Caribbean countries added to the CDC's and the U.S. State Department's Level 4 advisory on Sept. 21 include Antigua and Barbuda as well as Bermuda, due to the rise in Covid cases on those islands. 

The Level 4 "very high" classification is the most severe travel warning that the U.S. currently hands to countries. The CDC advisory warns that people should avoid traveling to locations with a Level 4 classification and, if they must travel, they should be fully vaccinated.

The advisory updates do not offer any legally binding way to prevent travelers from heading to a destination.

The CDC assesses Covid-19 risk based on each destination's new cases and new-case trajectory. The level is raised if a destination reports more than 500 new cases per 100,000 people over the past 28 days or more than 500 cases if the population is smaller than 100,000.

Close to 90 destinations are now listed at the Level 4 highest risk category, among them Caribbean islands Grenada, St. Kitts and Nevis, Jamaica, Puerto Rico, St. Lucia, Haiti, St. Maarten, the Bahamas, Dominica, Aruba, Curacao, Guadeloupe, Martinique, St. Barts, St. Martin, the U.S. Virgin Islands, Cuba and the British Virgin Islands.

Bonaire is the newest addition to the Level 3 "high" category, joining Anguilla, the Turks and Caicos, Trinidad and Tobago, Barbados and St. Vincent and the Grenadines. The category means that between 100 and 500 cases have been reported in the past 28 days.

The Dominican Republic is the only Caribbean country on the Level 2 "moderate" list while Montserrat, Saba and Statia are classified as Level 1 "low" risk.

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