Expert 1:1 Care

Online Individual Therapy for Christmas Islanders, join right away.

Grouport connects residents of Christmas Island with a licensed therapist for one-on-one video sessions, matched right away and starting the same week. Individual therapy in Christmas Island runs $103 per session (billed at $448 per month) over HIPAA-compliant video, so there is no wait for the next visiting-clinician rotation to reach Flying Fish Cove and no Virgin Australia flight to Perth for a single 50-minute appointment. Sessions are 45 minutes with the same clinician week after week, delivered in English on a UTC+7 schedule that fits naturally around shift work at Phosphate Resources, National Parks postings, and Commonwealth administrative rosters. For a territory of roughly 1,700 residents where the practical specialist bench is a fly-in service scheduled a handful of times a year, online therapy Christmas Island residents can access from home closes the gap without leaving the island.

Greeting

The State of Mental Health in Christmas Island.

Understanding the landscape of mental health care access and the challenges
residents face.

Mental Illness Prevalence

21.7% of Christmas Islander adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.

Wait Time

16 weeks the average wait to secure a first mental health appointment in Christmas Island's public system, an interval during which symptoms often deepen.

Median Household Income

$36,835 median household income in Christmas Island, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

65.0% of Christmas Islander adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

84% of Christmas Island's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

7.80 per 100,000 mental health workers in Christmas Island, a density that shapes availability, wait times, and access across the country.

Read together, these figures describe a territory where the case for online individual therapy is straightforward. A workforce density of 7.8 mental health specialists per 100,000, a 16-week wait for a first appointment, and a resident population too small to sustain a full-time on-island clinical psychology post together mean the local system cannot deliver weekly one-on-one care of its own. Household budgets set against a modest regional income reference of roughly $15,000 PPP per capita cannot easily absorb repeated Virgin Australia flights to Perth for in-person sessions either. Grouport's model, a licensed clinician, weekly 45 minute HIPAA-compliant video sessions, transparent USD pricing at $103 per session, and a same-week start, is designed exactly for the constellation of gaps these numbers describe.

UNDERSTANDING THE CHALLENGE

Understanding Mental Health Access in Christmas Island.

The Problem

Christmas Island's mental health system is defined by remoteness and scale. The territory is an Australian external territory in the Indian Ocean, roughly 2,600 kilometres northwest of Perth and 350 kilometres south of Jakarta, with a resident population of about 1,700 people split across Malay, Chinese, and European heritage communities. At the WHO Western Pacific regional average of 7.8 mental health workers per 100,000, that workforce is functionally fractional, mental health support is delivered through the Indian Ocean Territories Health Service, general practice at Christmas Island District Hospital, and fly-in visiting clinicians scheduled on rotation from mainland Australia.

The Impact

Sixteen weeks in a fly-in model is not an abstract queue. It is roughly four months during which sleep deteriorates, concentration slips on shift, arguments at home sharpen in the close quarters of island housing, and the pattern that first drove someone to look for help becomes the pattern their family and coworkers now expect. On Christmas Island, the alternative to waiting has historically been a Virgin Australia flight to Perth, a route that costs several hundred to over a thousand Australian dollars, takes a full day each way, and typically consumes two to three days of leave for a single appointment. Grouport removes that entire chain. A resident who books today is in their first one-on-one session with a licensed therapist inside a week, at $103 per session, without leaving the island or burning a rostered day off in transit.

The Solution

One-on-one therapy over video is a natural fit for the Indian Ocean Territories care model. A weekly 45 minute session with a single licensed clinician gives Christmas Islanders continuity that a rotating fly-in schedule cannot: the same therapist week after week, a shared treatment plan carried forward without a restart, and privacy that is genuinely private in a community where the District Hospital carpark is a visible place to be seen. At 7.8 mental health workers per 100,000 in the WHO Western Pacific reference, on-island specialist coverage is fractional by design. Grouport supplies the weekly cadence the territory cannot staff locally, matched to whichever presenting concern brings a resident in, whether that is anxiety, depression, grief, workplace stress, or something more specific to life on a small Indian Ocean territory.

84% of Christmas Island's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Three frictions loosen as soon as sessions move online. First, the 16-week wait for a first mental health appointment through visiting-clinician rotations and mainland Better Access telehealth referrals collapses into a same-week match, so the decision to seek help and the first session are days apart rather than months. Second, geography stops mattering: from Flying Fish Cove, Settlement, Poon Saan, Silver City, or Drumsite, the connection is the clinic, with no drive to the District Hospital and no return flight to Perth. Third, Christmas Island's UTC+7 time zone lines up conveniently with both Southeast Asian business hours and North American evenings, so Grouport clinicians can schedule around 12-hour rosters at the phosphate operation or Commonwealth service postings without asking anyone to trade sleep for a session.

Access and Availability Across Christmas Island.

Formal mental health care on Christmas Island runs on a small handful of channels. The Indian Ocean Territories Health Service (IOTHS) operates the public clinic at Christmas Island District Hospital in Flying Fish Cove in partnership with WA Country Health, Medicare and the Better Access initiative fund a subsidised block of psychology sessions per calendar year through mainland telehealth, and visiting psychologists and psychiatrists arrive on rotation from Perth a few times a year. There is essentially no private in-person mental health market on-island; the resident base of about 1,700 people cannot sustain one. Grouport fits into the gap between those channels: weekly English-language one-on-one therapy with a licensed clinician, at $103 per session, that does not depend on the next fly-in rotation or on a slot opening in the mainland Better Access queue.

Geographic Barriers

Geographic barriers on Christmas Island are less about internal distance than about the ocean itself. The territory is 135 square kilometres of raised limestone reef, and residents in Flying Fish Cove, Settlement, Poon Saan, Silver City, Drumsite, or the outlying clusters near Rocky Point and South Point are all within roughly twenty minutes of the District Hospital on the island's single ring road. The distance that matters is offshore: Perth is 2,600 kilometres east, Jakarta 350 kilometres north, and the only route in or out is a handful of Virgin Australia flights per week that monsoon weather routinely disrupts between November and April. Online individual therapy neutralises the flight entirely. A Grouport session runs on the same domestic NBN or Sky Muster connection a resident already uses, whether they are in a bungalow in Kampong or a phosphate-company house in Silver City.

Extended Wait Times

Sixteen weeks is the working figure for a first mental health appointment through the fly-in clinician model and the mainland Better Access telehealth pathway. In a rotation-based system, a single cancelled flight, a competing priority in the Cocos (Keeling) Islands roster, or a visiting psychologist finishing their week before every referral is seen can push the next available slot out by a full quarter in a single stroke. Four months is enough time for sleep, mood, work performance on a mining or Commonwealth shift roster, and family relationships in tight island quarters to shift meaningfully. Instead of waiting sixteen weeks for a first appointment, Christmas Island clients can be in their first Grouport session within days, matched to a licensed therapist over HIPAA-compliant video and holding a standing weekly slot from that point forward.

Systemic Challenges

The systemic constraints on Christmas Island are structural rather than clinical. The territory has no resident psychiatrist, the Indian Ocean Territories Health Service was never designed to staff a full-time clinical psychology post at a population of roughly 1,700, and complex cases that outrun the visiting-clinician window are typically medevaced 2,600 kilometres to Perth. Cross-cultural mental health resources for the island's substantial Chinese Malaysian and Malay communities are limited to whatever a visiting clinician can bring in. On top of that, stigma cuts harder in a community small enough that a District Hospital carpark is a legible signal about who is seeing whom. Grouport sidesteps most of it. Sessions are one-on-one over private HIPAA-compliant video, paid directly in USD, with no IOTHS referral, no Medicare claim, and no fly-in appointment to attend at a visible clinic address.

Urban-Rural Divide

On a territory of 135 square kilometres the divide is subtler than urban versus rural, but it is real. Health services concentrate at Christmas Island District Hospital in Flying Fish Cove, so a resident in Poon Saan or Silver City drives in, and outlying clusters near Drumsite, the airport, Rocky Point, and South Point sit further from that single point of care. The 55 percent urbanisation figure understates how much daily life is oriented around Flying Fish Cove and Settlement; the outlying areas are quieter, more residential, and less regularly serviced. Online individual therapy flattens the map. A Grouport client in Kampong logs into the same 45 minute session as one in the terraces above Poon Saan or a phosphate-company house near the loading facility, and the appointment lands on their calendar rather than the hospital clinic's.

Grouport gives Christmas Island residents a serious, sustained one-on-one therapy option that the territory's own bench cannot practically staff. A licensed clinician, weekly 45 minute video sessions, the same therapist week after week, and transparent USD pricing at $103 per session or on an every-other-week schedule mean a full course of care is plannable rather than dependent on the next fly-in visit. For Commonwealth public servants on two-year postings, phosphate operation staff on shift rosters, National Parks and IOTHS employees, and long-tenured Chinese Malaysian and Malay-heritage families, the value is the ability to start this week, hold a standing weekly slot with the same clinician, and treat mental health as something managed on-island rather than medevaced off it.

Affordable Individual Therapy Costs for Christmas Island Residents.

Christmas Island residents get immediate access to individual therapy at $103 per session (billed at $448 per month), 50 to 60 percent below the global average of $150 to $250 per session that private one-on-one therapy typically commands. There is no meaningful private in-person mental health market on-island to compare against; the resident base of roughly 1,700 people cannot sustain one, and any off-island equivalent means a Virgin Australia flight to Perth on top of the session fee itself. Grouport's price is disclosed upfront in US dollars, with no assessment fee, no referral fee, no facility fee, and no session-by-session invoicing surprises. A resident who prefers the every-other-week cadence sees $224 per month for the same 45 minute video session with the same licensed clinician.

Affordability and Income

Against a WHO Western Pacific regional GNI reference of roughly $15,000 PPP per capita and the higher effective incomes typical of Christmas Island's public-sector and phosphate-operation employers, $448 a month for weekly individual therapy is a meaningful line item but a plannable one. Grouport's transparent USD subscription lets a household budget for a full course of care instead of guessing at what each fly-in appointment or off-island trip will end up costing once airfare, accommodation, and lost shift income are added. It also gives Christmas Islanders access to licensed clinician quality that the territory itself cannot reliably staff on-island at any price, and it does so well below the global average of $150 to $250 per session for private one-on-one therapy. The every-other-week schedule at $224 per month stretches the same care further for tighter budgets without dropping clinical continuity.

Hidden Cost and Barriers

On Christmas Island, the hidden costs of in-person mental health care are dominated by air travel and time off. A single return trip to Perth for an appointment involves a Virgin Australia fare of several hundred to over a thousand Australian dollars, one or two nights of accommodation, taxis and meals, and two to three days off a mining or Commonwealth roster; repeated monthly, it dwarfs the session fee itself. Even a local visit to the District Hospital from Silver City or Poon Saan burns imported-price fuel and time off a shift-based job. Grouport removes all of it. There is no commute, no lost work day, no unpredictable per-session invoice, no cash-only surprise, no currency-conversion friction beyond the fixed USD subscription, and no scramble to find a licensed English-speaking clinician with an open slot. Cancel anytime.

Immediate Availability

The 16-week wait for a first mental health appointment through the fly-in and mainland telehealth channels is the single largest hidden cost of Christmas Island's default pathway. Four months of degraded sleep, sharper conflict at home, and slipping performance on a 12-hour roster is not a neutral holding period; it is where symptoms deepen and coping thins. Grouport short-circuits that interval entirely. Intake is a short online form, matching happens right away, and the first 45 minute video session with a licensed clinician typically lands inside the same week the intake is completed, at $103 per session. For Christmas Island clients ready to start now, a licensed Grouport therapist is available this week.

How it Works

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Personalized match

We’ll get in touch with you to get brief context to make sure we match you with the therapist that best fits your needs & schedule. (Typically match in 24-72 hours)

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Meet weekly with a licensed mental health professional for 45-minute video sessions. With consistent online therapy services, you can start seeing meaningful results.

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Mental Health Conditions We Treat in

Christmas Island

Beyond individual therapy, Grouport offers licensed therapists who specialize across the full spectrum of mental health needs and evidence-based approaches. Whatever you're looking for, we have a therapist for your needs.

Meaningful Results

Check out how our online therapy services have helped our members see life-changing results

Stephanie

“Grouport is time flexible and affordable and if it didn’t exist, I don’t know where I would go. I had looked into other places before Grouport and there really wasn’t any option like it.”

Michael

“I highly recommend this to anyone who is struggling with anxiety or depression. The therapists are top notch and have made me feel really comfortable and my anxiety has improved tremendously in only a few sessions!”

Isabel

"I joined Grouport to work on myself and to heal. I’m learning so much at every session! The change I see not only in myself but in my fellow group members is abundantly encouraging and profoundly fulfilling. Group therapy with Grouport is a powerful healing tool."

Sheldon

“I was feeling very down at the end of 2020 and I was ready to do something drastic that I know I'd likely regret. The group definitely helped show me that there are people who feel the same way as I do.”

Nancy

“The therapy from Grouport is high quality and convenient. I am becoming much more self aware and am liking myself more. My relationships at work are better and I’m much happier.”

Emily

“I like the connection you can make with total strangers and the confidentiality it comes with.”

Olivia

“My weekly group helps me get through the week. Best experience ever!”

Danielle

"Grouport can help you with your issues. Their therapists are well trained to work with you on your issues. I felt my anxiety greatly improve after only a few sessions. I highly recommend it!"

Glenn

"Grouport's approach to DBT is a real strength. This approach provides tools and methods for working with difficult emotions and getting a handle on them. It has given me hope where other approaches have failed."

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Meet Our Therapists

Our therapists represent a wide range of clinical specialties & diverse backgrounds. They all undergo the most stringent credentialing process. Grouport therapists are caring, expert mental health professionals with years of experience helping people get the tools they need to see long-lasting change.

Grouport's bench includes licensed psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs, all of whom hold active graduate-level credentials and lead sessions in English. Several have worked with Australian, Southeast Asian, and diaspora client populations, and the matching process considers cultural fit alongside clinical presentation, so a resident of Christmas Island is placed with a therapist whose approach and background suit them rather than whoever is next in a rota. English is the working language of the IOTHS clinic, of Christmas Island's schools, and of the territory's administration, so language of care is not a barrier for the resident population, and clinicians adjust pacing and idiom where it helps. All sessions are HIPAA-compliant and fully confidential.

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Affordable Individual Therapy & Care Options in Christmas Island.

Group, individual, couples, family, IOP, and teen therapy — all online, all therapist-led. Mix and match care options to fit your needs — and get discounted pricing when you bundle.

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Individual Therapy

$112/session
billed at $448/month

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Group Therapy

$35/session
billed at $140/month

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Partnership

Couples Therapy

$123/session
billed at $492/month

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Family Therapy

$160/session
billed at $640/month

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IOP Therapy

$337/week
billed at $1,348/month

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Teen Therapy

$112/session
billed at $448/month

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Common Questions About Individual Therapy in Christmas Island.

What information do you share with insurance companies?

When you submit for insurance reimbursement, we provide a superbill that includes: your name, therapist's name and credentials, dates of services rendered, cost paid per session, and any other relevant information needed for reimbursement.

How do you protect my information from data breaches?

We use multiple layers of security to protect your information: (1) All data is encrypted both when stored and during transmission. (2) Our systems are HIPAA-compliant and regularly audited by third-party security experts. (3) Access to client data is strictly limited to essential staff with multi-factor authentication required. (4) We use intrusion detection systems to monitor for unauthorized access attempts. (5) Regular security training for all staff members. (6) Secure backup systems to prevent data loss. In the unlikely event of a breach, we're legally required to notify affected clients immediately and take corrective action.

Is online therapy as effective as in-person therapy?

Yes, extensive research shows that online therapy is equally effective as in-person therapy for most mental health conditions. Multiple studies published in peer-reviewed journals have found no significant difference in treatment outcomes between online and in-person formats for anxiety, depression, relationship issues, and most other mental health diagnoses or concerns. In some cases, online therapy is even more effective because it eliminates barriers like travel time, scheduling difficulties, and access to specialists that wouldn’t otherwise be easily available. The key factors in therapy effectiveness are the therapeutic relationship, evidence-based techniques, and consistent attendance, which are all present in our online therapy sessions.

What issues does online individual therapy help with?

Online individual therapy addresses anxiety, depression, social anxiety, grief, trauma & PTSD, relationship issues, life transitions, anger management, Borderline Personality Disorder (BPD), Bipolar, Obsessive Compulsive Disorder (OCD), self-esteem, stress management, emotion regulation skills (DBT groups), chronic illness, parenting challenges, substance use recovery, Cognitive Behavioral Therapy (CBT) and much more. So, we offer pretty much any kind of group where shared experience and peer feedback add value. Groups are often organized around specific themes so you're with people dealing with similar situations.

How long do I need to attend online individual therapy?

Online individual therapy duration varies by person. Some people attend for months and others attend for years. It’s totally based on what’s helpful for you and there’s no standard timeline. Minimum commitment to see clinically significant results is typically 8-12 sessions since individual sessions need time to build cohesion and trust. So you can go for as long as it’s helpful for you and there’s no set duration. You can leave when your goals are met or continue ongoing support for maintenance, whichever works best for you. This is why we also provide the flexibility to cancel at any time.

What if I'm the only one with my specific problem?

You don't need identical problems to benefit from online individual therapy. So while your exact situation might be unique, you'll be with people who have similar struggles. Even really different problems often share underlying patterns like isolation, fear, shame, difficulty trusting. Those commonalities matter more than identical circumstances. If you have a particular diagnosis then diagnosis-specific individual sessions would be helpful and that’s why individual sessions are typically structured around certain diagnoses like a trauma group, eating disorder group, OCD group, a BPD group, or it can be a group that focuses on a particular type of treatment like DBT, CBT, EMDR that’s helpful for certain things or it might be a general group for folks who have commonalities of some sort.

Can I be in an online therapy therapy if I have social anxiety?

Yes, and actually online individual therapy is highly effective for social anxiety specifically. Initial anxiety about joining is normal and expected. It's practice in a safe environment and you get to work on the very thing that scares you with support right there. Most people with social anxiety find that the fear of individual therapy is way worse than the reality. Social anxiety only improves through experience and not avoidance, so group provides a structured opportunity for this. Many people who have social anxiety find that individual therapy is the number one driver of their improvement.

Does Grouport accept international insurance?

We don't directly accept insurance from any country currently. You pay out-of-pocket and can request a receipt to submit to your insurance if they offer reimbursement for mental health services. Coverage varies widely by country and insurance provider so you’d have to check with them about reimbursement.

How much does Grouport cost in my currency?

Pricing is in US dollars. Group therapy sessions range from $25-$35 USD per session, and individual therapy averages $103 USD per session. Your bank will convert the charge to your local currency. Exchange rates affect the final amount you pay, but those are the amounts you can expect to pay for group therapy and individual therapy. The rates for family therapy, couples therapy, virtual IOP, self guided programs, or bundles combining different types of therapy at different levels of intensiveness varies. Whenever you are doing more than one session per week, there are always discounts included.

Does Grouport accept insurance?

Currently, no, Grouport doesn't directly accept insurance as we are out of network. However, many clients get reimbursed through out-of-network benefits. Upon request, Grouport provides detailed receipts you can submit to your insurance company for potential reimbursement. Whether you get reimbursed and how much depends on your specific plan's out-of-network mental health coverage.

I work for the National Parks service or the phosphate mine on Christmas Island with a demanding schedule. Can Grouport Individual Therapy fit around shift work in Flying Fish Cove?

Yes. Christmas Island Time (UTC+7) sits one hour behind Perth and aligns with Southeast Asian business hours, which gives you flexible options for booking a 45 to 50 minute one-on-one video session before a shift, on a rest day, or in the evening. You are matched with a licensed clinician (psychologist, LCSW, LMHC, LMFT, LPC, PsyD, or PhD) and can start right away after intake. Weekly sessions run $103, and every-other-week is $52 per session, so ongoing care stays predictable even with a rotating roster.

How does billing work from Flying Fish Cove given that Christmas Island uses AUD and the local IOTHS clinic is the only in-person option?

Grouport Individual Therapy bills in US dollars on any major Visa, Mastercard, or American Express card, including Australian-issued cards, and your bank handles the AUD to USD conversion at the point of charge. Weekly sessions are $103 (about $448 per month), and the every-other-week plan is $52 per session ($224 per month). There is no need to travel to the clinic in Flying Fish Cove or arrange payment through a Perth referral. You keep a standing weekly slot with your licensed clinician over HIPAA-compliant video.

Individual Therapy Available Across Christmas Island.

Regions

Flying Fish Cove (The Settlement), Poon Saan, Silver City, Drumsite, Kampong, Rocky Point, South Point, Waterfall, North West Point, Ethel Beach, Greta Beach, Grants Well, Middle Point.

Cities

Flying Fish Cove, Settlement, Poon Saan, Silver City, Drumsite, Kampong, South Point, Rocky Point.

Zip Codes

Grouport serves all zip codes across Christmas Island. If you have an address in Christmas Island, Grouport can serve you regardless of your zip code.

Online Individual Therapy Available Worldwide

Grouport offers online individual therapy available globally for people in 200+ countries. Find a licensed therapist that fits your needs for weekly one-on-one sessions.

Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Colombia Comoros Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Côte d'Ivoire Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of the Congo Reunion Romania Russia Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
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