Palau Safety Guide
Health, security, and travel safety information
Emergency Numbers
Save these numbers before your trip.
Healthcare
What to know about medical care in Palau.
Healthcare System
Palau has one public hospital, Belau National Hospital in Koror, plus two small private clinics. Serious trauma, heart attack, or decompression illness usually requires airlift to Guam (3.5 h flight).
Hospitals
Belau National Hospital, Koror (680-255-2211) – 24 h ER, dialysis, lab. Palau National Dispensing Pharmacy next door for prescriptions.
Pharmacies
Three pharmacies in Koror stock common antibiotics, sunscreen, and reef-safe lotions; bring spare prescription meds as brands are limited.
Insurance
Not legally required, but strongly recommended; many operators won’t accept divers without dive-insurance that covers evacuation.
Healthcare Tips
- Bring twice the supply of prescription drugs you need plus a doctor’s letter.
- Download the DAN (Divers Alert Network) app before boarding live-aboard boats.
Common Risks
Be aware of these potential issues.
Sea urchin spines, fire-coral rash, and stone-fish stings are common while snorkeling Palau beaches.
Equatorial sun is intense year-round; sunburn can occur in under 20 min.
Opportunistic theft from unattended bags at public docks or rental cars.
Scams to Avoid
Watch out for these common tourist scams.
Flyers placed at Palau hotels advertise cheap Rock Islands trips, but the phone number connects to a private phone; tourists pay cash and the boat never arrives.
Rental agency claims you scratched the hull and demands on-the-spot payment; scratches were pre-existing but undocumented.
Safety Tips
Practical advice to stay safe.
Ocean Activities
- Always dive within no-decompression limits; Palau’s best time to visit for calm seas is December–April.
- Signal boat immediately if you surface away from group; bright-orange safety sausage is legally required equipment.
Food & Water
- Tap water in Koror is chlorinated, but travelers with sensitive stomachs should use bottled water on day-trips to outer islands.
- Try Palau food like fruit bat soup only at reputable Palau restaurants; ensure meat is thoroughly cooked.
Information for Specific Travelers
Safety considerations for different traveler groups.
Women Travelers
Palau is safe for solo women; harassment is rare and locals are protective. Basic vigilance at bars and on boats is still advised.
- Sit near other tourists or families on public boats; Palauans will happily make room.
- Modest beach cover-up when walking through villages shows respect and avoids unwanted attention.
LGBTQ+ Travelers
Same-sex relations legal; no anti-discrimination statute but no enforcement of colonial-era sodomy law.
- Choose larger live-aboard or dive resorts where international staff build inclusive atmosphere.
- Note that some traditional matrilineal customs emphasize family roles; questions about marital status are curiosity, not hostility.
Travel Insurance
Medical evacuation to Guam can cost USD 30,000+; dive injuries may require hyperbaric treatment not covered by basic policies.
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