St. John's Safety Guide
Health, security, and travel safety information
Emergency Numbers
Save these numbers before your trip.
Healthcare
What to know about medical care in St. John's.
Healthcare System
Healthcare in St. John's, USVI, is limited. The island has a small community health center but no full-service hospital. For serious medical emergencies, patients must be transported via ambulance boat or helicopter to neighboring St. Thomas or to the mainland United States.
Hospitals
There is no hospital on St. John. The nearest hospital is Schneider Regional Medical Center on St. Thomas, accessible only by boat (ferry or private medical transport) or air ambulance. Travelers with serious pre-existing conditions should consider this limitation.
Pharmacies
There are a few pharmacies in Cruz Bay. They carry standard over-the-counter medications and can fill prescriptions from U.S. doctors. It is important to bring an adequate supply of all prescription medications for your entire trip.
Insurance
While not legally required for U.S. citizens, complete travel medical insurance with emergency medical evacuation coverage is HIGHLY RECOMMENDED. Medical evacuation from the island is extremely expensive.
Healthcare Tips
- Carry a copy of your prescription and the generic drug names for any medications.
- Ensure your insurance covers medical evacuation (medevac) from a remote island to a mainland U.S. facility.
Common Risks
Be aware of these potential issues.
Theft of unattended bags, phones, and wallets, from vehicles, beaches, and restaurant tables.
Rental Jeeps and cars are targets for smash-and-grab thefts, if any items are visible inside.
Strong currents, sharp coral, sea urchins, and intense UV exposure are significant risks.
Narrow, winding, steep, and often poorly maintained roads. Driving is on the left side, but in left-hand drive vehicles.
Scams to Avoid
Watch out for these common tourist scams.
Individuals at the ferry terminal or popular spots may offer unofficial taxi, tour, or charter services at inflated prices or for non-existent trips.
Some vendors, for activities or in less-regulated markets, may quote one price to tourists and another to locals, or add hidden fees.
Safety Tips
Practical advice to stay safe.
General
- Carry a photocopy of your passport and leave the original in the hotel safe.
- Inform your hotel or a trusted person of your hiking or snorkeling plans and expected return time.
- Use a waterproof case or bag for phones, money, and keys when at the beach.
Transportation
- Use official taxi stands, at the Cruz Bay ferry terminal.
- If renting a vehicle, opt for full insurance coverage given road conditions and theft risk.
- Be extremely cautious when driving; roads are challenging.
Money & Valuables
- Carry only the cash you need for the day.
- Use credit cards at established businesses; notify your bank of travel plans.
- Avoid flashing expensive jewelry, cameras, or electronics.
Information for Specific Travelers
Safety considerations for different traveler groups.
Women Travelers
St. John's is generally safe for women travelers, including those traveling solo. Standard precautions apply. Unwanted attention or catcalling can occasionally occur, but serious harassment is not common.
- Trust your instincts. If a situation feels uncomfortable, remove yourself from it.
- Be cautious accepting drinks from strangers in bars.
- When hiking, consider going with a partner or group, on less-traveled trails.
- Use reputable taxi services at night rather than walking alone in poorly lit areas.
LGBTQ+ Travelers
Same-sex marriage is legal in the U.S. Virgin Islands, and discrimination based on sexual orientation is prohibited in certain contexts (as per U.S. federal law).
- Exercise the same discretion you would in many parts of the mainland U.S. outside major metropolitan areas.
- Research accommodations in advance; some smaller, locally-owned guesthouses may have varying levels of openness.
- Couples may feel more comfortable in upscale resorts and mainstream tourist establishments.
Travel Insurance
CRITICAL due to the limited medical facilities on St. John and the exorbitant cost of medical evacuation to St. Thomas or the mainland.
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