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Anguilla

Anguilla US Consular Information Sheet
March 03, 2009
COUNTRY DESCRIPTION: Anguilla is a British overseas territory in the Caribbean, part of the British West Indies. It is a small but rapidly developing island with particularly well-developed
ourist facilities.

ENTRY/EXIT REQUIREMENTS:
The Intelligence Reform and Terrorism Prevention Act of 2004 requires all travelers to and from the Caribbean, Bermuda, Panama, Mexico and Canada to have a valid passport to enter or re-enter the United States. U.S. citizens must have a valid U.S. passport if traveling by air, including to and from Mexico.
If traveling by sea, U.S. citizens can use a passport or passport card. We strongly encourage all American citizen travelers to apply for a U.S. passport or passport card 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.

In addition to a valid passport, U.S. citizens need onward or return tickets, and sufficient funds for their stay.
A departure tax is charged at the airport or ferry dock when leaving. For further information, travelers may contact the British Embassy, 19 Observatory Circle NW, Washington, DC
20008; telephone (202) 588-7800; or the nearest consulate of the United Kingdom in Atlanta, Boston, Chicago, Dallas, Los Angeles, New York, Denver, Houston, Miami, Orlando, Seattle, or San Francisco. Visit the British Embassy web site 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:
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:
While Anguilla's crime rate is relatively low, both petty and violent crimes
do occur. Travelers should take common-sense precautions to ensure their personal security, such as avoiding carrying large amounts of cash or displaying expensive jewelry. Travelers should not leave valuables unattended in hotel rooms or on the beach. They should use hotel safety deposit facilities to safeguard valuables and travel documents. Similarly, they should keep their lodgings locked at all times, whether they are present or away, and should not leave valuables in their vehicles, even when locked.

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 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.

The local emergency line in Anguilla is 911.
See our information on Victims of Crime.

MEDICAL FACILITIES AND HEALTH INFORMATION:
There is only one hospital, Princess Alexandra Hospital (telephone: 264-497-2551), and a handful of clinics on Anguilla, so medical facilities are limited.
Serious problems requiring extensive care or major surgery may require evacuation to the United States, often at considerable expense.

There are no formal, documented HIV/AIDS entry restrictions for visitors to and foreign residents of Anguilla, but there have been anecdotal reports of exclusion.
Please verify this information with the British Embassy before you travel.

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

Unlike the U.S., traffic in Anguilla moves on the left. The few roads on the island are generally poorly paved and narrow. While traffic generally moves at a slow pace, with the increasing number of young drivers in Anguilla, there are occasional severe accidents caused by excessive speed. Although emergency services, including tow truck service, are limited and inconsistent, local residents are often willing to provide roadside assistance. For police, fire, or ambulance service dial 911.

Please refer to our Road Safety page for more information.
Visit the Government of Anguilla web site for further road safety information.

AVIATION SAFETY OVERSIGHT:
Civil aviation operations in Anguilla fall under the jurisdiction of British authorities. The U.S. Federal Aviation Administration (FAA) has assessed the Government of the United Kingdom’s Civil Aviation Authority as being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for oversight of Anguilla’s air carrier operations.
For more information, travelers may visit the FAA web site.

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 Anguilla laws, even unknowingly, may be expelled, arrested or imprisoned.
Penalties for possession, use, or trafficking in illegal drugs in Anguilla 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 Anguilla 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 Anguilla. 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 with consular responsibility over Anguilla is located in Bridgetown, Barbados in the Wildey Business Park in suburban Wildey, southeast of downtown Bridgetown.
The main number for the Consular Section is (246) 431-0225; after hours, the Embassy duty officer can be reached by calling (246) 436-4950.
Visit the U.S. Embassy Bridgetown online for more information.
Hours of operation are 8:30 a.m. – 4:30 p.m. Monday through Friday, except Barbadian and U.S. holidays.
* * *
This replaces the Country Specific Information for Anguilla dated April 2, 2008, to update sections on Country Description, Entry/Exit Requirements, Information for Victims of Crime, and Medical Facilities and Health Information.

Travel News Headlines WORLD NEWS

Date: Sat, 9 Sep 2017 19:31:32 +0200

Paris, Sept 9, 2017 (AFP) - France's meteorological agency on Saturday issued its highest warning for the Caribbean islands of St Martin and St Barts as Hurricane Jose bore down, three days after they were hit by Hurricane Irma.   The alert warned of a "dangerous event of exceptional intensity," with winds that could reach 120 kilometres (75 miles) per hour, and strong rains and high waves.

St Barts is a French overseas territory, as is the French part of St Martin, which is divided between France and the Netherlands.   Twelve people were killed on the two islands by Hurricane Irma, thousands of buildings were flattened and the authorities are struggling to control looting.   The French state-owned reinsurer CCR on Saturday estimated the damage at 1.2 billion euros ($1.4 billion).   Irma is now heading for Florida, where a total of 6.3 million people have been ordered to evacuate, according to state authorities.
Date: Tue 29 Apr 2014
Source: National Institute for Public Health and the Environment [edited]

1 Oct 2013-29 Apr 2014 (week 18) St Maarten - Since the last report (week 15 [17?]) 52 new cases have been confirmed among St Maarten residents. Up to 29 Apr 2014, now a total of 343 confirmed cases have been reported. One of these confirmed cases was hospitalized.

The median age of the confirmed patients was 44 years, range 4-92 years. Of those cases for which gender was available, 201 were female and 130 were male.

- On 6 Dec 2013, the 1st indigenous chikungunya [virus infection] case of St Maarten was reported. Retrospectively, the 1st patient with suspected complaints was reported in mid-October 2013 in St Martin.
------------------------------------
Communicated by:
Roland Hubner
Superior Health Council
Brussels
Belgium
=====================
[The report also has graphs showing case numbers over time.

Maps of St Martin/St Maarten can be accessed at
Date: 5-11 May 2014
Source: Institut de Veille Sanitaire (French Institute for Public Health Surveillance, InVS) [edited]

Cases since the beginning of the outbreak in December 2013:
- St Martin: (susp) 3240 cases; deaths 3; stable.
- St Barthelemy: (susp) 500 cases; stable.
- Martinique: (susp) 24 180; deaths 3; increasing.
- Guadeloupe: (susp) 13 600 cases; deaths 1; increasing.
- French Guiana: (susp) not available; (probable or confirmed) 122 cases with 83 locally acquired; increasing, with a new cluster in Kourou and 2 near Cayenne.
======================
[The 16 May 2014 report from Guyaweb (<http://www.guyaweb.com/actualites/news/sciences-et-environnement/le-chik-revient-kourou-setend-cayenne-desormais-saint-laurent/>) states that there are 2 new cases in Saint-Laurent-du-Maroni, overlooking the Suriname River, of which one is certainly autochthonous, and a new focal point occurred in Kourou with 4 cases.

Maps of the area can be seen at
and <http://healthmap.org/promed/p/35574>. - ProMed Mod.TY]
Date: 7-13 Apr 2014
Source: INVS Point Sanitaire No. 14 [in French, trans. ProMed Mod.TY, edited]

Cases since the beginning of the outbreak in December, 2013:
- St. Martin: (susp.) 2980 cases, (probable and conf.) 793 cases; Deaths 3; Decreasing.
- Saint Barthelemy: (susp.) 460 cases, (probable or confirmed) 135 cases; Decreasing.
- Martinique: (susp.) 16 000, (probable or confirmed) 1473 cases; Deaths 2; Increasing.
- Guadeloupe: (susp.) 4710 cases, (probable or confirmed) 1261 cases; Deaths 1; In epidemic status.
- French Guiana: (susp.) 7 cases with 4 locally acquired, (probable or confirmed) 39 cases with 26 locally acquired) 30 cases; (imported) 16 cases; Moderate to increasing; Half of probable and confirmed cases are located in Kourou; however indigenous cases have also been recorded from the Cayenne Matoury, Remire and Macouria communities.
=================
[Maps showing case distributions on each island can be accessed at the above URL. - ProMed Mod.TY]
Date: Thu 27 Mar 2014
Source: The Daily Herald [edited]

As St. Maarten continues to take measures to combat the spread of the chikungunya virus, the number of cases continues to climb.

Health Minister Cornelius de Weever announced on Wednesday [26 Mar 2014], that the total number of confirmed chikungunya cases thus far stood at 224.

De Weever also announced that government will be signing a Memorandum of Understanding (MOU) with French St. Martin as a means of collectively responding to the mosquito threat that puts the population at risk. He said both sides have been working closely together to address the dengue and chikungunya threats.

The MOU will cover, amongst other things, a regular exchange of epidemiological information on vector-borne diseases and collectively publishing and representing data collected under the agreement.

The need for collective information campaigns and enhancement of the mosquito vector-control programme will also be included in the MOU. The MOU also describes the need for planning execution and evaluation of collective responses to the chikungunya threat.
=========================
[The increase in the number of chikungunya virus infections over the past week in St. Maarten is of concern, rising from 123 cases to 224 cases. This number is confirmed in another report that also indicates that there are an additional 325 suspected cases (<http://www.rivm.nl/dsresource?type=pdf&disposition=inline&objectid=rivmp:239786>).  - ProMed Mod.TY]

[A HealthMap/ProMED-mail map can be accessed at:
<http://healthmap.org/promed/p/35574>.]
More ...

Morocco

General
********************************************
Morocco is a North African country and a favourite destination for many Irish tourists. The climate, relative shortness of the flights and the idyllic swimming conditions encourage many to vis
t.
Safety & Security
********************************************
The border regions of the country can be volatile and travellers planning to visit away from the main tourist routes should take extra precautions. The Western Sahara region is still in dispute though there has been an official cease-fire in place since 1991. The possibility of unexploded mines exists though it should be remembered that this area is many miles away from the normal tourist resorts. The level of street crime in Morocco is low but growing. Busy market places, parks and beaches are popular locations for petty criminals. Tourists should take care not to flaunt personal wealth and to avoid travelling away from the main tourist zones late at night. Travelling alone is a particular risk and only authorised guides and taxis should be used. Tourists have been threatened with serious injury at knife point if they have refused to purchase cannabis.
Laws & Customs
********************************************
It is an Islamic country and ladies in particular should take care to dress modestly. Islamic festivals can cause significant changes to occur which affect tourists including the holy month of Ramadan when all street cafés close until 5.30pm each day as strict Muslims do not eat during the daylight hours. The main tourist hotels continue to serve food as normal but many shops will remain closed. During these times tourists will need to carefully check their tickets and any travel arrangements may need to be changed. Banks and larger shops will remain open between 9am and 3pm Monday to Friday. Drug offences are treated very seriously and those visiting the Rif Mountains should realise this is a major cannabis growing area. Visitors with Arabic Bibles or those involved in any perceived outreach activity may find they are subjected to prolonged interrogation.
Health Facilities
********************************************
The level of health care available in many of the main hotels and resorts is perfectly adequate but care should be taken if your illness necessitates admission. Communication in English may be difficult and many medications will be unavailable. Frequently small private hospitals are used where standards vary greatly. Check that your travel insurance provides adequate cover for repatriation if required.
Food & Water Facilities
********************************************
The food and water provided in many of the main tourist resorts is very satisfactory but variations can easily occur and travellers should be careful at all times. Lettuce, undercooked bivalve shellfish (mussels, oysters, clams etc) and untreated water are all frequently implicated in sickness among travellers. Eating previously peeled fruit is also unwise and should be avoided. Bottled water purchased from main shops or hotels should be used for drinking and brushing your teeth.
Insect Bites & Mosquitoes
********************************************
There is only a very small risk of malaria transmission throughout Morocco and prophylaxis is not recommended for the majority of tourists. However, sandflies do abound during the summer months and can transmit a nasty disease known as Leishmaniasis. These small flies tend to hover close to the ground in shaded areas and can easily bite without the individual noticing. It is essential to use good insect repellent when at risk and to report any slow healing bite or sore to a doctor after your return home.
Sun Exposure
********************************************
The level of sun exposure in Morocco during the summer months can be intense. Take care to avoid the midday sun and use high sun blocking creams at all relevant times. Take particular care of children while in such a hot climate. Extra water and salt will be required to replace the amounts lost through perspiration. Salted crisps and nuts will be a useful source of salt.
Water Sports & Activities
********************************************
Many tourist locations in Morocco offer extended water sport facilities for tourists. Always check out what the standard of care is before agreeing to take part. Ask tourists who arrived before you and check with your holiday representative if possible. Confirm that good safety procedures are in place and that your travel insurance covers any accidents as a result of your activities.
Cash Facilities
********************************************
Traveller’s cheques and credit cards are accepted in many of the main tourist resorts. ATM machines are available in Casablanca and Rabat. It may be difficult to reconvert Moroccan money back to sterling and so care should be taken not to change too much initially until you clarify your expenses.
Travel by Train
********************************************
To visit other parts of the country many travellers use the train journey south from Tangier. However, be wary of any invitation from fellow passengers to alight at Asilah rather than continuing the journey south. A number of tourists have been held hostage and forced to make credit card transactions or cash withdrawals before being freed.
Road Transport
********************************************
Many tourists to Morocco hire motorbikes or cars to see more of the country. This is regarded as a high-risk activity and special care will be required at all times. Driving practices throughout Morocco are poor and traffic signals do not always function. Modern freeways link the main cities of Tangier, Rabat, Fez and Casablanca. Flash flooding can occur during the rainy season (November – March).
Rabies
********************************************
Rabies does occur in Morocco and it is essential that you avoid any and all contact with at risk animals. Typically this includes dogs, cats and monkeys but this viral disease can infect any warm-blooded animal. Take particular care to warn children to avoid animals and to report any contact as soon as possible.
Vaccinations
********************************************
There are no essential vaccines for entry into Morocco from Ireland. However most tourists are advised to consider adequate cover against:
*
Poliomyelitis (childhood booster)
*
Tetanus (childhood booster)
*
Typhoid (food and water disease)
*
Hepatitis A (food and water disease)
Those planning a longer or more rural trip will also need to consider cover against diseases like Hepatitis B and Rabies.
Summary
********************************************
The majority of tourists visiting Morocco will remain very healthy and well. However, following simple precautions against food and water disease and sun exposure will be essential.

Travel News Headlines WORLD NEWS

Date: Wed, 6 May 2020 19:47:21 +0200 (METDST)
By Sophie PONS

Rabat, May 6, 2020 (AFP) - Morocco has rapidly expanded its fleet of drones as it battles the coronavirus pandemic, deploying them for aerial surveillance, public service announcements and sanitisation.   "This is a real craze. In just weeks, demand has tripled in Morocco and other countries in the region," said Yassine Qamous, chief of Droneway Maroc, African distributor for leading Chinese drone company DJI.   Moroccan firms have been using drones for years and Qamous says it "is among the most advanced countries in Africa" for unmanned flight, with a dedicated industrial base, researchers and qualified pilots.

But restrictive regulations have long limited civilian drones to specific applications such as filming, agriculture, monitoring solar panels and mapping.   That changed rapidly as the novel coronavirus swept across the world.    In recent weeks, authorities have employed drones to issue warnings, identify suspicious movement in the streets and disperse illegal rooftop and balcony gatherings.   A strict lockdown imposed in March has not been uniformly respected, with local media reporting on nighttime gatherings of neighbours and collective prayers on roofs, beyond the view of street patrols.

- 'Vital technology' -
Last week local authorities in Temara, a town near the capital Rabat, launched a high-precision aerial surveillance system developed by local company Beti3D, which previously specialised in aerial mapping.   Other countries in Europe, Asia and the Middle East have also adopted technology deployed in China since the start of the pandemic, whether for tracking the movements of citizens, disinfecting public spaces or facilitating deliveries.   "Drones have quickly emerged as a vital technology for public safety agencies during this crisis as they can safely monitor public spaces," according to the website of DJI, by far the world's top drone maker.

Like most countries, Morocco primarily uses imported Chinese drones. But the emergence of new applications linked to the pandemic is also driving local production of specialised aerial vehicles.   "There is real demand," said Abderrahmane Krioual, the head of Farasha, a start-up that has raised funds to produce drones for thermal surveillance and aerial disinfectant spraying.   The aeronautics department of the International University of Rabat (UIR) offered its facilities, expertise and prototypes to authorities in March, deploying drones with loudspeakers or infrared cameras able to detect movement at night or spot individuals with high temperatures.

Several projects are underway across the country ahead of the widespread deployment of various models of drones, said Mohsine Bouya, the university's director of technology development and transfer.    Teams are also developing tracking applications, but "we'll have to wait for a change to the law" before launching them, he said.   Moroccan authorities declined to comment on the use of drones or the numbers deployed since the start of the public health emergency in mid-March.

- 'Toxic lockdown culture' -
Unlike in some countries, the use of surveillance drones has not sparked public debate in Morocco, where the kingdom's authoritarian response to the pandemic is widely supported.   Morocco closed its borders early and tasked law enforcement with imposing strict confinement measures on the population.

They include movement restrictions and the compulsory wearing of masks, with a nighttime curfew since the start of the Muslim holy month of Ramadan -- enforced by a heavy police presence.   Those found guilty of violating lockdown measures face one to three months in prison, a fine equivalent to $125, or both.    Officials say 59,000 people have been prosecuted for breaching lockdown measures.

Authorities say the measures have limited transmission of the virus, with 5,382 COVID-19 cases reported including 182 deaths since the state of emergency was announced.   But the kingdom's high number of arrests -- some 85,000 people by April 30 -- has drawn criticism from Georgette Gagnon, director of field operations at the United Nations' Human Rights Office.   Last week she listed Morocco among countries where repressive coronavirus measures have created a "toxic lockdown culture".    Morocco disputed this, saying its measures were "in line with legal frameworks respecting human rights".
Date: Mon, 13 Apr 2020 12:38:28 +0200 (METDST)

Rabat, April 13, 2020 (AFP) - More than 4,300 people were arrested over the weekend in Morocco for breaching emergency rules in place to combat the novel coronavirus, according to official figures.   More than half of those detained were taken into police custody.   Since mid-March, authorities have arrested 28,701 people across the North African country, 15,545 of whom have been referred to court after being held in custody, according to the country's national security force DGSN.

Penalties for violating measures in place to curb the spread of the COVID-19 disease include up to three months in jail and fines of up to 1,300 dirhams ($130), or both.   Morocco imposed a public health state of emergency on March 19, confining everyone to their homes except those with a permit to be out for work.   Last week, authorities made wearing face masks in public obligatory.   Police and security agents supported by soldiers in armoured cars have been deployed around the country, erecting road barriers and control points to enforce the measures.

Morocco has recorded 1,746 COVID-19 cases, with 120 deaths and 196 recoveries. Fewer than 7,000 tests have been carried out.   The largest number of arrests were made in the country's economic centre of Casablanca and the capital Rabat, according to the DGSN.   Isolation measures have proved most challenging in densely populated, working-class neighbourhoods, according to local media reports.

Economic paralysis brought on by the pandemic has left millions of Moroccans in a precarious existence, with the bulk of the workforce made up of informal workers dependent on odd jobs and lacking access to social safety nets.   In the absence of a social database, authorities are working to identify needy families to distribute direct financial aid and food baskets.
Date: Tue, 7 Apr 2020 00:04:15 +0200 (METDST)

Rabat, April 6, 2020 (AFP) - Wearing face masks in public will be obligatory in Morocco from Tuesday in a bid to stem the spread of coronavirus, according to an official decree.   The decision was announced late Monday after a government meeting on how to control the epidemic.   Morocco imposed a public health state of emergency on March 19, confining everyone to their homes except those with a permit to be out and about for their work.

Police, security agents and soldiers in armoured cars have been deployed around the country, erecting road barriers and control points.   The official number of COVID-19 cases in Morocco has doubled in a week to 1,120, including 80 fatalities.   The real numbers are likely to be significantly higher as there is a lack of testing gear in the country.
Date: Tue, 24 Mar 2020 18:49:02 +0100 (MET)

Rabat, March 24, 2020 (AFP) - Morocco has authorised hospitals to use antimalarial drugs in treating the new coronavirus, according to a document seen by AFP, as scientists urge caution over encouraging results from small trials.   The Moroccan health ministry on Monday gave hospitals and regional health directors the green light to start using hydroxychloroquine and related compound chloroquine "in the care of confirmed COVID-19 cases".

In a message seen by AFP, it said that "efforts have been made to ensure the availability of these medicines", urging caution in how the stocks are managed.   Rabat last week ordered the Moroccan branch of French drug maker Sanofi to hand over its entire stock of Nivaquine and Plaquenil, both of which contain chloroquine.   Studies in France and China have found that the drug helped patients suffering from the COVID-19 illness, and France on Monday ordered its use in severe cases.

US President Donald Trump on Monday said chloroquine could be a "gift from God".   He has been criticised by scientists for overhyping the drug, and on Monday the World Health Organization urged caution over its use.   NBC later reported that a woman in Arizona who heard Trump talk about chloroquine ended up in hospital and her husband died after they took a form of chloroquine she had used to treat her koi fish.   Authorities in Nigeria said hospitals had seen cases of chloroquine poisoning after Trump's comments.   Experts have urged the public to remain cautious until larger clinical trials validate the smaller studies.

In its note, Morocco's health ministry said it took its decision after consulting with a scientific committee which recommended prescribing chloroquine along with another drug called azithromycine.   Morocco's transport minister, Abdelkader Amara, who tested positive for the new coronavirus on March 14, has already said he was taking Nivaquine.   "My health is stable. I have no fever or respiratory symptoms. The headaches are almost gone. I just feel a little tired," he told private radio station Medi 1.   Morocco has recorded 143 cases of the COVID-19 illness, with four dead. The country has three screening centres and 1,642 intensive care beds for 35 million inhabitants.
Date: Sat, 14 Mar 2020 22:11:12 +0100 (MET)
By Hamza Mekouar with Sophie Pons in Rabat

Fnideq, Morocco, March 14, 2020 (AFP) - Thousands of tourists were stranded in Morocco on Saturday after the kingdom suddenly announced strict border restrictions in response to the coronavirus, leaving travellers stuck at borders, ports and airports.   "We are lost!" said David, an Italian tourist waiting at the closed border with the Spanish enclave of Ceuta in northern Morocco.

Late on Saturday, Rabat announced a suspension of air links with 21 countries including Austria, Denmark, Greece, Norway, Sweden and Switzerland in Europe, as well Turkey and Bahrain, Egypt, Jordan, Lebanon, Oman, Tunisia, and the United Arab Emirates.   Africa's Chad, Mali, Mauritania, Niger and Senegal, and Canada and Brazil were also in the list.   Morocco had already suspended air, sea and land links with European countries and Algeria on Friday, as well as taking measures to confine citizens to prevent the spread of coronavirus.

Flights to and from Algeria, Spain, France, Germany, the Netherlands, Belgium, Portugal and Italy were suspended "until further notice", while sea links for passengers and Morocco's land borders with Ceuta and a second Spanish enclave, Melilla, were closed.   But France announced that Rabat had agreed to allow repatriation flights for French nationals.   "New flights are being organised to enable (stranded French tourists) to return to France," President Emmanuel Macron tweeted Saturday.   The first flights back to France had already taken off that day, Foreign Minister Jean-Yves Le Drian said earlier.

The closure of the only land border between Africa and the European Union at Cueta and Melilla saw Spaniards rushing to leave on Thursday evening, as Moroccan day workers hastily returned in the opposite direction.   The land borders are busiest in summer and the border sees regular traffic throughout the year. Now though a Moroccan police roadblock bars the road towards the border with Cueta.

- 'Who will pay?' -
David said he tried to go to Spain because links with Italy, a hotspot of the disease, are suspended.   After arriving in Morocco for a motorcycle tour with his partner earlier this month, the 33-year-old Italian was stuck at a service station outside Cueta.

The border at Cueta, like that at Melilla, was reopened Friday only for Spaniards.    The Spanish embassy in Morocco tweeted Saturday that ferries were still operating between the enclaves and mainland Spain.   Its French counterpart also tweeted that "passage (into Ceuta and Melilla) is open to French ferry ticket holders with vehicles."

But except for a few travellers, the normally busy border post near the Moroccan town of Fnideq was deserted.   At the service station, camper vans bearing various European license plates were parked waiting.   "We don't know how long this will last, no one has told us anything," said Rene, a 71-year-old French man, speaking before Le Drian and Macrons' announcements.   "The weather is good here, there's surely fewer cases of coronavirus in Morocco than in France," he said.

Moroccan authorities have reported 17 cases of COVID-19, including one death. France and Spain have together announced more than 210 COVID-19 deaths.   Morocco's Transport Minister Abdelkader Amara has tested positive for the disease after an official visit to Europe, his ministry announced Saturday.   On the Spanish side at Cueta, stuck Moroccans were wondering why their country would not let them back in.   "If I need to get a hotel, who will pay?" asked a man hoping to return home.

At Tangiers port some 30 kilometres to the west, containers and trucks were unloaded as usual but the passenger terminal was closed.   The busiest port in North Africa, the facility welcomed 568,000 foreign tourists in 2019, while some 473,000 entered from Cueta and Melilla, according to official figures.   The travel restrictions are causing panic in the kingdom's tourism sector, which accounts for 10 percent of GDP and is a key source of foreign revenues.
More ...

United States of America

FCO - UK information on the United States
Updated: 25 July 2002

SUMMARY
Most visits to the United States are trouble-free. However, visitors should continue to be vigilant about their personal security.

SAFETY AND SECURITY<
R />Travellers to the United States should use common sense and take basic precautions.

If staying in a hotel, do not leave your door open at any time.

Do not wear ostentatious jewellery and avoid walking in obviously run down areas.
If arriving at night, take a taxi to your hotel and collect your hire car the next day.
If departing on an evening flight avoid leaving luggage and souvenirs in view in your hire car during the day. Thieves are targeting these vehicles and stealing the contents.
Drive on main highways and use well-lit car parks.

Do not stop if your car is bumped from behind. Instead, indicate to the other driver to follow you to the nearest public area and call for police assistance.
Do not sleep in your car on the roadside or in rest areas.
LOCAL LAWS AND CUSTOMS
Travellers wishing to visit Canada during their stay should contact the Canadian Consulate and US Immigration and Naturalisation Service for entry clearance requirements. If travellers have 90 day visa waiver for US, they should not wait until the end of their stay to travel between US and Canada. Travellers must not overstay past expiration date of their visa as they may risk being denied entry in either country or be deported. Travellers need to carry passports, round trip airline tickets showing their confirmed departure for return from US or Canada to country of origin, and they may need to show proof of sufficient funds to cover their stay.

Travellers should be aware that the age of consent varies from state to state in the US, as does the age at which someone may legally buy and consume alcohol.
ENTRY REQUIREMENTS
Foot and Mouth Disease:
Travellers are prohibited from carrying into the US any agricultural products, particularly animal products – including dairy products – that could spread FMD. (Some hard cheeses and canned meats are permitted. If you are in any doubt, you must check with a US customs or US Department of Agriculture (USDA) official immediately on arrival in the airport terminal). Passengers are required to tick the appropriate box on the US Customs declaration form if they have recently visited a zoo, or been on a farm or in contact with livestock. Passengers are specifically required to identify any farm contacts to US Customs and USDA officials. All luggage is subject to inspection. Penalties for not declaring farm visits or prohibited items can run to $1,000.

All US ports of entry and airports are on heightened alert to ensure that passengers, luggage and cargo are checked as appropriate. This includes placing additional inspectors and dog teams at airports to check incoming flights and passengers.

USDA are saying that soiled shoes, clothing or luggage will be disinfected on arrival. Food products and any other items suspected of potentially carrying the FMD virus will be confiscated and destroyed.
HEALTH
Medical treatment can be very expensive; there are no special arrangements for British visitors. The British Embassy and Consulates-General cannot assist with medical expenses.

Travellers who are HIV-positive
Travellers to the United States who are HIV-positive are not eligible, under current United States visa law, to travel visa free under the Visa Waiver Programme. They are required to apply for a visa and a waiver of the ineligibility before travelling. US immigration authorities state applicants’ details will remain confidential and an applicant’s HIV status will not/not be declared on their passport. For more details contact the US Embassy in London.
GENERAL
Comprehensive travel and medical insurance is essential.
NATURAL DISASTERS
Visitors to the United States will be aware of reports of large-scale wild and forest fires throughout the country. Those travelling to affected areas should be particularly vigilant and pay attention to advice from local authorities and press and radio announcements about personal safety and how to avoid starting fires. Further information can be obtained from the National Interagency Fire Centre, 3833 S. Development Avenue, Boise, Idaho, 83705-5354; tel: +1 208 387 5512; Website: www.nifc.gov

Travel News Headlines WORLD NEWS

Date: Sun, 17 May 2020 07:50:53 +0200 (METDST)

Los Angeles, May 17, 2020 (AFP) - Eleven firefighters were injured, three of them critically, in downtown Los Angeles when a fire in a commercial smoke shop sparked a major explosion and spread to nearby structures on Saturday evening, officials said.

Crews had entered the building to battle what was initially thought to be a minor blaze when they noticed that the smoke pressure was escalating and decided to evacuate, Los Angeles Fire Department chief Ralph Terrazas told reporters.   He said the blast occurred as the firefighters were leaving the building from the roof and the ground floor.   "A witness account is that our firefighters came down the aerial ladder from the roof with their turnout coats on fire," Terrazas said.

Los Angeles Mayor Eric Garcetti said three firefighters had critical but not life-threatening injuries and another had serious injuries, while the remainder had varying degrees of burns.    "There are no symptoms of blast injuries but there's potential evidence of chemical inhalation," Garcetti said.   "Good news is, everybody's gonna make it," he added.   Terrazas said firefighters saw butane canisters inside the building and outside on the street but it was unclear what caused the blaze.   "Everything is under investigation by our arson team, all I can say at this point is that the cause is under investigation," he said.

Some 230 responders battled the blaze as it spread to other buildings in the area before it was extinguished around two hours after it began.    Fire officials said the building where the blast occurred housed a business -- Smoke Totes Wholesale Distribution -- that sold smoking and vaping paraphernalia and supplied other businesses that make butane honey oil, a highly flammable resin used for inhaling marijuana.   Several storefronts in the area were blackened by the force of the blast while one fire truck had a scorched roof and was covered with debris.   Thick smoke from the blaze was visible from miles away.
Date: Wed, 6 May 2020 21:48:30 +0200 (METDST)
By Catherine TRIOMPHE

New York, May 6, 2020 (AFP) - For the first time since 1904, New York's famed subway has halted its all-night service as the coronavirus outbreak brings "the city that never sleeps" to its knees.   The closures from 1:00 am to 5:00 am are aimed at eliminating traces of the potentially fatal virus from the subway's 6,500 wagons -- using every cleaning technique from basic sanitizer to ultra-violet lamps.   Authorities say conditions in New York -- the epicenter of the pandemic, with more than 19,000 confirmed or probable deaths -- are slowly improving, but that it's too soon to relax confinement measures.

For Gary Dennis, a New York tour guide in love with his city, its 424 subway stations and their gray carriages -- clunky and loud but as iconic as the Statue of Liberty or the bright yellow taxis -- the state of the transit system is a thermometer for the health of the metropolis.   Dennis, a 59-year-old who lives on Manhattan's Upper West Side, said the city's decision to shutter service overnight left him "upset."   "This is a 24-hour town," he told AFP. "It's not designed to be empty, it's designed to be crowded."   "Without the subway, this town would die."   Mayor Bill de Blasio also describes the complex train system that snakes through the city as a "lifeline" that keeps New York's 8.6 million residents chugging along.

Since the pandemic hit the city, ridership has plummeted by more than 90 percent, according to the Metropolitan Transportation Authority that manages the network, to less than 500,000 passengers a day.   Normally some 5.5 million people take the subway every day.   With many white-collar workers logging into the office from home, most riders are now "essential" workers -- some 800,000 employees of hospitals, supermarkets, repair personnel and delivery workers, many of them black or Latino, some undocumented migrants.   And controversy has grown over homeless people seeking overnight shelter in train cars. The city hopes closure will encourage them to find alternative shelter, but many advocacy groups have warned it will worsen the homeless crisis.

- 'Giant vectors of this virus' -
Witnessing the deserted subway stations leaves Will Ramos, a plumber and handyman, mourning the loss of "culture within the stations."   "You meet a lot of talent down here," the 33-year-old said at the Union Square station, one of the network's largest.   But the pandemic has transformed the underground into "giant vectors of this virus," in the words of conductor Sujatha Gidla, who contracted the COVID-19 illness.   In a scathing open letter published this week in The New York Times, Gidla denounced precautions taken to protect MTA workers as too little too late, saying "essential" staff were treated as "expendable."   According to the MTA's president Patrick Foye, 109 of 50,000 workers have died after contracting the virus.

The subway system -- much of it devastated by Superstorm Sandy in 2012 -- was already undergoing costly renovations, a project deemed urgent after years of negligence.   Now experts estimate the transit authority could lose $4-8 billion due to the pandemic.    Both the city and state of New York have seen tax revenues in free fall as the economy stalls and unemployment soars -- and few expect Donald Trump's White House to take pity on the transportation system of his home city.   "The funding challenge will be huge," said Bruce Schaller, the former deputy commissionner for traffic and planning at city's transportation department.   "It is very daunting."

But the public transit consultant doesn't doubt the subway will weather the storm.   In the 1970s the transportation network was in dire condition, wracked with crime. But Schaller says the city is far from that situation, when the city "as a whole was badly ailing."   Today, the question is "not about the longer-term vitality" for the subway, but about getting through the pandemic, he said.   And emerging is vital, according to Schaller: "The fundamental assumption in New  York is that you have mass transit."
Date: Wed, 6 May 2020 02:52:31 +0200 (METDST)

Washington, May 6, 2020 (AFP) - The US coronavirus death toll climbed by 2,333 in the past 24 hours, a tally by Johns Hopkins University showed Tuesday, more than twice as many as the day before.    The Baltimore-based university said as of 8:30 pm (0030 GMT Wednesday) that the country had suffered a total of 71,022 deaths.    On Monday, the United States recorded its lowest daily balance in a month, with 1,015 fatalities.
Date: Tue, 5 May 2020 21:58:05 +0200 (METDST)
By Cyril JULIEN

Washington, May 5, 2020 (AFP) - Despite more than a month of stay-at-home orders, the Washington region has become a coronavirus hotspot -- and the African-American and Latino populations of the US capital have been particularly hard hit.   Washington and the neighbouring states of Maryland and Virginia now have more than 50,000 confirmed cases of COVID-19 and there have been some 2,300 deaths.   Maryland Governor Larry Hogan predicted in early April that the area would see the next major outbreak and was about two weeks behind New York, the epicentre of the pandemic in the United States.

Despite the closure of schools and non-essential businesses and a lockdown since the end of March, the number of infections, hospitalizations and deaths has continued to rise in the region.   "We are a highly populated area with a high density," said Travis Gayles, chief of public health services in Maryland's Montgomery County, which borders Washington.   "We still have a high number of essential workers that have to go to work and are subject to exposure there," Gayles told AFP.   Montgomery County, to the north of the US capital, has about one million residents. As of Tuesday, it had 5,541 confirmed coronavirus cases and 292 deaths.

Maryland as a whole has reported around 26,400 cases and more than 1,300 deaths.   Many of the area's essential workers are African-American or Hispanic, and their infection and death rates are considerably higher than those of the white population.   "It is not uncommon that two families share a two-bedroom apartment," said Gayles.    "When one is positive, it spreads quickly, and it is much more difficult to isolate."   Other factors contributing to the high fatality rate among minorities are underlying health conditions such as high blood pressure and diabetes, and a lack of insurance coverage.

- 'Social distancing fatigue' -
There have been more than 5,300 confirmed cases of COVID-19 in Washington, which has a population of around 700,000, and 264 deaths.   African-Americans account for slightly less than half of the population of Washington -- but 80 percent of the virus deaths.   "This virus has not left the District," Washington Mayor Muriel Bowser said Monday. "We are where we thought we would be in having peak experiences during the month of May."

Amanda Castel, a professor in the epidemiology department at George Washington University, said the rise in the number of cases is due -- to some extent -- to increased testing capacity.   "People should not be alarmed that the numbers continue to go up," Castel told AFP, adding they should instead be "reassured that social distancing is working."   "There are more test kits and more testing sites," she said. "We are building capacities to test more individuals.   "It means we will identify more people who are positive," she said. "It's a good thing."

Castel said it was important to ensure that those who test positive "go into isolation and that their contacts are also screened for symptoms and put into quarantine."   She cautioned against the dangers of "social distancing fatigue."   "Over the weekend, there was a lot more movement," she said. "That's concerning -- people are tired."   Gayles said he was hopeful the region may be approaching the peak, although to "calculate the peak is tricky."   "I'm optimistic we are in the area of it," he said.

Several US states have already begun reopening despite not having met federal guidelines that call for a 14-day decline in the number of new virus cases before doing so.   Ralph Northam, the governor of Virginia, has said he may partially ease restrictions from May 15 -- a move not yet embraced by Hogan or Bowser.   "Guidance was clear for states to prepare to reopen -- a 14-day decline in cases, capacity for widespread testing, hospitals in place," Castel said.    "If you can't tick all the boxes, it makes it premature to reopen."   Virginia has reported around 19,500 COVID-19 cases and nearly 700 deaths.
Date: Tue, 5 May 2020 03:21:43 +0200 (METDST)

Los Angeles, May 5, 2020 (AFP) - Some retailers in California, including bookstores, flower shops and clothing stores, will be allowed to reopen for business at the end of the week, the state's governor announced on Monday.   "Millions of Californians answered the call to stay home and thanks to them, we are in a position to begin moving into our next stage of modifying our stay at home order," Governor Gavin Newsom said. "But make no mistake -- this virus isn't gone. It's still dangerous and poses a significant public health risk."

His announcement came following protests across the state last week to demand the lifting of restrictions that have kept the majority of Californians at home and crippled the state's economy, one of the largest in the world.   Under the second phase of the reopening process outlined by the governor, some retail stores can open on Friday for pickup only, while manufacturing and logistics businesses will also be able to get back to work.

Newsom said other sectors that fall into this second phase, such as offices and dine-in restaurants, will open at a later date.   The Democratic governor said that some counties can move quickly through Stage 2, but they must first prove that they meet the state's readiness criteria for hospital beds, testing kits and contact tracing.

Other counties in the Bay Area, which were the first in the country to order lockdowns and which have experienced a high rate of infection, will likely start lifting restrictions at a later date, Newsom said.   He said Stage 3 of lifting restrictions would begin in months and include the reopening of hair salons, nail bars, gyms and sports competitions without fans.

The final stage would amount to the lifting of all restrictions and allow for the opening of movie theatres and sporting events.   That stage, however, is not expected before a vaccine is discovered and made widely available.   California as of Monday had recorded nearly 55,000 cases of COVID-19 and 2,211 deaths.   Los Angeles County alone has recorded nearly 26,000 cases and 1,229 deaths.
More ...

Jamaica

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Healthy Travelling In Jamaica
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General Information;
Jamaica is the 3rd largest of the Caribbean islands and is situated about 600 miles south of Miami, Florida. The climate in Jamaica remains fairly steady throughout the
year with temperatures averaging 27 - 35 C during the summer months (May to September) and 21 - 27 C during their winter! The ambient temperature and rainfall are both affected markedly by the changes in elevation and geography throughout the island. Rainfall varies from an annual average of 25" in the capital, Kingston, to an average of 250" at Blue Mountain Peak. Most of the rain tends to fall between April/May or October/November. The relative humidity in Kingston ranges from an average low of 63% in February to 86% in October.
Health Care Facilities;
The US Department of State’s consular information sheet states that medical care may be limited. Doctors and hospitals often expect immediate cash payment for health services. A list of some of the IAMAT doctors in Jamaica follows;
- Dr. Luois S. Grant - Kingston - tel 927 1106
- Dr. B.A. Morgan - May Pen - tel 986 2370
- Dr. Noel Black - Ochos Rios - tel 972 2296
Sun Exposure;
Frequently travellers from Ireland to Jamaica will want to soak up the sunshine before returning to our rather less exposed shores. Some will tan easily but even they need to take care with the extent of their sun exposure. Many fair skinned Irish travellers will burn easily and so remember to limit your exposure especially during the first week. Use high sun blocking lotions (15+) while you acliamatise and then only drop down the protective factor (10+) if you are sure you will not burn. Watch out especially for the back of your neck, the front of your ankles and the top of your legs. Many of these areas will be unused to such exposure! Also remember if you are travelling in a car or coach watch out that you cover your exposed elbow which may be cooled by the passing breeze.
Sun Stroke / Dehydration;
In such a warm climate you can become quite significantly dehydrated without realising it. Make sure you drink plenty of fluids and, if you have no blood pressure problems or heart difficulties, then increase the amount of salt you put on your normal meals. This will help to maintain your energy levels.
Mosquito Borne Disease;
Malaria transmission does not normally occur in Jamaica so taking prophylactic tablets is not necessary. Nevertheless mosquitoes abound and so remember to use insect repellants, especially when there are mosquitoes about, day or night.
Animals;
Unfortunately Jamaica is not free of rabies and transmission is reported in some areas. The main animal appears to be the mongoose but obviously try and make sure that you have no exposure to any warm blooded animals. If by any chance you are bitten immediatly wash out the wound, apply an antiseptic and seek medical attention.
Asthmatics;
Because of the dense foliage and high pollen levels the climate may adversly affect some asthma sufferers.
Food & Water Borne Disease;
By comparison to many of the hotter areas throughout the world Jamaica has high health standards. Despite this it would be unwise to take risks so follow simple common- sense rules
* Drink only bottled water (and use it for brushing your teeth)
* Don’t use ice cubes in your drinks
* Eat only food served hot and avoid all shell fish
* Only pasturised dairy products should be consumed
* Don’t eat food from street vendors
Blood Borne Disease
Unfortunately, as in most other countries, AIDs does occur and the blood supply may not be adequately screened.
Swimming in Jamaica;
Beautiful beaches make swimming a must for your holiday but be careful of the coral and also jellyfish. The hot sand may burn your feet so always use flip flops when walking on the beach.
Vaccinations;
None are essential for entry/exit purposes but it is wise to at least protect yourself against * Polio
* Typhoid
* Tetanus
* Hepatitis A
Other vaccines may be required for travellers intending to trek through Jamaica or those who will be undertaking extensive adventure sports. Also remember that if you initially visit a Central or South American country before Jamaica then Yellow Fever vaccine may be required.
General Comments;
Some of the items above may seem too serious to consider a holiday in Jamaica. Nevertheless the vast majority of travellers have a marvellous holiday and develop no sickness following their visit. Some simple commonsense is mainly all that is required. For further information please contact the Tropical Medical Bureau - Dublin.

Travel News Headlines WORLD NEWS

Date: Wed, 29 Jan 2020 05:54:30 +0100 (MET)

Port Moresby, Jan 29, 2020 (AFP) - Papua New Guinea shut air and seaports to all foreign travellers coming from Asia on Wednesday, in a desperate bid to prevent the deadly coronavirus from reaching the impoverished Melanesian nation.  In a note to airlines and boat operators, the ministry of immigration said "all citizens originating from the Asian ports will be refused entry to the country effective today".

The ministry also announced that Papua New Guinea's only official land border -- with Indonesian-controlled Papua province -- would be shut from Thursday.   No cases of coronavirus have been reported in Papua New Guinea, but the country's health service is already buckling under the weight of underfunding and rampant public health problems.   Papua New Guinea is one of only a handful of countries where polio is still endemic, leaving doctors and the United Nations scrambling to revive long-lapsed vaccination programmes.

Papua New Guinea residents returning from Asian countries will be held in quarantine for 14 days.   It will only be possible for anyone to leave or enter the country via Port Moresby's international airport.  Most flights into the airport are domestic, or from Australia, but officials told AFP arrivals from Chinese cities, Singapore and any other Asian cities would also be affected.   It was not clear how long the measures will be in effect. "This is a preventative measure taken to ensure the spread of the coronavirus that is rapidly spreading in the world is minimised," Immigration and Border Security Minister Westly Nukundi Nukundj said.
Date: Wed, 29 Jan 2020 00:22:50 +0100 (MET)

Miami, Jan 28, 2020 (AFP) - A major 7.7 magnitude quake struck Tuesday in the Caribbean between Jamaica and Cuba, triggering a brief tsunami alert and sending hundreds of people pouring onto the streets of Havana.  The tremors were felt as far as the US mainland as police in Miami evacuated some buildings as a precaution.   The US Geological Survey said the quake hit at a depth of 10 kilometres (six miles), at 1910 GMT -- 125 kilometres northwest of Lucea, Jamaica.

It estimated there was a low likelihood of casualties or damage, and there were no immediate reports of either. Hours later, a 6.1 magnitude aftershock hit off the coast of the Cayman Islands, the USGS said.   The US Pacific Tsunami Warning Center initially warned there was a threat of tsunami waves reaching 0.3 to 1 meters (about 1 to 3 feet) above tide level for the coasts of Jamaica, Belize, Cuba, Honduras, Mexico and the Cayman Islands. But it lifted the alert update about two hours later.  The first, bigger quake rattled several tall buildings in the Cuban capital Havana, which were immediately evacuated.

The earthquake was felt in several provinces including Guantanamo and Santiago de Cuba in the east, Cienfuegos in the centre and Havana in the northwest, the official Cubadebate website reported.   But there were no preliminary reports of damage or injuries, however.  Jawara Rawjers, a resident of Kingston, Jamaica told AFP: "I felt the house trembling and realized that it was a quake.  "It lasted about 20 seconds. I checked my watch and it was 2:12 pm. I checked on my family but they didn't feel anything in their part of the house."

Machel Emanuel, a doctor in the same city, added: "I was on the second floor of a building and there was a sustained shaking of the building. I felt dizzy. The door was slamming consistently for a while."  Many Jamaicans took to social media in the immediate aftermath to post pictures, unverified by AFP, of swimming pools shaking violently.   In Miami, police said some buildings were being evacuated as a precaution after reports of tremors being felt in some areas of the city.

21 Feb 2019

https://travelhealthpro.org.uk/news/390/dengue-outbreak-in-the-caribbean
Dengue outbreak in the Caribbean

Dengue outbreak in the Caribbean

Reported via Travel Health Pro:  As of 17 January 2019 and following a recent report of increased cases of dengue in Jamaica in January 2019 [1], the Caribbean Public Health Agency (CARPHA) has advised that there is a possibility of an outbreak of dengue in the Caribbean region [2]. The last major regional outbreak occurred in 2009 [1]. Countries in the region have been advised to increase their disease surveillance measures. Residents and travellers are advised to take measures to reduce mosquito breeding sites and follow mosquito bite prevention advice.

Dengue is a viral infection transmitted through the bite of an infected Aedes mosquito. Although most patients with dengue will recover spontaneously, a small number will develop more severe life-threatening forms of the disease. Dengue is common in the tropics including the Caribbean, South and Central America, Africa, SE Asia, the Indian sub-continent and the Pacific Islands.

Check our Country Information pages for individual country recommendations.

Date: Mon 14 ay 2918
Source: Loop [edited]

A new species of mosquito has been discovered in Jamaica. It is the Asian tiger mosquito or _Aedes albopictus_, which is similar to the _A. aegypti_ mosquito, which is endemic to Jamaica and which transmits the dengue, chikungunya, Zika, and other viruses.

Acting Chief Public Health Inspector for St Catherine, Grayston Hutchinson told last Thursday's [10 May 2018] monthly meeting of the St Catherine Municipal Corporation that the Asia tiger mosquito was discovered following surveillance throughout the island.

He was responding to questions from councillors attending the monthly meeting.

The tiger mosquito is so named because of its striped appearance, which resembles that of the tiger.

Similar to the _Aedes aegypti_ mosquito, the female is the carrier of several viruses, including yellow fever, dengue, chikungunya, and Zika.
===================
[_Aedes albopictus_ has been expanding throughout the world including in North, Central America, and Caribbean: Barbados (not established), Belize, Cayman Islands, Costa Rica, Cuba, Dominican Republic, El Salvador, Guatemala, Haiti, Honduras, Mexico, Nicaragua, Panama, Trinidad (not established), and USA (<https://ecdc.europa.eu/en/disease-vectors/facts/mosquito-factsheets/aedes-albopictus>). It is not surprising that it has been found in Jamaica. It was found last year (2017) in several locations in southern California and is distributed across the southern USA and more recently in the northern states.

Reference
---------
Bonizzoni M, Gasperi G, Chen X, James AA. The invasive mosquito species _Aedes albopictus_: current knowledge and future perspectives. Trends Parasitol. 2013; 29(9): 460-8. doi: 10.1016/j.pt.2013.07.003; <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3777778/> - ProMED Mod.TY]

[HealthMap/ProMED-mail map
Date: Fri 23 Oct 2015
Source: Jamaica Observer [edited]

Consultant congenital cardiologist Dr Sandra Williams-Phillips says she has treated at least 12 cases of the feared mosquito-borne Zika virus (ZIK-V) [infection] and that she has written to Health Minister Dr Fenton Ferguson on the matter.

Speaking on a daytime radio programme yesterday [22 Oct 2015], Dr Williams-Phillips said she had received no response to her e-mail to Dr Ferguson, although she could not confirm that the minister had received her correspondence.

The medical doctor of 34 years said she was among the 1st local doctors to identify the presence of the chikungunya virus, which wreaked havoc on the country last year [2014], but that her diagnoses had not been taken seriously.

Dr Williams-Phillips, who treats paediatric as well as adult cases of congenital heart disease, said some of her patients who presented symptoms of the Zika virus [infection] were children. She argued strongly that the symptoms she had seen were convincing enough to diagnose the virus even in the absence of lab tests.

Late yesterday afternoon [22 Oct 2015], on another radio programme, chief medical officer (CMO) in the health ministry, Dr Marion Bullock Ducasse, said the ministry would be launching an investigation into the matter. She said that, even if the patients had recovered, tests could still prove whether they had in fact been infected with the virus.

The CMO said she could not speak on whether Dr Ferguson was in receipt of a report about the cases, but that no official report had come to the ministry from St Catherine [parish], where Dr Williams-Phillips said she treated patients, via the standard reporting system for these types of events.

The CMO has maintained over the past several months, that there are no confirmed cases of the Zika virus in Jamaica. Earlier this month [October 2015], the ministry said a sample which it had sent to the Caribbean Public Health Agency (CARPHA) in September [2015] tested negative for chikungunya, dengue and Zika viruses. "Outside of Brazil [and more recently, Colombia], there have been no cases confirmed in any country in the Latin American and Caribbean region, including Jamaica," Dr Ferguson said at a hand, foot and mouth disease press conference on 2 Oct [2015].

The ministry has also refuted claims by Opposition spokesperson on health, Senator Marlene Malahoo-Forte, that she had been reliably informed about 3 confirmed cases of Zika virus. "I have heard that there are confirmed cases of the Zika virus here.... I got a call from someone whose employee was tested, and I'm reliably advised that it is a confirmed case," Malahoo-Forte stated at a press conference a few weeks ago.

The Pan American Health Organisation (PAHO) in May [2015] issued a warning about an outbreak of Zika in Brazil and said there was potential for it to spread to other countries.

The virus causes symptoms which are similar to CHIKV [chikungunya virus] and is transmitted by the same vector -- the _Aedes aegypti_ mosquito.

Communities have been plagued by mosquitoes over the past few weeks, with residents in Portmore [Saint Catherine parish] in particular complaining bitterly about the insects, which they say have descended on their homes in droves. The nuisance is also evident in the Corporate Area [Kingston area], and has citizens concerned about whether the country could soon find itself in the throes of yet another mosquito-borne disease.  [Byline: Alphea Saunders]
====================
[The situation in Jamaica is not clear at the moment. Because infections with Zika, dengue and chikungunya viruses are difficult to distinguish from each other clinically, laboratory confirmation is essential. One hopes that laboratory tests will be carried out to confirm or rule out Zika virus infections in these cases. It would be of interest to know where the confirmed cases reported by the Opposition Senator were tested, if they were tested at all. ProMED awaits further news from Jamaica with interest.

A HealthMap/ProMED-mail map of Jamaica can be accessed at
More ...

World Travel News Headlines

Date: Tue, 26 May 2020 09:15:57 +0200 (METDST)

Riyadh, May 26, 2020 (AFP) - Saudi Arabia will end its nationwide coronavirus curfew from June 21, except in the holy city of Mecca, the interior ministry said Tuesday, after more than two months of stringent curbs.   Prayers will also be allowed to resume in all mosques outside Mecca from May 31, the ministry said in a series of measures announced on the official Saudi Press Agency.   The kingdom, which has reported the highest number of virus cases in the Gulf, imposed a full nationwide curfew during Eid al-Fitr, the Muslim holiday that marks the end of the fasting month of Ramadan.

The ministry said it will begin easing restrictions in a phased manner this week, with the curfew relaxed between 6 am and 3 pm between Thursday and Saturday.   From Sunday until June 20, the curfew will be further eased until 8 pm, the ministry added.   The kingdom will lift the lockdown entirely from June 21.   "Starting from Thursday, the kingdom will enter a new phase (in dealing with the pandemic) and will gradually return to normal based on the rules of social distancing," Health Minister Tawfiq Al-Rabiah said on Monday.   Saudi Arabia has reported around 75,000 coronavirus infections and some 400 deaths from COVID-19.

In March, Saudi Arabia suspended the year-round "umrah" pilgrimage over fears of the disease spreading in Islam's holiest cities.   That suspension will remain in place, the interior ministry said.   Authorities are yet to announce whether they will proceed with this year's hajj -- scheduled for late July -- but they have urged Muslims to temporarily defer preparations for the annual pilgrimage.   Last year, some 2.5 million faithful travelled to Saudi Arabia from around the world to participate in the hajj, which Muslims are obliged to perform at least once during their lifetime.
Date: Tue, 26 May 2020 05:52:24 +0200 (METDST)

Santiago, May 26, 2020 (AFP) - Chile registered a new high for coronavirus cases on Monday, with nearly 5,000 infections in 24 hours, including two ministers in President Sebastian Pinera's government.   Health authorities announced 4,895 new infections in the South American country and 43 deaths.

Public Works Minister Alfredo Moreno and Energy Minister Juan Carlos Jobet said they were among those with the disease.   "I have been informed that the COVID-19 test I had a few days ago was positive," Moreno said on Twitter, adding that he had no symptoms so far.   The 63-year-old minister had placed himself in quarantine after one of his staff tested positive.  Jobet also tested positive after starting to quarantine preventatively on Saturday, "when he experienced mild symptoms, which could be associated with the disease," a statement from the Energy Ministry said.

The 44-year-old minister "has had no direct contact with President Sebastian Pinera or other cabinet members in recent days," the statement said, without specifying how he became infected.   Three other ministers, who had self-quarantined after being in contact with infected people, all tested negative and resumed work.

Chile suffered a surge in infections last week, prompting the government to order the lockdown of Santiago.   The capital is the main focus of the pandemic in Chile, with 90 percent of the country's 74,000 cases.   Last week, the Senate was closed after three senators tested positive for the coronavirus. Sessions were held by video conference.
Date: Tue, 26 May 2020 01:15:01 +0200 (METDST)

Quito, May 25, 2020 (AFP) - Demonstrators defied coronavirus restrictions to march in cities across Ecuador on Monday in protest against President Lenin Moreno's drastic economic measures to tackle the crisis.   Moreno last week announced public spending cuts including the closure of state companies and embassies around the world, but trade unions Monday said workers were paying a disproportionate price compared to Ecuador's elite.   "This protest is because the government is firing workers to avoid making the rich pay," Mecias Tatamuez, head of the county's largest union, the Unitary Front of Workers (FUT), told reporters at a march in Quito.

Around 2,000 people marched in the capital, waving flags and banners and shouting anti-government slogans.   The protesters wore masks and respected distancing measures recommended against the spread of the coronavirus that has caused at least 3,200 deaths in the country, making it South America's worst hit nation per capita. Authorities say more than 2,000 further deaths are likely linked to the virus.

Demonstrations took place in several other cities, including Guayaquil, the epicentre of Ecuador's health crisis, where union leaders said hundreds marched through the city.   Moreno ordered the closure of Ecuadoran embassies, a reduction in diplomatic staff and scrapped seven state companies as part of measures designed to save some $4 billion.    He also announced the liquidation of the TAME airline, which has lost more than $400 million over the last five years.

The government says the pandemic has so far cost the economy at least $8 billion.   Public sector working hours have been cut by 25 percent, with an accompanying 16 percent pay cut.   Moreno said on Sunday that 150,000 people had lost their jobs because of the coronavirus.   Ecuador was struggling economically before the pandemic hit, due to high debt and its dependence on oil.   The IMF predicts that the economy will shrink by 6.3 percent this year, the sharpest drop of any country in South America.
Date: Mon, 25 May 2020 22:20:46 +0200 (METDST)

Dublin, May 25, 2020 (AFP) - Ireland recorded no new deaths from the coronavirus on Monday for the first time since March 21.   Prime Minister Leo Varadkar called it a "significant milestone", adding on Twitter: "This is a day of hope. We will prevail."

The announcement came one week after Ireland, which has suffered 1,606 deaths from 24,698 infections, began to ease lockdown measures that had been in place for nearly two months.   Ireland entered lockdown in late March, recording a peak of 77 deaths on a single day on April 20.   "In the last 24 hours we didn't have any deaths notified to us," chief medical officer Tony Holohan said at a daily press briefing.   He warned that the zero figure could be a result of a lag in reporting of deaths over the weekend, but he added: "It's part of the continued trend that we've seen in (the) reduction in the total number of deaths."

Ireland has announced a five-step plan to reopen the nation by August and took the first steps last Monday -- allowing outdoor employees to return to work, some shops to reopen and the resumption of  activities such as golf and tennis.   While the news of no fresh deaths was greeted as progress, officials remain concerned there will be a "second wave" as the lockdown is loosened.   "The number of new cases and reported deaths over the past week indicates that we have suppressed COVID-19 as a country," Holohan added in a statement.   "It will take another week to see any effect on disease incidence that might arise from the easing of measures."
Date: Mon, 25 May 2020 21:59:40 +0200 (METDST)

Luxembourg, May 25, 2020 (AFP) - Luxembourg will ease its coronavirus restrictions on Wednesday, reopening cafes and restaurants and allowing civil and religious ceremonies under strict conditions, the government announced.   The tiny country has so far registered only 3,993 COVID-19 cases, of which 110 have been fatal. Four people are in intensive care and shops were closed on March 18 to slow the spread of the new coronavirus.

Prime Minister Xavier Bettel told a news conference on Monday that eateries could reopen terraces with a maximum of four people at a single table.   Indoor dining in cafes and restaurants will resume on Friday, he said, with social distancing of 1.5 metres (five feet) between groups.   Marriages and funerals will also be allowed if the attendees wore face masks and kept two metres distance from each other.   Bettel however said cafes and restaurants would have to close at midnight.

Francois Koepp, the general secretary of the Horeca federation grouping hotels, restaurants and cafes, welcomed the announcement, saying the sector had "greatly suffered from the confinement".   He said it provided employment to some 21,000 people in this nation of 620,000 inhabitants.   Cinema theatres and gyms will open at the end of the week but children's parks will remain closed.   The government has pledged to give every citizen over 16 a voucher worth 50 euros ( $54) to spend in hotels to provide a boost to the sector.   The vouchers will also be given to some 200,000 cross border workers from Belgium, France and Germany.
Date: Mon, 25 May 2020 20:36:16 +0200 (METDST)

Prague, May 25, 2020 (AFP) - The Czech Republic and Slovakia will reopen their border this week for those travelling to the other country for up to 48 hours, Czech Prime Minister Andrej Babis said Monday.   "This will be possible without tests or quarantine" starting Wednesday, he added in a message posted on Twitter.   The Czech Republic and Slovakia formed a single country until 1993. Babis himself was born in the Slovak capital of Bratislava.

Both countries have fared well in the current pandemic, with Slovakia posting the lowest death toll per capita in the EU and the Czech Republic keeping its COVID-19 figures down as well.   The Czech government will also open border crossings with Austria and Germany on Tuesday but will still require negative COVID-19 tests from those entering the country.   "We have negotiated similar conditions on the other side of the border with our German and Austrian colleagues," Interior Minister Jan Hamacek said.   The interior ministry said blanket border checks would be replaced by random ones and added it would still not allow tourists into the country.

Czech Health Minister Adam Vojtech said the government was working on other measures to ease the travel restrictions adopted in mid-March.   "We would like to introduce them next week," he added.   Vojtech said EU citizens could now come to the Czech Republic "on business or to visit their family for a maximum of 72 hours if they submit a negative coronavirus test."

The country is also accessible to non-EU citizens who do seasonal jobs there, on condition they have tested negative.   Czech restaurants, bars, hotels, castles, zoos and swimming pools have been open since Monday, when the government lifted many anti-virus measures.   Czechs also no longer have to wear face masks outside their homes, except in shops and on public transport.
Date: Mon, 25 May 2020 17:45:38 +0200 (METDST)
By Shafiqul ALAM

Dhaka, May 25, 2020 (AFP) - Some 15,000 Rohingya refugees are now under coronavirus quarantine in Bangladesh's vast camps, officials said Monday, as the number of confirmed infections rose to 29.   Health experts have long warned that the virus could race through the cramped settlements, housing almost a million Muslims who fled violence in Myanmar, and officials had restricted movement to the area in April.

Despite this, the first cases in the camps were detected in mid-May.   "None of the infections are critical. Most hardly show any symptoms. Still we have brought them in isolation centres and quarantined their families," Toha Bhuiyan, a senior health official in the surrounding Cox's Bazar area told AFP.   He said narrow roads to three districts of the camps -- where the majority of the infections were detected -- have been blocked off by authorities.

The 15,000 Rohingya inside these so-called blocks faced further restrictions on their movement, he said.   It comes as charity workers expressed fears over being infected in the camps as they worked without adequate protection.   Two of the areas under isolation are in Kutupalong camp, home to roughly 600,000 Rohingya.   "We are trying to scale up testing as fast as possible to make sure that we can trace out all the infected people and their contacts," Bhuiyan said.

Seven isolation centres with the capacity to treat more than 700 COVID-19 patients have been prepared, he said.   Officials hope to have just under 2,000 ready by the end of May, he added.   Mahbubur Rahman, the chief health official of Cox's Bazar, said authorities hoped this week they would double the number of tests being performed daily from 188.   He said further entry restrictions have been imposed on the camp, with a 14 day quarantine in place for anyone visiting from Dhaka.   "We are very worried because the Rohingya camps are very densely populated. We suspect community transmission (of the virus) has already begun," Rahman told AFP.

- 'Very little awareness' -
Bangladesh on Monday notched up a record single-day spike in coronavirus cases, with 1,975 new infections, taking the toll to 35,585 cases and 501 deaths.   In early April authorities imposed a complete lockdown on Cox's Bazar district -- home to 3.4 million people including the refugees -- after a number of infections.

But a charity worker with one of the many aid organisations active in the camps said Monday he and many others were "very worried".   "Fear and panic has gripped aid workers because many of us were forced to work without much protection," he told AFP without wishing to be named.   "Social distancing is almost impossible in the camps. There is very little awareness about COVID-19 disease among the refugees, despite efforts by aid agencies."

The lack of information is exacerbated by local authorities having cut off access to the internet in September to combat, they said, drug traffickers and other criminals.   More than 740,000 Rohingya fled a brutal 2017 military crackdown in Myanmar to Cox's Bazar, where around 200,000 refugees were already living.
Date: Mon, 25 May 2020 15:25:38 +0200 (METDST)

Antananarivo, May 25, 2020 (AFP) - Madagascar's government has announced it will dispatch troops and doctors to an eastern town after several bodies were found in the streets and where two people died from the novel coronavirus.   Madagascar's cabinet held a special meeting on Sunday to discuss the situation in Toamasina, the country's second largest city.   The Indian Ocean island nation has registered 527 infections and two deaths, both in Toamasina.

Since Thursday, more than 120 new cases were confirmed, and several bodies were found in the city's streets though the cause of death was not clear.   "Doctors must carry out thorough examinations to see if these deaths are caused by another illness (...) or if they are really due to severe acute respiratory problems which is the critical form of COVID-19," Professor Hanta Marie Danielle Vololontiana, spokesperson for the government's virus taskforce, said in a national broadcast on Sunday.   The government will send 150 soldiers to reinforce Toamasina, maintain order and enforce measures against the coronavirus such as mask wearing and social distancing.

The cabinet also fired Toamasina's prefect without providing any explanation.    A team was also ordered to distribute a drink based on artemisia, a plant recognised as a treatment against malaria, which the Malagasy authorities claim cures COVID-19.    The potential benefits of this herbal tea, called Covid-Organics, have not been validated by any scientific study.    The cabinet has also announced an investigation into the death of a doctor in Toamasina. According to local press, the victim was hospitalised after contracting COVID-19 and was found dead hanged in his room on Sunday morning.
Date: Mon, 25 May 2020 09:20:17 +0200 (METDST)
By Bhuvan Bagga with Indranil Mukherjee in Mumbai

New Delhi, May 25, 2020 (AFP) - Domestic flights resumed in India on Monday even as coronavirus cases surge, while confusion about quarantine rules prompted jitters among passengers and the cancellation of dozens of planes.   India had halted all flights within the country, and departing and leaving for abroad, in late March as it sought to stop the spread of coronavirus with the world's largest lockdown.   But desperate to get Asia's third-largest economy moving again, the government announced last week that around 1,050 daily flights -- a third of the usual capacity -- would resume on Monday.

Aviation Minister Hardeep Singh Puri said strict rules would include mandatory mask-wearing and thermal screenings, although middle seats on the aircraft would not be kept empty.   The announcement reportedly caught airlines and state authorities off-guard, with several local governments announcing that passengers would have to go into quarantine for two weeks on arrival.   Maharashtra, the Indian state with the highest number of coronavirus cases, capped at 50 the number of departures and arrivals in and out of its capital Mumbai.

Airlines scrapped dozens of flights on Monday while hundreds of passengers cancelled their bookings, reports said.   The NDTV news channel said 82 flights to and from New Delhi had been cancelled and nine at Bangalore airport.   Other flights from cities including infection hotspots Mumbai and Chennai were struck off, many at short notice, reports said.   At Mumbai airport social distancing was forgotten as irate passengers harangued staff after their flights were cancelled at the last minute.

- 'Really scary' -
At New Delhi airport, hundreds of people anxious to get home but apprehensive about the risks queued from before dawn -- all wearing masks and standing at least one metre (three feet) apart.   Security personnel behind plastic screens verified check-in documents and that passengers had the government contact tracing app, Aarogya Setu, on their phones.

"While I'm looking forward (to flying home), the idea of flying is really scary," student Gladia Laipubam told AFP as she stood in line.   "Anything can happen. It's very risky. I don't really know when I'll be able to come back to Delhi now. There is no clarity from the university too at this time."   One female airline employee wearing gloves, a mask and a protective face shield said she and many other colleagues felt "very nervous" about starting work again.   "Dealing with so many people at this time is so risky. I must have interacted with at least 200 people since this morning," she told AFP, not wishing to be named.

Cabin crew on the planes had to wear full protective suits with masks, plastic visors and blue rubber gloves, and many were also confused about the rules, the Press Trust of India reported.   "There is no clarity on whether I need to go into home quarantine for 14 days after returning to my base or show up for duty on Monday," one pilot told PTI.   New coronavirus cases in India crossed 6,000 for the third consecutive day on Sunday, surging to a record single-day spike of 6,767 infections.   The country has recorded almost 140,000 cases and over 4,000 deaths.   Singh has said that international flights could resume in June, although dozens of special flights have in recent weeks brought back some of the hundreds of thousands of Indians stuck abroad.
Date: Fri, 22 May 2020 11:02:28 +0200 (METDST)

Suva, Fiji, May 22, 2020 (AFP) - A huge fire at one of Suva's largest markets blanketed the Fijian capital in thick smoke before it was brought under control Friday, firefighters said.   The blaze engulfed the Suva Flea Market, a major tourist attraction near the waterfront, sending plumes of acrid black smoke into the air.   The National Fire Authority said an adjoining shop was also badly damaged but there were no reports of injuries.   "It's been stopped now and no one was injured but that's all we can say at the moment," a spokesman told AFP.   The said the cause of the fire was being investigated.