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Andorra

General
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This small country is situated between France and Spain. Because of its elevation and proximity to the Pyrenees the climate is generally pleasant throughout the year.
Climate
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During the summer months the temperatures can rise to 30c but there is usually a cooling breeze. Lightening storms can occur during the summer months associated with torrential rain.
Sun Exposure and Dehydration
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Those from Northern Europe can develop significant sun exposure and so remember to use a wide brimmed hat when necessary. The altitude can also lead to significant tiredness and dehydration so take sufficient initial rest and drink plenty of fluids.
Safety & Security
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The level of crime throughout the country directed at tourists is very low. Nevertheless take care of your personal belongings at all times and use hotel safety boxes where possible.
Local Customs
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There are strict laws regarding the use of illegal drugs. Make sure you have sufficient supplies of any medication you required for your trip and that it is clearly marked. The European E111 form is not accepted in Andorra and so it is essential that you have sufficient travel insurance for your trip.
Winter Sports
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Andorra is one of the regions where many travel to partake of their winter sport facilities. Generally this is well controlled and one of the safer regions. Nevertheless, make certain your travel insurance is adequate for the activities you are planning to undertake.
Vaccination
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The only standard vaccine to consider for Andorra would be tetanus in line with many other developed countries of the world.

Travel News Headlines WORLD NEWS

Date: Thu, 12 Jul 2018 15:24:06 +0200

Andorra la Vella, Andorra, July 12, 2018 (AFP) - The tax haven of Andorra has long been a favourite destination for smokers looking to stock up on cheap cigarettes, but the enclave said Thursday that it would soon stop advertising the fact.   The government said it had signed up to the World Health Organization's (WHO) anti-tobacco convention, which aims to encourage people to quit smoking and combat contraband sales.   "The goal is to contribute to public health and pursue the fight against trafficking," government spokesman Jordi Cinca said at a press conference.

The tiny principality of Andorra, perched in the Pyrenees on the border between France and Spain, attracts millions of shoppers each year to duty-free stores, where prices of alcohol, cigarettes, electronics and clothes can be up to 20 percent cheaper than elsewhere in the EU.   High taxes on tobacco imposed by many countries to help people kick smoking make Andorra's cigarettes a particularly good deal.   The average pack costs just three euros ($3.50) compared with eight euros in France, which has said it will gradually raise the price to 10 euros a pack by November 2020.

Tobacco sales bring in some 110 million euros a year for Andorra, whose economy is otherwise based almost entirely on tourism.   It is also an enticing destination for smugglers, with French and Spanish border agents regularly seizing cartons from people trying to sneak them out, either by car or by hiking down the mountain trails which criss-cross the Pyrenees.   No date has been set for the advertising ban, which will come into effect three months after the ratification of the WHO accord is voted by parliament.
Date: Fri, 16 Mar 2018 02:41:51 +0100

Andorra la Vella, Andorra, March 16, 2018 (AFP) - The tiny principality of Andorra is witnessing a once in a generation phenomenon -- a widespread strike.   Around a third of civil servants across the mountainous micro-state have walked out to protest proposed reforms to their sector in what has been described as Andorra's first large-scale strike since 1933.

With no negotiation breakthrough in sight, picket lines are expected to be manned again on Friday with customs officers, police, teachers and prison staff among those taking part.   The first major strike in 85 years was sparked by plans from the government of Antoni Marti to reform civil servant contracts.   He has assured officials "will not do an hour more" work under the reforms and that 49 million euros would be allocated for the next 25 years to supplement civil servant salaries.   But government workers are unconvinced with unions warning the reforms could risk their 35 hour working week and pay.

Customs officers involved in the strike interrupted traffic on the Andorran-Spanish border this week, according to unions, while some 80 percent of teachers have walked out of classes.   Strikers have occupied the government's main administrative building and held noisy protests outside parliament calling for Marti's resignation.    "We have started collecting signatures to demand the resignation of the head of government and now nobody will stop us," Gabriel Ubach, spokesman for the public service union, told reporters.
Date: Mon 27 Sep 2017
Source: Contagion Live [edited]

A recent Dispatch article published in the Centers for Disease Control and Prevention (CDC)'s Emerging Infectious Diseases journal, offers insight into a large norovirus outbreak that sprung up in Spain in 2016 that had been linked with bottled spring water. The Public Health Agency of Catalonia (ASPCAT) reported a staggering 4136 cases of gastroenteritis from 11-25 Apr 2016. Of the 4136 cases, 6 individuals required hospitalization. The CDC defines a "case-patient" as an "exposed person who had vomiting or diarrhoea (3 or more loose stools within 24 hours)," as well as 2 or more of the following symptoms: nausea, stomach pain, or fever.

ASPCAT investigators traced back the outbreak to contaminated bottled spring water in office water coolers. The water came from a source in Andorra, a small independent principality located between Spain and France. Norovirus is a "very contagious virus," according to the CDC, and it is common for individuals to become infected by eating contaminated food. Although it is possible to be infected by consuming contaminated drinking water, this mode of transmission is "rare in developed countries," according to the article.

The investigators collected water samples from a total of 4 19-L water coolers in 2 different offices located in Barcelona, "from which affected persons had drunk; samples 1 and 2 came from 2 water coolers in one office, while samples 3 and 4 came from 2 water coolers in another office. Using "positively charged glass wool and polyethylene glycol precipitation for virus concentration," the investigators tested the samples.

"We detected high RNA levels for norovirus genotype I and II, around 103 and 104 genome copies/L, in 2 of the 4 water cooler samples concentrated by glass wool filtration and polyethylene glycol precipitation," according to the article. The investigators noted that a drawback of using molecular methods is that they are not able to differentiate between particles that are infectious and those that are not. Therefore, they "predicted the infectivity of norovirus in the concentrated samples by treating the samples with the nucleic acid intercalating dye PMA propidium monoazide and Triton X surfactant before RT-qPCR," which allowed them to "distinguish between virions with intact and altered capsids."

In those 2 water samples, they found high genome copy values -- 49 and 327 genome copies/L for norovirus genotype I and 33 and 660 genomes copies/L for norovirus genotype II. This was not an unexpected finding, due to the large number of infected individuals associated with the outbreak. Through "PMA/Triton treatment before RT-qPCR assays," the investigators found that the proportion of infected virions accounted for 0.3% to 5.6% of the total number of physical particles in the water samples, "which was enough to cause gastrointestinal illness."

The investigators also analyzed faecal samples collected from infected individuals who worked at the office in which the 1st 2 water samples were collected. They detected the following genotypes in those faecal samples: GI.2 and GII.17. In the faecal samples collected from the other office, they isolated the following genotypes: GII.4/Sydney/2012, GI.2, GII.17, and GII.2.

"We hypothesize that the spring water was contaminated by all 4 strains (GI.2, GII.2, GII.4, and GII.17) but levels of viral contamination for each genotype were not homogeneous in all bottled coolers," the investigators wrote. "We may have detected only the GII.4 genotype in water samples 1 and 2 because of a higher concentration of this specific genotype or because of bias caused by the sampling, concentration, and molecular detection procedures."

The investigators admit one limitation to their study: the small number of water samples collected and analyzed. They attribute this to the fact that on 15 Apr 2016, 4 days after the onset of the outbreak, the company that produced the drinking water recalled over 6150 containers of water "of suspected quality" as a precautionary measure. The recall prevented the investigators from collecting more samples to assess, according to the article.

Although the exact cause of the contamination has not yet been identified, the investigators posit that "the high number of affected persons from 381 offices that received water coolers, and the many different genotypes found in some patients' faecal specimens" suggest that the spring aquifer had been contaminated by "sewage pollution," and the Andorra Ministry of Health and Welfare banned further use of the spring.

The investigators suggest that assessing commercially-produced mineral waters for different harmful pathogens, such as norovirus would be beneficial. They note, however, that creating, enhancing, and managing such "virus surveillance systems" would be costly. Thus, the investigators suggest taking a "balanced approach to keep both the cost and the time required for the analyses within feasibility limits."  [Byline: Kristi Rosa]
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[The interesting article published in the September 2017 issue of Emerging Infectious Diseases is:
Blanco A, Guix S, Fuster N, et al: Norovirus in bottled water associated with gastroenteritis outbreak, Spain, 2016. Emerg Infect Dis. 2017; 23(9): 1531-34; https://wwwnc.cdc.gov/eid/article/23/9/16-1489_article. - ProMED Mod.LL]

[Catalonia and Andorra can be located on the HealthMap/ProMED-mail map at http://healthmap.org/promed/p/1341. - ProMED Sr.Tech.Ed.MJ]
Date: Thu, 26 Dec 2013 22:25:05 +0100 (MET)

ANDORRA LA VELLA, Andorra, Dec 26, 2013 (AFP) - A Spanish skier and a French snowboarder have died in avalanches in different mountain ranges in Europe, officials said Thursday.

The 27-year-old skier, a woman from Barcelona, died Wednesday while going off-piste alone in the Soldeu resort in Andorra, in the Pyrenees mountains between France and Spain, a resort manager told AFP.   Although she was rescued within 10 minutes, after her glove was spotted on the surface, she was unable to be revived despite a helicopter dash to hospital.

In the Italian Alps, close to the border with France, a 24-year-old Frenchman who was snowboarding with three friends on a closed run died Thursday when an avalanche swept over him in the resort town of Les Arnauds.   Local officials said he succumbed to multiple injuries, asphyxia and hypothermia.

Avalanches are common in Europe's ski resorts at this time of year, when early snows are heavy with moisture, and several deaths occur each winter.   Last Sunday, a 35-year-old Frenchman died in an avalanche in the Alps near the Italian border while on a three-day trek with a friend.
Date: Fri 7 Feb 2003 From: Jaime R. Torres Source: EFE Salud, Thu 6 Feb 2003 (translated by Maria Jacobs) [edited] -------------------------------------------------- Close to 300 students in one school and 173 tourists staying in 7 hotels in the Principality of Andorra have been affected by outbreaks of gastroenteritis that, according to local authorities, are not related to each other. Monica Codina, Minister of Health, stated that the outbreak that has affected almost 300 children and 8 adults in the San Ermengol school was detected last Monday [3 Feb 2003] but that it may have started Wednesday or Thursday of the previous week. The epidemiological surveys of a group of pre-school and grammar school students that may also be affected have not been performed yet. Also pending are the results of the microbiological tests of the food and water served in the school dining room, but the minister has indicated that the probable cause of the outbreak is the fact that water pitchers were filled with hoses directly from the faucet. The Minister stated that this outbreak of gastroenteritis is not related to the one that affected 173 tourists, most of them young people on holiday, who where staying in 7 hotels of the Principality. The government is also investigating the cause of this outbreak and has indicated that an anomaly in the system that supplies water to the hotels was detected, requiring a process of chlorination, which has not been carried out due to the heavy snowfall of the past few days. * * * * * * * * * * [The suspicion that defective water supplies may be responsible for all of these independent outbreaks suggests that the etiologic agent may be an enterovirus, hepatitis A virus, or non-viral, rather than one of the noroviruses associated with sudden-onset viral gastroenteritis. Information on the outcome of diagnostic tests in progress would be welcomed. - ProMed Mod.CP]
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Puerto Rico

No Profile is available at present

Travel News Headlines WORLD NEWS

Date: Sun, 15 Mar 2020 23:58:27 +0100 (MET)

San Juan, March 15, 2020 (AFP) - The US territory of Puerto Rico on Sunday ordered a 9:00 pm to 5:00 am curfew to stem the spread of the novel coronavirus, the strongest measure yet taken on American soil.   It took effect immediately and lasts until March 30.   "Faced with the possibility of transmission and propagation of the virus, I have ordered the imposition of a curfew for all residents of Puerto Rico," Governor Wanda Vazquez announced in a video message.   "We must take every precaution to ensure that we do not become potential carriers," Vazquez said.

The Caribbean territory of 2.9 million, whose residents are US citizens, also will close many businesses from Sunday until the end of the month, she said.   That includes malls, movie theaters, concert venues, gyms, bars and other businesses that bring together large crowds on the island popular with tourists.   The exceptions will be businesses in the food supply chain, and in the medical care system, as well as drugstores, gas stations, banks and senior citizens' group homes.

At night, only those who are providing or receiving medical care, or carrying out essential duties, will be allowed to be on Puerto Rico's streets.   Anyone defying the curfew faces a six-month jail term and a fine of up to $5,000.   The island declared a state of emergency when its first cases were reported March 12. The island has reported five cases.   On Friday, Vazquez accepted the resignation of Health Secretary Rafael Rodriguez Mercado, who was under fire for his handling the coronavirus emergency.

Recently, island residents were irate when two warehouses were found to be filled with abandoned supplies, apparently never used after Hurricanes Irma and Maria in 2017.   The storms' one-two punch left Puerto Ricans without power for months and killed nearly 3,000 people, according to the local government's official numbers.   President Donald Trump has accused the Puerto Rican government of incompetence and siphoning off hurricane relief money.   The Puerto Rican leaders accused Trump of treating the population of the island like second class citizens.
Date: Thu, 16 Jan 2020 02:45:27 +0100 (MET)
By Ivelisse RIVERA, con Leila MACOR en Miami

Yauco, Puerto Rico, Jan 16, 2020 (AFP) - Living out in the open, their nerves on edge after a series of earthquakes that have shaken Puerto Rico, some 5,000 people are hoping that their president, Donald Trump, will heed the island's plea to be designated a disaster zone and free up much-needed aid.   Since December 28, more than 1,000 tremors have rattled the US island territory in the Caribbean, which just two years ago was devastated by two powerful hurricanes in quick succession.

In Yauco, one of the areas worst hit by the earthquakes, dozens of people were sitting on cot beds Wednesday in the parking lot of a municipal stadium, sheltered from the sun by white tents and blue tarps handed out by the federal disaster management agency, known as FEMA.  "The most difficult thing is the psychological aspect," said Wilfredo Rodriguez, 31. His house had been fractured by the seismic movement and he has spent a week living with his kids, aged six and 10, under an awning.    "We are living in constant fear of another powerful tremor," he said.

He only returns to his house to wash, then hurries back to the shelter. "We worry that there'll be a more powerful tremor while we are inside the house," he said.   Throughout the day, volunteers arrive to hand out food and toys for the children who fill the shelters: schools have been suspended because the buildings are not sturdy enough to withstand another quake.    The island's earthquake detection system has registered 1,104 tremors in the past two weeks alone, of which 186 could be felt by the population. By comparison, during the whole of 2019 there were 6,442 tremors, of which just 62 could be felt by people on the island.

Further south, in Guanico, Juan Santiago decided to move into a shelter on Saturday after a tremor of 5.9 on the Richter scale hit the island. "The mountain shook and rocks and earth started to come down," said the 30-year-old.  "My house has a crack in it and is about to fall down," he added. His home had weathered the Category Five winds of Hurricane Maria in September 2017 and of Hurricane Irma which followed it just two weeks later.   "It's different to a hurricane. What is happening now is much nastier," he said.

As he was talking the earth shook again, a tremor of 5.2 magnitude. Vehicles rocked like hammocks in the wind, but the quake-hardened victims barely reacted.   The houses in this part of the island are mostly rudimentary constructions built by the people who live in them with scant resources available in the mountains, where no regulations stipulate that buildings should be earthquake resistant.    The government of Puerto Rico said that as of Monday, there were 4,924 people living in 28 shelters in 14 municipalities. There were no figures on how many buildings had been damaged or destroyed.

- Seeking disaster designation -
Puerto Rico's governor Wanda Vazquez Garced called on Trump to declare the earthquake a disaster and clear the way for desperately needed aid. Trump had declared an emergency days before, but the governor wanted more.   The declaration of an emergency frees up to $5 million dollars in aid for the island, although Congress can bump that figure up. But if the situation is designated a disaster, there is no ceiling on funding, a FEMA spokesman said.   On Wednesday, the government said it would release $8.2 billion in delayed hurricane relief that had been stalled after the president threatened to divert Puerto Rico's emergency funds to help pay for his wall on the US-Mexico border.

In the past few days there have been growing calls among Democratic lawmakers for Trump to declare the situation in Puerto Rico a disaster.   It is a delicate subject, as Trump has accused the government of Puerto Rico of incompetence and of siphoning off hurricane relief money, triggering a public spat between the president and the mayor of San Juan, Carmen Yulin Cruz, as well as the former governor Ricardo Rossello, who was forced to step down last summer amid massive protests.   The Puerto Rican leaders accused Trump of treating the population of the island like second class citizens.
Date: Sat, 11 Jan 2020 15:43:12 +0100 (MET)

Washington, Jan 11, 2020 (AFP) - A 5.9 magnitude earthquake rocked Puerto Rico Saturday, the latest in a series of powerful tremors that have shaken the US territory in recent days, the US Geological Survey reported.

The latest quake occurred at 8:54 am local time (1254 GMT) around 13 kilometres (eight miles) southeast of Guanica, a town on the island's southern Caribbean coastline that was hard hit by earlier quakes.   The USGS revised its initial report of a 6.0 magnitude quake to 5.9.   It follows a 6.4 magnitude quake Tuesday that killed one person, knocked
out electric power and caused widespread damage.

Puerto Rico Governor Wanda Vazquez declared a state of emergency after Tuesday's quake, which forced an automatic shutdown of the power grid.    Puerto Rico's electric power authority reported outages in the towns of Ponce, Lares, Adjuntas and San German after the latest quake.   The Pacific Tsunami Information Center in Hawaii issued a statement saying there was "no significant tsunami threat" but a small possibility of tsunami waves along coasts nearest the epicentre.

The island is still recovering from Hurricane Maria, which came ashore more than two years ago as a devastating Category 4 storm.   Starting December 28, a wave of tremors have swept the island, putting residents on edge.   The 6.4 quake on January 7 came a day after a 5.8 magnitude quake; it was followed by major aftershocks.   Saturday's quakes were also preceded by a string of smaller tremors.
Date: Tue, 7 Jan 2020 23:44:45 +0100 (MET)
By Ricardo Arduengo

Guayanilla, Puerto Rico, Jan 7, 2020 (AFP) - Puerto Rico's governor declared a state of emergency on Tuesday after a powerful 6.4 magnitude earthquake killed at least one person in the south of the island and caused widespread damage.   Governor Wanda Vazquez said the declaration would allow for the activation of National Guard troops in the US territory still recovering from a devastating 2017 hurricane.   The US Geological Survey said the quake struck at 4:24 am (0824 GMT) with the epicenter off the coast of the southern city of Ponce, and was followed by more than a dozen aftershocks.

Tuesday's quake was the most powerful in a series of tremors that have shaken the island since December 28.   Scientists initially sent out an alert about a potential tsunami but it was later canceled.   The island's electricity authority said the quake had forced an automatic shutdown of the power grid, already severely damaged by Hurricane Maria more than two years ago.   The worst damage appeared to be in towns on the southwest coast, including Ponce, Guayanilla and Guanica.   El Nuevo Dia newspaper said a 73-year-old man died after a wall fell in his home in Ponce. Eight others there were reported injured.

Two power plants in Guayanilla sustained major damage, the Puerto Rico Electric Power Authority said. The city could be without power for two weeks, its mayor Nelson Torres Yordan said.   Celebrity chef Jose Andres announced that a charity he runs, World Central Kitchen, had started serving meals and distributing solar-powered lamps in quake-hit areas.   Vazquez announced that $130 million in emergency aid funding will be disbursed.   On social media, people wrote of being shaken awake by the force of the quake.   One woman on Twitter said she had been "wrenched from sleep."   "Everybody is awake & scared all over," she posted.   In Guayanilla, the Inmaculada Concepcion church, built in 1841, was heavily damaged.   Volunteers salvaged statues and other valuable items from the ruins as a priest consoled distraught parishioners.

- 'Be safe' -
A 5.8 magnitude quake on Monday toppled some structures, caused power outages and small landslides, but did not result in any casualties.   It also destroyed a popular tourist landmark, Punta Ventana, a natural stone arch that crumbled on the island's southern coast.   Vazquez, the governor, said government employees were being given the day off on Tuesday to take care of their families.   "We want everyone to be safe," she said.   She said ports were undamaged and there are several weeks' supply of gasoline, diesel and natural gas stored so people need not worry about shortages.

The White House said President Donald Trump had been briefed and Pete Gaynor, head of the Federal Emergency Management Agency (FEMA), had been in touch with the governor.   Trump's administration came under severe criticism for its response to Hurricane Maria.   The Category 4 storm destroyed the island's already shaky power grid, overwhelmed public services, left many residents homeless and claimed several thousand lives, according to government estimates.
Date: Tue, 7 Jan 2020 12:52:34 +0100 (MET)

Washington, Jan 7, 2020 (AFP) - A strong earthquake struck south of Puerto Rico early Tuesday, the US Geological Survey said, the latest in a series of tremors that have shaken the island since December 28.   The shallow 6.5 magnitude quake struck 13.6 kilometres (8.5 miles) south of the city of Ponce, the USGS said, revising down its initial reading of 6.6.   The quake struck just off the US territory's southern Caribbean coastline at 4:24 am local time (0824 GMT).   "The whole island is without power," the director of Puerto Rico Electric Power Authority, Jose Ortiz, told local media.

Puerto Rico's governor Wanda Vazquez Garced posted on Twitter that the government's security protocols had been activated.   She said government employees were not expected at work, adding: "We want everyone to be safe."   On social media, people wrote of being shaken awake by the force of the quake.   One woman on Twitter said she had been "wrenched from sleep", adding "Everybody is awake & scared all over."

Dramatic images also shared on social media appeared to show widespread damage in the town of Guayanilla, home to around 20,000 people, as well as nearby Guanica.   The mayor of Guayanilla told local news channel NotiUno that the town's church had collapsed in the incident.

An alert issued by the Tsunami Warning Center immediately following the earthquake was later cancelled.   Tuesday's quake was the strongest of a series of tremors that have shaken the island since December 28, topping Monday's 5.8 quake.   That earthquake toppled houses and caused power outages, but there were no reports of casualties.
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Rwanda

Rwanda US Consular Information Sheet
May 19, 2008
COUNTRY DESCRIPTION:
Rwanda is a landlocked developing country in central Africa which has made considerable progress in rebuilding its infrastructure and establishing security since the 19
4 civil war and genocide in which at least 800,000 people were killed. Economic activity and tourism are on the rise in Rwanda. Hotels and guesthouses are adequate in Kigali, the capital, and in major towns, but are limited in remote areas. Read the Department of State Background Notes on Rwanda for additional information.

ENTRY/EXIT REQUIREMENTS: A passport and evidence of yellow fever immunization are required. Visas are not required for American citizens entering Rwanda for less than 90 days. U.S. citizens planning on working in Rwanda should apply for a work permit at the Directorate of Immigration as soon as possible after arrival in Rwanda. Detailed entry information may be obtained from Rwanda’s Directorate of Immigration at: http://www.migration.gov.rw/ or from the Embassy of the Republic of Rwanda, 1714 New Hampshire Avenue NW, Washington DC 20009, telephone 202-232-2882, fax 202-232-4544, web site http://www.rwandaembassy.org. Overseas, inquiries may be made at the nearest Rwandan Embassy or Consulate.
Information about dual nationality or the prevention of international child abduction can be found on our web site. For further information about customs regulations, please read our Customs Information sheet.

SAFETY AND SECURITY:
There are currently no travel restrictions in place within Rwanda, but travelers should use caution when traveling near or crossing the border into Burundi, eastern Democratic Republic of the Congo (DRC), and Uganda.

In March 2005, the Congo-based Democratic Forces for the Liberation of Rwanda (FDLR), comprising ex-Rwandese Armed Forces, Interahamwe, and other extremists, announced it would end its armed struggle against the Government of Rwanda, but thousands of combatants are estimated to remain in eastern Congo. The combatants currently are not well-organized or funded, nor do they pose a serious threat to Rwandan security. However, in early March 2007, in Gisenyi Province (near the Volcanoes National Park in northwestern Rwanda) they launched a mortar round and rocket into Rwandan territory. There were no casualties, and it appears to have been an isolated incident. While visitors may travel freely to Volcanoes National Park, they are not permitted to visit the park without permission from Rwanda's Office of Tourism and National Parks (ORTPN). ORTPN stipulates that the park can only be used for gorilla tours and nature walks. Since December 2006, all restrictions have been lifted in the Nyungwe Forest near the Burundian border in southwestern Rwanda. In the past, the FDLR infiltrated Rwanda from Burundi through the Nyungwe Forest, but the last reported incident in the park was in November 2003. However, FDLR rebel factions are known to operate in northeastern DRC, Burundi, Tanzania, and Uganda, including near the popular tourist area of Bwindi Impenetrable Forest National Park. For information on travel to those and other countries, and for the latest security information, American citizens traveling abroad should regularly monitor the Department of State, Bureau of Consular Affairs web site at http://travel.state.gov, where the current Travel Warnings and Travel Alerts, as well as the Worldwide Caution, can be found.
From time to time, travel by U.S. Embassy personnel may be restricted based on changing security conditions. Visitors are encouraged to contact the appropriate U.S. Embassy Regional Security Office or Consular Section for the latest security information, including developments in eastern Congo, Uganda and Burundi. (See Registration/Embassy Location section below.)

Up-to-date information on safety and security can also be obtained by calling 1-888-407-4747 toll free in the U.S. and Canada, or for callers outside the U.S. and Canada, a regular toll-line at 1-202-501-4444. These numbers are available from 8:00 a.m. to 8:00 p.m. Eastern Time, Monday through Friday (except U.S. federal holidays).

The Department of State urges American citizens to take responsibility for their own personal security while traveling overseas. For general information about appropriate measures travelers can take to protect themselves in an overseas environment, see the Department of State’s pamphlet A Safe Trip Abroad.

CRIME: Pick-pocketing in crowded public places is common, as is petty theft from cars and hotel rooms. Although violent crimes such as carjacking, robbery, and home invasion occur in Kigali, they are rarely committed against foreigners. Americans are advised to remain alert, exercise caution, and follow appropriate personal security measures. Although many parts of Kigali are safe at night, walking alone after dark is not recommended since foreigners, including Americans, have occasionally been the targets of robbery.

INFORMATION FOR VICTIMS OF CRIME: The loss or theft abroad of a U.S. passport should be reported immediately to the local police and the nearest U.S. Embassy or Consulate. If you are the victim of a crime while overseas, in addition to reporting to local police, please contact the nearest U.S. Embassy or Consulate for assistance. The Embassy/Consulate staff can, for example, assist you to find appropriate medical care, contact family members or friends and explain how funds could be transferred. Although the investigation and prosecution of the crime is solely the responsibility of local authorities, consular officers can help you to understand the local criminal justice process and to find an attorney if needed.

See our information on Victims of Crime. The U.S. Embassy provides some information on its web site about criminal justice in Rwanda at http://rwanda.usembassy.gov/criminal_justice_in_rwanda.html.

MEDICAL FACILITIES AND HEALTH INFORMATION: Medical and dental facilities are limited, and some medicines are in short supply or unavailable. Travelers should bring their own supplies of prescription drugs and preventive medicines. In Kigali, Americans may go to King Faisal Hospital, a private facility that offers limited services and dental facilities. There is also a missionary dental clinic and a few private dentists. American-operated charitable hospitals with some surgical facilities can be found in Kibagora, in southwestern Rwanda, in Ruhengeri, near the gorilla trekking area, and in Rwinkavu, near the entrance to Akagera National Park. The U.S. Embassy maintains on its website a current list of healthcare providers and facilities in Rwanda at http://rwanda.usembassy.gov/medical_information.html; this list is also included in the Consular Section’s welcome packets for American citizens. There are periodic outbreaks of meningitis in Rwanda. Yellow fever can cause serious medical problems, but the vaccine, required for entry, is very effective in preventing the disease. Malaria is endemic to Rwanda. All visitors are strongly encouraged to take prophylactic medications to prevent malaria. These should be initiated prior to entry into the endemic area. Because of possible counterfeit of antimalarial medications, these should be obtained from a reliable pharmaceutical source. Multiple outbreaks of ebola have been reported in neighboring Democratic Republic of Congo and Uganda in the past year, but none within Rwanda.
Information on vaccinations and other health precautions, such as safe food and water precautions and insect bite protection, may be obtained from the Centers for Disease Control and Prevention’s hotline for international travelers at 1-877-FYI-TRIP (1-877-394-8747) or via the CDC’s website at http://wwwn.cdc.gov/travel/default.aspx. For information about outbreaks of infectious diseases abroad consult the World Health Organization’s (WHO) web site at http://www.who.int/en. Further health information for travelers is available at http://www.who.int/ith/en.

MEDICAL INSURANCE: The Department of State strongly urges Americans to consult with their medical insurance company prior to traveling abroad to confirm whether their policy applies overseas and whether it will cover emergency expenses such as a medical evacuation. Please see our information on medical insurance overseas.
TRAFFIC SAFETY AND ROAD CONDITIONS: While in a foreign country, U.S. citizens may encounter road conditions that differ significantly from those in the United States. The information below concerning Rwanda is provided for general reference only, and may not be totally accurate in a particular location or circumstance.
Due to safety concerns, the use of motorbikes or van taxis for transportation is not recommended. Regulated orange-striped (along the base of the vehicle) sedan auto taxis are safer, but be sure to agree on a fare before beginning the trip. Public transportation can be dangerous due to overloading, inadequate maintenance, and careless drivers.
While the main roads in Rwanda are in relatively good condition, during the rainy season many side roads are passable only with four-wheel drive vehicles. Nighttime driving, particularly outside major cities, is hazardous and is discouraged. Often, roadways are not marked and lack streetlights and shoulders. Many sections have deteriorated surfaces. Due to possible language barriers and lack of roadside assistance, receiving help may be difficult. Travelers may be stopped at police roadblocks throughout the country, where their vehicles and luggage may be searched. Service stations are available along main roads.
In Rwanda, as in the U.S., traffic moves on the right-hand side of the road. Cars already in a traffic circle have the right of way. Until 2004, cars entering traffic circles had the right-of-way. Drivers should exercise caution at traffic circles, since some drivers might forget this change. Excessive speed, careless driving, and the lack of basic safety equipment on many vehicles are hazards on Rwanda's roads. Many vehicles are not well maintained, and headlights are either extremely dim or not used. Drivers also tend to speed and pass other cars with little discretion. Some streets in Kigali have sidewalks or sufficient space for pedestrian traffic; others do not, and pedestrians are forced to walk along the roadway. With the limited street lighting, drivers often have difficulty seeing pedestrians. Drivers frequently have unexpected encounters with cyclists, pedestrians and livestock.
Third-party insurance is required and will cover any damages from involvement in an accident resulting in injuries, if one is found not to have been at fault. The driver’s license of individuals determined to have caused an accident may be confiscated for three months. Causing a fatal accident could result in three to six months' imprisonment. Drunk drivers are jailed for 24 hours and fined Rwandan Francs 20,000 (approximately $35). In the city of Kigali, contact the following numbers for police assistance in the event of an accident: Kigali Center, 08311112; Nyamirambo, 08311113; Kacyiru, 08311114; Kicukiro, 08311115; Remera, 08311116. Ambulance assistance is very limited. Wear seat belts and drive with care and patience at all times. In case of an emergency, American citizens can contact the Embassy duty officer at 0830-0345.
For specific information concerning Rwandan driving permits, vehicle inspection, road tax, and mandatory insurance, please contact the Rwandan Office of Tourism and National Parks, B.P. 905, Kigali, Rwanda, telephone 250-76514, fax 250-76512.
Please refer to our Road Safety page for more information. Visit the web site of the country’s national tourist office and national authority responsible for road safety at http://www.gov.rw/.
AVIATION SAFETY OVERSIGHT: As there is no direct commercial air service to the United States by carriers registered in Rwanda, the U.S. Federal Aviation Administration (FAA) has not assessed Rwanda’s Civil Aviation Authority for compliance with International Civil Aviation Organization (ICAO) aviation safety standards. For more information, travelers may visit the FAA’s web site at http://www.faa.gov/safety/programs_initiatives/oversight/iasa.

In recent months, Rwandair, which charters aircraft to fly its routes, has had difficulties maintaining its schedule, resulting in delayed and cancelled flights which have left passengers stranded for extended periods.

SPECIAL CIRCUMSTANCES:
Telephone communication to and from Rwanda is generally reliable. Cellular telephones and Internet connections are available in Kigali and large towns.
Non-biodegradable plastic bags have been banned in Rwanda, and travelers carrying them upon arrival at the Kayibanda International airport may have them confiscated and have to pay approximately $4 for a reusable cloth replacement.
International ATMs are not available in Rwanda. The Rwandan franc is freely exchangeable for hard currencies in banks and the Bureaux de Change. Several Kigali banks can handle wire transfers from U.S. banks, including Western Union. Credit cards are accepted at only a few hotels in Kigali and only to settle hotel bills. Hotels currently accepting credit cards for payment include the Kigali Serena (formerly Intercontinental) Hotel, the Hotel des Mille Collines, the Novotel Umubano, Stipp Hotel and the Kivu Sun Hotel. Note that there may be an added fee for using a credit card. Travelers should expect to handle most expenses, including air tickets, in cash.

Traveler's checks can be cashed only at commercial banks. Because some travelers have had difficulty using U.S. currency printed before the year 2000, the Embassy recommends traveling with newer U.S. currency notes.
Please see our Customs Information.
CRIMINAL PENALTIES: While in a foreign country, a U.S. citizen is subject to that country's laws and regulations, which sometimes differ significantly from those in the United States and may not afford the protections available to the individual under U.S. law. Penalties for breaking the law can be more severe than in the United States for similar offenses. Persons violating Rwandan laws, even unknowingly, may be expelled, arrested or imprisoned. Penalties for possession, use, or trafficking in illegal drugs in Rwanda are severe, and convicted offenders can expect long jail sentences and heavy fines. Engaging in sexual conduct with children or using or disseminating child pornography in a foreign country is a crime, prosecutable in the United States. Please see our information on Criminal Penalties.
The U.S. Embassy provides some information on its website about criminal justice in Rwanda.

CHILDREN'S ISSUES: For information see our Office of Children’s Issues web pages on intercountry adoption and international parental child abduction. Both foreigners and Rwandans taking Rwandan children to live outside Rwanda, e.g., after adoption, must obtain an exit permission letter from the Ministry of Family and Gender located within the Primature complex at P.O. Box 969, Kigali, Rwanda; Tel: 011-250-587-128; Fax: 011-250-587-127.

REGISTRATION / EMBASSY LOCATION:
Americans living or traveling in Rwanda are encouraged to register with the nearest U.S. Embassy or Consulate through the State Department’s travel registration website so that they can obtain updated information on travel and security within Rwanda. Americans without Internet access may register directly with the nearest U.S. Embassy or Consulate. By registering, American citizens make it easier for the Embassy or Consulate to contact them in case of emergency. The U.S. Embassy is located at 2657 Avenue de la Gendarmerie; the mailing address is B.P. 28, Kigali, Rwanda; tel. (250) 596-400,; fax: (250) 596-591. The Consular Section’s email address is consularkigali@state.gov. The Embassy's web site is http://rwanda.usembassy.gov/. American Citizen Services hours are Tuesdays from 9:00 -17:00 and Fridays from 9:00 - 12:00 except on U.S. and Rwandan holidays.
* * *
This replaces the Country Specific Information for Rwanda dated October 4, 2007, to update sections on Country Description, Entry/Exit Requirements, Safety and Security, Information for Victims of Crime, Medical Facilities and Health Information, Traffic Safety and Road Conditions, Aviation Safety Oversight, Criminal Penalties, Children’s Issues, and Registration/Embassy Location.

Travel News Headlines WORLD NEWS

Date: Fri 20 Mar 2020
Source: VICE News [edited]

Rice farming is a priority crop in Rwanda but working in the flooded fields means 10 hours a day exposed to mosquitoes.

Rwanda's tens of thousands of acres of bright green, grassy rice fields present a paradox for the landlocked East African country. The crop is a dietary staple for virtually every family here, and it brings in a good chunk of the country's GDP. So, the government is embarking on an aggressive campaign to produce even more. But the waterlogged fields where the grain grows are the ideal breeding ground for mosquitoes, so the disease is rampant.

In 2016, researchers from the Rwanda Biomedical Center came to Bugesera District in Rwanda's Eastern Province. They brought with them a larvicide that kills mosquitoes before they hatch. The larvicide is called _Bacillus thuringiensis_ israelensis, or Bti, and is applied to the fields using the same machine they use for pesticides. The study also involved preparing community action teams to deliver malaria-prevention education to villages.

The study showed that over a year, there was a 90% decrease in mosquito density in rice fields. But when the study ended, farmers were left without the larvicide and with 10 times the amount of mosquitoes once again.

After their study concluded in 2015, the researchers from the Rwanda Biomedical Center and their Dutch partners recommended the government incorporate Bti into their farming practices. The larvicide has been used in the United States for over 30 years, and it's EPA-approved. The agency says it doesn't pose a risk to humans.

But the government never funded national Bti spraying. And over the next nearly 5 years, the government pushed to increase rice production by turning marshlands into rice fields. The number of reported malaria cases, meanwhile, increased 68%, from 2.5 million in 2015 to 4.2 million in 2018, according to the World Health Organization.

In a 2018 study, the country's experts "hypothesized that a potential contributor to the increase in cases" was this push to convert the marshlands.

In 2016, the government established a national strategy titled "The Rwanda We Want: Towards Vision 2050." In it, they outline their hope to eradicate malaria by mid-century. While cases began to decline between 2016 and 2018, malaria in Rwanda is still extremely widespread. The World Health Organization says the whole population is at risk for the disease. Without proper care, malaria's complications can be deadly.

And despite these widespread concerns about the lack of malaria prevention or education for tens of thousands of rice farmers and surrounding communities, Rwanda has been ramping up its push for more rice for years.

Charles Bucagu, the deputy director general of the Rwanda Agriculture Board, stood atop a hill overlooking vast fields. He said the government was undergoing a "crop intensification program," aiming to increase the amount of rice yield from under 2 tons per acre to almost 3 through farmer training and new tools.

Rice brings about USD 64.8 million of revenue to Rwanda annually. And although the country relies heavily on domestic rice production, they still have to import some. The government's goal is to be self-sufficient by 2050. As part of their efforts to expand farming, the government often rents parcels of land to farming cooperatives to exploit, and farmers get a cut of what they harvest.

Dr. Diane Gashumba, the country's then Minister of Health, told VICE News in September [2019] that malaria in and around rice fields must be addressed and that the government is "really committed" to exploring larviciding after seeing countries like Brazil apply the technique successfully. "We need rice," she said, "we cannot stop rice farming ... but also, there is a way."

On 14 Feb 2020, the office of the prime minister announced that he had accepted Dr. Gashumba's resignation. In a tweet, he said her resignation "follows a series of habitual gross errors and repeated leadership failures."

On 11 Mar 2020, one month after her resignation and 5 months after Bucagu's statement, the government finally reintroduced larvicide to Rwanda's rice fields. The announcement came as Rwandans started yet another agricultural season. But the commitment is only to a 6-month spraying program and only in the Gasabo district, one of 30 in Rwanda.

Bti will be sprayed 3 times each month, mainly using drones, and community health workers will help with the targeting of surrounding mosquito breeding sites. The decision was made in response to a request from Rwanda's Biomedical Center's team for almost USD 200,000 in funds, and the test run's success will determine whether the Bti program gets scaled nationally, said Dr. Emmanuel Hakizimana, the director of vector control at the center.

Hakizimana believes malaria eradication in rice paddies is feasible, but Bti spraying is just the 1st step. "The problem is not rice farming; the problem is lack of prevention," he said, explaining that larviciding must be combined with malaria detection and treatment, indoor spraying, insecticide-treated nets, and the use of repellent. "It's not impossible," Hakizimana added.

The around 1000 farmers on E's co-op earn about USD 1.4 per day. She gathered 567 pounds of rice during the last season and was given 128 pounds for her family by the co-op. She said she doesn't earn enough to buy bug repellent. The head of her co-op, Joseph Hitumukiza, said his organization doesn't have the resources to give farmers the tools to protect themselves either, so he advises them to save money in case they get malaria and need to be treated.

Citizens have good access to healthcare, but information around prevention is still lacking. When asked what measures she takes against the disease, E said she boils the water she drinks at home. While boiling water is recommended in areas where the quality is unreliable, it bears no effect on malaria.  [Byline: Patricia Guerra]
==================
[A study of mosquito distribution and risk of malaria in Rwanda found that: "For the 7 sentinel sites, the mean indoor density for _An. gambiae_ s.l. varied from 0.0 to 1.0 mosquitoes/house/night. _P. falciparum_ infection rates in mosquitoes varied from 0.87 to 4.06%. The entomological inoculation rate (EIR) ranged from 1.0 to 329.8 with an annual average of 99.5 infective bites/person/year." (Hakizimana E et al. Spatio-temporal distribution of mosquitoes and risk of malaria infection in Rwanda. Acta Trop. 2018;182:149-57).

The study using the larvicide _Bacillus thuringensis_ (Bti) referred to is Ingabire CM et al. (Community-based biological control of malaria mosquitoes using _Bacillus thuringiensis_ var. israelensis (Bti) in Rwanda: community awareness, acceptance and participation. Malar J. 2017;16:399). - ProMED Mod.EP]

[HealthMap/ProMED map available at:
Date: Sun, 22 Mar 2020 00:46:05 +0100 (MET)

Kigali, March 21, 2020 (AFP) - Rwanda has suspended all "unnecessary movements" outside the home and clamped down on travel across its borders, in one of the toughest measures yet imposed in sub-Saharan Africa to curb the spread of the coronavirus.   "Unnecessary movements and visits outside the home are not permitted," the government announced in a statement late Saturday, excusing trips for healthcare, food, or banking.
Date: Sat, 14 Mar 2020 11:11:55 +0100 (MET)

Kigali, March 14, 2020 (AFP) - Rwanda on Saturday confirmed its first case of the new coronavirus -- an Indian citizen who arrived last week from Mumbai, the health ministry said.   "He is currently under treatment in stable condition, isolated from other patients. The tracing of all contacts has been conducted for further management," the ministry added.   Rwanda is the third East African nation to confirm a case in the past two days after Kenya and Ethiopia reported their first infections on Friday.

The region had remained unscathed until now, but Rwanda has stepped up its preparation, placing washbasins with soap and sanitiser around the capital Kigali.  RwandAir has cancelled flights to China, Israel and India, while concerts, rallies, trade fairs and sports events have been cancelled.
Date: Mon, 9 Mar 2020 12:03:39 +0100 (MET)

Kigali, March 9, 2020 (AFP) - City authorities in Kigali have banned concerts, rallies and other mass gatherings in the capital as a preventive measure against coronavirus, despite Rwanda recording no confirmed cases of the illness.   Coronavirus has only been reported in eight countries on the African continent, according to data from the World Health Organization (WHO), among the lowest rates of confirmed infection in any region globally.   "The city of Kigali wishes to inform that entertainment shows, social gatherings, trade fairs, exhibitions and other gatherings that assemble many people... are officially suspended till further notice," the Kigali City Council announced in a statement Sunday.

The policy does not extend to venues hosting smaller umbers of people -- such as wedding venues, churches, hotels, restaurants, bars, and sports clubs -- which were told to apply "good hygiene practises" and supply soaps and hand washes.   The government has advised its citizens against travelling to countries where coronavirus has been reported.

Church authorities, meanwhile, announced that communal holy water would not be provided for worshippers to dip their fingers upon entering mass, and that communion would no longer be passed from hand to mouth.    Religious pilgrimages have also been suspended as a precaution in Rwanda, where close to half the population is Catholic.    Rwanda has not recorded any cases, and none of its immediate neighbours have either.    But the small landlocked country is no stranger to imposing tough measures in response to health scares.

In August 2019, Rwanda briefly closed its border with the Democratic Republic of Congo as a precaution against Ebola, freezing overland trade across one of its busiest frontiers.   This measure against coronavirus, too, could hit Rwanda's economy.    International visitors for tourism and trade shows are a major source of revenue of Rwanda and Kigali in particular, which markets itself as an attractive location for global conferences.   But the economic pain could be felt in other East African markets, where precautions against coronavirus could impact the lucrative tourism industry.

Kenya has banned direct flights to its tropical coastline from Italy, a major source of visitors, where the virus has hit hard, with 366 fatalities.    It has also suspended international conferences, a top earner in Nairobi, a hub for such events in the region.    In Uganda, meanwhile, all passengers arriving from France, China, Germany, Italy, Iran, South Korea and Spain must self-quarantine for 14 days, Ugandan health minister Ruth Jane Aceng announced at the weekend.    Aceng said Uganda "maintains an open-border policy" but authorities have urged travellers from high-risk countries to consider postponing all non-essential travel to the country.
Date: Sun, 8 Dec 2019 17:30:45 +0100 (MET)

Kigali, Dec 8, 2019 (AFP) - Rwanda on Sunday started a voluntary Ebola vaccination programme at its border with the Democratic Republic of Congo in a bid to prevent the spread of the deadly virus from its neighbour.   All countries in high-risk areas, even if not hit by Ebola, had been advised by the WHO to use a new vaccine developed by US group Johnson & Johnson, the country's health minister, Diane Gashumba, told journalists.   The idea was "to protect those with high chances of getting in contact with people living in areas where Ebola has been reported to be active", she said.

The vaccine, Ad26-ZEBOV-GP, is an experimental drug produced by US pharmaceuticals giant, Johnson & Johnson. It was used for the first time in mid-November in Goma in DR Congo, on the other side of the border.    So far, there have no confirmed cases of Ebola in Rwanda.   The epicentre of the outbreak in DR Congo, which has killed more than 2,200 people since August 2018, is located 350 kilometres (217 miles) north of Goma, in the Beni-Butembo region.   That region sits on the DR Congo border with Uganda.   More than 250,000 people in DR Congo have already been vaccinated using another product, rVSV-ZEBOV, made by US drug company, Merck Shape and Dohme.

- Ebola in Goma -
People working in the health sector, at border crossings, police officers, and business executives who frequently travel between the two countries are being given priority in the vaccination campaign.   But all residents in the border districts can ask to be vaccinated if they wish.    The first volunteers expressed relief at the measure.    "We lived in a life of worry because of what was going on in DR Congo," Joel Ntwari Murihe, one of the first Rwandans to be vaccinated, told AFP.   "It caused a lot of border disruptions as we were restricted to buying or selling with DR Congo residents who live in Goma.    "The vaccine is an assurance to the safety for our lives and our children's lives."

The head of DR Congo's anti-Ebola efforts, Jean-Jacques Muyembe, and the WHO's representative in Rwanda, Kasonde Mwinga, were present at the campaign launch.    In August, Rwanda briefly closed its border with DR Congo and ordered its citizens not to visit the country when the first Ebola cases were recorded in Goma.   The city, which is the regional capital of the Congolese province of North Kivu, sits on the border with Rwanda.    The border has since been reopened, but strict medical checks are being enforced.
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Reunion

No Profile is available at present

Travel News Headlines WORLD NEWS

Date: Thu 2 May 2019
Source: France TV Info [trans. ProMED SB, edited]

Ti Baba nursery in Saint-Paul has been affected by cases of salmonellosis. Five babies were infected with the bacterium. They were examined by the nursery doctor following symptoms of acute gastroenteritis. For several days, symptoms of acute gastroenteritis have been occurring in the toddlers.

The analyses were carried out on the foodstuffs, the menus served to the children, and, according to the director of the SPL Ti Baba, the service providers in charge of the meals The LRA and the various health authorities are continuing the investigations to find the source of the infection.  [Byline: Rahabia Issa]
=======================
[The source of salmonellosis here is not yet known. Although a foodborne outbreak in the centre is possible, introduction of this enteric pathogen into the day care centre by a child is also possible.

Reunion, one of the overseas departments of France, is an island with a population of about 800 000 located in the Indian Ocean, about 943 km (586 mi) east of Madagascar and about 200 km (120 mi) southwest of Mauritius, the nearest island. A map showing the location of Reunion Island in the Indian Ocean and its main cities can be accessed at <http://www.nationsonline.org/oneworld/map/reunion-map.htm>.

A HealthMap/ProMED-mail interactive map of Reunion Island can be accessed at
<http://healthmap.org/promed/p/45149>. - ProMED Mod.LL]
- La Reunion. 10 Apr 2019

From 800 confirmed cases the previous week, the dengue epidemic increased to 904 cases in the week.
<https://la1ere.francetvinfo.fr/reunion/dengue-barre-900-cas-confirmes-semaine-est-depassee-698934.html> [in French, trans. ProMED Corr.SB]

- La Reunion. 12 Apr 2019. Dengue La Reunion (French overseas territory): dengue cases near 5000 in Q1 2019. New transmission zones have been identified in Saint-Andre, Saint-Denis, Sainte-Marie, and Sainte-Suzanne. In addition, the number of hospitalizations is increasing with 25-30 recorded weekly.

- La Reunion. 27 Mar 2019. The circulation of the dengue virus continues at a sustained level, say the prefecture and the ARS. From 11-17 Mar 2019, 682 cases of dengue fever were confirmed. Since the beginning of the year [2019], 153 emergency room visits have been recorded and 80 patients have been hospitalized. In addition, 5 deaths have been reported since the beginning of 2019, of which 2 have been considered, after investigation, as directly related to dengue fever. The most active households are located at: the Saint-Louis River, Saint Louis, Saint Pierre, the Etang-Sale Cabris Ravine.
- Reunion Island. Fri 24 Aug 2018

6476 dengue cases gave been confirmed since January 2018; 138 hospitalized, 20 cases of severe dengue, including 3 deaths.

[HealthMap/ProMED-mail map of Reunion Island:
Reunion Island. 23 May 2018

In the Indian Ocean, it is also serotype 2 that predominates during the dengue epidemic affecting western and southern Reunion. According to the last assessment of [22 May 2018], 3416 biologically confirmed or probable cases have been reported since [1 Jan 2018, including 387 in a single week. Among them, 75 cases were hospitalized, including 9 severe cases.

[HealthMap/ProMED-mail map of Reunion Island:
Date: Fri 25 May 2018, 5:29 PM
Source: Linfo [in French, trans. ProMED Corr.SB, edited]
<http://www.linfo.re/la-reunion/societe/leptospirose-89-cas-confirmes-depuis-le-debut-de-l-annee-a-la-reunion>

Since the beginning of the year, 89 cases of leptospirosis have been reported in Reunion (against 50 in 2017). This disease can be contracted through contact with contaminated wetland (stagnant water, mud, etc). The West and South are the most affected regions with 21 confirmed cases in Saint-Paul.

Once again, the cleaning of courtyards and gardens or bathing in fresh water [flood water that is contaminated with urine from infected animals, e.g., rats, dogs?] after heavy rains is particularly at risk. The ARS Indian Ocean [the French Regional Health Agency in charge of health administration for Mayotte and La Reunion islands] wants to sensitize the population: it is essential to apply protective measures and fight against rats.

In addition, in the context of a proven epidemic of dengue fever, it is recommended to consult your doctor in case of high fever, in order to be tested and treated appropriately if necessary. [Byline: Lucie Touza]
===================
[Leptospirosis is a zoonotic bacterial infection that is distributed widely throughout the world in warm climates and is transmitted to humans by direct contact of abraded skin or mucous membranes with the urine of infected animals or by contact with wet soil, vegetation, or water that has been contaminated with infected animal urine. _Leptospira_ bacteria shed in urine may survive in fresh water or moist soil for weeks to months.

Many species of wild and domestic animals (including dogs, cattle, swine, and especially rats) are susceptible to chronic kidney infection with pathogenic _Leptospira_. Different leptospiral serovars are prevalent in particular geographical regions. Inadequate disposal of trash and debris provides a suitable habitat for rat infestation in urban settings.

Outbreaks of leptospirosis frequently follow heavy rainfall, flooding with fresh water, and increasing rodent numbers. Reunion experiences seasonal outbreaks of leptospirosis probably related to the rainfall. Reunion, one of the overseas departments of France, is an island with a population of about 800,000 located in the Indian Ocean, about 943 km (586 mi) east of Madagascar and about 200 km (120 mi) south west of Mauritius, the nearest island.

A map showing the location of Reunion Island in the Indian Ocean and its main cities can be accessed at
<http://www.nationsonline.org/oneworld/map/reunion-map.htm>.

A HealthMap/ProMED-mail interactive map of Reunion Island can be accessed at
<http://healthmap.org/promed/p/45149>. - ProMED Mod.ML]
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Belarus

Belarus - US Consular Information Sheet
November 25, 2008
COUNTRY DESCRIPTION:
Belarus became an independent republic in 1991, after the breakup of the Soviet Union.
In 1996, a constitutional referendum, not recognized by the internat
onal community, centralized power in the executive branch (president), headed by Alyaksandr Lukashenka.
Economic and political reform in Belarus has stalled or is being reversed under his authoritarian government.
The Belarusian Government’s human rights record remains very poor.
President Lukashenka gained a third five-year term as president in March 2006, in an election that international observers judged to be seriously flawed.
Democratic nations, including the United States and the members of the European Union, condemned the subsequent governmental crackdown on peaceful protests in Minsk, and imposed visa restrictions and other sanctions on senior Belarusian officials. As a result of the release of political prisoners in August 2008, the EU lifted its visa restrictions, but those of the United States remain in effect.
Both Belarusian and Russian are official languages, and Russian is widely spoken throughout the country, particularly in the cities.
Tourist facilities are not highly developed, but food and lodging in the capital and some regional centers are adequate.
Read the Department of State Background Notes on Belarus for additional information.
ENTRY/EXIT REQUIREMENTS:
A passport and visa are required.
Travelers must obtain a visa in advance to visit or transit through Belarus.
Travelers who do not have a visa cannot register at hotels.
U.S. citizens visiting or residing in Belarus are required to register with the local office of the Citizenship and Migration Department of the Ministry of Interior (formerly OVIR) within three business days after arrival.
The registration fee is one National Minimum Tariff Unit (currently about $17).
Failure to register can result in fines and difficulties when departing.
U.S. citizens staying in hotels are automatically registered at check-in.
Visa validity dates are strictly enforced; travelers should request visas of sufficient length to allow for changes in arrival and departure plans, and should carefully review the beginning and ending dates of their visas before traveling.
A valid exit visa is necessary to depart Belarus.
Generally, the visa issued by a Belarusian Embassy or Consulate is valid for both entry and exit.
Photocopies of visas may be helpful in the event of loss, but note that a copy of a visa will not be sufficient for entry or departure, as Belarusian border officials always require original travel documents.

Travelers who overstay their visa’s validity -- even for one day -- will be prevented from leaving until they have been granted an extension by the Department of Citizenship and Migration.
United States citizens without valid visas face delays in leaving Belarus and may have trouble finding adequate accommodation.
By Belarusian law, travelers with an expired visa may not check in at any hotel or other lodging establishment.

U.S. citizens traveling through Belarus to other countries are strongly advised that there is a transit visa requirement for entering and leaving Belarus.
Transit visas are required even for travelers transiting on direct overnight trains with no stops or transfers on Belarusian territory. Transit visas should be obtained prior to any journey that requires travel through Belarus.
Commonwealth of Independent States (CIS) and Russian visas are no substitute for this transit visa.
Most travel agencies, including those in Russia and CIS countries, as well as train ticket sales personnel, are often not aware of this visa requirement and may not seek a transit visa for a traveler unless instructed by the traveler to do so.

U.S. citizens attempting to transit Belarus without a valid Belarusian transit visa have been denied entry into the country and forcibly removed from trains.
In some instances, local border and railway authorities have threatened passengers who did not possess a valid transit visa with jail or extorted “fines.”
American citizens are advised not to pay any border or railway officials for transit visas or “transit visa fines,” as these officials are not authorized to issue such visas.
Americans finding themselves in Belarus without transit visas, if confronted by border or train personnel, should request to be put in contact with consular officials at the U.S. Embassy in Minsk.
U.S. citizens traveling to Belarus via Russia are reminded that they must possess a Russian transit visa in addition to their Belarusian visa. Russian Embassies outside of the United States, including the Russian Embassy in Belarus, generally do not issue transit or tourist visas to Americans.
Russian transit visas are not normally obtainable at Russian airports.

The Law on the Legal Status of Foreign Citizens and Stateless Persons in the Republic of Belarus states that all foreign citizens may be granted permission for a temporary stay (up to 90 days within a chronological year), temporary residence (up to one year), or permanent residence.
Belarusian Embassies and Consulates will issue visas for temporary stays.
A temporary stay visa will allow the bearer to be present physically in Belarus for a maximum of 90 days within the 365-day period for which the visa is issued.
Once an individual has spent 90 days in Belarus, at one time or through a combination of visits, he or she will not be eligible to receive another visa until the original 365-day period has passed.

Individuals who receive visas for a temporary stay, but wish to remain in Belarus for longer than 90 days, must apply for temporary or permanent residence with the Ministry of Interior.
Individuals must make the application in Belarus within the 90 days allotted for a temporary stay.
Permission for temporary residence can be granted to students, spouses, or close relatives of Belarusian citizens, or for “work, business, or other activities.”
Travelers may contact the Consular Section at the U.S. Embassy in Minsk for information about application procedures for temporary or permanent residence.
Every foreigner entering Belarus is required to fill out a migration card.
This card should be retained for the whole period of stay and should be presented to the border authorities when exiting Belarus.

Foreign citizens without a valid Belarusian visa, migration card, or proper registration with the Department of Citizenship and Migration as a temporary visitor or resident can be subject to sanctions up to and including deportation under the provisions of the Code of Administrative Violations.
Depending on the circumstances, deportees also can be banned from returning to Belarus for a period from one to ten years.

Foreign citizens visiting and transiting Belarus also should be prepared to demonstrate sufficient financial means to support their stay.
For individuals staying in Belarus for less than one month, this amount is equal to approximately $15/day/person.
For those staying for longer than one month, the requirements call for $375/month/person.
Belarusian officials may request this proof of funds at the time of visa application, at the border, or during registration.
According to the Ministry of Interior, cash, credit cards, paid hotel reservations, or a letter from an inviting party pledging full financial support are sufficient means to demonstrate financial wherewithal.

Belarus requires all foreign nationals (other than accredited diplomats) entering the country to purchase medical insurance at the port-of-entry, regardless of any other insurance they might have.
Costs for this insurance will vary according to the length of stay.
(Subject to change, current information puts costs at approximately $1 for a one or two day stay, $15 for a stay of up to 31 days, and $85 for a stay of one year.)

Travelers entering Belarus by air with more than 35 kilograms of luggage (77 pounds) will be charged 2 Euros per kilogram in excess of that limit.
The fee must be paid in dollars or Euros.
In accordance with current customs regulations, foreigners may enter Belarus with up to $10,000 and exit the country with up to $3,000 without submitting a written declaration.
For additional information on customs rules for Belarus please see the Belarusian State Customs Committee official web site.
The Belarusian Government enforces a requirement for special permits to travel in “protected border zones.”
The Government of Belarus has not provided information defining the parameters of those zones.
Travelers should be alert for warning signs, road barriers, and/or border guard posts, and are advised not to cross into such areas without permission.

Foreign missionaries may not engage in religious activities outside the institutions that invited them unless they have a religious worker visa.
One-year validity, multiple-entry, "spiritual activities" visas, which are required of foreign missionaries, can be difficult to get, even for faiths that are registered with the government and have a long history in the country.
Approval often involves a difficult bureaucratic process.

A law enacted in 2002 required all religious groups and organizations, including recognized “traditional” religions such as Russian Orthodoxy, Roman Catholicism, Orthodox Judaism, Sunni Islam, and Lutheranism, to re-register; most organizations have done so.
Unregistered religious groups may not legally gather for religious purposes.
Many unregistered groups continue to meet, however, leaving them vulnerable to selective implementation of the law by authorities.
The law also stipulates that only Belarusian citizens can head religious organizations in Belarus.
In recent years, authorities have harassed, warned, fined, and briefly detained members of some unregistered and so-called "non-traditional" faiths for engaging in unsanctioned worship or proselytism. The U.S. Embassy strongly recommends that any U.S. citizen who chooses to attend a religious service of an unregistered religious group do so only after consulting with members of the group about the risk of harassment or possible arrest by local law enforcement authorities.
U.S. citizens are also urged to contact the U.S. Embassy should they encounter any problems with authorities due to their participation in such services or events.

Naturalized U.S. citizens originally from Belarus do not automatically lose Belarusian citizenship upon naturalization.
Such individuals retain Belarusian citizenship unless they take specific steps to renounce it.
The Belarusian authorities will allow naturalized U.S. citizens from Belarus to enter the country without a valid Belarusian passport on a “certificate of return” issued by Belarusian Embassies and Consulates, but please note that a valid Belarusian passport will be required to leave the country.
It can take two to four weeks to receive a new Belarusian passport.
For additional information please consult with the Embassy of Belarus at http://www.belarusembassy.org.
Belarusian citizens, including dual nationals, are subject to Belarusian laws requiring service in Belarus’ armed forces, as well as other laws pertaining to passports and nationality.
American-Belarusian dual nationals of military age who do not wish to serve in the Belarusian armed forces should contact the Embassy of Belarus in Washington, D.C. to learn more about an exemption or deferment from Belarusian military service before going to Belarus.
Without this exemption or deferment document, they may not be able to leave Belarus without completing military service, or may be subject to criminal penalties for failure to serve.

Children born to Belarusian parent(s) before August 15, 2002, even if born in the United States and in possession of a U.S. passport, may not be issued a Belarusian visa for travel to Belarus.
The Belarusian government considers these children to be Belarusian citizens until age 16, when they may choose to accept or reject that claim to citizenship.
Instead of a visa, a "certificate of return" is issued that will allow the child to enter Belarus.
It is imperative that parents of such children understand that, in order to leave the country, the child will be required to have a Belarusian passport if he/she does not already have one.
It can take anywhere from two to four weeks to complete the application procedures and receive a new Belarusian passport.
(Note: if the parent left Belarus on a series PP passport, given to Belarusians who reside abroad and have cancelled their local registration, then Belarus would not require the child to reject his/her claim to citizenship).
For children born to one Belarusian parent and one foreign parent after 2002, the parents must by mutual consent agree to Belarusian citizenship for the child, regardless of the place of birth.
If the parents cannot reach consensus, Belarus would only force Belarusian citizenship on a child in cases where the child would be left stateless.
Visit the Embassy of Belarus web site at http://www.belarusembassy.org/ for the most current visa information, or contact the Embassy of Belarus at 1619 New Hampshire Avenue, NW, Washington, DC 20009, tel: 202-986-1606, fax: 202-986-1805, consul@belarusembassy.org.
Information about dual nationality or the prevention of international child abduction can be found on our web site.
For further information about customs regulations, please read our Customs Information sheet.
SAFETY AND SECURITY:
Both organized and spontaneous demonstrations occur in Belarus.
Localized street disturbances relating to political events occur most frequently in Minsk or larger cities.
In some instances, authorities may use force to disperse protesters; bystanders, including foreign nationals, may face the possibility of arrest, beating, or detention.
Even demonstrations intended to be peaceful can sometimes become confrontational and escalate into violence.
For this reason, it is recommended that American citizens avoid all demonstrations and protest gatherings.

Security personnel may at times place foreign visitors under surveillance.
Hotel rooms, telephones, and fax machines may be monitored, and personal possessions in hotel rooms may be searched.
Taking photographs of anything that could be perceived as being of military or security interest may result in problems with authorities.
These sites are not always clearly marked and application of these restrictions is subject to interpretation.

For the latest security information, Americans living or traveling abroad should regularly monitor the Department of State’s Bureau of Consular Affairs’ web site at http://travel.state.gov, where the current Travel Warnings and Travel Alerts, as well as the Worldwide Caution, can be found.
Up-to-date information on safety and security can also be obtained by calling 1-888-407-4747 toll-free in the U.S. and Canada, or for callers outside the U.S. and Canada, a regular toll line at 1-202-501-4444.
These numbers are available from 8:00 a.m. to 8:00 p.m. Eastern Time, Monday through Friday (except U.S. federal holidays).

The Department of State urges American citizens to take responsibility for their own personal security while traveling overseas.
For general information about appropriate measures travelers can take to protect themselves in an overseas environment, see the Department of State’s A Safe Trip Abroad.
CRIME:
Belarus has a moderate incidence of street crime. Though violent crime against foreigners is rare, criminals have been known to use force if met with resistance from victims.
Common street crime, such as mugging and pocket picking, occurs most frequently near public transportation venues, near hotels frequented by foreigners, and/or at night in poorly lit areas.

American citizens and other foreigners in Belarus have also been the victims of car theft, car vandalism, and hotel and residential break-ins.
Foreigners visiting nightclubs should pay particular attention to their surroundings, as criminal elements may rob unsuspecting patrons after surreptitiously drugging their drinks.
Travelers should keep a copy of their passport in a separate location from their original passport.

As in many countries around the world, counterfeit and pirated goods are widely available in Belarus. Transactions involving such products may be illegal under local law. In addition, bringing them back to the United States may result in forfeitures and/or fines. More information on this serious problem is available at http://www.cybercrime.gov/18usc2320.htm.
INFORMATION FOR VICTIMS OF CRIME:
The loss or theft abroad of a U.S. passport should be reported immediately to the local police and the nearest U.S. Embassy or Consulate.
If you are the victim of a crime while overseas, in addition to reporting to local police, please contact the nearest U.S. Embassy or Consulate for assistance.
The Embassy/Consulate staff can, for example, assist you in finding appropriate medical care, contacting family members or friends and explaining how funds could be transferred.
Although the investigation and prosecution of the crime is solely the responsibility of local authorities, consular officers can help you to understand the local criminal justice process and to find an attorney if needed.
To see if you can be compensated in the U.S. as a victim of violent crime overseas, see our information on Victims of Crime.

The local equivalents to the “911” emergency line in Belarus are: 111 Fire and Rescue Squad, 102 Police, 103 Ambulance (Medical Emergency)
MEDICAL FACILITIES AND HEALTH INFORMATION:
Medical care in Belarus is limited.
There is a severe shortage of basic medical supplies, including anesthetics, vaccines and antibiotics.
Elderly travelers and those with existing health problems may be at risk due to inadequate medical facilities. Travelers are encouraged to ensure that they bring an adequate supply of prescription medications in the event that there are delays in departing Belarus.
Tuberculosis is an increasingly serious health concern in Belarus.
For further information, please consult the CDC's Travel Notice on TB at http://wwwn.cdc.gov/travel/yellowBookCh4-TB.aspx.

The U.S. Department of State is unaware of any HIV/AIDS entry restrictions for visitors to Belarus on a 30 day visit.
Long-term residents or students must obtain an HIV/AIDS test in Belarus and submit the results to the Department of Citizenship and Migration.
Information on vaccinations and other health precautions, such as safe food and water precautions and insect bite protection, may be obtained from the Centers for Disease Control (CDC) and Prevention’s hotline for international travelers at 1-877-FYI-TRIP (1-877-394-8747) or via the CDC’s web site at http://wwwn.cdc.gov/travel/default.aspx.
For information about outbreaks of infectious diseases abroad consult the World Health Organization’s (WHO) website at http://www.who.int/en.
Further health information for travelers is available at http://www.who.int/ith/en.
MEDICAL INSURANCE:
The Department of State strongly urges Americans to consult with their medical insurance company prior to traveling abroad to confirm whether their policy applies overseas and whether it will cover emergency expenses such as a medical evacuation.
Please see our information on medical insurance overseas.

TRAFFIC SAFETY AND ROAD CONDITIONS:
While in a foreign country, U.S. citizens may encounter road conditions that differ significantly from those in the United States.
The information below concerning Belarus is provided for general reference only, and may not be totally accurate in a particular location or circumstance.
American citizens on short-term visits to Belarus (up to 90 days) are permitted to drive with a valid U.S. state driver’s license.
U.S. citizens should, therefore, always carry their passports with them to prove date of entry into the country in the event that police stop them.
If residing in Belarus for more than 90 days, one should apply for a Belarusian driver’s license.
Drivers will be required to successfully complete a two-part test in Russian; the first part is a computer-based multiple-choice test on local driving rules, and the second part is a driving test.
To receive a local driver’s license, drivers will also need to complete a medical exam at a special medical clinic, which will include a general physical, a chest x-ray, and an eye exam.

Radar traps and road construction sites, often unlit at night, are widespread.
Except for a stretch of the main east-west highway, where the speed limit is 100 km/h (60 mph), the maximum speed limit on divided highways or main roads outside village, town or city limits is 90 km/h (55 mph).
Speed limits in cities are 60 km/h unless marked and will usually range between 40 km/h and 70 km/h, with frequent radar traps.
Visible and hidden dangers exist, including potholes, unlit or poorly lit streets, inattentive and dark-clothed pedestrians walking on unlit roads, drivers and pedestrians under the influence of alcohol, and disregard for traffic rules.
Driving in winter is especially dangerous because of ice and snow.
Driving with caution is urged at all times.

Radio-dispatched taxi services are generally reliable, arrive promptly once called and usually offer the lowest fare.
Most radio-dispatched taxis are metered, although fares can vary greatly and are considerably higher in the late evening and overnight hours.
The use of informal taxis or "gypsy cabs" is not recommended.

Minsk has a clean, safe, and efficient subway system that easily reaches most of the city center. Service is stopped briefly during the early morning hours, but otherwise runs regularly throughout the day.
Ticket prices are extremely low by western standards.
Though their routes are extensive, buses and trolleys lack heating or cooling capabilities and are usually crowded.

Travelers on all public transportation should be wary of pickpockets and other petty crime.
For travelers interested in car rental, only one major western rental agency currently operates in Minsk.
In general, rental car networks in Belarus are not well developed.

Travelers may experience significant delays (of several hours) in crossing the border by road into neighboring countries.

Please refer to our Road Safety page for more information.
Also visit the website of the country’s national tourist office and national authority responsible for road safety at: http://siteks.com/sites/touragency/.
AVIATION SAFETY OVERSIGHT:
As there is no direct commercial air service to the United States by carriers registered in Belarus, the U.S. Federal Aviation Administration (FAA) has not assessed Belarus’s Civil Aviation Authority for compliance with International Civil Aviation Organization (ICAO) aviation safety standards.
For more information, travelers may visit the FAA’s web site at http://www.faa.gov/safety/programs_initiatives/oversight/iasa.
SPECIAL CIRCUMSTANCES:
Traveler's checks are normally not accepted in Belarus as a means of payment, but can be freely exchanged for cash at any bank.
Most hotels, restaurants, and stores accept major credit cards.
All Belarusian banks provide cash from major credit cards.
All payments in Belarus are made in Belarusian rubles.
Authorized currency exchange centers are widely available throughout major cities.


ATMs are also available for use, and it has become easier to use credit cards and debit cards in Belarus, especially in Minsk; however, this does not mean that it is safer to do so.
There have been reports of instances in which U.S. citizens have had their card numbers “skimmed” and the money in their debit accounts stolen or their credit cards fraudulently charged.
(“Skimming” is the theft of credit card information by an employee of a legitimate merchant or bank, manually copying down numbers or using a magnetic stripe reader.)
In addition to skimming, the risk of physical theft of credit or debit cards also exists.
To prevent such theft, the Embassy recommends that travelers keep close track of their personal belongings and only carry what is needed when out.
If travelers choose to use credit cards, they should regularly check their account status to ensure its integrity.
Persons seeking to marry in Belarus should consult the information located on the Embassy web site at http://minsk.usembassy.gov/marriage.html.
Please see our Customs Information.
CRIMINAL PENALTIES:
While in a foreign country, a U.S. citizen is subject to that country's laws and regulations, which sometimes differ significantly from those in the United States and may not afford the protections available to the individual under U.S. law.
Penalties for breaking the law can be more severe than in the United States for similar offenses.
Persons violating Belarusian laws, even unknowingly, may be expelled, arrested or imprisoned.
Penalties for possession, use, or trafficking in illegal drugs in Belarus are severe, and convicted offenders can expect long jail sentences and heavy fines.
Engaging in sexual conduct with children or using or disseminating child pornography in a foreign country is a crime, prosecutable in the United States.
Access for U.S. consular officers to U.S. citizens in detention is often limited and/or delayed.
Although U.S. citizens are able to obtain legal representation, there has been at least one case of delayed notification, hindered consular access, limited medical treatment, and trial behind closed doors. Please see our information on Criminal Penalties.

CHILDREN'S ISSUES:
For information see our Office of Children’s Issues web pages on intercountry adoption and international parental child abduction.

REGISTRATION / EMBASSY LOCATION:
Americans living or traveling in Belarus are encouraged to register with the nearest U.S. Embassy or Consulate through the State Department’s travel registration web site so that they can obtain updated information on travel and security within Belarus.
Americans without Internet access may register directly with the nearest U.S. Embassy or Consulate.
By registering, American citizens make it easier for the Embassy or Consulate to contact them in case of emergency.
The U.S. Embassy is located in Minsk at 46 Starovilenskaya Ulitsa; telephone (375 17) 210-1283 or after hours (375 29) 676-0134, fax (375 17) 334-7853 or (375 17) 17-217-7160 (consular section).
The Consular Section may also be reached by email at ConsularMinsk@state.gov
*

*

*
This replaces the Country Specific Information for Belarus dated December 7, 2007, and updates the sections on Exit/Entry Requirements, Safety and Security, Information for Victims of Crime, Medical Facilities and Health Information, and Criminal Penalties.

Travel News Headlines WORLD NEWS

Date: Thu, 2 Aug 2018 06:04:14 +0200
By Tatiana Kalinovskaya

Minsk, Aug 2, 2018 (AFP) - A massive corruption scandal has rocked the health service of ex-Soviet Belarus, leading even officials in the country dubbed "Europe's last dictatorship" to call for an overhaul of the system.   Authorities have arrested dozens of medics, drug company representatives and bureaucrats on suspicion of siphoning off millions of dollars in state funding.   Valery Vakulchik, head of the powerful KGB state security service, in televised comments last month denounced what he called a vast system of procurement of drugs and medical equipment at inflated prices.   Prices were habitually hiked by up to 60 percent and in some cases even doubled, he said.   Following his announcement, 37 top health officials were arrested and criminal investigations were opened involving 60 people including local representatives of international pharmaceutical companies.

The KGB chief acknowledged that the Soviet-style bureaucracy in the country bordering the European Union, ruled by strongman Alexander Lukashenko, helped promote corruption.   "The existing system of procuring medical equipment and drugs created the conditions for corrupt practices," he said.    "Bona fide suppliers could not rely on a positive outcome," he added, while procurements were made not directly from producers but "via numerous middlemen (and) finance companies."   Those detained in the scandal include deputy health minister Igor Lositsky, doctors at reputed clinics and leading business figures involved in producing and importing medicines.   One of the arrested businessmen is Sergei Shakutin, director of Iskamed group, who is the brother of one of Lukashenko's close associates.   Belta state news agency has published photos of searches at the home of a medical centre director that uncovered $500,000 in cash.   Officers also found $620,000 in the garage of the director of a public enterprise that imported medical equipment.

The KGB chief said bribes paid to corrupt officials amounted to millions of dollars.   "There will be further arrests since the people detained so far are just the perpetrators," Sergei Satsuk, editor of news site Yezhednevnik, who is familiar with the case, told AFP.   The chief beneficiaries in such schemes were retired law enforcement officials who set up companies to enter the lucrative medical equipment market, Satsuk said.   "In 10 years they drained all the juice out of the country's medical system," he said.   He said this involved supplying equipment that was not just over-priced but also often lacked the necessary certification or came with faked documentation.    Some equipment was imported as second-hand but re-sold as new.

- Powerful temptation -
This is one of the biggest corruption scandals in the history of Belarus, which is wedged between Russia and Poland and has been led by Lukashenko since 1994.   "Bureaucracy has privatised the state. We need to reform the whole system of state management, otherwise corruption schemes will spring up wherever budget funds are being spent," independent economist Yaroslav Romanchuk told AFP.

Other smaller corruption scandals have in recent years hit the sports, forestry and energy ministries as well as large companies, factories and banks.   Three ministers have been sacked and senior bureaucrats and regional officials have been arrested.   "Even if you clean out the state structures of bribe-takers, corruption won't die in Belarus for a single day," said Romanchuk.   "The very next day new people in old posts in the old system will relaunch the old corruption schemes."   The system "creates the most powerful temptation to set up schemes with kickbacks, bribes, swindling and abuses of office," Romanchuk said.
Date: Tue, 24 Jul 2018 18:11:12 +0200

Minsk, July 24, 2018 (AFP) - Belarus on Tuesday announced that it is extending visa-free travel for tourists from five days to 30 days in a move that could attract more visitors to the ex-Soviet state on the European Union's doorstep.

Strongman ruler Alexander Lukashenko signed a decree allowing visitors from 80 countries including 39 in Europe, as well as the United States, Australia and Japan to stay for 30 days.   The ruling will enter force when the decree is published in one or two days.   The decree says the move is aimed at "promoting further development of the Belarusian tourism sector" as well as making the country more attractive as a host for sports events and festivals and improving its connectedness to the global economy.

Belarus said it is keen to promote itself as a medical tourism venue and for people keen to recuperate and undergo spa procedures at its sanatoriums.   The visa-free rule requires visitors to fly in and out of Minsk's main airport.    As before, the visa exemption does not apply to foreigners arriving or leaving from Russia because of a lack of border controls betweeen the neighbours.

Minsk has close ties to former Soviet master Moscow, with Belarus part of an economic union with Russia.   Chinese people will also be covered by a separate visa agreement that comes into force in August.   Ties between Belarus and the European Union have improved since the 28-nation bloc began lifting most of its sanctions on the country in 2015 after Lukashenko released high-profile political prisoners.
Date: Tue, 17 May 2016 07:34:10 +0200

Belmopan, Belize, May 17, 2016 (AFP) - Belize has joined the growing number of Latin American nations grappling with the Zika virus, after the health ministry confirmed the country's first known case.    Authorities said Monday the infected person resides in Belize City, adding that efforts would be taken to prevent the virus from spreading.

"An immediate investigation was launched and several actions were simultaneously initiated to minimize and contain a potential outbreak," a health ministry statement said.   The mosquito-borne Zika virus can cause the birth defect microcephaly, which can cause babies to be born with unusually small heads and deformed brains.
Date: Fri 17 Jul 2015
Source: Rusnovosti [in Russian, trans. ProMED Mod.NP, edited]

The deceased patient was infected in Belarus
-----------------------------------------------
Rospotrebnadzor [Federal Service for Consumer Protection and Human Welfare] reported that the 1st death from tick-borne encephalitis has been registered in Moscow. The tick-borne disease was imported.

Rospotrebnadzor reports, "Infections in the capital are not registered this year [2015] and have never been registered previously. The patient was infected in Belarus."

According to Infectious clinical hospital No. 1 of the Department of Health of Moscow, 10 imported cases of viral encephalitis were identified in the 1st half of 2015; 2 cases of infection occurred in the Altai region and in the Republic of Karelia. One [imported] case was brought from the Kostroma region, the Yaroslavl region, the Volgograd region and the Republic of Udmurtia, as well as from Belarus and Mongolia.

Rospotrebnadzor also reports that the rise of the biological activity of _Ixodes_ ticks was noted. These ticks are considered the main vectors of infections such as tick-borne spring-summer encephalitis, tick-borne borreliosis (Lyme disease), granulocytic anaplasmosis, and monocytic ehrlichiosis.
=====================
[Nearly 10,000 people sought medical aid after tick bites in Moscow for the period April-June of this year (2015), among them there are more than 1900 children up to 17 years. Last year (2014) for the same period it was recorded that around 8000 people sought medical aid after tick bites. The ticks attacked people mainly in the territory of the Moscow region.

This is the season of tickborne encephalitis virus (TBEV) transmission in Russia and neighboring countries. Russia, especially western Siberia, has the largest number of reported TBE cases. For additional details on TBE, see Mod.LL's extensive comments drawn from the US CDC (<http://wwwnc.cdc.gov/travel/yellowbook/2014/chapter-3-infectious-diseases-related-to-travel/tickborne-encephalitis>). The CDC information notes that in Russia, 2 inactivated TBE vaccines are available: TBE-Moscow (Chumakov Institute, Russia) and EnceVir (Microgen, Russia). The European and Russian vaccines should provide cross-protection against all 3 TBEV subtypes. Vaccine failures have been reported, particularly in people aged over 50 years.

In the previous post on TBE, ProMED Corr.BA noted, "According to weekly monitoring, from 1 Apr-15 Jul [2015] in Russia, more than 412,000 cases of tick bites were registered, including 94,270 children. Compared with the same period of last year (2014), the number of people affected by the tick bites increased by 19 per cent. In 2015, 947 cases of tick-borne encephalitis have registered in Russia. The largest number of cases was reported in the Krasnoyarsk region, followed by Novosibirsk [Siberia], Irkutsk, Tyumen, Kirov, Sverdlovsk, Vologda, Leningrad, Kemerovo, Pskov, and Kostroma regions, the Republic of Khakassia, the Perm and Primorye regions, St Petersburg [city], Moscow (importations from Yaroslavl, Vologda, Karelia, Altai, and Mongolia, Belarus)." - ProMED Mod.TY]

[The locations mentioned in this posting can be seen on the map at

[A HealthMap/ProMED-mail map can be accessed at:
Date: 15 Jul 2015
Source: Evening Brest [machine translation & edited]

Belarus has 1 imported case of measles. The Ministry of Health of Belarus does not rule out the possibility of other imported cases of measles. This is especially true during the summer holidays and vacations.

According to the deputy chief doctor of the "National Center for Hygiene, Epidemiology and Public Health," Lyudmila Naroychik, other European countries often record measles. In 2014 Belarus recorded 5 imported cases of measles. So far in 2015, Belorus has already record 1 imported case. The infections have been from Russia, Israel, Spain, Turkey, according to BelTA  [unclear whether this refers just to 2014, or other years as well].

Measles is included in the national immunization schedule, and if vaccination is carried out, even in adulthood the person retains immunity. In this regard, it is important to get vaccinated before traveling abroad.
==================
[The HealthMap/ProMED map of Belarus can be found at:
More ...

Cape Verde

General
The Cape Verde islands are situated off the west coast of Africa (adjacent to Senegal) and are becoming a more popular destination for European travellers aiming to avoid the major busy tourist destinations of the world. There are nine inhabi
ed islands within the group and also some uninhabited volcanic ones. The capital is Praia (on Santiago) and Portugese is the official language. The major port is Mindelo on the island of Sao Vicente.

Travelling to Cape Verde
There is a recently opened international airport in Praia and a second international airport (Amilcar Cabral) located on Sal Island which is about 150 kms northeast of the capital. Generally the facilities for tourists are still quite limited though improving and most developed on Sal.
Arriving in Cape Verde
The climate is oceanic tropical with temperatures varying from 20oC to 30oC throughout the year. The light rainfall tends to occur in Aug to November. During this time humidity can be higher but this is not usually a significant factor.
Food & Water
In line with many hotter regions of the world the level of food and water hygiene varies greatly from area to area and depending on the establishment. Travellers are advised to eat freshly cooked hot food, to avoid cold meals (salads etc) and particularly to avoid any undercooked bivalve shellfish meals (clams, mussels, oysters etc). Fresh milk may be unpasteurised and should be avoided.
Travelling around the islands
As with many archipelago destinations there is a way of moving from island to island if you wish to explore. This can be by boat or plane in many but not all cases. However if travelling by plane be aware that the limited baggage handling capacity of the small planes may lead to some delay in eventually receiving your luggage. During the dry dusty season (December to April) flights may be cancelled due to poor visibility. The road traffic moves on the right and seatbelts are compulsory for all in the front seat. Motorcyclists must wear helmets and have their lights on at all times.

Accidents
The majority of accidents occur because of unlit narrow winding roads, aggressive driving and alcohol impairing the senses. There are a large number of festivals and around these times alcohol intake increases considerably with the resultant increase in danger for all road users.
Emergency numbers
The emergency numbers are 130 for medical assistance, 131 for fire assistance and 132 for the police. There is no organised roadside assistance and travellers are strongly advised to avoid hiring cars or motorbikes. Taxis and buses provide a reasonable service and are a much safer option.
Sun Exposure & Dehydration
Many travellers from Europe will enjoy the beautiful climate to excess and run the risk of severe sunburn and dehydration. This is particularly true for the first 24 to 48 hours after arrival (when the traveller may fall asleep under the glaring sun) and also for young children. Sensible covering, avoiding the midday sun and replacing lost fluids and salt are essential to maintain your health.
Swimming and Water Sports
Island life in the tropics tends to increase the amount of water exposure for many tourists. It is important to check out the facilities (both the professionalism of their personnel and the equipment) before undertaking any water sports. Talk to others who have already taken part or your holiday representative and listen to their experiences. This will help you make the right choices. Remember the tides and currents around the various islands can be very strong so always follow local advice and never swim alone. Watch children carefully.
Mosquitoes and Malaria
This island chain has only a few species of mosquitoes and the risk of malaria is thought to be negligible. WHO (2006) does not recommend prophylaxis for travellers but comments that there is a mild risk on Santiago mainly between August and November during the rainy season. Good repellents should be used by all travellers - especially at dusk and dawn.
Safety & Security
Unfortunately there is no idyllic destination throughout the world and petty crime occurs in Cape Verde as elsewhere. Take special care at festivals and in market places. Don't flaunt your personal wealth while out and about. Gangs of children have been involved in attacks against tourists so avoid any potential confrontation.
Contacts
U.S. Embassy: Rua Abilio m. Macedo 81, Praia Tel.: 238-61-56-16/17; Fax: 238-61-13-55; Web: usembassy.state.gov/praia
U.K. Embassy: Shell Cabo Verde, Sarl, Av Amilcar Cabral CP4, Sao Vincente
Tel.: 238-32-66-25/26/27; Fax: 238-32-66-29; E-mail: antonio.a.canuto@scv.sims.com
Vaccines
Travelling directly from Europe there are no essential vaccines for entering Cape Verde. It is a Yellow fever risk region but there have been no cases for many years. Other vaccines need to be considered against food and water borne diseases such as Hepatitis A & Typhoid.
Healthcare
This is a beautiful destination and direct flight will increase the numbers travelling. However all travellers to Cape Verde will need to be seen for a detailed medical consultation to ensure that they have appropriate advice and protection for their individual trip. Further information on health issues and all the latest world travel news reports are available at www.tmb.ie

Travel News Headlines WORLD NEWS

Date: Tue, 24 Mar 2020 16:16:53 +0100 (MET)

Praia, Cape Verde, March 24, 2020 (AFP) - A 62-year-old British man has died in Cape Verde after contracting COVID-19, the government said Tuesday, marking the West African archipelago's first fatality from the disease.   The man arrived on the island of Boavista -- a tourist hotspot and one of Cape Verde's 10 islands -- on March 9, and began showing symptoms a week later.     His condition "began to worsen, and unfortunately he died on Monday evening," Health Minister Arlindo do Rosario said Tuesday.

All staff at the hotel where the man was staying are now in confinement, according to the authorities.   The British tourist was the first coronavirus case to be detected in the former Portuguese colony.    Authorities have detected two other cases on Boavista: one in a friend of the British tourist, the other in a 60-year-old Dutch tourist, whose case is considered worrying.
Date: Fri, 3 May 2019 12:24:17 +0200
By Anne-Sophie FAIVRE LE CADRE

Cha das Caldeiras, Cape Verde, May 3, 2019 (AFP) - Four years after the volcano erupted -- razing everything in its path in Cape Verde's Cha das Caldeiras valley -- the floor tiles of the small, rebuilt inn are warm to the touch.    "We constructed too quickly on lava that had not yet cooled down," says hotel owner Marisa Lopes, in her early 30s.   "For the first months, the floors in the rooms were so hot that you couldn't walk on them with bare feet."

Lopes is one of dozens of entrepreneurs locked in a perpetual tug of war with the Pico do Fogo volcano towering over Cha das Caldeiras, whose population numbers 500.    The name means Peak of Fire in Portuguese.   The volcano generates the bulk of the crater community's gross domestic product, attracting some 5,000 tourists every year who need hotel beds, food and tour guides -- about 30 make a living as guides in this remote part of West Africa.   But on the downside, the festering giant erupts once a generation -- six times in the last 200 years -- destroying everything in its path; crops, homes, roads.   On November 23, 2014, Lopes watched helplessly as the Pico -- almost 2,900 metres (9,500 feet) high -- erupted after a 19-year slumber.

Lava engulfed her brand new tourist hostel, eponymously named Casa Marisa.   Three months later, she built a new one, again in the flow zone of the crater.   "The volcano took a house from me, but it gave me another. Without it, there would be no tourism," she told AFP, undeterred.   Despite the constant danger and government efforts to dissuade them, the inhabitants of Cha das Caldeiras keep coming back.     After the last eruption, the military evacuated those in the path of the lava and the state provided food aid for six months afterwards.   But it was the people themselves who reconstructed roads and found the materials for rebuilding homes and hotels. Again.

- 'It's home' -
Cicilio Montrond, 42, was also there in 2014, looking on as a river of molten rock spewing from the Pico do Fogo burnt his fruit trees and buried everything he owned in a thick, grey coat.   The eruption killed no one, but left 1,500 people homeless.   After a few weeks in Sao Filipe, a nearby town to where the valley inhabitants were relocated, Montrond returned to Cha das Caldeiras with his wife.   Not a bird stirred in the air still polluted with ash, not a creature moved on the still warm lava ocean that now covered the valley floor.

For weeks, Montrond and his wife lived in a tent on the roof of their destroyed house with no water, no electricity and no food apart from a few canned goods.   "We lived in makeshift shelters, it was precarious, dangerous. But we were home."   For Montrond, it is unimaginable to live anywhere else than the fertile, lava-fed valley that, between outbursts, boasts an abundance of vines, fig trees and cassava.   "It is the volcano that allows us to live," said Montrond, tourist guide-turned-hotelkeeper and restaurateur.   The Pico's eruptions are rarely deadly in terms of human life.   But what about the next time?   "The volcano is my life," Montrond shrugged, as he gazed upon the house he built with his own hands.    "I was born here, I will die here."

- Rocks were falling -
The volcano gives. The volcano takes.   First it destroys the vines, then it provides fruitful soil for the planting of new ones. These produce wines -- some of it for the export market.   Far from fearing or despising the peak's constant threatening presence, the inhabitants appear to embrace it and have made it part of their identity.   They evoke past eruptions with a smile, sometimes even a touch of nostalgia.   Margarita Lopes Dos Santos, 99, has been forced out of her home by the three last eruptions of the Pico do Fogo.

The first was in June 1951, shortly after she gave birth to her first child.   "I remember the first time like it was yesterday," she said, through a beaming, toothless smile.   "It was a lot more violent. Rocks were falling from the sky. There were tornadoes of ash and of smoke," she recounted, while husking beans.   Outside her house, Lopes Dos Santos has planted flowers -- flashes of red begonias that provide the only colour in the grey and black landscape.   "The resilience of the people of Cha is extraordinary," said Jorge Nogueira, president of the municipal council of Sao Filipe, capital of the island of Fogo, Cape Verde.   "As soon as they could, they came back -- to poor living conditions, but no matter: the only thing that counted for them was to be home."
Date: Tue 3 Oct 2017
Source: Outbreak News Today [edited]

In a follow-up on the locally transmitted malaria increases reported on Cabo Verde [Cape Verde] this year [2017], 254 indigenous cases were reported through [24 Sep 2017].

Most cases (75 percent) have not sought treatment until 48-96 hours after illness onset. Despite this, case fatality rates have remained low (0.4 percent), with one death reported in an indigenous case to date. 7 severe malaria cases and 2 cases of malaria in pregnancy have been reported. There are also anecdotal reports of recrudescence.

To date, the disease has been localized to the city of Praia on Santiago Island without any further spread.

A handful of cases have also been detected on neighbouring islands (Sao Vicente, Sal, and Porto Novo); however, their infections were likely all acquired during travel to Praia or overseas, with no evidence of onward local transmission.

The malaria epidemic in Cabo Verde has begun to show early signs of improvement but the situation remains tenuous, with heavy rainfall continuing between August and October, health officials said.
===================
[The last news from ProMED from 4 Sep 2017 (archive no. http://promedmail.org/post/20170904.5293108) reported 116 cases of malaria in Praia. Thus, over the last month 136 new cases have been diagnosed. It is good news that the outbreak has not spread, showing that the control measures are working. Due to the present outbreak, the CDC is now recommending malaria chemoprophylaxis for travellers visiting the city of Praia on Santiago Island (<https://www.cdc.gov/malaria/new_info/2017/Cape_Verde_2017.html>). - ProMED Mod.EP]

[Maps of Cape Verde can be seen at
<http://healthmap.org/promed/p/6553>. - ProMED Sr.Tech.Ed.MJ]

08 Sep 2017


Following an increase in malaria cases, additional malaria prevention advice for some UK travellers to the capital city of Praia in Cape Verde is recommended.

Since June 2017, the Ministry of Heath for Cape Verde has reported an increase in locally acquired malaria cases in the capital city of Praia on the island of Santiago. As of 5 September 2017, a total of 164 locally acquired falciparum malaria cases have been reported in the local population [2][3]. Currently, there are no reports of malaria in tourists who have visited Cape Verde in 2017.  

Those travelling to Praia who are at increased risk of malaria e.g. long term travellers, or those at risk of severe complications from malaria: pregnant women, infants and young children, the elderly and travellers who do not have a functioning spleen, should consider taking anti-malarials and seek advice about which antimalarial is suitable for them from their travel health advisor.

Date: Sun 3 Sep 2017 08:58:00 WEST
Source: The Portugal News (TPN) Online [edited]
<http://theportugalnews.com/news/portugal-health-department-issues-malaria-warning-for-cape-verde-capital/43059

The Portuguese health department has advised pregnant women not to travel to the Cape Verde island of Santiago [where the capital, Praia, is located], and if travellers cannot put their journey off, they should take anti-malaria drugs.

The health department warning comes after the World Health Organisation (WHO) said in August [2017] that there was an outbreak of malaria in Praia, the archipelago's capital. Travellers are also advised that adults and children should use insect repellent throughout the day and reapply it as often as necessary. If travellers also use sun cream, they should apply the insect repellent on top of the sun cream, not under it, the warning said. So far, there have been 116 cases of malaria in Praia, numbers never before seen in the city, where the highest number was 95 cases in the whole of 2001.
============
[The Cape Verde authorities reported 45 cases of malaria up to 30 Jul 2017 (see archive no. http://promedmail.org/post/20170808.5236283).

The outbreak continues and it is important to introduce identification and spraying of breeding sites. Also using a single dose of primaquine after treatment, which kills gametocytes, to ensure that the cases cannot transmit the infection, as recommended by the WHO (http://www.who.int/malaria/publications/atoz/who_pq_policy_recommendation/en/). - ProMED Mod.EP

Maps of Cape Verde can be seen at
<http://www.nationsonline.org/maps/Cape-Verde-Map.jpg>
and <http://healthmap.org/promed/p/15>. - ProMED Sr.Tech.Ed.MJ]
More ...

Cocos Islands

General:
**********************************
Cuba is an independent island country situated in the Caribbean. It is the largest of the islands and covers 42,000sq miles. The climate is sub tropical throughout the year with most of the rainfall in
the northern parts of the country. Temperatures of between 20C to 35C are fairly standard throughout the year. Generally the winter effects of the American continent only last for short periods.
Safety & Security:
**********************************
The majority of tourists visiting Cuba will have no difficulty but bag snatching and other street crime appears to be increasing. The old Havana area and other major tourist resorts may be particular areas of concern in this regard. On arrival be careful to only use your recognised tour operator. If you are taking a taxi at any stage make sure it is a registered one and not a private vehicle. It is unwise to carry large quantities of money or jewellery away from your hotel and try not to flaunt wealth with your belongings. Pickpockets are too common an occurrence on buses and trains and at train stations so be careful with your essential documents and credit cards. Valuables should not be stored in suitcases when arriving in or departing from Havana as there have been a number of thefts from cases during the time the cases are coming through baggage handling. There is an airport shrink-wrap facility for those departing Havana which reduces the risk of tampering. Remember to carry a photocopy of your main documents (passport, flight tickets etc).
Road Safety:
**********************************
Following a number of serious road accidents involving tourists, you are advised not to use mopeds for travelling around Cuba or in Havana. Also, if you are involved in any accident a police investigation will be required to clear you and this may significantly delay your travel plans. On unlit roads at night there have been a number of accidents associated with roaming cattle (sounds like Ireland!). The traffic moves on the right side of the roads. There is a main highway running the length of the country but many of the country roads are in poor repair.
Local Laws & Customs:
**********************************
When arriving into Cuba make sure you are not carrying any items which could be considered offensive. Any illicit drug offense is treated very seriously and Cuban law allows for the death penalty to be used under these circumstances. If you require personal medication for your health, make sure it is in original packing and carry a letter from your doctor describing the medication. Never agree to carry any item for another individual and always secure your cases once they are packed. Taking photographs of military or police installations or around harbours, rail and airport facilities is strictly forbidden.

Currency:
**********************************
Since 1993 it is now possible to use US dollars for all transactions within Cuba. Remember, there is a 20$ airport departure tax. Certain travellers cheques and credit cards may not be acceptable within Cuba. This is particularly true of American Express cheques and cards but check your situation with the travel operator before departure.
Health Facilities:
**********************************
Generally healthcare facilities outside of Havana are limited and many standard medications may not be available. It is important to carry sufficient quantities of any medications which may be required for the duration of your time in Cuba.
Food & Water:
**********************************
The level of food and water hygiene varies throughout the country and between resorts. On arrival check the hotel cold water supply for the smell of chlorine. If it is not present then use sealed bottled water for both drinking and brushing your teeth throughout your stay. Cans and bottles of drinks are safe but take care to avoid pre-cut fruit. Peel it yourself to make sure it is not contaminated. Food from street vendors should be avoided in most cases. Bivalve shellfish are also a high risk food in many countries and Cuba is no exception in this regard. (Eg Mussels, Oysters, Clams etc)
Malaria & Mosquito Borne Diseases:
***********************************************
Malaria transmission does not occur within Cuba and so prophylaxis is not required. However, a different mosquito borne disease called Dengue has begun to reoccur in the country over the past few years. This viral disease can be very sickening and even progress to death. It is rare for tourists to become infected but avoiding mosquito bites is a wise precaution.
Swimming, Sun & Dehydration:
************************************
The extent of the Cuban sun (particular during the summer months (April to October) can be very excessive so make sure your head and shoulders are covered at all times when exposed. Watch children carefully as they will be a significant risk. Drink plenty of fluids to replace what will be lost through perspiration and, unless there is a reason not to,
take extra salt either on your food or in crisps, peanuts etc. Take care if swimming in the Caribbean to stay with others and to listen to local advice. Never swim after a heavy meal or alcohol.
Rabies Risk in Cuba:
**********************************
This viral disease does occur throughout Cuba and it is essential that you avoid any contact with all warm blooded animals. Dogs, cats and monkeys are the most commonly involved in spreading the disease to humans. Don't pick up a monkey for a photograph! If bitten, wash out the wound, apply an antiseptic and seek urgent medical attention.
Vaccinations for Cuba:
**********************************
There are no essential vaccines for entry / exit if coming from Ireland. However, for your own personal protection travellers are advised to have cover against the following;
*
Tetanus (childhood booster)
*
Typhoid (food & water borne disease)
*
Hepatitis A (food & water borne disease)
For those planning a longer or more rural trip vaccine cover against conditions like Hepatitis B and Rabies may also need to be considered.
Summary:
**********************************
Cuba is becoming a popular destination for tourists and generally most will stay very healthy. However commonsense care against food and water borne disease is essential at all times. Also take care with regard to sun exposure, dehydration and mosquito bites.

Travel News Headlines WORLD NEWS

More ...

World Travel News Headlines

Date: Fri, 27 Mar 2020 22:49:49 +0100 (MET)

Dublin, March 27, 2020 (AFP) - Ireland is to impose a lockdown in a bid to stem the spread of the coronavirus, Prime Minister Leo Varadkar said on Friday.   "Everybody must stay at home, in all circumstances," he said of the new measures to come into force at midnight (0000 GMT) on Saturday and last until 12 April.   Exceptions will be made for essential workers, medical appointments and the purchase of food.   Travel for "vital family reasons", for farming and exercise within two kilometres (one mile) of homes will also be allowed.

All public or private gatherings "of any number of people" outside a single household are also prohibited.   "These are radical actions aimed at saving as many people's lives as possible," said Varadkar at a press conference.   "I'm asking us for a time to forego our personal liberties and freedoms for a greater cause."   There have been 22 COVID-19 related deaths and 2,121 confirmed cases of the virus in Ireland, according to department of health figures released earlier Friday.   Earlier this month the Irish government ordered schools, universities and pubs to close nationwide.   Swathes of non-essential businesses were also ordered shut earlier this week as Ireland braced for an uptick of COVID-19 cases within its borders.

Emergency coronavirus legislation passed through the final stages of Irish parliament and was signed into law by president Michael D. Higgins earlier Friday.   The bill enacts a rent freeze and a moratorium on evictions for the duration of the crisis.   It also streamlines the registration of healthcare and defence forces staff returning to the workforce, and enables the Irish government's financial supports to those laid off as a result of COVID-19 business closures.   "The legislation is emergency legislation for a time of crisis," said Higgins in a statement.   "These are difficult times, but our difficulties will come to an end."
Date: Sat, 28 Mar 2020 11:03:02 +0100 (MET)

Johannesburg, March 28, 2020 (AFP) - South African police enforcing a coronavirus lockdown on Saturday fired rubber bullets towards hundreds of shoppers queueing outside a supermarket in Johannesburg, an AFP photographer said.   Between 200 and 300 people gathered outside a popular grocery store, Shoprite, early Saturday in Yeoville, a crime-prone area in Johannesburg's gritty central business district on day two of a nationwide lockdown.

But as they scrambled to secure their spots, many did not observe the recommended safe distance between them.   Police arrived in 10 patrol vehicles and started firing rubber bullets towards the shoppers.   Startled shoppers trampled on each other and a woman with a baby on her back fell to the ground.   Later the police used whips to get the shoppers to observe social distancing rules.

President Cyril Ramaphosa has ordered South Africa's 57 million people to stay at home for 21 days and deployed the police and the military to enforce the lockdown.   But many people, especially from poor neighbourhoods, have defied the order, going out in numbers looking for food.   While jogging and dog-walking are banned, shopping for food and other basics, but not alcohol, is permitted.   South Africa, which has 1,170 confirmed coronavirus cases, recorded its first death from the virus on Friday.
Date: Sat, 28 Mar 2020 09:41:43 +0100 (MET)

Accra, March 28, 2020 (AFP) - Ghana has announced a two-week lockdown in the country's two main regions starting Monday to curb the spread of coronavirus.   The move came as the authorities reported 137 confirmed cases, including four deaths.   President Nana Akufo-Ado said there would be "restrictions on movement of persons in the Greater Accra Metropolitan Area and the Greater Kumasi Metropolitan Area and contiguous districts for a period of two weeks."

He said residents would only be allowed to go out to buy food, water and medicines and to use public toilets.   "There shall be, during this period, no inter-city movement of vehicles and aircrafts for private or commercial purposes.. except for vehicles and aircrafts providing essential services and those carrying cargo," he said.   Ghana has already closed schools, suspended public events and banned large gatherings.
Date: Fri, 27 Mar 2020 19:25:31 +0100 (MET)

Brussels, March 27, 2020 (AFP) - Belgium on Friday extended its general lockdown to slow the spread of the coronavirus by two weeks to April 18.   The decision, confirmed by top officials, extended a confinement that began on March 18 until the end of the country's Easter holiday break, with schools, restaurants and most shops to remain closed.   Prime Minister Sophie Wilmes said the period could be extended by another two weeks to May 3 if the spread of the virus demanded it.   "Our efforts are only beginning and to ease up now would have catastrophic consequences," she told a media briefing.   Outdoor sports activities and walks outside are still allowed, but only in small groups, with a friend or with family members living under the same roof.

In theory, travelling for work can only be done with a certificate from the employer.    Supermarkets in Belgium remain open, but shoppers are only admitted if there is enough space for one person per 10 square metres, and they must not stay for more than 30 minutes.   Belgium, a country of 11.4 million people, has recorded 7,284 cases of the novel coronavirus strain, and 289 deaths.    The extension in Belgium follows a similar decision in neighbouring France where the lockdown rules are stricter.   Europe is grappling with the global outbreak that has killed more than 10,000 people on the continent, mostly in Italy and Spain.
Date: Fri, 27 Mar 2020 18:17:31 +0100 (MET)

Bangui, Central African Republic, March 27, 2020 (AFP) - The Central African Republic, a poverty-stricken state that the UN has singled out as highly vulnerable to coronavirus, has stepped up measures over fears that the disease is spreading locally.   President Faustin-Archange Touadera, in a statement received by AFP on Friday, said that after four cases of infection ad been detected, all among people coming from abroad, a fifth had now surfaced.

In this light, "there are grounds for fearing local transmission" of coronavirus, he said.   New measures unveiled by the authorities include a two-week ban on people coming in from countries where the virus is being transmitted locally, except for diplomats and NGO workers.

Schools, childcare facilities and universities are being closed, and restrictions have been placed on movement between the capital Bangui and the rest of the country.   The United Nations on Wednesday said the CAR "is one of the least prepared countries to face a COVID-19 outbreak, with 2.2 million people already in need of health assistance and about 70 percent of health services provided by humanitarian organisations."   The country has been ravaged by three civil wars in 20 years and remains prey to violence from armed groups that control two-thirds of the country.
Date: Fri, 27 Mar 2020 17:45:22 +0100 (MET)

Rome, March 27, 2020 (AFP) - Italy recorded a shocking spike in coronavirus deaths Friday with 969 new victims, the worst daily record for any country since the pandemic began.   The infection rate however continued its downward trend, with the civil protection agency reporting nearly 86,500 confirmed cases in Italy -- a 7.4 percent increase, down from around 8.0 percent in previous days.
Date: Fri, 27 Mar 2020 17:41:36 +0100 (MET)

Brussels, March 27, 2020 (AFP) - A pet cat has been infected with the novel coronavirus in Belgium after being contaminated by its owner, Belgian health authorities said Friday.   Cases of contamination of pets are rare and authorities ruled out any risk of contamination to humans from home animals.   The reports follows similar cases in Hong Kong where two dogs tested positive for COVID-19 during a screening campaign carried out on 17 dogs and eight cats living in contact with people carrying the virus.

In Belgium, the discovery was made by researchers at the Faculty of Veterinary Medicine in Liege.   This is "an isolated case" which can occur after "close contact between animals and infected  humans", said Doctor Emmanuel Andre, a government agency spokesman on the pandemic.    The virus can be transmitted from humans to animals but "there is no reason to think that animals can be vectors of the epidemic in our society", he said.

In Hong Kong, "the dogs showed no symptoms", while in Belgium "the cat was suffering from transitory respiratory and digestive problems", said the Belgian food safety agency AFSCA in a statement.    "So far, there is no evidence that a domestic animal can transmit the virus to humans or other pets", the public authority said.

As a precautionary measure, it is "strongly recommended" to apply standard rules of hygiene when dealing with pets: "avoid close contact with pets... wash your hands after handling any animal, do not let the animal lick your face."   The aim is to prevent the transmission of the virus to the animal and to prevent the animal itself from becoming a carrier of the virus.
Date: Fri, 27 Mar 2020 14:53:24 +0100 (MET)

Beijing, March 27, 2020 (AFP) - China reported more than 50 imported cases of the coronavirus on Friday, hours after announcing a ban on foreigners entering the country.   In recent weeks China's tally of infections has dwindled dramatically, with only a handful of domestic patients each day.

But just as the country appears to be bringing the outbreak under control, nations around the globe are battling to control soaring numbers of infections in new hotspots.   There were another 55 new infections in China on Friday, the National Health Commission said, with one local infection and 54 imported cases from overseas.   Beijing has been racing to control the number of infections being brought into the country -- mostly Chinese nationals returning home from overseas, including large numbers of students abroad.

On Thursday Beijing announced dramatic measures to curb arrivals into the country, including reducing the number of international flights, limiting the capacity on board to 75 percent, and imposing a ban on foreigners entering China.   Non-nationals living in China with valid visas and resident permits will be blocked from returning to the country after midnight on Friday night, the foreign ministry said.    The ministry said it was a "temporary measure that China is compelled to take in light of the outbreak situation."

Diplomats and the crew of international airlines and vessels will still be permitted to enter.   Flights in and out of China will also be capped at just one route a week to each country, including for international airlines.   The tally of cases brought into China from abroad climbed to 595 on Friday, health officials said.   A series of strict measures had already been put in place to try and stem the wave of infections coming in.   All Beijing-bound international flights have been diverted to other urban centres, where passengers will first be screened for the virus.

Many Chinese cities including Beijing and Shanghai have also imposed a compulsory 14-day quarantine for all arrivals from abroad.    There were nearly 1,100 return international passenger flights scheduled to come to China this week.   There were another five deaths on Friday, according to the National Health Commission -- all in the province of Hubei where the virus first emerged late last year.   In total 81,340 people have been infected in China, and the outbreak has claimed 3,292 lives.

- Clashes -
Hubei lifted travel restrictions this week after two months in lockdown, but fears remain of a rebound in cases elsewhere in the country, even though only healthy people are allowed to leave the province.   Traffic police in Jiangxi reportedly blocked people trying to enter the province from neighbouring Hubei on Friday.    Videos posted on China's Twitter-like platform Weibo purportedly showed scores of people clashing with police on a bridge connecting the provinces.   Other footage showed people trying to overturn a vehicle.
Date: Fri, 27 Mar 2020 12:37:54 +0100 (MET)

London, March 27, 2020 (AFP) - British police faced criticism on Friday for using "over-the-top" methods to maintain a coronavirus lockdown, after officers armed with sweeping new powers deployed drones to detect walkers far from home.   Civil liberties group Big Brother Watch said the police must behave within the rule of law after it also emerged that road checkpoints had been set up to quiz drivers about their journeys.   "It's understandable why police are dispersing parties and barbecues but demanding drivers give journey details at road checkpoints is over-the-top," said director Silkie Carlo.     "It's critical we protect public health and critical we protect basic democratic norms too. Arbitrary policing will not help the country to fight this pandemic."

The drone incident happened in the Peak District National Park in Derbyshire, central England, while roadblocks were used in other parts of the country.   Social media users compared their actions to "the Stasi", East Germany's notorious state police.    Another civil liberties group, Liberty, said in a statement: "We need a response in terms of public health rather than a response in terms of criminal justice to this epidemic."   Britons have been told since the beginning of the week that they are only allowed to leave their homes for limited reasons such as going to work, essential food shopping, or for exercise once a day.   But they are not allowed to travel for recreational purposes.

To enforce the new rules, police were officially handed powers which prevents people leaving their home "without reasonable excuse".   Those ignoring the tougher restrictions on movement could be hit with a £60 fine doubled to £120 (133 euros,$147) for any second offence.   The measures will be in place for at least six months, with a review every three weeks.   Derbyshire police defended their actions, claiming in a tweet that "we will not be apologetic for using any legal and appropriate methods to keep people safe".   It added: "Our actions and the government's advice are there to keep you and others safe."   A total of 11,658 coronavirus cases have so far been confirmed in Britain, and 578 deaths.
Date: Fri, 27 Mar 2020 11:59:09 +0100 (MET)

Madrid, March 27, 2020 (AFP) - The death toll in Spain soared over 4,800 Friday after 769 people died in 24 hours, in what was a record one-day figure for fatalities, the government said.    Health ministry figures showed the number of deaths reaching 4,858, while cases jumped to 64,059, although the rate of new infections appeared to be slowing, registering a 14 percent increase compared with 18 percent a day earlier.