Expert 1:1 Care

Individual Therapy for Saint Helena, Delivered Online.

Reaching mental health care on Saint Helena runs into a real wall. A single small community team at Jamestown General Hospital covers the entire island of roughly 4,400 people, the typical wait to be seen stretches to about six weeks, and anything specialist historically has meant a medical referral to Cape Town or the UK. Even once an appointment lands, finding a clinician actually trained in the specific approach a situation calls for, whether that is OCD, complex trauma, PTSD, panic, major depression, BPD, an eating disorder, ADHD, bipolar work, grief, or the many other things people navigate, is harder still. Grouport's online individual therapy is built for exactly that gap. After a short signup, clinician options fitted to your situation are presented, you pick the therapist you want to work with, and care typically begins within 24 to 72 hours. Weekly 45 minute one-on-one video sessions with the same therapist on 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 Data for Saint Helena.

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

Mental Illness Prevalence

22.0% of Saint Helenian 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 Saint Helena's public system, an interval during which symptoms often deepen.

Median Household Income

$26,884 median household income in Saint Helena, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

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

Provider Shortage

97% of Saint Helena's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

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

Saint Helena's mental health picture is shaped less by prevalence estimates than by the sheer scale of its workforce and geography. Roughly 1.4 mental health workers per 100,000 population equivalent, a single community team covering an island of about 4,400 people, and a typical six-week wait to be seen all point to the same underlying issue: local capacity is genuinely tight, and specialist input often has to be sourced off-island by medical referral. Those numbers are exactly why an weekly one-on-one online model fits Saint Helena. Grouport does not depend on the island's resident workforce, does not require travel to Jamestown or Cape Town, and delivers a licensed clinician over HIPAA-compliant video at a predictable US dollar rate, this week rather than in six.

UNDERSTANDING THE CHALLENGE

Why the South Atlantic Location Blocks In-Person Care.

The Problem

Saint Helena's geography is the single largest barrier to specialist mental health care. The RMS Saint Helena was retired in 2018 and replaced by weekly flights from Johannesburg via the airport at Prosperous Bay Plain, but a return ticket still costs upwards of £900 and requires a Saturday-to-Saturday commitment. Referral to a South African psychiatrist therefore triggers a minimum one-week absence from work and school, plus accommodation in Johannesburg, plus the consultation fee itself.

The Impact

For a working adult in Jamestown or the surrounding districts, the practical impact of Saint Helena's access gap is that around six weeks can pass between recognising a problem and sitting down with a clinician, and even then the options are limited to a single small community team on an island of about 4,400 people. That delay tends to arrive at the worst possible moment, when sleep, focus, and steady work are already slipping. Complex cases can require an off-island referral to South Africa or the UK, which adds travel, time away from work and family, and additional cost. Grouport removes that friction by putting a licensed therapist on the calendar within days, at a predictable weekly rhythm the client can sustain.

The Solution

Grouport gives Saint Helena residents a way around the island's structural bottlenecks without watering down the quality of the care. Instead of joining the six-week queue at the community mental health team or waiting on an off-island referral to Cape Town or the UK, you complete a short signup, review clinician options fitted to what you are working through, pick the therapist you want, and typically get started within 24 to 72 hours. The clinicians are licensed psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs, trained in evidence-based approaches like CBT, DBT, EMDR, ERP, exposure therapy, IFS, and ACT, so someone working through OCD, trauma, panic, depression, anxiety, anger, relationship strain, or a difficult life transition gets a therapist whose training matches the work. Sessions run weekly for 45 minutes on secure HIPAA-compliant video, entirely outside the island's small in-person network, so confidentiality holds even in a tight community, and the same therapist stays with you across months as trust and momentum build.

97% of Saint Helena's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Grouport loosens three specific frictions Saint Helenians face when trying to reach mental health care. First, the roughly six-week wait to be seen by the island's small community mental health team collapses to an immediate start, with a licensed therapist available this week after a short intake. Second, geography stops being a barrier: on an island 1,950 kilometres off the west coast of Africa, where specialist care historically required a medical evacuation to Cape Town or a referral to the UK, Grouport connects clients to a licensed clinician over video without leaving home. Third, in a tight-knit community of about 4,400 people where an in-person visit to the local clinic is difficult to keep private, sessions on Grouport are fully confidential and take place in the client's own space.

Access and Availability for Saint Helena Residents.

Saint Helena's formal mental health care is delivered almost entirely through the public Saint Helena Government Health Directorate, with a small community mental health team based at Jamestown General Hospital handling the island's caseload. There is no meaningful private mental health sector on the territory, and complex or specialist cases typically move off-island by medical referral to Cape Town or the UK. Public care is free at point of use for residents, but the workforce is small and confidentiality in a 4,400-person community is a widely acknowledged concern. Grouport sits alongside these public services as the missing piece: immediate-start, weekly one-on-one online therapy with a licensed clinician, delivered privately over HIPAA-compliant video.

Geographic Barriers

Saint Helena is one of the most remote inhabited islands in the world, sitting roughly 1,950 kilometres off the west coast of Africa in the South Atlantic. For decades the only way on or off the island was the RMS Saint Helena; commercial weekly flights via Johannesburg only opened in 2017 with the completion of Saint Helena Airport. That geography means specialist mental health care has historically required a medical evacuation to Cape Town or a referral to the UK, adding travel, time, and expense to what is already a hard conversation. Online individual therapy Saint Helena residents can access from home neutralises that distance, because a licensed clinician on secure HIPAA video does not require a flight or a ship to reach the client.

Extended Wait Times

Getting an appointment with Saint Helena's single community mental health team typically takes around six weeks from the point of asking for help, and complex cases that need specialist input can wait considerably longer because the referral moves off-island to South Africa or the UK. Six weeks is a long stretch to hold together difficult sleep, low mood, or escalating anxiety while trying to keep working and caring for a family. Grouport closes that gap. After a short intake, a licensed clinician is available this week for a 45 minute session over secure HIPAA-compliant video, and the same therapist stays with the client through the full course of care. Instead of waiting six weeks, treatment begins in days.

Systemic Challenges

Saint Helena's mental health system carries a set of systemic pressures that are unusually concentrated for such a small population. The island has roughly 1.4 mental health workers per 100,000 population equivalent, effectively a single small community team covering every case. There is no resident consultant psychiatrist on a permanent basis, so specialist input generally requires an off-island referral to Cape Town or the UK. In a 4,400-person community where nearly everyone knows one another, stigma and confidentiality are widely acknowledged barriers to seeking help locally. Grouport works around each of these constraints by delivering weekly one-on-one therapy over HIPAA-compliant video with a licensed clinician who sits entirely outside the island's small in-person network.

Urban-Rural Divide

Because Saint Helena has no towns larger than Jamestown itself, the divide is less urban versus rural and more central versus outlying districts. Residents in Jamestown live close to the General Hospital and the community mental health team, while those in Half Tree Hollow, Longwood, Blue Hill, and other outlying settlements face additional travel over the island's winding roads for every appointment, on top of the standard wait. That geography tightens the confidentiality problem too, because a car parked outside the clinic is quickly recognised. Grouport levels the playing field: any Saint Helenian with a broadband or mobile internet connection can meet a licensed therapist over HIPAA-compliant video from home, on the same terms and at the same weekly pricing, regardless of which district they live in.

For anyone on Saint Helena ready to begin real weekly work with a clinician trained for what they are actually dealing with, Grouport is a direct route in. After a short signup you are presented with therapist options fitted to your specific situation, you choose the clinician you would like to work with, and care typically begins within 24 to 72 hours. The first 45 minute one-on-one session typically lands the same week, over secure HIPAA-compliant video from wherever on the island you have a connection, whether that is Jamestown, Half Tree Hollow, Longwood, Blue Hill, or one of the outlying districts. 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. The same therapist stays with you across the arc of care, with room to step frequency up during heavier stretches and dial back when things stabilize, or to layer in group, couples, family, or an intensive outpatient program alongside if that turns out to fit. A care coordinator is available throughout to help with anything that comes up along the way.

Cost and Value Compared to Off-Island Care.

Grouport gives Saint Helena residents immediate access to individual therapy at $103 per session on average (billed at $448 per month), 50 to 60 percent below the global average of $150 to $250 per session for private one-on-one therapy with a licensed clinician. The rate is set in US dollars and stays the same from week to week, which removes the guesswork that comes with per-appointment private billing in most markets. Clients pick either a weekly plan at $103 per session or an every-other-week plan at $224 per month, and can adjust or cancel at any time. The same licensed therapist stays with the client throughout, so the value compounds session by session.

Affordability and Income

Saint Helena is a small economy where household incomes are modest relative to major markets, and public health care on the island is free at point of use, so any private therapy option has to be predictable to be sustainable across a real course of care. Grouport's monthly subscription in US dollars, $103 per session on average, billed at $448 per month for weekly sessions or $224 for every other week, gives Saint Helenian clients a fixed budget line rather than a variable per-appointment bill, with no charges for cancellations or reschedules inside the platform's window. Because the same licensed therapist stays with the client across months, the recurring cost buys continuity rather than a series of new intakes, which is where most of the therapeutic value actually accrues.

Hidden Cost and Barriers

The costs of in-person mental health care on Saint Helena are not always on the invoice. An off-island specialist referral can involve a weekly flight to Johannesburg and onward travel, days away from work and family, and accommodation in Cape Town or the UK. Even a local appointment usually involves driving into Jamestown from an outlying district, parking, and time out of the workday. Finding a licensed clinician outside the island's small resident team ordinarily means navigating overseas providers, currency conversion, and unpredictable per-session billing. Grouport rolls all of that into one predictable US dollar subscription with no travel, no medical evacuation, no per-session surprises, and the ability to cancel or adjust at any time.

Immediate Availability

Instead of waiting around six weeks for an appointment with the island's community mental health team, or longer for an off-island specialist referral to South Africa or the UK, Grouport clients complete a short intake and are matched with a licensed therapist right away. The first 45 minute session can generally be booked in the same week, over secure HIPAA-compliant video from anywhere on the island with an internet connection. For Saint Helena clients ready to start now, a licensed Grouport therapist is available this week.

How it Works

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Explore Virtual Mental Health Services

With plans tailored to you, it's easy to choose the right mental health care plan. Simply sign up today!

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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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Start Online Therapy

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

Saint Helena

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 clinical bench is made up entirely of licensed mental health professionals, including licensed psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs, credentialed and verified before they see a client. Each clinician practices specific evidence-based approaches, cognitive behavioural therapy, dialectical behaviour therapy, EMDR, exposure and response prevention, acceptance and commitment therapy, internal family systems, psychodynamic work, so the therapist options presented after signup are the ones whose training actually fits what you want help with, whether that is OCD, complex trauma, PTSD, panic, depression, BPD, anger, grief, an eating disorder, ADHD, bipolar work, or a relationship issue. You choose the clinician you would like to work with, and the same therapist stays with you across the full arc of care. Sessions run on secure HIPAA-compliant video and are fully confidential, entirely outside Saint Helena's small resident workforce, which matters in a community of 4,400 where privacy is genuinely hard to protect locally. A care coordinator is available throughout for anything that comes up.

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Affordable Individual Therapy & Care Options in Saint Helena.

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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Saint Helena Individual Therapy Questions Answered.

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.

How long does therapy take to work?

Most clients begin noticing improvements within 8-12 sessions, though this varies based on your goals and situation. Grouport research shows that 70% of clients improve significantly within 8 sessions. Some issues (like learning specific coping skills for anxiety) may show progress quickly, while others (like healing from trauma or changing long-standing relationship patterns) take longer. Your therapist will discuss realistic timelines and measurable goals during your first few sessions, and you'll regularly review progress together to ensure therapy remains effective and on track with your goals.

What conditions do your licensed therapists treat?

Grouport licensed therapists treat a wide range of mental health conditions and life challenges, including: anxiety disorders, OCD, depression and mood disorders, relationship and family conflicts, grief and loss, trauma and PTSD, anger management, borderline personality disorder (BPD), bipolar disorder, stress management, life transitions, parenting challenges, communication issues, self-esteem concerns, chronic illness, DBT skills for emotion regulation and more. Whatever you’re dealing with, we’ll have a therapist fit who specializes in your needs and would be the right fit for you. We have plenty of therapist and online group therapy options to choose from. Our licensed therapists utilized evidence based techniques where appropriate like Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), Exposure Response Prevention Therapy (ERP), Acceptance and Commitment Therapy (ACT), Exposure Therapy, Motivational Interviewing, Interpersonal Therapy, and Eye Movement Desensitization and Reprocessing (EMDR). If you need help finding care for your specific challenges, contact us, and we’ll be sure to assist you and relay the relevant therapy options.

How is online individual therapy different from in-person?

Online individual therapy provides the same evidence-based treatment and therapeutic relationship as in-person therapy does. The only difference is the location of whether you meet with your therapist via secure video chat rather than in an office. Research consistently shows online therapy is equally effective for most conditions. Benefits of online therapy include no commute time, attending from home comfort, easier scheduling, access to specialists regardless of location, and maintained consistency when traveling. Some people find online sessions more comfortable as they're in a familiar environment. The therapeutic relationship, treatment approaches, and outcomes are equivalent between online and in-person formats.

How do I choose the right therapist?

Grouport presents you therapist options based on your needs and you ultimately choose the therapist and schedule that works for you to meet. What makes a good fit is specialization in your concerns (trauma, anxiety, relationships, etc.), therapeutic approach that resonates with you (structured CBT, exploratory psychodynamic, skills-based DBT), communication style you're comfortable with, and personal factors like age, gender, or cultural background if preferences exist. When presenting you with therapist options, we take this all into account. Most importantly, you should feel heard, understood, and safe to be vulnerable. Therapeutic fit develops over 2-3 sessions so give it some time before deciding. If after several sessions you don't feel connected, switching therapists is always an option. The relationship is the foundation of effective therapy.

What if I don't know what to talk about in therapy?

Not knowing what to discuss is common, especially early in therapy. Your therapist guides conversation through questions and observations, so you're never responsible for just filling the time. Start with what's on your mind that day, even if it seems small. Many breakthrough moments come from exploring seemingly minor concerns. Between sessions, some people journal or note what they want to discuss. If you're truly blank, your therapist might review homework from last session, check in on previous topics, introduce a relevant exercise or assessment, explore patterns they've noticed, or discuss your goals. Silence is okay too and sometimes quiet moments lead to insights. Trust the process and don’t put too much pressure on yourself.

How often should I attend online individual therapy?

Most people attend weekly initially, especially when addressing active symptoms or crises. Weekly sessions build momentum, maintain continuity, and allow consistent progress. After significant improvement (typically seen in a minimum of 8-16 weeks), many reduce to bi-weekly sessions for maintenance and ongoing support. Some people attend multiple times per week like twice or three times weekly for intensive work on severe symptoms. Frequency depends on symptom severity, goals, progress, and practical factors like schedule and cost. Consistency matters more than frequency as sporadic sessions are less effective than regular attendance even if less frequent. Your therapist can weigh in and recommend optimal frequency for your situation and help you adjust as your needs change.

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.

Can therapy help with mental health stigma in my country?

Many countries have strong stigma around mental health care. Therapy might be seen as shameful or only for crazy people. This is far from the truth. Online therapy offers privacy, you can get help without anyone in your community knowing. Working through internalized stigma with your therapist is part of the process. Seeking help is actually a sign of strength.

Is therapy worth the cost if I'm just dealing with normal life stress?

That's a personal decision. You don't need to be in crisis to benefit from therapy. Some people view therapy as preventive care or personal development investment. Others only go when problems are severe. Consider this though, therapy costs money, but so does letting problems fester. Damaged relationships cost you. Missed work costs you. Physical health impacts from stress. Crisis interventions later. Preventive therapy can be cost effective long term.

Can Grouport help Saints in Jamestown with anxiety, depression, grief, or trauma when the island has no resident consultant psychiatrist?

Yes. Grouport offers weekly one-on-one video sessions for anxiety, depression, grief, and trauma with a licensed therapist, so Saints can access consistent condition-specific care without waiting for an off-island referral to Cape Town or the UK. Sessions run 45 minutes, are HIPAA-secure, and delivered in English on a schedule that works with GMT. Individual therapy is $103 per session on average, billed at $448 per month. You can start right away rather than sitting on the community mental health team's waitlist for weeks.

In a 4,400-person community where everyone knows everyone, how does Grouport keep therapy private from family and neighbors?

Grouport meets over a HIPAA-secure video platform from your own home, so there is no visit to Jamestown General Hospital and no one on the island sees you arriving for an appointment. Your sessions are one-on-one with a licensed therapist drawn from Grouport's clinician network, not from Saint Helena, so you are never sitting across from a relative or neighbor. Sessions run 45 minutes, and you can start individual therapy right away for $103 per session on average, billed at $448 per month.

Where on Saint Helena Grouport Serves.

Regions

Jamestown district, Half Tree Hollow, Longwood, Saint Paul's, Blue Hill, Levelwood, Sandy Bay, Alarm Forest.

Cities

Jamestown, Half Tree Hollow, Longwood, Saint Paul's, Alarm Forest, Blue Hill, Levelwood, Sandy Bay.

Zip Codes

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