Many U.S. citizens working abroad feel their employers are not doing enough to ensure their health and safety, according to a recent survey by CIGNA International Expatriate Benefits, the National Foreign Trade Council, and WorldatWork, a global consulting firm.

Fifty-five percent of those polled say their employers do not keep them up to date about issues such as how to find a doctor or how to evacuate a region in chaos.

Communication between the home office and distant workstations is a problem. Only 20 percent of respondents are happy with their employers efforts at helping them cope with the complexity of global assignments. Fifty-six percent say coordination between overseas and HQ is poor.

Especially in the post-9/11 age, there is anxiety and apprehension about overseas assignments and the adequacy of safety and security precautions. International SOS, a private medical and security airlift company, handles about one evacuation per hour of expatriates and world travelers, according to Virginia Hollis, a CIGNA vice president.

OSHA offers international travelers safety advice in new technical information bulletin "Safety and Health During International Travel" [PDF] available on the agency's Web site.

Country guides and other helpful State Department publications are available at

Recommendations for immunizations published by the Centers for Disease Control and Prevention are available at