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Kuwait

Kuwait US Consular Information Sheet
September 2, 2008
COUNTRY DESCRIPTION:
Kuwait is a small, oil-rich constitutional monarchy with 10% of proven world oil reserves. Foreign workers constitute approximately 90% of the labor force. Kuwaiti
citizens constitute only 34% of the country's population of three million, and enjoy the benefits of a generous social welfare system that guarantees employment, housing, education and medical care. Facilities for travelers are widely available. Read the Department of State Background Notes on Kuwait for additional information.

ENTRY/EXIT REQUIREMENTS:
Passports and visas are required for U.S. citizens traveling to Kuwait. U.S. citizens can obtain visitor visas for a fee at the port of entry in Kuwait. Travelers who overstay their visas may be required to pay large fines before leaving Kuwait. Travelers who leave Kuwait without completing Kuwaiti exit procedures may also be required to pay large fines if they return to and attempt to depart from Kuwait. This includes travelers proceeding via Kuwait to and from Iraq and Afghanistan. Effective May 15, 2007, the Government of Kuwait no longer admits travelers with a contractor identification card. All contractors entering or transiting the State of Kuwait should have a valid passport. Visas can be obtained upon arrival in Kuwait for a fee of 3 Kuwaiti Dinar (KD). For further information on entry and exit requirements, travelers may contact the Embassy of Kuwait at 2940 Tilden Street NW, Washington, DC 20008, telephone (202) 966-0702, or the Kuwaiti Consulate in New York City, telephone (212) 973-4318.

Kuwaiti officials are extremely sensitive about travel to Iraq. There have been instances in which Americans, especially those of Iraqi descent, have been detained for questioning at ports of entry/exit. Americans seeking to travel to Iraq through Kuwait have also on occasion been turned around and/or detained. On a number of occasions the border between Iraq and Kuwait has been closed without notice, stranding Americans on either side of the border.

Kuwaitis and non-Kuwaitis, including Americans, who have been charged with criminal offenses, placed under investigation, or involved in unresolved financial disputes with local business partners are subject to travel bans. These bans, which are rigidly enforced, prevent the individual from leaving Kuwait for any reason until the matter is resolved. Travel bans can be initiated by any person for almost any reason and may remain in place for a substantial period of time while the case is being investigated. Expatriates have been detained in Kuwait for cases with seemingly little or no evidence or legal merit. A person who has influence with the Kuwaiti government can ensure that a travel ban remains in place even if a judge or government official states the ban should be lifted. In the case of purely financial disputes, it may be possible to depart the country if a local sponsor pledges funds equal to the amount in dispute. Once such legal orders are in place, the U.S. Embassy can assist American citizens in obtaining legal representation, but cannot overcome the ban on exit from the country until the matter is resolved.

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:
Americans in Kuwait should exercise a high level of security awareness. The Department of State remains concerned about the possibility of further terrorist actions against U.S. citizens and interests abroad, specifically in the Middle East, including the Persian Gulf and Arabian Peninsula. Americans considering travel to Kuwait should review the Worldwide Caution.

All U.S. citizens in Kuwait should exercise caution, maintain a low profile, and avoid areas where Westerners are known to congregate. Heightened security awareness should be exercised at all hotels and residential complexes, as terrorists in the past have specifically targeted hotel chains perceived as Western along with a variety of Western housing facilities. Military members, as well as civilians and contractors related to military interests, are also potential targets.

Terrorists do not distinguish between official and civilian targets. Terrorist actions may include bombings, hijackings, hostage taking, kidnappings and assassinations. Increased security at official U.S. facilities may lead terrorists and their sympathizers to seek softer targets such as public transportation, residential areas and apartment complexes, schools and places of worship, oil-related facilities and personnel, and public areas where people congregate including restaurants, hotels, clubs, and shopping areas. U.S. citizens are advised to immediately report any unusual or suspicious activity in Kuwait to the Kuwaiti police or to the U.S. Embassy.

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 U.S. Embassy in Kuwait has an active warden program and records warden notices in both English and Arabic for audio playback. The English-language notices can be heard by calling +965-259-1048; Arabic-language notices are available at +965-259-1049.

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.

Additional information regarding security and crime in Kuwait can be found in the Overseas Security Advisory Council’s Crime and Safety Report.
This document can be found at www.osac.gov.
CRIME: The crime threat in Kuwait is assessed as low. Violent crimes against expatriates are rare, but do occur. The U.S. Embassy advises all U.S. citizens to take the same security precautions in Kuwait that one would practice in the United States or any other large city abroad. Physical and verbal harassment of women are continuing problems. The Kuwaiti police accept crime reports at the police station with jurisdiction where the crime occurred. If filing a crime report, it is advisable that an American citizen be accompanied by a person who speaks Arabic or a local attorney. The Embassy’s List of Attorneys is available on the Embassy web site at http://kuwait.usembassy.gov/attorneys.html. Filing a crime report can take several hours as a police investigator will take the victim’s statement orally while composing his investigative report. In all cases of abuse, the victim must obtain a medical report from a Kuwaiti hospital in order to file a police report.

In many countries around the world, counterfeit and pirated goods are widely available. Transactions involving such products may be illegal under local law. In addition, bringing them back to the United States may result in forfeitures and/or fines. More information on this serious problem is available at http://www.cybercrime.gov/18usc2320.htm.

INFORMATION FOR VICTIMS OF CRIME: The loss or theft abroad of a U.S. passport should be reported immediately to the local police and the nearest U.S. Embassy or Consulate. If you are the victim of a crime while overseas, in addition to reporting to local police, please contact the nearest U.S. Embassy or Consulate for assistance. The Embassy/Consulate staff can, for example, assist you to find appropriate medical care, contact family members or friends and explain how funds 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 of the “911” emergency line in Kuwait is “777” and can be reached 24 hours a day, seven days a week.
The quality and range of services provided by the emergency line are not equivalent to those provided in the U.S. and response times may vary greatly depending on the time of day and the location of the emergency.
See our information on Victims of Crime.

MEDICAL FACILITIES AND HEALTH INFORMATION: The health care system continues to develop, with many government and private medical facilities available in Kuwait. Medical care at government-run clinics and hospitals is provided at low cost to residents of Kuwait. Private physicians and hospitals charge fees for services, and some do not accept local health insurance. Many hospital and clinic services do not compare to U.S. standards, and staff often have no U.S. experience or training. For information on avian influenza (bird flu), please refer to the Department of State's Avian Influenza Fact Sheet.

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.

The government of Kuwait has strict regulations regarding certain diseases such as HIV/AIDS and Hepatitis.
Medical examinations are required for all residency applications and any applicants who are found positive for these restricted diseases will be asked to leave the country immediately and will be permanently barred from re-entry.
Please inquire directly with the Embassy of Kuwait at http://www.embassy.org/embassies/kw.html before you travel.
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 Kuwait is provided for general reference only, and may not be totally accurate in a particular location or circumstance.

Driving in Kuwait is hazardous. Although Kuwait has an extensive and modern system of well-lit roads, excessive speeding on both primary and secondary roads, coupled with lax enforcement of traffic regulations and a high density of vehicles (one vehicle for every 2.8 residents), leads to frequent and often fatal accidents. In 2006, the government of Kuwait reported 60410 vehicular accidents with 460 deaths and 9100 serious injuries.
However, these numbers are approximations and the actual numbers are believed to be much higher.
The average age of death was between 21 and 30 years. There are now over one million motor vehicles registered in Kuwait. Incidents of road rage, inattention and distraction on the part of drivers, poor driving skills, and highway brinksmanship are common in Kuwait, and can be unsettling to Western drivers in Kuwait who are accustomed to more rigid adherence to traffic laws.

The government-owned Kuwait Public Transportation Company operates bus services throughout the Kuwait City metropolitan area on 50 different routes, which are widely used by the low-income expatriate labor force. Taxis are available at major hotels and pick up passengers at other locations upon telephonic request. Unaccompanied women should not use taxis after dark. It is now possible to hail taxis on streets. Taxis have meters, but fares are more commonly negotiated.

Visitors can use international driving permits issued by their respective countries within the time limit of their visas; however, the visitor must also have liability insurance. It is illegal to drive in Kuwait without a license and car registration documents. If you are stopped and cannot produce them, you may be taken to a police station and held until they are presented on your behalf.

The Government of Kuwait may provide American citizens with a Kuwaiti driver’s license if their valid American driver’s license is first certified by the American Embassy. This service costs 9 KD and is available from the American Citizens Services Unit of the Consular Section. The Embassy’s certification must be authenticated by the Ministry of Foreign Affairs and the American permit must be translated by an approved translation service. Additional information is available at the Embassy’s Consular Section.

If you are in an accident, Kuwaiti law mandates that you must remain at the scene until the police arrive. The use of front seat belts is mandatory in Kuwait. Driving is on the right side of the road. Speed limits are posted. Making a right turn on a red light is not permitted unless there is a special lane to do so with a yield sign. Parking is not allowed where the curb is painted black and yellow. Digital cameras for registering traffic violations, including speeding, are in use on Kuwaiti roads.

Driving while under the influence of alcohol (possession and consumption of alcohol is illegal in Kuwait) is a serious offense, which may result in fines, imprisonment, and/or deportation. Repeat traffic violations or violations of a serious nature may also result in the deportation of an expatriate offender. When a driver flashes his/her high beams in Kuwait, it is meant as a request to move your car into a slower lane to allow the driver with the flashing beams to proceed ahead.

Kuwait has one of the highest per capita rates of cellular telephone ownership in the world and using a cellular telephone while driving remains legal. Local emergency service organizations may be contacted by dialing 777. Ambulance crews do not respond as quickly as in the United States and do not often include trained paramedics.

Please refer to our Road Safety page for more information. Visit the web site of the Kuwaiti Ministry of Interior at www.moi.gov.kw for information and statistics in Arabic about traffic safety and road conditions in Kuwait.

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

SPECIAL CIRCUMSTANCES:
The workweek in Kuwait is Sunday through Thursday for most businesses, government offices and commercial banks.

Kuwaiti customs authorities may enforce strict regulations concerning temporary importation into or export from Kuwait of items such as firearms, religious materials, pornography, and alcohol. Alcohol, pork products, and pornography are illegal in Kuwait. Travelers with prescription medications should carry them in their original packaging or bottle, as dispensed, and carry a copy of their prescription in case customs authorities question their importation into Kuwait. Kuwaiti customs authorities screen the baggage of all travelers entering Kuwait. It is advisable to contact the Embassy of Kuwait in Washington, D.C. or Kuwait's Consulate in New York for specific information regarding customs requirements.

Photographing government and public buildings, military installations and economic infrastructure, particularly that related to the oil industry, is against the law and can result in arrest, investigation, and prosecution. Also, some traditionally-dressed women find being photographed to be offensive and may complain to the local police. If photographing public scenes or persons, visitors should take care to ask permission beforehand and not to inadvertently cause offense that could lead to an official complaint to the authorities.

Humiliating a person, including a police officer or a public official, is a crime in Kuwait similar to disorderly conduct or harassment in the United States. A person charged with humiliating another is subject to police investigation and possible prosecution. Persons under investigation can be prevented from departing Kuwait. Proselytizing is prohibited for all religions except Islam.

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 Kuwaiti laws, even unknowingly, may be expelled, arrested or imprisoned. Penalties for possession, use, or trafficking in illegal drugs in Kuwait 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 Kuwait 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 Kuwait. 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 Kuwait is located at Al-Masjid Al-Aqsa Street, Block 6, Plot 14, Bayan, Kuwait. The mailing address is PO Box 77, Safat 13001, Kuwait. The primary telephone numbers are 965-259-1001 or 259-1002. The fax number is 965-259-1438 or 538-0282. The after-hours number is 965-538-2097. Additional information may also be obtained through the Embassy's web site at http://kuwait.usembassy.gov
* * *
This replaces the Country Specific Information for Kuwait dated January 16, 2008 to update the sections on Information for Victims of Crime and Medical Facilities and Health Information.

Travel News Headlines WORLD NEWS

Date: Thu 12 Apr 2018
Source: Arab Times Kuwait English Daily [edited]

Almost 270 cases of scabies disease have been recorded lately in the country. Among them, 200 cases were recorded in Adan Hospital and the remaining 70 were recorded in Jahra Hospital.

The recorded cases are within Ahmadi and Jahra governorates, while it is widespread in Khafji and Hafr Al-Baten areas along Saudi border. This revelation coincided with a series of cases recorded in several regions of Saudi Arabia, especially along the border of Kuwait.

There are growing concerns that the disease could spread massively across the country if not handled properly in accordance with the rules and regulations. This includes providing necessary treatment to the affected people and raising awareness among citizens and expatriates.

According to spokesperson of Ministry of Health Dr. Ahmad Al-Shatti, individual cases within the country cannot be regarded as an epidemic.

He [Dr. Ahmad Al-Shatti] assured that the authority will take necessary steps to wipe out the disease, raise the level of awareness and instruct doctors to treat affected people with authorized medications. Dr Al-Shatti did not rule out the possibility that several cases could be recorded without reaching the level of epidemic, especially since the ministry has enough medicines to deal with the disease.  [Byline: Stephanie McGehee]
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[Just a week ago [week of Sun 1 Apr 2018] ProMED reported a widespread outbreak of Scabies in schools in Mecca, which was not related to the Umrah. This report suggests that at least some cases have links to Saudi Arabia. Further epidemiological mapping is needed. As discussed in our posting the [Fri 6 Apr 2018], scabies is highly contagious and outbreaks are usually seen in cramped conditions with poor hygiene. It is important to treat both patients and close contacts for instance the entire household. Classical treatment with for instance a whole body cream containing a pyrethroid has been replaced by treatment with oral ivermectin.

A map of Kuwait: <http://healthmap.org/promed/p/129>. - ProMED Mod.EP]
Date: Mon, 6 Feb 2017 14:40:12 +0100

Kuwait City, Feb 6, 2017 (AFP) - A fire broke out Monday at a cultural centre in Kuwait that houses the Gulf state's opera house, the fire department said.   The blaze started during maintenance work on the titanium roof, the department said in a statement on Twitter.   It said the fire was put out and caused no injuries.

Parts of the roof were seen to be missing after the blaze but it was unclear if that was the result of the maintenance work or the fire.   The centre was launched in October with a performance at the 2,000-seat opera house by Italian tenor Andrea Bocelli.   The sprawling 214,000-square-metre (2.3 million square feet) centre, located in the heart of the capital Kuwait City, cost $750 million.
Date: Thu 14 Apr 2016
Source: Arab Times [edited]

Assistant Undersecretary for Public Health Affairs at Ministry of Health Dr Majdah Al-Qattan revealed that Kuwait recorded 5 cases of cholera in people who came from Iraq and they have been treated. On the sidelines of the inaugural ceremony of the Scientific Conference on Latest Surgeries for Breast and Kidney Cancers, Dr Al-Qattan affirmed that the precautionary measures taken so far for preventing the spread of cholera in the country are being closely monitored to complement the previous steps.

She said it was decided during that meeting of the GCC [Gulf Cooperation Council] Epidemic Committee last month [March 2016] that the GCC member states must take proactive steps to prevent incursion and spread of cholera, indicating that this is the reason why the Customs officers have been screening travelers from Iraq and other affected countries.

Dr Al-Qattan revealed that the import of food items from these countries has also been banned till further notice. She stressed the ministry's keenness to bring new vaccines for the disease and take all necessary steps in that regard, stating that the Higher Committee on Vaccination follows certain procedures with the concerned companies and storage facilities for approving the import of new vaccines.  [Byline: Marwa Al-Bahrawi]
====================
[A map showing Kuwait and Iraq is available at

The mortality from cholera is related to non-replacement of fluid and electrolytes from the diarrheal illness.

As cited in Lutwick LI, Preis J: Cholera. In: Tropical Pediatrics. Roach RR, Greydanus DE, Patel DR, Homnick DN, Merrick J (eds), 2014, Nova Science Publishers, 2015, oral rehydration therapy can be life-saving in outbreaks of cholera and other forms of diarrhea:

"As reviewed by Richard Guerrant and colleagues (1), it was in 1831 that cholera treatment could be accomplished by intravenous replacement and, although this therapy could produce dramatic improvements, not until 1960 was it 1st recognized that there was no true destruction of the intestinal mucosa, and gastrointestinal rehydration therapy could be effective, and the therapy could dramatically reduce the intravenous needs for rehydration. Indeed, that this rehydration could be just as effective given orally as through an orogastric tube (for example, references 2 and 3) made it possible for oral rehydration therapy (ORT) to be used in rural remote areas and truly impact on the morbidity and mortality of cholera. Indeed, Guerrant (1) highlights the use of oral glucose-salt packets in war-torn Bangladeshi refugees, which reduced the mortality rate from 30 percent to 3.6 percent (4) and quotes sources referring to ORT as "potentially the most important medical advance" of the 20th century. A variety of formulations of ORT exist, generally glucose- or rice powder-based, which contain a variety of micronutrients, especially zinc (5).

The assessment of the degree of volume loss in those with diarrhea to approximate volume and fluid losses can be found in reference 6 below. Those with severe hypovolemia should be initially rehydrated intravenously with a fluid bolus of normal saline or Ringer's lactate solution of 20-30 ml/kg followed by 100 ml/kg in the 1st 4 hours and 100 ml/kg over the next 18 hours with regular reassessment. Those with lesser degrees of hypovolemia can be rehydrated orally with a glucose or rice-derived formula with up to 4 liters in the 1st 4 hours, and those with no hypovolemia can be given ORT after each liquid stool with frequent reevaluation."

References
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1. Guerrant RL, Carneiro-Filho BA, Dillingham RA: Cholera, diarrhea, and oral rehydration therapy: triumph and indictment. Clin Infect Dis 2003; 37: 398-405.
2. Gregorio GV, Gonzales MLM, Dans LF, Martinez EG: Polymer-based oral rehydration solution for treating acute watery diarrhoea. Cochrane Database Syst Rev. 2009; (2): CD006519. doi: 10.1002/14651858.CD006519.pub2.
3. Gore SM, Fontaine O, Pierce NF: Impact of rice based oral rehydration solution on stool output and duration of diarrhoea: meta-analysis of 13 clinical trials. BMJ 1992; 304(6822): 287-91.
4. Mahalanabis D, Choudhuri AB, Bagchi NG, et al: Oral fluid therapy of cholera among Bangladesh refugees. Johns Hopkins Med 1973; 132(4): 197-205.
5. Atia AN, Buchman AL: Oral rehydration solutions in non-cholera diarrhea: a review. Am J Gastroenterol 2009; 104(10): 2596-604.
6. WHO: The treatment of diarrhoea, a manual for physicians and other senior health workers. 4th ed. 2005.

An illustration (supplied by ProMED Mod.JW) of how to make a "home brew" oral rehydration solution can be found at
Date: Mon 23 Nov 2015
Source: Kuwait Times [edited]

Minister of Health Dr Ali Saad Al-Obaidi yesterday [22 Nov 2015] said the incidence of swine flu in Kuwait is nothing to worry about, according to WHO global health estimates, stressing the ministry's keenness to speak frankly with citizens and residents about all similar situations.

Speaking after opening the Haya Abdulrahman Al-Mujil Kidney Center yesterday [22 Nov 2015], Obaidi said the ministry is seeking to apply the strategies and protocols developed by the World Health Organization (WHO) in order to ensure the safety and health of citizens and residents. He explained that swine flu has been widespread since 2009, adding that the number of casualties began to decline after a global fight against the virus. He said the ministry of health is taking all preventive precautions to halt the spread of infection, pointing to the success of the ministry's efforts in dealing with more serious diseases such as Ebola and MERS. The minister said flu vaccinations given in August and November [2015] have reduced much of the incidence of the disease.
==================
[Excerpted from WHO

Most swine influenza viruses (SIVs) do not cause disease in humans. However, some countries have reported cases of human infection with SIVs. Most of these human infections have been mild and the viruses have not spread further to other people. The H1N1 virus that caused the influenza pandemic in 2009-2010, thought to have originated in swine, is an example of an SIV that was able to spread easily among people and also cause disease.

Because pigs can become infected with influenza viruses from a variety of different hosts (such as birds and humans), they can act as a "mixing vessel," facilitating the reassortment of influenza genes from different viruses and creating a "new" influenza virus. The concern is that such "new" reassortant viruses may be more easily spread from person to person, or may cause more severe disease in humans than the original viruses. WHO and animal health sector partners are working at the human-animal interface to identify and reduce animal health and public health risks within national contexts.

Manifestations of H1N1 influenza are similar to those of seasonal influenza. Patients present with symptoms of acute respiratory illness, including at least 2 of the following: fever, cough, sore throat, body aches, headache, chills and fatigue, diarrhea and vomiting.

There is no evidence that this current set of cases of H1N1, most likely H1N1pdm09, originated with pigs. This influenza strain is now a seasonal flu that spreads from human to human. - ProMed Mod.LK]

[A HealthMap/ProMED-mail map can be accessed at:
Date: Thu 19 Nov 2015
Source: Gulf News [edited]

Public schools in Kuwait have been put on alert after the discovery of 4 cases of the swine flu [H1N1; probably not truly a swine flu, see below - ProMed Mod.LM] at facilities in the Hawalli and Adeiliya areas, said Minister of Education Dr Bader Al Eisa on Thu [19 Nov 2015].

Those who contracted the disease are being given treatment, and the necessary precautions have been taken to prevent the spread of the disease, the minister told the Kuwait News Agency (Kuna). The cases were reported by the families.

"The Ministry of Education will continue to coordinate with the Ministry of Health, and schools that record more than 5 swine flu [H1N1] cases will be shut down," he said. "There are steady and regular contacts with the health ministry for advice and guidance, and doctors are visiting all the schools," he said. Reports said there is not enough vaccine available for all students.

On 10 Nov [2015], Al Eisa said there was one confirmed case of swine flu [H1N1] in a 6-year-old student in a private school.

Reports emerging from Kuwait said that a University of Kuwait teacher tested positive for the swine flu.

The case at the social sciences college triggered an alert among the teachers and staff and the preparation of a special room for suspected cases. A hotline was set up to help with queries and assistance. However, the college dean denied rumours that courses were being suspended, insisting that the staff were working normally.

According to Kuwaiti daily Al Jareeda, several parents have refused to allow their children to go to school citing concerns about health risks. Schools where suspected cases were noticed have not been willing to inform parents for fear they will keep their children at home. However, several parents have been exchanging information on social media and agreed that the school has suspected cases and that their children should not attend classes.

A hospital in Kuwait City has received 69 swine flu [H1N1] cases in the last 2 months, reports said. Health officials told local daily Al Jareeda that 58 patients left Al Adan Hospital after receiving the necessary treatment while the remaining 11 are still being treated. Some of the cases are in the intensive care unit, while others are in isolated rooms, the officials said.

One patient, a 68-year-old Kuwaiti, died on Wed [18 Nov 2015] from the disease, while an Indian expatriate passed away 3 days earlier, the officials said.

However, the hospital is taking all the measures possible whenever they are dealing with any suspected case, including contacting families and friends and providing them with the necessary vaccine while monitoring their health for 10 days, the officials added.  Byline: Habib Toumi
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Uganda

Uganda - US Consular Information Sheet
March 02, 2009
COUNTRY DESCRIPTION:
Uganda is a landlocked, developing country in central eastern Africa. Infrastructure is adequate in Kampala, the capital, but is limited in other areas.
Read t
e Department of State Background Notes on Uganda for additional information.
ENTRY/EXIT REQUIREMENTS:
A passport valid for three months beyond the date of entry, visa and evidence of yellow fever vaccination are required.
Visas are available at Entebbe Airport upon arrival or may be obtained from the Embassy of the Republic of Uganda.
The current fee for a three month tourist visa obtained upon arrival at Entebbe Airport is $50.00.
Travelers should be aware that a visa does not determine how long a person may remain in Uganda.
The Ugandan immigration officer at the port of entry will determine the length of authorized stay, which is generally from one to three months as a tourist.
Extensions of duration of stay may be requested at Ugandan immigration headquarters on Jinja Road in Kampala.
Airline companies may also require travelers to have a visa before boarding.
Travelers should obtain the latest information and details from the Embassy of the Republic of Uganda at 5911 16th Street, NW, Washington, DC
20011; telephone (202) 726-7100.
The Ugandan Embassy may also be contacted by email.
Travelers may also contact the Ugandan Permanent Mission to the United Nations, telephone (212) 949-0110. Overseas, inquiries may be made at the nearest Ugandan 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:
U.S. citizens residing in or planning to visit Uganda should be aware of threats to their safety posed by insurgent groups operating in the Democratic Republic of the Congo and southern Sudan, and the potential of cross border attacks carried out by these armed groups.
In addition, U.S. citizens traveling to the area commonly known as Karamoja in northeastern Uganda should also be aware of ongoing conflict and armed banditry in this region.

Northern Uganda:
After years of conflict, relative stability has returned to northern Uganda with the departure of the Lord’s Resistance Army (LRA) insurgent group in 2006.
Recent LRA activity has been restricted to the remote region of Garamba National Park in the Democratic Republic of the Congo (DRC), where LRA insurgents have continued to attack and terrorize civilian populations.
LRA attacks have also occurred in the neighboring Central African Republic and southern Sudan.
The Governments of Uganda, the DRC, and southern Sudan initiated joint military operations against LRA bases in Garamba National Park on December 14, 2008, after LRA leader Joseph Kony refused to sign a peace agreement following two years of negotiations.
These military operations continue and in order to deter an LRA return to Uganda, the Uganda Peoples Defense Force (UPDF) maintains a significant presence in the northern districts.
Given the continued threat to regional security posed by the LRA, American citizens should exercise caution when traveling in those districts of northwestern Uganda that border the DRC and southern Sudan and which could potentially be subject to LRA incursions.
The Ugandan Government also continues to expand and improve the capacity of the civilian police force in northern Uganda by deploying additional personnel and concentrating resources to further recovery and re-development activities throughout the north.

American citizens traveling to northern Uganda are advised to ensure that they have made appropriate travel, lodging, and communication arrangements with their sponsoring organization before visiting the region.
Local officials in northern Uganda have expressed concern for the safety and security of foreigners visiting the area to assist with relief efforts, but without any specific arrangements with a sponsoring organization.
Foreign citizens who travel to the region without a sponsoring organization may not find secure lodging or safe transport, and may become more susceptible to crime.
They may also find that local officials are unable to provide assistance in the event of an emergency.
There is a general lack of infrastructure throughout northern Uganda, and services such as emergency medical care are nonexistent.
Given crime and other security concerns in northern Uganda, American citizens are advised to restrict travel to primary roads and during daylight hours only.

Cattle rustling, armed banditry, and attacks on vehicles are very common in the Karamoja region of northeastern Uganda, and the UPDF continues to implement a program to disarm Karamojong warriors.
Past incidents have included ambushes of UPDF troops, and attacks on vehicles, residences, and towns that resulted in multiple deaths.
Most of the violence occurred in the districts of Kaabong, Kotido, and Abim, although some violent incidents also occurred in Moroto and Nakapiripirit Districts.
American citizens are advised to avoid travel to the Karamoja region given the frequent insecurity.
Any travel to Karamoja (excluding charter flights to Kidepo National Park) by U.S. Embassy personnel must first be authorized by the Chief of Mission.

Southwestern Uganda:
American citizens traveling in southwestern Uganda should also exercise caution given the ongoing conflict in the districts of North and South Kivu in the DRC, and the close proximity of fighting to the Ugandan border.
During spikes in the conflict, refugee flows across the border number in the thousands and there is also a risk of incursions by armed combatants.
American citizens should review the Travel Warning for the Democratic Republic of the Congo for the most up-to-date information regarding the conflict in the DRC.

On August 8, 2007, a group of armed assailants entered Uganda from the DRC and raided Butogota, a town in Kanungu District, southwestern Uganda.
Three Ugandans were killed and many others assaulted during the raid.
Ugandan officials believe that the perpetrators of the attack were members of one of the various militia groups operating in the southeastern region of the DRC or possibly remnants of the "Interahamwe," a group that participated in the 1994 genocide in Rwanda and was also responsible for the 1999 attack on Bwindi Impenetrable National Park.
The 1999 Bwindi attack killed four Ugandans and eight foreign tourists.
The 2007 raid on Butogota is in an area transited by tourists traveling to Bwindi, a popular gorilla-trekking destination.
Within Bwindi Impenetrable National Park, armed security personnel accompany tourists on the daily gorilla hikes and the UPDF maintains a military presence.
At Ishasha Camp, another popular tourist destination located in the southern sector of Queen Elizabeth National Park, the UPDF also maintains a small military base near the park headquarters for security purposes.

Eastern Uganda:
In February 2008, an isolated incident occurred in Mount Elgon National Park in eastern Uganda that resulted in the death of a foreign tourist.
A Belgian tourist climbing Mt. Elgon in the company of park rangers was shot and killed.
The attack occurred while the group was camped for the night and assailants fired into the campsite.
The tourist was reportedly struck by gunfire when exiting her tent in the darkness.
Ugandan security and park officials suspected that the attack was perpetrated by smugglers engaged in cattle rustling or other illicit activities that are common in the border area.

Demonstrations:
Demonstrations take place in Kampala and other Ugandan cities from time to time in response to world events or local developments.
In most cases, these demonstrations occur with no warning and demonstrations intended to be peaceful can turn confrontational and possibly violent.
American citizens are therefore urged to avoid the areas of demonstrations if possible, and to exercise caution if they find themselves in the vicinity of any demonstration.
American citizens should stay current with media coverage of local events and be aware of their surroundings at all times.
Because many demonstrations are spontaneous events, the U.S. Embassy may not always be able to alert American citizens that a demonstration is taking place and to avoid a specific area.
If employed with an institution or other large organization, American citizens may find it helpful to request that local employees notify expatriates when they learn of a demonstration from local radio reports or other sources.
Recent protests have occurred over land disputes involving Kampala market areas, university closures and strikes, opposition political party demonstrations, and protests by taxi drivers over the enforcement of traffic regulations.

For the latest security information, Americans traveling abroad should regularly monitor the Department of State's, 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:
Crimes such as pick pocketing, purse snatching, and thefts from hotels and parked vehicles or vehicles stalled in traffic jams are common.
The Embassy receives frequent reports of theft of items from locked vehicles, even when the stolen items were secured out of sight and the vehicle was parked in an area patrolled by uniformed security personnel.
Pick pocketing and the theft of purses and bags is also very common on public transportation.
Armed robberies of pedestrians also occur, sometimes during daylight hours and in public places.
Although infrequent, the Embassy also receives reports of armed carjackings and highway robbery.
In May 2007, two American citizens reported an attempted robbery when they were traveling near the town of Bugiri in eastern Uganda.
The Americans reported that a second vehicle with at least one armed assailant tried to stop their vehicle by forcing it off the road.
This incident occurred during daylight hours.
On June 27, 2007, two American citizens were robbed and held at gunpoint when the vehicle transporting them to Entebbe Airport was stopped by a group of armed men.
This incident occurred during the early morning hours on Entebbe Road.
Although some of these attacks are violent, victims are generally injured only if they resist.
U.S. Embassy employees are advised against using roads at night, especially in areas outside the limits of cities and large towns. Home burglaries also do occur and sometimes turn violent.
In April 2008, the Ugandan police reported an increase in armed robberies in the Kampala neighborhoods of Bukoto, Kisaasi, Kiwatule, Naalya, Najera, and Ntinda.
Several of these robberies occurred as the victims were arriving at their residences after nightfall and the assailants struck as they were entering their residential compounds.

Women traveling alone are particularly susceptible to crime.
In early 2008, there was an increase in reports of sexual assaults against expatriate females.
In some instances, the victims were walking alone, or were single passengers on one of the common modes of public transport which include "boda boda" motorcycle taxis.
If the victim of a sexual assault, medical assistance should be sought immediately and counseling provided regarding prophylactic treatment to help prevent the transmission of HIV and other sexually transmitted diseases. The U.S. Embassy provides a list of local medical providers for those with medical needs.

American citizens visiting Uganda are advised not to accept food or drink offered from a stranger, even a child, because such food may contain narcotics used to incapacitate a victim and facilitate a robbery or sexual assault.
In addition, patrons of bars, casinos, nightclubs, and other entertainment centers should never leave their drink or food unattended.
When visiting such establishments, it is advisable to remain with a group of friends as single individuals are more likely to be targeted.
Victims have included female patrons who reported they were drugged, and taken to another location and sexually assaulted.
Robberies have been facilitated on public transportation under similar circumstances.
In 2006, an American citizen traveling by bus from Kenya to Uganda was incapacitated and robbed on the bus when the passenger accepted a sealed beverage from a fellow traveler.
Expatriates traveling by bus to the popular tourist destination of Bwindi Impenetrable National Forest in southwest Uganda were also incapacitated and robbed when they accepted snacks from fellow bus passengers.

There has been a recent, marked increase in financial crime, including fraud involving wire transfers, credit cards, checks, and advance fee fraud perpetrated via email.
The U.S. Embassy recommends using money orders for all fund transfers and protecting all bank account and personally identifiable information such as social security numbers and other types of information.

An increasing number of U.S. exporters (primarily vendors of expensive consumer goods such as computers, stereo equipment, and electronics) have been targeted by a sophisticated check fraud scheme.
A fictitious company in Uganda locates a vendor on the Internet, makes e-mail contact to order goods, and pays with a third-party check.
The checks, written on U.S. accounts and made out to entities in Uganda for small amounts, are intercepted, chemically "washed" and presented for payment of the goods with the U.S. vendor as payee and an altered amount.
If the goods are shipped before the check clears, the U.S. shipper will have little recourse, as the goods are picked up at the airport and the company cannot be traced.
American companies receiving orders from Uganda are encouraged to check with the Political - Economic Section of the Embassy to verify the legitimacy of the company.
The Embassy strongly cautions U.S. vendors against accepting third-party checks as payment for any goods to be shipped to Uganda.

Additional information about the most common types of financial fraud can also be found in the State Department Financial Scams brochure.

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 Uganda is: 999.
Please see our information on Victims of Crime, including possible victim compensation programs in the United States.

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 Ugandan laws, even unknowingly, may be expelled, arrested or imprisoned.
Penalties for possession, use, or trafficking in illegal drugs in Uganda 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.

SPECIAL CIRCUMSTANCES:
Please note that U.S. currency notes in $20 and $50 denominations are exchanged at a lower rate than $100 currency notes.
In addition, travelers often find that they cannot exchange or use U.S. currency printed earlier than the year 2000.
Travelers who find they cannot pay for accommodation or expenses often must request that friends or family wire money to them in Uganda.
There are offices that facilitate Western Union, MoneyGram, and other types of money transfers in Kampala and other cities throughout the country.
ATMs are available in Uganda, particularly in downtown Kampala, but usually only customers who have an account with a specific Ugandan bank may use them.
A few machines function with overseas accounts.

The U.S. Embassy frequently receives requests from American citizens to verify the bona fides of nongovernmental (NGO) and charity organizations operating in Uganda.
The Embassy is unable to provide information regarding the bona fides of these organizations and American citizens traveling to Uganda to work for an organization are encouraged to request that the charity provide references of past volunteers whom they may contact.
American citizens have also reported intimidation and harassment by directors of organizations, when the Americans questioned the organization's activities or use of donated funds.
While the vast majority of NGOs operating in Uganda are legitimate organizations aiding development efforts, there have been reports from concerned Americans regarding the suspected diversion of charity funds for personal gain, etc.

Ugandan Customs authorities may enforce strict regulations concerning the importation of pets.
A Ugandan import permit is required, along with an up-to-date rabies vaccination certificate and a veterinary certificate of health issued by a USDA-approved veterinarian no more than thirty days before arrival.
Travelers are advised to contact the Ugandan Embassy in the United States for specific information regarding customs requirements.
Please see our Customs Information sheet.

Photography in tourist locations is permitted.
However, taking pictures of military/police installations or personnel is prohibited.
Military and police officers have detained tourists for taking photographs of Entebbe Airport and of the area around Owen Falls Dam, near Jinja, although the prohibition on taking photographs is not publicly displayed on signs.

The U.S. Embassy receives frequent inquiries from American citizens wishing to register a nongovernmental organization (NGO) in Uganda.
Information about registering an NGO can be obtained from the Ugandan NGO Board which has offices within the Ministry of Internal Affairs.
The NGO Board can be reached on phone number: 256 414 341 556.
One of the requirements for registering an NGO is that a foreign national employee or volunteer must provide a Certificate of Good Conduct/Criminal Background Check.
The U.S. Embassy Kampala cannot provide a Certificate of Good Conduct or Criminal Background Check, so American citizens intending to travel to Uganda as an employee an NGO or who plan to register an NGO should obtain a Certificate of Good Conduct from their local police or the Federal Bureau of Investigation (FBI) before departing the United States.
More information on how to obtain a Criminal Background Check can be found on the FBI web page about Identification Record Requests.
MEDICAL FACILITIES AND HEALTH INFORMATION:
Medical facilities in Uganda, including Kampala, are limited and not equipped to handle most emergencies, especially those requiring surgery. Outside Kampala, hospitals are scarce and offer only basic services.
Recently, American citizens involved in automobile accidents required immediate evacuation from Uganda as surgery could not be performed due to insufficient blood supplies at the hospital where they sought treatment.
Equipment and medicines are also often in short supply or unavailable.
Travelers should carry their own supplies of prescription drugs and preventive medicines.
A list of medical providers is available at the U.S. Embassy.

Tuberculosis is an increasingly serious health concern in Uganda.
For further information, please consult the CDC's Travel Notice on TB.

Malaria is prevalent in Uganda.
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 antimalarials they have been taking.
For additional information on malaria, including protective measures, see the CDC’s information on malaria.

In January, 2009, the CDC’s Special Pathogens Branch retrospectively diagnosed a case of Marburg hemorrhagic fever in a U.S. traveler, who had returned from Uganda in January, 2008. The patient developed illness four days after returning to the United States.
The Amcit had visited the “python cave” in Queen Elizabeth Park, western Uganda, which is a popular destination among tourists to see the bat-infested cave.
For additional information on Marburg hemorrhagic fever, including protective measures, visit the CDC web site.

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. Uganda has experienced recent outbreaks of Marburg Hemorrhagic Fever, Ebola Hemorrhagic Fever, Pneumonic Plague, Meningitis, and other types of infectious diseases.

The U.S. Department of State is unaware of any HIV/AIDS entry restrictions for visitors to or foreign residents of Uganda.
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.
American citizens who are seriously injured in vehicle or other types of accidents in Uganda generally seek medical evacuation to Kenya or other destinations for more advanced emergency medical treatment.
These medical evacuations can be very expensive, and in the event the American citizen does not have sufficient insurance coverage, the evacuation is carried out at their personal expense.
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 Uganda is provided for general reference only, and may not be totally accurate in a particular location or circumstance.

Most inter-city transportation in Uganda is by small van or large bus.
Many drivers of these vehicles have little training and some are reckless.
Small vans and large buses are often poorly maintained, travel at high speeds, and are the principal vehicles involved in the many deadly single and multi-vehicle accidents along Ugandan roads.
Accident victims have included American citizens traveling in small vans and personal cars, passengers on motorcycle taxis locally known as "boda bodas," and pedestrians.
Large trucks on the highways are often over-loaded, with inadequately secured cargo and poor braking systems.
Alcohol frequently is a contributing factor in road accidents, particularly at night.
Drivers are advised to take extra care when driving.
Nighttime driving and road transportation should be avoided whenever possible.
Pedestrians often walk in the roads and may not be visible to motorists.
Large branches or rocks in the road sometimes indicate an upcoming obstruction or other hazard.
Highway travel at night is particularly dangerous, including the road between Entebbe Airport and Kampala.
The Embassy recommends caution on this road and use of a reliable taxi service to and from the airport.

Traffic accidents draw crowds.
Ugandan law requires that the drivers stop and exchange information and assist any injured persons.
In some cases where serious injury has occurred, there is the possibility of mob anger.
In these instances, Ugandans often do not get out of their cars, but drive to the nearest police station to report the accident.

Please refer to our Road Safety page for more information.
For specific information concerning Ugandan driving permits, vehicle inspection, road tax and mandatory insurance, please contact Tourism Uganda, IPS building, 14, Parliament Avenue, Kampala, Uganda; telephone 256-414-342 196. You may also wish to consult the Tourism Uganda web site or, for information on government agencies, see the My Uganda web site.

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

International airlines offer several weekly flights to Europe and the United Arab Emirates, and Kenya Airways has daily flights between Entebbe Airport and Nairobi.
Other regional airlines operate weekly flights to other destinations in Africa, such as Dar es Salaam, Addis Ababa, Cairo, and Johannesburg.

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 Uganda are encouraged to register with the U.S. Embassy in Kampala through the State Department’s travel registration web site to obtain updated information on travel and security within Uganda.
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 1577 Ggaba Road, Kampala; telephone 256-414-259-791 or 256 414 306 001; fax 256-414-258-451.
You may contact the Embassy via e-mail.
* * *
This replaces the Country Specific Information dated May 6, 2008, to update sections on Entry/Exit Requirements, Safety and Security, Crime, Information for Victims of Crime, Medical Facilities and Health Information, Medical Insurance, Traffic Safety and Road Conditions, Special Circumstances, Aviation Safety Oversight, Special Circumstances, and Registration/Embassy Location.

Travel News Headlines WORLD NEWS

Date: Wed, 5 Dec 2018 17:52:51 +0100

Goma, DR Congo, Dec 5, 2018 (AFP) - Uganda has vaccinated thousands of health workers against Ebola to counter the spread of the deadly virus from its neighbour Democratic Republic of Congo, the health ministers of both countries said Wednesday.    A growing outbreak of Ebola in the Beni region of eastern DR Congo, just 50 kilometres (30 miles) from the Ugandan border, has claimed some 268 lives among a total of 453 cases, according to figures released Tuesday from the DRC health ministry.

Uganda, which last month announced the plan to roll out the vaccinations for frontline health workers over fears the virus could spread, said on Wednesday that it had already given the precautionary treatment to 3,000 people "because we are worried".   "We have not waited for the first case to arrive. The vaccination is continuing," said Ugandan Health Minister Jane Ruth Aceng, at a joint briefing with her Congolese counterpart Oly Ilunga in Goma.   Thousands of people cross the 15 border points between the two countries, particularly on midweek market days, she added.

Giving an update on DR Congo's own vaccine drive, Ilunga said authorities had given the treatment to some 38,000 people.    "If there were no vaccines, half of those would have developed the illness, we would be at tens of thousands of victims and of deaths," he estimated.    Eastern DR Congo is ravaged by decades of inter-ethnic bloodshed and militia violence, hampering the response to the Ebola outbreak, which is testing a large UN peacekeeping mission deployed in the country.

DR Congo last month kicked off campaigning for a crucial December 23 election to choose a successor to President Joseph Kabila, who has constitutionally remained in power as caretaker leader even though his second and final elected term ended nearly two years ago.   Ilunga said each polling station in the affected areas would have an area for disinfection and to check temperatures.   "During the entire epidemic we have not shut down social life. The markets are open, the schools are open, the churches have not closed," he said.    "We think that the organisation of the elections are not an additional risk."
Date: Wed 13 Nov 2018
Source: The Tower Post [edited]

Uganda's health ministry has spoken out on reports of an Ebola outbreak in Rukungiri district, days after 2 patients succumbed to an Ebola-like-disease.  The Tower Post has seen a [Mon 12 Nov 2018] communication between 2 Rukungiri district leaders indicating the death of patients with signs similar to those of Ebola. According to the communication, a patient, identified as [TW], died at Nyakibale Hospital of what would later be confirmed as [Crimean-Congo] haemorrhagic fever.

"On [4 Nov 2018], Nyakibale Hospital received and admitted [the patient], aged 23, from Kikura Village, Bwanda Parish, Buhunga Sub-County, and was suspected to be an Ebola victim on the basis of showing all signs related to the disease, which included bleeding in the nose and ears, vomiting, and a high temperature," read part of the communication. "Blood samples were taken from the victim and sent to Kampala Government Laboratory. Results from Kampala confirmed that the patient died of [Crimean-Congo] haemorrhagic fever."

By the time the communication had been exchanged, the results from another patient had not been returned. "On [Sat 10 Nov 2018], another patient, [BS], aged 56, from Rwakaterera Village, Burombe Parish, Ruhinda Sub County, was also admitted in the same hospital, showing signs similar to those of [TW]. However, [the 2nd patient] died the same day," continued the communication. "Blood samples were taken to Kampala. There are no results yet, and the body is still at Nyakibale Hospital waiting for health officials to bury it."

On Tuesday [13 Nov 2018], the junior health minister in charge of healthcare, Joyce Moriku, presented a statement on the Ebola outbreak in the DR Congo and the government's preparedness to handle any outbreaks in the country. "As of today, 13 Nov 2018," said minister Moriku, "there is no confirmed case of Ebola in Uganda." Moriku added that the ministry of health "remains on the highest alert ever and, together with partners, efforts have been put in place to not only screen but also to manage any identified suspect cases in specially established Ebola treatment centres."

"Two walk-through temperature scanners have been installed at Entebbe International Airport; one scanner is going to be installed at Bwera in Kasese and at Kisunga border point in Bundibugyo within 2 weeks," Moriku told parliament. "Another scanner will be installed in Busia in due course. For now, suspected cases continue to be picked, isolated, and treated, with blood samples picked for testing by the Uganda Virus Research Institute."
========================
[The availability of rapid diagnostics for suspected haemorrhagic fever cases can be helpful in instituting the appropriate infection control measures and case management protocols in a timely manner. - ProMED Mod.UBA]

[HealthMap/ProMED-mail map: Rukungiri District, Uganda:
Date: Mon 12 Nov 2018
From: Kunihiko Iizuka <edcvfr3464@yahoo.co.jp>

Arua district has had the highest number of anthrax in humans, with a total number of 102 reported between 2015 to date [Mon 12 Nov 2018]. Over 200 people have been infected with anthrax in 4 districts in West Nile and South Western Uganda. According to the Ministry of Health officials, many people were at risk of contracting the disease which is common in animals. The 236 cases have been recorded in the districts of Arua, Kiruhura, Isingiro and Kween from 2017 up to today [Mon 12 Nov 2018].

Speaking during the 4th National Field Epidemiology Conference on [Fri 9 Nov 2018] at Imperial Royale hotel, Dr Alex Ario, the acting director, Uganda National Institute of Public Health Ministry of Health called on the public to ensure animal health if the country is to control anthrax.

Arua district has had the highest number of anthrax in humans with a total number of 102 reported between 2015 to date [Mon 12 Nov 2018]. Isingiro district came 2nd with 60 cases reported last year [2017], 52 cases in Kween district and 22 in Kiruhura were registered this year [2018]. [...]

Ario said if government does not address the problem of anthrax from animal side, it will continue to spread and affect more people. He however noted with concern that some farmers cannot afford the cost to vaccinate their animals against anthrax. He urged the government to come up with a policy on vaccination of animals. "In some cultures however, instead of getting rid of animals which have died from anthrax, these animals are eaten by people," he noted. It is against this background that Ario called for a need to put in place a policy to burn the animal once it is found to have died of anthrax.

Dr Willy Nguma, the Arua district veterinary officer said at the moment at least 150,000 animals including cows, sheep, goats and pigs are at risk of anthrax. He said the outbreak from 2017 to 2018 left over 1000 [animals] dead. Nguma said sudden death is one of the signs of anthrax in animals. He said that Arua needs only sh 3m [USD 810] to vaccinate animals that are at risk of getting the disease. "The disease can only be controlled if we can vaccinate all animals which are likely to get the disease," he said.  [byline: Violet Nabatanzi]
=====================
[With thanks to Kunihiko for forwarding this report from Uganda, which is matched almost word for word for another out of Kampala. It is a significant problem. The Ugandan government needs to come up with an effective control programme and not to depend on the livestock owners finding money they don't have to cover the vaccination costs. When vaccination and control are done properly, it results not just in the reduced incidence but in the eradication of this disease. The spores are not immortal and if soil recontamination is prevented by effective carcass burning and site management, one will see long term benefits within 5-8 years.

This is why livestock anthrax has disappeared from a number of countries which were once chronically afflicted, starting with Cyprus in 1969, but now the Czech Republic, Finland, Latvia & Estonia, Denmark, Belgium, Austria, Ireland and the UK, Netherlands, Switzerland, to select but a few successful European countries. Though in the middle of a region favourable for spore survival; North & South Dakota have eradication on their horizon, as does Argentina, thanks to pursuing proactive livestock vaccination, plus control & surveillance.

To see where these outbreaks are occurring in Uganda go to:

[HealthMap/ProMED map available at:
Date: Fri, 2 Nov 2018 15:29:59 +0100

Kampala, Nov 2, 2018 (AFP) - Uganda will begin vaccinating frontline health workers against Ebola next week as the threat increases of the deadly virus spreading from neighbouring Democratic Republic of Congo, the health minister said Friday.   An outbreak of Ebola in the DRC has claimed 180 lives so far, and with high numbers of people moving across the border "the public health risk of cross-border transmission of Ebola to Uganda was assessed to be very high", according to minister Jane Ruth Aceng.

"Compassionate use of the Ebola vaccine for healthcare and frontline workers," will begin on Monday, she told journalists.   It will be the first time the vaccine is used in a country not in the midst of an active Ebola outbreak.   The DRC's health ministry said Thursday it had recorded 285 possible Ebola cases in the highly-restive northeastern region of North Kivu, which is home to a clutch of armed groups.

It is the tenth outbreak of Ebola in the country, then called Zaire, where the disease was first detected in 1976.   More than 25,000 people have received an experimental vaccine in the DRC since August.    Yonas Tegegn Woldemariam, the World Health Organization representative in Uganda said the vaccine -- rVSV-ZEBOV -- was close to 100 percent effective and carried few risks.

- Most vicious species -
"There have been no major risks recorded up to now, just a normal reaction to a vaccine," he said.   The drug targets the Zaire virus species, the most "vicious of the Ebola types", Woldemariam said.   Concerns that an undiagnosed Ebola patient may arrive at a health facility seeking treatment led to the decision to vaccinate healthcare workers at the highest risk of contracting the highly-infectious hemorrhagic fever, in 40 facilities near the border.

Authorities insist vaccination will be totally voluntary and that frontline workers -- who may include hospital cleaners and other auxilliary staff -- would need to give "informed consent".   "Currently 2,100 doses of the rVSV vaccine are available," Aceng said, with plans in place to increase that to 3,000.   Although the "investigational vaccine" has not yet been licensed it was used in previous Ebola outbreaks in Guinea, Sierra Leone and DR Congo at the recommendation of the WHO's group of experts.   The drug was donated free of charge to the Ugandan government by its manufacturer, Merck.   In the worst Ebola epidemic to date, the disease struck the West African states of Guinea, Liberia and Sierra Leone in 2013-15, killing more than 11,300 people.
Date: Wed 31 Oct 2018:
Source: Daily Monitor [edited]

Crimean-Congo haemorrhagic fever (CCHF) is a viral disease with symptoms that include fever, muscle pains, headache, vomiting, diarrhoea, and bleeding. The CCHF virus is typically spread by tick bites or contact with livestock carrying the disease. The virus can also spread between people through body fluids.

One person has been confirmed to have Crimean-Congo haemorrhagic fever at Fort Portal Regional Referral Hospital in Kabarole district. The district health officer, Dr Richard Mugahi, yesterday [30 Oct 2018] said they received the suspected patient last week and sent her blood samples to the Uganda Virus Research Institute in Entebbe and they tested positive. He said the patient is from Rweyeza village, Kasenda sub-county and was found bleeding and vomiting by the time she was referred. The patient has been in the isolation unit for a week.

"The patient is now in the isolation unit and we are handling her with a lot of care to ensure that we do not lose her," Dr Mugahi said. He warned people against sharing sleeping areas with animals. Dr Mugahi said the disease is as a result of people getting in contact with infected animals, adding that in some areas, people are still sharing houses with animals.

Kabarole District Ebola Task Force chairperson, Mr Steven Asiimwe, said they have banned the movement of animals in vehicles with people, saying this puts people at high risk of contracting diseases. He said all people dealing in the business of selling animals need to get permits from relevant authorities, warning that any person caught moving animals without a permit will be arrested. "Diseases like Ebola and Crimean-Congo haemorrhagic fever are transmitted through direct contact with animals. Therefore, we are banning the movement of animals with people in the same vehicles," he said.  [Byline: Alex Ashaba]
===========================
[The report above mentions a confirmed case of CCHF with history of close contact with animals. CCHF is a vector-borne haemorrhagic disease, transmitted through ticks or direct contact with the blood of infected animals.

Since Uganda is a close neighbour of Congo DR , which is currently reporting a major Ebola virus outbreak, the risk of spread to Uganda exists. This highlights the need for enhanced surveillance/reporting, early diagnosis/detection to differentiate CCHF and other haemorrhagic fevers and respond accordingly. Since 2000, Uganda has had 3 Ebola outbreaks, with a total of about 600 cases.

The role of risk communication to the at-risk groups is very important in this regard. - ProMED Mod.UBA]

[Kabarole district is a district in Western Uganda. Kabarole district is part of the Kingdom of Toro
More ...

World Travel News Headlines

Date: Thu, 13 Dec 2018 06:41:40 +0100

Hanoi, Dec 13, 2018 (AFP) - Floods caused by heavy downpours have killed 13 people in central Vietnam, officials said Thursday, as farmers scrambled to save crops and livestock ahead of more bad weather forecast for this week.   Torrential rains have lashed six provinces in the centre of the country since Saturday, killing thousands of cows and chickens and flooding several cities -- including the coastal resort town of Danang.    More than 50 centimetres (20 inches) of rain hit some areas, with more downpours expected in the coming days, the disaster management office said Thursday.   "Thirteen people were killed, while one remains missing in Quang Ngai province," the office said.    Around 12,000 hectares of crops were destroyed, and some 160,000 livestock killed, it added.

One farmer in Quang Nam province said he lost all his chickens in the flooding, costing him tens of thousands of dollars.       "The water receded but thousands of our chickens were dead. We had to collect them for burial as the smell was so bad," Nguyen Thanh said, quoted by state-run Tuoi Tre newspaper.    Several areas in Quang Nam and Quang Ngai provinces were still inundated on Thursday after hydropower plants discharged reservoir waters.    Vietnam is frequently hit by heavy downpours during the typhoon season from May to October, but forecasters said the rains arrived late this year.     More than 200 people have been killed in weather-related disasters in 2018, down from 389 last year.
Date: Wed, 12 Dec 2018 08:14:22 +0100

Bangkok, Dec 12, 2018 (AFP) - A French tourist was gunned down early Wednesday by an off-duty Thai cop after a drunken bar fight in a seedy Bangkok district, police said.   The 41-year-old Parisian was shot dead at a downtown apartment block after an altercation with the police sergeant major who had approached the tourist's Thai girlfriend.     "They were drunk... they started to argue and then had a fist fight but the policeman couldn't fight back," the Chief of Thailand's Immigration Police Surachate Hakpan told AFP.   "The policeman followed him back to his place and shot him twice," he said, adding the victim had been in Thailand for several months.

The officer has been arrested and "will be fired... and prosecuted on a murder charge", Surachate added.   Police are hunting a second suspect seen on CCTV.    Gruesome pictures circulated on Thai media showed the victim lying in a pool of blood in front of a doughnut shop at his apartment block.    Bangkok is one of the world's most visited cities, famed for its food and racy nightlife, much of it around Nana district where the murder took place.    Thailand as a grim reputation for its gun culture, with drunken arguments, business disputes and soured romances frequently resolved by violence.
Date: Wed, 12 Dec 2018 02:09:59 +0100

Mexico City, Dec 12, 2018 (AFP) - A massive fireworks explosion during a procession at a Mexican church killed eight people Tuesday and left some 50 wounded, authorities said.   Two children aged 11 and 12 were among those killed in the accident, which occurred around dawn at the San Jose parish atrium in Tequisquiapan, some 145 kilometres (90 miles) northwest of Mexico City.

Parishioners had donated the fireworks for a festival, but "something went wrong and they exploded," said Gabriel Bastarrachea, emergency response official for the state of Queretaro.   A video posted on social media showed people marching toward the church in a festive procession when suddenly a giant, fiery blast sent them running and screaming.

It was the latest in a string of deadly fireworks accidents in Mexico, where a thriving but dangerous cottage industry supplies a seemingly endless array of colourful explosives to celebrate holidays and festivals.   At least 24 people were killed in a series of fireworks explosions last July in the town of Tultepec in central Mexico, and 42 people were killed there when a rocket exploded in December 2016 at the height of the Christmas fireworks rush.
Date: Tue, 11 Dec 2018 22:14:43 +0100

Bogota, Dec 11, 2018 (AFP) - The abandoned building where Colombian drug lord Pablo Escobar lived will be covered in posters paying tribute to the victims of his Medellin Cartel before it is torn down next year.   The exhibition is part of a move by municipal authorities to tell the other side of Escobar's story -- that of his victims -- to counter a surge of television series glamorizing his life and that of his cartel.   "Respect our pain, honour our victims (1983-1994). 46,612 fewer lives," reads the message on one of the posters that now greet Medillin's "narco-tourists" flocking to the Monaco apartment block.

Portraits of slain journalist Guillermo Cano, gunned down in 1986, former presidential candidate Luis Carlos Galan and police chief Valdemar Quintero -- both murdered in 1989 -- are emblazoned over a message that reads, in English: "It is not fiction, it is reality."   Mayor Federico Gutierrez told reporters that the tourist site had become a "symbol of illegality."   "Now, there are messages that should lead us to reflect," he said.   The posters will remain affixed to the building until municipal workers tear it down on February 22, more than 25 years after Escobar was shot dead by police in 1993.     The former luxury block will be replaced by a municipal park.
Date: Tue, 11 Dec 2018 19:29:44 +0100

Beni, DR Congo, Dec 11, 2018 (AFP) - Children account for a third of Ebola cases in an outbreak of the disease in the Democratic Republic of Congo, with hundreds orphaned or isolated, the United Nations said on Tuesday.   Nearly 300 people have died from the highly contagious disease since August in the restive east around the city of Beni.

The UN children's agency UNICEF said the organisation and its partners had identified more than 400 children who have been orphaned or isolated during the outbreak.    "We are deeply concerned by the growing number of children confirmed to have contracted Ebola," said UNICEF's Regional Director for West and Central Africa, Marie-Pierre Poirier, returning from Beni.    "The earlier children infected with Ebola receive treatment in a specialised health facility, the greater their chances of survival. Community mobilisation and public awareness activities are also crucial."

After it was declared on August 1 -- the tenth outbreak in DR Congo since 1976 -- at least 285 people have died, according to the last health ministry update on December 9.   Nearly 44,000 people have been vaccinated.   The outbreak has hit an area already struggling with violence from armed groups.   In November, medical and vaccination efforts were briefly suspended and health workers evacuated after clashes between UN peacekeepers and fighters from the local Allied Democratic Forces militia.
Date: Tue, 11 Dec 2018 14:28:55 +0100

Paris, Dec 11, 2018 (AFP) - The soaring Arc de Triomphe at the top of the Champs-Elysees in Paris will reopen Wednesday after being covered in graffiti and ransacked during anti-government protests which rocked the capital on December 1, the French monuments commission said.   The arc, under which lies the tomb of the unknown soldier, commemorating France's war dead, has been a focal point of the "yellow vest" rallies against fuel tax increases and the cost of living which began on November 17.   But the demonstrations degenerated into daylong clashes with police early this month, with protesters spray-painting the arc with slogans such as "the yellow vests will win."

The protesters later managed to break into the monument where they smashed sculptures and display cases in an underground gallery and snatched commemorative medals and other items.   They also snuffed out the eternal flame burning on the tomb of the unknown soldier.    Some protesters were also seen on the top of the landmark building which offers panoramic views of the capital.   "All the networks and equipment essential for the security and proper functioning of the monument will have been restored and repaired," the commission said in a statement Tuesday.   "Some furniture, notably in the gift shop and library, have been temporarily repaired while awaiting new installations," it added.   It said the damage was estimated at several hundred thousands of euros (dollars).   Thirteen people were charged last week over the looting and destruction and investigations are continuing to identify other suspects.
Date: Tue, 11 Dec 2018 13:30:30 +0100

Madrid, Dec 11, 2018 (AFP) - Spanish railway workers will stage a nationwide strike on December 21 and January 7 during the busy Christmas holiday period over job cuts and working conditions, a union said Tuesday.   The "main reason" for the strike is the "continued reduction in the number of staff" at state train operator Renfe and state rail infrastructure company Adif, the CCOO union, one of the main trade unions representing rail workers, said in a statement.   "We are mobilising to recover the jobs which have been lost, improve purchasing power and ensure agreed pay increases come into effect," said Manuel Nicolas Taguas, general secretary of the railway workers sector at the CCOO.   The union says that since 2005 the workforce employed by the two companies in charge of Spain's rail network has been slashed by around 5,000 workers to roughly 26,000 employees.   The union representing Renfe rail guards has called a one day strike on December 14 to protest working conditions.
Date: Mon, 10 Dec 2018 14:05:06 +0100

Nairobi, Dec 10, 2018 (AFP) - South Sudan will vaccinate key health workers against Ebola close to the border with the Democratic Republic of Congo, which faces a new epidemic, the World Health Organization said Monday.   The ministry of health's vaccination campaign, with cooperation from the WHO, will target healthcare and frontline workers in the high-risk states of Juba, Yei, Yambio and Nimule, the UN agency said in a statement.   South Sudan is one of several countries bordering the vast DRC, where the new outbreak of the highly contagious viral disease had since August claimed 271 lives by December 6, according to Congolese Health Minister Oly Ilunga Kalenga.

A total of 2,160 doses of the experimental vaccine rVSV-ZEBOV have been allocated to South Sudan for a programme starting on December 19. This trial vaccine is not yet licenced but is considered safe and provided "under the compassionate-use guidelines in response to the ongoing Ebola outbreak in DRC", the WHO said.   Like neighbouring Uganda, where similar measures have been taken for health personnel, South Sudan has declared a state of alert because of the risk that Ebola may be carried into its territory. At present, no cases have been reported, according the WHO.   The experimental vaccine first went on trial during the terrible epidemic of Ebola that ravaged parts of West Africa between the end of 2013 and 2016, at a cost of more than 11,300 lives. The disease spreads through contact with bodily fluids from other people or infected animals.

The vaccine was created by Canadian public health specialists at the National Microbiology Laboratory and is considered highly effective by the WHO, but it works only against the Ebola virus-Zaire strain, confirmed in the outbreak in the DRC.   South Sudan has been torn by civil war for five years in a conflict that has left nearly 400,000 dead. More than four million people -- about a third of the population -- have fled.   The main belligerents signed a peace accord in September, but the work of humanitarian organisations remains complicated and dangerous.   Participants in the vaccination programme have been trained on rVSV-ZEBOV and undertaken a simulation exercise. Meanwhile, the Ebola preparedness contingency plan covers measures ranging from screening travellers, community engagement and provision for safe and dignified funerals, the WHO said.
Date: Mon, 10 Dec 2018 11:42:55 +0100

Bangkok, Dec 10, 2018 (AFP) - An Iranian man has been arrested after using travel freebies to lure an unsuspecting Japanese tourist into smuggling a bag of clothes laced with crystal meth, Thai police said Monday.   The tourist, whose name has not been disclosed, found the deal on a travel website that offered free getaways to Thailand, Shanghai and Frankfurt, complete with thousands in spending money.

But after arriving in Thailand last week, he was handed "suspicious" luggage for his next trip to Shanghai, Itthipol Itthisarnronnachai, deputy chief of Thailand's immigration department, told reporters.   "Inside the bag, he found clothes that felt more solid than usual. He then contacted the Japanese embassy," Itthipol said.   Police said the clothes had been coated with crystal methamphetamine -- known as ice.

Four bags of the drug were also found, adding up to 2.2 kilogrammes (4.9 pounds) in total.    Thailand gets 35 million tourists a year and some fall prey to low-level scams or robbery, but few are swept up in transnational drug-running.   "It's a never-seen-before method, luring tourists to traffick drugs out of the country," Itthipol added.

Demand for meth is surging in the region at a time when authorities are attempting to crack down on the lucrative business.   Police said the Iranian national was arrested when he went to retrieve the luggage after the Japanese man pretended to be sick and said he wanted to cancel the trip.   They found 10 kilogrammes of ice and ice-coated clothing in the suspect's apartment.   "We will pursue this case and investigate networks in Thailand and Japan to take down this scam," Itthipol said.
Date: Mon, 10 Dec 2018 08:53:28 +0100

Frankfurt am Main, Dec 10, 2018 (AFP) - Germany was plunged into transport chaos Monday as most train services were halted by a railworkers' strike over pay, affecting millions of passengers.   Inter-city and regional services as well as many urban commuter trains were cancelled throughout Europe's biggest economy by the four-hour stoppage from 5:00 am (0400 GMT), Deutsche Bahn (DB) said.   The strike halted all high-speed ICE trains and other inter-city services as well as most cargo trains, and its ripple effects and delays were expected to continue well into the afternoon.   In the capital Berlin, where additionally the entire public announcement system broke down, frustrated commuters were asked to switch from S-Bahn commuter trains operated by DB to subways, buses or trams.

The strike came after talks broke down Saturday between the DB and the EVG rail workers' union, which is demanding a 7.5-percent salary rise for 160,000 employees.   "The employer made offers which did not correspond to the demands of our members," said EVG negotiator Regina Rusch-Ziemba.   DB shot back and described the strike as a "completely unnecessary escalation", insisting its offer was "attractive and met the main demands" of employees.   DB had offered a pay rise of 5.1 percent in two phases, with an option for staff to take extra time off instead, and a one-off payment of 500 euros ($570), the DPA national news agency reported.   Deutsche Bahn in a tweet also denied it had broken off the negotiations, charging that "the EVG left the talks and went on strike".   "DB remains ready to continue the negotiations at any time. There is an open invitation for today."

The strike also impacted DB customer services offices, meaning that in many stations passengers were left without information over loudspeakers or display boards.   DB said that purchased tickets would remain valid until next Sunday or could be refunded and urged passengers to delay travel where possible.   It also called on the union -- which threatened follow-up strikes if necessary -- to return to the negotiating table quickly.   A DB spokeswoman said: "Parties that negotiate must be prepared to make concessions. DB has asked the EVG to continue the talks this afternoon."