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Visas: No visas are required for travel to American Samoa, however US citizens must have proof of this status and everyone else must have a valid passport. You will also need an onward ticket. Citizens of Independent Samoa require a permit to enter American Samoa.
Health risks: In general, American Samoa is a safe, healthy place to visit, though there are occasional outbreaks of dengue fever filariasis. If you're careful, you should have no trouble with food and water. Pago Pago has clean, pure water. Village water is a bit less reliable; you'd be better off sticking to the bottled stuff. Be wary of dehydration in the heat and ensure food is either recently cooked or washed with purified water.

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