness experiences of a scale impossible to find in Europe are available within Russia's borders, and the density of human presence per square kilometer is so low across most of Siberia and the Far East that travelers can access landscapes of genuinely pristine character.

The Trans-Siberian Railway journey, while not conventionally an outdoor activity, is one of the world's great experiential travel experiences and deserves first mention in any discussion of Russia's active tourism offerings. Spending seven days on a train crossing the entire width of Asia — watching the landscape change from the forests of European Russia to the Ural passes, through the West Siberian plain, across the Yenisei and then the Angara rivers, around the southern shore of Lake Baikal (where the railway skirts the lake's edge through a series of tunnels carved into the cliffs) and on to the Russian Far East — is a journey that unfolds at human pace, allowing the traveler to absorb the immensity of Russia rather than flying over it. The train's social dynamics — the communal tea drinking in the corridor, the sharing of food from home-packed provisions, the conversations with fellow passengers — are an integral part of the experience. Choosing the appropriate class (platzkart, open bunk carriages; kupe, four-person enclosed compartments; SV or lyux, two-person compartments) depends on the traveler's budget, tolerance for close quarters with strangers, and interest in social interaction.

Hiking and trekking in the Altai Mountains offers some of the most spectacular mountain scenery in Russia accessible to non-technical walkers. The Altai Republic has a network of trails connecting alpine lakes, glaciers, and traditional Altai herding communities, with accommodation in tourist camps (turbazy) and in private homes. Mount Belukha, the highest peak in the Altai at 4,506 meters, can be approached on multi-day trekking routes, and the surrounding glaciers and high-altitude plateaus are extraordinary natural environments. The Katunsky Range, the Chuya Steppe (a high-altitude plain at 1,700-2,000 meters with dramatic views of snow-capped peaks), and the Ak-Tru valley are among the most beautiful trekking destinations.

Lake Baikal ice trekking in February and March, when the lake is frozen to a depth of one to two meters, is one of Russia's most unusual outdoor experiences. The clear Baikal ice creates extraordinary visual effects — travelers walk above a visible abyss of blue-green water, surrounded by pressure ridges, cracks, and air bubble formations frozen into the ice. Organized tours from Irkutsk cross portions of the lake on foot, using sleds to pull camping and cooking equipment, staying in small guesthouses on Olkhon Island or camping on the ice itself. The combination of the visual drama of the frozen landscape, the physical challenge of covering distance on ice, and the extraordinary quality of the Arctic light in late winter makes this one of Russia's most memorable outdoor experiences.

Skiing at Krasnaya Polyana above Sochi benefits from the post-Olympic investment in infrastructure and combines excellent skiing conditions (reliable snow, vertical drops exceeding 900 meters, well-groomed pistes) with unusually mild temperatures compared to Siberian ski areas. The area received artificial snow infrastructure and lift improvements for the 2014 Olympics and now competes favorably with mid-tier European ski destinations while remaining significantly less expensive than comparable Alpine resorts.

Kamchatka volcano trekking and bear watching represent perhaps the most dramatic outdoor adventure Russia offers. Accessing the Kamchatka Peninsula requires flying to Petropavlovsk-Kamchatsky and then organizing guided tours — either boat expeditions along the Pacific coast or helicopter-supported trips into the interior. The ascent of Avachinsky Volcano (2,741 meters), a two-day round trip from the Avachinsky base camp near Petropavlovsk, is within the capability of fit hikers and offers extraordinary views over the Pacific Ocean and the surrounding volcanic landscape. The Kurilskoye Lake area, accessible only by helicopter, offers the most dramatic bear watching in the world. Mutnovsky Volcano, with its remarkable active fumarole field and crater glacier, is another outstanding volcanic landscape.

Northern Lights viewing in the Murmansk region and the Kola Peninsula offers the classic Arctic aurora experience in a Russian context. The season runs from approximately October through March, with the best displays occurring in clear, dark winter nights. The Kola Peninsula's relative accessibility (direct flights from Moscow to Murmansk) and the availability of organized aurora tours make this one of Russia's most straightforward outdoor tourism offerings. Dog sledding in the forests and tundra around Murmansk is another popular winter activity, and tours combining Northern Lights viewing with dog sledding, snowshoeing, and visits to Sami indigenous communities are available from multiple operators.

Reindeer herding expeditions with the Nenets people of the Yamal Peninsula are among the most culturally and physically extraordinary experiences available in Russia. The Nenets maintain one of the world's last intact nomadic reindeer herding cultures, moving their herds across the tundra in seasonal migration patterns covering hundreds of kilometers. Small numbers of travelers are accepted into Nenets camps for multi-day experiences of nomadic life: traveling with the herds, sleeping in traditional tepee-like chum shelters, eating traditional Nenets food, and witnessing the extraordinary skill with which Nenets herders manage their reindeer using lassos and trained dogs.

Birdwatching in the Volga Delta, where Europe's longest river fans out into the Caspian Sea in a vast maze of channels, islands, reed beds, and shallow lagoons, offers access to one of Europe's most important bird habitats. The delta is a major stopover on migration routes between Europe and Africa/South Asia, and the resident breeding population includes pelicans, herons, egrets, spoonbills, cormorants, and numerous duck species. The Astrakhan Nature Reserve protects the core of the delta ecosystem.

White Sea kayaking from the Solovetsky Islands and along the Karelian coast offers access to a cold but extraordinarily beautiful maritime environment. The White Sea's relatively sheltered character compared with the open ocean, combined with the exceptional natural beauty of the Karelian granite coast — dotted with islands, exposed rock, and boreal forest coming to the water's edge — makes it a superb sea kayaking environment for experienced paddlers.

Elbrus mountaineering attracts both highly experienced alpinists aiming for the summit of Europe's highest peak and recreational visitors who ascend to the lower stations by gondola and ski lifts for the mountain views. The summit of Mount Elbrus, at 5,642 meters, requires acclimatization and experience with altitude and winter mountain conditions; the standard route is not technically difficult but demands fitness, the right equipment, and good weather judgment. The summit is reached via a series of mountain huts, the highest of which (Diesel Hut, at 3,850 meters) serves as a base for summit attempts.

Festivals and Events

Russia's festival calendar reflects the interweaving of Orthodox Christian traditions, Soviet-era commemorations, pre-Christian Slavic folk customs, and the diversity of its many regional cultures, creating a year-round sequence of celebrations that offer visitors insight into the many layers of Russian cultural identity.

The White Nights Festival in Saint Petersburg, running from late May through mid-July, is Russia's most internationally celebrated cultural event and one of the most atmospheric festival experiences in Europe. The festival encompasses performances by the Mariinsky Theatre (including the Stars of the White Nights program that brings leading international artists to the city), outdoor concerts, art exhibitions, and a general spirit of celebration that takes advantage of the city's extraordinary summer light. The annual Scarlet Sails spectacle on the Neva River — a tall ship with scarlet sails passing under the bridge in the luminous midnight light while fireworks explode overhead — is one of the most visually dramatic events in Russian cultural life.

Maslenitsa, the traditional pre-Lenten festival (known in the West as Shrovetide or Pancake Week), is the most joyful folk festival in the Russian calendar. Celebrated in the week before the beginning of Lent, traditionally in February or early March, Maslenitsa involves the eating of blini (pancakes) as symbols of the returning sun, outdoor revelry including sleigh rides and contests, and the ritual burning of a straw effigy of Lady Maslenitsa at the end of the week to symbolize the end of winter and the beginning of spring. Major cities organize public celebrations with folk music, traditional games, and blini stalls; the most elaborate celebrations take place in rural areas and at open-air ethnographic museums.

Ivan Kupala Night, celebrated on the night of July 6-7 (in the Julian calendar tradition followed by the Russian Orthodox Church), is the Russian version of the ancient midsummer festival, incorporating pre-Christian Slavic traditions of fire, water, and plants into an Orthodox calendar date. Celebrations include bonfires over which couples jump hand in hand to test the strength of their relationship, the weaving of flower garlands floated on rivers as divination instruments, and the search for the legendary fern flower that is said to bloom only on this night and to reveal hidden treasure to the finder.

Victory Day on May 9 is the most emotionally significant secular holiday in Russia, commemorating the Soviet Union's victory over Nazi Germany in the Second World War. The date marks the moment at midnight on May 8-9, 1945, when the German Instrument of Surrender came into effect in Moscow time. Celebrations include major military parades in Moscow's Red Square (the annual parade is a significant display of Russian military hardware and is watched by millions on television), ceremonies at war memorials throughout the country, veterans wearing their medal ribbons, and the universal display of the St. George ribbon (a black and orange striped ribbon that has become the dominant symbol of the holiday). The emotional depth of Victory Day in Russian culture cannot be overstated: the war remains the central trauma of Russian historical memory, and virtually every Russian family has stories of relatives lost in the conflict.

Russian Orthodox Christmas falls on January 7 (the Julian calendar date corresponding to December 25 in the Gregorian calendar) and is celebrated with religious services culminating in the midnight liturgy. The Christmas season in Russia overlaps with the New Year celebration (December 31 to January 1) that is the country's most widely celebrated secular holiday: Novy God (New Year) is the occasion for the largest family gatherings, the most elaborate feasting, and the most extensive gift-giving. The Russian version of Father Christmas, Ded Moroz (Grandfather Frost), accompanied by his granddaughter Snegurochka (Snow Maiden), brings gifts to children on the night of December 31.

Epiphany (Kreshcheniye, January 19) is marked throughout Russia by the tradition of bathing in icy water, either in rivers and lakes where crosses have been cut in the ice or in specially constructed baptismal pools. The water blessed on this day is believed in the Orthodox tradition to have special powers of purification and healing. The sight of hundreds of people plunging into near-freezing water in the depths of the Russian winter — in temperatures that can be twenty or thirty degrees below zero — is one of the most striking manifestations of Russian Orthodox piety and the Russian relationship with physical endurance.

Sabantuy is the traditional plowing festival of the Tatar and Bashkir peoples, celebrating the end of spring plowing with communal games, horse racing, wrestling, and feasting. It is celebrated primarily in Tatarstan and Bashkortostan in June and attracts participants of all ages. The festival includes traditional sports competitions that have been practiced for centuries, including kurash (wrestling), at-yaryshy (horse racing), and kush-yaryshy (sack racing).

Yhyakh is the traditional summer festival of the Yakut (Sakha) people, celebrating the summer solstice and the beginning of the brief Arctic summer. Held in late June near Yakutsk and throughout the Sakha Republic, Yhyakh involves the ceremonial milking of mares, offerings to the spirit world, traditional games and sports, music and dance, and the communal drinking of kumiss (fermented mare's milk, the traditional Turkic alcoholic beverage). The festival reflects the deep connection of the Yakut people to the landscape and climate of their extraordinary homeland.

Health and Safety

Medical facilities, vaccinations, disease risk, and sanitation conditions.

Medical Facilities and Care

Medical Facilities and Health Information
Medical care in most localities is below Western standards due to shortages of medical supplies, differing practice standards and the lack of comprehensive primary care. Those facilities in Moscow and St. Petersburg with higher standards do not necessarily accept all cases. Access to these facilities usually requires cash or credit card payment at Western rates at the time of service. The U.S. Social Security Medicare Program does not provide coverage for hospital or medical costs in Russia. Elderly travelers and those with existing health problems may be at risk. We do not recommend elective surgeries requiring blood transfusions and/or non-essential blood transfusions due to uncertainties surrounding the local blood supply. Most hospitals and clinics in major urban areas have adopted the use of disposable IV supplies, syringes, and needles as standard practice. However, travelers to remote areas might consider bringing a supply of sterile, disposable syringes and corresponding IV supplies. We recommend travelers do not visit tattoo parlors or piercing services due to the risk of infection. Outbreaks of diphtheria and hepatitis A have been reported throughout the country, even in large cities such as Moscow and St. Petersburg. The U.S. Centers for Disease Control and Prevention (CDC) recommend up-to-date tetanus and diphtheria immunizations before traveling to Russia and neighboring countries. Typhoid can be a concern for those who plan to travel extensively in the region. Cases of cholera have rarely been reported throughout the area. Travelers can reduce the risk of exposure to infectious and noxious agents by drinking bottled water and using bottled water for food or drink preparation. Tap water is generally unsafe to drink outside of Moscow. Tuberculosis is also an increasingly serious health concern in Russia. For further information about tuberculosis, please consult the CDC's information on Tuberculosis. HIV infection rates have risen markedly in recent years. While most prevalent among intravenous drug users, prostitutes and their clients, the HIV/AIDS rate in the general population is increasing. Reported cases of syphilis are much higher than in the United States, and some sources suggest that gonorrhea and chlamydia are also more prevalent in Russia than in Western Europe or the United States. Travelers may obtain information on vaccinations and other health precautions, such as safe food and water precautions and insect bite protection, from the CDC hotline for international travelers at 1-877-FYI-TRIP (1-877-394-8747) or via the CDC website. For information about outbreaks of infectious diseases abroad, consult the infectious diseases section of the World Health Organization (WHO) website. The WHO website also contains additional health information for travelers, including detailed country-specific health information. Alternative Medical Treatments: Foreigners occasionally travel to Russia to receive medical treatment that is more expensive or prohibited in the United States, including stem-cell therapy and surrogate birthing. These treatments may involve considerable risks. Standards of infection control in both surgical and postoperative care may be inadequate. Patients undergoing treatment often develop secondary infections that cannot be handled by the facilities offering the procedures, and must be admitted to local hospitals of uncertain quality. In these cases, the patient is responsible for all additional costs, including repatriation back to the United States.
Accessibility
Individuals with disabilities may find accessibility and accommodation in Russia very different from the United States. While Russian law requires most new public buildings and others with community space (e.g., shopping centers) be accessible for persons with disabilities, many older buildings are not required to meet these requirements. Getting around in Russian cities and towns may be difficult at times since many sidewalks are narrow and uneven. Mobility is usually easier in cities such as Moscow and St. Petersburg, compared to smaller towns and rural areas. In general, public transportation is not accommodating to people with disabilities; this includes the Moscow Metro, which is not accessible to persons with disabilities.

Disease Risk

Degree of Risk
degree of risk: intermediate food or waterborne diseases: bacterial diarrhea vectorborne diseases: Crimean-Congo hemorrhagic fever, tickborne encephalitis
Diseases Note
highly pathogenic H5N1 avian influenza has been identified in this country; it poses a negligible risk with extremely rare cases possible among US citizens who have close contact with birds
Food and Waterborne Diseases
bacterial diarrhea
Vectorborne Diseases
tickborne encephalitis

Water and Sanitation

Drinking Water (Urban)
improved: urban: 99.1% of population rural: 93.1% of population total: 97.6% of population unimproved: urban: 0.9% of population rural: 6.9% of population total: 2.4% of population
Sanitation (Urban)
improved: urban: 95.2% of population rural: 72.3% of population total: 89.4% of population unimproved: urban: 4.8% of population rural: 27.7% of population total: 10.6% of population