Expert 1:1 Care

Online Individual Therapy for Nauru Residents.

Getting in for talk therapy in Nauru is hard on its own. The mental health team at Republic of Nauru Hospital in Denigomodu is roughly nine clinicians serving 12,000 residents across the island, and a first appointment typically sits about six weeks out because scheduling depends on visiting psychiatrists rotating through from Australia and Fiji. Finding a quality clinician is harder still, and finding one actually trained in the specific approach your situation needs, whether that is CBT for anxiety or depression, ERP for OCD, EMDR or trauma-focused work for PTSD, DBT skills for emotional regulation, or the many other things people navigate, is another matter entirely. Grouport's online individual therapy is built for that. After a short signup you are presented with therapist options fitted to your situation, you pick the clinician you'd like to work with, and typically get started within 24 to 72 hours. Weekly 45-minute one-on-one sessions run over secure HIPAA-compliant video, at $103 per session on average ($448 per month), with automatic discounts included for every additional weekly session.

Greeting

Mental health access in Nauru by the numbers.

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

Mental Illness Prevalence

11.9% of Nauruan 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 Nauru's public system, an interval during which symptoms often deepen.

Median Household Income

$5,721 median household income in Nauru, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

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

Provider Shortage

68% of Nauru's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

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

Read together, the numbers describe a small high-income island where the constraint on care is arithmetic rather than affordability. Nine clinicians serving roughly 12,000 residents across a 21-square-kilometre landmass cannot sustain weekly individual therapy for everyone who could benefit, and a workforce that leans on visiting Australian and Fijian consultants naturally produces multi-week queues. Prevalence figures show ongoing need across the population, and a majority of Nauru adults with a mental health condition receive no formal specialist treatment. A one-on-one online model bypasses the local workforce ceiling entirely by drawing on a licensed clinician pool that operates outside the island, which is exactly what Grouport does at $103 per session ($448/month), starting this week rather than in six.

UNDERSTANDING THE CHALLENGE

The Nauru context: one island, one referral pathway.

The Problem

Nauru is the world's smallest island republic outside Vatican City and Monaco, covering 21 square kilometres with an estimated population of 12,700. Data records a mental health workforce density of 73.04 per 100,000, an unusually high per-capita figure that in absolute terms still amounts to roughly nine clinicians. Republic of Nauru Hospital in Denigomodu is the single referral point for behavioural health, and its psychiatry roster relies heavily on visiting specialists from Australia and Fiji rather than resident consultants.

The Impact

Consider what a six-week wait means for a civil servant in Aiwo who wakes up unable to sleep, loses focus at work, and knows something needs to change. Six weeks of declining performance, six weeks of family members watching from the sidelines, six weeks of maybe-I-should-just-fly-to-Brisbane calculations that come with airfare, hotel nights, and unpaid leave under the Pacific Regional Referral scheme. On an island of 12,000, waiting also means possibly running into the person from the hospital waiting room at the grocery store the next day. Grouport removes every one of those variables. A licensed therapist is available this week at $103 per session ($448/month), from the client's own home, with no travel, no visibility, and no six-week gap between the moment help is needed and the moment it starts.

The Solution

The Nauru bottleneck is arithmetic, not motivation. Nine clinicians, most of them nurses backed by visiting psychiatrists rotating in from Australia and Fiji, cannot deliver weekly individual therapy to everyone on a 12,000-person island who could benefit, and there is no private practice tier locally to pick up the slack. Grouport works around that ceiling by drawing on a licensed clinician pool that sits entirely outside Republic of Nauru Hospital's roster. After a short signup you are presented with therapist options fitted to your situation and pick the clinician you'd like to work with, typically starting within 24 to 72 hours. Weekly 45-minute sessions run over secure HIPAA-compliant video, with the same therapist across the arc of care so progress compounds rather than resetting each visiting-consultant rotation. Clinicians are trained in the evidence-based approaches specific pain points call for, whether that is CBT, DBT, ERP, EMDR, ACT, IFS, or trauma-focused work, so a Nauru client working through anxiety, OCD, complex trauma, BPD, panic, bipolar, ADHD, grief, or a difficult life transition is with a therapist matched to what actually helps.

68% of Nauru's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Three specific frictions ease the moment a Nauru resident opens Grouport. First, the queue disappears. Instead of waiting six weeks for a first hospital slot, matching happens right away and a first session can be scheduled within days. Second, the island's tiny 21-square-kilometre footprint and the visibility problem that comes with a 12,000-person community stop mattering, because sessions run from a private room at home rather than a hospital waiting area where a neighbour might notice. Third, the UTC+12 time zone that once made international referrals awkward now works in Nauru's favour: evening slots in Yaren line up cleanly with US daytime availability, so weekday scheduling is easy without overnight sessions.

Access and availability in Nauru.

Formal mental health care in Nauru runs almost entirely through a single channel: the Republic of Nauru Hospital in Denigomodu, where a small mental health unit staffed by nurses and periodic visiting psychiatrists from Australia and Fiji delivers what specialist care exists. There is no private psychiatric sector on the island, no local psychologist in independent practice, no employee-assistance network at scale, and no university clinic. Complex cases are historically referred overseas under the Pacific Regional Referral scheme. What is missing from that landscape is a steady weekly one-on-one option a working adult can book from home and start this week. Grouport fills exactly that gap, adding a licensed clinician tier at $103 per session ($448/month) without competing for space on the hospital's nine-person roster.

Geographic Barriers

Nauru's geography is peculiar for a country page. The entire republic is 21 square kilometres and 100 percent urban, so the usual rural-access story does not apply here. Yet the compactness cuts the other way. Every one of the fourteen districts, from Ewa at the north end to Yaren at the south, feeds into the same nine-clinician team at Republic of Nauru Hospital, so physical proximity to Denigomodu offers no relief when the constraint is availability rather than distance. A resident in Anibare on the east coast and one in Boe on the west face the same six-week wait because both are looking at the same schedule. Grouport neutralises that shared bottleneck by drawing on a licensed clinician pool that sits entirely outside Nauru's local workforce ceiling, delivered identically to every district over broadband.

Extended Wait Times

The six-week wait recorded for a first hospital mental health appointment in Nauru is not a triage delay, it is a scheduling function of a service that depends on visiting Australian and Fijian consultants. Appointment slots cluster around rotation dates, which means a resident who inquires the week after a consultant departs can wait longer than six weeks for the next opening. There is no faster private tier locally to shortcut that queue. Instead of waiting six weeks or more, Nauru clients can book with Grouport this week: intake takes minutes, a licensed therapist is matched quickly, and the first 45-minute session runs over HIPAA-compliant video from home within days of signing up.

Systemic Challenges

Several systemic realities shape access on Nauru. There is no medical school, so the country relies entirely on overseas-trained clinicians and periodic visits from Australian, Fijian, and WHO-supported regional programmes for specialist input. There is no private practice sector for clinical psychology, so no fallback tier exists when the public queue lengthens. Mental illness still carries meaningful stigma in a community where extended family and church networks are typically the first place people turn, which pushes formal help-seeking down. Insurance framing does not apply the way it does elsewhere either, because hospital care is free at point of use but capped by workforce rather than by cost. Grouport sidesteps every one of these constraints by delivering licensed one-on-one therapy directly to a Nauru client's home over HIPAA-compliant video, on a transparent USD subscription, with no gatekeeping through the hospital roster.

Urban-Rural Divide

On Nauru the urban-rural gap that dominates most country pages simply does not exist. The World Bank records the population as 100 percent urban, and the entire island can be circled by road in under thirty minutes. What does vary across the fourteen districts is proximity to the hospital in Denigomodu, and whether a resident feels comfortable walking into a mental health unit in a community small enough that recognition is likely. Grouport is a true equaliser here: a resident in Meneng or Anibare on the eastern coast has the exact same access as one in Aiwo or Boe next door to the hospital, because the entry point is a broadband connection and a webcam, not a bus route or a waiting-room chair.

For anyone in Nauru ready to start weekly work with a therapist actually trained for what they're facing, Grouport is a direct alternative to a six-week wait at Republic of Nauru Hospital or an off-island trip to Brisbane under a Pacific Regional Referral. After a short signup you are shown clinician options fitted to your situation, you choose the therapist you'd like to work with, and you typically get started within 24 to 72 hours. The first 45-minute one-on-one session typically lands the same week, run over secure HIPAA-compliant video from wherever you have broadband on the island. Pricing is $103 per session on average ($448 per month), or $224 per month on the every-other-week plan, with automatic discounts included for every additional weekly session if you want to step up frequency during a heavier stretch. The same therapist stays with you across the arc of care, with room to drop back when things stabilise or to layer in group, couples, family, or an intensive outpatient program alongside individual therapy if that turns out to be useful. A care coordinator is available throughout to help you with anything, whether that is choosing a therapist, adjusting cadence, adding services, or any question that comes up along the way.

Cost and value for Nauru.

Nauru residents get immediate access to Individual Therapy at $103 per session (billed at $448/month), 50 to 60 percent below the global average of $150 to $250 per session for one-on-one care with a licensed therapist. Because Nauru has no private practice sector for clinical psychology, the honest local comparison is not a lower per-session price. It is the cost of an off-island medical referral to Brisbane or Suva under the Pacific Regional Referral scheme, which routinely runs into thousands of Australian dollars once airfare, accommodation, and unpaid leave are counted. Against either benchmark, Grouport's transparent USD subscription for a licensed clinician meeting weekly over HIPAA-compliant video is strong value for anyone on the island who wants steady, sustainable care.

Affordability and Income

With per-capita GNI around $21,000, Nauru sits in the World Bank's high-income bracket, but the affordability picture on the ground is shaped less by income than by the cost of accessing licensed specialist care. Grouport's $103 per session on average, billed at $448 per month weekly plan and $224/month every-other-week plan give Nauru clients a predictable USD subscription that is easy to budget across a full course of care, whether that runs three months or eighteen. Compared with a single off-island referral trip to Brisbane, which can consume several thousand dollars in airfare, hotel nights, and lost wages before a first therapy session even begins, the monthly Grouport rate is a fraction of the cost. It also stays well below the global average of $150 to $250 per session, with the same licensed clinician meeting the client every week rather than a rotating visiting consultant.

Hidden Cost and Barriers

The costs that do not appear on a Nauru hospital invoice are often the ones that matter most. Off-island referrals under the Pacific Regional Referral scheme require airfare on the twice-weekly Nauru Airlines service, accommodation in Brisbane or Suva during treatment, and unpaid leave from work at the phosphate operations, the civil service, or the port. Local visiting-consultant appointments can mean losing part of a workday for a single 30-minute slot at the hospital in Denigomodu. Per-session invoicing anywhere else brings currency-conversion friction and unpredictable billing. Grouport removes every one of those line items: no commute, no travel, no leave days, no cash-only surprises, no exchange-rate roulette. One monthly USD subscription covers a weekly session with the same licensed therapist, delivered from the client's own home.

Immediate Availability

The six-week wait for a first mental health appointment in Nauru's public system is a real bottleneck for anyone who has already decided that something needs to change. Six weeks is a full quarter of a working season, long enough for symptoms to consolidate and for the initial motivation to seek help to fade. Grouport removes that gap: intake takes minutes, a licensed clinician is matched right away, and a first 45-minute HIPAA-compliant video session can typically be booked within days. That means real therapeutic work begins roughly five weeks before the equivalent hospital appointment date, with continuity of the same therapist each week. For Nauru 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

Nauru

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 clinician bench is made up of licensed psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs, each holding active clinical licensure and graduate-level training in evidence-based modalities including CBT, DBT, ACT, EMDR, ERP, IFS, and trauma-focused therapies. After a short signup you are shown therapist options fitted to your presenting concern and time-zone availability, and you choose the clinician you'd like to work with rather than being assigned whoever is next on a roster. Sessions run in English, the working language of government, business, and Republic of Nauru Hospital, and Nauru's UTC+12 evening slots line up cleanly with US daytime availability, so a weekday cadence works without overnight scheduling. Every session is 45 minutes, one-on-one, and delivered over secure HIPAA-compliant video, and a care coordinator is on hand throughout the arc of care to help with anything that comes up, whether that is adjusting cadence, switching therapists, or adding another Grouport service alongside individual work.

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Affordable Individual Therapy & Care Options in Nauru.

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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Nauru individual therapy questions answered.

What payment methods do you accept?

We accept all major credit cards (Visa, Mastercard, American Express, Discover, etc.) and debit cards for payment. Your card is securely stored and automatically charged on your monthly billing date. We also accept HSA (Health Savings Account) and FSA (Flexible Spending Account) cards, which many clients use to pay for therapy with pre-tax dollars. You can update your payment method at anytime.

Can I use my HSA or FSA for Grouport’s online therapy?

Yes\! Our online therapy services qualify for HSA (Health Savings Account) and FSA (Flexible Spending Account) payment. Simply use your HSA/FSA debit card as your payment method, or pay out-of-pocket and submit a reimbursement claim to your HSA/FSA administrator using the detailed receipts we can provide upon request. Using HSA/FSA funds means you're paying for therapy with pre-tax dollars, effectively reducing your therapy costs by 20-30% depending on your tax bracket.

Where are sessions held?

All therapy sessions are 100% virtual and take place via secure video chat. Whether you're in group, individual, couples, family, IOP, or teen therapy, sessions are held at a recurring time that fits your schedule.

What if I want to work on multiple issues?

Most people have multiple issues (anxiety and relationship problems and work stress), this is totally normal. Your therapist helps prioritize which issue is causing the most distress right now, which needs immediate attention for safety, what order makes logical sense (sometimes addressing one issue resolves others), and what you feel most motivated to work on. Many issues are interconnected and working on anxiety often improves relationships while relationship therapy reduces stress. You don't need to fix everything simultaneously. Start with one primary focus and let other issues naturally emerge. Your therapist maintains awareness of all concerns even when focusing on one. Treatment plans adjust as priorities change over time.

Can I attend therapy if I'm working with other providers?

Yes, coordinated care often provides the best outcomes. Many people see a therapist for therapy plus a psychiatrist for medication, a therapist plus a support group, individual therapy plus couples therapy, therapy plus a dietitian for eating disorder treatment, or therapy plus a medical doctor managing chronic illness. Your therapist can coordinate with other providers (with your permission) to ensure consistent treatment. Let your therapist know about all your providers so they can collaborate when helpful. Therapy integrates well with other treatments and often enhances their effectiveness. Your therapist may recommend adding specific providers if they identify needs outside their scope. Additionally, working with multiple providers can be helpful when more intensive care is needed to address pervasive symptoms.

What happens if I have a crisis between sessions?

If you're experiencing a mental health crisis between sessions (suicidal thoughts, severe panic, dangerous urges), contact your country's local emergency services or a national crisis line immediately. Nearly every country operates one, typically free and staffed 24/7. A quick internet search for 'suicide crisis line' plus your country name surfaces the current number, and your therapist can also help you save that number during your first session. These services provide the immediate help therapy cannot. You can also message your Grouport therapist through the app, but response time is typically 24-48 hours and is not appropriate for immediate crises. After the crisis passes, tell your therapist what happened in your next session. They will create a crisis plan with resources specific to where you live, coping skills, and escalation steps to use before crises reach emergency levels again.

Can therapy help with loneliness and social isolation?

Yes, therapy addresses loneliness through understanding barriers to connection (social anxiety, past rejection, fear of vulnerability, lack of social skills), developing social skills and conversation strategies, identifying where to meet people aligned with your interests, addressing beliefs preventing connection ("I'm not interesting," "people don't like me"), processing past relationship hurts affecting current openness, building confidence to initiate social contact, and creating accountability for trying social opportunities. Your therapist might give homework like attending events or practicing specific social behaviors. Therapy also addresses whether loneliness stems from lack of relationships or feeling disconnected in existing relationships. The therapeutic relationship itself can help you practice vulnerable connection.

Can therapy help with relationship issues?

Whether you're dealing with partnership conflicts, dating challenges, family relationship stress, friendship issues, or loneliness, therapy addresses relationship problems regardless of your cultural context. Cultural norms around relationships vary but the emotional pain is universal.

What if I'm LGBTQ+ in a country where that's not accepted?

Being LGBTQ+ in countries with hostility toward LGBTQ+ people is isolating and dangerous. Therapy provides affirming support you might not be able to access locally. Your therapist won't judge you and understands the unique stresses of being LGBTQ+ in unsupportive environments. Your identity is valid even if your country doesn't recognize it.

What if my financial situation changes and I can't afford to continue?

Just cancel your subscription. You can restart later when finances improve. Therapy is important but so is keeping the lights on and eating. If you're on the edge financially, discuss with your therapist and Grouport, they might suggest spacing sessions out or switching to online group therapy temporarily. Your therapist wants you to get help but understands financial reality.

Can Grouport help with anxiety and depression tied to Nauru's chronic disease burden or long waits at the Republic of Nauru Hospital mental health unit?

Yes. Grouport runs weekly 45-minute video sessions with licensed therapists who focus on anxiety, depression, grief, and trauma, including the low mood and health-related worry that often travel with diabetes, obesity, and unemployment on Nauru. Instead of waiting roughly 6 weeks for a visiting clinician or an overseas referral to Australia or Fiji, residents in Yaren, Aiwo, and Meneng can match right away at $103 per session on average, billed at $448 per month. Sessions are HIPAA-secure video, so no one sees you enter the hospital's mental health unit.

How does Grouport's communication style compare with the family and church-based support Nauruans usually turn to first?

Nauruan support typically flows through extended family and church networks, where mental illness is rarely named directly. Grouport keeps the warmth of a small circle with weekly one-on-one video sessions, and adds a licensed therapist who guides structured skills work in clear English, the language already used at the Republic of Nauru Hospital, government, and secondary schools. Members from Yaren, Denigomodu, and the Australian and Filipino community share openly in a confidential 45-minute session at $103 per session on average, billed at $448 per month, and you can start right away.

Where in Nauru we serve.

Regions

Aiwo, Anabar, Anetan, Anibare, Baitsi, Boe, Buada, Denigomodu, Ewa, Ijuw, Meneng, Nibok, Uaboe, Yaren

Cities

Yaren, Denigomodu, Aiwo, Meneng, Anibare, Baitsi, Boe, Ewa, Anabar

Zip Codes

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