The Bahamas and Sint Maarten are the latest destinations on the list of riskiest places to travel during the pandemic, according to updated guidance from the Centers for Disease Control and Prevention.

The CDC added six places to the “Level 4” category of COVID-19 travel notices, including Haiti, Kosovo, Lebanon and Morocco in addition to the Bahamas and Sint Maarten. The latter is a country on the southern part of a Caribbean island shared with Saint Martin, which was already designated as Level 4.

The CDC advises Americans avoid travel altogether to destinations in the Level 4 category, which applies to places that have had more than 500 new COVID-19 cases per 100,000 residents in the past 28 days. The U.S. has had 314 new infections per 100,000 people in just the past seven days.

The destinations join a list of 80 places to which the CDC says to avoid travel, including France, Brazil, Greece, Ireland, the Netherlands and the United Kingdom.

The CDC also added nine destinations to the Level 3 category, including Albania, Bosnia and Herzegovina, Brunei, Bulgaria, Greenland, Guernsey, Lichtenstein, Paraguay and Serbia.

For Level 3 destinations, which have had 100 to 500 new cases of COVID-19 per 100,000 residents in the past 28 days, the CDC advises that travelers are fully vaccinated before travel, and that unvaccinated travelers should avoid nonessential travel to that destination.

The CDC also updated its COVID-19 cruise ship travel notice, which is in the Level 3 category for risk. Now, the agency advises that people at risk for severe illness avoid travel on cruise ships altogether, regardless of vaccination status.

The COVID-19 travel notice list is regularly updated. Last week, Turkey, Montenegro, the Island of Jersey and the Caribbean island Dominica were added to the Level 4 category.

Read more: CDC adds Turkey and three other destinations to its list of places to avoid

In its general international travel guidance, the CDC advises to not travel at all unless you are fully vaccinated. But it says that international travel poses additional risks and even fully vaccinated travelers could contract or spread COVID-19 variants.

Travelers returning by air to the U.S., including U.S. citizens, are still required to have a negative COVID test before entry. You can see a map and complete list of the CDC’s COVID-19 travel notices here.

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