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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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Sudan

Sudan US Consular Information Sheet
August 29, 2008
COUNTRY DESCRIPTION:
Sudan is a diverse, developing country in northeastern Africa. The capital city is Khartoum. The civil war between the northern and southern regions, which began in 1
83, ended in 2005. A multi-party conflict continues in the west in Darfur, and the armed Ugandan group known as The Lord’s Resistance Army is present in the south. Security conditions are adverse in these and some other regions. Transportation networks and other forms of infrastructure are poor and do not meet western standards. Even where available, water and electric services suffer frequent outages. Read the Department of State Background Notes on Sudan for additional information.

ENTRY/EXIT REQUIREMENTS: The Government of Sudan requires all travelers to present a passport and an entry visa. Most travelers must obtain the entry visa before arrival; only American citizens who also possess a Sudanese national identification document (such as a Sudanese passport or national identification card) may apply for an entry visa at Khartoum International Airport. The Government of Sudan routinely denies visas to travelers whose passports contain visas issued by the Government of Israel or other evidence of travel to Israel such as exit or entry stamps.

Travelers must obtain an exit visa before departure from Sudan as well as pay any airport departure tax not included in the traveler’s airline ticket. Visitors may obtain the latest information and further details from the Embassy of Sudan, 2210 Massachusetts Avenue NW, Washington, DC 20008, tel.: 202-338-8565.

Travel permits issued by the semi-autonomous Government of Southern Sudan (GOSS) or by the South Sudan Relief and Rehabilitation Commission (SSRRC) are not adequate for entry to the country, although travelers may find these documents useful to present to local authorities when in the south. Personal baggage, including computers, is routinely searched upon arrival to and departure from Sudan. The authorities will seize material deemed objectionable, such as alcohol or pornography, and may detain or arrest the traveler. Travelers intending to bring electronic items should inquire about entry requirements when they apply for a visa; restrictions apply to many devices, including video cameras, satellite phones, facsimile machines, televisions, and telephones. Travelers are not allowed to depart Sudan with ivory, some other animal products, or large quantities of gold.

All visitors must register with the authorities within three days of arrival. Travelers must register within 72 hours of arrival in Sudan at the Ministry of Interior. All foreigners traveling more than 25 kilometers outside of Khartoum must obtain a travel permit from the Ministry of Humanitarian Affairs in Khartoum. This applies to all travel, including private, commercial, and humanitarian activities. Americans risk detention by Sudanese authorities when traveling more than 25 kilometers outside of Khartoum without a travel permit issued by the Ministry of Humanitarian Affairs. Travelers must register again with the police within 24 hours of arrival. The government requires a separate travel permit for travel to Darfur. These regulations are strictly enforced and even travelers with proper documentation may expect delay or temporary detention from the security forces, especially outside the capital. Authorities expect travelers to strictly respect roadblocks and other checkpoints.

Travelers who wish to take any photographs must obtain a photography permit from the Government of Sudan, Ministry of Interior, Department of Aliens.

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:
On January 1, 2008, unknown assailants shot and killed two U.S. Embassy employees - an American USAID officer and a Sudanese national driver. Terrorists are known to operate in Sudan and continue to seek opportunities to carry out attacks against U.S. interests. Terrorist actions may include suicide operations, bombings, or kidnappings. U.S. citizens should be aware of the risk of indiscriminate attacks on civilian targets in public places, which include tourist sites and locations where westerners are known to congregate, and commercial operations associated with U.S. or Western interests. Terrorists are known to have targeted both official facilities and residential compounds. Anti-American sentiment is prevalent and Americans should exercise utmost caution at all times.

The U.S. Embassy’s ability to provide consular services in Sudan, including emergency assistance, is severely limited. Many areas outside the capital of Khartoum are extremely difficult to access.

Travel in many parts of Sudan is hazardous. Outside the major cities infrastructure is extremely poor, medical care is limited, and very few facilities for tourists exist.

Conflict among various armed groups and government forces continues in western Sudan, in the states of North Darfur, South Darfur, and West Darfur. Banditry and lawlessness are also common in the west. Many local residents are in camps for internally-displaced persons, and receive humanitarian assistance for basic needs such as food, water, and shelter. Expatriate humanitarian workers have been the targets of carjackings and burglaries.

Land mines remain a major hazard in southern Sudan, especially south of the city of Juba. Visitors should travel only on main roads unless a competent de-mining authority such as the UN has marked an area as clear of mines. The armed Ugandan group known as The Lord’s Resistance Army is present along the southern border and reportedly has announced it will target Americans.
Occasional clashes between armed groups representing communal interests continue to occur in the centrally-located states of Upper Nile, Blue Nile, and Bahr al Ghazal. Banditry also occurs.
Sudan shares porous land borders with nine other countries, including Chad, the Central African Republic, Uganda, Democratic Republic of Congo, Ethiopia, and Eritrea. Conflict in these countries occasionally spills over into Sudan.

Americans considering sea travel in Sudan's coastal waters should exercise caution as there have been incidents of armed attacks and robberies by unknown groups in recent years, including one involving two American vessels. Exercise extreme caution, as these groups are considered armed and dangerous. When transiting in and around the Horn of Africa and/or in the Red Sea near Yemen, it is strongly recommended that vessels convoy in groups and maintain good communications contact at all times. Marine channels 13 and 16 VHF-FM are international call-up and emergency channels, and are commonly monitored by ships at sea. 2182 Mhz is the HF international call-up and emergency channel. Wherever possible, travel in trafficked sea-lanes. Avoid loitering in or transiting isolated or remote areas. In case of emergency, contact the nearest U.S. Embassy or Consulate. In the event of an attack, consider activating Emergency Position Indicating Radio Beacons.

For the latest security information, Americans traveling abroad should regularly monitor the Department of State, Bureau of Consular Affairs’ web site at http://travel.state.gov, where the current Travel Warnings and Travel Alerts, as well as the Worldwide Caution, can be found.

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

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

CRIME: Crime is on the increase throughout Sudan. Additional security measures should be taken at places of residence to protect life and property. Anti-American sentiments can be found throughout the country. Americans should exercise caution by avoiding crowded public areas and public gatherings. Americans should avoid traveling alone. Report all instances of anti-American acts and crime targeting westerners to the American Embassy, and report incidents of crime to the Sudanese Police.

Americans should guard their backpacks or hand luggage. When traveling by air, travelers should maintain constant contact with their baggage and assure that they do not contain illicit items, such as alcohol or military ordinance. Americans have been removed from international airlines and detained when suspect items have been detected in checked baggage.

Carjacking and armed robbery continue to occur in western and southern Sudan. Sexual assault is more prevalent in the areas of armed conflict. Travelers who do not use the services of reputable travel firms or knowledgeable guides or drivers are especially at risk. Travel outside of Khartoum should be undertaken with a minimum of two vehicles so that there is a backup in case of mechanical failure or other emergency. Solo camping is always risky.

The Sudanese mail system can be unreliable. International couriers provide the safest means of shipping envelopes and packages, although anything of value should be insured.

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

See our information on Victims of Crime.

MEDICAL FACILITIES AND HEALTH INFORMATION: Individuals with medical conditions which may require treatment are discouraged from traveling to Sudan. Medical facilities in Khartoum fall short of U.S. standards; outside the capital, very few facilities exist and hospitals and clinics are poorly equipped. Travelers must pay cash in advance for any medical treatment. Ambulance services are not available. Medicines are available only intermittently; travelers should bring sufficient supplies of needed medicines in clearly-marked containers.

Malaria is prevalent in all areas of Sudan. The strain is resistant to chloroquine and can be fatal. Consult a health practitioner before traveling, obtain suitable anti-malarial drugs, and use protective measures, such as insect repellent, protective clothing, and mosquito nets. Travelers who become ill with a fever or a flu-like illness while in Sudan, or within a year after departure, should promptly seek medical care and inform their physician of their travel history and the kind of anti-malarial drugs used. For additional information about malaria and anti-malarial drugs please see the Center for Disease Control travelers’ health web site, http://www.cdc.gov/malaria/index.htm.

Officially, people with HIV are not granted a visa and are not permitted to enter Sudan. A negative HIV test result must be presented at a Sudanese embassy or at Khartoum airport in order to obtain a visa. However, anecdotal reports indicate this requirement is not enforced in practice. Please confirm this requirement with the Embassy of Sudan at www.sudanembassy.org.

Information on vaccinations and other health precautions, such as safe food and water precautions and insect bite protection, may be obtained from the Centers for Disease Control and Prevention’s hotline for international travelers at 1-877-FYI-TRIP (1-877-394-8747) or via the CDC’s web site at http://wwwn.cdc.gov/travel/default.aspx. For information about outbreaks of infectious diseases abroad consult the World Health Organization’s (WHO) web site at http://www.who.int/en. Further health information for travelers is available at http://www.who.int/ith/en.

MEDICAL INSURANCE: The Department of State strongly urges Americans to consult with their medical insurance company prior to traveling abroad to confirm whether their policy applies overseas and whether it will cover emergency expenses such as a medical evacuation. Please see our information on medical insurance overseas.

TRAFFIC SAFETY AND ROAD CONDITIONS: While in a foreign country, U.S. citizens may encounter road conditions that differ significantly from those in the United States. The information below concerning Sudan is provided for general reference only, and may not be accurate in a particular location or circumstance.

Road conditions throughout Sudan are hazardous due to erratic driver behavior, pedestrians and animals in the roadways, and the lack of basic safety equipment on many vehicles. Only major highways and some streets in the cities are paved; many roads are narrow, rutted, and poorly maintained. Local drivers do not observe conventions for the right-of-way, stop in the road without warning, and frequently exceed safe speeds for road, traffic, and weather conditions. Driving at night is dangerous and should be avoided if possible; many vehicles operate without lights.

In the north and west, dust storms and sand storms, known locally as haboobs, greatly reduce visibility when they occur. Roads in these areas can be quickly covered with shifting sand at any season of the year. Roads in southern Sudan often are impassable during the rainy season, from March to October.
U.S. citizens are subject to the laws of the country in which they are traveling, including traffic laws. In Sudan vehicles have the steering wheel on the left side and drivers use the right side of the road.

Traffic from side streets on the right has the right-of-way when entering a cross street, including fast-moving main streets. Traffic on the right has the right-of-way at stops. Right turns on a red light are prohibited. Speed limits are not posted, but the legal speed limit for passenger cars on inter-city highways is 120 kph (about 70 mph), while in most urban areas the limit is 60 kph (about 35 mph.) The speed limit in congested areas and school zones is 40 kph (about 25 mph).

Many local drivers carry no insurance despite the legal requirement that all motor vehicle operators purchase third-party liability insurance from the government. Persons involved in an accident resulting in death or injury must report the incident to the nearest police station or police officer as soon as possible. Persons found at fault can expect fines, revocation of driving privileges, and jail sentences, depending on the nature and extent of the accident. Persons convicted of driving under the influence of alcohol face fines, jail sentences, and corporal punishment.

Americans may use their U.S. driver's licenses for up to 90 days after arrival in Sudan, and then must carry either an International Driving Permit (IDP) or a Sudanese driver's license. There are no restrictions on vehicle types, including motorcycles and motorized tricycles.

Public transportation is limited to within and between major urban areas. Passenger facilities are basic and crowded, especially during rush hours and periods of seasonal travel. Schedules are unpublished and subject to change without notice. Vehicle maintenance does not meet U.S. standards. There is routine passenger train service on the route from Khartoum to Wadi Halfa (on the border with Egypt) and to Port Sudan (on the Red Sea.) Bus service between major cities is regular and inexpensive. Intra-city bus service in the major urban areas is regular, but most buses and bus stops are privately-operated and unmarked. Taxis are available in the major cities at hotels, tourist sites, and government offices. The motorized rickshaws in common use in Khartoum are unsafe. Travelers are encouraged to hire cars and drivers from reputable sources with qualified drivers and safe vehicles. Irregularly-scheduled mini-buses provide some public transit to rural communities; many areas lack any public transportation.

Please refer to our Road Safety page for more information.

AVIATION SAFETY OVERSIGHT: As there is no direct commercial air service to the United States by carriers registered in Sudan, the U.S. Federal Aviation Administration (FAA) has not assessed Sudan’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.

Enforcement of aviation safety standards in Sudan is uneven; civil aviation in Sudan continues to experience air incidents and accidents, including 5 crashes with at least 64 fatalities between November 8, 2007, and June 30, 2008. Incidents included engine failures, collapsed landing gear, and planes veering off the runway. Whenever possible, Americans traveling to Sudan despite the ongoing travel warning are advised to travel directly to their destinations on international carriers from countries whose civil aviation authorities meet international aviation safety standards for the oversight of their air carrier operations under the FAA’s International Aviation Safety Assessment (IASA) program. Adverse seasonal weather conditions, such as dust or sand storms in the north between April and June and severe rain storms in the south between March and October, cause frequent flight cancellations.

Two hijackings originated in Sudan in 2007; no passengers were harmed.

SPECIAL CIRCUMSTANCES: In November 1997, the U.S. imposed comprehensive financial and commercial sanctions against Sudan, prohibiting U.S. transactions with Sudan. Travelers intending to visit Sudan despite the Travel Warning should contact the Department of the Treasury, Office of Foreign Assets Control (OFAC), Office of Compliance, telephone 1-800-540-6322 or 202-622-2490, regarding the effect of these sanctions.

Travelers must be prepared to pay cash for all purchases, including hotel bills, airfares purchased locally, and all other travel expenses. Major credit cards, including Visa, MasterCard, or American Express, cannot be used in Sudan due to U.S. sanctions. Sudan has no international ATMs. Local ATMs draw on local banks only.

Travelers, including journalists, must obtain a photography permit before taking any photographs. Even with a photography permit, photographing military areas, bridges, drainage stations, broadcast stations, public utilities, slum areas, and beggars is prohibited.

Sudan is a conservative society, particularly in the capital and other areas where the Muslim population is the majority. Alcohol is prohibited by law and modest dress is expected. Loose, long-sleeved shirts and full-length skirts or slacks are recommended attire for women visitors. Women who are not Muslim are not expected or required to cover their heads. Men may wear short-sleeved shirts but short pants are not acceptable in public.

Please see our information on Customs Information.

CRIMINAL PENALTIES: While in a foreign country, a U.S. citizen is subject to that country's laws and regulations, which sometimes differ significantly from those in the United States and may not afford the protections available to the individual under U.S. law. Penalties for breaking the law can be more severe than in the United States for similar offenses. Persons violating Sudanese laws, even unknowingly, may be expelled, arrested or imprisoned. Penalties for possession, use, or trafficking in alcohol or illegal drugs in Sudan 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 as well in Sudan.

Sudan’s Public Order Courts have continued to serve as the state mechanism for morality enforcement since the early 1980's. Today the court still issues punishments ranging from fines, to lashings, to lengthy prison sentences for offences such as drinking alcohol, wearing inappropriate clothing, or associating with unmarried women.

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 Sudan are encouraged to register with the nearest U.S. Embassy or Consulate through the State Department’s travel registration web site so that they can obtain updated information on travel and security within Sudan. 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 Sharia Ali Abdel Latif, Khartoum, Sudan; tel: 249 1 83 774-701, http://sudan.usembassy.gov/.
* * *
This replaces the Country Specific Information dated March 12, 2008, to update sections on Entry/Exit Requirements, Medical Facilities and Health Information, Aviation Safety Oversight, and Criminal Penalties.

Travel News Headlines WORLD NEWS

Date: Sat, 9 May 2020 08:43:35 +0200 (METDST)

Khartoum, May 9, 2020 (AFP) - Sudan extended a curfew in and around the capital Khartoum for 10 days from Saturday as coronavirus cases mount, state media reported.    The Sudanese health ministry has so far reported 1,111 COVID-19 cases including 59 deaths, with Khartoum state hardest hit.

Authorities initially imposed a curfew in Khartoum for three weeks from April 18. With its twin city Omdurman, the capital has a population of more than five million.   "The health emergency committee decided to extend the curfew in Khartoum state starting Saturday and for 10 days," the official SUNA news agency reported late Friday.   Travel between the capital and other Sudanese states will be banned, the news agency added.

Since March, Sudan has imposed a state of emergency, shuttering schools and universities, and almost totally closing its borders.    The country's dilapidated healthcare system is already strained by acute shortages of medicines and medical supplies.    Last Sunday, the government announced that a minister of state in the transport and infrastructure ministry, Hashim Ibn Auf, had tested positive for the novel coronavirus. 
Date: Thu, 7 May 2020 20:27:34 +0200 (METDST)

Juba, May 7, 2020 (AFP) - South Sudan on Thursday announced the easing of restrictions to combat the coronavirus, including re-opening bars and restaurants and shortening a curfew, even as cases continue to rise.

South Sudan confirmed 16 new cases on Thursday, bringing the total to 90 in the country -- up from a total of six cases at the beginning of last week.    President Salva Kiir took the decision which will be effective "in 72 hours", according to Richard Laku, a member of the country's task force on the virus.

The measures include re-opening internal travel by air, land and river and allowing regional flights back to South Sudan, Laku said. Markets, shops, bars and restaurants will also be allowed to re-open.   Schools, mosques, churches and night clubs will remain shut, while sports activities and other public gatherings remain banned.

The curfew which had been from 7pm to 6am has been shortened to start only at 10pm.   The task force decided to maintain other measures such as requiring all travellers coming to and exiting South Sudan to present a certificate proving they are free of the virus.     It is unclear how this will work in practice given limited testing capacity and inconclusive evidence on immunity to the disease.   Motorbike taxis and rickshaws will once again be allowed to operate, while passenger buses and taxis are still only allowed to operate at half-capacity.

Laku said masks were mandatory in meetings, public places, and public transport.   South Sudan put in place the strict measures at the end of March, before it had registered a single case.   Rwanda, Uganda and Mauritius are among the countries in the region where measures have been relaxed, after they appeared to have flattened the curve of new cases.
Date: Fri 10 Apr 2020
Source: WHO Disease Outbreak News [edited]

On 3 Mar 2020, the Ministry of Health of South Sudan reported 2 presumptive positive cases of yellow fever in Kajo Keni County, Central Equatoria State, South Sudan. Both the cases were subsequently confirmed positive by plaque reduction neutralization testing (PRNT) at the regional reference laboratory, Uganda Viral Research Institute (UVRI) on 28 Mar [2020].

The cases were identified through a cross-border rapid response team investigation mounted in response to the recently declared outbreak in the bordering Moyo district, Uganda. During the investigation, the team collected 41 blood samples from 5 villages that were in close proximity to the bordering Moyo district, Uganda. Of the 41 individuals whose samples were collected, 9 (22%) had history of fever, but none had history of jaundice. The individuals represented a spectrum of occupations typical for the area (farming, forestry, homemaker, soldier). Most of the individuals investigated were between 20 and 45 years of age, and 18 (44%) of these individuals were female.

In addition, a rapid entomology survey in the villages found evidence of multiple mosquito breeding sites and abundant _Aedes_ species mosquitos (e.g., _ Aedes aegypti_, _Aedes albopictus_, _Aedes simpsoni_).

As of 28 Mar 2020, these are the only 2 cases (no deaths) that have been confirmed from Kajo Keji County.

South Sudan has experienced several yellow fever outbreaks in the past. The last outbreak was declared on 29 Nov 2018, in Sakure payam, Nzara County, Gbudue State when 3 laboratory-confirmed cases with no associated deaths was reported. To respond to the outbreak, a targeted reactive vaccination campaign was mounted in the affected area. Prior to this outbreak, in May 2003, a total of 178 cases with 27 deaths were reported in Imatong region, Torit County, South Sudan. A reactive vaccination campaign was mounted to respond to the outbreak in 2003.

Public health response
- The country rapidly mounted an in-depth multidisciplinary investigation in Kajo Keji County in response to the cross-border notification of the outbreak in Moyo, Uganda. The investigations included enhanced surveillance, active case finding and entomological surveys from 12-18 Feb [2020], supported by WHO country office and headquarters.
- Surveillance has been enhanced within the context of integrated disease surveillance and response (IDSR) through training of health workers and disseminating the yellow fever case definition to the health facilities to enhance case detection and reporting.
- The Ministry of Health, with support from the WHO Country office, has planned a reactive vaccination campaign in Kajo Keji County for which an International Coordination Group (ICG) request has been submitted.
- The Ministry of Health has also proposed implementation of preventive mass vaccination campaigns and introduction of yellow fever vaccination into the routine immunization schedule by 2022.

WHO risk assessment
Yellow fever is an acute viral haemorrhagic disease transmitted by infected mosquitoes and has the potential to spread rapidly and cause serious public health impact. Vaccination is the most important means of preventing the infection, which provides immunity for life.

The risk of ongoing and further transmission of yellow fever is concerning in South Sudan due to:
- Confirmed outbreak in the bordering area of Uganda, coupled with the continuous savannah and forest biome with common mosquito vectors and non-human primates;
- Gaps in surveillance and weaknesses in health services could delay rapid detection of additional yellow fever cases;
- Negligible population immunity;
- Ongoing resettlement in Kajo Keji including more than 13,200 returnees to the county primarily from Uganda in recent weeks represents an influx of new susceptible population to the county;
- The ongoing COVID-19 related controls on borders (air/land) is anticipated; however, as the borders between Democratic Republic of the Congo, Uganda and South Sudan are highly porous with substantial cross-border social and economic activities, risk of transmission cannot be excluded;
- The current rainy season, which started in early March, is anticipated to increase the vector burden in coming weeks, thereby increase the risk of ongoing yellow fever transmission.
- Close monitoring of the situation with active cross-border coordination and information sharing is needed.

Based on available information, WHO assesses the overall risk to be high at the national level and regional level.

WHO advice
South Sudan is classified as a high-risk country in the "Eliminate Yellow Fever Epidemics" (EYE) initiative. Epidemic spread of yellow fever is a risk in South Sudan, as the estimated overall population immunity is negligible with nearly 0% immunity in Kajo Keji County.

Vaccination is the primary means for prevention and control of yellow fever and provides immunity for life. In urban centres, targeted vector control measures are also helpful to interrupt transmission. The country plans to introduce yellow fever vaccination into the routine immunization program and complete preventive mass vaccination activities to rapidly boost population immunity. Expedited planning and implementation of these activities to protect the population will help avert risk of future outbreaks.

WHO recommends vaccination against yellow fever for all international travellers aged 9 months and above going to South Sudan, as there is evidence of persistent or periodic yellow fever virus transmission. Yellow fever vaccination is safe, highly effective and provides life-long protection. However, yellow fever vaccination is not recommended for infants aged 6 to 8 months, except during epidemics when the risk of yellow fever virus transmission may be very high. The risks and benefits of vaccination in this age-group should be carefully considered before vaccination. The vaccine should be used with caution during pregnancy or breastfeeding. However, pregnant or breastfeeding women may be vaccinated during epidemics or if travel to a country or area with risk of transmission is unavoidable. South Sudan also requires, as a condition of entry, a valid yellow fever vaccination certificate for travelers aged 9 months and above.

In accordance with the International Health Regulations (IHR 2005), 3rd Edition, the validity of the international certificate of vaccination against yellow fever extends throughout the life of the person vaccinated. The International Certificate of Vaccination becomes valid 10 days after vaccination. A single dose of WHO-approved yellow fever vaccine is sufficient to confer sustained immunity and life-long protection against yellow fever disease. A booster dose of the vaccine is not needed and is not required of international travellers as a condition of entry.

WHO encourage its Member States to take all actions necessary to keep travellers well informed of risks and preventive measures including vaccination. As a general precaution, WHO also recommends avoidance of mosquito bites. The highest risk for transmission of yellow fever virus is during the day and early evening. Travellers should be made aware of yellow fever symptoms and signs and instructed to rapidly seek medical advice if presenting signs and symptoms suggestive of yellow fever infection. Travellers returning to South Sudan who may be infected with possible high levels of the virus in the blood may pose a risk for the establishment of local cycles of yellow fever transmission in areas where the competent vector is present.

WHO does not recommend any restrictions on travel and trade to Republic of South Sudan on the basis of the information available on this outbreak.
===================
[It is fortunate that these 2 positive yellow fever (YF) cases were detected early on, before ongoing transmission of the virus resulted in a significant outbreak. The risk of an outbreak is high given that the population is largely unvaccinated, and hence not immune, and populations of vector _Aedes_ mosquitoes are present. The 6-year-long civil war in South Sudan has doubtless made routine vaccination efforts across the country difficult or impossible. Now with a national unity government in place since February 2020 ending the war, one hopes that the planned vaccination campaign can be initiated swiftly. - ProMed Mod.TY]

[Maps of South Sudan:
Date: Thu 19 Mar 2020
Source: VOA News [abridged, edited]

SM sits beside her children in front of their makeshift home in a shanty community in South Sudan's capital Juba. Six of her children have died of various illnesses. She's got 3 left.  "The 1st one died at 9 months. Another one died at the age of 10 months. Another one died when he was crawling, about 3 months," she tells VOA.  Moni's story highlights a sad fact: Millions of children in South Sudan do not get routine vaccinations. They are vulnerable to preventable illnesses.

While South Sudan is currently free of the coronavirus pandemic alarming the global community, the country is battling a severe measles outbreak, with over 4700 confirmed cases and 26 deaths since January 2019.  The government of South Sudan has partnered with the World Health Organization, UNICEF, Gavi, the Vaccine Alliance and ONE, the anti-poverty campaign co-founded by Irish musician and celebrity-activist Bono, to carry out a nationwide measles vaccination drive that aims to reach 2.5 million children by April 2020.

The campaign was launched in February 2020 at the only paediatric medical facility in the entire country, Al-Shabbah Children's Hospital. Situated in the heart of Juba, it provides healthcare to more than 5000 people monthly, reaching some of the poorest people in the city.  "We need to boost the vaccination coverage to protect children against measles outbreaks," says Dr. Makur Matur Kariom, the Ministry of Health's undersecretary. "Unfortunately, in South Sudan, routine vaccination coverage against measles remains low at only 59 percent."

Public health specialists recommend coverage not to fall below 90 percent. It's crucial to maintain that standard for measles, which is highly infectious. With poor coverage, outbreaks reoccur.  "[Measles] can cause rashes, eye infection, respiratory infections, diarrhoea and even death," says Dr. Olushayo Olu, the WHO's South Sudan country representative.

One reason why childhood immunization coverage against measles is low in the country is due to the logistical challenges involved in keeping vaccines at near-freezing temperatures. It's not easy to do in South Sudan, the least electrified country in the world, where temperatures often soar above 40 C [104 F].  "We are able to keep these things at the correct temperature in the hospital here. That is the most important thing," says Dr. Felix Nyungura, the hospital's executive director. "Public electricity has not yet arrived in our place here. Although in some places, it is there. But now we are depending on solar power and electricity from a generator."

UNICEF is helping to restore what is known in healthcare terms as the cold-chain system, which was severely disrupted during the civil war that broke out in 2013.  "With the conflict, more than 50 percent of the cold chain equipment installed in the country was vandalized, and some of it looted," Dr. Patti Samuel, a UNICEF health specialist, tells VOA. He says UNICEF has installed cold-chain equipment, such as refrigerators, to run in about 55 percent of health facilities across the country.

South Sudan faces huge developmental challenges as a young nation mired in historic conflict, economic crisis, and grappling with rapid population growth. Only one percent of the government's 2019-2020 fiscal budget has been allocated to healthcare. In 2018, it was 2 percent.  "When your house is on fire, you just want to put out the fire, and, unfortunately, in South Sudan, the fire has been burning for so long and some of the basics of development have just not been prioritized," says Edwin Ikhuoria, ONE's Africa executive director.

He says governments in Africa do not adequately fund healthcare because politicians don't see it as a "sexy campaign," compared to other areas like infrastructure.  "But if health care is not well invested in, you're going to lose a lot in human capital," he says.

ONE tries to convince governments to increase domestic financing for primary healthcare and pushes for investments that help to end preventable childhood deaths.  Another reason immunization coverage is low is because people aren't informed. That's where community mobilizers like Agnes Anjack Alphonse come in. Volunteering for UNICEF, she's on the frontline in the effort to get the word out.  "Sometimes I knock on the doors," she says. "If they do not come, and I know that this house has kids, and they did not come, I'll go knock on the door. 'Hi, we are doing vaccine, why are you not coming?' They'll say, 'I'm busy.' I'll say, 'can I have your kids and I'll return them back?' They'll say it's OK."

Making the rounds in her neighborhood, she meets a mother whose daughter has not been vaccinated and gently persuades her to go to a medical facility. The efforts are paying off. So far, the vaccination campaign has reached more than a million children, including Shejirina Moni's.  [Byline: Chika Oduah]
Date: Fri, 13 Mar 2020 11:11:15 +0100 (MET)
By Nick Perry

Juba, March 13, 2020 (AFP) - The cattle rustlers were asleep, resting ahead of a raid, when automatic gunfire tore through their camp. Ambushed by rival herdsmen, encircled and outgunned, they were cut down, one by one.   Koba Ngacho was lucky. Shot three times and left for dead, the young rustler was found alive in the carnage, the bullets having missed his vital organs, and airlifted to Juba for surgery.   "I'm grateful to be alive," the 20-year-old told AFP as he was wheeled to one of the few operating theatres in South Sudan equipped to deal with complicated gunshot injuries.

In February, after months of protracted negotiations, President Salva Kiir and his rival Riek Machar joined forces in government, drawing a line under a long-running conflict that left around 380,000 people dead.    South Sudan's civil war may have been declared over. But armed violence has anything but slowed in the troubled young country awash with guns, and riven by ethnic turmoil.   Hospital wards overflow with young men like Ngacho -- not soldiers, but farmers and herdsmen disfigured by machine gun fire in brutal fighting over land, cattle and revenge.

These clashes between communities have surged even as violence between Kiir and Machar's forces has eased.   Thousands of armed men from the Nuer and Murle communities have been fighting in Jonglei, an eastern state, since February, leaving towns in ashes and untold dead and injured.   UN special envoy to South Sudan, David Shearer, who toured the conflict-ravaged region this month, said bodies were lying in the open and women and children had been abducted by both sides.

- 'Unconscionable' -
"This is unconscionable," he told reporters in Juba on March 9 after visiting Pibor, where 8,000 civilians -- mainly women, children and the elderly -- have sought shelter at a UN base.    Large-scale battles between government and rebel forces ebbed considerably in the aftermath of a September 2018 ceasefire between Kiir and Machar, who is once again vice-president in a unity government with his old rival.   But in 2019, the International Committee of the Red Cross actually treated more patients for serious gunshot wounds than the previous year -- 769 compared to 658.    The fear is that 2020 could follow the same trajectory.   Since December, UN peacekeepers have been deployed to Jonglei, greater Tonj in the northwest, and Rumbek, in central South Sudan, where ethnic violence has left scores dead and wounded, and thousands more on the run.

Every bed is taken at the ICRC ward at Juba Military Hospital, where Ngacho, a Murle cattle raider from Jonglei, nervously awaits his turn.     "I don't know if these wounds will heal, or if I'll walk again," he says.   Many here endure multiple rounds of surgery to put their bullet-riddled bodies back together.   His Ethiopian surgeon, Dr Belayneh Assefa, assures he'll recover. Thirteen other patients have arrived in the past two days, all victims of a vicious cattle raid, and he is busy.   "During the dry season, we will have an influx of patients," Dr Assefa tells AFP, as a team of surgeons operate on a 26-year-old man with gaping gunshot wounds.    "He is lucky to have survived this."

- Lucky ones -
Especially so in South Sudan, where healthcare is non-existent in remote parts, and there are about 180 doctors for a population of 12 million.   Only the lucky few gunned down in remote bush conflicts get medevaced to Juba. The rest take their chances at local clinics or simply bleed out in the field.   "Natural triage has often worked, rather sadly, before patients can get to definitive care. Patients who would be described as red -- needing immediate surgery -- may well have already perished," said Dr Colin Berry, an ICRC anaesthetist.   Left unchecked, these local conflicts risk spiralling further out of control, prolonging misery in a country that has known little but war since its independence from Sudan in 2011.

The EU, among others, has urged Kiir and Machar's government to "redouble efforts" to calm tensions.   But the pair have been busy haggling over key positions in their administration. A new cabinet was announced late Thursday, but the seats of state governors remain unfilled.   "The absence of authority at the state level has caused a vacuum of power and decision-making... emboldening those involved in the recent violent intercommunal clashes," Shearer said.   A new army of their combined forces, meanwhile, is not ready to deploy and restore security to areas where lawlessness has allowed violence to flourish.

- Revenge -
The fighting in Jonglei followed bad floods in the region in late 2019 which wiped out livestock, and left cattle-rearing communities desperately short on assets.   Herders like Ngacho resorted to cattle raiding -- a generations-old phenomenon in South Sudan, but one that has turned increasingly deadly.    Spears and other traditional weapons have been replaced by easily-available automatic rifles, a poisonous legacy from decades of war.    Raids turn into wholesale massacres, spurring vicious cycles of retribution.   Margaret Malweyi, the Kenyan head nurse at the ICRC ward, said patients from rival clans flown to Juba were sometimes placed in separate wards so "they don't again start fighting".

Others, once recuperated, would "go back home and want revenge", she said.   "They get shot again, then they come back here (and) we treat them," Malweyi told AFP, surrounded by young men in wheelchairs and stretchers, nursing grisly wounds.   Those who pull through confront an uncertain future. Some have lost limbs, or will never walk again.   For others, the trauma leaves indelible scars.   "I don't want to go back," said Peter Majok, a softly-spoken 22-year-old, propped up in a wheelchair after being shot by cattle raiders.   "If I go home... they'll come and shoot me."
More ...

Guatemala

Guatemala - US Consular Information Sheet
October 13, 2006
COUNTRY DESCRIPTION:
Guatemala has a developing economy, characterized by wide income disparities.
Hotels and other tourist facilities in the principal tourist sites most freq
ented by visitors from the United States are generally good to excellent.
A peace accord, signed in 1996, ended a 36-year armed conflict.
Violent crime, however, is a serious concern due to endemic poverty, an abundance of weapons, a legacy of societal violence, and dysfunctional law enforcement and judicial systems.
Read the Department of State Background Notes on Guatemala for additional information.

ENTRY/EXIT REQUIREMENTS:
A valid U.S. passport is required for all U.S. citizens, regardless of age, to enter Guatemala and to depart Guatemala for return to the U.S.
Even if dual nationals are permitted to enter Guatemala on a second nationality passport, U.S. citizens returning to the United States from Guatemala are not allowed to board their flights without a valid U.S. passport.
Guatemalan authorities do not accept Certificates of Naturalization, birth certificates, driver's licenses, and photocopies as alternative travel documents.
While in Guatemala, U.S. citizens should carry their passports, or a photocopy of their passports, with them at all times.

An exit tax must be paid when departing Guatemala by air.
The exit tax (currently $30) is generally included in an airline ticket price, but may be charged separately.
There is an additional airport security fee (20 Quetzales, approximately $2.50) that all travelers must pay at the airport.

Minors under 18 traveling with a valid U.S. passport need no special permission from their parents to enter or leave Guatemala.
U.S. citizens do not need a visa for a stay of 90 days or less (that period can be extended for an additional 180 days upon application to Guatemalan immigration).

A U.S. citizen whose passport is lost or stolen in Guatemala must obtain a new passport at the U.S. Embassy as soon as possible and present it, together with a police report of the loss or theft, to the Dirección de Migración (Guatemalan immigration agency), Sub-director de Control Migratorio (Sub-director for Migratory Control), to obtain permission to depart Guatemala.
The agency is located in Guatemala City at 6 Avenida 3-11, Zone 4, Guatemala City.
Office hours are weekdays from 8:00 a.m. to 4:00 p.m.; telephone 2411-2411.
No fee is charged by Guatemalan immigration for this service.

In June 2006, Guatemala entered a "Central America-4 (CA-4) Border Control Agreement" with El Salvador, Honduras, and Nicaragua.
Under the terms of the agreement, citizens of the four countries may travel freely across land borders from one of the countries to any of the others without completing entry and exit formalities at Immigration checkpoints.
U.S. citizens and other eligible foreign nationals, who legally enter any of the four countries, may similarly travel among the four without obtaining additional visas or tourist entry permits for the other three countries.
Immigration officials at the first port of entry determine the length of stay, up to a maximum period of 90 days.
Foreign tourists who wish to remain in the four country region beyond the period initially granted for their visit are required to request a one-time extension of stay from local Immigration authorities in the country where the traveler is physically present, or travel outside the CA-4 countries and reapply for admission to the region.
Foreigners "expelled" from any of the four countries are excluded from the entire "CA-4" region.
In isolated cases, the lack of clarity in the implementing details of the CA-4 Border Control Agreement has caused temporary inconvenience to some travelers and has resulted in others being fined more than one hundred dollars or detained in custody for 72 hours or longer.

See our Foreign Entry Requirements brochure for more information on Guatemala and other countries.

For further information regarding entry, exit and customs requirements, travelers should contact the Guatemalan Embassy at 2220 R Street, NW, Washington, DC 20008; telephone (202) 745-4952, extension 102; fax (202) 745-1908; e-mail at info@guatemala-embassy.org; Internet web site - http://www.guatemala-embassy.org or contact the nearest Guatemalan consulate (Chicago, Denver, Houston, Los Angeles, Miami, New York, or San Francisco).

See Entry and Exit Requirements for more information pertaining to dual nationality and the prevention of international child abduction.
Please refer to our Customs Information to learn more about customs regulations.

SAFETY AND SECURITY:
Violent criminal activity has been a problem in all parts of Guatemala for years, including murder, rape, and armed assaults against foreigners.
The police force is inexperienced and under-funded, and the judicial system is weak, overworked, and inefficient.
Well-armed criminals know that there is little chance they will be caught and punished.
Traditionally, Guatemala experiences increases in crime before and during the Christmas and Easter holiday seasons.
Large demonstrations occur throughout Guatemala, often with little or no notice, and they can cause serious traffic disruptions.
Although most demonstrations are peaceful, they can turn violent, and travelers should avoid areas where demonstrations are taking place.
The use of roadblocks and/or blocking of public facilities, including the international airport, has increased and demonstrators may prevent tourists caught behind the blockades from leaving.

Due to uncontrolled drug and alien smuggling, the Guatemalan border with Mexico is a relatively high-risk area, in particular in the northern most Peten Department.
The most dangerous area in that region is on the northwestern border of the Peten, in the area including the Sierra de Lacandon and Laguna del Tigre National Parks.
Extra precautions are required when travel by U.S. Government personnel to the region is required.

In October 2005 Hurricane Stan caused widespread flooding and landslides on Guatemala's Pacific coast and in many parts of the Highlands, affecting a number of tourist destinations frequented by foreign travelers.
All major highways and tourist destinations reopened by the end of the month, and most secondary routes are also fully open.
Temporary repairs are still in place; some have already been washed out and others will likely fail during the current rainy season (May through October).
The following recommendations will help residents and visitors alike to increase their safety:

Avoid gatherings of agitated people.
Guatemalan citizen frustration with crime and a lack of appropriate judicial remedies has led to violent incidents of vigilantism, including lynching, especially in more isolated, rural areas.
Attempting to intervene may put you at risk of attacks from mobs.

Avoid close contact with children, including taking photographs, especially in rural areas.
Such contact can be viewed with deep alarm and may provoke panic and violence.
Rumors of foreigners stealing children surface periodically and can provoke a violent response towards strangers.
Foreign tourists have been attacked by mobs and some years ago one was killed while photographing children.

Keep informed of possible demonstrations by following the local news and consulting hotel personnel and tour guides.
Avoid areas where demonstrations are occurring.

Strong currents, riptides, and undertow along Guatemala's Pacific Coast beaches pose a serious threat to even the strongest swimmers.
Signs warning of treacherous surf are rare and confined mostly to private beaches owned by hotels.
Lifeguards are rarely present on beaches.

Tourists planning to climb Pacaya and Agua volcanoes during Guatemala's rainy season (May through October) should plan their climb for the morning hours, when it is less likely that thunderstorms will occur.
Climbers should monitor the weather situation and return to the base of the volcano as quickly as safely possible if thunderstorms gather.
In 2003, a Canadian tourist was killed by lightning while climbing Pacaya.
INGUAT, the Guatemalan Tourist Institute, has organized an active community-based tourism program in San Vicente Pacaya to minimize the risk of armed robbery on Pacaya.
Climbing in groups is still highly advisable for any volcano climb to reduce the risk of assault.

Security escorts for tourist groups and security information are available from the Tourist Assistance Office of INGUAT (the Guatemalan Tourist Institute) at 7a Avenida 1-17, Zona 4 Centro Cívico, Ciudad de Guatemala.
INGUAT's 24 hour/seven days per week direct telephone numbers for tourist assistance and emergencies are (502) 2421-2810 and (502) 5578-9836 and the fax is (502) 2421-2891.
INGUAT may be reached by its toll free number within the United States at 1-888- 464-8281.
You may also simply dial 1500 in Guatemala to reach INGUAT Tourist Assistance.
The e-mail address is asistur@inguat.gob.gt.
Travelers may also wish to visit INGUAT's website, http://visitguatemala.com.
Tourist groups are advised to request security escorts from INGUAT, Attention: Coordinator of the National Tourist Assistance Program.
There have been no incidents of armed robbery of groups escorted through the Tourist Protection Program.
The request should be submitted by mail, fax or e-mail and should arrive at INGUAT at least three business days in advance of the proposed travel, giving the itinerary, names of travelers, and model and color of vehicle in which they will be traveling.
Travelers should be aware that INGUAT might not be able to accommodate all requests.

For the latest security information, Americans traveling abroad should regularly monitor the Department's Internet web site 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., 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:
The number of violent crimes reported by U.S. citizens and other foreigners has remained high in recent years.
Incidents include, but are not limited to, assault, theft, armed robbery, carjacking, rape, kidnapping, and murder.
Criminals often operate in groups of four or more and are confrontational and violent.
Gangs are a growing concern in Guatemala City and rural Guatemala.
Gang members are often well armed with sophisticated weaponry and they sometimes use massive amounts of force.
Emboldened armed robbers have attacked vehicles on main roads in broad daylight.
Travel on rural roads always increases the risk of a criminal roadblock or ambush.
Widespread narcotics and alien smuggling activities can make remote areas especially dangerous.
Though there is no evidence that Americans are particularly targeted, criminals look for every opportunity to attack, so all travelers should remain constantly vigilant.

Most tourists and visitors travel throughout Guatemala without mishap.
However, violent criminal activity on the highways continues, and tourists, among others, have been targeted.
Many of the robbery attempts have occurred in daylight hours on main highways.
Carjacking incidents and highway robberies are often violent.
Four Americans were killed in highway robbery attempts in 2002 and three killed and one wounded in 2003.
In 2004 one American tourist was murdered, and women and children were raped in highway assaults.
Several highway assaults of American citizens also took place in 2005, but without serious injury to the victims.
In some cases, assailants have been wearing full or partial police uniforms and have used vehicles that resemble police vehicles, indicating that some elements of the police might be involved.
Armed robberies have occurred within minutes of the tourist's vehicle being stopped by the police.
U.S. Embassy personnel continue to observe heightened security precautions in Guatemala City and on the roads outside the capital city.
U.S. tourists are urged to be especially aware of safety and security concerns when traveling on the roads in Guatemala.
Rather than traveling alone, use a reputable tour organization.
Stay in groups; travel in a caravan consisting of two or more vehicles; and, stay on the main roads.
Ensure that someone not traveling with you is aware of your itinerary.
Resist the temptation to stay in hotels that do not have adequate security.
Travel after dark anywhere in Guatemala is extremely dangerous.
It is preferable to stay in the main tourist destinations.
Do not explore back roads or isolated paths near tourist sites.
Pay close attention to your surroundings, especially when walking or when driving in Guatemala City.
Refrain from displaying expensive-looking jewelry, large amounts of money, or other valuable items.
Finally, if confronted by criminals, be aware that resistance may provoke a more violent response.

Additional information:
In recent months there has been an increasing number of carjacking incidents and armed robberies near the airport, most frequently between 6:00 and 10:00 am (see list of Recent Crime Incidents Involving Foreigners on the Embassy website for more specifics).
In the most common scenario tourists or business travelers who land at the airport around 7:00 am are held up by armed men as their vehicle departs the airport.
Private vehicles, taxis and shuttle buses have been attacked.
Typically, the assailants steal money, passports, and luggage, and in some but not all cases, the assailants steal the vehicle as well.
Victims who did not resist the attackers were not physically injured.
The Embassy advises its own employees to seek alternative routes for exiting the airport.

Pickpockets and purse-snatchers are active in all major cities and tourist sites, especially the central market and other parts of Zone 1 in Guatemala City and the city of Antigua.
In a common scenario, an accomplice distracts the victim, while an assailant slashes or simply steals a bag or backpack while the victim's attention is diverted.

As in other countries, criminals also use a number of scams to steal money and possessions from tourists in Guatemala.
In one popular scam, robbers place a nail in a parked vehicle's tire.
The vehicle is then followed by the robbers who pose as "good Samaritans" when the tire becomes flat and the victims pull to the side of the road.
While "help" is being rendered, the contents of the car are stolen, often without the knowledge of the victims.
However, in some cases, the robbers have threatened the tourists with weapons.
Parking areas in and around the Guatemala City International Airport are particularly prone to this crime.
In another scam, victims are approached in a hotel, restaurant or other public place by an individual claiming there is some sort of problem with his or the would-be victim's automobile in the parking lot.
On the way to investigate the "problem," usually in a remote or concealed area near the parking lot, the robber pulls a gun on the victim demanding cash, credit cards and other valuables.
A third popular scam involves various attempts to acquire a victim's ATM card and PIN number.
Some sophisticated criminals have even placed boxes outside ATM kiosks that record PIN numbers when unsuspecting victims believe they must enter their PIN number to gain entry to the ATM foyer.
After recording PIN numbers, robbers then steal the owner's ATM card to complete their crime.
There are dozens of techniques scammers can use to rob victims of money and possessions.
While most people mean no harm, always be cautious when strangers approach you for any reason or make unusual requests.

Parents adopting children in Guatemala have also been victimized in public places and at their hotels by police (or individuals dressed as police) who have threatened to arrest foster mothers and turn adoptive children over to orphanages, but released them in exchange for significant payments, often approaching $1000.
Such threats have no basis in Guatemalan law, and should be immediately reported to the Embassy.

For security reasons, the Embassy does not allow U.S. government employees to stay in hotels in Zone 1 in Guatemala City and urges private travelers to avoid staying in this area.

Avoid low-priced intra- and inter-city buses (recycled U.S. school buses); they are often attacked by armed robbers and are poorly maintained and dangerously driven.
The use of modern inter-city buses somewhat improves security and safety.
There have been, however, several attacks on travelers on first-class buses on highway CA-2 near the border areas with both Mexico and El Salvador and on highways CA-1 and CA-9 near the El Salvador border and in the highlands between Quetzaltenango and Solola.
Be cautious with personal items such as backpacks and fanny packs while riding buses, because tourists' possessions are a favorite target of thieves.

Do not hail taxis on the street in Guatemala City.
Use radio-dispatched taxis or taxis from major hotels instead.
The main road to Lake Atitlan via the Inter-American Highway (CA-1) and Solola is safer than the alternatives, though attacks in recent years have made traveling in a caravan highly recommended, even on the Inter-American Highway.
Robbery and assault have been frequently reported on secondary roads near the lake with the highest number of incidents occurring on the RN-11 (Las Trampas road) parallel to the east side of the lake.
Robbers have used mountain roads advantageously to stop buses, vans and cars in a variety of ways.

Armed attacks have occurred on roads from Guatemala City to the Peten.
Visitors to the Mayan ruins at Tikal are urged to fly to nearby Flores and then travel by bus or tour van to the site.

Violent attacks have occurred in the Mayan ruins in the Peten, including in the Cerro Cahui Conservation Park, Yaxha, the road to and inside Tikal Park, and in the Tikal ruins.
Tourist police (POLITUR) patrols inside the park have significantly reduced the violent crime incidents inside the park, but travelers should nevertheless remain in groups and on the principal trails leading to the Central Plaza and the Temple IV complex, and avoid remote areas of the park.

POLITUR (a joint police/Guatemalan Tourism Institute initiative) is present in all major tourist destinations.
They should be contacted in case of any criminal incident in such areas, even if minor.

Foreign residents of Guatemala have special concerns.
Twenty American citizen residents and five American citizen tourists have been murdered since December 1999, and suspects have been convicted in only two cases.
There have been "express" kidnappings in recent years, primarily in Guatemala City, in which a relatively small ransom that can be quickly gathered is demanded.
U.S. citizens have been kidnapped in recent years.
At least one incident of a random kidnapping, in which the victim was grabbed off the street in an affluent neighborhood of the city, occurred in December 2003 and resulted in a physical and sexual assault.

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

See our information on Victims of Crime.

MEDICAL FACILITIES AND HEALTH INFORMATION: A full range of medical care is available in Guatemala City, but medical care outside the city is limited.
Guatemala's public hospitals frequently experience serious shortages of basic medicines and equipment.
Care in private hospitals is generally adequate for most common illnesses and injuries, and many of the medical specialists working in them are U.S. trained and certified.

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

MEDICAL INSURANCE:
The Department of State strongly urges Americans to consult with their medical insurance company prior to traveling abroad to confirm whether their policy applies overseas and whether it will cover emergency expenses such as a medical evacuation.
Please see our information on medical insurance overseas.

TRAFFIC SAFETY AND ROAD CONDITIONS:
While in a foreign country, U.S. citizens may encounter road conditions that differ significantly from those in the United States.
The information below concerning Guatemala is provided for general reference only, and may not be totally accurate in a particular location or circumstance.

Driving in Guatemala requires one's full attention, and safe drivers must take extraordinary efforts to drive defensively to avoid dangerous situations.

Traffic rules are only casually observed.
Many drivers do not use their turn signals to alert other drivers.
Instead, a common custom is for a driver or passenger to stick a hand out the window and wave it to indicate that they will be taking an unspecified action.
Speed limits, lane markings and stop signs are frequently ignored.
Passing blindly on winding and/or steep mountain roads, poorly designed surfaces, and unmarked hazards, including frequent landslides and precarious temporary highway repairs, present additional risks to motorists.

Common public transportation is by local recycled school busses, which serve every town in the country.
Criminal activity and frequent fatal accidents, however, make the low-priced inter-city buses particularly dangerous.
Modern inter-city buses offer some security from highway violence, but armed attacks are increasing, showing that all buses are vulnerable.
(See additional information in the CRIME section.)

Although city streets are lit, secondary and rural roads have little to no illumination.
Driving outside of urban areas at night is dangerous and not recommended.
The Inter-American Highway (CA-1) and the road from Guatemala City to the Caribbean coast (CA-9) are especially dangerous due to heavy traffic, including large trucks and trailers.
There are no roadside assistance clubs, however a roadside assistance force (PROVIAL) patrols most of the major highways in the country.
PROVIAL can be contacted by calling 2422-7878.
Their vehicles are equipped with basic tools and first aid supplies, and their services are free.
Police patrol the major roadways and may assist travelers, but the patrols are sporadic and may be suspended due to budget restraints.
For roadside assistance, travelers may call the police by dialing 120 or the fire department by dialing 122 or 123.
Cellular telephone service covers most areas frequented by tourists.

Valid U.S. driver's licenses are accepted for the first 30 days of a visit, and international driving permits are accepted in Guatemala for extended stays.
Guatemala's road safety authorities are the Department of Transit and the Joint Operations Center of the National Police.
Drivers use the right-hand side of the road in Guatemala, and speed limits are posted (in kilometers) depending on the condition of the road.
Speed limits are different in rural and urban areas, but are rarely enforced.
Drivers often drive at the absolute maximum speed possible for the particular vehicle at the time.
These drivers share the road with slow vehicles, some barely able to manage 20 miles per hour, creating a hazardous mix of velocities.
Turning right on red is not permitted unless otherwise posted, and drivers must yield when entering a traffic circle.
Seat belts must be worn in Guatemala, but there are no laws regarding the use of child safety seats.
It is against the law for drivers to operate cellular phones while driving.

People found driving under the influence of alcohol or other drugs are arrested and may serve jail time.
In an accident resulting in injury or death, every driver involved is taken into custody and the vehicle(s) impounded until a judge determines responsibility in a re-enactment of the accident.

Please refer to our Road Safety page for more information.
Visit the website of Guatemala's national tourist office and national authority responsible for road safety at http://www.inguat.gob.gt or via e-mail at asistur@inguat.gob.gt or info@inguat.gob.gt.

AVIATION SAFETY OVERSIGHT: The U.S. Federal Aviation Administration (FAA) has assessed the Government of Guatemala's Civil Aviation Authority as not being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for the oversight of Guatemala's air carrier operations.
For more information, travelers may visit the FAA's Internet website at http://www.faa.gov/safety/programs_initiatives/oversight/iasa.

SPECIAL CIRCUMSTANCES:
A major renovation of the international terminal at La Aurora International Airport in Guatemala City is currently under way.
Until completion in late 2006 or early 2007, there is a temporary reconfiguration of arrival and departure vehicle traffic and major construction works inside the terminal.

Guatemalan customs authorities may enforce strict regulations concerning temporary importation into or export from Guatemala of items such as antiquities and other cultural property.
It is advisable to contact the Embassy of Guatemala in Washington or one of Guatemala's consulates in the United States for specific information regarding customs requirements.
In many countries around the world, counterfeit and pirated goods are widely available.
Transactions involving such products are illegal and bringing them back to the United States may result in forfeitures and/or fines.

Please see our Customs Information.

Non-Guatemalan citizens who wish to marry in Guatemala are required to provide proof of identity and civil status (indicating whether they are single or divorced).
Prior notice of the marriage must be given in the Diario de Centro America (Guatemala's Official Record) and any large circulation daily newspaper for fifteen days.
The marriage must take place within six months of the publication of the notice.

DISASTER PREPAREDNESS:
Guatemala is a geologically active country.
Visitors should be aware of the possibility of earthquakes at any time and the need for contingency plans.
There are also four active volcanoes.
Volcanic activity, such as that of Fuego Volcano near Antigua in January 2003, and again in January 2006, has on occasion forced evacuations of nearby villages; the January-February 2000 activity of Pacaya Volcano near Guatemala City also briefly closed Guatemala City's international airport.
Both the Caribbean and Pacific coasts of Guatemala are also vulnerable to hurricanes and tropical storms from June through November.
Mudslides and flooding during the May to November rainy season often kill dozens of people and close roads.
In October 2005 Hurricane Stan caused widespread flooding and landslides on Guatemala's Pacific coast and in many parts of the Highlands.
Over 1000 Guatemalans died, and many highways across the affected regions were closed for days.
All highways have now reopened.
Temporary repairs are still in place; some have already been washed out and others will likely fail during the current rainy season.
General information about natural disaster preparedness is available via the Internet from the U.S. Federal Emergency Management Agency (FEMA) at http://www.fema.gov/.

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 offences.
Persons violating Guatemalan laws, even unknowingly, may be expelled, arrested or imprisoned.
Penalties for possession, use, or trafficking in illegal drugs in Guatemala 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 on international adoption of children and international parental child abduction, see the Office of Children's Issues website.

REGISTRATION / EMBASSY LOCATION:
Americans living or traveling in Guatemala are encouraged to register with the nearest U.S. Embassy or Consulate through the State Department's travel registration website and to obtain updated information on travel and security within Guatemala.
Americans withoutInternet 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 latest security information is available from the Embassy, including its website, http://guatemala.usembassy.gov
The Consular Section is open for citizen services, including registration, from 7:30 a.m. to 12:00 noon and 1:00 p.m. to 3:30 p.m. Monday through Thursdays and 7:30 a.m. to 11:30 a.m. Fridays, excluding U.S. and Guatemalan holidays.
The second and last Friday of each month are reserved for administrative matters; therefore, routine citizen services are not provided.
Emergency services are available at all times.
The U.S. Embassy is located in Guatemala City at Avenida La Reforma 7-01, Zone 10; telephone (502) 2-326-4000 during Embassy business hours (8:00 a.m. to 5:00 p.m.), or (502) 2-331-2354 for emergencies during non-business hours; fax (502) 2-332-4353; Internet web site - http://guatemala.usembassy.gov.
* * *
This replaces the Consular Information Sheet dated June 13, 2006 to update the Entry and Exit requirements section.

Travel News Headlines WORLD NEWS

Date: Mon, 1 Jun 2020 09:17:15 +0200 (METDST)

San Salvador, June 1, 2020 (AFP) - Tropical Storm Amanda triggered flash floods, landslides and power outages as it barrelled through El Salvador and Guatemala Sunday, killing 14 people, authorities said, warning of further heavy rain to come.   El Salvador President Nayib Bukele declared a 15-day state of emergency to cope with the effects of the storm, which he estimated to have caused $200 million in damage, but which weakened later in the day as it moved into Guatemala.

Amanda, the first named storm of the season in the Pacific, unleashed torrents of floodwater that tossed vehicles around like toys and damaged about 200 homes, the head of the Civil Protection Service William Hernandez said.   The fatalities were all recorded in El Salvador, Interior Minister Mario Duran said, warning that the death toll could rise.   One person is still missing, senior government official Carolina Recinos added.   "We are experiencing an unprecedented situation: one top-level emergency on top of another serious one," San Salvador mayor Ernesto Muyshondt said, referring to the coronavirus pandemic.

He added that half of those killed died in the capital, and that 4,200 people had sought refuge in government-run shelters after losing their homes or being forced to leave because they were in high-risk areas.   In some flooded areas, soldiers worked alongside emergency personnel to rescue people.   "We lost everything, we've been left with nowhere to live," said Isidro Gomez, a resident of hard-hit southeastern San Salvador, after a nearby river overflowed and destroyed his home.

Another victim, Mariano Ramos, said that at dawn residents of his San Salvador neighborhood were slammed by an avalanche of mud and water. An elderly man died in the area, officials said.   El Salvador's environment ministry warned residents of the "high probability" of multiple landslides that could damage buildings and injure or kill people.

Nearly 90 percent of El Salvador's 6.6 million people are considered vulnerable to flooding and landslides due to its geography.   In neighboring Guatemala, officials said roads had been blocked by at least five landslides and some flooding was reported, but no evacuations were underway.   Even though Amanda weakened to tropical depression status, Guatemalan officials warned that heavy rain would continue, with swollen rivers and possible "landslides affecting highways ... and flooding in coastal areas."
Date: Sat, 9 Mar 2019 23:07:09 +0100

Guatemala City, March 9, 2019 (AFP) - The parents of a British tourist who has been missing in Guatemala for the past five days launched an emotional appeal for her return Saturday as authorities continued their investigation.   Catherine Shaw, 23, was last seen Monday at a hotel in San Juan La Laguna near the country's fabled Lake Atitlan, about 75 kilometres (45 miles) west of the capital Guatemala City.   The area is famous for its lakes beneath towering volcanoes. Lake Atitlan is one of Guatemala's main tourist attractions.

Her parents put up a video appeal on the Twitter account of the Lucie Blackman Trust, a British charity that provides support to the families who have relatives missing, murdered or in a crisis abroad.   "Hello Catherine, we've been out of touch for five days and we, your family and your friends, need to know you're happy and that you're well. So please get in touch, get in touch with us, and we really you home," said her mother, who did not provide her name on the video.   "We need you, please come home, sweetheart," added her father.

Shaw was described as being five feet seven inches tall (170 centimetres) and of slim build, with blonde hair, blue eyes and piercings in her nose, lip and ears.   She had been traveling in Guatemala for two weeks having previously been in Mexico and California, leaving home in England in September 2018, according to the charity.   Eduardo Smith, the British embassy spokesman, told Prensa Libre that embassy staff were working with Guatemalan police on the case.
Date: Tue, 20 Nov 2018 02:54:29 +0100

Guatemala City, Nov 20, 2018 (AFP) - Guatemalan authorities declared a red alert and evacuated around 4,000 people Monday after the Fuego volcano erupted for the fifth time this year, sending bursts of ash and lava down the mountain before its activity decreased and then stopped.   Memories are still painfully fresh of the volcano's eruption in June, which swept away villages and left nearly 200 people dead and 235 missing.   The Institute of Volcanology's director Pablo Oliva said the volcano's activity level had dropped significantly by late Monday.

A spokesman for Guatemala's disaster management agency CONRED had earlier said it decided to evacuate the municipality of Escuintla and two other districts. Some 4,000 people were taken to temporary shelters as a precaution.   The spokesman, David de Leon, said the eruption became increasingly violent after it began Sunday morning, leading to fears for the safety of the thousands of people who live on the slopes of the 3,763 meter-high (12,246 feet) mountain.

A column of ash rose about 1,000 meters above the crater and areas west of the volcano -- 35 kilometers (22 miles) from Guatemala City -- were under a barrage of gas ash and fiery rocks, CONRED said.   As the volcano's activity fell back to normal parameters, evacuees were asked for the sake of cautiousness to return home on Tuesday by bus.

A previous eruption on October 12-13 was characterized by increasingly loud booms and lava flow. On that occasion, 62 people were evacuated from their homes as a precaution and a highway around the mountain was closed.   Many of those evacuated on Monday said they had feared a repeat of the deadly June eruption.   "We were scared and that's why we evacuated," said Miriam Garcia, from the village of El Rodeo which was largely spared the deadly eruption.

Oscar Juarez from El Rodeo said: "You have to get out as soon as possible because when that (volcanic material) comes close, you no longer have time to leave, even if you run, because it comes very fast."   Activity inside Guatemala's two other volcanoes, Pacaya and Santiaguito, has increased in recent months but they have not entered the eruptive phase.
Date: Mon, 19 Nov 2018 11:28:44 +0100

Guatemala City, Nov 19, 2018 (AFP) - Guatemalan authorities on Monday declared a red alert after the Fuego volcano erupted again, forcing about 200 residents to flee.   A fiery glow rose from the crater of Fuego which is erupting for the fifth time this year, one month after the last one and following a June 3 rain of rocks, ash and toxic gases that left almost 200 people dead and 235 missing.   A spokesman for Guatemala's disaster management agency CONRED, David de Leon, said 214 residents who live on the slopes of Fuego, mostly in the southern municipality of Escuintla, were moved to safe zones and more will follow.

He said about 2,000 people in total have been asked to leave the area of the 3,763-meter (12,246-foot) volcano, 35 kilometres (22 miles) from Guatemala City.   Since the eruption began Sunday morning, lava rises 500 meters above Fuego's crater, while the ash column exceeds one kilometre above the volcanic cone and is causing a rain of particles, the Institute of Volcanology said.   The previous eruption lasted from October 12-13 with loud booms and lava flow. It caused the evacuation of 62 people and closed a highway.
Date: Fri, 12 Oct 2018 18:54:16 +0200

Guatemala City, Oct 12, 2018 (AFP) - Guatemala's deadly Fuego volcano erupted anew early Friday, unleashing a 600-meter flow of lava and sending clouds of ash spiralling into the sky.   Increased volcanic activity over the last 24 hours could release tons of fiery volcanic material and force evacuations of mountain villages, warned Guatemala's disaster management agency CONRED.

A powerful June 3 eruption of the Fuego volcano -- located 35 kilometres (22 miles) southwest of the capital -- rained rocks, ash and toxic gases on several villages and left 190 people dead and 235 missing.   CONRED had yet to issue evacuation orders for mountain communities early Friday, but spokesman David de Leon said: "Considering how the volcano is behaving some communities could make decisions to evacuate to safe areas."

Authorities shut down a nearby highway as a precaution and vulcanologists warned the civil aviation agency of an ash cloud to the west and southwest of the volcano.   Scientists monitoring the 3,763-meter (12,346-foot) volcano reported increased activity from late Thursday. However, activity intensified on Friday with loud booms and lava flows, the Institute of Vulcanology said.   Some 2,900 displaced victims of the earlier disaster remain in temporary shelters as government promises to build a 1,000 permanent homes on a state farm have been held up by irregularities.
More ...

Vietnam

General:
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Viet Nam is becoming a more popular tourist destination with Irish travellers each year. In many cases these will be those who have no defined itinerary and so their travel plans may change at short
otice. Facilities for tourists vary greatly throughout the country and this needs to be borne in mind when considering some of the serious health issues which can occur throughout the country. The climate is cooler in the north and more tropical further south. There is a monsoon season from May to November each year and the Mekong Delta is prone to significant flooding. Transport during this time can be very difficult and there will be a higher incidence of various diseases during and soon after times of flooding.
Further local information on health issues in Viet Nam is available at http://www.doctorkot.com/index.htm
Safety & Security:
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The majority of those visiting Viet Nam will have no particular difficulty though street crime can be a problem in the main cities of Hanoi and Ho Chi Ming. Generally this is in the form of pick-pocketing, or snatch and grab incidents. Take care of your personal belongings at all times and tourists should not flaunt their relative wealth. Be careful while walking along the footpaths as occasionally a motorcyclist may grab at your bag or camera. Use the hotel safe to store belongings. Attacks against ships in the South China Sea are reported and it is sensible to be vigilant at all times.
Local Laws & Customs:
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Drug smuggling offences carry the death penalty. Don’t take photographs of any military or police installation and avoid any large gathering as the mood can suddenly change. Travel to some of the border areas of the country can be very restricted and so should be avoided. Religious freedom in Viet Nam is quite restricted and those attending gatherings may be detained and fined. Police may occasionally raid hotel rooms without notice. Seizure of documents, pornographic material, compact disks and other goods have lead to high fines and detention.
Road Transport:
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Traffic accidents are becoming more common throughout the country and tourists are occasionally involved with serious consequences. Hiring your own means of transport (car, motorbike etc) is generally unwise. International driving licences are not valid and those wishing to drive will need to obtain a Vietnamese licence. The streets are crowded and many road users will stop suddenly to make purchases from roadside vendors. Traffic laws are often unobserved and horns and gesticulations are used to indicate right of way! Outside the cities, buses and trucks often travel at high speed and accidents are a regular occurrence.
Food & Water:
************************************
The level of food and water hygiene varies greatly throughout the country. Many tourists become ill following consumption of food from both street vendors and also from good quality hotels. Care should be taken at all times. Undercooked or reheated food should be avoided and tap water must be checked for the smell of chlorine. Make sure that a sealed bottle of water is brought to your table during meals. Carbonated water is safer. Bivalve shellfish meals are high risk and previously peeled fruit should not be eaten. Typhoid is reported as a particular problem in the Mekong Delta.
Malaria Risks:
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Viet Nam is endemic for malaria and the risk of transmission occurs in many regions of the country. However, the risk is highest during the monsoon season (May to November) and in the southernmost provinces of Ca Mau and Bac Lieu. The urban areas of Hanoi, Ho Chi Minh City, the Red River Delta and the coastal plain north of Nha Trang are regarded as low risk regions throughout the year.
Mosquito Borne Diseases:
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The other two main mosquito borne diseases are Dengue Fever and Japanese B Encephalitis. Both of these viral conditions can cause serious disease and it is essential that all travellers continually take special care to avoid mosquitoes. The mosquitoes which transmit Dengue tend to bite in the main urban areas while the ones that transmit Japanese B (and malaria) are more common out of the large cities.
Sun Exposure:
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The direct sunlight in Viet Nam can be very intense and both burn and dehydration can easily occur. After a long-haul flight this is a particular concern as many travellers will sleep beside the hotel pool to recover from their journey. After just a short while they may have become significantly burnt. Those trekking should increase their fluids and also take more salt in their diet if possible.
Entertainment Problems:
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Viet Nam has a reputation of a location where it is too easy to obtain sexual exposure for those unaware of the risks. This is particularly true following the consumption of alcohol. The risk of AIDS and other serious STD’s is very high and so contact should be avoided at all costs. A number of otherwise healthy male travellers have suddenly died during the past few years following what is thought to have been laced alcoholic drinks.
Rabies Risk:
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Rabies occurs throughout Viet Nam and any contact with warm-blooded animals should be avoided at all times. Dogs, Cats and Monkeys are most commonly involved in transmitting the disease to humans. Treat any exposure very seriously and wash out the wound, apply an antiseptic and seek urgent medical attention immediately.
Vaccinations for Viet Nam:
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There are no essential vaccines for entry to Viet Nam from Western Europe. However, for personal health, it is advised that all travellers consider cover against;
*
Poliomyelitis (childhood booster)
*
Tetanus (childhood booster)
*
Typhoid (food and water borne disease)
*
Hepatitis A (food & water borne disease)
For those trekking within the country there are a number of other vaccines which should be considered including Hepatitis B, Rabies, Japanese B and Meningitis.
Summary:
************************************
The biggest risks within Viet Nam tend to be associated with food and water borne diseases, mosquito bites and the traffic. Commonsense and care is needed at all times to ensure a good safe holiday.

Travel News Headlines WORLD NEWS

Date: Sat, 16 May 2020 15:39:58 +0200 (METDST)

Ha Long, Vietnam, May 16, 2020 (AFP) - Vietnamese flocked to scenic spots and beaches Saturday, leaping at the chance to travel as the communist government eases restrictions on domestic movement to revive a tourism sector devastated by the coronavirus.

Hundreds waited to get on tourist boats to visit the famed karsts of the UNESCO heritage site of Ha Long Bay with few following social distancing norms.    Most removed face masks as they climbed on board and posed for selfies.   "This is my first time to Ha Long after COVID. I came here because there is so much beautiful scenery... and the COVID pandemic is gone so I feel safe," said Duong Quang Hieu, 21, from the mountainous northern province of Tuyen Quang.    "I'm planning to travel to Danang and other places too."

Vietnam has won plaudits for its fast and aggressive response to the spread of the coronavirus, which has so far kept infections down to 318 with zero deaths despite its long, porous border with China.    But the swift closure of the country came at a cost. The tourism take plummeted to $340 million in the first four months of the year, according to government statistics, down 45 percent year-on-year.

Doors remain closed to foreign travellers, but authorities are turning to the domestic market of millions wearied by long weeks of self-isolation and travel bans to get the tourist economy moving again.   "It's nice to travel at this time. We have a wide range of hotels to choose from," said tourist Phan Van Kien from Hanoi.

Kien said his family would travel domestically for the rest of the year with many international flights cancelled and fears still strong over the spread of the virus.   The French-established Dalat city has also been packed with local holidaymakers since early May.   In 2019, Vietnam received more than 18 million foreign travellers, the majority from Asia.
Date: Thu, 23 Apr 2020 09:05:10 +0200 (METDST)
By Tran Thi Minh Ha and Alice Philipson

Hanoi, April 23, 2020 (AFP) - Vietnam eased social distancing measures Thursday, with experts pointing to a decisive response involving mass quarantines and expansive contact tracing for the apparent success in containing the coronavirus.   Despite a long and porous border with China, the Southeast Asian nation has recorded just 268 virus cases and zero deaths, according to official tallies.   Although the numbers tested for COVID-19 are relatively low and experts caution the authoritarian government's health ministry is the sole source for the figures, they also say there is little reason to distrust them.   Vietnam was one of the first nations to ban flights to and from mainland China and in early February, when it had barely more than a dozen cases, villages with 10,000 people close to the nation's capital were placed under quarantine.   There has also been aggressive contact tracing.

One 72-year-old Hanoi resident described how he and a team in his community had been tasked with zeroing in on any suspected cases, falling back on grassroots Communist party networks in charge of overseeing neighbourhoods.   "We go to each and every alley, knocking on each and every door," Nguyen Trinh Thang told AFP.   "We follow the guidance from our government that 'fighting the pandemic is like fighting our enemy'."   Vietnam's success in convincing the public to cooperate has been key, said Takeshi Kasai, the World Health Organization's Western Pacific regional director.   "They're really doing their part," he said earlier this week, adding he believed around 80,000 people were placed under quarantine.   "I think that's the reason why they were able to continue to keep the number (of infections) small."   There are now almost no international flights arriving in Vietnam and the country has been under partial lockdown since the beginning of April.

The streets of Hanoi -- normally flooded with motorbikes, tourists and vendors -- have been virtually deserted, save those most in need queueing at so-called rice ATMs for handouts.   The strict controls have apparently paid off.   After reporting no new infections for the sixth consecutive day on Wednesday, the government said some shops and services will be allowed to reopen.   On Thursday, a few of the capital's cafes had resumed service, although the streets were still fairly quiet.

- Exceeding expectations -
Across Europe and the United States, local governments are struggling to keep their citizens indoors -- with beachgoers crowding on a shoreline and protesters refusing to comply with lockdown orders.    In contrast, Communist Vietnam has put tens of thousands under state quarantine, including overseas citizens returning home, at military-style camps across the country.

Vu Thi Nhung and her son spent two weeks sleeping in dormitory bunk beds with no mattresses at a camp in Hanoi after returning from Germany in March.    Their three meals a day were deposited outside their rooms by soldiers.   "You can't compare it to being at home but given Vietnam and its current economic situation during an epidemic, it exceeded my expectations," she told AFP.   Neighbouring Thailand, which reported the first case outside of China in mid-January, has also seen a declining number of new cases in the past week, with doctors applauding government restrictions such as a night-time curfew.

In Cambodia, the case number has remained unchanged at 122 for over a week, while cases in Laos have stayed at 19.    But Oupass Putcharoen, head of Chulalongkorn Hospital's Emergency Infectious Disease Clinic in Thailand, said its neighbours' numbers could be due to the "low rate of testing".   So far, Thailand has done more than 142,000 COVID-19 tests, Cambodia around 9,000 while Vietnam has carried out over 180,000 for its 96 million people.   Vietnam expert Carl Thayer, an emeritus professor at the University of New South Wales, said Vietnam's case numbers should be treated with caution as Hanoi can punish for anyone who disputes them.   But he added: "There are too many people from overseas, too many people with mobile phones, too many people on the internet (for a cover-up)."
Date: Mon, 9 Mar 2020 12:15:37 +0100 (MET)

Hanoi, March 9, 2020 (AFP) - Vietnamese authorities vowed Monday to punish anyone concealing sickness after 13 people caught the deadly new coronavirus on a flight to Hanoi, sparking lockdowns and panic-buying in the capital.   The Southeast Asian country had previously reported only 16 cases of the virus despite bordering China -- the epicentre of the global outbreak -- but a cluster of infections was discovered at the weekend among 201 passengers on a Vietnam Airlines flight from Britain.

The group were in quarantine Monday and recovering, Vietnam's health ministry said, with the hospital they were held in placed on lockdown along with several houses and hotels in Hanoi where they had stayed.   Vietnam Prime Minister Nguyen Xuan Phuc vowed Monday to "duly punish" those who fail to disclose a coronavirus diagnosis, according to state media.   He told a meeting of officials in Hanoi that "we need strong, adequate and immediate measures to effectively stop the source of infection".   Authorities have launched an online tool asking all citizens to declare their health status.   "Declaring false information... may be subject to criminal handling," stated an official notice.

A 29-year-old woman on the flight from London was found to be suffering from the disease after returning to Hanoi from a tour of France, Italy and Britain.   She is believed to have infected her aunt and driver, forcing authorities to isolate several houses near her home and a private hospital where she first sought treatment.   The other patients included Vietnamese, British, Irish and Mexican nationals.   A minister on the same flight tested negative for the virus but was also quarantined for 14 days with the group.   The health ministry said there may be "more cases to be discovered as a result of close contact" with the first patient.   People in the capital were seen panic-buying staple items as the lockdown of the hospital began.

The infections bring the country's total to 30, including a man who returned from South Korea, but more than 18,600 people have been monitored for illness or placed in isolation since early February. No-one has died from the virus.   Vietnam has granted limited access to visitors from China and South Korea -- another major coronavirus hotspot -- since the outbreak began at the start of the year, imposing a 14-day quarantine at government-controlled centres.   Several sports and cultural events have been cancelled across the nation, but Vietnam's inaugural Formula One race is still set to go ahead on April 5 in Hanoi.
Date: Thu, 13 Feb 2020 06:24:23 +0100 (MET)

Vinh Phuc, Vietnam, Feb 13, 2020 (AFP) - Vietnam announced Thursday that a commune of 10,000 people will be placed under quarantine due to fears over the spread of the new coronavirus.    "As of February 13, 2020, we will urgently implement the task of isolation and quarantine of the epidemic area in Son Loi commune," said a health ministry statement.    "The timeline... is for 20 days".    There are 15 confirmed cases of the COVID-19 virus in Vietnam, five of them in Son Loi commune.
Date: Sat, 1 Feb 2020 13:33:09 +0100 (MET)

Hanoi, Feb 1, 2020 (AFP) - Vietnam has suspended all China flights as part of "strengthening measures" against the coronavirus outbreak, its civil aviation authority said in a statement on Saturday.   The step applies to all airlines "which have routes between Vietnam and China" and also includes Hong Kong and Macau, the directive posted on its website said.  An earlier version included Taiwan but references to the island had been removed late Saturday.

Vietnam is the latest country to impose extraordinary travel barriers after the virus spread to two dozen nations and killed 259 people in China where it originated in the city of Wuhan.   The United States temporarily barred entry to foreigners who had been in China within the past two weeks and Australia said it was barring entry to non-citizens arriving from China.   Italy, Singapore and Mongolia have also taken similar sweeping precautions.   The World Health Organization declared the coronavirus outbreak a global health emergency on Thursday but did not advise international trade of travel restrictions.

Vietnam's announcement came after the country confirmed its sixth case of the coronavirus.   A 25-year-old hotel receptionist working in Nha Trang contracted the SARS-like pathogen after coming into contact with Chinese tourists who were later diagnosed with coronavirus.   She was also the first domestic infection for a Vietnamese national with no known history of travel to China.

Three of the country's six cases were Vietnamese nationals who had travelled to Wuhan.   The receptionist's health is "stable, no fever or cough", a hospital staffer told AFP on condition of anonymity, adding she had "no history of travel to China recently".   Vietnam has joined Thailand, China, Germany, Japan, South Korea, France and the United States as the only countries with confirmed domestic coronavirus infections.
More ...

Japan

General
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Japan is a highly developed country with excellent tourist facilities. The country covers a number of islands and the population is estimated at over 125 million. English is widely spoken in the main tourist a
d urbanised centres.
Weather Profile
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Due to the strong influence from the sea, Japan tends to have a high rainfall but milder winters than the adjacent mainland of China. This is similar to the climate experienced in Ireland by comparison to the rest of Europe. Spring and Autumn are usually the most pleasant months but during the Summer the climate can be significantly humid and tiring. During this time it will be essential that fluid intake is increased and that salt (lost through perspiration) is replaced - usually by increasing the amount eaten on your food providing this is not contraindicated by any personal medical condition such as blood pressure etc.
Alcohol Consumption
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The Japanese authorities have limited patience with those arrested while under the influence of alcohol. For some travellers visiting the country this may mean a prolonged stay in the local jail and the subsequent missing of important appointments.
Natural Disasters
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Japan is situated in a region of the world which regularly experiences earthquakes and other climatic changes including typhoons. A number of relatively small earthquakes are reported each year but, to date, this has seldom affected any tourist itinerary. However, further information is available at http://www.tokyoacs.com
Safety and Security
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The risk to personal security for tourists while travelling throughout Japan is small though commonsense care of personal belongings is always essential. Where available, use the hotel safety boxes to store valuables and your passport, return air tickets. During the mid 1990’s a number of terrorist incidents occurred but no recent serious problems are being reported.
Airport Taxes
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Many countries now include the cost of their ‘departure tax’ within the ticket. In Japan this will depend on which airport you leave from. The fee is collected in Yen at Kansai - Osaka International Airport but usually included in the ticket cost if flying via Narita - Tokyo International Airport.
Cost of living
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Japan is not a cheap country for tourists. The cost of living is one of the highest throughout the world. Credit cards may be used in main cities but the ATM’s machines may not be available at all hours. Before taking a taxi from the airport it would be wise to check the costs and then assess whether or not it might be more prudent to use the local bus transport!
Medical Care
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The level of medical care throughout most tourist regions in Japan is excellent. However, there may be limited English-speaking doctors in some more rural areas and even where this facility is available in the main cities the cost of healthcare can be very expensive. It is wise to carefully check your travel health insurance premium before you leave home.
Local Medications
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Some commonly used European over-the-counter medications
may not be available in Japan. Also, there are strict laws governing the importation of certain medications which can be strictly enforced. Certain inhalers, sinus preparations etc may be confiscated on arrival. If you are taking any personal medications it may be wise to check before you leave. Obviously never carry packages for anybody else while travelling unless you are certain of the contents.
Avoiding Prickly Heat
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The term prickly heat is used in a variety of ways but the cause is generally the same. In a hot climate the body perspires to maintain the internal temperature at a correct level. In the perspiration there will be fluid and your personal salts. The fluid evaporates but the salt dries against the skin. It is your individual reaction to this salt that leads to the ‘prickly heat rash’. The reaction to these salts can be minimised by removing the salts from the skin surface as soon as possible. Change your clothes regularly, use plenty of talcum powder to absorb the perspiration and dry off well after showering.
Food & Water Care in Japan
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Any international traveller should recognise the risks of a ruined trip from unwise indulgence in local food and beverages. In Japan the level of food hygiene is high but the consumption of Sushi (uncooked raw fish) is unwise. Bivalve shellfish also carry a significant risk due to the limited level of sterilisation during the cooking process.
Malaria & Mosquitoes
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No malaria transmission occurs throughout Japan although avoiding mosquito bites during the humid months is wise.
Airborne Disease
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In any situation where you will be crowded together with many others the risk of a variety of airborne diseases will be higher. This will include serious diseases such as Meningococcal Meningitis but also others such as Influenza and the common cold. The risk of Meningococcal Meningitis in Japan is regarded as small and vaccine is not routinely recommended. However, having the Flu vaccine may be a wise precaution. It is also sensible to carry a small supply of lozenges to treat the inevitable sore throat which may occur.
Driving in Japan
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The road system throughout Japan is excellent but unfortunately the road signs may prove too much of a hurdle for those unfamiliar with the language! The congestion within the cities tends to be high and tolls on some of the major roads may be quite expensive. The traffic moves on the left side of the road but for many tourists it will be wiser to consider using local transportation rather than risking a ruined holiday.
English Help Lines
***************************
Tourists can obtain important information and assistance in English while visiting Japan through the following numbers;
In Tokyo - 03-3968 4099
Rest of Japan - 0120-461 997
Vaccines for Japan
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For the majority of short-term travellers visiting Japan no particular vaccines will be recommended. Those planning to live for longer periods within the country will need to discuss this through in greater detail.

Travel News Headlines WORLD NEWS

Date: Fri, 1 May 2020 12:01:09 +0200 (METDST)

Tokyo, May 1, 2020 (AFP) - Japan's Prime Minister Shinzo Abe said Friday the government would plan for an approximately month-long extension of a state of emergency declared over the coronavirus pandemic.    Abe put in place an initial month-long state of emergency for seven regions on April 7, later expanding it to cover the entire country.   But with the measures due to expire on May 6, Abe said he had instructed his minister for the virus outbreak Yasutoshi Nishimura to plan for an extension.   "After receiving this report from the panel of experts, I asked Minister Nishimura to use extending the current framework of the state of emergency by about one month as the base scenario for swiftly drafting plans that will fit the needs of the regions," Abe said.

An expert panel advising the government is reviewing the situation in different parts of the country, he added.   "We will listen to their opinions and we hope to make a decision on May 4th."   Abe said Japan had so far managed to avoid the sharp increase in infections seen in some other parts of the world, but cautioned that vigilance was still needed.   "The view of experts is that we will continue to need cooperation of the Japanese people for the foreseeable future."

An extension of the state of emergency had been widely expected, despite the comparatively small scale of the outbreak in Japan, with nearly 14,300 infections recorded and 432 deaths so far.   The state of emergency is significantly less restrictive than measures seen in parts of Europe and the United States. It allows governors to urge people stay at home and call on businesses to stay shut.   But officials cannot compel citizens to comply, and there are no punishments for those who fail to do so.   Despite the relatively small scale of Japan's outbreak, there have been persistent fears about a spike in infections that could quickly overwhelm the country's healthcare system.

Doctors' associations have warned that hospitals are already stretched thin, with officials in Osaka even calling for donations of raincoats to serve as protective equipment for health workers stuck using trash bags.   Measures have been implemented to try to ease the pressure, including sending coronavirus patients with mild symptoms to hotels for quarantine, rather than keeping them in overcrowded hospitals.   The government has also said it is increasing testing capacity, but continues to face criticism for the relatively low numbers of tests being carried out, in part because of stringent criteria.
Date: Mon, 20 Apr 2020 07:46:52 +0200 (METDST)

Tokyo, April 20, 2020 (AFP) - Japanese medics are warning more must be done to prevent the coronavirus from overwhelming the country's healthcare system as confirmed cases passed 10,000, despite a nationwide state of emergency.   Experts have been alarmed by a recent spike in COVID-19 infections, with hundreds detected daily.

Japan's outbreak remains less severe than in hard-hit European countries, but its caseload is one of Asia's highest after China and India, and is roughly on par with South Korea.   There have been 171 deaths recorded so far in Japan and 10,751 cases, with the country under a month-long state of emergency, initially covering seven regions but now in place nationwide.

Prime Minister Shinzo Abe has urged residents to reduce contact with other people by 70 to 80 percent, and the number of people on Tokyo's normally packed transport system has dropped significantly.   But the measures do not prevent people from going out, and many shops and even restaurants remain open, even as medical associations warn the country's healthcare system is struggling to cope.   "The system is on the verge of collapse in many places in Japan," said Kentaro Iwata, an infectious diseases specialist from Kobe University who has repeatedly criticised the government's response to the crisis.

Speaking at a press briefing on Monday, Iwata said Japan's strategy of limited testing and intensive contact-tracing worked well in the initial phase of the local outbreak, when numbers were small.   But he charged that Japan failed to adapt as the outbreak grew.   "We needed to prepare for once the situation changes, once the cluster-chasing became not effective and we needed to change strategy immediately," he said.   "But traditionally speaking, and historically speaking, Japan is not very good at changing strategy," he added.   "We are very poor at even thinking of plan B because thinking of plan B is a sign of admitting failure of plan A."

- Not a 'worst-case scenario' -
Japan's government argues it has adjusted its strategy, boosting testing capacity, changing rules that required all positive cases to remain in hospitals where wards quickly became full, and imposing the state of emergency to reduce the spread.   But medical experts have called the measures insufficient.   "Beds for novel coronavirus patients continue to be almost full," Haruo Ozaki, president of the Tokyo Medical Association, warned last week.   The association has been increasing beds but with a large number of new cases coming in every day, "beds are being occupied instantly," he said.

The health minister has acknowledged that hospitals have in some cases turned away suspected coronavirus patients in ambulances.   "Japan hasn't built a system in which ordinary hospitals can take infectious disease patients in an emergency, when designated hospitals can't cope," Ozaki said on Friday.   "We are doing our best... but infections are spreading faster than expected," he added.   And hospitals are also struggling with equipment shortages, with the mayor of Osaka calling for donations of unused raincoats for health workers currently forced to use garbage bags for protective equipment.

Both Iwata and Ozaki warned that the state of emergency now in place until at least May 6 was not sufficient.   "While they talk about border controls and decreasing person-to-person contacts, they let stores stay open," Ozaki complained.   Iwata said he was "half-encouraged and half-discouraged" by the infection numbers in Tokyo, which he called "relatively stable."    "My biggest fear was the explosion of diagnoses... like in New York City, which didn't happen," he said.   "These numbers are much better than the worst-case scenario."
Date: Sun, 19 Apr 2020 23:32:13 +0200 (METDST)

Tokyo, April 19, 2020 (AFP) - A 6.4-magnitude earthquake struck off the east coast of Japan early Monday, according to the US Geological Survey, but no tsunami warning was issued.   The epicentre of the earthquake was 41.7 kilometres (26 miles) beneath the Pacific seabed, less than 50 kilometres off the coast of Miyagi prefecture, the USGS said on its website, rating the risk of casualties and damage as low.

The Japan Meteorological Agency (JMA) put the quake at a magnitude of 6.1 and a depth of 50 kilometres. Japan's Kyodo News Agency said no tsunami warning had been issued after the tremor, which hit just after 5.30 am (2030 GMT).    Japan sits on the Pacific "Ring of Fire", an arc of intense seismic activity that stretches through Southeast Asia and across the Pacific basin.   In 2011, a devastating 9.0 magnitude earthquake struck roughly 130 kilometres east of Miyagi prefecture, unleashing an enormous tsunami, triggering the Fukushima nuclear reactor meltdown and killing nearly 16,000 people.
Date: Thu, 16 Apr 2020 10:43:39 +0200 (METDST)

Tokyo, April 16, 2020 (AFP) - Japan's government will convene a key panel of medics Thursday to advise on its state of emergency over the coronavirus, as local media reported the prime minister would expand the measures to cover the entire country.   Shinzo Abe has already declared a month-long state of emergency in seven regions, including Tokyo.   People in these places are being urged to stay inside but the rules stop far short of the tight lockdowns seen in other parts of the world.

Since the emergency came into effect on April 8, several regional governors have called for the measures to be expanded to cover their areas -- warning of a growing number of coronavirus infections and overwhelmed medical facilities.   Some have declared their own local emergencies, even though they carry no legal force.   "Today, an advisory committee will be held. We should listen to the opinions of experts about areas subject to a state of emergency," government spokesman Yoshihide Suga told reporters at a regular afternoon briefing.   "If we limit areas (under the state of emergency), people are increasingly flowing to neighbouring ones. We have to deal with it while discussing what to do during the holidays," he added, referring to the Golden Week period in late April and early May, when much of the country travels.

Japan has so far seen a relatively small outbreak of the virus, despite recording its first case in mid-January, with around 8,500 infections and 136 deaths by Thursday.   But local medical associations and experts have sounded the alarm, and Abe has asked people in areas already under a state of emergency to reduce contact with others by 70 to 80 percent to avoid an explosive growth in infections.   The state of emergency allows governors to ask people to stay indoors and request that businesses close, but there are no enforcement mechanisms and no penalties for those who fail to comply.

In Tokyo, the governor has called on people to work from home, and significant drops have been seen in the number of people commuting each day on the city's notoriously crowded transport system.   But while some central areas have been uncharacteristically deserted, local neighbourhoods have remained relatively bustling, raising concerns about whether the measures will be sufficient.   Japan's two emergency medical associations this week issued a joint statement warning they are "already sensing the collapse of the emergency medical system," with hospitals unable to deal with patients suffering from non-coronavirus ailments.   And in Japan's third-biggest city Osaka, the mayor has appealed for donations of raincoats to serve as personal protection for health workers who he said were being forced to resort to garbage bags.
Date: Tue, 7 Apr 2020 11:28:32 +0200 (METDST)

Tokyo, April 7, 2020 (AFP) - Japan on Tuesday declared a state of emergency over a spike in coronavirus cases, ramping up efforts to contain infections but stopping short of the strict lockdowns seen in other parts of the world.  The government has come under mounting pressure to tackle an outbreak that remains small by global standards but has raised concerns among Japanese medical experts, with warnings that local healthcare systems are already overstretched.   "As I decided that a situation feared to gravely affect people's lives and the economy has occurred... I am declaring a state of emergency," Abe said.   The move allows governors in seven affected regions including Tokyo to ask people to stay indoors and request businesses close.

But many supermarkets and other shops will stay open, transport will continue to run and there are neither enforcement mechanisms nor penalties laid out for those who fail to comply with government requests.   "Although a state of emergency is declared, it won't mean a city lockdown as seen overseas," Abe said.   "We will prevent the spread of infection while maintaining economic and social services such as public transport as much as possible."   Pressure to declare an emergency had increased after Tokyo reported several days of record infections, with 143 new cases logged on Sunday.

Tokyo Governor Yuriko Koike has already asked residents of the capital to avoid unnecessary outings and work from home, but had pushed for an emergency declaration to give her requests legal strength.   Seven regions are covered by the month-long declaration: Tokyo, neighbouring Chiba, Kanagawa and Saitama, the western hub of Osaka and neighbouring Hyogo, and the southwestern region of Fukuoka.   The measure will last through to the end of the Golden Week holiday period, when much of the country travels in a rare break.

- 'Lives at stake' -
"It may cause inconvenience in daily life, but I call for everyone's cooperation because lives are at stake," Koike told reporters earlier.   The measure also allows governors to commandeer property for medical purposes and close public facilities like schools, many of which have already shut down.   The economic impacts of the measure and the broader global pandemic have raised concern of a recession in Japan, and Abe on Monday unveiled plans for a stimulus package worth around $1 trillion, or 20 percent of gross domestic product.

Japan has so far been spared the sort of virus outbreak seen in parts of Europe and the United States, with close to 4,000 confirmed infections and 80 deaths.   But medical experts have repeatedly sounded the alarm in recent weeks, citing the rapid increase of infections in parts of the country.    And on Monday, doctors in Tokyo said the situation in the capital was already in "critical condition".

- Public backing -
In a bid to ease the pressure, rules requiring people infected with the virus to stay in hospital even if their symptoms are mild have been relaxed, with Koike saying hotels would be designated as quarantine facilities for those in non-serious condition.   The government has also pledged to step up testing capacity and the number of beds and ventilators available to treat those in serious condition.

The state of emergency is a relatively relaxed approach to lockdown compared to other parts of the world, a function of Japan's legal system, which restricts the government's ability to limit the movement of citizens.   "Japan is still haunted by the negative legacy of the war and the oppression of its citizens," said Yoshinobu Yamamoto, an emeritus professor of international politics at the University of Tokyo.   But he warned that there could be calls for stronger measures if the outbreak continues to spread.

Japan saw its first case of the virus in mid-January, and came under heavy criticism for its handling of the coronavirus-wracked Diamond Princess, where an on-board quarantine ended with over 700 people contracting the virus and 11 deaths.   In the capital, people expressed support for the state of emergency, with some saying they felt it should have been declared sooner.   "When you see on TV what's going on in New York with the cases doubling within three, four days, it really sends chills down my spine," 76-year-old Mitsuo Oshiyama told AFP.   "I don't understand why the government waited so long."
More ...

World Travel News Headlines

Date: Sat, 6 Jun 2020 11:29:17 +0200 (METDST)
By Lisa GOLDEN

Nicosia, June 6, 2020 (AFP) - Cyprus opens back up for international tourism on Tuesday, with airports welcoming visitors after an almost three-month shutdown, and a bold plan to cover health care costs for visitors.    But with arrivals expected to be down by 70 percent this year due to the chaos brought by the COVID-19 pandemic, it's a leap of faith for the small Mediterranean holiday island.   "Nobody here is expecting to make any money this year", Deputy Tourism Minister Savvas Perdios told AFP.    "We are setting the stage for the beginning of our recovery in 2021."

The divided island's tourism sector normally accounts for around 15 percent of GDP but has dried up in past months amid global measures to combat the spread of the novel coronavirus.    Cyprus saw a record 3.97 million arrivals in 2019, with more than half its market made up of British and Russian visitors.   But even if the island's airports in Larnaca and Paphos will open up to arrivals on Tuesday with the first flight due to arrive from Athens around midday (0900GMT), neither Britain or Russia are among the 19 countries allowed to land there.

The list of permitted countries, which also include Bulgaria, Germany and Malta, have been chosen based on epidemiological data and split into two categories.    Initially all travellers will need to show proof of a negative COVID-19 test undertaken within 72 hours of travel, but from June 20, only those arriving from six countries in the second category, such as Poland and Romania, will need to do so.    The government says the lists will be revised weekly and more countries can be added.

Cyprus will also cover accommodation, dining and medical care for any tourists who fall ill with the COVID-19 illness during their stay, as well as accommodation and meals for their families and close contacts.    "What we offer and what we sell is not the sun and the sea, it's hospitality, and this is an extension of our hospitality," Perdios said.     The government has designated a 100-bed COVID-19 hospital for tourists that Perdios said would be located in the Larnaca region, while 112 ICU units have been allocated for visitors.     Perdios said several four-star hotels would provide 500 quarantine rooms for close contacts of those who fall ill.

- 'Right thing to do' -
A raft of other health measures, including disinfection protocols and temperature checks at border controls, aim to protect travellers and locals alike.    "We've gone to big lengths to think ahead of things that could go wrong and try to devise plan Bs and Cs", Perdios said.     The Republic of Cyprus, in the south of the island, has registered 960 novel coronavirus cases and 17 deaths.   Perdios expressed hope that British tourists could be welcomed "sometime after mid-July", with Russia "slightly later, maybe by a couple of weeks".

A recently announced deal with Hungarian low-cost carrier Wizz Air to open a base in Cyprus from July was also an important step towards expanding and diversifying the island's tourist markets, he said.   While no date has been set to allow international tourists to visit the breakaway Turkish Republic of Northern Cyprus, only recognised by Ankara, the health care commitment would still apply to those visiting the north during their stay once the crossings are reopened.   "I am very confident that not only will we be able to continue providing our citizens with protection, but also caring for everybody who comes to the island on holiday", he said.     "If we are coming out with a scheme like this, it's because we can afford it, but most importantly, because we feel that it's the right thing to do."
Date: Sat, 6 Jun 2020 00:50:56 +0200 (METDST)

Orlando, June 5, 2020 (AFP) - Tourists donned masks Friday and visited the attractions at Universal Orlando, the first of the major theme parks in Florida to open since the COVID-19 pandemic shut them down almost three months ago.   Universal Orlando resort and the other theme parks in this central Florida city closed on March 15 to prevent the spread of coronavirus.    New back-to-fun rules at the park include temperature controls at the entrance, mandatory use of face masks, markers on the ground to help enforce social distancing and posters thanking the public for their help "during this unprecedented time."

Universal Orlando is only reopening at 35 percent capacity and has launched a system of virtual lines in which space can be reserved, to avoid queues and crowds.    Terrence Wilson, 19, was happy with the result. "There's not a lot of people. I can get on all the rides without having to wait 40 minutes or an hour" he told the Orlando Sentinel.

On Monday, the Legoland Florida park opened in the city of Winter Haven, while SeaWorld in Orlando is scheduled to open on June 10.    The largest of Orlando's parks, Walt Disney World, will open on July 11.    That day the park's Magic Kingdom and Animal Kingdom sections will begin operating, while EPCOT and Hollywood Studios will follow suit on July 15.    Orlando is home to most of the state's theme parks and every year welcomes millions of tourists from all over the world.
Date: Fri, 5 Jun 2020 20:36:47 +0200 (METDST)

Riyadh, June 5, 2020 (AFP) - Saudi Arabia on Friday announced a renewed lockdown in the city of Jeddah, gateway to the annual Muslim pilgrimage to Mecca, to counter a new spike in coronavirus cases.   "After reviewing the epidemiological situation and the high occupancy rates of intensive care departments, it was decided to take strict health precautions in the city of Jeddah for two weeks," starting from Saturday, the health ministry said.   The measures include a curfew running from 3 pm to 6 am, a suspension of prayers in mosques and a stay-at-home order for public and private sector workers in the Red Sea city whose airport serves Mecca pilgrims.

After an easing of precautions in the kingdom in late May, the ministry said that strict measures could also soon return to Riyadh, which was "witnessing a continuous increase during the last days" of critical cases of the pandemic.   Saudi Arabia has declared almost 96,000 coronavirus infections and 642 deaths from the Covid-19 respiratory disease, the heaviest toll in the Gulf.   It has suspended the year-round "umrah" pilgrimage to Mecca and Medina over fears of the coronavirus pandemic spreading to Islam's holiest cities.

Authorities are yet to announce whether they will proceed with this year's hajj, scheduled for the end of July, but have urged Muslims to temporarily defer preparations for the annual pilgrimage.   Last year, some 2.5 million faithful travelled to Saudi Arabia from across the world to take part in the hajj, which all Muslims must perform at least once in their lives if able.
Date: Fri, 5 Jun 2020 16:43:41 +0200 (METDST)
By Joe STENSON

Dublin, June 5, 2020 (AFP) - Ireland will dramatically accelerate its plan to ease coronavirus lockdown restrictions in the coming days, Prime Minister Leo Varadkar said Friday.   "Today I can confirm that it is safe to move to phase two of the plan to reopen our country starting on Monday," Varadkar told a press conference.   "I'm also announcing an acceleration of the roadmap."   More workplaces will open and household visits will be permitted from Monday in line with the government plan to reopen the Republic announced in May.

However an escalation of the scheme will see citizens allowed to travel across their county of residence and/or up to 20 kilometres (12 miles) from home.   All shops will also be permitted to reopen whilst the final stage of the "roadmap" to end lockdown -- in place since 28 March -- will be brought forward from August to July.   Playgrounds will reopen while the government now intends to allow hotels, restaurants and bars serving food to resume trade on June 29.   "We are making progress, we are heading in the right direction, and we have earned the right to be hopeful about the future again," Varadkar said.   Ireland has suffered 1,664 deaths from the coronavirus, according to official figures.   Recorded deaths peaked at 77 in a single day in April, but by Thursday that figure had fallen to just five.

The Republic last Monday registered its first day without any COVID-19 deaths in more than two months, one week after entering the first phase of its plan to leave lockdown.   "We've proved we can suppress the virus, but now we do face another test," said health minister Simon Harris.   "We must prove we can live alongside it and keep it weak at the same time."

The easing includes provisions for shops to hold staggered opening hours and social distancing measures to remain in place.   "We must remain careful, cautious vigilant, and together," Harris added.   Finance minister Paschal Donohoe announced Friday that a government wage subsidy scheme enacted when the nation entered lockdown will be extended until the end of August.   To date, 1.37 billion ($1.55 billion) euros has been paid to half a million employees.   But he warned "this support cannot last forever" and he expected to see a continued decline in reliance on the scheme.
Date: Fri, 5 Jun 2020 08:22:40 +0200 (METDST)
By Paola LÓPEZ

Quito, June 5, 2020 (AFP) - As much of Ecuador went into lockdown against the coronavirus, scientists shipped out of the Galapagos, leaving important research activity frozen and the Pacific archipelago's tourism in deep crisis.   Authorities are desperately hoping for a revival of the vital tourism industry -- the main engine of the local economy -- once visitors are allowed to fly in again from July 1.

In the meantime, local officials say they have to take a leaf out of English naturalist Charles Darwin's book and "adapt to survive."   Darwin based his theory of evolution on his studies of the islands' unique flora and fauna. But dozens of researchers following in his footsteps had to leave before air links were shut down as the pandemic advanced.   "Science has to a large extent been paralyzed these days in the Galapagos," Diego Quiroga of Quito's San Francisco University told AFP.

Sixteen researchers of various nationalities from the university's Galapagos Science Center were repatriated along with 50 US students when Ecuador shut its borders, suspended flights and imposed strict restrictions on movement in mid-March.   The move meant that the Galapagos was largely spared the devastating impact of the virus felt on the mainland.   Ecuador, a country of 17 million, has more than 40,000 infections with 3,500 deaths.   The Galapagos is the least affected of its provinces, with fewer than 80 infections among its 30,000 population.

- Research suspended -
The 76 projects being carried out under the Center's auspices remain in limbo, and an international congress set to draw 200 scientists to the archipelago was canceled.   The Charles Darwin Foundation, which has been operating on the islands for 60 years, had to shelve 20 research programs.

Around 30 of its scientists and volunteers who were carrying out field work "had to abandon their investigation sites," said Maria Jose Barragan, the foundation's CEO and science director.   With them went "an important season of investigation into the reproductive cycle of birds" in the Galapagos, she said.   The Galapagos National Park (PNG), a public body responsible for conservation of the archipelago, continues to operate.

- Adapting to less -
The Charles Darwin Foundation fears, however, the long-term impact of the pandemic on future research.   "I think the global picture for the conservation sector, regarding acquisition and availability of funds, will change becaus there will likely
be other interests" competing for funds, said Barragan.   "We have to adapt, which is actually the principle of the theory of evolution: change and adapt," she said.

Galapagos Science Center head Carlos Mena says he does not believe "funding for science is decreasing, but yes, it will move to other sectors, such as economic rejuvenation or the study of diseases and viruses."   As things stand, any freeze in research projects affects livelihoods on the archipelago.   Mena says this will translate into almost a million dollars in lost revenue for 2020. "Science brings in revenue. It's not huge, not like tourism, but yes, it generates revenue."

In the months of lockdown, between March and May, the Galapagos -- which had more than 270,000 visitors last year -- lost $200 million in tourism revenue, according to the Provincial Chamber of Tourism.   "The revenue is zero. There have been no tourists, therefore no admissions to the park, nor the economic revenue" they generate, said park director Andres Ordonez.

Mena believes tourism will come back stronger after the coronavirus, saying the work of researchers can "serve as a guide for better tourism" in the islands with their fragile ecosystems.   "The Galapagos have always been considered as a laboratory for studying the evolution of species," he said. "We can also see them as a laboratory for building tourism or a better model of society than before the pandemic."
Date: Fri, 5 Jun 2020 03:12:32 +0200 (METDST)

Rio de Janeiro, June 5, 2020 (AFP) - Brazil's death toll from the novel coronavirus has surged to become the third-highest in the world, surpassing Italy's, according to official figures released Thursday.   The South American country of 210 million people reported a new record of 1,473 deaths in 24 hours, bringing its overall toll to 34,021, from 614,941 infections, the health ministry said.   Italy has confirmed 33,689 deaths from 234,013 infections.
Date: Thu, 4 Jun 2020 22:34:29 +0200 (METDST)

Johannesburg, June 4, 2020 (AFP) - South Africa said Thursday it had recorded 3,267 novel coronavirus cases in 24 hours, the biggest jump since the pandemic hit the country.   Africa's biggest industrial power now has a total of 40,792 infections, the health ministry said. It saw a rise of 56 deaths for a total of 848 fatalities.   More than half of the cases are in the Western Cape region where health services are under pressure.

South Africa is the sub-Saharan African country hardest hit by the pandemic.   President Cyril Ramaphosa on March 27 ordered South Africans to observe a lockdown aimed at slowing the disease's spread.   The move sharply limited people's freedom of movement while slowing an economy already in recession.   But Ramaphosa has gradually eased the lockdown measures and allowed most of the economy to restart.
Date: Thu, 4 Jun 2020 18:41:36 +0200 (METDST)

London, June 4, 2020 (AFP) - Masks will be compulsory on public transport in England from next week to prevent the spread of the coronavirus, transport minister Grant Shapps said Thursday.   "As of 15th June, face coverings will be mandatory on public transport," he said at a daily briefing on the government's response to the coronavirus outbreak.   The government had previously advised people to wear face coverings in enclosed spaces such as shops and public transport but stopped short of making them compulsory.   They remain only a recommendation in Scotland, Wales and Northern Ireland, whose devolved administrations have responsibility for transport.

The announcement was made as part of plans to ease lockdown restrictions in England, as infection rates and the number of deaths from COVID-19 falls.   A total of 39,904 people have died in the outbreak in Britain, according to the latest official figures, which is the second-highest toll in the world after the United States.   "We need to ensure every precaution is taken on buses, trains, aircraft and on ferries," said Shapps, calling the use of face coverings a "condition of travel".   Small children, the disabled and anyone with breathing difficulties would be exempt, he added.   "We expect the vast majority won't need to be forced into this," he said, but warned that anyone refusing to do so could be prevented from travelling or even fined.
Date: Thu, 4 Jun 2020 14:00:58 +0200 (METDST)

Cox's Bazar, Bangladesh, June 4, 2020 (AFP) - Rohingya refugees infected with coronavirus are fleeing quarantine in their Bangladesh camps because they fear being transferred to an isolated island in the Bay of Bengal, community leaders said Thursday.   At least two infected refugees have gone missing since testing positive for the virus after the first COVID-19 death was reported Tuesday, they said.

About one million Rohingya -- most of whom fled a military crackdown in Myanmar in 2017 -- are packed into camps along the Bangladesh border, and the coronavirus has become the latest cause of misery.   Aid agencies have long warned that the virus could cause chaos in the overcrowded camps, where social distancing is virtually impossible.   So far only 29 infections have been detected, although 16,000 Rohingya are in quarantine zones within the camps.

It was not immediately clear how many tests have been conducted in the camps, but a senior health official said two people who proved positive had "fled the isolation hospital".   He added that only 20 refugees agreed to be tested in the past two days because they believe those infected will be sent to Bhashan Char island in the Bay of Bengal.   "It has created mass panic," Nurul Islam, a community leader, told AFP.

Bangladesh authorities have long wanted to establish a camp for 100,000 people on the isolated island, and have already sent 306 Rohingya there.   "The Rohingya are petrified," the health official told AFP on condition of anonymity.   "We have told them they won't be sent anywhere."

Some 500 isolation beds have been prepared in the camps, but most are empty because so few confirmed cases have been found, according to the official.   The first Rohingya fatality from the coronavirus was announced only Tuesday, and health officials say they desperately need to increase testing to see how widespread the virus may be.   But Khalilur Rahman Khan, the government administrator of one camp block, said doctors told him refugees were reluctant to participate.

Several Rohingya leaders said the transfer of the 306 refugees to Bhashan Char had sparked rumours that anyone with coronavirus would be sent to join them.   "People are scared to go for virus tests," said Abu Zaman, a community leader.   Mohammad Shafi, a camp neighbour of the refugee whose death was announced Tuesday, said people who had coronavirus symptoms such as fever and aches insisted they only had seasonal flu.   "I tried to reassure them that this a curable disease and most people will recover, but many don't believe it," he said.
Date: Wed, 3 Jun 2020 22:25:42 +0200 (METDST)

Santiago, June 3, 2020 (AFP) - Chile's government said Wednesday it was prolonging a three-week shutdown of the country's capital Santiago as the COVID-19 death toll reached a new daily record.   Health officials said 87 people had died in the previous 24 hours, and nearly 5,000 new infections were recorded.   The South American copper-exporting nation has now registered more than 113,000 infections and 1,275 deaths.

Health Minister Jaime Manalich confirmed the government was extending a three-week lockdown of the capital for another week.   The city is home to seven million of the country's 18 million population and produces half its GDP.    Manalich said the population's mobility had only been reduced by 30 percent, because of a large numbers of permits granted to those needed for essential activities.   "There are many permits," the minister said, warning that "for the quarantine to be effective, mobility needs to be reduced by at least 50 percent."

The minister appealed to people to minimize time spent outside of their homes to help reduce infections, especially in the coming weeks when emergency health services are expected to be operating at maximum capacity.   Already in Santiago, 97 percent of intensive care unit beds are occupied, while units in the rest of Chile report having reached 88 percent capacity.