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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 ...

Paraguay

Paraguay - US Consular Information Sheet
September 15, 2008
COUNTRY DESCRIPTION:
Paraguay is a constitutional democracy with a developing economy.
Tourist facilities are adequate in the capital city of Asuncion, but they vary greatly
n quality and prices.
Travelers outside Asuncion should consider seeking travel agency assistance, as satisfactory or adequate tourist facilities are very limited in other major cities and almost nonexistent in remote areas.
Read the Department of State Background Notes on Paraguay for additional information.
ENTRY/EXIT REQUIREMENTS:
A passport and visa are required.
U.S. citizens traveling to Paraguay must submit completed visa applications in person or by secure messenger to the Paraguayan Embassy or one of the consulates and pay a fee.
Paraguay issues visas for one-entry or multiple entries up to the validity of the U.S. passport.
Applicants under 18 years of age traveling alone must appear with both of their parents or a legal guardian.
In case of a guardian, an original and one copy of proof of legal guardianship are required.
A document of authorization from parents/guardian will be accepted only if it is notarized and certified by the county clerk.
Travelers entering or departing Paraguay with regular U.S. passports will be fingerprinted.
Some airlines include the Paraguayan airport departure tax in the price of the airline ticket.
It is recommended that you check with the airline in order to determine whether or not the departure tax has been included.
If the tax is not included in the airline ticket then payment would be required upon departure in either U.S. or local currency (no credit cards or checks accepted). Visit the Embassy of Paraguay web site at http://www.embaparusa.gov.py 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:
As stated in the Department of State's latest Worldwide Caution, U.S. citizens overseas may be targeted by extremist groups and should maintain a high level of vigilance.
The U.S. Embassy is not aware of any specific terrorist threat to Americans in Paraguay.
Individuals and organizations providing financial support to extremist groups operate in Ciudad del Este and along the tri-border area between Paraguay, Brazil and Argentina.
Small armed groups have also been reported to be operating in the San Pedro and Concepcion Departments.
Drug trafficking remains a serious concern in the Department of Amambay.
Because of concerns about the lack of security in border areas, the U.S. Embassy in Asuncion requires U.S. Government personnel and their family members to provide advance notice and a travel itinerary when traveling to Ciudad del Este or Pedro Juan Caballero.
As a general precaution, the Embassy also counsels its employees traveling outside the capital to provide an itinerary including dates, contact names, and telephone numbers where the employee may be reached.

Since January 2007, there have been numerous kidnapping incidents mainly in the Alto Parana department.
Targets have been members of the Paraguayan business community or their family members.
It is believed that the individuals responsible for the kidnappings are financially motivated and have pre-selected their targets based on the victims’ wealth.

U.S. citizens should avoid large gatherings or any other event where crowds have congregated to demonstrate or protest.
Such activities have resulted in intermittent road closures including major routes traveled by tourists and residents.
While generally nonviolent, demonstrations and/or roadblocks have turned violent in the past.
Areas where such closures and barricades exist should be avoided.
U.S. citizens who encounter demonstrations and/or roadblocks should not attempt to continue the planned travel or to confront those at the roadblock.
Instead, they should avoid areas where individuals are demonstrating and in case of roadblock, wait for the road to reopen or return to the origin of their trip.
Uniformed police often conduct roving checks of vehicles and passengers.

For the latest security information, Americans traveling abroad should regularly monitor the Department of State, Bureau of Consular Affairs’ website 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 United States and Canada, or for callers outside the United States 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 has increased in recent years with criminals often targeting those thought to be wealthy.
Although most crime is nonviolent, there has been an increase in the use of weapons and there have been incidents where extreme violence has been used.
U.S. citizens have on occasion been the victims of assaults, kidnappings, robberies, and rapes.
Local authorities frequently lack the training and resources to solve these cases.
Under these circumstances, U.S. citizens traveling to or residing in Paraguay should be aware of their surroundings and security at all times.
They should take common sense precautions including refraining from displaying expensive-looking cameras and jewelry, large amounts of money, or other valuable items.
Resistance to armed assailants has often aggravated the situation and therefore is not advised.

Armed robbery, carjackings, car theft, and home invasions are a problem in both urban and rural areas.
Street crime, including pick pocketing and mugging, is prevalent in cities.
The number of pick pocketing incidents and armed assaults is also increasing on public buses and in the downtown area of Asunción.
As many incidents on public buses involve individuals snatching valuables, passengers should not wear expensive-looking jewelry or display other flashy items.
There have been incidents of pilferage from checked baggage at both airports and bus terminals.
Travelers have found it prudent to hide valuables on their person or in carry-on luggage.
Unauthorized ticket vendors also reportedly operate at the Asuncion bus terminal, badgering travelers into buying tickets for substandard or non-existent services.

In many countries around the world, counterfeit and pirated goods are widely available.
Transactions involving such products may be illegal under local law.
In addition, bringing them back to the United States may result in forfeitures and/or fines.
More information on this serious problem is available at http://www.cybercrime.gov/18usc2320.htm
INFORMATION FOR VICTIMS OF CRIME:
The loss or theft abroad of a U.S. passport should be reported immediately to the local police and the nearest U.S. Embassy or Consulate.
If you are the victim of a crime while overseas, in addition to reporting to local police, please contact the nearest U.S. Embassy or Consulate for assistance.
The Embassy/Consulate staff can, for example, assist you 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 are 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.

Below are the local equivalent phone numbers to the “911” emergency line in Paraguay.
In Asuncion, the following phone numbers exist for roadside/ambulance assistance:
Emergency Services, including police and ambulances:
911.
Fire Department, including rescue of accident victims: 131, 132.
See our information on Victims of Crime.

MEDICAL FACILITIES AND HEALTH INFORMATION:
Adequate medical facilities, prescription and over-the-counter medicine, supplies, and services are available only in Asuncion.
Elsewhere, these are limited and may not exist.

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

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

U.S. citizens have been injured and killed in traffic accidents.
Only minimal standards must be met to obtain a Paraguayan driver's license, and driver education prior to licensing is not common.
Drivers throughout Paraguay routinely ignore traffic regulations.
No vehicle insurance is required, and many Paraguayans drive without any insurance coverage.
Persons who drive in Paraguay should be prepared to drive defensively and with their own insurance in both urban and rural areas.

Public transportation is readily available for urban and inter-city travel.
Buses vary in maintenance conditions and may not meet U.S. safety standards.
Armed robberies and pick pocketing occur on buses in cities and rural areas, sometimes with the apparent collusion of the bus driver.
Taxis are available and may be called using telephone numbers listed in the newspapers.
No passenger train service exists.
Bicycle travel may not be safe due to traffic and other road hazards.
Most urban streets consist of cobblestones over dirt.
Some roads in Asuncion and other large cities are paved.
However, these roads frequently develop potholes that often remain unrepaired.
Nearly all rural roads are unpaved, and during rainy periods and the rainy season (November-March/April), they may be impassable.
Road signs indicating hazards, such as sharp curves or major intersections, are lacking in many areas.

Driving or traveling at night is not advisable outside Asuncion because pedestrians, animals, or vehicles without proper lights are often on the roads.
In addition, assaults and other crimes against motorists traveling at night have occurred.
Extra precautions should be exercised along infrequently traveled portions of the rural roads.

Intercity highway maintenance is not equal to U.S. standards.
The privately maintained toll road between Caaguazu and Ciudad del Este and the routes between Asuncion and Encarnacion and Asuncion and Pedro Juan Caballero are in good condition.
Most other intercity routes are in good to fair condition, with brief stretches in poor condition.
The Trans-Chaco route is in fair condition except for the portion between Mariscal Estigarribia and the Bolivian border, which is unpaved and at times impassable.

The Touring and Automobile Club provides some roadside assistance to its members.
The Club may be contacted in Asuncion by visiting its offices at 25 de Mayo near Brazil, First Floor, or telephoning 210-550, 210-551, 210-552, 210-553, Monday through Friday from 8:00 a.m. to 5:00 p.m., or Saturday from 8:00 a.m. to noon, except for Paraguayan holidays.
The Touring Club also has offices in Ciudad del Este (tel. 061-512-340), Coronel Oviedo (tel. 0521-203-350), Encarnación (tel. 071-202-203), San Ignacio Misiones (tel. 082-232-080), Caaguazu Campo 9 ( tel. 0528-222-211), Santani (tel. 043-20-314), Pozo Colorado (cell phone. 0981-939-611, Villa Florida (tel. 083-240-205) and Ybyyau (tel. 039-210-206).
Towing services are scarce outside urban areas.
Twenty-four-hour tow truck services from Asuncion may be contacted by telephoning (021) 224-366, (021) 208-400, (cellular service provider) Tigo by dialing *822 or 0971-951-930.
For an extra fee, these companies may provide service outside Asuncion, but they typically demand immediate payment and may not accept credit cards.

Please refer to our Road Safety page for more information.
Visit the website of Paraguay’s national tourist office and national authority responsible for road safety at http://www.senatur.gov.py and http://www.mopc.gov.py/
AVIATION SAFETY OVERSIGHT: The U.S. Federal Aviation Administration (FAA) has assessed the Government of Paraguay’s Civil Aviation Authority as not being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for the oversight of Paraguay’s air carrier operations.
For more information, travelers may visit the FAA’s web site at http://www.faa.gov/safety/programs%5Finitiatives/oversight/iasa/
SPECIAL CIRCUMSTANCES: Paraguay’s customs authority may enforce strict regulations concerning temporary importation into or export from Paraguay of items such as firearms, medications, toys resembling weapons, or protected species.
It is advisable to contact the Paraguayan Embassy in Washington, D.C., or one of Paraguay's consulates in the United States for specific information regarding customs requirements.

Paraguay does not recognize dual Paraguayan nationality for American citizens.
Under Article 150 of the Paraguayan Constitution, naturalized Paraguayans lose their nationality by virtue of a court ruling based on unjustified absence from the Republic for more than three years, or by voluntary adoption of another nationality.
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 Paraguay’s laws, even unknowingly, may be expelled, arrested, or imprisoned.
Penalties for possession, use, or trafficking in illegal drugs in Paraguay 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 residing or traveling in Paraguay 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 Paraguay.
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 1776 Mariscal Lopez Avenue, Asuncion; telephone (011-595-21) 213-715, fax (011-595-21) 213-728; Internet: http://paraguay.usembassy.gov, email: paraguayconsular@state.gov.
The Consular Section is open for U.S. citizen services, including registration, Monday through Thursday from 1:00 p.m. to 4:30 p.m. and Fridays from 7:30 a.m. to 10:30 a.m., except for U.S. and Paraguayan holidays; telephone (011-595-21) 213-715, fax (011-595-21) 228-603.

Travel News Headlines WORLD NEWS

Date: Tue, 28 May 2019 03:40:13 +0200
By Hugo OLAZAR

Nanawa, Paraguay, May 28, 2019 (AFP) - Like 70,000 people living close to the broken banks of the Paraguay River, where the water level has risen seven meters (23 feet) in some places, Graciela Acosta has had to pack up her belongings and evacuate.   Piled up on a canoe are the 39-year-old housewife's bed, wardrobe, bedside table and her dog Pirulin.

Acosta is getting ready to cross the border into Argentina with her daughter to seek refuge in a reception center in the neighboring town of Clorinda.   "I've had enough! It's the third time that I've had to move everything because of the floods," said Acosta.   "I pray to God that it ends. Every time. it costs a lot of money."   However, there's no chance of Acosta leaving her home in Nanawa, a town of just 6,000 people that borders Argentina to the west and faces the capital Asuncion to the east across the Paraguay River, for good.   "As soon as the water level drops, I'll go home," she said.

- 'Greater impact' -
In Nanawa, only around 500 people were able to avoid evacuation, due to living in homes with upper floors above the flood levels.   They're used to this as the Paraguay River, one of the largest in the Americas, breaks its banks and causes havoc in the poorest Nanawa neighborhoods built on the flood plain.   The river's brown waters rise almost to the height of street signs: in some areas, there is up to one or two meters of water covering roads.

Paraguayans have seen worse, though, back in 1983, according to the assistant director of the country's meteorology and hydrology service, Nelson Perez.   "It's not the Paraguay River's worst flood, but the impact is greater because more people live close to the river," said Perez.   "These are the worst floods I've seen," said Ruben Acosta, 55, who peddles his moving services by canoe.   It's a far cry from January and February, when the river's level was so low that navigating it became difficult.   "It rained a lot in March, three times more than usual, and it also rained a lot in April and May," said Perez, who pointed to deforestation as an added problem.

- 'It's like being in Venice' -
Wading through water up to his chest, Rigoberto Nunez leaves a cemetery carrying a chandelier, a vase, some crucifixes and family portraits, all plucked from the family vault.   "I prefer to take them away to be safe," says the 47-year-old traveling salesman.    The town is without electricity or police and inhabitants are afraid of looters.   Nunez is heading to a reception center provided by Argentine authorities in a Clorinda slum where he's already stashed his furniture.   Enrique Cardozo's workshop has already been ravaged by the floods.   "I've lost my sofa, the cupboard, I had nowhere to put them," said the 51-year-old father of four.

The family has moved into the first floor of their house, which is just 15 meters from the river.   "It rained non-stop for a week. One day, the water rose one meter. It was impressive, we couldn't save everything," said Cardozo.   "There's nowhere you can put your feet on the ground. It's like being in Venice, we move about by Gondola!"

On the other side of the river, Asuncion has not been spared as several areas have also had to be evacuated.   In the Sajonia residential zone, inhabitants and shopkeepers have seen their sidewalks lined with sandbags, to keep back the floodwaters.   According to Perez, though, the problems -- and waters -- will soon subside.   The water level rose only slightly on Monday, and will continue to do so for a few more days before it drains away during the first half of June, he said.
Date: Mon, 27 May 2019 12:07:58 +0200

Asuncion, May 27, 2019 (AFP) - Heavy flooding in Paraguay has displaced 70,000 families and is threatening to further inundate the capital Asuncion in the coming weeks, the country's weather bureau said.   Water levels on the Paraguay River are rising at a rate of 4-5 centimetres (1.5-2 inches) every day and is only 46 cm (18 in) below a "disaster" level, according to official data from the Department of Meteorology and Hydrology (DMH).

Crossing that threshold would "have a very strong impact" because of the number of Asuncion residents who have moved into the city's floodplain, said DMH deputy director Nelson Perez on Sunday.   The city's water service infrastructure was clogged with garbage which was exacerbating the floods, Perez added. 

Unusually heavy downpours over May, including two days which together exceeded Asuncion's average monthly rainfall, have exacerbated the flooding, said DMH meteorologist Eduardo Mingo.    Some 40,000 people in Asuncion have already been affected by the floods, official data reported.   A further 10,000 people have been displaced in the southern town of Pilar on the Argentinian border.   The government has mobilized armed forces to help displaced residents relocate to shelters, but hundreds of families have opted to stay behind in their inundated homes.
Date: Thu, 4 Apr 2019 03:06:45 +0200

Asuncion, April 4, 2019 (AFP) - More than 20,000 families across Paraguay have been affected by severe flooding from two weeks of heavy rain that caused the country's main river to burst its banks, a senior official said Wednesday as an emergency was declared in the capital.   National Emergency Minister Joaquin Roa made the announcement as forecasters said the precipitation would continue for the rest of the week.   The Paraguay River, which runs some 1,000 kilometres north to south and splits the country in two, is expected to continue overflowing.

A 90-day emergency was declared in Asuncion on Wednesday due to the flooding. Hardest-hit are some 5,000 families living in the Banado Sur working-class neighbourhood on the city outskirts.   The people affected by flooding "need sheet metal roofing, wood, and all types of help," a municipal official told AFP.   The Paraguay River flows past Asuncion and eventually merges into the Parana River in Argentina.   "We did not expect it to swell so quickly," said Pablo Ramirez, a resident of Banado Sur, a neighbourhood in the capital, dismayed after returning to his home after he left it one month ago due to flooding.

Ramirez, who relies on crutches to get around following a car accident, said that he will not leave home this time. The flooding "will go by quickly," he said optimistically.   Pedro Velasco, the leading neighbourhood Catholic priest, said that one week ago they warned emergency officials that the river was about to overflow and asked for trucks to deliver aid and help evacuate people.   "They didn't move until Monday, but by then it was already too late and they couldn't come in" because of the flooding, Velasco said.   Roa said that his office will deliver 400,000 of food in the next days in coordination with the Paraguayan military.
Date: Thu 28 Feb 2019
Source: Hoy [in Spanish trans. Mod.TY, edited]

Patients who present with febrile symptoms and who reside in the area where the 1st positive case was reported positive request tests for hantavirus [infection]. Until now there are 5 cases, 3 were positive in initial laboratory tests and 2 are suspect cases that will be tested outside [the country] because the Central Laboratory does not do confirmatory tests.

The febrile cases of residents in Capiata [Central department], the area where the 1st cases of hantavirus occurred, are adding up and now Health Surveillance has reported 2 more suspected cases, all children between 2 and 7 years old living in the same city; community intervention continues in search of possible cases.

The 1st cases confirmed in a private laboratory remain hospitalized in intensive care and the others who have improved are now receiving ambulatory treatment, stated Dr Sandra Irala of Health Surveillance.

"The clinical picture of hantavirus [infection] is that of a patient with a temperature above 38 deg C [100.4 deg F] and respiratory difficulty is another characteristic in the endemic area such as that of Chaco. In the non-endemic area [hantavirus infection] is suspected if the patient presents with fever and other possible causes are eliminated," the doctor indicated in a press conference.

The rodents that transmit the hantavirus do not inhabit urban areas and the way in which the disease [virus] is acquired is through contact with excreta and other secretions such as saliva and urine of these [infected] rodents.

Irala pointed out that the cases that are initially positive should have a cross-section of studies for final confirmation, so the samples were sent to Argentina, where there is a reference laboratory for the detection of this type of virus.

The person acquires the virus by inhaling air contaminated with the virus that is transported through dust particles, which is why it is recommended before cleaning, especially of storage buildings, to open doors and windows to ventilate the environment and moisten the soil to before proceeding with the sweeping.

The possibility of acquiring a hantavirus [infection] is if you have a history of having visited the Chaco area or if you were in a country that registers outbreaks of hantavirus, such as southern Argentina.

The disease has a 30% mortality rate and in Paraguay every year about 20 cases are registered, all in the Chaco region.

Alerting symptoms
-----------------
The symptoms of hantavirus [infection] are similar to other infectious diseases and include fever, headache, and gastrointestinal problems and, according to the development and the seriousness of the case, the patient may present with respiratory manifestations.

Before the appearance of any of these or other symptoms [the Ministry of Health] urges the public to go to the nearest health service to make the appropriate diagnosis and appropriate treatment. Under no circumstances should self-medication be used as this could aggravate the picture and obstruct the actual diagnosis of the disease.
=====================
[The active surveillance efforts in the neighborhood of the initial case has detected more patients now with a total 3 confirmed and 2 suspected. The tests used in the private laboratory to determine that 3 cases as confirmed are not indicated, nor if samples of these 3 cases were sent to the reference laboratory in Argentina for confirmation.

Most of the previous cases of hantavirus infection in Paraguay have been diagnosed in Boqueron department in the north western part of the country. This is the 1st report of hantavirus infections in the Central department of Paraguay. The possible hantavirus involved in this suspected case is not stated. A 2011 report indicated that Leguna Negra hantavirus was responsible for hantavirus pulmonary syndrome (HPS) cases in Presidente Hayes department. In addition to Laguna Negra virus (rodent host _Calomys laucha_), other hantaviruses that can cause HPS and are found in Paraguay (and their rodent hosts) include Juquitiba (_Akodon cursor_), Ape Aime-Itapua (_Akodon montensis_), Araucaria (_A. montensis_, _Oligoryzomys nigripes_), Jabora and Jabora-like (_A. montensis_), Alto Paraguay (_Holochilus chararius_), and Lechiguanas (_Oligoryzomys nigripes_). - ProMED Mod.TY]

[Maps of Paraguay:
Date: Tue 12 Jun 2018
Source: WHO, Malaria [edited]

- What were the key elements to Paraguay's malaria elimination success that helped the country reach zero indigenous cases of the disease?
Paraguay is the 1st country in the Americas since Cuba in 1973 to be certified malaria-free, representing a significant public health achievement not only for Paraguay but for the Americas as a whole. Achieving elimination in Paraguay required substantial levels of political commitment and leadership, as well as sustained investments in its national malaria programme over a period spanning more than 50 years. Notable aspects of its approach include:

Rapid and targeted response
---------------------------
With free universal health services in Paraguay and a strong malaria surveillance system, malaria cases were detected early, investigated promptly, and classified correctly.

Dedicated elimination strategy
------------------------------
After reporting its last case of malaria in 2011, Paraguay launched a 5-year plan to consolidate the gains, prevent re-establishment of transmission, and prepare for elimination certification. Activities centred on strengthening epidemiological surveillance, robust case management, and a public information campaign on the diagnosis, treatment, and prevention of malaria to promote behaviour change among populations in at-risk areas.

Integration
-----------
During 2015 and 2016, as part of a broader health reform, malaria surveillance, diagnosis, and treatment activities were integrated within Paraguay's general health services, with the aim of expanding health coverage to at-risk populations and preventing re-establishment.

Strengthening surveillance skills
---------------------------------
A 3-year initiative to hone the skills of front-line health workers in the country's 18 health regions was launched in 2016 to keep the malaria surveillance system sustainable over the long term. Supported by The Global Fund to Fight AIDS, Tuberculosis and Malaria, the project addresses disease prevention, identification of suspected cases, accurate diagnosis and prompt treatment to respond to the on-going threat of malaria importation from endemic countries in the region and Africa.

- How has Paraguay managed to stay malaria-free since 2012? What are the systems in place that made this possible and how long will the country keep those systems operational?
As part of the WHO elimination certification process, countries must demonstrate that they have the capacity to prevent the re-establishment of malaria transmission. The availability of free universal health services in Paraguay and a strong malaria surveillance system ensure imported cases of malaria are detected and responded to in a timely manner to prevent local transmission.

The inclusion of the national malaria programme within the National Malaria Eradication Service (SENEPA, in the Spanish acronym), the institution within the ministry of health responsible for the control of vector-borne diseases, helps guarantee the programme's future existence.

Further, congressional legislation provides predictable and long-term financing for the national malaria programme: by law, 1.5 percent of annual income from Paraguay's social security programme is allocated to SENEPA. Together, these elements ensure that efforts to prevent the re-establishment of malaria transmission can be sustained in the decades to come.

- What are the benefits of malaria elimination for Paraguay?
Eliminating malaria in Paraguay means that no one will fall ill or die from local transmission of the disease, bringing about tangible health benefits at the individual and community levels, as well as broader socio-economic outcomes.

- What role did national leadership, political will, civil society and international partners play in Paraguay's success?
Eliminating malaria is a collective effort, requiring the sustained engagement of many partners at the national, regional and global levels. However, achieving elimination is a country-driven process. For elimination efforts to succeed, government stewardship is essential, together with the engagement and participation of affected communities.

- Does Paraguay coordinate cross-border surveillance activities to prevent importation of malaria cases and do they provide antimalarial treatment to visitors and migrants?
Paraguay provides free treatment to all citizens, visitors, and migrants, regardless of their nationality or residency status. The national malaria programme has identified 3 populations at greatest risk: the military, Brazilian students attending universities in Paraguay, and Paraguayans travelling to Africa. Targeted interventions include strengthening passive detection systems, promotion of health education, and providing prophylaxis to travellers heading to and returning from malaria-endemic regions in Africa.

To step up cross-border collaboration, the Pan American Health Organization (PAHO) funded a project focused on strengthening entomological surveillance and control of vector-borne diseases in the 'triple border' area of Argentina, Brazil, and Paraguay. A key outcome of the project, which ran from 2010 to 2012, was the development of an _Anopheles_ mosquito range map, a tool that shows the geographic distribution of malaria-carrying mosquitoes.

- What are the lessons learned from Paraguay's experience that can be applied in other countries looking to eliminate malaria?
Paraguay provides universal free health services to all, one of the critical elements that helps drive a country towards malaria elimination. Sustained political commitment and robust financial support are further keys to success. Continued surveillance of suspected cases, targeted community engagement and education, as well as strengthening skills of front-line health workers, are recommended strategies that WHO encourages countries to adopt as part of their national malaria elimination programmes.
 
- Is Paraguay replicating its elimination strategy with other infectious and mosquito-borne diseases?
Paraguay has an integrated approach to entomological surveillance activities, taking into account several vector-borne diseases including dengue, leishmaniasis, and Zika virus. Integration of malaria surveillance into the general health system had been a challenging task in Paraguay, but the lessons and experiences learned from other vector-borne diseases have contributed to the smooth integration and transition of the malaria programme. At the same time, the approach used to eliminate malaria is now being applied to eliminate Chagas disease and schistosomiasis.
======================
[ProMED congratulates Paraguay for this important public health achievement. It is important to demonstrate that malaria eradication is possible, and the achievement could be an inspiration for the countries in southeast Asia experiencing a decline in artemisinin susceptibility. - ProMED Mod.EP]

[HealthMap/ProMED-mail map of Paraguay:
More ...

Myanmar (Burma)

Myanmar (Burma) US Consular Information Sheet
October 09, 2008
COUNTRY DESCRIPTION:
Burma (Myanmar) is an underdeveloped agrarian country ruled by an authoritarian military regime.
The country's government suppresses all expression of
opposition to its rule.

After a long period of isolation, Burma has started to encourage tourism.
Foreigners can expect to pay several times more than locals do for accommodations, domestic airfares, and entry to tourist sites.
Tourist facilities in Rangoon, Bagan, Ngapali Beach, Inle Lake, and Mandalay are superior to tourist facilities in other parts of the country, where they are limited.
Please note that visitors should travel with sufficient cash to cover their expenses for the duration of their visit.
Traveler’s checks and credit cards are not accepted anywhere, and ATM machines are nonexistent in Burma.
(See "Currency" and “U.S. Treasury Sanctions" below.)
Read the Department of State's Background Notes on Burma for additional information.
ENTRY/EXIT REQUIREMENTS: The Government of Burma strictly controls travel to, from, and within Burma.
Since October 1, 2006, Burmese authorities have often prohibited entry or exit at most land border crossings, unless the traveler is part of a package tour group that has received prior permission from the Burmese authorities.
A passport and visa are required for entry into Burma.
Travelers are required to show their passports with a valid visa at all airports, train stations, and hotels.
Security checkpoints are common outside of tourist areas.

Burmese authorities rarely issue visas to persons with occupations they deem “sensitive,” including journalists.
Many journalists and writers traveling to Burma on tourist visas have been denied entry.
Journalists -- and tourists mistaken for journalists -- have been harassed.
Some journalists have had film and notes confiscated upon leaving the country.
In an effort to prevent international child abduction, many governments have initiated procedures at entry/exit points.
These often include requiring documentary evidence of relationship and permission for the child's travel from the absent parent(s) or legal guardian. Having such documentation on hand, even if not required, may facilitate entry/departure.
Information about entry requirements as well as other information may be obtained from the Burmese Embassy (Embassy of the Union of Myanmar) at http://www.mewashingtondc.com/,
2300 S Street NW, Washington, DC
20008, telephone 202-332-4350 or the Permanent Burma Mission (Mission of Myanmar) to the U.N. 10 East 77th St., New York, NY 10021, (212-535-1311) 212-744-1271, fax 212-744-1290.

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: U.S. citizens traveling in Burma should exercise caution, register with the U.S. Embassy and check in for an update on the current security situation.
U.S. citizens are encouraged to carry their U.S. passports or photocopies of passport data and visa pages at all times so that if questioned by Burmese officials, they will have proof of U.S. citizenship readily available.

In September 2007, the Burmese Government brutally cracked down on peaceful demonstrators, using gunfire, rubber bullets, batons, and tear gas against them and those observing in the vicinity.
The authorities killed at least 30 people during the crackdown and arrested more than 3,000.
On September 27, 2007, security forces shot and killed a Japanese journalist in the Sule Pagoda downtown area during a demonstration. The Burmese Government has a standing law, which is sporadically enforced, that bans all gatherings of more than five people.

On May 7, 2005, three large bombs simultaneously exploded in Rangoon at two crowded shopping areas frequented by foreigners and at an international trade center, killing at least 20 people and wounding several hundred.
On April 26, 2005, an explosive device detonated at a busy market in Mandalay, killing at least three people.
Although other smaller-scale bombings have occurred in Burma in recent years, including in early 2007 and early 2008, the 2005 bombings were more sophisticated and specifically targeted more highly trafficked areas than those used in other bombings.
However, there is no indication that these attacks targeted American citizens or U.S. interests.
The perpetrators of these bombings have not been identified.

In light of these incidents and the possibility of recurring political unrest, Americans in Burma should exercise caution in public places and be alert to their surroundings.
Furthermore, Americans in Burma should avoid crowded public places, such as large public gatherings, demonstrations, and any area cordoned off by security forces.
The Embassy also advises U.S. citizens not to photograph or videotape the military or police, because doing so could be interpreted as provocative.
Burma experienced major political unrest in 1988 when the military regime jailed as well as killed thousands of Burmese democracy activists.
In 1990, the military government refused to recognize the results of an election that the opposition won overwhelmingly.
Major demonstrations by opposition activists occurred in 1996 and 1998.
In May 2003, individuals affiliated with the Burmese regime attacked a convoy carrying opposition leader Aung San Suu Kyi in Sagaing Division; dozens were killed or injured.

Ethnic rebellions still smolder in regions along Burma’s borders with Thailand, China, India, and Bangladesh, and anti-personnel landmines along border areas pose an additional danger. Occasional fighting between government forces and various rebel groups has occurred in Chin State and Sagaing Division near India and along the Thai-Burma border area in Burma's Shan, Mon, Kayah (Karenni), and Karen states.
From time to time, the Governments of Burma and Thailand have closed the border between the two nations on short notice.
In January 2005, regional governments announced a major regional law enforcement initiative aimed at dismantling the operations of Southeast Asia's largest narcotics trafficking organization, the United Wa State Army.
At that time, the Burmese Government stated that it could not guarantee the safety of foreign officials or personnel from non-governmental organizations traveling or working in Wa Special Region 2 (northeastern Shan State).

U.S. citizens have been detained, arrested, tried, and deported for, among other activities, distributing pro-democracy literature and visiting the homes and offices of Burmese pro-democracy leaders.
Taking photographs of anything that could be perceived as being of military or security interest may also result in problems with authorities.
Burmese authorities have warned U.S. Embassy officials that those who engage in similar activities in the future will be jailed rather than deported.
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. - 8:00 p.m. Eastern Time, Monday through Friday (except for 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 rates in Burma, especially toward foreigners, are lower than those of many other countries in the region.
Nevertheless, due in part to the poor economic situation in Burma, the crime rate has been increasing.
Violent crime against foreigners is rare.
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: Medical facilities in Burma are inadequate for even routine medical care.
There are few trained medical personnel.
Most foreign drugs on sale have been smuggled into the country, and many are counterfeit or adulterated and thus unsafe to use.
Travelers should bring adequate supplies of their medications for the duration of their stay in Burma.
HIV/AIDS is widespread among high-risk populations, such as prostitutes and illegal drug users.
Malaria, tuberculosis, hepatitis, and other infectious diseases are endemic in most parts of the country.

In early 2006 and throughout 2007, brief avian influenza outbreaks resulted in the death of domestic poultry and some wild birds. In December 2007, the World Health Organization and Burmese Ministry of Health confirmed Burma’s first case of human infection with the H5N1 avian influenza virus.
The young girl infected with the virus during a poultry outbreak in eastern Shan State in late November responded well to treatment and fully recovered.
Travelers to Burma and other South Asian countries affected by avian influenza are cautioned to avoid poultry farms, contact with animals in live food markets, and any other surfaces that appear to be contaminated with feces from poultry or other animals.
Current information about avian influenza A (H5N1) and pandemic influenza can be found via the Centers for Disease Control and Prevention’s (CDC) web site at http://www.cdc.gov/flu/avian/ or at AvianFlu.gov.
For additional information on avian influenza as it affects American citizens residing abroad, see the U.S. Department of State’s Avian Influenza Fact Sheet.

Tuberculosis is an increasingly serious health concern in Burma.
For further information, please consult the CDC's Travel Notice on TB at http://wwwn.cdc.gov/travel/yellowBookCh4-TB.aspx.
The U.S. Department of State is unaware of any HIV/AIDS entry restrictions for visitors to or foreign residents of Burma.
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 (CDC) 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 and other health information, 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 Burma is provided for general reference only, and may not be accurate in a particular location or circumstance.
Rangoon's main roads are generally in poor condition.
Traffic in the capital is increasing rapidly, but heavy congestion is still uncommon.
Some roads are in serious disrepair.
Slow-moving vehicles, bicycles, animals, and heavy pedestrian traffic create numerous hazards for drivers on Rangoon's streets.
Drivers must remain extremely alert to avoid hitting pedestrians.
Most roads outside of Rangoon consist of one to two lanes and are potholed, often unpaved, and unlit at night.
Many of the truck drivers traversing from China to Rangoon are believed to drive under the influence of methamphetamines and other stimulants.
Drunken and/or drugged drivers are also common on the roads during the four-day Buddhist water festival in mid-April.
Driving at night is particularly dangerous.
Few, if any, streets are adequately lit.
Most Burmese drivers do not turn on their headlights until the sky is completely dark; many do not use headlights at all.
Many bicyclists use no lights or reflectors.

Vehicular traffic moves on the right side, as in the United States; however, a majority of vehicles have the steering wheel positioned on the right.
The “right of way” concept is generally respected, but military convoys and motorcades always have precedence.
Most vehicle accidents are settled between the parties on site, with the party at fault paying the damages.
In the event of an accident with a pedestrian, the driver is always considered to be at fault and subject to fines or arrest, regardless of the circumstances. Accidents that require an investigation are concluded quickly and rarely result in criminal prosecution.
There is no roadside assistance, and ambulances are not available.
Vehicles generally do not have seat belts.
Child car seats are also not available.

Please refer to our Road Safety page for more information.
AVIATION SAFETY OVERSIGHT: As there is no direct commercial air service to the United States by carriers registered in Burma, the U.S. Federal Aviation Administration (FAA) has not assessed Burma’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 U.S. Embassy in Rangoon has advised its employees to avoid travel on state-owned Myanmar Airways, as well as on Air Bagan, whenever possible due to serious concerns about the airlines’ ability to maintain their airplanes.
(Myanmar Airways International [MAI] is a different carrier that operates flights between Bangkok and Rangoon.)

SPECIAL CIRCUMSTANCES:
Foreigner Travel within Burma:
Burmese authorities require that hotels and guesthouses furnish information about the identities and activities of their foreign guests.
Burmese who interact with foreigners may be compelled to report on those interactions to the Burmese authorities.
Security personnel may at times place foreign visitors under surveillance, and travelers must assume their actions, such as meeting with Burmese citizens, particularly in hotel lobbies and rooms, are being closely monitored.
Travelers must assume that telephones and fax machines may be monitored, and personal possessions in hotel rooms may be searched.

Travelers are not generally required to obtain advance permission to travel to the main tourist areas of Mandalay and the surrounding area, Bagan, Inle Lake, Ngapali, and other beach resorts.
However, some tourists traveling to places where permission is not expressly required have reported delays due to questioning by local security personnel.
Additionally, the military regime restricts access to some areas of the country on an ad hoc basis, and in 2005 stated it could not guarantee the safety of foreigners traveling in eastern Shan State, specifically in Wa territory, also known as Special Region 2.
Individuals planning to travel in Burma should check with Burmese tourism authorities to see whether travel to specific destinations is permitted.
Even if the Burmese authorities allow travel to specific destinations in Burma, it may not be safe to travel in those areas.

Irrawaddy Delta Region: On May 2, 2008, Cyclone Nargis devastated Burma’s Irrawaddy Delta region and surrounding areas, killing over 130,000 people.
The Delta region is still without many basic necessities, and the risk of outbreaks of disease remains high.
The United Nations, ASEAN, and others in the international community, including the United States, provided international relief assistance to meet both immediate and long-term needs.
The Burmese Government has restricted access to this area for people other than relief workers it has authorized.
American citizens should defer nonessential travel to the Irrawaddy Delta region.

The environment in Rangoon, Burma’s most populous city, and other areas outside of the Irrawaddy Delta has gradually improved.
Electrical power and water supply have been restored in most areas and markets are now operating normally.

Customs Regulations:
Customs regulations in Burma are restrictive and strictly enforced.
Customs authorities closely search travelers’ luggage upon arrival and departure from Burma.
It is illegal to enter or exit Burma with items such as firearms, religious materials, antiquities, medications, business equipment, currency, gems, and ivory.
On several occasions in the past two decades, foreigners have been detained, searched, and imprisoned for attempting to take restricted items out of the country.

Customs officials also strictly limit what is brought into the country, including bans on pornography and political material or literature critical of the regime or supportive of the opposition.
Travelers have also reported problems bringing in high-tech electronic devices and equipment, ranging from toys to computers.
The military regime has never provided a complete listing of prohibited import items.
For information on restricted items for import into Burma and specific customs’ requirements, it is best to consult the nearest Burmese Embassy (Embassy of the Union of Myanmar) or in Washington DC located at 2300 S Street NW, Washington DC 20008, tel..: 202-332-4350.
You may also contact Burma’s Mission in New York located at 10 E. 77th Street, New York, NY
10021, tel. 202-535-1310, or 212-535-1311, fax 212-744-1290
In many countries around the world, counterfeit and pirated goods are widely available.
Transactions involving such products are illegal, and bringing them back to the United States may result in forfeitures and/or fines.
Please see our information on Customs Regulations.

Computers, Internet, and E-Mail: The military regime carefully controls and monitors all internet use in Burma and restricts internet access through software-based censorship that limits the materials individuals can access on line.
The government has allowed several cyber cafes to open, but access to the Internet is very expensive, and access to most “free” international e-mail services such as Hotmail and Yahoo is prohibited.
Currently, Gmail (Google mail) accounts can be accessed in Burma, and many locals and resident expatriates use it.
It is illegal to own an unregistered modem in Burma.
Tourists may bring one laptop computer per person into Burma and must declare it upon arrival.
Limited e-mail service is available at some large hotels.
All e-mails are read by military intelligence.
It is very expensive to send photographs via e-mail.
One foreign visitor was presented a bill for $2,000 after transmitting one photograph via a major hotel's e-mail system.
During September and October 2007, the military government disconnected all Internet access across the country for extended periods of time.

Consular Notification and Access: U.S. consular officers do not always receive timely notification of the detention, arrest, or deportation of U.S. citizens.
In addition, Burmese authorities have on occasion refused to give Embassy consular officers access to arrested or detained U.S. citizens.
U.S. citizens who are arrested or detained should request immediate contact with the U.S. Embassy.
U.S. citizens are encouraged to carry their U.S. passports with them at all times, so that if questioned by local officials, they have proof of identity and U.S. citizenship readily available.

Should an emergency arise involving the detention of a U.S. citizen, especially outside of Rangoon, it may be difficult for U.S. Embassy personnel to assist quickly, because travel inside Burma can be slow and difficult.
The Burmese authorities do not routinely notify the U.S. Embassy of the arrest of American citizens, and the Burmese Government has obstructed regular access by consular officers to American citizen detainees.

Photography: Photographing military installations or people in uniform is prohibited by Burmese authorities and could lead to arrest or the confiscation of cameras and film.
It is advisable to avoid photographing anything that could be perceived by the Burmese authorities as being of military or security interest—such as bridges, airfields, government buildings or government vehicles.

Telephone Services: Telephone services are poor in Rangoon and other major cities and non-existent in many areas.
Calling the United States from Burma is difficult and extremely expensive.

Currency: Executive Order 13310, signed by President Bush on July 28, 2003 imposed a ban on the exportation of financial services to Burma.
Travelers’ checks, credit cards, and ATM cards can rarely, if ever, be used.
Although moneychangers sometimes approach travelers with an offer to change dollars into Burmese kyat at the market rate, it is illegal to exchange currency except at authorized locations such as the airport, banks and government stores.
It is also illegal for Burmese to have possession of foreign currency without a permit.
Foreigners are required to use U.S. dollars, other hard currency, or Foreign Exchange Certificates (FEC) for the payment of plane tickets, train tickets and most hotels.
Burmese kyats are accepted for nearly all other transactions.

In recent months, U.S. financial institutions have increased scrutiny of on-line financial transactions taking place on Burmese internet providers.
The result has been that bank accounts of some American citizens working or traveling in Burma have been frozen.
To avoid this potential problem, customers of U.S. banks may wish to avoid on-line banking while using a Burmese Internet Service Provider (ISP).
Those who believe their accounts have been subject to similar restrictions in error are asked to contact the Consular Section of U.S. Embassy Rangoon.

U.S. Treasury Sanctions: As of August 27, 2003, U.S. Treasury sanctions ban the import of almost all goods from Burma into the United States.
This ban includes Burmese-origin products such as gifts, souvenirs, and items for personal use, even if carried in personal luggage.
These sanctions are part of a much larger U.S. sanctions regime for Burma, which includes a ban on new U.S. investment among other measures.
For specific information, contact the U.S. Department of the Treasury, Office of Foreign Assets Control (OFAC) home page at http://www.treas.gov/offices/enforcement/ofac/ via OFAC's Info-by-Fax service at 202-622-0077 or by phone toll-free at 1-800-540-6322.
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 those in the United States for similar offenses.
Persons violating Burmese laws, even unknowingly, may be expelled, arrested or imprisoned.
Penalties for possession of, use of, or trafficking in illegal drugs in Burma are strict, and convicted offenders can expect jail sentences and heavy fines.

Some foreigners have been denied even minimal rights in criminal proceedings in Burma, especially when suspected of engaging in political activity of any type.
This includes, but is not limited to, denial of access to an attorney, denial of access to court records, and denial of family and consular visits.
The criminal justice system is controlled by the military junta, which orders maximum sentences for most offenses.
Engaging in sexual conduct with children, using or disseminating child pornography in a foreign country is a crime prosecutable in the United States.
See our section on Criminal Penalties for more information.
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 Burma are encouraged to register with the Embassy through the State Department's travel registration web site and to obtain updated information on travel and security within Burma.
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 110 University Ave., Kamayut Township, Rangoon.
The Consular Section telephone number is (95-1) 536-509, ext. 4240; email consularrangoo@state.gov. Travelers may visit the U.S. Embassy web site at http://burma.usembassy.gov/.
The after-hours emergency number is 09-512-4330, or (95-1) 536-509, ext. 4014.
The Consular Section is open from 8:00 am to 4:30 p.m., with non-emergency American Citizen Services from 2:00 to 3:30 pm, Monday through Friday except on U.S. and Burmese holidays.
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This replaces the Consular Information Sheet dated March 19 to update the sections on Safety and Security, Medical Facilities and Health Information, Special Circumstances, and Criminal Penalties.

Travel News Headlines WORLD NEWS

Date: Sun, 12 Apr 2020 12:50:37 +0200 (METDST)

Yangon, April 12, 2020 (AFP) - Myanmar's New Year festival of Thingyan is the country's biggest public holiday -- normally a week of nation-wide celebration and water-fights, with soaked revellers partying late into the night.   But this year, in an echo of cancelled Easter celebrations elsewhere in the world, the country's commercial hub Yangon is locked down, with residents confined indoors because of the coronavirus.   Food delivery bicycles and rickshaws have commandeered the city's usually traffic-choked streets after the government ordered people to stay home unless for essential food and healthcare needs.   By Sunday Myanmar officially had just 38 confirmed cases -- including three deaths -- but many fear the low number of tests mean the real figures are likely many times higher.

Images from last year's holiday show a different city, hoses drenching cheering crowds dancing to deafening techno beats pumped out from mammoth loudspeakers.   This year the silence is broken only by the cawing of crows and cooing of pigeons, and the motor of an occasional taxi searching for custom.   "Thingyan's in the heart of every Myanmar person," a sad Soe Moe Aung, 36, told AFP.   Both the public holiday and lockdown is due to end next Sunday, but efforts to prevent the spread of coronavirus could be extended.   Yangon-based public health expert Dr Frank Smithuis warns any sustained lockdown would be "devastating" for Myanmar - and other under-developed countries in the region -  where many live hand-to-mouth.
Date: Tue, 7 Jan 2020 14:53:47 +0100 (MET)

Yangon, Jan 7, 2020 (AFP) - Four children were killed and five injured alongside their teacher as an explosion hit while they collected firewood in an area of Myanmar's Rakhine state beset by fighting between the military and Arakan Army (AA) rebels.   It was not immediately clear what caused the blast or who was behind it.   The conflict has seen scores of civilians killed, hundreds wounded and some 100,000 displaced in the past year as the AA fights for more autonomy for ethnic Rakhine Buddhists.

The attack happened Tuesday morning in Htaikhtoo Pauk village in Buthidaung township, deputy administrator Hla Shwe told AFP.   Local media posted a graphic video on Facebook showing people retrieving the victims' bodies and carrying the bloodied injured away as distressed crowds gathered.   "They were looking for firewood on the mountainside," Hla Shwe said by phone, adding the wounded had been taken to nearby hospitals in Buthidaung and Maungdaw.   He declined to say who he thought had been behind the attack.

Military spokesman Zaw Min Tun confirmed the incident and number of victims, accusing the AA of planting a landmine.   The rebels could not be reached for comment but one local village leader, who asked not to be named, told AFP the number of casualties and lack of blast crater made him doubt it had been a mine.   "Some people say a mine explosion, some say this was from heavy shelling."   The rebels have carried out a series of brazen kidnappings, bombings and raids against the military and local officials in recent months.   The army has hit back hard, deploying thousands of soldiers to the conflict-ridden region.
Date: Wed, 27 Nov 2019 10:44:40 +0100 (MET)

Yangon, Nov 27, 2019 (AFP) - A German tourist was killed and an Argentine woman injured in a landmine explosion in Myanmar, local police said Wednesday, days after the country was shamed over its continuing use of the weapons.   The accident happened near the town of Hsipaw, a popular hiking spot for backpackers who often ride the scenic route by train from Mandalay to reach the mountains.

Tim Geibler, 40, died on Tuesday afternoon near the villages of Pan Nayung and Kwun Haung, a local police officer told AFP, on condition of anonymity.   "Tourists are not permitted to go to that area," he said, adding that a 39-year-old Argentine woman was also slightly injured in the blast.   Local NGO Without Borders, which runs a de facto ambulance service staffed by volunteers, told AFP she had since been discharged from hospital.

A German foreign ministry spokesman confirmed the incident and said its Yangon embassy was in close contact with Geibler's relatives   Huge swathes of Myanmar's restive borderlands are no-go areas for holidaymakers, with various ethnic armed groups fighting the military for more autonomy in shifting violence that has endured for decades.   Two foreign tourists were injured in a mine blast in 2016 in nearby Kyaukme township, according to local media.

Myanmar was one of the top offenders named in the Landmine Monitor 2019 report published last week.   The watchdog said it was the only country in the world where the use of new anti-personnel mines had been documented over the past year.   Both the military and armed groups stand accused of using mines and the country has so far refused to sign the Mine Ban Treaty.
Date: Mon 19 Aug 2019
Source: Mizzima News [in Myanmar, trans. ProMED Mod.YMA, edited]

From 1 Jan to 16 Aug 2019, 544 people were confirmed to have H1N1 infection and 96 of them died, according to the Ministry of Health and Sports.

Among those deaths, the highest deaths were recorded in Yangon region, with 66 deaths. There were also 12 deaths in Ayeyarwady region, 7 in Bago region, 3 in Sagaing region, 2 from Magway region, and one each from Kachin, Rakhine, and (south) Shan states.

Most of these deaths were found to have underlying diseases such as diabetes mellitus, hypertension, and heart diseases.

In 2018, over 300 people were found to have H1N1 influenza infection. However, no deaths were identified. In 2017, more than 30 deaths out of over 400 confirmed cases were recorded.
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[HealthMap/ProMED-mail map of Myanmar:
14 Aug 2019

48 people died and over 10,757 others were infected by dengue haemorrhagic fever (DHF) across Myanmar in the past 7 months, according to a release from the Public Health Department under the Ministry of Health and Sports on Wednesday [14 Aug 2019]. As of 27 Jul [2019], Ayeyarwady region registered the highest numbers of DHF infection cases with 1974 cases and 5 deaths, followed by Yangon region with 1788 cases and 15 deaths, the department's figures said. The figures showed that children aged 5-9 years old are mostly infected by the dengue virus with 4473 cases registered during the period. In 2018, a total of 187 people died of the mosquitoborne disease in connection with 3649 cases in Myanmar, with 25 deaths in Yangon. Dengue fever mostly occurs in the rainy season from June to August in the country.

HealthMap/ProMED-mail map of Myanmar:
More ...

Bahrain

Bahrain - US Consular Information Sheet
June 27, 2008
COUNTRY DESCRIPTION:
Bahrain is a hereditary kingdom governed by the Al-Khalifa family. In 2002, the country adopted a new constitution that reinstated a parliament, which consists of o
e elected and one appointed chamber. Islamic ideals and beliefs provide the conservative foundation of the country's customs, laws and practices. Bahrain is a modern, developed country and tourist facilities are widely available. The capital is Manama. Read the Department of State Background Notes on Bahrain for additional information.
ENTRY/EXIT REQUIREMENTS:
A passport and a visa are required. Passports should be valid for at least six months after the date of arrival. U.S. passport holders outside of Bahrain may apply and pay for a two-week tourist visa online through the Bahraini government web site at http://www.evisa.gov.bh, or may obtain it upon arrival at the airport. U.S. diplomatic passport holders receive a no-fee two-week visa. Prior to travel, visitors may obtain five-year multiple-entry visas valid for stays as long as one month from Bahraini embassies overseas. Bahrain assesses heavy fines on visitors who fail to depart Bahrain at the end of their authorized stay. The amount of the fine is determined by a formula related to the visa type, duration, and location of issuance. An exit tax is included in the ticket price for flights out of Bahrain, and no additional exit fees are required upon departure. Residents of Bahrain who intend to return must obtain a re-entry permit before departing. For further information on entry/exit requirements, travelers may contact the Embassy of the Kingdom of Bahrain, 3502 International Drive NW, Washington, DC 20008, telephone (202) 342-1111; or the Bahrain Permanent Mission to the U.N., 2 United Nations Plaza, East 44th St., New York, NY 10017, telephone (212) 223-6200. Visit the Embassy of Bahrain web site at www.bahrainembassy.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 Bahrain should maintain a high level of security awareness. Spontaneous demonstrations take place in Bahrain from time to time in response to world events or local developments. We remind American citizens that even demonstrations intended to be peaceful can turn confrontational and possible escalate into violence. American citizens are therefore urged to avoid the areas of demonstrations if possible, and to exercise caution if within the vicinity of any demonstrations. American citizens should stay current with media coverage of local events and be aware of their surroundings at all times. Information regarding demonstrations in Bahrain can be found on the U.S. Embassy Manama’s web site at http://bahrain.usembassy.gov/information_for_travelers.html.

Visiting U.S. citizens should register with the U.S. Embassy in Manama upon arrival. 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. Please report any security concerns to the U.S. Embassy's Regional Security Office at telephone (973) 1724-2700 during office hours or (973) 1727–5126 after hours.
For the latest security information, Americans traveling abroad should regularly monitor the Department’s web site at http://travel.state.gov, where the current Worldwide Caution, 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. 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 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:
The crime rate in Bahrain is low and violent crime is rare. However, burglary, petty theft, and robberies do occur. Visiting Americans are urged to take the same security precautions in Bahrain that one would practice in the United States. Hotel room doors should be locked when visitors are in their rooms, and travelers are encouraged to store valuables in hotel room safes when they are available. Women are encouraged to keep their purses firmly under their arms, and men should avoid keeping their wallets in their hip pockets while in the old market area. The U.S. Embassy in Manama recommends that travelers using local taxis insist on the use of a meter since unexpectedly high fares may otherwise be charged. Bahrain has a professional police force, and visitors are encouraged to contact the police if problems are encountered.

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 U.S. Embassy. If you are the victim of a crime while overseas, in addition to reporting to local police, please contact the U.S. Embassy for assistance. The Embassy staff can, for example, assist you to find appropriate medical care, contact family members or friends and explain how to transfer funds. 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 equivalent to the “911” emergency line in Bahrain is 999.
See our information on Victims of Crime.

MEDICAL FACILITIES AND HEALTH INFORMATION:
Basic modern medical care and medicines are available in several hospitals and health centers in Bahrain. Two government hospitals, several private hospitals, and numerous private clinics located throughout the country offer a wide range of medical services. Cardiac care, general surgery, internal medicine, obstetrics, gynecology, pediatrics, orthopedics and dentistry services are readily available, as are x-rays, CT-scan and MRI testing. The government hospitals house both trauma and ICU units. Pharmacies are common throughout Bahrain and carry a wide range of medications. Prescriptions are normally required.
Payment at all medical facilities is due at the time of service. Some hospitals have limited direct billing capability for certain insurance carriers. Billing and insurance practices vary among the medical facilities.

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

Travel by road in Bahrain is generally safe although unsafe driving practices are common. Highways and major roads in the northern third of Bahrain are four to six lanes wide and well maintained; roads in villages and older parts of Manama and Muharraq are narrow and twisting. As in the United States, traffic in Bahrain moves on the right. Roundabouts (traffic circles) follow the British system, with those automobiles within the traffic circle having right of way over those attempting to enter. Although the Bahraini penal code calls for fines of up to 100 dinars ($270.00) or imprisonment of up to six months for driving above posted speed limits, it is not uncommon for drivers to drive well over the posted speed limits of 50-120 km per hour. The law allows the police to detain drivers for traffic violations until they can appear before a magistrate. It is illegal to use a cell phone while driving.

Under Bahraini law, any sign of having consumed alcohol may be taken as prima facie evidence of driving under the influence, which can lead to imprisonment and/or fines of up to 1,000 Bahraini Dinars (2,700 U.S. dollars). Except for minor accidents, drivers may not move their vehicles after an accident until a report has been filed with the traffic police. This is true even in cases of single-car accidents. Insurance companies may not provide coverage if the cars are moved. However, drivers involved in minor, non-injury accidents no longer need to wait at the scene for the police. Individuals should get their vehicles off the road to avoid further accidents. Drivers can call the accident hotline at 199 (if there are no injuries) or 999 (when someone is injured) where they will be directed to one of five centers to file the accident report. This report must be filed within 24 hours of the accident. Both drivers may be prohibited from leaving the country until the matter is resolved if an accident results in legal proceedings. The main switchboard at the traffic department is 1787-2222.
Emergency numbers are as follows:
Fire/Ambulance/Police: 999
Traffic/Accidents: 199 (no injuries) OR 999 (injuries)
Please refer to our Road Safety page for more information. Visit the web site of Bahrain’s national authority responsible for road safety at http://www.traffic.gov.bh/main.htm.
AVIATION SAFETY OVERSIGHT:
As there is no direct commercial air service to the United States by carriers registered in Bahrain, the U.S. Federal Aviation Administration (FAA) has not assessed Bahrain’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:
Individuals subject to Bahraini court orders arising from indebtedness, labor disagreements, or other legal disputes may be prevented from departing Bahrain until their cases are resolved. Instances have occurred in which departure was prohibited for several years, since the legal process can be both lengthy and complex. The Consular Section of the U.S. Embassy in Manama maintains a list of local attorneys capable of representing Americans.
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. Persons violating Bahrain’s laws, even unknowingly, may be expelled, arrested or imprisoned. Penalties for breaking the law can be more severe than in the United States for similar offenses. Disrespect to officials in word or deed can result in heavy fines. Travelers who are driving should be aware that one drink may be sufficient grounds for a DUI arrest. Penalties for possession, use, or trafficking in illegal drugs in Bahrain 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 Bahrain 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 Bahrain. 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 Bldg. 979, Road no. 3119, Zinj District (next to Al Ahli Sports Club). The mailing address is P.O. Box 26431, Manama, Bahrain. The telephone number is (973) 1724-2700. The after-hours number is (973) 1727-5126. The Consular Section’s fax number is (973) 1725-6242. The Embassy's web site, which includes consular information and the most recent messages to the American community in Bahrain is at http://bahrain.usembassy.gov/. The workweek in Bahrain is Sunday through Thursday.
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This replaces the Country Specific Information for Bahrain dated November 23, 2007 without substantive changes.

Travel News Headlines WORLD NEWS

Date: Mon, 16 Mar 2020 09:24:17 +0100 (MET)

Manama, March 16, 2020 (AFP) - A Bahraini woman has died from the novel coronavirus, the health ministry announced on Monday, marking the first death from the disease among Gulf Co-operation Council states.    The 65-year-old woman had pre-existing medical conditions, the ministry said on Twitter.    Nearly 1,000 cases of the virus have been recorded so far across the six nations of the Gulf Cooperation Council (GCC).   Most of those infected have been people returning from Iran, where more than 700 people had died in the outbreak by Sunday.

Facing a mounting public health threat, Saudi Arabia, the United Arab Emirates, Kuwait, Bahrain, Qatar and Oman have taken drastic measures to combat the pandemic.   The Gulf countries have shut down cinemas and other entertainment centres -- some even closing gyms and spas.    Kuwait has taken the strictest measures in the GCC by largely locking down the country over the weekend.
Date: Mon, 24 Feb 2020 08:04:46 +0100 (MET)

Dubai, Feb 24, 2020 (AFP) - Kuwait and Bahrain confirmed on Monday their first novel coronavirus cases, the countries' health ministries announced, adding all had come from Iran.  Kuwait reported three infections and Bahrain one in citizens who had returned home from the Islamic republic.
Date: Mon, 2 Oct 2017 19:26:47 +0200

Dubai, Oct 2, 2017 (AFP) - A "terrorist explosion" during a Shiite procession commemorating Ashura lightly wounded five policemen on Monday, the interior ministry in Sunni-ruled Bahrain announced.   "A terrorist explosion caused five light injuries among policemen deployed as security for a procession along Budaiya Avenue" in western Manama, a tweet from the ministry said.

Shiites in the tiny Gulf kingdom mark Ashura with processions in Manama and in villages around the capital.   The annual Ashura commemorations mark the killing of Imam Hussein by the forces of the Caliph Yazid in 680 AD -- a formative event in Shiite Islam.   Imam Hussein's death was part of a dispute over who should succeed the Prophet Mohammed, which eventually developed into a bitter schism between the Sunni and Shiite branches of Islam.

Bahrain, home to the US Fifth Fleet, has seen sporadic violence since the repression in 2011 of a protest movement by the Shiite majority, demanding a constitutional monarchy and an elected prime minister.   Hundreds of protesters, mainly but not all Shiites, were arrested and sentenced to lengthy prison terms for their role in the demonstrations.   Bahrain says it does not discriminate towards the country's Shiites, and regularly accuses Shiite Iran of meddling in its internal affairs, an allegation Tehran denies.
Date: Sun, 26 Feb 2017 20:11:48 +0100

Dubai, Feb 26, 2017 (AFP) - Four Bahraini policemen were wounded in a bomb attack Sunday near the village of Jaw, south of the capital Manama, the interior ministry said.   "Terrorist blast in police bus near Jua village. 4 policemen injured and they are in a stable condition. Necessary steps are being taken," the ministry said on its Twitter account.   It gave no further details.

On January 1, gunmen attacked the prison in Jaw, killing a policeman and allowing 10 inmates to escape.   Shiites convicted over anti-government protests in Sunni-ruled Bahrain were held at Jaw.   Tiny but strategic Bahrain, home to the US Fifth Fleet, has been rocked by unrest since the authorities crushed Shiite-led protests in 2011 demanding a constitutional monarchy and an elected prime minister.

Hundreds of Shiites have been arrested and many have faced trials over their role in the demonstrations.   One of those on trial is Sheikh Issa Qassem, the country's Shiite spiritual leader.   He was stripped of his citizenship last year for "serving foreign interests" -- a reference to Shiite Iran.   On Sunday, clashes broke out between security forces and protesters in several Shiite villages as a new hearing in Qassem's case was underway, witnesses said.   Protesters chanted anti-government slogans and carried portraits of Qassem, they said.
Date: Wed, 15 Feb 2017 11:55:11 +0100

Dubai, Feb 15, 2017 (AFP) - An explosion wounded two civilian passers-by in Bahrain, the interior ministry said early Wednesday, as demonstrators were marking the sixth anniversary of an anti-government uprising that was bloodily suppressed.   The ministry did not say what caused Tuesday evening's blast in a village outside the capital Manama but demonstrators sometimes throw petrol bombs during the sporadic protests that still grip the Sunni-ruled but Shiite-majority kingdom.   "Terrorist blast in Sitra causes minor injuries to a married couple passing the site. Police at the scene," the ministry said on its Twitter account without elaborating.   It also tweeted a picture of a black 4X4 with a shattered windscreen and significant damage to the front bonnet.   The blast came as demonstrators clashed with police in Manama and several nearby villages.   The demonstration in the capital ended when police fired tear gas and stun grenades, witnesses said.

Activists posted pictures of injured protesters online, but the interior ministry has not published any official statements about the reported demonstrations.   The Shiite-led protests of February 2011 sought a constitutional monarchy and an elected prime minister to replace the current government dominated by the ruling Al-Khalifa family.   Authorities crushed them the following month with the support of Saudi-led forces who secured key installations.   Since then, the authorities have banned the Shiite opposition and handed long jail terms to many of its leaders. Some have been stripped of their citizenship.   Tiny but strategic Bahrain lies just across the Gulf from Iran and is home to the US Navy's Fifth Fleet.
More ...

World Travel News Headlines

Date: Tue, 19 May 2020 16:23:23 +0200 (METDST)

Dublin, May 19, 2020 (AFP) - This year's Dublin marathon scheduled for October 25 was cancelled on Tuesday despite Ireland's move to lift coronavirus lockdown measures, indicating potential long-term disruption caused by the outbreak.   Ireland plans to have fully lifted restrictions well before October, in a staggered process that began on Monday.   But organisers indicated the race -- which had 22,500 entrants last year -- would still not go ahead because of safety fears.   "We made the difficult decision in the best interest of the health and well-being of all those involved in making our events such a success from runners, supporters, volunteers, sponsors, to suppliers," said race director Jim Aughney.   "We explored many alternatives for running the events safely but ultimately none were viable."    Ireland's five-stage "roadmap" to reopen the nation is due to be completed in August, when the current ban on mass gatherings of more than 5,000 people is set to expire.   The cancellation suggests coronavirus fallout may last longer than suggested by official plans and could hit similar events.

The London Marathon, which attracts tens of thousands of runners, has been postponed until October 4.    "We need to be aware that we will continue to be in the acute emergency phase of this crisis for some time with further waves an ever present danger," the health department Secretary-General Jim Breslin told a special parliamentary committee on the crisis.   "This is not a one, a two or even a three-day storm, after which we move to a recovery phase. The acute phase of this crisis will definitely be measured in months and most probably in years."   Ireland has suffered 1,547 deaths from COVID-19, according to the department of health.   On Monday the number of daily deaths had fallen from a peak of 77 to just four.   "We have suppressed the virus and limited its impact on public health," said chief medical officer Tony Holohan on Monday.   "We need to sustain this in the weeks and phases ahead."
Date: Mon, 18 May 2020 18:54:14 +0200 (METDST)

Paris, May 18, 2020 (AFP) - Air France said Monday it hoped to double the number of cities it serves, including over 40 European destinations, by the end of June as nations begin to lift coronavirus travel restrictions.   "Between now and the end of June and subject to travel restrictions being lifted, Air France plans to gradually resume its flights,"  the airline said.   Like other airlines, Air France grounded most of its planes as governments imposed stay-at-home orders and demand for travel evaporated. 

Air France said it was currently operating between three and five percent of its usual schedule and serving 43 destinations for essential passenger traffic as well as cargo.   The airline, which received a 7-billion-euro rescue package from the French government, listed more than 90 destinations it hopes to serve by the end of June.   That would be equivalent to 15 percent of its normal schedule, and use 75 of its fleet of 224 aircraft.
Date: Mon, 18 May 2020 18:20:03 +0200 (METDST)

Abuja, May 18, 2020 (AFP) - Nigeria's government on Monday extended a coronavirus lockdown on the northern region of Kano after it became a hotspot for new infections.    The head of the country's coronavirus taskforce, Boss Mustapha, said the lockdown on the economic hub -- which includes Nigeria's second biggest city -- would be prolonged for two weeks.    The authorities will also start to impose "precision" lockdowns in any other areas that report a "rapidly increasing number of cases, when the need arises", he said.    The outbreak in Kano has become a major cause of concern after medics and residents last month began reporting a spike in deaths.

Regional officials at first put the "unexplained" fatalities down to other ailments, but government investigators later said coronavirus was suspected in most cases.    Neighbouring states to Kano have also begun reporting suspicious surges in death tolls that authorities are scrambling to investigate.    Nigeria has confirmed 5,959 infections and 182 deaths from the novel coronavirus across the country.    Kano is the second hardest hit region with 825 confirmed cases and 36 fatalities.   The region has already been under lockdown for a month but enforcement has been lax and measures have been eased sporadically for people to buy food during the Muslim holy month of Ramadan.

Testing has been a key problem across Nigeria and only 35,345 samples have so far been screened in Africa's most populous nation of 200 million people.    Mustapha insisted there had been a slowdown in the transmission rate of the virus, "elongating the doubling time" from seven to 11 days.    But he announced that measures would remain in place limiting businesses and restricting crowds across the rest of the country despite earlier plans to gradually roll them back.     "Nigeria is not yet ready for full opening of the economy and tough decisions have to be taken for the good of the greater majority," he said.   The government has also imposed a night-time curfew and made mask wearing mandatory in all regions.     Mustapha complained that "non-compliance was rampant" with social distancing measures.     "The fight against COVID-19 is long-term as the virus is not likely to go away very soon," he said.
Date: Mon, 18 May 2020 17:21:58 +0200 (METDST)

Stockholm, May 18, 2020 (AFP) - Sweden, whose softer approach to the new coronavirus pandemic has garnered worldwide attention, recorded its deadliest month in almost three decades in April, according to statistics released on Monday.   Sweden has stopped short of introducing the restrictive lockdowns seen elsewhere in Europe, instead opting for an approach based on the "principle of responsibility".

The Scandinavian country has kept schools open for children under the age of 16, along with cafes, bars, restaurants and businesses, and urged people to respect social distancing guidelines.   A total of 10,458 deaths were recorded in the country of 10.3 million inhabitants in April, Statistics Sweden said.   "We have to go back to December 1993 to find more dead during a single month," Tomas Johansson, population statistician at Statistics Sweden, said in a statement.

In total, 97,008 deaths were recorded in Sweden during the whole of 1993, which in turn was the deadliest year since 1918, when the Spanish flu pandemic ravaged the country.   Johansson told AFP there was no official breakdown explaining the high death toll in December 1993 but said there was a flu epidemic at the time.   According to preliminary data, the number of deaths has been on the decline since the end of April, including in Stockholm -- the epicentre of the Swedish epidemic -- where the highest number of deaths were recorded in early April.

The Swedish approach to the novel coronavisrus has come under criticism both at home and abroad, particularly as the number of deaths has far exceeded those in neighbouring Nordic countries, which have all imposed more restrictive containment measures.   On Monday, Sweden reported a total of 30,377 confirmed cased of the new coronavirus and 3,698 deaths.
Date: Mon, 18 May 2020 16:52:05 +0200 (METDST)

Helsinki, May 18, 2020 (AFP) - Finland's national airline will restart routes between Europe and Asia in July once countries begin to lift coronavirus restrictions on travel, the company announced on Monday.   Beijing and Shanghai will be the first long-haul destinations to reopen, alongside Hong Kong, Seoul, Singapore, Bangkok and three Japanese routes, Finnair said in a statement.

Flights to Delhi and New York will follow in August.    The move makes Finnair one of the first European carriers to restart intercontinental flights, after the Lufthansa Group announced on Friday it would resume 19 long-haul routes by early June.   "We expect aviation to recover gradually, starting in July," Finnair chief commercial officer Ole Orver said in a statement, adding that the company intends to bring its operations back to one-third of normal capacity.

Finnair cut 90 percent of its flights on April 1 and issued a profit warning as coronavirus restrictions brought international passenger travel almost to a standstill.     Facemasks will be mandatory on all Finnair flights "until at least the end of August," Finnair spokeswoman Paivyt Tallqvist told AFP.     "We have also taken a number of steps to avoid unnecessary movement on board," Tallqvist said, including having passengers disembark in smaller groups, and limiting capacity of shuttle bus transport between aircraft and the terminal to 50 percent.

Flights along the so-called "shorter northern route" between Helsinki and Asia, bypassing the Middle East, have been a key part of the Finnish carrier's growth strategy in recent years, with passenger numbers on its Asian routes doubling between 2010 and 2018.    On Monday, Finnair also announced it would restart 26 European routes in July, including to Brussels, Moscow, Prague and Paris.    Destinations including Rome, Madrid and Warsaw would be added in August, the firm said.     Finnair said it would open further routes on a monthly basis depending on demand and how travel restrictions change over the summer.
Date: Mon, 18 May 2020 10:28:18 +0200 (METDST)

Dublin, May 18, 2020 (AFP) - Ireland launched the first tentative step in its plan to lift coronavirus lockdown on Monday, with staff returning to outdoor workplaces as some shops resumed trade and sports facilities unlocked their doors.   The modest tweaks to the restrictions in place since 28 March start a staggered process set to stretch until August.

"I'm both pleased and nervous," health minister Simon Harris told state broadcaster RTE.    "I'm pleased that we've gotten to this point because of the incredible efforts of the Irish people in suppressing this virus."   "I'm nervous because the virus hasn't gone away, there still isn't a vaccine, there's still people in our country getting very sick, and there's still people dying every day."

Shops such as garden centres, hardware stores and farmers markets were permitted to open their doors whilst outdoor staff such as builders and gardeners returned to workplaces.   Football pitches, tennis courts and golf courses were also allowed to resume business whilst maintaining strict social distancing.

Meanwhile citizens were permitted to meet in small gatherings outside of people from different households.   But Harris urged caution as the republic took its first step in trying "to live successfully and safely alongside the virus".   "Just because somewhere is open doesn't mean we need to go," he said.   There have been 1,543 deaths from COVID-19 in Ireland according to the department for health.

Reported daily deaths peaked at 77 on 20 April, but by Sunday the figure had fallen to just 10.   As with other nations officials remain fearful a second wave of infections could inundate the healthcare system.   But Prime minister Leo Varadkar confirmed on Friday that Ireland would press ahead to the first of its five step plan to reopen the nation.   "This gives us reason to hope, but it is not a cause for celebration.  We have a long way to go yet," Varadkar said in a statement.

The fallout of the lockdown changes will be monitored for three weeks before the government decides whether to move to the next stage in the "roadmap" to reopening.   "Coronavirus is an inferno that is raging around the world", said Varadkar.   "In Ireland it is now a fire in retreat but it's not defeated -- we must extinguish every spark."
Date: Sun, 17 May 2020 22:46:20 +0200 (METDST)
By Román ORTEGA, Iván DUARTE y Germán CAMPOS

Puebla, Mexico, May 17, 2020 (AFP) - Scores of Mexicans are dying from drinking adulterated liquor, a consequence of the shortage of mainstream alcoholic beverages during the coronavirus pandemic, authorities say.   The first of at least 121 deaths in recent weeks occurred at the end of April in the western state of Jalisco, almost exactly a month after the government declared a health emergency over the spread of COVID-19.   Much of Mexico has run out of beer after factories producing liquor and beer were shut down, along with other non-essential firms.

Beer stocks were practically depleted within a month, and in some areas the prices of what was left doubled, according to industry sources.    Many of the 53 deaths in central Puebla province have been linked to a wake where people drank moonshine containing methanol -- a wood alcohol that in non-lethal doses can cause blindness and liver damage.    Twenty-three people died in the hours following the gathering in the town of Chiconcuautla, according to authorities.   The town's mayor said the popular "refino" drink, made from sugarcane, had been adulterated.

German Hernandez said his father died after being poisoned by drink known locally as "tejon" -- a blend of brandy with tejocote fruit (a type of hawthorn), in the Puebla town of Cacaloxuchitl.   "They sell it in the stores, and you can buy it and take it out. My father began trembling and feeling weak. He told us he felt bad, and we took him to the hospital," Hernandez told AFP.   "This has never happened before."    Deaths have also been recorded in the central state of Morelos and Yucatan and Veracruz in the east.

- Mafia trade -
Gangs specializing in bootleg booze are trying to take advantage of the lack of alternative alcohol sources during the shutdown.    "They usually have very well-structured mafias, and some escape the surveillance of the authorities," Ricardo Cardenas of the Federal Commission for Protection against Sanitary Risks told AFP.   "We presume that, as a result of this shortage and demand being very high, some people are offering or trying to sell methanol instead of ethyl alcohol," said Denis de Santiago, head of Sanitary Risks in Jalisco.

Methanol is used in fuel, solvents and antifreeze.   The country's largest beer producers, Grupo Modelo -- which makes the popular Corona beer -- and Heineken, which makes Sol, halted production in early April.   Alcohol sales have been banned in some states, including Yucatan. In others, alcoholic beverages can only be purchased at certain times.   Some drinks companies have switched production to antibacterial gel that they are donating to the federal government and health workers.

- 'Who would have thought?' -
In Yucatan, where 38 people have died so far, victims unknowingly drank methanol in their usual "pajaretes" -- a common cocktail that includes milk, coffee, vanilla and brand-name sugarcane alcohol.   Humberto Macias, 36, said he saw three of his relatives die within days of each other after drinking a pajarete cocktail, made using a trusted brand of alcohol.   "We had always drunk it, including myself, many people. Who would have thought it was like this?" Macias said.

In the Yucatan peninsula town of Acanceh, seven people have died from alcohol poisoning.   "It's the first time I've heard of a case like this. I don't remember anything similar," the town's mayor Felipe Medina told AFP.   In Veracruz, Morelos and Yucatan, investigators are still trying to determine what drinks the victims consumed.
Date: Sun, 17 May 2020 19:55:15 +0200 (METDST)
By Gregory WALTON

Doha, May 17, 2020 (AFP) - Qatar on Sunday began enforcing the world's toughest penalties of up to three years' in prison for failing to wear masks in public, in a country with one of the highest coronavirus infection rates.   More than 32,000 people have tested positive for COVID-19 in the tiny Gulf country -- 1.2 percent of the 2.75 million population -- although just 15 people have died.   Only the micro-states of San Marino and the Vatican have had higher per-capita infection rates, according to the European Centre for Disease Prevention and Control.   Violators of Qatar's new rules will face up to hree years in jail and fines of as much as $55,000.

Drivers alone in their vehicles are exempt from the requirement, but police erected checkpoints across the capital Doha on Sunday evening to check compliance by motorists.   Most customers gathered outside money lenders on Banks Street wore masks, while others produced a face covering when asked.   "From today it's very strict," said Majeed, a taxi driver waiting for business in the busy pedestrian area, who wore a black mask.   Heloisa, an expat resident, saw the steep penalties as "a bit of a scare tactic".   Wearing a mask is currently mandatory in around 50 countries, although scientists are divided on their effectiveness.

Authorities in Chad have made it an offence to be unmasked in public, on pain of 15 days in prison. In Morocco, similar rules can see violators jailed for three months and fined up to 1,300 dirhams ($130).   Qatari authorities have warned that gatherings during the Muslim fasting month of Ramadan may have increased infections.   Abdullatif al-Khal, co-chair of Qatar's National Pandemic Preparedness Committee, said Thursday that there was "a huge risk in gatherings of families" for Ramadan meals.   "(They) led to a significant increase in the number of infections among Qataris," he said.   Neighbouring Saudi Arabia will enforce a round-the-clock nationwide curfew during the five-day Eid al-Fitr holiday later this month to fight the coronavirus.

- Labourers at risk -
Mosques, along with schools, malls, and restaurants remain closed in Qatar to prevent the disease's spread.   But construction sites remain open as Qatar prepares to host the 2022 World Cup, although foremen and government inspectors are attempting to enforce social distancing rules.    Officials have said workers at three stadiums have tested positive for the highly contagious respiratory virus. Masks have been compulsory for construction workers since April 26.   A 12-strong team of masked labourers kept their distance from one another as they worked under baking sun on a road project in Doha's blue-collar Msheireb district on Sunday.

Tens of thousands of migrant workers were quarantined in Doha's gritty Industrial Area after a number of infections were confirmed there in mid-March, but authorities have begun to ease restrictions.   Khal said that most new cases were among migrant workers, although there has been a jump in infections among Qataris. He said the country had not yet reached the peak of its contagion.   Rights groups have warned that Gulf labourers' cramped living conditions, communal food preparation areas and shared bathrooms could undermine social distancing efforts and speed up the spread of the virus.
Date: Sun, 17 May 2020 13:43:50 +0200 (METDST)

Tehran, May 17, 2020 (AFP) - Iran said Friday it had recorded nearly 7,000 deaths from the novel coronavirus, warning of infection clusters in new regions after it partially eased lockdown measures.   Health ministry spokesman Kianoush Jahanpour said the COVID-19 illness had claimed a further 51 lives over 24 hours into Sunday.   The ministry raised the overall death toll to 6,988 since Iran announced its first fatalities in the Shiite pilgrimage city of Qom in February.   Jahanpour warned that cases were rising "in the province of Lorestan, and to some extent in Kermanshah, Sistan and Baluchistan".   "Khuzestan province is still in a critical situation," he added.

The southwestern province has become Iran's new coronavirus focal point, with the most critical "red" ranking on the country's colour-coded risk scale.   It is the only region so far where authorities have reimposed business lockdowns after a country-wide relaxation in April.   Iran stopped publishing provincial figures for the coronavirus last month, but the health ministry's latest report said there is a "rising trend or the beginning of a peak" in eight provinces, including Khuzestan.   The country on Friday reported its highest number of new infections in more than a month.   A virus taskforce official said Sunday that the increase was due to a surge in testing, not just of COVID-19 patients with severe symptoms.

Early in the outbreak "our focus was on severe cases that had to be hospitalised, but as we started to manage the disease we looked at those infected and not hospitalised," said Ali Akbar Haghdoost, head of the taskforce's epidemiology committee.   "It is possible that the reported number of infections have gone up, but this in no way means more have been infected with COVID-19," he told ISNA news agency.   According to Jahanpour, 1,806 new cases had been confirmed across Iran in the past day, bringing the total to 120,198.   Over 1,460 of the new cases were "outpatients, including those who had been in close contact with the infected," he said.

The ministry said 94,464 people hospitalised with the virus have recovered and been discharged.   Experts both at home and abroad have voiced scepticism about Iran's official figures, saying the real toll could be much higher.   Iran also cancelled rallies held annually in solidarity with the Palestinians, set for Friday next week.    President Hassan Rouhani had said Saturday that the Qods (Jerusalem) Day parades would go ahead with some measures against the virus.    But organisers said Sunday the event could not be held "decently" and would be scrapped apart from a televised speech by the supreme leader Ayatollah Ali Khamenei.
Date: Sun, 17 May 2020 13:31:10 +0200 (METDST)

Antananarivo, May 17, 2020 (AFP) - Madagascar on Sunday reported the first death of a patient suffering from novel coronavirus nearly two months after it was first detected in the country, official statistics showed.   The Indian ocean island which has reported 304 cases has hit the headlines over a home-grown herbal concoction that President Andry Rajoelina claims can cure people infected with the virus.

Several African countries have ordered or expressed interest in the purported remedy, which is known as Covid-Organics.   The tonic drink is derived from artemisia -- a plant with proven efficacy in malaria treatment -- and other indigenous herbs.   But the World Health Organization has warned against "adopting a product that has not been taken through tests to see its efficacy".