Expert 1:1 Care

Individual therapy across four states and 600 islands.

Individual therapy in Micronesia has always been shaped by geography. Between Pohnpei, Chuuk, Yap, and Kosrae, a private outpatient psychotherapist working weekly with the same client is a rarity, and the usual answer for moderate anxiety or depression is a six-week queue in the state health service or an off-island referral. Grouport changes that math. For $103 per session (billed at $448 per month), you are matched with a licensed clinician right away and meet weekly by HIPAA-compliant video for a private 45 minute session in English, from wherever you have a workable connection. No inter-island flight, no MiCare pre-authorization, no waiting for a visiting rotation. A first session inside the same week is the norm, and one-on-one therapy in Micronesia stops depending on which specialist happens to be in-country.

Greeting

The State of Mental Health in Micronesia.

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

Mental Illness Prevalence

12.4% of Micronesian adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.

Wait Time

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

Median Household Income

$4,252 median household income in Micronesia, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

85.0% of Micronesian adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

56% of Micronesia's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

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

Read together, the stat cards describe a country where mental health need is real and formal specialist supply is thin. FSM reports 22.21 mental health workers per 100,000 residents, concentrated in the state capitals and weighted toward nurses and community health workers rather than psychiatrists or clinical psychologists, which is why a moderate anxiety or depression presentation waits roughly six weeks for a first specialist appointment and why an 85 percent treatment gap has become the norm. Household budgets sit around $4,252 in median annual income, so any weekly clinician relationship has to price like a household line rather than a discretionary luxury. One-on-one video sessions with a licensed clinician at $103 per session and a $448 monthly cadence fit that arithmetic in a way in-person or off-island specialist care in Guam, Honolulu, or Manila does not.

UNDERSTANDING THE CHALLENGE

Understanding Mental Health Access in Micronesia.

The Problem

The Federated States of Micronesia is a federation of four island states, Pohnpei, Chuuk, Yap, and Kosrae, spread across roughly 2,900 kilometres of the western Pacific and comprising more than 600 individual islands and atolls. Mental health services are integrated into primary care rather than delivered through standalone specialist infrastructure, and psychiatric capacity concentrates in each state's Department of Health Services facility in the capital, most heavily in Pohnpei. The 22.21 mental health workers per 100,000 residents,000, but the count is dominated by nurses and community health workers, with only a small number of psychiatrists or psychologists nationwide.

The Impact

Six weeks is the median wait for a first specialist mental health appointment in FSM's public system, and that clock only starts once a primary-care contact routes you into the small state-based workforce. For a Kosraean parent processing the loss of a sibling who has moved to Hawaii under the Compact, or a Yapese teacher trying to hold work steady through a rolling anxiety pattern, six weeks is the window during which a manageable presentation quietly deepens. Then comes the second wait, because moderate cases rarely qualify for off-island referral and the state capital may have no ongoing weekly slot to give. Grouport removes both waits in a single step. Intake is a short questionnaire, matching happens right away, and the first session with a licensed clinician usually lands inside the same week, on secure video, from home.

The Solution

Online one-on-one therapy over video is a precise fit for the middle band that Micronesia's public system was never built to hold week over week. State Departments of Health Services in Pohnpei, Chuuk, Yap, and Kosrae handle screening, stabilisation, and crisis response, and MiCare-funded off-island referrals exist for the acute end. In between sits the working-age adult managing moderate anxiety, depression, grief after a family member relocates under the Compact, or the mental load that shadows a long-running physical condition. That client needs consistent time with a single, credentialed clinician who knows their history from one week to the next. Grouport delivers exactly that: a licensed psychologist or therapist you meet each week, sessions tailored entirely to what is happening in your life, and continuity that does not depend on which visiting specialist is on rotation this quarter.

56% of Micronesia's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Three frictions loosen the moment sessions move online. The first is the queue: because Grouport is not routing through a MiCare authorisation, a Department of Health Services appointment book, or a visiting-clinician schedule, most clients begin within a week of intake. The second is distance. FSM stretches roughly 2,900 kilometres across the western Pacific with more than 600 islands, and Grouport reaches every one of them the same way, whether the client logs in from Palikir, Weno, Colonia, Tofol, or an outer atoll with a mobile-data or Wi-Fi connection. The third is language and time-zone fit. Sessions run in English, which Micronesia already uses as the working language of government, education, and health services, and the UTC+10 and UTC+11 time zones fit cleanly alongside a licensed North America-based clinician's evening or morning slots.

Access and Availability Across Micronesia.

Formal mental health care in Micronesia runs along four narrow tracks. Each state Department of Health Services, most heavily in Pohnpei, integrates mental health into primary care and staffs a small psychiatric and psychology team alongside community health workers. MiCare, the national social health insurance scheme, covers a defined benefit package weighted toward physical health and off-island referral for acute cases to Guam, Honolulu, or Manila. NGO and church-affiliated counselling exists in pockets but is not a national network. A private outpatient psychotherapy sector, in the way most countries know it, essentially does not exist inside FSM. Grouport fills the missing fifth track: a weekly, English-language, one-on-one session with a licensed clinician, delivered by HIPAA-compliant video, available across all four states from the moment intake completes, priced as a transparent USD subscription rather than a per-visit invoice.

Geographic Barriers

FSM is a four-state federation of more than 600 islands scattered across roughly 2,900 kilometres of the western Pacific. Chuuk Lagoon alone contains dozens of inhabited islands, Yap State stretches west to Ulithi, Fais, Sorol, and Woleai, and Pohnpei and Kosrae carry their own outer-island communities in Nukuoro, Kapingamarangi, Pingelap, and Mokil. A resident of any of those outer islands who wants a weekly clinician appointment in their state capital faces a schedule of inter-island flights that run on multi-day frequencies, state field-trip ships that visit on rotations measured in weeks, and private boats subject to sea state and fuel. National reach for Grouport is not a metaphor. The service works the same from Weno as it does from Satawal or Kapingamarangi, provided the household has a workable connection through mobile data, a village hotspot, or a workplace line.

Extended Wait Times

The 6-week wait referenced on this page is the typical interval between an initial primary-care contact in FSM and a first appointment with a specialist mental health clinician inside the state-based workforce. It is a median and not a ceiling. Cases requiring child and adolescent psychiatry, complex trauma work, or a subspecialty not staffed in-state routinely wait considerably longer, because the referring clinician is holding for a visiting rotation or an authorised off-island slot in Guam, Honolulu, or Manila. For a moderate depression or anxiety presentation, six weeks is also long enough for the presentation itself to deepen. Instead of waiting six weeks for a first appointment that may or may not become a weekly cadence, Micronesia clients can be in their first Grouport session within days of completing intake, meeting the same licensed clinician the week after and the week after that.

Systemic Challenges

FSM funds its health system through national and state appropriations, US federal grants tied to the Compact of Free Association, and MiCare's defined benefit package. That package is oriented toward physical health and off-island referral for complex acute care, and private outpatient psychotherapy sits largely outside its everyday scope. Add the workforce reality that the country reports 22.21 mental health workers per 100,000 residents, dominated by nurses and community health workers rather than psychiatrists and psychologists, and the practical picture is clear: moderate presentations fall between the acute triage that qualifies for off-island referral and a domestic private market that has never really formed. Grouport works around all of that. A licensed clinician on secure video does not need a MiCare pre-authorization, does not require a visiting-specialist rotation to be scheduled, and does not depend on there being a local private practice to walk into.

Urban-Rural Divide

World Bank data puts just 22.5 percent of FSM's population in urban areas, one of the lowest urbanisation rates in the Pacific and the reverse of the pattern most countries Grouport serves display. The remaining 77.5 percent live in villages and outer-island settlements across Pohnpei, Chuuk, Yap, and Kosrae, often organised around clan and municipal structures rather than an urban service catchment. For most Micronesians, the nearest specialist mental health worker is not in the same town, and often not on the same island or in the same state. Grouport flattens that difference at the appointment. A Palikir civil servant, a Weno small-business owner, and a Nukuoro outer-island resident all open the same video link and speak with the same licensed clinician on the same weekly cadence. There is no first-tier and second-tier version of the session based on zip code.

For Micronesian adults ready to start weekly one-on-one work with a licensed clinician, Grouport delivers sessions on HIPAA-compliant video at $103 per session (billed at $448 per month), or at an every-other-week cadence (billed at $224 per month). Intake takes a short questionnaire, matching happens right away, and the first session with the same therapist you will keep meeting usually lands the same week. Because pricing is a transparent USD subscription rather than a per-visit invoice, budgeting a full arc of care is straightforward from the first month, and because delivery is online the model works identically whether you are in Palikir, Kolonia, Weno, Colonia, Tofol, or an outer-island community. It is a version of therapy built to survive real Micronesian access constraints rather than to assume them away.

Affordable Individual Therapy Costs for Micronesian Residents.

Micronesia residents get immediate access to Individual Therapy at $103 per session (billed at $448 per month), 50 to 60 percent below the $150 to $250 per session that fee-for-service specialist care typically runs off-island in Guam, Honolulu, or Manila, which is the practical alternative most FSM adults face once their situation falls outside what the local state health service can offer weekly. Grouport delivers those sessions with a licensed clinician by HIPAA-compliant secure video, priced as a predictable USD subscription rather than a per-visit invoice, and, unlike the off-island route, without airfare, lodging, days away from work, or a MiCare authorisation to wait for. An every-other-week cadence is also available (billed at $224 per month) for clients whose situation fits a lighter rhythm.

Affordability and Income

FSM sits at roughly $4,990 GNI per capita PPP, an upper-middle-income headline that overstates the discretionary side of household budgets because so much of the economy is subsistence, public-sector wage, or diaspora remittance. Discretionary spend on private health services is limited in most households, which is exactly why Grouport is deliberately priced as a monthly line rather than a per-visit charge. $448 per month for weekly sessions, or $224 per month at an every-other-week cadence, is a number a working household can plan around in advance and hold across a full course of care rather than deciding session by session. That is a very different budgeting shape from the off-island fee-for-service alternative, which routinely lands above a full Grouport month for a single specialist visit before travel is counted, and it comes with licensed clinician quality that is not reliably available inside FSM.

Hidden Cost and Barriers

The sticker price on any in-person mental health appointment in FSM is only part of the true cost. For an outer-island resident the real number includes inter-island air or ship passage to the state capital, lodging for the days around the visit, wages or subsistence-fishing time given up while away, and childcare while the household is short an adult. Off-island referrals to Guam, Honolulu, or Manila layer on international airfare, hotel nights, and per-visit invoices to plan around even though FSM uses the US dollar itself. Grouport strips out every one of those line items. There is no commute, no lost workday, no cash-only surprise, no separate per-session invoice, and no scramble to find a licensed English-speaking clinician with an open weekly slot. One predictable monthly rate in USD, cancel anytime.

Immediate Availability

The immediate-start window is where Grouport looks least like anything else available to a Micronesian adult right now. Where the local alternative is a six-week wait for a first specialist appointment inside the state health service, the next visiting-clinician rotation, or an off-island referral that itself takes weeks to authorise, being in a weekly one-on-one session with a licensed clinician inside the same week is not an incremental improvement, it is a different category of access. Continuity is the second half of that story. A weekly Grouport session does not depend on which United Airlines island-hopper is running on schedule, which visiting specialist is due in-state next quarter, or whether MiCare has funded the next tranche of off-island slots. For Micronesia 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

Micronesia

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 clinicians are licensed psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs with graduate-level training and years of one-on-one video practice with internationally distributed clients. Sessions run in English, which pairs cleanly with FSM's use of English as the working language of government, education, and health services and with the long-standing US health-services relationship that runs through the Compact of Free Association. Therapists work respectfully with the family, clan, and community context each client brings into the room, without imposing a template about what that context ought to look like. All sessions are HIPAA-compliant and fully confidential.

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Affordable Individual Therapy & Care Options in Micronesia.

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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Frame

Teen Therapy

$112/session
billed at $448/month

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Common Questions About Individual Therapy in Micronesia.

Can I pause my subscription and come back later?

Yes\! You can cancel your subscription at any time and restart when you're ready to return. There's no penalty for pausing, and you can reactivate your account at anytime. When you return, we'll work to match you with your previous therapist if they're available, or find you a new therapist if needed. Many clients take breaks between therapy periods as they practice new skills or experience life changes, then return when they need additional support. Your account remains in our system, making it easy to resume services whenever it's right for you.

Can anyone see my therapy sessions?

No, your online therapy sessions are completely private. The video connection is encrypted end-to-end, meaning only you and your therapist can see and hear the session. Grouport staff don't have access to view your sessions, and the content isn't recorded or monitored. For your privacy, we recommend attending sessions from a private location where you won't be overheard or interrupted. If you live with family or roommates, consider using headphones and choosing times when you have privacy. You're always in control of your camera and microphone and can turn them off if needed.

What happens to my personal information?

Your personal information is stored securely in HIPAA-compliant systems with strict access controls. Only your therapist and necessary administrative staff can access your records, and all access is logged for security. We never sell, share, or use your information for marketing purposes. Your therapy records are maintained according to state and federal regulations. You have the right to request copies of your records at any time, and you can review our detailed privacy policy for complete information about how we handle your data.

How quickly can I start individual therapy with Grouport?

Most Grouport clients complete a brief intake form and are matched to a licensed therapist within a day. Your first individual therapy session can typically happen within the same week or the following week, depending on your therapist's availability and your schedule preferences. This is significantly faster than the typical wait for in-network therapy through commercial insurance, which averages 3 to 6 weeks in most US metros and even longer internationally. There is no waitlist to join.

Can I switch therapists if my Grouport therapist isn't the right fit?

Yes, and we make it easy. Fit between client and therapist matters a lot for therapy outcomes, so if the first therapist you're matched with doesn't feel like a good fit after a session or two, you can request a new match at no additional cost. We have licensed clinicians across specialties, styles, and demographics, so there's usually a stronger match available. Just let our care coordinators know and we'll re-match you.

Is Grouport individual therapy covered by insurance?

Grouport is a self-pay service and does not currently bill insurance directly. However, many clients receive partial reimbursement through their insurance's out-of-network mental health benefits or through HSA/FSA accounts. We can provide a superbill (an itemized receipt with diagnosis codes) that you submit to your insurance for out-of-network reimbursement. The pricing ($103 per weekly session, $448/month) is often below what a single self-pay in-network session costs after deductibles, so the direct cost is competitive even before any reimbursement.

How long does individual therapy with Grouport typically last?

There's no fixed duration for individual therapy with Grouport. Some clients work with a therapist for 8 to 12 sessions (about 2 to 3 months) to address a specific concern like an acute anxiety episode or a life transition, then pause. Others use ongoing weekly therapy as long-term maintenance for years. Most therapists recommend 8 to 12 sessions minimum to assess whether therapy is working, but the choice is always yours. There's no long-term commitment required, and you can pause or cancel anytime.

Can therapy help if I'm far from my family?

Living far from family creates loneliness and grief. You miss important events. You can't be there when family needs you. You worry about aging parents. The distance is painful even when you chose to live where you are. Therapy validates this grief and helps you navigate relationships across distance.

What if I'm struggling with my identity across cultures?

If you grew up between cultures, moved countries, or feel caught between cultural identities, therapy helps. You might not fully belong to any one culture. Questions like "where are you from?" feel complicated. Therapy helps you integrate multiple cultural influences into your sense of self rather than feeling torn between them.

What if therapy isn't helping—am I wasting money?

If you've genuinely tried for 12+ sessions and seen zero improvement, it may be a sign that you need a different therapist. Perhaps you need a different approach or different modality. Perhaps you need greater intensiveness combining multiple types of therapy like individual therapy and group therapy, or you need a comprehensive treatment plan that tackles different parts of your symptoms or diagnoses. Before concluding therapy isn't helping, ask yourself. Have you been consistent? Are you practicing skills outside sessions? Have you been honest with your therapist? How does the therapist fit feel? What do you feel like is missing from your care? Discuss lack of progress with your therapist and these different things and they might adjust the approach to better suit your needs. Usually there is a way to get things on a better track whether that's the current therapist adjusting the approach, switching therapists, or adding more sessions or types of care so that your treatment plan is fully addressing everything you need. With therapy overtime and consistent practice you should see progress over time.

Which payment methods can I use to pay for Grouport Individual Therapy from Micronesia?

Because the US dollar is the official currency in the Federated States of Micronesia, there are no foreign exchange conversions or currency spreads when paying for Grouport Individual Therapy. You can pay the $103 weekly rate, $448 monthly plan, or $224 every-other-week option using major credit and debit cards, including cards issued by local banks in Pohnpei, Chuuk, Yap, and Kosrae, as well as US-issued cards held by diaspora-connected residents. Billing appears in USD, matching the amount charged, with no surprise conversion fees.

How does Grouport Individual Therapy fit around a working schedule in Palikir or another Micronesian state capital?

Working professionals in Palikir and the other state capitals can schedule 45 to 50 minute one-on-one video sessions with a licensed clinician at times that fit around office hours. Pohnpei and Kosrae run on UTC+11 while Chuuk and Yap run on UTC+10, and Grouport therapists offer early morning, evening, and weekend slots that map cleanly to both zones. Sessions run over HIPAA-compliant video in English, and after a short intake you can match with a therapist and start right away, without waiting weeks for an appointment.

Individual Therapy Available Across Micronesia.

Regions

Pohnpei State, Chuuk State, Yap State, Kosrae State, Chuuk Lagoon, Mortlock Islands, Hall Islands, Namonuito Atoll, Ulithi Atoll, Woleai Atoll, Fais, Satawal, Nukuoro, Kapingamarangi, Pingelap, Mokil, Ant Atoll, Pakin Atoll

Cities

Palikir (national capital), Kolonia (Pohnpei), Weno (Chuuk), Colonia (Yap), Tofol (Kosrae), Lelu, Malem, Utwe, Tafunsak, Nett, Sokehs, Kitti, Madolenihmw

Zip Codes

Grouport serves all zip codes across Micronesia. If you have an address in Micronesia, 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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