American Samoa - Health
American Samoa Health for Visitors
Medical facilities in American Samoa are basic, and evacuation may be necessary via air ambulance to Hawaii, New Zealand, or Australia.
Lyndon B. Johnson Tropical Medical Center, located in Faga’alu, Maoputasi County, is the only hospital in American Samoa and is considered to be one of the top medical facilities in the Pacific. There are also community health clinic sites. The American Samoa Department of Health (AS DOH) is in charge of other public health needs.
Immediate cash payment for health services is expected.
There is only one pharmacy in American Samoa, so getting medications to the outer islands can be difficult.
There is a hyperbaric (decompression) chamber available at the LBJ Tropical Medical Center (Tel.: +1 684 633 1222) in Fagaalu on the island of Tutuila.
All visitors must ensure to have adequate travel health insurance.
Vaccine-Preventable Diseases:
Make sure your routine vaccinations are up to date.
Hepatitis A and B vaccinations are recommended for unvaccinated travelers.
Typhoid vaccination is highly recommended for travelers visiting smaller cities or rural areas.
Measles cases are increasing globally. It is recommended to be fully vaccinated against measles with the measles-mumps-rubella (MMR) vaccine at least two weeks prior to departure.
Food and Water Concerns:
The safety of drinking water in American Samoa varies based on source and location. To prevent any possible health hazards linked with untreated sources, it is generally advised that visitors use bottled or purified water.
Mosquito-borne Diseases:
Dengue and Zika virus are a risk in American Samoa.
Because of the risks to pregnancy, travelers should consult the CDC Travelers’ Health website for the most current recommendations for Zika.
Prevention:
- Use a repellent containing 20%-30% DEET or 20% Picaridin on exposed skin.
- Re-apply according to the manufacturer’s directions.
- Wear neutral coloured (beige, light grey) long-sleeved clothing.
- Pre-soak or spray the outer layer of clothing and gear with permethrin.
- Ensure that the hatch and window screens work properly.
Other Diseases – Animals:
There is a large population of stray dogs in American Samoa that are allowed to roam freely. According to the CDC, American Samoa is free of dog rabies.
Prescription Drugs:
Ensure to bring essential medications like aspirin, paracetamol, cold capsules, band-aids, sunscreen, vitamins, anti-diarrhea pills, and insect repellant when traveling in the region due to potential shortages.
Some prescription medications are not allowed into the United States. For information and guidance on importing medications into the United States, consult the US Food and Drug Administration website.
Emergency Numbers:
See Emergencies.
Useful links:
Last updated: April 2024
If you have information for this section, or feedback on businesses used, please let us know at editor@noonsite.com. We also welcome new information about businesses you have used (see Related Businesses).
Next Section: Formalities: Local Customs
Related to following destinations: American Samoa
Country Navigation
Courtesy Flag Discounts
YachtFlags.com provides high quality courtesy flags that are manufactured in durable Knitted Polyester fabric. Knitted so that the fabric itself does not deteriorate in the constant movement that marine flags are usually exposed to, and polyester so that the flag does not weaken in the strong UV-light usually found in the main sailing areas of the world.
YachtFlags.com offers a discount to Noonsite members.
Use the coupon code NOONSITE_5A2B when checking out to get 10% off today.
Buy Now On YachtFlags.comMain Ports - American Samoa
Courtesy Flag Discounts
YachtFlags.com provides high quality courtesy flags that are manufactured in durable Knitted Polyester fabric. Knitted so that the fabric itself does not deteriorate in the constant movement that marine flags are usually exposed to, and polyester so that the flag does not weaken in the strong UV-light usually found in the main sailing areas of the world.
YachtFlags.com offers a discount to Noonsite members.
Use the coupon code NOONSITE_5A2B when checking out to get 10% off today.
Buy Now On YachtFlags.comFormalities
Courtesy Flag Discounts
YachtFlags.com provides high quality courtesy flags that are manufactured in durable Knitted Polyester fabric. Knitted so that the fabric itself does not deteriorate in the constant movement that marine flags are usually exposed to, and polyester so that the flag does not weaken in the strong UV-light usually found in the main sailing areas of the world.
YachtFlags.com offers a discount to Noonsite members.
Use the coupon code NOONSITE_5A2B when checking out to get 10% off today.
Buy Now On YachtFlags.com
Just a heads up: we have just been refused clearance in to American Samoa after arriving from Neiafu. Because of the measles emergency in Samoa and other Pacific Islands, no-one will be allowed clearance unless they have documentation showing their measles immunisation status. We were not informed of this when leaving Tonga and we have no proof of immunisation.
We have been directed to return to Tonga.
To clear in Customs now want the boat alongside and they will visit it. Possibly the easiest is to tie alongside on the outside of the marina or go alongside a boat that’s already there. When you go and see the harbourmaster as part of the formalities pop into Customs downstairs and let them know where you are and that you are awaiting clearance.
Immigration will want a crew list and customs will want 3 crew lists. You will have to produce these yourself and the format doesn’t seem to be too important.
We will be late in leaving Hawaii for points south this year and wondering if there is a marina facility in case we need to stay through cyclone season or for a short period of time before continuing on this year should all the cards line up!
Hi Carey, try putting “cyclone” into the Noonsite search and lots of reports and links will come up.
This one will be interesting for you – https://www.noonsite.com/report/pacific-cyclone-season-north-instead-of-south/
With regards to marinas in American Samoa itself, see the Pago Pago port page – https://www.noonsite.com/place/american-samoa/pago-pago/.
Just as an ‘add on’ to the above comment … we had an issue where we had to leave without receiving delivery of a plotter being sent to us by PRIORITY mail.
The long and short of it was that it SHOULD have been sent PRIORITY EXPRESS MAIL whereas our package was sent PRIORITY Mail. Sometimes one will get ‘lucky’ with priority mail if the ship being loaded in Richmond CA is full.
If it is not full, the tracking number will show a delivery date within 2 weeks, but the package will not necessarily arrive in 2 weeks .. it will wait until the ship is fully loaded. PRIORITY EXPRESS goes by air.
Well, this is how they explained it to us anyway … so take care and make 100% sure before your mail is shipped. They refused 1 day later to withdraw the package from their system and we ended up buying a 2nd plotter which arrived in 7 days … by air … and marked … PRIORITY EXPRESS MAIL … cheers for now .. SV IMPI
Contrary to the above about crime in Pago Pago, it is almost non-existent. The crimes that happen are locals only. There was an incident a few years back against a “yachtie”, but it was quickly resolved (the attackers were high and drunk) they received 29 years in jail.
About getting marine supplies, use priority mail and most things arrive with 2 weeks. Defender and West Marine (for example) will ship directly to you. Use the address as follows:
(your name or yacht name)
C/O General Delivery
Pago Pago, AS 96799
The Post Office will hold mail for about a month if you miss your arrival date. Other items (heavier or larger) items can be shipped in, but allow about 2 to 3 months.
We have spent 4 years (by our choice) here and find the people to be very nice and helpful.
Is there any customs duty or any other fees to pay on items shipped in from the States?
Hi Tim, see the Customs section for American Samoa which talks about duties.
https://www.noonsite.com/place/american-samoa/formalities#customs-section
Thanks Bart for reporting your experience with immigration in American Samoa. The rules on our website are from the official AS immigration website. As we know, yacht crews are often treated differently to other visitors, but this is hardly ever stated on official sources.
Contrary to what is written on the official Samoan website, it is not required to obtain a visa in advance for most European passports if you arrive by yacht. Just rock up, and you will be granted a 30 day permit.
However, you will need a visa if you arrive by plane.
I got in by yacht on a Belgian passport with no trouble at all.