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Philippines

Philippines US Consular Information Sheet
June 17, 2008
COUNTRY DESCRIPTION:
The Philippines is an emerging economy with a democratic system of government, located in Southeast Asia.
The archipelago consists of more than 7,000 islands
of which over 800 are inhabited.
The major island groupings are Luzon in the north, the Visayas in the center and Mindanao in the south.
Tourist facilities are available within population centers and the main tourist areas.
English is widely spoken in the Philippines, and most signs are in English.
Read the Department of State Background Notes on the Philippines for additional information.

ENTRY/EXIT REQUIREMENTS:
U.S. citizens may enter the Philippines without a visa upon presentation of their U.S. passport, valid for at least six months after the date of entry into the Philippines, and a return ticket to the United States or an onward ticket to another country.
Upon arrival immigration authorities will annotate your passport with an entry visa valid for 21 days.
If you plan to stay longer than 21 days you must apply for an extension at the Philippine Bureau of Immigration and Deportation's main office at Magallanes Drive; Intramuros, Manila, Philippines or at any of its provincial offices at http://www.immigration.gov.ph.

Persons who overstay their visas are subject to fines and detention by Philippine immigration authorities.
American citizens are urged to remain aware of their visa status while in the Philippines and to strictly follow immigration laws and regulations.
Travelers departing the country from international airports must pay a Passenger Service Charge in Philippine Pesos.
Visit the Embassy of the Philippines web site at http://www.philippineembassy-usa.org for the most current visa information.

Special requirements exist for the entry of unaccompanied minors.
In an effort to prevent international child abduction, the Philippine government requires that a waiver of exclusion be obtained from a Philippine Embassy or Consulate or from the Bureau of Immigration and Detention in Manila for a child under 15 years of age who plans to enter the Philippines unaccompanied by either a parent or legal guardian prior to the child's entry into the Philippines.

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

SAFETY AND SECURITY:
U.S. citizens contemplating travel to the Philippines should carefully consider the risks to their safety and security while there, including those due to terrorism.
While travelers may encounter such threats anywhere in the Philippines, the southern island of Mindanao and the Sulu Archipelago are of particular concern.
Travelers should exercise extreme caution in both central and western Mindanao as well as in the Sulu Archipelago.

Kidnap for ransom gangs operate in the Philippines.
In October 2007, one such gang abducted a visiting U.S. citizen whose whereabouts are unknown at this time.
Several other foreigners were also kidnapped for ransom in 2007.
The New People’s Army (NPA), a terrorist organization, operates in many rural areas of the Philippines, including in the northern island of Luzon.
While it has not targeted foreigners in several years, the NPA could threaten U.S. citizens engaged in business or property management activities, and it often demands “revolutionary taxes.”

Terrorist groups, such as the Abu Sayyaf Group, the Jema’ah Islamiyah and groups that have broken away from the more mainstream Moro Islamic Liberation Front or Moro National Liberation Front, have carried out bombings resulting in deaths, injuries and property damage.
In November 2007, a bombing outside the House of Representatives in Metro Manila resulted in a number of deaths and injuries to bystanders.
On January 3, 2008, a bomb exploded at a Cotabato City disco pub, killing one and injuring eight.
The central and western areas of Mindanao have also experienced bombings targeting bus terminals and public buildings.
While those responsible do not appear to have targeted foreigners, travelers should remain vigilant and avoid congregating in public areas; U.S. Government employees must seek special permission for travel to Mindanao or the Sulu Archipelago.
When traveling in Mindanao, U.S. official travelers attempt to lower their profile, limit their length of stay and exercise extreme caution.
Some foreigners who reside in or visit western and central Mindanao hire their own private security personnel.

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

Up-to-date information on safety and security can also be obtained by calling 1-888-407-4747 toll free in the United States and Canada, 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:
As in many of the major metropolitan areas in the United States, crime is a significant concern in Metro Manila.
As a rule of thumb, Americans should exercise good judgment and remain aware of their surroundings.
Reports of confidence games, pick pocketing, internet scams and credit card fraud are common.
Be wary of unknown individuals who attempt to befriend you, especially just after you arrive in country.
A number of robberies and assaults involving the “date rape drug” (known locally as Ativan) have occurred; the drug is generally administered to unwitting male or female victims via food or drink.
It is best not to accept food, drink, or rides in private vehicles from strangers, even if they appear legitimate.
While Americans are not typically targeted for kidnapping, kidnappings and violent assaults do occur in the Metro Manila area.

Taxis are the recommended form of public transportation.
However, the following safeguards are important: do not enter a taxi if it has already accepted another passenger; and request that the meter be used.
If the driver is unwilling to comply with your requests, it is best to wait for another cab.
It is also a good idea to make a mental note of the license plate number should there be a problem.
When driving in the city, make certain that the doors are locked and the windows rolled up.
All other forms of public transportation, such as the light rail system, buses and “jeepneys” should be avoided for both safety and security reasons.

Visitors should also be vigilant when using credit cards.
One common form of credit card fraud involves the illicit use of an electronic device to retrieve and record information, including the PIN, from the card's magnetic strip.
The information is then used to make unauthorized purchases.
To limit your vulnerability to this scam, never let your card out of your sight.

A continuing problem is the commercial scam or sting that attempts to sell or to seek negotiation of fraudulent U.S. securities.
Visitors and residents should be wary when presented with supposed Federal Reserve Notes or U.S. securities for sale or negotiation.
For further information, consult the Federal Reserve System's web site at http://www.federalreserve.gov/.

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

INFORMATION FOR VICTIMS OF CRIME:
The loss or theft abroad of a U.S. passport should be reported immediately to the local police and the nearest U.S. Embassy or Consulate.
If you are the victim of a crime while overseas, in addition to reporting to local police, please contact the nearest U.S. Embassy or Consulate for assistance.
The Embassy/Consulate staff can, for example, assist you to find appropriate medical care, contact family members or friends and explain how funds could be transferred.
Although the investigation and prosecution of the crime is solely the responsibility of local authorities, consular officers can help you to understand the local criminal justice process and to find an attorney if needed.
The Philippines has a victim compensation program to provide financial compensation to victims of violent or personal crime and of unjust imprisonment.
Information may be obtained from the Philippine Department of Justice at 011-632-536-0447 or via the Internet at http://www.doj.gov.ph/.

The local equivalent to the “911” emergency line in the Philippines is: 117.

See our information on Victims of Crime.

MEDICAL FACILITIES AND HEALTH INFORMATION:
Adequate medical care is available in major cities in the Philippines, but even the best hospitals may not meet the standards of medical care, sanitation, and facilities provided by hospitals and doctors in the United States.
Medical care is limited in rural and more remote areas.

Serious medical problems requiring hospitalization and/or medical evacuation to the United States can cost several or even tens of thousands of dollars.
Most hospitals will require a down payment of estimated fees in cash at the time of admission.
In some cases, public and private hospitals have withheld lifesaving medicines and treatments for non-payment of bills.
Hospitals also frequently refuse to discharge patients or release important medical documents until the bill has been paid in full.
A list of doctors and medical facilities in the Philippines is available on the web page of the U.S. Embassy in Manila at http://manila.usembassy.gov/.

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

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

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

Travel within the Philippine archipelago is possible by boat, plane, bus or car.
Few tourists rent cars to drive, as the road system is crowded and drivers are undisciplined.
Driving off the national highways and paved roads is particularly dangerous, especially at night, and should be avoided.
To avoid overcrowded or unsafe transport, exercise caution in planning travel by older, inter-island ferryboats, or other public conveyances.

For specific information concerning Philippine driver's permits, vehicle inspection, road tax and mandatory insurance, please contact the Philippine Embassy in Washington, D.C. at tel. (202) 467-9300 or one of the Philippine consulates in the United State (Chicago, Honolulu, Los Angeles, New York, and San Francisco) or via the Internet at http://www.philippineembassy-usa.org/home.htm.
Please see also related information from the Philippine Department of Tourism at http://www.tourism.gov.ph and http://www.dotpcvc.gov.ph.

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

AVIATION SAFETY OVERSIGHT:
The U.S. Federal Aviation Administration (FAA) has assessed the Government of the Philippines’ Civil Aviation Authority as not being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for the oversight of the Philippines’ air carrier operations.
For more information, travelers may visit the FAA’s web site at http://www.faa.gov/safety/programs_initiatives/oversight/iasa
SPECIAL CIRCUMSTANCES: Marriage in the Philippines:
The Philippine Government requires foreigners who wish to marry in the Philippines to obtain from the U.S. Embassy a “Certificate of Legal Capacity to Contract Marriage” before filing an application for a marriage license.
Because there is no national register of marriages in the United States, the U.S. Embassy cannot provide such a certification.
As a result, the Philippine Government will accept an “Affidavit in Lieu of a Certificate of Legal Capacity to Contract Marriage” in its place.
Americans may execute this affidavit at the U.S. Embassy in Manila Monday-Friday, between 8:00 a.m. and 10:00 a.m., except for Philippine or American holidays.
The American must present his/her U.S. passport.
There is a fee of $30.00 or its peso equivalent for the affidavit.
Philippine authorities will not accept any substitute document issued in the United States.
Before traveling to the Philippines to be married, U.S. military personnel should contact their personnel office regarding Department of Defense joint service regulations.

Execution of the affidavit by a U.S. consular officer is a notarial act, and the consular officer is authorized by U.S. law to refuse to perform the service if the document will be used for a purpose patently unlawful, improper, or inimical to the best interests of the United States (see 22 C.F.R. section 92.9b).
Entering into a marriage contract for the principal purpose of facilitating immigration to the United States for an alien is an unlawful act, and the U.S. Code provides penalties for individuals who commit perjury in an affidavit taken by a consular officer.
Relationship fraud is a persistent problem in the Philippines, and it is not uncommon for Filipinos to enter into marriages with Americans solely for immigration purposes.
Relationships developed via correspondence, particularly those begun on the Internet, are particularly susceptible to manipulation.

The Marriage Application Process:
Once an American citizen has obtained from the U.S. Embassy an “Affidavit in Lieu of a Certificate of Legal Capacity to Contract Marriage,” he/she may file an application for a marriage license at the office of the Philippine Civil Registrar in the town or city where one of the parties is a resident.
The U.S. citizen applicant must present: (a) the affidavit; (b) divorce decree(s) or death certificate(s), if applicable (required to verify civil status and legal capacity to contract marriage); (c) his/her U.S. passport; and (d) documentation regarding parental consent or advice, if applicable.
(Persons aged 18 to 21 must have written parental consent to marry in the Philippines; those aged 22 to 24 must have received parental advice.
Philippine law prohibits marriage for persons under the age of 18.)
A judge, a minister, or other person authorized by the Philippine Government can perform the marriage.

Marriage to a U.S. citizen confers neither citizenship nor an automatic eligibility for entry to the United States.
A foreign spouse requires an immigrant visa to live in the United States.
Questions about filing a petition to bring a foreign spouse to the United States may be directed to the nearest U.S. Citizenship and Immigration Service office, to the U.S. Department of State’s Visa Office (telephone: (202) 663-1225) or, while in the Philippines, to the U.S. Embassy’s Immigrant Visa Unit at http://manila.usembassy.gov/.

Disaster Preparedness:
The Philippines is a volcano-, typhoon- and earthquake-prone country.
>From May to December, typhoons and flash floods often occur.
Flooding can cause road delays and cut off bridges.
Typhoons in the vicinity of the Philippines can interrupt air and sea links within the country.
Updated information on typhoons is available at http://www.pagasa.dost.gov.ph. Volcanic activity is frequent, and periodically the Philippine Government announces alerts for specific volcanoes.
Updated information on volcanoes in the Philippines is available at http://volcanoes.usgs.gov.
Earthquakes can also occur throughout the country.
General information about natural disaster preparedness is available via the Internet from the Philippines National Disaster Coordinating Council (NDCC) at http://ndcc.gov.ph/home/ and from the U.S. Federal Emergency Management Agency (FEMA) at http://www.fema.gov.

Customs: Philippine customs authorities enforce strict regulations concerning temporary importation into or export from the Philippines of items such as firearms and currency.
It is advisable to contact the Embassy of the Philippines in Washington, DC or one of the Philippine consulates in the United States (Chicago, Honolulu, Los Angeles, New York and San Francisco) for specific information regarding customs requirements.
Counterfeit and pirated goods are widely available in the Philippines; transactions involving such products are illegal and bringing them back to the United States may result in forfeitures and/or fines.

Please see our Customs Information.

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

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

REGISTRATION / EMBASSY LOCATION:
Americans living or traveling in the Philippines are encouraged to register with the nearest U.S. Embassy or Consulate through the State Department’s travel registration web site so that they can obtain updated information on travel and security within the Philippines.
Americans without Internet access may register directly with the nearest U.S. Embassy or Consulate.
By registering, American citizens make it easier for the Embassy or Consulate to contact them in case of emergency.
The U.S. Embassy is located at: 1201 Roxas Boulevard, Manila, Philippines, tel. (63) (2) 301-2000.
The American Citizen Services (ACS) section's fax number is (63) (2) 301-2017 and the ACS web page is at http://manila.usembassy.gov/.
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This replaces the Country Specific Information for the Philippines dated January 17, 2008 to update sections on “Country Description,” “Safety and Security,” “Crime” and “Medical Facilities and Health Information.

Travel News Headlines WORLD NEWS

Date: Tue, 14 Jan 2020 09:00:02 +0100 (MET)
By Ron Lopez with Mikhail Flores in Manila

Tanauan, Philippines, Jan 14, 2020 (AFP) - Taal volcano in the Philippines could spew lava and ash for weeks, authorities warned Tuesday, leaving tens of thousands in limbo after they fled their homes fearing a massive eruption.   The crater of the volcano exploded to life with towering clouds of ash and jets of red-hot lava on Sunday, forcing those living around the mountain south of Manila to rush to safety.

Many people abandoned livestock and pets as well as homes full of belongings after authorities sounded an alert warning that an "explosive eruption" could come imminently.   "We left everything apart from what we're wearing," said Robert Cadiz, a 47-year-old fisherman among some 30,000 who took refuge in shelters. "We were terrified."

Gerald Aseoche, 30, who left with his four young children and a few possessions, has missed work to stay with them as the volcano belches out lava and earthquakes tied to the eruption rattle the region.   "I am hoping this won't go on too long because I will lose my job if I can't report to work immediately," Aseoche, a house painter, told AFP at an evacuation centre.   "I can't leave them... family first," he said as he cradled one of his children.

Taal is one of the most active volcanoes in a nation hit periodically by eruptions and earthquakes due to its location on the Pacific "Ring of Fire" -- a zone of intense seismic activity.   The Taal eruption has been putting on a stunning and terrifying display, with lightning crackling through its ash cloud in a poorly understood phenomenon that has been attributed to static electricity.

- Eruptions have lasted months -
Renato Solidum, head of the Philippines' seismological agency, said Taal's previous eruptions have lasted months so it was impossible to predict an end to the current activity.   However, he said the alert warning of a potentially catastrophic "explosive eruption" may remain in place for weeks, depending on developments.   "We have a protocol of waiting for several days, sometimes two weeks, to make sure that indeed... volcano activity has essentially stopped," he told AFP.

The volcano dramatically burst with activity on Sunday, shooting a massive column of ash 15 kilometres (nine miles) into the sky that then rained down on the region.   Falling ash pushed aviation officials to temporarily shut down Manila's main international airport, forcing the cancellation of hundreds of flights and stranding tens of thousands of travellers.

Ninoy Aquino International Airport resumed reduced operations on Monday and was gradually recovering on Tuesday, but a backlog of cancelled flights resulted in ongoing pain for travellers.    Taal's last eruption was in 1977, but it has a long history of activity. In 1965 the volcano, which is a popular tourist attraction set in a picturesque lake, killed some 200 people.   The country's most powerful explosion in recent years was the 1991 eruption of Mount Pinatubo, about 100 kilometres northwest of Manila, which killed more than 800 people.
Date: Mon, 13 Jan 2020 07:40:19 +0100 (MET)
By Ron Lopez with Mikhail Flores in Manila

Talisay City, Philippines, Jan 13, 2020 (AFP) - Lava and broad columns of ash illuminated by lightning spewed from a volcano south of the Philippine capital on Monday, grounding hundreds of flights as authorities warned of a possible "explosive eruption".

Fine grit coated homes and streets across the region surrounding the Taal volcano, which burst to life on Sunday accompanied by a series of earthquakes, forcing at least 10,000 people to seek refuge in evacuation centres.   "You could not sleep anymore, because every time you closed your eyes the house would shake," restaurant owner Lia Monteverde told AFP, saying the quakes came minutes apart.   "All of us didn't sleep at all. We just prepared to leave."    Taal sits in a picturesque lake and is one of the most active volcanoes in a nation where earthquakes and eruptions are a frightening and destructive part of life.

The Philippines sits on the Pacific "Ring of Fire", where tectonic plates collide deep below the Earth's surface.   Schools in the region around Taal, some government offices in Manila and the Philippine Stock Exchange were closed as a precaution on Monday.   Dust masks sold out in stores as authorities warned locals that the ash could cause respiratory problems especially in the very young and those with pre-existing lung conditions.
 
Limited flight operations resumed mid-Monday at Manila's main international airport, nearly a day after authorities halted them due to the safety risk volcanic ash poses to planes.   However, travellers booked on over 240 cancelled flights still faced delays at Ninoy Aquino International Airport.    "I'm disappointed because this (delay) means additional expense for me and it's tiring to wait," said stranded traveller Joan Diocaras, a 28-year-old Filipino who works in Taiwan.   "But there's nothing we can do."

- Alert level raised -
The eruption began with an explosion of superheated steam and rock, but by early Monday "fountains" of lava had been spotted on Taal, the Philippine Institute of Volcanology and Seismology (Phivolcs) said.   Stunning lightning shows have periodically played out above the volcano in a little-understood phenomenon that is attributed to static electricity.      Authorities raised the volcano alert level to its second-highest on Sunday, saying an "explosive eruption" could happen in "hours to days".

Phivolcs chief Renato Solidum told AFP the lava was evidence of fresh movement in the volcano, but said it was unclear if Taal would "sustain its activity".   Government seismologists recorded magma moving towards the crater of Taal, which is located 65 kilometres (40 miles) south of Manila.   Apart from the ash, some particles up to 6.4 centimetres (2.5 inches) in diameter, larger than a golf ball, had reportedly fallen in areas around the lake, Phivolcs said.

Taal's last eruption was in 1977, Solidum said.   Two years ago, Mount Mayon displaced tens of thousands of people after spewing millions of tonnes of ash, rocks and lava in the central Bicol region.   The most powerful explosion in recent years was the 1991 eruption of Mount Pinatubo, about 100 kilometres northwest of Manila, which killed more than 800 people.
Date: Thu, 26 Dec 2019 10:24:36 +0100 (MET)

Manila, Dec 26, 2019 (AFP) - A typhoon that swept across remote villages and popular tourist areas of the central Philippines on Christmas day claimed at least 16 lives, authorities said on Thursday.   Typhoon Phanfone, with gusts reaching 200 kilometres (125 miles) an hour, tore roofs off houses and toppled electric posts as it ripped through the central Philippines on Wednesday.   Videos from the typhoon's path showed fallen trees and strong winds pummelling flimsy houses. Local disaster officials cut felled trees to clear blocked roads.   At least 16 people were killed in villages and towns in the Visayas, the central third of the Philippines, according to disaster agency officials.   Phanfone also hit Boracay, Coron and other holiday destinations that are famed for their white-sand beaches and popular with foreign tourists.

Mobile phone and internet access on Boracay was cut during the storm and the networks remained down on Thursday, making assessment of the damage there difficult.   "Still, communication lines are down. Electricity is still down," Jonathan Pablito, police chief of Malay town in Alkan province, which is on an island neighbouring Boracay, told AFP.   Pablito said ferry services between Boracay and Aklan -- the main way to travel to and from the holiday island -- were still not operating on Thursday, even though the storm had passed.   "We have no news from coast guard if ships were allowed to sail. Since the 24th... all those going to the island and coming from the island weren't able to cross."

The airport at Kalibo town in Aklan, which services Boracay, was badly damaged, according to a Korean tourist who was stranded there and provided images to AFP.   "Roads remain blocked, but some efforts have been made to clear away the damage. It's pretty bad," Jung Byung-joon said via Instagram messenger.   "Everything within 100 meters of the airport looks broken. There are a lot of frustrated people at the airport as flights have been cancelled.   "Taxis are still running but it's windy and still raining so no one wants to leave the airport, including me."   Another Korean tourist stuck at the damaged airport said she had been unable to make contact with her friend on Borocay on Thursday.   "I tried to call my friend in Boracay today and wasn't able to get through. Maybe something isn't working," Dahae Gong told AFP via Instagram.
   "I don't know when I will be able to go home."

- Memories of monster storm -
Still, there was no indication of any major damage or otherwise on Boracay.   Though much weaker, Phanfone tracked a similar path as Super Typhoon Haiyan -- the country's deadliest storm on record which left more than 7,300 people dead or missing in 2013.   "It's like the younger sibling of Haiyan. It's less destructive, but it followed a similar path," Cindy Ferrer, an information officer at the Western Visayas region's disaster bureau, told AFP.   In San Jose town in Occidental Mindoro, a video uploaded by the local government showed overturned fishing vessels and ruined shanties on the coast due to the storm.

Tens of thousands of people in the mostly Catholic nation were forced to evacuate their homes on Wednesday, ruining Christmas celebrations.   Many others were not able to return to their families, with ferries and plane services suspended.   Among those killed was a police officer electrocuted by a toppled post while patrolling.   The Philippines is the first major landmass facing the Pacific typhoon belt, and is hit by an average of about 20 major storms a year.   Many of the storms are deadly, and they typically wipe out harvests, homes and infrastructure, keeping millions of people perennially poor.
Date: Sun 22 Dec 2019
Source: CNN Philippines [edited]

At least 9 people are confirmed dead Sunday [22 Dec 2019] from suspected poisoning after reportedly consuming lambanog, or palm wine. Eight of the victims were from Rizal, Laguna.

According to Rizal mayor Vener Munoz, the victims were drinking a generic brand of lambanog. Munoz added it was unclear when the victims drank the beverage. He also said over 100 other people complained of pain after drinking lambanog but were not critical. They are currently being treated at the Philippine General Hospital in Manila.

In a post on Facebook, Laguna governor Ramil Hernandez said he has banned the sale of lambanog in the province so authorities can investigate the cases of poisoning in Rizal.

Meanwhile, another person from Quezon died from alleged poisoning, also after drinking lambanog.

A report from police in Candelaria said several people were drinking the beverage, which they bought from a store in barangay Santa Catalina Sur on Saturday [21 Dec 2019]. At around 11 a.m. the following day [Sun 22 Dec 2019], police said they received a call from barangay chairwoman Myla Escamilla saying the victims were brought to the hospital for alleged poisoning.

The police report said 2 were comatose, while 4 others were discharged after being treated.

Authorities in Candelaria are now investigating the case.
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[Lambanog (Philippines coconut wine) is wine made from coconut. It is well known for its strength, ordinarily carrying 80-90-proof alternatives. It is mostly produced in the Quezon province, Philippines; the process has been passed down through generations of coconut plantation farmers. The procedure includes collecting the sap from the coconut flower, comparable to rubber-tree tapping. The sap is then prepared and fermented to turn into tuba, a popular coconut toddy. The tuba is then distilled to make lambanog.

The method for making lambanog is cost effective, and coconut trees are plentiful in the Philippines. As such, the beverage has been coined a "poor man's beverage." Aside from economics, the process of making lambanog is an artistic expression distinct to the Filipino culture. It has been a part of Filipino tradition for centuries.

In Quezon, consuming lambanog wine is normally a public thing. Men relax in a circle and "tagayan" will ensue. The men take turns drinking shots from a cup put in the middle of the group. Normally, there is also a person singing and playing the guitar as part of the festivities; he takes his turn at drinking, too, so the music and songs get even more interesting as the consuming goes on. Lambanog wine was made an export product in 2001 and has definitely brought in foreign markets. To attract the youth and expand its advertising possibilities, lambanog is now industried and sold in different flavors such as cherry, jack fruit, apple, orange, four periods [?], strawberry, bubble gum, mint, etc. <http://lambanog.org/>

While there are no details regarding the signs and symptoms of the individuals affected, one has to wonder if methanol was either used in the process or added as an adulterant to produce an extra intoxicating effect.

From <http://lambanog.org/>, arrack, additionally spelled arak, is a distilled alcoholic drink typically generated in South and Southeast Asia and made from either the fermented sap of coconut flowers, sugarcane, grain (e.g., red rice), or fruit from the country of origin. The clear distillate may be blended, grown old [aged] in wooden barrels, or repeatedly distilled and filtered, depending upon the taste and color objectives of the supplier. Arrack is not to be [confused with] having arak, an anise-flavored alcoholic beverage traditionally consumed in Eastern Mediterranean and North African nations.

It is possible someone added methanol to the lambanog in an attempt to produce a bigger buzz or kick from the alcohol without realizing its toxicities.

Methanol is a toxic alcohol that is used industrially as a solvent, pesticide, and alternative fuel source. It also occurs naturally in humans, animals, and plants. Foods such as fresh fruits and vegetables, fruit juices, fermented beverages, and diet soft drinks containing aspartame are the primary sources of methanol in the human body. Most methanol poisonings occur as a result of drinking beverages contaminated with methanol or from drinking methanol-containing products. In the industrial setting, inhalation of high concentrations of methanol vapor and absorption of methanol through the skin are as effective as the oral route in producing toxic effects. The characteristic pungent (alcohol) odor of methanol does not provide sufficient warning of low levels of exposure.  <https://www.cdc.gov/niosh/ershdb/emergencyresponsecard_29750029.html>

Also known as wood alcohol, methanol is a commonly used organic solvent that, because of its toxicity, can cause metabolic acidosis, neurologic sequelae, and even death when ingested. It is a constituent of many commercially available industrial solvents and of poorly adulterated alcoholic beverages. Methanol toxicity remains a common problem in many parts of the developing world, especially among members of lower socioeconomic classes. <https://www.cdc.gov/niosh/ershdb/emergencyresponsecard_29750029.html>

Methanol poisoning (MP) results from accidental or voluntary ingestion of methyl alcohol, a compound used in the chemical industry and as fuel. Methanol is in no case suitable for consumption.

Methanol causes inebriation similar to ethanol, and patients may merely appear drunk, lose their inhibitions, and become ataxic. At the same time, gastrointestinal symptoms manifest. MP patients typically suffer from nausea, vomiting, diarrhea, and abdominal pain. If examined that early, tachypnea, tachycardia, and hypertension, results of metabolic acidosis, may already be detected. In severe cases, fatal respiratory or cardiac failure may occur.

The stage described above is usually followed by a latency period of several hours, generally 12-24 hours. Only then can neurological symptoms be observed. The greater the amount of methanol ingested, the earlier the additional symptoms set in. Simultaneous consumption of ethanol delays onset of further deficits since both alcohols are competitive substrates for alcohol dehydrogenase.

Progressive vision loss is characteristic for MP, and patients may claim blurred vision, scotomas, scintillations, visual field restriction, and, eventually, complete blindness. Seizures may be registered. Patients show increasingly reduced levels of awareness and may fall into a coma.  <https://www.symptoma.com/en/info/methanol-poisoning>

More information from knowledgeable sources on this situation would be appreciated; please inform ProMED-mail at <promed@promedmail.org>. - ProMED Mod.TG]

[HealthMap/ProMED-mail maps:
Laguna province, Calabarzon, Philippines:
Quezon, Philippines: <http://healthmap.org/promed/p/20269>]
Date: Mon, 16 Dec 2019 09:52:36 +0100 (MET)
By Ferdh Cabrera

Padada, Philippines, Dec 16, 2019 (AFP) - Rescuers in the southern Philippines used heavy equipment and their bare hands on Monday in hopes of finding several people feared trapped beneath a building toppled by a powerful earthquake that claimed at least three lives.   Sunday's tremor cracked schools, toppled homes and injured dozens but largely spared big cities on the island of Mindanao, which is still recovering from a string of deadly quakes in October.

Searchers have pulled survivors from the collapsed market building in the town of Padada, but were still looking for a person who had texted authorities saying six people were trapped under the rubble.   "The person can no longer be reached," fire official Fred Trajeras told reporters, adding that rescuers' held out hope survivors could be found.   A young child was killed when a family home collapsed near the epicentre, and searchers pulled the bodies of two victims from the collapsed market building.

However applause erupted after Lesley Jane Gatos, 31, was pulled from the rubble on Sunday, shortly after the tremor.   Gatos used her phone to call for help and then began making noise to attract the attention of rescuers, who reached her after clearing a path in the debris.   "Finally I was able to get out. I saw people. They clapped because I was the first one rescued," she told AFP.   The collapsed building was near the epicentre of the 6.8 magnitude quake and is in the same region that was hit by three tremors above 6.0 in a matter of weeks in October.   Those quakes killed some two dozen people and forced tens of thousands into shelters as well as heavily damaging homes and offices.

The Philippines is situated on the Pacific "Ring of Fire", an arc of intense seismic activity that stretches from Japan through Southeast Asia and across the Pacific basin.   Searchers were fanning out across the quake-hit areas of Mindanao on to fully assess the damage, but have already reported several schools and hospitals were cracked.   President Rodrigo Duterte, who is from Davao and was there during the quake, was not hurt.  "The first lady... said the car she was riding (in) was swaying," spokesman Salvador Panelo said.
More ...

World Travel News Headlines

Date: Sat, 25 Jan 2020 11:49:16 +0100 (MET)
By Su Xinqi, Jerome TAYLOR

Hong Kong, Jan 25, 2020 (AFP) - Hong Kong on Saturday declared a new coronavirus outbreak as an "emergency" -- the city's highest warning tier -- as authorities ramped up measures to reduce the risk of further infections.   The announcement came as city leader Carrie Lam faced criticism in some quarters over her administration's response to the crisis.

Of the five people who have tested positive for the virus in Hong Kong so far, four arrived via a newly built high-speed train terminal which connects with the mainland.   That led to calls from some medical experts and politicians to limit, or even halt, arrivals from China, the epicentre of the outbreak with 41 people dead.

Lam held emergency meetings with health officials on Saturday morning after returning from Davos.   "Today I declare the lifting of the response level to emergency," she told reporters.   Schools and universities, which are currently on a Lunar New Year break, would remain closed until 17 February, Lam said.   All mainland arrivals to Hong Kong will now need to sign health declaration forms, she added, while public events including a new year gala and next month's marathon, would also be called off.    "We haven't seen serious and widespread infections (in Hong Kong), but we are taking this seriously and we hope to be ahead of the epidemic," Lam said.

- Tragic past -
Hong Kong has a recent experience of deadly viral outbreaks.    Nearly 300 people were killed by SARS in 2003, a tragedy that left a profound psychological impact on one of the most densely populated places on earth.   The city's ability to combat the crisis was hampered by moves in mainland China to cover up and play down the outbreak, leaving a lasting legacy of distrust among many Hong Kongers.   Animosity towards the mainland has intensified in recent years as Beijing tightens political control over the semi-autonomous territory.

The outbreak also comes at a sensitive time for Lam, who currently boasts record low approval ratings after seven months of pro-democracy protests.   "We must stand united so that we can prevent and control the disease," she said, in a nod to the political unrest.   The often violent protests have battered Hong Kong's reputation for stability and helped tip it into recession, with the recent virus outbreak compounding the city's economic woes.

Hospitals are already struggling with the winter flu season, but officials are isolating anyone with a history of travel to central China and those exhibiting respiratory tract infections that look similar to the virus.   So far some 300 people have been tested and monitored for the virus. Quarantine centres have been set up in remote holiday parks for anyone found to have come into close contact with people who tested positive.   On Saturday, officials announced a newly built but still-empty public housing block would be used for medical staff on the frontline who did not want to risk returning to their families.
Date: Sat, 25 Jan 2020 06:46:59 +0100 (MET)
By Mahmut Bozarslan and Fulya Ozerkan in Istanbu

Elazig, Turkey, Jan 25, 2020 (AFP) - A powerful earthquake has killed at least 20 people and injured more than 1,000 in eastern Turkey, as rescue teams searched through the rubble of collapsed buildings for survivors on Saturday.    At least 30 people were missing following the magnitude 6.8 quake on Friday night, which had its epicentre in the small lakeside town of Sivrice in the eastern province of Elazig.   "It was very scary, furniture fell on top of us. We rushed outside," 47-year-old Melahat Can, who lives in the provincial capital of Elazig, told AFP.   President Recep Tayyip Erdogan said all steps were being taken to aid people affected by the quake, which caused widespread fear.   "We stand by our people," Erdogan said on Twitter.

The Turkish government's disaster and emergency management agency (AFAD) said the quake hit Sivrice at around 8.55 pm (1755 GMT). Turkey lies on major faultlines and is prone to frequent earthquakes.    Turkish television showed images of people rushing outside in panic, as well as a fire on the roof of a building.   Interior, environment and health ministers, who were in the quake zone, said the casulties were in Elazig province and in the neighbouring province of Malatya, which lies to the southwest.

At least 20 people died and 1,015 others were wounded, according to AFAD.   "There is nobody trapped under the rubble in Malatya but in Elazig search and rescue efforts are currently under way to find 30 citizens," Interior Minister Suleyman Soylu said on Friday.   Rescue teams were searching for survivors trapped in a five-storey collapsed building in a village some 30 kilometres from Elazig, according to AFP journalists at the scene. One person was pulled alive from the rubble.   Emergency staff and people waiting at the scene lit fires in the streets to stay warm in freezing temperatures.   Sports centres, schools and guest houses had been opened to accommodate quake victims in Malatya.

- 'Everybody is in the street' -
Sivrice -- a town with a population of about 4,000 people -- is situated south of Elazig city on the shores of Hazar lake -- one of the most popular tourist spots in the region and the source of the Tigris river.   The lake is home to a "Sunken City", with archaeological traces dating back 4,000 years in its waters.

The tremor was felt in several parts of eastern Turkey near the Iraqi and Syrian borders, the Turkish broadcaster NTV reported, adding that neighbouring cities had mobilised rescue teams for the quake area.   "Everybody is in the street, it was very powerful, very scary," said Zekeriya Gunes, 68, from Elazig city, after the quakes caused a building to collapse on her street.   "It lasted quite long, maybe 30 seconds," added Ferda, 39. "I panicked and was undecided whether to go out in this cold or remain inside."

The US Geological Survey assessed the magnitude as 6.7, slightly lower than AFAD, adding that it struck near the East Anatolian Fault in an area that has suffered no documented large ruptures since an earthquake in 1875.   "My wholehearted sympathy to President @RTErdogan and the Turkish people following the devastating earthquake that has hit Turkey. Our search and rescue teams stand ready to assist," Greek Prime Minister Kyriakos Mitsotakis wrote on Twitter.   In Athens, the Greek premier's office said later that Mitsotakis had spoken by phone to Erdogan.   "The Turkish president... said Turkish teams had the situation under control for now and that it would be re-evaluated in the morning," his office added.

In 1999, a devastating 7.4 magnitude earthquake hit Izmit in western Turkey, leaving more than 17,000 people dead including about 1,000 in the country's largest city Istanbul.    In September last year, a 5.7-magnitude earthquake shook Istanbul, causing residents to flee buildings in the economic capital.   Experts have long warned a large quake could devastate the city of 15 million people, which has allowed widespread building without safety precautions.
Date: Fri, 24 Jan 2020 17:43:54 +0100 (MET)
By Albert Kambale with Samir Tounsi in Kinshasa

Masisi, DR Congo, Jan 24, 2020 (AFP) - In eastern DR Congo, thousands have fled violence to camps in the remote mountain forests where they battle cholera, hunger and misery in a forgotten humanitarian disaster.   Eastern Democratic Republic of Congo has long struggled with violence from several militia groups, a legacy of the 1990s Congo wars that dragged in neighbouring Uganda and Rwanda.   The region is now also the epicentre of the latest Ebola epidemic, which has killed more than 2,200 people since August 2018.

Away from the Ebola headlines, tens of thousands of people are scattered in squalid camps across the mountains around Masisi, where they have fled, traumatised by violence, starving and with no chance to return home.   "I fled my village after clashes broke out," said Gentille, a 26-year-old Hutu Congolese. "We could no longer go to the fields. Many people died because clashes broke out in the middle of the village, very early one morning."

That fighting broke out in November and December involving one of the so-called Mai-Mai militia, the Nduma Defense of the Congo-Renove (NDC-R) and a coalition of other armed rivals, according to UN experts.   Now Gentille, a mother of five lives in a camp of 8,000 displaced people.  Along with the unsanitary conditions, a lack of clean water and food, since late last year, a cholera and measles outbreak has worsened life in the camps.    Several anti-cholera treatment units have been opened by Doctors without Borders (MSF), which reports 520 cases and two deaths.    "Three of my children got cholera. One died," says Gentille. "Here in the camp, we do not have enough toilets. More than 180 people use the same toilet. Since it is always busy, the children defecate outside and all around."

Around 685,000 displaced people survive in the mountainous areas, estimates MSF, a figure the aid group hopes will draw attention of the donors.   A year after coming to power, President Felix Tshisekedi has promised far-reaching reforms and a crackdown on corruption. But militia violence and ethnic clashes still undermine security of populations in the east.
Date: Fri, 24 Jan 2020 18:26:22 +0100 (MET)

Kathmandu, Jan 24, 2020 (AFP) - Health authorities in Nepal on Friday confirmed that a student who returned from Wuhan, China tested positive for the new coronavirus, becoming the first South Asian country to report the deadly disease.   The 32-year-old student arrived in Nepal on January 9, and entered the Sukraraj Tropical and Infectious Disease Hospital in Kathmandu four days later after running a fever and reporting trouble breathing, hospital spokesperson Anup Bastola told AFP.

The health ministry confirmed the case in a statement.   "The results of a sample, sent to Hong Kong, have returned positive," Bastola told AFP.    "He was discharged after recovery. We are monitoring the patient and he and his family members are healthy. So are all the health workers in the hospital," Bastola said.

Nepal's health ministry also said in a statement that surveillance has been increased at the airport, "and suspicious patients entering Nepal are being monitored with correct manpower and equipment".   At least 26 people have been killed by the previously unknown SARS-like coronavirus. Cases have been reported in half a dozen countries, including the United States.
Date: Fri, 24 Jan 2020 20:16:23 +0100 (MET)

Antananarivo, Jan 24, 2020 (AFP) - At least 26 people have died in Madagascar after almost a week of heavy rain in the north-west of the island, the government said on Friday.   The tropical Indian Ocean nation is in the midst of an intense six-month rainy season that often results in casualties and widespread damage.   Flooding in the districts of Mitsinjo and Maevatanana has claimed at least 26 lives since Sunday, and 15 more people are still missing and thousands have been displaced, the National Bureau of Disaster Risk Management (BNGRC) announced on Friday.   Strips of road were swept away by the rains and access to affected areas has been cut off.

The BNGRC warned that flooding in lowland and rice-growing areas also posed a risk of "food insecurity and malnutrition".   A disruption in the supply of basic goods could also lead to surge in prices, it added.   Prime Minister Christian Ntsay declared the situation a "national loss".   "The government is calling on national figures and international partners to help the Malagasy people with emergency aid, early recovery, rehabilitation and reconstruction," spokeswoman Lalatiana Andriatongarivo said in a statement.   The rainy season usually stretches from October to April in Madagascar, a former French colony off Africa's south-eastern coast.

Global warming has increased the risk and intensity of flooding, as the atmosphere holds more water and rainfall patterns are disrupted.    Built-up urban areas with poor drainage systems are especially vulnerable to heavy downpours, scientists say.   Nine people were killed in January 2019 after heavy rains caused a building to collapse in the capital Antananarivo.   During this period, the country is also often hit by cyclones and other tropical storms.   Cyclone Belna landed in the northwest last month, killing at least two people and displacing hundreds.
Date: Fri 24 Jan 2020
Source: Fernando Eid (@fernandoeidok) via Twitter [in Spanish, trans. ProMED Mod.TY, edited]

The 1st case of [a] hantavirus [infection] was confirmed in our country [this year in 2020]. The affected individual is an adolescent who contracted the disease in the tropical area of Cochabamba [department].  [Byline: Fernando Eid]
============================
[El Dia has a video clip available on the above Twitter URL with additional information (in Spanish, trans. ProMED Mod.TY):

The affected individual is a 15-year-old boy who was just released from the hospital ICU. He had a febrile disease. He had been in the forested area in tropical Cochabamba. He is believed to have acquired his infection from virus in faeces of the long-tailed rat. There have been10 cases of hantavirus infections in Cochabamba with one death [over what period of time? - ProMED Mod.TY]].
======================
[Unfortunately, the specific circumstances under which this youth or the previous 2019 cases acquired their infections is not mentioned. Presumably they were in contact with excreta from infected rodent hosts. Infected rodents shed the virus in faeces, urine, and saliva. Sporadic cases of hantavirus pulmonary syndrome occur in the Bolivian tropics, including Cochabamba department.

The specific hantavirus involved in these or previous cases in 2013 or those in 2012, in Bolivia, is not given. In the lowland Amazon basin of Bolivia, the hantaviruses that are likely to be in tropical Cochabamba department and might be involved in these hantavirus pulmonary syndrome cases are Laguna Negra viruses with its rodent hosts, _Calomys laucha_, the small vesper mouse (<https://www.flickr.com/photos/cdtimm/4367939127/in/photolist-otqNuS-EwTizo-7DYQ8i-278Fjfq-owyXyD-osEZQs>), and _C. callosus_, the large vesper mouse (<http://www.faunaparaguay.com/calomyscallosus.html>), as well as Rio Mamore virus with _C. laucha_ and _Oligoryzomys microtis_, the small-eared pygmy rice rat (<https://www.reservacostanera.com.ar/wp-content/uploads/2011/02/colilargo-menor-oligoryzomys-flavescens2-JGV-e1298896507790.jpg>). - ProMED Mod.TY]

[HealthMap/ProMED-mail map:
Cochabamba, Bolivia: <http://healthmap.org/promed/p/55162>]
Date: Fri 24 Jan 2020
Source: Eagle [edited]

The commissioner for health in Edo state, Dr. Patrick Okundia, on Friday [24 Jan 2020] in Benin said 76 out of 175 suspected cases of Lassa fever tested positive to the epidemic.

Okundia made this known during a Lassa fever committee meeting chaired by the state deputy governor, Philip Shaibu, and a representative of the World Health Organization.

He said: "A total of 76 suspected cases of Lassa fever were confirmed yesterday [Thu 23 Jan 2020] in the state, and they are currently on admission in the Irrua Specialist Teaching Hospital. We have not recorded any new death but have also reduced our case fatality rate to less than 10%. The number of cases in the ward now is 34, and we have discharged over 28 patients that have been fully treated and cured."

In his remarks, Shaibu called on all hospitals across the 18 local government areas [LGAs] of the state to refer any suspected cases to Irrua Specialist hospital and isolation centres.

He said: "Ministries of environment, agriculture, education, information, and other relevant ministries should also step up in the area of public awareness of the people. The 18 local government councils of the state should call for an emergency meeting, which will include private health practitioners for the purpose of early referral."

On her part, the state coordinator of the World Health Organisation, Faith Ireye, revealed that contact tracing in the state is the best in the country. Ireye called on the people to practice simple handwashing to avert contracting the disease.
=================
[Edo state has had many Lassa fever cases in recent years. The state is prepared to deal with treatment of Lassa fever patients in its Imua Specialist Teaching Hospital. Presumably, all the confirmed cases acquired their infections from the environment that has been contaminated by Lassa fever virus shed by rodent hosts, rather than in hospitals and health centres. Handwashing is always a good practice but will not prevent virus exposure from contamination of food materials by infected rodents. A public health education campaign at the village level is necessary to prevent infections.

Images of the rodent reservoirs of Lassa fever virus:
_Mastomys natalensis_:
_Mastomys erythroleucus_ and _Hylomyscus pamfi_:

The pygmy mouse (_Mus baoulei_) has recently been implicated as a reservoir species in West Africa but not in Nigeria.

There is no specific mention in the plans above of public education for avoidance of contact with these rodents and their excreta. - ProMED Mod.TY]

[Maps of Nigeria:
Date: Fri 24 Jan 2020
Source: Uganda Ministry of Health Tweets [edited]

[This series of tweets is drawn from a video interview that is also available at the above Twitter URL.]

The Ugandan Health Minister confirms an outbreak of yellow fever in Moyo District, West Nile region and Buliisa District in the Hoima region of Uganda.

Original public tweets
------------------------
Minister of Health, @JaneRuth_Aceng confirms the outbreak of Yellow Fever in Moyo District in West Nile region and Buliisa District in Hoima region in #Uganda.

@WHOUganda country representative, @tegegny speaks about the Yellow fever vaccine. "The Yellow Fever vaccine is one of those vaccines where you need to be vaccinated only once," he says.

@MinofHealthUG has also applied to @gavi and WHO for inclusion of the Yellow Fever vaccination into the routine immunisation schedule. Having faced 4 outbreaks, #Uganda now qualifies to introduce Yellow Fever vaccine as a long term measure to prevent Yellow Fever outbreaks.

@JaneRuth_Aceng: We anticipate that within the next 2 weeks, vaccines will be available and vaccination will commence in Moyo and Buliisa districts.

@JaneRuth_Aceng: @MinofHealthUG has requested for the Yellow Fever vaccines from the International Coordination Group that manages global stock piles of Yellow Fever and Meningitis vaccines.

@MinofHealthUG working with partners have dispatched Rapid Response Teams to Moyo and Buliisa Districts to support investigations, active search for cases, community mobilization and sensitization.

@JaneRuth_Aceng: At this time, there was little suspicion, however, his blood sample was withdrawn and sent to @UVRIug [Uganda Virus Research Institute] for testing and results showed positive for Yellow fever virus.

@JaneRuth_Aceng: In Buliisa, there are also 2 confirmed cases. A 37-year old male and his 38-year old wife. The husband was a cattle farmer trading in milk between Uganda and the Democratic Republic of Congo (DRC).

They presented with symptoms of:
- fever
- vomiting
- diarrhea
- fatigue
- headache
- abdominal and joint pain
- confusion
- unexplained bleeding.

@JaneRuth_Aceng: Upon arrival, they got ill and on [3 Jan 2020] were admitted at Logobo Health Center III in Moyo District. They were later referred to Moyo General Hospital.

@JaneRuth_Aceng: In Moyo District, there are 2 confirmed cases, both are males who were dealing in cutting and trading timber between Uganda and South Sudan. On [2 Jan 2020], the 2 cases travelled from South Sudan to Moyo.
==========================
[These 2 small (2 infected individuals in each locality) yellow fever (YF) outbreaks are not interconnected, having occurred at 2 sites at far distances from each other. It is reassuring to learn that the Ministry of Health will be investigating these 2 sites and initiating vaccination in these areas in 2 weeks. There is no indication of the proportion of the residents in these areas who have been vaccinated for YF previously.

Yellow fever is no stranger in Uganda, and outbreaks occur sporadically. The most recent previous outbreak reported by the Ugandan Ministry of Health was in May 2019 after laboratory-confirmed cases were reported from Koboko in the Northern region and Masaka in the Central region districts -- regions 600 km (375 mi) apart. These cases are spillover from endemic sylvan (forest) maintenance of the virus. Maintaining 80%-90% vaccination coverage in these areas is important to prevent initiation of urban transmission of the virus that can quickly get out of hand.

A map showing the location of Buliisa District in the center-west part of Uganda can be accessed at <https://en.wikipedia.org/wiki/Buliisa_District>, and another showing Moyo District in the far north of the country can be seen at <https://en.wikipedia.org/wiki/Moyo_District>. - ProMED Mod.TY]

[HealthMap/ProMED-mail map:
Date: Fri, 24 Jan 2020 12:26:57 +0100 (MET)

Beijing, Jan 24, 2020 (AFP) - China has quarantined cities and shut major tourist attractions from Disneyland to the Forbidden City and a section of the Great Wall as it scrambles to stop a deadly SARS-like virus from spreading further.   The drastic moves come as hundreds of millions of people criss-crossed the country in recent days to celebrate the Lunar New Year holiday, which officially started Friday and is typically a joyous time of gatherings and public celebration.   Here is a rundown of the measures taken so far in an unprecedented quarantine effort:

- Cities under lockdown -
Public transport has been stopped in 13 cities in central Hubei province, with train stations shut, events cancelled and theatres, libraries and karaoke bars closed in some locations.   The epicentre of the outbreak is provincial capital Wuhan, the biggest city on lockdown, where the government has halted all travel out of the Yangtze River metropolis of 11 million.   Wuhan residents have been told to stay home and authorities are limiting the number of taxis allowed on roads. There are few flights available to the city, deepening the isolation.   Similar quarantine measures are being taken in the other, smaller cities. These include strict controls on weddings and funerals, temperature screening of people as they arrive and the suspension of online taxi services.   More than 41 million people in total are affected by the city shutdowns.

- Festivities cancelled -
Wuhan and Beijing have cancelled public events that usually attract hundreds of thousands of people to temples during the New Year holiday.   Gao Fu, head of the Chinese Center for Disease Control and Prevention, has asked China's 1.4 billion citizens to forego New Year gatherings and confine themselves at home until all is clear.   To discourage nationwide travel, the government also said all tickets for rail, air, road, or water transport could be refunded.

- Attractions closed -
The historic Forbidden City, a sprawling imperial palace in Beijing that is one of the country's most revered cultural sites, will temporarily close from Saturday.   Other famous landmarks including a section of the Great Wall, the Ming Tombs and Yinshan Pagoda are also not open to visitors.   Shanghai Disneyland said it would shut for an indefinite period "to ensure the health and safety of our guests and cast".   Women's Olympics football qualifiers scheduled for February 3-9 in Wuhan have been moved to the eastern city of Nanjing.

- Temperature checks -
Staff in full body protective suits were seen checking the temperatures of people entering a subway station in Beijing on Friday.   The country has ordered sterilisation and ventilation at airports and bus stations, as well as inside planes and trains, while travellers are being screened for fever.   Health authorities are urging people to wash their hands regularly, avoid crowded places, get plenty of fresh air and wear a mask if they have a cough.   In Wuhan, city authorities have made it mandatory to wear a mask in public places.   In response to skyrocketing demand for masks -- starting to sell out at pharmacies and on some popular websites -- China's industry and information technology ministry said it would "spare no effort in increasing supply".

- A new hospital -
In Wuhan, authorities are rushing to build a new hospital in a staggering 10 days as a rising number of patients are infected by the new coronavirus.   The facility is expected to be in use by February 3 and will have a capacity of 1,000 beds spread over 25,000 square metres, according to state media.   Dozens of excavators and trucks were filmed working on the site by state broadcaster CCTV.   Its construction began after reports surfaced of bed shortages in hospitals designated as dealing with the outbreak, which has now infected 830 people across China.
Date: Fri, 24 Jan 2020 11:22:00 +0100 (MET)

Beijing, Jan 24, 2020 (AFP) - China announced Friday it will close a section of the Great Wall and other famous Beijing landmarks to control the spread of a deadly virus that has infected hundreds of people across the country.   A range of Lunar New Year festivities have been cancelled to try to contain the virus, and Beijing's Forbidden City and Shanghai's Disneyland have also been closed temporarily.

The Ming Tombs and Yinshan Pagoda will also be closed from Saturday, the authority that oversees the sites said, while the Bird's Nest stadium -- the site of the 2008 Olympic Games -- was shuttered from Friday.   The Great Wall attracts around 10 million tourists a year and is a popular destination for visitors during the New Year holiday.   The Juyongguan section will close, while the Great Wall temple fair was cancelled at the Simatai section of the famous landmark.

Tourists at the Gubei water town by the Simatai section will have their temperature tested, the authority said in a statement on the WeChat social media app.   The Bird's Nest will be closed until January 30 in order to "prevent and control" the spread of the virus, authorities said. An ice and snow show taking place on the pitch will be closed.   The measures in the capital are the latest to try and control the outbreak of the new coronavirus, after authorities rapidly expanded a mammoth
quarantine effort that affected 41 million people in central Hubei province.

The previously unknown virus has caused alarm because of its similarity to SARS (Severe Acute Respiratory Syndrome), which killed hundreds across mainland China and Hong Kong in 2002-2003.   Although there have only been 29 confirmed cases in Beijing, city authorities have cancelled large-scaled Lunar New Year events this week.   The city government said it would call off events including two popular temple fairs, which have attracted massive crowds of tourists in past years.   Beijing's Forbidden City -- which saw 19 million visitors last year -- is usually packed with tourists during the Lunar New Year festival, when hundreds of millions of people travel across China.