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El Salvador flagTravel & safetyEl Salvador

Safety, crime, medical care, and travel conditions for visitors and newcomers.

Profile updated 2026-06-02

Travel & safety at a glance

Safety, crime, medical care, and travel conditions for visitors and newcomers. Key figure for El Salvador: El Salvador is a democratic country with a developing economy. Tourism facilities are not fully developed. The capital is San Salvador, accessible by El Salvador's International Airport at Comalapa. The U.S. dollar has been the primary currency in El Salvador since 2001, and the economy is f…

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Before you travel

Country Description

El Salvador is a democratic country with a developing economy. Tourism facilities are not fully developed. The capital is San Salvador, accessible by El Salvador's International Airport at Comalapa. The U.S. dollar has been the primary currency in El Salvador since 2001, and the economy is fully dollarized. U.S. citizens traveling with U.S. dollars should not exchange them for colones.

Safety & Security

Most travelers to El Salvador experience no safety or security problems, but the criminal threat in El Salvador is critical and a Travel Warning for El Salvador was issued on August 9, 2013. Random and organized violent crime is endemic throughout El Salvador. U.S. citizens are not normally singled out based on their nationality, but are subject to the same threats as all other persons in El Salvador. See the section below on crime for additional related information. Political or economic issues in the country may give rise to demonstrations, sit-ins, or protests at any time or place, but these activities occur most frequently in the capital or on its main access roads. U.S. citizens are cautioned to avoid areas where demonstrations are being held and to follow local news media reports or contact the U.S. Embassy for up-to-date information. Strong undertows and currents can make swimming at El Salvador's Pacific Coast beaches extremely dangerous for even strong and experienced swimmers. Since 2008, twelve U.S. citizens have drowned while swimming in Salvadoran waters. Lifeguards are not present at beaches and lakes and access to medical resources in these areas is limited.

Crime & law

Crime

The Department of State considers El Salvador a critical crime threat country which means that conditions exist such that a continuous serious threat for crime, forced entries, and assaults on residents are common. In 2011, El Salvador had the second highest murder rate in the world, at 71 per 100,000 people (by comparison, the murder rate in Massachusetts, with a similar geographical area and population, was 2.6 per 100,000). In 2012, a truce between El Salvador’s two principal street gangs may have contributed to a decline in the homicide rate. According to Salvadoran police statistics, the number of murders for 2012 decreased by 41% from 2011. However, the sustainability of the decline is unclear. In addition, the number of reported robberies, assaults, rapes, and missing persons showed significant increases in 2012, and most of these crimes go unsolved. U.S. citizens do not appear to be targeted based on their nationality. However, 26 U.S. citizens have been murdered in El Salvador since January 2010. During the same time period, 274 U.S. citizens reported having their passports stolen. Armed robberies of climbers and hikers in El Salvador’s national parks is common, and the Embassy strongly recommends engaging the services of a local guide certified by the national or local tourist authority when hiking in back country areas, even within the national parks. In 2000, the National Civilian Police (PNC) established a special tourist police force (POLITUR) to provide security and assistance to tourists, as well as protection for the cultural heritage of El Salvador. It has officers located in 19 tourist destinations. A majority of serious crimes in El Salvador are never solved; only 6 of the 26 murders of U.S. citizens since January 2010 have resulted in convictions. El Salvador’s current conviction rate for all crimes is five percent. The Government of El Salvador lacks sufficient resources to properly investigate and prosecute cases and to deter violent crime. While several of the PNC’s investigative units have shown great promise, routine street level patrol techniques, anti-gang, and crime suppression efforts are limited. Equipment shortages (particularly radios, vehicles, and fuel) further limit their ability to deter or respond to crimes effectively. Transnational criminal organizations conduct narcotics, arms trafficking, and other unlawful activities throughout the country and use violence to control drug trafficking routes and carry out other criminal activity. Other criminals, acting both individually and in gangs, commit crimes such as murder-for-hire, carjacking, extortion, armed robbery, rape, and other aggravated assaults. According to Salvadoran government figures, out of a population of roughly six million people, there are some 40,000 known gang members from several gangs including the Mara Salvatrucha (MS-13) and Eighteenth Street (M18) gangs. Gang members are quick to engage in violence if confronted. Extortion is a particularly serious and common crime in El Salvador. Many extortion attempts are no more than random cold calls that originate from imprisoned gang members using cellular telephones, and the subsequent threats against the victim are made through social engineering and/or through information obtained about the victim’s family. U.S. citizens who are visiting El Salvador for extended periods may be at higher risk for extortion demands. While reported rates of extortion have dropped in the last two years, recent reports show that there is an increase in the level of violence associated with extortion cases, including media reports of extortion victims and witnesses being killed. Many extortion cases are not reported for fear of reprisal and lack of faith in the ability of the government to protect the victims. Criminals have ready access to firearms and shootouts are not uncommon. Foreigners, however, may not carry guns even for their own protection without first obtaining firearms licenses from th

Criminal Penalties

While you are traveling in El Salvador, you are subject to its laws even if you are a U.S. citizen. Foreign laws and legal systems can be vastly different than our own. In some places, you may be taken in for questioning for not having your passport with you. In other places, driving under the influence could land you immediately in jail. These criminal penalties will vary from country to country. There are also some things that might be legal in the country you visit, but are still illegal in the United States, and you can be prosecuted under U.S. law. For example, buying pirated goods, engaging in sexual conduct with children, or using or disseminating child pornography in a foreign country is a crime prosecutable in the United States. If you break local laws in El Salvador, your U.S. passport won’t help you avoid arrest or prosecution. It’s very important to know what’s legal and what’s not where you are going. Penalties for breaking the law can be more severe than in the United States for similar offenses. Persons violating El Salvador’s laws, even unknowingly, may be expelled, arrested, or imprisoned. Penalties for possession, use, or trafficking in illegal drugs in El Salvador are severe, and convicted offenders can expect long jail sentences and heavy fines. Prison and detention center conditions are harsh and dangerous. Overcrowding constitutes a serious threat to prisoners’ health and lives. In many facilities, provisions for sanitation, potable water, ventilation, temperature control, and lighting are inadequate or nonexistent. While some countries automatically notify the nearest U.S.

Health & roads

Medical Facilities

There are few private and no public hospitals with an environment that would be acceptable to visiting U.S. citizens. The Embassy recommends that these hospitals be used only for emergency care to stabilize a condition prior to returning to the United States for definitive evaluation and treatment. Private hospitals and physicians expect up-front payment (cash or, for hospitals, credit card) for all bills as there are no hospitals or medical offices who will bill U.S. insurance companies. Priority Ambulance (011-503-2264-7911) is the only private ambulance service with a fleet of vehicles in San Salvador that has trained personnel and medical equipment to manage emergencies. The response time is often less than ideal because of the heavy traffic in San Salvador. Therefore, whenever possible, people should transport themselves directly to the hospital by private vehicle. Pharmacies are plentiful, but not all medicines found in the United States are available in El Salvador. Medicines often have a different brand name and are frequently more expensive than in the United States. We recommend that U.S. citizens traveling to El Salvador carry an adequate supply of any medication they require in its original container, which should be clearly labeled. A copy of the prescription from your doctor will be helpful in the event that it is requested by immigration or customs authorities. No specific vaccinations are required for entry into El Salvador from the United States. Travelers coming from countries where yellow fever is endemic must have had a yellow fever vaccination in order to enter the country. For more information, visit El Salvador’s Immigration web site. You can find detailed information on vaccinations and other health precautions on the Centers for Disease Control (CDC) website. For information about outbreaks of infectious diseases abroad, consult the World Health Organization (WHO) website, which contains additional health information for travelers, including detailed country-specific health information. Tuberculosis is an increasingly serious health concern in El Salvador. For further information, please consult the CDC’s information on Tuberculosis. Tap water is not safe to drink in El Salvador, and the Embassy advises official visitors and personnel to use either bottled water or to disinfect tap water using the guidelines suggested at the CDC website.

Traffic Safety

While in El Salvador, you may encounter road conditions that differ significantly from those in the United States. The information below concerning El Salvador is provided for general reference only, and may not be totally accurate in a particular location or circumstance. Major highways and thoroughfares are among the best in Central America, but road conditions throughout El Salvador are not up to U.S. standards. Even within the city of San Salvador, it is not uncommon to see missing manhole covers and large objects in the roadway marking the danger. Road travel at night is particularly dangerous outside the capital as there are few road lights and many vehicles lack adequate safety lighting or reflectors. The

More about El Salvador

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