Safety and Health Advice

Bhutan is very safe for travelers (very low crime), but the terrain and altitude pose the main challenges.

• Altitude: Most of Bhutan lies above 2,000 m (6,500 ft). Thimphu is ~2,300 m, and many trekking passes exceed 4,000 m. Altitude sickness can affect anyone. Acclimate gradually: spend a night in Paro or Thimphu upon arrival, stay hydrated, and avoid strenuous exertion on Day 1. If you plan high-altitude treks (Jomolhari, Snowman, etc.), consider taking acetazolamide (Diamox) and ascend slowly.
• Medical Facilities: Medical care is basic outside major towns. The national referral hospital is in Thimphu. In case of serious illness or injury (especially in remote areas), evacuation may be necessary. Travel insurance with medical evacuation coverage is strongly recommended, as helicopter/plane evacuations (often to India) can be very expensive. Carry copies of prescriptions and a small first-aid kit.
• Food & Water Safety: Avoid untreated tap water. Drink bottled or boiled water only. In towns, you can ask your guide or hotels to provide boiled water. Eat fully cooked food; raw vegetables should be peeled or washed carefully. Bhutan has very low pollution, but if visiting Thimphu during winter (burning season) or Phuntsholing in summer, expect some smog.
• Road Safety: Roads are steep and winding. Always use seatbelts in cars. Avoid night driving—many roads are unlit and livestock may wander onto the road. During the monsoon, roads can be blocked by landslides.
• Insects & Sun: Malaria risk is negligible in the highlands, but carry insect repellent against mosquitoes in lower areas (Phuntsholing/Gelephu). High-altitude sun is strong: wear sunglasses and sunscreen (SPF 30+) during outdoor activities.
• Emergency Contacts: Dial 113 for police and 112 for ambulance in Bhutan. Your tour guide/driver will also assist with emergencies. U.S. citizens (and others) can enroll with their embassy and should register travel details.

Summary: With common-sense precautions, Bhutan is very safe. Prevent altitude sickness by acclimatizing; insure against emergencies; drink safe water; and protect against sun and cold.