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Expat checklist: five simple steps to help you settle in

When you choose to live abroad, you know it will take time to truly feel settled in your new country. But some people adjust faster than others.

Expat checklist: five simple steps to help you settle in
Photo: Getty Images

Certain steps you can take are straightforward. Others require a little more research (like learning about your new healthcare system) or a lot more patience (did someone mention mastering the language?).

The Local, in partnership with international insurance broker ASN, offers five essential tips to help you feel at home in your new life abroad.

International insurance solutions to suit your needs – find out more about ASN

1. Save and learn emergency services numbers 

You’ll never forget the emergency services phone number in your home country. But can you say the same about your adopted home? Finding the number, saving it to your phone and even memorising it will not take long. 

If you live in the European Union, 112 is the European emergency number – free to dial across the EU from fixed and mobile phones. You can use it to ring for an ambulance, the fire brigade or the police. In some EU countries, 112 functions alongside other national emergency numbers, while in others it is now the only number to dial.

2. Learn local laws and rules of the road 

The law is the law. Except, of course, it varies widely between countries and regions. Some bizarre old laws have never been repealed but seem unlikely to be enforced (we doubt, for instance, that frowning in Milan will actually land you in court). 

But as an international resident, some areas do require your attention to avoid getting caught out – driving rules, for example. Find out whether you need to exchange your driving licence for a local one and familiarise yourself with national speed limits and road signs.

And remember that legal drink drive limits vary internationally. In Europe, the Czech Republic, Slovakia, Hungary and Romania all have a zero tolerance approach – while Germany does not allow novice drivers to consume any alcohol before getting behind the wheel.

3. Understand your healthcare coverage and choices 

National healthcare systems are very different – in Europe and around the world. A good understanding of the local rules on social security and entitlement to healthcare could really boost your peace of mind. 

In the EU, it’s your economic status and place of residence that determine the country responsible for your health cover – not your nationality. Make sure you understand the rules that are relevant for your personal situation.

You may want to compare what publicly funded healthcare covers with your options through private health insurance. Going private can offer far more comprehensive coverage, with access to the best hospitals and doctors. 

With international health insurance, you can also add benefits such as dental, maternity, physiotherapy and alternative medicine. You also have flexibility to upgrade or downgrade your policy. 

ASN offers tailored worldwide international health insurance through a range of partners. It also offers travel insurance – including emergency medical cover – lasting for up to 11 months and life insurance.

ASN offers global health cover wherever you are – for when you need it most

Photo: Getty Images

4. Learn the language – but beware false friends! 

Learning the language of your host nation might feel like the biggest step to take before you can feel totally settled. But Rome wasn’t built in a day. And fluency will not come in a hurry either. 

Finding a way to learn at your own pace – without too much pressure – could help you build your confidence. If you’re able to enjoy the challenge of expressing yourself in your new language, some of the worries associated with living abroad may gradually start to reduce.

Be on your guard with 'false friends' – words that sound similar to an English word but mean something very different. For example, the Spanish word 'embarazada' does not mean embarrassed – it means pregnant!

While learning, it’s important to be able to take care of personal matters in a language you’re comfortable with. ASN, which is based in Switzerland, offers global support in English, French, German and Italian, as well as access to 24/7 multilingual helplines.

5. Update your address 

One final tip – and a simple one! It has never been easier to stay continuously in touch with friends and family wherever you are. But could this lead you to overlook the need to update your address?

Governments, banks, insurers and other institutions still require an up-to-date postal address. And knowing you’re not missing any important mail can help secure your peace of mind.  

Need bespoke international health, travel or life insurance solutions? Find out more about how ASN can help you feel at home – wherever you are.

HEALTH

‘Possible link’ between AstraZeneca vaccine and rare blood clots, EMA concludes

The European Medicines Agency has come to the conclusion that the unusual blood clots suffered by numerous people around Europe should be considered as rare side effects of AstraZeneca's Covid-19 vaccine, but that overall the benefits of the jab outweigh the risk.

'Possible link' between AstraZeneca vaccine and rare blood clots, EMA concludes
Photo by Tiziana FABI / AFP

A statement published online read: “The EMA’s safety committee has concluded today that unusual blood clots with low blood platelets should be listed as very rare side effects of the COVID-19 AstraZeneca vaccine.”

The EMA added however that the benefits of the vaccine outweigh the risks.

While millions of doses of the vaccine developed with Oxford University have been administered, small numbers of people have developed deadly blood clots, which prompted countries including the European Union’s three largest nations – Germany, France and Italy – to temporarily suspend injections pending the EMA investigation.

In March the EMA said the vaccine was “safe and effective” in protecting people against Covid-19 but that it couldn’t rule out a link to blood clots, and that more investigations were needed.

On Wednesday the EMA said the AstraZeneca vaccine should continue to be used for all age groups but that people should be told of the possible rare side effects. The announcement came as the UK’s own drugs regulator said the AZ vaccine should now only be given to over 30s.

The EMA said it was “reminding healthcare professionals and people receiving the vaccine to remain aware of the possibility of very rare cases of blood clots combined with low levels of blood platelets occurring within two weeks of vaccination.”

One plausible explanation for the combination of blood clots and low blood platelets is an immune response, the EMA said but that it had not identified any clear risk factors for causing the clots including age or gender.

So far, most of the cases reported have occurred in women under 60 years of age within two weeks of vaccination. 

The EMA advised that people who have received the vaccine should seek medical assistance immediately if they develop symptoms of this combination of blood clots and low blood platelets.

Symptoms include shortness of breath, chest pain, swelling in legs, abdominal pain, severe headaches, blurred vision and tiny blood spots under the skin at the sight of the injection.

The EMA committee carried out an in-depth review of 62 cases of cerebral venous sinus thrombosis and 24 cases of splanchnic vein thrombosis reported in the EU drug safety database (EudraVigilance) as of 22 March 2021, 18 of which were fatal

The agency concluded: “COVID-19 is associated with a risk of hospitalisation and death. The reported combination of blood clots and low blood platelets is very rare, and the overall benefits of the vaccine in preventing COVID-19 outweigh the risks of side effects.”

Germany, France and Italy have all restarted AstraZeneca vaccines, but in the case of France and Germany with extra guidelines on the age of patients it should be used for. France is currently not administering the AstraZeneca vaccine to under 55s or over 75s.

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