WORLD NEWS

Getting countries ...
Select countries and read reports below or

Dominica

Dominica US Consular Information Sheet
April 02, 2008
COUNTRY DESCRIPTION:
Dominica is an English-speaking developing Caribbean island nation. The tourism industry in is the early stages of development; first-class tourist facilities are l
mited, but medium-range facilities are widely available. Read the Department of State Background Notes on Dominica for additional information.

ENTRY/EXIT REQUIREMENTS:
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.
We expect 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.

In addition to a valid passport, U.S. citizens may be asked to present a return or onward ticket. U.S. citizens should take special care to secure their passports while traveling as it can be time-consuming and difficult to acquire new proof of citizenship to facilitate return travel should the passport be lost or stolen. There is a departure tax assessed when leaving Dominica. Children under twelve years of age are exempt from the departure tax.
For further information concerning entry requirements, travelers can contact the Embassy of the Commonwealth of Dominica, 3216 New Mexico Avenue NW, Washington, DC
20016, telephone (202) 364-6781, e-mail embdomdc@aol.com, or the Consulate General of Dominica in New York at (212) 768-2480. Visit the Dominica Division of Tourism offical web site at http://www.dominica.dm/site/index.cfm for more 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 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 Dominica. Valuables left unattended, especially on beaches, are vulnerable to theft.

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

See information on Victims of Crime.

MEDICAL FACILITIES AND HEALTH INFORMATION:
Medical care is limited. The major hospital is Princess Margaret Hospital, telephone (767) 448-2231/5720.
In addition, there is one other hospital in Dominica and several clinics. There is no operational hyperbaric chamber; divers requiring treatment for decompression illness must be evacuated to Martinique. Serious medical problems requiring hospitalization and/or medical evacuation to the United States can cost thousands of dollars. Doctors and hospitals 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 Dominica is provided for general reference only, and may not be totally accurate in a particular location or circumstance.

Vehicles are driven on the left in Dominica. Seatbelt laws are not strictly enforced. Roads are narrow with steep inclines throughout the island. There are few guardrails in areas that have precipitous drop-offs from the road. Road signs are limited outside of the major towns. Drivers should be alert for minibus (taxi) drivers, who often make sudden stops or pull out into traffic without warning or signaling.

Please refer to our Road Safety page for more information.
Visit the website of the country’s national tourist office and national authority responsible for road safety at http://www.dominica.dm/site/index.cfm.

AVIATION SAFETY OVERSIGHT:
The U.S. Federal Aviation Administration (FAA) has assessed the Government of Dominica’s Civil Aviation Authority as being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for oversight of Dominica’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:
There is no U.S Embassy or Consulate in Dominica. The U.S. Embassy in Bridgetown, Barbados, is responsible for American Citizens Services on the island of Dominica. 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.

Like all Caribbean countries, Dominica 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) at http://www.fema.gov/.

Please see 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 Dominica’s laws, even unknowingly, may be expelled, arrested or imprisoned.
Penalties for possession, use, or trafficking in illegal drugs in Dominica 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 Dominica 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 Dominica.
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 for the Consular Section 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 Dominica 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, 12 Jun 2018 05:04:49 +0200
By Gemma Handy

Roseau, Dominica, June 12, 2018 (AFP) - With the hurricane season starting up again in the Atlantic, Irvince Auguiste is feeling vulnerable.   He, his wife Louisette and their three sons are still living in the ruins of their five-bedroom home that Hurricane Maria flattened nine months ago when it ravaged the tiny Caribbean island of Dominica.   They have rebuilt a kitchen, a washroom and a communal living area with sheets of plywood, but they are sleeping in tents.   "We are worried," Irvince says.   "I don't know where we will go if another hurricane comes. We just have to pray it doesn't," adds Louisette. "But we are not moving; this is our home."

More than 30 people were killed on Dominica when Maria crashed ashore on September 18 as a catastrophic Category Five storm, the first stop in a terrifying rampage that also devastated Puerto Rico and the Virgin Islands.     Like the Auguiste family, most of the rest of the 70,000 residents of the former British colony are nervously watching the weather forecasts as they struggle to get back on their feet.   While there has been some progress on Dominica, recovery has been slow and the task is daunting.   Damage to the island has been estimated at $1.33 billion -- or 226 percent of GDP.   Most businesses have reopened in the capital Roseau and electricity has been restored to various communities island-wide.

In Portsmouth, the island's second largest town, ground has been broken on construction of new hurricane-hardened residences for people who lost homes.   The project, which calls for 226 residences to be built by next year, is being funded through a government program in which Dominica offers citizenship in return for investments in the island.   Project manager Christopher Timmins said the new homes -- which will have reinforced concrete walls and roofs, and impact-resistant windows -- are "designed to withstand the worst that Dominican weather can throw at them."

- Public services slow to resume -
But elsewhere, like Touna Village where the Auguistes live, people are still living in tents.   In nearby Marigot, both the health clinic and police station are operating out of private homes.   Telecommunications firm Digicel is repairing six schools in Kalinago Territory and Atkinson, and has replaced roofs on 40 private homes.    But the pace is hindered by the "inordinate amount of time" it takes for materials to be shipped from the United States, said project manager Peter Court.   Roofs are being fixed according to stringent new building guidelines that include a steeper pitch, thicker materials and more rafters to help them stay in place in strong winds.

Lighthouse Christian Academy, a private school, had to fork out almost $20,000 to replace lost desks and benches, computers and books.    It reopened in January but the absence of electricity means school days end early at 1:00 pm due to the stifling heat inside classrooms.    "It's phenomenal trying to run a school without electricity," says principal Hudson Challenger. "Teachers can't do research and kids can't do their homework without lights. It's too expensive to use a generator."   In Roseau, business may be down 50 percent but patriotism is thriving, says market stall vendor Augustina John, whose canvasses embroidered with the ubiquitous mantra "Dominica strong" are popular with consumers.   "Life continues but I don't think Dominica will ever be the same again," John says.

The island's destruction has spawned advantages for some.    Brent Pascal was homeless and jobless for three years before being hired by the government to help clear debris.    "It took three months to clean Roseau's streets and I have found work on and off since," he adds.   Vegetation has returned to Dominica's once lush mountainsides but the defoliated trees could take up to 15 years to return to their former glory, says forest ranger Felix Eugene.   Prime Minister Roosevelt Skerrit planted 80 trees last week to kickstart a national tree-planting program.   Tourism chiefs recently launched a "Rediscover Dominica" campaign featuring a host of discounts to lure vacationers back to the "nature island."
Date: Fri, 22 Sep 2017 12:21:13 +0200

Roseau, Dominica, Sept 22, 2017 (AFP) - The tiny Caribbean island of Dominica appealed for desperately-needed aid and helicopters following the devastation wrought by Hurricane Maria, which left the country struggling to survive without water or electricity.   The island largely lost communications with the outside world after Maria ploughed into it on Monday as a maximum-strength Category Five hurricane packing winds of 160 miles per hour (257 kilometres per hour).

At least 15 people were killed on the island, with six deaths elsewhere in the Caribbean as the storm continued its destructive path north on Friday.   "For now our urgent, urgent matter is to  get supplies to the affected people. We're going to need all of the helicopter help we can get, because we need to ferry the supplies to people," Prime Minister Roosevelt Skerrit said Thursday.

AFP aerial footage showed debris from damaged buildings scattered across the island of 72,000 people and many structures with their roofs ripped off. Trees were snapped in half or ripped out of the ground.    Some streets were so filled with debris -- including splintered tree branches and sheets of corrugated metal -- that they were impassable.   Residents were busy shovelling mud out of their homes and businesses, while laundry was hung out to dry on the frames of half-destroyed homes and along downed utility cables.

In a neighbourhood of candy-coloured houses, families were cooking on makeshift stoves fashioned out of cinder blocks and rocks, fuelled by wood scraps.   The neighbouring French island of Martinique and the South American country of Guyana have dispatched a team of 68 firefighters to Dominica, said Patrick Amoussou-Adeble, secretary-general of Martinique.   "We have carried out a survey by helicopter to assess the situation. We have a naval ship that will supply 40 tons of water to the victims," he said.   Skerrit said that with hurricanes becoming ever stronger, "we really need, all of us, to understand that these issues are of greater concern to small islands like ours."   "We are very very vulnerable," he said.
Date: Tue, 19 Sep 2017 10:49:21 +0200
By Amandine ASCENSIO with Jean-Philippe LUDON in Fort-de-France

Pointe-à-Pitre, Sept 19, 2017 (AFP) - Hurricane Maria smashed into the eastern Caribbean island of Dominica on Tuesday, with its prime minister describing devastating damage as winds and rain from the powerful storm also hit territories still reeling from Irma.   As residents hunkered down in their homes the Category Five hurricane made landfall with top winds swirling at 160 miles (257 kilometres) per hour, the US National Hurricane Center (NHC) said.   "We have lost all what money can buy and replace," Dominica's premier Roosevelt Skerrit posted on Facebook, saying there were initial reports of "widespread devastation".

"My greatest fear for the morning is that we will wake to news of serious physical injury and possible deaths as a result of likely landslides triggered by persistent rains."   Earlier, he said his roof had been blown off, his house was flooding and he was "at the complete mercy of the hurricane".   After being rescued Skerrit appealed for "help of all kinds" but noted specifically that helicopters will be needed so that authorities could survey the damage.

Dominica's airport and ports have been closed.   After moving across the tropical island of 72,000 people, Maria was downgraded to an "extremely dangerous" Category Four hurricane but could strengthen again as it races north towards the British Virgin Islands and Puerto Rico.   The NHC warned of dangerous storm surges, destructive waves, flash floods and mudslides and warned that "preparations to protect life and property should be rushed to completion".

The French territory of Guadeloupe -- the bridgehead for aid for Irma-hit French territories -- ordered all residents to take shelter in a maximum-level "violet alert". Heavy rain lashed the island and several areas were without power Tuesday morning.   The Dominican Republic, the east coast of which was battered by Irma, ordered citizens in part of the north to evacuate ahead of Maria's arrival, expected Wednesday.   St Kitts, Nevis, the British island of Montserrat, Culebra and Vieques were also on alert.   Martinique, a French island south of Dominica, suffered power cuts but avoided major damage as the storm skirted its shores.    Flooding, mudslides and power outages were also reported in parts of St Lucia.

- 'Worst-case scenario' -
Criticised for the pace of relief efforts in their overseas territories devastated by Irma, Britain, France and the Netherlands said they were boosting resources for the Caribbean.   "We are planning for the unexpected, we are planning for the worst," said Chris Austin, head of a UK military task force set up to deal with Irma, as the British Virgin Islands readied for a new onslaught.   On the island of St Martin, which is split between France and the Netherlands, authorities announced a red alert ahead of Maria's arrival.   "We're watching its trajectory very closely, and we're preparing for the worst-case scenario," said local official Anne Laubies.

In Guadeloupe's biggest city of Pointe-a-Pitre, Elodie Corte, the boss of a metalworking company, said there had been frantic preparations to limit the damage from the storm.   "We spent the morning strapping down the aluminium to stop it from flying away if the winds are strong," she said Monday.   The Dutch navy tweeted that troops were heading to the two tiny neighbouring islands of Saba and St Eustatius to ensure security following widespread complaints after the first hurricane of looting and lawlessness on St Martin, among the worst hit by Irma, with 14 killed.   French Interior Minister Gerard Collomb said 110 more soldiers would be deployed to the region to reinforce about 3,000 people already there shoring up security, rebuilding infrastructure and distributing aid.   But he warned of "major difficulties" if Guadeloupe is hard hit.

- Hurricane series
Irma, also a Category 5 hurricane, left around 40 people dead in the Caribbean before churning west and pounding Florida, where the death toll stood at 50 Monday.   It broke weather records when it whipped up winds of 295 kilometres per hour for more than 33 hours straight.   Another hurricane, Jose, is also active in the Atlantic and has triggered tropical storm warnings for the northeastern United States.   Many scientists are convinced that megastorms such as Irma, and Harvey before it, are intensified by the greater energy they can draw from oceans that are warming as a result of climate change.
Date: Tue, 1 Sep 2015 19:08:25 +0200 (METDST)

Roseau, Dominica, Sept 1, 2015 (AFP) - Dominica Prime Minister Roosevelt Skerrit is pleading with world leaders to come to the rescue of his Caribbean island nation after it was battered by a tropical storm that killed at least 31 people.   Another two dozen remain missing, including two French nationals, after Tropical Storm Erika barrelled her way through late last week. The death toll has risen steadily since the storm hit the island of 72,000.    In a message to the nation on Monday night, Skerrit said 21 nationals and two French citizens are missing.

He added: "We have written to all foreign governments for help and assistance and I can tell you that the responses that we have received thus far are tremendous."   At the weekend, in the immediate aftermath of the worst of the storm, which also brought heavy rain to Haiti and Cuba, the prime minister ordered the evacuation of Petite Savanne, a coastal village cut off by mudslides.   Venezuela and Trinidad and Tobago were among the countries helping the evacuation effort by providing helicopters.

The evacuations of Petite Savanne's 750 residents was expected to be completed on Tuesday.   "We welcome the evacuation process because it has been very difficult for us and we were in a state of helplessness since we had no communication," Johna Guiste, a tearful Petite Savanne official, told AFP.   Anelta Hilaire-Francis said she has been marooned on the seashore for the past two days with her children "trying to get out of the village."    "It's hard and difficult to live, to take in and swallow what has happened to us," she said as she boarded a coast guard boat to a shelter in the capital Roseau.   Last week Skerrit said he feared the storm had taken the island back 20 years.   China last week offered $300,000 as emergency humanitarian assistance.
Date: Wed 19 Mar 2014
Source: Da Vibes [summarized & edited]

Dominicans have been called upon to play a greater role in managing the spread of chikungunya disease, which is reportedly increasing across the island.

The disease, 1st confirmed here in January 2014, is a viral disease carried mainly by the _Aedes aegypti_ mosquito. The symptoms of the disease include sudden high fever, headache, fatigue, nausea, vomiting, muscle pain, rash, and severe pain in the wrists, ankles or knuckles.

Chief environmental health officer Anthony Scotland revealed on QFM Radio on Wed 19 Mar 2014 that as of 17 Mar 2014, there were 56 confirmed and 269 suspected cases of the disease in Dominica. These figures are based on confirmed information from the Caribbean Public Health Agency (CPHA). Scotland, therefore, urged citizens to wage war against the _Aedes aegypti_ mosquito by disrupting their breeding areas and refraining from storing water in uncovered and untreated drums. The Ministry of Health, he said, will be placing emphasis on toppling drums, boring holes in drums, and giving notices to offenders.

Scotland emphasized that the cooperation of the public is critical in managing the outbreak.
More ...

World Travel News Headlines

Date: Wed, 20 Nov 2019 22:35:51 +0100 (MET)

Manila, Nov 20, 2019 (AFP) - Philippine police were ordered Wednesday to arrest anyone caught vaping in public, just hours after Philippine President Rodrigo Duterte announced he would ban e-cigarettes.   The abrupt prohibition, revealed by Duterte late Tuesday adds to a growing global backlash against a product once promoted as less harmful than tobacco smoking.

Duterte, a former smoker, called the devices "toxic" and said vaping introduced "chemicals" into the user's body.   He ordered the arrest of anyone vaping publicly in a country that already has some of Asia's toughest anti-smoking rules.    No formal, written order has been made public that spells out the scope of the ban or penalties for violations.   Duterte is notorious internationally for his deadly anti-narcotics crackdown, but he has also targeted tobacco with a wide-ranging ban on smoking in public.   Citing "the order of the president", on Wednesday a statement from the head of the Philippine police ordered "effective today, all police units nationwide to enforce the ban on use of vapes; ensure that all violators will be arrested".

The ban came days after Philippine health authorities reported the nation's first vaping-related lung injury, which resulted in a 16-year-old girl being hospitalised.   Vaping has taken off in the Philippines, with speciality shops and vapers puffing away in public a common sight.     E-cigarette users were caught off guard by the ban and questioned the utility of arresting people who, at worst, were hurting themselves.   "It's inappropriate. In any case, we don't hurt people, the environment or animals," said 22-year-old student Alexis Martin.   "Why are vapers being targeted?"

E-cigarettes warm flavoured liquid to produce vapour that is free of the estimated 7,000 chemicals in tobacco smoke, but does contain a number of substances that could potentially be harmful.  Critics say that apart from being harmful in themselves, the multiple exotic flavours of e-cigarette liquids appeal particularly to youngsters and risk getting them addicted to nicotine.

The devices have become hugely popular in the past decade but a rash of vaping-linked deaths and illnesses in the United States is feeding caution about the product, already banned in some places.   In September 2019 India became the latest country to ban the import, sale, production and advertising of e-cigarettes, citing in particular concerns for its youth.   The devices are already banned in several places such as Brazil, Singapore, Thailand and the US state of Massachusetts.
Date: Wed, 20 Nov 2019 17:17:39 +0100 (MET)

Lagos, Nov 20, 2019 (AFP) - Nigerian President Muhammadu Buhari on Wednesday announced a campaign to end defecation in public, in a country where tens of millions of people going to the toilet outside poses a major health risk.    "Nigeria has committed to end open defecation throughout the country by 2025," a statement by the presidency said a day after the United Nations marked World Toilet Day.     The decree set up a new body called the Clean Nigeria Campaign Secretariat to ensure "that all public places including schools, hotels, fuel stations, places of worship, market places, hospitals and offices have accessible toilets and latrines within their premises". 

According to the United Nations children agency, UNICEF, Nigeria has amongst the highest number of people practising open defecation in the world, estimated at over 46 million people -- almost a quarter of the population.   Around Nigeria each year 87,000 children die from diarrhoea, with more than 90 per cent of deaths caused by a lack of water, sanitation and hygiene, according to the World Bank.   The new agency will be disbanded when the goal of ending open defecation has been met, the presidency said.
Date: Wed, 20 Nov 2019 12:59:15 +0100 (MET)

Kampala, Nov 20, 2019 (AFP) - Global health charity Marie Stopes said Wednesday it had recalled hundreds of thousands of faulty condoms on sale in Uganda, where HIV rates are among the highest in the world.   The recall followed a warning from Uganda's National Drug Authority (NDA) that the Life Guard brand condoms had failed manufacturing "quality tests" because they contained holes and may burst.   The affected condoms were manufactured by India-based MHL Healthcare in April 2019 and have an expiry date of April 2024, the government regulator said.   Marie Stopes Uganda spokesman David Kamu told AFP on Wednesday that the two affected batches each contained "around 400,000" condoms.

Earlier reports had suggested millions of condoms could have been involved but NDA spokesman Fred Ssekyana told AFP the figure was below one million.   Marie Stopes Uganda said more than half of the condoms of concern had been recalled.   "While the LifeGuard brand follows strict quality controls, unfortunately two recent batches have fallen short of the quality we demand," the charity's country director, Carole Sekimpi, said in a statement Tuesday.   Marie Stopes is the largest and most specialised sexual reproductive health organisation in Uganda, the charity says on its website.   According to UNAIDS, 1.4 million Ugandans are living with HIV.   Last year 53,000 people were newly infected with the disease in the East African country, the UN agency said.
Date: Wed, 20 Nov 2019 15:08:18 +0100 (MET)

Luanda, Nov 20, 2019 (AFP) - Angola recorded an outbreak of polio this week after almost a decade without cases of the paralysing viral disease, the government said.   The highly infectious condition mainly affects children under the age of five. It attacks the nervous system and can lead to total paralysis, or in some cases death.   "After seven years without polio we are unfortunately confronted with a difficult situation," Angola's health minister Sante Silvia Lutucuta said on Monday, at the launch of a new vaccination campaign in the capital Luanda.   "We have recorded 44 new cases in ten of the country's 18 provinces," she added.

The vaccination campaign is expected to reach 2.5 million children aged five and under.   "All children must be protected by three doses of the oral anti-poliomyelitis vaccine," said Lutucuta, adding that the campaign would span over two weeks to "control the epidemic".   Two out of three strains of the wild polio virus have been eradicated so far, according to the World Health Organization (WHO).           While only 33 wild polio cases were reported globally last year, vaccine-derived polio still breaks out sporadically in some parts of Africa and Asia.    The Centers for Disease Control and Prevention has recommended that all travellers to Angola be fully vaccinated against the virus.
Date: Thu, 21 Nov 2019 01:34:32 +0100 (MET)

Bangkok, Nov 21, 2019 (AFP) - A 6.1-magnitude earthquake hit north-western Laos near the Thai border early Thursday, the United States Geological Survey reported.    The shallow quake hit at 6:50 am local time (2350 Wednesday GMT), USGS said. 
Date: Thu, 21 Nov 2019 01:25:15 +0100 (MET)

Sydney, Nov 21, 2019 (AFP) - The fire danger was elevated across wider swathes of southern Australia on Thursday, with residents warned to avoid at-risk areas as smoke from bushfires choked Sydney and other major cities.   Devastating fires along the country's east coast have claimed six lives and destroyed more than 500 homes since mid-October, with climate change and unseasonably hot, dry conditions fuelling the unprecedented blazes.   Now the fire danger has moved into states further south, with a so-called "Code Red" -- the highest possible fire risk in Victoria -- being declared in the state's northwest for the first time in a decade.   "What that means is that if we see fires in those areas they will be fast moving, they will be unpredictable, they will be uncontrollable," emergency management commissioner Andrew Crisp told reporters.

Country Fire Authority chief Steve Warrington told people living in rural areas to leave for the safety of cities.   "We are saying, 'do not be there, do not be there when a fire occurs, because you will not survive if you are there'," he said.   "There is a good chance if a fire occurs that your home will be destroyed."   The fire danger was also elevated to "severe" in the island state of Tasmania off mainland Australia's southeastern coast,  where a total fire ban was declared.   Two bushfires in the state's northeast did not pose an immediate threat to residents, the Tasmania Fire Service said.

For the second time in two days, smoke from bushfires blanketed Sydney, Australia's biggest city and home to more than five million people, sending air quality plummeting to hazardous levels.   More than 110 fires are still burning in worst-hit New South Wales and neighbouring Queensland, while in South Australia more than 40 fires broke out during catastrophic fire conditions Wednesday.    A South Australia Country Fire Service spokeswoman said all of those blazes had been brought under control or extinguished by Thursday, with the exception of a major fire on the Yorke Peninsula that had come perilously close to a small town.

Conditions were expected to ease in the coming days in South Australia, where the state capital Adelaide was also shrouded in bushfire smoke and residents were being told to stay indoors for health reasons.   Bushfire-prone Australia has experienced a horror start to its fire season, which scientists say is beginning earlier and becoming more extreme as climate change pushes temperatures higher and saps moisture from the environment after months of severe drought.   Growing calls to curb fossil fuels and drastically cut greenhouse gas emissions are being ignored by the country's conservative government, which is eager to protect its lucrative mining industry.   The country is bracing for challenging fire conditions to continue throughout the Southern Hemisphere summer.
Date: Mon 18 Nov 2019
Source: 112.UA [edited]

Eight school classes in Odesa [Odessa] have been closed for quarantine. More than 30% of school students in these classes are sick with Coxsackie virus, a highly contagious respiratory disease, said Olena Buynevych, the director of the city hall's department for science and education, as quoted by UNN news agency.

"More than 30% of students in these classes are sick wi h acute
respiratory diseases, which include cases of cases and Coxsackievirus," the official said. She urged the parents to keep the children away from schools in case they have any symptoms of acute respiratory diseases.

The symptoms are basically the same as flu; the key difference is the rash on the palms, in case of the Coxsackievirus.

Coxsackievirus is a member of a family of viruses called enteroviruses. Enteroviruses are made up of a single strand of ribonucleic acid (RNA). The enteroviruses are also referred to as picornaviruses ("pico" means "small," so, "small RNA viruses"). They are present all over the world and spread by fecal-oral route. About 90% of infections don't cause symptoms or present with a fever only. Infants and young kids are particularly susceptible to symptomatic coxsackie.
======================
[Coxsackievirus belongs to a family of nonenveloped, linear, positive-sense, single-stranded RNA viruses, Picornaviridae and the genus _Enterovirus_, which also includes poliovirus and echovirus. Enteroviruses are among the most common and important human pathogens, and ordinarily its members are transmitted by the fecal-oral route. Coxsackieviruses share many characteristics with poliovirus. With control of poliovirus infections in much of the world, more attention has been focused on understanding the nonpolio enteroviruses such as coxsackievirus.

Coxsackieviruses are divided into group A and group B viruses based on early observations of their pathogenicity in neonatal mice. In general, group A coxsackieviruses tend to infect the skin and mucous membranes, causing herpangina, acute hemorrhagic conjunctivitis, and hand, foot, and mouth (HFM) disease. Both group A and group B coxsackieviruses can cause nonspecific febrile illnesses, rashes, upper respiratory tract disease, and aseptic meningitis.

Group B coxsackieviruses tend to infect the heart, pleura, pancreas, and liver, causing pleurodynia, myocarditis, pericarditis, and hepatitis (inflammation of the liver not related to the hepatotropic viruses). Coxsackie B infection of the heart can lead to pericardial effusion.

The development of insulin-dependent diabetes (IDDM) has recently been associated with recent enteroviral infection, particularly coxsackievirus B pancreatitis.

It is common for the coxsackievirus to cause a febrile upper respiratory tract infection with sore throat and/or a runny nose. Some patients have a cough resembling bronchitis. Less commonly, coxsackievirus may cause pneumonia. Some people with coxsackievirus have a rash. In many, this is a nonspecific generalized red rash or clusters of fine red spots. The rash may not appear until the infection has started to get better.

Coxsackievirus is spread from person to person. The virus is present in the secretions and bodily fluids of infected people. The virus may be spread by coming into contact with respiratory secretions from infected patients. If infected people rub their runny noses and then touch a surface, that surface can harbor the virus and become a source of infection. People who have infected eyes (conjunctivitis) can spread the virus by touching their eyes and touching other people or surfaces. Conjunctivitis may spread rapidly and appear within one day of exposure to the virus. Coxsackieviruses are also shed in stool, which may be a source of transmission among young children. The virus can be spread if unwashed hands get contaminated with fecal matter and then touch the face. This is particularly important for spread within  day-care centers or nurseries where diapers are handled. Diarrhoea is the most common sign of coxsackievirus intestinal infection.

Most infections are self-limiting, and no specific treatment is required or available. Some options include intravenous immune globulin (IVIG), which contains antibodies and may be somewhat effective.

HealthMap/ProMED-mail map:
Odesa oblast, Ukraine: <http://healthmap.org/promed/p/51897>]
Date: Tue 19 Nov 2019 6:07 AM GMT
Source: 3 FM [edited]

There's been an outbreak of a highly contagious disease among wood pigeons on [Isle of Man]. That's according to Manx Wild Bird Aid (MWBA) which says its already taken in a number of the animals from Douglas, Groudle, and Crosby which are suffering with 'canker'.

The infection isn't harmful to humans or mammals but the organisation says it can cause growths in the birds' mouths which can lead them to starve to death.

MWBA is offering advice to people about how to help stop it spreading, including strict hygiene on bird-feeding tables and if you come across a sick pigeon to take it to the nearest vet as soon as possible.  [Byline: Rob Pitchard]
========================
[_Trichomonas gallinae_ is a common protozoan parasite of pigeons (Columbiformes) which principally infects the upper alimentary tract where it can cause necrotic ingluvitis. Epidemic mortalities in columbiform species are sporadically reported, and the parasite may infect other avian taxa such as birds of prey and songbirds. (<http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0012215>). - ProMED Mod.PMB]

[HealthMap/ProMED-mail map of the Isle of Man:

HealthMap/ProMED map available at:
Date: Tue 19 Nov 2019
Source: Caracas Chronicles [edited]

The Venezuelan Public Health Society and the Let's Defend The National Epidemiology Network issued an alert after a case of yellow fever was confirmed in the state of Bolivar, after 14 years without the disease. The Health Ministry hasn't published information about the case or issued an alert, but Venezuela must formally report it to international institutions, due to the risk to a population that isn't vaccinated, having the vector (mosquitoes) in all of the territory (increasing the odds of an epidemic), and the poor access to an epidemiologic report [about the case]. Doctor Julio Castro wrote about the case for Prodavinci.  [Byline: Naky Soto]
======================
[There is little information about this case: where and when it occurred in Bolivar state, tests used to diagnose the case, condition of the patient, and any follow-up measures taken by public health authorities. Yellow fever (YF) virus is endemic in Venezuela as it is in many South American countries.

The most recent ProMED-mail report of YF in Venezuela was in 2010, in Anzoategui state, where there were 3 probable YF cases in monkeys. This outbreak was enzootic, as determined by the Ministry of Health (see Yellow fever - South America: Venezuela (AN) monkey, susp http://promedmail.org/post/20101112.4114).

Presumably, this current case is one of spill-over from the sylvan (forest) transmission cycle. Maintenance of a high level (80-90%) of coverage is essential to prevent cases and avoid outbreaks involving the urban cycle with _Aedes aegypti_ transmission. - ProMED Mod.TY]

[HealthMap/ProMED-mail map of Venezuela:
Date: Thu 14 Nov 2019
Source: WHO Emergencies preparedness, response, Disease Outbreak News (DONs) [edited]

On 10 Oct 2019, the National IHR Focal Point for Sudan notified WHO of 47 suspected [human] cases of Rift Valley fever (RVF), including 2 deaths in Arb'aat Area, Towashan Village, in El Qaneb locality, Red Sea State. The suspected cases presented with high-grade fever, headaches, joint pain, vomiting. There were no hemorrhagic signs or symptoms observed. The 1st case presented to the health facility on 19 Sep 2019.

On 28 Sep 2019, a total of 14 samples were sent to the National Public Health Laboratory in Khartoum, and 5 tested positive for RVF by immunoglobulin M (IgM) enzyme-linked immunosorbent assay (ELISA) and reverse-transcriptase polymerase chain reaction (RT-PCR). These samples were also tested for malaria and were found negative.

On 13 Oct 2019, a total of 10 suspected RVF cases were recorded in Barbar and Abu Hamed localities, of River Nile State. Of the 10 suspected RVF cases, 5 samples were tested and 4 were found positive for RVF. From 19 Sep 2019 until 11 Nov 2019, a total of 293 suspected human RVF cases, including 11 associated deaths have been reported from 6 states; including the Red Sea (120), River Nile (168), Kassala (2), White Nile (1), Khartoum (1), and Al Qadarif (1) States. The most affected age group is 15-45 years old, which accounts for 83% of the total suspected cases. The male to female ratio is 2.6, with a high proportion of the cases being farmers (37.5%).

These human RVF cases are concomitant with abortions and deaths among goats in the areas where the human suspected and confirmed cases have been reported. From 25 Sep through 3 Nov 2019, 21 goats in Red Sea State were reported as positive for RVF, including 4 deaths; and in River Nile State 16 goats, with 3 deaths, and 37 sheep, with 5 deaths, were confirmed positive for RVF by ELISA test at the Central Veterinary Research Laboratory in Khartoum.

Public health response
----------------------
Red Sea State
-------------
- Activation of RVF task force committee;
- printing and distribution of RVF guidelines;
- deployment of surveillance teams for daily reporting and active case finding in the affected areas;
- establishment of 2 health centers and one dispensary with a capacity of 11 beds, laboratory items, drugs, and supplies to provide health services in the affected villages;
- conducting household inspections and fogging: In Arb'aat area, a total of 452 households were inspected, out of which 30 were found positive for the presence of a competent vector; in Port Sudan, out of 1225 households inspected, 29 were found positive for the competent vector, and fogging was provided to 1949 households;
- the Veterinary Epidemiology Department of the Ministry of Animal Resources conducted vector control in 4 animal enclosures in the affected villages.

River Nile State
- A joint investigation conducted by the State Ministry of Health (SMoH) and WHO on 12 Oct 2019;
- initiation of an RVF Action plan by the SMoH and WHO;
- initiation of Integrated Vector Management (IVM), surveillance, case management, and Rapid Response Team (RRT) activities.

WHO risk assessment
-------------------
RVF is endemic in Sudan. There have been 3 outbreaks affecting humans previously documented in 1973, 1976, and 2008. During the outbreak in 2008, a total of 747 laboratory-confirmed cases were reported, including 230 deaths.

The recent floods, following heavy rains on 13 Aug 2019, caused flash floods in 17 of the 18 states, including Abyei area in West Kordofan State. These floods have favored vector abundance, distribution, and longevity. The current RVF outbreak started on 19 Sep 2019 and has affected states impacted by the floods.

The uncontrolled movements of animal populations within and outside the country borders may increase the spread of the disease to new areas.

RVF can cause significant economic losses due to livestock travel and trade restrictions, as well as high mortality and abortion rates among infected animals.

In a country where the export of livestock is one of the major sources of the national income, the current RVF outbreak, in the context of political unrest and a debilitated health system requires an urgent need for external assistance.

WHO advice
----------
Rift Valley fever (RVF) is a mosquito-borne viral zoonosis that primarily affects animals but also has the capacity to infect humans. The majority of human infections result from direct or indirect contact with the blood or organs of infected animals. Herders, farmers, slaughterhouse workers, and veterinarians have an increased risk of infection.

Awareness of the risk factors of RVF infection and measures to prevent mosquito bites is the only way to reduce human infection and deaths. Public health messages for risk reduction should focus on:
- reducing the risk of animal-to-human transmission resulting from unsafe animal husbandry and slaughtering practices;
- practicing hand hygiene as well as wearing gloves or other personal protective equipment when handling sick animals or their tissues and when slaughtering animals;
- reducing the risk of animal-to-human transmission arising from the unsafe consumption of raw or unpasteurized milk or animal tissue. in endemic regions, all animal products should be thoroughly cooked before eating;
- reducing the risk of mosquito bites through the implementation of vector control activities (e.g. insecticide spraying and use of larvicidal to reduce mosquito breeding sites), use of insecticide-impregnated mosquito nets and repellents, light-coloured clothing (long-sleeved shirts and trousers);
- restricting or banning the movement of livestock to reduce the spread of the virus from infected to uninfected areas;
- routine animal vaccination is recommended to prevent RVF outbreaks. Vaccination campaigns are not recommended during an outbreak as they may intensify transmission among the herd through needle propagation of the virus;
- outbreaks of RVF in animals precede human cases, thus the establishment of an active animal health surveillance system is essential in providing early warning for veterinary and public health authorities.

WHO advises against the application of any travel or trade restrictions with the affected country based on the current information available on this event.
=====================
[The report above provides a good overview of the development of the current Rift Valley fever outbreak. Surveillance and responses require a One Health approach since both humans and animals are affected and environmental change, in this situation extensive flooding, has promoted vector abundance. Effective vector control over extensive geographical areas is difficult to achieve and is expensive. Maintenance of herd immunity through vaccination of animals can be a successful preventive measure prior to the occurrence of cases. - ProMED Mod.TY]

[Neighbouring Egypt, which suffered introductions of RVF from Sudan in the past, has undertaken preventive measures. This relates initially to the 2 governorates bordering Sudan, namely the Red Sea and the New Valley governorates. In the Red Sea governorate, vaccination has already started. Reportedly, as of 18 Nov 2019, a total of 12 801 animals have been vaccinated, including 11 568 sheep and goats, 712 camels, and 421 cows and buffalo. The vaccination, which is free of charge, is being continued. In the New Valley governorate, 62 guidance seminars about RVF for animal breeders in the 5 provincial centers have been undertaken; the implementation of a "magnified immunization campaign for a month" is said to commence "next Saturday" (23 Nov 2019), "aimed at immunizing 120 000 cattle, goats, and sheep." Intensified surveillance in animals has, reportedly, been applied in both governorates; no suspected cases detected. - ProMED Mod.AS]