Travel & safety — Italy

Italy is a developed democracy with a modern economy. The Holy See is a sovereign entity that serves as the ecclesiastical, governmental, and administrative capital of the Roman Catholic Church, physically located within the State of the Vatican City inside Rome, with a unique, non-traditional economy. San Marino is a developed, constitutional democratic republic, also independent of Italy, with a modern economy. Tourist facilities are widely available.

Several major earthquake fault lines cross Italy. Principal Italian cities, with the exception of Naples, do not lie near these faults; however, smaller tourist towns, such as Assisi, do lie near faults and have experienced earthquakes. An earthquake severely damaged the town of L’Aquila in 2009. General information about disaster preparedness is available online from the U.S. Federal Emergency Management Agency (FEMA). Detailed information on Italy's fault lines is available from the U.S. Geological Survey (USGS). Italy also has several active volcanoes generating geothermal events. Mt. Etna, on the eastern tip of the island of Sicily, has been intermittently erupting since 2000. Mt. Vesuvius, located near Naples, is currently capped and not active. Activity at Mt. Vesuvius is monitored by an active seismic network and sensor system, and no recent seismic activity has been recorded. Two of Italy's smaller islands, Stromboli and Vulcano, in the Aeolian Islands north of Sicily, also have active volcanoes with lava flows. Detailed information on volcano activity in Italy is available from the USGS. Politically motivated violence in Italy is most often connected to Italian internal developments or social issues. Italian authorities and foreign diplomatic facilities have found bombs outside public buildings, received bomb threats, and have been subjects of letter bombs in the past several years. Organized crime and anarchist movements sometimes use firebombs or Molotov cocktails against buildings or offices. These attacks generally occur at night, and although they have not targeted or injured U.S. citizens, you should remain aware of your surroundings and report any suspicious activity to local authorities. Demonstrations may have an anti-U.S. character, especially in areas hosting U.S. military bases. Even demonstrations intended to be peaceful have the potential to turn confrontational and possibly escalate into violence. You should take common-sense precautions and follow news reports carefully. Stay up to date by reading the Embassy’s Demonstration Notices. Italian authorities have made several high-profile arrests involving members or affiliates of transnational terror groups. Like other countries in the Schengen area, Italy’s open borders with its Western European neighbors allow for the possibility of terrorist groups entering/exiting the country with anonymity.

While you are traveling in Italy, 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, and criminal penalties vary from country to country. There are also some things that might be legal in Italy, but still illegal in the United States; For instance, you can be prosecuted under U.S. law if you buy 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. Arrest notifications in the host country: You should try to remain aware of local laws and their implications. If you break local laws in Italy, your U.S. passport will not help you avoid arrest or prosecution. If you are arrested in Italy, Italian authorities are required to notify the nearest U.S. embassy or consulate of your arrest. To ensure that the United States is aware of your circumstances, request that the police and prison officials notify the nearest U.S. embassy or consulate as soon as you are arrested or detained overseas. Languages Italian (official), German (parts of Trentino-Alto Adige region are predominantly German-speaking), French (small French-speaking minority in Valle d'Aosta region), Slovene (Slovene-speaking minority in the Trieste-Gorizia area), Croatian (in Molise)

Medical facilities are available but may be limited outside urban areas. Public hospitals, though generally free of charge for emergency services, sometimes do not maintain the same standards as hospitals in the United States, so you are encouraged to obtain insurance that would cover a stay in a private Italian hospital or clinic. It is almost impossible to obtain an itemized hospital bill from public hospitals, as required by many U.S. insurance companies because the Italian National Health Service charges one inclusive rate for care services and room and board. In parts of southern Italy, the lack of adequate trash disposal and incineration sites has led to periodic accumulations of garbage in urban and rural areas. In some cases, residents have burned garbage, resulting in toxic emissions that can aggravate respiratory problems. The U.S. Navy initiated a public health evaluation in the Naples area in 2008. After finding levels of bacterial and chemical contamination of potential health concern, particularly in samples of area well water, the Navy recommended all personnel living off-base in the Naples area use only bottled water for drinking, cooking, ice-making, and brushing teeth.