Federal health officials warned U.S. travelers to avoid nearly every Caribbean island, moving Jamaica, the Dominican Republic, St. Barts, St. Martin and Guadeloupe to its level 4 travel advisory level because of “very high” levels of COVID-19.
The islands join other Caribbean destinations, including the Bahamas and Aruba, on the Centers for Disease Control and Prevention’s highest COVID-19 risk level. Fiji, Colombia, Costa Rica, Kuwait, Mongolia, Niger, Peru, Romania, Tunisia and the United Arab Emirates were placed on level 4 Monday. 
“Avoid travel to these destinations,” the CDC says on its website. “If you must travel to these destinations, make sure you are fully vaccinated before travel.”
There are 116 countries on the CDC’s level 4 travel advisory level. Larger countries are moved to level 4 when they report more than 500 cases of new COVID-19 cases per 100,000 people over the past 28 days.  
Other changes to the CDC’s travel health notice list this week include:
► CDC travel health notice:The CDC warns US travelers to avoid more than 100 countries. Do people care?
Follow USA TODAY reporter Bailey Schulz on Twitter: @bailey_schulz


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