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Argentina

Irish Diplomatic and Consular Information for Argentina
**********************************************************************
Address:
Embassy of Ireland
Suipacha 1380
2nd Floor
1011 Buenos Aires
Telephone:
+54-1
-4325-8588 / 4325-0849
Fax:
+54-11-4325-7572
Email:

Ambassador:
Her Excellency Paula Ní Shlattara
Secretary:

Jonathan Conlon
***************************************
Argentina - US Consular Information Sheet
October 02, 2008
COUNTRY DESCRIPTION:
Last year, Argentina's charm, natural beauty and diversity attracted more than 400,000 American citizen visitors, and this year's total is expected to be even higher. Buenos Aires and other large cities have well-developed tourist facilities and services, including many four- and five-star hotels. The quality of tourist facilities in smaller towns outside the capital varies. The country suffered a major financial crisis in 2001-2002. While it has made a dramatic recovery, continued economic hardship has been linked to a rise in street crime. Read the Department of State Background Notes on Argentina for additional information.

ENTRY/EXIT REQUIREMENTS: A valid passport is required for U.S. citizens to enter Argentina. U.S. citizens do not need a visa for visits of up to 90 days for tourism and business. U.S. citizens who arrive in Argentina with expired or damaged passports may be refused entry and returned to the United States at their own expense. The U.S. Embassy cannot provide guarantees on behalf of travelers in such situations, and therefore encourages U.S. citizens to ensure their travel documents are valid and in good condition prior to departure from the United States. Different rules apply to U.S. citizens who also have Argentine nationality, depending on their dates of U.S. naturalization. For more information, check the Argentine Ministry of the Interior web site at www.mininterior.gov.ar/migraciones/. Most dual nationals are permitted 60-day visits. Dual nationals who stay beyond their permitted time are required to depart on an Argentine passport.
The application process for an Argentine passport is lengthy, and the U.S. Embassy is not able to provide assistance in obtaining Argentine passports or other local identity documents. Children under 21 years of age who reside in Argentina, regardless of nationality, are required to present a notarized document that certifies both parents' permission for the child's departure from Argentina when the child is traveling alone, with only one parent, or in someone else's custody (click on the "international child abduction" link below for more information). An airport tax is collected upon departure, payable in dollars or Argentine pesos.

American citizens wishing to enter Brazil are required to obtain a visa in advance from the Brazilian Embassy or consulate nearest to the traveler's place of residence. The U.S. Embassy in Buenos Aires cannot assist travelers to obtain Brazilian visas. For more information, see the Country Specific Information for Brazil.
Visit the Embassy of Argentina’s web site at http://www.embassyofargentina.us/ for the most current visa information. Information about dual nationality or the prevention of international child abduction can be found on our web site. For further information about customs regulations, please read our Customs Information sheet.

SAFETY AND SECURITY:
Traffic accidents are the primary threat to life and limb in Argentina. Pedestrians and drivers should exercise caution. Drivers frequently ignore traffic laws and vehicles often travel at excessive speeds. The rate and toll of traffic accidents has been a topic of much media attention over the past year. The Institute of Road Safety and Education, a private Buenos Aires organization dedicated to transportation safety issues, reports that Argentina has the highest traffic mortality rate in South America per 100,000 inhabitants.

Care should be exercised when traveling in Brazil and Paraguay, near the Argentine border, where criminal entities are known to operate. These organizations are involved in the trafficking of illicit goods, and some individuals in the area have been designated by the U.S. Treasury Department for financially supporting terrorist organizations.
The U.S. government is supportive of coordinated efforts by Argentina, Brazil, and Paraguay to combat illegal activity in that region. Americans crossing from Argentina into Paraguay or Brazil may wish to consult the most recent Country Specific Information for those countries.

Demonstrations are common in metropolitan Buenos Aires and occur in other major cities as well. Protesters on occasion block streets, highways, and major intersections, causing traffic jams and delaying travel. While demonstrations are usually nonviolent, hooligans in some of the groups sometimes seek confrontation with the police and vandalize private property. Groups occasionally protest in front of the U.S. Embassy and U.S.-affiliated businesses. U.S. citizens should take common-sense precautions and avoid gatherings or any other event where crowds have congregated to protest. Information about the location of possible demonstrations is available from a variety of sources, including the local media. Additional information and advice may be obtained from the U.S. Embassy at the telephone numbers or email address listed at the end of this document.

Domestic flight schedules can be unreliable. Occasional work stoppages, over-scheduling of flights and other technical problems can result in flight delays, cancellations, or missed connections. Consult local media for information about possible strikes or slow-downs before planning travel within Argentina.
Public transportation is generally reliable and safe. The preferred option for travel within Buenos Aires and other major cities is by radio taxi or "remise" (private car with driver). The best way to obtain safe taxis and remises is to call for one or go to an established stand, rather than hailing one on the street. Hotels, restaurants, and other businesses can order remises or radio taxis, or provide phone numbers for such services, upon request. Passengers on buses, trains, and the subway should be alert for pickpockets and should also be aware that these forms of transport are sometimes interrupted by strikes or work stoppages.

Argentina is a geographically diverse country with mountains, forests, expansive deserts, and glaciers, making it a popular destination for outdoor and adventure sports. Despite the best efforts of local authorities, assisting visitors lost or injured in such remote areas can be problematic. American citizens have been killed in recent years while mountain climbing, skiing, trekking, and hunting. Travelers visiting isolated and wilderness areas should learn about local hazards and weather conditions and always inform park or police authorities of their itineraries. Reports of missing or injured persons should be made immediately to the police so that a search can be mounted or assistance rendered.

For the latest security information, Americans traveling abroad should regularly monitor the Department of State, Bureau of Consular Affairs' web site at http://travel.state.gov, where the current Travel Warnings and Travel Alerts, as well as the Worldwide Caution, can be found.
Up-to-date information on safety and security can also be obtained by calling 1-888-407-4747 toll free in the 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 pamphlet A Safe Trip Abroad.

CRIME: Most American citizens visit Argentina without incident. Nevertheless, street crime in the larger cities, especially greater Buenos Aires and Mendoza, is a problem for residents and visitors alike. As in any big city, visitors to Buenos Aires and popular tourist destinations should be alert to muggers, pickpockets, scam artists, and purse-snatchers on the street, in hotel lobbies, at bus and train stations, and in cruise ship ports. Criminals usually work in groups and travelers should assume they are armed. Criminals employ a variety of ruses to distract and victimize unsuspecting visitors.
A common scam is to spray mustard or a similar substance on the tourist from a distance. A pickpocket will then approach the tourist offering to help clean the stain, and while doing so, he or an accomplice robs the victim. Thieves regularly nab unattended purses, backpacks, laptops, and luggage, and criminals will often distract visitors for a few seconds to steal valuables. While most American victims are not physically injured when robbed, criminals typically do not hesitate to use force when they encounter resistance. Visitors are advised to immediately hand over all cash and valuables if confronted. Thieves will target visitors wearing expensive watches or jewelry.

Your passport is a valuable document and should be guarded. Passports and other valuables should be locked in a hotel safe, and a photocopy of your passport should be carried for identification purposes. The U.S. Embassy has observed a notable rise in reports of stolen passports in the past year. Some travelers have received counterfeit currency in Argentina. Unscrupulous vendors and taxi drivers sometimes pretend to help tourists review their pesos, then trade bad bills for good ones. Characteristics of good currency can be reviewed at the Argentine Central Bank web site at www.bcra.gov.ar.
Along with conventional muggings, so-called express kidnappings continue to occur. Victims are grabbed off the street based on their appearance and vulnerability. They are made to withdraw as much money as possible from ATM machines, and then their family or co-workers are contacted and told to deliver all the cash that they have on hand or can gather in a couple of hours. Once the ransom is paid, the victim is usually quickly released unharmed. There have been some foreign victims. Visitors are particularly advised not to let children and adolescents travel alone.
Travelers worldwide are advised to avoid packing valuables in their checked baggage. In Argentina, officials have publicly acknowledged the systematic theft of valuables and money from checked baggage at Buenos Aires airports. Authorities are working to resolve the problem and have made a number of arrests, but travelers should exercise continued care and caution. In many countries around the world, counterfeit and pirated goods are widely available. Transactions involving such products may be illegal under local law. In addition, bringing them back to the United States may result in forfeitures and/or fines. More information on this serious problem is available at http://www.cybercrime.gov/18usc2320.htm
INFORMATION FOR VICTIMS OF CRIME: The loss or theft abroad of a U.S. passport should be reported immediately to the local police and the nearest U.S. Embassy or Consulate. If you are the victim of a crime while overseas, in addition to reporting to local police, please contact the nearest U.S. Embassy or Consulate for assistance. The Embassy/Consulate staff can, for example, assist you to find appropriate medical care, contact family members or friends and explain how funds can be transferred. Although the investigation and prosecution of the crime is solely the responsibility of local authorities, consular officers can help you to understand the local criminal justice process and to find an attorney if needed. The Argentine Federal Police have established a special Tourist Police Unit to receive complaints and investigate crimes against tourists. The unit, located at Corrientes 436 in Buenos Aires, responds to calls around the clock at 4346-5748 or toll-free 0800-999-5000 from anywhere in the country. The local equivalent to the "911" emergency line in the city of Buenos Aires or in the surrounding Province of Buenos Aires is 911 for police assistance. In the city of Buenos Aires, dial 100 in case of fire and 107 for an ambulance. In the Province of Buenos Aires, fire and ambulance numbers vary by location. See our information for Victims of Crime.

MEDICAL FACILITIES AND HEALTH INFORMATION: The public health system in Argentina provides emergency and non-emergency services free of charge to all, regardless of nationality or immigration status. However, the quality of non-emergency care in public hospitals is generally below U.S. standards. Medical care in private hospitals in Buenos Aires is generally good, but varies in quality outside the capital. Serious medical problems requiring hospitalization in private facilities and/or medical evacuation to the United States can cost thousands of dollars or more. Private physicians, clinics, and hospitals often expect immediate cash payment for health services.
HIV/AIDS restrictions. The U.S. Department of State is unaware of any HIV/AIDS entry restrictions for visitors to or foreign residents of Argentina.
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 Preventions hotline for international travelers at 1-877-FYI-TRIP (1-877-394-8747) or via the CDC's Internet site at http://wwwn.cdc.gov/travel/default.aspx. For information about outbreaks of infectious diseases abroad, consult the World Health Organization (WHO) web site at http://www.who.int/en. Further health information for travelers is available at http://www.who.int/ith
MEDICAL INSURANCE: The Department of State strongly urges Americans to consult with their medical insurance company prior to traveling abroad to confirm whether their policies apply overseas and will cover prior conditions and emergency expenses such as a medical evacuation, which could cost tens of thousands of dollars. If not covered, visitors are encouraged to consider purchasing travel insurance. No Medicare benefits are available abroad. 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 Argentina is provided for general reference only, and may not be totally accurate in a particular location or circumstance.
Driving in Argentina is generally more dangerous than driving in the United States. By comparison, drivers in Argentina tend to be very aggressive, especially in the capital city of Buenos Aires, and frequently ignore traffic regulations. U.S. driver's licenses are valid in the capital and the province of Buenos Aires, but Argentine or international licenses are required to drive in the rest of the country. For further information, please contact the Argentine Automobile Club, Av. Libertador 1850, 1112 Capital Federal, telephone (011) (54)(11) 4802-6061, or contact the Embassy of Argentina as listed in the above section on Entry Requirements. Please refer to our Road Safety page for more information. Visit the websites of Argentina's national tourist office and national roadways office at www.turismo.gov.ar and www.vialidad.gov.ar.

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

SPECIAL CIRCUMSTANCES: In addition to being subject to all Argentine laws affecting U.S. citizens, dual nationals may also be subject to other laws that impose special obligations on Argentine citizens. In some instances, dual nationality may hamper U.S. Government efforts to provide protection abroad. Please see our information on Customs Regulations.

CRIMINAL PENALTIES: While in a foreign country, a U.S. citizen is subject to that country's laws and regulations, which sometimes differ significantly from those in the United States and may not afford the protections available to the individual under U.S. law. Penalties for breaking the law can also be more severe than in the United States for similar offenses. Persons violating Argentina's laws, even unknowingly, may be expelled, arrested or imprisoned. Penalties for possession, use, or trafficking in illegal drugs in Argentina are strict, and convicted offenders can expect lengthy jail sentences and fines. Engaging in sexual conduct with children and using or disseminating child pornography in a foreign country are crimes 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 Argentina are encouraged to register with the U.S. Embassy through the State Department’s travel registration web site, so that they can obtain updated information on travel and security within Argentina. Americans without Internet access may register directly with the U.S. Embassy. By registering, American citizens make it much easier for the Embassy or Consulate to contact them in case of emergency. The U.S. Embassy is located at Avenida Colombia 4300 in the Palermo neighborhood of Buenos Aires (near the Plaza Italia stop on the "D" line subway). The main Embassy switchboard telephone is (54) (11) 5777-4533. Recorded consular information, including instructions on whom to contact in case of an American citizen emergency, is available at tel. (54) (11) 4514-1830. The Consular Section fax is (54) (11) 5777-4293. The Consular Section is open to the public from 8:30 a.m. to noon and 2:30 p.m. to 4 p.m. Monday through Friday, except on American and Argentine holidays. Additional information on Embassy services is available on the Internet at http://argentina.usembassy.gov or by e-mail: BuenosAires-ACS@state.gov
* * *
This replaces the Country Specific Information December 28, 2007 to update Sections on Country Description, Safety and Security, Information for Victims of Crime, Medical Facilities, Traffic Safety and Road Conditions, and Registration/Embassy Locations.

Travel News Headlines WORLD NEWS

Date: Thu, 14 May 2020 00:34:07 +0200 (METDST)
By Maria Lorente

Buenos Aires, May 13, 2020 (AFP) - One of Buenos Aires' poorest and most densely populated neighborhoods has shown a spike in the number of COVID-19 infections, worrying authorities hoping to ease the Argentine capital's two-month lockdown later this month.   The number of infections in the infamous Villa 31 slum, a teeming central district synonymous with violence and poverty, soared from one case at the end of April to 511 by late Tuesday.

To make matters worse, large parts of the barrio were left without water for eight days as people tried to resist the pandemic. Many see it as a continuation of decades of government neglect and discrimination.   "We are screwed because our water has been cut off. I am a domestic worker and I lost my job," said one resident, 37-year-old Maria Chaile.   In Buenos Aires, only a fraction of the population -- mostly essential workers -- are out on the streets every day.   But in Villa 31, dozens of people like Chaile go about their business as though the pandemic were not happening.   The area's shops, small restaurants and hairdressers are open, in contrast to businesses in rest of the city.

- Social distancing impossible -
Several generations of the same family often live together in the barrio's tiny concrete-block houses, making social distancing impossible.   The shoddily built homes with tin roofs seem precariously piled on top of one another, and are accessed by outside spiral staircases.    Tangled electricity cables -- used to illegally tap current from nearby power lines -- hang precariously over the narrow streets.

Luis Fernando Guispert, a 28-year-old student, has lived in Villa 31 since his family moved here from Bolivia when he was two.   "The number of infections has exploded. The worrying thing is that it could be impossible to control, this being the kind of place it is, a slum with closed-in streets," he says.   Guispert said a large proportion of Villa 31's estimated 40,000 people simply ignored the government's mandatory quarantine orders issued on March 20, because they subsist from day to day. They have to work, or search for food.   Most people here work in the informal economy, which makes up more than 25 percent of Argentina's labor force.   "The order is to stay at home, but if you stay at home, you can't eat, so you either die from the coronavirus or you starve," said Guispert.

- Immigrants to a new world -
The country's economic crisis, with inflation of more than 50 percent and rising unemployment, has contributed to rising numbers of poor people, who now make up 35 percent of the total population of 44 million.   The sprawling shantytown shot up around Buenos Aires port in the late 1940s, a refuge for thousands of rural Argentines seeking work along with a flood of immigrants from Italy, said Valeria Snitcofsky, a professor of history at Buenos Aires University.

Aptly dubbed a "villa miseria" -- the Argentine term for a slum -- Villa 31 is located close to the city's main tourist areas and alongside the chic business district of Puerto Madero, where President Alberto Fernandez has his home.   "It has a level of density that resembles that of the favelas of Rio de Janeiro," says Fabio Quetglas, a planning specialist with Buenos Aires University.   Nearly two months after the start of compulsory isolation, the government remains concerned about sectors that threaten to derail its plan to contain the virus -- particularly prisons, nursing homes and vulnerable neighbourhoods like Villa 31.   Coronavirus testing has focused on these areas. In Villa 31, more than 50 percent of the tests so far have been positive.

Many of the people who live there have service and cleaning jobs in the city.   "The results are worrying," said Fernandez as he extended a lockdown in the Buenos Airs metropolitan area -- which has 80 percent of Argentina's cases --
to May 24.     Villa 31 has rapidly become the epicenter of Argentina's COVID-19 outbreak, a fact of which 32-year-old Bolivian seamstress Shirley Ruth Aduviri is keenly aware.   "You go out to buy something and you see the ambulances going and coming," she said.   "It's so contagious that you go shopping and think you're sure to get it."
Date: Thu, 7 May 2020 03:29:07 +0200 (METDST)

Buenos Aires, May 7, 2020 (AFP) - President Alberto Fernandez on Wednesday ruled out an immediate exit from Argentina's coronavirus lockdown, saying to do so would "lead to the death of thousands."   Opposition parties, economists and business leaders have stepped up demands for the government to relax strict quarantine measures to allow industries to reopen.

Exiting the quarantine "in the terms they are demanding, will lead to the death for thousands Argentines because we cannot control" the virus, said Fernandez in a radio interview.   A campaign on social media has called for protests on Thursday against the government's lockdown measures, as the country's already battered economy sinks deeper into recession.

"You cannot quarantine and make the economy work. Those who chose to prioritize the economy ended up gathering the dead in refrigerated trucks and burying them in mass graves," the leftist president told Radio con Vos.   He said the government's policy had succeeded in slowing down the rate of infections, and held out the possibility of gradually loosening the lockdown measures starting on Monday.

Argentina's economy, rocked by 50 percent inflation and rising numbers of poor and jobless, has stuttered through two years of recession.   The Fernandez administration is in talks with bondholders to restructure
Argentina's debt as the country's GDP is forecast to drop by 6.5 percent this year.

On March 20 the government decreed compulsory social isolation for 15 days and has been extending it every two weeks.    The measures were relaxed in some rural areas, but they remain firm in the greater Buenos Aires region, where a third of the country's 45 million people live.   By Wednesday, Argentina had registered 5,100 infections with 273 deaths.
Date: Tue 28 Jan 2020
Source: Food Safety News [abridged, edited]

Authorities in Argentina are investigating 2 suspected cases of foodborne botulism linked to a brand of pickled wild boar. The National Administration of Drugs, Foods and Medical Devices (ANMAT) reported those ill are associated with eating "Escabeche de jabali" 400 g [14 oz] of the "Fatto in casa" brand with a date of 1 Jul 2020, produced by Norma Coatti.

A 27 year old woman and a 30 year old man are affected, and both needed hospital treatment.

An inspection of the production plant by authorities in Cordoba found processing conditions do not guarantee that the product is safe for consumption. The site was stopped from producing and marketing such items for preventative reasons. The manufacturing firm was asked to recall all units of pickled "Fatto in casa" branded products nationally. These include chicken, pork, Viscacha (a type of rodent), and eggplant.  ANMAT advised consumers not to eat the affected recalled products.
===================
[Most cases of foodborne botulism are associated with homemade foods, not commercially prepared. - ProMED Mod.LL]

[HealthMap/ProMED-mail map of Argentina:
Date: Mon 13 Jan 2020
Source: Food Safety News [edited]

An emergency committee to control the sale of food has been created in a city in northwest Argentina after a spike in _Salmonella_ cases in early 2020. There have been 51 confirmed cases of salmonellosis in Salta so far in 2020. At least 5 people have been hospitalized but recovered after treatment.

The committee will be responsible for controlling food sold on public roads at street stalls and at commercial premises. It includes experts from the National University of Salta (UNSA) and Catholic University of Salta (Ucasal). Officials hope by increasing controls they can bring the rise in infections under control and minimize the risk to the public. The group, created by the Mayor of Salta Bettina Romero and Undersecretary of Health and Human Environment Monica Torfe, held a meeting with Juan Jose Esteban, manager of the Hospital Senor del Milagro, and teams from the department of epidemiology of the province on preventive measures to tackle the salmonellosis rise this past week.

Norma Sponton, head of the microbiology sector; Teresita Cruz, of the epidemiological surveillance program of the province; Paula Herrera, from the Ministry of Health, and Jose Herrera, from the hospital also participated. Experts from the 2 universities are involved in training the inspectors who will be in charge of carrying out the control tasks.

Food contaminated with _Salmonella_ bacteria does not usually look, smell, or taste spoiled. Symptoms of salmonellosis infection can include diarrhoea, abdominal cramps, and fever within 12 to 72 hours after eating contaminated food. Otherwise, healthy adults are usually sick for 4 to 7 days. In some cases, however, diarrhoea may be so severe that patients require hospitalization.
===================
[The serotype of _S. enterica_ is not stated and it is not clear what the food reservoir for this ongoing outbreak is. A food diary of affected persons may be helpful.

The city of Salta is located in north-western Argentina in the province of the same name which can be found on a map at

[HealthMap/ProMED-mail map of Argentina:
Date: Sun 22 Sep 2019
Source: La Voz [in Spanish trans. Mod.TY, edited]

Viruses transmitted by mosquitoes are emerging in the Americas. To historic dengue in recent years have been added Zika and chikungunya [viruses], 2 pathogens that before were restricted only to Africa. Madariaga has now been added to that list [of viruses new in the Americas].

Researchers from the Instituto de Medicina Regional of the Universidad Nacional del Nordeste (IMR-Unne) and from the Instituto de Virologia, and J. M. Vanella of the Universidad Nacional de Cordoba (Inviv, UNC) detected its presence in mosquitoes captured in the Chaco. "Madariaga is a virus that causes disease in equine animals and is of low pathogenicity for humans, but in 2010 caused an outbreak in humans in Panama with 10 cases," said Marta Contigiani, who works in the UNC laboratory. It was also isolated in 2015 and 2016 from human samples in Haiti.

Ornella Stechina, of the IMR-Unne, was the person who detected presence of the virus in the mosquitoes. The work was done with the financial support of this institution with Mariana Stein, a researcher from CONICET [the national science agency] as the person in charge.

Contigiani explained that there have been no subsequent cases in horses since 1988. "In other provinces in the country, serological studies have detected [Madariaga] virus infections. There is a vaccine for equine animals, but its application is not obligatory," she said.

However, she warned that global climate change (including deforestation in the Amazon Basin) influences the geographic distribution and emergence of diseases, with appearance of new environments that are favorable for the development of vectors and that favor the development of the [transmission] cycle.

"To this we must add the genetic changes that are observed in these viruses," she stated.

For some time, experts have been issuing alerts about the emergence and reemergence of arboviruses, pathogens that are transmitted by insects.

"West Nile virus rapidly invaded North America, and now cases are being found in Central and South America. Also, Mayaro and eastern equine encephalitis viruses have increased their activity and have been found in new regions," said Raquel Gleiser, a researcher at the Instituto Multidisciplinario de Biologia Vegetal of the UNC (Imbiv) in an article published in the Journal of Medical Entomology.

Madariaga virus is a strain of eastern equine encephalitis virus, which was early on detected in Argentina. Contigiani did not discard the possibility that a variant that had greater capacity to replicate, the proliferation of competent vectors, and propitious environmental conditions could cause an outbreak in the region.

The evidence for warning about Madariaga virus is not at the same level as for chikungunya [virus], although they are in the same family (Togaviridae). "For now, the epidemiological behavior is different. Chikungunya virus has _Aedes aegypti_ as its vector, whereas the vector of Madariaga virus is within the _Culex_ genus," she said.

This study detected the virus in mosquitoes of the _Culex_ genus in wildland areas in Choco province. Thus, they identified this vector in Argentinian territory for the 1st time.

Although the mosquito species or species that had the virus could not be detected, the genus _Culex_ has more than 1000 species, many of which are of urban habits such as _Culex pipiens_ that we hear buzzing at night.

Madariaga virus can infect various mammals that could serve as hosts, such as rats and bats, as well as birds.

In Argentina, it was found for the 1st time in animals in the decade of the 1930s. The strain found in the Chaco belongs to the same lineage discovered in those years, which indicates that the virus is endemic in the region.

For now, the infections studied in humans has been for the most part mild and asymptomatic.

Adrian Diaz of the Cordoba Institute, Griselda Oria (IMR-Unne), and Carolina Torres of the Universidad de Buenos Aires participated as part of the work that was published a week ago in the American Journal of Tropical Medicine and Hygiene [reference below].

The researchers suggest that more epidemiological studies be done to determine the vectors and potential hosts and do deeper studies about the genetic characteristics of the [virus] strains that circulate in the country in order to know whether this virus is endemic in the region or is reintroduced.

"Ideally, studies will be done [in the field] with sentinel animals to detect virus circulation as well. In other countries, they use sentinel chickens for these types of studies," Contigiani commented, and clarified that in case [virus] circulation was detected, animal health officials must take relevant measures.

"There is no human vaccine, so [human] health officials must indicate measures [needed] for prevention and control," she added.

The vector is the most common, _Culex_. However, there is no virus circulation in Cordoba.

_Culex_ is a genus of hematophagous mosquitoes in the Culiidae family, many species of which act as vectors of important diseases, such as West Nile, filariasis, virus encephalitis (Japanese, Venezuelan, equine, and St. Louis) and avian malaria, as well as Madariaga virus. There are more than 80 varieties [of what?].  [Byline: Lucas Viano]
=================
[The isolation of Madariaga virus from Culex mosquitoes in northern Argentina is interesting, but, as the authors point out, merits additional studies to determine whether it is a human or animal (especially equine) pathogen of importance for human or animal health in Argentina. Studies of the Culex species involved in transmission of the virus and determination of the animal hosts are essential to understand cycles of transmission.

Reference:
Ornela Sofia Stechina, Griselda Ines Oria, Carolina Torres, Luis Adrian Diaz, Marta Contigiani and Marina Stein. First Detection of Madariaga virus in Mosquitoes Collected in a Wild Environment of Northeastern Argentina. 2019. Am. J. Trop. Med. Hyg., 00(0), 2019, pp. 1-3 DOI: <https://doi.org/10.4269/ajtmh.19-0475>.

Chaco province is in the far north of Argentina. - ProMED Mod.TY]

[HealthMap/ProMED map available at:
Chaco Province, Argentina: <http://healthmap.org/promed/p/54342>]
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Rwanda

Rwanda US Consular Information Sheet
May 19, 2008
COUNTRY DESCRIPTION:
Rwanda is a landlocked developing country in central Africa which has made considerable progress in rebuilding its infrastructure and establishing security since the 19
4 civil war and genocide in which at least 800,000 people were killed. Economic activity and tourism are on the rise in Rwanda. Hotels and guesthouses are adequate in Kigali, the capital, and in major towns, but are limited in remote areas. Read the Department of State Background Notes on Rwanda for additional information.

ENTRY/EXIT REQUIREMENTS: A passport and evidence of yellow fever immunization are required. Visas are not required for American citizens entering Rwanda for less than 90 days. U.S. citizens planning on working in Rwanda should apply for a work permit at the Directorate of Immigration as soon as possible after arrival in Rwanda. Detailed entry information may be obtained from Rwanda’s Directorate of Immigration at: http://www.migration.gov.rw/ or from the Embassy of the Republic of Rwanda, 1714 New Hampshire Avenue NW, Washington DC 20009, telephone 202-232-2882, fax 202-232-4544, web site http://www.rwandaembassy.org. Overseas, inquiries may be made at the nearest Rwandan Embassy or Consulate.
Information about dual nationality or the prevention of international child abduction can be found on our web site. For further information about customs regulations, please read our Customs Information sheet.

SAFETY AND SECURITY:
There are currently no travel restrictions in place within Rwanda, but travelers should use caution when traveling near or crossing the border into Burundi, eastern Democratic Republic of the Congo (DRC), and Uganda.

In March 2005, the Congo-based Democratic Forces for the Liberation of Rwanda (FDLR), comprising ex-Rwandese Armed Forces, Interahamwe, and other extremists, announced it would end its armed struggle against the Government of Rwanda, but thousands of combatants are estimated to remain in eastern Congo. The combatants currently are not well-organized or funded, nor do they pose a serious threat to Rwandan security. However, in early March 2007, in Gisenyi Province (near the Volcanoes National Park in northwestern Rwanda) they launched a mortar round and rocket into Rwandan territory. There were no casualties, and it appears to have been an isolated incident. While visitors may travel freely to Volcanoes National Park, they are not permitted to visit the park without permission from Rwanda's Office of Tourism and National Parks (ORTPN). ORTPN stipulates that the park can only be used for gorilla tours and nature walks. Since December 2006, all restrictions have been lifted in the Nyungwe Forest near the Burundian border in southwestern Rwanda. In the past, the FDLR infiltrated Rwanda from Burundi through the Nyungwe Forest, but the last reported incident in the park was in November 2003. However, FDLR rebel factions are known to operate in northeastern DRC, Burundi, Tanzania, and Uganda, including near the popular tourist area of Bwindi Impenetrable Forest National Park. For information on travel to those and other countries, and for the latest security information, American citizens traveling abroad should regularly monitor the Department of State, Bureau of Consular Affairs web site at http://travel.state.gov, where the current Travel Warnings and Travel Alerts, as well as the Worldwide Caution, can be found.
From time to time, travel by U.S. Embassy personnel may be restricted based on changing security conditions. Visitors are encouraged to contact the appropriate U.S. Embassy Regional Security Office or Consular Section for the latest security information, including developments in eastern Congo, Uganda and Burundi. (See Registration/Embassy Location section below.)

Up-to-date information on safety and security can also be obtained by calling 1-888-407-4747 toll free in the U.S. and Canada, or for callers outside the U.S. and Canada, a regular toll-line at 1-202-501-4444. These numbers are available from 8:00 a.m. to 8:00 p.m. Eastern Time, Monday through Friday (except U.S. federal holidays).

The Department of State urges American citizens to take responsibility for their own personal security while traveling overseas. For general information about appropriate measures travelers can take to protect themselves in an overseas environment, see the Department of State’s pamphlet A Safe Trip Abroad.

CRIME: Pick-pocketing in crowded public places is common, as is petty theft from cars and hotel rooms. Although violent crimes such as carjacking, robbery, and home invasion occur in Kigali, they are rarely committed against foreigners. Americans are advised to remain alert, exercise caution, and follow appropriate personal security measures. Although many parts of Kigali are safe at night, walking alone after dark is not recommended since foreigners, including Americans, have occasionally been the targets of robbery.

INFORMATION FOR VICTIMS OF CRIME: The loss or theft abroad of a U.S. passport should be reported immediately to the local police and the nearest U.S. Embassy or Consulate. If you are the victim of a crime while overseas, in addition to reporting to local police, please contact the nearest U.S. Embassy or Consulate for assistance. The Embassy/Consulate staff can, for example, assist you to find appropriate medical care, contact family members or friends and explain how funds could be transferred. Although the investigation and prosecution of the crime is solely the responsibility of local authorities, consular officers can help you to understand the local criminal justice process and to find an attorney if needed.

See our information on Victims of Crime. The U.S. Embassy provides some information on its web site about criminal justice in Rwanda at http://rwanda.usembassy.gov/criminal_justice_in_rwanda.html.

MEDICAL FACILITIES AND HEALTH INFORMATION: Medical and dental facilities are limited, and some medicines are in short supply or unavailable. Travelers should bring their own supplies of prescription drugs and preventive medicines. In Kigali, Americans may go to King Faisal Hospital, a private facility that offers limited services and dental facilities. There is also a missionary dental clinic and a few private dentists. American-operated charitable hospitals with some surgical facilities can be found in Kibagora, in southwestern Rwanda, in Ruhengeri, near the gorilla trekking area, and in Rwinkavu, near the entrance to Akagera National Park. The U.S. Embassy maintains on its website a current list of healthcare providers and facilities in Rwanda at http://rwanda.usembassy.gov/medical_information.html; this list is also included in the Consular Section’s welcome packets for American citizens. There are periodic outbreaks of meningitis in Rwanda. Yellow fever can cause serious medical problems, but the vaccine, required for entry, is very effective in preventing the disease. Malaria is endemic to Rwanda. All visitors are strongly encouraged to take prophylactic medications to prevent malaria. These should be initiated prior to entry into the endemic area. Because of possible counterfeit of antimalarial medications, these should be obtained from a reliable pharmaceutical source. Multiple outbreaks of ebola have been reported in neighboring Democratic Republic of Congo and Uganda in the past year, but none within Rwanda.
Information on vaccinations and other health precautions, such as safe food and water precautions and insect bite protection, may be obtained from the Centers for Disease Control and Prevention’s hotline for international travelers at 1-877-FYI-TRIP (1-877-394-8747) or via the CDC’s 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 of State strongly urges Americans to consult with their medical insurance company prior to traveling abroad to confirm whether their policy applies overseas and whether it will cover emergency expenses such as a medical evacuation. Please see our information on medical insurance overseas.
TRAFFIC SAFETY AND ROAD CONDITIONS: While in a foreign country, U.S. citizens may encounter road conditions that differ significantly from those in the United States. The information below concerning Rwanda is provided for general reference only, and may not be totally accurate in a particular location or circumstance.
Due to safety concerns, the use of motorbikes or van taxis for transportation is not recommended. Regulated orange-striped (along the base of the vehicle) sedan auto taxis are safer, but be sure to agree on a fare before beginning the trip. Public transportation can be dangerous due to overloading, inadequate maintenance, and careless drivers.
While the main roads in Rwanda are in relatively good condition, during the rainy season many side roads are passable only with four-wheel drive vehicles. Nighttime driving, particularly outside major cities, is hazardous and is discouraged. Often, roadways are not marked and lack streetlights and shoulders. Many sections have deteriorated surfaces. Due to possible language barriers and lack of roadside assistance, receiving help may be difficult. Travelers may be stopped at police roadblocks throughout the country, where their vehicles and luggage may be searched. Service stations are available along main roads.
In Rwanda, as in the U.S., traffic moves on the right-hand side of the road. Cars already in a traffic circle have the right of way. Until 2004, cars entering traffic circles had the right-of-way. Drivers should exercise caution at traffic circles, since some drivers might forget this change. Excessive speed, careless driving, and the lack of basic safety equipment on many vehicles are hazards on Rwanda's roads. Many vehicles are not well maintained, and headlights are either extremely dim or not used. Drivers also tend to speed and pass other cars with little discretion. Some streets in Kigali have sidewalks or sufficient space for pedestrian traffic; others do not, and pedestrians are forced to walk along the roadway. With the limited street lighting, drivers often have difficulty seeing pedestrians. Drivers frequently have unexpected encounters with cyclists, pedestrians and livestock.
Third-party insurance is required and will cover any damages from involvement in an accident resulting in injuries, if one is found not to have been at fault. The driver’s license of individuals determined to have caused an accident may be confiscated for three months. Causing a fatal accident could result in three to six months' imprisonment. Drunk drivers are jailed for 24 hours and fined Rwandan Francs 20,000 (approximately $35). In the city of Kigali, contact the following numbers for police assistance in the event of an accident: Kigali Center, 08311112; Nyamirambo, 08311113; Kacyiru, 08311114; Kicukiro, 08311115; Remera, 08311116. Ambulance assistance is very limited. Wear seat belts and drive with care and patience at all times. In case of an emergency, American citizens can contact the Embassy duty officer at 0830-0345.
For specific information concerning Rwandan driving permits, vehicle inspection, road tax, and mandatory insurance, please contact the Rwandan Office of Tourism and National Parks, B.P. 905, Kigali, Rwanda, telephone 250-76514, fax 250-76512.
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.gov.rw/.
AVIATION SAFETY OVERSIGHT: As there is no direct commercial air service to the United States by carriers registered in Rwanda, the U.S. Federal Aviation Administration (FAA) has not assessed Rwanda’s Civil Aviation Authority for compliance with International Civil Aviation Organization (ICAO) aviation safety standards. For more information, travelers may visit the FAA’s web site at http://www.faa.gov/safety/programs_initiatives/oversight/iasa.

In recent months, Rwandair, which charters aircraft to fly its routes, has had difficulties maintaining its schedule, resulting in delayed and cancelled flights which have left passengers stranded for extended periods.

SPECIAL CIRCUMSTANCES:
Telephone communication to and from Rwanda is generally reliable. Cellular telephones and Internet connections are available in Kigali and large towns.
Non-biodegradable plastic bags have been banned in Rwanda, and travelers carrying them upon arrival at the Kayibanda International airport may have them confiscated and have to pay approximately $4 for a reusable cloth replacement.
International ATMs are not available in Rwanda. The Rwandan franc is freely exchangeable for hard currencies in banks and the Bureaux de Change. Several Kigali banks can handle wire transfers from U.S. banks, including Western Union. Credit cards are accepted at only a few hotels in Kigali and only to settle hotel bills. Hotels currently accepting credit cards for payment include the Kigali Serena (formerly Intercontinental) Hotel, the Hotel des Mille Collines, the Novotel Umubano, Stipp Hotel and the Kivu Sun Hotel. Note that there may be an added fee for using a credit card. Travelers should expect to handle most expenses, including air tickets, in cash.

Traveler's checks can be cashed only at commercial banks. Because some travelers have had difficulty using U.S. currency printed before the year 2000, the Embassy recommends traveling with newer U.S. currency notes.
Please see our Customs Information.
CRIMINAL PENALTIES: While in a foreign country, a U.S. citizen is subject to that country's laws and regulations, which sometimes differ significantly from those in the United States and may not afford the protections available to the individual under U.S. law. Penalties for breaking the law can be more severe than in the United States for similar offenses. Persons violating Rwandan laws, even unknowingly, may be expelled, arrested or imprisoned. Penalties for possession, use, or trafficking in illegal drugs in Rwanda are severe, and convicted offenders can expect long jail sentences and heavy fines. Engaging in sexual conduct with children or using or disseminating child pornography in a foreign country is a crime, prosecutable in the United States. Please see our information on Criminal Penalties.
The U.S. Embassy provides some information on its website about criminal justice in Rwanda.

CHILDREN'S ISSUES: For information see our Office of Children’s Issues web pages on intercountry adoption and international parental child abduction. Both foreigners and Rwandans taking Rwandan children to live outside Rwanda, e.g., after adoption, must obtain an exit permission letter from the Ministry of Family and Gender located within the Primature complex at P.O. Box 969, Kigali, Rwanda; Tel: 011-250-587-128; Fax: 011-250-587-127.

REGISTRATION / EMBASSY LOCATION:
Americans living or traveling in Rwanda are encouraged to register with the nearest U.S. Embassy or Consulate through the State Department’s travel registration website so that they can obtain updated information on travel and security within Rwanda. 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 2657 Avenue de la Gendarmerie; the mailing address is B.P. 28, Kigali, Rwanda; tel. (250) 596-400,; fax: (250) 596-591. The Consular Section’s email address is consularkigali@state.gov. The Embassy's web site is http://rwanda.usembassy.gov/. American Citizen Services hours are Tuesdays from 9:00 -17:00 and Fridays from 9:00 - 12:00 except on U.S. and Rwandan holidays.
* * *
This replaces the Country Specific Information for Rwanda dated October 4, 2007, to update sections on Country Description, Entry/Exit Requirements, Safety and Security, Information for Victims of Crime, Medical Facilities and Health Information, Traffic Safety and Road Conditions, Aviation Safety Oversight, Criminal Penalties, Children’s Issues, and Registration/Embassy Location.

Travel News Headlines WORLD NEWS

Date: Thu, 7 May 2020 19:25:27 +0200 (METDST)

Kigali, May 7, 2020 (AFP) - Floods have left 65 dead in Rwanda and heavy rains swept away scores of houses, several bridges and farms, the government said Thursday, as similar scenes played out across East Africa.   In Kenya, floods and landslides have killed nearly 200 people in the past month, while Uganda's Lake Victoria has overflown, submerging houses, a hospital and bridges and displacing thousands.

"Heavy rains that poured Wednesday night caused a number of disasters," Rwanda's ministry of emergency management said in a statement on Thursday.    "Up until midnight, 65 death cases had been registered due to floods. The rains also led to damage of infrastructure like roads, 91 houses, 5 bridges and several farms were swept away by the floors," said the statement.

In April 20 people were killed in flooding in Rwanda.   In Kenya, four teenagers drowned on Thursday after a river burst its banks, a day after the government announced 194 people had been killed due to floods and landslides since the rainy season began in April, and large areas of farmland and water infrastructure destroyed.

Uganda's President Yoweri Museveni on Thursday wrote on Twitter that Lake Victoria was near record levels.   "Encroachers on Lake Victoria and (its) river banks should vacate before they are swallowed by the water because you're in its way" he said.   The Red Cross issued a statement Thursday saying thousands were displaced in Uganda after two rivers burst their banks, and a major hospital in western Kasese had partly been submerged by water.

Ugandan MP Alex Byarugaba from Isingiro, a border district with Tanzania, told AFP Thursday: "We lost four people after the heavy rains in last four days pounded the district. Some were buried by the flash floods which have displaced over 5,000 people".   Somalia has also experienced flooding in several areas, with six people killed in northeastern Puntland last month.
Date: Mon, 4 May 2020 21:42:43 +0200 (METDST)

Kigali, May 4, 2020 (AFP) - Kigali traders eagerly resumed work on Monday as Rwanda partially lifted strict lockdown measures adopted six weeks ago to curb the spread of the coronavirus.    Businesses in the capital were flooded with customers hurrying to finish their shopping before an 8:00 pm curfew.

Rwanda imposed one of Africa's first total shutdowns on March 22, closing non-essential shops, shuttering schools, suspending public transport and banning all "unnecessary travel" outside the home.   The measures have had a heavy economic impact in the poor east African country.   Jane Mutoni, a waitress at a small restaurant in Kigali, said two of her male colleagues were let go.   "We are now two waitresses," she told AFP, adding: "It has been really good to return to work because we had no other source of income."   In the markets, only half the shops were allowed to reopen.

Hair salons in particular have benefited from the easing of restrictions, although measures have been taken to prevent them from becoming overcrowded.   "We are going back to work slowly. Usually we are eight people working as a team here. But today we work in shifts at only three at a time to respect the social distancing," said John Sibomana, a Kigali hairdresser.   "After three hours, a colleague will replace me. We don't earn much, but it is still better than staying at home," he said, adding that life had been "very hard" during the lockdown.

Residents were also happy to resume physical activity in the streets, which had been forbidden.    "You know, it's been 40 days without practising and touching a ball and most of the young guys here do sports every day," said Bonfils Rukundo, who lives in a Kigali suburb, after going for a run in the capital.   Bus stations were full Monday, with masks mandatory in all public places. Buses were allowed to operate only at half capacity and only within Kigali.    Rwanda has officially registered 259 cases of coronavirus and no deaths. 
Date: Fri, 1 May 2020 09:19:52 +0200 (METDST)

Kigali, May 1, 2020 (AFP) - Rwanda will partially lift its virus lockdown from next week and allow people to move freely during the day more than six weeks after being confined, the prime minister's office said Friday.   Rwanda was one of the first to impose strict lockdown measures in Africa, on March 22, when it had only 19 cases, and to date has officially recorded 225 cases and zero deaths.

From Monday May 4, citizens will be allowed to move freely from 5am to 8pm, and will need permission to do so later in the evening, the prime minister's office said in a statement.   Businesses, manufacturing and construction operations will be allowed to resume with essential workers, while markets will be allowed to open with no more than 50 percent of traders operating.

According to the statement hotels and restaurants will be allowed to operate but must close by 7pm.   People will be allowed to exercise in open spaces but sports facilities will remain closed.   No more than 30 people will be allowed to attend funerals, and schools, churches, gyms and bars will remain closed.   Transport between different provinces is still banned, borders remain closed and mass gatherings prohibited.   "Masks must be worn in public at all times," said the statement.
Date: Thu, 2 Apr 2020 12:22:23 +0200 (METDST)

Kigali, April 2, 2020 (AFP) - Rwanda has extended a national lockdown for another two weeks in a bid to curb the spread of coronavirus, which has so far infected 82 people, according to a government statement issued late Wednesday.

Rwanda was among the first nations in Africa to impose a lockdown, banning all "unnecessary movements" outside the home, shutting down schools, shops, and public transport.   "To further contain the outbreak, Cabinet extended the existing measures for an additional two weeks, until 23:59 on Sunday 19th April, 2020," read the statement issued after an extraordinary cabinet meeting via video conference chaired by President Paul Kagame.

Rwanda has the second highest number of infections in East Africa after Mauritius which stands at 154, although Kenya is rapidly catching up after a leap saw an increase to 81 on Wednesday.   Africa, which has lagged behind the global curve, has nearly 6,400 recorded cases, of which 234 have been fatal, according to a continent-wide tally compiled by AFP.
Date: Fri 20 Mar 2020
Source: VICE News [edited]

Rice farming is a priority crop in Rwanda but working in the flooded fields means 10 hours a day exposed to mosquitoes.

Rwanda's tens of thousands of acres of bright green, grassy rice fields present a paradox for the landlocked East African country. The crop is a dietary staple for virtually every family here, and it brings in a good chunk of the country's GDP. So, the government is embarking on an aggressive campaign to produce even more. But the waterlogged fields where the grain grows are the ideal breeding ground for mosquitoes, so the disease is rampant.

In 2016, researchers from the Rwanda Biomedical Center came to Bugesera District in Rwanda's Eastern Province. They brought with them a larvicide that kills mosquitoes before they hatch. The larvicide is called _Bacillus thuringiensis_ israelensis, or Bti, and is applied to the fields using the same machine they use for pesticides. The study also involved preparing community action teams to deliver malaria-prevention education to villages.

The study showed that over a year, there was a 90% decrease in mosquito density in rice fields. But when the study ended, farmers were left without the larvicide and with 10 times the amount of mosquitoes once again.

After their study concluded in 2015, the researchers from the Rwanda Biomedical Center and their Dutch partners recommended the government incorporate Bti into their farming practices. The larvicide has been used in the United States for over 30 years, and it's EPA-approved. The agency says it doesn't pose a risk to humans.

But the government never funded national Bti spraying. And over the next nearly 5 years, the government pushed to increase rice production by turning marshlands into rice fields. The number of reported malaria cases, meanwhile, increased 68%, from 2.5 million in 2015 to 4.2 million in 2018, according to the World Health Organization.

In a 2018 study, the country's experts "hypothesized that a potential contributor to the increase in cases" was this push to convert the marshlands.

In 2016, the government established a national strategy titled "The Rwanda We Want: Towards Vision 2050." In it, they outline their hope to eradicate malaria by mid-century. While cases began to decline between 2016 and 2018, malaria in Rwanda is still extremely widespread. The World Health Organization says the whole population is at risk for the disease. Without proper care, malaria's complications can be deadly.

And despite these widespread concerns about the lack of malaria prevention or education for tens of thousands of rice farmers and surrounding communities, Rwanda has been ramping up its push for more rice for years.

Charles Bucagu, the deputy director general of the Rwanda Agriculture Board, stood atop a hill overlooking vast fields. He said the government was undergoing a "crop intensification program," aiming to increase the amount of rice yield from under 2 tons per acre to almost 3 through farmer training and new tools.

Rice brings about USD 64.8 million of revenue to Rwanda annually. And although the country relies heavily on domestic rice production, they still have to import some. The government's goal is to be self-sufficient by 2050. As part of their efforts to expand farming, the government often rents parcels of land to farming cooperatives to exploit, and farmers get a cut of what they harvest.

Dr. Diane Gashumba, the country's then Minister of Health, told VICE News in September [2019] that malaria in and around rice fields must be addressed and that the government is "really committed" to exploring larviciding after seeing countries like Brazil apply the technique successfully. "We need rice," she said, "we cannot stop rice farming ... but also, there is a way."

On 14 Feb 2020, the office of the prime minister announced that he had accepted Dr. Gashumba's resignation. In a tweet, he said her resignation "follows a series of habitual gross errors and repeated leadership failures."

On 11 Mar 2020, one month after her resignation and 5 months after Bucagu's statement, the government finally reintroduced larvicide to Rwanda's rice fields. The announcement came as Rwandans started yet another agricultural season. But the commitment is only to a 6-month spraying program and only in the Gasabo district, one of 30 in Rwanda.

Bti will be sprayed 3 times each month, mainly using drones, and community health workers will help with the targeting of surrounding mosquito breeding sites. The decision was made in response to a request from Rwanda's Biomedical Center's team for almost USD 200,000 in funds, and the test run's success will determine whether the Bti program gets scaled nationally, said Dr. Emmanuel Hakizimana, the director of vector control at the center.

Hakizimana believes malaria eradication in rice paddies is feasible, but Bti spraying is just the 1st step. "The problem is not rice farming; the problem is lack of prevention," he said, explaining that larviciding must be combined with malaria detection and treatment, indoor spraying, insecticide-treated nets, and the use of repellent. "It's not impossible," Hakizimana added.

The around 1000 farmers on E's co-op earn about USD 1.4 per day. She gathered 567 pounds of rice during the last season and was given 128 pounds for her family by the co-op. She said she doesn't earn enough to buy bug repellent. The head of her co-op, Joseph Hitumukiza, said his organization doesn't have the resources to give farmers the tools to protect themselves either, so he advises them to save money in case they get malaria and need to be treated.

Citizens have good access to healthcare, but information around prevention is still lacking. When asked what measures she takes against the disease, E said she boils the water she drinks at home. While boiling water is recommended in areas where the quality is unreliable, it bears no effect on malaria.  [Byline: Patricia Guerra]
==================
[A study of mosquito distribution and risk of malaria in Rwanda found that: "For the 7 sentinel sites, the mean indoor density for _An. gambiae_ s.l. varied from 0.0 to 1.0 mosquitoes/house/night. _P. falciparum_ infection rates in mosquitoes varied from 0.87 to 4.06%. The entomological inoculation rate (EIR) ranged from 1.0 to 329.8 with an annual average of 99.5 infective bites/person/year." (Hakizimana E et al. Spatio-temporal distribution of mosquitoes and risk of malaria infection in Rwanda. Acta Trop. 2018;182:149-57).

The study using the larvicide _Bacillus thuringensis_ (Bti) referred to is Ingabire CM et al. (Community-based biological control of malaria mosquitoes using _Bacillus thuringiensis_ var. israelensis (Bti) in Rwanda: community awareness, acceptance and participation. Malar J. 2017;16:399). - ProMED Mod.EP]

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Puerto Rico

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Travel News Headlines WORLD NEWS

Date: Sun, 15 Mar 2020 23:58:27 +0100 (MET)

San Juan, March 15, 2020 (AFP) - The US territory of Puerto Rico on Sunday ordered a 9:00 pm to 5:00 am curfew to stem the spread of the novel coronavirus, the strongest measure yet taken on American soil.   It took effect immediately and lasts until March 30.   "Faced with the possibility of transmission and propagation of the virus, I have ordered the imposition of a curfew for all residents of Puerto Rico," Governor Wanda Vazquez announced in a video message.   "We must take every precaution to ensure that we do not become potential carriers," Vazquez said.

The Caribbean territory of 2.9 million, whose residents are US citizens, also will close many businesses from Sunday until the end of the month, she said.   That includes malls, movie theaters, concert venues, gyms, bars and other businesses that bring together large crowds on the island popular with tourists.   The exceptions will be businesses in the food supply chain, and in the medical care system, as well as drugstores, gas stations, banks and senior citizens' group homes.

At night, only those who are providing or receiving medical care, or carrying out essential duties, will be allowed to be on Puerto Rico's streets.   Anyone defying the curfew faces a six-month jail term and a fine of up to $5,000.   The island declared a state of emergency when its first cases were reported March 12. The island has reported five cases.   On Friday, Vazquez accepted the resignation of Health Secretary Rafael Rodriguez Mercado, who was under fire for his handling the coronavirus emergency.

Recently, island residents were irate when two warehouses were found to be filled with abandoned supplies, apparently never used after Hurricanes Irma and Maria in 2017.   The storms' one-two punch left Puerto Ricans without power for months and killed nearly 3,000 people, according to the local government's official numbers.   President Donald Trump has accused the Puerto Rican government of incompetence and siphoning off hurricane relief money.   The Puerto Rican leaders accused Trump of treating the population of the island like second class citizens.
Date: Thu, 16 Jan 2020 02:45:27 +0100 (MET)
By Ivelisse RIVERA, con Leila MACOR en Miami

Yauco, Puerto Rico, Jan 16, 2020 (AFP) - Living out in the open, their nerves on edge after a series of earthquakes that have shaken Puerto Rico, some 5,000 people are hoping that their president, Donald Trump, will heed the island's plea to be designated a disaster zone and free up much-needed aid.   Since December 28, more than 1,000 tremors have rattled the US island territory in the Caribbean, which just two years ago was devastated by two powerful hurricanes in quick succession.

In Yauco, one of the areas worst hit by the earthquakes, dozens of people were sitting on cot beds Wednesday in the parking lot of a municipal stadium, sheltered from the sun by white tents and blue tarps handed out by the federal disaster management agency, known as FEMA.  "The most difficult thing is the psychological aspect," said Wilfredo Rodriguez, 31. His house had been fractured by the seismic movement and he has spent a week living with his kids, aged six and 10, under an awning.    "We are living in constant fear of another powerful tremor," he said.

He only returns to his house to wash, then hurries back to the shelter. "We worry that there'll be a more powerful tremor while we are inside the house," he said.   Throughout the day, volunteers arrive to hand out food and toys for the children who fill the shelters: schools have been suspended because the buildings are not sturdy enough to withstand another quake.    The island's earthquake detection system has registered 1,104 tremors in the past two weeks alone, of which 186 could be felt by the population. By comparison, during the whole of 2019 there were 6,442 tremors, of which just 62 could be felt by people on the island.

Further south, in Guanico, Juan Santiago decided to move into a shelter on Saturday after a tremor of 5.9 on the Richter scale hit the island. "The mountain shook and rocks and earth started to come down," said the 30-year-old.  "My house has a crack in it and is about to fall down," he added. His home had weathered the Category Five winds of Hurricane Maria in September 2017 and of Hurricane Irma which followed it just two weeks later.   "It's different to a hurricane. What is happening now is much nastier," he said.

As he was talking the earth shook again, a tremor of 5.2 magnitude. Vehicles rocked like hammocks in the wind, but the quake-hardened victims barely reacted.   The houses in this part of the island are mostly rudimentary constructions built by the people who live in them with scant resources available in the mountains, where no regulations stipulate that buildings should be earthquake resistant.    The government of Puerto Rico said that as of Monday, there were 4,924 people living in 28 shelters in 14 municipalities. There were no figures on how many buildings had been damaged or destroyed.

- Seeking disaster designation -
Puerto Rico's governor Wanda Vazquez Garced called on Trump to declare the earthquake a disaster and clear the way for desperately needed aid. Trump had declared an emergency days before, but the governor wanted more.   The declaration of an emergency frees up to $5 million dollars in aid for the island, although Congress can bump that figure up. But if the situation is designated a disaster, there is no ceiling on funding, a FEMA spokesman said.   On Wednesday, the government said it would release $8.2 billion in delayed hurricane relief that had been stalled after the president threatened to divert Puerto Rico's emergency funds to help pay for his wall on the US-Mexico border.

In the past few days there have been growing calls among Democratic lawmakers for Trump to declare the situation in Puerto Rico a disaster.   It is a delicate subject, as Trump has accused the government of Puerto Rico of incompetence and of siphoning off hurricane relief money, triggering a public spat between the president and the mayor of San Juan, Carmen Yulin Cruz, as well as the former governor Ricardo Rossello, who was forced to step down last summer amid massive protests.   The Puerto Rican leaders accused Trump of treating the population of the island like second class citizens.
Date: Sat, 11 Jan 2020 15:43:12 +0100 (MET)

Washington, Jan 11, 2020 (AFP) - A 5.9 magnitude earthquake rocked Puerto Rico Saturday, the latest in a series of powerful tremors that have shaken the US territory in recent days, the US Geological Survey reported.

The latest quake occurred at 8:54 am local time (1254 GMT) around 13 kilometres (eight miles) southeast of Guanica, a town on the island's southern Caribbean coastline that was hard hit by earlier quakes.   The USGS revised its initial report of a 6.0 magnitude quake to 5.9.   It follows a 6.4 magnitude quake Tuesday that killed one person, knocked
out electric power and caused widespread damage.

Puerto Rico Governor Wanda Vazquez declared a state of emergency after Tuesday's quake, which forced an automatic shutdown of the power grid.    Puerto Rico's electric power authority reported outages in the towns of Ponce, Lares, Adjuntas and San German after the latest quake.   The Pacific Tsunami Information Center in Hawaii issued a statement saying there was "no significant tsunami threat" but a small possibility of tsunami waves along coasts nearest the epicentre.

The island is still recovering from Hurricane Maria, which came ashore more than two years ago as a devastating Category 4 storm.   Starting December 28, a wave of tremors have swept the island, putting residents on edge.   The 6.4 quake on January 7 came a day after a 5.8 magnitude quake; it was followed by major aftershocks.   Saturday's quakes were also preceded by a string of smaller tremors.
Date: Tue, 7 Jan 2020 23:44:45 +0100 (MET)
By Ricardo Arduengo

Guayanilla, Puerto Rico, Jan 7, 2020 (AFP) - Puerto Rico's governor declared a state of emergency on Tuesday after a powerful 6.4 magnitude earthquake killed at least one person in the south of the island and caused widespread damage.   Governor Wanda Vazquez said the declaration would allow for the activation of National Guard troops in the US territory still recovering from a devastating 2017 hurricane.   The US Geological Survey said the quake struck at 4:24 am (0824 GMT) with the epicenter off the coast of the southern city of Ponce, and was followed by more than a dozen aftershocks.

Tuesday's quake was the most powerful in a series of tremors that have shaken the island since December 28.   Scientists initially sent out an alert about a potential tsunami but it was later canceled.   The island's electricity authority said the quake had forced an automatic shutdown of the power grid, already severely damaged by Hurricane Maria more than two years ago.   The worst damage appeared to be in towns on the southwest coast, including Ponce, Guayanilla and Guanica.   El Nuevo Dia newspaper said a 73-year-old man died after a wall fell in his home in Ponce. Eight others there were reported injured.

Two power plants in Guayanilla sustained major damage, the Puerto Rico Electric Power Authority said. The city could be without power for two weeks, its mayor Nelson Torres Yordan said.   Celebrity chef Jose Andres announced that a charity he runs, World Central Kitchen, had started serving meals and distributing solar-powered lamps in quake-hit areas.   Vazquez announced that $130 million in emergency aid funding will be disbursed.   On social media, people wrote of being shaken awake by the force of the quake.   One woman on Twitter said she had been "wrenched from sleep."   "Everybody is awake & scared all over," she posted.   In Guayanilla, the Inmaculada Concepcion church, built in 1841, was heavily damaged.   Volunteers salvaged statues and other valuable items from the ruins as a priest consoled distraught parishioners.

- 'Be safe' -
A 5.8 magnitude quake on Monday toppled some structures, caused power outages and small landslides, but did not result in any casualties.   It also destroyed a popular tourist landmark, Punta Ventana, a natural stone arch that crumbled on the island's southern coast.   Vazquez, the governor, said government employees were being given the day off on Tuesday to take care of their families.   "We want everyone to be safe," she said.   She said ports were undamaged and there are several weeks' supply of gasoline, diesel and natural gas stored so people need not worry about shortages.

The White House said President Donald Trump had been briefed and Pete Gaynor, head of the Federal Emergency Management Agency (FEMA), had been in touch with the governor.   Trump's administration came under severe criticism for its response to Hurricane Maria.   The Category 4 storm destroyed the island's already shaky power grid, overwhelmed public services, left many residents homeless and claimed several thousand lives, according to government estimates.
Date: Tue, 7 Jan 2020 12:52:34 +0100 (MET)

Washington, Jan 7, 2020 (AFP) - A strong earthquake struck south of Puerto Rico early Tuesday, the US Geological Survey said, the latest in a series of tremors that have shaken the island since December 28.   The shallow 6.5 magnitude quake struck 13.6 kilometres (8.5 miles) south of the city of Ponce, the USGS said, revising down its initial reading of 6.6.   The quake struck just off the US territory's southern Caribbean coastline at 4:24 am local time (0824 GMT).   "The whole island is without power," the director of Puerto Rico Electric Power Authority, Jose Ortiz, told local media.

Puerto Rico's governor Wanda Vazquez Garced posted on Twitter that the government's security protocols had been activated.   She said government employees were not expected at work, adding: "We want everyone to be safe."   On social media, people wrote of being shaken awake by the force of the quake.   One woman on Twitter said she had been "wrenched from sleep", adding "Everybody is awake & scared all over."

Dramatic images also shared on social media appeared to show widespread damage in the town of Guayanilla, home to around 20,000 people, as well as nearby Guanica.   The mayor of Guayanilla told local news channel NotiUno that the town's church had collapsed in the incident.

An alert issued by the Tsunami Warning Center immediately following the earthquake was later cancelled.   Tuesday's quake was the strongest of a series of tremors that have shaken the island since December 28, topping Monday's 5.8 quake.   That earthquake toppled houses and caused power outages, but there were no reports of casualties.
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British Virgin Islands

British Virgin Islands US Consular Information Sheet
February 26, 2009
COUNTRY DESCRIPTION:
The British Virgin Islands (BVI) are a British overseas territory, part of the British West Indies, lying about 60 miles east of Puerto Rico.
here are about 50 islands in the BVI, many of them uninhabited.
Tortola is the main island; other islands include Virgin Gorda, Jost Van Dyke, and Anegada.
Tourist facilities are widely available. Read the Department of State Background Notes on the United Kingdom for additional information.
ENTRY/EXIT REQUIREMENTS:
The Intelligence Reform and Terrorism Prevention Act of 2004 requires all travelers to and from the Caribbean, Bermuda, Panama, Mexico and Canada to have a valid passport to enter or re-enter the United States. U.S. citizens must have a valid U.S. passport if traveling by air, including to and from Mexico.
If traveling by sea, U.S. citizens can use a passport or passport card.
We strongly encourage all American citizen travelers to apply for a U.S. passport or passport card well in advance of anticipated travel.
American citizens can visit travel.state.gov or call 1-877-4USA-PPT (1-877-487-2778) for information on how to apply for their passports.

As of June 1, 2009, sea travelers must have a valid U.S. passport or passport card.
While a U.S. passport is not mandatory for sea travel to the BVI, it is required to return to the U.S.
In addition to other documentary requirements, U.S. Citizens should also present onward or return tickets, and sufficient funds for their stay.
Upon initial entry, no more than 60 days will be granted.
At the end of 60 days, visitors must report to the Immigration Department's main office in Road Town for an extension.
Extensions of up to 90 days are issued at the discretion of the Immigration Officer subsequent to an interview.
Visitors entering the BVI by yacht during daylight hours are required to proceed directly to a port of entry and clear immigration controls.
Visitors arriving by yacht outside of business hours should register with Immigration at opening of business the following business day.
Failure to comply with these regulations can lead to heavy fines or imprisonment.

Visit the Embassy of the United Kingdom’s web site at http://www.britainusa.com for the most current visa information.

Information about dual nationality or the prevention of international child abduction can be found on our web site.
For further information about customs regulations, please read our Customs Information sheet.
SAFETY AND SECURITY:
For the latest security information, Americans traveling abroad should regularly monitor the Department of State, Bureau of Consular Affairs’ website at http://travel.state.gov, where the current Travel Warnings and Public Announcements, including the Worldwide Caution Public Announcement, can be found.
Up-to-date information on safety and security can also be obtained by calling 1-888-407-4747 toll-free in the U.S. and Canada or, for callers outside the U.S. and Canada, a regular toll line at 1-202-501-4444.
These numbers are available from 8:00 a.m. to 8:00 p.m. Eastern Time, Monday through Friday (except U.S. federal holidays).

The Department of State urges American citizens to take responsibility for their own personal security while traveling overseas.
For general information about appropriate measures travelers can take to protect themselves in an overseas environment, see the Department of State’s pamphlet A Safe Trip Abroad.
CRIME:
Thefts, armed robberies, and other violent crimes do occur in the BVI.
Visitors should take common-sense precautions against petty crime.
Travelers should avoid carrying large amounts of cash and use hotel safety deposit facilities to safeguard valuables and travel documents.
Do not leave valuables unattended on the beach or in cars, and do not leave them in plain view in rental properties.
Always lock up boats when going ashore.

INFORMATION FOR VICTIMS OF CRIME:
The loss or theft abroad of a U.S. passport should be reported immediately to the local police and the nearest U.S. Embassy or Consulate.
If you are the victim of a crime while overseas, in addition to reporting to local police, please contact the nearest U.S. Embassy or Consulate for assistance.
The Embassy/Consulate staff can, for example, assist you to find appropriate medical care, contact family members or friends and explain how funds could be transferred.
Although the investigation and prosecution of the crime is solely the responsibility of local authorities, consular officers can help you to understand the local criminal justice process and to find an attorney if needed.

The local equivalent to the “911” emergency line in the BVI is: 999 or 911.
See our information on Victims of Crime.

MEDICAL FACILITIES AND HEALTH INFORMATION:
Medical care in the BVI consists of a small general hospital, Peebles Hospital (Telephone (284) 494-3497), with an emergency room staffed 24 hours a day by physicians, several clinics on Tortola, and one clinic in Virgin Gorda.
Both islands are served by ambulances staffed with paramedics.
There are no medical facilities on the other islands.
A volunteer organization, Virgin Islands Search and Rescue (VISAR), responds 24 hours a day to medical emergencies at sea or on outer islands.
VISAR transports casualties to the nearest point for transfer to ambulance.
To reach VISAR, dial SOS (767) or call on Marine Channel 16.

There is no hyperbaric chamber in the BVI.
Patients requiring treatment for decompression illness are transferred to St. John, U.S. Virgin Islands.
Most sensitive medical cases are transferred to San Juan, Puerto Rico.

Some HIV/AIDS entry restrictions exist for visitors to and foreign residents of the BVI.
Anyone who does not appear to be in good health may be required to undergo a medical exam, including HIV test, prior to being granted or denied entry.
Please verify this information with the Embassy of the United Kingdom at http://www.britainusa.com before you travel.
Information on vaccinations and other health precautions, such as safe food and water precautions and insect bite protection, may be obtained from the Centers for Disease Control and Prevention’s hotline for international travelers at 1-877-FYI-TRIP (1-877-394-8747) or via the CDC’s 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 of State strongly urges Americans to consult with their medical insurance company prior to traveling abroad to confirm whether their policy applies overseas and whether it will cover emergency expenses such as a medical evacuation.
Please see our information on medical insurance overseas.

TRAFFIC SAFETY AND ROAD CONDITIONS:
While in a foreign country, U.S. citizens may encounter road conditions that differ significantly from those in the United States.
The information below concerning the British Virgin Islands is provided for general reference only, and may not be totally accurate in a particular location or circumstance.
Vehicles drive on the left (the British side) with most steering wheels on the left (the “American” side).
Road signs are limited and seatbelts are required by law.
Drivers often fail to yield the right-of-way to pedestrians, even at painted crosswalks.
Speeding and reckless driving are fairly common in the BVI.
Drivers can encounter nighttime drag racing on main thoroughfares and livestock on roads.
Roads in Tortola's interior can be steep and extremely slippery when wet.
Travelers planning to drive across the island should consider requesting four-wheel drive vehicles and should ensure that tires and brakes are in good operating condition on any rental vehicle.
Please refer to our Road Safety page for more information, as well as the BVI Tourist Board web site.
AVIATION SAFETY OVERSIGHT:
Civil aviation operations in the British Virgin Islands fall under the jurisdiction of British authorities.
The U.S. Federal Aviation Administration (FAA) has assessed the Government of the United Kingdom’s Civil Aviation Authority as being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for oversight of the UK’s air carrier operations.
For more information, travelers may visit the FAA’s web site at http://www.faa.gov/safety/programs_initiatives/oversight/iasa
SPECIAL CIRCUMSTANCES:
The removal of any marine organism from BVI waters is illegal for non-BV Islanders without a recreational fishing permit.
Fishing without a permit, even for sport, may lead to heavy fines or imprisonment.
Contact the Ministry of Natural Resources and Labour at (284) 468-3701 ext. 2147 for information.
Please see our Customs Information sheet..

CRIMINAL PENALTIES:
While in a foreign country, a U.S. citizen is subject to that country's laws and regulations, which sometimes differ significantly from those in the United States and may not afford the protections available to the individual under U.S. law.
Penalties for breaking the law can be more severe than in the United States for similar offenses.
Persons violating BVI laws, even unknowingly, may be expelled, arrested or imprisoned.
Penalties for possession, use, or trafficking in illegal drugs in BVI are severe, and convicted offenders can expect long jail sentences and heavy fines.
Engaging in sexual conduct with children or using or disseminating child pornography in a foreign country is a crime, prosecutable in the United States.
Please see our information on Criminal Penalties.

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

REGISTRATION / EMBASSY LOCATION:
Americans living or traveling in the British Virgin Islands are encouraged to register with the the U.S. Embassy in Bridgetown, Barbados through the State Department’s travel registration website so that they can obtain updated information on travel and security within the BVI.
Americans without Internet access may register directly with the Embassy.
By registering, American citizens make it easier for the Embassy to contact them in case of emergency.
The U.S. Embassy is located in the Wildey Business Park in St. Michael, Barbados.
The Consular Section can be reached by telephone at 1-246-431-0225, by fax at 1-246-431-0179, contact them by e-mail.
* * * * * * *
This replaces the Country Specific Information for the British Virgin Islands dated April 2, 2008 to update sections on Entry/Exit Requirements, Crime, and Medical Facilities and Health Information.

Travel News Headlines WORLD NEWS

Date: Sat, 16 Sep 2017 22:00:48 +0200
By Cécile AZZARO

Pointe-à-Pitre, Sept 16, 2017 (AFP) - The French-Dutch island of St Martin, where white sands and turquoise waters once drew foreign visitors in droves, is now attracting a different kind of population: rats and mosquitoes.   Just over a week after Hurricane Irma devastated the island and neighbouring St Barthelemy, killing 15 people, pools of stagnant water and mounds of trash seem to be the new normal.   Add to that the absence of fresh running water, and the situation is ripe for a health epidemic.   "Yes, there are risks of outbreaks," said Annick Girardin, the French minister for overseas affairs, who spent a week on St Martin following the Category five storm.   "There is an existing problem on the issue of contaminated water, the issue of trash, basically the issue of hygiene."

In poorer neighbourhoods where many families were not able to evacuate, residents fear the spread of mosquitoes -- which can carry diseases ranging from Zika and dengue fever to Chikungunya.   "My son has a fever maybe due to a mosquito," said Natacha, a resident in the Sandy Ground neighbourhood near Marigot. "We will have to clean to prevent too many mosquitoes, or else there will be outbreaks. But it's difficult without water."   "If we get sick, we'll have to go to Guadeloupe".   According to an AFP journalist, in some neighbourhoods like Concordia, control programs had begun on Wednesday.

- Boiling water -
The island, which is still struggling to get its electricity and telecommunications systems back up and running, has found it difficult to reach residents and warn them about the potential health risks.   To get the word out, the French government has distributed notices and posters in French, Spanish, English and Creole.

Still, French health minister Agnes Buzyn said, "We realise there are people on the island, in certain neighbourhoods, who are not following health instructions".   One of the most important notices reminds people that only bottled water is safe to consume, and that if it is unavailable, boiling water before use is paramount.   "We hand out fresh water all over the territory, but it remains difficult," Buzyn said. "There are zones not easily accessed, people that maybe we haven't been able to reach."   According to the government, 150,000 bottles of water are being distributed to residents every day.   But some people have still been fetching water directly from a reservoir.

A desalination plant destined for St Martin arrived Friday on Pointe-a-Pitre, on the French island of Guadeloupe, about 300 kilometres (185 miles) away.   It will continue its journey to the hurricane-hit island by barge and is expected to be operational by September 25, the authorities said.   Meanwhile drinking water has returned to St Barts, which is now able to produce about 800 cubic metres (176,000 gallons) a day.   "We are not yet at a level of signalling an outbreak, far from it," Buzyn said. "Today, it's mostly an individual risk, which means it is essential that people who live on St Martin drink the bottled water that is distributed".   Buzyn had said last Wednesday that there had been some cases of children with diarrhoea, but did not mention any signs of an outbreak.

- Racing the clock -
Medical epidemiologists are aware of and on the lookout for any sign of outbreaks, and will regularly track patients using health surveys, said Guadeloupe's public health director Patrice Richard.   On Saturday, St Martin's health services coordinator Sergio Albarello said there had been no cases of outbreak on the island.   "As of now, there have been no reported cases" of outbreak, he told reporters, adding that as far as mosquitoes, "we are not talking about carriers of genes that are epidemiologically relevant".   And while many buildings were flattened by the storm, the St Martin hospital is still able to treat people "in excellent conditions", even though one of its buildings was partially destroyed.   Philippe Gustin, the French envoy in charge of the islands' reconstruction, said the immediate plan was to fix the damaged buildings.

According to Gustin, about 30 percent of the buildings on the French side of the island were completely destroyed, but he cautioned that teams were still putting together a final estimate of damages -- which has been put at one billion euros ($1.2 billion) or more for roads and buildings.   But repairing them before the high season, which usually starts in November and runs until April, seems nearly impossible.   Cleaning up also remains a priority for St Martin, particularly in areas where rats could proliferate.   Home to some 35,000 people, St Martin -- whose livelihood rests almost entirely on tourists -- attracts around two million visitors a year, most of them American cruise ship passengers.   While visiting St Barts this past week, French President Emmanuel Macron promised emergency financial aid for those "who have lost everything".   As for the Dutch side of the island, the Dutch Red Cross said Saturday that it had collected 13.3 millions euros following a weeklong donation drive.
Date: Tue, 12 Sep 2017 16:18:07 +0200

London, Sept 12, 2017 (AFP) - Over 100 high-risk prisoners escaped in the British Virgin Islands during Hurricane Irma, a British junior minister said on Tuesday, as he raised the death toll in British territories to nine.   "We had a serious threat of a complete breakdown of law and order in the British Virgin islands (BVI)," junior foreign minister Alan Duncan told parliament.   "The prison was breached, over 100 very serious prisoners escaped," he said.

Duncan said Royal Marines were deployed to cope with the threat but did not disclose how many prisoners had been recovered or how many were still at large.   "We have maintained and kept law and order on the BVI, which at one point, could have dramatically threatened the already unfortunate plight of those who had been hit by the hurricane," he said.   Contacted by AFP, the foreign ministry declined to comment.

The Daily Telegraph said notes from a cabinet meeting that were leaked to the press on Tuesday suggested as many as 60 had yet to be recaptured.   "We are working with St Lucia and BVI authorities to secure the transfer to St Lucia of 40 high-risk prisoners that have escaped in BVI," the briefing notes were reported as saying.   Duncan said a total of nine people died in British Caribbean territories -- five in the BVI and four in Anguilla. The authorities had previously reported one person killed in Anguilla.

Britain's response to Irma has been criticised by some local inhabitants as too slow with some complaining about a breakdown of law and order and being left to fend for themselves.   Briton Claudia Knight said her partner Leo Whitting, 38, was stranded on the island of Tortola in the British Virgin Islands archipelago.   "Everyone's turned feral and no-one's going out without being armed... It's turning really nasty," she told the Press Association news agency.   "Leo carries a knife with him," she said.   But Duncan said he "wholeheartedly and comprehensively reject the criticism".   "I think they are unjustified," he added.
Date: Mon 13 Jan 2014
Source: Government of the British Virgin Islands [edited]

The Ministry of Health and Social Development has confirmed 3 cases of chikungunya [virus infections], following reports of confirmed cases in St Martin and increased surveillance throughout the Virgin Islands. Dr Ronald Georges, medical officer of health in the Ministry of Health and Social Development said, "We have confirmed 3 cases on Jost Van Dyke."

Chikungunya is a viral disease transmitted to humans by the bite of infected mosquitoes.

"It is important to note that these confirmed cases were not exposed to travel, which alerts us that the virus is already in our mosquito population," Dr Georges stated.

According to Dr Georges, the ministry has been coordinating a response with the Environmental Health Division to minimise the impact of chikungunya [virus infections]. He is reminding the public to take appropriate measures to minimise exposure to mosquitoes. As such, the health division has stepped up its fogging programme and will be addressing "hotspot" areas known for mosquito breeding.

Dr Georges explained that chikungunya [virus infection] causes symptoms similar to dengue fever, which last 2-5 days. Symptoms include rash, arthritis-like pain affecting multiple joints, headaches, conjunctival infection, back pain, nausea, vomiting, polyarteritis, and a fever of 102 deg F [39 deg C] or higher. "Anyone experiencing one or more of these symptoms should contact their healthcare provider immediately," he said, adding, "Persons are urged to be vigilant in inspecting their premises for mosquito breeding sites."

He said that measures should also be taken to keep mosquitoes out of homes for example: removing catchment of still water, cover containers storing water, and more importantly necessary precautions should be taken to protect babies by placing a protective net over cribs. In addition the use of insect repellent on adults and children is also useful.

Clinicians and health care providers are asked to continue to report syndromic data to the Surveillance Unit in the Ministry of Health and Social Development, especially fever surveillance within 24 hours for continuous monitoring.

The Environmental Health Division will continue surveillance and control measures at ports of entry. However, residents are asked to remain vigilant in preventing mosquitoes from breeding around their homes and businesses.
------------------------------
communicated by:
Roland Hubner
Superior Health Council
Brussels
Belgium
==================
[Spread of chikungunya virus to other islands continues. In the absence of a commercially available vaccine, mosquito vector control and avoidance of mosquito bites are the only preventive measures that can be taken as noted in the report above. Fogging provides no long-term vector control. Breeding sites must be eliminated or treated with larvicides for effective control. That requires public cooperation and participation. Arrival of chikungunya virus in the dengue virus endemic areas of mainland Americas is probably more a matter of "when" than of "if".

Maps of the British Virgin Islands can be accessed at
Date: Wed, 15 Oct 2008 14:38:28 +0200 (METDST) MIAMI, Oct 15, 2008 (AFP) - Hurricane Omar moved toward the Virgin Islands Wednesday gaining power as warnings were issued across the Caribbean over the latest storm. With its center around 310 miles (495 kilometers) southwest of Puerto Rico's capital San Juan, the US National Hurricane Center said: "Additional strengthening is forecast in the next 24 to 36 hours." The hurricane -- with maximum sustained winds of near 120 kilometers (75 miles) per hour -- was moving slowly northeast toward San Juan. Hurricane warnings were issued for the US Virgin Islands, the British Virgin Islands, Saint Martin, Anguilla and Saint Kitts. "A hurricane warning could be required for Puerto Rico Wednesday morning," the NHC said. On the forecast track, the center of Omar was expected to move over or near the Leeward Islands -- just east of Puerto Rico -- by late Wednesday, the NHC said. Authorities also issued a hurricane warning for the French resort island of Saint Barthelemy, and tropical storm warnings for Antigua, Barbuda and Montserrat. Heavy rain was already falling across far northern Venezuela, where it could produce total rainfall of up to 15 centimeters (six inches), the NHC said. Up to 51 centimeters (20 inches) of rain "will be possible across Puerto Rico and the northern Leeward Islands," the NHC said. "These rains could produce life-threatening flash floods and mud slides," it warned. The busy 2008 hurricane season has included devastating Hurricanes Gustav and Ike, which caused millions of dollars in damage in Haiti, Cuba and the United States. Hurricanes and tropical storms have killed hundreds across the Caribbean and Mexico, with Haiti the worst hit.
Date: July 2008 Source: CAREC Surveillance Report - Communicable Diseases Vol. 28 No. 4 [edited] During epidemiological weeks 1-24, 2008, dengue virus type 2 was identified in the British Virgin Islands, Cayman Islands, Dominica, Grenada, St. Lucia and Trinidad & Tobago. Dengue virus type 4 was also identified in the British Virgin Islands, and virus type 1 was identified in Anguilla and Antigua & Barbuda. ------------------------ [This brief report does not indicate which of the islands had only imported dengue cases and which had local dengue virus transmission. As of mid-December 2007, the Cayman Islands only had imported dengue cases and had mounted an active surveillance and mosquito vector control campaign (see ProMED archive no. 20071218.4074). It would be interesting to know whether the 2008 cases were also all imported cases. An interactive ProMED HealthMap showing the location of the Cayman Islands can be accessed at: . - ProMed Mod.TY]
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World Travel News Headlines

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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