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Greece

Background
Greece offers a great variety of attractions for the international traveller. A beautiful climate linked with great beaches, a vibrant nightlife and historical monuments to rival any other location throughout the world. All of this located
within western Europe and a short flight away from many of the cooler northern destinations - like Ireland. Travellers from these regions descent on Greece in very significant numbers each year and for the vast majority of them they will have a splendid and healthy time. However for some this may not be the case and serious illness and accidents are regularly reported. Following some commonsense rules would go a long way to avoiding disaster and ensuring that this trip is truly one to be remembered for all the right reasons.
Climate
Situated in southern Europe the country enjoys mild winters but very hot summers. There may be occasional cool breezes (meltemia) but these can serve only to fool the traveller into thinking that they are unlikely to burn. Rain is very uncommon during the height of summer (July and August) and all travellers should be advised to use very adequate sun-block lotion at all times.
Slip, Slop, Slap
Following the Australian mantra of Slip, Slop and Slap makes perfect sense. Slip on a shirt, slop on sunscreen and slap on a hat when out and about during the day and this should help protect against the intense suns rays. Nevertheless, despite all their best intentions, travellers get burnt. This is particularly a problem in the first few days after their arrival when they do not realise the intensity of the suns rays and how easily they can be exposed. Falling asleep beside the hotel's swimming pool or on the beach is a very common problem and must be avoided against. The tips of the ears, shoulders (especially along the bra-strap line, ankles and behind the knees are commonly exposed and forgotten areas.
After Sun care
To treat significant sunburn it is important to increase fluid intake but also to take extra salt on your food (unless medically contraindicated for some specific condition like high blood pressure etc). Soothing water soluble lotions (especially ones containing a mild anaesthetic and/or steroid cream) are probably best but certainly avoid any of the ones which paste the skin with a thick layer - which is almost impossible to remove without causing serious pain! The more severe sunburn cases may need medical care and even hospitalisation which really ruins a holiday.
Food & Water
As a European destination Greece has a good level of food and water hygiene. Unfortunately this can vary - especially as you move away from the main tourist destinations and also as the summer temperatures rise and food goes 'off' more quickly. Eating hot food, avoiding cold foods (side-salads, lettuce etc) and never eating undercooked bivalve shellfish (mussels, oysters, clams etc) makes perfect sense. Eating food or taking fruit juice drinks from street vendors is a risk just not worth taking.
Insect bites
There may be both mosquitoes and sandflys about so having good repellents (DEET based ones) is worthwhile. The biggest problem will be early in the morning and towards the end of the daylight hours. However sitting in the shade while having lunch may be nice and cool but it is also often a place where these insects tend to hover looking for their next meal. Just don't allow that meal to be the blood in your unguarded ankle!
Seeing the Monuments
As mentioned previously Greece is covered with ancient monuments and these attract many thousands of tourists each year. The ruins are often not the most hospitable places for sun-sensitive tourists so taking care against the suns rays is essential - especially while standing carefully listening to the tour guide explain some complicated piece of history while the back of your legs get roasted! The other issue, for those trekking through the ruins, is the distinct possibility of a nasty twisted ankle.
Laser Night shows
Many of the ancient sites have beautiful night shows which depict something of the past splendour and are definitely worth seeing. However it is wise to wear good shoes as stumbling across loose stones is a particular problem at night and also bring a small torch, if possible, to guide your way. Getting separated from your travelling companions, or not being able to find your return bus, can lead to some understandable panic so listen carefully to any instructions and look out for some land marks before you get too far away into the night time crowd.
Animal bites
Some tourists may forget that rabies is a problem in many countries throughout the world and, even though Greece is regarded as rabies-free', there is always a problem if someone should get bitten. The possibility that this animal could have been recently smuggled into the country cannot be out ruled and so many would advise full post exposure treatment should this contact occur. Children may be at particular risk due to their inquisitive nature.
Swimming
Sunburn and swimming go hand in hand but drowning can also occur all too frequently within this region. Strong currents, swimming after meals (or alcohol) and the ever popular romantic midnight swim are all serious risk factors. Also children running around the deep end of the pool may lose their footing and topple in without warning. Unfortunately a very small child sinks instantly with very little sign of the emergency to those close by. Parents need to keep aware of this risk at all times.
The summer working holiday
Many of our students head towards Greece for 2 to 3 months during the summer to work. The attractions are obvious but commonsense and sensible life-style choices are needed throughout their stay to lessen the risk of illness or them returning home with an infection they had not bargained for. Unfortunately many return home with life-long illnesses which have been contracted from a single unprotected sexual contact.
Vaccinations for Greece
As a general rule the usual travel vaccines are not recommended for most short-term travellers to this region. However for the student planning to spend a more prolonged period it would be sensible to consider cover against both Hepatitis A and Hepatitis B and also to check that their Tetanus cover is up-to-date.
Summary
This is still one of the most popular destinations for northern European travellers and, in the vast majority of cases, they will have a fantastic time with only good memories. Unfortunately some less prepared folks will end up with serious sunburn and other illnesses or diseases which perhaps are frequently associated with their own lack of care and protection rather than anything specific to this beautiful country.

Travel News Headlines WORLD NEWS

Date: Sat, 2 May 2020 17:14:39 +0200 (METDST)

Athens, May 2, 2020 (AFP) - A 6.0 magnitude quake struck off the Greek island of Crete on Saturday but there were no immediate reports of casualties or damage.   The Athens Geodynamic Institute said the epicentre was about 55 kilometres (35 miles) south of the city of Ierapetra. It hit at 1251 GMT (15:51 pm).   "No victims or serious damage has been reported so far," a local police officer told AFP by telephone.

Tremors were felt across the island and landslides were reported on some roads in Lasithi, where Ierapetra is located, the fire service said.    "Luckily the quake happened at a depth of 19 kilometres in the sea and there has not been any serious damage so far," said Giorgos Aspadrakis, the head of the fire brigade in Lasithi.   "The quake went on for a long time," said Georgia Santamouri, 29, who lives at Heraklion -- almost 100 km from Ierapetra.   "I was in bed. I was really scared in the beginning and I couldn't move initially but then I ran out," she said.

Greece is prone to earthquakes, with many occurring offshore.   The last deadly quake occurred on the island of Kos in the Aegean Sea in July 2017. The 6.7-magnitude quake killed two people.   The deadliest temblor in recent years struck the Athens region in 1999, killing 143 people.
Date: Thu, 23 Apr 2020 12:20:54 +0200 (METDST)

Athens, April 23, 2020 (AFP) - Greece is extending coronavirus lockdown measures by a week to May 4, the government said Thursday.   The country has managed to keep fatalities at a low level after registering its first virus death on March 12, despite a decade of cuts imposed on its public health system during the post-2010 debt crisis.

Supermarkets, banks and food delivery restaurants are among the few businesses still operating, and Greeks must inform authorities when leaving their homes for necessities, or risk fines.   "Restrictive measures that apply until April 27 are extended by a week to May 4," government spokesman Stelios Petsas told reporters.

Prime Minister Kyriakos Mitsotakis next week will be announcing steps to remove some of the nationwide lockdown measures imposed on March 22, Petsas added.   The relaxation of the restrictions is set to begin with a partial reopening of courts and land registers on April 27.   The education ministry has also announced plans for final-year school pupils to hold university entry exams in June.   Greece has so far officially announced 121 deaths, with 55 people still in intensive care.
Date: Tue, 7 Apr 2020 12:55:32 +0200 (METDST)

Athens, April 7, 2020 (AFP) - Hundreds of Greek healthcare workers demonstrated on Tuesday to protest at working conditions and lack of manpower and equipment in public hospitals during the coronavirus pandemic.   The demonstrations were staged to coincide with World Health Day, according to the federation of hospital personnel.   "You only saw us when we covered our faces," proclaimed a poster printed by hospital trade unions, bearing a picture of doctors wearing anti-coronavirus masks.    Demonstrators at the large Evangelismos hospital in central Athens held up signs demanding job hiring, virus testing and hospital equipment.

Police tried to enter the hospital courtyard where the rally was taking place before being forced back by demonstrators, an AFP photographer said.   A similar protest was held at the main hospital in Larissa in central Greece, according to images from public television ERT.    Despina Tossonidou, president of the doctors' union at Voula hospital in southern Athens, said that in addition to the hiring of medical staff, intensive care units in private clinics should be requisitioned "to overcome the shortcomings of the public sector" during the virus crisis.   Health care in Greece was drastically affected by the country's 2010-2018 financial crisis and tough austerity required by creditors in exchange for bailouts.

As part of its measures to deal with the pandemic, the government has offered clinics 30 million euros ($32.6 million) and announced the hiring on short-term contracts of 2,000 doctors and 2,000 nursing staff.    "These measures are just a drop in the ocean," said Tossonidou, a radiologist.    "The hospital system needs 30,000 additional permanent doctors," she said, also citing the lack of protective equipment and COVID-19 testing in hospitals.    "The majority of tests are currently carried out in private hospitals at costs ranging from 150 to 300 euros ($163-326)," said Tossonidou.    Greece, a country of around 10.7 million people, has suffered relatively less than other European nations in the pandemic, recording 81 deaths out of 1,755 cases.
Date: Sun, 22 Mar 2020 18:02:51 +0100 (MET)

Athens, March 22, 2020 (AFP) - Greece will impose a nationwide lockdown to stem the spread of the coronavirus, limiting people to their homes except for essential outings, Prime Minister Kyriakos Mitsotakis said Sunday.    "I have given orders that all appropriate action be taken to enforce the ban on all unnecessary movement across the country," Mitsotakis said in a televised address to the nation.   The restrictions will come into force from 6:00 am local time (0400 GMT) on Monday, and will require citizens to carry proof of identity to leave their homes. 

Outings are only permitted for people "going to work, the doctor, or to visit someone who needs help, or those who are buying food or medication", the prime minister said.    Citizens are also permitted to leave the house to walk their pets or exercise outdoors alone or with one other person.

There are 15 recorded deaths and 624 infections from the coronavirus in Greece, which has a population of 11 million.    Since reporting its first death from the virus on March 12, the country has gradually rolled out measures to limit gatherings and non-essential travel along with closing schools, shops and entertainment venues.
Date: Sat, 21 Mar 2020 10:59:18 +0100 (MET)

Athens, March 21, 2020 (AFP) - A strong 5.6 magnitude earthquake struck early Saturday in northwest Greece, damaging property in the city of Parga, authorities said.   The quake struck at 0049 GMT (0249 local time), with the epicentre 11 kilometres (around six miles) from Parga in Kanalaki district, and 316 kilometres northwest of Athens, the Athens geodynamic observatory said.   "No casualties have been reported at the moment," Parga mayor Nikolas Zacharias told AFP by telephone.

"Some old abandoned houses in Kanalaki collapsed and some houses suffered significant damage in this district of 2,500 inhabitants," Zaharias said, adding the temblor was strong throughout the area.   Landslides partially damaged the region's roads, he added.   Greece lies on major fault lines and is regularly hit by earthquakes, but they rarely cause casualties.   In 2017, a 6.7-magnitude earthquake killed two people on the island of Kos in the Aegean sea, causing significant damage.   In 1999, a 5.9-magnitude quake left 143 people dead in Athens and the region northwest of the capital.
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Indonesia

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Information for Bali
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General
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Bali is one of the main tourist destinations for many Irish travellers to Indonesia. The island is well developed for the tourist industry and genera
ly the climate is tropical and humid throughout the year. Many Irish travellers will use the island as a stopover. If this is for only 24 to 28 hours the extent of your jetlag may leave you little time to enjoy the country and its people.
Safety & Security
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Throughout Indonesia there are many regions where it is unsafe to travel. The Parliament in Indonesia may impeach the President in the near future. Civil disturbance with student demonstrations in the capital Jakarta, earthquakes in the island of Sumatra, unrest regarding the independence of Timor and profound warring fractions on the island of Borneo has the potential to spill over into Bali. Nevertheless during the past years Bali has remained stable and there have been few reports of serious disturbances that have affected tourists or business travellers. Lombok is an island close to Bali often visited by tourists. It is regarded as more unstable and recently (Dec 2000) four explosions during fighting between two villages (Bongor & Parampuan). The main tourist region around Senggigi has remained quiet.

Local Customs
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The laws against illegal drugs are severe and travellers should ensure that they carry sufficient well-marked medication that they may require for their time in Indonesia. Travellers are required to show identification at any time and so carrying photocopies of your passport is a wise precaution. Keep all valuable documents in a safe place and do not flaunt personal wealth while travelling around the island.
Night Activities
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The nightlife in Bali is one of the main attractions for many tourists but sensible precautions are required. Travelling alone is unwise. Take care to ensure that your drink could not be spiked at any stage and do not walk at night, use an authorised taxi where possible. The level of HIV infection among the bar workers is high and close personal contact is very unwise.
Medical Facilities
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The level of available health facilities varies greatly through Bali and other parts of Indonesia. In general most of the main hotels will have English speaking doctors but care would be required if your illness requires hospitalisation.
Food and Water
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It is wise to maintain a high level of care with regard to your food and water while in Indonesia. This includes even those in high quality hotels but also particularly for those eating from street vendors. Bivalve shellfish (e.g. oysters, mussels, clams etc) should be avoided at all times due to inadequate cooking. Bottled water should be purchased from your hotel or good quality shops to ensure that it is pure.
Mosquitoes and Insect Bites
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Malaria transmission occurs throughout Indonesia all year but the risk in Bali is so low that prophylaxis is not generally recommended for most tourists. Nevertheless for those visiting Lombok (overnight visits) the risk exists and prophylaxis should be considered. Other mosquito borne diseases also occur throughout Indonesia and care must be taken to avoid insect bites. In Jakarta and other main cities there is a particular problem with a viral disease called Dengue Fever. The mosquito, which transmits this disease, typically bites during the day and in main urban centres.
Sun Exposure
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The strength of the sun in Bali is considerable higher than that experienced in Ireland at any time of the year. Sufficient head covering should be worm when exposed and travellers should ensure that their fluid intake is sufficient. Salt depletion also needs to be replaced in times of significant perspiration.
Swimming
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If swimming in pools, make sure that sufficient chlorination has been used. Take care with small children when close to the deep end of the pool. If sea swimming make sure that there are always others around and that you heed any local advice and warning signs. Never swim soon after alcohol or for an hour after mealtime.
Jet Lag
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The extent of jet lag, which you will experience, depends on the duration of your flight and the amount of rest you were able to get before arrival. Try to rest for the first 24 hours to allow your body to acclimatise and make sure you do not fall asleep beside the swimming pool during this initial period.
Vaccinations for Bali
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There are no essential vaccines or entry to Bali from Western Europe. However for your personal protection travellers are recommended to consider vaccination cover against;
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Poliomyelitis (childhood booster)
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Tetanus (childhood booster)
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Typhoid (food & water disease)
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Hepatitis A (food & water disease)
Other travellers planning a more rural or extensive trip may need to consider other vaccine cover against diseases like Hepatitis B, Japanese B Encephalitis, Rabies.
Summary
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The majority of those visiting Bali will enjoy the many tourist attractions on the island. However commonsense and care is required to ensure that you do not expose yourself to unnecessary risk. The staff of the Tropical Medical Bureau can be contacted at either of the numbers below if you require further information.

Travel News Headlines WORLD NEWS

Date: Wed, 6 May 2020 18:33:44 +0200 (METDST)

Jakarta, May 6, 2020 (AFP) - A 6.8 magnitude earthquake jolted a remote part of eastern Indonesia late Wednesday, the United States Geological Survey said, but there was no tsunami warning issued and no immediate reports of damage.    The undersea quake struck at a depth of some 107 kilometres (66 miles) in the sea between Indonesia's Maluku and East Timor at 22:50 local time (13:50 GMT).   The epicentre was about 390 kilometres south of the city of Ambon in the archipelago's Maluku province.   "We have not received any reports of damages so far as a result of the quake. The result of our modeling also shows that the earthquake did not trigger any potential tsunami," said Taufan Maulana, the spokesman of Indonesia's weather and geophysics bureau.

The bureau further reported that the tremors were strongly felt by people on nearby small islands, as well as those in some cities in Papua, the easternmost province of Indonesia.   Researcher Fawwaz Rifasya told AFP that he was on the fourth floor of a hotel in Manokwari, Papua, when he felt the building swaying.   Meanwhile, Andika Baskoro in Merauke, Papua, said that he noticed the quake after he saw hanging lamps and water in a gallon swaying.   An AFP journalist in Dili, East Timor, roughly 400 kilometres away, reported feeling a slight tremor.    Indonesia is one of the most disaster-prone nations on Earth. In 2018, a 7.5-magnitude quake and a subsequent tsunami in Palu on Sulawesi island left more than 4,300 people dead or missing.
Date: Wed, 29 Apr 2020 09:54:33 +0200 (METDST)
By Agnes ANYA, Safrin Labatu

Jakarta, April 29, 2020 (AFP) - From shirtless soldiers to teens sun tanning on their parents' driveways, Indonesians are soaking up rays like never before in the hope that plentiful sunshine will ward off coronavirus.   The rush to take up a practice usually associated with Bali-bound foreigners has been driven by unfounded claims on social media that sunlight -- and the vitamin D it supplies -- can slow or kill the virus.

That hope got a boost last week when a senior US official said new research showed sunlight quickly destroys the virus. The study has yet to be evaluated independently, but US President Donald Trump spoke about it enthusiastically during a press conference.   "I always avoided the sun before because I didn't want to get tanned," said Theresia Rikke Astria, a 27-year-old housewife in Indonesia's cultural capital Yogyakarta.   "But I'm hoping this will strengthen my immune system," she added.

Medics have their doubts, but say a 15-minute burst of morning sunshine can be good for you.   "Exposing the body to direct sunlight is good to get vitamin D, not to directly prevent the disease," said Dr. Dirga Sakti Rambe at Jakarta's OMNI Pulomas Hospital.    Vitamin D, which comes from fish, eggs, milk and sunlight exposure, is important in maintaining a healthy immune system, he said, but added: "Sunbathing does not kill the virus that causes COVID-19."

Whatever the science, one thing is for sure: there is no shortage of sunshine in the tropical 5,000-kilometre- (3,100-mile-) long Southeast Asian archipelago.   The rush outdoors has led to an Indonesian government warning about the dangers of skin cancer, and calls for novice sun-seekers to slap on protection.   It was a rare caution in a place where sunbathing is not practised widely and beauty product commercials extol the virtues of fair skin.    Across Asia, pale skin has long been associated with a higher social class and skin-lightening products are big sellers.   Muslim majority Indonesia's relatively conservative dress codes -- especially for women -- mean skimpy swimwear isn't a feature of the new craze.

- 'Asian skin tone' -
But the pandemic has made a convert of Rio Zikrizal, even if he struggles with the idea of soaking his shirtless torso in the sun.   "In normal times I'd be reluctant to sunbathe," the Jakarta resident said.   "I've got an Asian skin tone which gets dark easily so I often use products to make my skin lighter."   Nabillah Ayu, who lives on the outskirts of the capital Jakarta, starts her newly adopted sunbathing routine around 10 am -- when she used to be in the office -- in the hopes of avoiding the deadly respiratory disease.   "Sunlight can't directly kill coronavirus, but it can boost the immune system and stop you from getting it," the 22-year-old said.   Bare-chested suntan sessions have been incorporated into morning exercise routines for some military and police units.

And in major cities, residents are flocking from neighbourhoods crammed with narrow, dark alleyways to open areas -- including commuter train tracks -- where they can catch some unobstructed rays.   It is a motley mix of women in head-covering hijabs with rolled up sleeves and pants, shirtless male teens and wrinkly pensioners all clamouring for a bit of sunshine as the odd train zips by.   "I've just started sunbathing regularly since the pandemic hit," Alfian, who goes by one name, told AFP near train tracks in Tangerang on the edge of Jakarta.   "Afterwards I take a shower and my body feels fitter."   Pensioner Wadianto Wadito, who suffers from heart disease and diabetes, figures he can use all the help he can get.   "I'm already taking a lot of medicines anyway, so now I'm sunbathing to get all my vitamins without taking more pills," the 65-year-old said.
Date: Thu, 23 Apr 2020 18:37:35 +0200 (METDST)

Jakarta, April 23, 2020 (AFP) - Indonesia will ban all air and sea travel until June, officials said Thursday, in an apparent effort to contain the spread of the coronavirus during the holiest period on the Islamic calendar.    The temporary ban takes effect Friday, the first day of the fasting month of Ramadan for the Muslim-majority country, and lasts until June 1.    It comes a day after the government, fearing an explosion in virus cases, banned the annual exodus for Eid al-Fitr, the holiday marking the end of Ramadan, when millions travel to their hometowns and ancestral villages.

The latest measure will not apply to emergency, diplomatic or cargo transport, the government said.    The repatriation of Indonesian citizens from abroad and foreigners living in the Southeast Asian archipelago will also be exempt.   "It applies to both domestic and international commercial travel but there are some exceptions,"  Transportation Ministry spokeswoman Adita Irawati told AFP.   The country's biggest airlines Garuda and Lion Air had already scaled backed their commercial flights as the tourism market shrivelled up. 

But the ban on sea travel could hamper the movement of millions in a country of some 17,000 islands where passenger ferries are a key mode of transportation.   The government had already called on residents of major cities, including the capital Jakarta, to stay put.   As of Thursday, Indonesia had confirmed 7,775 cases of COVID-19 and 647 deaths.   But the toll is widely believed to be much higher in a country with one of the lowest testing rates in the world.
Date: Thu, 16 Apr 2020 10:45:32 +0200 (METDST)

Jakarta, April 16, 2020 (AFP) - Reduced to sharing goggles and cheap raincoats, Indonesia's under-equipped doctors are battling a tide of coronavirus infections that is overwhelming its creaky health-care system -- and killing their colleagues.   Two dozen doctors have died since the pandemic began in the Southeast Asian nation, and critics warn that the official death toll of 459 is way below reality in a country with some of the lowest virus testing rates in the world.   Hospitals don't have enough basic protective gear -- never mind sophisticated ventilators -- leaving many poorly paid doctors to battle the virus with little more than plastic rain ponchos.

Jakarta doctor Muhammad Farras Hadyan said supplies are running so low at his hospital that some colleagues rely on donations from family members to buy the few available certified hazardous material suits.   "The rest rely on the hospital's supply and they've got to wait," he said.   Handoko Gunawan, a 79-year-old pulmonary specialist, was on the front lines until he was forced into quarantine on suspicion he had contracted the virus.   "I was shaking so bad, and the nurse was trembling," Gunawan, who later tested negative for the illness, said of treating patients.   "These young health workers have spouses and children at home, but they still brave the challenges.   "Doctors are scarce in Indonesia and if they die we'll have fewer people to treat patients," he added.

Indonesia has fewer than four doctors for every 10,000 people, according to World Health Organization data -- far below hard-hit Italy (around 40) or South Korea (about 24).   The Indonesian Doctors' Association has warned that the coronavirus crisis is much worse than reported and the government's response is "in tatters".   Latest official figures say Indonesia had some 5,136 confirmed cases, but only 36,000 people have been tested across a sprawling archipelago of more than 260 million -- the world's fourth most populous nation.   The health ministry revealed this week that nearly 140,000 Indonesians are being monitored on suspicion they may have the virus.   "The government's official data doesn't reflect the real picture of infections across the country," said Halik Malik, a spokesman for the doctors' association.

Jakarta municipal figures show more than 1,000 suspected or confirmed victims buried in local cemeteries under COVID-19 protocols that require bodies to be quickly interned -- about five times the government toll in the capital, the epicentre of the outbreak in Indonesia.   Burials in Bandung, a city in West Java that borders the capital region, have doubled to about 400 a month since the outbreak, the province's governor Ridwan Kamil told AFP.   "It is the same phenomenon as in Jakarta," Kamil said.   "We can't confirm these are all COVID-19, but the number of deaths is higher than usual."   The surge has left doctors like Raditya Nugraha and colleagues at a West Java hospital struggling to keep up, and having to share equipment.   "We don't have enough goggles so we take turns wearing them," he said.
Date: Tue, 31 Mar 2020 13:10:45 +0200 (METDST)

Jakarta, March 31, 2020 (AFP) - Indonesian leader Joko Widodo declared a state of emergency Tuesday as coronavirus deaths in the world's fourth most populous country jumped again, but he resisted calls for a nationwide lockdown.   Widodo's administration has been heavily criticised for not imposing lockdowns in major cities, including the capital Jakarta, a vast megalopolis home to about 30 million people where most of the country's virus deaths have been reported.

Indonesia's leader offered few details of the state of emergency beyond calling for stricter social distancing, but announced $1.5 billion in beefed-up social assistance and subsidies for low-income workers.   Tens of millions eke out a living on poorly-paid jobs in Southeast Asia's biggest economy.   "To overcome the impact of COVID-19, we've chosen the option of large-scale social distancing," Widodo told reporters.   "We must learn from the experience in other countries, but we cannot copy them because every country has its own characteristics," he added.

On Tuesday, authorities said 136 people had died after contracting the virus, with 1,528 confirmed cases of infection.   But the latter figure is widely thought to be well below the real number in the archipelago of more than 260 million.  The Indonesian Doctors' Association has warned that the coronavirus crisis is far worse than has been officially reported and that the government's response is "in tatters".

Jakarta's governor has said nearly 300 suspected or confirmed victims of the virus have been wrapped in plastic and quickly buried in the city since the start of March.   The capital's top politician has been pushing for a total lockdown of the city.   Also Tuesday, Indonesia's corrections agency said it is set to offer early release to about 30,000 inmates to help stem the spread of the virus in over-crowded prisons. The number amounts to more than 10 percent of Indonesia's 272,000 inmate population.
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Niue

No Profile is available at present

Travel News Headlines WORLD NEWS

20th July 2012

- Niue Island. 20 Jul 2012. Two tourists visiting Niue have been taken to hospital with dengue fever. More than 100 people, or about 8 percent of the population, are believed to be suffering from the fever, and visitors are being warned to use insect repellent during early morning and evening. Dengue, which does not often occur on Niue, has been afflicting  the island since February [2012]. It was originally confined to a small area of Niue's main village but has now spread throughout the island. One local man recently died from a serious form of the virus.
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[A HealthMap/ProMED-mail interactive map showing the location of Niue Island in the Pacific Ocean can be accessed at <http://healthmap.org/r/1ZWb>. - ProMed Mod.TY]
Monday 30th April 2012
A ProMED-mail post
<http://www.promedmail.org>

- Niue Island. 24 Apr 2012. The Niue Health Department says it believes the dengue outbreak has peaked. The department says there have been 47 recorded cases of dengue fever, but only one case has been picked up in the last 7 days. The Acting Director of Health, Manila Nosa, says it's a relief to see the wane in cases, but it's too early to say that dengue is completely gone. He said that there has been a lot of rain lately, and it's hoped this won't contribute to a further spread.
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[A HealthMap/ProMED-mail interactive map of Niue Island can be accessed at <http://healthmap.org/r/1ZWb>. - ProMed Mod.TY]
Monday 16th April 2012
A ProMED-mail post
<http://www.promedmail.org>

- Niue Island. 12 Apr 2012. Health authorities on Niue are confident that they are on top of the latest dengue outbreak that has infected 20 people to date. The chief medical officer, Dr Eddie Akau'ola, says this outbreak began about 3 weeks ago but they believe they have been able to contain it. He says it is peaking now and they expect a decline in a week or 2. Dr Akau'ola says none of the cases have been too serious.
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[A HealthMap/ProMED-mail interactive map showing the location of Niue Island in the Pacific can be accessed at <http://healthmap.org/r/2bMz>. - ProMed Mod.TY]
Tuesday 13th March 2012
A ProMED-mail post
<http://www.promedmail.org/>

- Niue Island. 6 Mar 2012. Niue health authorities are hopeful they've contained a rare outbreak of dengue fever on the island where 3 people were reported with dengue last week, with 2 admitted to hospital.
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[A HealthMap/ProMED-mail interactive map showing the location of Niue Island in the Pacific can be accessed at <http://healthmap.org/r/1ZWb>. - ProMed Mod.TY]
Date: Sun, 24 Jul 2011 10:42:49 +0200 (METDST)
by Neil Sands

ALOFI, Niue, July 23, 2011 (AFP) - In a once-thriving village on the Pacific island of Niue, homes lie abandoned, their stucco-clad walls mildewed and crumbling as the jungle slowly reclaims them. "These villages used to be bustling with people -- now you go there in the afternoon and there's no one," says the Niue Tourism Authority chairman Hima Douglas. The number of people living on the lush coral atoll, about 2,500 kilometres (1,550 miles) northeast of New Zealand, has been declining for decades as inhabitants seek a better life overseas.

The population, which peaked at more than 5,000 in the mid-1960s, has dwindled to just 1,200, according to a New Zealand parliamentary report, raising doubts about the island nation's economic viability.  Douglas said a major cyclone in 2004, which destroyed much of Niue's infrastructure, accelerated the exodus, and the threat of future natural disasters was discouraging people from returning. "Of course it's concerning but it's not something we can do too much about until we can build an economy that will give them the confidence to come back," Niue's Premier Toke Talagi told reporters this month. "There aren't simple and easy answers to people leaving. We've got to build a strong economy and hope to attract them back." Known locally as "The Rock", Niue was settled by Polynesian seafarers more than 1,000 years ago and the palm-dotted island's name in the local language means "behold, the coconut".

The British explorer captain James Cook tried to land there three times in 1774 but was deterred by fearsome warriors, eventually giving up to set sail for more welcoming shores and naming Niue "savage island" on his charts. But modern day Niueans are desperate for visitors, with Talagi unveiling plans this month to turn it into a boutique tourism destination in a bid to put his nation on a sound economic footing. Using aid from New Zealand, with which Niue has a compact of free association giving its people dual citizenship, Talagi has overseen construction of a new tourism centre and expansion of the island's Matavai Resort.

Paths have also been cut through the jungle to give visitors access to swimming spots on the rugged limestone coastline, and cruise liners are being encouraged to include Niue on their itineraries. "We can become self-sustaining in the long term (and) reduce New Zealand assistance to Niue," Talagi said, estimating that visitor numbers could quadruple to 20,000 a year in the next decade. Addressing a visiting delegation of New Zealand business executives this month, Talagi acknowledged doubts about the nation's ability to meet the challenge. "I know some of you are a bit sceptical about our ability to become self sustaining... (but) tourism is not going to fail and I don't expect it to fail given the numbers that are being generated," he said.

The New Zealand parliamentary report, released last December, estimates that about 50,000 Niueans and their children now live in Australia and New Zealand, creating a shortage of skilled labour in one of the world's smallest states. "Niue is caught in a vicious cycle, with its economic difficulties both exacerbated by, and reflected in, the long-term decline of its population," it said, adding that 40 years of New Zealand aid "has yielded almost no return". The report's authors suggested Niue should concentrate on promoting itself as a retirement destination for elderly New Zealanders, who could help revitalise the economy. "The climate is excellent, existing buildings could be brought into service, and health facilities are satisfactory," it said. "Retirees would bring steady cash flow and contribute to stable employment options."

Asked about the suggestion, Talangi said "we'll look at everything", although one long-time resident, who asked not to be named, was unenthusiastic at the prospect. "How depressing to think that we might be turned into a major geriatric ward," she said. "Not that I have anything against old people, mind." Another resident said that whatever steps Niue took to improve its economy must result in major changes, pointing out people could earn more by moving to New Zealand and claiming unemployment benefits than working on the island. "It's pretty hard when your cuzzies (cousins) call you and say 'we're getting more on the dole in Auckland than you're getting paid'," he said.
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Ghana

Ghana US Consular Information Sheet
23rd September 2008
DESCRIPTION:
Ghana is a developing country on the West Coast of Africa. The capital is Accra. Facilities for tourism are available in the population centers of the greater Accra regio
, Kumasi in the Ashanti region, and in the Cape Coast area of the Central region, but they are limited in the more remote areas of the country. Read the Department of State Background Notes on Ghana for additional information.
ENTRY/EXIT REQUIREMENTS:
A passport and visa are required, as is evidence of a yellow fever vaccination. Travelers should obtain the latest information and details from the Embassy of Ghana, 3512 International Drive NW, Washington, DC
20008; telephone (202) 686-4520. Consular services are also available at the Ghana Permanent Mission to the UN at 19 East 47th Street, New York, NY
10017, telephone (212) 832-1300, and the Honorary Consulate of Ghana, 3434 Locke Lane, Houston, TX, telephone (713) 960-8806. Overseas, inquiries should be made at the nearest Ghanaian embassy or consulate. Visit the Embassy of Ghana web site at www.ghanaembassy.org for the most current visa information.
Information about dual nationality or the prevention of international child abduction can be found on our web site.
For further information about customs regulations, please read our Customs Information sheet.
SAFETY AND SECURITY:
Due to the potential for violence, U.S. citizens should avoid political rallies and street demonstrations and maintain security awareness at all times. There will be frequent political rallies across Ghana in the run-up to the presidential and parliamentary elections on December 7, 2008.

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 other callers, a regular toll line at 1-202-501-4444.
These numbers are available from 8:00 a.m. to 8:00 p.m. Eastern Time, Monday through Friday (except U.S. federal holidays).

The Department of State urges American citizens to take responsibility for their own personal security while traveling overseas.
For general information about appropriate measures travelers can take to protect themselves in an overseas environment, see the Department of State’s pamphlet A Safe Trip Abroad.
CRIME:
Pick-pocketing, purse snatching, and various types of scams are the most common forms of crime confronting visitors. U.S. travelers have reported these types of theft at crowded markets, beaches, parks, and tourist attractions. Incidences of violent crime, such as armed robbery, are on the rise, including reports of armed robberies in expatriate residential areas. Victims who resist attackers run a high risk of serious physical injury. Take security measures, such as traveling in groups and avoiding travel at night. Avoid travel in communal taxis. Travelers who limit their display of jewelry and handle their cash discreetly reduce their vulnerability to crime. Travelers are advised to carry limited amounts of cash and only photocopies of key documents.

Use of credit cards in Ghana should be avoided if possible, as a growing number of travelers have been victims of credit card fraud.

In recent years, U.S. citizens have reported substantial financial losses from questionable transactions involving gold and other precious metals. The Government of Ghana maintains strict regulations on these natural resources. All agents must be licensed and all transactions must be certified. (See Special Circumstances below).

Perpetrators of business fraud often target foreigners, including Americans. Such fraud schemes are now prevalent throughout West Africa, including Ghana.
Please refer to the Country Commercial Guide for Ghana at http://www.buyusa.gov/ghana/en/doing_business_in_ghana.html, for further information.

American citizens frequently consult the Embassy regarding questionable business offers sent by people in Ghana. These are scams and typically begin with an unsolicited communication (usually by e-mail) from an unknown individual who describes a situation that promises quick financial gain, often by assisting in the transfer of a large sum of money or valuables out of the country.
A series of “advance fees” must be paid in order to conclude the transaction, such as fees to open a bank account or to pay certain taxes.
In fact, the final payoff does not exist; the purpose of the scams is simply to collect money from the victim.
The Embassy has also received reports of fraudulent charities soliciting contributions through the Internet or direct mail. If you receive such business offers or charity requests, carefully check them out before you commit any funds, provide any goods or services, or undertake any travel. Check with the U.S. Embassy in Ghana at telephone (233-21) 741-100 for an assessment of the offer’s credibility.

Another type of fraud is committed by persons claiming to live in Ghana or who claim to be traveling to Ghana on business, and who profess friendship or romantic interest over the Internet. Once a relationship has been established, the correspondent typically asks the American to send money for living expenses, travel expenses, or visa costs. Sometimes a “hospital” or “doctor” telephones to say that the friend has suffered an “accident” and needs immediate financial assistance to cover medical bills. There are other variations of this scam, but the common goal is to fraudulently obtain as much money as possible from the victim.
Americans have reported losing thousands of dollars through such scams. The anonymity of the Internet means that the victim cannot be sure of the real name, age, marital status, nationality, or even gender of the correspondent. In most cases reported to the Embassy, the correspondent turned out to be a fictitious persona created to lure Americans into sending money.

Visitors to Ghana should also be wary of overly-friendly locals offering tours, discounted lodging or other services that seem too good to be true.
Tourists are often targeted by touts and scam artists.
Some Americans have been the victims of false criminal accusations and have found themselves separated from time, money and trust as they seek to resolve these difficult situations.

For additional information, please see the Department of State brochure International Financial Scams.

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.
Ghana maintains a specialized Domestic Violence Victim Support Unit (DOVVSU) within the Ghana Police Service to assist victims of domestic violence, especially women and children. In addition to its law enforcement responsibilities, the Unit can refer victims to medical providers and counselors, as well as to community support services. Further information is available by following the DOVVSU link at www.ghanapolice.org
The local equivalent to the “911” emergency line in Ghana is: 191
See our information on Victims of Crime.

MEDICAL FACILITIES AND HEALTH INFORMATION:
Medical facilities in Ghana are limited, particularly outside Accra, the capital. Travelers should carry adequate supplies of any needed prescription medicines, along with copies of their prescriptions, the generic name of the drugs, and a supply of preferred over-the-counter medications. For information on avian influenza (bird flu), please refer to the Department of State's Avian Influenza Fact Sheet.
Documentation of Yellow fever vaccination is required upon arrival from all countries.
There are no HIV/AIDS entry restrictions for visitors to or foreign residents of Ghana.

Motor vehicle accidents, drownings and water-related accidents due to Ghana’s rough surf, muggings and other violent attacks, and the development of sexually transmitted diseases—including HIV—are
health and safety concerns that have been reported by U.S. citizens and can be at least partially mitigated by using common-sense safety precautions.

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 Ghana is provided for general reference only, and may not be totally accurate in a particular location or circumstance.
Primary roads are generally paved and well maintained. However, some side roads within major cities and roads outside of major cities are in poor condition. The road from Accra to the central region tourist area of Cape Coast continues to be the site of many accidents. Travel in darkness, particularly outside the major cities, is extremely hazardous, due to poor street lighting and the unpredictable behavior of pedestrians, bicyclists and farm animals, particularly goats and sheep. Aggressive drivers, poorly maintained vehicles and overloaded vehicles pose serious threats to road safety.

The safety standards of the small private buses that transit roads and highways are uncertain. Travelers are encouraged to consider this when making travel arrangements.

Travelers are routinely stopped at police checkpoints throughout Ghana, and vehicles and passengers may be searched. Drivers must possess an international driver’s license (available from AAA and the American Automobile Touring Alliance). Foreign nationals should carry documentation of their status, such as a passport and visa.

Please refer to our Road Safety page for more information. Visit the website of Ghana’s national tourist office at http://www.touringghana.com/default.asp and the national authority responsible for road safety at http://www.mrt.gov.gh/
AVIATION SAFETY OVERSIGHT:
The U.S. Federal Aviation Administration (FAA) has assessed the Government of Ghana’s Civil Aviation Authority as not being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for the oversight of Ghana’s air carrier operations.
For more information, travelers may visit the FAA’s web site at http://www.faa.gov/safety/programs_initiatives/oversight/iasa.

Service provided by a number of regional air carriers is reported to be unreliable. The airlines may alter scheduled stops, cancel or postpone flights on short notice, and regularly overbook flights. Travelers may experience unexpected delays even after checking in. Passengers should get the required seat reconfirmation stamped on the ticket, have enough emergency funds for food and lodging in case of unexpected delays, and arrive at the airport at least two hours before the scheduled departure time.

SPECIAL CIRCUMSTANCES:
Effective July 1, 2007, the Government of Ghana redenominated the local currency, the cedi, introducing new banknotes (Ghana Cedi) and coins (Ghana Pesewa). 10,000 cedis = 1 Ghana Cedi = 100 Ghana Pesewas. The old cedi was taken out of circulation on December 31, 2007, and as of January 1, 2008, can be converted only at commercial banks or the Bank of Ghana. Travelers should be alert to persons who may try to defraud them with the old and new bills. The Government of Ghana established a web site in 2007, www.ghanacedi.gov.gh, to inform the public about the redenomination exercise. The web site includes a useful currency converter.

Visitors arriving or departing Ghana with more than $5,000 in cash are required to declare the amount at the border. Currency exchange is available at most banks and at licensed foreign exchange bureaus, but currency transactions with private citizens are illegal. The Government of Ghana also prohibits departing travelers from carrying more than 5,000,000 cedis (500 Ghana Cedis) out of the country. Ghanaian currency must either be spent or exchanged before departure, or it will be confiscated.

Strict customs regulations govern temporary importation into or export from Ghana of items such as gold, diamonds and precious natural resources. Only agents licensed by the Precious Metals and Mining Commission, telephone (233-21) 664-635 or 664-579, may handle import-export transactions of these natural resources. Any transaction without the commission’s endorsement is illegal and/or fraudulent. All transactions must be completed through the commission at the price set daily by the London exchange. Any transaction that discounts this price, or includes a previously negotiated price, is either illegal or fraudulent. Export of gold dust is rare as it encourages dangerous and environmentally destructive practices, and transactions involving the export of gold dust are probably fraudulent. Attempts to evade regulations are punishable by imprisonment. It is advisable to contact the Embassy of Ghana in Washington, DC, or one of the Ghanaian consulates in the United States, for specific information regarding customs requirements.

In rare instances, visitors arriving in Ghana with sophisticated electronic equipment (video cameras and laptop computers) may have to deposit 17.5 per cent of the item's value with the Customs and Excise office at the airport. To get the deposit refunded, visitors must apply to the Customs and Excise Office in central Accra 48 hours before departure.

Taking pictures near sensitive installations, including military sites and some government buildings, is prohibited. These sites are not always clearly marked and application of these restrictions is subject to interpretation. Permission may be obtained from Ghanaian security personnel. Permission should also be obtained before photographing anyone in uniform (e.g., police officers and military officers). In some cases, film and cameras have been confiscated. For security reasons, taking photographs of the U.S. Embassy is also prohibited.

It is strictly prohibited to wear any military apparel such as camouflage jackets or trousers, or any clothing or items that may appear military in nature.

Please see our Customs Information.

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

CHILDREN'S ISSUES:
For information see our Office of Children’s Issues web pages on intercountry adoption and international parental child abduction.
REGISTRATION / EMBASSY LOCATION:
Americans living or traveling in Ghana 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 Ghana. 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 No. 24 Fourth Circular Road, Cantonments, Accra; telephone (233-21)741-000. The public entrance to the Consular Section is No. 19 Fifth Link Road, Cantonments, Accra; telephone (233-21) 741-100; fax (233-21) 741-362 or 741-426; after-hours (233-21) 741-775.
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This replaces the Country Specific Information for Ghana dated February 21, 2008, to update sections on safety and security, crime, information for victims of crime, and medical facilities and health information.

Travel News Headlines WORLD NEWS

Date: Mon, 20 Apr 2020 09:41:12 +0200 (METDST)

Accra, April 20, 2020 (AFP) - Ghana on Monday ended a three-week lockdown on two key regions as the west African nation's leader said testing had improved and the measures were having a "severe" impact on the poor.    President Nana Akufo-Addo announced the lifting of restrictions on movement around the capital Accra and second region Kumasi in a televised address.   He said the move was being taken "in view of our ability to undertake aggressive contact tracing of infected persons, the enhancement of our capacity to test, the expansion in the numbers of our treatment and isolation centres".

"This decision to restrict movement has occasioned a number of severe difficulties for all of us across the country, especially for the poor and vulnerable," he said in the speech late Sunday.   Ghana has so far confirmed 1,042 infections, with nine deaths, from the novel coronavirus.    The country of around 30 million has ramped up testing and checked over 68,000 samples.

Measures including the closure of the country's border, shuttering of schools and limiting of public gatherings remain in force.    Akufo-Addo said people were encouraged "to wear a mask wherever you go" to help contain the spread of the virus.    Countries around Africa have imposed a range of restrictions to try to curb the disease -- ranging from curfews to total lockdowns.    Enforcing draconian limits on movement can be difficult in states where a large number of people living in poverty depend on daily earnings to survive. 
Date: Sat, 28 Mar 2020 09:41:43 +0100 (MET)

Accra, March 28, 2020 (AFP) - Ghana has announced a two-week lockdown in the country's two main regions starting Monday to curb the spread of coronavirus.   The move came as the authorities reported 137 confirmed cases, including four deaths.   President Nana Akufo-Ado said there would be "restrictions on movement of persons in the Greater Accra Metropolitan Area and the Greater Kumasi Metropolitan Area and contiguous districts for a period of two weeks."

He said residents would only be allowed to go out to buy food, water and medicines and to use public toilets.   "There shall be, during this period, no inter-city movement of vehicles and aircrafts for private or commercial purposes.. except for vehicles and aircrafts providing essential services and those carrying cargo," he said.   Ghana has already closed schools, suspended public events and banned large gatherings.
Date: Mon, 16 Mar 2020 11:02:11 +0100 (MET)

Accra, March 16, 2020 (AFP) - Ghana on Monday closed all schools and universities and suspended public events to stop the spread of coronavirus as a string of African nations imposed tighter restrictions to stem the spread of the global pandemic.    President Nana Akufo-Addo announced in an address to the west African nation that the authorities were shutting schools and universities "until further notice".   Public gatherings -- including conferences, religious services, sports matches and political rallies -- have also been suspended for four weeks, he said.

Ghana on Sunday announced it would start barring entry to the country from Tuesday for any non-Ghanaian citizen or resident "who, within the last 14 days, has been to a country that has recorded at least 200 cases".   The move came as the authorities reported a rise in the number of confirmed cases of COVID-19 from two to six, with the new cases all arrivals from abroad.   Numerous nations in sub-Saharan Africa -- including Senegal, Kenya and South Africa -- have begun imposing entry restrictions or closing schools as the continent scrambles to halt the spread of the virus.
Date: Thu 9 Jan 2020
Source: All Africa/Ghanaian Times [edited]

A total of 3 cases of poliomyelitis with 2 deaths have been recorded in the Bono, Bono East and Ahafo regions.

The 1st case reported, in the Bono Region, was a 24-month-old girl from Asiri in Goka, a subdistrict in the Jaman North District. The 2nd case was a 33-month-old girl resident in Sissala line in the Techiman West submunicipality in the Bono East Region, and the 3rd case was a 37-month-old boy from Kwasuso in the Asutifi South District of the Ahafo Region.

Poliomyelitis is highly infectious viral disease that mainly affects young children. The virus is transmitted from person to person, spread mainly through the faecal-oral route or less frequently by a common vehicle (via contaminated water or food) and multiplies in the intestine, from where it can invade the nervous system and cause paralysis.

According to the Bono Regional Health Directorate of the Ghana Health Service (GHS), the cases were detected in October and November last year [2019] with the latest one in January 2020.

The Deputy Regional Director of Public Health, Dr. John Ekow Ottoo, who briefed journalists here in Sunyani yesterday [8 Jan 2020], said the 3rd victim, in a critical and paralysed condition, was being treated.

According to Dr. Ottoo, initial symptoms of polio include fever, fatigue, headache, vomiting and stiffness in the neck and pain in the limbs, saying the disease had no cure but could only be prevented by immunisation.

The Deputy Public Health Director stressed the need for the general improvement of sanitation across the country, noting that the virus was in the system due to poor sanitary condition in the affected areas. He said the GHS had deployed staff and volunteers to the affected areas, including the various borders within the jurisdiction for the immunisation exercises.

Dr. Ottoo urged the public to cooperate with the GHS as the immunisation began on Wednesday [8 Jan 2020].  [Byline: Daniel Dzirasah]
====================
[According to the most recent GPEI (Global Polio Eradication Initiative) update, during 2019, Ghana reported 11 cases of cVDPV2 associated disease, with most recent date of onset recorded as 7 Nov 2019 (see Poliomyelitis update (03): global (WPV1 Afghan., Pak., cVDPV2 Zambia), Pakistan http://promedmail.org/post/20200110.6881006). While it is unclear if all 3 of the cases reported in the above media report are newly confirmed cases, this is the 1st report we've seen of a case with onset in January 2020.

More information on these cases would be greatly appreciated with clarification of the situation in Ghana.

A map of Ghana showing new regions after the referendum:

[HealthMap/ProMED-mail maps:
Date: Mon 17 Dec 2019
Source: Peace FM Online [edited]

There has been a surge in the number of polio cases across the country [Ghana] since July this year [2019], and this has been an issue of concern for both the Government and other health partners. Government and donor partners, are therefore, making frantic efforts at addressing the issue while the Ghana Health Service (GHS) and its partners have embarked on a number of measures to contain the situation. In some few years back, the country was nearly declared polio-free as it had chalked a lot of success in eradicating the disease, and so the current trend is disturbing phenomenon for most stakeholders in the health sector.

Briefing journalists on the status of the Polio disease in the country, Dr. Franklin Asiedu-Bekoe, Director, Diseases Control, GHS, "said the new virus started as a case from the environment seen in Tamale and later some cases was seen in humans". He said at now there have been 10 cases reported in humans while some viruses from the environment have been isolated.

Dr. Asiedu-Bekoe was speaking on the side-lines of the 2nd Ghana Field Epidemiology and Laboratory Trainings Programme (GFELTP) and Scientific Conference and Competency Graduation held in Accra where 58 health professionals involving Frontline, Intermediate and Advanced level trainees graduated after going through various levels of training.

He said following the Tamale outbreak, "as an intervention, we have had a number of vaccination exercises in several regions and districts. We have vaccinated the whole of Northern Region, Upper East and Greater Accra and we are going to do some vaccination in Oti and Bono Ahafo Regions come next week." He said hopefully, early next year [2020], the GHS would start a nationwide Polio vaccination campaign to cover the whole country, adding that a lot of work was also being done by the health partners to ensure that there was no complications or minimal effects with the current vaccines. "We are using both the oral and injectable polio vaccines in the country currently."

Explaining the seemingly upsurge in Polio cases, Dr. Asiedu-Bekoe said the world has been polio-free for most countries excerpt for Nigeria, Pakistan and Afghanistan, but until recently, there had been surge of the disease in some African countries including Ghana, Cote d'Ivoire, and Togo. "Apparently, there was a gap that has arisen because some children who were supposed to be vaccinated were not. The thinking was that we thought the global immunity was huge enough to protect us against the disease. Unfortunately some of the children were prone, and they are those who have gotten the disease. And that is why we are going to do this nationwide vaccination campaign to protect all the children who were left out from an earlier planned vaccination exercise, so that the protection will be assured".

He said children from 9 months up to 4 years would be covered in the nationwide campaign while those under 5 would be involved in the oral polio vaccine. He explained that Ghana was now doing a multiple-prone approach to address the threat of Polio, which included "ensuring that our vaccination is intact".

There was also the surveillance system, which was being made very sensitive to be able to comb all the communities and health facilities to detect if the disease was present anywhere while the third approach was ensuring a clean environment.

According to Dr. Asiedu-Bekoe, keeping a clean environment was very important as Polio was a faecal-oral disease and so "we need to make sure that our environment is clean so that children will not go and pick the Polio virus from the soil and put them in their mouths.

"So these are the approach we are to use to make sure that the Polio menace does not get out of hands. But we are certain that we will actually be able to get Polio eradicated globally. He gave the assurance that the combined effort of government and other partners like UNICEF, WHO, Centre for Disease Control and Prevention (CDC) and Rotary Club were all on board in the fight against Polio.

Mr. Fred Osei Sarpong, Immunisation Focal Person, World Health Organisation, said with Polio cases being reported in Angola, Nigeria, Benin and other neighbouring countries, "Ghana isn't safe. The virus is in the sub-region that is why we have to make sure everyone is protected, that is why we will call on all caregivers to make sure they send their kids for vaccination. Once your child is protected you don't have a cause to worry". He said children without protection were going down with the disease so all parents should avail their children to ensure that they were all vaccinated and protected from the virus that was in circulation.
===================
[First, congratulations to Ghana and the FELTP Groups in Ghana for graduating 58 Health Professionals from their Field Epidemiology Training Program initiatives this year (2019).

According to the most recent Global update from the Global Polio Eradication Initiative / WHO data, there had been 9 cases of cVDPV2 associated disease, with a virus genetically related to the Jigawa Nigeria outbreak (Poliomyelitis update (99): global (WPV & cVDPV), Pakistan (KP), Afghanistan (BL) http://promedmail.org/post/20191212.6837355). The above media report mentions there were 10 cases. No further information was provided. More information from knowledgeable sources would be greatly appreciated including verification of this additional case and demographics including age and geographic location of case, and vaccination history as well as virus type.

HealthMap/ProMED map of Ghana: <http://healthmap.org/promed/p/53> - ProMED Mod.MPP]
More ...

World Travel News Headlines

Date: Mon, 1 Jun 2020 10:23:53 +0200 (METDST)

Yerevan, June 1, 2020 (AFP) - Armenian Prime Minister Nikol Pashinyan and his family have tested positive for the coronavirus, he said Monday, as the rate of new infections soared in the Caucasus nation.   "My coronavirus test was positive yesterday," Pashinyan said in a self-recorded video message on Facebook, adding that his family were also infected.   He said he had no "viable symptoms" of the virus and would be working from home.   The prime minister and his wife Anna Hakobyan, who is a journalist, have four children.   The ex-Soviet republic of some three million has so far reported 9,492 cases of the coronavirus and 139 deaths.

Coronavirus patients have overwhelmed Armenia's hospitals and last week health officials said that intensive care treatment could be soon restricted to patients with the best chance of survival.   Pashinyan's announcement came nearly one month after Armenia on May 4 lifted a state of emergency imposed in March to slow the spread of the coronavirus.

The prime minister acknowledged his government had failed to enforce anti-virus measures and there had been widespread quarantine violations.   Pashinyan was elected prime minister in the wake of mass popular protests he led two years ago against veteran leader Serzh Sarkisian and his Republican Party.   He has since led a relentless crusade against graft and initiated sweeping judicial reforms.
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: Mon, 1 Jun 2020 06:55:18 +0200 (METDST)

Lima, June 1, 2020 (AFP) - Peru on Sunday reported 8,800 new COVID-19 infections, setting a new daily record for a country that already has the second highest number of novel coronavirus cases in Latin America after Brazil.   The death toll is now at 4,506, the third highest in the region -- itself the new hotspot of the deadly disease -- after Brazil and Mexico, with President Martin Vizcarra warning the country is only halfway through the crisis.

Infections have jumped in Peru despite a months-long mandatory lockdown and a nigh time curfew and the government ordering international borders to be closed.   The spike is concentrated around the capital Lima, where one third of the population lives, and put tremendous strain on Peru's economy and healthcare system.   Four out of every ten Peruvians lost their source of income when the lockdown began, according to one study, and last week Peru secured a two-year, $11 billion credit line from the International Monetary Fund.

- 'Tremendous challenge' in Chile -
Neighbouring Chile on Sunday reported 57 more fatalities in the past 24 hours, a new record that brings the country's COVID-19 death toll to 1,054.   "We are facing the largest pandemic of the past 100 years," said Deputy Health Minister Paula Daza, as she announced the latest figures.    "It is a tremendous challenge; we are living very difficult times in our country."

In Santiago, where the 80 percent of the virus cases were reported, 96 percent of the emergency room beds were taken, officials said.   Officials reported a sharp increase in cases over the past two weeks.   In early May the government of President Sebastian Pinera said that the number of virus cases had hit a plateau, and lockdown restrictions would be loosened.
Date: Mon, 1 Jun 2020 03:38:38 +0200 (METDST)
By Anna SMOLCHENKO

Moscow, June 1, 2020 (AFP) - Shopping malls and parks are set to reopen in Moscow on Monday as the Russian capital eases coronavirus restrictions despite having the world's third-largest caseload.   The relaxation of the confinement orders in Moscow, the epicentre of Russia's outbreak with a population of more than 12 million, comes after President Vladimir Putin announced the epidemic had passed its peak in the country.

Under lockdown since March 30, residents of Europe's most populous city were until now only allowed to leave their homes for brief trips to shop, walk dogs or travel to essential jobs with a permit.   While Muscovites welcomed the opportunity to return to parks and malls after weeks of being cooped up at home, many ridiculed the Moscow mayor's "experiment" aimed at regulating people's walks and exercise.

As a two-week test measure, Sergei Sobyanin said residents of Moscow will be allowed to take walks according to a staggered schedule based on their home address.   "Regular walks are allowed between 9am and 9pm but no more than three times a week -- twice on weekdays and once on a weekend," said Sobyanin on his blog, adding that a detailed schedule would be released separately.   People can jog or exercise between 5am and 9am but must wear masks, according to the new rules.   Sobyanin said he feared that without limits on walking, people would throng the streets in scenes reminiscent of May Day outpourings in Soviet times.

- 'Sheer lunacy' -
The new regulations unleashed a flood of mockery on social media, with political commentator Alexander Golts calling them "sheer lunacy".   Critics quipped that life in Moscow was beginning to imitate dystopian fiction such as the novels of Aldous Huxley and Yevgeny Zamyatin.

Popular comedian Maxim Galkin, who has nearly eight million followers on Instagram, released a sketch in which Putin and Sobyanin discuss a "breathing schedule" for Moscow residents.   The five-minute parody has been viewed nearly six million times over the past few days.   When the restrictions are relaxed, dry-cleaners, laundry services and repair workshops will be allowed to reopen, while restaurants, cafes and cinemas will remain closed for now.

Moscow authorities also said that no mass gatherings would be allowed during the city-wide quarantine that will remain in place until at least June 14.   On Thursday authorities sentenced prominent reporter and activist Ilya Azar to 15 days in jail for staging a lone protest in central Moscow.   Dozens of his supporters have also been briefly detained over the past few days.   Rights organisations including Amnesty International and the Council of Europe have warned Moscow against using the coronavirus lockdown as a pretext to muzzle activists.

Many critics have also questioned the move to lift the restrictions as Russia reported more than 9,000 new infections on Sunday.   With more than 405,000 confirmed infections and over 4,600 deaths, the country has the world's third-largest caseload after the United States and Brazil.   Analysts say Putin is keen to open up the Russian economy and has recently ordered a World War II victory parade postponed by the contagion to be held on June 24.   The 67-year-old leader is also widely expected to announce a new date for a vote on constitutional reforms that could pave the way for him to potentially stay in power until 2036.
Date: Sun, 31 May 2020 11:16:20 +0200 (METDST)

Mogadishu, May 31, 2020 (AFP) - At least 10 people died and 12 were wounded when an explosive device ripped through a minibus outside the Somali capital Mogadishu on Sunday, the government said.   The deadly explosion occurred near Lafole village along the Afgoye-Mogadishu where the passenger bus was travelling early in the day.   "At least 10 civilians were killed in an explosion at Lafole area this morning, those who died were all civilians," the information ministry said in a statement, adding that the victims were on their way to a funeral.

Witnesses said the minibus was completely destroyed, and described an horrific scene with everyone on board either dead or wounded and many bodies ripped apart or burned beyond recognition.   "This was a horrible incident this morning, the explosive device went off as the bus was passing by the area and destroyed it completely," said Daud Doyow, a witness.   "Bodies of civilians were strewn in pieces and most of the people died," he added.   "There were more than 20 people on board and 10 of them were confirmed dead while the rest are seriously wounded and taken to hospital, this is a horrible scene here," said another witness, Abdirisak Adan.   No group immediately claimed responsibility for the bombing, but Somalia's al Qaeda-aligned Shabaab group carries out regular attacks in and around the capital, often killing civilians.
Date: Wed, 27 May 2020 17:58:12 +0200 (METDST)

Nairobi, May 27, 2020 (AFP) - Kenya said Wednesday it had documented a record 123 cases of coronavirus in the past 24 hours, a "staggering" figure although one also explained in part by wider testing.   "Today, I come to you with sombre news," Health Minister Mutahi Kagwe said.   "Our figures today are staggering. Out of the 3,077 samples tested, we have 123 positive cases. For the first time we have hit a triple digit.    "This is the highest number of positive cases we have ever recorded in a single day since we recorded the first case on March 13."

A total of 1,471 cases of COVID-19 have been recorded in Kenya since the start of the epidemic. Of these, 55 have been fatal.   The tally of infections has doubled since mid-May but the country has also tripled its number of daily tests, from less than 1,000 to nearly 3,000, which has helped unearth more cases.

Kagwe sounded a warning about the vulnerability of crowded slums in the capital Nairobi, which leads the list of new cases followed by the port city of Mombasa.   "There is a raging number of infections in these areas," he said, adding: "No-one should have a false sense of security about their immunity to COVID-19."   Among its anti-coronavirus measures, Kenya has a national 7pm-5am curfew, which is currently in force until June 6, and has a ban on entering or exiting the cities of Nairobi, Mombasa, Kilifi, Kwale and Mandera.
Date: Wed, 27 May 2020 16:38:21 +0200 (METDST)

Nicosia, May 27, 2020 (AFP) - Cyprus hopes to attract tourists after its coronavirus lockdown by paying the medical costs of anyone who tests positive for COVID-19 while holidaying on the island, officials said Wednesday.   The plan was outlined in a letter to tour operators and airlines detailing the measures Cyprus is taking to ensure the safety of its tourism sector.   The letter was made public Wednesday and signed by the ministers of foreign affairs, transport, and tourism.

The Mediterranean island is marketing itself as a safe holiday destination during the global pandemic.   The Republic of Cyprus has reported 939 novel coronavirus cases and only 17 deaths.   The government said it is "committed to taking care of all travellers who test positive during their stay, as well as their families and close contacts".   It pledged to cover accommodation, dining and medical care if a tourist falls ill with the virus.   The "traveller will only need to bear the cost of their airport transfer and repatriation flight," it said.

- 'Quarantine hotels' -
A 100-bed hospital will be available exclusively for tourists who test positive, with more beds available "at very short notice if required".   An additional 112 beds in intensive care units with 200 respirators will be reserved for critically ill patients.   Designated "quarantine hotels" will have 500 rooms available for family members and close contacts of patients.

Other hotels on the island will be allowed to remain open if a guest tests positive, but their room will "undergo a deep clean".   Authorities have forecast a 70 percent decline in tourist arrivals in 2020.    Tourism earned Cyprus EUR2.68 billion ($2.94 bn) in 2019 -- about 15 percent of gross domestic product -- down one percent from the previous year, which was bolstered by a record 3.97 million arrivals.   Cyprus plans to reopen its airports on June 9 to arrivals from 13 countries considered low risk.   These include Israel, Greece, Germany, Austria and Malta but the island's two biggest markets Britain and Russia are not on the approved list.

hose arriving between June 9-19 will need to provide a health certificate proving they do not have the virus.   That requirement will be dropped from June 20, when another six countries will be added to the approved list, including Switzerland and Poland.   Cyprus says it will update the list of approved countries on a weekly basis based on scientific advice.

Officials will administer temperature checks and free random testing of arrivals.   Having tested over 10 percent of its population, Cyprus says it has one of the lowest coronavirus infection rates in Europe.   "Very few countries worldwide, especially in the Mediterranean, can boast about such statistics," the letter said.
Date: Wed, 27 May 2020 14:45:11 +0200 (METDST)

Stockholm, May 27, 2020 (AFP) - Airline SAS said Wednesday it would resume flights on several domestic and international routes in June, over two months after the operator grounded most of its fleet over the new coronavirus' impact on travel.   "This primarily includes domestic flights within and between the Scandinavian countries, but flights to New York, Chicago and Amsterdam from Copenhagen are also set to resume," SAS said in a statement.

The Scandinavian airline announced in mid-March it was halting most of its traffic and furloughing around 90 percent of its staff.   In late April the airline, whose two largest shareholders are the Swedish and Danish states, announced it was laying off about 5,000 people, representing 40 percent of the company's workforce.

In early May the company secured a state-guaranteed credit line of 3.3 billion Swedish kronor ($344 million or 313 million euros) to help it navigate the impact of the new coronavirus.   Even with the resumption of some flights, the airline continues to operate at a reduced capacity, but the added routes means an effective doubling of the aircraft in use from 15 to 30, according to SAS.   Finnair, of Nordic neighbour Finland, announced early last week it would start resuming its long-haul flight to Asia in July.
Date: Wed, 27 May 2020 14:25:21 +0200 (METDST)

Yerevan, May 27, 2020 (AFP) - Virus cases have overwhelmed Armenia's hospitals, officials said Wednesday, raising the prospect that intensive care treatment could be restricted to patients with the best chance of survival.   The tiny Caucasus nation of some three million has so far reported 7,774 coronavirus cases and 98 deaths.   At a cabinet meeting on Wednesday, Prime Minister Nikol Pashinyan said "the situation with the coronavirus pandemic is very severe in Armenia."

Health ministry spokeswoman Alina Nikoghosyan told AFP: "if the current situation persists, in the coming days, intensive care will only be available for the patients with the best survival chances."   Health Minister Arsen Torosyan said Sunday that out of the country's 186 intensive care beds for coronavirus patients, only 32 remained empty and would soon be filled.

The prime minister called for stricter enforcement of measures aimed at containing the outbreak such as the wearing of face masks in public spaces.   This comes after the country lifted a state of emergency on May 4 which it had declared in March because of the pandemic.   Pashinyan said his government had failed to enforce anti-virus measures and there had been widespread quarantine violations.   "Our mistake was that we put too much trust in our citizens' sense of responsibility," he said.

Deputy Prime Minister Tigran Avinyan said he did not rule out that the government could have to impose a fresh nationwide lockdown.   Analysts have criticised the government's handling of the crisis, saying a decision to close borders was taken too late and officials sent the public "confusing messages."   "Officials were calling for the wearing of face masks, but they themselves didn't wear them until recently," said analyst Tatul Hakobyan.
Date: Wed, 27 May 2020 09:53:01 +0200 (METDST)

New Delhi, May 27, 2020 (AFP) - India is wilting under a heatwave, with the temperature in places reaching 50 degrees Celsius (122 degrees Fahrenheit) and the capital enduring its hottest May day in nearly two decades.   The hot spell is projected to scorch northern India for several more days, the Meteorological Department said late Tuesday, "with severe heat wave conditions in isolated pockets".   As global temperatures rise, heatwaves are a regular menace in the country -- particularly in May and June. Last year dozens of people died.

Met officials said Churu in the northern state of Rajasthan was the hottest place on record on Tuesday, at 50 Celsius, while parts of Punjab, Haryana and Uttar Pradesh sweltered in the high 40s.   Parts of the capital, New Delhi, recorded the hottest May day in 18 years with the mercury hitting 47.6 Celsius.   No deaths have been reported so far this year, but last year the government said the heat had killed 3,500 people since 2015. There have been fewer
fatalities in recent years.

The country of 1.3 billion people suffers from severe water shortages with tens of millions lacking running water -- to say nothing of air conditioning.   Parts of Delhi and elsewhere regularly see scuffles when tankers arrive to deliver water. Last year Chennai made international headlines when the southern city ran out of water entirely.   The heatwave adds to problems the country already has dealing with the spread of coronavirus.   India now has the 10th highest number of coronavirus cases globally, climbing above 150,000 on Wednesday with almost 4,500 deaths.

Last week cyclone Amphan killed more than 100 people as it ravaged in eastern India and Bangladesh, flattening villages, destroying farms and leaving millions without power.   Huge swarms of desert locusts, meanwhile, have destroyed nearly 50,000 hectares (125,000 acres) of crops across western and central India, and may enter Delhi in coming days.   The north-eastern states of Assam and Meghalaya are also currently experiencing floods, with more heavy rainfall forecast in the coming days.