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United Arab Emirates

United Arab Emirates US Consular Information Sheet
28th February 2008
COUNTRY DESCRIPTION: The United Arab Emirates (UAE) is a federation of seven independent emirates, each with its own ruler.
The federal government is a constitutional re
ublic, headed by a president and council of ministers.
Islamic ideals and beliefs provide the conservative foundation of the country's customs, laws and practices. The UAE is a modern, developed country, and tourist facilities are widely available. Read the Department of State Background Notes on the United Arab Emirates for additional information.

ENTRY/EXIT REQUIREMENTS: A passport is required. For stays of less than 60 days, U.S. citizens holding valid passports may obtain visitor visas at the port of entry for no fee. For a longer stay, a traveler must obtain a visa before arrival in the UAE. In addition, an AIDS test is required for work or residence permits; testing must be performed after arrival. A U.S. AIDS test is not accepted. For further information, travelers can contact the Embassy of the United Arab Emirates, 3522 International Court NW, Washington, DC 20037, telephone (202) 243-2400.
Visit the web site of the UAE's Ministry of Information regarding tourism, business, and residence in the UAE at http://www.uaeinteract.org.

Unlike other countries in the region that accept U.S. military ID cards as valid travel documents, the UAE requires U.S. military personnel to present a valid passport for entry/exit.

UAE authorities will confiscate any weapons, weapon parts, ammunition, body armor, handcuffs, and/or other military/police equipment transported to or through a civilian airport.
Americans have been arrested and jailed for transporting such weapons and equipment without the express written authorization of the UAE government, even though airline and U.S. authorities allowed shipment on a US-originating flight.

U.S. citizens and citizens of other countries that are not members of the Gulf Cooperation Council (GCC), who depart the UAE via land are required to pay a departure fee. This fee is 20 UAE dirhams and is payable only in the local UAE dirham currency.

Visit the Embassy of the United Arab Emirates web site at http://uae-embassy.org for the most current visa information.

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: Americans in the United Arab Emirates should exercise a high level of security awareness. The Department of State remains concerned about the possibility of terrorist attacks against U.S. citizens and interests throughout the world. Americans should maintain a low profile, vary routes and times for all required travel, and treat mail and packages from unfamiliar sources with caution. In addition, U.S. citizens are urged to avoid contact with any suspicious, unfamiliar objects, and to report the presence of the objects to local authorities.
U.S. Government personnel overseas have been advised to take the same precautions. In addition, U.S. Government facilities may temporarily close or suspend public services from time to time as necessary to review their security posture and ensure its adequacy.

Taking photographs of potentially-sensitive UAE military and civilian sites, or foreign diplomatic missions, including the U.S. Embassy, may result in arrest, detention and/or prosecution by local authorities.
In addition, engaging in mapping activities, especially mapping which includes the use of GPS equipment, without coordination with UAE authorities, may have the same consequences.

On several occasions in the past three years, small groups of expatriate recreational boaters were detained by the Iranian Coast Guard for alleged violation of Iranian territorial waters while fishing near the island of Abu Musa, approximately 20 miles from Dubai.
The UAE and Iran have had a long-standing dispute concerning jurisdiction of Abu Musa.
Fishing or sailing in these waters may result in seizure of vessels and detention of passengers and crew in Iran.
Obtaining consular assistance in Iran is difficult and can only be done through the Swiss Embassy in Tehran, which acts as a Protecting Power, providing limited U.S. consular services.

For the latest security information, Americans 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.

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 overseas, see the Department of State’s pamphlet A Safe Trip Abroad.

CRIME: Crime generally is not a problem for travelers in the UAE. However, the U.S. Embassy advises U.S. citizens to take normal precautions against theft, such as not leaving a wallet, purse, or credit card unattended. Although vehicle break-ins in the UAE are rare, U.S. citizens are encouraged to ensure that unattended vehicles are locked and that valuables are not left out in plain sight.

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, to 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.

MEDICAL FACILITIES AND HEALTH INFORMATION: Basic modern medical care and medicines are available in the principal cities of the UAE, but not necessarily in outlying areas.

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); fax 1-888-CDC-FAXX (1-888-232-3299), 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) web site at http://www.who.int/en. Further health information for travelers is available at http://www.who.int/ith.

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 the United Arab Emirates is provided for general reference only, and may not be totally accurate in a particular location or circumstance.

The police emergency number and ambulance number is 999. Mobile phones are widely used throughout the UAE, so passers-by usually request emergency police and medical services quickly. Response time by emergency services is adequate. However, medical personnel emphasize transport of the injured to the hospital rather than treatment on site. Traffic accidents are a leading cause of death in the UAE because drivers often drive at high speeds. Unsafe driving practices are common, especially on inter-city highways. On highways, unmarked speed bumps and drifting sand create additional hazards.

Country-wide traffic laws impose stringent penalties for certain violations, particularly driving under the influence of alcohol.
In the UAE, there is zero tolerance for driving after consumption of alcohol.
Penalties may include hefty jail sentences and fines over $6,000 and, for Muslims (even those holding U.S. citizenship), lashings. Persons involved in an accident in which another party is injured automatically go to jail, until the injured person is released from the hospital. Should a person die in a traffic accident, the driver of the other vehicle is liable for payment of compensation for the death (known as "dhiyya"), usually the equivalent of 55,000 U.S. dollars. Even relatively minor accidents may result in lengthy proceedings, during which both drivers may be prohibited from leaving the country.

In order to drive, UAE residents must obtain a UAE driver's license. Foreign driver's licenses are not recognized. However, a non-resident visitor to the UAE can drive if he/she obtains a valid international driver's license issued by the motor vehicle authority of the country whose passport the traveler holds. The UAE recognizes driver's licenses issued by other Gulf Cooperation Council (GCC) states only if the bearer is driving a vehicle registered to the same GCC state. Under no circumstances should anyone drive without a valid license.

Please refer to our Road Safety page for more information.
You may also visit the web site of the UAE’s national tourist office and national authority responsible for road safety at http://www.uaeinteract.org.

AVIATION SAFETY OVERSIGHT: The U.S. Federal Aviation Administration (FAA) has assessed the Government of the United Arab Emirates’ Civil Aviation Authority as being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for oversight of the United Arab Emirates' air carrier operations. For more information, travelers may visit the FAA's web site at http://www.faa.gov/safety/programs_initiatives/oversight/iasa.

SPECIAL CIRCUMSTANCES: The UAE government does not recognize dual nationality.
Children of UAE fathers automatically acquire UAE citizenship at birth and must enter the UAE on UAE passports. UAE authorities have confiscated U.S. passports of UAE/U.S. dual nationals in the past. This act does not constitute loss of U.S. citizenship, but should be reported to the U.S. Embassy in Abu Dhabi or the U.S. Consulate General in Dubai. In addition to being subject to all UAE laws, U.S. citizens who also hold UAE citizenship may also be subject to other laws that impose special obligations on citizens of the UAE.
For additional information, please refer to our Dual Nationality flyer.

U.S. citizens have at times become involved in disputes of a commercial nature that have prompted local firms or courts to take possession of the U.S. citizen's passport. Travel bans may also be enforced against U.S. citizens involved in financial disputes with a local sponsor or firm. Such travel bans, which are rigidly enforced, effectively prevent the individual from leaving the UAE for any reason until the dispute is resolved. Although it is customary for a local sponsor to hold an employee's passport, it is illegal to do so under UAE law. Most contractual/labor disputes can be avoided by clearly establishing all terms and conditions of employment or sponsorship in the labor contract at the beginning of any employment. Should a dispute arise, the UAE Ministry of Labor has established a special department to review and arbitrate labor claims. A list of local attorneys capable of representing Americans in such matters is available from the Consular and Commercial sections of the U.S. Embassy in Abu Dhabi and the U.S. Consulate General in Dubai.

Codes of behavior and dress in the UAE reflect the country's Islamic traditions and are more conservative than those of the United States. Visitors to the UAE should be respectful of this conservative heritage, especially in the Emirate of Sharjah where rules of decency and public conduct are strictly enforced. Female travelers should keep in mind the cultural differences among the many people who coexist in the UAE and should be cognizant that unwitting actions may invite unwanted attention to them. Isolated incidents of verbal and physical harassment of Western women have occurred. Victims of harassment are encouraged to report such incidents to the U.S. Embassy in Abu Dhabi or the Consulate General in Dubai.

American citizens intending to reside and work in the UAE may have to present personal documents authenticated by the Department of State's Office of Authentications in Washington, D.C. before traveling to the UAE. This can be a complex process involving local, state and federal offices and requiring several weeks to complete.
For procedural information, the Office of Authentications may be contacted by telephone from within the United States at 800-688-9889 or 202-647-5002, by fax at 202-663-3636, or by e-mail at aoprgsmauth@state.gov.
In order to meet UAE government requirements for school registrations and residency sponsorship for family members, Americans intending to bring their families to reside with them in the UAE will need to have their marriage certificate and children's birth certificates, or custody/adoption decrees, if appropriate, authenticated by the Department of State in Washington, DC.
The U.S. Embassy and Consulate General cannot authenticate U.S. local- and state-issued personal, academic or professional documents; they will only be able to authenticate the final authentication document from the Department of State.
Additional information on authentication of documents can be found at http://www.state.gov/m/a/auth/.
In terms of employment, a recent change to UAE labor law requires local sponsors to have employees' diplomas, academic and/or occupational/professional certificates validated through a “Degree Verification” process established in the UAE.
Prospective employees will be required to submit photocopies of such documents for verification to a firm under contract to the Ministry of Labor.

In addition, persons in the education and health professions reportedly have to meet two requirements for validation of their educational credentials at this time – the formal “chain” authentication of academic/professional credentials in the U.S. and the “Degree Verification” process in the UAE.
Different UAE Ministries have different requirements in this regard.
Determining these requirements with one’s prospective employer is strongly recommended before arrival in the UAE.

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 UAE laws, even unknowingly, may be expelled, arrested or imprisoned. Penalties for possession, use, or trafficking in illegal drugs in the UAE 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.

Legislation enacted in January 1996 imposes the death sentence for convicted drug traffickers. Since January 2006, possession of even trace amounts of illegal drugs has resulted in sentences of four years imprisonment for foreign citizens transiting the UAE. American citizens transiting and entering the UAE’s airports and in possession of illegal drugs have been discovered, arrested and prosecuted by UAE authorities.
As mentioned, in such cases the minimum penalty is four years imprisonment.

Some drugs normally taken under a doctor's supervision in the United States, and even some over-the-counter U.S. drugs and medications, are classified as narcotics in the UAE and are illegal to possess.
A doctor's prescription should be carried along with any medication that is brought into the country.
A person may be subject to arrest and prosecution if possession of prescribed medicines (especially those containing codeine and similar narcotic-like ingredients) comes to the attention of local authorities.
The U.S. Embassy’s web site includes an unofficial list of such medicines, obtained from the UAE Ministry of Health.
Most medications available in the U.S. are also available by doctors’ prescription through hospitals and pharmacies in the UAE.

In addition, the UAE's tough anti-narcotics program also includes poppy seeds, widely used in other cultures, including the U.S., for culinary purposes, on its list of controlled substances. The importation and possession of poppy seeds in any and all forms is strictly prohibited. Persons found to possess even very small quantities of controlled substances listed by the UAE are subject to prosecution by the authorities and may be given lengthy prison terms of up to 15 years. Travelers with questions regarding the items on the list of controlled substances should contact the U.S. Embassy in Abu Dhabi or the U.S. Consulate General in Dubai. If suspected of being under the influence of drugs or alcohol, individuals may be required to submit to blood and/or urine tests and may be subject to prosecution.

Crimes of fraud, including passing bad checks and non-payment of bills (including hotel bills), are regarded seriously in the UAE and can result in imprisonment and/or fines. Bail generally is not available to non-residents of the UAE who are arrested for crimes involving fraud.

Drinking or possession of alcohol without a Ministry of Interior liquor permit is illegal and could result in arrest and/or fines and imprisonment. Alcohol is served at bars in most major hotels but is intended for guests of the hotel. Persons who are not guests of the hotel, and who consume alcohol in the restaurants and bars, technically are required to have their own personal liquor licenses. Liquor licenses are issued only to non-Muslim persons who possess UAE residency permits. Drinking and driving is considered a serious offense. Penalties generally are assessed according to religious law.

While individuals are free to worship as they choose, and facilities are available for that purpose, religious proselytizing is not permitted in the UAE.
Persons violating this law, even unknowingly, may be imprisoned or deported.

If arrested, U.S. citizens should contact the U.S. Embassy or Consulate General for assistance. The U.S. Consul will provide information on the local judicial system and a list of local attorneys. In Dubai, the U.S. Consul can also arrange for U.S. citizen detainees to meet with an ombudsman from the Human Rights Department of the Dubai police headquarters, if the detainee believes he or she is not being treated fairly.

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

REGISTRATION/EMBASSY AND CONSULATE LOCATION:
Americans living or traveling in the United Arab Emirates are encouraged to register with the nearest U.S. Embassy or Consulate through the State Department’s travel registration web site and to obtain updated information on travel and security within the United Arab Emirates. 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 in Abu Dhabi is located at Embassies District, Plot 38, Sector W59-02, Street No. 4, P.O. Box 4009. The telephone number is (971) (2) 414-2200, and the Consular Section fax number is (971) (2) 414-2241. The email address for American Citizens Services inquiries, including passport questions, is abudhabiacs@state.gov. The after-hours telephone number is (971) (2) 414-2500. The Embassy Internet web site is http://uae.usembassy.gov.

The U.S. Consulate General in Dubai is located on the 21st floor of the Dubai World Trade Center, P.O. Box 9343. The telephone number is (971) (4) 311-6000 (for after-hours emergencies, contact the Embassy at (971)(2) 414-2200 for the Dubai Duty Officer, and the Consular Section fax number is (971) (4) 311-6213. The email address for American Citizens Services inquiries, including passport questions, is dubaiwarden@state.gov. The web site for the U.S. Consulate General in Dubai is http://dubai.usconsulate.gov.

The workweek for both the Embassy in Abu Dhabi and the Consulate General in Dubai is Sunday through Thursday.
* * *
This replaces the Country Specific Information for the UAE dated July 06, 2007, to update the sections on Traffic Safety and Road Conditions and Criminal Penalties.

Travel News Headlines WORLD NEWS

Date: Mon, 6 Jan 2020 17:38:26 +0100 (MET)

Dubai, Jan 6, 2020 (AFP) - The United Arab Emirates on Monday introduced a multiple-entry visa scheme valid for five years for all nationalities, with the aim of turning the Gulf state into a tourism hub.   "#UAE Cabinet chaired by @HHShkMohd, approves new amendment for tourist visas in #UAE," the government of Dubai Media Office tweeted, referring to Sheikh Mohammed bin Rashid Al Maktoum, the UAE prime minister and ruler of Dubai.   "The new tourist visa will be valid for 5 years and can be used for multiple entries and is open for all nationalities," the Dubai Media Office wrote.

Sheikh Maktoum said on Twitter that the UAE currently attracts 21 million tourists a year.   Travellers from Africa, some South American countries, Arab states outside the Gulf, and European states from outside the European Union and former Soviet Union previously needed visas.   In October, Dubai is to host Expo 2020, a big-budget global trade fair.
Date: Thu 26 Sep 2019
Source: Gulf Business [edited]

Dubai Municipality has shut down a restaurant in Jumeirah after 15 people fell ill following an outbreak of _Salmonella_ infection, local media reported. An initial investigation revealed that the outbreak was likely caused by raw eggs served in a hollandaise sauce.

Officials received a report that several people, including a child, fell sick with symptoms such as diarrhoea, fever, and vomiting after eating at the restaurant. They collected samples and conducted tests, following which they found that the chef had used raw eggs in violation of the food safety rules.

The chef and person-in-charge (PIC) of food safety have been held, the municipality said. The food safety department has also downgraded the rating of the outlet and revoked its PIC certificate, Gulf News reported. The unnamed American outlet will be under "strict monitoring" for the next 6 months once it is allowed to reopen.

The municipality banned the use of raw eggs in ready-to-eat products in 2012 after authorities found them to be a cause for _Salmonella_ infections. Following the recent incident, the department has issued a fresh alert to restaurants reminding them about the ban.
=======================
[Salmonellosis is often thought to be associated with cracked eggs or eggs dirty with fecal matter, a problem controlled by cleaning procedures implemented in the egg industry. It is clearly the case, however, that most of the salmonellosis outbreaks linked to eggs were associated with uncracked, disinfected grade A eggs, or foods containing such eggs. The undamaged eggs become contaminated during ovulation, and thus were contaminated with the bacteria before the eggshell was formed. To avoid this, uncooked eggs should only be used as an ingredient if pasteurized. - ProMED Mod.LL]

[HealthMap/ProMED-mail map:
Dubai, United Arab Emirates: <http://healthmap.org/promed/p/3442>]
Date: Sat 24 Aug 2019 3:39:38 PM PKT
Source: Mena FN[edited]

A resident of Swabi district has succumbed to Congo fever in Sharjah hospital and was laid to rest there on [Sat 24 Aug 2019].

According to details, the man was cutting meat on Eid day, when he accidentally cut one of his fingers. He didn't take it seriously, but after few days, he felt unwell and was taken to the hospital in Sharjah where he was told that he is suffering from a lethal infection known as Crimean-Congo haemorrhagic fever.

Doctors have told him that while he was cutting meat, the deadly Congo virus entered into his body. He was unaware of it while the virus was gradually spreading in his veins, killing him a slow death.

And finally, the virus shattered his body to an extent that he was unable to recover. He was admitted to a hospital in Sharjah in an isolated ward and was kept away from his relatives so that they may not contract the virus. His dead body was laid to rest in Sharjah and was not allowed to be taken to his home town in Swabi due to the fear of virus spread. The man was a resident of Cham village in Daghai, in District Swabi and was living with his family in Sharjah.
=======================
[The report above does not signify how the case was confirmed, and whether any contact follow up was done post confirmation, since there is an incubation period between possible exposure and appearance of symptoms.

CCHF virus has the greatest geographic range of any tick-borne virus and there are reports of viral isolation and/or disease from more than 30 countries in Africa, Asia, Eastern and Southern Europe, and the Middle East. Numerous domestic and wild animals, such as cattle, goats, and sheep, and small mammals, such as hares and rodents, serve as asymptomatic hosts for amplification of the virus, which is transmitted through _Ixodid_ ticks, especially _Hyalomma_ spp that act as both reservoirs and vectors  (<https://www.biorxiv.org/content/biorxiv/early/2018/12/20/502641.full.pdf>).

CCHF was first reported in the United Arab Emirates (UAE; Sharjah is one Emirate) in 1979, when 6 cases were reported among the staff of a hospital in Dubai. An outbreak of CCHF occurred during 1994-1995 with 35 human infections. In 1994, 35 clinical CCHF cases were reported in 1994,and between January 1998 and October 2013, 5 more cases and 2 deaths were reported from the UAE (Ince Y, Yasa C, Metin M, et al. Crimean-Congo hemorrhagic fever infections reported by ProMED. Int J Infect Dis 2014; 26: 44-6;  <https://www.ijidonline.com/article/S1201-9712(14)01499-4/fulltext>).

As the vector is widely distributed and impending climatic changes are likely to widen this spectrum, there is need for the development and implementation of a strategic framework for the prevention and control of CCHF through a coordinated 'One Health' approach. - ProMED Mod.UBA]

[Maps of United Arab Emirates:
Date: Fri, 8 Mar 2019 11:58:53 +0100
By Shatha Yaish

Hatta, United Arab Emirates, March 8, 2019 (AFP) - Just over 100 kilometres (62 miles) from Dubai's skyscrapers, Mohammed al-Kaabi strolls through the tranquil desert with his friends as the sun sets.   Kaabi, 27, hails from a long line of Emiratis, a people with a centuries-old bedouin history tied inextricably to the local desert.    Today, he is among a fast-growing group drawn to a new wave of a tradition of desert camping but with all the trappings of comfort, style and modernity.   With "glamping", short for "glamorous camping", Dubai aims to expand on its renown for luxurious city living and its tradition of camping.

Betting on tourism at a time of low oil prices, Dubai is now offering stays in chic desert trailers, in plush mountainside lodgings and beach camps, as it seeks to put its own mark on the glamping trend that has swept world tourism destinations.   "This place is far from the cities and the high-rises," said Kaabi, sporting the traditional full-length white Emirati robe worn by men.   "Camping is very popular in the UAE, but when you want to bring the family it becomes more complicated," he added, at a campsite in Hatta, near the Omani border.   "But here, safety and comfort are provided for."

- A room with... a bed -
Camping is still a beloved way of life for many Emiratis, who take their equipment and head for the desert from the fall months onwards, when the scorching summer heat has faded.    Tourists and expat residents also increasingly opt to escape the hustle and bustle of the city.

Dubai welcomed a record 15.9 million visitors in 2018, many of whom were drawn to its mega malls, luxurious hotels and pristine beaches.   It hopes to push the figure up to 20 million visitors annually by next year, when it hosts the six-month global trade fair, Expo 2020.    The mountainous eastern Hatta desert has lots to offer "glampers" with a taste for adventure but also for their home comforts.   Near the Hatta dam, campers have a choice between a trailer, caravan or five-star lodge fully equipped with TVs and power points for charging a smartphone.

Seated outside a trailer, Jamil Fahmy, a Dubai resident from Saudi Arabia, said glamping was the perfect way to escape the city without compromising on hygiene.    "It's fun, with the fire and hanging with friends and all that, but I personally prefer to sleep in a room with a bed and a private bathroom, and that's what we get here," he told AFP.    "It's great to be an adventurer and explore and cook fireside, and that's what we did.   "But when the time came, we retreated into the beautiful room and slept on a bed."

- 'Five-star camping' -
Rooms with modern amenities, including bathrooms and beds, start from 400 dirhams (about $110, 100 euros) per night at the Hatta site, which opened in October.    The Hatta camping project, part of Dubai's plan to use tourism to diversify revenues, is also home to a 350-metre zip wire.   Last year, Dubai faced a downturn in the real-estate market due to a supply glut, while oil prices also dropped, affecting the UAE as a whole.    Several glamping sites, some on the beach, have popped up across the UAE in recent years, with options to participate in yoga classes, star gazing or kayaking.

For Jay, a 37-year-old Briton, glamping offers a new experience after a decade in the UAE.    "We're fairly outdoorsy, we came here kayaking before, we did the big zip line," he told AFP, referring to the Hatta zip wire.    But, he added with a laugh that with the usual no-frills style of camping "you haven't got a shower or all the facilities" so glamping is a welcome step-up.   "You get the outdoors and all of that, and nature, and you can barbeque -- but you can also have a shower and get clean!   "It's not five-star hoteling, but five-star camping."
Date: 30 Jan 2019
From: Taiichiro Kobayashi <tkobayashi@cick.jp> [edited]

Two women who returned to Japan from the United Arab Emirates (UAE) were diagnosed with dengue fever (DF). They could be the 1st reported cases of DF infected in the UAE. They live in Japan and travelled together to the UAE from 29 Dec 2018 to 4 Jan 2019. During their stay in the UAE, they mostly stayed in Dubai and were bitten by mosquitoes several times.

They came to Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital on 16 Jan 2019. A 32-year-old woman and a 29-year-old woman complained of high fever for 6 and 4 days, respectively. One revealed an erythematous rash on her trunk, face and extremities, and their tourniquet test results were positive. Their blood examinations revealed leukocytopenia, thrombocytopenia and mild liver dysfunction.

Although the UAE is not known as an endemic country of DF, we suspected the women of having DF because of their history, physical examination and laboratory test results. We performed a rapid diagnostic test of DF (SD BIOLINE Dengue DUO), and their results of non-structural protein 1 (NS1) antigen were positive. Furthermore, dengue virus serotype 3 (DENV-3) genotype III genome was detected from both of their sera with real-time RT-PCR and following viral genome sequence analysis at the Laboratory of Arboviruses, National Institute of Infectious Diseases (NIID), Japan.

These 2 cases may be a signal of the emergence of DF in the UAE, where urbanization progresses and many travellers and immigrants from DF-endemic countries are being accepted.
===============================
Taiichiro Kobayashi
Department of Infectious Diseases
Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome
Hospital
Tokyo, Japan
<tkobayashi@cick.jp>

Yuya Atsuta, Masaru Tanaka, Kazuaki Fukushima, Keishiro Yajima and Akifumi Imamura
Department of Infectious Diseases
Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital Tokyo, Japan

Takahiro Maeki, Shigeru Tajima, Satoshi Taniguchi, Masayuki Saijo and Chang-Kweng Lim
Department of Virology I, National Institute of Infectious Diseases Tokyo, Japan

[ProMED thanks the colleagues from Japan for sharing this important update on imported dengue fever cases, which were serotyped as DENV-3, from the UAE into Japan.

The worldwide distribution of dengue is expanding, in part due to globalized traffic and trade. _Aedes albopictus_ is a competent vector for dengue viruses (DENV) and is now established in numerous regions of the world. Travellers with viraemia arriving in any country from dengue-affected areas of the world can become proponents of local outbreaks. The above report also highlights the importance of considering dengue in differential diagnosis of fever with suggestive blood picture even in cases presenting in nonendemic areas. - ProMED Mod.UBA]

[HealthMap/ProMED-mail maps:
United Arab Emirates: <http://healthmap.org/promed/p/132]
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Canada

Canada - US Consular Information Sheet
February 17, 2009
COUNTRY DESCRIPTION: Canada is a highly developed, stable democracy. Tourist facilities are widely available in much of the country, but the northern and wilderness areas are less develop
d and facilities there can be vast distances apart. Read the Department of State Background Notes on Canada for additional information.
ENTRY/EXIT REQUIREMENTS: Entry into Canada is solely determined by Canadian Border Services Agency (CBSA) officials in accordance with Canadian law. Canadian law requires that all persons entering Canada carry both proof of citizenship and proof of identity. A valid U.S. passport, passport card or NEXUS card (see below) satisfies these requirements for U.S. citizens. If U.S. citizen travelers to Canada do not have a passport, passport card or approved alternate document such as a NEXUS card, they must show a government-issued photo ID (e.g. Driver’s License) and proof of U.S. citizenship such as a U.S. birth certificate, naturalization certificate, or expired U.S. passport. Children under sixteen need only present proof of U.S. citizenship.

It is very important to note that all Americans traveling to the U.S. by air, including from Canada, must present a valid U.S. passport to enter or re-enter the U.S. Effective June 1, 2009, a similar requirement goes into effect for entry into the U.S. via land and sea borders. All Americans will need to present a U.S. passport, passport card, NEXUS card, Enhanced Drivers License or other Western Hemisphere Travel Initiative (WHTI)-compliant document in order to enter the U.S. by land or sea. American travelers are urged to obtain WHTI-compliant documents before entering Canada well in advance of their planned travel. For the most recent information on WHTI and WHTI-compliant documents, please see our web site.

One of the WHTI-compliant documents for crossing the land border is the U.S. Passport Card. The card may not be used to travel by air and is available only to U.S. citizens. You can read further information on the U.S. Passport Card on our web site. We strongly encourage all American citizen travelers to apply for a U.S. passport well in advance of anticipated travel. American citizens can visit travel.state.gov or call 1-877-4USA-PPT (1-877-487-2778) for information on how to apply for their passports.

Both the U.S. and Canadian governments urge frequent travelers to join the NEXUS trusted traveler program. NEXUS members receive a special travel card that allows expedited border crossings for both private and commercial travelers through both U.S. and Canadian border controls very quickly. The CBP has detailed information about the NEXUS program.
U.S. citizens entering Canada from a third country must have a valid U.S. passport. A visa is not required for U.S. citizens to visit Canada for up to 180 days. Anyone seeking to enter Canada for any purpose other than a visit (e.g. to work, study or immigrate) must qualify for the appropriate entry status, and should contact the Canadian Embassy or nearest consulate and visit the Canadian immigration web site.

Anyone with a criminal record (including misdemeanors or Driving While Impaired (DWI) charges may be barred from entering Canada and must obtain a special waiver well in advance of any planned travel. To determine whether you may be inadmissible and how to overcome this finding, refer to the Canadian citizenship and immigration web site.
For further information on entry requirements, travelers may contact the Canadian Embassy at 501 Pennsylvania Avenue NW, Washington DC 20001, tel. (202) 682-1740; or the Canadian consulates in Atlanta, Boston, Buffalo, Chicago, Dallas, Detroit, Los Angeles, Miami, Minneapolis, New York, San Juan or Seattle.

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: For the latest security information, Americans traveling abroad should regularly monitor the Department of State, Bureau of Consular Affairs’ web site, 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: Although Canada generally has a lower crime rate than the U.S., violent crimes do occur throughout the country, especially in urban areas. Visitors to large cities should be aware that parked cars are regularly targeted for opportunistic smash-and-grab thefts, and they are cautioned to avoid leaving any possessions unattended in a vehicle, even in the trunk. Due to the high incidence of such crimes, motorists in Montreal, Vancouver and some other jurisdictions can be fined for leaving their car doors unlocked or for leaving valuables in view. Auto theft in Montreal and Vancouver, including theft of motor homes and recreational vehicles, may even occur in patrolled and apparently secure parking lots and decks. SUVs appear to be the particular targets of organized theft. While Canadian gun control laws are much stricter than those of the U.S., such laws have not prevented gun-related violence in certain areas.
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. Each of Canada’s provinces has a Crime Victim Compensation Board from which American victims of crime in Canada may seek redress.

As in the U.S., emergency assistance can be reached by dialing “911.
See our information on Victims of Crime.

MEDICAL FACILITIES AND HEALTH INFORMATION: The level of public health and sanitation in Canada is high. Canada’s medical care is of a high standard but is government-controlled and rationed. Quick and easy access to ongoing medical care is difficult for temporary visitors who are not members of each province’s government-run health care plans. Many physicians will not take new patients. Access to a specialist is by only by referral and may take months to obtain. Emergency room waits can be very long. Some health care professionals in the province of Quebec may speak only French. No Canadian health care provider accepts U.S. domestic health insurance, and Medicare coverage does not extend outside the United States. Visitors who seek any medical attention in Canada should be prepared to pay in cash in full at the time the service is rendered. Traveler’s medical insurance is highly recommended even for brief visits.

The U.S. Department of State is unaware of any HIV/AIDS entry restrictions for visitors to or foreign residents of Canada.

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 web site. For information about outbreaks of infectious diseases abroad, consult the World Health Organization’s (WHO) web site. Further health information for travelers is available from the WHO.

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 Canada is provided for general reference only, and may not be totally accurate in a particular location or circumstance. As in the United States, all emergency assistance in Canada can be reached by dialing 911.

Transport Canada is the Canadian federal government agency responsible for road safety, although each province or territory has the authority to establish its own traffic and safety laws and issue driving licenses. For detailed information on road conditions throughout Canada, as well as links to provincial government web sites, please see the Transport Canada web site or the Canadian Automobile Association web site. The CAA honors American Automobile Association membership. Some automobile warranties of vehicles purchased in the U.S. may be invalid in Canada; please check the warranty of your vehicle.

Driving in Canada is similar to driving in many parts of the United States. Distances and speeds, however, are posted in kilometers per hour, and some signs, particularly in Quebec, may only be in French. U.S. driver’s licenses are valid in Canada. Proof of auto insurance is required. U.S. auto insurance is accepted as long as an individual is a tourist in Canada. U.S. insurance firms will issue a Canadian insurance card, which should be obtained and carried prior to driving into Canada. For specific information concerning Canadian driving permits, mandatory insurance and entry regulations, please contact the Canadian National Tourist Organization.
Unless otherwise posted, the maximum speed limit in Canada is 50km/hr in cities and 80km/hr on highways. On rural highways, the posted speed limit may be 100km/hr (approximately 60 miles/hr). Seat belt use is mandatory for all passengers, and child car seats must be used by children under 40 pounds. Some provinces require drivers to keep their vehicles’ headlights on during the day. Motorcycles cannot share a lane, and safety helmets for motorcycle riders and passengers are mandatory. Many highways do not have merge lanes for entering traffic. Tailgating and rapid lane-changes without signaling are common. Emergency vehicles frequently enter the oncoming traffic lane to avoid congestion. Drivers should be aware that running a red light is a serious concern throughout Canada, and motorists are advised to pause before proceeding when a light turns green.
Driving while impaired (DWI) is a criminal offense in Canada. Penalties are heavy, and any prior conviction (no matter how old or how minor the infraction) is grounds for exclusion from Canada. Americans with a DWI record must seek a waiver of exclusion from Canadian authorities before traveling to Canada, which requires several weeks or months to process. It is illegal to take automobile radar detectors into Quebec, Ontario, Manitoba, the Yukon or the Northwest Territories, regardless of whether they are used or not. Police there may confiscate radar detectors, operational or not, and impose substantial fines.

Winter travel can be dangerous due to heavy snowfalls and hazardous icy conditions. Some roads and bridges are subject to periodic winter closures. Snow tires are required in some Provinces. The Canadian Automobile Association has tips for winter driving in Canada. Travelers should also be cautious of deer, elk and moose while driving at night in rural areas.

Highway 401, from Detroit to Montreal, is one of the busiest highways in North America. It has been the scene of numerous, deadly traffic accidents due to sudden, severe and unpredictable weather changes, high rates of speed, and heavy truck traffic. There have been numerous incidents involving road racing and dangerous truck driving. Drivers tend to be aggressive, often exceeding speed limits and passing on both sides, and police enforcement is spotty. In addition, approaches to border crossings into the United States may experience unexpected traffic backups. Drivers should be alert, as lane restrictions at border approaches exist for drivers in NEXUS and FAST expedited inspection programs.
Please refer to our Road Safety page for more information. Visit Canada’s national authority responsible for road safety.

AVIATION SAFETY OVERSIGHT: The U.S. Federal Aviation Administration (FAA) has assessed the Government of Canada’s Civil Aviation Authority as being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for oversight of Canada’s air carrier operations. For more information, travelers may visit the FAA web site.
SPECIAL CIRCUMSTANCES: IMPORTATION OF FIREARMS: Firearms are much more strictly controlled in Canada than in the United States. Violation of firearms restrictions may result in prosecution and imprisonment. As of January 1, 2001, visitors bringing any firearms into Canada, or planning to borrow and use firearms while in Canada, must declare the firearms in writing using a Non-Resident Firearm Declaration form. Visitors planning to borrow a firearm in Canada must obtain in advance a Temporary Firearms Borrowing License. These forms must be signed before a Canadian Border Services Agency (CBSA) officer at the border and no photocopies are available at the border. Full details and downloadable forms are available from the Canada Firearms Program. Canadian law requires that officials confiscate firearms and weapons from persons crossing the border who deny having the items in their possession. Confiscated firearms and weapons are never returned. Possession of an undeclared firearm may result in arrest and imprisonment.

Canada has three classes of firearms: non-restricted, restricted, and prohibited. Non-restricted firearms include most ordinary hunting rifles and shotguns. These may be brought temporarily into Canada for sporting or hunting use during hunting season, use in competitions, in-transit movement through Canada, or personal protection against wildlife in remote areas of Canada. Anyone wishing to bring hunting rifles into Canada must be at least 18 years old, must properly store he firearm for transport, and must follow the declaration requirements described above. Restricted firearms are primarily handguns; however, pepper spray, mace, and some knives also are included in this category. A restricted firearm may be brought into Canada, but an Authorization to Transport permit must be obtained in advance from a Provincial or Territorial Chief Firearms Officer. Prohibited firearms include fully automatic, converted automatics, and assault-type weapons. Prohibited firearms are not allowed into Canada.
SPECIAL CIRCUMSTANCES: PORNOGRAPHY AND CONTROLLED SUBSTANCES: Canada has strict laws concerning child pornography, and in recent years there has been an increase in random checks of electronic media of travelers entering Canada. Computers are subject to search without a warrant at the border, and illegal content can result in the seizure of the computer as well as detention, arrest and prosecution of the bearer.

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 Canada’s laws, even unknowingly, may be expelled, arrested or imprisoned. Penalties for possession, use, or trafficking in illegal drugs in Canada 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.
Canadian law prohibits the unlawful importation or trafficking of controlled substances and narcotics. A number of travelers, including Americans, have been arrested for attempting to smuggle khat, a narcotic from East Africa, into Canada. Smugglers risk substantial fines, a permanent bar from Canada and imprisonment.

Please also 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 Canada are encouraged to register with the U.S. Embassy or nearest U.S. Consulate through the State Department’s travel registration web site, and to obtain updated information on travel and security within Canada. By registering, American citizens make it easier for the Embassy or Consulate to contact them in case of emergency.

The U.S. Embassy is in Ottawa, Ontario, at 490 Sussex Drive, K1N 1G8, telephone (613) 238-5335, fax (613) 688-3082. The Embassy's consular district includes Ottawa, Easter Ontario (Kingston, Lanark, Leeds, Prescott, Refrew, Russell, and Stormont); and those parts of the Quebec Regions of Outaouais and Abitibi-Temiscamingues near Ottawa.
U.S. Consulates General are located at:
Calgary, Alberta, at 10th Floor, 615 Macleod Trail SE, telephone (403) 266-8962; emergency-after hours-to report the death or arrest of an American (403) 2 66 -8962 then press '0'; fax (403) 264-6630. The consular district includes Alberta, Manitoba, Saskatchewan, and the Northwest Territories, excluding Nunavut.
Halifax, Nova Scotia, at 1969 Upper Water Street, Suite 904, Purdy's Wharf Tower II, telephone (902) 429-2480; emergency-after hours-to report the death or arrest of an American (902) 429-2485; fax (902) 423-6861. The consular district includes New Brunswick, Newfoundland, Nova Scotia, Prince Edward Island and the French islands of Saint Pierre and Miquelon.

Montreal, Quebec, at 1155 St. Alexander Street, telephone (514) 398-9695; emergency-after hours-to report the death or arrest of an American (514) 981-5059; fax (514) 398-0702. The consular district includes Greater Montreal and the regions of Southern Quebec Province (Laurentides, Lanaudiere, Laval, Montreal, Montregie, Estrie, and the southern parts of Centre-du-Quebec); including Joliete, Drummondville and Sherbrooke.
Quebec City, Quebec, at 2 rue de la Terrasse Dufferin, telephone (418) 692-2095; emergency-after hours-to report the death or arrest of an American (418) 692-2096; fax (418) 692-4640. The consular district includes Quebec City and those regions of Quebec Province to the North and East of the Montreal and Ottawa Districts (indicated above), plus the Territory of Nunavut.

Toronto, Ontario, at 360 University Avenue, telephone (416) 595-1700; emergency-after hours-to report the death or arrest of an American (416) 201-4100; fax (416) 595-5466. The consular district includes the province of Ontario except the six counties served by the U.S. Embassy in Ottawa.

Vancouver, British Columbia, at 1095 West Pender Street, telephone (604) 685-4311; fax (604) 685-7175. The consular district includes British Columbia and the Yukon Territory.

All visa applicants are seen by appointment only. Information on visa appointments is available from www.nvars.com. Information on visa services for foreigners and consular/passport services for Americans who live in Canada is available from the U.S. Embassy web site. No visa or consular/passport information is available by calling the embassy or consulate switchboards.
* * *
This replaces the Country Specific Information for Canada dated December 11, 2007, to update sections on Entry/Exit Requirements, Crime, Traffic Safety and Road Conditions, and Registration/Embassy Location.

Travel News Headlines WORLD NEWS

Date: Wed, 5 Feb 2020 23:38:14 +0100 (MET)

Ottawa, Feb 5, 2020 (AFP) - People under 25 will no longer be able to rent local listings for entire homes on Airbnb in Canada, the company announced Wednesday after a fatal shooting at a Toronto apartment booked through the website.   The restriction will apply only to homes young Airbnb users attempt to rent within the communities where they already live.    Guests under 25 years will still be able to book a private room within a host's primary residence, and could be exempted from the prohibition if they receive positive evaluations in at least three recent stays.

The aim is to curb unauthorized use of Airbnb properties, including for "unauthorized parties," Airbnb Senior Vice President Chris Lehane told a press conference.   "We know from our research that 99.9 percent of the people on Airbnb are good people... and treat homes like their own homes," he said.   "We have a 0.3 percent incident rate across our platform when it comes to issues involving property damage and a 0.6 percent incident rate when it involves personal security issues.   "Those numbers," he said, "get higher when you're looking at... reservations made by people under 25... within the community they live in."

The pilot, if it succeeds in reducing violence and damage to properties, may be applied in other jurisdictions, he said.   It comes just days after three men aged 19, 20 and 21 were shot dead at a Toronto downtown waterfront neighbourhood apartment. Two others were injured.   On January 8, an 18-year-old was also killed at an Airbnb-rented house in downtown Ottawa.

And last October, a gunman opened fire at a house party in Orinda, California that was an Airbnb rental. Four men and a woman were killed.    Lehane also announced a 24-hour hotline for neighbours who suspect mischief at an Airbnb property, as well as a partnership with a group of Canadian doctors lobbying for stricter gun control laws.   Airbnb says that two million people stay at its listed homes in 100,000 cities every night.
Date: Sun, 2 Feb 2020 22:26:04 +0100 (MET)

Montreal, Feb 2, 2020 (AFP) - Some 500 tourists were trapped inside a ski resort in western Canada on Sunday after a mudslide destroyed the access road, local media reported.   Heavy rains knocked loose mud and debris, and the ensuing mudslide washed out about 0.6 miles (one kilometre) of the only access road to the Sasquatch Mountain Resort, the British Columbia transportation ministry said in a statement.

It said that clearing the road could take five to six days and urged local residents to stay at home while they waited for the work to be completed.   "We're pretty much at the mercy of Mother Nature," said Shelby Lim, a resort manager, in an interview with the CBC.   She added that the resort, which is about 60 miles east of Vancouver, had lost power due to inclement weather but had backup generators.

Lim also noted that the vacationers could leave the resort via a helicopter service, which cost about $150 per person.    About 100 people had used or intended to use the helicopter service to leave, the CBC reported, but the rest had decided to stay put and wait for the road to reopen.
Date: Sun 2 Feb 2020
Source: Global News [edited]

The Canadian Food Inspection Agency has issued a recall for bottled clams sold from Cielo Glamping Maritime in New Brunswick.

The Canadian Food Inspection Agency has issued a recall for bottled clams sold at a campsite in New Brunswick over fears that they permit the growth of dangerous bacteria. The clams, sold at Cielo Glamping Maritime on the Acadien Peninsula, were sold in 500 ml and 1 L containers with no labels.

The Canadian Food Inspection Agency (CFIA) says the clams may permit the growth of _Clostridium botulinum_, a bacterium that can cause foodborne botulism.

Consumers should check to see whether the recalled products are in their homes. Recalled products should be thrown out or returned to the location where they were purchased. It is recommended that the products not be consumed.

The CFIA says food contaminated by _Clostridium botulinum_ may not look or smell spoiled but can still make people sick. Symptoms of botulism include facial paralysis or loss of facial expression, difficulty swallowing, drooping eyelids, unreactive or fixed pupils, double or blurred vision, difficulty speaking, and a change in the sound of a person's voice. Botulism does not cause a fever. Severe cases of the illness can be fatal.

There have been no reported illnesses associated with the recalled clams.  [byline: Alexander Quon]
=========================
[Because of the potential severity of botulism, ProMED-mail posts such recalls even if, as in this case, there are no human cases associated (yet) with the food products. Most food recalls are related to defective preparation procedures that could, but do not necessarily, result in the germination of viable spores of _Clostridium botulinum_. - ProMED Mod.LL]

HealthMap/ProMED map available at:
New Brunswick Province, Canada: <http://healthmap.org/promed/p/269>]
Date: Mon 20 Jan 2020
Source: Global News [edited]

A doctor working with Indigenous Services Canada (ISC) in Saskatchewan is urging caution to residents in and around Onion Lake First Nation following 2 people contracting a rare, deadly bacterial infection. Medical health officer Dr. Ibrahim Khan wrote a letter to the chief of the Onion Lake First Nation that said both patients were admitted to medical facilities shortly after New Years Day with diphtheria. He said one patient is under 18, while the other is an adult and was suffering from skin abrasions [? cutaneous diphtheria], which Khan said is rare for that disease.

In the letter, he said the disease is very uncommon in the province and can lead to "severe complications like breathing problems, heart failure, and paralysis, and without appropriate treatment can result in death." He applauded the medical team in Onion Lake, saying they contained the infection and made sure everyone in the community was aware of the risk and vaccinated.

"Everybody gets that vaccination, and they have that protection. That's why we don't see it. We don't see that many measles cases. We don't see that many prostatitis [pertussis?] cases, and we do not see any tetanus cases, because there is a good immunization for it. A good vaccination for it (and) people are aware of it," he told Global News. He said other local agencies, like pharmacies, made sure those on the front lines were supplied if they came across someone who wasn't vaccinated.

The letter to Chief Henry Louis said vaccination is the best method for preventing diphtheria and that the disease could virtually be eradicated if everyone who could be vaccinated received the shot. He said the target is for 97% of the population to receive the vaccination to prevent further spread in the community and noted the rates in Onion Lake are below that benchmark.  [Byline: Kyle Benning]
=====================
[Although the news report above says that one of the 2 patients with diphtheria was an adult "suffering from skin abrasions, which is rare for that disease," perhaps implying that this patient had cutaneous diphtheria, we are not told specifically the patients' clinical manifestations, i.e., whether they had respiratory diphtheria, cutaneous diphtheria, or both; if the strains of _Corynebacterium diphtheriae_ were toxin-producers; or if the patients were vaccinated against diphtheria.

Diphtheria became nationally notifiable in Canada in 1924, and that year 9057 cases were reported, the highest annual number of cases ever recorded in Canada  (<https://www.canada.ca/en/public-health/services/immunization/vaccine-preventable-diseases/diphtheria/health-professionals.html>).

The diphtheria vaccine was 1st introduced in 1926, and routine immunization in infancy and childhood has been widely practiced since 1930 in Canada. By the mid-1950s, routine immunization had resulted in a remarkable decline in the morbidity and mortality of the disease. Another steep decline in cases occurred in 1980, which has been attributed, in part, to a change in case definition to exclude carriers from reported cases in all provinces and territories. Since 1993, a total of 19 cases have been reported with a range of 0-4 cases annually  (<https://www.canada.ca/en/public-health/services/immunization/vaccine-preventable-diseases/diphtheria/health-professionals.html>).

In the USA, the case definition for reporting to the National Notifiable Diseases Surveillance System includes only respiratory diphtheria
(<https://wwwn.cdc.gov/nndss/conditions/diphtheria/case-definition/2010/>).

Similarly, the WHO case definition for reporting diphtheria only includes clinical respiratory diphtheria. Although no longer reportable, cutaneous diphtheria still occurs in the USA and has been most often associated with homelessness, poor sanitation, poverty, and crowded living conditions  (<https://www.cdc.gov/vaccines/pubs/pinkbook/dip.html>).

However, the Canadian case definition includes both respiratory diphtheria and infection at another site (e.g., wound, cutaneous)
(<https://www.canada.ca/en/public-health/services/immunization/vaccine-preventable-diseases/diphtheria/health-professionals/national-case-definition.html>).

Cutaneous diphtheria is contagious and can be a source of both respiratory and cutaneous infections in contacts. Acquisition of _Corynebacterium diphtheriae_, the cause of diphtheria, can occur even in vaccinated contacts, as vaccine-induced immunity is anti-toxin. - ProMED Mod.ML]

[HealthMap/ProMED-mail map:
Saskatchewan province, Canada: <http://healthmap.org/promed/p/262>]
Date: Wed, 22 Jan 2020 15:49:25 +0100 (MET)

Montreal, Jan 22, 2020 (AFP) - A Canadian guide died and five French tourists were missing after at least one snowmobile plunged through ice in northern Quebec, police said Tuesday.   The group were riding close to where a river exits the Saint-Jean lake, and were outside the approved area for snowmobiles, police spokesman Hugues Beaulieu told AFP.   Nine people, including the guide, were on the trip on Tuesday evening when the ice broke underneath them.   Police said they were alerted by two of the tourists who had rescued a third tourist from the freezing water.

The 42-year-old guide was pulled out by emergency response teams and taken to hospital, but he died overnight, Beaulieu said, adding "five French tourists are still missing."   The police and army were searching the area on Wednesday, assisted by divers.   "This sector was not part of a marked trail, they were off-piste," said the spokesman.
More ...

Liberia

Liberia - US Consular Information Sheet
February 21, 2008
COUNTRY DESCRIPTION: Liberia is a country in West Africa that suffered from years of instability and conflict from 1990 - 2003, with attendant destruction of buildings, roads, and infras
ructure and public institutions.
A comprehensive peace accord ended the conflict in August 2003 and a United Nations peacekeeping force (UNMIL) was deployed to facilitate disarmament and demobilization, help arrange democratic elections and provide for security of the country.
In late 2005, Liberians went to the polls and elected Ellen Johnson Sirleaf as president.
The new government was inaugurated in January 2006, and has made tremendous progress towards restoring security and stability to the country.

Despite nearly four years of peace and a renewal of economic growth, Liberia is still one of the poorest countries in the world and many basic services (public power, water and sewage, land line phones) are either limited or unavailable.
Facilities for foreign visitors are adequate in the capital, Monrovia, but virtually non-existent in the rest of the country.
The official language of Liberia is English.
Read the Department of State Background Notes on Liberia for additional information.

ENTRY/EXIT REQUIREMENTS:
A passport and a visa are required for entry, as is evidence of a yellow fever vaccination and a physician's letter attesting to absence of communicable diseases.
Visa applicants may also be asked to provide evidence of health insurance.
Immigration officials no longer issue visas at the airport.
Persons arriving without a visa may be deported immediately, without leaving the airport.
Persons arriving from the United States must obtain a Liberian visa before traveling.
There is a US $25 airport tax on departing passengers, although this is usually collected as part of the ticket price.
For the latest information on entry requirements, visa fees and airport tax for Liberia, contact the Embassy of the Republic of Liberia, 5201 16th Street NW, Washington, DC 20011, tel. (202) 723-0437, web site www.embassyofliberia.org.
Overseas, inquiries should be made at the nearest Liberian 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:
The Department of State urges U.S. citizens to plan proposed travel to Liberia carefully and to exercise caution when traveling in Liberia.
Neither public transport nor taxis are available at the international airport, which is located 40 miles outside of Monrovia; therefore, before traveling to Liberia, Americans are urged to make arrangements for transportation from the international airport into the city center.
Americans traveling to Liberia are also urged to ensure that they have confirmed reservations at a reputable hotel, as rooms can be scarce and difficult to find without advance plans.

Americans who travel to or reside in Liberia should realize that Liberia's police force is in the process of being rebuilt.
There is a UN Mission in Liberia (UNMIL), but its mandate is to ensure political stability in Liberia.
Americans who travel around Liberia must realize that the role of UN Police (UNPOL) officers is to serve as advisors to the Liberia National Police. Accordingly, they do not have the authority to arrest or detain, and they are unarmed.
The Liberia National Police, for its part, has a limited presence in Monrovia, and even less of a presence outside of Monrovia.
In addition, police officers can be a source of problems for visitors as well as a source of aid or assistance.
Although problems with corruption have improved, travelers may be detained by police officers who solicit bribes.
Americans are encouraged to carry a photocopy of their passports with them at all times so that, if questioned by local officials, proof of identity and U.S. citizenship is readily available.
If detained or arrested, U.S. citizens should always ask to be allowed to contact the U.S. Embassy.

U.S. citizens in Liberia should be aware of their surroundings at all times and use caution when moving around, especially at night.
The U.S. Embassy recommends that American citizens observe a suggested curfew of 2:00 a.m. – 6:00 a.m.
Travel outside of Monrovia after dark is strongly discouraged as roads are in poor condition and thus dangerous to navigate at night.
U.S. citizens should avoid crowds, political rallies, and street demonstrations and maintain security awareness at all times.
For the latest security information, Americans traveling abroad should regularly monitor the Department’s Internet web site, where the current Worldwide Caution Public Announcement, Travel Warnings and Travel Alerts 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., 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).

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:
Crime in Liberia is rated high and is exacerbated by the high rate of unemployment.
Theft, assault, sexual crimes, and murder are problems, and they occur more frequently after dark.
Foreigners, including U.S. citizens, have been targets of street crime, robbery, and sexual assault.
Women have been attacked on deserted beaches.
Residential armed break-ins occur.
The police are ill equipped and largely incapable of providing effective protection or investigation.
Criminal activity is reported in both urban and rural areas.

Perpetrators of business fraud often target foreigners, including Americans.
Formerly associated with Nigeria, these fraud schemes are now prevalent throughout western Africa, including Liberia, and pose a danger of both financial loss and physical harm.
An increasing number of American citizens have been the targets of such scams.
The best way to avoid becoming a victim of fraud is common sense – if it looks too good to be true, it probably is.
Any unsolicited business proposal originating in Liberia should be carefully checked before committing any funds, providing any goods or services, or undertaking any travel.
There is also an increase in Liberian/American Internet relationships, where there are eventual requests for financial assistance under fraudulent pretenses.
For additional information, please see the Department of State's Bureau of Consular Affairs brochure International Financial Scams.

Petty corruption is rampant; poorly paid government officials are not immune from the temptation to collect fees for doing their job.
The result is that travelers may be asked for bribes and inconvenienced for not paying them.

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.

MEDICAL FACILITIES AND HEALTH INFORMATION:
Hospitals and medical facilities in Liberia are very poorly equipped and are incapable of providing many services.
Emergency services comparable to those in the U.S. or Europe are non-existent, and the blood supply is unreliable and unsafe for transfusion.
Americans with serious medical problems travel or are medically evacuated to the United States, Europe or South Africa.
Medicines are scarce, often beyond expiration dates, and generally unavailable in most areas.
As there is neither an effective garbage removal service nor a functioning sewer system, the level of sanitation throughout urban areas is very poor, which increases the potential for disease.
Upper respiratory infections and diarrhea are common, as well as the more serious diseases, typhoid and malaria.
All travelers to Liberia must be vaccinated against yellow fever and should carry a supply of all prescription medication, plus anti-malaria medication, adequate for their entire stay.
A typhoid vaccination is also recommended.

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 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) 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.
For travel to Liberia, obtaining separate medical evacuation insurance before arriving in Liberia is strongly recommended.
Please see our information on medical insurance overseas.
SWIMMING HAZARD:
Liberia has many excellent beaches along the Atlantic coastline that tourist and those who live in the country enjoy throughout the year, however American citizens should be aware of the threat of dangerous rip currents better known as rip tides.
These strong currents can occur anywhere on the coast given the right surf conditions.
The Liberia Weather Service does not provide information on where and when these tides form and there are no lifeguards posted on beaches.
American citizens who plan to swim in the Atlantic should read from various sources e about the dangers of rip currents and how to navigate if you find yourself in such a situation; or better still do not swim if you are unfamiliar with swimming in water where very strong rip currents occur.

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 Liberia is provided for general reference only, and may not be totally accurate in a particular location or circumstance.

Road travel in Liberia can be hazardous.
Potholes and poor road surfaces are common, making safe driving extremely challenging.
Cars, trucks, and taxis are often overloaded with people and goods and make frequent stops without signaling.
Drivers overtake on the right as well as the left.
Many vehicles operate with threadbare tires, and blowouts are frequent.
Public taxis are poorly maintained and usually overloaded.
Intersections must be approached with caution.
The absence of public streetlights makes pedestrians walking in the city streets and those walking on country roads difficult to see at night.
Drivers and pedestrians are cautioned that high-speed car convoys carrying government officials require all other vehicles to pull off the road until they have passed.

Travelers should expect delays at UNMIL security checkpoints, as well as time-consuming detours around the many bridges and roads damaged by war, neglect, or the heavy annual rains, which occur from May to November.
Travelers can expect strict enforcement of border controls by Liberian, Ivorian, Sierra Leonean, and Guinean authorities.
At times border crossings to neighboring countries are closed.

Please refer to our Road Safety page for more information.

AVIATION SAFETY OVERSIGHT: As there is no direct commercial air service between the United States and Liberia, the U.S. Federal Aviation Administration (FAA) has not assessed Liberia’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:
Lodging, fuel, transportation, and telephone services are unevenly available in Liberia, and are nonexistent or severely limited in rural areas.
Neither water nor electricity is commercially available in Liberia, including the capital of Monrovia.
Most hotels have utilities available, but not always on a 24-hour basis.
There is no working landline telephone system in Liberia.
Several cell phone companies provide service in Monrovia and some areas outside the capital.
US cellular phones do not always work in Liberia and it is advisable to rent or purchase a local cellular phone.
The postal system is slow and unreliable.
Commercial air courier service is available through UPS, Federal Express (FedEx), and other companies.

The U.S. dollar is readily accepted in Liberia, and there is no limit on the amount of foreign currency that can be transported into and out of the country, provided one follows the specific regulations on how such transfers must be done.
Sums in excess of US $10,000 must be reported at the port of entry and no more than US $7,500 in foreign currency banknotes can be moved out of the country at one time.
Larger sums must be transferred via bank drafts or other financial instruments; persons without a Liberian bank account are limited to two outgoing US $5,000 over-the-counter cash wire transfers per month.
Wire transfers are not widely used and are subject to substantial fees.
ATMs are unavailable and Traveler's checks and credit/debit cards are not accepted anywhere in Liberia.

Photographing military installations, air and seaports, and important government buildings is prohibited.
Visitors should not take photographs of sites or activities that might be considered sensitive, or police are liable to confiscate the camera.

Please see our information on 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 Liberian law, even unknowingly, may be expelled, arrested, or imprisoned.
Penalties for possession, use, or trafficking in illegal drugs in Liberia are severe, and convicted offenders can expect long jail sentences and heavy fines.
The U.S. Embassy does not always receive timely notification of the arrest of U.S. citizens by Liberian authorities.
If arrested, U.S. citizens should ask to be allowed to contact the U.S. Embassy (see the Registration/Embassy Location section below).
Americans should carry a photocopy of their U.S. passport with them at all times.
The consular section of the U.S. Embassy cannot give legal assistance but can provide a list of Liberian attorneys if one is required.
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.

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

REGISTRATION / EMBASSY LOCATION:
Americans living or traveling in Liberia 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 Liberia.
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 111 United Nations Drive, Mamba Point, Monrovia; telephone 231-77-054-826; fax 231-77-010-370; web site http://monrovia.usembassy.gov.
U.S. citizens who wish to write to the U.S. Embassy in Monrovia may address letters to the Consular Section, 8800 Monrovia Place, U.S. Department of State, Washington, D.C. 20521-8800, or send emails to ConsularMonrovia@state.gov.
*

*

*
This replaces the Consular Information Sheet on Liberia dated June 15, 2007 to include a caution on swimming at local beaches.

Travel News Headlines WORLD NEWS

Monday 10th February 2020

ECDC have informed us, that since the beginning of 2020, there has been a significant increase in the number of Lassa cases in Liberia, in West Africa.  Between 1/1/20 and 28/1/20, 55 suspected Lassa cases have been identified; 24 are confirmed and nine, fatal. Among the 55 cases are three infected healthcare workers (one death).  What has changed, is that, since 2016, Lassa cases have been increasing annually.  Cases are spread across six different counties (Bong, Grand Bassa, Montserrado, Lofa, Margibi and Nimba - the majority in Grand Bassa).  Lassa is endemic in these areas, sporadic cases occasionally being encountered during the dry season (in West Africa, this runs from November until April).  
 
Similarly in Nigeria, Lassa has been increasing since the beginning of 2020, with 258 confirmed cases and 41 deaths in 19 states (Edo, Ondo and Ebonyi states being most affected).  Longer-term Lassa secular trends are increasing, reaching a peak in 2018.  Improved surveillance probably accounts for much of the increase, as the overall case fatality rate for Lassa in Nigeria has halved from 40% to about 20% over the last 20 years.  In affected areas though, the numbers of cases remains high; the greatest danger of exposure occurring during these episodic upsurges.

An estimated 300,000-500,000 cases of Lassa with 5,000 related deaths occur annually in West Africa.
 
The risk of importation of Lassa into EU/EEA is very low. The few recently-reported imports all had a recent travel history to endemic areas (save one secondary case reported by Germany).
 
Travellers to West Africa should be informed of the risk of exposure to Lassa fever virus, particularly in areas experiencing ongoing outbreaks. Travellers should avoid exposure to rodents, and consumption of foods and drinks potentially contaminated by rodent droppings, and to patients with symptoms suggestive of haemorrhagic fever. When caring for patients with suspected or confirmed Lassa, measures should focus on preventing contact with the patient's blood and body fluids, and contaminated surfaces or materials.
 
Further information on Lassa is available from:
 
·         HPSC

·         World Health Organization  

·         Centers for Disease Control and Prevention

Rgds
 
For and on behalf of Dr Kevin Kelleher
A/Director, HSE Health Protection Surveillance Centre
Ireland's National EWRS Focal Point
25-27 Middle Gardiner Street
Dublin, 1
 
Date: Fri 17 Jan 2019
Source: Front Page Africa [edited]

The Surveillance Officer of Grand Bassa County Health team has confirmed to FrontPage Africa that there is a Lassa fever outbreak in District 4, Grand Bassa County leading to 3 deaths and 20 others confirmed infected with the virus.

Gabriel B. Kassay said over 60 specimens were taken to Monrovia for testing as a result of the outbreak.  "Out of the 60 plus, over 20 specimens were confirmed affected with Lassa fever," he said, adding that 3 persons have died from the disease at the Liberia Agricultural Company (LAC) concession area in Wee Statutory District.

Kassay said there were several incidents of Lassa fever in the LAC plantation area in 2019.  "According to the Liberia health law, one confirmed case of Lassa fever is considered an outbreak, and so since August 2019, there have been lots of people affected in the LAC area," he said while expressing concern that "the lack of awareness is a major factor" for the frequent cases of the virus in the county.  "The Grand Bassa Health Team has been very instrumental in helping to curtail the spread of the disease in the affected area, but there is a need for awareness in the entire county."

Kassay said the spread of Lassa fever might increase if the citizens are not trained to know the cause and effects of Lassa fever.
=====================
[The number of cases has increased from 9 on 2 Dec 2019 (See Lassa fever - West Africa (43): Liberia http://promedmail.org/post/20191207.6828798) to 20 confirmed cases now. The reported number of deaths remains at 3. The previous ProMED-mail post (see Lassa fever - West Africa (31): Liberia http://promedmail.org/post/20190902.6653653) reported that according to MoH data, a total of 92 suspected cases between 1 Jan-25 Aug 2019, including 21 deaths, have been reported. Of these, 25 cases have been confirmed by RT-PCR (Nimba (9), Bong (10), Grand Bassa (5), and Grand Kru (1)), while 9 remain suspected cases, the release recorded. The case-fatality rate among confirmed cases in that report was stated as 36% (9 deaths out of 25 confirmed cases). Males are mostly affected by the disease (56%) of confirmed cases as compared to females.

Occurrence of Lassa fever cases in areas outside the usual "Lassa fever belt" is of concern, and the Ministry of Health is wise to increase public information and advize citizens about measures that should be taken to avoid infection with the virus. Occurrence of Lassa fever in Liberia is not new, and cases have occurred there sporadically for several years. Between 1 Jan and 27 Jun 2018, 20 cases were laboratory confirmed (see archive no. http://promedmail.org/post/20180711.5898495). Apparently, all those Lassa fever virus infections were acquired by contact with infected rodents or their excretions. Lassa fever virus can be acquired from infected rodents or patients in the hospital. Transmission can occur in health facilities when personal protective equipment is not employed or barrier-nursing practices or biocontainment facilities in the laboratory are not adequate to protect staff from blood and secretions of infected patients.

As mentioned in previous posts, Lassa fever virus transmission to humans occurs when people are in contact with the reservoir rodent host, the multimammate mouse (_Mastomys natalensis_ and _M. erythroleucus_) and the African wood mouse (_Hylomycus pamfi_) or their excreta, as was likely the situation in many of these cases. Rodent control has to be undertaken at the village level with individual households employing the preventive measures listed above. This requires an extensive and continuous public education effort.

Images of the _Mastomys natalensis_ mouse, the rodent reservoir of Lassa fever virus, can be seen at
_M. erythroleucus_ and _Hylomycus pamfi_ at

Date: Tue 3 Dec 2019
Source: Liberian Observer [edited]

A report reaching the Daily Observer from the Nimba County Health Team said that Lassa fever is becoming alarming, with 9 cases confirmed, out of which 3 persons have died.

The county health surveillance officer, Isaac Cole, told reporters in Nimba that 3 districts, including Sanniquellie Mahn, Saclepea, and Tappita have been declared as the "epicenters" of the deadly disease.

Of the 3 districts, Cole said Sanniquellie Mahn is the worst-affected area, where over 30 cases of suspected Lassa cases were registered and 9 confirmed, and from where the 3 deaths are recorded.

He has meanwhile warned locals to avoid rodents (rats) by thoroughly cleaning their surroundings to stop the flow of rats in their homes. The county health team is therefore calling on residents to report any suspected case, particularly people who may have developed prolonged fever, to any of the nearest health facilities. Residents are also advised not to bury the dead (suspected Lassa fever patients) without referencing trained medical practitioners.

"Protect your food from rats, and also avoid touching them at all times should you encounter one," he added.

Lassa fever, also known as Lassa hemorrhagic fever (LHF), is a type of viral hemorrhagic fever caused by the Lassa virus. Many of those infected by the virus do not show symptoms early on. When symptoms do occur, they typically include fever, weakness, headaches, vomiting, and muscle pains.  [Byline: Ishmael F. Menkor]
===================
[The occurrence of Lassa fever cases in Liberia is continuing with the confirmation of 9 new cases. The previous ProMED-mail post reported that according to MoH data, a total of 92 suspected cases between 1 Jan-25 Aug 2019, including 21 deaths, have been reported. Of these, 25 cases have been confirmed by RT-PCR (Nimba (9), Bong (10), Grand Bassa (5), and Grand Kru (1)), while 9 remain suspected cases, the release recorded. The case-fatality rate among confirmed cases in that report was stated as 36% (9 deaths out of 25 confirmed cases). Males are mostly affected by the disease (56%) of confirmed cases as compared to females.

Occurrence of Lassa fever cases in areas outside the usual "Lassa fever belt" is of concern, and the Ministry of Health is wise to increase public information and advise citizens about measures that should be taken to avoid infection with the virus. Occurrence of Lassa fever in Liberia is not new, and cases have occurred there sporadically for several years. Between 1 Jan and 27 Jun 2018, 20 cases were laboratory confirmed (see archive no. http://promedmail.org/post/20180711.5898495). Apparently, all those Lassa fever virus infections were acquired by contact with infected rodents or their excretions. Lassa fever virus can be acquired from infected rodents or patients in the hospital. Transmission can occur in health facilities when personal protective equipment is not employed or barrier-nursing practices or biocontainment facilities in the laboratory are not adequate to protect staff from blood and secretions of infected patients.

As mentioned in previous posts, Lassa fever virus transmission to humans occurs when people are in contact with the reservoir rodent host, the multimammate mouse (_Mastomys natalensis_ and _M. erythroleucus_) and the African wood mouse (_Hylomycus pamfi_) or their excreta, as was likely the situation in many of these cases. Rodent control has to be undertaken at the village level with individual households employing the preventive measures listed above. This requires an extensive and continuous public education effort.

Images of the _Mastomys natalensis_ mouse, the rodent reservoir of Lassa fever virus, can be seen at <https://www.inaturalist.org/taxa/45326-Mastomys-natalensis> and of _M. erythroleucus_ and _Hylomycus pamfi_ at <http://punchng.com/nigerias-large-rat-population-threatens-lassa-fever-war/>. - ProMED Mod.TY]

Date: Mon, 23 Sep 2019 19:35:57 +0200 (METDST)

Monrovia, Sept 23, 2019 (AFP) - More than 10,000 Liberian health workers began a strike Monday to demand salary arrears and regular supplies of medicine and equipment in a country ravaged by civil war and an Ebola epidemic.   Battered two back-to-back civil wars and then in 2014-16 by the worst Ebola epidemic in history, Liberia's health sector is on its knees.   The crumbling infrastructure lacks almost everything -- medicine, beds, equipment, ambulances, even a reliable electricity supply.   "We are striking because we do not have medicines in the hospitals, no materials like gloves to protect ourselves before treating the patients which is dangerous for us, the laboratories are unequipped.... until today most of the workers have not got their July salaries," George Williams, secretary general of the Health Workers Association, told AFP.   "We have realised the exchange rate with the US dollar is so terrible, and these salaries we are making are the same we have been making since eight years, the cost of living has tripled," he said.   State-run hospitals and clinics were closed, sparking protests from patients in Monrovia.   Some 40 pregnant and sick women blocked a road in the northern suburb of Paynesville, shouting slogans.   "I don't have money; I am not rich like the big people, so I cannot afford to go in any private clinic. I am eight months pregnant," Annie Sieh, 35, said.
Date: Mon 2 Sep 2019
Source: Daily Observer [edited]

Just 5 years after containing the deadly Ebola virus disease (EVD), authorities at the Ministry of Health (MoH) have confirmed an outbreak of Lassa fever across the country.  The situation is so serious that Chief Medical Officer (CMO) Dr Francis Nah Kateh, has warned Liberians to take the necessary preventive measures, "even though this is what we have been taking care of all the while. For the disease to spread to Grand Kru County, gives health authorities the cause for concern."  According to MoH data, a total of 92 suspected cases between 1 Jan-25 Aug 2019, including 21 deaths, have been reported.  "Of these, 25 cases have been confirmed by RT-PCR (Nimba-9, Bong-10, Grand Bassa-5, and Grand Kru -1), while 9 remain suspected cases," the release recorded.  The case fatality rate among confirmed cases is 36% (9 deaths out of 25 confirmed cases). Males are mostly affected by the disease (56%) of confirmed cases as compared to females.

The MoH release also said that although Lassa fever is not new to Liberia, it is a deadly viral disease that requires urgent attention. The disease is spread by rodents or rats and through close contact with infected persons.  "We are concerned about the sporadic increase of Lassa fever cases outside the Lassa Belt in Liberia," meaning Nimba, Bong, and Grand Gedeh counties.  "For Lassa fever to affect Grand Kru other than those counties it has previously affected, gives us the fear to raise the alert," Dr Kateh told the Daily Observer via mobile phone on [Fri 2 Sep 2019].

Henceforth, MoH authorities in collaboration with partners and the National Public Health Institute of Liberia (NPHIL), said they are responding to the Lassa fever outbreak in the country.  According to a release issued in Monrovia on 22 Aug 2019, Bong County Health Team notified NPHIL and MoH of the disease's outbreak following the confirmation of one case from Suakoko District, Bong County.  The case concerned the death of a 30-year-old male and a laboratory technician; a health worker, who previously worked with the Phebe Hospital, and a resident of Phebe Airstrip.  "Our hearts are broken, and we express our heartfelt condolences to members of the bereaved family," MoH said in a release on [Fri 30 Aug 2019].  Similarly, on 24 and 25 Aug 2019, the National Public Health Reference Laboratory confirmed 2 additional cases of Lassa fever infection in a 46-year old male as well as a 14-year old female, both residents of Suakoko Town, Bong County.

So far, the release said a total of 30 contacts, including 18 health workers, have been line-listed and are being followed up to the extent that 2 of the contacts have become symptomatic, though one of them have been tested negative. Additionally, 2 cases (one contact) remain in isolation and are undergoing Ribavirin (Lassa) treatment, "because this is the 10th confirmed case being detected from Bong County since [the beginning of] 2019." In response to the outbreak, MoH, NPHIL, World Health Organization (WHO), United States-based Centers for Disease Control and Preventions (CDC), and partners are providing technical, financial, and logistical support to the District Response Teams.  "No epidemiological link has been established between these cases. However, there is a likelihood for these cases to be linked based on history of the source of infection," the release declared.

Health authorities are therefore advising people to "Keep your environment clean; cover your dishes to prevent rats excreting or urinating on them; cover food in tightly-closed containers to prevent rats from playing in food or drinking water; do not eat rats, because you can get the sickness by coming in contact with their blood, [urine, or feces] do not dry food in open places where rats can reach; avoid body contact with infected persons and endemic zone; and visit a health facility immediately when you feel sick."

Meanwhile, NPHIL, MoH, and partners have appealed to the general public to take necessary preventive measures, and kindly report cases of fever (any kind) to the nearest health facility.  "We continue to improve our rapid response teams at county, district, and community levels through the County Emergency Operations Centers (EOCs), and to provide technical, financial and logistical support to the outbreak," the release said.
More ...

Lesotho

Lesotho US Consular Information Sheet
May 28, 2008
COUNTRY DESCRIPTION:
Lesotho is a constitutional monarchy with a democratically elected lower house of parliament.
The upper house, the Senate, is comprised of appointed hereditary ch
efs and politicians.
A Prime Minister is the head of the government.
Geographically, Lesotho is an extremely mountainous developing nation completely surrounded by the country of South Africa.
The capital, Maseru, is at 5,000 feet (1,500M) above sea level, and the mountains reach to 11,400 feet (3,500M). Facilities for tourism are limited.
A limited number of restaurants are available in Maseru.
Read the Department of State Background Notes on Lesotho for additional information.

ENTRY/EXIT REQUIREMENTS:
A passport is required, but no visa for U.S. citizens is needed for visits of 180 days or less.
Vaccination for yellow fever is a common requirement and travelers should carry their international vaccination cards with them.
For more information concerning entry requirements, travelers may contact the Embassy of the Kingdom of Lesotho, 2511 Massachusetts Avenue NW, Washington, DC 20008, telephone (202) 797-5533.
Visit the Embassy of Lesotho’s web site at http://www.lesothoemb-usa.gov.ls/ for the most current visa information.

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:
Lesotho held a general election in February 2007, which international and local observers considered peaceful and independent.
Opposition parties disputed the allocation of parliamentary seats following the election, leading to a protracted political impasse, massive rallies, and several work stoppages in 2007 which disrupted public transportation and some commercial activity.
Although the Southern African Development Community (SADC) undertook a mediation effort aimed at achieving dialogue and reconciliation, senior political and government figures were targeted in a spate of armed attacks in June 2007.
These attacks, including the kidnapping of Lesotho Defense Force (LDF) guards and the seizure of military weapons, resulted in a government-imposed daily curfew from June 15 to June 22, 2007, and reports of harassment at security checkpoints and roadblocks.
Efforts by the Maseru City Council to disperse unlicensed street vendors in the central business district led to confrontations between police and vendors.
U.S. citizens should avoid political gatherings and street demonstrations and maintain security awareness at all times.

For the latest security information, Americans 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.

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:
U.S. citizens should remain vigilant about their surroundings at all times.
Lesotho has a high level of crime and foreigners are frequently targeted, robbed and sometimes killed.
American citizens reported an increased number of incidents in the first half of 2008, including armed and unarmed confrontations, carjackings, and home invasions.
However, there are no indications that U.S. citizens are being specifically targeted or that there is an increase in the overall crime rate.

The Lesotho Mounted Police Service reported the presence of a number of armed gangs.
Lesotho’s high unemployment rate, aggravated by the return of large numbers of unemployed miners from South Africa, and the ongoing effects of social upheaval due to high HIV/AIDS rates of infection, continue to contribute to an increasing number of reported crimes.
These types of crimes occur primarily in the capital city of Maseru, but can occur elsewhere in Lesotho.
Crime scenes have included popular restaurants, pedestrian overpasses, unlit or poorly lit roads, and other locations foreigners are known to frequent.
Victims have included foreign diplomats, volunteer workers, employees of non-governmental organizations, and nationals of Lesotho.
U.S. citizens are advised to avoid large groups and demonstrations, walking and driving at nighttime if possible, and walking in the capital city of Maseru even during daylight.
Personal crime is more likely to occur at night, but there have been numerous recent incidents in the middle of the day.
Traveling alone or at night is particularly dangerous.
The Lesotho Mounted Police Service handles policing duties.
Police resources are limited and response time varies widely.
U.S. citizens should report crime to the police and to the Embassy consular section.

There is a serious baggage pilferage problem at Johannesburg International Airport, also known as Oliver Tambo International Airport, in South Africa.
Persons traveling by air to Lesotho must travel via Johannesburg.
The pilferage problem particularly affects travelers changing airlines and those flying on smaller airlines.
Passengers flying on major international carriers may not be affected to the same degree.
Travelers are encouraged to secure their luggage, use an airport plastic wrapping service, and avoid placing currency, electronics, jewelry, cameras or other valuables in checked luggage.
Make an inventory of items in checked baggage to aid in claims processing if theft does occur.
The claims processing procedure can be time-consuming.

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.

MEDICAL FACILITIES AND HEALTH INFORMATION:
Medical facilities in Lesotho are limited.
Good medical service is available in Bloemfontein, South Africa, 90 miles west of Maseru.
There is no reliable ambulance service in Lesotho.
The Embassy maintains a list of physicians and other health care professionals in Lesotho who may see U.S. citizen patients.
The Embassy does not guarantee their services or provide recommendations.
Many medicines are unavailable at facilities in Lesotho; travelers should carry with them an adequate supply of needed medicines and/or prescription drugs, along with copies of prescriptions.
Lesotho has a very high HIV/AIDS prevalence rate, currently estimated at over thirty percent of the adult population.
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 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) 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 Lesotho is provided for general reference only, and may not be totally accurate in a particular location or circumstance.
Traffic moves on the left, with right-hand drive vehicles.
Never assume right-of-way, as aggressive and undisciplined local driving habits result in frequent collisions.
Lesotho has a high number of traffic-related deaths and injuries given its small size.
The previous king died in a road accident in 1996.
Driving after dark is dangerous due to the absence of street lighting, livestock on the roads, and the prevalence of crime, including incidents of carjacking.
American citizens may encounter roadblocks manned by unauthorized or off-duty police officers soliciting cash payments for alleged traffic violations.
Travel is best done by private car.
Rental cars are available, and cars rented in neighboring South Africa may be brought into Lesotho with written permission from the rental company.
Although bus and public taxi services exist, chronic overloading combined with inadequate vehicle maintenance and lack of driver training make them unsafe.
Some private taxi service exists in the capital, but roving mini-bus taxis should be avoided.
There is no passenger train service in the country.
Although the number of paved roads is gradually increasing, the majority of Lesotho’s 5,000 miles of roads are unpaved.
A few main rural highways are comparable to U.S. two-lane rural roads, but lane markings, signs, shoulders and guardrails are not to U.S. standards, and unfenced livestock pose a particular danger.
Lesotho's mountainous terrain makes driving on secondary roads hazardous.
Unpaved roads in the interior, often narrow, twisty and steep, are poorly maintained. For travel in the interior, especially in wet or snowy weather, a high ground clearance or four-wheel-drive vehicle is recommended.
Four-wheel-drive is required for entering Lesotho through the Sani Pass on the eastern border.
The authority for road safety issues rests with the Lesotho Mounted Police Service.
There are no auto clubs or reliable ambulance services.
Drivers should contact the police in emergencies.
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.lesothoemb-usa.gov.ls/tourism.htm.

AVIATION SAFETY OVERSIGHT:
As there is no direct commercial air service to the United States by carriers registered in Lesotho, the U.S. Federal Aviation Administration (FAA) has not assessed Lesotho’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.

The only scheduled air service is between Maseru and Johannesburg on a South African Airways subsidiary. There is no scheduled service among towns within Lesotho.

SPECIAL CIRCUMSTANCES:
Tap water is not reliably potable.
Visitors to the interior of Lesotho should bring clothing and equipment suitable for cold weather during the winter months (June - October).
In the mountains, weather conditions can deteriorate rapidly.
In winter snow often closes mountain passes and temperatures often drop below freezing during the night, even in the lowlands.

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 Lesotho laws, even unknowingly, may be expelled, arrested or imprisoned.
Penalties for possession, use, or trafficking in illegal drugs in Lesotho 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.

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 Lesotho 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 Lesotho.
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 254 Kingsway, Maseru West; the mailing address is PO Box 333, Maseru 100, Lesotho.
The telephone number is 266-22-312-666. The Embassy’s e-mail address is infomaseru@state.gov and the URL is http://maseru.usembassy.gov/.
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This replaces the Country Specific Information for Lesotho dated December 19, 2007 to update sections on Entry/Exit Requirements, Crime, and Traffic Safety and Road Conditions.

Travel News Headlines WORLD NEWS

Date: Mon 27 May 2019
Source: The Post [edited]

Over 50 people were taken ill this week after they ate meat from cattle that died of anthrax in Qeme last Saturday [18 May 2019]. About 55 were rushed to nearby clinics while 18 of them were given prophylaxis and treated as outpatients. Most of the victims developed blisters and had swollen limbs while others suffered from severe stomach-aches and diarrhoea. So far more than 20 cattle have died from anthrax.

The Ministry of Agriculture and Food Security this week declared that there had been an anthrax outbreak in Qeme area. The disease was 1st noticed in the villages of Ha-Tseka and Ha-Au in Qeme last Saturday [18 May 2019] after the villagers informed the ministry that their cattle were dying. The minister of agriculture, Mahala Molapo, told the post that they ensured that the carcasses were buried and those who ate meat of dead cattle were rushed to health centres for treatment.

A rapid response team comprising the Ministries of Agriculture and Health has since responded to the outbreak in the district. The team is comprised of experts from the Disease Control Unit, the World Health Organisation (WHO) and the epidemiologists who swiftly moved to contain the disease. "Our main focus is treating those who ate the infected animals and how to properly bury the carcasses," Molapo said. "We are also testing water sources in the area." He said they are also going to hold public gatherings where they are going to sensitize the communities about the disease. Molapo said they have also banned the movement of animals in and out of the Qeme area, and next week they are going to embark on vaccination campaigns.

The minister said no one has died so far as a result of eating the contaminated meat. He said neighbouring countries have been notified and no movement of animals will be allowed between Lesotho and its neighbours until the disease is contained. He added the country's export of animal products such as skins and meat has also been banned until the crisis is addressed. "We are also planning to provide vaccines countrywide to prevent other diseases like Black Quarter," he said. The minister maintained they have put in place control measures to contain the disease in the affected areas to prevent more cattle from dying.

Meanwhile, the district administrator of Maseru, Mpane Nthunya, said they will start the vaccination campaigns next week. Nthunya said their work will be to meet the community leaders in the affected areas to sensitize them about the outbreak.  [byline: Tokase Mphutlane]
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communicated by:
Sabine Zentis
Castleview English Longhorns
Gut Laach
D-52385 Nideggen
Germany
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[These human cases are in relation to the same villages reported in the previous OIE report (See: ProMED-mail. Anthrax - Lesotho: (MS) cattle, OIE http://promedmail.org/post/20190524.6485405.] With 3 villages affected a human case load of 50 is not unexpected in spite of the optimistic response of the local authorities. To locate the affected area go to the OIE report to see their map. - ProMED Mod.MHJ]

[HealthMap/ProMED map available at:
Date: Fri, 9 Sep 2016 05:27:46 +0200
By Julie JAMMOT

Semonkong, Lesotho, Sept 9, 2016 (AFP) - Across the rough grasslands of Lesotho, jockeys wearing wool balaclavas and scruffy old helmets urge their horses towards the finishing post as hundreds of spectators cheer from a nearby hillside.

Horseracing in the mountain kingdom of Lesotho is not like at Ascot or Longchamp, but it is still highly competitive, involves lots of gambling and is a major social occasion.   The course at Semonkong, in the centre of the landlocked nation, hosts races once a month in the winter, with the most prestigious days marking King Letsi III's birthday in July and independence day in October.   Before each race, the horses are paraded in front of a crowd that expertly assesses breeding, formation and fitness of runners with such exotic names as "4x4", "Cain" and "Jerusalem".   Then the gambling begins.

Most bets are head-to-head wagers over which of two selected horses will be faster, rather than the overall race winner.   "It's an entertainment but it's also our culture, and it refreshes the mind," Mohale Mpapa, 45, a leading racehorse owner and farmer, told AFP.   "It's important to me because I get money if my horse wins, and for the country it's very important because we teach kids how to ride horses.   "If you take care of someone, if you respect him, you make them a good jockey. It's the same with a horse, you need to treat it well."   The horses are either cross-breeds, thoroughbreds from neighbouring South Africa or local "Basotho" ponies, which are better suited to the terrain and climate, and are still used for everyday transport.

- The will to win -
Mpapa's current jockey is Modikeng Tladi, 16, who also works for him as a shepherd.   Tladi -- wearing bright earrings -- rises at dawn and looks after racehorses and sheep that all live in one small, corrugated-iron shed.   "I will be very excited if I win, and very proud, because I will have won a professional race in front of everyone," he said before a recent race meeting.

"In my first race, I was so scared, now I'm used to it. I feel comfortable and excited when I ride the horse, I want to win all the time."   Tladi takes the patchwork blanket off a horse called "Kodi-a-Malla" and walks him over the hills to the racecourse -- a difficult job as the animal is twice his size and full of energy.   When race time finally comes, tensions mount as Mpapa checks the small saddle and issues last-minute instructions to Tladi before helping him on board.

Without stalls, the horses line up chaotically and -- after several false starts -- set off at a furious pace when an official waves his white flag and just avoids being trampled.   Tladi only manages fourth, but the team is happy enough.   "During training my horse got injured, so I didn't train him very hard, and next time it will be better," said Mpapa, who owns 15 horses in total.

- Unique heritage -
The Lesotho races are growing as a cultural event, and have received government sponsorship to boost visitor numbers to a nation that boasts stunning landscapes and a unique heritage independent from surrounding South Africa.

The owners of the first four horses in each race win between $20 and $70, with more than $1,000 on offer during the day.   "I have loved horses since I was very young, and they're part of my business," said Jonathan Hales, 46, who owns the nearby Semonkong Lodge that caters for tourists.   "The future of the horses of Lesotho comes out of these races, where all the breeders and owners can analyse and look at them.   "Tourism is also connected to the horses, so we promote them and care for them -- it's all about fun, not about winning and losing."

Jockeys such as Tladi may not agree.   After riding in several races and making some small bets, he made about $60 during the day -- 10 days of normal pay.   While the owners of victorious horses celebrate with joyful dancing, the jockeys barely manage a smile as they quickly ride over to collect their cash.   For the spectators, many of them wearing traditional blankets, racing combines their passion for animals with a chance to test their luck and judgement.   "The horse I bet on just lost, but I will keep gambling, I just love horses," said 50-year-old Motseki Pakela.
Date: Sat, 13 Aug 2016 05:04:53 +0200
By Julie JAMMOT

Sephareng, Lesotho, Aug 13, 2016 (AFP) - For farmer Mohlakoane Molise, the view of the enormous Katse dam from his smallholding high in the mountains of Lesotho taunts him daily.   His country is suffering through its worst drought in 35 years, but the vast and vital water reserves remain out of reach, destined instead for export to neighbouring South Africa.   "I am very angry about that water, because it could benefit us, we could use it to water the crops when there is a drought. But that's not happening," the 65-year-old widower told AFP.

Kneeling in front of his round, thatch-roofed hut, he sorted through his maize, examining each grain, one-by-one.   The operation didn't take long. His total annual harvest filled just two large sacks, in place of the usual dozen.   According to the World Food Programme (WFP), the 2016 harvest for Lesotho's primary crop maize is estimated at 25,000 tonnes, a dramatic drop from last year's 78,000-tonne haul.

Instead, the mountainous kingdom -- entirely landlocked by South Africa -- must import food from its larger neighbour.   But it too has been hit by the drought after the El Nino weather phenomenon wreaked havoc on the region's rainfall patterns, and maize prices have sky-rocketed by 60 percent in the last year.   According to the United Nations, 40 million people across southern Africa risk malnutrition by next year's harvest.   "From September, we'll have nothing left and we'll struggle to buy maize from the shop," said Molise.   Below, the immense dark blue of the dam stood out in stark contrast to the bare, brown mountains.

- 'It's like a desert' -
The valley here was flooded in the nineties to make way for Katse. The deal: hydroelectricity for impoverished Lesotho in exchange for a reliable water supply to the bustling cities of Johannesburg and Pretoria.   "There were fields around the river before the dam was built, and there were trees, but they are covered by water," said Molise.   "Since the dam is here, it's difficult to get water. The crops are very poor, even the grazing land. It's like a desert."   In Sephareng, the village tap has run dry for months. Residents must instead make their way up the mountain -- a good half-hour walk along a rocky trail -- to a communal pump. There, a feeble trickle of water fills their buckets, while their cows and donkeys drink from the small puddles left behind by a vanishing stream.

For its part, Africa's second-largest dam is fulfilling its mandate, despite the drought.   "The level today is about 63.4 percent, which is quite low," said Tatuku Maseatile, Katse acting branch manager for the Lesotho Highlands Development Authority (LHDA).   "We are still able to meet our annual targets in terms of both generation and water transfer."   From his office high up on the soaring dam wall, he had an unparalleled view of the waters below.   "I do think people are benefiting from the dam," he said, ticking the projects off: a water supply system, construction jobs, two industrial fishing projects, schools.   "And roads in the mountains, tarred roads brought by the project -- another direct spin-off -- and a clinic built and transferred to the government."

- Disastrous consequences -
Along those tarred roads, women trudged uphill for hours to reach the clinic for the WFP's monthly food distribution.   "We give them four packs each," explained Mamakase Grace Sello, 21, a nutrition student interning with the WFP.   "It's for lactating or pregnant mothers, and infants below the age of two. But we know that often the whole family eats some, including the fathers, even if they should not. The nutrients are for the babies."   In a country where the overwhelming majority of families depend on their own crops for food and where nearly a quarter of the population is affected by AIDS, charities are predicting disastrous consequences by next year's harvest.

Earlier this year, the Lesotho government declared the drought a natural disaster.   "I've never seen a drought like this," said shepherd Ntoaesele Mashongoane, 32.   "This drought is really terrible, especially for the pregnant sheep. They don't have enough grass and there's no water."   His flock moved down the steep mountainsides to the water's edge for a drink -- a small consolation -- and the deep blue of the dam reflected the skies above, not a raindrop in sight.
Date: Thu, 1 Nov 2012 17:33:42 +0100 (MET)

MASERU, Lesotho, Nov 01, 2012 (AFP) - The Lesotho government fears it may not raise enough cash to avert a pending food crisis caused by two successive crop failures, the head of the country's disaster management authority said Thursday. "We are far from reaching the amount required to bail the country out of the food crisis it's facing, we may not even get half of that money and we strongly appeal for more donors to assist us," said Mats'eliso Mojaki. The tiny mountainous country is trying to raise 1.8 billion maloti, or around $200 million it believes is needed to avert disaster caused by unfavourable weather. "We are in a dire situation and can only appeal to the international community to assist."

Mojaki indicated that the country has not developed alternative plans in case they fail to get the entire amount. "At the present moment we do not have a plan B, but are however devising a long term prevention and adaptation plan. UNICEF Deputy Representative Naqib Safi described the situation as "dire". "More than two thirds of the country's population is facing a serious food crisis and we need assistance." Around 725,000 people out of a population of 1.8 million are said to be at serious risk this year and next. The kingdom relies on subsistence agriculture for income.
Date: Fri, 28 Sep 2012 15:15:28 +0200 (METDST)

GENEVA, Sept 28, 2012 (AFP) - More than 725,000 people face a food crisis in the tiny southern African nation of Lesotho after successive disastrous harvests cut production by 70 percent, the World Food Programme said Friday.   "Lesotho is facing the devastating effects of two successive crop failures due to drought and late rainfall," WFP spokeswoman Elisabeth Byrs told reporters in Geneva.

More than one third of the country's nearly two million people were at risk because of the poor harvests, Byrs said, describing the crop deficit as a "catastrophe for this little country".   Production of maize, the main staple food in Lesotho, has declined by 77 percent compared with last year, the food agency said.

Levels of other cereals such as sorghum and wheat were down by 80 percent and 52 percent respectively, meaning that the country will have less than 10 percent of its requirements for 2012/13, the WFP added in a statement.   Among those facing the food crisis, 230,000 people were "particularly vulnerable" to hunger, the agency said, especially the very poor, orphans and those with HIV/AIDS, an illness that affects 25 percent of the population.

Announcing an appeal for $38 million (29.3 million euros) in association with other humanitarian partners, the WFP said it aimed to provide life-saving help to 118,000 "of the most deprived".   It would also meet the needs "of all 725,000 food-insecure people" by boosting crop production and improving food security, health and nutrition.   The development follows Lesotho's declaration of an emergency food crisis on August 9, Byrs said.
More ...

World Travel News Headlines

Date: Mon, 24 Feb 2020 12:29:01 +0100 (MET)
By David Vujanovic

Tehran, Feb 24, 2020 (AFP) - Iran's government vowed Monday to be transparent after being accused of covering up the deadliest coronavirus outbreak outside China, dismissing claims the toll could be as high as 50.

The authorities in the Islamic republic have come under mounting public pressure since it took days for them to admit to "accidentally" shooting down a Ukrainian airliner last month, killing 176 people.   The government said on Monday that Iran's coronavirus death toll had jumped by four to 12 -- by far the highest outside China -- as its neighbours closed their borders and imposed strict quarantine measures.

But Ahmad Amirabadi Farahani, a lawmaker from the holy city of Qom, south of Tehran, alleged the government was "lying" about the full extent of the outbreak.   The ILNA news agency, which is close to reformists, said the lawmaker spoke of "50 deaths" in Qom alone.   "The rest of the media have not published this figure, but we prefer not to censor what concerns the coronavirus because people's lives are in danger," ILNA editor Fatemeh Mahdiani told AFP.

Farahani was wearing a face mask during the closed session of parliament but left after speaking, as he felt unwell, state news agency IRNA reported, adding sanitary workers then cleaned his seat.   Iran's government rejected his claim that the virus had killed 50 in Qom.   "I categorically deny this information," Deputy Health Minister Iraj Harirchi said in a news conference aired live on state television.   "This is not the time for political confrontations. The coronavirus is a national problem," he added.

- Transparency pledge -
The government pledged transparency over the outbreak.   "We will announce any figures (we have) on the number of deaths throughout the country. We pledge to be transparent about the reporting of figures," its spokesman Ali Rabiei said.   Iran has been scrambling to contain the COVID-19 outbreak since it announced the first two deaths in the holy city of Qom on Wednesday last week.   Authorities have since ordered the closure of schools, universities and other educational centres across the country as a "preventive measure".

A spokesman for Iran's parliament, Assadollah Abbassi, announced the latest four deaths among more than 60 infections after Monday's closed-door gathering of lawmakers.   Citing Health Minister Said Namaki, he said that "the cause of coronavirus infections in Iran are people who have entered the country illegally from Pakistan, Afghanistan and China".   Iran has yet to give a breakdown of where the other deaths occurred.   The worst-hit province for infections is Qom, with 34 cases, according to health ministry figures.

The others are in Tehran with 13 infections, Gilan with six, Markazi with four, Isfahan with two and one each for Hamedan and Mazandaran.   But the health minister said that one person who died of coronavirus in Qom, south of Tehran, was a businessman who had made several trips to China.   Namaki had unsuccessfully pleaded in January for Iran's government to order the suspension of all commercial flights between Iran and China.   In his remarks to state television on Sunday, the minister said direct flights between Iran and China were now suspended, but the Qom businessman had travelled there "on a connecting flight".

- Border closures -
Since it emerged in December, the new coronavirus has killed more than 2,500 people in China.   Iran now accounts for nearly half of the deaths elsewhere in the world, which currently stand at 30.   Many of Iran's neighbours have reported cases of coronavirus in people who had travelled to the Islamic republic.   Afghanistan on Monday reported its first case in a person who had travelled to Qom.   Baghdad also reported its first case on Monday -- an elderly Iranian citizen living in the southern Iraqi city of Najaf.

Iraq has shut its border with the Islamic republic and imposed a travel ban.   Similar preventive measures were imposed by Afghanistan, Armenia, Pakistan and Turkey.    Qom is a centre for Islamic studies and pilgrims, attracting scholars from Iran and beyond.   Kuwait and Bahrain also confirmed their first novel coronavirus cases, all of whom had come from Iran.
Date: Mon, 24 Feb 2020 12:00:17 +0100 (MET)

Quetta, Pakistan, Feb 24, 2020 (AFP) - Pakistan began quarantining at least 200 people near the Iranian border, officials said Monday, as fears spiralled over the growing toll from the coronavirus in the region amid allegations of a coverup in Iran.

The quarantine announcement came hours after Pakistan sealed off its land border with Iran while neighbouring Afghanistan said it had detected its first infection.    It also came as Iranian authorities denied allegations of an official coverup following reports that dozens of deaths had gone unreported in the country.

In Pakistan's southwestern Balochistan province authorities moved fast to quarantine at least 200 people after Shiite Muslim piligrims returning from Iran entered the country and briefly interacted with other residents.   "We have decided not to take a chance and keep all of them under observation for the next 15 days," Najeebullah Qambrani, assistant commissioner at the Taftan border crossing, told AFP, saying 250 people were being quarantined.

Balochistan's secretary of health Mudassir Malik confirmed the quarantine but estimated that between 200 and 250 were being held.   He added that around 7,000 pilgrims had returned to Pakistan from Iran this month alone.   Afghanistan and Pakistan share long, porous borders with Iran that are often used by smugglers and human traffickers, while millions of Afghan refugees currently live in the Islamic Republic -- raising fears that the virus could easily spread over the border.

Pakistan -- bordered by China to the north and Iran to the south -- also suffers the additional burden of having a lacklustre healthcare system following decades of under-investment by the state, leaving impoverished, rural communities especially vulnerable.

Balochistan in particular is woefully unprepared to handle a public health emergency after being beset for decades by a separatist insurgency, jihadist violence, and neglect from the central government.   The novel coronavirus has spread to more than 25 countries, with more than 2,500 dead in China, and is causing mounting alarm due to new pockets of outbreaks in Europe, the Middle East and Asia.
Date: Mon, 24 Feb 2020 09:00:05 +0100 (MET)

Kabul, Feb 24, 2020 (AFP) - Afghanistan has detected its first novel coronavirus case, the country's health minister said Monday, a day after Kabul announced it would suspend air and ground travel to Iran, where 12 people have died from the outbreak.   "I announce the first positive coronavirus (case) in Herat," health minister Firozuddin Feroz told a press conference, calling on citizens to avoid travel to the western province which borders Iran.
Date: Mon, 24 Feb 2020 08:04:46 +0100 (MET)

Dubai, Feb 24, 2020 (AFP) - Kuwait and Bahrain confirmed on Monday their first novel coronavirus cases, the countries' health ministries announced, adding all had come from Iran.  Kuwait reported three infections and Bahrain one in citizens who had returned home from the Islamic republic.
Date: Sun, 23 Feb 2020 19:13:29 +0100 (MET)

Rome, Feb 23, 2020 (AFP) - An elderly cancer patient became the third person known to be infected with the coronavirus to die in Italy, health officials said on Sunday, as the number of people contracting the virus continued to mount.    The death of the woman in a hospital in the small city of Crema in Lombardy, the centre of Italy's coronavirus scare, followed that of a 77-year-old woman on Saturday and a 78-year-old man on Friday, the first victim of coronavirus in Europe.

The head of Italy's civil protection department, Angelo Borrelli, said during a news conference that 152 people had now tested positive for the virus, including the three deceased.    The cancer patient had been hospitalised for a few days, said Lombardy's health chief, Giulio Gallera.    "She'd been tested and they already knew she had the coronavirus," Gallera said, adding that it was too early to know whether the virus was the actual
cause of death.

The deaths, and steadily rising cases of infected people, have prompted a series of security measures to try to check the spread of the contagion.    Eleven towns -- 10 in Lombardy and 1 in Veneto -- are under lockdown, with residents prohibited from leaving. Regional authorities have ordered gathering spots, such as bars, restaurants and discos to close.     Schools throughout the affected areas are to remain closed next week.    Most of the cases in Italy are in Lombardy, a prosperous region in the country's north, and can be traced back to a 38-year-old man whom authorities have called "patient one." 

The man, who is intensive care, dined last month with another man who had visited China in January. He exhibited flu-like symptoms at the time of the dinner, but has since tested negative for the virus, media reports said.    And health officials are still puzzled over certain cases with no obvious links with infected persons.    "The rapid increase in reported cases in Italy over the past two days is of concern," the World Health Organization (WHO) spokesperson Tarik Jasarevic said on Sunday.     "What is also worrying is that not all reported cases seem to have clear epidemiological links, such as travel history to China or contact with a confirmed case," he added.

Experts from WHO and the European Centre for Disease Prevention and Control plan to arrive in Italy on Tuesday, he said.    Mounting worries over the spread of the virus have  disrupted fashion shows at Milan Fashion Week and cancelled operas at the famed La Scala.
Date: Fri, 21 Feb 2020 14:55:57 +0100 (MET)

Beirut, Feb 21, 2020 (AFP) - The first case of the novel coronavirus in Lebanon was confirmed on Friday, the health minister said, adding that two other suspected cases were being investigated.   "We confirmed the first case today," Hassan Hamad said at a press conference in Beirut.

The COVID-19 virus was found in a 45-year-old Lebanese woman who had travelled from Qom in Iran, he said.   A medical source at the hospital where the woman is being treated told AFP that she returned from Iran with a high fever, but that her immunity was good and her condition stable.

Hamad said that all the people who were on the same flight from Iran had been contacted by the health authorities.   He said that anyone returning from Iran would be asked to observe a two-week home quarantine.   The COVID-19 outbreak first appeared in Iran on Wednesday.

Tehran has now confirmed a total of four deaths and 18 infections by the SARS-like virus, which first emerged in China in late December.   Thousands of Lebanese travel to Iran every year to visit Shiite holy sites in Qom and other cities.   China on Friday raised the death toll to 2,236 -- most of them in the province of Hubei, where the virus was first detected. More than 75,000 have now been infected in China and over 1,100 abroad.
Date: Fri, 21 Feb 2020 10:38:16 +0100 (MET)

Seoul, Feb 21, 2020 (AFP) - North Korea has cancelled the Pyongyang Marathon -- its biggest tourist money-spinner of the year -- because of the novel coronavirus outbreak, tour companies said Friday.   Beijing-based Koryo Tours, the official partner of the marathon, said on its website it had "received official confirmation today that the Pyongyang Marathon 2020 is cancelled".   "This is due to the ongoing closure of the North Korean border and COVID-19 virus situation in China and the greater region," it added.   Young Pioneer Tours, which specialises in budget trips to the isolated country, issued a similar statement.

The annual marathon is held in April as part of the anniversary commemorations for founder Kim Il Sung's birth in 1912, and attracts curious foreigners eager to run through the streets of the tightly controlled city.   Almost 1,000 Westerners took part last year, according to organisers, paying entry fees of up to $150 to do so.

North Korea has put itself into self-imposed isolation to protect itself from the outbreak raging in neighbouring China, which has infected more than 75,000 people and killed over 2,200.   Pyongyang has suspended flights and train services, banned tourists, and imposed 30 days of quarantine on resident foreigners.   North Korea is subject to multiple international sanctions over its nuclear and ballistic missile programmes and its medical infrastructure is weak, with chronic shortages of medicines and equipment.

As a result an outbreak would wreak havoc, analysts say.   It has taken similar measures before: it banned tourists for more than four months from October 2014 to keep out the Ebola virus, even though no cases had been reported in Asia.   North Korea clamped down for six months during the Severe Acute Respiratory Syndrome (SARS) outbreak of 2002-03, which killed nearly 650 people across mainland China and Hong Kong.
Date: Fri, 21 Feb 2020 05:56:39 +0100 (MET)

Jukkasjaervi, Sweden, Feb 21, 2020 (AFP) - High above the Arctic Circle and nestled in the snow-dusted forests of northern Sweden, gaggles of tourists gathered on a February morning for a glimpse of hallways, bedrooms and a wedding chapel sculpted from ice, part of the 30th incarnation of Sweden's ice hotel.   Stopping in blue-white hallways to take snaps of a chandelier and ornately decorated bedrooms entirely carved from ice, the tourists are among the 50,000 day visitors to the hotel every year, founded in 1989 by a hotelier looking to attract visitors to the remote town of Jukkasjarvi, 200 kilometres (125 miles) north of the Arctic Circle.   Built every October from the frozen waters of the nearby river Torne, the winter hotel has 35 bedrooms.

Temperatures reach -5 degrees Celsius (23 Fahrenheit) in the rooms, which start at around three times the average price of a night in a three-star establishment in Stockholm.   Individual suites cost more, and feature sculptures and designs by artists from around the world.   One room inspired by the aurora borealis -- the northern lights that can be seen in the skies nearby -- features lighting that changes colour, as well as a giant snow sculpture of a reindeer's head, all set to a soundtrack of ambient music and, occasionally, reindeer grunts.   Around 20,000 guests spend a night in the hotel every year.   But 25-year-old guide Julia Hansers said guests usually react less to the cold than to the tranquillity.   "A lot of people coming here live in the city, and there you always have some sort of sounds and noise around you, and inside the ice hotel it's completely quiet," said Hansers, peering out from under a thick woolly hat.

Bo Bjerggaard, a gallerist from Copenhagen, spent a night wrapped in a sleeping bag and a reindeer-skin throw.   "During the night I had to get up and then it was of course cold," Bjerggaard said, standing outside in the hotel's dazzling white courtyard made from snow.   "Then (it's) great again when you come back into the sleeping bag -- you sleep so well because of the temperature," he said with a smile.   Guests can also enjoy a drink in the ice bar, where all beverages are served in glasses made from ice.   Since 2016 the hotel has also used solar panels to generate electricity to cool a nearby building to below zero to allow them to keep 20 rooms frozen all year round.   When spring arrives, the winter hotel's rooms are closed and it melts back into the river until October, when construction begins again.
Date: Thu, 20 Feb 2020 21:01:10 +0100 (MET)

Paris, Feb 20, 2020 (AFP) - The French government launched a campaign Thursday, complete with emergency number, to combat an influx of unwelcome visitors that have left Parisians in despair: bedbugs that have settled in homes and hotels to feed uninvited on human blood.

After disappearing from France in the 1950s, the infuriating insects have made a resurgence, according to the ministry of housing, which cited international travel and growing resistance to insecticide as the main causes.   "We can all be affected," the government warned on a webpage dedicated to the parasitic problem, complete with advice on how to prevent and treat an infestation, and a number to call for expert help.   The common bed bug, Cimex lectularius, is found in temperate climates in
the United States and parts of Europe.

The six-legged pest posed only a minor nuisance after World War II because of the widespread use of insecticides such as DDT. But the banning of such potent poisons, because they were too dangerous, hailed a bed bug revival.   By the late 1990s, the critters were thriving in New York and a 2010 outbreak saw them invade high-end apartment buildings, hotels, even clothing stores like lingerie outlet Victoria's Secret.   There has also been an explosion of bed bugs in Paris.   The tiny invaders cost billions of dollars annually in extermination by businesses and homeowners.

- 400,000 addresses -
In 2016, a study found that the reclusive, flightless creatures had become resistant to pesticides, further aiding their global conquest.   Another study the following year said the insects sought out human scents and snuggled up in worn clothes before tagging along home, explaining their meteoric spread around the world.   They hide in linen by day and come out at night to bite people, often while they are sleeping, leaving red, itchy welts. They do not transmit disease.   In Paris, extermination experts say 400,000 addresses including hotels, apartments and houses were treated in 2018, the latest year for which information is available.   This represented a third more than the previous year.

Illustrating how annoying the issue has become, bed bugs have even featured in the Paris 2020 electoral campaign, with mayoral hopeful Benjamin Griveaux promising to clean up the capital in 100 days.    The plan of the candidate, who has since bowed out over a sex-tape scandal, included specialised anti-pest "brigades" targeting bed bugs, rats and cockroaches, which would intervene free of charge for low-income households, and at the lowest market price for others.
Date: Thu, 20 Feb 2020 19:02:28 +0100 (MET)

Oslo, Feb 20, 2020 (AFP) - Two German tourists were killed Thursday in an avalanche while on a snowmobile tour in Norway, authorities said.    A helicopter carrying rescue personnel and a sniffer dog were dispatched to search for the missing pair, who were discovered dead in the Svalbard archipelago, about a thousand kilometres (miles) from the North Pole.    "Two German citizens are confirmed dead in an avalanche," the office of the Governor of Svalbard said in a statement.

They had been on a snowmobile tour run by a Russian tour operator, about 15 to 20 kilometres (about 9 to 12 miles) south of Barentsburg, the second largest settlement on Svalbard, according broadcaster NRK.    Authorities said they received reports that two people were missing shortly before 3:00 pm (1400 GMT), and a few hours later the pair were discovered.    The Svalbard archipelago covers an area twice the size of Belgium and is home to some 2,900 inhabitants who rely on tourism, scientific research and mining.