1. Burundi
Poor facilities. No ambulance services. Medicines in short supply. Malaria threat.

2. Somalia
Limited medical facilities. Medicine shortages. Few physicians. Malaria and Polio risks.

3. Yemen
Politically unstable. Limited medical facilities. Immediate cash payment required. Serious Tuberculosis threat.

4. Sierra Leone
No ambulance services. Limited trauma care. Malaria, Tetanus, Yellow Fever, Polio, Meningitis, Typhoid, Hepatitis A and B, Rabies and HIV/AIDS threats.

5. Central African Republic
Politically unstable. Limited medical facilities and medicines. Malaria, Dengue Fever, Yellow Fever, Meningitis, Typhoid, Hepatitis A and E and Rabies threats.

6. Afghanistan
Politically unstable. Limited medical facilities and medicines. Malaria, Dengue Fever, Yellow Fever, Meningitis, Typhoid, Hepatitis A and E and Rabies threats.

7. North Korea
Poor facilities. Outdated practices and equipment. Medicine shortages. Tuberculosis threat.

8. Timor Leste
Limited medical facilities and care. Limited trauma care. Malaria, Dengue Fever, Hepatitis A and Typhoid threats.

9. Syria
Politically unstable. Limited medical options outside Damascus.

10. Liberia
Sub-standard hospitals. Blood unsafe. Urban sanitation poor. Malaria, Typhoid, Yellow Fever threats.

11. Burkina Faso
Limited hospital care. Medicine shortages. Malaria, Yellow Fever and Tuberculosis threats.

12. Niger
Limited health services. Poor equipment. Limited medicines. High Malaria risk.

13. Libya
Politically unstable. Limited medical facilities. Lack of trained physicians.

14. Iraq
Politically unstable. Limited medical facilities and medicines. Avian flu, Hepatitis A and Typhoid threats.

15. South Sudan
Politically unstable. Limited medical facilities. Malaria prevalent and Polio re-emerging.

16. Eritrea
Medical facilities and physicians limited. All private clinics closed. Malaria and Dengue Fever are serious risks.

17. Haiti
Medical facilities scarce. Community sanitation poor. Risk of Cholera.

18. Guyana
Medical facilities scarce. Community sanitation poor. Risk of Cholera. Sub-standard hospital care. High prevalence of HIV/AIDS, Malaria, Dengue Fever.

19. Guinea-Bissau
Medical facilities scarce. High prevalence of HIV/AIDS, and Malaria.

20. Guinea
Poorly equipped hospitals. Medicines in short supply. Malaria and Meningitis threats.