Pakistan
Country Specific Information

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August 07, 2008

 COUNTRY DESCRIPTION: Pakistan map  Pakistan is a parliamentary federal republic in South Asia, with a population of nearly 170 million people.  Following successful elections in February 2008, Pakistan has a coalition government led by Prime Minister Yousef Gilani.  Pakistan is a developing country, with tourist facilities available in major cities but limited in outlying areas.  The infrastructure of areas of Kashmir and the Northwest Frontier Province was devastated as a result of the October 8, 2005 earthquake and is not yet recovered.  Read the Department of State Background Notes on Pakistan for additional information.

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ENTRY/EXIT REQUIREMENTS:  All U.S. citizens traveling to Pakistan for any purpose are required to have valid U.S. passports and Pakistani-issued visas.  Further information on entry requirements can be obtained from the Embassy of Pakistan at:

3517 International Court Avenue NW, Washington, DC 20008; telephone: 202-243-6500; e-mail: info@pakistan-embassy.org; web site: http://www.pakistan-embassy.org/

Travelers may also contact one of the Consulates General of Pakistan in:

Boston: 20 Chestnut Street, Needham, MA 02492; telephone: (781) 455-8000; fax: (617) 266-6666; email: pakistan@tiac.net

Chicago: 333 North Michigan Ave., Suite 728, Chicago, IL, 60601; telephone: (312) 781-1831; fax: (312) 781-1839; email: parepchicago@yahoo.com

Houston: 11850 Jones Road, Houston, TX, 77070; telephone: (281) 890-2223; fax: (281) 890-1433; email: parephouston@sbcglobal.net

Los Angeles: 10850 Wilshire Blvd., Suite 1100, Los Angeles, CA 90024; telephone: (310) 441-5114; fax: (310) 441-9256; email: info@pakconsulatela.org

New York: 12 East 65th St., New York, NY 10021; telephone: (212) 879-5800; fax: (212) 517-6987; website: www.pakistanconsulateny.org

If a traveler plans to stay longer than the time listed on the visa, he or she must extend the stay with the local passport office of the Ministry of Interior.  Visit the Embassy of Pakistan web site at http://www.pakistan-embassy.org/ for the most current visa information.

Information about dual nationality or the prevention of international child abduction can be found on our web site.  For further information about customs regulations, please read our Customs Information sheet.

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SAFETY AND SECURITY:   A number of extremist groups within Pakistan continue to target American and other Western interests and high-level Pakistani government officials.  Terrorists and their sympathizers have demonstrated willingness and capability to attack targets where Americans are known to congregate or visit.  Terrorist actions may include, but are not limited to, suicide operations, bombing -- including vehicle-borne explosives and improvised explosive devices -- assassinations, carjacking, assault or kidnapping.

In March 2008, a restaurant frequented by westerners in Islamabad was bombed, killing one patron and seriously injuring several others, including four American embassy personnel.  On March 2, 2006, an American diplomat, his locally employed driver, and three others were killed when a suicide bomber detonated a car packed with explosives in front of the U.S. Consulate General in Karachi.  Fifty-two others were wounded in the attack. 

Sectarian and extremist violence has resulted in fatal bomb attacks in Islamabad, Rawalpindi, Karachi, Peshawar, Quetta, Lahore, and other Pakistani cities since 2006.  Since 2007, over 1,000 bombings have killed more than 1,000 people throughout Pakistan and injured many more.  Rallies, demonstrations, and processions occur from time to time throughout Pakistan on very short notice and have often taken on an anti-American or anti-Western character.  Because of the possibility of violence, Americans are urged to avoid all public places of worship and areas where Westerners are known to congregate.

During the Islamic (Shi’a) religious observance of Moharram, rivalries and hostilities often increase. 

In 2007 and 2008, several American citizens throughout Pakistan were kidnapped for ransom or for personal reasons.  Kidnappings for ransom are common in Pakistan.

It is best to avoid public transportation.  For security reasons, U.S. Mission personnel are prohibited from using taxis or buses.  (See the Traffic Safety and Road Conditions section below.)

Women are advised to dress conservatively, with arms and legs covered, and avoid walking around alone.  It is unwise for anyone to travel on the streets late at night.  Visitors to Pakistan should attempt to maintain a low profile, blend in, be aware of their surroundings, and seek security with their family or sponsoring organization.

Northern Areas – While we continue to discourage non-essential travel to Pakistan, we advise Americans wishing to trek in Gilgit, Hunza or Chitral to use only licensed guides and tourist agencies.  While overall crime is low, there have been occasional assaults on foreign visitors.

Northwest Frontier Province - The Federally Administered Tribal Areas (FATA) along the Afghan border, and certain areas within the Northwest Frontier Province (NWFP), are designated as tribal areas and are not subject to normal government jurisdiction.  The Government of Pakistan requires all citizens of countries other than Pakistan and Afghanistan to obtain permission from the Home and Tribal Affairs Department prior to visiting these locations.  The permit may stipulate that an armed escort must accompany the visitor.  Even in the settled areas of the NWFP there is occasional ethnic, sectarian, and political violence.  There have been dozens of bombings in Peshawar of varying sophistication since September 2006.  Members of the Taliban and Al-Qaida are known to be in the FATA, and may also be in the settled areas. 

Kashmir - While direct military hostilities between India and Pakistan across the Line of Control (LOC) are infrequent, militant groups engaged in a long-running insurgency on the Indian side of the LOC are reported to have bases and supporters operating from the Pakistani side.  Most of these groups are anti-American, and some have attacked Americans and other Westerners.  The Government of Pakistan restricts access to many parts of this region and requires that visitors obtain a permit from the Ministry of Interior before traveling. 

Punjab Province - Violence has increased in Punjab Province.  Since September 2007, several suicide operations have taken place, including attacks in Rawalpindi and Lahore. As a precaution against these possible dangers, U.S. citizens are cautioned to avoid public transportation and crowded areas.  The Wagah border crossing into India near Lahore remains open daily (from 9:30 a.m. to 3:30 p.m.) for travel to and from India if the passport holder has a valid visa for both countries.  Visitors are advised to confirm the current status of the border crossing prior to commencing travel.

Sindh Province - In Karachi and Hyderabad, there has been recurring violence characterized by bombings, violent demonstrations and shootings.  An October 2007 suicide attack on former Prime Minister Benazir Bhutto killed more than 130 and injured approximately 375 people in Karachi.  In the aftermath of her December 2007 death, rioting in Karachi led to multiple deaths and injuries, as well as widespread property damage.  In May 2008, clashing groups of lawyers burned buildings and vehicles in several areas of the city, resulting in at least 11 fatalities.  Americans and other westerners continue to be a particular target of hostility and occasional anti-Western mob violence.  The Consulate General in particular has been the target of several major terrorist attacks or plots in recent years, including the deadly March 2006 suicide attack described above.  Non-essential travel to these cities is strongly discouraged. In rural Sindh Province, the security situation is hazardous, especially for those engaged in overland travel.  The Government of Pakistan recommends that travelers limit their movements in Sindh Province. 

Balochistan Province - The Province of Balochistan, which borders both Iran and Afghanistan, is notorious for narcotics and other forms of cross-border smuggling.  Members of the Taliban and Al-Qaida are also believed to be present there.  Tribal unrest sometimes turns violent.  Because provincial police presence is limited, travelers wishing to visit the interior of Balochistan should consult with the province’s Home Secretary.  Advance permission from provincial authorities is required for travel into many areas.  Local authorities have detained travelers who lacked proper permission.  Quetta, the provincial capital, has experienced an increase in bombings, occasional gun battles in the streets, and the imposition of curfews.   Terrorist attacks against Pakistani government installations and infrastructure have been reported throughout 2005 and 2006.

For the latest security information, Americans traveling abroad should regularly monitor the Department of State, Bureau of Consular Affairs’ web site at http://travel.state.gov, where the current Travel Warnings, including the Travel Warning for Pakistan, Travel Alerts, as well as the Worldwide Caution, can be found.

Up-to-date information on safety and security can also be obtained by calling 1-888-407-4747 toll free in the U.S. and Canada, or for callers outside the U.S. and Canada, a regular toll-line at 1-202-501-4444.  These numbers are available from 8:00 a.m. to 8:00 p.m. Eastern Time, Monday through Friday (except U.S. federal holidays).

The Department of State urges American citizens to take responsibility for their own personal security while traveling overseas.  For general information about appropriate measures travelers can take to protect themselves in an overseas environment, see the Department of State’s pamphlet A Safe Trip Abroad.

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CRIME:  Crime is a serious concern for foreigners throughout Pakistan.  Carjacking, armed robberies, house invasions, and other violent crimes occur in many major urban areas.  Petty crime, especially theft of personal property, is common.  American travelers to Pakistan are strongly advised to avoid traveling by taxi and other forms of public transportation, and have members of their host organizations or families meet them at the airport.

In many countries around the world, counterfeit and pirated goods are widely available.  Transactions involving such products may be illegal under local law.  In addition, bringing them back to the United States may result in forfeitures and/or fines.  More information on this serious problem is available at http://www.cybercrime.gov/18usc2320.htm.

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INFORMATION FOR VICTIMS OF CRIME:  The loss or theft abroad of a U.S. passport should be reported immediately to the local police and the nearest U.S. Embassy or Consulate.  If you are the victim of a crime while overseas, in addition to reporting to local police, please contact the nearest U.S. Embassy or Consulate for assistance.  The Embassy/Consulate staff can, for example, assist you to find appropriate medical care, contact family members or friends and explain how funds could be transferred.  Although the investigation and prosecution of the crime is solely the responsibility of local authorities, consular officers can help you to understand the local criminal justice process and to find an attorney if needed. 

The local equivalent to the “911” emergency line in Pakistan is 15.

See our information on Victims of Crime.

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MEDICAL FACILITIES AND HEALTH INFORMATION:  Adequate basic non-emergency medical care is available in major Pakistani cities, but is limited in rural areas.  Facilities in the cities vary in level and range of services, resources, and cleanliness, and Americans may find them below U.S. standards; facilities in rural areas are consistently below U.S. standards.  Medical facilities require prepayment and do not accept credit cards.

Water is not potable anywhere in Pakistan and sanitation in many restaurants is inadequate.  Stomach illnesses are common. 

Effective emergency response to personal injury and illness is virtually non-existent in Pakistan.  Ambulances are few and are not necessarily staffed by medical personnel.  Any emergency case should be transported immediately to a recommended emergency receiving room.  Many American-brand medications are not widely available, but generic brands from well-known pharmaceuticals usually are.  The quality of the locally-produced medications is uneven.

The U.S. Department of State is unaware of any HIV/AIDS entry restrictions for visitors to or foreign residents of Pakistan.

Information on vaccinations and other health precautions, such as safe food and water precautions and insect bite protection, may be obtained from the Centers for Disease Control and Prevention’s hotline for international travelers at 1-877-FYI-TRIP (1-877-394-8747) or via the CDC’s web site at http://wwwn.cdc.gov/travel/default.aspx.  For information about outbreaks of infectious diseases abroad consult the World Health Organization’s (WHO) web site at http://www.who.int/en.  Further health information for travelers is available at http://www.who.int/ith/en.

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MEDICAL INSURANCE:  The Department of State strongly urges Americans to consult with their medical insurance company prior to traveling abroad to confirm whether their policy applies overseas and whether it will cover emergency expenses such as a medical evacuation.  As noted above, emergency medical care in Pakistan is very limited.  Medical evacuations from Pakistan may cost in excess of $45,000 for uninsured travelers requiring emergency assistance.  Please see our information on medical insurance overseas.

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TRAFFIC SAFETY AND ROAD CONDITIONS:  While in a foreign country, U.S. citizens may encounter road conditions that differ significantly from those in the United States.  The information below concerning Pakistan is provided for general reference only, and may not be totally accurate in a particular location or circumstance.

Traffic in Pakistan moves on the left, opposite of U.S. traffic.  In addition to this source of potential confusion, travel by road in Pakistan has a variety of other risks.  Roads are crowded, drivers are often aggressive and poorly trained, and many vehicles, particularly large trucks and buses, are badly maintained.  Donkeys, cattle, horse carts, and even the occasional camel can pose roadside hazards in some areas.  Roads, including most major highways, also suffer from poor maintenance and often have numerous potholes, sharp drop-offs and barriers that are not sign-posted.  Drivers should exercise extreme caution when traveling at night by road, as many vehicles do not have proper illumination or dimmers nor are most roads properly illuminated or signed.  Driving without experienced local drivers or guides is not recommended.

It is best to avoid public transportation.  For security reasons, U.S. Mission personnel are prohibited from using taxis or buses.  (See Safety and Security section above.)

Please refer to our Road Safety page for more information.  Visit the website of Pakistan’s national tourist office at http://www.tourism.gov.pk/ and the national authority responsible for road safety at http://www.nha.gov.pk/.

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AVIATION SAFETY OVERSIGHT:  The U.S. Federal Aviation Administration (FAA) has assessed the Government of Pakistan’s Civil Aviation Authority as being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for oversight of Pakistan’s air carrier operations.  For more information, travelers may visit the FAA’s web site at http://www.faa.gov/safety/programs_initiatives/oversight/iasa.

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SPECIAL CIRCUMSTANCES:   Pakistan is largely a cash economy.  Personal checks are not commonly accepted.  Most Pakistanis do not use checking accounts for routine transactions.  Outside major cities, even credit cards and travelers’ checks are generally not accepted, and there have been numerous reports of credit card fraud.  There are bank branches as well as registered moneychangers in all international airports.  ATMs can also be found in major airports.  English is widely spoken by professional-level airport staff.

Please see our Customs Information.

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CRIMINAL PENALTIES:  While in a foreign country, a U.S. citizen is subject to that country’s laws and regulations, which sometimes differ significantly from those in the United States and may not afford the protections available to the individual under U.S. law.  Penalties for breaking the law can be more severe than in the United States for similar offenses.  Persons violating Pakistani laws, even unknowingly, may be expelled, arrested or imprisoned.  Penalties for possession, use, or trafficking in illegal drugs in Pakistan are severe, and convicted offenders can expect long jail sentences and heavy fines.  Engaging in sexual conduct with children or using or disseminating child pornography in a foreign country is a crime, prosecutable in the United States. 

Please see our information on Criminal Penalties.

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CHILDREN'S ISSUES:  For information see our Office of Children’s Issues web pages on intercountry adoption and international parental child abduction.

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REGISTRATION / EMBASSY LOCATION:   Americans living or traveling in Pakistan are encouraged to register with the nearest U.S. Embassy or Consulate through the State Department’s travel registration web site so that they can obtain updated information on travel and security within Pakistan.  Americans without Internet access may register directly with the nearest U.S. Embassy or Consulate.  By registering, American citizens make it easier for the Embassy or Consulate to contact them in case of emergency.

The U.S. Embassy in Islamabad is located at Diplomatic Enclave, Ramna 5; telephone: (92-51) 208-0000; Consular Section telephone: (92-51) 208-2700; fax: (92-51) 282-2632; web site: http://islamabad.usembassy.gov/

The U.S. Consulate General in Karachi, located at 8 Abdullah Haroon Road, closed its public operations indefinitely due to security concerns.  U.S. citizens requiring emergency assistance should call the Consular Section in Karachi; telephone: (92-21) 520-4200; fax: (92-21) 568-0496; website: http://karachi.usconsulate.gov/

The U.S. Consulate in Lahore is located on 50 Sharah-E-Abdul Hamid Bin Badees (Old Empress Road), near Shimla Hill Rotary; telephone: (92-42) 603-4000; fax: (92-42) 603-4200; website: http://lahore.usconsulate.gov/; email: amconsul@brain.net.pk

The U.S. Consulate in Peshawar is located at 11 Hospital Road, Cantonment, Peshawar; telephone: (92-91) 526-8800; fax: (92-91) 528-4171; web site: http://peshawar.usconsulate.gov/

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This replaces the Country Specific Information dated September 27, 2007 to update the sections on Country Description, Safety and Security, Medical Facilities and Health Information, Medical Insurance, Special Circumstances, and Traffic Safety and Road Conditions.

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