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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: 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]
Date: Wed 5 Sep 2018
Source: BBC [edited]

A total of 19 people have been taken ill after an Emirates airline plane landed in New York, officials say. The plane was quarantined at JFK airport as those on board were checked by health officials. As many as 10 were taken to hospital but others refused treatment.

The US Centers for Disease Control and Prevention (CDC) said that initially about 100 people including some crew had complained of illness. Flight 203 from Dubai landed at 09:10 (13.10 GMT) with 521 passengers.

Emergency vehicles were seen on the runway as it landed. Soon afterwards, Emirates airline tweeted that the sick passengers were being attended to and those who were unaffected would be allowed to leave the plane.

The CDC said in a statement that is was "aware of an Emirates flight from Dubai that arrived this morning at JFK".

"Approximately 100 passengers, including some crew on the flight, complained of illness including cough and some with fever.

"CDC public health officers are working with... officials to evaluate passengers including taking temperatures and making arrangements for transport to local hospitals those that need care."

Later Eric Phillips, spokesman for New York Mayor Bill de Blasio, confirmed that all the passengers were off the plane and the sick people had been taken to hospital.

He said that some of the passengers had originally come from the Saudi Arabian city of Mecca, which was currently experiencing a flu outbreak, and that the passengers' symptoms were "pointing to the flu".
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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: Fri 4 Oct 2019
Source: CTV News [edited]

Newfoundland and Labrador's provincial health department is advising residents of an outbreak of _E. coli_ bacteria. There have been 22 cases of _E. coli_ confirmed in the province this week, according to an advisory issued Friday afternoon [4 Oct 2019]. The statement says provincial public health officials and regional authorities are investigating.

The Department of Health and Community Services advises people experiencing symptoms of _E. coli_, including severe or bloody diarrhea and abdominal pain, to seek medical attention. The illness spreads mostly through ingestion of contaminated food or water but can also spread through person-to-person contact.

A provincial medical officer of health says most cases are within the province's eastern health authority, including the capital city of St. John's, but others are in the central and western authorities.

Dr. Janice Fitzgerald said some of the cases are connected to an advisory issued by Memorial University earlier this week, saying Eastern Health was investigating reports of students experiencing gastrointestinal illness.

The university said Wednesday [2 Oct 2019] that test results indicated one student living in residence "may have contracted the _E. coli_ bacteria" and 21 students had reported similar symptoms. Fitzgerald said it's too early in the investigation to determine a cause of the outbreak.
======================
[The news report above alerts people experiencing severe or bloody diarrhoea to seek medical care because there have been 22 cases of a "gastrointestinal illness" due to _Escherichia coli_ in the Canadian province of Newfoundland and Labrador; most cases are occurring within the province's eastern health authority, including the capital city of St. John's.

Although the report fails to characterize the students' GI illness in any detail, most likely the illness is due to an enterohemorrhagic E. coli (EHEC). EHEC is a type of _E. coli_ that produces a toxin called Shiga toxin and causes damage to the lining of the intestinal wall and bloody diarrhoea.

The infection is said to have involved one student "living in residence," perhaps a communal home, and 21 other students developed similar symptoms. But the report fails to say if the students lived together or had some other common exposure. Most EHEC is transmitted by ingestion of contaminated food or water, but EHEC can also spread through person-to-person contact or contact with animals and their environment (<https://wwwnc.cdc.gov/travel/yellowbook/2020/travel-related-infectious-diseases/escherichia-coli-diarrheagenic>).

More information on this outbreak would be appreciated from knowledgeable sources.

Newfoundland and Labrador, which incorporates the island of Newfoundland and mainland Labrador to the northwest, is the most easterly province of Canada, with a combined population of 526 702 (<http://en.wikipedia.org/wiki/Newfoundland_and_Labrador>). Approximately 92% of the province's population lives on the island of Newfoundland (including its associated smaller islands). Half of the province's population (262 410) lives on Newfoundland's Avalon Peninsula, which includes the city of St. John's, the province's capital and largest city (<http://en.wikipedia.org/wiki/Avalon_Peninsula>). - ProMED Mod.ML]

[HealthMap/ProMED-mail map:
Newfoundland, Newfoundland and Labrador, Canada:
<http://healthmap.org/promed/p/375>]
Date: Wed 2 Oct 2019
Source: Benzinga.com [edited]

This update reflects 14 illnesses that have been added to the outbreak investigation. There are now 110 illnesses under investigation. The Public Health Agency of Canada continues to remind Canadians to always handle raw turkey and raw chicken carefully, and to cook it thoroughly to prevent food-related illnesses like _Salmonella_ infection. The Canadian Food Inspection Agency has not issued any food recall warnings related to this outbreak.

The Public Health Agency of Canada is collaborating with provincial and territorial public health partners, the Canadian Food Inspection Agency and Health Canada to investigate an outbreak of _Salmonella_ infections.
 
Based on the investigation findings to date, exposure to raw turkey and raw chicken products has been identified as the likely source of the outbreak. Many of the individuals who became sick reported eating different types of turkey and chicken products before their illnesses occurred. The outbreak appears to be ongoing, as recent illnesses continue to be reported to the Public Health Agency of Canada.

As of 1 Oct 2019, there have been 110 confirmed cases of _S._ Reading illness investigated in the following provinces and territories: British Columbia (26), Alberta (36), Saskatchewan (8), Manitoba (24), Ontario (7), Quebec (1), New Brunswick (1), Northwest Territories (1), and Nunavut (6). Individuals became sick between April 2017 and August 2019. 32 individuals have been hospitalized. One individual has died. Individuals who became ill are between 0 and 96 years of age. The illnesses are equally distributed among males (50%) and females (50%).

The collaborative outbreak investigation was initiated due to an increase of _S._ Reading illnesses that occurred in October and November 2018. Cases have continued to be reported since the investigation was initiated. Through the use of a laboratory method called whole genome sequencing, some _Salmonella_ illnesses dating back to 2017 were identified to have the same genetic strain as the illnesses that occurred in late 2018. More than half of the illnesses under investigation occurred between October 2018 and August 2019.

It is possible that more recent illnesses may be reported in the outbreak because there is a period of time between when a person becomes ill and when the illness is reported to public health officials. This period of time is called the case reporting delay. In national _Salmonella_ outbreak investigations, the case reporting delay is usually between 5 and 6 weeks.

The United States Centers for Disease Control and Prevention (U.S. CDC) previously investigated similar _Salmonella_ illnesses in several states that were linked to raw turkey exposure. There were some turkey products recalled in the U.S. that were associated with that outbreak. These products were not imported or distributed in the Canadian marketplace. The U.S. investigation was closed in April 2019.

Infants, children, seniors and those with weakened immune systems are at higher risk of serious illness because their immune systems are more fragile. Most people who become ill from a _Salmonella_ infection will recover fully after a few days. It is possible for some people tobe infected with the bacteria and to not get sick or show any symptoms, but to still be able to spread the infection to others.

Raw turkey and raw chicken products carrying _Salmonella_ may look, smell and taste normal, so it's important to always follow safe food-handling tips if you are buying, chilling, thawing, cleaning, cooking and storing any type of raw poultry food products.

Always handle raw turkey and raw chicken carefully, and cook it thoroughly to prevent food-related illnesses like salmonellosis. You can use the following food safety tips to help protect you and your family: Always wash your hands before and after you touch raw turkey and raw chicken. Wash with soap and warm water for at least 20 seconds. Use an alcohol-based hand rub if soap and water are not available. Always cook turkey and chicken products to a safe internal temperature that has been checked using a digital thermometer. Turkey and chicken breasts, as well as ground poultry, including turkey and chicken burgers, should always be cooked to an internal temperature of 74 C (165 F) to kill any harmful bacteria. Whole turkey and chicken should be cooked to an internal temperature of 82 C (180 F). Leftovers should be reheated to 74 C (165 F). Use a digital food thermometer to check, and place it in the thickest part of the food.

Thaw frozen raw turkey and raw chicken in the fridge. Thawing raw turkey and raw chicken at room temperature can allow bacteria to grow. Never rinse raw turkey or raw chicken before cooking it because the bacteria can spread wherever the water splashes. Use a separate plate, cutting board, utensils and kitchen tools when preparing raw turkey and raw chicken. Clean everything that has come in contact with raw turkey or raw chicken with a kitchen cleaner or bleach solution and then rinse with water: Kitchen cleaner (follow the instructions on the container) Bleach solution (5 mL household bleach to 750 mL of water). Keep raw turkey and raw chicken away from other food while shopping, storing, repackaging, cooking and serving foods. If you have been diagnosed with a _Salmonella_ infection or any other gastrointestinal illness, do not cook food for other people. Do not feed raw ground turkey or raw ground chicken to your pets. Bacteria like _Salmonella_ in raw pet food can make your pets sick. Your family also can get sick by handling the raw food or by taking care of your pet.
======================
[_Salmonella_ are widely distributed in animals. In terms of human consumption, poultry and eggs from poultry are often the sources of human infection, but any animal product if not cooked properly is a potential source of salmonellosis. Pets including dogs, cats, birds, snakes, turtles, etc. can be sources of _Salmonella_ infection. The pets develop infection from _Salmonella_ in what they eat and excrete the bacteria in their feces. - ProMED Mod.DK]

[HealthMap/ProMED map available at:
Date: Fri 27 Sep 2019
Source: CBC [edited]

The Windsor Essex County Health Unit [WECHU] said that recently collected data has identified a single mosquito capable of transmitting the Zika virus. The routine mosquito surveillance program, conducted by WECHU in the summer and fall, tested the adult _Aedes aegypti_ mosquito found, and it has tested negative for any vector-borne diseases.

That type of mosquito is capable of transmitting Zika, dengue, chikungunya, and yellow fever. The 1st mosquito capable of transmitting these diseases was discovered in 2016. The 1st such mosquito was found in Canada in 2017 for the 1st time.

WECHU is also testing mosquitos collected for eastern equine encephalitis, a mosquito-borne disease that has recently caused fatalities in Michigan and a number of other states.

"Until the 1st freeze hits, we are still at risk for mosquito bites, and it is important that everyone take steps to avoid being bitten," said Dr. Ahmed, medical officer of health.
=====================
[_Aedes aegypti_ mosquitoes sporadically appear in north temperate zones in the Americas, this time in Windsor, Ontario, Canada. As the above comment indicates, they will not survive the winter and will disappear with the onset of killing frosts, likely to occur in the next 2-3 weeks. The only way that local transmission of Zika, dengue, or chikungunya viruses could occur is in the unlikely event that a viremic individual came to a locality where there was a population of _Aedes aegypti_ large enough to permit ongoing transmission. - ProMED Mod.TY]

[HealthMap/ProMED-mail map:
Windsor, Ontario, Canada: <http://healthmap.org/promed/p/1458>]
Date: Thu 22 Aug 2019
Source: The Canadian Jewish News [abridged, edited]

About 350 children in the Tosh Hasidic community north of Montreal have been vaccinated against measles, after 5 cases of the disease were confirmed there this summer (2019).

The 2nd of 2 temporary clinics set up by the public health authority within the community closed on [16 Aug 2019] after vaccinating at least 150 youngsters over 4 days, said Isaac Weiss, who is one of the people responsible for security and public safety in the community, which is located in the town of Boisbriand, Quebec. He said the 1st clinic took place about a month earlier, after "one suspected case" was discovered. About 200 children were vaccinated at that time. The immunization was offered to those whose medical records showed they were unvaccinated or not up to date, but was voluntary.

Community leaders are co-operating fully with the CISSS des Laurentides, which ran the clinics, said Weiss. The public health director, Dr Eric Goyer, said these were the 1st cases of measles in the region since 2011. There are about 500 Tosh families in Boisbriand, or 3000 people.
 
No one knows for sure how the infection spread. Weiss said it is thought that a young man from the community who went to New York to take part in a recreational after-school program may have contracted the virus and brought it back to Boisbriand. It appears that he had been vaccinated, but his shots were not up to date.
The community's leaders are informing members about the necessity of vaccinations and trying to dispel any fear about the risk of negative side effects. Unvaccinated children will not be permitted to attend the community's schools until the outbreak is deemed contained, Weiss said, but parents can only be persuaded, not forced, to vaccinate their children.

A father of 5 who asked that his name not be published, said, "We are outraged that there are parents -- a few -- who are so irresponsible as to refuse (vaccination). The rabbis are talking about it, everyone is talking about it, but some are difficult to convince."

Last spring (2019), when there was a serious measles outbreak in New York, Montreal public health authorities stepped up an educational campaign targeting ultra-Orthodox communities. While the rate of vaccination among those communities is believed to be similar to that of the general population, there is frequent contact between the Montreal and New York communities.

At the time, Rabbi Yonasan Binyomin Weiss, who serves as the chief rabbi of Montreal and heads the medical ethics committee of the Jewish Community Council, stated, "From a religious perspective, and also from an ethical and moral perspective, our message is very clear: families are required to follow the directions of the health authorities."

In April (2019), many Montreal doctors were among over 500 medical professionals serving Orthodox Jewish communities throughout North America who signed a public letter confirming the need for everyone to be vaccinated according to US Centers for Disease Control and Prevention guidelines. The doctors rejected "the dangerous misinformation campaign being spread and reject any unproven unscientific statements that contradict all available current science-based studies on vaccinations" against measles and other illnesses.  [byline: Janice Arnold]
Date: Fri, 2 Aug 2019 04:54:00 +0200 (METDST)
By Julien BESSET

King's Point, Canada, Aug 2, 2019 (AFP) - At dusk, tourists marvel at the sensational collapse of an iceberg at the end of its long journey from Greenland to Canada's east coast, which now has a front row seat to the melting of the Arctic's ice.   While the rest of the world nervously eyes the impact of global warming, the calving of Greenland's glaciers -- the breaking off of ice chunks from its edge -- has breathed new life into the remote coastal villages of Newfoundland and Labrador.

Once a hub of cod fishing, the province now plays host to hordes of amateur photographers and tourists hoping to capture the epic ice melt for posterity. As winter ends, iceberg spotting begins.   "It keeps getting better every year," says Barry Strickland, a 58-year-old former fisherman who now takes tourists in his small boat around King's Point in the north of the province.    "We've got 135, 140 tour buses with older people coming into the town every season so it's great for the economy."   For the past four years, Strickland has taken visitors to bear witness to the death throes of these ice giants, which can measure dozens of meters in height and weigh hundreds of thousands of tons.    Winds and ocean currents bring the icebergs from northwest Greenland, thousands of kilometers (miles) away, to Canada's shores.    In a matter of weeks, ice frozen for thousands of years can quickly melt into the ocean.

- 'Incredible' rise in tourism -
Strickland's boat excursions are often fully booked during the high season from May to July, with tourists coming from all around the world to King's Point, a village of just 600 inhabitants.   The villagers keep track of the icebergs on an interactive satellite tracking map put online by the provincial government.   "There's not much in these small outport towns anymore to keep people around, so tourism is a big part of our economy," said Devon Chaulk, who works in a souvenir shop in Elliston, a small town of 300 on "Iceberg Corridor," as the coastline is now known.   "I've lived here my entire life, and the increase in tourism around here in the past 10 to 15 years has been incredible. It's not surprising to have thousands of people here over the next couple of months," said the 28-year-old.    Last year, a total of 500,000 tourists visited Newfoundland and Labrador, a number roughly equivalent to the province's total population.    Those visitors spent nearly Can $570 million (US $433 million), government figures show.

- Melting ice -
The tourism boom has helped offset the decline in the region's traditional fishing industry, which is in crisis because of overfishing at the end of the last century.   Some are even marketing "iceberg water" as the purest on Earth -- and selling it as a high-end luxury item. The melt is also used in vodka, beer and cosmetics.    But beneath the shiny surface of economic success is the dark truth that the area is in part profiting from accelerated global warming in the Arctic, and that the industry is precarious at best.

In the village of Twillingate, employees at the Auk Island Winery -- which makes its product from iceberg water and locally picked wild berries -- have already seen that business can be unpredictable.   "We see the difference in the number of tourists from year to year, depending on the amount of icebergs in the area," says Elizabeth Gleason, who works at the winery.   "This year was a good year. Last year, we had almost none."   The Arctic is warming three times faster than the rest of the world. In mid-July, record temperatures were recorded near the North Pole.   In recent years, the icebergs have drifted further and further south, posing a threat to shipping on this busy route between Europe and North America.

For now, tourists are enjoying the view and the experience while they can.    "The prevalence of icebergs has good things and bad things about it," says Melissa Axtman, an American traveller.   Laurent Lucazeau, a 34-year-old French tourist, says seeing an iceberg was sobering.   "It is a concrete image of global warming to see icebergs making it to these places where the water is warm," he told AFP.   "There's something mysterious and impressive about it, but knowing too that they are not supposed to be here makes you wonder, and it's a little scary."
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

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.
Date: Mon 6 May 2019
Source: Front Page Africa [edited]

The emergence of a rare skin disease known in Liberia as "Be Serious" has sparked fear amongst residents of Charlie Town in Rivercess County. Residents, mainly parents, say children who are under 15 years of are seriously infected. They are afraid that the disease is contagious and is fast spreading rashes on the bodies of school-going-kids.

They are afraid that the situation will become an emergency, due to lack of adequate medication at the only clinic in the area. Joe Gbessigie, a resident of the town, says he's worried that instead of providing medicines, the clinic only gives patients prescriptions to buy drugs from private pharmacies.

Nathaniel Zoklah, the Township Commissioner, says some kids who are affected by the disease are in school, and he is concerned that the situation poses risk to other pupils. "At this time of the school year, keeping children who are affected with the disease may affect their education, so the kids are in schools with their friends but it is risky also," Commissioner Zoklah said. "They are interacting, eating together and this disease has the ability to spread through contact, so more children risk being affected."

The residents have not been able to state the actual cause of the disease, but some are assuming that it is waterborne. Some of the residents in Charlie Town and its surroundings said the hand pumps that are a major source of drinking water are all damaged, forcing residents to fetch water from creeks.  [Byline: Willie N. Tokpah]
===========================
[The disease referred to in this report and its accompanying photograph is most likely to be scabies.  Scabies is a skin infestation by the scabies mite - _Sarcoptes scabiei_. The infection is found worldwide and is transmitted under poor hygienic conditions. The mite is transmitted by physical contact and poor hygiene is a main risk factor. Outbreaks are seen in refugee camps and nursing homes.

An outbreak is handled by ensuring that the affected people and close contacts at risk have a frequent bath and change clothes daily. The traditional treatment is pyrethroid containing ointments which kill the mites, but ivermectin orally is easier to administer and thus more acceptable and ensures better compliance. Especially in an outbreak in a school the best way to stop the outbreak would be administration of ivermectin to all children. - ProMED Mod.EP]

[HealthMap/ProMED map available at:
Rivercess County, Liberia: <http://healthmap.org/promed/p/42309>]
Date: Tue 23 Oct 2018
Source: The Bush Chicken [edited]

The director for immunization at the Ministry of Health says there are currently 29 reported measles cases in Grand Gedeh, with 7 of those cases confirmed.

Director for immunization at the Health Ministry Adolphus T. Clarke said reports of the outbreak in Tchien district 1st emerged on [Wed 17 Oct 2018]. Speaking to The Bush Chicken in an exclusive interview, Clarke said out of the 29 cases reported, health officials in the area realized that 11 children under 5 years of age were affected by the disease. The other children were older than 5.

"The 29 cases identified were managed at the Martha Tubman Memorial Hospital in Zwedru, and the affected children fully recovered with no death reported."

With support from the Ministry of Health, Clarke said the county responded quickly with vaccinations. "The exercise has concluded, and health officials were able to reach a total of 1551 children not less than 5 years," he said. "So I can say that the county responded swiftly to the outbreak of the disease and recorded zero deaths."

However, things did not go smoothly. Due to the poor road conditions in the south-eastern region, Clarke said some health officials who left Monrovia with vaccinations for Grand Gedeh endured difficulties during the journey. "Others had to travel through neighbouring Ivory Coast to reach the country," he said.

The director indicated that, due to the challenge in attaining high vaccination coverage, health authorities in the country knew that, at some point in time, there would be sporadic outbreaks of the disease in the county.

Clarke said the current outbreak was not severe, because the ministry has dealt with sporadic outbreaks of measles in the past. He noted that health officials in Grand Gedeh have now been encouraged to carry out vaccination campaigns in affected and nearby communities as the dry season approaches.

"We have encouraged mothers to make use of the health facilities in the county and ensure that their children are vaccinated against all the diseases the ministry is preventing," Clarke said.  [Byline: Zeze Ballah]
Date: Thu 27 Sep 2018
Source: Front Page Africa [edited]

The National Public Health Institute of Liberia (NPHIL) in collaboration with the Ministry of Health (MoH) and partners is investigating a suspected case of yellow fever in Grand Kru County.

According to a release issued in Monrovia, the suspected case is a 2-year-old female from Farina Town, Barclayville Health District. There has been no death or new cases reported. The suspected case has been managed and is in good health.

A blood specimen has been collected and sent to the National Public Health Reference Laboratory (NPHRL) for confirmation. According to the release, health authorities in the county are conducting an active case search, risk assessment, and planning for a possible reactive vaccination exercise, pending the laboratory result.

Since January 2018, this is the 2nd reported suspected case from Grand Kru County. The 1st was a 29-year-old female from Dorbor District.

There have been no confirmed cases of yellow fever in the country since the 2009 nationwide preventive vaccination campaign. The release also noted that a total of 94 suspected cases of yellow fever have been recorded across the country since the beginning of 2018.

Yellow fever is an acute viral haemorrhagic disease transmitted by infected mosquitoes. The symptoms include fever, headache, jaundice, muscle pain, nausea, vomiting, and fatigue. Communities have been advised to report unexplained deaths for safe and dignified burials as measures to prevent infection. Community engagement and response activities have been intensified in the area.

Meanwhile, the public is advised to take the following public-health measures:
- Keep your environment clean
- Visit a health facility immediately when you feel the symptoms of yellow fever
- Continue sleeping under treated bed nets

Yellow fever is not transmitted through body touch or body fluids.
=====================
[Yellow fever (YF) cases have occurred sporadically in Liberia, although the last YF ProMED-mail post was in 2009. The 94 suspected YF cases this year (2018), including the most recent one above, is a cause for serious concern. It is important to have a timely laboratory diagnosis and well-developed contingency plans should YF be confirmed. YF can quickly spread if a significant proportion of the human population is unvaccinated and the vector mosquitoes are abundant. The above report does not indicate the number of unvaccinated individuals nor the status of the vector mosquito population. - ProMED Mod.TY]

[HealthMap/ProMED-mail map:
Grand Kru County, Liberia: <http://healthmap.org/promed/p/32407>]
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, 14 Oct 2019 11:08:10 +0200 (METDST)

Manila, Oct 14, 2019 (AFP) - Parents lined up from sunrise holding sleeping infants as the Philippines launched a campaign on Monday to vaccinate millions of children against polio, which has re-emerged nearly two decades after the nation's last cases.   Years of falling vaccination rates, made worse by the botched rollout of a dengue vaccine, culminated in an outbreak of the preventable disease in September.   "This is for the welfare of my child," Ruth Miranda told AFP after the vaccine was squirted into her child's mouth at the Manila slum they call home.

Miranda's child is among scores who are unprotected in the capital of about 13 million people, where vaccination rates of young children plunged from 77 percent in 2016 to a mere 24 percent in June.   The atmosphere at the event in Manila was festive -- with ice cream vendors and music -- but the stakes for the campaign are high.

Polio, which can cause paralysis and can be fatal in rare cases, has no cure and can only be prevented with several doses of oral and injectable vaccines.   Two cases were detected in September, the first polio infections in the Philippines since 2001, adding to the woes of a country already hit by deadly measles and dengue epidemic.   The risk of the disease spreading within the Philippines is high, according to World Health Organization, due to low immunisation coverage partly blamed to a dengue vaccine scandal.

The Philippines was the first nation to use Dengvaxia in a mass programme in 2016, but a botched rollout led to claims that children had died after being vaccinated.   A dramatic drop in vaccine confidence followed, with trust plunging from 93 percent in 2015 to 32 percent in 2018, according to a study led by the London School of Hygiene and Tropical Medicine.   The Philippines polio outbreak has been traced back to the weakened form of the virus used in vaccines, which is excreted by people for a time after they receive it.   According to the WHO, that form can mutate and spread in the surrounding community when immunisation rates get too low.
Date: Mon, 14 Oct 2019 10:25:38 +0200 (METDST)
By Shingo ITO, Sara HUSSEIN

Tokyo, Oct 14, 2019 (AFP) - Tens of thousands of rescue workers in Japan battled on Monday to find survivors of a powerful typhoon that killed at least 43 people, as fresh rain threatened to hamper efforts.   Typhoon Hagibis crashed into the country on Saturday night, unleashing high winds and torrential rain across 36 of the country's 47 prefectures, and triggering landslides and catastrophic flooding.   "Even now, many people are still unaccounted for in the disaster-hit area," Prime Minister Shinzo Abe told an emergency disaster meeting on Monday.   "Units are trying their best to search for and rescue them, working day and night," Abe said.

But even as rescuers, including troops, combed through debris, the country's weather agency forecast rain in central and eastern Japan that it warned could cause further flooding and new landslides.   "I would like to ask people to stay fully vigilant and continue watching for landslides and river flooding," Chief Cabinet Secretary Yoshihide Suga told a news conference.   In Nagano, one of the worst-hit regions, rain was already falling and was expect to intensify.   "We are concerned about the impact of the latest rain on rescue and recovery efforts," local official Hiroki Yamaguchi told AFP.   "We will continue operations while watching out for secondary disasters due to the current rain."

- 43 dead, 16 missing: NHK -
By late Monday afternoon, national broadcaster NHK said the toll had risen to 43 dead, with 16 others missing and over 200 people injured. The government gave lower figures but was continuing to update its information.   The dead included a municipal worker whose car was overcome by floodwaters and at least seven crew from a cargo ship that sank in Tokyo Bay on Saturday night, a coast guard spokesman said.   Four others, from China, Myanmar and Vietnam, were rescued when the boat sank and the coast guard was still searching for a last crew member.   While Hagibis, one of the most powerful storms to hit the Tokyo area in decades, packed wind gusts of up to 216 kilometres (134 miles) per hour, it was the heavy rains that caused most damage.

A total of 142 rivers flooded, mainly in eastern and northern Japan, with river banks collapsing in two dozen places, local media said.   In central Nagano, a levee breach sent water from the Chikuma river gushing into residential neighbourhoods, flooding homes up to the second floor.   As water slowly receded Monday, television footage showed patients being transferred by ambulance from a Nagano hospital where some 200 people had been cut off by flooding.   Elsewhere, rescuers used helicopters to winch survivors from roofs and balconies, or steered boats through muddy waters to reach those trapped.

- Japan dedicates rugby win to victims -
By Monday afternoon, some 75,900 households remained without power, with 120,000 experiencing water outages.   The disaster left tens of thousands of people in shelters, with many unsure when they would be able to return home.   "Everything from my house was washed away before my eyes, I wasn't sure if it was a dream or real," a woman in Nagano told NHK.   "I feel lucky I'm still alive."   The storm brought travel chaos over the holiday weekend, grounding flights and halting commuter and bullet train services.

By Monday, most subway trains had resumed service, along with many bullet train lines, and flights had also restarted.   The storm also brought havoc to the sporting world, forcing the delay of Japanese Grand Prix qualifiers and the cancellation of three Rugby World Cup matches.   But a crucial decider pitting Japan against Scotland went ahead, with the hosts dedicating their stunning 28-21 win to the victims of the disaster.   "To everyone that's suffering from the typhoon, this game was for you guys," said Japan captain Michael Leitch.
Date: Sun, 13 Oct 2019 23:31:57 +0200 (METDST)

Kinshasa, Oct 13, 2019 (AFP) - Doctors will use a second Ebola vaccine from November in three eastern provinces in the Democratic Republic of Congo to fight the deadly virus, medical officials said Sunday.   "It's time to use the new Ad26-ZEBOV-GP vaccine, manufactured by Johnson & Johnson's Belgian subsidiary," said Dr. Jean-Jacques Muyembe, who leads the national anti-Ebola operation in the DRC.    It will arrive in the eastern city of Goma, in North Kivu province, on October 18 and be used from the beginning of next month, he added.   DRC's latest Ebola epidemic, which began in August 2018, has killed 2,144 people, making it the second deadliest outbreak of the virus, after the West Africa pandemic of 2014-2016.

Muyembe said the communes of Majingo and Kahembe had been selected to receive the vaccine as they were considered the epicentres of the epidemic.   "We will extend this vaccination to our small traders who often go to Rwanda to protect our neighbours," he added.   "If it works well, we will expand vaccination in South Kivu and Ituri."   DR Congo's eastern provinces of Ituri, North Kivu and South Kivu sit on the borders with Uganda, Rwanda and Burundi.   The Belgian laboratory will send a batch of 200,000 doses to neighbouring Rwanda and 500,000 doses in the DRC, Muyembe said.   More than 237,000 people living in active Ebola transmission zones have received a vaccination produced by the pharma company Merck Sharpe and Dohme since August 8, 2018. 

The J&J vaccine had been rejected by DRC's former health minister Oly Ilunga, who cited the risks of introducing a new product in communities where mistrust of Ebola responders is already high.   But Ilunga's resignation in July appears to have paved the way for approval of the second vaccine. He currently faces charges that he embezzled funds intended for the fight against Ebola.   In his letter of resignation Ilunga said "actors who have demonstrated a lack of ethics" want to introduce a second vaccine, but did not elaborate.    Muyembe, who took over the Ebola fight in the DRC in July, said "The Johnson & Johnson vaccine has the most science-based data."
Date: Thu, 10 Oct 2019 20:02:59 +0200 (METDST)
By Robbie COREY-BOULET

Addis Ababa, Oct 10, 2019 (AFP) - A palace that once housed Ethiopia's emperors and also served as a torture site under the communist Derg regime is to open to the public in a controversial government tourism project.    The palace compound in Addis Ababa, which Prime Minister Abiy Ahmed's government has rebranded "Unity Park", was formally launched Thursday and will be open from Friday.    Abiy's office said on Twitter Thursday that the project "symbolises our ability to come together".

But critics have dismissed it as vanity project for Abiy that could prove divisive.   Backed by the United Arab Emirates, the project cost more than $160 million (145 million euros), Ethiopian officials told reporters at a briefing earlier this week.    Built in the late 1800s by Emperor Menelik II, who founded Addis Ababa, the palace was the residence of Ethiopia's rulers for more than a century.   Abiy himself does not live there, and it has seen little activity in recent years.    Abiy's advisers say he has taken a keen interest in transforming the palace into a tourist attraction since coming to power in April 2018 -- visiting the site every day in recent weeks to monitor progress.

The government's "Home-Grown Economic Reform" agenda, unveiled last month, describes tourism as a primary engine of potential job creation.    On Thursday, government officials and the diplomatic corps toured the expansive site before attending a banquet that was expected to draw five regional heads of state and other dignitaries.    The restored rooms feature items like Menelik's sword and a life-size wax replica of former Emperor Haile Selassie, who lived at the palace and was then etained there after the Derg overthrew him in 1974.

The site also includes a sculpture garden with installations representing Ethiopia's nine regions, and a zoo is expected to open by the end of the year.    Aklilu Fikresilassie, an Ethiopian employee of the United Nations who attended the launch Thursday, said he was "really fascinated" to set foot inside a place that had been closed to the public his entire life.    "For us it's like a government house, so now when you enter that palace it tells you that we are getting somehow closer to our leaders," he said.

But not everyone is convinced the palace will succeed in bringing Ethiopians together.   In a country grappling with ethnic divisions, some worry that the palace could alienate ethnic Oromos who contend that their ancestors were forced off their land when Addis Ababa was built.    Journalist and former political prisoner Eskinder Nega said the renovations were undertaken "without consultation from the public", which he called "a huge mistake."    "This is all about heritage, about preserving heritage. The people should have had a say in it," he said.    "Like everything else this was decided from the top and implemented only by the decision of the prime minister."
Date: Thu, 10 Oct 2019 13:13:57 +0200 (METDST)

Hanoi, Oct 10, 2019 (AFP) - Selfie-snapping tourists railed against the closure of Hanoi's 'train street' on Thursday after police blocked off the Instragram-famous tracks for safety reasons.   The narrow railway corridor in central Hanoi has become a hotspot among visitors seeking the perfect holiday snap on the tracks -- often dodging trains that rumble through daily.    But Hanoi authorities said this week they would block people from the tracks to avoid accidents, and police on Thursday erected barricades to keep out disappointed visitors.    "I'm very frustrated because today I can't go in and take a picture," Malaysian tourist Mustaza bin Mustapha told AFP, vowing to come back later.

Dozens of other tourists were turned away, though some managed to get onto still-open sections of the railway, moving out of the way as an afternoon train chugged past.    Built by former colonial rulers, the railway once shipped goods and people across France's former Indochina colony and remains in use today by communist Vietnam's state-run railway company.    The stretch of the tracks was once known as a rough part of town, occupied by drug users and squatters until their recent discovery by camera-wielding holidaymakers who have splashed images of the area across social media.

Cafe owners complained that business would be hurt thanks to the new regulations, and that tourists always moved out of the way for oncoming trains.   "There has never been any regretful accidents here," said Le Tuan Anh, who runs a cafe from his home along the tracks.   "Compared to traffic density elsewhere in the city, this is much safer," he said, referring to Hanoi's chaotic, motorbike-clogged streets.   New signs were installed in the area Thursday, warning passersby not to take photos or videos in the "dangerous area", much to the chagrin of British tourist Harriet Hayes.   "People come from all over the world to Hanoi just to see the train go past," she told AFP.   "It's such a shame that we come and have been told that we have to leave."
Date: Thu, 10 Oct 2019 06:51:42 +0200 (METDST)
By Holly ROBERTSON

Sydney, Oct 10, 2019 (AFP) - Large numbers of tourists are rushing to scale Uluru -- also known as Ayers Rock -- ahead of a looming ban on climbing a site sacred to indigenous Australians.   Photographs of hundreds of people clambering up the giant red monolith have provoked a social media backlash, with critics lashing as "ignorant" those going against the wishes of the traditional Aboriginal owners of the land, the Anangu.   "A mass of morally and ethically bankrupt people," indigenous woman Laura McBride tweeted alongside an image showing a queue of people snaking up the side of Uluru.    "One even hiking a toddler up, teaching the next generation how to be ignorant."   "Imagine rushing to climb Uluru before it closes just so you could brag about disrespecting the oldest living culture in the world," tweeted National Indigenous Television journalist Madeline Hayman-Reber, who called the scenes "embarrassing".

Officials say the ban, which comes into effect on October 26, is intended to show respect for cultural practices, protect the site from further environmental damage and to ensure visitors' safety.    More than 395,000 people visited the Uluru-Kata National Park in the 12 months to June 2019, according to Parks Australia, about 20 percent more than the previous year. Around 13 percent of those who visited during that period made the climb, park authorities said.    More recent figures are not available but Tourism Central Australia CEO Stephen Schwer said there had been a "significant jump" in the number of people visiting in recent weeks, with the period leading up to the ban coinciding in part with school holidays.   "Its been very busy, particularly down in the national park precinct itself," he told AFP.   "We've had quite an issue with accommodation availability, because there's a lot of people want to climb Uluru before it closes. It's been a busier than normal holiday period."   Japanese visitors and Australians on driving holidays were most likely to want to scale Uluru, Schwer said, though he urged them not to do so.

Australian tourist Belinda Moore, 33, drove to Uluru from her home in central Queensland state to ascend the rock, an experience she said she "absolutely loved".   "It's always been something to tick off the bucket list and when we heard it was closing, we knew it was now or never," she told AFP.   Moore said she did not think her climb was disrespectful to traditional owners as she was not Aboriginal.    "It may be for their own people, because it's their sacred site," she said.   "I'm pretty sad that they're closing it, but it's still amazing just to see it. I would still recommend it."   The climb will be permanently closed as of October 26, the anniversary of ownership being handed back to the Anangu people.

Uluru has great spiritual and cultural significance to indigenous Australians, with their connection to the site dating back tens of thousands of years.   Though visitor numbers were expected to decline once the ban was in place, Schwer said local tourism operators were "not particularly concerned" as it would return the area to normality.   "People need to remember that in central Australia we're a very interconnected community," he said. "The people who are requesting the climb closure are our friends and colleagues.   "We're just looking forward to being able to have the climb consigned to the annals of history."
Date: Wed, 9 Oct 2019 22:01:17 +0200 (METDST)

Kinshasa, Oct 9, 2019 (AFP) - Six people were killed in the Democratic Republic of Congo after torrential rains hit the capital Kinshasa, flooding several neighbourhoods. a local official said.    The bodies were found between Tuesday night and Wednesday morning.    Five people were killed in the capital's Selembao municipality where around 30 houses collapsed, local mayor Augustin Mankesi told Top Congo radio station.   One woman died in the Pelende district after she was electrocuted, he added.    "Our community is stricken," Mankesi added, calling on the Congolese authorities for help.   Fatal floods and rains are frequent in Kinshasa. In January last year 48 people were killed in landslides, floods and after houses collapsed, according to authorities.    Residents told AFP the road from the sea port district of Matadi to the Kinshasa turnoff has been closed due to erosion caused by the rain.    The passage is Kinshasa's main supply route for imported goods and also serves as an exit point for exports.
Date: Tue, 8 Oct 2019 04:13:25 +0200 (METDST)
By Margioni BERMÚDEZ

Caracas, Oct 8, 2019 (AFP) - The small waiting room at the home of self-styled healer "Brother Guayanes" in Caracas' rundown Petare district fills up quickly with patients -- business has never been better.   With Venezuela's chronic medicine shortages and hyperinflation, more and more people are turning to alternative medicine to treat common ailments in the crisis-wracked South American country.   "We go to the hospital and there's nothing there. They don't have medicines, or they're too expensive, what are we to do?" said Rosa Saez, 77, who has come to get treatment for a painful arm.   Carlos Rosales -- he uses the more ceremonious "Brother Guayanes" for his business -- is finishing up a "spiritual intervention" on a patient in what passes for his surgery.   The patient lies, eyes closed, on a cot as, in a series of swishes and clicks, the healer waves five pairs of scissors one after another over his prone body.    The healer says he performs 200 such interventions a week in a dim, candle-lit room that features two camp beds and an array of plaster statues that Rosales says represent "spiritual entities".   A regular visitor to the spiritual center, Saez says she has faith in Rosales' methods: "He healed my kidneys."

- Natural healing -
All across Venezuela, but particularly in poor areas like Petare, patients cannot hope to afford the price of medicines that due to the economic crisis, have become exceedingly rare.  Venezuela's pharmacists' federation say pharmacies and hospitals have on average only about 20 percent of the medicine stock needed.   Rosales' clinic is muggy with the smell of tobacco. A crucifix suspended from a chain around his neck, he practices a seeming mixture of smoke-blowing shamanism, plant-based medicine and mainstream religion.    Posters hung near the entrance remind clients to arrive with a candle and tobacco and "Don't forget that payment is in cash".   Much like a general practitioner, Rosales spends time consulting with his patients, examining them with a stethoscope, before offering a diagnosis. Often he prescribes potions based on plants and fruit, such as pineapple and a type of local squash known as chayote.   "We know medicines are necessary," he says. "I'm not against medicine, but my medicine is botany."

- Plants replace drugs -
At her stall in a downtown Caracas market, 72-year-old Lilia Reyes says she has seen her trade in medicinal plants flourish.   "I can't keep up with the demand," she said at her stall, bathed in the aroma of camomile, one of the 150 plants she sells.   Careless consumption of some herbs can be deadly, warns Grismery Morillo. A doctor at a Caracas public hospital, she says she has seen many cases of acute liver failure in people who have eaten certain roots.   According to Venezuela's opposition parties, some 300,000 chronically ill people are in danger of dying from the shortages of medicines.

But despite the risks, people like Carmen Teresa say they have no alternative.    In the kitchen of her restaurant which closed down three years ago as the economic crisis took hold, the 58-year-old Colombian prepares an infusion of fig leaves to treat "diabetic neuropathy".   The painkillers needed for the condition are "too expensive" and prices are going up due to hyperinflation, so she is cutting back on the pills and supplementing her treatment with herbal infusions.   She needs at least four tablets a day to keep her diabetes at bay. Her mother, bedridden since breaking a leg a year ago, suffers from Alzheimer's disease and needs five pills a day for hypertension.   "I'm still taking my pills, but I reduced the dose," says Teresa, who is also replacing cholesterol pills with lemon juice.
Date: Sun, 6 Oct 2019 12:04:37 +0200 (METDST)

Riyadh, Oct 6, 2019 (AFP) - Saudi Arabia announced Sunday it would allow unmarried foreign couples to rent hotel rooms together as the ultraconservative kingdom begins offering up tourist visas for the first time.   The tourism authority said in a statement published on Twitter that Saudi women travelling alone would also be able to check into a hotel by presenting valid ID.

In the past, couples wanting to stay in a hotel had to prove they were married.    "This is no longer required for tourists," the statement said.   Saudi Arabia announced on September 27 it was opening its doors to holidaymakers with the goal of diversifying its oil-dependent economy.   The kingdom had previously only issued visas to Muslim pilgrims, foreign workers, and recently to spectators at sporting or cultural events.

Kickstarting tourism is one of the centrepieces of Crown Prince Mohammed bin Salman's Vision 2030 reform programme to prepare the biggest Arab economy for a post-oil era.   Citizens from 49 countries are now eligible for online e-visas or visas on arrival, including the United States, Australia and several European nations.   On September 28, Saudi authorities warned that tourists who violated "public decency", including with immodest clothing and public displays of affection, would be subject to fines.
Date: Sat, 5 Oct 2019 03:30:17 +0200 (METDST)
By Giovanna FLEITAS

Petorca, Chile, Oct 5, 2019 (AFP) - For Erick Hurtado, the worst thing about the drought that has devastated his family farm in Chile is the dead animals.   "Going out and seeing the animals dead on the ground is so horrible," Hurtado says as he gazes across the dusty paddocks of his farm in Petorca, near the coastal city of Valparaiso.

Farmers are counting the cost of one of the driest austral winters in six decades, which has destroyed crops and left tens of thousands of farm animals dead in the fields of central Chile.   Hurtado's farm, owned by his grandfather, has lost half its 60 head of cattle.   So far, 106,000 animals have died due to lack of water and fodder, mostly goats, cattle and sheep, according to the agriculture ministry.   President Sebastian Pinera, who last month announced a $5 billion plan to improve water distribution, this week set up a crisis group of government agencies to tackle the water crisis, which he said had become "more extensive and more intense."

In Colina, north of the capital Santiago, the drought has been hard on small farmers. Scrawny cattle pick at sprigs of strawy grass on pastures that have turned to dust. Cows, goats and horses roam hungry on hills have turned to a dry muddy brown.   "The drought has been disastrous for us," said Sandra Aguilar. Her family owned about a hundred head of cattle. Today, only half survive thanks to a trickle of water provided by a neighbor who still has some reserves.   "The situation is complicated," said Javier Maldonado, governor of the province of Chacabuco, where several agricultural areas have been hit particularly hard by the drought.    "We have to be realistic, climate change is here to stay," he said.

- Water shortages -
Dominga Mondaca points out the deep fissures that run through the garden behind her house in the village of La Ligua near Valparaiso. The garden used to be full of strawberries and citrus trees; now it's cracked earth.    "We have had many years with little water. But the last year, it didn't rain at all," said the 73-year-old, one of more than 600,000 people the government is supplying by tanker trucks as part of emergency measures.   She says she has had to give up raising chickens, in order to keep what little water she and her husband receive for their own consumption, washing and cleaning. Whatever is left, she uses to sprinkle on herbs in a small kitchen garden.   The agriculture ministry says 37,000 family farms need assistance in the central Chile.

- Thirsty avocados? -
In Petorca, some rivers have run dry, and the landscape has been left parched, but lush avocado and citrus plantations are nevertheless thriving.   Locals in Petorca say the real, long-term problem is the mismanagement of water resources.    "There is an excess of monoculture plantations that consume all the water," said Diego Soto of the Movement for the Defense of Access to Water, Land and Environmental Protection (MODATIMA) told AFP.   Avocados need a lot of water to grow, said Soto.   "An avocado tree needs 600 liters of water per week, whereas humans consume 50 liters a day, or 350 liters a week," he said.   Producers refute these figures and say the real problem is a lack of infrastructure to store water, both above and below ground.    "The avocado is not a crop that needs more water," insisted Francisco Contardo, chairman of the local producers' committee.   Avocados are a key export for Chile, mostly to the US and China, but drought has reduced exports by 25 percent.

- Less snow -
For many though, the changes being wrought by climate change are overwhelmingly obvious. Snow in the highlands of central Chile was relatively scarce this year.    Scientists predict an average decrease of between five and 10 percent snowfall every 10 years in almost the entire Andes mountains, one of the country's main sources of water.   "The central zone of Chile is highly dependent on the summer melt season, its snow and glaciers, which means that if the snow cover is reduced, there is also a reduction in the availability of water resources," said Paul Cordero, climate change expert at the University of Santiago.   Weak snowfall forced the country's main ski resorts to use artificial snow machines much earlier and more often this season than in previous years.    "Chile has been living as if it were a country with an abundance of water," said Pinera.   "Climate change and global warming have changed this situation probably forever."