The specialists: how Tangiers’ partners go where others fear to tread

You’re half way up the Peruvian Andes. Llamas and mountain goats abound.

Medical facilities, less so.

That means when something goes wrong – from a broken ankle to respiratory failure – you need to know someone has your back.

And that’s where Tangiers International comes in.

The company relies on the expertise of a wide range of third-party providers – clinics, consultants, land and air ambulance companies to name but a few – to ensure visitors to remote regions everywhere from Peru to Pakistan are covered when the clock is ticking.

Ian Ruggier, plans and operations at Tangiers, is part of the team responsible for ensuring these service providers are able to solve targeted problems in some of the world’s most remote or dangerous locations.

He said: “There’s no ‘one size fits all’ solution to getting people out of risky situations.

“If you’re in a very remote place, South Sudan or somewhere similar, we have to take into account the fact that transportation or medical facilities may be scarce. So the core question becomes: what are the alternatives?

“For an initial medical assessment or for emergency treatment, we may rely on a small medical outpost manned by a United Nations doctor, for example.

“They will at least be able to give us a comprehensive understanding of what the next steps will be. They might recommend evacuation or they might be able to give the person the treatment they need.

“From there, we’re looking at the regional next level of care up in terms of increased capacity and capability. That often means engaging with companies which have an international footprint.”

Finding reliable service providers in remote or underdeveloped parts of the world is a crucial part of Tangiers’ commitment to delivering efficient and effective case management.

Every provider needs to be thoroughly vetted to make sure they comply with national or international regulations and that they are capable of carrying out specific tasks to a high standard.

Tangiers also sets up direct billing agreements with its providers in order to circumvent any delays that can arise from payment issues.

The database of trusted providers – searchable by region as well as service offered – means that Tangiers’ managers can instruct industry specialists at a moment’s notice.

Maintaining the effectiveness of this database, meanwhile, requires a near-constant look out for potential partners.

Ian said: “The key is to always keep an eye open for up-and-coming medical companies which may be able to provide solutions to the kinds of issues we face.

“It’s usually in these more remote or underdeveloped places, such as Afghanistan or Iraq,  that you will want to have a level of care that can deal with the problems that some of our clients might come across.

“And, of course, it’s quite a wide spread of services. If you think about what a traveller might need you’ll probably think of moving from point A to point B, security assistance, medical advice or assessment.

“And then, of course, there is the range of aliments somebody could feasibly suffer.

“We really need to have every eventuality covered.”

If you’d like to be included in Tangiers International’s database of service providers, please contact