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Is Macau safe? Typhoons, hospitals, dengue and the laws to know

Macau is a small, crowded and well-run place, and most trips that go wrong do so in a few predictable ways: a wallet lifted at a casino late at night, a typhoon signal that closes the bridges, a mosquito bite on a humid summer day, a vape in the luggage that should have stayed at home. Crime is low, and two hospitals, one public and one private, run 24-hour emergency services. This guide covers what the UK, German and French governments say about Macau, the numbers to save, hospitals and insurance, vaccines and mosquito-borne disease, water and heat, typhoons, roads and taxis, and the scams and laws that catch visitors out.

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The short answer

Buy travel insurance that covers medical treatment and evacuation before anything else: medical care in Macau is good but extremely expensive, and France warns that a visitor who cannot show proof of cover risks having no access to care, even in a life-threatening emergency. Save 999 for an ambulance and the 24-hour tourism hotline, +853 28 333 000, which answers in English. Two laws carry firm penalties: drugs face zero tolerance and prison sentences of up to about ten years, and bringing e-cigarettes into Macau is prohibited, with a fine of up to the equivalent of 500 euros. None of the UK, German or French governments advises against travel to any part of Macau, and crime levels are low, though pickpocketing and bag snatching happen, especially at the airport and in and around the casinos late at night. There is no malaria, but dengue is spread throughout Macau by mosquitoes that bite by day. Drink the distilled water that hotels and restaurants supply rather than tap water. The typhoon season runs from May to November, worst from July to September.

Gateway with a tiled Chinese roof in front of the Kiang Wu Hospital building in Macau
Kiang Wu Hospital, a private hospital with 24-hour emergency services Photograph: Yumeto · CC BY-SA 4.0
Key point
Start at least eight weeks before you fly: a vaccine check, insurance and saved numbers
Where it applies
No base is needed; the advice applies on the Macau Peninsula, in Taipa and in Coloane alike
Timing
The typhoon season runs from May to November, most seriously in July, August and September, and Germany warns of typhoons from April; the heat is most intense from May to September

Travel advice: what the three governments say

None of the UK, German or French governments advises against travel to Macau or to any part of it. Germany describes the situation as stable and issues no travel warning, and France places the whole Chinese territory, which for its advice includes Macau, at its normal level of vigilance, apart from Xinjiang. The advice covers all of Macau, a Special Administrative Region of China with its own entry and visa rules. Other governments may draw their own lines; check your own country's advice before you book.

Crime levels are low, and although there is no recent history of terrorism in Macau, attacks cannot be ruled out.

Macau does not recognise dual nationality, and the UK warns that British nationals who also hold Chinese nationality may be treated as Chinese citizens.

Prices and times checked 8 November 2026

Emergency numbers and the tourism hotline

Save these before you land:

  • 999: the emergency number; for an ambulance, dial 999 and ask for one, and use the same number after a road accident.
  • 28 333 000 (+853 28 333 000 from abroad): the 24-hour tourism hotline, with an operator or a recorded message in Cantonese, Mandarin, English, Portuguese and Japanese. It is also the 24-hour line of the Macao Tourism Crisis Management Office.
  • +853 8988 9315: the Consumer Council, for shopping disputes.
  • Your own embassy or consulate: save its number before you go, as some countries cover Macau from Hong Kong; Germany, for example, has no mission in Macau, and its Consulate General in Hong Kong is responsible.

Prices and times checked 8 November 2026

Multi-storey building of Hospital Centre S. Januário in Macau behind trees under a blue sky
Hospital Centre S. Januário, the government hospital Photograph: Doraemon.tvb · CC BY-SA 3.0

Hospitals, health centres and insurance

Visitors may go to any hospital or health centre in Macau for treatment or a consultation. Two hospitals run 24-hour emergency services: the government's Hospital Centre S. Januário on Estrada do Visconde de S. Januário (+853 2831 3731) and the private Kiang Wu Hospital on Estrada Coelho do Amaral (+853 2837 1333). In Taipa, the private University Hospital stands in Block H of the Macau University of Science and Technology on Avenida Wai Long (+853 2882 1819); it is not listed as running a 24-hour emergency department, so in an emergency dial 999. For less urgent problems any health centre on the peninsula, in Taipa or in Coloane will see you; the most central is the Tap Seac Health Centre on Avenida Conselheiro Ferreira de Almeida (+853 2852 2232).

Medical care in Macau is good, and specialists and hospitals in Hong Kong are quickly reached, but medical services in both places are extremely expensive. The tourism office's hospital list gives no fees for visitors, so plan on your insurer paying rather than on a set charge, and carry proof of your cover. Take out travel health insurance that includes repatriation for the whole stay, and check before you go that it pays for local treatment and an unexpected medical evacuation, and that it covers your itinerary and planned activities; this is particularly important if you have a health condition or are pregnant. If you are referred to a medical facility for treatment, contact your insurer quickly. Add the premium to the figures in our Macau trip cost guide.

Bring all the medicines you think you might need, over-the-counter ones included, plus extra in case a typhoon or other delay extends the trip. For British travellers, prescriptions issued by UK doctors are not valid in Macau, so anyone who runs out needs to see a local doctor for a new prescription. For pharmacies, the tourism office points visitors to the website of the Pharmaceutical Administration Bureau. The UK Foreign Office keeps a list of medical providers in Macau where some staff speak English.

Prices and times checked 8 November 2026

Blue pharmacy sign with a Chinese character above a street beside the arcaded wall of Tap Seac Square in Macau
A pharmacy beside Tap Seac Square on the Macau Peninsula Photograph: JohnLEE Brothers · CC0

Vaccines, dengue, chikungunya and bites

For a short city visit the list is short. Check your vaccines at least eight weeks before the trip and make sure routine courses, tetanus among them, are up to date, measles protection in particular. The US CDC recommends hepatitis A for unvaccinated travellers aged one year or older and hepatitis B for unvaccinated travellers of all ages. There is no malaria and no yellow fever in Macau, but TravelHealthPro lists a certificate rule, presumed to match mainland China's: proof of yellow fever vaccination for travellers aged nine months or over arriving from a risk country, or after more than 12 hours in transit at an airport in one.

Dengue is the mosquito risk to plan for: the Aedes mosquitoes that spread it throughout Macau bite by day, so protect yourself against bites especially in daytime. Macau also reported eight locally acquired chikungunya cases in 2025 (by 12 October 2025).

Rabid dogs are not commonly found in Macau, but avoid contact with all animals, and after any bite or scratch clean the wound thoroughly and get an urgent medical assessment, even if it looks trivial. For a long stay, special exposure or onward travel into China or South-East Asia, ask your doctor about dengue, Japanese encephalitis, rabies, tuberculosis (BCG) and typhoid vaccines, which are recommended for some travellers. Japanese encephalitis risk is thought to be year-round, highest between May and October, and short trips (usually less than a month), especially to urban areas only, are considered lower risk. Mainland China needs its own entry check; this site does not cover it.

Prices and times checked 8 November 2026

Trees blown down onto a street and parked cars in Macau the day after Typhoon Hato in August 2017
Fallen trees in Macau the day after Typhoon Hato, 2017 Photograph: 源環 · CC0

Tap water, heat and humidity

Macau's water comes directly from mainland China and is purified, with chlorine added, but drink only water from a safe source, never tap water. That is easy to follow: distilled drinking water is supplied in all hotel rooms and in restaurants.

The climate is subtropical, with mild, changeable winters and hot, humid summers. It is rather humid all year, with an average relative humidity of 79%; temperatures climb from April, and the heat is most intense from May to September, which the tourism office also gives as the rainy season. A summer day walking the Historic Centre's streets and squares or the Coloane hiking trails is where the heat matters: heat stroke can be deadly, so eat and drink regularly, wear loose and lightweight clothing, limit physical activity in high temperatures, and on many hours outside eat salty snacks and drink water. If a health problem makes you more vulnerable to air pollution, check local air quality data and adjust your activities when pollution is high. Our guide to the best time to visit Macau compares the months.

Prices and times checked 8 November 2026

Typhoons, ferries and storm surges

The typhoon season runs from May to November, and Germany warns that typhoons hit Macau regularly in the rainy season from April to October; they can cause flooding and landslides; public offices shut when Typhoon Signal No. 8 is issued, and from Signal No. 3 you should stay away from the shore and avoid water activities. Follow the signals and the instructions of local security forces. July, August and September are the most seriously affected months, and the southern Chinese coast, Hong Kong and Macau included, sees about ten typhoons a year on average between May and November.

Signal No. 1 means a tropical cyclone is centred within 800 km of Macau and may affect it. Once Signal No. 8 is up, stay indoors as far as possible and suspend all outdoor and marine activities; the cross-sea bridges can be closed at any time. TurboJET suspends all its Hong Kong–Macau ferry services until further notice when Signal No. 8 is issued, and Cotai Water Jet suspends all sailings at Signal No. 8 or higher and may suspend service for safety reasons at Strong Wind Signal No. 3. With the ferries stopped and the bridges liable to close, leave a spare day before an onward flight in the typhoon months. If a storm surge warning reaches orange, red or black, stay in a safe, high-lying place, keep away from basements and underground car parks, and do not use lifts.

Prices and times checked 8 November 2026

Black licensed Macau taxi with a taxi sign on its roof on a road by Hac Sa Beach in Coloane
A licensed taxi at Hac Sa Beach in Coloane Photograph: LN9267 · CC BY-SA 4.0

Roads, taxis and Uber

Traffic drives on the left, and the roads are often narrow and congested, so look right first when you cross. On foot, use pavements and marked crossings and watch the traffic, especially in crowded areas. After a road accident, call 999. To drive, UK licence holders need a 1949 international driving permit, obtained before travel; other licence holders should check their own government's advice.

Unlicensed taxi services, including Uber, are illegal in Macau, and the police act against both drivers and passengers. Use licensed taxis or public transport; our Macau transport guide covers the buses, the LRT and the taxis.

Prices and times checked 8 November 2026

Dirt path through green shrubs and trees on the Coloane Trail in Macau under a blue sky
The Coloane Trail, one of Macau's hiking paths Photograph: LN9267 · CC BY-SA 4.0

Crime, casinos, scams and the laws that catch visitors out

Pickpocketing and bag snatching happen in and around Macau's casinos, especially late at night; carry only the cash you need for the day and keep your wallet and passport secure. The airport and other tourist places are hotspots too, so keep passports, cards and money close in crowded areas, and take particular care of your belongings when you check out of a hotel. Be sceptical of unusual emails, phone calls, prize notices, offers and requests for help from supposed acquaintances: share no personal data, check the story in person or contact the police. Our first-trip guide to Macau plans the rest of the visit.

When you shop, check the return terms and ask for a valid receipt with the seller's details; for a dispute, call the Consumer Council (number above). If you join a tour, book it through a licensed travel agency: only licensed agencies and tour guides may receive tour groups in Macau, and licensed guides wear a card issued by the Macao Government Tourism Office.

Macau's national security law applies to foreign visitors and to activities inside and outside Macau, and political statements, including on social media, can fall within it and lead to criminal charges. The police can access social media and private communications to gather evidence of national security offences.

Macau applies zero tolerance to drugs: bringing in or possessing any illegal drug, cannabis included, can lead to a long prison sentence. Sentences can run to about ten years, a quarter longer in aggravating circumstances, possibly with a fine. Leave vapes at home: bringing e-cigarettes and related products into Macau is prohibited and fined, and our guide to Macau entry requirements lists exactly which products the ban covers and when it applies. Carrying weapons or weapon-like items, including stun guns and pepper spray, is strictly prohibited in Macau and can lead to prison; do not photograph military installations.

Selling alcohol to anyone under 18 is banned. Alcohol is otherwise on free sale, but drunkenness is punished if it disturbs public order or is indecent.

Prices and times checked 8 November 2026

Practical questions

Is Macau safe for tourists?

Yes, for most visitors. The UK, German and French governments do not advise against travel to Macau or any part of it, and crime levels are low. The everyday risks are pickpockets, typhoons from May to November, dengue mosquitoes and strict drug, vaping and security laws.

What is the emergency number in Macau?

Dial 999 in an emergency; for an ambulance, dial 999 and ask for one. The 24-hour tourism hotline, 28 333 000 (+853 28 333 000 from abroad), answers in English, Cantonese, Mandarin, Portuguese and Japanese.

Can tourists use the hospitals in Macau?

Yes. Visitors may go to any hospital or health centre. Hospital Centre S. Januário (government) and Kiang Wu Hospital (private) run 24-hour emergency services. Treatment is extremely expensive, so travel insured and carry proof of your cover.

Can you drink the tap water in Macau?

Not from the tap. Macau's water is purified and chlorinated, but Germany's advice, the strictest, is never to drink tap water. Distilled drinking water is supplied in all hotel rooms and in restaurants, so use that.

What vaccinations do I need for Macau?

For a short city visit, keep routine vaccines up to date, measles protection in particular; the US CDC recommends hepatitis A and hepatitis B for unvaccinated travellers. Visitors need no health certificate except under special circumstances, but TravelHealthPro advises that travellers aged nine months or over arriving from a yellow fever risk country are presumed to need proof of vaccination, as for mainland China.

Is there dengue or malaria in Macau?

There is no malaria, but dengue is spread throughout Macau by Aedes mosquitoes that bite during the day, and locally acquired chikungunya was reported in 2025. Protect yourself against bites, especially during the day.

What happens in Macau during a typhoon?

Public offices shut when Signal No. 8 is issued, the cross-sea bridges can close at any time, and you should stay indoors and suspend outdoor and marine activities. From Signal No. 3, stay away from the shore and out of the water.

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Sources and checks before you travel

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  • UK Foreign Office (GOV.UK): Macao travel advice ↗ — opens in a new tabUsed for: Still current at 8 November 2026, no advice against travel to any part of Macau; insurance should cover itinerary, planned activities and emergency expenses; Macau does not recognise dual nationality · checked 8 November 2026
  • UK Foreign Office (GOV.UK): Macao safety and security ↗ — opens in a new tabUsed for: Low crime, pickpocketing and street crime; care with passports, cards and money in crowded areas, at hotel checkout and at casinos late at night; no recent terrorism but attacks cannot be ruled out; national security law covers activities inside and outside Macau and police may access social media and private communications; drug possession can lead to imprisonment; no photos of military installations; police act against drivers and passengers of unlicensed taxis including Uber; 1949 international driving permit for UK licence holders; typhoon season normally May to November, flooding and landslides; public offices shut at Typhoon 8 · checked 8 November 2026
  • UK Foreign Office (GOV.UK): Macao health ↗ — opens in a new tabUsed for: Dial 999 for an ambulance; insurance for local treatment and medical evacuation, particularly with a health condition or pregnancy; check vaccines at least 8 weeks before the trip; UK prescriptions not valid; FCDO list of medical providers where some staff speak English; contact your insurer quickly if referred to a medical facility for treatment · checked 8 November 2026
  • UK Foreign Office (GOV.UK): Macao getting help ↗ — opens in a new tabUsed for: Macao Tourism Crisis Management Office 24-hour hotline (853) 2833 3000 · checked 8 November 2026
  • Germany's Federal Foreign Office (Auswärtiges Amt): Macau, Reise- und Sicherheitshinweise ↗ — opens in a new tabUsed for: Unchanged since 10 March 2026, no travel warning, situation stable; follow local security forces; pickpocketing and bag snatching especially at the airport and at casinos; only the day's cash; scepticism towards unusual emails, calls, prize notices, offers and requests from supposed acquaintances, share no data, check in person or contact police; subtropical climate; typhoons regularly, especially April to October; tourist hotline +85328333000; left-hand traffic, narrow congested roads; drug penalties; weapons, stun guns and pepper spray banned; no German mission, Consulate General in Hong Kong responsible; measles; travel vaccines for long stays, special exposure or onward travel; dengue throughout Macau, day-active Aedes; never tap water; good but extremely expensive medical care, Hong Kong hospitals quickly reached; travel health insurance with repatriation · checked 8 November 2026
  • French foreign ministry (France Diplomatie): Macao, dernières minutes ↗ — opens in a new tabUsed for: Worldwide heightened vigilance for French nationals abroad; no Macao-specific alert · checked 8 November 2026
  • French foreign ministry (France Diplomatie): Chine, sécurité (section 3, Macao) ↗ — opens in a new tabUsed for: Whole Chinese territory at normal vigilance except Xinjiang; national security law applies to foreign nationals, including for activities outside Macao, and to political statements on social media; about ten typhoons a year on average between May and November on the southern coast including Hong Kong and Macao · checked 8 November 2026
  • French foreign ministry (France Diplomatie): Chine, informations utiles ↗ — opens in a new tabUsed for: Drug use, possession and trafficking, cannabis included, severely punished in Macao, zero tolerance; sale of alcohol to under-18s banned in Macao · checked 8 November 2026
  • French foreign ministry (France Diplomatie): Chine, entrée et séjour ↗ — opens in a new tabUsed for: Bringing or importing e-cigarettes, e-liquid or any substance imitating traditional cigarettes, herbal cigarettes included, into Macao prohibited; fine up to the equivalent of 500 euros; insurance covering all medical costs required, including for Hong Kong and Macao; costs can be very high; without proof of cover, risk of no access to care even in a life-threatening emergency · checked 8 November 2026
  • Consulate General of France in Hong Kong and Macao: living in Hong Kong and Macao ↗ — opens in a new tabUsed for: Drug offences punished with prison sentences of up to about ten years, increased by a quarter in aggravating circumstances, possibly with fines; from Signal 3 stay away from the coast and avoid water activities; dial 999 after an accident; drunkenness punished if it disturbs public order or is indecent · checked 8 November 2026
  • TurboJET: typhoon arrangement regarding ferry services ↗ — opens in a new tabUsed for: All Hong Kong-Macau ferry services suspended until further notice when Typhoon Signal No. 8 is issued · checked 8 November 2026
  • Cotai Water Jet: latest news and typhoon arrangements ↗ — opens in a new tabUsed for: All sailings suspended at Typhoon Signal No. 8 or higher; service may be suspended for safety reasons at Strong Wind Signal No. 3 · checked 8 November 2026
  • TravelHealthPro (NaTHNaC): China (Macao) ↗ — opens in a new tabUsed for: No malaria; tetanus and routine courses; vaccines for some travellers (dengue, Japanese encephalitis, rabies, BCG, typhoid); locally acquired chikungunya in 2025, eight cases by 12 October 2025; dengue risk, daytime bites; rabies, wound care and urgent assessment even if trivial; no yellow fever but certificate rule for travellers aged 9 months or over; check local air quality data; Japanese encephalitis risk thought to be year-round, highest May to October, short urban trips lower risk · checked 8 November 2026
  • US CDC Travelers' Health: Macau SAR ↗ — opens in a new tabUsed for: Hepatitis A for unvaccinated travellers one year or older; hepatitis B for unvaccinated travellers of all ages; measles vaccination for all international travellers; rabid dogs not commonly found; heat illness: eat and drink regularly, loose lightweight clothing, limit activity, salty snacks and water on long hours outside; bring all medicines plus extra for travel delays; on foot, use pavements and marked crossings and watch traffic in crowded areas; traffic flows on the left in Macau, look right for approaching traffic · checked 8 November 2026
  • Macao Government Tourism Office: emergency numbers ↗ — opens in a new tabUsed for: 999 listed as an emergency number · checked 8 November 2026
  • Macao Government Tourism Office: practical information ↗ — opens in a new tabUsed for: No health certificates except under special circumstances; visitors may use any hospital or health centre; Hospital Centre S. Januário, Kiang Wu Hospital, University Hospital and Macau Yin Kui Hospital with addresses and phone numbers, 24-hour emergency services marked only at the first two; health centres, Tap Seac most central; water supplied from mainland China, purified and chlorinated; distilled drinking water in all hotel rooms and restaurants; humidity 79%; heat most intense May to September; rainy season May to September; typhoon season May to November, July to September most affected; Tap Seac Health Centre +853 2852 2232; pharmacy information on the Pharmaceutical Administration Bureau website; the hospital list gives no fees for visitors · checked 8 November 2026
  • Macao Government Tourism Office: typhoon season ↗ — opens in a new tabUsed for: Signal No. 1 within 800 km; Signal No. 8: stay indoors, suspend outdoor and marine activities, cross-sea bridges closed at any time; storm surge orange to black: high ground, away from basements and underground car parks, no lifts · checked 8 November 2026
  • Macao Government Tourism Office: tourism hotline ↗ — opens in a new tabUsed for: Tourism Hotline 28 333 000 (+853 28 333 000 from overseas), 24 hours, operator or recorded message, in Cantonese, Mandarin, English, Portuguese and Japanese · checked 8 November 2026
  • Macao Government Tourism Office: travel tips ↗ — opens in a new tabUsed for: Consumer Council +853 8988 9315; check return terms and ask for a valid receipt with the seller's information; only licensed travel agencies and tour guides may receive tour groups, guides wear MGTO-issued cards · checked 8 November 2026

Editorial policy →

Reference sources for the version dated 8 November 2026. Confirm opening times, access, transport and conditions for your travel dates.

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