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Antartica

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

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

Travel News Headlines WORLD NEWS

Date: Thu, 17 May 2018 09:57:07 +0200

Buenos Aires, May 17, 2018 (AFP) - Tourism regulation in Antarctica has become an urgent matter due to environmental threats, officials from the 53 member countries of the Antarctic Treaty warned at their annual meeting, held this week in Buenos Aires.

In the absence of rules, travel agencies offer trips to the region on boats sometimes equipped with helicopters or submarines, according to Segolene Royal, French ambassador for the Arctic and Antarctic poles.   "This activity creates considerable disturbance ... we are witnessing a race toward large-scale tourism that is dangerous for ecosystems," she said at the assembly on Wednesday.

During the austral summer of 2016/2017, around 44,000 tourists set off for Antarctica, compared with just 9,000 in 1995/1996, according to French authorities.   However, the push for regulation is not about banning tourism, former environmental minister Royal said, but rather about ensuring it is managed in compliance with the treaty and its environmental protection protocol.

In Buenos Aires, the Antarctic Treaty Consultative Meeting  -- whose mission is to regulate human activity on the continent -- also sought to encourage scientific cooperation between countries that have collectively set up around 100 research bases across the ice.   Also up for analysis is China's proposed fifth permanent scientific station in Antarctica, which would be located in the Ross Sea area south of New Zealand.
Date: Wed, 5 Jul 2017 13:01:49 +0200
By Marlowe HOOD

Paris, July 5, 2017 (AFP) - A chunk of ice bigger than the US state of Delaware is hanging by a thread from the West Antarctic ice shelf, satellite images revealed Wednesday.   When it finally calves from the Larsen C ice shelf, one of the biggest icebergs in recorded history will be set adrift -- some 6,600 square kilometres (2,550 square miles) in total, according to the European Space Agency (ESA).

The iceberg's depth below sea level could be as much as 210 metres (almost 700 feet), or about 60 storeys, it said.   "The crack in the ice is now around 200 kilometres (125 miles) long, leaving just five kilometres between the end of the fissure and the ocean," the ESA said in a statement.   "Icebergs calve from Antarctica all the time, but because this one is particularly large its path across the ocean needs to be monitored as it could pose a hazard to maritime traffic."

Scientists tracking the berg's progression expect it to break of within months.    The Larsen C shelf will lose more than 10 percent of its total surface area.   The massive ice cube will float in water and by itself will not add to sea levels when it melts.   The real danger is from inland glaciers.   Ice shelves float on the sea, extending from the coast, and are fed by slow-flowing glaciers from the land.    They act as giant brakes, preventing glaciers from flowing directly into the ocean.   If the glaciers held in check by Larsen C spilt into the Antarctic Ocean, it would lift the global water mark by about 10 centimetres (four inches), researchers have said.

The calving of ice shelves occurs naturally, though global warming is believed to have accelerated the process.   Warming ocean water erodes the underbelly of the ice shelves, while rising air temperatures weaken them from above.   The nearby Larsen A ice shelf collapsed in 1995, and Larsen B dramatically broke up seven years later.   The ESA is keeping an eye on Larsen C with its Copernicus and CryoSat Earth orbiters.

Man-made global warming has already lifted average global air temperatures by about one degree Celsius (1.8 degrees Fahrenheit) since pre-industrial levels.    Antarctica is one of the world's fastest-warming regions.   The world's nations undertook in the Paris Agreement, inked in 2015, to cap average global warming at "well under" 2 C.
Date: Wed, 22 Jun 2016 21:35:09 +0200
By Jean-Louis SANTINI

Washington, June 22, 2016 (AFP) - Two sick workers were evacuated from a remote US research station near the South Pole on Wednesday in a risky rescue mission carried out in the dead of Antarctica's winter, a US official said.   A Twin Otter turboprop plane flew in dark and cold conditions to pick up the workers from the Amundsen-Scott station, about 250 meters from the geographic South Pole, a spokesman for the US National Science Foundation (NSF), Peter West told AFP.

The plane's crew and a medical team had made the 10-hour journey to the South Pole in the middle of Antarctica's 24-hour winter on Tuesday night to reach the unidentified patients, who could not be treated on site.   The NSF -- the US research agency that operates the Amundsen-Scott Station -- organized the rescue mission last week given the condition of the first patient, which was not disclosed for privacy reasons.   "It was really an emergency," West said.   It later became apparent that the second worker also needed to be evacuated.

The sick workers -- employees of the US company Lockheed Martin who worked on base logistics -- were then taken to the Rothera base, a British research station some 2,200 kilometers (about 1,365 miles) away, the spokesman said.   The pair, who were not identified, were then to be transferred to a hospital in South America, West said, without giving further details.   The Amundsen-Scott base was home to 48 people -- 39 men and nine women -- who work on-site throughout the austral winter, which spans February through October.

- Rare rescue mission -
Near the world's southernmost point, workers spend this period withstanding nearly complete darkness and dramatically low temperatures -- on Tuesday, the thermometer dropped to -60 degrees Celsius (-76 degrees Fahrenheit).   It was only the third time that an emergency rescue operation has been launched in the middle of winter.   In 2001, the only doctor at the Amundsen-Scott station was suffering from a life-threatening pancreatic condition and required urgent evacuation. A second medical evacuation was carried out that year.

In 1999, the US station's doctor Jerri Nielsen, who was self-treating her own breast cancer, required medical evacuation but weather conditions were more favorable, as the mission took place in the spring.  The Twin Otter plane, operated by the Canadian company Kenn Borek Air, is specially designed to operate in extremely cold temperatures.

Research projects at the Amundsen-Scott station include monitoring long-term levels of carbon dioxide (CO2) in the atmosphere.     The station also operates two telescopes that observe "cosmic microwave background" radiation -- the faint light signature left by the Big Bang -- to study the origins of the universe, dark energy and dark matter.
Date: Wed, 18 Jun 2014 09:04:56 +0200 (METDST)
by Martin PARRY

SYDNEY, June 18, 2014 (AFP) - Antarctic scientists warned Wednesday that a surge in tourists visiting the frozen continent and new roads and runways built to service research facilities were threatening its fragile environment.   Tourist numbers have exploded from less than 5,000 in 1990 to about 40,000 a year, according to industry figures, and most people go to the fragmented ice-free areas that make up less than one percent of Antarctica.   A growing number of research facilities are also being built, along with associated infrastructure such as fuel depots and runways, in the tiny ice-free zones.

It is these areas which contain most of the continent's wildlife and plants, yet they are among the planet's least-protected, said a study led by the Australian government-funded National Environmental Research Programme (NERP) and the Australian Antarctic Division.   "Many people think that Antarctica is well protected from threats to its biodiversity because it's isolated and no one lives there," said Justine Shaw from the NERP of the study published in the journal PLoS Biology.   "However, we show that there are threats to Antarctic biodiversity.   "Most of Antarctica is covered in ice, with less than one percent permanently ice-free," she added.   "Only 1.5 percent of this ice-free area belongs to Antarctic Specially Protected Areas under the Antarctic Treaty System, yet ice-free land is where the majority of biodiversity occurs."   Five of the distinct ice-free areas have no protection at all while all 55 of the continent's protected zones are close to sites of human activity.

- Fragile ecosystems -
Steven Chown of Monash University, another collaborator in the study, said the ice-free areas contain very simple ecosystems due to Antarctica's low species diversity.   This makes its native wildlife and plants extremely vulnerable to invasion by outside species, which can be introduced by human activity.   "Antarctica has been invaded by plants and animals, mostly grasses and insects, from other continents," he said.    "The very real current and future threats from invasions are typically located close to protected areas.    "Such threats to protected areas from invasive species have been demonstrated elsewhere in the world, and we find that Antarctica is, unfortunately, no exception."

The study said the current level of protection was "inadequate by any measure" with Shaw saying more was needed to guard against the threat posed by the booming tourism industry.   "(We need) to protect a diverse suite of native insects, plants and seabirds, many of which occur nowhere else in the world," she said.   "We also need to ensure that Antarctic protected areas are not going to be impacted by human activities, such as pollution, trampling or invasive species."   Antarctica is considered one of the last frontiers for adventurous travellers.   Most travel by sea, some paying in excess of US$20,000 for a luxury cabin in the peak period from November to March. There is also a healthy market for sightseeing flights.

Approximately 30 nations operate permanent research stations on the continent including the US, China, Russia, Australia, Britain, France and Argentina, and more are on the way.   China's state media said in December that the country was building its fourth base and a fifth was being planned.   Fellow study author Hugh Possingham, from NERP, said that without better protection "this unique and fragile ecosystem could be lost".   "Although we show that the risks to biodiversity from increasing human activity are high, they are even worse when considered together with climate change," he added.    "This combined effect provides even more incentive for a better system of area protection in Antarctica."
Date: Sun, 17 Nov 2013 12:27:56 +0100 (MET)

WASHINGTON, Nov 17, 2013 (AFP) - A powerful 7.8 magnitude undersea earthquake struck in the Scotia Sea, a remote region in the far south Atlantic near Antarctica, US earthquake monitors reported Sunday.   The quake struck at 0904 GMT in the ocean some 893 kilometers (550 miles) southwest of Grytviken, South Georgia, and 1,140 kilometres (710 miles) southeast of Ushuaia, Argentina, said the US Geological Survey, which monitors earthquakes worldwide.   The epicenter was at a depth of 10 kilometers (6.2 miles), and was near that of a 6.8 magnitude undersea earthquake that the USGS registered in the Scotia Sea some 30 hours earlier.

The quake occurred at the boundary between the Antarctic tectonic plate and the Scotia Sea plate, said geophysicist Randy Baldwin at the National Earthquake Information Center in Golden, Colorado.   "They're sliding past one another horizontally, it's not a subduction zone," Baldwin told AFP. "There will be aftershocks probably for weeks."   There were no tsunami warnings since there were no vertical movements in the seafloor as occur in a subduction quake, when one tectonic plate moves under another one, Baldwin said.   Yet despite the enormous energy unleashed the area is so remote that there is little or no impact to humans, he said.   "You couldn't pick a more remote area for an earthquake," he said.
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Denmark

Denmark, Greenland and the Faeroe Islands US Consular Information Sheet
March 05, 2008
COUNTRY DESCRIPTION:
Denmark is a highly developed stable democracy with a modern economy.
Greenland is a self-governing dependency of Denmark.
>The Faroe Islands are a self-governing overseas administrative division of Denmark.
For additional information, visit the State Department page http://www.state.gov/p/eur/ci/da.

ENTRY REQUIREMENTS:
Passport and visa regulations are similar for Denmark, Greenland, and the Faroes.
A valid passport is required.
U.S. citizen tourist and business travelers do not need visas for visits of up to 90 days.
That period begins when entering any of the following countries which are parties to the Schengen agreement: Austria, Belgium, The Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Italy, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Norway, Poland, Portugal, Slovakia, Slovenia, Spain, and Sweden.
Contact the Royal Danish Embassy at 3200 Whitehaven Street NW, Washington, DC
20008, telephone (202) 234-4300 or visit its web site at http://www.ambwashington.um.dk/en for the most current visa information.

Note:
Although European Union regulations require that non-EU visitors obtain a stamp in their passports upon initial entry to a Schengen country, many borders are not staffed with officers carrying out this function.
If an American citizen wishes to ensure that his or her entry is properly documented, it may be necessary to request a stamp at an official point of entry.
Under local law, travelers without a stamp in their passports may be questioned and asked to document the length of their stay in Schengen countries at the time of departure or at any other point during their visit, and could face possible fines or other repercussions if unable to do so.

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:
Denmark remains largely free of terrorist incidents, however, the country shares, with the rest of Western Europe, an increased threat of Islamic terrorism.
Like other countries in the Schengen area, Denmark’s open borders with its Western European neighbors allow the possibility of terrorist groups entering and exiting the country with anonymity.
Americans are reminded to remain vigilant with regard to their personal security and to exercise caution.

Public demonstrations occasionally occur in Copenhagen and other Danish cities and are generally peaceful events.
Prior police approval is required for public demonstrations, and police oversight is routinely provided to ensure adequate security for participants and passers-by.
Nonetheless, as with any large crowd comprised of diverse groups, situations may develop which could pose a threat to public safety.
U.S. citizens are advised to avoid areas where public demonstrations are taking place.

From time to time Copenhagen may experience protest activities from young people in their attempt to defend their self-proclaimed rights to either property (club activity buildings) or other privileges provided by Danish public means.
American citizens should be aware that participation in illegal demonstrations or street riots may result in immediate imprisonment and long term bans on re-entering Denmark.

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, including 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, 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:
Denmark, Greenland, and the Faroes all have relatively low violent crime rates, however, non-violent crimes of opportunity have increased over the last few years, especially in Copenhagen and other major Danish cities, where tourists can become targets for pickpockets and sophisticated thieves.
Criminals frequent airports, train stations, and cruise ship quays to take advantage of weary, luggage-burdened travelers.
Thieves also operate at popular tourist attractions, shopping streets, and restaurants.
In hotel lobbies and breakfast areas, thieves take advantage of even a brief lapse in attention to snatch jackets, purses, and backpacks.
Women’s purses placed either on the backs of chairs or on the floor are typical targets for thieves.
Due to the increase of crimes of opportunity, Embassy Copenhagen has experienced a high rise in passport thefts during the summer of 2007.
Car and home break-ins are also on the rise.

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.

Denmark has a program to provide financial compensation to victims who suffer serious criminal injuries.
According to existing regulations, the victim must report the incident to the police within 24 hours.
Danish police routinely inform victims of serious crime of their rights to seek compensation.
The relevant forms can be obtained from the police or the Danish Victims’ Compensation Board:
Civilstyrelsen, Erstatningsnaevnet, Gyldenløvesgade 11, 1600 Copenhagen V, TEL:
(45) 33-92- 3334; FAX:
(45) 39-20-45-05; www.erstatningsnaevnet.dk; email: erstatningsnaevnet@erstatningsnaevnet.dk.
Claim processing time is a minimum of 3 months.
There is no maximum award limit.

See our information for Victims of Crime.

MEDICAL FACILITIES AND HEALTH INFORMATION:
Excellent medical facilities are widely available in Denmark.
In Greenland and the Faroe Islands, medical facilities are limited and evacuation is required for serious illness or injury.
Although emergency medical treatment is free of charge, the patient is charged for follow-up care.

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 website at http://wwwn.cdc.gov/travel/default.aspx.
For information about outbreaks of infectious diseases abroad, consult the World Health Organization’s (WHO) web site at http://www.who.int/en.
Further health information for travelers is available at http://www.who.int/ith/en.

MEDICAL INSURANCE:
The Department 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 Denmark is provided for general reference only, and may not be totally accurate in a particular location or circumstance.

A valid U.S. driver's license may be used while visiting Denmark, but the driver must be at least 18 years old.
Driving in Denmark is on the right side of the road.
Road signs use standard international symbols.
Many urban streets have traffic lanes reserved for public transport only.
Unless otherwise noted on traffic signs, the speed limit is 50 km/h in urban areas, 80 km/h on open roads, and 130 km/h on expressways.

Use of seat belts is mandatory for drivers and all passengers.
Children under three years of age must be secured with approved safety equipment appropriate to the child's age, size, and weight.
Children from three to six years of age may use approved child or booster seats instead of seat belts.

Driving under the influence of alcohol or drugs is considered a very serious offense.
The rules are stringently enforced, and violations can result in stiff fines and possible jail sentences.

Copenhagen, the capital and largest city in Denmark, has an extensive and efficient public transportation system.
Trains and buses connect Copenhagen with other major cities in Denmark and to Norway, Sweden, and Germany.
Bicycles are also a common mode of transportation in Denmark.
Passengers exiting public or tourist buses, as well as tourists driving rental cars, should watch for bicycles on their designated paths, which are usually located between the pedestrian sidewalks and the traffic lanes.

Danish expressways, highways, and secondary roads are of high quality and connect all areas of the country.
It is possible to drive from the northern tip of Denmark to the German border in the south in just four hours.
Greenland has no established road system, and domestic travel is performed by foot, boat, or by air.
The majority of the Faroe Islands are connected by bridges or serviced by boat.
Although the largest islands have roads, most domestic travel is done on foot, horseback, boat, or by air.

The emergency telephone number for police/fire/ambulance in Denmark and the Faroe Islands is 112.
In Greenland contact the local police.

Please refer to our Road Safety page for more information.
Visit the web site of the country’s national tourist office and national authority responsible for road safety at http://www.denmark.org.
See also additional information on driving in Denmark at http://www.trafikken.dk/trafikken.asp?page=company&objno=7.

AVIATION SAFETY OVERSIGHT:
The U.S. Federal Aviation Administration (FAA) has assessed the Government of Denmark’s Civil Aviation Authority as being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for the oversight of Denmark’s air carrier operations.
This rating applies to Greenland and the Faroe Islands as well.
For more information, travelers may visit the FAA’s web site at www.faa.gov/safety/programs_initiatives/oversight/iasa.

SPECIAL CIRCUMSTANCES:
The official unit of currency in Denmark is the Danish krone.
ATM machines are widely available throughout Denmark.
Please see our information on customs regulations.

For information concerning the importation of pets into Denmark, please visit the following website:
http://www.foedevarestyrelsen.dk.

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 protection 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 Denmark’s laws, even unknowingly, may be expelled, arrested, or imprisoned.
Penalties for possession, use, or trafficking in illegal drugs in Denmark are severe and convicted offenders can expect long jail sentences and heavy fines.
Engaging in illicit 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 Denmark are encouraged to register with the nearest U.S. Embassy or Consulate through the State Department’s travel registration web site, https://travelregistration.state.gov, and to obtain updated information on travel and security within Denmark.
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 Dag Hammarskjolds Alle 24; 2100 Copenhagen, telephone: (45) 33-41-71-00; Embassy fax: (45) 35-43-02-23; Consular Section fax: (45) 35-38-96-16; After-hours emergency telephone: (45) 35-55-92-70.
Information is also available via the U.S. Embassy’s web site at http://denmark.usembassy.gov/.
The United States has no consular presence in Greenland or the Faroe Islands.
* * *
This replaces the Consular Information Sheet dated August 23, 2007 to update the sections on Entry Requirements and Information for Victims of Crime.

Travel News Headlines WORLD NEWS

Date: Fri 26 Jul 2019
Source: Food Safety News [edited]
<https://www.foodsafetynews.com/2019/07/wgs-project-helps-denmark-uncover-campylobacter-outbreak/>

Fifty people are ill in Denmark from campylobacteriosis after eating chicken meat but authorities believe the actual number of patients may be much higher. Statens Serum Institut (SSI), Danish Veterinary and Food Administration (Fødevarestyrelsen) and DTU Food -- National Food Institute are investigating the _Campylobacter jejuni_ outbreak. _Campylobacter_ is the main cause of bacterial intestinal infections in Denmark and more than 4500 cases were registered in 2018. The same type of _Campylobacter_, sequence type 122, identified in patients by whole genome sequencing has also been found in chicken meat from one slaughterhouse, named as HKScan in Vinderup, a town in North-western Jutland.

HKScan is a Nordic meat and meals company employing more than 600 people in Denmark at production units in Vinderup and Skovsgaard. The Danish Veterinary and Food Administration is continuing to investigate and officials have been sent to help the company track and eliminate the source of infection. Those sick are 20 women and 30 men aged 14 to 87 with a median age of 49 years. As part of a project this year [2019] involving the Clinical Microbiology Department (KMA) in Aalborg, the Danish Veterinary and Food Administration and SSI; _Campylobacter_ isolates from patients diagnosed in Aalborg since March 2019 have been collected, sent to SSI and whole genome sequenced. _Campylobacter_ isolates are not routinely submitted and sequenced so the outbreak has been detected due to the project and may otherwise have gone unnoticed. In the past it has been difficult to detect and solve such outbreaks.

Some isolates also come from other KMA's as part of the Danish Integrated Antimicrobial Resistance Monitoring and Research Programme (DANMAP) project. Steen Ethelberg, a senior scientist at SSI, said patients have fallen sick over a couple of months and are still being reported. "The most recent estimate for how many more cases are in the population relative to the diagnosed laboratory controlled cases is a factor of 12 so there would be more cases that are actually ill in any outbreak," he told Food Safety News. "The reason we know about this outbreak is because we are running a project in one part of the country where all the patient isolates are being collected and subjected to whole genome sequencing.

Since the outbreak is mainly based on one of the 10 labs only you would expect patients all over the country. It seems likely that there could be more cases and we also have some smaller clusters detected in the project." Ethelberg said the project is trying to see how WGS may be helpful in understanding _Campylobacter_. "It is about collecting patient isolates from one lab and at the same time analysing chicken meat and subjecting the _Campylobacter_ isolates in chicken meat to WGS and then comparing the sequences. In the project we are learning about the aetiology of _Campylobacter_ but we also see outbreaks in real time.

This outbreak is big enough that we thought it should be reported to the public but in a sense it is not so different because we know many people are ill from _Campylobacter_ from poultry products." The Danish Veterinary and Food Administration has been taking samples for _Campylobacter_ of various cuts of chicken from different stores and these have been sequenced. Annette Perge, from the agency, told Food Safety News that it was still too early to conclude the outbreak was over. "The slaughterhouse produces both fresh and frozen products hence we can't rule out that products may still be on the market or bought and stored frozen at private households.

Based on patient interviews it has not been possible to point out specific products, places of purchase, or periods of purchase," she said. "Furthermore there is no legal requirements stating that _Campylobacter_ is prohibited in poultry meat. However even without legal requirements foods used as intended should not result in illness. The slaughterhouse is a large establishment and their products are sold at all the major Danish retail chains." The agency does not yet know if a link was limited to one farm or establishment, according to Perge. "The link between food isolates and routine samples taken at the slaughterhouse, samples of thigh skin from chickens taken routinely for analyses, and the patient isolates was seen when comparing whole genome sequencing results.

However it has not been possible to verify the link through interview with patients. We have no indication that this outbreak is due to a contamination persisting in the slaughterhouse. They have been allowed to continue production. They are assisting us in any way possible to solve the case." Perge said samples from chickens from a specific farm showed a close resemblance to the patients. "The farm has been visited by the audit team from the slaughterhouse and corrections to practices have been made. At the moment no chickens are delivered for slaughter as they are not yet old enough. Meat from chickens slaughtered from that farm will be tested for _Campylobacter_ and eventual isolates will be sequenced and compared to the outbreak strain. If the meat contains larger numbers of _Campylobacter_, the use of the meat will be restricted." [Byline: Joe Whitworth]
========================
[The source of the outbreak may we'll be chicken, a common vehicle for this enteric pathogen. - ProMED Mod.LL]

[HealthMap/ProMED-mail map of Denmark:
<http://healthmap.org/promed/p/111>]
Date: Tue 28 May 2019
Source: Food Safety News [edited]
<https://www.foodsafetynews.com/2019/05/ongoing-yersinia-outbreak-traced-to-fresh-spinach-more-than-50-sick/>

An outbreak of yersiniosis in Denmark and Sweden with more than 50 cases has been linked to fresh spinach. Statens Serum Institut, a public health research institute in Denmark, reports 20 people have been infected in the country. One person needed hospital treatment. The Public Health Agency of Sweden has recorded 37 confirmed cases. In March 2019, 20 cases of _Yersinia enterocolitica_ [infection] were found in Denmark. There were 11 women and 9 men aged 2 to 74 years old, with most cases aged 20 to 30. Patients were distributed throughout Denmark in Hovedstaden, Sjaelland, Syddanmark, Midtjylland, and Nordjylland.

The link to spinach was based on a case control study and the traceback investigation, which indicated spinach from Italy was responsible. In March 2019, most fresh spinach in Denmark comes from Spain or Italy. No specific batch of product was found to be the source of the outbreak and no product testing was conducted. After interviews with patients, Statens Serum Institut did a study in which healthy people of the same gender and age, and who lived in the same municipality as those sick, were asked if they had eaten certain foods that many of the yersiniosis patients ate. The study showed patients had consumed fresh spinach to a far greater extent than the control people.

The investigation found spinach was bought in Netto and a supermarket chain in Sweden. Danish officials said the implicated product is no longer on the market because the country had not seen any cases since March 2019 and given duration of the outbreak it was likely only one batch that was contaminated. The cause of the outbreak was _Yersinia enterocolitica_ serotype O3, biotype 4. Whole genome sequencing found all patients were infected with the same bacterial strain. "Although the outbreak is over, we can use this knowledge to prevent it from happening again. It is also a good reason to remind consumers that leafy greens always must be washed thoroughly before eating," said Luise Müller, an epidemiologist from Statens Serum Institut.

Denmark sees about 400 _Yersinia enterocolitica_ cases a year, with 366 having been reported in 2018. In Sweden, the increase in _Yersinia_ infections started in March [2019] and the 37 cases were from across the country. 7 men and 20 women with an age range from 6 to 62 years fell ill. Swedish officials said they were not able to analyse food samples since no case had spinach left at home and their case-control study did not identify a specific food item. Infection with yersinia is relatively rare in Sweden, with between 200 to 300 cases reported annually. Previous outbreaks have been caused by raw or undercooked meat consumption and contaminated ready-to-eat vegetables.

After an incubation period of 3 to 7 days, symptoms includes fever, diarrhoea, and abdominal pain in the right lower part of the abdomen. [byline: Joe Whitworth]
========================
[It is not specifically stated whether the strains in Denmark and Sweden are genetically related. The 2 species of _Yersinia_ associated with foodborne disease are _pseudotuberculosis_ and _enterocolitica_. The latter species can be associated with abdominal pain as a hallmark symptom. As a mesenteric lymphadenitis, yersiniosis can mimic appendicitis but may also cause infections of other sites, such as wounds, joints, and the urinary tract.

As noted in the FDA "Bad Bug Book" (<https://wayback.archive-it.org/7993/20170406190140/https://www.fda.gov/Food/FoodborneIllnessContaminants/CausesOfIllnessBadBugBook/ucm070040.htm>, "Strains of _Y. enterocolitica_ can be found in meats (pork, beef, lamb, etc.), oysters, fish, and raw milk.

The exact cause of the food contamination is unknown. However, the prevalence of this organism in soil, water, and animals, such as beavers, pigs, and squirrels, offers ample opportunities for it to enter our food supply. Poor sanitation and improper sterilization techniques by food handlers, including improper storage, cannot be overlooked as contributing to contamination." In addition, some strains of these organisms can be associated with blood transfusion-associated illnesses due to an ability to grow at refrigerator temperatures. - ProMED Mod.LL]

[HealthMap/ProMED-mail maps:
Denmark: <http://healthmap.org/promed/p/111>
Sweden: <http://healthmap.org/promed/p/108>]
Date: Wed 2 May 2019
Source: CPH Post [edited]

A bacterial infection found in the intestines of many animals and common in pigs, _Yersinia enterocolitica_, has been found in 18 Danes since 30 Mar 2019. So far, 10 women and 8 men aged 2-74 from all over Denmark have been diagnosed with the rare infection, reported BT.  "Right now, we have an outbreak of the bacterium _Yersinia enterocolitica_. It is a disease like salmonella that typically infects people via food," said Luise Muller from the State Serum Institute (SSI).

The disease is not common in Denmark. Over the last 5 years, there have only been 3 outbreaks. SSI is trying to localise the source of the infection by looking for common threads in the infected people's diet.

Typical symptoms are generally feeling under the weather, violent stomach pains, fever, and diarrhoea. The incubation period is usually 3-7 days. "The best advice we can give people is to cook meat thoroughly and wash fruit and vegetables carefully," said Muller.

Sweden has seen a similar outbreak, and the Danish and Swedish authorities are working together to map the infection.

In the 1980s, the infection used to be just as common as salmonellosis and campylobacteriosis, but it has become rarer nowadays. In 2014 there were 414 registered cases.  [Byline: Stephen Gadd]
==========================
[The 2 species of _Yersinia_ associated with food-borne disease are _pseudotuberculosis_ and _enterocolitica_. The latter species can be associated with abdominal pain as a hallmark symptom. As a mesenteric lymphadenitis, yersiniosis can mimic appendicitis but may also cause infections of other sites, such as wounds, joints, and the urinary tract.

As noted in the FDA "Bad Bug Book" (<https://wayback.archive-it.org/7993/20170406190140/https://www.fda.gov/Food/FoodborneIllnessContaminants/CausesOfIllnessBadBugBook/ucm070040.htm>), "Strains of _Y. enterocolitica_ can be found in meats (pork, beef, lamb, etc.), oysters, fish, and raw milk. The exact cause of the food contamination is unknown. However, the prevalence of this organism in soil, water, and animals, such as beavers, pigs, and squirrels, offers ample opportunities for it to enter our food supply. Poor sanitation and improper sterilization techniques by food handlers, including improper storage, cannot be overlooked as contributing to contamination."

Additionally, some strains of these organisms can be associated with blood transfusion-associated illnesses due to an ability to grow at refrigerator temperatures. - ProMED Mod.LL]

[HealthMap/ProMED-mail map:
Date: Sun, 28 Apr 2019 18:03:54 +0200

Copenhagen, April 28, 2019 (AFP) - A further 110,000 air passengers faced being left grounded after Scandinavian carrier SAS on Sunday cancelled 1,213 flights as pilot strike action spiralled.   Pilots demanding better pay and conditions walked off the job in Sweden, Denmark and Norway on Friday and the disruption is now expected to hit some 280,000 travellers overall.   SAS had initially predicted that 170,000 passengers would be affected by the end of Sunday, but now says a further 667 Monday flights and 546 more due Tuesday will be annulled.

The stoppage by 1,409 pilots is affecting domestic, European and long-haul flights.   The Swedish Air Line Pilots Association, which initiated the strike, has said that months of talks have failed to find a solution to pilots' "deteriorating work conditions, unpredictable work schedules and job insecurity".   "No discussion is currently underway between the two parties," Rawaz Nermany, president of the association, said on Sunday.   "To overcome our differences, SAS must show a real willingness to discuss and meet around the negotiating table," he told the Swedish TT agency.   But the Swedish Confederation of Transport Enterprises insists it cannot accept a demand for a 13-percent wage increase, given their "already high average wage of 93,000 kronor (8,766 euros, $9,769) a month".

The pilots' association say work schedules, not wages, are their main gripe as most SAS pilots have to work at variable times and days and sometimes have to work several weekends in a row.   SAS has implemented repeated savings programmes in recent years to improve its profitability, after almost going bankrupt in 2012.   "If SAS gives in to the demands of the pilots, we can be pretty sure that in a few quarters, SAS will be in deficit and will have to fight to survive," Jacob Pedersen, chief analyst of the Danish bank Sydbank, told the Ritzau agency.

In the first quarter of 2019, the airline widened its losses, impacted by negative exchange effects and high fuel prices.   It posted a net loss of 469 million kronor, compared to 249 million a year earlier.   Although the carrier forecast a full-year profit Sydbank on Friday predicted the strike would cost SAS 60 to 80 million kronor ($6 million to $8 million) per day.
Date: Thu 25 Oct 2018
Source: European Centre for Disease Prevention and Control (ECDC) [edited]

Ready-to-eat salmon products, such as cold-smoked and marinated salmon, are the likely source of an outbreak of listeriosis that has affected Denmark, Germany, and France since 2015. 12 cases, including 4 deaths, matched the outbreak strain identified by whole genome sequencing (WGS). A previous investigation and new WGS findings suggests a common source of contamination, states the latest report by ECDC and the European Food and Safety Authority (EFSA).

WGS-based analysis identified 12 patients with onset of symptoms between October 2015 and May 2018: 6 in Denmark, 1 in France, and 5 in Germany. The 1st cluster of cases reported by Denmark in September 2017 was linked to the consumption of salmon products produced in Poland.

Initial investigations suggested that contamination may have taken place at a Polish processing company but the lack of recent WGS data on the _Listeria monocytogenes_-isolates collected at the processing plant make it impossible to confirm this is the case.

Although control measures were implemented following the Danish outbreak investigation in September 2017, the same strain was found in a salmon product in France in October 2017 and in a patient in Germany in May 2018. This suggests that the source of contamination may still be active and that contaminated products may have been distributed to more EU countries. Until the source of contamination is identified and controlled, new invasive _L. monocytogenes_ infections associated with this outbreak may still occur.

It is likely that the extent of the outbreak is underestimated, since the use of sequencing to characterise _L. monocytogenes_ isolates is only used by a few EU countries. A recent EU-wide study coordinated by ECDC revealed that more than half of the severe listeriosis cases in the European Union belong to clusters, many of which are not being picked up fast enough by the current surveillance system.

Listeriosis is a relatively rare but potentially severe food-borne disease that has been reported in increasing numbers in the EU/EEA countries since 2008. In 2016, 2536 cases were reported, including 247 deaths. Pregnant women, the elderly and immunocompromised people are at higher risk of contracting listeriosis.
===================
[Refrigerated smoked salmon is a recognized potential source for listeriosis, similar to other cold cut meats and non-heat treated cured smoked meats, being a ready-to-eat product, that is, does not require further cooking before eating. The ECDC report said that more cases related to this outbreak are expected, despite a recall in 2017 by the Salling Group (formerly Dansk Supermarked Group/DSG) of cold-packed smoked salmon manufactured in Poland from 600 stores in Denmark and a limited number in Metro Poland, after the outbreak strain of _Listeria monocytogenes_ was identified in the product (see ProMED-mail post Listeriosis - Denmark, Poland: smoked salmon, recall http://promedmail.org/post/20170902.5290728). Salling Group consists of chains (fotex, Bilka, Netto, and Salling) with more than 1400 stores in Denmark, Germany, Poland, and Sweden. - ProMED Mod.ML]

[HealthMap/ProMED maps available at:
More ...

Brazil

General

 Brazil is the largest country in South America and extends from the Atlantic Ocean to the Caribbean to the depths of the Amazon basin. The climate varies throughout the country but generally it experiences a humid

tropical climate.

Safety & Security

The level of crime in many of the main urban centres is certainly rising and tourists need to be aware of the risks involved in travelling particularly in the evening hours. It is wise to use an official taxi for any journeys after dark. It is sensible not to flaunt any personal wealth and to use the hotel safety boxes for any valuables and your travel documents. The amount of crime against tourists tends to be greater in areas surrounding hotels, discotheques, bars, nightclubs and other similar establishments that cater to visitors, especially at dusk and during the evening hours. There are frequent reports of theft on city buses and such transportation should be avoided. A number of the main cities have established specialised tourist police units to patrol areas frequented by tourists. Rio de Janeiro, Sao Paulo and Brasilia all continue to experience a high incidence of crime.

Road Safety

Throughout this huge country the state of the roads varies greatly. In many regions the roads are dirt tracks and assistance would be hard to obtain for those travelling off from the main tourists routes. Bag snatching from traffic lights occurs in the main cities. If considering hiring a car make certain that your travel insurance is sufficient.

Jet Lag

After your flight you will experience a degree of jet lag. Travelling from Europe this will be less than when you travel home but nevertheless it will still cause your body to complain for 24 to 48 hours. Try to have a more relaxing time for the first few days (and also after returning home if possible!). Be careful not to fall asleep by the pool and then awaken with sunburn which could ruin your time abroad.

Medical Facilities

In any country of this size the level of medical care will vary greatly. This is particular true out side the main tourist resorts. English speaking doctors should be available but the level of hospital care can be worrisome. Make certain you carry sufficient supplies of any medication you may require for your entire holiday. Essential drugs (asthma, diabetes, epilepsy etc) should be divided for security.

Sun Exposure and Dehydration

The hot humid tropical climate often leads to quite significant problems for the Irish traveller. Make sure you cover your head when out in the sunlight and drink plenty of fluids to replenish that lost through perspiration. Replace the salt you loose by eating crisps etc orby putting salt on your meal (providing there is no contraindication).

Visiting the Iguassu Falls

These huge waterfalls border Argentina, Brazil and Paraguay. There is only minimal risk of malaria and so malaria prophylaxis is not generally recommended. Also, Yellow fever is not transmitted in this area but mosquitoes can abound. Sensible insect bite precautions should be followed at all times.

Food & Water

Many tourists who visit Brazil stay in the main resorts along the southern coast. The food and water preparation in the hotels is normally excellent but eating food from street vendors is generally unwise. Shell fish (bivalve oysters, mussels, clams etc) are unwise even in a five star hotel. Check the water from the cold water tap in your room. If you can’t easily smell chlorine (swimming pool style) don’t use it even for brushing your teeth. If travelling around the country (Caribbean coast or into the Amazon regions) take significantly more care.

Rabies 

This viral disease occurs throughout Brazil and it is usually transmitted through the bite from an infected warm-blooded animal (eg dogs, cats & monkeys). Any contact should be avoided but if it occurs treat it very seriously and seek competent medical attention immediately after you wash out the area and apply an antiseptic.

Malaria

The risk of malaria is significant all year throughout the Amazon regions. There is insignificant risk for those staying along the coast up as far as Fortaleza and for those remaining in this region prophylaxis is not usually recommended. The risk in the region of Brasilia is also thought to be minimal though this is an area which has unusually experience an outbreak of Yellow Fever recently, and so the situation will require review.

Mosquito Borne Diseases  Apart from malaria the other two main diseases transmitted by mosquitoes which cause problems in Brazil are Dengue Fever (mainly along Caribbean Coast but has been reported much further south) and Yellow Fever (mainly in the Amazon Basin but thought to be spreading to other regions). Avoidance techniques are important at all times throughout the day. Swimming **************************************** Most of the main tourist swimming pools will be well maintained and the smell of chlorine will be evident. If sea swimming is on your agenda make sure you go where there are plenty of others and never swim alone. Look for warning signs and pay attention to local advice. Be very careful of local currents which can be dangerous. Vaccinations **************************************** The Brazilian Embassy is advising all travellers to Brazil to have vaccination cover against Yellow Fever. Also for your personal protection it is wise to consider some further vaccines. Generally we would recommend the following vaccination cover; * Yellow Fever (mosquito borne) * Tetanus (childhood booster) * Typhoid (food & water borne) * Hepatitis A (food & water borne) For those travelling more extensively or staying in the country for longer periods we would usually suggest that further vaccines are considered including Hepatitis B, Meningitis and Rabies. Summary **************************************** Many travellers to Brazil will remain perfectly healthy and well providing they follow some sensible precautions. Further information is available from either of our centres regarding any recent disease outbreaks.

Travel News Headlines WORLD NEWS

Date: Mon, 4 Nov 2019 20:37:19 +0100 (MET)
By Eugenia LOGIURATTO

Recife, Brazil, Nov 4, 2019 (AFP) - Months after thick oil began turning idyllic beaches in Brazil into "black carpets," workers and volunteers wearing rubber gloves race against time to scrape off the remaining fragments ahead of the country's peak tourism season.   Paiva, Itapuama and Enseada dos Corais in the northeastern state of Pernambuco are among hundreds of beaches fouled by an oil spill that began to appear in early September and has affected more than 2,000 kilometers (1,250 miles) of Atlantic coastline.

As ocean currents brought large globs of crude to shore near the capital Recife in recent weeks, locals rushed to the normally picturesque beaches and used their bare hands to remove the toxic material coating sand, rocks and wildlife.    "I was shocked, there were people entering the water without gloves, without safety equipment, in the middle of the oil," coconut seller Glaucia Dias de Lima, 35, told AFP as she picked up chunks of crude from Itapuama beach.

Thousands of military personnel have been dispatched to help clean up the oil that has killed dozens of animals, including turtles, and reached a humpback whale sanctuary off Bahia state that has some of the country's richest biodiversity.   It is the third major environmental disaster to strike Brazil this year. In recent months fires ravaged the Amazon rainforest and in January a mine dam collapsed in the southeast, spewing millions of tons of toxic waste across the countryside.    Wildfires are still raging across the Pantanal tropical wetlands.

While thousands of tons of crude waste have been recovered so far, the space agency INPE said Friday there might still be oil at sea being pushed by currents. It could reach as far south as Rio de Janeiro state, the agency said.   President Jair Bolsonaro warned Sunday that "the worst is yet to come," saying only a fraction of the spilled crude had been collected so far.    The government on Friday named a Greek-flagged tanker as the prime suspect for being the source of the oil slicks.   The ship Bouboulina took on oil in Venezuela and was headed for Singapore, it said. The tanker's operators have denied the vessel was to blame.

- Fishing paralyzed -
As the southern hemisphere's summer approaches, people dependent on the fishing and tourism industries are nervously waiting for test results to show if the water is safe to swim in and eat from.   Northeastern Brazil is a popular tourist destination all year round, but visitor numbers usually explode in the hotter months. 

Eco-tourism guide Giovana Eulina said the disaster would affect the sector and she called for a campaign to "encourage people to come here."   Fishing in the region also has been largely paralyzed by the oil spill, even in areas where crude has not been detected.   "We still don't have a concrete answer from a scientist who says that (the water) is really contaminated," said Sandra Lima, head of a local fishing association.    Edileuza Nascimento, 63, stands in muddy water near Recife and extracts shellfish that she will sanitize at home, freeze and then sell.   It was already a struggle for fishermen to make a living, she said. But the oil slick has been "too much."    "It has come to finish off the fishing families."
Date: Thu, 31 Oct 2019 20:21:47 +0100 (MET)

Sao Paulo, Oct 31, 2019 (AFP) - Wildfires are raging across the Pantanal tropical wetlands in southern Brazil, one of the most biodiverse areas in the world and a major tourist destination, regional authorities said Thursday.   The governor's office in the state of Mato Grosso do Sul said the fires were "bigger than anything seen before" in the region.    So far, more than 50,000 hectares (nearly 125,000 acres) have been affected.   The blazes follow other wildfires that environmental groups say ravaged millions of hectares in the Amazon rainforest in August.

The statement from the governor's office said the situation was "critical," with blazes ravaging three towns in the Pantanal, a popular eco-tourism spot.   "Intense flames and reddish smoke have disrupted traffic" on the highways, the statement said.   The coordinator of the National Risk Management Center, Paulo Barbosa de Souza, said the blaze -- fed by wind and dry vegetation -- was causing "logistical difficulties."   Satellite images from the INPE space institute showed there were nearly 8,500 fires in the Pantanal area between January and October this year.   That was the worst record since 2007.
Date: Tue 5 Nov 2019 1:06 PM BRT
Source: Folha De S. Paulo [edited]

Despite successive warnings in recent years, Brazil has not yet managed to stop the advance of syphilis. Last year [2018], the country recorded the largest number of cases of the disease since 2010, when reporting began to occur regularly, according to data from the Ministry of Health.

In 2018 alone, there were 158 000 cases of acquired syphilis, equivalent to 75.8 cases per 100,000 inhabitants. For comparison, a year earlier, this rate was 59.1 cases per 100,000.

Experts reason better detection, but there is also lack of penicillin and a refusal to prevent. Preliminary data from 2019 indicate that the trend is unlikely to reverse this year [2019].

This advance trend is global and worries the World Health Organization, although the organization does not have updated numbers of disease prevalence.

Experts say data represent an improvement in identifying cases through examinations and difficulty in controlling the progress of the disease in the country.  "At least 3 times a week I get test results that show syphilis. Many are from patients who have had treatment but became infected again. Every day this becomes more frequent," said infectious disease specialist Eliana Bicudo, consultant to the Brazilian Society of Infectious Diseases.

According to the Ministry of Health, other factors have contributed to the increase in cases. "There is progress in the disease [increasing incidence], related both to greater detection capacity and the reduction of preventive measures," said the Secretary of Health Surveillance, Wanderson Oliveira. Chief among them, he says, is a reduction in condom use, in a context where people have more [multiple] sexual partners.

Still, according to the secretary, problems in the supply of penicillin in recent years also helped to boost the disease in different countries.  [Byline: Natalia Cancian, Kiratiana Freelon]
=================
[The news report above fails to say much about the epidemiology of syphilis in Brazil, other than that there is an increasing incidence (presumably primary and secondary (P&S) syphilis, the most infectious stages of the disease), although the specific stage of syphilis being reported is not mentioned in the article; in 2018 the reported incidence was 75.8 cases per 100,000 population, the highest since 2010, when reporting began to occur regularly, according to data from the Ministry of Health. The health authorities are attributing this rising incidence to greater detection and decreased condom use, especially among people with multiple sexual partners.

In the US, after syphilis reached historic lows in 2000, with less than 6000 reported cases and an incidence of only 2.1 cases per 100,000 people, the country has since experienced a rising incidence of P&S syphilis. In 2018, 35,063 cases of P&S syphilis were reported, yielding a rate of 10.8 cases per 100,000 population (<https://www.cdc.gov/std/stats18/STDSurveillance2018-full-report.pdf>).

During 2000-2015, the rise in the rate of reported P&S syphilis in the US was primarily attributable to increased cases among men, specifically among gay, bisexual, and other men who have sex with men (MSM). Similar to past years, in 2018, MSM accounted for the majority (53.5%) of all reported cases of P&S syphilis and, of these, 41.6% were known to be living with diagnosed HIV.

Although rates of P&S syphilis are lower among women, rates have increased substantially in recent years, increasing 30.4% during 2017-2018 and 172.7% during 2014-2018, suggesting a rapidly growing heterosexual epidemic (<https://www.cdc.gov/std/stats18/STDSurveillance2018-full-report.pdf>).

The increasing incidence in women has been associated with increasing rates of congenital syphilis. Since 2013, the rate of congenital syphilis has increased each year. In 2018, 1306 cases of congenital syphilis were reported  (<https://www.cdc.gov/std/stats18/STDSurveillance2018-full-report.pdf>).

Similar trends have been seen in other countries (such as Australia, New Zealand, Canada, and Japan), where increases have recently also occurred in the incidence of syphilis among women, accompanied in some countries by increases in congenital syphilis. ECDC reported a similar trend in some western EU/EEA countries, but not in eastern EU countries (<https://ecdc.europa.eu/en/news-events/syphilis-notifications-eueea-70-2010>).

The reasons for the increases in the incidence of syphilis are varied and likely differ by locality and the patient population affected. Increased diagnostic testing for syphilis could contribute to some extent to the increased incidence in some groups, such as MSM. Some of the factors that could promote unprotected (condomless) sex include lack of sex education and access to condoms for teenagers and young adults; the opioid epidemic and sale of sex for drugs; the popularity of cell phone geolocating dating apps that facilitate sexual activity with multiple anonymous partners; use of Internet chat rooms to meet sex partners; use of psychoactive "party drugs"; and use among MSM of pre-exposure HIV prophylaxis, or PrEP, which is a way to prevent HIV infection for people who do not have HIV but who are at substantial risk of getting it by engaging in risky condomless sexual activity (<https://www.cdc.gov/hiv/pdf/PrEP_fact_sheet_final.pdf>).

A CDC study showed that during 2013-2017, when the P&S syphilis rate increased 72.7% nationally in the US and 155.6% among women, the use of methamphetamine, injection drugs, and heroin more than doubled among women and heterosexual men with P&S syphilis. Similar trends have been seen in Canada (ProMED-mail post Syphilis - Canada: (MB) increased incidence, methamphetamine use, 2018 http://promedmail.org/post/20190131.6287056). The data in the US did not reveal the same increases in drug use among gay men with syphilis, the group with the highest rates of the disease.

The linkage of illicit drug use and syphilis transmission is reminiscent of the increase in syphilis among heterosexuals during the crack cocaine epidemic of the 1980s and 1990s, when the practice of trading sex with multiple partners for drugs, especially crack cocaine, played a major role in the transmission of syphilis. Under these circumstances, the identities of sex partners are often unknown, which weakens the traditional syphilis-control strategy of partner notification.

More information on the epidemiology of syphilis in Brazil would be welcome from knowledgeable sources. - ProMED Mod.ML]

[HealthMap/ProMED-mail map of Brazil:
Date: Tue 15 Oct 2019
Source: Teresina Municipal Health Foundation [in Portuguese trans. ProMED Mod.TY, edited]

The Teresina Municipal Health Foundation (FMS), through the Neuroinvasive Syndromes Surveillance program, confirmed the 4th case of West Nile fever in the state of Piaui [PI]. This is a female patient who suffered from acute encephalitis, inflammation of the nervous system, in April 2019.

"The FMS is investigating the possibility of a case acquired in Piaui (an indigenous case). This is because the patient was in the municipalities of Cabeceiras, PI and Lagoa Alegre, PI, in the weeks before the illness. She was admitted to the HUT [Teresina Emergency Hospital] and was discharged after treatment, leaving neurological sequelae ", explains FMS neurologist Marcelo Vieira.

West Nile fever virus is transmitted through the bite of an infected mosquito, usually of the _Culex_ genus. Natural hosts are some wild birds that act as virus amplifiers and can be a source of infection for mosquitoes. It can also infect humans, horses, primates, and other mammals. There is no person to person transmission.

"Disease prevention is done through measures to minimize the proliferation and contact of mosquitoes with humans. All suspected cases in Teresina are reported and laboratory investigated for West Nile fever, in partnership with the Central Public Health Laboratory of the Piaui and the Evandro Chagas Institute," concludes Marcelo Vieira.

According to Amariles Borba, FMS Health Surveillance Director, the 1st human case was registered in the municipality of Aroeiras do Itaim, PI, in 2014. "Since then, 2 other cases had been confirmed in the municipalities of Picos, PI and Piripiri, PI, both in 2017. Cases in horses have been detected in the states of Ceara, Espirito Santo, and Sao Paulo," she says.
-----------------------------------------------------------
Communicated by:
Teresina Municipal Health Foundation
Epidemiology Coordinator
Department of Health Surveillance
==================================
[West Nile virus transmission in Piaui and other states in Brazil, beginning in 2014 has continued. The 2014 date is interesting considering that West Nile virus arrived in North America in 1999 and has taken only 15 years or less to reach Brazil. With cases occurring in several states in Brazil in the past 5 years, it is likely that the virus has become established there. The virus has caused cases in South America earlier than that. West Nile virus (WNV) was first reported in South America in equine animals in Colombia in 2004 and in 2006 in horses in Argentina, 5 and 7 years, respectively, after it was introduced into the Americas in New York in 1999. Owners of equine animals would be wise to vaccinate their animals and human prudent to avoid mosquito bites. - ProMED Mod.TY]

[Maps of Brazil:
Date: Wed 9 Oct 2019
Source: OP9 [in Spanish, trans., abridged, edited]

In one week, Pernambuco recorded 14 new cases of measles. According to the latest epidemiological bulletin released on Wednesday [9 Oct 2019] by the State Department of Health (SES), the state has accumulated, in 2019, 37 confirmations of the disease. Since the beginning of the year [2019], 799 suspected viruses have been reported in Pernambuco cities. Among the investigated cases, 284 were discarded and 515 are still under evaluation. The state is one of 16 federation units with active disease outbreak in Brazil.

The municipalities with confirmed measles cases in Pernambuco are as follows: Northern Taquaritinga (14), Caruaru (6), Strands (5), Recife (3), Capibaribe Holy Cross (3), Toritama (3), Calves (1), Friar Miguelinho (1), Jaboatao of the Guararapes (1).

Despite the significant number of new confirmations, the state secretary of health, Andre Longo, considers that the new cases included in the newsletter are old. "These are people who fell ill between July and August [2019]. All measures to treat patients and investigate and block new cases are implemented soon after notification," he says.

According to the secretary, regardless of the positive result after laboratory tests, suspected cases are treated as if it were a confirmed case. The intention, according to the SES, is to prevent sequelae and deaths in patients and death and minimize the possibility of contagion. With the strengthening of vaccination, until 4 Oct [2019], 507 814 people were immunized with the triple virus in Pernambuco.

Among the number of vaccinated patients, 215 986 doses were administered to children between 6 months and 4 years. The figures also reveal that the state was able to achieve 98% coverage in the 1st dose of the triple virus in one-year-olds. In the 2nd dose, which should be done 3 months after the 1st dose, the coverage is lower: 74.5%.

According to the Ministry of Health, children are the most susceptible to complications and deaths from measles, since the incidence of cases in children under one year is 9 times higher than the general population. The 2nd-most-affected age group is 1-4 years.

Since the 2nd half of August [2019], immunization of infants between 6 months and 11 months with the triple virus has been instituted throughout Brazil. Until then, the vaccination schedule of the 3 diseases began only after the 1st year. After administration of the "zero dose," it will still be necessary to follow the basic vaccination schedule from 12 months, with one more dose and a booster at 15 months.

Little coverage of 2nd dose of vaccine in children is still worrying in Pernambuco Although Pernambuco has already reached the minimum target of vaccination of the 1st dose of the triple viral in children up to 12 months, the index was not reached in the set of municipalities of I and VIII Regional Health Management (Abreu e Lima, Aracoiaba, Cabo de St. Augustine, Camaragibe, Big Ch, Tea of Joy, Glory of Goita, Fernando de Noronha, Igarassu, Ipojuca, Itamaraca, Itapissuma, Jaboatao of the Guararapes, Moreno, Olinda, Paulista, Pigeons, Reef, Sao Lourenco da Mata Antao, Afranio, Cabrobo, Sleepers, Big Pond, Oroco, Petrolina, Santa Maria da Boa Vista).

"These are populated areas that have a large circulation of tourists all the time. That is why the importance of intensifying actions and actively searching to avoid pockets of unprotected children," points out the superintendent of immunization of the State Department of Health (SES-PE), Ana Catarina de Melo. According to her, regarding the 2nd dose of the vaccine, considered essential for the protection of children, only the Geres de Palmares and Salgueiro were able to reach the minimum target of 95%.

Children between 6 months and under one year old, residing in the following 9 municipalities, should [get vaccinated] take one dose of the triple viral: Recife, Paulista, Calves, Caruaru, Santa Cruz do Capibaribe, Taquaritinga do Norte, Vertentes, Friar Miguelinho, and Salgueiro. Importantly, these children will need to follow the normal immunization schedule from 12 months.

At the moment, vaccination is still indicated for children from 6 months to under one year who are going to move to municipalities with an active measles outbreak. Immunization must be done at least 15 days before travel.
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World Travel News Headlines

Date: Mon, 18 Nov 2019 08:37:15 +0100 (MET)

Jakarta, Nov 18, 2019 (AFP) - An endangered Sumatran Tiger has mauled to death an Indonesian farmer and seriously injured a domestic tourist, a conservation official said Monday.   The fatal attack happened Sunday at the farmer's coffee plantation on Sumatra island where the 57-year-old wrestled with the big cat before it killed him, according to Genman Hasibuan, head of the South Sumatra conservation agency.   "The farmer was attacked while he was cutting a tree at his plantation," he told AFP on Monday.   The mauling came a day after the same tiger attacked a group of Indonesian tourists who were camping at a local tea plantation in South Sumatra's Mount Dempo region.

One of the tourists was rushed to hospital for wounds to his back after the cat stormed into his tent, Hasibuan said.   The animal, which remains loose in the protected-forest area, is believed to be one of just 15 critically endangered tigers in South Sumatra, which has seen five tiger attacks this year, including two fatal incidents, Hasibuan said.

Human-animal conflicts are common in the vast Southeast Asian archipelago, especially in areas where the clearing of rainforest to make way for palm oil plantations is destroying animals' habitats and bringing them into closer contact with people.   In March last year, a man was killed by a tiger in Sumatra's Riau province while several months earlier a tiger also killed a plantation worker in the area.   Sumatran tigers are considered critically endangered by protection group the International Union for Conservation of Nature, with 400 to 500 remaining in the wild.
Date: Fri, 15 Nov 2019 17:12:24 +0100 (MET)

Karachi, Nov 15, 2019 (AFP) - Pakistan has become the first country in the world to introduce a new typhoid vaccine, officials said Friday, as the country grapples with an ongoing outbreak of a drug-resistant strain of the potentially fatal disease.   The vaccine, approved by the World Health Organization (WHO), will be used during a two-week immunisation campaign in southern Sindh province.

Sindh is where most of Pakistan's 10,000 cases of typhoid have been documented since 2017.    "The two-week campaign beginning from today would target over 10 million children of nine months to 15 years of age," Azra Pechuho, the health minister in Sindh province, said in Karachi on Friday.   The new vaccines have been provided by Gavi, the Vaccine Alliance, to the Pakistani government free of cost.

After the two-week campaign, it will be introduced into routine immunisations in Sindh, and in other areas of Pakistan in the coming years.   Pakistan spends a meagre amount of its national resources on public health and a majority of its population remains vulnerable to contagious diseases such as typhoid.   In 2017, 63 percent of the typhoid cases documented and 70 percent of the fatalities were children, according to a joint press release from the Pakistani government, WHO and Gavi.
Date: Sat, 16 Nov 2019 05:50:25 +0100 (MET)
By Abhaya SRIVASTAVA

New Delhi, Nov 16, 2019 (AFP) - A thick grey smog choked New Delhi for the fifth day Saturday, adding to a mounting pollution health crisis, but retired naval commander Anil Charan is one of the vast majority of the city's 20 million inhabitants who do not wear a mask.   Indian media is packed with warnings about the risk of premature death, lung cancer and particular danger to children from PM2.5 -- tiny particles that get into the bloodstream and vital organs -- carried in the smog.   But the smartly-dressed Charan was among shoppers in Delhi's upmarket Khan Market district browsing the luxury clothes and jewellery stores without a mask, seemingly oblivious to the risk.   Many are too poor to afford protection but others simply do not like the way a pollution mask looks.

Charan, wearing aviator sunglasses, said it did not fit his "rough and tough" image.   "I have been brought up in this kind of atmosphere, the smog and all, so I am kind of used to it. And being a naval officer I think if I wear a mask I will think I am a sissy," he said.   Doctors say face masks must be worn and air purifiers used at home and in offices.   There are a variety of masks to choose from. A basic cloth version can cost as little as 50 rupees (70 US cents) but the protection they offer is debatable.    More reputable types start from 2,500 rupees ($34) while some Khan Market stores charge more than 5,500 rupees ($75) for top of the range imported models.

- Bare-faced bravado -
The mask-look worried a lot of the Khan Market shoppers and diners however. Some said the danger had been overblown.   "I know I am risking my health but I am not very comfortable wearing them (masks)," said Ritancia Cardoz, who works for a private company.   "I don't find it appealing," she told AFP.   Lopa Diwan, on a visit to the capital from the provinces, said the Delhi air was "not as bad as it is being made out to be."   "So many people advised me not to go to Delhi because of the pollution but I don't think it's that bad. I don't see people dying," she said.

Pollution -- blamed on industrial and car emissions mixed with stubble fires on thousands of farms surrounding the city -- has been building up each winter for the past decade. The past five years have been particularly bad.   The toxic air cuts short the lives of one million people in India every year, according to government research published earlier this year.    Concentrations of the most harmful airborne pollutants in Delhi are regularly about 20 times the World Health Organisation safe limit. That rams home the city's reputation as the world's most polluted capital.   Some foreign companies and embassies now do not let families move to Delhi, or at least give strong warnings about the pollution.

The Delhi government has given out hundreds of thousands of masks to children and closed schools for four of the past five days. Construction is banned and cars can only go on the roads on alternate days.   But still only a tiny number of inhabitants follow medical advice when outside. Rickshaw drivers who earn about $7 a day on an average say they cannot afford masks.   Chand Babu, a car park attendant at Khan Market, said he could buy one of the cheaper masks but it was too much of a hassle to wear.   "I have to blow the whistle all the time so it's inconvenient."   Babu does worry, however, about his three children who also do not have masks. "They go outside to play. The problem is real, but what do we do, tell me?"
Date: Sun, 17 Nov 2019 14:28:44 +0100 (MET)
By Filippo MONTEFORTE with Charles ONIANS in Rome

Venice, Nov 17, 2019 (AFP) - Venice's St Mark's Square was closed on Sunday as the historic city suffered its  third major flooding in less than a week, while rain lashing the rest of Italy prompted warnings in Florence and Pisa.   Venice's latest "acqua alta", or high water, hit 150 centimetres (just under five feet) on Sunday, lower than Tuesday's 187 centimetres -- the highest level in half a century -- but still dangerous.   "The water has stopped rising," tweeted mayor Luigi Brugnaro, who has estimated damage so far from the invading salt water at over one billion euros (dollars).   "High of 150 centimetres... Venice is working to restart," Brugnaro said after the sea water swamped the already devastated city where authorities have declared a state of emergency.   To the south, Tuscany president Enrico Rossi tweeted a warning of a "flood wave" on the Arno and said boards were being installed on the swollen river's banks in Pisa "as a precautionary measure".

The Italian army tweeted photos of paratroopers helping to bolster river defences in Pisa, with authorities monitoring the same river in Florence after heavy rain made it rise dramatically overnight.   Arno flooding devastated Renaissance jewel Florence in 1966, killing around 100 people and destroying thousands of priceless works of art. Civil protection units in Florence advised citizens "not to stand near the Arno's riverbanks".   Firefighters tweeted footage of a hovercraft being deployed to rescue stranded citizens in southern Tuscany's Grossetano province.

- Brief respite -
The renewed threat from exceptionally high tides in Venice came after a brief respite on Saturday.   Emergency workers removed temporary walkways from St Mark's Square as the water started to rise on Sunday, with only police and soldiers visible at around midday.   The top tourist site had already been shut for several hours on Friday as strong storms and winds battered the region, leaving it submerged by sea surges.

Churches, shops and homes have also been inundated in the Renaissance city, a UNESCO World Heritage site.   A massive infrastructure project called MOSE has been under way since 2003 to protect the city, but the multi-billion euro project has been plagued by cost overruns, corruption scandals and delays.   "We weren't expecting the high waters to be so exceptionally high," said Guido Fulgenzi, who had planned to open his cafe on St Mark's square this week.   "We're paying the price" for the MOSE project not being completed, he said, sloshing around in his flooded kitchen and pointing to Tuesday's high water mark on the wall.   The crisis has prompted the government to release 20 million euros ($22 million) in funds to tackle the devastation.   Culture Minister Dario Franceschini has warned that the task of repairing the city, where more than 50 churches have suffered damage, will be huge.

- Hotel reservations cancelled -
Residents whose houses have been hit are eligible for up to 5,000 euros in immediate government aid, while restaurant and shop owners can receive up to 20,000 euros and apply for more later.   Most of the city's cash machines were no longer working, making life even more difficult for tourists and Venetians.   "We didn't expect there to be so much water, now we're soaked," said French tourist Magali Mariolou, visiting Venice for her wedding anniversary.   "We'll come back another year when it's a bit drier. The boots are heavy, they're full of water!"

Older residents who remember the infamous "acqua alta" of 1966, when the water rose to 1.94 metres, say they have not seen such frequent flooding before.   Hotels reported cancelled reservations, some as far ahead as December, following the widespread diffusion of images of Venice underwater.   Tuesday's high waters submerged around 80 percent of the city, officials said.   Many, including Venice's mayor, have blamed the disaster on global warming and warned that the country prone to natural disasters must wake up to the risks posed by ever more volatile seasons.   The Serenissima, as the floating city is called, is home to 50,000 residents but receives 36 million visitors each year.
Date: Mon, 18 Nov 2019 06:41:11 +0100 (MET)

Wellington, Nov 18, 2019 (AFP) - Samoa finalised plans for a compulsory measles vaccination programme Monday, after declaring a state of emergency as a deadly epidemic sweeps the Pacific nation.   At least six fatalities, including five children, have been linked to the outbreak of the virus, which has also hit other island states such as Tonga and Fiji.   Samoa is the worst affected with more than 700 cases reported from across all areas of the country, prompting the government on Friday to invoke emergency powers.

Declaring a state of emergency, the government said plans for compulsory measles, mumps and rubella (MMR) immunisations would be published on Monday.   "MMR vaccinations for members of the public who have not yet received a vaccination injection is now a mandatory legal requirement for all of Samoa," it said.   A national emergency operations centre to coordinate the measles response in the nation of 200,000 people was opened on Monday, with children aged six months to 19 years and non-pregnant females aged 20-35 given priority.

However, no information was immediately available on how the vaccinations would be administered or whether those who were not immunised would face sanctions.   Children are the most vulnerable to measles, which typically causes a rash and fever but can also lead to brain damage and death.   Samoa has closed all schools, kindergartens and the country's only university in a bid to halt the spread of the virus.   New Zealand, which is experiencing its own measles outbreak in the Auckland region, will this week send 30 nurses, 10 doctors and 3,000 MMR doses to Samoa.

University of Auckland immunologist Helen Petousis-Harris said even though measles was already widespread, the mass rollout of vaccinations could help limit the number of cases and reduce the death count.   She said it was also important to boost Samoa's low levels of immunisation and help prevent future outbreaks.   "In Samoa, the proportion of people who are immune to measles is very, very low, one of the lowest in the world," she told AFP.   "So if they aren't able to improve that, this is going to happen again."   The country's vaccination programme was briefly suspended last year when two babies died shortly after being given the MMR vaccine.   Subsequent investigations found the problem was not the widely used vaccine but the fact that nurses had prepared it incorrectly.

Neighbouring Tonga last week announced government primary schools and kindergartens would be closed until later this month as the number of measles cases in the kingdom approaches 200.   Fiji has reported four cases but says they are contained to a township west of the capital Suva.
Date: Sun, 17 Nov 2019 18:10:23 +0100 (MET)

Johannesburg, Nov 17, 2019 (AFP) - South African unions on Sunday called on all aviation workers to join striking South African Airways (SAA) staff after the cash-strapped airline failed to meet their demands.   The country's embattled flag carrier has been losing 52 million rand ($3.5 million) per day since more than 3,000 workers started an open-ended strike on Friday -- forcing the airline to cancel hundreds of flights.   Talks with the two unions representing the striking workers ended without resolution on Saturday, prompting threats of further action.   "In response to this deliberate provocation by the SAA board and its executive management, (the) NUMSA (metalworkers' union) is in the process of consulting workers for a secondary strike in aviation," NUMSA spokeswoman Phakamile Hlubi-Majola told reporters outside the SAA headquarters in Johannesburg.

NUMSA and the South African Cabin Crew Association (SACCA) first threatened to strike after SAA announced this week that almost 1,000 employees could lose their jobs as part of a restructuring process.   Initial talks with management deadlocked after they failed to agree on wage hikes, prompting the unions to press on with their threats.   SAA is offering a 5.9 percent pay rise, while unions are demanding an eight percent across-the-board hike and a three-year guaranteeof job security.   They are also asking the airline to in-source more jobs.    "We are fighting against retrenchment, corruption and privatisation," Hlubi-Majola told journalists.   She said discussions with SAA subsidiaries, South Africa's airport management company and airline service providers were under way.   Two transport unions have also been called on to join the action.   "This secondary strike will have the impact of shutting down the entire aviation sector," NUMSA and SACCA said in a joint statement.   SAA CEO Zuks Ramasia voiced "concern" about the unions' intentions and urged them to "reconsider".   "The intent of a secondary strike is to cause disruption, bring all airport operations to a halt and create huge damage to the South African economy," Ramasia said in a statement on Sunday.

- Embattled airline -
The CEO added that SAA could not "afford to pay any salary increases" and reiterated the 5.9 percent rise offer.   "The company has repeatedly communicated the precarious financial position of the company," Ramasia said.      More than 300 SAA flights have been grounded as a result of the open-ended strike.   International flights started slowly resuming on Sunday, while regional and domestic flights remain grounded.   "We hope all our customers understand that the cancellations have been beyond our control," Ramasia said.   South Africa is struggling to get its state-owned companies back on track after nine years of corruption and mismanagement under former president Jacob Zuma.   SAA -- one of Africa's biggest airlines -- is deep in debt and has not posted a profit since 2011, despite several government bailouts.   Finance Minister Tito boweni announced in February that the government would reimburse the company's 9.2 billion rand ($620 million) debt over the next three years.   Ramasia said discussions with unions would resume once the airline had considered "options on the way forward".
Date: Tue, 12 Nov 2019 13:10:01 +0100 (MET)
By Holly ROBERTSON, Andrew BEATTY, with Daniel De Cartert in Hillville

Sydney, Nov 12, 2019 (AFP) - Bushfires raging across eastern Australia singed Sydney's suburbs on Tuesday, with firefighters scrambling planes and helicopters to douse a built-up neighbourhood with water and red retardant.   Experts have described the conditions as the worst on record, as spring temperatures climbed toward 40 degrees Celsius (104 Fahrenheit) and winds topped 80 kilometres (50 miles) per hour across a zone which has been plagued by persistent drought.   Although the bushfire season is in its infancy, scientists predict it to be one of Australia's toughest ever, with climate change and unfavourable weather cycles helping created a tinderbox of strong winds, low humidity and high temperatures.

Twin blazes in the north shore suburb of Turramurra -- around 15 kilometres (nine miles) from the centre of Australia's largest city -- tore through a eucalypt forest park and sparked spot fires in homes, before eventually being brought under control.   As night fell, authorities said they were bringing another "clearly suspicious" blaze in a national park in the city's southern suburbs under control.    Throughout the day, more than 300 bushfires burned up and down Australia's east coast, fanned by gale-force winds, scorching temperatures and tinder-dry bushland that has brought some of the most dangerous conditions the country has seen.

In Turramurra, gardens smouldered, thick smoke hung heavy in the air and cars, houses and roads were caked in raspberry-red retardant as if hit by a giant paintball.   "It was the embers that floated up that actually went across and set off spot fires in the front yards" resident Nigel Lush told AFP, adding that one roof had been set alight.   Another resident, Julia Gretton-Roberts, said the blaze spread shockingly quickly.   "Next thing I know the fire was opposite our house and it was massive and the police came and grabbed our kids and took them away," she said.   "My daughter is pretty freaked out."   Firefighter Andrew Connon told AFP "a number of homes were threatened but it was contained by the aerial bombing".

- 'Catastrophic conditions' -
From early morning thousands of firefighters spread out across New South Wales in anticipation of what they called "off the scale" fire risk and "catastrophic" conditions.   They were unable to prevent several bushfires from breaching containment lines and trapping residents who had not already evacuated.   New South Wales Rural Fire Service Commissioner Shane Fitzsimmons said so far only a dozen buildings had been damaged Tuesday and a handful non-life-threatening injuries were reported, but the crisis was far from over.

Firefighters will be "working on these fires for days and weeks given the enormity of the firegrounds," he said.    Even before unfavourable weather hit, days of fires had killed three people and destroyed at least 150 homes.   "The conditions are expected to get worse," Fitzsimmons said, warning residents in adjacent areas to stay alert.   "Complacency kills," he added.   Up to 600 schools were closed, as well as many national parks, a total fire ban was introduced for the affected area and Rally Australia -- due to be held in Coffs Harbour at the weekend -- was cancelled.   The military pitched in, helping firefighters with logistics and water-dropping sorties using more than 100 aircraft.

- 'We'll fight it first' -
In the town of Hillville a fire that has ripped through an area the size of 25,000 soccer fields approached the home of Daniel Stevens.   Like many, his family -- including his mother nursing a broken leg -- have packed their bags, but have resisted leaving their house and everything they own.    "We'll fight it first," he told AFP, "but if it jumps the fence line into the paddock, we'll go."

In the nearby town of Taree, dozens of people have already moved to a showground that has become a makeshift evacuation centre.   Fifty-nine-year-old Caroline Watson arrived last night with her husband and their dog.    "The fires are just rife. They are absolutely everywhere" she told AFP. "They didn't ask us to get out, but we figured it was coming."

Further south in the Blue Mountains on the outskirts of Sydney, veteran Winmalee firefighter Alan Gardiner said locals were "terrified and on edge".    The town still bears the scars of a 2013 blaze that destroyed 200 homes, and residents are acutely aware that with few roads in and out of the mountains, a decision to leave late can be fatal.   Efforts to burn fuel in a controlled way have been limited by months of drought-like conditions that made it too dangerous.
Date: Tue, 12 Nov 2019 10:03:07 +0100 (MET)

Denpasar, Indonesia, Nov 12, 2019 (AFP) - An Australian tourist who fly-kicked a motorcyclist and assaulted a man in his own home during a drunken rampage was jailed for four months on Tuesday.   The ruling comes after Nicholas Carr's antics were caught in a viral video that saw him carry out a campaign of destruction in Seminyak, a popular tourist area on the Indonesian holiday island.   "The defendant Nicholas Carr is found guilty and is sentenced to four months" in jail, presiding judge Soebandi, who goes by one name, told the Denpasar District Court.    A lawyer for Carr, charged with assault and property damage, said the 26-year-old would not appeal the ruling.    He is expected to be released next month because of time already served.   In August, Carr ran barefoot on to a street and shouted expletives before the apprentice builder slammed into the bonnet of a moving car and then fly-kicked an unsuspecting motorcycle rider.

The biker, who was thrown from the moving scooter, sustained minor injuries -- later the pair embraced during a court hearing as Carr apologised to the victim.   Carr also shattered a convenience store's glass door before stealing a motorcycle.   Later, he broke into a house where he assaulted the sleeping homeowner, leaving him with injuries, police said earlier.    He was eventually caught by locals and police and taken to hospital.    Pictures that circulated on social media showed at the time showed Carr bloodied and bruised, and trussed with hosepipe and rope.   Shortly after his arrest, Carr apologised and admitted drinking more than 10 small bottles of vodka as well as other alcohol.

After a string of embarrassing incidents by tourists, Bali officials recently warned that boorish visitors may be kicked off the island, which attracts millions annually to its palm-fringed beaches, colourful nightlife and ancient temples.   Australian professional rugby league player David Fifita returned home this week after he was briefly arrested in Bali for assaulting a nightclub security guard.   Several days after Carr's arrest, a Czech couple who were slammed for disrespecting a Balinese temple took part in a ritual purification ceremony.
Date: Mon, 11 Nov 2019 16:19:54 +0100 (MET)

Lyon, Nov 11, 2019 (AFP) - An unusually strong earthquake hit south-eastern France on Monday, injuring four people, one of them seriously, authorities said.   A physicist at a geophysics institute the IPGP said that quakes of this strength are rare in that region, but warned of possible aftershocks and said people should leave fragile buildings.   The quake, with a magnitude of 5.4, was felt in a vast area between the cities of Lyon and Montelimar which are about 150 kilometres (93 miles) apart, the national seismological office said.   "I was leaning against the oven in my mother's bakery when I felt the tremor," said Victoria Brielle, a resident in Privas, some 25 kilometres from the quake's epicentre.   "A customer said her sideboard had moved and all her crockery was broken,"  she said.

Another resident in the area, Didier Levy, who lives in a 15th century castle, told AFP that "chandeliers were still trembling" several minutes after the quake.   Levy, who said his dog starting barking even before humans felt the tremors, added: "I have never experienced anything like it, I could feel the trembling even though these wall are one metre thick."   One person was seriously hurt when some scaffolding collapsed, the regional prefect's office said.   Three other people in the neighbouring Ardeche region were slightly injured.

Quakes in this region are rarely higher than Magnitude 5, said Mustapha Meghraoui of the IPGP's office in Strasbourg.   "We can say that this is a rare one," he added. But he said there might be an aftershock of around 4.5.   "If people are in a fragile house, they would be better leaving it" for something more robust for a while, he said.   The scale of the damage suggested the quake happened at a depth of between five and 10 kilometres, he added. But they were working on a more accurate reading.
Date: Mon, 11 Nov 2019 13:19:54 +0100 (MET)

Goma, DR Congo, Nov 11, 2019 (AFP) - A local radio station that has been involved in the fight against Ebola in eastern DR Congo said Monday it was closing down after one of its broadcasters was murdered.   Joel Musavuli, head of Lwemba radio in Mambasa in Ituri province, told AFP that the station had been targeted by armed groups hostile to the campaign to roll back the Ebola epidemic.

"Each of us have received threats since last month. We have now decided to stop broadcasting, Musavuli said, adding that he himself had escaped two kidnap attempts.   "We are victims of our commitment to the awareness campaign about the spread of Ebola virus disease. We don't know why the militiamen are targeting us."   Nearly 2,200 people have died since the notorious haemorrhagic disease erupted in eastern Democratic Republic of Congo in August 2018, according to the latest official figures.

The fight against the outbreak has been hampered by local fears and superstititions, exploited by militia groups that are rampant in the remote region.   Several health workers have been killed and media that have supported the campaign have received threats.

Several radio stations in the Mambasa area say they have stopped broadcasting anti-Ebola messages because of intimidation.   On November 2, Lwemba broadcaster Papy Mahamba was killed at his home by unidentified men. His wife was injured and their house set ablaze.    The station said the authorities had failed to take action against the threats. It said it would resume broadcasts after "the state has restored authority in the area".