WORLD NEWS

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

Fiji

Fiji - US Consular Information Sheet
October 24, 2008
COUNTRY DESCRIPTION:
Fiji is a South Pacific island nation consisting of over 350 islands and islets, of which approximately 100 are inhabited. The capital is Suva. On December 5, 2006,
in the fourth coup since 1987, the Commander of Fiji’s military force deposed the lawfully elected government of Fiji. There is currently an unelected interim government in place established by the military. The coup has had a negative effect on Fiji’s economy. Tourist facilities are available. The Fiji Visitors Bureau, which has a wide range of information of interest to travelers, can be contacted via the Internet at http://www.bulafiji.com/. Read the Department of State Background Notes on Fiji for additional information.
ENTRY/EXIT REQUIREMENTS: A passport valid for at least three months beyond the intended date of departure from Fiji, proof of sufficient funds and an onward/return ticket are required for entry to Fiji. A visa is not required for tourist stays up to four months. Yachts wishing to call at the Lau group of islands need special permission granted at the first port of entry into Fiji. For further information on entry/exit requirements, travelers may contact the Embassy of the Republic of Fiji, 2233 Wisconsin Avenue NW, No. 240, Washington, DC 20007; telephone (202) 337-8320, or the Fiji Mission to the United Nations in New York. This is particularly important for travelers planning to enter Fiji by sailing vessel.

Information about dual nationality and the prevention of international child abduction can be found on our web site. For further information about customs regulations, please read our Customs Information.
SAFETY AND SECURITY:
While a state of emergency is no longer in effect, some basic rights remain uncertain. The independence of Fiji’s law enforcement and judicial systems appears compromised, putting into question protections ordinarily afforded by the rule of law. The Department of State continues to warn U.S. citizens to carefully consider the risks of travel to the Republic of Fiji at this time. While Fiji’s country situation appears calm on the surface, political, economic, and security uncertainties continue. It is possible that the security situation, especially in Suva, could deteriorate rapidly. American citizens in Fiji should remain vigilant, particularly in public places and near military activities in the greater Suva area, and should avoid demonstrations and large crowds. Even demonstrations intended to be peaceful could turn confrontational and escalate into violence unexpectedly.
For the latest security information, Americans traveling abroad should regularly monitor the Department of State, Bureau of Consular Affair’s web site at http://travel.state.gov, where the current Travel Warnings and Travel Alerts, including the Worldwide Caution, can be found.
Up-to-date information on 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: Urban areas experience a higher incidence of crime than do other areas. Travelers should protect their valuables and be aware that theft from hotel rooms and purse snatching or pick-pocketing are the most common crimes against tourists. Offenses against persons do occur, and visitors should remain attentive to their personal safety. Tourists should be cautious about sharing too much personal information about their country of origin or lodging. Americans not familiar with their environs should ask hotel staff about areas to avoid at night. Visitors are advised not to walk alone after dark and not to walk alone in isolated areas at any time. Due to crime directed against taxi drivers, travelers should not allow taxis to pick up other passengers while en route and should not enter a taxi that already carries other passengers.
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 U.S. Embassy in Suva, Fiji at (679) 331-4466 (ask for American Citizen Services). 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 Fiji is 911.

See our information on Victims of Crime.
MEDICAL FACILITIES AND HEALTH INFORMATION: Health-care facilities in Fiji are adequate for routine medical problems. Emergency response is extremely limited, and the few ambulances available are poorly equipped and staffed. Two major hospitals, the Lautoka Hospital in the western city of Lautoka, and the Colonial War Memorial Hospital in Suva, provide limited emergency and outpatient services. A private hospital in Suva provides Western-style medical care, and maintains the Fiji Recompression Chamber for the benefit of scuba divers. Other hospitals and clinics provide only a limited range of health services. Medical emergencies may be referred to Australia, New Zealand, or the United States. Serious medical problems requiring hospitalization and/or medical evacuation to the United States or elsewhere can cost thousands of dollars. Doctors and hospitals expect immediate cash payment for health services.
Fiji may impose HIV/AIDS travel restrictions on some visa applicants for work permits. Applicants must obtain a medical clearance, and the work permit committee will make the decision to grant the permit on a case-by-case basis. Before traveling, please inquire directly with the Embassy of the Republic of Fiji, 2233 Wisconsin Avenue NW, No. 240, Washington, DC 20007; telephone (202) 337-8320, or the Fiji Mission to the United Nations in New York.

Fiji is currently experiencing an increased number of Dengue fever cases, with almost 1,000 cases confirmed (but no deaths) since September 1, 2008. Dengue fever is a common disease caused by a virus that humans get by being bitten by infected mosquitoes (usually Aedes aegypti). For more information about Dengue fever, see the CDC website below.

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 if 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 Fiji is provided for general reference only, and it may not be totally accurate in a particular location or circumstance.
Traffic moves on the left in Fiji. While most roads in urban areas are paved, they are poorly maintained. Roads outside the city are usually not paved. In the city, driving after dark requires heightened attentiveness; outside the city, it is discouraged, except in emergency or exceptional circumstances. Stray animals, unwary pedestrians, and potholes make driving dangerous and particularly hazardous at night.
Please refer to our Road Safety page for more information. Visit the web site of Fiji’s national tourist office and national authority responsible for road safety at http://www.bulafiji.com
AVIATION SAFETY OVERSIGHT: The U.S. Federal Aviation Administration (FAA) has assessed the Government of Fiji’s Civil Aviation Authority as being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for oversight of Fiji's air carrier operations. For further information, travelers may visit the FAA’s web site at http://www.faa.gov/safety/programs_initiatives/oversight/iasa
SPECIAL CIRCUMSTANCES:
Water Sports: Many visitors to Fiji participate in water sports, including scuba diving, snorkeling, surfing, and operating jet-skis. The Embassy strongly recommends that anyone interested in scuba diving and snorkeling while in Fiji check the references, licenses, and equipment of tour operators before agreeing to or paying for a tour. Visitors should rent equipment only from reputable operators and should insist on sufficient training before using the equipment. Rental diving equipment may not always be properly maintained or inspected, and some local dive masters may fail to consider the skill levels of individual tourists when organizing dives. Deaths and serious mishaps have occurred in the past as a result of lack of attention to basic safety measures during diving and snorkeling trips. Surfing on Fiji’s numerous reef breaks can be highly dangerous. Safety precautions and emergency response capabilities may not be up to U.S. standards. Fiji has only one decompression chamber, which is located in Suva, far from most resorts.

Trekking: Terrain in the Fiji islands can be hazardous. Please consult with local guides and/or your place of lodging before undertaking a trek. Americans are also advised to hike with a companion and not to stray from marked or well-worn paths.
Customs: Fiji's customs authorities may enforce strict regulations concerning temporary importation into, or export from, Fiji of items such as alcohol or tobacco products. It is advisable to contact the Embassy of Fiji in Washington, DC at (202) 337-8320 for specific information regarding customs requirements. Importation of animals is strictly controlled. Pets may be imported only from designated, rabies-free locales. Those wishing to bring pets to Fiji should contact the Ministry of Agriculture in Suva as much as six months in advance for particulars.

Purchase of Real Estate: U.S. citizens should be aware of the risks inherent in purchasing real estate in Fiji, and should exercise caution before entering into any form of commitment to invest in property there. Investors must recognize the need to obtain authoritative information and to hire competent Fijian legal counsel when contemplating any real estate investment. Fijian law and practices regarding real estate differ substantially from those in the United States.
Notification of Arrest: 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 are readily available. According to Fijian law, a criminal detainee may be held for a maximum of 48 hours before being charged. Police authorities normally advise the U.S. Embassy of the detention or arrest of a U.S. citizen within 24 hours of the incident. Nevertheless, U.S. citizens who are detained are encouraged to request that a consular officer at the U.S. Embassy in Suva be notified.
Natural Disasters: Fiji is located in an area of high seismic activity. Although the probability of a major earthquake occurring during a particular trip is remote, earthquakes can and do occur. The cyclone season is November through April. The Fiji Meteorological Service maintains a Tropical Cyclone Warning Center (TCWC) in Nadi serving the Southwest Pacific Region. General information regarding disaster preparedness is available via the Bureau of Consular Affairs' web site, and from the U.S. Federal Emergency Management Agency (FEMA) home page at http://www.fema.gov/
CRIMINAL PENALTIES: While in a foreign country, a U.S. citizen is subject to that country's laws and regulations, which sometimes differ significantly from those in the United States and may not afford the protections available to the individual under U.S. law. Penalties for breaking the law can be more severe than those in the United States for similar offenses. Persons violating Fijian laws, even unknowingly, may be expelled, arrested or imprisoned. Penalties for possession of, use of, or trafficking in illegal drugs in Fiji are strict, and convicted offenders can expect jail sentences and heavy fines. Please see our information on Criminal Penalties.

CHILDREN'S ISSUES: For information see our Office of Children’s Issues web pages on international adoption and international parental child abduction.
REGISTRATION / EMBASSY LOCATION: Americans living or traveling in Fiji are encouraged to register with the U.S. Embassy in Suva through the State Department's travel registration web site, and to obtain updated information on travel and security within Fiji. Americans without Internet access may register directly with the nearest U.S. embassy or consulate. By registering, American citizens make it easier for the U.S. embassy or consulate to contact them in case of emergency. The U.S. Embassy is located at 31 Loftus Street in Fiji’s capital city of Suva. The telephone number is (679) 331-4466; the fax number is (679) 330-2267. Information may also be obtained by visiting the U.S. Embassy’s home page at http://suva.usembassy.gov/information_for_travelers.html
* * *
This replaces the Country Specific Information dated February 5, 2008, to update the sections on Information for Victims of Crime, and Medical Facilities and Health Information.

Travel News Headlines WORLD NEWS

Date: Thu, 6 Sep 2018 19:42:22 +0200

Hong Kong, Sept 6, 2018 (AFP) - A major 7.8 magnitude quake struck off the Fiji coast early Friday, the United States Geological Survey said, but no tsunami threat was issued.   The epicentre of the tremor was 102 kilometres (63 miles) southeast of the capital Suva.    The Pacific Tsunami Warning Center said there was no tsunami threat because the quake was too deep.    It hit 609 kilometres (378 miles) underground.    The USGS said only "light" shaking would have been felt across the Pacific Ocean archipelago ocean.   Fiji sits within the "Ring of Fire", a zone of tectonic activity around the Pacific that is subject to frequent earthquakes and volcanic eruptions.
Date: Sun, 19 Aug 2018 07:10:12 +0200

Sydney, Aug 19, 2018 (AFP) - A strong 8.2-magnitude earthquake struck off Fiji Sunday, the US Geological Survey said, but it was too deep to generate a tsunami and there were no reports of damage.   The tremor hit at 12:19 pm (0019 GMT) local time 361 kilometres (224 miles) east of the Pacific nation's capital Suva, at a depth of 563 kilometres, the US seismologists said.

The Hawaii-based Pacific Tsunami Warning Center said there was "no tsunami threat because the earthquake is located too deep inside the Earth".   The quake, and several aftershocks ranging up to magnitude 6.8, were felt as a rippling effect in the outer Lau islands group but residents in Suva, on the main island of Viti Levu, said they did not feel a thing.   The government's Seismology Unit issued a statement saying the earthquake "does not pose any immediate threat to the Fiji region due to its deep depth".   The quake occurred in the so-called Pacific Ring of Fire, a region of frequent seismic activity due to collisions between continental plates.
Fiji

- National. 4 May 2018. 3 deaths and 3197 confirmed dengue fever cases have been recorded so far this year [2018]. Health Minister, Rosy Akbar has confirmed that 1443 cases were recorded from the Northern Division, 908 in the Western Division, 825 in the Central Division, and 21 in the Eastern Division.

[HealthMap/ProMED-mail map
Date: Wed 18 Apr 2018, 10:00 AM
Source: Fiji Sun online [edited]

Fiji has recorded 4 deaths caused by the meningococcal disease so far this year [2018]. This was revealed by the Minister for Health and Medical Services Rosy Akbar in Parliament yesterday [Tue 17 Apr 2018].

Ms. Akbar said the ministry declared a national outbreak of meningococcal C on [20 Mar 2018], after a review was made on the evidence and recommendations by health experts on the National Meningococcal Taskforce.

She added that there have been 46 cases from [1 Jan to 12 Apr 2018]; 22 cases were laboratory confirmed and 24 were either suspected or probable cases with similar symptoms, but not diagnosed by laboratory.

According to her, the Central Division reported 27 cases, Western Division 16 cases, Eastern Division 1 case and Northern Division had 2 cases.

"There have been 4 confirmed meningococcal disease related deaths and 2 suspected from [1 Jan to 12 Apr 2018]," she said. "As of 12 Apr 2018, all cases were in the age groups of less than 19 years. And of these, males account for 63 per cent of cases while females for 37 per cent."

She said the current case number for 2018 includes a cluster of cases reported from Navesau Adventist High School in Ra. Ms. Akbar stated the 1st case was reported on [28 Feb 2018] and so far there had been 10 cases as of [12 Apr 2018], with the latest case reported [19 Apr 2018].

She also added that from the 4th quarter of 2016 to date there had been a significant increase in reported cases of meningococcal disease with 29 cases by the end of the year [2016]. In 2017 there were 48 cases with a total of 7 deaths reported -- including an outbreak at St John's College in Cawaci, Ovalau --, and were reported from January to June 2017 with up to 2 students getting sick within a month. The outbreak was caused by serogroup C _Neisseria meningitidis_. She added that intervention was taken; the ministry staff visited the college on Ovalau and inspected the school, and antibiotics and vaccination were given to the students [see ProMED-mail post Meningitis, meningococcal - Fiji (02): (LM) college, sg C http://promedmail.org/post/20170801.5220233. - ProMED Mod.ML].  [Byline: Losirene Lacanivalu]
====================
[Please see my moderator comments in the prior ProMED-mail post Meningitis, meningococcal - Fiji (02): fatal, children

Fiji is an island nation of more than 330 islands in Melanesia in the South Pacific Ocean about 2000 km (approx. 1300 mi) north east of New Zealand's North Island (<http://en.wikipedia.org/wiki/Fiji>). Fiji is divided into 4 major divisions, Central, Eastern, Northern, and Western, and 14 provinces.

For a map of Fiji's divisions, see
<http://www.geographicguide.com/pictures/map-fiji.jpg>.

A HealthMap/ProMED-mail map of Fiji is available at
Date: Wed 5 Apr 2018
Source: Fiji Centre for Communicable Disease Control, Ministry of Health and Medical Services [edited]

Fiji meningococcal C outbreak situation report; volume 2, 2018 National Update (1 Jan-5 Apr 2018)
Fiji Centre for Communicable Disease Control, Ministry of Health and Medical Services
----------------------------------------------------------------------
Overview
--------
The Fiji Ministry of Health and Medical Services (MoHMS) declared an outbreak of meningococcal [serogroup] C on [Tue 20 Mar 2018]. The Ministry, through the National Meningococcal Disease Taskforce, continues to coordinate the response to the outbreak, including strengthening surveillance, laboratory diagnostics, clinical management, public health interventions, and risk communications.

Surveillance
------------
National surveillance is coordinated by the Fiji Centre for Communicable Disease Control (FCCDC) through weekly indicator based surveillance for meningococcal disease via 34 EWARS [Early Warning, Alert and Response System] sites; EWARS event-based surveillance reporting of suspected cases; laboratory based surveillance for _Neisseria meningitidis_; and active case investigation reports.

National update (1 Jan-5 Apr 2018)
----------------------------------
MoHMS is reporting both confirmed and suspected cases. Therefore, there have been a total of 38 cases from [1 Jan-5 Apr 2018]. Of these, 22 cases are laboratory-confirmed, and 16 are either suspected or probable cases (WHO case definitions). There has been an average of 2.5 cases per week in the last 4 weeks.

As of [5 Apr 2018], all cases were in the 19 years or younger age group:
- 39.5 percent of cases: younger than 5 years old
- 18.4 percent of cases: 5-9 years old
- 26.3 percent of cases: 10-14 years old
- 15.8 percent of cases: 15-19 years old

Males account for 63.2 percent of cases and females, 36.8 percent. 4 confirmed and 2 suspected meningococcal deaths.

A cluster of 6 cases was reported from Navesau Adventist High School (boarding school) in Ra from [28 Feb to 28 Mar 2018]. No deaths reported.

*The current national incidence for 2018 is 4.1 per 100 000 population (38 cases). The Central Division has the highest incidence of 6.0 per 100 000 (23 cases), followed by Western at 3.3/100 000 (12 cases), Eastern at 2.6/100 000 (1 case), and Northern at 1.5/100 000 (2 cases).

*The 6 Navesau Adventist High School cases were reclassified from Central Division to Western Division in week 13 [week ending 30 Mar 2018].

Interventions
-------------
Clinical case management:
- Clinicians have been alerted and have access to the new Meningococcal Public Health Management Guidelines.
- A nationwide training on the guidelines from [9 Apr 2018] covering all 4 divisions.
- Deployment of ceftriaxone to subdivisions completed.
- Ensuring access to rifampicin for prophylaxis of high-risk contacts.

Public health response:
- Nationwide training on use of the new guidelines to start [9 Apr 2018].
- Case investigation, education, rifampicin prophylaxis, commenced from notification of 1st case from Navesau Adventist High School. Active case finding at the school daily.
- Vaccination of students at Navesau Adventist School began [5 Apr 2018].
- Strengthening of infection and prevention control measures has been emphasized to all divisional and subdivisional officers.
- Involvement of the Infection Prevention and Control officers in the rollout of the guidelines.

Risk communication:
Implementation of the Meningococcal Disease Risk Communication plan, including dissemination of key messaging, mass media and school campaigns. Production of risk communication packages targeting the general public and specific focal groups.

Contact:
Dr Aalisha Sahukhan, National Advisor Communicable Disease
<aalisha@gmail.com>
Dr Daniel Faktaufon, Medical Officer
==========================
Fiji is an island nation of more than 330 islands in Melanesia in the South Pacific Ocean about 2000 km (1300 miles) north east of New Zealand's North Island (<http://en.wikipedia.org/wiki/Fiji>). Fiji is divided into 4 major divisions, Central, Eastern, Northern, and Western, and 14 provinces.

For a map of Fiji's divisions, see
<http://www.geographicguide.com/pictures/map-fiji.jpg>.

A HealthMap/ProMED-mail map of Fiji is available at
More ...

World Travel News Headlines

Date: Mon, 10 Sep 2018 07:28:56 +0200

Wellington, Sept 10, 2018 (AFP) - A strong 6.9 magnitude earthquake struck New Zealand's remote Kermadec Islands on Wednesday but authorities said there was no tsunami threat.   The quake struck at 4.19pm (0419GMT) at a depth of 111 kilometres (69 miles), with its epicentre 770 kilometres northeast of Auckland, the US Geological Survey said.   "Based on all available data, there is no tsunami threat from this earthquake," the Hawaii-based Pacific Tsunami Warning Center said.   The uninhabited Kermadecs are New Zealand's northernmost islands.   They are part of the Pacific Ring of Fire, a hotbed of volcanic and earthquake activity at the intersection of several tectonic plates.
Date: Mon, 10 Sep 2018 07:17:20 +0200

Tokyo, Sept 10, 2018 (AFP) - The death toll from a powerful earthquake that triggered massive landslides in northern Japan rose to 44 on Monday with tens of thousands of police and troops still on the ground to support survivors.   Chief Cabinet Secretary Yoshihide Suga said no one was left on a missing list, which suggested the figure could be the final death toll.   Around 40,000 police, fire fighters, troops and maritime safety officials were providing assistance, with more than 2,700 people still forced to stay in shelters after the killer quake struck the northern Japanese island of Hokkaido last week.

The majority of the dead are from the small rural town of Atsuma, where a cluster of dwellings were wrecked when a hillside collapsed from the force of the 6.6-magnitude quake, causing deep brown scars in the landscape.   "The government will strive to get hold of what is needed on the ground and take every possible measure so that people can return to a normal, safe life as soon as possible," Suga told a news conference.   He also warned that islanders should remain on alert as rainfall was forecast in the region, which could trigger fresh landslides.

The quake was the latest in a string of natural disasters to batter the island nation.   Western parts of the country are still recovering from the most powerful typhoon to strike Japan in a quarter of a century, which claimed 11 lives and shut down the main regional airport.   Launching a campaign for another term as head of his ruling party, Prime Minister Shinzo Abe reiterated his government will "do its best" to restore the disasters-hit regions.
Date: Mon, 10 Sep 2018 07:13:22 +0200
By Gregory DANEL, Romain FONSEGRIVES

Paris, Sept 10, 2018 (AFP) - Seven people including two British tourists were wounded in Paris late Sunday by a knife-wielding man, a terrifying attack that bystanders tried to stop by throwing petanque balls at the assailant.   Four of the victims were in a critical condition, police said, after the man brandishing a large blade and and iron bar went on the rampage next to a canal in the northeast of the capital.   The suspect is believed to be an Afghan national and has been arrested, said a source close to the enquiry, adding he had targeted "strangers" but that "nothing at this stage shows signs of a terrorist nature".

Chaos erupted on the banks of the Bassin de la Villette, an area popular with locals and visitors who frequent the cafes, cinemas and other cultural venues along its banks, just after 11:00pm (2100 GMT).   Eyewitness Youssef Najah, 28, said he was walking beside the canal when he saw a man running and holding a knife about 25-30 cm (10-11 inches) long.   "There were around 20 people chasing him. They started throwing petanque balls at him," Najah said, referring to the sport popular in France also known as boules.   "Around four or five balls hit him in the head, but they weren't able to stop him," he added.

According to the same witness, the attacker then dived into an alleyway, where the man "tried to hide behind two British tourists. We said to them: 'Watch out, he has a knife". But they didn't react".    The pair were then attacked, he said.   A security guard at one of two cinemas on either side of the water said he had seen the attacker running away from two men who were trying to stop him.   "He had an iron bar in his hand which he threw at the men chasing him, then he took out a knife," he told AFP.   The UK foreign office said it was aware of reports of the attack and was "urgently investigating this incident" in cooperation with French authorities, British media reported.

- High alert -
A police investigation has been launched for attempted murder, according to a judicial source.   It is the latest of several knife attacks France has seen in recent months, with terrorism being ruled out in most cases.   On August 23, a man stabbed his mother and sister to death and seriously injured another person in a town near Paris before being shot dead by police.

The motive for the violence remained unclear despite a claim by the Islamic State (IS) group that it was an attack by one of its fighters responding to the terror organisation's propaganda.   Authorities said the 36-year-old had serious mental health problems and had been on a terror watch list since 2016.   That attack came days after an Afghan asylum-seeker was arrested in town of Perigueux for a drunken rampage with a knife in which four people were wounded, one seriously.   Police said investigators had "very quickly" dismissed a terrorist motive after the August 13 incident.

And on June 17, two people were hurt in another southern town when a woman shouting "Allahu akbar" (God is greatest) attacked them in a supermarket with a boxcutter knife.   France has been on high alert following a string of jihadist attacks in recent years, often by people who have become radicalised or claim to have acted in the name of the IS group.   More than 240 people have been killed by Islamist extremists since a massacre at the Charlie Hebdo satirical magazine in Paris in January 2015.
Date: Mon, 10 Sep 2018 06:41:23 +0200

Miami, Sept 10, 2018 (AFP) - Hurricane Florence is expected to become a dangerous "major hurricane" by late Monday as it heads toward the US East Coast, the National Hurricane Center said, as states of emergency were declared in preparation for the storm.   The center of Florence was located about 685 miles (1,100 kilometres) southeast of Bermuda, the NHC in its 0300 GMT Monday advisory.   Florence had maximum sustained winds of 90 miles per hour, making it a Category 1 storm on the five-level Saffir-Simpson hurricane scale.

The NHC warned that Florence "is forecast to rapidly strengthen to a major hurricane by Monday night, and is expected to remain an extremely dangerous major hurricane through Thursday."   The storm is moving towards the west at seven miles per hour, and is forecast to drench a large swath of the US East Coast running from northern Florida to New Jersey.   On its current track Florence is expected to slam the Carolinas and Virginia the hardest -- and all three states have issued emergency declarations to speed preparations.

Virginia Governor Ralph Northam's office described Florence as possibly the state's "most significant hurricane event in decades," warning of "catastrophic inland flooding, high winds and possible widespread power outages."   It added: "The largest threat to life from hurricanes is not the high winds. Flooding is the deadliest result of these storms."   The US navy has ordered ships at its major base in Hampton Roads, Virginia, base to put to sea, saying "the forecasted destructive winds and tidal surge are too great to keep the ships in port."

- Two more hurricanes -
North Carolina Governor Roy Cooper's office said that Florence is already being felt along the state's coast, with large sea swells resulting in life-threatening rip currents and surf.   "Everyone in North Carolina needs to keep a close eye on Florence and take steps now to get ready for impacts later this week," Cooper said.

The storm "is too powerful and its path is too uncertain to take any chances," South Carolina Governor Henry McMaster said in issuing his state's emergency declaration.   Florence was producing large swells expected to reach from the northern Caribbean to the southern coasts of Canada's Maritime provinces.   At this statistical height of the Atlantic hurricane season, Florence was being trailed on east-to-west paths by two hurricanes, Helene and Issac.   Helene -- currently just southeast of the Cabo Verde islands off the African coast -- had winds of 85 miles per hour, and was expected to turn northwest and then north into the open Atlantic by midweek, the NHC said.

Hurricane Isaac -- which late Sunday became the fifth hurricane of the season -- is heading west towards the Caribbean.   At 0300 GMT Issac was about 1,305 miles east of the Windward Islands -- a region still recovering from last year's powerful Hurricane Maria -- with winds of 75 miles per hour.   Issac is expected to gain strength in the next days, but then weaken by the middle of the week when it approaches the Caribbean.   Maria -- which killed at least 3,057 people, most in Puerto Rico -- is elieved to be the third costliest tropical cyclone on record.
Date: 9 Sep 2018
Source: ProMED-mail promed@promedmail.org

[There has been significant chatter on social media from individuals working in Haiti and their colleagues, friends and family, suggesting there is a "new, as yet undiagnosed outbreak," possibly of a mosquito-borne disease, in the expat and local Haitian communities. Some of the content of this social media chatter is excerpted below [edited for clarity/readability - CopyEd.MSP]. - ProMED Mod.MPP]

"...there is some sort of new mosquito-borne virus in Haiti. Do I know for sure that it is a virus caused by a flying insect? No. Do I have a lot of unqualified and under-documented personal research to back up my belief nonetheless? Yes. If you know a guy or gal at the CDC, tell them to come chat with me. Something is going around, and many people are not well. It is eerily similar to chikungunya and malaria."

"Mayaro virus?"

"I have been saying the same thing! Well, when my fever brain has been capable of putting thoughts together this week. 2014 was ChikV; 2016 was Zika, so it does seem time for a new one. This new one is no fun at all."

"My person is negative for everything, Zika, chikV, malaria, dengue. It started with high fever, aches, joint pain, then progressed to stomach ache, headache. Now it's just persistent joint aches and sharp stabbing pain."

"We have this all over Mirebalais as well. Here, it also seems to be often accompanied by severe lower abdominal pain."

"Yes! My son just asked me if there is another mosquito borne illness yesterday!"

"Several of our girls have been sick with these same symptoms! It's awful."

"We all had it too and are seeing a lot of patients at our clinic with it!"

"I was sick for days before the uprising in July [2018] ... totally felt like malaria but tested negative. My BP was 80/40 at best, and it was pa bon [not good]."

"Yes! I've been sick this week as well as a few others I know! Lots of body pain."

"People thought that I was crazy!"

"You're not crazy! Several cases showing up at the Maternity Center here, and I also think there is influenza A going around. Some cases have respiratory stuff (to me that is the flu/influenza A), and several cases have nothing respiratory but have the fever and aches and terrible headache."
======================
[According to Wikipedia (in an unsubstantiated report without references) "Mirebalais is a commune in the Centre department of Haiti, approximately 60 km northeast of Port-au-Prince on National Road 3. The city was established in 1702. During the United Nations occupation of 2005, Nepalese troops were stationed in the city, using the city jail as their headquarters,"  (<https://en.wikipedia.org/wiki/Mirebalais>).

"Mirebalais is served by the teaching hospital Hopital Universitaire de Mirebalais, the largest solar-operated hospital in the world," a hospital that is run by the US-based Partners in Health,  (<https://www.pih.org/pages/mirebalais>).

>From the sound of the social media chatter, there is an as yet undiagnosed outbreak affecting parts of Haiti. Trying to connect the dots, there is concern that it is malaria-like (fever, chills and headaches), but in those that have been tested for malaria, laboratory results have not supported the diagnosis, and possibly dengue- or chikungunya-like (fever, headache, joint pains) with the addition of complaints of lower abdominal pain (notably described in Mayaro virus disease.

If the symptoms are similar to those of dengue, chikungunya, and Zika virus infections, they need to be ruled out by laboratory testing. There is the possibility that Mayaro virus (MAYV) may be circulating in Haiti. Mayaro virus was isolated from a child with acute febrile illness in rural Haiti. The case report stated that "on 8 Jan 2015, an 8-year-old boy was examined at the school clinic because of fever and abdominal pain. His temperature was 100.4 F [38 C]; lung sounds were clear, and his abdomen was soft and not tender. He had no rash and no conjunctivitis. On the basis of this clinical presentation, the clinic physician empirically diagnosed typhoid and administered co-trimoxazole... MAYV was detected in viral RNA extracted from infected Vero cells.

A question now is: if this is another MAYV infection, is this a continuation of the 2015 transmission or a new introduction into Haiti? Clearly, laboratory follow up is needed to establish the etiology of the current cases of febrile disease to determine an etiology and rule out other pathogens. If MAYV presence is established, surveillance is needed to determine the extent of its distribution, and health care providers and laboratories in Haiti, the Dominican Republic, and other countries in the Caribbean Basin need to be informed to be on the alert and to be prepared to make a diagnosis should any cases occur there.

Of additional curiosity is a recent media report in the Jamaican Star relating a tale of 3 Haitians recently arrived claiming illness, with malaria suspected in one of them. Testing is still pending, but given the social media chatter, one can't help but wonder whether this isn't malaria. Could it be part of the same as of yet undiagnosed outbreak reported in the above chatter? ...

References:
1- Lednicky J, De Rochars V, Elbadry M, Loeb J, Telisma T, Chavannes S, et al. Mayaro Virus in Child with Acute Febrile Illness, Haiti, 2015. Emerg Infect Dis. 2016;22(11):2000-2002.

2- Mavian C, Rife BD, Dollar JJ, Cella E, Ciccozzi M, Prosperi MCF, Lednicky J, Morris JG, Capua I, Salemi M. Emergence of recombinant Mayaro virus strains from the Amazon basin. Sci Rep. 2017 Aug 18;7(1):8718. doi: 10.1038/s41598-017-07152-5.

A HealthMap/ProMED map of Haiti can be found at:

More information from knowledgeable sources would be greatly appreciated, especially results of laboratory testing on individuals presenting with the above-mentioned symptoms, and results of clinical as well as epidemiologic investigations. - ProMED Mods.MPP/TY]
Date: Sun, 9 Sep 2018 14:04:57 +0200

Rome, Sept 9, 2018 (AFP) - Authorities have issued health alert after 150 cases of pneumonia were recorded in a week, mainly in towns near the northern Italian city of Brescia.   Suspecting the presence of a pneumonia-causing virus in the water supply, they have taken samples from the distribution network for analysis.   Results are expected in several days.

Autopsies will be conducted on a 69-year-old woman and an 85-year-old man who died this week to determine whether they died from pneumonia, according to local media reports.   Pneumonia is usually caused when bacteria, viruses or fungi infect the lungs.   It can be life-threatening, especially among the elderly and those with serious health conditions.

Provincial health services have called on residents to take precautions, including disinfecting tap filters and shower hoses and to let hot water run for a period of time with the windows open before using it.   Hospital emergencies in several municipalities to the south and east of Brescia identified 121 cases of pneumonia, the health officer in the Lombardy region Giulio Galera said on television.   A survey of general practitioners found at least 30 other people had been affected.
Date: Sun, 9 Sep 2018 10:04:14 +0200

Tokyo, Sept 9, 2018 (AFP) - Japan is suffering its first outbreak of pig cholera in more than 25 years, authorities said Sunday after culling more than 600 animals and suspending pork exports.    A farm in central Japan saw 80 pigs die last week after catching the highly-contagious disease, an agricultural ministry official told AFP.

Early tests showed negative results for classical swine fever, as the illness is officially known.   But follow-up tests came out positive Sunday, prompting the cull of all 610 pigs at the farm, he added.   "We are now processing the livestock there and disinfecting the farm," he said, adding that officials had set up sterilisation points on access roads to the affected farm.

The government has set up a team of specialists to analyse possible infection routes, the agricultural ministry said in a statement.   Tokyo halted pork exports after the outbreak was confirmed. The nation sold roughly $9 million in raw pork meat to foreign markets last year.   Japan saw its last case of classic swine fever, which does not affect humans, in 1992.   The disease continues to rage in many parts of Asia, Europe and Latin America.
Date: Sat, 8 Sep 2018 21:58:47 +0200

Kinshasa, Sept 8, 2018 (AFP) - Health authorities in Kinshasa declared the Ebola virus under control five weeks after the latest outbreak left 89 people dead in eastern Democratic Republic of Congo.   The health ministry announced the outbreak on August 1 in North Kivu province and on Thursday revealed that it had spread to Butembo, a city of a million people.

But Health Minister Dr Oly Ilunga Kalenga said: "Since August 13, there have been practically no more cases, we can say that the situation has been brought under control at the epicentre (of Mabalako)."   The latest outbreak of the virus is 10th to strike DR Congo since 1976, when the disease was first identified and named after a river in the country's north.   "To date, we have 129 cases (31 probable and 98 confirmed), 89 deaths and 33 patients cured," Dr Oly Ilunga said.   Fears that the disease might  spread further had been expressed Thursday after news of two deaths in Butembo, a commercial hub and popular transit point for neighbouring Uganda.

A woman and one of the medical staff who had been treating her died ini the city.   "Even at Butembo, the situation is not critical," the minister told a news conference also attended by Congolese professor and leading Ebola researcher Professor Jean-Jacques Muyembe, who urged people to report any sign of the disease.   "The Ebola virus is circulating here and in Africa in general ... we must be vigilant," Muyembe said.

Complicating the battle against the spread of the disease is the fact it is afflicting an area of Congo wracked by insecurity owing to the presence of armed groups.   Even so, Dr Oly Ilunga said teams treating sufferers had enjoyed army and police backing as well as support from the UN mission Monusco.   The previous outbreak of Ebola, which left 33 people dead in the northwestern province of Equateur, was decreed over on July 24.
Date: Sat, 8 Sep 2018 13:02:52 +0200

Seoul, Sept 8, 2018 (AFP) - South Korea reported its first case of Middle East Respiratory Syndrome (MERS) in three years, health officials said on Saturday.   A 61-year-old businessman was diagnosed with the highly contagious viral respiratory illness, according to officials at the Korea Centers for Disease Control and Prevention (KCDC).   He returned to South Korea Friday from a business trip in Kuwait where he stayed for three weeks, the KCDC said a statement.

"Authorities have traced and separated 20 people who have come in close contact with the infected person," KCDC head Chung Eun-gyeong told journalists.   They include medical staff, flight attendants and passengers of the plane the man flew back to South Korea on, she said.    He was hospitalised with fever and phlegm and has been quarantined at a university hospital, she added.   It is the first case of MERS diagnosed in South Korea since 2015, when an outbreak killed 38 people and triggered widespread panic.
Date: Wed 5 Sep 2018
Source: El Comercio [in Spanish, machine trans. edited]
<https://elcomercio.pe/mundo/latinoamerica/chile-brote-hepatitis-suma-201-casos-region-antofagasta-noticia-nndc-554166>

Health authorities in the region of Antofagasta in northern Chile are on alert for an outbreak of hepatitis A that adds 201 cases so far in 2018, 2 more than those recorded throughout 2017, they said today, 5 Sep 2018. "Unfortunately, we are having about 5 cases every 2 weeks, which means that we are facing an epidemic," Cooperativa Rossana Díaz, ministerial regional Secretary of Health, told Radio. It is a situation "that is controllable with the help of the community," which, in his opinion, has a fundamental role in the prevention of this disease, which can "be fulminating, create a risk to life, and require organ transplantation." Diaz stressed that hepatitis A can be prevented with simple measures, such as constant hand washing and optimal handling and preparation of food.

The authorities must combat street food sales and control businesses, "but we do not get anything if people continue to consume food on the street or in places that do not have sanitary authorization for that," he said. The profusion of cases, according to the official, corresponds to the increase in the consumption of food in unauthorized places and the lack of vaccinated personnel or strict hygiene regulations in establishments that do have a permit.

The authorities have set up an Outbreak Response Committee in the region and questioned contacts of the confirmed cases and of the suspects in order to find the origin of transmission. The cases registered in Antofagasta range from 2 to 60 years, with an average of 23 years, of which 62% are men and 38% are women, and although the presence of immigrants is large in the region, 98% of the cases are Chileans, the regional authorities reported.

Hepatitis A, according to the Institute of Public Health, can be prevented with a vaccine, and its detection requires a medical diagnosis in addition to laboratory tests or diagnostic imaging studies. It is transmitted through water, contaminated food, or through contact with an infected person. It is considered a disease with worldwide distribution that occurs sporadically or epidemically with a seasonal cycle, which in Chile is an intermediate endemic, with epidemic outbreaks every 4 or 5 years, and there are no chronic carriers.
==============================
[It seems to be the case that the cases are occurring at a low, steady rate rather than from a specific recent exposure.

Antofagasta (<https://en.wikipedia.org/wiki/Antofagasta>) is a port city in northern Chile, about 1100 km (700 mile) north of Santiago. It is the capital of Antofagasta province and the Antofagasta region. Formerly part of Bolivia, Antofagasta was captured by Chile in the War of the Pacific (1879-83), and the transfer of sovereignty was finalized in the 1904 Treaty of Peace and Friendship between the 2 countries. - ProMED Mod.LL]

[HealthMap/ProMED map available at: Antofagasta, Antofagasta, Chile:
<http://healthmap.org/promed/p/11048>]