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Morocco

General
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Morocco is a North African country and a favourite destination for many Irish tourists. The climate, relative shortness of the flights and the idyllic swimming conditions encourage many to vis
t.
Safety & Security
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The border regions of the country can be volatile and travellers planning to visit away from the main tourist routes should take extra precautions. The Western Sahara region is still in dispute though there has been an official cease-fire in place since 1991. The possibility of unexploded mines exists though it should be remembered that this area is many miles away from the normal tourist resorts. The level of street crime in Morocco is low but growing. Busy market places, parks and beaches are popular locations for petty criminals. Tourists should take care not to flaunt personal wealth and to avoid travelling away from the main tourist zones late at night. Travelling alone is a particular risk and only authorised guides and taxis should be used. Tourists have been threatened with serious injury at knife point if they have refused to purchase cannabis.
Laws & Customs
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It is an Islamic country and ladies in particular should take care to dress modestly. Islamic festivals can cause significant changes to occur which affect tourists including the holy month of Ramadan when all street cafés close until 5.30pm each day as strict Muslims do not eat during the daylight hours. The main tourist hotels continue to serve food as normal but many shops will remain closed. During these times tourists will need to carefully check their tickets and any travel arrangements may need to be changed. Banks and larger shops will remain open between 9am and 3pm Monday to Friday. Drug offences are treated very seriously and those visiting the Rif Mountains should realise this is a major cannabis growing area. Visitors with Arabic Bibles or those involved in any perceived outreach activity may find they are subjected to prolonged interrogation.
Health Facilities
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The level of health care available in many of the main hotels and resorts is perfectly adequate but care should be taken if your illness necessitates admission. Communication in English may be difficult and many medications will be unavailable. Frequently small private hospitals are used where standards vary greatly. Check that your travel insurance provides adequate cover for repatriation if required.
Food & Water Facilities
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The food and water provided in many of the main tourist resorts is very satisfactory but variations can easily occur and travellers should be careful at all times. Lettuce, undercooked bivalve shellfish (mussels, oysters, clams etc) and untreated water are all frequently implicated in sickness among travellers. Eating previously peeled fruit is also unwise and should be avoided. Bottled water purchased from main shops or hotels should be used for drinking and brushing your teeth.
Insect Bites & Mosquitoes
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There is only a very small risk of malaria transmission throughout Morocco and prophylaxis is not recommended for the majority of tourists. However, sandflies do abound during the summer months and can transmit a nasty disease known as Leishmaniasis. These small flies tend to hover close to the ground in shaded areas and can easily bite without the individual noticing. It is essential to use good insect repellent when at risk and to report any slow healing bite or sore to a doctor after your return home.
Sun Exposure
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The level of sun exposure in Morocco during the summer months can be intense. Take care to avoid the midday sun and use high sun blocking creams at all relevant times. Take particular care of children while in such a hot climate. Extra water and salt will be required to replace the amounts lost through perspiration. Salted crisps and nuts will be a useful source of salt.
Water Sports & Activities
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Many tourist locations in Morocco offer extended water sport facilities for tourists. Always check out what the standard of care is before agreeing to take part. Ask tourists who arrived before you and check with your holiday representative if possible. Confirm that good safety procedures are in place and that your travel insurance covers any accidents as a result of your activities.
Cash Facilities
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Traveller’s cheques and credit cards are accepted in many of the main tourist resorts. ATM machines are available in Casablanca and Rabat. It may be difficult to reconvert Moroccan money back to sterling and so care should be taken not to change too much initially until you clarify your expenses.
Travel by Train
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To visit other parts of the country many travellers use the train journey south from Tangier. However, be wary of any invitation from fellow passengers to alight at Asilah rather than continuing the journey south. A number of tourists have been held hostage and forced to make credit card transactions or cash withdrawals before being freed.
Road Transport
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Many tourists to Morocco hire motorbikes or cars to see more of the country. This is regarded as a high-risk activity and special care will be required at all times. Driving practices throughout Morocco are poor and traffic signals do not always function. Modern freeways link the main cities of Tangier, Rabat, Fez and Casablanca. Flash flooding can occur during the rainy season (November – March).
Rabies
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Rabies does occur in Morocco and it is essential that you avoid any and all contact with at risk animals. Typically this includes dogs, cats and monkeys but this viral disease can infect any warm-blooded animal. Take particular care to warn children to avoid animals and to report any contact as soon as possible.
Vaccinations
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There are no essential vaccines for entry into Morocco from Ireland. However most tourists are advised to consider adequate cover against:
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Poliomyelitis (childhood booster)
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Tetanus (childhood booster)
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Typhoid (food and water disease)
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Hepatitis A (food and water disease)
Those planning a longer or more rural trip will also need to consider cover against diseases like Hepatitis B and Rabies.
Summary
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The majority of tourists visiting Morocco will remain very healthy and well. However, following simple precautions against food and water disease and sun exposure will be essential.

Travel News Headlines WORLD NEWS

Date: Wed, 6 May 2020 19:47:21 +0200 (METDST)
By Sophie PONS

Rabat, May 6, 2020 (AFP) - Morocco has rapidly expanded its fleet of drones as it battles the coronavirus pandemic, deploying them for aerial surveillance, public service announcements and sanitisation.   "This is a real craze. In just weeks, demand has tripled in Morocco and other countries in the region," said Yassine Qamous, chief of Droneway Maroc, African distributor for leading Chinese drone company DJI.   Moroccan firms have been using drones for years and Qamous says it "is among the most advanced countries in Africa" for unmanned flight, with a dedicated industrial base, researchers and qualified pilots.

But restrictive regulations have long limited civilian drones to specific applications such as filming, agriculture, monitoring solar panels and mapping.   That changed rapidly as the novel coronavirus swept across the world.    In recent weeks, authorities have employed drones to issue warnings, identify suspicious movement in the streets and disperse illegal rooftop and balcony gatherings.   A strict lockdown imposed in March has not been uniformly respected, with local media reporting on nighttime gatherings of neighbours and collective prayers on roofs, beyond the view of street patrols.

- 'Vital technology' -
Last week local authorities in Temara, a town near the capital Rabat, launched a high-precision aerial surveillance system developed by local company Beti3D, which previously specialised in aerial mapping.   Other countries in Europe, Asia and the Middle East have also adopted technology deployed in China since the start of the pandemic, whether for tracking the movements of citizens, disinfecting public spaces or facilitating deliveries.   "Drones have quickly emerged as a vital technology for public safety agencies during this crisis as they can safely monitor public spaces," according to the website of DJI, by far the world's top drone maker.

Like most countries, Morocco primarily uses imported Chinese drones. But the emergence of new applications linked to the pandemic is also driving local production of specialised aerial vehicles.   "There is real demand," said Abderrahmane Krioual, the head of Farasha, a start-up that has raised funds to produce drones for thermal surveillance and aerial disinfectant spraying.   The aeronautics department of the International University of Rabat (UIR) offered its facilities, expertise and prototypes to authorities in March, deploying drones with loudspeakers or infrared cameras able to detect movement at night or spot individuals with high temperatures.

Several projects are underway across the country ahead of the widespread deployment of various models of drones, said Mohsine Bouya, the university's director of technology development and transfer.    Teams are also developing tracking applications, but "we'll have to wait for a change to the law" before launching them, he said.   Moroccan authorities declined to comment on the use of drones or the numbers deployed since the start of the public health emergency in mid-March.

- 'Toxic lockdown culture' -
Unlike in some countries, the use of surveillance drones has not sparked public debate in Morocco, where the kingdom's authoritarian response to the pandemic is widely supported.   Morocco closed its borders early and tasked law enforcement with imposing strict confinement measures on the population.

They include movement restrictions and the compulsory wearing of masks, with a nighttime curfew since the start of the Muslim holy month of Ramadan -- enforced by a heavy police presence.   Those found guilty of violating lockdown measures face one to three months in prison, a fine equivalent to $125, or both.    Officials say 59,000 people have been prosecuted for breaching lockdown measures.

Authorities say the measures have limited transmission of the virus, with 5,382 COVID-19 cases reported including 182 deaths since the state of emergency was announced.   But the kingdom's high number of arrests -- some 85,000 people by April 30 -- has drawn criticism from Georgette Gagnon, director of field operations at the United Nations' Human Rights Office.   Last week she listed Morocco among countries where repressive coronavirus measures have created a "toxic lockdown culture".    Morocco disputed this, saying its measures were "in line with legal frameworks respecting human rights".
Date: Mon, 13 Apr 2020 12:38:28 +0200 (METDST)

Rabat, April 13, 2020 (AFP) - More than 4,300 people were arrested over the weekend in Morocco for breaching emergency rules in place to combat the novel coronavirus, according to official figures.   More than half of those detained were taken into police custody.   Since mid-March, authorities have arrested 28,701 people across the North African country, 15,545 of whom have been referred to court after being held in custody, according to the country's national security force DGSN.

Penalties for violating measures in place to curb the spread of the COVID-19 disease include up to three months in jail and fines of up to 1,300 dirhams ($130), or both.   Morocco imposed a public health state of emergency on March 19, confining everyone to their homes except those with a permit to be out for work.   Last week, authorities made wearing face masks in public obligatory.   Police and security agents supported by soldiers in armoured cars have been deployed around the country, erecting road barriers and control points to enforce the measures.

Morocco has recorded 1,746 COVID-19 cases, with 120 deaths and 196 recoveries. Fewer than 7,000 tests have been carried out.   The largest number of arrests were made in the country's economic centre of Casablanca and the capital Rabat, according to the DGSN.   Isolation measures have proved most challenging in densely populated, working-class neighbourhoods, according to local media reports.

Economic paralysis brought on by the pandemic has left millions of Moroccans in a precarious existence, with the bulk of the workforce made up of informal workers dependent on odd jobs and lacking access to social safety nets.   In the absence of a social database, authorities are working to identify needy families to distribute direct financial aid and food baskets.
Date: Tue, 7 Apr 2020 00:04:15 +0200 (METDST)

Rabat, April 6, 2020 (AFP) - Wearing face masks in public will be obligatory in Morocco from Tuesday in a bid to stem the spread of coronavirus, according to an official decree.   The decision was announced late Monday after a government meeting on how to control the epidemic.   Morocco imposed a public health state of emergency on March 19, confining everyone to their homes except those with a permit to be out and about for their work.

Police, security agents and soldiers in armoured cars have been deployed around the country, erecting road barriers and control points.   The official number of COVID-19 cases in Morocco has doubled in a week to 1,120, including 80 fatalities.   The real numbers are likely to be significantly higher as there is a lack of testing gear in the country.
Date: Tue, 24 Mar 2020 18:49:02 +0100 (MET)

Rabat, March 24, 2020 (AFP) - Morocco has authorised hospitals to use antimalarial drugs in treating the new coronavirus, according to a document seen by AFP, as scientists urge caution over encouraging results from small trials.   The Moroccan health ministry on Monday gave hospitals and regional health directors the green light to start using hydroxychloroquine and related compound chloroquine "in the care of confirmed COVID-19 cases".

In a message seen by AFP, it said that "efforts have been made to ensure the availability of these medicines", urging caution in how the stocks are managed.   Rabat last week ordered the Moroccan branch of French drug maker Sanofi to hand over its entire stock of Nivaquine and Plaquenil, both of which contain chloroquine.   Studies in France and China have found that the drug helped patients suffering from the COVID-19 illness, and France on Monday ordered its use in severe cases.

US President Donald Trump on Monday said chloroquine could be a "gift from God".   He has been criticised by scientists for overhyping the drug, and on Monday the World Health Organization urged caution over its use.   NBC later reported that a woman in Arizona who heard Trump talk about chloroquine ended up in hospital and her husband died after they took a form of chloroquine she had used to treat her koi fish.   Authorities in Nigeria said hospitals had seen cases of chloroquine poisoning after Trump's comments.   Experts have urged the public to remain cautious until larger clinical trials validate the smaller studies.

In its note, Morocco's health ministry said it took its decision after consulting with a scientific committee which recommended prescribing chloroquine along with another drug called azithromycine.   Morocco's transport minister, Abdelkader Amara, who tested positive for the new coronavirus on March 14, has already said he was taking Nivaquine.   "My health is stable. I have no fever or respiratory symptoms. The headaches are almost gone. I just feel a little tired," he told private radio station Medi 1.   Morocco has recorded 143 cases of the COVID-19 illness, with four dead. The country has three screening centres and 1,642 intensive care beds for 35 million inhabitants.
Date: Sat, 14 Mar 2020 22:11:12 +0100 (MET)
By Hamza Mekouar with Sophie Pons in Rabat

Fnideq, Morocco, March 14, 2020 (AFP) - Thousands of tourists were stranded in Morocco on Saturday after the kingdom suddenly announced strict border restrictions in response to the coronavirus, leaving travellers stuck at borders, ports and airports.   "We are lost!" said David, an Italian tourist waiting at the closed border with the Spanish enclave of Ceuta in northern Morocco.

Late on Saturday, Rabat announced a suspension of air links with 21 countries including Austria, Denmark, Greece, Norway, Sweden and Switzerland in Europe, as well Turkey and Bahrain, Egypt, Jordan, Lebanon, Oman, Tunisia, and the United Arab Emirates.   Africa's Chad, Mali, Mauritania, Niger and Senegal, and Canada and Brazil were also in the list.   Morocco had already suspended air, sea and land links with European countries and Algeria on Friday, as well as taking measures to confine citizens to prevent the spread of coronavirus.

Flights to and from Algeria, Spain, France, Germany, the Netherlands, Belgium, Portugal and Italy were suspended "until further notice", while sea links for passengers and Morocco's land borders with Ceuta and a second Spanish enclave, Melilla, were closed.   But France announced that Rabat had agreed to allow repatriation flights for French nationals.   "New flights are being organised to enable (stranded French tourists) to return to France," President Emmanuel Macron tweeted Saturday.   The first flights back to France had already taken off that day, Foreign Minister Jean-Yves Le Drian said earlier.

The closure of the only land border between Africa and the European Union at Cueta and Melilla saw Spaniards rushing to leave on Thursday evening, as Moroccan day workers hastily returned in the opposite direction.   The land borders are busiest in summer and the border sees regular traffic throughout the year. Now though a Moroccan police roadblock bars the road towards the border with Cueta.

- 'Who will pay?' -
David said he tried to go to Spain because links with Italy, a hotspot of the disease, are suspended.   After arriving in Morocco for a motorcycle tour with his partner earlier this month, the 33-year-old Italian was stuck at a service station outside Cueta.

The border at Cueta, like that at Melilla, was reopened Friday only for Spaniards.    The Spanish embassy in Morocco tweeted Saturday that ferries were still operating between the enclaves and mainland Spain.   Its French counterpart also tweeted that "passage (into Ceuta and Melilla) is open to French ferry ticket holders with vehicles."

But except for a few travellers, the normally busy border post near the Moroccan town of Fnideq was deserted.   At the service station, camper vans bearing various European license plates were parked waiting.   "We don't know how long this will last, no one has told us anything," said Rene, a 71-year-old French man, speaking before Le Drian and Macrons' announcements.   "The weather is good here, there's surely fewer cases of coronavirus in Morocco than in France," he said.

Moroccan authorities have reported 17 cases of COVID-19, including one death. France and Spain have together announced more than 210 COVID-19 deaths.   Morocco's Transport Minister Abdelkader Amara has tested positive for the disease after an official visit to Europe, his ministry announced Saturday.   On the Spanish side at Cueta, stuck Moroccans were wondering why their country would not let them back in.   "If I need to get a hotel, who will pay?" asked a man hoping to return home.

At Tangiers port some 30 kilometres to the west, containers and trucks were unloaded as usual but the passenger terminal was closed.   The busiest port in North Africa, the facility welcomed 568,000 foreign tourists in 2019, while some 473,000 entered from Cueta and Melilla, according to official figures.   The travel restrictions are causing panic in the kingdom's tourism sector, which accounts for 10 percent of GDP and is a key source of foreign revenues.
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Mexico

General Information
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Mexico is becoming a very popular destination for Irish travellers. The country has many well known tourist destinations including the idyllic resort of Acapulco on the Pacific Ocean and t
e Yucatan Peninsula stretching out between the Caribbean and the Gulf of Mexico. There is a rapidly developing economy and luxury hotels are widely available throughout the country. Tourist facilities in the more remote regions (seldom visited by tourists) may be very limited.
Climate
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The country experiences a wide temperature profile with cool to cold temperatures on the mountainous ranges to a hot sub-tropical climate on the sea coasts. There is a rainy season from June to October and a dry season from November to May each year. Temperatures in April May and June tend to be in the mid 20’s centigrade. The southern and eastern regions tend to experience the heaviest rainfall.
Food & Water
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Some tourists visiting Mexico will undertake a trekking holiday for part of their time in the country. This will bring them out from the major cities into many of the poorer regions of the country. In these areas the level of food and water hygiene may be poor and travellers need to exercise continuous caution in this regard. Typically great care should be taken with the consumption of any cold foods. Lettuce would be a common cause of illness and should be avoided. Undercooked shellfish (prawns, oysters, mussels etc.) should be avoided at any time. The risk of contamination with a variety of diseases is just too high.
Street Vendors
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Many of the larger towns have a number of street vendors selling their produce on the side of the road. In general purchases of food from these vendors should be avoided. This is especially true with regard to buying ‘freshly squeezed’ fruit juice drinks. In some cases potentially contaminated tap water may have been used to supplement the supply. Another particular risk in Mexico involves the purchase of water melons from the market place. These are usually sold by their weight and it is reported that certain vendors may inject them with tap water to increase their value. Be sensible and take care.
Rabies
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This is another viral disease that occurs throughout Mexico. 69 cases of human Rabies were reported in 1990 but this figure has dropped to 24 in 1995. The disease is transmitted through the bite of any infected warm blooded animal (dog, cats, monkey etc.). Animals should be avoided at all costs and any bite (lick or scratch) should be immediately washed out with water and then have a strong antiseptic applied. The individual should then always seek urgent competent medical attention. Cycling in the early morning is a high risk time. Dogs may become agitated and run out at the bicycle.
Protection against Mosquitoes & Sandflys
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Travellers will need to exercise care against mosquito bites throughout the year and this has become particularly important due to regular outbreaks of Dengue Fever. This viral disease has swept through the Caribbean region over the past decade and Mexico has also been involved. There were approx. 4,500 cases during 1995 with about 16 deaths. More recently (Oct ‘99) the disease has been reported close to the US border with over 5000 patients affected. The disease seldom kills travellers but causes a severe flu like illness and pronounced skin rash in many of those infected. It is an unpleasant disease and can leave an individual ill for many weeks after infection. The mosquitoes can bite during the day or night. Most tourists should take care against mosquitoes by;
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Using adequate Insect Repellent
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Covering up well with pale coloured clothing
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Refraining from using Perfumes or Aftershaves at the risk times for bites.
Malaria
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For many tourists to Mexico the chance of contracting malaria is negligible. The disease does occur in some of the country and those planning to trek through the rural areas may be advised to consider prophylaxis. The states most affected are Oaxaca, Hiapas, Sinaloa, Campeche, Quintana Roo, Nayarit, Tabasco, Michoacán, Chihuahua and Hidalgo. The risk extends throughout the year and visitors to these regions always should consider adequate malaria prophylaxis.

Larva Migrans
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Walking on the beach above the high tide mark in many of the hotter countries without shoe covering may expose the traveller to infection with the Larva Migrans parasite. Mexico is no exception. This minute worm penetrates through the skin and causes a significant irritation just under the skin in those infected. The rash moves and becomes very itchy. Treatment is straightforward once a diagnosis is reached. Travellers walking along the beaches (above the high tide mark) should always wear shoe covering and avoid sitting straight on the sand.
Vaccinations
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No vaccines are essential for entry to Mexico however, in most cases, short term travellers will be advised to consider vaccination cover for;
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Tetanus (childhood booster)
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Typhoid (food & water borne)
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Hepatitis A (food & water borne)
For those undertaking a trekking holiday (or those who will live in the region for some months) vaccination cover against Rabies (animal bites), Meningococcal Meningitis (air borne) and Hepatitis B (accidents) may need to be considered.
General Health
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Further information on staying healthy while abroad may be obtained from the Tropical Medical Bureau.

Travel News Headlines WORLD NEWS

Date: Sun, 17 May 2020 22:46:20 +0200 (METDST)
By Román ORTEGA, Iván DUARTE y Germán CAMPOS

Puebla, Mexico, May 17, 2020 (AFP) - Scores of Mexicans are dying from drinking adulterated liquor, a consequence of the shortage of mainstream alcoholic beverages during the coronavirus pandemic, authorities say.   The first of at least 121 deaths in recent weeks occurred at the end of April in the western state of Jalisco, almost exactly a month after the government declared a health emergency over the spread of COVID-19.   Much of Mexico has run out of beer after factories producing liquor and beer were shut down, along with other non-essential firms.

Beer stocks were practically depleted within a month, and in some areas the prices of what was left doubled, according to industry sources.    Many of the 53 deaths in central Puebla province have been linked to a wake where people drank moonshine containing methanol -- a wood alcohol that in non-lethal doses can cause blindness and liver damage.    Twenty-three people died in the hours following the gathering in the town of Chiconcuautla, according to authorities.   The town's mayor said the popular "refino" drink, made from sugarcane, had been adulterated.

German Hernandez said his father died after being poisoned by drink known locally as "tejon" -- a blend of brandy with tejocote fruit (a type of hawthorn), in the Puebla town of Cacaloxuchitl.   "They sell it in the stores, and you can buy it and take it out. My father began trembling and feeling weak. He told us he felt bad, and we took him to the hospital," Hernandez told AFP.   "This has never happened before."    Deaths have also been recorded in the central state of Morelos and Yucatan and Veracruz in the east.

- Mafia trade -
Gangs specializing in bootleg booze are trying to take advantage of the lack of alternative alcohol sources during the shutdown.    "They usually have very well-structured mafias, and some escape the surveillance of the authorities," Ricardo Cardenas of the Federal Commission for Protection against Sanitary Risks told AFP.   "We presume that, as a result of this shortage and demand being very high, some people are offering or trying to sell methanol instead of ethyl alcohol," said Denis de Santiago, head of Sanitary Risks in Jalisco.

Methanol is used in fuel, solvents and antifreeze.   The country's largest beer producers, Grupo Modelo -- which makes the popular Corona beer -- and Heineken, which makes Sol, halted production in early April.   Alcohol sales have been banned in some states, including Yucatan. In others, alcoholic beverages can only be purchased at certain times.   Some drinks companies have switched production to antibacterial gel that they are donating to the federal government and health workers.

- 'Who would have thought?' -
In Yucatan, where 38 people have died so far, victims unknowingly drank methanol in their usual "pajaretes" -- a common cocktail that includes milk, coffee, vanilla and brand-name sugarcane alcohol.   Humberto Macias, 36, said he saw three of his relatives die within days of each other after drinking a pajarete cocktail, made using a trusted brand of alcohol.   "We had always drunk it, including myself, many people. Who would have thought it was like this?" Macias said.

In the Yucatan peninsula town of Acanceh, seven people have died from alcohol poisoning.   "It's the first time I've heard of a case like this. I don't remember anything similar," the town's mayor Felipe Medina told AFP.   In Veracruz, Morelos and Yucatan, investigators are still trying to determine what drinks the victims consumed.
Date: Thu, 14 May 2020 07:52:29 +0200 (METDST)

Puebla, Mexico, May 14, 2020 (AFP) - At least 42 people are now dead after drinking adulterated alcohol at a funeral in Mexico's central Puebla state, officials said.    Eleven others are fighting for their lives after attending the service in Chinconcuatla, around 200 kilometres (125 miles) northeast of Mexico City, according to a Wednesday statement from the local government.

Dozens of people were rushed to hospitals on Tuesday, vomiting and suffering headaches after drinking the tainted beverages.   Authorities said the coronavirus epidemic had led to shortages of beer and other alcoholic drinks, leading to the consumption of dangerous adulterated liquor.   Last month, 21 people died in the western state of Jalisco after drinking tainted alcohol.
Date: Thu, 30 Apr 2020 04:31:04 +0200 (METDST)

Guadalajara, Mexico, April 30, 2020 (AFP) - Some 21 people have died and 13 others have been seriously injured in the Mexican state of Jalisco after ingesting contaminated liquor, regional authorities said Wednesday.     In total, 56 people have been affected in two municipalities in the western state since Saturday, state health official Huge Esparza said during a press conference, including the 21 who have died and 29 who have become ill.    The 13 who became seriously ill were transported via helicopter to hospitals in Guadalajara, the capital of Jalisco, while the rest were discharged, Esparza said.

On Saturday, patients began presenting with "symptoms of blurred vision and/or vision loss, intense abdominal pain, difficulty breathing and convulsions," he said.    They had ingested a form of cane alcohol purer than that made for drinking that was manufactured in neighbouring Michoacan state.    Some 700 litres of the liquor were seized over the following days.    Laboratory tests showed the liquor contained a "high concentration" of methanol used "as an additive to liquid fuels," according to another Jalisco health official, Denis Santiago   "This chemical agent is for industrial use," he said.    One other person was affected in Michoacan, though Jalisco authorities did not provide details on their condition.
Date: Sat 4 Apr 2020
Source: Outbreak News Today [abridged, edited]

Health officials in Mexico are reporting a measles outbreak that has affected 101, including 87 cases in Mexico City, according to a La Silla Rota report.

The outbreak began in North Reclusorio in Mexico City on 23 Feb 2020, and state health officials reported on 21 Mar 2020 that the number of cases had grown to 49. In the 10 days since, that number has more than doubled to 101.

The cases are reported in Mexico City (87), the State of Mexico (13) and the state of Campeche (1).
=======================
[Also see: Measles (03) - Mexico: (Mexico City) increase in cases, spread to other areas: Wed 1 Apr 2020; Mexico News Daily:
This is an increase of 20 cases in relation to the last cut. Of the 101 cases, 96 were detected in CDMX (Ciudad de Mexico)

While the global COVID-19 pandemic is the priority for health officials the world over, a smaller outbreak of a similar kind is also worrying those in Mexico state, Mexico City, and now Campeche.

According to the Health Ministry's epidemiology department, the number of measles cases in the country doubled in just 10 days.

The outbreak began in a prison in the north of Mexico City on 23 Feb 2020, and state health officials reported on 21 Mar 2020 that the number of cases had grown to 49. In the 10 days since, that number has more than doubled to 101.

A Health Ministry epidemiology report issued at 10:00 p.m. on Tue [31 Mar 2020] said that 87 of the cases are located in Mexico City, 13 are in Mexico state, and one has been identified in the state of Campeche, the 1st of this outbreak confirmed outside of the Valley of Mexico.

Smaller concentrations of imported measles cases sprouted up in several states last year [2019], including Quintana Roo, Chihuahua, Nuevo Leon, San Luis Potosi and Mexico state, but none of them grew to such numbers as the current outbreak.

The borough of Gustavo A. Madero, where the outbreak's epicentre -- the Reclusorio Norte prison -- is located, has most of the city's measles patients with 47. Cases have also been confirmed in 11 other boroughs in the city.

Five of the 13 infected people in Mexico state are in Ecatepec, and there are also measles cases in Tecamac, Tlalnepantla, Naucalpan, Atizapan de Zaragoza, Nezahualcoyotl and Chimalhuacan.

The case reported in Campeche is in the municipality of Champoton, where a 5-year-old girl contracted the disease despite having received the measles vaccine.

Of the 101 confirmed cases, 57 are adults aged 17-68, while 44 are children ranging from 4 months to 13 years old, and 19 had been vaccinated against the disease before contracting it. - ProMed Mod.LK]
Date: Tue 24 Mar 2020
Source: Explica [abridged, edited]

The Valley of Mexico currently faces 2 diseases that day by day infect a greater number of citizens. Not only has the so-called coronavirus pandemic caused the authorities to take preventive measures, measles became a latent risk.

Shortly after the health authorities began to implement preventive measures for Covid-19 throughout Mexico, it was revealed that 16 people were infected with measles, but, from 5-23 Mar 2020, cases have reached 67 infected.

It was the General Directorate of Epidemiology of the Ministry of Health that released the report of confirmed measles cases in the Valley of Mexico. Although 62 cases were located in Mexico City, the rest occurred in people who live in the State of Mexico.

In 24 hours, a total of 20 cases were confirmed, most of which are found in the Gustavo A. Madero, Alvaro Obregon, Miguel Hidalgo and Cuajimalpa mayoralties.

The cases in the State of Mexico were located in the municipalities of Ecatepec, Naucalpan, Tecamac, Nezahualcoyotl and Tlalnepantla, which have infected cases in each one.

Of the 67 cases, only 10 of them had a history of vaccination for the disease.

It all started when last 5 Mar 2020, the health authorities of the capital announced the existence of an outbreak of measles in 16 people.

The information caused a stir, because all the cases were related to the North Male Preventive Prison, located at Jaime Nuno 155, Cuautepec Barrio Bajo, Guadalupe Chalma neighbourhood, city hall Gustavo A. Madero.

According to the newspaper El Universal, among the confirmed infections was a minor of 8 years who was linked to one of the inmates.

Before more than 10 cases, the authorities decided to carry out a sweep inside the prison, that is, a vaccination campaign for the more than 3000 inmates incarcerated, but also for the personnel who work in the facilities, the custodians and the relatives who commonly visit the prisoners.

For the 8-year-old girl who was infected, El Heraldo de Mexico reported that a perimeter of 25 blocks around the house in which the minor lives, located in the Alvaro Obregon city hall, was swept. However, the general director of Epidemiology, Jose Luis Alomia Zegarra, clarified that the 1st measles patient registered was an imported case.

According to the World Health Organization (WHO), measles is caused by a virus in the paramyxovirus family and is one of the leading causes of death in children. During 2017, measles took the lives of 110,000 children under the age of 5 around the world.

The disease begins to appear between 10 and 12 days after the 1st contact with the virus, as a runny nose, cough, red eyes, tears, and white spots appear on the inside of the cheeks.  The best known feature of the disease are red welts, known as anaxems, that appear between day 7 and 18 after contact.
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United Kingdom

United Kingdom and Gibraltar (England, Wales, Scotland, Northern Ireland) US Consular Information Sheet
October 09, 2008
COUNTRY DESCRIPTION:
The United Kingdom of Great Britain and Northern Ireland is a highly developed constitutional mon
rchy composed of Great Britain (England, Scotland, and Wales) and Northern Ireland.
Read the Department of State Background Notes on the United Kingdom for additional information.
Gibraltar is a UK Overseas Territory bordering Spain, and is located at the southernmost tip of Europe at the entrance to the Mediterranean Sea.
It is one of 13 former British colonies that have elected to continue their political links with London.
Tourist facilities are widely available throughout the United Kingdom and Gibraltar.

ENTRY/EXIT REQUIREMENTS:
A UK visa/entry clearance is not required for tourist or business visits to the United Kingdom of less than six months in duration.
Visitors wishing to remain longer than one month in Gibraltar should regularize their stay with Gibraltar immigration authorities.
Those planning to visit the United Kingdom for any purpose other than tourism or business, or who intend to stay longer than six months, should consult the website of the British Embassy in the United States at http://ukinusa.fco.gov.uk/en for information about current visa/entry clearance requirements.
Those who are required to obtain a visa/entry clearance and fail to do so may be denied entry and returned to their port of origin.
The U.S. Embassy cannot intervene in UK immigration matters.

In the past year, the British government has completely restructured its immigration system, tightening visa/entry clearance regulations and enforcement at its borders.
All American travelers to the United Kingdom are urged to check the web site of the British Embassy in the United States at http://ukinusa.fco.gov.uk/en or the web site of the UK Border Agency at http://www.bia.homeoffice.gov.uk/ to determine whether they must have a visa/entry clearance before traveling to the United Kingdom.
Students should be especially alert to UK visa/entry clearance requirements.
Under no circumstances should Americans seeking to study or work in the United Kingdom attempt to enter the country without the appropriate visa/entry clearance from a British Consulate in the United States.
If you do so, you are likely to be detained by UK immigration officials at the port of entry and held in an immigration detention facility until you can be returned to the United States.
Again, the U.S. Embassy cannot intervene in UK immigration matters.

In addition to the British Embassy web site at http://ukinusa.fco.gov.uk/en, those seeking current UK visa/entry clearance information may also contact UK consular offices in the United States via their premium rate telephone service at 1-900-656-5000 (cost $3/minute) or 1-212-796-5773 ($12 flat fee).
There is also a no-fee website for visa information at www.visainfoservices.com.

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

SAFETY AND SECURITY:
The United Kingdom is politically stable, with a modern infrastructure, but shares with the rest of the world an increased threat of terrorist incidents of international origin, as well as the potential, though significantly diminished in recent years, for isolated violence related to the political situation in Northern Ireland (a part of the United Kingdom).

Like the United States, the United Kingdom shares its national threat levels with the general public to keep everyone informed and explain the context for the various increased security measures that may be encountered. UK threat levels are determined by the UK Home Office and are posted on its web site at http://www.homeoffice.gov.uk/security/current-threat-level/.

Information from the UK Security Service, commonly known as MI5, about the reasons for the increased threat level and actions the public can take is available on the MI5 web site at http://www.mi5.gov.uk/.
American citizens are advised to check with the UK Department for Transport at http://www.dft.gov.uk/transportforyou/airtravel/airportsecurity/ regarding the latest security updates and carry-on luggage restrictions.

The British Home Secretary has urged UK citizens to be alert and vigilant by, for example, keeping an eye out for suspect packages or people acting suspiciously at subway (called the Tube or Underground) and train stations, as well as at airports, and reporting anything suspicious to the appropriate authorities.
Americans are reminded to remain vigilant with regard to their personal security and to exercise caution.
For more information about UK public safety initiatives, consult the UK Civil Contingencies Secretariat web site at http://www.ukresilience.gov.uk.

The political situation in Northern Ireland has improved dramatically.
The potential remains, however, for sporadic incidents of street violence and/or sectarian confrontation.
American citizens traveling to Northern Ireland should therefore remain alert to their surroundings and should be aware that if they choose to visit potential flashpoints or attend parades, sporadic violence remains a possibility.
Tensions may be heightened during the summer marching season (April to August), particularly during the month of July (around the July 12th public holiday).

The phone number for police/fire/ambulance emergency services – the equivalent of 911 in the United States – is 999 in the United Kingdom and 112 in Gibraltar.
This number should also be used for warnings about possible bombs or other immediate threats.
The UK Anti-Terrorist Hotline, at 0800-789-321, is for tips and confidential information about possible terrorist activity.

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 current Travel Warnings and Travel Alerts, as well as the Worldwide Caution, can be found.
Recent communications from U.S. Embassy London to the local American citizen community, called Warden Messages, can be found on the U.S. Embassy's American Citizens Services web page at http://london.usembassy.gov/cons_new/acs/index.html.

Up-to-date information on safety and security can also be obtained by calling 1-888-407-4747 toll free in the United States, or for callers outside the United States 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:
The United Kingdom and Gibraltar benefit from generally low crime rates, which decreased slightly in 2007 in significant categories, including violent crime.
The crime situation in the United Kingdom is similar to that in the United States: typical incidents include pick pocketing; muggings; “snatch and grab” thefts of mobile phones, watches and jewelry; and thefts of unattended bags, especially at airports and from cars parked at restaurants, hotels, and resorts.
Pickpockets target tourists, especially at historic sites and restaurants, and on buses, trains, and the London subway (known as the Tube or Underground).
Thieves often target unattended cars parked at tourist sites and roadside restaurants, looking for laptop computers and handheld electronic equipment, especially global positioning satellite equipment.
Walking in isolated areas, including public parks, especially after dark, should be avoided, as these are advantageous venues for muggers and thieves.
At night or when there is little foot traffic, travelers should be especially careful using the underground pedestrian tunnels.
As a general rule, either walk the extra distance to use a surface crossing or wait until there are other adult pedestrians entering the tunnel.

In London, travelers should use only licensed Black Cabs or car services recommended by their hotel or tour operator.
Unlicensed taxis or private cars posing as taxis may offer low fares, but are often uninsured and may have unlicensed drivers.
In some instances, travelers have been robbed and raped while using these cars.
You can access 7,000 licensed Black Cabs using just one telephone number: 087-1871-8710.
This taxi booking service combines all six of London’s radio taxi circuits, allowing you to telephone 24 hours a day if you need a cab.
Alternatively, to find a licensed minicab, text HOME to 60835 on your mobile phone to get the telephone number to two licensed minicab companies in the area.
If you know in advance when you will be leaving for home, you can prebook your return journey.
The Safe Travel at Night partnership among the Metropolitan Police, Transport for London, and the Mayor of London maintains a web site with additional information at http://www.cabwise.com/.
Travelers should not leave drinks unattended in bars and nightclubs.
There have been some instances of drinks being spiked with illegal substances, leading to incidents of robbery and rape.

Americans should take steps to ensure the safety of their U.S. passports.
Visitors in England, Scotland, Wales, Northern Ireland, and Gibraltar are not expected to produce identity documents for police authorities and thus may secure their passports in hotel safes or residences.
Abundant ATMs that link to U.S. banking networks offer an optimal rate of exchange, and they preclude the need to carry a passport to cash travelers’ checks.
Travelers should be aware that U.S. banks might charge a higher processing fee for withdrawals made overseas.
Common-sense personal security measures taken in the United States when using ATMs should also be followed in the United Kingdom.
ATM fraud in the United Kingdom is becoming more sophisticated, incorporating technologies to surreptitiously record customer ATM card and PIN information.
Travelers should avoid using ATMs that look in any way temporary in structure or location, or are located in isolated areas.
Travelers should be aware that in busy public areas, thieves use distraction techniques, such as waiting until the PIN number has been entered and then pointing to money on the ground, or attempting to hand out a free newspaper.
When the ATM user is distracted, a colleague will quickly withdraw cash and leave.
If distracted in any way, travelers should press the cancel transaction button immediately and collect their card before speaking to the person who has distracted them.
If the person’s motives appear suspicious, travelers should not challenge them but remember the details and report the matter to police as soon as possible.
In addition, travelers should not use the ATM if there is anything stuck to the machine or if it looks unusual in any way.
If the machine does not return the card, report the incident to the issuing bank immediately.

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 at the opening of the next business day.
The U.S. Embassy or Consulate issues replacement passports only during regular business hours.
If you are the victim of a crime while overseas, report it to local police.
The nearest U.S. Embassy or Consulate will also be able to assist by helping you to find appropriate medical care, contacting family members or friends, and explaining 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.

Visit the Victim Support web site, maintained by an independent UK charity to help people cope with the effects of crime: http://www.victimsupport.org.uk/.

See our information for Victims of Crime.
MEDICAL FACILITIES AND HEALTH INFORMATION:
While medical services are widely available, free care under the National Health System is allowed only for UK residents and certain EU nationals.
Tourists and short-term visitors will be charged for medical treatment in the United Kingdom.
Charges may be significantly higher than those assessed in the United States.

Hiking in higher elevations can be treacherous.
Several people die each year while hiking, particularly in Scotland, often due to sudden changes in weather.
Visitors, including experienced hikers, are encouraged to discuss intended routes with local residents familiar with the area, and to adhere closely to recommendations.

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 from 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.

MEDICAL INSURANCE:
The Department of State strongly urges Americans to consult with their medical insurance companies prior to traveling abroad to confirm whether their policy applies overseas and whether it will cover emergency expenses such as a medical evacuation.
If your medical insurance policy does not provide overseas coverage, you may want to purchase a short-term policy for your trip.
The Department of State provides an online list of travel insurance companies that can provide the additional insurance needed for the duration of one’s trip abroad.

Remember also that most medical care facilities and medical care providers in the United Kingdom do not accept insurance subscription as a primary source of payment.
Rather, the beneficiary is expected to pay for the service and then seek reimbursement from the insurance company.
This may require an upfront payment in the $10,000 to $20,000 range

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 the United Kingdom is provided for general reference only and may not be totally accurate in a particular location or circumstance.

UK penalties for driving under the influence of even minimal amounts of alcohol or drugs are stiff and often result in prison sentences.
In contrast to U.S. and continental European traffic, which moves on the right side of the road, UK traffic moves on the left.

The maximum speed limit on highways/motorways in the United Kingdom is 70 mph.
Motorways generally have a hard shoulder (breakdown lane) on the far left, defined by a solid white line.
It is illegal to stop or park on a hard shoulder unless it is an emergency.
In such cases, you should activate your hazard lights, get out of your vehicle, and go onto an embankment for safety.

Emergency call boxes (orange telephone booths with SOS printed on them) may be found at half-mile intervals along the motorway.
White and blue poles placed every 100 yards along the motorway point in the direction of the nearest call box.
Emergency call boxes dial directly to a motorway center.
It is best to use these phones rather than a personal cell phone, because motorway center personnel will immediately know the location of a call received from an emergency call box.

Roadside towing services may cost approximately £125 (as of 10/08, approximately $225).
However, membership fees of automotive associations such as the RAC (Royal Automobile Club) or AA (Automobile Association) often include free roadside towing service.

Visitors uncomfortable with or intimidated by the prospect of driving on the left-hand side of the road may wish to avail themselves of the United Kingdom’s extensive bus, rail, and air transport networks.
Roads in the United Kingdom are generally excellent but are narrow and often congested in urban areas.
If you plan to drive while in the United Kingdom, you may wish to obtain a copy of the Highway Code, available at http://www.direct.gov.uk/en/TravelAndTransport/Highwaycode/index.htm.

Travelers intending to rent cars in the United Kingdom should make sure that they are adequately insured.
U.S. auto insurance is not always valid outside the United States, and travelers may wish to purchase supplemental insurance, which is generally available from most major rental agents.
A congestion charge of £8 (as of 10/08, approximately $15) is imposed on all cars entering much of central London Monday through Friday from 7:00 a.m. to 6:30 p.m.
Information on the congestion charge can be found at http://www.tfl.gov.uk/roadusers/congestioncharging/.
Public transport in the United Kingdom is excellent and extensive.
However, poor track conditions may have contributed to train derailments, resulting in some fatalities.
Repairs are under way and the overall safety record is excellent.
Information on disruptions to London transportation services can be found at http://www.tfl.gov.uk/tfl/livetravelnews/realtime/tube/default.html and information about the status of National Rail Services can be found at http://nrekb.nationalrail.co.uk/service_disruptions/today.html.
Many U.S. pedestrians are injured, some fatally, every year in the United Kingdom because they forget that oncoming traffic approaches from the opposite direction than in the United States.
Extra care should be taken when crossing streets; remember to remain alert and look both ways before stepping into the street.

Driving in Gibraltar is on the right-hand side of the road, as in the United States and continental Europe.
Persons traveling overland between Gibraltar and Spain may experience long delays in clearing Spanish border controls.
Please refer to our Road Safety Overseas page for more information.
For specific information concerning UK driving permits, vehicle inspection, road tax, and mandatory insurance, refer to the UK Department of Environment and Transport web site at http://www.dft.gov.uk/ or the Driving Standards Agency web site at http://www.dsa.gov.uk/.
The U.S. Embassy London’s web site at http://london.usembassy.gov/ also provides information.

AVIATION SAFETY OVERSIGHT:
The U.S. Federal Aviation Administration (FAA) has assessed the UK Government’s Civil Aviation Authority as being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for oversight of the United Kingdom’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.

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SPECIAL CIRCUMSTANCES:
The legal drinking age in the United Kingdom is generally lower than that in the United States, and social drinking in pubs is often seen as a routine aspect of British life.
Parents, organizers of school trips, and young travelers should be aware of the impact that this environment may have when combined with the sense of adventure that comes with being abroad.
Please see our Students Abroad web site as well as Studying Abroad to help students plan a safe and enjoyable adventure.

The United Kingdom has strict gun-control laws, and importing firearms is extremely complicated.
Travelers should consider leaving all firearms in the United States.
Restrictions exist on the type and number of weapons that may be possessed by an individual.
All handguns, such as pistols and revolvers, are prohibited, with very few exceptions.
Licensing of firearms in the United Kingdom is controlled by the police.
Applicants for a license must be prepared to show “good reason” why they require each weapon.
Applicants must also provide a copy of their U.S. gun license, a letter of good conduct from their local U.S. police station, and a letter detailing any previous training, hunting, or shooting experience.
Background checks will also be carried out.
Additional information on applying for a firearm certificate and/or shotgun certificate can be found on the Metropolitan Police Firearms Enquiry Teams web site at http://www.met.police.uk/firearms-enquiries/index.htm.

A number of Americans are lured to the United Kingdom each year in the belief that they have won a lottery or have inherited from the estate from a long-lost relative.
Americans may also be contacted by persons they have “met” over the Internet who now need funds urgently to pay for hospital treatment, hotel bills, taxes, or airline security fees.
Invariably, the person contacted is the victim of fraud.
Any unsolicited invitations to travel to the United Kingdom to collect winnings or an inheritance should be viewed with skepticism.
Also, there are no licenses or fees required when transiting a UK airport, nor is emergency medical treatment withheld pending payment of fees.
Please see our information on International Financial Scams.

Please read ourCustoms Information.

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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 British law, even unknowingly, may be expelled, arrested, or imprisoned.
Penalties for possession, use, or trafficking in illegal drugs in the United Kingdom 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.

Many pocket knives and other blades, and mace or pepper spray canisters, although legal in the United States, are illegal in the United Kingdom and will result in arrest and confiscation if detected.
A UK Metropolitan Police guide to items that are prohibited as offensive weapons is available at http://www.met.police.uk/youngpeople/guns.htm.
A UK Customs Guide, detailing which items visitors are prohibited from bringing into the United Kingdom, is available at http://customs.hmrc.gov.uk/channelsPortalWebApp/downloadFile?contentID=HMCE_CL_001734.

Air travelers to and from the United Kingdom should be aware that penalties against alcohol-related and other in-flight crimes (“air rage”) are stiff and are being enforced with prison sentences.
Please also see our information on customs regulations that pertain when returning to the United States.

CHILDREN'S ISSUES:
Visit our web site for information on intercountry adoption and international parental child abduction.

REGISTRATION / EMBASSY LOCATION:
Americans living or traveling in the United Kingdom are encouraged to register with the nearest U.S. Embassy or Consulate through the State Department’s travel registration web site, and to obtain updated information on travel and security within the United Kingdom.
By registering, Americans make it easier for the Embassy or Consulate to contact them in case of emergency, and to relay updated information on travel and security within the United Kingdom.
The Embassy and Consulates regularly send security and other information via email to Americans who have registered.
Americans without Internet access may register directly with the nearest U.S. Embassy or Consulate.
The Consular Section also disseminates a newsletter every month.
Those wishing to subscribe to the monthly consular newsletter in London should send a request by email to LondonACSNewsletter@state.gov.

The U.S. Embassy is located at 24 Grosvenor Square, London W1A 1AE; telephone: in country 020-7499-9000, from the United States 011-44-20-7499-9000 (24 hours). Consular Section fax: in country 020-7495-5012, from the United States 011-44-20-7495-5012, and on the web at http://london.usembassy.gov.

The U.S. Consulate General in Edinburgh, Scotland, is located at 3 Regent Terrace, Edinburgh EH7 5BW; telephone: in country 013-1556-8315, from the United States 011-44-13-1556-8315.
After hours: in country 012-2485-7097, from the United States 011-44-12-2485-7097.
Fax: in country 013-1557-6023, from the United States 011-44-13-1557-6023.
Information on the Consulate General is included on the Embassy’s web site at http://london.usembassy.gov/scotland.

The U.S. Consulate General in Belfast, Northern Ireland, is located at Danesfort House, 228 Stranmillis Road, Belfast BT9 5GR; telephone: in country 028-9038-6100, from the United States 011-44-28-9038-6100.
Fax:
in country 028-9068-1301, from the United States 011-44-28-9068-1301.
Information on the Consulate General is included on the Embassy’s web site at: http://london.usembassy.gov/nireland.

There is no U.S. consular representation in Gibraltar.
Passport questions should be directed to the U.S. Embassy in Madrid, located at Serrano 75, Madrid, Spain; telephone: 34-91-587-2200 and fax 34-91-587-2303.
The web site is http://madrid.usembassy.gov.
All other inquiries should be directed to the U.S. Embassy in London.
* * *
This replaces the Consular Information Sheet dated May 8, 2008 and updates the sections on Entry Requirements, Safety and Security, and Registration/Embassy Location.

Travel News Headlines WORLD NEWS

Date: Sun, 10 May 2020 20:43:45 +0200 (METDST)

London, May 10, 2020 (AFP) - Britain's coronavirus lockdown will stay in place until at least June 1, Prime Minister Boris Johnson said on Sunday, as he unveiled cautious plans to lift restrictions imposed seven weeks ago.   "This is not the time simply to end the lockdown this week," he said in a televised address but added that some primary school children could return and shops re-open from June 1.

Johnson said some public places could re-open from July 1 but warned air passengers travelling to Britain faced quarantine measures.   The government has come under pressure to outline its exit strategy from the lockdown.   Britain has seen nearly 32,000 deaths in the outbreak -- the second-worst cumulative death toll behind the United States, and the worst in Europe.   But despite passing the peak of the outbreak, Johnson said it would be "madness" to waste the sacrifices the public had made since the lockdown.

Further details of what he stressed was a "conditional plan" would be outlined in parliament on Monday, he said.   It centres around a five-phase Covid Alert Level similar to the system in place for security threats, with one the lowest and five the highest.   Johnson said Britain had been at level four throughout the outbreak and "careful steps" were needed to move to level three, even as transmission rates varied around the country.   As a first step, the new guidelines again urge people who can to work from home but those who cannot to maintain social distancing and avoid public transport.

Johnson said there would be some easing of restrictions from Wednesday, allowing "unlimited exercise", sport and sunbathing, but only within households.   "In step two, at the earliest by June 1, after half-term, we believe we may be in a position to begin the phased reopening of shops and to get primary pupils back into school, in stages, beginning with reception (age four to five), year one (age five to six) and year six (10-11)," he added.   In step three, "at the earliest by July... we will hope to reopen at least some of the hospitality industry and other public places, provided they are safe and enforce social distancing", he added.   Johnson indicated restrictions could be reimposed, including locally, if there is a surge in cases.   "We have been through the initial peak but it is coming down the mountain that is often more dangerous," he added.
Date: Sat, 9 May 2020 15:57:23 +0200 (METDST)

London, May 9, 2020 (AFP) - Britain plans to introduce a 14-day mandatory quarantine for international arrivals, media reports said Saturday, sparking alarm among airports and airlines already suffering from the coronavirus pandemic.   Prime Minister Boris Johnson is expected to unveil the measure on Sunday evening, when he sets out his plans to gradually ease a nationwide stay-at-home order imposed in late March.   He has already signalled he will proceed with "maximum caution" as the death rate falls only slowly in Britain, the worst hit country in Europe with more than 31,000 confirmed coronavirus deaths.

The Times newspaper reported that anyone coming into Britain by plane, train or boat will be required to self-isolate for a fortnight.   Visitors from neighbouring Ireland would be exempt, as would lorry drivers bringing in crucial supplies.   It said the rule would be enforced through spot-checks on the address given by travellers, with possible penalties including fines of up to £1,000 ($1,200, 1,100 euros) or deportation.   The BBC reported that the measure would be introduced from the end of May.

The aviation industry, which is already teetering on the brink after planes were grounded across the globe at the start of the virus outbreak, called for urgent clarity on the plans.   Derek Provan, chief executive of AGS Airports, which owns and operates several regional British airports, said any quarantine must be regularly reviewed.   "This measure will have a devastating effect on aviation, tourism and hospitality as inbound visitors will not come to the UK whilst this is in place," he said.   Airlines UK, the industry association representing UK-registered carriers, had previously warned a quarantine would "effectively kill international travel to and from the UK".   "It will make it all but impossible for aviation to resume any time soon, thereby setting back the UK's economic recovery still further," it said.

Johnson's office declined to comment on the plans, but his spokesman on Friday had confirmed the idea was under "active" consideration.   Britain refused to follow other countries in shutting its borders at the start of the pandemic, saying it would have little effect as coronavirus was already in the country.   But if infection rates fall enough to start lifting the lockdown, officials say that putting foreign visitors into quarantine might help stop a new surge.   Johnson's government has already warned the public not to expect any big overnight changes to the lockdown this week, although garden centres are expected to be re-opened on Wednesday.
Date: Thu, 7 May 2020 17:13:25 +0200 (METDST)

London, May 7, 2020 (AFP) - London's Notting Hill Carnival, held annually over a long weekend in late August, has been cancelled this year due to the coronavirus pandemic, organisers announced on Thursday.   "After lengthy consultations with our strategic partners and our advisory council, the board has taken the decision that this year's carnival will not take place on the streets of Notting Hill as it has done for over 50 years," they said in a statement.   "This has not been an easy decision to make, but the reality of the COVID-19 pandemic and the way in which it has unfolded means that this is the only safe option.    "Everyone's health has to come first."

The west London carnival traces its roots back to Caribbean music festivals in the 1950s after the first surge in arrivals from former British colonies post-World War II.   Feathered dancers, steel bands and earth-shaking sound systems feature in the vibrant two-day celebration of British Caribbean culture.

Organisers Notting Hill Carnival Ltd. added they were planning "an alternate" event this year "that we hope will bring the Carnival spirit to people from the safety of their homes, and make them feel connected and engaged".   "We will share more information on how it will take shape soon," they said, adding they looked forward to welcoming revellers back to the streets of Notting Hill in 2021.   Britain, one of the world's worst-hit countries by the outbreak, is in the seventh week of a nationwide lockdown that is set to be eased only gradually in the coming months.
Date: Thu, 16 Apr 2020 10:00:17 +0200 (METDST)

London, April 16, 2020 (AFP) - The British government was on Thursday expected to extend a nationwide lockdown for another three weeks, amid signs the coronavirus outbreak is peaking, but warnings of more deaths to come.   Foreign Secretary Dominic Raab, who is standing in for Prime Minister Boris Johnson as he recuperates after spending a week in hospital with COVID-19, will meet with key ministers before making the announcement.   But the government has already said that, with the death toll approaching 13,000 and still rising, now is not the time to rescind the stay-at-home order imposed on March 23.   "It is too early to make a change," Health Secretary Matt Hancock told BBC television on Thursday, ahead of meetings of the cabinet and a special coronavirus committee.

"Whilst we've seen a flattening of the number of cases, and thankfully a flattening of the number of deaths, that hasn't started to come down yet. And as far as I'm concerned that is still far too high."   He said the vast majority of Britons had followed rules not to go out except for exercise and to buy essential items.   "I don't want to put all of that good effort to waste," said Hancock, who himself has also had coronavirus but recovered quickly.   "Because if we just released all the measures then this virus would run rampant once again, and we can't let that happen."

He did not say how long the lockdown would continue, but the law states that the measures must be reviewed every 21 days.   England's chief medical office, Chris Whitty, said on Wednesday that the outbreak was peaking but said he still expected the numbers of deaths to keep rising.   Health ministry figures show 12,868 people in hospital in Britain have so far died, making it one of the worst affected countries in the global outbreak.

- Pregnant nurse dies -
Among the dead are 27 staff who work for the state-run National Health Service (NHS), Hancock confirmed.   They include 28-year-old pregnant nurse, Mary Agyeiwaa Agyapong, who died on Sunday.   The baby, a little girl, was delivered by caesarean section before she died and is said by the hospital to be doing well.   "We are all deeply touched and moved by deaths of nurses like this," Hancock said.   But healthcare staff have repeatedly warned they are not getting the protective equipment they need, amid shortages of gowns, gloves, masks and visors.

Ministers have also been criticised for the slow expansion of testing for coronavirus, something many people believe is crucial to ending the lockdown.   Dave Prentis, head of Britain's biggest trade union Unison, warned that "for all the warm words and promises about supplies of protective equipment, the situation appears to be getting worse, not better".   In a rare piece of good news, a World War II veteran doing sponsored laps of his garden has now raised more than £12 million ($15 million, 13.8 million euros) for the NHS.   Captain Tom Moore, 99, is trying to complete 100 lengths of his 25-metre (82-foot) garden -- using a walking frame -- before his 100th birthday at the end of the month.
Date: Wed, 8 Apr 2020 18:07:06 +0200 (METDST)

London, April 8, 2020 (AFP) - Britain on Wednesday reported a record 938 new COVID-19 deaths in its daily update, 152 more than its previous highest toll, as the total number of deaths passed 7,000.    "As of 5pm on 7 April, of those hospitalised in the UK who tested positive for coronavirus, 7,097 have sadly died," the health ministry tweeted, up from 6,159 on Tuesday.
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Namibia

Namibia US Consular Information Sheet
August 16, 2007
COUNTRY DESCRIPTION: Namibia is a southern African country with a moderately developed economy.
Facilities for tourism are good and generally increasing in quality.
The capital is
indhoek.
Read the Department of State Background Notes on Namibia for additional information.
ENTRY/EXIT REQUIREMENTS: A passport and visa are normally required.
Bearers of U.S. passports who plan to visit Namibia for tourism for less than 90 days can obtain visas at the port of entry and do not need visas prior to entering the country.
Travelers coming for work or study, whether paid or voluntary, must obtain a work or study permit prior to entering Namibia.

All travelers traveling to or from Namibia via South Africa are strongly encouraged to have several unstamped visa pages left in their passports.
South Africa requires two unstamped visa pages, and Namibia usually also requires an unstamped page to stamp a visa upon arrival.
Visitors who do not have enough free visa pages in their passport risk being denied entry and returned to the U.S. at their own expense.

Travelers should obtain the latest information from the Embassy of Namibia located at 1605 New Hampshire Avenue, NW, Washington, D.C. 20009, telephone (202) 986-0540 or from the Permanent Mission of Namibia to the U.N. at 135 E. 36th St., New York, NY 10016, telephone (212) 685-2003, fax (212) 685-1561.
Overseas, inquiries should be made to the nearest Namibian embassy.
See our Foreign Entry Requirements brochure for more information on Namibia and other countries.
Visit the Embassy of Namibia's website at http://www.namibianembassyusa.org/ for the most current visa information.
See Entry and Exit Requirements for more information pertaining to dual nationality and the prevention of international child abduction.
Please refer to our Customs Information to learn more about customs regulations.
SAFETY AND SECURITY:
American citizens wishing to cross into Angola from Namibia should do so only at official border crossing areas and should consult the State Department's Consular Information Sheet for Angola.
American citizens should avoid street demonstrations.
However, such events are rare in Namibia.
American citizens traveling in Namibia are urged to contact the consular section of the U.S. Embassy in Windhoek for the latest safety and security information.
For the latest security information, Americans traveling abroad should regularly monitor the Department's Internet web site, where the current Worldwide Caution Public Announcement, Travel Warnings and Public Announcements 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., 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: Crime is a serious concern in Namibia, but visitors who employ common-sense preventive measures normally enjoy an incident-free stay.
Incidents of violent crime directed specifically against Americans or other foreigners are rare, but the number of overall incidents continues to increase.
The most common crimes are property-motivated crimes of opportunity, including pick pocketing, purse snatching, vehicle theft, and vehicle break-ins.
Taxi drivers have robbed several American passengers; if taxis must be used, radio taxis that display the NABTA logo (Namibia Bus and Taxi Association) are the most reliable.
Violent crimes are less frequent than non-violent incidents.
Common sense measures such as being alert to one's surroundings, avoiding isolated areas of town, not leaving valuables in parked cars, keeping car doors locked and windows up while driving, safeguarding purses, wallets and especially cellular phones are the best deterrents against becoming a victim.
Drivers should exercise caution at rest stops outside of towns or away from gasoline stations.

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, to 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 our information on Victims of Crime.
MEDICAL FACILITIES AND HEALTH INFORMATION: Windhoek has a small number of private medical hospitals and clinics capable of providing emergency care and performing many routine procedures.
Doctors, both general practitioners and specialists, as well as dentists, generally have training and facilities that are comparable with U.S. standards.
Facilities outside the capital vary widely.
Several large towns have well-equipped facilities similar to those available in Windhoek, while smaller towns generally do not.
Malaria is prevalent only in the north of the country.
Malaria prophylaxis is not required in Windhoek but is suggested for travel to the north.
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); fax 1-888-CDC-FAXX (1-888-232-3299), or via the CDC's Internet site at http://www.cdc.gov/travel.
For information about outbreaks of infectious diseases abroad consult the World Health Organization's (WHO) website at http://www.who.int/en.
Further health information for travelers is available at http://www.who.int/ith.
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 Namibia is provided for general reference only, and may not be totally accurate in a particular location or circumstance.
In Namibia, driving is done on the left-hand side of the road.
Many of Namibia's rural roads are gravel.
Although these roads are generally well maintained, controlling a vehicle on gravel is significantly more difficult than on pavement.
Drivers should not drive in excess of 80km per hour (45 mph) on gravel roads, should reduce speed significantly for curves or turns, and should heed all warning signs.
Hitting a sand patch or driving around a curve too fast can easily result in a rollover or spinout.
Many accidents on gravel roads occur when tourists exceed safe speeds on corners or in areas recently damaged by rains.
Visitors are reminded that motor vehicle accidents are one of the primary causes of injury and death in Namibia, and drivers are therefore strongly urged to drive with caution.

For those driving outside of the capital, distances between cities can be considerable, and often gasoline is only available at a few service stations along a route.
Fuel availability can be impacted by power outages as well.
All travelers are encouraged to plan their route to ensure a sufficient supply of fuel, and are recommended to bring five liters of water per person when traveling on dirt roads to guard against dehydration if an accident should occur.
Turning on a red traffic light is not permitted in Namibia.
Seat belts are required for all vehicle occupants.
Motorcyclists are required by law to wear protective helmets.
While child car seats are not required, they are recommended.
To drive legally while in Namibia, visitors staying more than a few weeks need an international driving permit.
International driving permits must be obtained prior to leaving the U.S. and are available from either the American Automobile Association or the American Automobile Touring Alliance.
Short-term visitors do not need an international driving permit; a valid U.S. driver's license is sufficient.
Roads in Namibia are generally well maintained.
However, few have shoulders or “pull-off” lanes for broken vehicles.
Wildlife wandering on roads is a special driving hazard in Namibia, especially at night.
An encounter at high speeds with antelope or cattle can be fatal.
The salt-surfaced roads at the coast can also be deceptively dangerous, especially when they have been made slick by morning or evening mist.
Robbery has occurred at roadside "rest stops" and motorists are advised to take rest breaks in towns and/or at gasoline stations.
Most major roads are undivided with one lane in each direction.
Drivers should remain alert for passing vehicles and exercise caution when passing slow moving vehicles.
Accidents involving drunk drivers are an increasing problem on major roads where there are high speed limits.
Driving under the influence is illegal in Namibia.
A charge of culpable homicide can be made against a driver involved in an accident resulting in death.
Roadside assistance and emergency medical services outside of Windhoek may be unreliable or non-existent.
Assistance on main roads that link Namibia's larger towns, however, is generally good due to quality cell phone networks.
Emergency services contact numbers vary from town to town.
The Namibian telephone directory has a list of emergency contact numbers at the beginning of each town listing.
It is recommended that Americans maintain a list of contact numbers for the area in which they plan to drive.
Telephone numbers may change, and 24-hour availability of these numbers is not guaranteed.
Public transportation is not widely available outside of the capital.
Taxis and municipal buses are the only forms of public transportation in Windhoek.
Schedules and routes are limited.
Car rentals or radio taxis are generally the best means of transport but may be relatively expensive.
The Embassy has received reports of foreign citizens being robbed by drivers of taxis hailed on the streets of Windhoek.
The Embassy has not received any such reports regarding radio taxis.
Flashing of high beams and similar signals could mean anything from a friendly greeting to a warning.
When encountering a motorcade, motorists are encouraged to make way immediately and follow promptly any instructions given by the officials present.
Because of the possibility of intoxicated and/or reckless drivers, the poor mechanical condition of some motor vehicles, and the high incidence of single-vehicle rollover accidents, Americans are urged to avoid hitchhiking in Namibia.
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: http://www.met.gov.na/default.htm
AVIATION SAFETY OVERSIGHT: As there is no direct commercial air service between the United States and Namibia, the U.S. Federal Aviation Administration (FAA) has not assessed Namibia's Civil Aviation Authority for compliance with International Civil Aviation Organization (ICAO) aviation safety standards.
For more information, travelers may visit the FAA's Internet web site at www.faa.gov/safety/programs_initiatives/oversight/iasa.

SPECIAL CIRCUMSTANCES: Wild animals may pose some danger.
Travelers are advised that, even in the most serene settings, animals are wild and can pose a threat to life and safety.
Travelers are cautioned to observe all local or park regulations and heed all instructions given by tour guides.
In addition, tourists are advised that potentially dangerous areas sometimes lack fences and warning signs.
Appropriate caution should be used in all unfamiliar surroundings.

Namibia does not recognize dual citizenship for adults over the age of 18.
Therefore, despite the fact that these individuals possess U.S. citizenship, they must enter and exit Namibia bearing a Namibian passport.
Namibia recognizes dual citizenship up until the age of 18; however, such children must enter Namibia on their Namibian passport and may face questioning by an immigration officer before being permitted entry.
Please see our information on customs regulations.

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 offences.
Persons violating Namibian laws, even unknowingly, may be expelled, arrested or imprisoned.
Penalties for possession, use, or trafficking in illegal drugs in Namibia 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.
Americans should avoid purchasing diamonds and other protected resources outside of licensed retail establishments.
The penalty for illegal dealing in diamonds in Namibia is stiff -- up to U.S. $20,000 in fines or five years in prison -- and the courts generally impose the maximum sentence.
The purchase and exportation of other protected resources, such as elephant ivory, may also be prohibited by Namibian, international, and/or U.S. law.
CHILDREN'S ISSUES: For information on international adoption of children and international parental child abduction, see the Office of Children's Issues website.
REGISTRATION / EMBASSY LOCATION: Americans living or traveling in Namibia are encouraged to register with the nearest U.S. Embassy or Consulate through the State Department's travel registration website and to obtain updated information on travel and security within Namibia.
Americans without Internet access may register directly with the nearest U.S. Embassy or Consulate.
By registering, American citizens make it easier for the Embassy or Consulate to contact them in case of emergency.

The U.S. Embassy is located 14 Lossen Street, Ausspannplatz, Windhoek, telephone (264-61) 295-8500, fax (264-61) 295-8603.
You can reach the Consular Section at extension 8551; i.e., (264-61) 295-8551 or via e-mail consularwindho@state.gov.
The mailing address for the Embassy is Private Bag 12029, Windhoek, Namibia.
The U.S. Embassy Windhoek website is http://windhoek.usembassy.gov/.
* * *
This replaces the Consular Information Sheet dated August 1, 2006, to update the sections on Entry/Exit Requirements, Crime, Medical Facilities and Health Information, Traffic Safety and Road Conditions and Special Circumstances.

Travel News Headlines WORLD NEWS

Date: Thu, 30 Apr 2020 19:09:47 +0200 (METDST)

Windhoek, April 30, 2020 (AFP) - Namibia's president on Thursday announced a gradual easing of coronavirus restrictions after the end of a nationwide lockdown on May 4.   To date the sparsely populated southern African country has detected just 16 cases of coronavirus, half of which have recovered. No deaths have been recorded so far.    A lockdown was imposed on March 28 and extended to May 4 earlier this month.   "Although the number of cases has remained static for 25 days, this does not mean that the current measures must be lifted completely and suddenly," said President Hage Geingob, adding that the lockdown would "lapse at midnight" on Monday.

Most businesses will be allowed to reopen under "specified conditions", including shopping malls, hairdressers and tailors.   Gyms and entertainment venues will stay shut, however, and a ban on the buying and selling of alcohol remains in place.   Borders will remain closed for non-Namibians, Ggeingob added.    Wearing of face masks will be mandatory in public places as of next week, and citizens will be allowed to travel between regions, towns and cities without restriction.   Namibia has tested less than 700 of its 2.5 million inhabitants since the start of the lockdown.
Date: Thu 9 Apr 2020 09:15 CAT
Source: New Era Live [edited]

The ministry of health in Kavango West and Kavango East regions has reported about 827 malaria cases, while inhabitants are being encouraged to use mosquito repellents to curb the spread. "We are having cases, but we are not in an outbreak; we are keeping it under control, but the cases that we have now are more than what we had last year [2019]. Remember we experienced low rainfall last year," said the regional chief medical officer for the 2 Kavango regions, Dr. Abiola Adesina.

Adesina said in 2019 the 2 Kavango regions had only less than 200 combined cases; for this year [2020] starting in January to last week Friday [3 Apr 2020], the 2 regions reported a combined 827 cases, 4 times than last year.  "The malaria prevention programme in the 2 Kavango regions is running well, and it's one of our priorities. Our field officers are busy doing their work in all our districts," he said.

"We have an integrated programme; we combine vector control with case detection and management, which means we treat malaria patients and we follow up their contacts and test them as well and we also spray their houses if they have not been sprayed yet, amongst other measures," he continued.

We are busy with continuous health education in communities: To stop the increase of malaria cases, Adesina encouraged communities to take the ministry's health education program seriously and cooperate with their officers who are busy with indoor residual spraying. "Sleep under treated mosquito nets, and if you have malaria symptoms you should go to the nearest health facility; make sure to take care of your environment, ensure there's no standing water even in unused and open containers, de-bush surroundings, and while fighting malaria we should also note COVID-19 -- stay at home and take care," he said.  [Byline: John Muyamba]
====================
[The Kavango districts are endemic for malaria. According to the WHO World Malaria Report (<https://www.who.int/publications-detail/world-malaria-report-2019>), the annual incidence is around 200 to 300 cases per 1000 population (WHO World Malaria Report, Annex 2A). The registered number of malaria cases increased from 12 168 in 2015 to 30 567 in 2018. Only around 40% of the population living in risk areas use an insecticide-treated net (ITN), and 98% of the cases are _Plasmodium falciparum_. - ProMed Mod.EP]

[HealthMap/ProMED-mail maps:
Kavango East, Namibia: <http://healthmap.org/promed/p/65793>
Kavango West, Namibia: <http://healthmap.org/promed/p/65794>]
Date: Sat 28 Mar 2020
Source: CGTN Africa [edited]

The number of reported hepatitis E cases in Namibia are on the decrease, statistics released by the Ministry of Health on Saturday [28 Mar 2020] show. A total of 74 hepatitis E (HEV) cases were reported countrywide between 24 Feb and 8 Mar 2020, compared with 102 cases reported during the previous 2 weeks.

The Ministry of Health declared an outbreak of hepatitis E on 14 Dec 2017 in the capital, Windhoek. The outbreak then spread to other regions around April 2018, eventually involving a total of 10 regions. Cases have been reported mainly from informal settlements such as Havana and Goreangab in Windhoek, DRC [Democratic Resettlement Community] in Swakopmund and similar settings in other regions where access to potable water, sanitation, and hygiene is limited.

A total of 7457 hepatitis E cases have been reported since the outbreak began with 65 deaths reported nationally, representing a case fatality rate of 0.9 per cent.

"There is a decrease in the number of HEV cases during the reporting period. (However) the outbreak continues to be protracted and cases are still being detected in areas where water and toilet facilities are limited, particularly in Khomas and in Erongo regions," a report from the health ministry said.
=====================
[Hepatitis E is found worldwide, and different genotypes of the hepatitis E virus determine differences in epidemiology. For example, genotype 1 is usually seen in developing countries and causes community-level outbreaks, whereas genotype 3 is usually seen in developed countries and does not cause outbreaks. Acute epidemic hepatitis E is attributable to infection with hepatitis E virus genotypes 1 and 2. Many of the deaths are in pregnant women, characteristic of genotype 1.

The highest seroprevalence rates (number of persons in a population who test positive for the disease) are observed in regions where low standards of sanitation increase the risk for transmission of the virus. - ProMed Mod.LL]

[Maps of Namibia:
Date: Fri 31 Jan 2020
Source: The New Era [edited]

Agonising back pain, fatigue, jaundice, nausea and loss of appetite are some of the symptoms that a 27 year old had to endure last year [2019] before he was diagnosed with hepatitis E.

The disease, which is commoner in areas with poor hand washing and lack of clean water, has been described as an epidemic, as more cases are reported to the authorities. The man is among 4000 Namibian men, mostly from Windhoek's informal settlements, battling the virus.

"I could not sleep at night, as my body was in intense pain. And you cannot sleep on one side for long, as the body aches. I could also not sit, as my lower back was in pain," he narrated to New Era from his home at Ehambo dhaNehale close to the Havana informal settlement. "I went to Black Chain clinic, and a nurse drew my blood and gave me feedback that I tested positive for hepatitis E virus. They injected me and gave me tablets that I took 3 times a day for a week." [There is no specific treatment for HEV. - ProMED Mod.LL]. Like many local people, he has expressed grave concern over the outbreak of the epidemic, which has since spread to other regions, including Omusati.

The outbreak of hepatitis E in the country, according to the latest report issued in December 2019, indicated that a majority of the cases are males, with 4167 men testing positive, compared with 2896 women. The least affected are children under one year, representing 0.11%. The report also shows that most of those affected are between the ages of 20 and 39. "Males are more likely to eat food from street vendors than females. Males are also less likely to wash their hands before eating," read the report.

Cumulatively, up to 29 Dec 2019, a total of 7063 hepatitis E virus cases were reported since the outbreak began. This includes 1731 laboratory confirmed, 4345 epi-linked, and 987 suspected cases. A total of 59 deaths have been reported nationally, and among those are 24 maternal deaths. The virus cases have been reported mainly from informal settlements such as Havana, Goreangab in Windhoek, DRC in Swakopmund and similar settings in other regions where access to potable water, sanitation and hygiene is a serious challenge.

Meanwhile, the latest official report on the outbreak indicated that during the period of 16-29 Dec 2019, a total of 82 hepatitis E virus cases were reported countrywide, compared to 63 cases reported during 2-15 Dec 2019. "The outbreak has become protracted and continues to spread to other regions with ongoing active transmission of the virus. Inadequate washing intervention in some informal settlements still persists." The health ministry declared the virus outbreak on 14 Dec 2017 in Khomas, and it spread to other regions around April 2018.  [byline: Selma Ikela]
================
[Hepatitis E is found worldwide, and different genotypes of the hepatitis E virus determine differences in epidemiology. For example, genotype 1 is usually seen in developing countries and causes community-level outbreaks, whereas genotype 3 is usually seen in developed countries and does not cause outbreaks. Acute epidemic hepatitis E is attributable to infection with hepatitis E virus genotypes 1 and 2. Many of the deaths are in pregnant women, characteristic of genotype 1.

The highest seroprevalence rates (number of persons in a population who test positive for the disease) are observed in regions where low standards of sanitation increase the risk for transmission of the virus. - ProMED Mod.LL]

[HealthMap/ProMED map available at:
Date: Thu 5 Nov 2019
Source: Namibia Press Agency [edited]

The Ministry of Health and Social Services and other stakeholders at Gobabis are working around the clock to curb the spread of hepatitis E in the region. Since the 1st case in the Omaheke region was reported in December 2017, about 137 other cases have been confirmed between March and November 2019. Out of the notified cases, one death has been recorded. Most of the reported cases in the region are from Gobabis, mainly from the Kanaan C informal settlement, where 123 cases were reported. This is as a result of a lack of clean drinking water, lack of sanitation facilities, and open-air defecation in the settlement.

Responding to questions emailed to him by Nampa [Namibia Press Agency], Omaheke health director Jeremiah Shikulo said regional and district health emergency committees have been activated and are in full operation, leading and coordinating the outbreak response process with other line ministries.

"The Ministry of Agriculture, Water and Forestry has provided 4 water tanks to the community of Kanaan, which the Gobabis municipality are refilling on a regular basis. Water purification tablets are also being distributed to households on a daily basis by community health workers," he added. The municipality has likewise given Kanaan C informal residents permission to build their own affordable temporary toilets.

Among other attempts to combat hepatitis E in the region, campaigns on how to properly clean water containers, screening pregnant women for the virus, and health education through community health workers have been conducted at Kanaan C. Five clean-up campaigns have also been held at the informal settlement, with another one set for tomorrow [6 Dec 2019].

Hepatitis E is a liver disease caused by the hepatitis E virus, usually as a result of poor sanitation. The disease was declared an outbreak on [14 Dec 2017] by the health ministry.  [Byline: Elvi Haihambo]
====================
[Hepatitis E is found worldwide, and different genotypes of the hepatitis E virus determine differences in epidemiology. For example, genotype 1 is usually seen in developing countries and causes community-level outbreaks, whereas genotype 3 is usually seen in developed countries and does not cause outbreaks. Acute epidemic hepatitis E is attributable to infection with hepatitis E virus genotypes 1 and 2. Many of the deaths are in pregnant women, characteristic of genotype 1.

The highest seroprevalence rates (number of persons in a population who test positive for the disease) are observed in regions where low standards of sanitation increase the risk for transmission of the virus. - ProMED Mod.LL]

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

World Travel News Headlines

Date: Tue, 19 May 2020 16:23:23 +0200 (METDST)

Dublin, May 19, 2020 (AFP) - This year's Dublin marathon scheduled for October 25 was cancelled on Tuesday despite Ireland's move to lift coronavirus lockdown measures, indicating potential long-term disruption caused by the outbreak.   Ireland plans to have fully lifted restrictions well before October, in a staggered process that began on Monday.   But organisers indicated the race -- which had 22,500 entrants last year -- would still not go ahead because of safety fears.   "We made the difficult decision in the best interest of the health and well-being of all those involved in making our events such a success from runners, supporters, volunteers, sponsors, to suppliers," said race director Jim Aughney.   "We explored many alternatives for running the events safely but ultimately none were viable."    Ireland's five-stage "roadmap" to reopen the nation is due to be completed in August, when the current ban on mass gatherings of more than 5,000 people is set to expire.   The cancellation suggests coronavirus fallout may last longer than suggested by official plans and could hit similar events.

The London Marathon, which attracts tens of thousands of runners, has been postponed until October 4.    "We need to be aware that we will continue to be in the acute emergency phase of this crisis for some time with further waves an ever present danger," the health department Secretary-General Jim Breslin told a special parliamentary committee on the crisis.   "This is not a one, a two or even a three-day storm, after which we move to a recovery phase. The acute phase of this crisis will definitely be measured in months and most probably in years."   Ireland has suffered 1,547 deaths from COVID-19, according to the department of health.   On Monday the number of daily deaths had fallen from a peak of 77 to just four.   "We have suppressed the virus and limited its impact on public health," said chief medical officer Tony Holohan on Monday.   "We need to sustain this in the weeks and phases ahead."
Date: Mon, 18 May 2020 18:54:14 +0200 (METDST)

Paris, May 18, 2020 (AFP) - Air France said Monday it hoped to double the number of cities it serves, including over 40 European destinations, by the end of June as nations begin to lift coronavirus travel restrictions.   "Between now and the end of June and subject to travel restrictions being lifted, Air France plans to gradually resume its flights,"  the airline said.   Like other airlines, Air France grounded most of its planes as governments imposed stay-at-home orders and demand for travel evaporated. 

Air France said it was currently operating between three and five percent of its usual schedule and serving 43 destinations for essential passenger traffic as well as cargo.   The airline, which received a 7-billion-euro rescue package from the French government, listed more than 90 destinations it hopes to serve by the end of June.   That would be equivalent to 15 percent of its normal schedule, and use 75 of its fleet of 224 aircraft.
Date: Mon, 18 May 2020 18:20:03 +0200 (METDST)

Abuja, May 18, 2020 (AFP) - Nigeria's government on Monday extended a coronavirus lockdown on the northern region of Kano after it became a hotspot for new infections.    The head of the country's coronavirus taskforce, Boss Mustapha, said the lockdown on the economic hub -- which includes Nigeria's second biggest city -- would be prolonged for two weeks.    The authorities will also start to impose "precision" lockdowns in any other areas that report a "rapidly increasing number of cases, when the need arises", he said.    The outbreak in Kano has become a major cause of concern after medics and residents last month began reporting a spike in deaths.

Regional officials at first put the "unexplained" fatalities down to other ailments, but government investigators later said coronavirus was suspected in most cases.    Neighbouring states to Kano have also begun reporting suspicious surges in death tolls that authorities are scrambling to investigate.    Nigeria has confirmed 5,959 infections and 182 deaths from the novel coronavirus across the country.    Kano is the second hardest hit region with 825 confirmed cases and 36 fatalities.   The region has already been under lockdown for a month but enforcement has been lax and measures have been eased sporadically for people to buy food during the Muslim holy month of Ramadan.

Testing has been a key problem across Nigeria and only 35,345 samples have so far been screened in Africa's most populous nation of 200 million people.    Mustapha insisted there had been a slowdown in the transmission rate of the virus, "elongating the doubling time" from seven to 11 days.    But he announced that measures would remain in place limiting businesses and restricting crowds across the rest of the country despite earlier plans to gradually roll them back.     "Nigeria is not yet ready for full opening of the economy and tough decisions have to be taken for the good of the greater majority," he said.   The government has also imposed a night-time curfew and made mask wearing mandatory in all regions.     Mustapha complained that "non-compliance was rampant" with social distancing measures.     "The fight against COVID-19 is long-term as the virus is not likely to go away very soon," he said.
Date: Mon, 18 May 2020 17:21:58 +0200 (METDST)

Stockholm, May 18, 2020 (AFP) - Sweden, whose softer approach to the new coronavirus pandemic has garnered worldwide attention, recorded its deadliest month in almost three decades in April, according to statistics released on Monday.   Sweden has stopped short of introducing the restrictive lockdowns seen elsewhere in Europe, instead opting for an approach based on the "principle of responsibility".

The Scandinavian country has kept schools open for children under the age of 16, along with cafes, bars, restaurants and businesses, and urged people to respect social distancing guidelines.   A total of 10,458 deaths were recorded in the country of 10.3 million inhabitants in April, Statistics Sweden said.   "We have to go back to December 1993 to find more dead during a single month," Tomas Johansson, population statistician at Statistics Sweden, said in a statement.

In total, 97,008 deaths were recorded in Sweden during the whole of 1993, which in turn was the deadliest year since 1918, when the Spanish flu pandemic ravaged the country.   Johansson told AFP there was no official breakdown explaining the high death toll in December 1993 but said there was a flu epidemic at the time.   According to preliminary data, the number of deaths has been on the decline since the end of April, including in Stockholm -- the epicentre of the Swedish epidemic -- where the highest number of deaths were recorded in early April.

The Swedish approach to the novel coronavisrus has come under criticism both at home and abroad, particularly as the number of deaths has far exceeded those in neighbouring Nordic countries, which have all imposed more restrictive containment measures.   On Monday, Sweden reported a total of 30,377 confirmed cased of the new coronavirus and 3,698 deaths.
Date: Mon, 18 May 2020 16:52:05 +0200 (METDST)

Helsinki, May 18, 2020 (AFP) - Finland's national airline will restart routes between Europe and Asia in July once countries begin to lift coronavirus restrictions on travel, the company announced on Monday.   Beijing and Shanghai will be the first long-haul destinations to reopen, alongside Hong Kong, Seoul, Singapore, Bangkok and three Japanese routes, Finnair said in a statement.

Flights to Delhi and New York will follow in August.    The move makes Finnair one of the first European carriers to restart intercontinental flights, after the Lufthansa Group announced on Friday it would resume 19 long-haul routes by early June.   "We expect aviation to recover gradually, starting in July," Finnair chief commercial officer Ole Orver said in a statement, adding that the company intends to bring its operations back to one-third of normal capacity.

Finnair cut 90 percent of its flights on April 1 and issued a profit warning as coronavirus restrictions brought international passenger travel almost to a standstill.     Facemasks will be mandatory on all Finnair flights "until at least the end of August," Finnair spokeswoman Paivyt Tallqvist told AFP.     "We have also taken a number of steps to avoid unnecessary movement on board," Tallqvist said, including having passengers disembark in smaller groups, and limiting capacity of shuttle bus transport between aircraft and the terminal to 50 percent.

Flights along the so-called "shorter northern route" between Helsinki and Asia, bypassing the Middle East, have been a key part of the Finnish carrier's growth strategy in recent years, with passenger numbers on its Asian routes doubling between 2010 and 2018.    On Monday, Finnair also announced it would restart 26 European routes in July, including to Brussels, Moscow, Prague and Paris.    Destinations including Rome, Madrid and Warsaw would be added in August, the firm said.     Finnair said it would open further routes on a monthly basis depending on demand and how travel restrictions change over the summer.
Date: Mon, 18 May 2020 10:28:18 +0200 (METDST)

Dublin, May 18, 2020 (AFP) - Ireland launched the first tentative step in its plan to lift coronavirus lockdown on Monday, with staff returning to outdoor workplaces as some shops resumed trade and sports facilities unlocked their doors.   The modest tweaks to the restrictions in place since 28 March start a staggered process set to stretch until August.

"I'm both pleased and nervous," health minister Simon Harris told state broadcaster RTE.    "I'm pleased that we've gotten to this point because of the incredible efforts of the Irish people in suppressing this virus."   "I'm nervous because the virus hasn't gone away, there still isn't a vaccine, there's still people in our country getting very sick, and there's still people dying every day."

Shops such as garden centres, hardware stores and farmers markets were permitted to open their doors whilst outdoor staff such as builders and gardeners returned to workplaces.   Football pitches, tennis courts and golf courses were also allowed to resume business whilst maintaining strict social distancing.

Meanwhile citizens were permitted to meet in small gatherings outside of people from different households.   But Harris urged caution as the republic took its first step in trying "to live successfully and safely alongside the virus".   "Just because somewhere is open doesn't mean we need to go," he said.   There have been 1,543 deaths from COVID-19 in Ireland according to the department for health.

Reported daily deaths peaked at 77 on 20 April, but by Sunday the figure had fallen to just 10.   As with other nations officials remain fearful a second wave of infections could inundate the healthcare system.   But Prime minister Leo Varadkar confirmed on Friday that Ireland would press ahead to the first of its five step plan to reopen the nation.   "This gives us reason to hope, but it is not a cause for celebration.  We have a long way to go yet," Varadkar said in a statement.

The fallout of the lockdown changes will be monitored for three weeks before the government decides whether to move to the next stage in the "roadmap" to reopening.   "Coronavirus is an inferno that is raging around the world", said Varadkar.   "In Ireland it is now a fire in retreat but it's not defeated -- we must extinguish every spark."
Date: Sun, 17 May 2020 22:46:20 +0200 (METDST)
By Román ORTEGA, Iván DUARTE y Germán CAMPOS

Puebla, Mexico, May 17, 2020 (AFP) - Scores of Mexicans are dying from drinking adulterated liquor, a consequence of the shortage of mainstream alcoholic beverages during the coronavirus pandemic, authorities say.   The first of at least 121 deaths in recent weeks occurred at the end of April in the western state of Jalisco, almost exactly a month after the government declared a health emergency over the spread of COVID-19.   Much of Mexico has run out of beer after factories producing liquor and beer were shut down, along with other non-essential firms.

Beer stocks were practically depleted within a month, and in some areas the prices of what was left doubled, according to industry sources.    Many of the 53 deaths in central Puebla province have been linked to a wake where people drank moonshine containing methanol -- a wood alcohol that in non-lethal doses can cause blindness and liver damage.    Twenty-three people died in the hours following the gathering in the town of Chiconcuautla, according to authorities.   The town's mayor said the popular "refino" drink, made from sugarcane, had been adulterated.

German Hernandez said his father died after being poisoned by drink known locally as "tejon" -- a blend of brandy with tejocote fruit (a type of hawthorn), in the Puebla town of Cacaloxuchitl.   "They sell it in the stores, and you can buy it and take it out. My father began trembling and feeling weak. He told us he felt bad, and we took him to the hospital," Hernandez told AFP.   "This has never happened before."    Deaths have also been recorded in the central state of Morelos and Yucatan and Veracruz in the east.

- Mafia trade -
Gangs specializing in bootleg booze are trying to take advantage of the lack of alternative alcohol sources during the shutdown.    "They usually have very well-structured mafias, and some escape the surveillance of the authorities," Ricardo Cardenas of the Federal Commission for Protection against Sanitary Risks told AFP.   "We presume that, as a result of this shortage and demand being very high, some people are offering or trying to sell methanol instead of ethyl alcohol," said Denis de Santiago, head of Sanitary Risks in Jalisco.

Methanol is used in fuel, solvents and antifreeze.   The country's largest beer producers, Grupo Modelo -- which makes the popular Corona beer -- and Heineken, which makes Sol, halted production in early April.   Alcohol sales have been banned in some states, including Yucatan. In others, alcoholic beverages can only be purchased at certain times.   Some drinks companies have switched production to antibacterial gel that they are donating to the federal government and health workers.

- 'Who would have thought?' -
In Yucatan, where 38 people have died so far, victims unknowingly drank methanol in their usual "pajaretes" -- a common cocktail that includes milk, coffee, vanilla and brand-name sugarcane alcohol.   Humberto Macias, 36, said he saw three of his relatives die within days of each other after drinking a pajarete cocktail, made using a trusted brand of alcohol.   "We had always drunk it, including myself, many people. Who would have thought it was like this?" Macias said.

In the Yucatan peninsula town of Acanceh, seven people have died from alcohol poisoning.   "It's the first time I've heard of a case like this. I don't remember anything similar," the town's mayor Felipe Medina told AFP.   In Veracruz, Morelos and Yucatan, investigators are still trying to determine what drinks the victims consumed.
Date: Sun, 17 May 2020 19:55:15 +0200 (METDST)
By Gregory WALTON

Doha, May 17, 2020 (AFP) - Qatar on Sunday began enforcing the world's toughest penalties of up to three years' in prison for failing to wear masks in public, in a country with one of the highest coronavirus infection rates.   More than 32,000 people have tested positive for COVID-19 in the tiny Gulf country -- 1.2 percent of the 2.75 million population -- although just 15 people have died.   Only the micro-states of San Marino and the Vatican have had higher per-capita infection rates, according to the European Centre for Disease Prevention and Control.   Violators of Qatar's new rules will face up to hree years in jail and fines of as much as $55,000.

Drivers alone in their vehicles are exempt from the requirement, but police erected checkpoints across the capital Doha on Sunday evening to check compliance by motorists.   Most customers gathered outside money lenders on Banks Street wore masks, while others produced a face covering when asked.   "From today it's very strict," said Majeed, a taxi driver waiting for business in the busy pedestrian area, who wore a black mask.   Heloisa, an expat resident, saw the steep penalties as "a bit of a scare tactic".   Wearing a mask is currently mandatory in around 50 countries, although scientists are divided on their effectiveness.

Authorities in Chad have made it an offence to be unmasked in public, on pain of 15 days in prison. In Morocco, similar rules can see violators jailed for three months and fined up to 1,300 dirhams ($130).   Qatari authorities have warned that gatherings during the Muslim fasting month of Ramadan may have increased infections.   Abdullatif al-Khal, co-chair of Qatar's National Pandemic Preparedness Committee, said Thursday that there was "a huge risk in gatherings of families" for Ramadan meals.   "(They) led to a significant increase in the number of infections among Qataris," he said.   Neighbouring Saudi Arabia will enforce a round-the-clock nationwide curfew during the five-day Eid al-Fitr holiday later this month to fight the coronavirus.

- Labourers at risk -
Mosques, along with schools, malls, and restaurants remain closed in Qatar to prevent the disease's spread.   But construction sites remain open as Qatar prepares to host the 2022 World Cup, although foremen and government inspectors are attempting to enforce social distancing rules.    Officials have said workers at three stadiums have tested positive for the highly contagious respiratory virus. Masks have been compulsory for construction workers since April 26.   A 12-strong team of masked labourers kept their distance from one another as they worked under baking sun on a road project in Doha's blue-collar Msheireb district on Sunday.

Tens of thousands of migrant workers were quarantined in Doha's gritty Industrial Area after a number of infections were confirmed there in mid-March, but authorities have begun to ease restrictions.   Khal said that most new cases were among migrant workers, although there has been a jump in infections among Qataris. He said the country had not yet reached the peak of its contagion.   Rights groups have warned that Gulf labourers' cramped living conditions, communal food preparation areas and shared bathrooms could undermine social distancing efforts and speed up the spread of the virus.
Date: Sun, 17 May 2020 13:43:50 +0200 (METDST)

Tehran, May 17, 2020 (AFP) - Iran said Friday it had recorded nearly 7,000 deaths from the novel coronavirus, warning of infection clusters in new regions after it partially eased lockdown measures.   Health ministry spokesman Kianoush Jahanpour said the COVID-19 illness had claimed a further 51 lives over 24 hours into Sunday.   The ministry raised the overall death toll to 6,988 since Iran announced its first fatalities in the Shiite pilgrimage city of Qom in February.   Jahanpour warned that cases were rising "in the province of Lorestan, and to some extent in Kermanshah, Sistan and Baluchistan".   "Khuzestan province is still in a critical situation," he added.

The southwestern province has become Iran's new coronavirus focal point, with the most critical "red" ranking on the country's colour-coded risk scale.   It is the only region so far where authorities have reimposed business lockdowns after a country-wide relaxation in April.   Iran stopped publishing provincial figures for the coronavirus last month, but the health ministry's latest report said there is a "rising trend or the beginning of a peak" in eight provinces, including Khuzestan.   The country on Friday reported its highest number of new infections in more than a month.   A virus taskforce official said Sunday that the increase was due to a surge in testing, not just of COVID-19 patients with severe symptoms.

Early in the outbreak "our focus was on severe cases that had to be hospitalised, but as we started to manage the disease we looked at those infected and not hospitalised," said Ali Akbar Haghdoost, head of the taskforce's epidemiology committee.   "It is possible that the reported number of infections have gone up, but this in no way means more have been infected with COVID-19," he told ISNA news agency.   According to Jahanpour, 1,806 new cases had been confirmed across Iran in the past day, bringing the total to 120,198.   Over 1,460 of the new cases were "outpatients, including those who had been in close contact with the infected," he said.

The ministry said 94,464 people hospitalised with the virus have recovered and been discharged.   Experts both at home and abroad have voiced scepticism about Iran's official figures, saying the real toll could be much higher.   Iran also cancelled rallies held annually in solidarity with the Palestinians, set for Friday next week.    President Hassan Rouhani had said Saturday that the Qods (Jerusalem) Day parades would go ahead with some measures against the virus.    But organisers said Sunday the event could not be held "decently" and would be scrapped apart from a televised speech by the supreme leader Ayatollah Ali Khamenei.
Date: Sun, 17 May 2020 13:31:10 +0200 (METDST)

Antananarivo, May 17, 2020 (AFP) - Madagascar on Sunday reported the first death of a patient suffering from novel coronavirus nearly two months after it was first detected in the country, official statistics showed.   The Indian ocean island which has reported 304 cases has hit the headlines over a home-grown herbal concoction that President Andry Rajoelina claims can cure people infected with the virus.

Several African countries have ordered or expressed interest in the purported remedy, which is known as Covid-Organics.   The tonic drink is derived from artemisia -- a plant with proven efficacy in malaria treatment -- and other indigenous herbs.   But the World Health Organization has warned against "adopting a product that has not been taken through tests to see its efficacy".