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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: Wed, 2 Oct 2019 12:31:30 +0200 (METDST)

Athens, Oct 2, 2019 (AFP) - Greek workers staged a fresh 24-hour strike Wednesday against government plans to deregulate the labour market, paralysing road and rail transport, closing banks and shutting down news outlets.   Buses and trams stayed in their depots, the Athens metro was shut down and ferries serving islands on both sides of Greece stayed in port. The action also hit rail services, including to Athens airport.   Banks were closed Wednesday and Poesy, the journalists' union, said there would be no news bulletins over the 24-hour strike period.

The strike caused long traffic jams in Athens as the GSEE, the largest union representing private-sector workers, organised a rally in the city centre to protest the planned legislation.    It denounced "the suppression of collective conventions" and what it said was an assault on the unions.   This was the second strike in a week against the planned reforms of conservative Prime Minister Kyriakos Mitsotakis, which he argues will open the way to investment and encourage growth of more than two percent.   A strike last week hit transport, hospitals, schools and the courts.   The unions say the proposed reforms will undermine collective agreements and make it harder to organise strikes.

The proposed law would require a more-than 50 percent turn-out of the workforce in any strike vote for it to be valid.   Union leaders have also denounced a law passed in August which they say makes it easier to sack people in the private sector.   Adedy, the federation of public-sector unions, which organised last week's strike, called on its members to join Wednesday's action.   Mitsotakis came to power in July, replacing the left-wing government of Alexis Tsipras.
Date: Thu 12 Sep 2019, 7:54 PM
Source: Ekathimerini [edited]

The death toll from the West Nile virus since June this year has risen to 20, according to this week's report by the National Health Organization (EODY).

Up until [12 Sep 2019], authorities had diagnosed a total of 176 cases of the mosquito-borne virus. Of these, 109 developed illnesses affecting the central nervous system such as encephalitis or meningitis.

EODY is urging the public to spray insect repellent on bare skin and clothing, to install mosquito nets and screens, to remove stagnant water from basins, vases and gutters, to regularly mow lawns and to water plants in the morning.
=============================
[The first report mentions 20 fatal human cases as compared to the latest ECDC update that mentions 19 and the total case number is 176 versus 171 (ECDC report).

West Nile fever is a disease caused by West Nile Virus (WNV), which is a _Flavivirus_ related to the viruses that cause St. Louis encephalitis, Japanese encephalitis, and yellow fever. It causes disease in humans, horses, and several species of birds. Most infected individuals show few signs of illness, but some develop severe neurological illness which can be fatal. West Nile Virus has an extremely broad host range. It replicates in birds, reptiles, amphibians, mammals, mosquitoes and ticks <https://www.oie.int/doc/ged/D14013.PDF>.

The reservoir of the virus is in birds. Mosquitoes become infected when they bite an infected bird ingesting the virus in the blood. The mosquitoes act as carriers (vectors) spreading the virus from an infected bird to other birds and to other animals. Infection of other animals (e.g. horses, and also humans) is incidental to the cycle [as also evident in the ECDC update above] in birds since most mammals do not develop enough virus in the bloodstream to spread the disease.

Key to preventing the spread of West Nile fever is to control mosquito populations. Horses should be protected from exposure to mosquitoes. Likewise, people should avoid exposure to mosquitoes especially at dusk and dawn when they are most active, use insect screens and insect repellents, and limit places for mosquitoes to breed. - ProMED Mod.UBA]

[HealthMap/ProMED maps available at:
Date: Sun, 15 Sep 2019 15:38:29 +0200 (METDST)

Athens, Sept 15, 2019 (AFP) - More than 160 firefighters on Sunday battled to contain a large fire near Athens blazing for a second day amid gale force winds, officials said.   And in another emergency, authorities evacuated dozens of people from two villages and a hotel on the island of Zakynthos after a new fire broke out on Sunday.

The fire department said the blaze near Athens burned in the mountains above Loutraki, a coastal resort some 60 kilometres (35 miles) west of Athens.   "The fire is burning near the top of the mountain," Stefanos Kolokouris, the fire department's deputy chief of operations, told state TV ERT.   "We are trying to create a perimeter but the terrain is very difficult, with ravines," he said.   Four water bombers and six helicopters were participating in operations. Given a lack of roads in the area, two squads of firefighters had to be carried to the mountaintop by Super Puma helicopter, state agency ANA said.   Officials had already evacuated 50 people from a local monastery when the fire broke out on Saturday, but stressed that other inhabited areas were not in danger.

On Zakynthos, officials ordered the evacuation of the villages of Agalas and Keri in the south of the island. Some 120 tourists were also relocated to a safe area.   The Greek fire department on Sunday said it had been called to nearly 80 fires over the past 24 hours.   It has already faced more than 9,600 rural and urban fires this year.
Date: Tue, 13 Aug 2019 11:40:19 +0200 (METDST)

Athens, Aug 13, 2019 (AFP) - Dozens of firefighters Tuesday battled a major wildfire that forced the evacuation of a monastery on the Greek island of Evia as smoke from the blaze reached as far as Athens, authorities said.   Authorities also placed on alert two villages threatened by the blaze on the island, Greece's second largest after Crete and located northeast of Athens.   The fire started at about 3 am (0000 GMT) at the side of a road and was quickly spread by strong winds through the dry and dense vegetation in the centre of the island, the semi-official news agency ANA said.

The monastery of Panagia Makrymallis was evacuated as a precaution and residents of the villages of Kontodespoti and Stavros were told to be ready to leave also, TV SKAI said.   "Everything is ready in case it is necessary to evacuate the villages. The evacuation can be done in a few minutes. We are totally prepared," Fani Spanos, the governor of central Greece who was coordinating the operations, told SKAI.   He warned the fire was not yet under control and was spreading in an area that was inaccessible overland.

Around 80 firefighters were fighting the blaze backed by some 40 fire trucks and two water-bombing helicopters and a plane.   The strong winds blew the smoke from the blazing pine forest north toward the Magnesia region and south to the Attica peninsula and Athens.   ANA said the pine forests on Evia are part of the "Natura 2000" European network of protected areas and habitats.   Greece has been hit by a spate of wildfires since the weekend amid gale-force winds and temperatures of 40 degrees Celsius (104 F).

On Monday, a major forest fire threatening homes in Peania, an eastern suburb of Athens, was brought under control. At least two houses were burned but there were no reports of injuries.   On Sunday, a fire on the small island of Elafonissos, in the Peloponnese region, was brought under control after a two-day battle.   Two more fires were doused on Saturday in Marathon, close to Mati, the coastal resort where last year 102 people died in Greece's worst fire disaster.
Date: Sun, 11 Aug 2019 14:32:21 +0200 (METDST)

Athens, Aug 11, 2019 (AFP) - A French man was charged in Greece on Sunday over a boat accident that left two dead and another person seriously injured, state TV ERT reported.   The 44-year-old was charged with negligent manslaughter by a prosecutor and given 24 hours to prepare his defence, ERT said.  The man's lawyer Nikos Emmanouilidis had earlier told reporters that his client "will assist in every way any request by the Greek authorities."

The suspect has admitted to driving a 10-metre (32-foot) speedboat which struck a smaller wooden fishing boat on Friday evening near the Peloponnese resort of Porto Heli, 170 kilometres (105 miles) southwest of Athens.   The collision killed two elderly Greek men on board. A 60-year-old Greek woman, reportedly their sister, was seriously injured and taken to Athens for treatment.

The suspect could not be located for several hours after the incident before turning himself in on Saturday.   He has denied trying to evade arrest, and claims he was also injured in the incident and had sought first aid.   The suspect has said he did not see the fishing boat, which may have had insufficient lighting, state news agency ANA reported.   He has taken a blood alcohol test, with the results to be available on Monday.   "The first indications point to excessive speed by the powerboat driver," Merchant Marine Minister Yiannis Plakiotakis told ERT on Saturday.

Ten other French nationals who were also on the speedboat -- two men, three women and five children aged three to 14 -- were initially taken to Porto Heli for questioning after helping to bring the injured woman and one of the bodies to shore, the coastguard said.   They were all released on Saturday.   Speedboat accidents involving swimmers or other boats are common in Greece during the busy summer holiday season.

Another speedboat on Friday injured a 32-year-old swimmer at the Athens coastal suburb of Glyfada. The driver was arrested.   In 2016, four people including a four-year-old girl were killed when a speedboat sliced into their wooden tourist vessel near the island of Aegina.   Nobody was sanctioned as the prime suspect, an elderly Greek man, died a year after the accident.
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Anguilla

Anguilla US Consular Information Sheet
March 03, 2009
COUNTRY DESCRIPTION: Anguilla is a British overseas territory in the Caribbean, part of the British West Indies. It is a small but rapidly developing island with particularly well-developed
ourist facilities.

ENTRY/EXIT REQUIREMENTS:
The Intelligence Reform and Terrorism Prevention Act of 2004 requires all travelers to and from the Caribbean, Bermuda, Panama, Mexico and Canada to have a valid passport to enter or re-enter the United States. U.S. citizens must have a valid U.S. passport if traveling by air, including to and from Mexico.
If traveling by sea, U.S. citizens can use a passport or passport card. We strongly encourage all American citizen travelers to apply for a U.S. passport or passport card well in advance of anticipated travel.
American citizens can visit travel.state.gov or call 1-877-4USA-PPT (1-877-487-2778) for information on how to apply for their passports.

In addition to a valid passport, U.S. citizens need onward or return tickets, and sufficient funds for their stay.
A departure tax is charged at the airport or ferry dock when leaving. For further information, travelers may contact the British Embassy, 19 Observatory Circle NW, Washington, DC
20008; telephone (202) 588-7800; or the nearest consulate of the United Kingdom in Atlanta, Boston, Chicago, Dallas, Los Angeles, New York, Denver, Houston, Miami, Orlando, Seattle, or San Francisco. Visit the British Embassy web site for the most current visa information.

Information about dual nationality or the prevention of international child abduction can be found on our web site.
For further information about customs regulations, please read our Customs Information sheet.

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

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

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

CRIME:
While Anguilla's crime rate is relatively low, both petty and violent crimes
do occur. Travelers should take common-sense precautions to ensure their personal security, such as avoiding carrying large amounts of cash or displaying expensive jewelry. Travelers should not leave valuables unattended in hotel rooms or on the beach. They should use hotel safety deposit facilities to safeguard valuables and travel documents. Similarly, they should keep their lodgings locked at all times, whether they are present or away, and should not leave valuables in their vehicles, even when locked.

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

The local emergency line in Anguilla is 911.
See our information on Victims of Crime.

MEDICAL FACILITIES AND HEALTH INFORMATION:
There is only one hospital, Princess Alexandra Hospital (telephone: 264-497-2551), and a handful of clinics on Anguilla, so medical facilities are limited.
Serious problems requiring extensive care or major surgery may require evacuation to the United States, often at considerable expense.

There are no formal, documented HIV/AIDS entry restrictions for visitors to and foreign residents of Anguilla, but there have been anecdotal reports of exclusion.
Please verify this information with the British Embassy before you travel.

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

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

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

Unlike the U.S., traffic in Anguilla moves on the left. The few roads on the island are generally poorly paved and narrow. While traffic generally moves at a slow pace, with the increasing number of young drivers in Anguilla, there are occasional severe accidents caused by excessive speed. Although emergency services, including tow truck service, are limited and inconsistent, local residents are often willing to provide roadside assistance. For police, fire, or ambulance service dial 911.

Please refer to our Road Safety page for more information.
Visit the Government of Anguilla web site for further road safety information.

AVIATION SAFETY OVERSIGHT:
Civil aviation operations in Anguilla fall under the jurisdiction of British authorities. The U.S. Federal Aviation Administration (FAA) has assessed the Government of the United Kingdom’s Civil Aviation Authority as being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for oversight of Anguilla’s air carrier operations.
For more information, travelers may visit the FAA web site.

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

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

REGISTRATION / EMBASSY LOCATION:
Americans living or traveling in Anguilla are encouraged to register with the nearest U.S. Embassy or Consulate through the State Department's travel registration web site and to obtain updated information on travel and security within Anguilla. Americans without Internet access may register directly with the nearest U.S. Embassy or Consulate. By registering, American citizens make it easier for the Embassy or Consulate to contact them in case of emergency. The U.S. Embassy with consular responsibility over Anguilla is located in Bridgetown, Barbados in the Wildey Business Park in suburban Wildey, southeast of downtown Bridgetown.
The main number for the Consular Section is (246) 431-0225; after hours, the Embassy duty officer can be reached by calling (246) 436-4950.
Visit the U.S. Embassy Bridgetown online for more information.
Hours of operation are 8:30 a.m. – 4:30 p.m. Monday through Friday, except Barbadian and U.S. holidays.
* * *
This replaces the Country Specific Information for Anguilla dated April 2, 2008, to update sections on Country Description, Entry/Exit Requirements, Information for Victims of Crime, and Medical Facilities and Health Information.

Travel News Headlines WORLD NEWS

Date: Sat, 9 Sep 2017 19:31:32 +0200

Paris, Sept 9, 2017 (AFP) - France's meteorological agency on Saturday issued its highest warning for the Caribbean islands of St Martin and St Barts as Hurricane Jose bore down, three days after they were hit by Hurricane Irma.   The alert warned of a "dangerous event of exceptional intensity," with winds that could reach 120 kilometres (75 miles) per hour, and strong rains and high waves.

St Barts is a French overseas territory, as is the French part of St Martin, which is divided between France and the Netherlands.   Twelve people were killed on the two islands by Hurricane Irma, thousands of buildings were flattened and the authorities are struggling to control looting.   The French state-owned reinsurer CCR on Saturday estimated the damage at 1.2 billion euros ($1.4 billion).   Irma is now heading for Florida, where a total of 6.3 million people have been ordered to evacuate, according to state authorities.
Date: Tue 29 Apr 2014
Source: National Institute for Public Health and the Environment [edited]

1 Oct 2013-29 Apr 2014 (week 18) St Maarten - Since the last report (week 15 [17?]) 52 new cases have been confirmed among St Maarten residents. Up to 29 Apr 2014, now a total of 343 confirmed cases have been reported. One of these confirmed cases was hospitalized.

The median age of the confirmed patients was 44 years, range 4-92 years. Of those cases for which gender was available, 201 were female and 130 were male.

- On 6 Dec 2013, the 1st indigenous chikungunya [virus infection] case of St Maarten was reported. Retrospectively, the 1st patient with suspected complaints was reported in mid-October 2013 in St Martin.
------------------------------------
Communicated by:
Roland Hubner
Superior Health Council
Brussels
Belgium
=====================
[The report also has graphs showing case numbers over time.

Maps of St Martin/St Maarten can be accessed at
Date: 5-11 May 2014
Source: Institut de Veille Sanitaire (French Institute for Public Health Surveillance, InVS) [edited]

Cases since the beginning of the outbreak in December 2013:
- St Martin: (susp) 3240 cases; deaths 3; stable.
- St Barthelemy: (susp) 500 cases; stable.
- Martinique: (susp) 24 180; deaths 3; increasing.
- Guadeloupe: (susp) 13 600 cases; deaths 1; increasing.
- French Guiana: (susp) not available; (probable or confirmed) 122 cases with 83 locally acquired; increasing, with a new cluster in Kourou and 2 near Cayenne.
======================
[The 16 May 2014 report from Guyaweb (<http://www.guyaweb.com/actualites/news/sciences-et-environnement/le-chik-revient-kourou-setend-cayenne-desormais-saint-laurent/>) states that there are 2 new cases in Saint-Laurent-du-Maroni, overlooking the Suriname River, of which one is certainly autochthonous, and a new focal point occurred in Kourou with 4 cases.

Maps of the area can be seen at
and <http://healthmap.org/promed/p/35574>. - ProMed Mod.TY]
Date: 7-13 Apr 2014
Source: INVS Point Sanitaire No. 14 [in French, trans. ProMed Mod.TY, edited]

Cases since the beginning of the outbreak in December, 2013:
- St. Martin: (susp.) 2980 cases, (probable and conf.) 793 cases; Deaths 3; Decreasing.
- Saint Barthelemy: (susp.) 460 cases, (probable or confirmed) 135 cases; Decreasing.
- Martinique: (susp.) 16 000, (probable or confirmed) 1473 cases; Deaths 2; Increasing.
- Guadeloupe: (susp.) 4710 cases, (probable or confirmed) 1261 cases; Deaths 1; In epidemic status.
- French Guiana: (susp.) 7 cases with 4 locally acquired, (probable or confirmed) 39 cases with 26 locally acquired) 30 cases; (imported) 16 cases; Moderate to increasing; Half of probable and confirmed cases are located in Kourou; however indigenous cases have also been recorded from the Cayenne Matoury, Remire and Macouria communities.
=================
[Maps showing case distributions on each island can be accessed at the above URL. - ProMed Mod.TY]
Date: Thu 27 Mar 2014
Source: The Daily Herald [edited]

As St. Maarten continues to take measures to combat the spread of the chikungunya virus, the number of cases continues to climb.

Health Minister Cornelius de Weever announced on Wednesday [26 Mar 2014], that the total number of confirmed chikungunya cases thus far stood at 224.

De Weever also announced that government will be signing a Memorandum of Understanding (MOU) with French St. Martin as a means of collectively responding to the mosquito threat that puts the population at risk. He said both sides have been working closely together to address the dengue and chikungunya threats.

The MOU will cover, amongst other things, a regular exchange of epidemiological information on vector-borne diseases and collectively publishing and representing data collected under the agreement.

The need for collective information campaigns and enhancement of the mosquito vector-control programme will also be included in the MOU. The MOU also describes the need for planning execution and evaluation of collective responses to the chikungunya threat.
=========================
[The increase in the number of chikungunya virus infections over the past week in St. Maarten is of concern, rising from 123 cases to 224 cases. This number is confirmed in another report that also indicates that there are an additional 325 suspected cases (<http://www.rivm.nl/dsresource?type=pdf&disposition=inline&objectid=rivmp:239786>).  - ProMed Mod.TY]

[A HealthMap/ProMED-mail map can be accessed at:
<http://healthmap.org/promed/p/35574>.]
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Saint Vincent and the Grenadines

St. Vincent and the Grenadines US Consular Information Sheet
April 02, 2008
COUNTRY DESCRIPTION:
St. Vincent and the Grenadines is an English-speaking developing Caribbean island nation. Tourism facilities are widely available. Read the De
artment of State Background Notes on St. Vincent and the Grenadines for additional information.

ENTRY/EXIT REQUIREMENTS:
For information concerning entry requirements, travelers can contact the Embassy of St. Vincent and the Grenadines, 3216 New Mexico Avenue, N.W., Washington, D.C. 20016, telephone (202) 364-6730, or the consulate in New York.

All Americans traveling by air outside the United States are required to present a passport or other valid travel document to enter or re-enter the United States.
This requirement will be extended to sea travel (except closed loop cruises), including ferry service, by the summer of 2009.
Until then, U.S. citizens traveling by sea must have government-issued photo identification and a document showing their U.S. citizenship (for example, a birth certificate or certificate of nationalization), or other WHTI compliant document such as a passport card for entry or re-entry to the U.S.
Sea travelers should also check with their cruise line and countries of destination for any foreign entry requirements.

Applications for the new U.S. Passport Card are now being accepted.
It is expected that the cards will be available and mailed to applicants in spring 2008.
The card may not be used to travel by air and is available only to U.S. citizens. Further information on the Passport Card is available at http://travel.state.gov/passport/ppt_card/ppt_card_3926.html and upcoming changes to U.S. passport policy can be found on the Bureau of Consular Affairs web site at http://travel.state.gov/travel/cbpmc/cbpmc_2223.html.
We strongly encourage all American citizen travelers to apply for a U.S. passport well in advance of anticipated travel.
American citizens can visit travel.state.gov or call 1-877-4USA-PPT (1-877-487-2778) for information on how to apply for their passports.

U.S. citizens should take special care to secure these documents while traveling, as it can be time-consuming and difficult to acquire new proof of citizenship to facilitate return travel should the original documents be lost or stolen.

U.S. citizens traveling to St. Vincent and the Grenadines must also present an onward or return ticket.
Information about dual nationality or the prevention of international child abduction can be found on our web site.
For further information about customs regulations, please read our Customs Information sheet.

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

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

The Department of State urges American citizens to take responsibility for their 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:
Petty street crime occurs in St. Vincent and the Grenadines. From time to time, property has been stolen from yachts anchored in the Grenadines. Valuables left unattended on beaches are vulnerable to theft. Persons interested in nature walks or hikes in the northern areas of St. Vincent should arrange in advance with a local tour operator for a guide; these areas are isolated, and police presence is limited.

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 in finding appropriate medical care, contacting family members or friends, and can 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 understand the local criminal justice process and to find an attorney if needed.

See our information on Victims of Crime.

MEDICAL FACILITIES AND HEALTH INFORMATION:
Medical facilities are limited.
The main hospital is Milton Cato Memorial Hospital (Telephone (784) 456-1185). There is a hospital in the capital, Kingstown, but serious medical problems may require evacuation to another island or the United States. There is no hyperbaric chamber; divers requiring treatment for decompression illness must be evacuated from the island. The closest hyperbaric chamber is located in Barbados. Serious medical problems requiring hospitalization and/or medical evacuation to the United States can cost thousands of dollars. Doctors and the hospital often expect immediate cash payment for health services.

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

Vehicles travel on the left side of the road. Roads are narrow, and generally poorly paved, with steep inclines throughout the islands. Taxis and buses are relatively safe, but buses are often overcrowded. Vans are generally overcrowded and frequently travel at high rates of speed. Night driving is discouraged in mountainous areas because the roads are not well marked; there are few, if any, guardrails, and roads are steep and winding.

Please refer to our Road Safety page for more information.
For specific information concerning St. Vincent and the Grenadines driving permits, vehicle inspection, road tax and mandatory insurance, please contact the St. Vincent and the Grenadines National Tourist Organization in New York at http://www.svgtourism.com/.

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

SPECIAL CIRCUMSTANCES:
All Caribbean countries can be affected by hurricanes. The hurricane season normally runs from June to the end of November, but there have been hurricanes in December in recent years. General information about natural disaster preparedness is available via the Internet from the U.S. Federal Emergency Management Agency (FEMA). Information on hurricane preparedness abroad is provided in Hurricane Season: Know Before You Go.
There is no U.S. Embassy or Consulate in St. Vincent and the Grenadines. The U.S. Embassy in Bridgetown, Barbados is responsible for consular issues on the islands of St. Vincent and the Grenadines, including American Citizens Services. U.S. citizens are encouraged to carry a copy of their citizenship documents with them at all times so that if questioned by local officials, proof of identity and U.S. citizenship are readily available.
Please see the State Department’s 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 St. Vincent and the Grenadines laws, even unknowingly, may be expelled, arrested or imprisoned.
Penalties for possession, use, or trafficking in illegal drugs in St. Vincent and the Grenadines 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 St. Vincent and the Grenadines are encouraged to register with the nearest U.S. Embassy or Consulate through the State Department's travel registration web site, and to obtain updated information on travel and security within St. Vincent and the Grenadines. 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 in Bridgetown is located in the Wildey Business Park in suburban Wildey, south and east of downtown Bridgetown.
The main number is (246) 431-0225; after hours, the Embassy duty officer can be reached by calling (246) 436-4950.
The web site for Embassy Bridgetown is http://barbados.usembassy.gov/. Hours of operation are 8:30 a.m. to 4 p.m. Monday-Friday, except Barbados and U.S. holidays.
*

*

*
This replaces the Country Specific Information for St. Vincent and the Grenadines dated April 2, 2007, to update sections on Entry/Exit Requirements, Safety and Security, and Medical Facilities and Health Information.

Travel News Headlines WORLD NEWS

Date: Tue, 8 Mar 2016 21:55:36 +0100

Kingstown, Saint Vincent and the Grenadines, March 8, 2016 (AFP) - Police on the Caribbean island of St Vincent say they are investigating the murder of a German tourist killed when masked gunmen attacked his yacht last week.   No arrests have been made over the assault, which took place in Wallilabou Bay on the resort island's northwest coast, a popular tourist destination where scenes from the hit Hollywood movie franchise "Pirates of the Caribbean" were filmed.   Martin Griff, 49, died from gunshot wounds to his neck, police say.    The two attackers also wounded the boat's captain, Reinhold Zeller, a 63-year old German who was shot in the arm. He was treated in the hospital in the capital Kingstown.   The assailants stole money and credit cards.

Griff was on vacation with his wife and two children, German media reported.   Writing in a letter to St Vincent Prime Minister Ralph Gonsalves on Tuesday, the German Ambassador to Trinidad and Tobago, Lutz Gorgens -- whose jurisdiction extends to St Vincent and other Caribbean islands -- described the incident as "tragic and gruesome," saying it was "difficult to bear for Germans as well as Vincentians."   Gorgens said he hoped the police "bring to justice those responsible for this cruel crime."   Gonsalves on Friday described the killing as a "terrible stain" on the Caribbean island -- part of the nation St Vincent and the Grenadines, located north of Venezuela -- that could cost it "millions of dollars because we sell peace, security, tranquillity."
Date: Wed 7 May 2014
Source: I-Witness News [edited]

On mainland St Vincent, 2 cases of the mosquito-borne chikungunya virus [infection] have been confirmed, as the total number of confirmed cases in the country has climbed to 39.

The Ministry of Health, Wellness and the Environment said on Wed 7 May 2014 that there are 37 confirmed cases of the virus on the northern Grenadine island of Bequia, where an outbreak began in late April [2014].

The illness was first detected in the Caribbean in December 2013, in St Martin, and Antigua and St Vincent and the Grenadines have become the latest countries to declare an outbreak.

Luis de Shong, permanent secretary in the Ministry of Health, Wellness and the Environment said on Wednesday that his ministry continues to implement vector control activities against the _Aedes aegypti_ mosquito, which causes [transmits] the chikungunya virus.

He said private sector and other key stakeholders such as the National Emergency management Organisation, the Roads, Bridges and General Services Authority, the Ministry of Tourism and the Central Waster and Sewerage Authority are all engaged in the multi-sectorial approach towards fighting this disease.

"The Ministry of Health, Wellness and the Environment will continue active surveillance and island-wide intense vector control campaign. Additionally, several public outreach programmes have been held and more are scheduled throughout St Vincent and the Grenadines to sensitise Vincentians about the virus and the Ministry urges the participation of all individuals in fighting the _Aedes aegypti_ mosquito and the chikungunya virus," de Shong said.

The ministry said it was reiterating the importance of avoiding mosquito bites by implementing vector control measures at the individual and community levels, such as keeping water drums and tanks covered, getting rid of unused tires, keeping the general surroundings clean, the use of appropriate clothing to avoid mosquito bites, and the use of insect repellents.
----------------------------------
Communicated by:
Roland Hubner
Superior Health Council
Brussels
Belgium
====================
[Maps of St Vincent and the Grenadines can be accessed at
and <http://healthmap.org/promed/p/36>. - ProMed Mod.TY]
Date: Fri 1 Nov 2008
Source: The Daily Herald [edited]

As authorities scramble to stem the dengue outbreak in St Maarten, the number of confirmed cases continues to climb.  The Dengue Action Response Team (DART) announced on Thursday [23 Oct 2008] that 90 laboratory-confirmed cases of dengue had been recorded 1-25 Oct [2008]. The results of 48 lab tests are pending, and DART said the figure was expected to surpass 100 this month [November 2008].

Meanwhile, St Maarten Laboratory Services (SLS) has introduced a new laboratory system for dengue testing. The new system will enable Dutch-side health officials to obtain immediate results of laboratory tests carried out by SLS rather than having to send hem to Curasao or the lab on the French side, as was being done in the past.Sector Health Care Affairs (SHCA) Preventive Health Department head Dr Rachel Eersel met with family physicians on Tuesday evening [21 Oct 2008] to inform them about the latest strategies being implemented to fight dengue fever and to inform them about the new laboratory form. "The DART team is requesting every household to take immediate measures as the outbreak continues to (worsen). The only way to stop the dengue outbreak from growing is by every household taking mosquito-breeding preventive action. By taking measures, you are protecting your family from getting dengue fever," the Government Information Service said.

In the meantime, the Hygiene and Veterinary Department is continuing with its fogging campaign in the various districts, weather conditions permitting. The house-to-house/yard inspections are part of the public health response to dengue on the island and are part of an intensified community campaign to eradicate the mosquito that transmits dengue fever.
-------------------
[This report is from the Dutch side of St. Maarten/St. Martin Island. The Daily Herald <http://www.thedailyherald.com/news/daily/l142/dengue142.html> reported that authorities are continuing their efforts to stem the spread of dengue fever in St Maarten with intensified house-to-house inspection around the Island Territory. Inspections will focus on potential breeding grounds for mosquitoes, and inspectors are hoping to inspect some 15 000 households by the end of the campaign.

A number of civil servants who have been reassigned to carry out the inspections will start the inspections, and the final logistics are currently being put into place, the Government Information Service (GIS) said in a press release on Wednesday [22 Oct 2008].  Maps showing the location of St Maarten/St Martin in the Caribbean can be accessed at <http://www.worldatlas.com/webimage/countrys/namerica/caribb/stmartin.htm>, and the HealthMap/ProMED-mail interactive map can be found at <http://healthmap.org/promed?g=3578421&amp;v=18.067,-63.067,10>. - ProMed Mod.TY]
Date: Sat 4 Oct 2008 Source: The Daily Herald [edited] Health experts have concluded that collated information produced by local authorities and Institute Veille de Sanitaire (INVS) confirms St Martin is at the beginning of a fresh outbreak of dengue, that effectively began 10 days ago [23 Sep 2008] and urges preventative treatments be "rigorously" implemented. In a release issued by the Prefecture Thursday [2 Oct 2008], La Cellule Inter-Regionale d'Epidemiologie (CIRE) of Antilles-Guyana met with the Committee of Experts for Infectious Diseases in the Northern Islands on Wednesday [1 Oct 2008] to analyse the current situation. The release contained no statistics or figures, but went on to say "given the favourable climatic conditions for development of mosquitoes, preventative measures already known by the population must be implemented without delay and in a rigorous manner. It is at this early stage that preventative measures can be most effective." In accordance with this information, an intensive fogging campaign begins as of today [4 Oct 2008], Friday. It is advised to leave house doors and windows open when the truck passes for the chemical to be most effective. The dengue management committee is due to meet again on 16 Oct [2008] to assess the local situation. The Prefecture of St. Martin and St. Barths once again reminds the population of the action to be taken to prevent the spread of dengue [virus] which is transmitted by the _Aedes aegypti_ mosquito. Anti-mosquito sprays and creams should be used liberally. Wear long sleeved shirts and long pants in the evenings. Make sure mosquito screens are installed on windows and doors. Young children, babies, and elderly persons should sleep under mosquito netting. Throw out any stagnant water collecting in flower vases, or other receptacles, around the house or in the yard and make sure rain gutters are unblocked after heavy rainfall. Stagnant pools of water are prime breeding grounds for mosquitoes. Cisterns must be covered with mosquito netting. It is also encouraged to breed Guppy fish, which feed on mosquito larvae. Check the septic tank is functioning properly. Currently there is no specific treatment or vaccine for dengue. ================= [Maps showing the location of the French overseas collectivity of Saint Martin in the Caribbean can be accessed at and the Health Map/ProMED interactive map at . - ProMed Mod.TY]
Date: Tue, 7 Sep 2004 18:10:31 +0200 (METDST) PORT-OF-SPAIN, Trinidad Sept 7 (AFP) - Hurricane Ivan Tuesday threatened several Caribbean islands, where residents were urged to rush preparations to safeguard their lives and properties. On Tuesday morning the center of the powerful hurricane, the second in just days, was located 75 kilometers (45 miles) northeast of Trinidad's sister island of Tobago. The two islands, as well as St Vincent, the Grenadines and Grenada were placed under a hurricane warning. The Netherlands Antilles Tuesday morning also put the islands of Aruba, Bonaire and Curacao under a hurricane watch, which means the storm could hit them within 36 hours. "Preparations to protect life and property should be rushed to completion," the Miami-based National Hurricane Center said. It warned that with sustained winds of 185 kilometers (110 miles) per hour and higher gusts, Ivan was "a dangerous" hurricane and that it could strengthen further. On Tuesday morning, Bardados already reported wind gusts of 145 kilometers (90 miles) per hour and pounding rain flooded the streets of Port-of-Spain and roads on Tobago. Long-term forecasts, which have a wide margin of error, have the hurricane slamming into Jamaica on Friday and then into Cuba on Sunday. This would bring the storm dangerously close to Florida, which has just been pounded by Frances, the second hurricane to hit the southeastern US state in three weeks.
More ...

Senegal

Senegal - US Consular Information Sheet
July 08, 2008
COUNTRY DESCRIPTION: The Republic of Senegal is a developing West African country.
The capital is Dakar.
Facilities for tourists are widely available but vary in quality.
Read
the Department of State Background Notes on Senegal for additional information.
ENTRY/EXIT REQUIREMENTS:
A passport is required.
For U.S. passport holders, a visa is not required for stays of less than 90 days.
Current yellow fever vaccination is mandatory to enter Senegal and meningitis vaccination is highly recommended if the traveler is arriving from or has recently traveled to an endemic area.
Travelers unable to provide proof of vaccinations may be required to pay for and receive vaccinations at the Dakar airport.
Travelers should obtain the latest information on entry requirements from the Embassy of Senegal, 2112 Wyoming Avenue NW, Washington, DC 20008, telephone (202) 234-0540, and at the Senegal Tourism Authority's official web site, http://www.senegal-tourism.com.
Overseas inquiries should be made at the nearest Senegalese embassy or consulate.
Information about dual nationality or the prevention of international child abduction can be found on our web site.
For further information about customs regulations, please read our Customs Information sheet.
SAFETY AND SECURITY:
Public demonstrations, political gatherings, and student protests are relatively common in Senegal, both in Dakar and in outlying regions, particularly on Friday afternoons. In the past, these events have sometimes turned violent.
Due to the potential for violence, U.S. citizens should avoid political gatherings and street demonstrations, and maintain security awareness at all times.
For guidelines on dealing safely with public demonstrations, please see the American Citizen Services page of the U.S. Embassy Dakar web site at http://dakar.usembassy.gov/service.html.
Lac Rose (Pink Lake) is a popular tourist destination in Senegal.
The Lac Rose area has a large number of tourists and isolated beach areas, but lacks multiple exit and entry points.
The U.S. Embassy recommends that all visitors to Lac Rose and its surrounding beaches be particularly vigilant and not travel alone.
Banditry occurs with some regularity on the main highways after dark, particularly in the central and eastern area of Senegal, including around Tambacounda and Matam. Bandits often target RN2 (National Road) between Ndioum and Kidira and occasionally target RN1 between Kidira and Tambacounda.
The U.S. Embassy recommends that U.S. citizens avoid non-essential travel to the Casamance region west of the city of Kolda, except direct air travel to the Cap Skirring resort area or to the city of Ziguinchor.
If travel is deemed essential, the U.S. Embassy recommends that U.S. citizens carefully monitor the security situation before traveling.
There are currently instances of fighting in the Casamance region (composed of the Ziguinchor and Kolda regions) involving factions of the Casamance separatist MFDC (Mouvement des Forces Démocratiques de la Casamance) in southern Senegal and the Senegalese military. Some military and political leaders in the Casamance region have been killed.
In May 2008, rebels kidnapped 16 local residents 5 kilometers from Ziguinchor and then cut off their left ears before releasing them.
That same month two soldiers and a peasant were killed in other clashes near the same area.
Reports of banditry in the area remain high.
In addition, vehicles have been attacked by armed bandits even during daylight hours on well-traveled roads.
On February 14, 2007, four people were killed when their bus was attacked after being stopped at a roadblock.
Landmine explosions continue to plague inhabitants of the Casamance, with fatalities and serious injury continuing into 2008.
One man was killed in Tounkara, approximately 70 kilometers north of Ziquinchor.
A Senegalese soldier was injured by a landmine near Boutoupa-Camaracounda, on the border with Guinea Bissau.
Since 1990, more than 1,000 people have been killed by land mines in the Casamance. The U.S. Embassy strongly recommends that U.S. citizens remain on well-traveled routes at all times.
For the latest security information, Americans traveling abroad should regularly monitor the Department of State, Bureau of Consular Affair’s Internet site at http://travel.state.gov, where the current Travel Warnings and Public Announcements, including the Worldwide Caution, can be found.

Up-to-date information on safety and security can also be obtained by calling 1-888-407-4747 toll free in the 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:
Minor street crime is very common in Senegal, particularly in cities.
Most reported incidents involve pickpockets and purse-snatchers, who are especially active in large crowds and around tourists. Aggressive vendors, panhandlers and street children may attempt to divert the victim’s attention while an accomplice carries out the crime.
To avoid theft, U.S. citizens should avoid walking alone in isolated areas or on beaches, particularly at night, lock their doors and close their windows when driving, and avoid public transportation.
Americans should not walk on dark streets at night, even in groups.
To minimize inconvenience in the event of theft, U.S. citizens should carry copies, rather than originals, of their passports and other identification documents.
U.S. citizens should carry a credit card only if it will be used soon, rather than carrying it as a routine practice.
There is traditionally an increase in crime before major religious holidays.
U.S. citizens are encouraged to use common sense and situational awareness to ensure personal safety and to reduce the risk of becoming a crime victim.
Always be aware of the surroundings, especially in large cities and crowded places such as markets and taxi parks.
Keep a low profile, remain vigilant, and avoid potential conflict situations.
Do not wear flashy clothing or jewelry, and be cautious about displaying any amount of currency in public.
Use common sense when faced with something out of the ordinary or if someone is following you.
While violent crime is not common in Senegal, it does occur.
There have been incidents in the past year of Americans in groups of two or three being robbed at knife-point.
If confronted by criminals, remember that cash and valuables can be replaced, but life and health cannot.
U.S. citizens are encouraged to walk away from a criminal confrontation no matter the material cost.
Break-ins at residential houses occur frequently as in major cities everywhere.
Persons who plan to reside in Senegal on a long-term basis should take measures to protect their dwellings.
Long-term residents should consider installation of window grilles, solid core doors with well-functioning locks, and an alarm system.
In the past year, a number of American citizen residences have experienced burglaries.
No violence or personal injuries have been reported in these cases, in which the burglars appear to have been exclusively seeking financial gain.
Fraud is prevalent in Senegal and U.S. citizens are often the target of scams that may cause both financial loss and physical harm.
Typically, business scam operations begin with an unsolicited communication (usually by e-mail) from an unknown individual who describes a situation that promises quick financial gain, often by the transfer of a large sum of money or valuables out of West Africa.
The perpetrators of these scams often claim to be victims of various western African conflicts (notably refugees from Sierra Leone) or relatives of present or former political leaders.
There are many variations of these business scams.
In some cases, 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 since the purpose of the scam is simply to collect the advance fees.
Another common variation consists of a request for the U.S. citizen's bank account information, purportedly to transfer money into the account.
Once the perpetrator obtains this information, however, he or she then simply transfers all money out of the victim's account.
Other variations include apparently legitimate business deals requiring advance payments on contracts and offers to sell gold at a very low price.
In the last case, the seller may present real gold to be verified then substitute fake gold and disappear with the payment.
The best way to avoid becoming a victim of advance-fee fraud or business scam is to use common sense:
If an offer seems too good to be true, it is probably a scam.
You should carefully research any unsolicited business proposal originating in Senegal before you commit funds, provide goods or services, or undertake travel.

Visa scams take advantage of people who wish to travel to the U.S.
Generally, these scams "guarantee" a U.S. visa for participants who pay a large sum of money to register for a conference or attend an event in the United States.
In fact, only consular officers of the U.S. State Department may issue visas, so any offer that guarantees a U.S. visa is a scam.
Please refer to the State Department web site at http://travel.state.gov or the web site of the U.S. Embassy in Dakar at http://dakar.usembassy.gov/visas.html for authoritative information about the visa process and the costs involved.
In addition to business and visa scams, personal and dating scams are also prevalent. U.S. citizens should be wary of persons claiming to live in Senegal who profess friendship or romantic interest over the Internet.
A chat or e-mail exchange which quickly moves to discussion of intimate matters is often an indication of a scam.
Beware of any request or appeal for money.
In a typical personal scam, the scammer typically asks the U.S. citizen to send money for essential purposes: living or travel expenses, medical treatment, visa costs or bribes to free unjustly imprisoned family members.
Scammers often claim emergency circumstances, hoping that the intended victim will send money quickly and without careful consideration.
Many variations of these scams exist, all with the principal goal of soliciting money from the victim.
Several U.S. citizens in West Africa have reported losing thousands of dollars through such scams.
The anonymity of the Internet means that the U.S. citizen cannot be sure of the real name, age, marital status, nationality or even gender of the correspondent.
In some cases, the correspondent is a fictitious persona created only to lure the U.S. citizen into sending money.
U.S. citizens may prepay for a plane ticket directly with an airline rather than wiring money for transportation to the traveler.
U.S. citizens may also research the legitimate immigration process with the United States Citizenship and Immigration Services (USCIS) web site at http://www.uscis.gov.
U.S. citizens who are victims or witnesses of a crime are encouraged to report crimes to the police by telephoning 800-00-20-20; 800-00-17-00, Senegal's police hotline numbers. Another 24 hour phone number for the police in Senegal is 33-821-2431.
The Government of Senegal has also created a tourist police unit, which may be reached at (+221)33 860-3810.

INFORMATION FOR VICTIMS OF CRIME:
The loss or theft abroad of a U.S. passport should be reported immediately to the local police and the nearest U.S. Embassy or Consulate.
If you are the victim of a crime while overseas, in addition to reporting to local police, please contact the nearest U.S. Embassy or Consulate for assistance.
The Embassy/Consulate staff can, for example, assist you to find appropriate medical care, contact family members or friends and explain how funds could be transferred.
Although the investigation and prosecution of the crime is solely the responsibility of local authorities, consular officers can help you to understand the local criminal justice process and to find an attorney if needed.
The local equivalent to the “911” emergency line in Senegal is 800-00-20-20 and 800-00-17-00. See our information on Victims of Crime.

MEDICAL FACILITIES AND HEALTH INFORMATION:
Several hospitals and clinics in the capital, Dakar, can treat major and minor injuries and illnesses.
There is inadequate inpatient psychiatric care and limited office-based psychiatric treatment.
Public hospitals do not meet U.S. standards.
Medical facilities outside Dakar are limited.
French medications are far more readily available than American pharmaceuticals, and drugs in stock are often listed under the French trade name.
Medications may be obtained at pharmacies throughout Dakar and in other areas frequented by tourists, and are usually less expensive than in the U.S. Travelers should carry a supply of any needed prescription medicines, along with copies of the prescriptions, including the generic name for the drugs, and a supply of preferred over-the-counter medications.
Malaria is a serious risk to travelers in Senegal.
Travelers should consult their physician to discuss the benefits and risks of taking anti-malarial medication.
Travelers who become ill with a fever or flu-like illness while traveling in a malaria-risk area and up to one year after returning home should seek prompt medical attention and tell the physician their travel history and what anti-malarial medications they have been taking.
For additional information on malaria, protection from insect bites, and anti-malarial drugs, visit the CDC Travelers' Health web site at http://www.cdc.gov/malaria/faq.htm.
Water supplies in Senegal are not consistently free of disease-causing microorganisms.
For this reason, the Embassy recommends drinking filtered or boiled water, particularly for babies under one year of age.
Raw vegetables and fruits should be washed in a bleach solution before eating.
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 Senegal is provided for general reference only, and may not be totally accurate in a particular location or circumstance.
Driving in Senegal is very different from driving in the United States.
Many U.S. citizens find the traffic in Senegal chaotic, particularly in Dakar.
Drivers tend to exceed speed limits, follow other vehicles closely, ignore lane markings and attempt to pass even when facing oncoming traffic.
Many vehicles are not well-maintained; headlights may be either extremely dim or not used at all. Roadways are poorly lit and poorly marked and many sections have deteriorated surfaces.
Some roads have sidewalks or sufficient space for pedestrian traffic; others do not, and pedestrians are forced to walk along the roadway.
Due to limited street lighting, pedestrians are difficult to see at night.
Drivers in both rural and urban areas may expect to frequently encounter and share the road with motorcycles, bicyclists, pedestrians, livestock and animal carts.
Caution and defensive driving techniques are strongly recommended.
While most main roads in Senegal are in relatively good condition for daytime driving, smaller roads are poor by American standards.
During the rainy season, many roads are passable only with four-wheel drive vehicles.
Travelers may be stopped at police roadblocks throughout the country, where their vehicles and luggage may be searched.
Service stations are available along main roads.
Due to poor road conditions and the risk of crime, driving outside major cities at night is not recommended.
Due to language barriers (outside Dakar, relatively few Senegalese speak French) and the lack of roadside assistance, receiving help may be difficult in the event of distress.
For safety reasons, the Embassy recommends against the use of motorbikes, van taxis ("cars rapides"), and public transportation.
They can be dangerous due to overloading, careless driving, inadequate maintenance, and the lack of basic safety equipment such as seat belts.
Regulated orange-striped sedan auto taxis are safer, but make sure to agree on a fare before beginning the trip.
In Senegal, one drives on the right-hand side.
Vehicles give priority to traffic coming from the right, except at traffic circles, where vehicles already in the circle have the right of way.
Before January 2005, however, cars entering traffic circles had the right of way.
This change is not well known, so drivers should exercise extreme caution at traffic circles.
All drivers are expected to carry the following documents in their vehicles and present them at any time at the request of the police:
(1) valid driver's license; (2) valid insurance papers; (3) vehicle registration/immatriculation card ("carte grise"); (4) "vignette" tax disc for the current year; and (5) valid identification.
If Americans carry a copy of their U.S. passport, the copy must be clear enough to identify the driver of the vehicle.
Third-party insurance is required and will cover any damages if you are involved in an accident resulting in injuries, and found not to have been at fault.
If you are found to have caused an accident, the penalty ranges from five months to two years in prison, with a possible fine.
If you cause an accident which results in a death, the penalty can be as high as five years in prison.
For guidance on what to do if you are in an automobile accident in Senegal, please see the American Citizen Services page of the U.S. Embassy Dakar web site at http://dakar.usembassy.gov/service/living-in-senegal-and-guinea-bissau/driving-in-senegal.html.
Senegalese law prohibits the use of cell phones while driving, unless the driver is using “hands-free” equipment.
Protective helmets are mandatory for all bicycle, moped, scooter and motorcycle drivers/riders and passengers.
When police officers stop a vehicle for a traffic violation, the police officer will generally confiscate the driver’s license or ID card until the fine is paid.
We encourage you to comply with the request. Sometimes, police officers try to solicit bribes instead of or in addition to the fine.
The U.S. Embassy does not encourage paying bribes. 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 Senegal, the U.S. Federal Aviation Administration (FAA) has not assessed Senegal’s Civil Aviation Authority for compliance with International Civil Aviation Organization (ICAO) aviation safety standards.
For more information, travelers may visit the FAA’s web site at http://www.faa.gov/safety/programs_initiatives/oversight/iasa.
SPECIAL CIRCUMSTANCES:
Senegalese law requires that all persons carry personal identification at all times, and all Senegalese law enforcement officials have the authority to challenge suspicious activity and to request personal identification.
Be aware that they may request personal identification even without cause, which is generally not the case in the U.S.
If a U.S. citizen does not cooperate and provide identification, s/he may be detained for up to 48 hours without the filing of formal charges.
The U.S. Embassy does not always receive timely notification by Senegalese authorities of the arrest of U.S. citizens. U.S. citizens are encouraged to carry a copy of their U.S. passports with them at all times, so that, if questioned by local officials, proof of identity and U.S. citizenship is readily available. If arrested, U.S. citizens should always ask to be allowed to contact the U.S. Embassy.
You may not bring several types of items into Senegal without clearance by Senegalese customs officials: these include computers and computer parts, video cameras and players, stereo equipment, tape players, auto parts, and various tools and spare parts.
Airport customs officials may hold such items if brought in as baggage or carry-on luggage.
Travelers should check with the Embassy of Senegal in Washington, DC, regarding these restrictions. (See Entry Requirements Section above for contact information.)
Senegalese customs authorities encourage the use of an ATA (Admission Temporaire/Temporary Admission) Carnet for the temporary admission of professional equipment, commercial samples, and/or goods for exhibitions and fair purposes.
ATA Carnet Headquarters, located at the U.S. Council for International Business, 1212 Avenue of the Americas, New York, NY 10036, issues and guarantees the ATA Carnet in the United States.
For additional information, call (212) 354-4480, send an email to atacarnet@uscib.org or visit http://www.uscib.org for details.
Travelers can obtain cash from some ATMs in Senegal.
Travelers can get cash and/or traveler's checks through international credit cards, such as Master Card, Visa, and American Express, by presenting their credit card at a local financial institution sponsoring their card. 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 Senegalese laws, even unknowingly, may be expelled, arrested or imprisoned.
Penalties for possession, use, or trafficking in illegal drugs in Senegal 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 Senegal 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 Senegal.
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 Avenue Jean XXIII, Dakar; the mailing address is B.P. 49, Dakar, Senegal.
The telephone number is (221) 33 829-2100; after hours (221) 33 829 2209.
The U.S. Embassy web site is http://dakar.usembassy.gov/.
*

*

*
This replaces the Country Specific Information Sheet for Senegal dated November 08, 2007 to update sections on Country Description, Entry/Exit Requirements, Crime, Safety and Security, Information for Victims of Crime, Medical Facilities and Health Information, and Registration and Embassy Location.

Travel News Headlines WORLD NEWS

Date: Wed, 18 Sep 2019 01:36:21 +0200 (METDST)

Dakar, Sept 17, 2019 (AFP) - Four people died after a boat carrying dozens of tourists capsized during heavy storms in Senegal, authorities and emergency services said Tuesday.   The death toll could rise as three passengers were said to be missing after the accident.  The boat was carrying several Senegalese nationals, six French people, two Germans, two Swedes and one person from Guinea-Bissau, when it turned over Monday in driving rain and a heavy swell, fire department chief Papa Angel Michel Diatta said.   All the dead were Senegalese, officials and emergency services said.

Two worked in a national park, one was a woman and the other victim was a child, Diatta said.   The boat was heading for the Madeleine islands, site of an offshore national park popular with tourists who travel from Dakar, coastal capital of the West African country.   Senegalese President Macky Sall appealed for "greater caution and respect for existing security norms duing the rainy season" in a tweet.

Emergency services continued to look for those missing on Tuesday. AFP journalists saw a dozen divers at the scene. Distressed families were waiting on the shore to get news of their loved ones.    "The gendarmerie called us at 5:00 am (GMT and local time). My brother was on the boat. The worst thing is not knowing," said Aminata Diop, who was among the relatives on the beach.   There are "four dead bodies and between three and four people are missing. Thirty-five people were on the boat. Search and rescue operations are continuing this morning," Interior Minister Aly Ngouille Ndiaye told AFP by telephone.

The causes of the accident were unclear. The interior minister told Senegalese media overnight that several tourists were worried about the heavy rains and wanted to return to the pier but others wanted to stay on the boat.   The survivors spent the night on the island, Ndiaye told local radio on Tuesday. Blankets and food were sent to them and they were to be ferried back to the mainland in the morning, he added.   The rainy season arrived late this year and heavy storms have resulted in several casualties this month.    Two fishermen were killed on their canoe in the same area nearly two weeks ago.
- National. 12 Nov 2018

Suspected cases totalling 2123 with 216 confirmed have been reported across 6 regions, with one death confirmed, as of 3 Nov 2018. The CDC has issued a travel warning. The 6 regions currently reporting confirmed cases are Diourbel (169), Fatick (34), St. Louis (6), Dakar (3), Louga (3) and Thies (1).

- National. 9 Nov 2018. The US Centers for Disease Control and Prevention (CDC) has issued a Level 1, Practice Usual Precautions, for the African country of Senegal, on 7 Nov 2018. Senegal, which is located on the north-west coast of central Africa, is an important partner of the US in promoting peace and security. Because dengue is a viral disease and spread by mosquito bites, all travellers to Senegal should prevent mosquito bites by using insect repellent and wearing protective clothing when outdoors, and sleeping in an air-conditioned or well-screened room or under an insecticide-treated bed net, said the CDC. Moreover, half of the world's population living in 128 countries is at risk of dengue.

[HealthMap/ProMED-mail map of Senegal:
Date: Sun, 21 Oct 2018 16:38:21 +0000
A ProMED-mail post

- National. 19 Oct 2018. In the capital of Sine, there are currently 31 cases. In the capital of Mouridism, there are 8 cases; 6 cases were counted in Rosso, Senegal.

- National. 15 Oct 2018. Dengue fever worries the population in several localities of Senegal. Fatick area has 3 cases. Currently, at least 23 dengue cases have been confirmed in the same region of Fatick (center), following tests on 487 suspected cases, revealed the chief of the commune, Mamadou Sarr at the beginning of October 2018.

In Senegal, dengue fever is concentrated this year [2018] in the Fatick region. In September 2018, 3 cases had been counted; the number rose to 23 cases in October 2018. According to the chief medical officer of the local area relayed by the Senegalese press agency: "Following tests on 487 suspected cases, at least 23 dengue cases were confirmed, and the average age of people affected by the disease varies between 20 and 40 years old. Most are women.

This is the 4th dengue epidemic in Senegal. On 19 Oct 2017, the disease was revealed to the public in the Louga region. The Institut Pasteur in Dakar confirmed the diagnosis of 9 cases of dengue fever out of a total of 24 samples received on 6 and 12 Oct 2017, respectively, which had been carried out at the Santhiaba health post in Louga commune, in northwest Senegal. On 27 and 28 Oct 2018, 2 other confirmed cases were recorded in the commune of Dahra, next to that of Louga. On 6 Nov 2017, the Senegalese health authorities recorded 79 confirmed cases out of 510 samples tested: 70 in Louga, 6 in Dahra, 2 in Coki, 1 in Keur Moma Sarr. "No serious case is noted so far. All the patients have been treated as outpatients," said the Ministry of Health and Social Action.

This is not the 1st time that an outbreak of dengue fever has been reported in the country. There were outbreaks also in 1981, 1984 and 2009, said Dr. Abdoulaye Bousso of the Center for Emergency Health Operations (COUS), an entity under the supervision of the Ministry of Health and Social Action in 2017. As of 30 Oct 2017, a total of 232 suspected patients, out of 36 positive cases (34 in Louga and 2 in Dahra), had been enumerated by the Senegalese health authorities. "No complication was noted in these patients; all patients diagnosed positive are doing well and have resumed their daily activities," said the Ministry of Health. For this year [2018], the number increased to 32 confirmed cases.
Date: Thu, 3 May 2018 17:48:15 +0200

Ziguinchor, Senegal, May 3, 2018 (AFP) - Armed men tried to blow up a key bridge in a touristy part of Senegal's restive Casamance region, killing a fisherman, a military source said on Thursday.   The overnight attack on the Niambalang bridge near the Casamance capital Zinguinchor was the first on the bridge since 1998.   "Armed men tried to blow up the bridge with explosives" but failed, a military source told AFP.

They torched the huts of eight fishermen living underneath the bridge, killing one, the source said. A relative of the fisherman confirmed this.   The bridge links Zinguinchor to the beach resort of Cap Skirring, which is popular with Western tourists.   Tensions have mounted in Casamance following the massacre of 14 young men in execution-style killings in a protected forest on January 6.   The bloodbath caused some to blame a group that has led a 35-year armed campaign for the region's independence.
Date: Fri 19 Jan 2018
Source: WHO [edited]

On [3 Jan 2018], the Ministry of Health of Senegal notified WHO of a case of Rift Valley fever (RVF) reported from a hospital in Dakar. On [29 Dec 2017], a blood sample taken from a 52-year-old Korean man, resident in the Gambia, done at the Institute Pasteur Dakar, was positive for RVF on IgM testing. Previous PCR testing had been negative for RVF and other arboviruses.

The case patient worked for a fishing company in the Gambia and had no known history of handling raw meat. On [5 Dec 2017], the case patient travelled with his brother and 2 colleagues from Banjul, the Gambia, to Ziguinchor, Senegal. On [8 Dec 2017], the case patient continued travelling with his brother, a colleague, and a driver, from Ziguinchor to Bissau, Guinea-Bissau, and continued to Buba the following day. On [10 Dec 2017], the case patient returned from Buba to Bissau, and presented with a dry cough, fever, headache, and joint pain. His brother and the driver also developed a dry cough on [10 Dec 2017], which improved the following day. The group returned to the Gambia (via Ziguinchor) on [12 Dec 2017].

The case patient, however, continued to suffer a persistent cough during this time. On his return to Banjul, he additionally developed fever, headache, and vertigo. He was hospitalized on [20 Dec 2017] and diagnosed with severe malaria. On [23 Dec 2017], he became delirious and developed psychomotor agitation, profuse mucousy diarrhoea, bile-stained vomiting, and haemorrhage. On [25 Dec 2017], he became comatose and was evacuated by ambulance to Dakar. His symptoms improved, and blood samples were taken on 26, 28, and 30 Dec 2017. However, he experienced a recurrence of haemorrhagic symptoms on 31 Dec 2017 and died the same day.

Public health actions
A case investigation was conducted by a multidisciplinary team from the Centre of Health Emergency Operations of the Ministry of Health of Senegal. As part of this investigation, blood samples were collected from the brother of the case and the colleague and driver who accompanied him to Guinea-Bissau. These samples were all negative for RVFV by PCR. The results of the investigation and recommendations for action from the Ministry of Health of Senegal are pending. A case investigation was conducted by a multidisciplinary team from the Epidemic and Disease Control Unit of the Ministry Health of the Gambia. Enhanced RVF surveillance in the animal population and community RVF sensitization have been implemented in the country.

Situation interpretation
Outbreaks of RVF are uncommon in the Gambia and its neighbouring countries. The last documented human case of RVF in the Gambia was reported in 2002. There is currently no indication of risk of a major RVF outbreak in the Gambia, Senegal, or Guinea-Bissau. Heavy rainfall, causing flooding and mass emergence RVF vectors, _Aedes_ and _Culex spp._ mosquitoes, is closely associated with RVF outbreaks. Uncontrolled movement of livestock can increase the risk of spread of the disease to new areas. RVF can cause trade reductions and important economic losses due to high mortality and abortion rates among infected livestock. Integrated control measures that address both human and animal health are therefore necessary (e.g. preventive animal vaccination, vector control, control of animal movements, educational campaigns for populations at risk).
====================
[The case, who travelled in 3 different countries (The Gambia, Senegal, and Bissau) was diagnosed as being affected by malaria. Later, this person and people accompanying him exhibited symptoms that can be attributed to RVF. However, all of the other 3 tested negative, while the case was diagnosed RVF positive on IgM testing and negative on PCR. The situation needs some clarification, especially since it is not the flooding season in the region, which favors the multiplication of disease vector insects and thereby precipitates the appearance of RVF in animals with possible contamination of humans. - ProMED Mod.AB]

[Rift Valley fever (RVF) virus can persist for a long time in some areas, maintained in _Aedes_ vector mosquitoes that deposit eggs in seasonally-flooded areas, where those eggs are transovarially infected with the virus. Adult female mosquitoes coming from infected eggs can transmit the virus during their 1st blood meals. Eradicating the virus from these areas is not possible with current technology.

Although ProMED-mail has not previously posted cases of RVF in the Gambia, there is a report from neighboring Senegal. - ProMED Mod.TY]

[Mauritania, a country in close proximity (neighboring with Senegal to its north) has also experience recurrent outbreaks of RVF (see prior ProMED-mail posts). - ProMED Mod.MPP]

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

Botswana

Botswana - US Consular Information Sheet
August 29, 2008
COUNTRY DESCRIPTION:
Botswana is a country in southern Africa with a stable democratic government and a growing economy. Facilities for tourism are widely available. Read the Departm
nt of State Background Notes on Botswana for additional information.

ENTRY/EXIT REQUIREMENTS: A passport with at least six months of validity remaining is required. U.S. citizens are permitted stays up to 90 days without a visa. For additional information on entry requirements, travelers may contact the Embassy of the Republic of Botswana, 1531-1533 New Hampshire Avenue NW, Washington, DC 20036, telephone (202) 244-4990/1, fax (202) 244-4164 or the Permanent Mission of the Republic of Botswana to the United Nations, 103 E. 37th St., New York, NY, 10016, telephone (212) 889-2277, fax (212) 725-5061. There are also honorary consuls in Los Angeles, San Francisco and Houston. Visit the Embassy of Botswana’s web site at http://www.botswanaembassy.org/ for the most current visa information. As a general precaution, all travelers are advised to carry a photocopy of the photo/bio information page of their passport and keep it in a location separate from the passport.

Visitors to Botswana who also intend to visit South Africa should be advised that the passports of all travelers to South Africa must contain at least two blank (unstamped) visa pages each time entry to South Africa is sought; these pages are in addition to the endorsement/amendment pages at the back of the passport. Otherwise, the traveler, even when in possession of a valid South African visa, may be refused entry into South Africa, fined, and returned to their point of origin at the traveler’s expense.

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:
Civil unrest and disorder are rare. U.S. citizens should avoid crowds, political rallies, and street demonstrations and maintain security awareness at all times.

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 pamphletA Safe Trip Abroad.

CRIME: Crime is a serious concern in Botswana. Visitors must be vigilant and take common-sense security precautions. The criminal threat is very similar to that of any large urban area. Petty street crime and crimes of opportunity, primarily the theft of money and personal property, are not uncommon. Home invasions ‘smash and grabs’ from vehicles, and cell phone thefts, often at knife point, are routinely reported to the police. Visitors should use care when talking on a cell phone while walking. Urban areas are particularly dangerous at night; pedestrians are advised to avoid walking in Gaborone and other urban areas in Botswana at night. Except for visits to the Gaborone Yacht Club during daylight hours, U.S. Embassy personnel are prohibited from traveling to the area surrounding the Gaborone Dam and to the Kgale Hill area, a popular Gaborone hiking venue, because of multiple incidents of violent crime. American citizens are urged to avoid these areas.

Travelers arriving in Botswana via South Africa should be aware that there is a serious baggage pilferage problem at OR Tambo (Johannesburg) and Cape Town International Airports. Travelers are encouraged to use an airport plastic wrapping service and to avoid placing electronics, jewelry, cameras, designer athletic gear, or other valuables in checked luggage. Also, make an inventory of items in checked baggage to aid in claims processing if theft does occur.

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.

Botswana has three numbers equivalent to the “911” emergency line. For police assistance, dial “999.” For an ambulance, dial “997.” In the event of a fire, dial “998.”

See our information on Victims of Crime.

MEDICAL FACILITIES AND HEALTH INFORMATION: Medical facilities in Gaborone are adequate for simple medical problems, but facilities outside of Gaborone are limited. Adequately equipped emergency rooms and trained physicians are available in the capital but services are rudimentary elsewhere. Professional private emergency rescue services operate air and ground ambulances throughout the country, but care is rendered only after a patient’s ability to pay is established. Response times are often slow in less populated areas. Outside of Gaborone, most airports are either not equipped or have frequently malfunctioning night lighting capability, so airborne medical evacuations can usually only be conducted during daylight hours. Malaria is prevalent only in the north of the country, particularly around the Chobe and Okavango National Parks. Malaria prophylaxis is not required in Gaborone but is suggested for travel to the north. For advanced care Americans often choose to travel to South Africa. Many South African manufactured prescription drugs are available in Gaborone.

Approximately one-quarter of the population of Botswana is infected with HIV, the virus that causes AIDS. Travelers are advised to exercise appropriate precautions if engaging in sexual activity, or if exposed to blood products through injuries or rendering assistance to accident victims. Tuberculosis is also endemic to Botswana. Two cases of extensively drug resistant tuberculosis (XDR-TB) have been identified in Botswana since January 2008 when Botswana first obtained the ability to test for this form of TB. Individuals who plan to reside or stay in Botswana for extended periods are advised to obtain a tuberculosis skin test (PPD test) prior to arrival and again upon departure from Botswana.

There are occasional diarrhea outbreaks in areas affected by heavy rains. Travelers are encouraged to take necessary precautions when handling food and drinking water.

The Department of Immigration of Botswana does not impose any HIV/AIDS entry restrictions for visitors to or foreign residents of Botswana.

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

Driving in Botswana is challenging and motorists must drive defensively. Traffic circulates on the left in Botswana, as elsewhere in the region. While the roads in major population centers in Botswana are generally good, many roads have been damaged by heavy rains in December and January. Travel by automobile outside of large towns may be dangerous. The combination of long, tedious stretches of two-lane highways without shoulders, high speed limits, and poor lighting make driving at night on rural highways particularly hazardous. Recent rolling power outages mean that many traffic lights and street lamps do not work properly. Free-range domestic animals, even in urban centers, and large numbers of pedestrians and hitchhikers in the roadways make fatal accidents a frequent occurrence.

‘Smash and grab’ robberies from vehicles are not uncommon in Botswana, particularly in urban areas at traffic lights. Motorists should avoid carrying anything of value (hand bags, briefcases, purses, cell phones, etc.) in the passenger compartment that could attract potential assailants.

Please refer to our Road Safety page for more information. Visit the web site of Botswana’s national tourist office and national authority responsible for road safety at http://www.botswana-tourism.gov.bw.

AVIATION SAFETY OVERSIGHT: As there is no direct commercial air service to the United States by carriers registered in Botswana, the U.S. Federal Aviation Administration (FAA) has not assessed Botswana’s Civil Aviation Authority for compliance with International Civil Aviation Organization (ICAO) aviation safety standards. For more information, travelers may visit the FAA’s web site at http://www.faa.gov/safety/programs_initiatives/oversight/iasa.

SPECIAL CIRCUMSTANCES:
Since February 2008, rolling electric power outages have left many areas without power for several hours each week. This situation is likely to continue. Visitors are urged to carry flashlights. American citizens are also urged to be aware of how power outages might affect home security systems, garage doors and gates, and kitchen equipment, such as stoves and refrigerators. The power fluctuations could cause power surges that might harm computers, televisions, or other electrical appliances.

Botswana strictly enforces its laws controlling the trade in animal products. The hunting of lions is explicitly prohibited and leopards and elephants are covered under a strict quota regime. Botswana's Wildlife Conservation and National Parks Act makes it illegal to possess or remove from Botswana without a government permit any living or dead animal or animal trophy. A trophy is any horn, ivory, tooth, tusk, bone, claw, hoof, hide, skin, hair, feather, egg, or other durable portion of an animal, whether the item has been processed or not. Curio shops and vendors throughout the country sell items such as animal skins, plain and decorated ostrich eggs and eggshells, and carved bones or teeth of animals protected by this law. All of the souvenirs, although widely sold, are subject to this act. Travelers departing the country with a trophy must have a receipt from a store licensed to sell such items. Ivory and endangered rhinoceros horn products obtained in Botswana may not be removed from the country under any circumstances; elephant hair jewelry may be removed only with the appropriate license from the Department of Wildlife and National Parks. Trophies may not be taken from the wild without a permit. Violators are subject to arrest and may face a penalty of up to five years imprisonment and a substantial fine.

Wild animals may pose a danger to tourists. Tourists should bear in mind that, even in the most serene settings, the animals are wild and can pose a threat to life and safety. Tourists should use common sense when approaching wildlife, observe all local or park regulations, and heed all instructions given by tour guides. In addition, tourists are advised that potentially dangerous areas sometimes lack fences and warning signs. Exercise appropriate caution in all unfamiliar surroundings. 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 Botswana’s laws, even unknowingly, may be expelled, arrested or imprisoned. Penalties for possession, use, or trafficking in illegal drugs in Botswana 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 Botswana 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 Botswana. 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 U.S. Embassy is located in Gaborone on Embassy Drive in the Government Enclave. The mailing address is P.O. Box 90, Gaborone, telephone +267 395-3982; fax +267 318-0232; email consulargaborone@state.gov, and the after-hours emergency telephone is +267 395-7111.
* * *
This replaces the Country Specific Information for Botswana dated March 5, 2008, to update the sections on Information for Victims of Crime and Medical Facilities and Health Information.

Travel News Headlines WORLD NEWS

Date: Tue, 22 Oct 2019 18:42:15 +0200 (METDST)

Gaborone, Botswana, Oct 22, 2019 (AFP) - More than 100 elephants have died in two months in Botswana's Chobe National Park due to drought, which has also affected wildlife in other countries in the region, the government said Tuesday.   Several southern African countries are enduring one of the worst droughts in decades, caused by months of over-average temperatures and erratic rainfall.   The drought has wilted grasslands and dried up water holes, making it increasingly difficult for animals to survive.    Botswana's environment ministry said it has recorded a spike in the number of elephant and other animal deaths since May.    "More than one hundred elephants are estimated to have died naturally in the past two months," the ministry said in a statement, adding that 13 deaths were recorded just this week.

In neighbouring Zimbabwe, Its wildlife agency has recorded at least 55 elephant deaths over the past month due to lack of food and water.  Preliminary investigations in Botswana have also suggested some of the elephants may have died from anthrax.   "Due to the severe drought, elephants end up ingesting soil while grazing and get exposed to the anthrax bacteria spore," the ministry said in a statement.   "The animals are also travelling long distances in search of food which leaves some highly emaciated, ending in death."   Anthrax is an infectious disease found naturally in soil. It is generally contracted by herbivores and is a common cause of death for both wild and domestic animals around the world.      The environment ministry said it would be burning "anthrax related carcasses" to prevent the disease from spreading to other animals.   It warned the public not to touch any animal carcasses they might find and report them to the authorities.
Date: Tue 22 Oct 2019 9:28 PM CAT
Source: Reuters [edited]

More than 100 elephants have died in Botswana in the past 2 months partly because of a suspected anthrax outbreak, the government said on [Tue 22 Oct 2019]. "Preliminary investigations suggest the elephants are dying from anthrax whilst some died from drought effects," a Department of Wildlife and National Parks statement said. "Due to the severe drought, elephants end up ingesting soil while grazing and get exposed to the anthrax bacteria spore," it said.

Elephants Without Borders said an aerial survey showed fresh elephant carcasses increased by 593% between 2014 to 2018, mostly from poaching and illegal hunting, with drought also a contributing factor. The wildlife authority said the latest deaths were in the Chobe River front and Nantanga areas in northern Botswana, where 14 dead elephants were found this week. It said it would be burning the carcasses to prevent the anthrax infection from spreading to other animals.

According to the Centers for Disease Control and Prevention in the United States, anthrax is a bacterium found naturally in soil and commonly affects domestic and wild animals when they breathe in or ingest spores in contaminated soil, plants, or water. Anthrax is not contagious and humans can only get infected by ingesting the bacteria. It can be prevented in animals via regular vaccination.

Botswana is home to almost 1/3 of Africa's elephants, around 130,000.  Botswana has lifted a ban on big-game hunting to combat a growing conflict between humans and wildlife. Botswana and its neighbors in southern Africa are experiencing a severe drought because of below-average rainfall since an El Nino weather system struck in 2015.  [Byline: Brian Benza, writing: Mfuneko Toyana; editing: Grant McCool)
====================
[Check CBC
which has a nice picture of 2 Okavango Delta bull elephants.

Elephants can graze, although they are usually browsers of branches and vegetation off trees. They are attracted to water. So the source is presently uncertain but might have been a secondary spread from a prior wildlife case that resulted in contaminated browse from blow flies or water from a contaminating carcass. Until a cheap and effective wildlife oral vaccine can be developed, these cases in Chobe will be a constant sporadic event. As elsewhere, the best control is to burn any carcasses and disinfect any contaminated soil. -

Chobe is on the northern border of Botswana abutting the Caprivi Strip of Namibia; see

[HealthMap/ProMED-mail map of Botswana:
Date: Fri, 30 Aug 2019 11:13:54 +0200 (METDST)

Maun, Botswana, Aug 30, 2019 (AFP) - A calf struggles neck-high in the stew-like mud, kicking frantically to make its way across the mire.   Around 38,000 livestock depend on the waters of Lake Ngami in northern Botswana, but the animals -- like the lake itself -- have been stricken by a crippling drought.   Grazers have to walk long distances in hopes of finding anything to eat. Some succumb to the heat and vultures can be seen feasting on their corpses in the sludge of the lake bed.

In May, President Mokgweetsi Masisi officially declared Botswana to be in drought after months of unevenly distributed rains, heat waves and dry spells.   Rural households have been especially hit, and are looking to the government for help.   Southern Africa has been hard hit by intensifying extreme weather conditions such as drought and floods, leaving millions in need of food aid.

Zambia is in the throes of a drought which has affected the 2018/19 farming season. Around 2.5 million people are facing food shortages, according to official figures.

In Zimbabwe, nearly a third of the 16 million population are in need of aid and at least half of these face acute hunger, according to the World Food Programme (WFP).   Lake Ngami is also home to around 100 hippos, half of whom have cannily migrated to parts where life is easier.   "Only the livestock is trapped in the muddy waters," the acting director of wildlife and national parks,  Moeti Batshabang, told AFP.
Date: Wed 15 Nov 2017 20:00 pm (GMT +2)
Source: MMEGI online [edited]

Dozens of Nthompe Koma Primary School pupils on Monday night [13 Nov 2017] thronged Mahalapye health facilities following a food poisoning incident allegedly caused by rape they ate at school.

Classes came to a halt yesterday [14 Nov 2017] as more students showed signs of food poisoning while health workers were present at the school and hospital to establish what could have caused the incident that led to at least 26 pupils being admitted at Mahalapye Hospital. According to a source, it is suspected that the students were fed rape, which was recently sprayed with pesticides.

"The students started vomiting and having diarrhoea at their homes after school. A huge number of them were rushed to the hospital and it was said that the newly treated vegetable was given to them," the source said.

Mahalapye Hospital Superintendent, Dr Kumal Bose said they are yet to establish the cause of diarrhoea and vomiting, whether it is the food they ate or not. "We attended to a total of 82 students of whom 26 were admitted and others discharged. More students were coming in this morning [15 Nov 2017].

We have sent our public health team to the school to investigate all possible causes," he said. Mahalapye chief education officer,

Maria Dikeme [Principal Education Officer] confirmed the incident. "It is true that a lot of students from the school were taken to various health facilities yesterday [14 Nov 2017].

The students were fed sorghum and rape at break time and the sorghum has been taken for tests by the public health team. All of the rape was cooked yesterday. We will, however, go to the source if there is still any left so that it can be tested," she said.

Dikeme said more students were taken to the hospital the following day as some developed signs late.

"We do not have a certain number currently, but we have recorded over 100 cases with 11 pupils still admitted at the hospital," she said.

She said they kept the pupils within the school so they could monitor them rather than sending them home while parents are at work.

Dikeme said there were some pupils who were in school yesterday [14 Nov 2017] who were not affected and that there was no report of any adult person having been diagnosed with the same problem.  [Byline: Innocent Selatlhwa]
===================
[Rape seed and soybeans are both grains. This article says a possible pesticide. The class of chemicals causing these clinical signs would be organophosphates. Grains are often treated with chemicals to prevent insect infestation and ruination of the crop. Therefore it is possible an organophosphate was used on the grain, and not washed or cleaned before being put into human consumption, could produce vomiting and diarrhoea. These could be signs associated with organophosphates. There are likely other crop chemicals capable of producing this, but the organophosphate class is large with numerous chemicals.

The article does not tell us if the pupils are being treated or if they are, what they are being treated with.

Consequently, the results of the testing is very important. Hopefully the testing will reveal the cause of this situation. - ProMED Mod.TG]

[A HealthMap/ProMED-mail map can be accessed at:
Date: Tue 10 Oct 2017 15:55 pm (GMT + 2)
Source: MmegiOnline [edited]

The Department of Wildlife and National Parks (DWNP) has noted a high number of dead hippopotamuses along the Okavango River near Mohembo.

A statement from the from DWNP says the carcases are floating in the river from Namibia into Botswana. "The cause of death is not known at the moment. The veterinarians are working hard to establish it," says the statement.

The public is therefore warned not to touch any carcass found along the river or anywhere else. "Eating meat of these animals will be very dangerous as Anthrax is suspected to be causing the mortalities. Any sightings are to be reported to the nearest DWNP office, police station or kgotla".
=====================
[Mohembo is on the Botswana/Namibian border, and the Okavango river comes straight from the Bwabwata NP; see:

According to Wikipedia: "Before it enters Botswana, the river drops 4 metres in a series of rapids known as Popa Falls, visible when the river is low, as during the dry season." [<https://en.wikipedia.org/wiki/Okavango_River>] So these carcasses may be poor condition. But either way, the warning to the locals not to butcher them is very wise. - ProMED Mod.MHJ]

[A HealthMap/ProMED-mail map can be accessed at:
More ...

World Travel News Headlines

Date: Tue, 12 Nov 2019 13:10:01 +0100 (MET)
By Holly ROBERTSON, Andrew BEATTY, with Daniel De Cartert in Hillville

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Several radio stations in the Mambasa area say they have stopped broadcasting anti-Ebola messages because of intimidation.   On November 2, Lwemba broadcaster Papy Mahamba was killed at his home by unidentified men. His wife was injured and their house set ablaze.    The station said the authorities had failed to take action against the threats. It said it would resume broadcasts after "the state has restored authority in the area".
Date: Mon, 11 Nov 2019 11:38:15 +0100 (MET)

Kuwait City, Nov 11, 2019 (AFP) - Hundreds of workers at Kuwait's international airport held a one-hour strike Monday to demand better working conditions, threatening to stage longer walkouts in the coming days.    Ahmed Mohammed al-Kandari, a union representative, said workers were calling for improved treatment and to be compensated for daily exposure to pollution and noise.  Monday's strike by Kuwaiti staff did not affect flights, officials said.   The right to strike is guaranteed for citizens in Kuwait, but such actions remain rare in the Gulf country.

Foreign workers do not have the right to strike.  "Airport traffic is very normal," Sheikh Salman Al-Hamoud Al-Sabah, head of the General Directorate of Civil Aviation, told AFP.    Another official, Saleh Al-Fadaghi, the airport's director of operations, also said flights were not affected. "During the one-hour strike, 19 flights were operated as scheduled. There were five departures and 14 arrivals," he told AFP.

Kandari said the purpose of the strike was not to disrupt operations but "to make our voices heard". He added that Kuwaiti workers would hold a further two-hour strike on Wednesday and a 24-hour strike on Sunday if their demands are not met.    Of 4,500 civil aviation employees, 1,500 took part in Monday's strike, he said.
Date: Mon, 11 Nov 2019 10:39:09 +0100 (MET)

La Jonquera, Spain, Nov 11, 2019 (AFP) - Catalan separatist activists blocked traffic on Monday on a motorway linking Spain and France, in a fresh protest against the sentencing last month of nine of their leaders to lengthy jail terms.   Demonstrators cut the AP7 motorway at La Jonquera near the city of Girona in eastern Spain, a day after a repeat general election in which Prime Minister Pedro Sanchez's Socialist emerged as winners but weakened, while far-right party Vox surged to third place on the back of its hardline stance against separatism.   Dozens of vehicles blocked the motorway near the border with France while some 300 people set up a barricade, according to an AFP photographer at the scene.   Some demonstrators began to set up a stage and speakers which they brought to the scene in vans.   Catalonia's regional road department confirmed the motorway was cut in both directions at La Jonquera.

The protest was called by a new, mysterious organisation called "Democratic Tsunami" which last month sent thousands of people to block access to Barcelona airport in a protest which ended in clashes between demonstrators and police.   "This mobilisation is a cry to the international community so that it makes the Spanish state understand that the only possible path is to sit down and talk," the group said in a message sent to its followers on encrypted messaging service Telegram.   Radical separatist group CDR also called on its supporters to head to La Jonquera to block the highway.   Catalonia was rocked by days of mass, sometimes violent, pro-independence rallies after Spain's Supreme Court on October 14 sentenced nine politicians and activists to jail for up to 13 years for their role in a failed secession bid in 2017.   Demonstrators have frequently cut road and rail links between Spain and France while many shops in downtown Barcelona have been shut during the rallies and there are growing concerns about the impact of the unrest on business in Spain's second largest city.
Date: Sat, 9 Nov 2019 18:59:25 +0100 (MET)

MOUSOUNI ISLAND, India, Nov 9, 2019 (AFP) - Cyclone Bulbul hit India and southern Bangladesh on Saturday, leaving two dead as authorities in the countries ordered more than two million people to get out of the path of the storm.   The cyclone, packing winds of up to 120 kilometres (75 miles) per hour, has "weakened" and "started crossing" India's West Bengal and Bangladesh's Khulna coast at about 9:00 pm (1500 GMT), Dhaka's Meteorological Department said in a special bulletin.   "It is likely to move in a northeasterly direction" and "weaken gradually, and may complete crossing West Bengal-Khulna coast by midnight tonight," the department said.     Airports and ports were shut down and the deaths were reported before the full force of the cyclone had hit.   One person was killed by an uprooted tree in Kolkata and another by a wall that collapsed under the force of the winds in Odisha state, authorities said.

More than 60,000 people were moved away from the coast on the Indian side of the border.   Bangladesh disaster management secretary Shah Kamal told AFP that "2.028 million" have been evacuated and moved to more than 5,500 cyclone shelters.   He said there was no reports of casualties and rejected reports in local media that dozens of local fishermen were missing on the southern coast.    Bangladeshi troops were sent to some villages, while about 55,000 volunteers went door-to-door and making loudspeaker announcements in the streets to get people away from the danger zone in villages, many of which were below sea level.

- Ports closed, flights halted -
A storm surge up to two metres (seven feet) was predicted along the coast, Bangladesh's Meteorological Department said.   About 1,500 tourists were stranded on the southern island of Saint Martin after boat services were suspended due to bad weather.   Bangladesh's two biggest ports, Mongla and Chittagong, were closed because of the storm, and flights into Chittagong airport were halted.   In India, flights in and out of Kolkata airport were suspended for 12 hours because of the storm.   On the West Bengal island of Mousouni, which lies in the path of the storm, frightened residents took shelter in schools and government buildings because they had not been able to escape.   Military planes and ships have been put on standby to help in emergencies, Indian authorities said.

Bulbul hit the coast at the Sundarbans, the world's largest mangrove forest, which straddles Bangladesh and part of eastern India, and is home to endangered species including the Bengal tiger and the Irrawaddy dolphins.   Bangladesh's low-lying coast, home to 30 million people, is regularly battered by cyclones that leave a trail of destruction.   Hundreds of thousands of people have been killed in cyclones in recent decades.   While the frequency and intensity have increased, partly due to climate change, the death tolls have come down because of faster evacuations and the building of 4,000 cyclone shelters along the coast.   In November 2007, Cyclone Sidr killed more than 3,000 people. In May this year, Fani became the most powerful storm to hit the country in five years, but the death toll was about 12.
Date: Sat, 9 Nov 2019 14:18:27 +0100 (MET)

Beirut, Nov 9, 2019 (AFP) - Several petrol stations in protest-hit Lebanon stopped services Saturday, as reserves ran dry due to a shortage of US dollars to pay suppliers, a syndicate head said.   The shuttering of petrol stations came as demonstrators again took to the street across the country, keeping up their three-week-long movement against a political class regarded as inefficient and corrupt.    "The petrol stations that opened today are the ones that still have reserves. They will close down as soon as supply runs out," said Sami Brax, the head of the Syndicate of Gas Station Owners.   He said if officials do not facilitate access to dollars by Tuesday, "we will be forced to stop imports and close down all petrol stations."

Petrol stations receive payment from customers in Lebanese pounds but have to pay importers and suppliers in dollars.    For two decades, the Lebanese pound has been pegged to the US dollar, with both currencies used interchangeably in daily life.   But banks have been reducing access to dollars since the end of the summer, following fears of a shortage in central bank dollar reserves.   In recent days, banks halted all ATM withdrawals in dollars and severely restricted conversions from Lebanese pounds.   Many Lebanese have had to instead buy dollars from money changers at a higher exchange rate, in what amounts to a de-facto devaluation of the local currency that has sparked price hikes.

The official exchange rate has remained fixed at 1,507 Lebanese pounds to the dollar, but the rate in the parallel market has surpassed 1,800.   "The banks are under pressure from people, both inside Lebanon and abroad," said economist Naseeb Ghabreel, after many rushed to withdraw their dollar savings or convert Lebanese pound accounts.   Since September, petrol station owners have accused banks of failing to provide them with the dollars they need and threatened strikes.    In response, the central bank last month pledged to facilitate access to the greenback for importers of petroleum products, wheat and medicine.   But the measure has not yet gone into effect.

Lebanon has since October 17 witnessed an unprecedented popular uprising against everything from power cuts and poor social security to alleged state corruption.   The government yielded to popular pressure and stepped down last month, with the World Bank urging for the quick formation of a new cabinet to prevent the economy from further deteriorating.
Date: Fri, 8 Nov 2019 19:25:02 +0100 (MET)

Madrid, Nov 8, 2019 (AFP) - Spanish health authorities confirmed Friday a case of a man spreading dengue through sex, a world first for a virus which until recently was thought to be transmitted only by mosquitos.   The case concerns a 41-year-old man from Madrid who contracted dengue after having sex with his male partner who picked up the virus from a mosquito bite during a trip to Cuba, said Susana Jimenez of the Madrid region's public health department.

His dengue infection was confirmed in September and it puzzled doctors because he had not travelled to a country where the disease, which causes severe flu-like symptoms such as high fever and body aches, is common, she added.   "His partner presented the same symptoms as him but lighter around ten days earlier, and he had previously visited Cuba and the Dominican Republic," Jimenez said.   "An analysis of their sperm was carried out and it revealed that not only did they have dengue but that it was exactly the same virus which circulates in Cuba."

A "likely' case of sexual transmission of dengue between a man and a woman was the subject of a recent scientific article in South Corea, Jimenez said.   In an e-mail sent to AFP, the Stockholm-based European Centre for Disease Prevention and Control (ECDC), which monitors health and disease in Europe, said this was "to our knowledge, the first sexual transmission of the dengue virus among men who have sex with men."

According to the World Health Organization's website, dengue is transmitted mainly by the Aedes Aegypti mosquito, which thrives in densely-populated tropical climates and breeds in stagnant pools of water.    It is most serious -- and deadly -- in children, especially young girls though scientists don't know why.

Dengue is most commonly caught by people travelling to hotter climates such as southeast Asia, Africa, Australia, the Caribbean and South and Central America.
Date: Sun 10 Nov 2019
Source: The News [abridged, edited]

Another young man is awaiting death in an isolation ward of the Jinnah Postgraduate Medical Centre (JPMC) after developing full-blown rabies, as he was bitten by a rabid dog some 3 months ago but was not administered the rabies vaccine, officials said on Saturday [9 Nov 2019].

"18-year-old Z.K., a resident of Jeva Khan Goth in the Nooriabad area of District Jamshoro, has been brought to the casualty ward of the JPMC with full-blown rabies," Dr Seemin Jamali, the hospital's executive director, told The News.

"According to his family members, the teenager was bitten by a stray dog on the leg around 3 months ago. Unfortunately, neither did the family know about vaccination nor did anybody tell them to get the teenager vaccinated, which resulted in the development of the lethal disease."

Sindh Health Department officials said that this is the 22nd case of rabies in the province this year [2019].

M.K., the ill-fated youngster's father, said that after his son was bitten on the leg, he was taken to a local doctor, who had dressed the wound and given him some medicines but had not asked for the teenager to be vaccinated or referred him to a tertiary-care hospital.

Officials said that right now, dog-bite incidents are on the rise in Karachi as well as in other districts of Sindh, with so far more than 200 000 people falling victim to canine attacks.

They added that the population of rabid dogs is also on the rise, and the animals are not only transmitting the disease to their own species but also attacking humans throughout the province.

Dr Seemin said: "These days any person who is bitten by a dog should be given immunoglobulin as well as the full course of the rabies vaccine to prevent the victim from a painful death. Once rabies is developed in a person, there is no cure for their condition."

She deplored the fact that on the one hand incidents of dog-bite are on the rise and on the other, hospitals in the entire province are facing a shortage of the rabies vaccine, due to which the cases are being referred to the JPMC in Karachi.

"Even the Abbasi Shaheed Hospital, which is considered to be a tertiary-care hospital, is referring dog-bite victims to the JPMC after administering one dose of the vaccine," she said.

"As we don't know the status of their vaccination, we have to vaccinate these patients from zero, but this practice is extremely unprofessional, and it can result in the loss of a precious life."

On the other hand, the shortage of rabies vaccine is becoming a serious issue in Pakistan, especially in Sindh, which requires hundreds of thousands of doses to prevent the people from developing rabies encephalitis.

Pakistan used to get most of its rabies vaccine supplies from Indian biotechnology giants and pharmaceutical companies, but after the deterioration of relations between the 2 countries, Pakistan's next-door neighbour reduced those supplies, while production at the NIH is insufficient to meet the local requirements.

In this scenario, experts say there is an urgent need to control the population of stray dogs in the country by hook or by crook. They believe that at a time when there is not enough rabies vaccine available, the authorities should take measures to save people from canine attacks by reducing the dog population by any means.  [Byline: M. Waqar Bhatti]
=====================
[We have received recently several reports from Pakistan, describing human rabies cases; e.g.
(published 7 Nov 2019),
(published 3 Nov 2019),
(published 15 Oct 2019].

Hopefully, this post will help the professionals involved in getting due attention and required means from the health and municipal authorities for immediate measures undertaken, including timely supply of the required medical preparations.

According to Pakistan's Health Minister, Dr Azra Fazal Pechuho, (on Fri 8 Nov 2019), dog-bite cases were "mishandled" by citizens, as the victims were often brought to hospitals quite late, and the delay caused their deaths (see <https://www.dawn.com/news/1515803>).

WHO's most recent available position paper addressing rabies vaccines and immunoglobulins is available at

[HealthMap/ProMED map available at: