The western North Carolina plant that makes 60 percent of the country's intravenous fluid supply has restarted its highest-producing manufacturing line after being ravaged by flooding brought by Hurricane Helene last month.

While it's an encouraging sign of recovery as hospitals nationwide struggle with shortages of fluids, supply is still likely to remain tight for the coming weeks.

IV fluid-maker Baxter Inc, which runs the Marion plant inundated by Helene, said Thursday that the restarted production line could produce, at peak, 25 percent of the plant's total production and about 50 percent of the plant's production of one-liter IV solutions, the product most commonly used by hospitals and clinics.

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Updated to reflect safety and security information on the Northern Border Region, and additional points for mariners who decide to travel to Côte d’Ivoire.

Exercise increased caution due to crime, terrorism, civil unrest, health, and piracy.  Some areas have increased risk.  Read the entire Travel Advisory.

Do Not Travel To:

• Northern border region due to terrorism.

Country Summary:  Crime continues to be a major public security concern in Côte d’Ivoire. Violent crime, such as carjacking, robbery, and home invasion, is common in some areas.  Local police often lack resources to respond to serious crimes.

Violent extremist activity occurs in Burkina Faso and Mali near the border with Côte d’Ivoire.  Terrorism concerns in the northern region remain due to its proximity to these countries.

Travelers should avoid demonstrations, protests, political rallies, and large crowds.  These events can become violent.  Demonstrators and security forces may clash suddenly.  Police may use tear gas or other force to break up crowds.

Piracy with armed robbery and kidnapping for ransom are significant threats to ships operating near Côte d’Ivoire.  U.S. citizens on ships in the Gulf of Guinea off the coast of West Africa should be cautious.  

Health care in rural areas is below U.S. standards.  There are often shortages of medicine and medical supplies in public and private health facilities.

The U.S. government is limited in its ability to provide emergency assistance to U.S. citizens outside Abidjan.  U.S. Embassy staff are not permitted to drive outside major cities at night.  Read the country information page for more information on travel to Côte d’Ivoire.

If you decide to travel to Côte d’Ivoire: 

• Check local media for breaking events and adjust your plans.
• Do not physically resist any robbery attempt.
• Use caution when walking or driving at night.
• Keep a low profile.
• Be aware of your surroundings.
• Do not display signs of wealth, such as expensive watches or jewelry.
• Stay alert in locations frequented by foreign travelers and foreign residents.
• Be extra vigilant when visiting banks or ATMs.
• Carry a copy of your passport and visa (if applicable).  Leave originals in your hotel safe.
• Have evacuation plans that do not rely on U.S. government help.
• Avoid demonstrations and crowds.
• Get full medical insurance.  It should include medical evacuation.
• Mariners should check for U.S. maritime advisories and alerts, U.S. Coast Guard homeport website, and NGA broadcast warnings.  
• Enroll in the Smart Traveler Enrollment Program (STEP).  You will get safety alerts by email/text and it will help us find you in an emergency.
• Follow the Department of State on Facebook and Twitter.
• Review the Country Security Report for Côte d’Ivoire.
• Prepare a contingency plan for emergency situations.  Review the Traveler’s Checklist.
• Visit the CDC page for the latest Travel Health Information related to your travel.

Northern Border Region – Level 4: Do Not Travel

The main terrorist threat to Côte d’Ivoire is from a group called Jama’at Nusrat al-Islam wal-Muslimin (JNIM). JNIM is linked to al-Qa’ida. JNIM mostly operates in the Sahel region, including Burkina Faso and Mali.  The threat from JNIM has in the past reached northern Côte d’Ivoire, near the border with Burkina Faso.  Attacks have happened in the Savanes and Zanzan Districts, including Comoé National Park.  These attacks have mainly targeted Ivoirian security forces, but civilians have also been targeted.  In 2021, Al-Qa’ida in the Lands of the Islamic Maghreb (AQIM) carried out 17 small-scale attacks that killed approximately 20 people.  After these attacks, the Côte d’Ivoire government increased security in northern Côte d’Ivoire.  Since 2021, there have been no attacks.