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Qatar

Qatar - US Consular Information Sheet
February 26, 2008
COUNTRY DESCRIPTION:
Qatar is a monarchy governed by the ruling Al Thani family in consultation with a council of ministers, an appointed advisory council and an elected municipal cou
cil.
Islamic ideals and beliefs provide the foundation of the country’s customs, laws and practices.
Located in the heart of the Persian Gulf, Qatar is a dynamic, modernizing, rapidly developing country that is among the wealthiest per capita in the world.
The capital is Doha.
Tourist facilities are available.
Read the Department of State Background Notes on Qatar for additional information.
ENTRY/EXIT REQUIREMENTS:
Passports and visas are required.
U.S. citizens may obtain a single-entry tourist or business visa at Doha International Airport upon arrival.
Single entry visas cost $28 and must be paid by credit card only.
Cash is not accepted.
Visas are valid for 30 days and may be extended for an additional 30 days for a $28 fee through the Airport Visas Section of the Immigration Department located next to Doha International Airport.
However, U.S.-citizen travelers will be able to clear Qatari immigration more quickly and be granted a longer stay in country by obtaining visas prior to arrival.
If planning to arrive at another port of entry in Qatar, travelers should obtain a tourist or business visa in advance of their arrival from a Qatari embassy or consulate abroad.
Travelers should also note that the Qatari Government charges $55 for each day that an individual overstays a visa, up to a maximum amount of $3,300.

For further information on visas, residence permits and entry requirements, please visit the Qatari Ministry of Interior’s web site at www.moi.gov.qa/English/index.htm.
Travelers may also contact the Embassy of the State of Qatar (www.qatarembassy.net) at 2555 M Street NW, Washington, DC
20037, tel. (202) 274-1600, fax (202) 237-0061.
They may also contact the Consulate General of the State of Qatar, 1990 Post Oak Blvd. Suite 810, Houston TX 77056, telephone (713) 355-8221, fax (713) 355-8184, send email inquiries to info@qatarembassy.org.

Military personnel are subject to different entry/exit requirements and should refer to www.fcg.pentagon.mil for specific information pertaining to their travel requirements.
NOTE FOR DUAL NATIONALS:
Qatari law requires that Qatari citizens only hold Qatari citizenship and enter and exit on a Qatari passport.
Qatari authorities have confiscated the passports of U.S. citizens who acquired Qatari citizenship through marriage to a Qatari national or by virtue of birth in the U.S.
In several cases, Qatari authorities informed U.S. citizens that their U.S. citizenship had been revoked and was no longer valid.
However, foreign governments have no authority to revoke the citizenship of a U.S. citizen.
If this occurs, please contact the U.S. Embassy in Doha immediately.
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:
Incidents of violence are rare in Qatar, although attacks against Western targets have occurred.
To provide for public security, a large police presence is deployed throughout the country.
American citizens in Qatar are strongly encouraged to maintain a high level of vigilance, be aware of local events and take the appropriate steps to bolster their personal security at all times.

The Department of State remains concerned about the possibility of terrorist attacks against U.S. interests worldwide, including the Middle East.
Both historical and recurring information suggests that al-Qa’ida and affiliated organizations continue to plan strikes against Western targets; these attacks may employ a wide variety of tactics to include assassination, kidnapping, hijacking and bombing.
On March 19, 2005, a suicide bomber detonated a vehicle-borne improvised explosive device (VBIED) at a theater in Doha regularly frequented by westerners; a citizen of the United Kingdom was killed, and several other individuals were injured.

Increased security at official facilities has led terrorists and their sympathizers to seek softer, less fortified targets; the March 2005 theater attack in Doha is one such example.
Other locations of potential concern include any venue where U.S. citizens and other foreigners are known to congregate in large numbers such as public assemblies, sporting events, restaurants, residential areas, clubs, places of worship, schools, hotels, etc.
The Government of Qatar occasionally provides security for such locations and events, but to varying degrees.
In most instances, the Embassy cannot gauge the appropriateness of security for a given event prior to its commencement.
The Embassy strongly encourages American citizens to avoid large crowds and demonstrations whenever possible.
For the latest security information, Americans traveling abroad should regularly monitor the Department’s Internet web site, where the current Worldwide Caution, Travel Warnings and other Travel Alerts and additional resources can be found.
Up-to-date information on safety and security can also be obtained by calling 1-888-407-4747 toll free in the U.S. and Canada or, for callers outside the U.S. and Canada, a regular toll-line at 1-202-501-4444.
These numbers are available from 8:00 a.m. to 8:00 p.m. Eastern Time, Monday through Friday (except U.S. federal holidays).
The Department of State urges American citizens to take responsibility for their own personal security while traveling overseas.
For general information about appropriate measures travelers can take to protect themselves in an overseas environment, see the Department of State’s pamphlet A Safe Trip Abroad.
CRIME:
The crime rate in Qatar is generally low.
A large police presence is apparent to travelers throughout the country.
Incidents of violence are rare but have occurred more frequently as Doha’s population and economic pressures on expatriate workers have increased substantially during the past few years.
Local and third country national young men have been known to verbally and physically harass unaccompanied, expatriate women.
Reports of petty theft have been growing, including ATM and credit card theft, purse snatching and pickpocketing.
Travelers are cautioned not to leave valuables such as cash, jewelry, and electronic items unsecured in hotel rooms or unattended in public places.

The Qatari Police can be contacted for emergency assistance by dialing 999 from any telephone in Qatar.
INFORMATION FOR VICTIMS OF CRIME:
The loss or theft abroad of a U.S. passport should be reported immediately to the local police and the U.S. Embassy in Doha.
If you are the victim of a crime while overseas, in addition to reporting to local police, please contact the U.S. Embassy for assistance.
The Embassy staff can, for example, assist you to find appropriate medical care, contact family members or friends and explain how funds could be transferred.
Although the investigation and prosecution of the crime is solely the responsibility of local authorities, consular officers can help you to understand the local criminal justice process and to find an attorney if needed.

See our information on Victims of Crime.
MEDICAL FACILITIES AND HEALTH INFORMATION:
Good modern medical care and medicines are available in Doha, although only basic or no medical care may be available in Qatar’s smaller cities or outlying areas.
Serious medical problems requiring hospitalization and/or medical evacuation to the United States can cost thousands of dollars.
Doctors and hospitals expect immediate cash payment for health services.
Information about the Qatari national healthcare system is available at http://www.hmc.org.qa.
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 Qatar is provided for general reference only, and may not be totally accurate in a particular location or circumstance.

Short-term visitors should obtain a valid International Driving Permit prior to arrival and should not drive in Qatar on a U.S. driver’s license.
Short-term visitors and business travelers can also obtain a Temporary Qatari Driving License by presenting their U.S. driver’s license at any branch of Qatar’s Traffic Police.
New and prospective residents should obtain a permanent Qatari Driving License immediately after arrival.
Once an American citizen holds a valid Qatari residence permit, they are no longer permitted to drive in Qatar with an International Driving Permit or a Temporary Qatar Driving License.

Traffic accidents are among Qatar’s leading causes of death.
Safety regulations in Qatar are improving thanks to a more stringent traffic law adopted in October 2007 and a country-wide traffic safety campaign.
However, informal rules of the road and the combination of local and third-country-national driving customs often prove frustrating for first-time drivers in Qatar.
The combination of Qatar’s extensive use of roundabouts, many road construction projects and the high speeds at which drivers may travel can prove challenging.
The rate of automobile accidents due to driver error and excessive speed is declining but remains higher than in the United States.
In rural areas, poor lighting, wandering camels and un-shouldered roads are other hazards.
Despite aggressive driving on Qatar’s roads, drivers should avoid altercations or arguments over traffic incidents, particularly with Qatari citizens who, if insulted, have filed complaints with local police that resulted in the arrest and overnight detention of U.S. citizens.
Drivers can be held liable for injuries to other persons involved in a vehicular accident, and local police have detained U.S. citizens overnight until the extent of the person’s injuries were known.
Due to its conservative Islamic norms, Qatar maintains a zero-tolerance policy against drinking and driving.
Qatar’s Traffic Police have arrested Americans for driving after consuming amounts of alcohol at even smaller levels normally accepted in the U.S.
Any motor vehicle over five years old cannot be imported into the country.
For specific information concerning Qatari driver’s permits, vehicle inspection, road tax and mandatory insurance, please contact either the Embassy of the State of Qatar in Washington, DC or the Consulate General of the State of Qatar in Houston, Texas.
Please refer to our Road Safety page for more information.

AVIATION SAFETY OVERSIGHT:
The U.S. Federal Aviation Administration (FAA) has assessed the Government of Qatar’s Civil Aviation Authority as being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for oversight of Qatar’s air carrier operations.
For more information, travelers may visit the FAA’s web site at http://www.faa.gov/safety/programs_initiatives/oversight/iasa.
SPECIAL CIRCUMSTANCES: Qatari customs authorities enforce strict regulations concerning importation into Qatar of items such as alcohol, narcotics, pork products, firearms, or anything deemed pornographic by Qatari authorities.
While importation of religious material for personal use is acceptable, importation of religious material for the purpose of proselytizing is not.
It is advisable to contact the Embassy of the State of Qatar in Washington, DC, or the Consulate General of the State of Qatar in Houston for specific information regarding customs requirements.

Please see our Customs Information.

Pets entering Qatar require an import permit from the Ministry of Agriculture.
Cats with proper documentation are allowed to enter with no difficulty, but some breeds of dogs, especially large dogs, are not admitted.
Application forms for import permits may be obtained from the Ministry of Agriculture through a sponsoring employer.
A copy of the pet's health certificate and vaccination record must be submitted with the application.

Qatari law does not recognize dual nationality.
Persons who possess Qatari citizenship in addition to U.S. citizenship are considered Qatari citizens by the State of Qatar and are subject to Qatar’s laws.
Qatari citizenship imposes special obligations, particularly with regard to child custody and exiting or entering the country.
For additional information, please refer to our dual nationality flyer
or contact the U.S. Embassy in Doha.

All U.S. citizens are encouraged to carry a copy of their passports with them at all times so that, if questioned by local officials, proof of identity and U.S. citizenship is readily available.
Qatari employers/sponsors customarily hold passports of foreign (i.e., non-Qatari) employees during the terms of their employment in Qatar.
Residents carry a Qatari Identification Card (Iqama) for identification in place of a passport.
Foreign nationals, including U.S. citizens, may not leave Qatar without permission in the form of exit visas obtained by their employer/sponsor.
The U.S. Embassy in Doha cannot assist U.S. citizens in Qatar to obtain third country visas for unofficial travel.
Islam provides the foundation of Qatar’s customs, laws and practices.
Foreign visitors are expected to remain sensitive to the Islamic culture and not dress in a revealing or provocative manner, including the wearing of sleeveless shirts and blouses, halter-tops and shorts.
Western bathing attire is worn at hotel pools and beaches.
BUSINESS AND EMPLOYMENT CONTRACTS:
The written, Arabic text of a contract governs employment and business arrangements under Qatari law.
Before signing a contract, U.S. citizens and companies should obtain an independent English translation of the original Arabic to ensure a full understanding of the contract's terms, limits, and agreements.
No U.S. citizen should work in Qatar or make a business arrangement without having seen and understood the full, written contract.
Verbal assurances or side letters are not binding in Qatar.

In the event of a contract or employment dispute, Qatari authorities refer to the Arabic language of a contract.
Since a Qatari sponsor holds the employee's passport and controls the issuance of exit visas, U.S. citizens cannot simply leave Qatar in the event of an employment or business dispute.
Any U.S. citizen who breaks an employment or business contract may have to pay substantial penalties before being allowed to depart Qatar.
Qatari law favors employers over employees, and Qatari sponsors have substantial leverage in any negotiations and may block the departure of the employee or bar future employment in Qatar.

Transferring employment in Qatar requires the permission of the previous employer, which is discretionary, and is subject to approval by the Ministry of the Interior.
The Ministry of the Interior has denied employment transfers in the past, including ordering U.S. citizens deported and barred from re-entry to Qatar for two years.
The U.S. Embassy has no standing in Qatar’s courts, cannot sponsor visas, and cannot adjudicate labor or business disputes.
U.S. consular officers can provide lists of local attorneys to help U.S. citizens settle disputes, but ultimate responsibility for the resolution of disputes through Qatar’s legal system lies with the parties involved.
To obtain a residence permit in Qatar, the Government of Qatar usually requires foreign citizens to provide a police clearance certificate from their home countries.
Prospective residents can obtain a U.S. police clearance certificate two ways: through a local or state law enforcement agency or through the Federal Bureau of Investigations (FBI).
In both cases, the clearance will run against the National Crime Information Center, which contains all federal, state and local criminal records.
This process requires several weeks, and the U.S. Embassy in Doha strongly recommends that prospective residents obtain a U.S. police clearance before they arrive in Qatar.

For more information on business opportunities and practices in Qatar, please visit the Foreign Commercial Service’s Country Commercial Guide for Qatar at http://www.buyusa.gov/qatar.
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.
Criminal offenses are punished according to Qatari laws, which in some cases are based on Islamic law and sometimes more severe than in the United States for similar offenses.
Persons violating Qatari laws, even unknowingly, may be arrested, imprisoned, deported, or subject to a ban from departing Qatar.
Travel bans are not lifted until both parties resolve a dispute and the case is abandoned or, if not, until the matter is resolved by a court, which may require months to process the case.
Qatari law enforcement authorities have detained potential witnesses or relatives without charges or access to legal counsel during the investigation of a crime.
The U.S. Embassy in Doha cautions American citizens that Qatari police can and have arrested American citizens suspected of or witness to a crime, including traffic accidents involving injuries to pedestrians or the occupants of other cars, traffic arguments, slander, and a variety of lesser offenses.
Once arrested, the Qatari Police have no independent authority to grant a release, an authority reserved solely for Qatar’s Public Prosecution and Courts.
As a result, arrested Americans, regardless of the charges, often spend one night in jail awaiting a hearing with Qatar’s Public Prosecution or the appropriate court.
Qatari law enforcement authorities do not routinely notify the U.S. Embassy in Doha of a U.S. citizen’s arrest and, for more serious crimes, may not allow a U.S. Embassy official to visit an arrested U.S. citizen until the initial interrogation is completed.
Upon arrest, U.S. citizens should ask to speak to the U.S. Embassy immediately, and if not allowed, request a friend or family member notify the U.S. Embassy through the contact information below.
Incidents involving insults or obscene language/gestures often result in arrest, overnight imprisonment and/or fines whether the incident occurs between private parties or involves officers of the law.
Drunk driving, public intoxication and other alcohol-related offenses are treated with severity and will result in arrest, heavy fines, imprisonment, or expulsion from the country.
Penalties for possession, use, or trafficking in illegal drugs in Qatar are severe, and convicted offenders can expect long jail sentences and heavy fines.
Homosexual activity is considered to be a criminal offense, and those convicted may be sentenced to lashing and/or a prison sentence, and/or deportation.
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 Qatar are encouraged to register with the U.S. Embassy in Doha through the State Department’s travel registration web site to obtain updated information on travel and security within Qatar.
Americans without Internet access may register directly with the U.S. Embassy in Doha.
By registering, American citizens make it easier for the U.S. Embassy in Doha to contact them in case of emergency.
The U.S. Embassy is located in the Al-Luqta District on 22nd February Street, PO Box 2399, Doha; phone (974) 488-4101, extension 0 or 6500.
For after-hours emergencies, U.S. citizens may call (974) 488-4101, extension 0 or 6600, to reach the duty officer.
On the Internet, you may reach the Embassy web site at http://qatar.usembassy.gov for additional information and operating hours.
The embassy observes a Sunday through Thursday workweek.
Government offices and most businesses in Qatar also observe a Sunday through Thursday workweek.
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This replaces the Country Specific Information for Qatar dated November 26, 2007, to update the sections on Entry/Exit Requirements, Medical Facilities and Health Information, Traffic Safety and Road Conditions, Special Circumstances, and Criminal Penalties.

Travel News Headlines WORLD NEWS

Date: Tue 18 Feb 2020
Source: Qatari Ministry of Public Health [edited]

The Ministry of Public Health (MOPH) declared that a case of Middle East respiratory syndrome (MERS) has been confirmed. The case is a male citizen aged 65 years who has been suffering from several chronic diseases. The patient has been admitted to the hospital to receive the necessary medical care in accordance with the national protocol to deal with confirmed or suspected cases of the disease.

The Ministry of Public Health, in cooperation with the Ministry of Municipality and Environment, is taking all necessary preventive and precautionary measures to control the disease and prevent it from spreading.

MERS is a viral respiratory disease that is caused by one of the coronaviruses (MERS-CoV), but it differs from the novel coronavirus, known as COVID-19, which has recently spread in several countries. Both viruses differ in terms of the source of infection, mode of transmission, and the disease severity. The Ministry of Public Health confirms that no cases of the novel coronavirus (COVID-19) have been diagnosed in Qatar so far.

Only 3 cases of MERS-CoV were registered in Qatar during the past 2 years. The Ministry of Public Health calls on all members of public, and especially people with chronic diseases or those with immunodeficiency disorders, to adhere to public hygiene measures. This includes washing the hands regularly with water and soap, using hand sanitizers, as well as avoiding close contact with camels and seeking medical advice when experiencing symptoms of fever, cough, sore throat, or shortness of breath.

The Rapid Response Team of the Health Protection and Communicable Disease Control is available round-the-clock to receive notifications or inquiries related to communicable diseases on its hotline numbers 66740948 or 66740951.
======================
[In early December 2019, Qatar reported 3 cases of MERS-CoV infection, a fatal case and 2 asymptomatic contacts of the fatal case. The fatal case denied a history of contact with camels or recent travel. She did have a history of underlying medical conditions (which may have led to contact with the health sector in the 2 weeks prior to onset of illness). Prior to these cases, the most recent report of a case of MERS-CoV infection in Qatar was in 2017 when there were 3 cases reported (see prior ProMED-mail posts listed below.)

The location of residence of this patient was not available, nor were other epidemiological variables, including possible high risk exposures.

The HealthMap/ProMED-mail map of Qatar is available at
Date: Thu 26 Dec 2019
Source: WHO Emergencies preparedness, response, Disease outbreak news [edited]

Middle East respiratory syndrome coronavirus (MERS-CoV) - Qatar 26 Dec 2019
-----------------------------
On [5 Dec 2019], the National IHR Focal Point for Qatar reported 3 laboratory-confirmed cases of Middle East respiratory syndrome (MERS-CoV) infection to WHO.

The 1st case-patient (case #1) is a 67-year-old female from Doha, Qatar. She developed fever, cough, shortness of breath, and headache on [23 Nov 2019] and presented to a hospital on [25 Nov 2019]. On [27 Nov 2019], she went to the same hospital for follow-up. However, on [28 Nov 2019], her condition worsened, and she was admitted to the hospital. A nasopharyngeal swab was collected on [28 Nov 2019] and tested positive for MERS-CoV by reverse-transcriptase polymerase chain reaction (RT-PCR) on [29 Nov 2019]. The patient had underlying medical conditions and passed away on [12 Dec 2019]. The source of her infection is under investigation. The patient had neither a history of contact with dromedary camels nor recent travel. Follow-up and screening of 7 household contacts and 40 healthcare worker contacts is ongoing, and 2 asymptomatic secondary cases have been identified so far.

The 2 contacts are a 50-year-old (case # 2) and a 32-year-old (case # 3), living in Doha. Both were identified through contact tracing and are asymptomatic. Case #2 is the son of case #1 and has an underlying medical condition. Case #3 was involved in direct contact with case #1 and has no underlying medical conditions. A nasopharyngeal swab was collected on [29 Nov 2019] for both case #2 and case #3 and tested positive for MERS-CoV by RT-PCR on [29 Nov 2019]. As of [23 Dec 2019], both are in a stable condition in an isolation ward where protocols for infection prevention and control have been implemented.

Public health response
Upon identification of case #1, the case was isolated, the infection prevention and control protocols were implemented as per WHO guidelines, and investigation and contact tracing were initiated.

All 47 identified contacts of the patient have been monitored daily for the appearance of respiratory or gastrointestinal symptoms for a period of 14 days following their last exposure to the patient.

All contacts were tested for MERS-CoV, and test results were positive for 2 asymptomatic contacts (cases #2 and #3 mentioned above).

WHO risk assessment
Infection with MERS-CoV can cause severe disease resulting in high mortality. Humans are infected with MERS-CoV from direct or indirect contact with dromedary camels. MERS-CoV has demonstrated the ability to transmit between humans. So far, the observed non-sustained human-to-human transmission has occurred mainly in healthcare settings.

The notification of additional cases does not change the overall risk assessment. WHO expects that additional cases of MERS-CoV infection will be reported from the Middle East and that cases will continue to be exported to other countries by individuals who might acquire the infection after exposure to dromedary camels, animal products (for example, consumption of camel's raw milk), or humans (for example, in a healthcare setting or household contacts).

WHO continues to monitor the epidemiological situation and conducts risk assessment based on the latest available information.

WHO advice
Based on the current situation and available information, WHO encourages all member states to continue their surveillance for acute respiratory infections and to carefully review any unusual patterns.

Infection prevention and control measures are critical to prevent the possible spread of MERS-CoV in healthcare facilities. It is not always possible to identify patients with MERS-CoV infection early because like other respiratory infections, the early symptoms of MERS-CoV infection are non-specific. Therefore, healthcare workers should always apply standard precautions consistently with all patients, regardless of their diagnosis. Droplet precautions should be added to the standard precautions when providing care to patients with symptoms of acute respiratory infection; contact precautions and eye protection should be added when caring for probable or confirmed cases of MERS-CoV infection; airborne precautions should be applied when performing aerosol-generating procedures.

Early identification, case management, and isolation, together with appropriate infection prevention and control measures, can prevent human-to-human transmission of MERS-CoV.

MERS-CoV appears to cause more severe disease in people with underlying chronic medical conditions such as diabetes mellitus, renal failure, chronic lung disease, and compromised immune systems. Therefore, people with these underlying medical conditions should avoid close unprotected contact with animals, particularly dromedary camels, when visiting farms, markets, or barn areas where the virus is known to be potentially circulating. General hygiene measures, such as regular hand washing before and after touching animals and avoiding contact with sick animals, should be adhered to.

Food hygiene practices should be observed. People should avoid drinking raw camel milk or camel urine or eating meat that has not been properly cooked.

WHO does not advise special screening at points of entry with regard to this event nor does it currently recommend the application of any travel or trade restrictions.
==================
[If this patient had not deteriorated on 28 Nov 2019, she most likely would not have been tested for MERS-CoV infection, and the infection may well have been missed. It would be very interesting to see data from countries on the Arabian Peninsula outside of Saudi Arabia on what proportion of respiratory illnesses are being tested for MERS-CoV infection, and what are the criteria being applied to test for suspected MERS-CoV infection. This case outwardly did not have a history of contact with dromedary camels, nor did she have contact with known MERS-CoV-infected individuals. But how many of her known contacts had a history of a respiratory infection, and was any serology performed? Just musing out loud, falling back on the question, "Why is Saudi Arabia seeing so many cases, but not neighboring countries?"

According to the ECDC (European Center for Disease Control) rapid assessment of 29 Aug 2018, Qatar has previously reported 19 cases of MERS-CoV infection including 5 deaths, for a reported case fatality ratio of approximately 25% (<https://www.ecdc.europa.eu/sites/default/files/documents/RRA-Severe-respiratory-disease-associated-MERS-CoV-22nd%20update-29-aug-2018.pdf>). The most recent case confirmed by Qatar prior to this announcement was reported on 23 May 2017 (see MERS-CoV (34): Saudi Arabia, UAE, Qatar, WHO: http://promedmail.org/post/20170606.5087888). The inclusion of these 3 newly confirmed infections will bring this total to 22 cases of MERS-CoV infection including 5 deaths.

Qatar borders with the Eastern Region of Saudi Arabia not far from Hufoof, where there have been cases reported since 2017. See map at <https://www.nationsonline.org/oneworld/map/Arabia-Map.htm>. - ProMED Mod.MPP]
Date: Wed 24 May 2017
Source: State of Qatar, Ministry of Public Health - News [edited]

Ministry of Public Health (MOPH) has announced that a new Middle East Respiratory Syndrome Corona Virus (MERS-CoV) case has been confirmed for a 29-years-old, resident in Qatar, marking the 3rd MERS-CoV case to be confirmed in the country this year [2017] and bringing the cumulative number of confirmed MERS-CoV cases since 2012 to 21 cases among whom 7 have died.

The patient is a camel worker and had complaints of fever and dry cough for several days. He sought medical attention in Hamad General Hospital where an X-Ray investigation suggested a severe pneumonia. Consequently and as he reported an occupational frequent contact with camels, further samples were withdrawn from the patient. He ultimately tested positive for MERS-CoV according to Hamad Medical Corporation laboratories.

Despite his stable condition, the patient was admitted to hospital; in consistence with the national infection prevention and control protocol for confirmed and suspected MERS-CoV cases to ensure the appropriate medical attention. However, neither a history of contact with similar cases nor a recent travel outside the country was reported for the patient who has no comorbidities.

Once the case has been confirmed, the rapid response team of the Health Protection and Communicable disease Control (HP & CDC) department at the MOPH, accompanied with the team from Animal Health Department, Ministry of Municipality and Environment, have started a field investigation to assess the possible source of the infection and to verify whether any of the patient contacts has suspected symptoms according to the WHO standard case definition. Consequently, all traced contacts will be monitored over a period of 2 weeks, while those who develop suspected symptoms will then be subjected to confirmatory laboratory investigation.

The Ministry of Public Health advices citizens and residents, in particular those with comorbidities or low immunity, to abide to cough etiquette and handwashing with soap and water thoroughly and avoid unnecessary contact with sick animals.

MOPH proclaimed that Health Protection & CDC Hotlines 66740948 & 66740951 are accessible 24/7 to respond to any notification or enquiry related to infectious diseases.
==================
[The above press release mentioned the participation of animal health experts in the investigation of the described case. Information on their observations and findings, including results of laboratory tests (in case animal samples were taken), will be appreciated.

Qatar officially notified the OIE about its 1st event of MERS-CoV in camels, as an emerging disease, on 28 Nov 2013. The start of the event was, reportedly, dated 14 Oct 2013. The 'affected population' was kept on a "small farm with 14 camels, one sheep, one pigeon cage and some chicken" in Al-Shahanya, Ar Rayyan district. The diagnostic laboratory, given as "the Erasmus Medical Center (Rotterdam) and National Institute for Public Health and the Environment (Bilthoven), the Netherlands (OIE Reference Laboratory)", established the diagnosis of MERS-CoV in camels by PCR, on 26 Nov 2013. The report included the following epidemiological comment: "The health authority in Qatar notified the presence of a confirmed human MERS-CoV case. A joint team from both health and veterinary authorities was sent to the patient farm to investigate the health status of animals and the contact person. A farm worker proved to be positive for MERS-CoV and samples were collected from the 14 existing camels in addition to one sheep, some pigeons and chickens and some environmental samples (water, soil, animal food and grass) and all were sent to the Netherlands for testing. All animals were kept under observation and quarantine and all were apparently healthy". The above immediate notification was followed by 3 follow-up reports (29 Dec 2013, 22 Apr 2014 and 09 Jun 2014).

Follow-up report No 1, submitted a month later, namely on 29 Dec 2013, informed: "There are no new outbreaks in this report". The report, however, included the following epidemiological comments: "The samples from the same herd tested, using the same technique were negative and this may show that MERS-CoV infection in camels is a self-limiting disease. The planned massive survey for MERS-CoV in animals is under implementation and the same herd is under systematic retesting. Follow-up reports will be submitted when there will be new data".

Follow-up report No 2, submitted 22 Apr 2014, addressed "A single barn of 26 camels of different ages" in the same location (Al-Shahanyain), Qatar. The diagnostic laboratory was named as "Department of Viroscience, Erasmus Medical Center, Rotterdam (The Netherlands) (Foreign laboratory)"; the tests were performed on 19 Apr 2014, applying PCR and virus isolation, both positive. The report included the following epidemiological comments: "During an existing survey (pilot phase of the survey), nasal swabs were collected from an 8-month-old camel among healthy dromedary camels. The sample was inoculated on Vero cells and cytopathic changes were observed in cells at 48h post-infection. Human hepatoma cells (Huh-7 cells) were inoculated with MERS-CoV to further functionally characterize this viral isolate. After 2 days, virus-induced cytopathic effects were observed in the inoculated cell cultures. Virus production in Huh-7 cells was blocked by pre-incubating MERS-CoV with a 1/200 dilution of serum from MERS-CoV antibody positive camels. Conclusion: these data demonstrate that the MERS-CoV obtained from a dromedary camel is able to replicate in human cells and uses DPP4 as entry receptor, similar as isolates obtained from MERS patients".

Follow-up report No 3, submitted 9 Jun 2014, involved 3 barns with a total number of 12 camels of different ages, similarly in Al-Shahanya. Of the 12 susceptible camels, there were 5 "cases", indicated as an apparent morbidity rate of 41.67 percent. The diagnostic laboratory was "Erasmus Medical Center (Rotterdam) and National Institute for Public Health and the Environment (Bilthoven), The Netherlands (Foreign laboratory)", which applied SNT. This report included the following epidemiological comment: "Milk was collected according to local customs; cria's (dromedary calves) were not weaned after delivery but kept at the farm in paddocks adjacent to their dams throughout lactation. Dams were reunited with their cria to trigger milk production. Once milk production was initiated, the milk samples were collected by the camel owner or caretaker without specific hygienic precautions". The named follow-up report No 3 was the last report of MERS-CoV in camels submitted so far by Qatar to the OIE. It included the statement "continuing". No additional MERS-CoV reports from Qatar have become available since June 2014.

According to WAHID's archive data, the summary of the event since its start, as of June 2014, was:
Total outbreaks = 3 (Submitted)
Species/ Susceptible/ Cases/ Deaths/ Destroyed/ Slaughtered
Camelidae/ 52/ 9/ 0/ 0/ 0
(see at <http://www.oie.int/wahis_2/temp/reports/en_fup_0000015380_20140610_175414.pdf>).

In May 2017, the OIE updated its case definition for the reporting of MERS-CoV, as follows:

"1. Introduction
Dromedary camels have been confirmed by several studies to be the reservoir of the MERS-CoV infection in humans. Zoonotic transmissions of MERS-CoV from dromedary camels to humans were reported in multiple occasions. MERS-CoV has never been reported as a disease in camels though in experimental infections MERS-CoV has been associated with mild upper respiratory signs. Positive PCR results for MERS-CoV or isolation of the virus from camels is notifiable to the OIE because MERS is an emerging disease with a significant public health impact.

2. Confirmed case:
A dromedary camel with laboratory confirmation (*note 1) of MERS-CoV infection, with or without clinical signs.

3. Suspected case:
a) Observed clinical signs of mild respiratory infection (rhinitis in young dromedaries); and
b) Direct epidemiologic link (*note 2) with a confirmed human or camel MERS-CoV case; and
c) Testing for MERS-CoV is unavailable, negative or inconclusive (*note 4) on a single inadequate specimen (*note 3).

Notes
1 A case may be laboratory confirmed by virus isolation or detection of viral nucleic acid. The presence of viral nucleic acid can be confirmed by 1) a positive RT-PCR result on at least 2 specific genomic targets,
2) a single positive target with sequencing of a 2nd target or
3) a single positive target with positive result in a rapid MERS-CoV Ag Test. Serological investigations are of little value as high percentage of tested dromedaries possess antibodies to MERS-CoV.

2. A direct epidemiological link with a confirmed MERS-CoV dromedary camel may include living or traveling together in close proximity or sharing the same environment with individual dromedaries infected with MERS-CoV.

3. An inadequate specimen would include a specimen that has had improper handling, is judged to be of poor quality by the testing laboratory, or was taken too late in the course of illness.

4. Inconclusive tests may include a positive screening test on a single rRT-PCR target without further confirmation. Animals with an inconclusive initial test should undergo additional sampling and testing to determine if the animal can be classified as a confirmed MERS-CoV case. At herd level, having positive single target PCRs in more than one animal could constitute confirmation. Preference should be a repeat nasopharyngeal specimen. Other types of clinical specimens could also be considered for molecular testing if necessary, including blood/serum, and stool/rectal swab. These generally have lower titers of virus than respiratory tract specimens but have been used to confirm cases when other specimens were inadequate or unobtainable".

As commented by Mod.MPP (see http://promedmail.org/post/20170524.5059234), according to a review of cases reported by Saudi Arabia and classified as "primary" cases (N=560), 27.3 percent had a history of camel exposure, and 72.7 percent were reported as still under investigation for high risk exposures at the time of initial confirmation report. The 85th General Session of the World Assembly of OIE Delegates has been held in Paris during this week (21 to 26 May 2017). According to WHO updated information, MERS-CoV has caused, since its initial detection in Sep 2012, at least 1952 human cases, of which at least 693 deaths in 27 countries. It will be interesting to note if the reporting of this disease, according to the OIE criteria, and its possible control in the animal reservoir have been discussed during the General Session.

Subscribers are referred to a recent review paper (Ref 1), and in particular to figure 3 "Hypothesis of MERS-CoV transmission to humans".

A One Health approach to the MERS-CoV issue, its epidemiology and control, will require the active involvement of the 3 relevant international authorities, namely the FAO, OIE and WHO.

References
M. G. Hemida, A. Elmoslemany, F. Al-Hizab, A. Alnaeem, F. Almathen, B. Faye, D. K. W. Chu, R. A. P. M. Perera & M. Peiris. Dromedary Camels and the Transmission of Middle East. Transboundary & Emerging Diseases 64 (2017) 344-353.  <http://agritrop.cirad.fr/580073/7/Hemida_et_al-2017-Transboundary_and_Emerging_Diseases.pdf>. - ProMED Mod.AS]

[A HealthMap/ProMED-mail map can be accessed at:
Date: Sat, 26 Nov 2016 20:00:07 +0100

Doha, Nov 26, 2016 (AFP) - Rainfall caused widespread flooding in Qatar on Saturday, potentially raising fresh concerns about infrastructure in the Gulf country due to host the 2022 football World Cup.   Several major roads were flooded, prompting official warnings.   "As the rain continues to pour in most parts of the country, motorists are advised to be cautious," the interior ministry tweeted after earlier calling the rainfall "medium to heavy".   Some apartment buildings on the Pearl Qatar, an artificial island in Doha, estimated to have cost $15 billion (13.5 billion euros) to build, suffered flooding, as did the nearby suburb of Qanat Quartier, built to resemble Venice.

The Doha News website reported that the Qatar Animal Welfare Society pleaded urgently for foster homes to take care of its dogs because of the conditions.   The Peninsula English-language newspaper reported that rain caused leaks at major Doha shopping centre the Landmark Mall.   Many people used social media to post videos and pictures, with some questioning how a relatively small amount of rain -- the first of the winter -- could cause such problems.   The wet weather had been predicted and the government "Rain Emergency Team" had already convened to discuss potential problems.

Last November, the government began an inquiry after rain damaged Doha's Hamad international airport, which opened in 2014, flooded roads and streets and caused some schools to close.   Gas-rich Qatar is spending more than $200 billion on major infrastructure such as roads, the airport, a metro system and a new city ahead of the 2022 World Cup, which will be played at this time of year -- from November 21 to December 18.   World Bank figures show Qatar's average annual rainfall is around 75 millimetres.
Date: Mon 13 Jun 2016 01:58 AM (Qatar)
Source: Gulf Times [edited]

The Ministry of Public Health has announced that a new Middle East Respiratory Syndrome Corona Virus (MERS-CoV) case has been confirmed in a 23-year-old male resident, marking it the 3rd to be confirmed in the country this year [2016].

The person was not in contact with a confirmed case and does not suffer from any chronic diseases that usually cause immunity suppression. The patient was admitted to Hamad General Hospital as he reported fever, cough, runny nose, and backache where he tested positive for Mers-CoV. The patient is now stable and receives medical care in the isolation ward.

The ministry said that Health Protection and Communicable Disease Control Hotlines, 66740948 and 66740951, are accessible round-the-clock to respond to any notification or query related to infectious diseases.

MERS-CoV was 1st identified in Saudi Arabia in 2012.

According to the World Health Organization (WHO), globally, since September 2012, it has been notified of 1652 laboratory-confirmed cases of infection with MERS-CoV, including at least 591 related deaths [the most recent report from WHO on 16 May 2016 gives a global tally of 1733 laboratory-confirmed cases of infection with MERS-CoV, including at least 628 related deaths (<http://www.who.int/csr/don/16-may-2016-mers-saudi-arabia/en/>) - ProMED Mod.MPP].

Mers-CoV is a zoonotic virus that is transmitted from animals to humans.
==================
[As mentioned in the above report, this is now the 3rd case of MERS-CoV infection reported in Qatar in 2016. The 1st case was reported in February 2016 in a 66 year old Qatari male who had been, for 2 months preceding onset of illness, in Saudi Arabia where he had a camel farm (see MERS-CoV (35): Saudi Arabia, Qatar ex Saudi Arabia, WHO http://promedmail.org/post/20160311.4085518 and MERS-CoV (24): Qatar ex Saudi Arabia, Saudi Arabia (RI) RFI http://promedmail.org/post/20160222.4041719). The 2nd case was a 40 year old Qatari national camel worker with non-specific, non-respiratory symptoms (see MERS-CoV (56): Qatar, Saudi Arabia, WHO http://promedmail.org/post/20160503.4198200).

According to the most recent ECDC Communicable Disease Threats Report, as of 9 June 2016, there have been a total of 1753 cases of MERS-CoV infection, including 680 deaths reported by health authorities worldwide. Besides, there have been a total of 15 cases of MERS-CoV infection including 5 deaths reported by Qatar as of 9 Jun 2016, making this current case the 16th case reported by Qatar since April 2012.  (<http://ecdc.europa.eu/en/publications/Publications/Communicable-disease-threats-report-11-june-2016.pdf>).

In addition to the 16 cases reported by Qatar, there have been 2 additional cases reported in Qatari nationals treated in Europe (see Novel coronavirus - Saudi Arabia (03): UK HPA, WHO, Qatar
East. Med. (07): Saudi Arabia, UK, Germany

We await further information on possible high risk transmission exposures.

The HealthMap/ProMED map of Qatar can be found at:
More ...

World Travel News Headlines

Date: Thu, 9 Apr 2020 07:30:18 +0200 (METDST)
By Mary Lyn Fonua

Nuku'alofa, Tonga, April 9, 2020 (AFP) - A resurgent Tropical Cyclone Harold flattened tourist resorts in Tonga Thursday, extending a week-long trail of destruction across four South Pacific island nations that has claimed more than two dozen lives.   The cyclone gathered pace as it bore down on the tiny island kingdom, which declared a state of emergency, warning residents to seek shelter from destructive winds and massive sea surges.

By early Thursday it had again become a scale-topping Category Five superstorm -- surprising meteorologists after signs earlier in the week that its intensity was dropping.   Packing winds of up to 260 kilometres per hour (160 miles per hour), it cut power in parts of the country and police said at least three tourist resorts north of the capital Nuku'alofa had been reduced to rubble.

The cyclone killed 27 people in the Solomons late last week before barrelling southeast to directly hit Vanuatu as a Category Five, obliterating entire towns in the northern provinces.   There have been no reports of deaths in Vanuatu, Fiji or Tonga, with emergency workers saying residents in the hardest hit areas took shelter early.   "It appears that many buildings and crops have been destroyed and some people in the most affected areas have lost everything," Red Cross Vanuatu secretary general Jacqueline de Gaillande said.

Harold weakened slightly to a still-formidable Category Four as it lashed Fiji on Wednesday but hopes the storm was dissipating were dashed as it regathered momentum heading towards Tonga.   "It's been a tricky one to predict," meteorologist Bill Singh from New Zealand's Metservice told AFP.   "We knew the track it was going to take but initially everyone thought it was just going to be Cat 3 or 4, but as it progressed over open warm waters it deepened."

- Closed borders -
The storm is expected to head away from Tonga onto the open ocean late Thursday but WeatherWatch.co.nz head forecaster Philip Duncan said there were no certainties.   "It's almost unheard of to see a cyclone tracking south away from the equator, weakening, then suddenly returning back to Cat 5 so far south," he said.

The COVID-19 pandemic has complicated disaster relief efforts, with Vanuatu reluctant to open its international borders as it seeks to remain one of the few countries without any confirmed virus cases.   "No foreign personnel are being brought to Vanuatu for response efforts at the present time, this will be an internally run operation," Vanuatu's National Disaster Management Office said.

Fiji has 15 virus cases and Prime Minister Frank Bainimarama said the virus and cyclone meant "our economy and our people have been dealt two body blows to start the year".   "This storm must not compromise our coronavirus containment efforts, lest we risk damage far more painful than the aftermath of any cyclone," he said.

Australian Foreign Minister Marise Payne said an air force plane carrying essential supplies such as tents and water containers was on its way to Vanuatu, while assistance had also been offered to other impacted nations.   "We are acutely conscious that this comes on top of the impact and difficulties created by COVID-19 for those countries," she said.   Vanuatu said any supplies that came into the country would be handled with protective equipment and the air crews delivering them would be isolated in transit areas.
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.
Date: Wed, 8 Apr 2020 16:50:53 +0200 (METDST)
By Sofia CHRISTENSEN

Johannesburg, April 8, 2020 (AFP) - A pride of lions flops lazily across a track at a South African game reserve, enjoying newfound tranquility since last month's closure of all national parks to support an anti-coronavirus lockdown.   Rather than the usual Land Rover, a lone elephant rumbles down the road, causing the felines to scatter into the surrounding bush.   A vehicle stands in the background, live streaming the scene for thousands of people watching the animals from the comfort of their homes.   "Since the lockdown occurred we have seen an amazing explosion in our audience," said Graham Wallington, head of a live safari broadcaster called WildEarth.

As the number of viewers tripled over the last days of March, Wallington noted that the audience -- typically American -- was increasingly from South Africa.   "It just happened overnight because all these kids at home with their families are watching these live safaris," he told AFP.   South Africa is almost two weeks into a 21-day lockdown meant to halt the spread of COVID-19.   The country is the worst-affected in Africa, with more than 1,700 infections recorded so far, including 13 deaths.

WildEarth operates from two vehicles in two private game reserves bordering the internationally famous Kruger National Park.   Guides take viewers along for a virtual game drive, finding wildlife and sharing facts about animals encountered along the way.   The cameras are positioned at the back of the vehicles, where passengers would usually be seated, in order to create a real-life experience.   "There it is," guide James Hendry whispered excitedly to the camera after stumbling across a mother hyena and her newborn cubs.   "Tell me, have you ever seen anything that cute in your life before?"   Participants can also send questions to the guides as they go along.

- Rare species emerge -
"You want to know how much water an elephant drinks in a day?" asked ranger Trishala Naidoo, as she drove along a bumpy bush track.   "Around 100 litres if not more," she answered, before pulling over to show viewers a leopard tortoise crossing the road.   Aside from providing entertainment, Wallington believes virtual safaris are an opportunity to observe how wildlife behave in the absence of tourists.   "It's kind of an interesting time where the animals are being left alone," Wallington said, adding that rare species such as the endangered African wild dogs had started venturing into his areas.   "Wild dogs coming in and hunting almost every day... is unheard of," he exclaimed.    "It's because there is no one else there and they've got the run of the place for themselves."
Date: Wed, 8 Apr 2020 16:44:56 +0200 (METDST)

Monrovia, April 8, 2020 (AFP) - Liberian President George Weah declared a state of emergency in the West African country on Wednesday, with the capital Monrovia set to go into lockdown in a bid to curb coronavirus.    In a televised statement, the president said that all movement between Liberia's 15 counties would be banned from 11:59 pm on Friday, and that all non-essential businesses and government offices would close.

Residents of four counties -- including Monrovia's, which is home to about 1 million people -- must also stay at home for two weeks, he said.    Authorities in those counties will allow people to leave their homes only to buy food or for health reasons.     "We have to ask ourselves why we should abide by these measures. The answer is simple: to save lives," Weah said.

Wednesday's announcement escalates earlier health measures which banned large gatherings as well as flights to and from virus-stricken countries.   As with other poor countries in the region, there are fears that Liberia is ill prepared to handle a large outbreak.

The nation of some 4.8 million has recorded 13 coronavirus cases to date, with three deaths.  But Liberia was badly hit during the West Africa's 2014-16 Ebola crisis, which killed more than 4,800 people in the country.    Weah warned that the coronavirus was the greatest threat facing Liberia since Ebola.    "The horrific scenarios that are beginning to emerge should serve as sufficient warning for every one of us to spring into action," he said.   Coronavirus "has already arrived in Liberia, and confirmed cases are now on the rise," Weah added.   Decimated after back-to-back civil wars from 1989 to 2003, Liberia also suffers economic woes including rampant inflation and fuel shortages.
Date: Wed, 8 Apr 2020 16:42:52 +0200 (METDST)

Cairo, April 8, 2020 (AFP) - Egypt will extend a nationwide night-time curfew by a further two weeks in a bid to slow the spread of the coronavirus, Prime Minister Mostafa Madbouli said on Wednesday.   He told a news conference the measure would be enforced from 8:00 pm (1800 GMT) to 6:00 am and run until April 23.   The curfew would start an hour later, he said, to avoid overcrowding in public transport.   Schools and universities, as well as restaurants and cafes would also remain closed until then, while food outlets would be allowed to offer delivery services only.   To stem the spread of the coronavirus, authorities have also halted air traffic until the end of the month and closed tourist and religious sites.

Penalties against violators including fines of up to 4,000 Egyptian pounds (just over $250) and even prison, the prime minister said.  Madbouli also announced that cabinet members will take a 20 percent salary cut for three months, and allocate that sum to underprivileged Egyptians.   Egypt's health ministry has so far declared 94 fatalities out of 1,450 confirmed cases of COVID-19.   Authorities have in recent weeks carried out sweeping disinfection operations at archaeological sites, museums and other sites across the country.   In tandem, strict social distancing measures were imposed to reduce the risk of contagion among the country's 100 million inhabitants.
Date: Wed, 8 Apr 2020 15:46:57 +0200 (METDST)

Beirut, April 8, 2020 (AFP) - Millions in Lebanon risk food insecurity due to a coronavirus lockdown unless the government provides urgent assistance, Human Rights Watch warned Wednesday.   Lebanon in mid-March ordered residents to stay at home and all non-essential businesses to close to halt the spread of COVID-19, which has officially infected 575 people and killed 19 nationwide.   Before the pandemic erupted, Lebanon was struggling with its worst economic crisis in decades, with 45 percent of the population facing poverty according to official estimates.   Lockdown measures to slow the spread of the virus have made matters worse with "millions of Lebanon's residents... at risk of going hungry", HRW said in a statement.

Lebanon is home to 4.5 million people, and also hosts around 1.5 million Syrians who have fled the nine-year war next door, most of whom rely on aid to survive.   "The lockdown... has compounded the poverty and economic hardship rampant in Lebanon before the virus arrived," said HRW senior researcher Lena Simet.    "Many people who had an income have lost it, and if the government does not step in, more than half the population may not be able to afford food and basic necessities."

The economic crisis since last year had already caused many people to lose their jobs or take salary cuts, and stay-at-home measures to counter the virus have now prevented even more from earning a wage.   Media has carried reports of a taxi driver who set his car on fire after security forces fined him for breaking the lockdown rules.   And an unemployed Lebanese construction worker unable to afford rent offered to sell his kidney, in an image widely shared online.   HRW Lebanon researcher Aya Majzoub said many families are struggling due to a lack of savings.

The government has said it will pay out 400,000 Lebanese pounds (less than $150 at the market rate) to the most vulnerable.   HRW said the government should also consider suspending rent and mortgage payments throughout the lockdown.   Majzoub said Syrian refugees were also affected.   "Many of them were seasonal workers -- they worked in agriculture, they worked in the service industry -- and they're not able to do that anymore," she said.   But their ability to cope will depend largely on international aid, as before the pandemic.

The World Bank last week said it had re-allocated $40 million from its support to Lebanon's health sector to fight the virus, including for tests and ventilators.   And it has also been discussing "assistance to help mitigate the impact of the economic and financial crisis on the poor through emergency social safety nets", World Bank spokeswoman Zeina El-Khalil told AFP in March.    On Monday, Lebanon's President Michel Aoun urged the international community to provide financial assistance to back economic reforms.
Date: Wed, 8 Apr 2020 15:13:03 +0200 (METDST)

Dublin, April 8, 2020 (AFP) - Irish police set up nationwide traffic checkpoints on Wednesday, armed with new powers to enforce a lockdown designed to stem the spread of the coronavirus.   Emergency legislation passed in the Irish parliament two weeks ago allows the government to curb non-essential travel during the crisis.

People violating the ban risk a fine of up to 2,500 euros ($2,700) and/or six months in prison.   "The regulations now are in effect," Garda -- Irish police -- commissioner Drew Harris said at a press conference.   "People only should be moving if they have an essential reason to move throughout country. What we'll be doing is making sure that movement is essential."

Over 2,500 officers will be involved in the operation at any one time as it runs from noon Wednesday until midnight on Sunday, with an extension possible.   "It will involve thousands of checkpoints every day," police said in a statement. The roadblocks have been put in place ahead of Easter holidays, traditionally used as an occasion for travel in Ireland.

Harris said nationwide compliance with the ban on movement -- which allows for exercise within two kilometres of home -- had been strong.   But there is a "small minority and perhaps... an increasing number" in breach of the government order.   There have been 210 COVID-19 related deaths and 5,709 confirmed cases of the virus in Ireland according to health department figures released Tuesday.
Date: Wed, 8 Apr 2020 13:24:23 +0200 (METDST)

Tehran, April 8, 2020 (AFP) - Iran on Wednesday reported 121 new deaths from the novel coronavirus, bringing its overall number of fatalities to 3,993.   In the past 24 hours, 1,997 new cases of COVID-19 infection were detected in Iran, state news agency IRNA quoted health ministry spokesman Kianoush Jahanpour as saying.   That put the number of confirmed cases at 64,586, he added.

Iran, which announced its first COVID-19 cases on February 19, is by far the worst hit by the pandemic in the Middle East, according to official tolls.   But there has been speculation abroad that the real number of deaths and infections in the country could be higher.   Jahanpour said that while 3,956 patients were in critical condition, those who recovered had reached 29,812.   The spokesman added that Iran had carried out 220,975 COVID-19 tests to date, according to IRNA.   In a bid to halt COVID-19, Iran has ordered the closure of non-essential businesses and imposed inter-city travel bans, while refraining from a lockdown.

Iran's President Hassan Rouhani said a "second wave" of the fight against the coronavirus would start from Saturday, and that it would be more difficult.   "Low-risk" businesses would be allowed to reopen from Saturday, he said, because "we want to continue economic activities as much as possible while fighting coronavirus at the same time".   The decision to reopen businesses has drawn criticism from health experts and even some government officials.   But Rouhani said "there is no other way".
Date: Wed, 8 Apr 2020 13:14:26 +0200 (METDST)
By Robbie COREY-BOULET

Addis Ababa, April 8, 2020 (AFP) - Ethiopia on Wednesday declared a state of emergency to fight the coronavirus pandemic, which has so far infected 55 people and resulted in two deaths there.    It is the first state of emergency announced under Prime Minister Abiy Ahmed, who came to power in 2018 and won last year's Nobel Peace Prize in part for expanding political freedoms in the authoritarian nation.    "Because the coronavirus pandemic is getting worse, the Ethiopian government has decided to declare a state of emergency under Article 93 of the constitution," Abiy said in a statement.     "I call upon everybody to stand in line with government bodies and others that are trying to overcome this problem," he added, warning of "grave legal measures" against anyone who undermines the fight against the pandemic.

It was not immediately clear how the state of emergency would affect day-to-day life in Ethiopia.   The government has so far refrained from imposing a lockdown similar to those in effect elsewhere in the region, including in Rwanda, Uganda and Mauritius.

According to the country's constitution, under a state of emergency the Council of Ministers has "all necessary power to protect the country's peace and sovereignty" and can suspend some "political and democratic rights".    The constitution also says lawmakers need to approve a state of emergency, which can last for six months and be extended every four months after that.

Wednesday's decree is likely to "beef up security operations with a greater role for the ederal government, including the military," said William Davison, Ethiopia analyst for the International Crisis Group, a conflict-prevention organisation.    "While this approach is understandable given the situation, it is critical that there is transparency over the government's extra powers and that there is adequate monitoring of implementation," Davison said.

-Opposition challenges move-
Since reporting its first COVID-19 case on March 13, Ethiopia has closed land borders and schools, freed thousands of prisoners to ease overcrowding, sprayed main streets in the capital with disinfectant, and discouraged large gatherings.    But Abiy said over the weekend that a harsher lockdown would be unrealistic given that there are "many citizens who don't have homes" and "even those who have homes have to make ends meet daily."    Jawar Mohammed, a leading opposition politician, said Wednesday this called into question why a state of emergency was necessary.   "Officials have been saying the country is too poor to stop population movement. So why do you need a state of emergency if you are not planning to impose stricter rules?" Jawar told AFP.

During consultations with Abiy earlier this week, the opposition Oromo Liberation Front (OLF) voiced worries that a state of emergency would lead to human rights abuses -- a well-documented problem under previous states of emergency imposed during several years of anti-government protests that swept Abiy to power.    "We explained our concern that the state of emergency has been initiated several times and it has been abused to violate the rights of citizens and other political activists," OLF chairman Dawud Ibsa told AFP.   It's also unclear how the state of emergency might affect planning for hotly-anticipated general elections in Ethiopia.

The country's electoral board announced last week that voting planned for August would need to be postponed because of the pandemic.    It did not provide a timeline for when the elections would ultimately be held, and lawmakers' constitutional mandates expire in October.   Davison, with the International Crisis Group, said the state of emergency could be used "to formally postpone elections" past that deadline, though such a move risks sparking opposition backlash.    "It is therefore essential that the government works with opposition parties on managing this constitutionally sensitive period and making new electoral arrangements," Davison said.
Date: Wed, 8 Apr 2020 13:08:25 +0200 (METDST)

Madrid, April 8, 2020 (AFP) - Spain recorded Wednesday a second successive daily rise in coronavirus-related deaths with 757 fatalities, lifting the total toll in Europe's second-hardest-hit country after Italy by 5.5 percent to 14,555.   The number of new infections rose by 4.4 percent to 146,690, the health ministry said, as Spain has ramped up its testing for the disease.   The number of daily deaths, which peaked on Thursday at 950, rose for the first time on Tuesday after falling for four straight days.

But the rate of increase in both deaths and new infections on Wednesday was largely in line with that recorded the previous day, and half of what was recorded just a week ago.   "We have consolidated the slowdown in the spread of the virus," Health Minister Salvador Illa tweeted after the latest figures were published.   The Spanish government on March 14 imposed one of the toughest lockdowns in Europe to curb the spread of the virus, with people allowed out of their homes only to work, buy food and seek medical care.

The pandemic has stretched the country's public healthcare system close to breaking point, with a shortage of intensive care beds and equipments, but in recent days hospitals have said the situation has improved.   "We have observed a de-escalation at this hospital in particular, and I believe at all hospitals," the spokesman for the Hospital Severo Ochoa in Leganes near Madrid, Jorge Rivera, told AFP.   "We can't let down our guard, emergency services are now working below their full capacity and are working well, they are not saturated and overcrowded but it does not mean that we can relax and go to the emergency ward because you have an ailment."