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Solomon Islands

Solomon
Islands - US Consular Information Sheet
August 13, 2008
COUNTRY DESCRIPTION:
The Solomon Islands form an Archipelago in the southwest Pacific Ocean about 1,200 miles northeast of Australia.
The capital, Honiara, is locate
on the Island of Guadalcanal.
The Solomon Islands are a parliamentary democracy within the British Commonwealth.
Tourism facilities are limited, particularly outside Honiara.
Read the Department of State Background notes on the Solomon Islands for additional information.
ENTRY/EXIT REQUIREMENTS:
U.S. passport holders do not require visas to enter the Solomon Islands.
Passports, onward/return tickets and proof of sufficient funds for the duration of stay are required.
Visitor permits are granted upon arrival at Henderson International Airport in Honiara.
Visitors may enter any number of times provided the total period in the Solomon Islands does not exceed 90 days in a 12-month period.
Persons arriving on one-way airline tickets must have documentation stating their business, for example, a work permit if taking up employment in the Solomon Islands.
The Solomon Islands government strictly enforces immigration laws, and travelers may face fines and other penalties if they remain in the country beyond the authorized period of stay.
Persons arriving on yachts should visit the nearest immigration office to complete arrival forms for issuance of visitors' permits.

Travelers who plan to
arrive in the Solomon Islands by plane or some other conveyance
but who plan to depart on a yacht should apply for a visitor’s permit before their arrival in the Solomon Islands, to the Director of Immigration (via fax to the U.S. Consular Agent in Honiara at 677-27429).
The application should state the traveler’s arrival date, vessel name and registration details, vessel’s arrival date, approximate time traveler will spend in the Solomon Islands, and it should request entry on a one-way (arrival only) airline ticket.
The Director will issue a permit to be presented at airline check-in.
If the traveler does not have this permit, she/he may be denied boarding.
For more information about entry requirements, travelers may contact the Solomon Islands Mission to the United Nations at 800 Second Avenue, Suite 8008, New York, NY 10017-4709; Tel: (212) 599-6192 or 6193.
Travelers who anticipate the possibility of transiting or visiting Australia are advised to obtain an electronic travel authority (ETA) or visa for Australia before leaving the United States.
An ETA may be obtained for a small service fee at http://www.eta.immi.gov.au/.
Airlines and many travel agents in the United States are also able to issue ETAs.
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:
Since July 24, 2003, the Regional Assistance Mission in the Solomon Islands (RAMSI), a coalition of Pacific Island states that includes military and police forces from Australia and several other Pacific Island nations, has helped the Solomon Islands improve law and order.
.
It is generally safe to walk alone during the day; however, walking alone at night is discouraged.
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, as well as 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 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 U.S. Consular Agent in Honiara also has available up-to-date safety and security information at (677) 23426 and (677) 94731, or Fax (677) 27429.
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:
Major crimes against travelers are uncommon, although incidences of theft, mugging, and extortion are increasing.
Some 350 RAMSI Police are working alongside Royal Solomon Islands Police (RSIP) to respond to any situation requiring police.

Lawlessness is increasing in Honiara, mostly in the form of petty crime (theft and harassment for money).
The isolated incidents of harassment of expatriates that have increased in Honiara since April 2006 are generally minor and associated with alcohol and fringe elements of the community. House and vehicle break-ins occur, with expatriates particularly targeted.
Some recent episodes have involved violence and the use or threatened use of knives.
Gang-based criminal activity has increased in and around the Burns Creek area in East Honiara, and in the Borderline area, which is close to the Japanese memorial.
It is not advisable to go alone to the Japanese memorial.

Americans should be aware that the public does not distinguish between Australians and Americans.
INFORMATION FOR VICTIMS OF CRIME:
The loss or theft abroad of a U.S. passport should be reported immediately to the local police and to the nearest U.S. Consular Agent in Honiara, or the U.S. Embassy in Port Moresby, Papua New Guinea.
If you are the victim of a crime while overseas, in addition to reporting to local police, please contact the U.S. Consular Agent or the U.S. Embassy for assistance.
The Consular Agent or Embassy staff can, for example, assist you to find appropriate medical care, to contact family members or friends, and explain how funds may be transferred.
Although the investigation and prosecution of the crime is solely the responsibility of local authorities, consular officers can help you to understand the local criminal justice process and to find an attorney if needed.

The local equivalent to the “911” emergency line in the Solomon Islands is: 999.
Other emergency numbers are:
Ambulance, Hospital - 911
National Disaster - 955
Fire - 988

See our information on Victims of Crime.

MEDICAL FACILITIES AND HEALTH INFORMATION:
Hospitals and pharmacies in the Solomon Islands are limited to population centers and missions.
Since 2001, the quality of medical services has deteriorated seriously, although it is expected to improve as the country’s overall economic condition continues to improve.
The nearest reliable medical facilities are in Australia or New Zealand.
There is a hyperbaric recompression chamber in Honiara at the In-the-Zone Medical Centre, phone (677) 23485 or (677) 23482; however, medical conditions resulting from diving accidents may require medical evacuation to Australia or New Zealand.
Serious medical conditions requiring hospitalization and/or medical evacuation to Australia, New Zealand or the United States can cost thousands of dollars.
The incidence of malaria is high.
Doctors and hospitals often expect immediate cash payment for health services. Travelers who anticipate the possible need for medical treatment in Australia should obtain entry permission for Australia in advance.
Entry permission for Australia can be granted by the Australian High Commission in Honiara, but it is easier to obtain it prior to leaving the United States (see section above on Entry/Exit Requirements)
Some HIV/AIDS entry restrictions exist for visitors to and foreign residents of Solomon Islands.
Per Solomon Islands Immigration Act Cap 60, Section 4 (1) (d) and section 11, subsection (2), an immigration officer can bar a visitor from entering the country or deport an immigrant if he or she refuses to submit to an examination by a government medical officer after being required to do so.

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 website 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 Solomon Islands is provided for general reference only, and may not be totally accurate in a particular location or circumstance.

Vehicular traffic in the Solomon Islands moves on the left.
Paved roads are found only in and around Honiara, located on Guadalcanal Island.
These two-lane paved roads are poorly marked and have many potholes.
Roads are not well lit at night.
The remaining roads in the Solomon Islands are made of coral or gravel, or are dirt tracks.
Travelers must take care when driving off main roads to avoid trespassing on communal land.
For information concerning the rental and operation of motor vehicles in the Solomon Islands, contact our Consular Agent in Honiara.
Please refer to our Road Safety page for more information.
For specific information concerning Solomon Islands driving permits, vehicle inspection, road tax and mandatory insurance, visit the Solomon Islands Department of Commerce web site at http://www.commerce.gov.sb/.

AVIATION SAFETY OVERSIGHT:
As there is no direct commercial air service to the United States by carriers registered in the Solomon Islands, the U.S. Federal Aviation Administration (FAA) has not assessed the Solomon Islands’ Civil Aviation Authority for compliance with International Civil Aviation Organization (ICAO) aviation safety standards.
For more information, travelers may visit the FAA’s web site at http://www.faa.gov/safety/programs_initiatives/oversight/iasa.

SPECIAL CIRCUMSTANCES: Customs Information: The Solomon Islands' customs authorities enforce strict regulations concerning temporary importation into or export from the Solomon Islands of items such as firearms and ammunition, sexually explicit material, and certain prescription drugs.
Other items may be subject to quarantine regulations or import duty.
The Solomon Islands' government prohibits the export of military artifacts from World War II.
It is advisable to contact the Solomon Islands' Mission to the United Nations for specific information regarding customs requirements.
Natural Disasters:
The Solomon Islands lie in the South Pacific cyclonic trajectory, and are vulnerable to earthquakes, volcanic eruptions, and sudden tidal movements.
The Pacific cyclone season extends from November through March.
General information regarding disaster preparedness is available via the Internet from the U.S. Federal Emergency Management Agency (FEMA) at http://www.fema.gov.

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 Solomon Islands laws, even unknowingly, may be expelled, arrested or imprisoned.
Penalties for possession or use of, or trafficking in illegal drugs in the Solomon Islands 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:
There is no U.S. Embassy in the Solomon Islands.
However, there is a U.S. Consular Agent in Honiara.
The Consular Agent has general information and forms, such as passport applications, and can be contacted at the United States Consular Agency, Commonwealth Avenue, Point Cruz, telephone number is (677) 23426 or (677) 98367, cell number is (677) 94731, home number is (677) 22539; fax (677) 27429; e-mail keithieusa@solomon.com.sb or us_consular@solomon.com.sb.
For additional information and to download forms, please visit our Virtual Embassy for the Solomon Islands at http://www.usvpp-solomonislands.org/
The U.S. Embassy in Papua New Guinea provides primary assistance for U.S. citizens in the Solomon Islands.
The Embassy is located on Douglas Street, adjacent to the Bank of Papua New Guinea, in Port Moresby.
Use that address for courier service deliveries.
The mailing address is PO Box 1492, Port Moresby, N.C.D. 121, Papua New Guinea; the telephone number is (675) 321-1455; after hours duty officer telephone number is (675) 683-7943; Fax (675) 321-1593.
American citizens may submit consular inquiries via e-mail to ConsularPortMoresby@state.gov.
The web site for the U.S. Embassy in Port Moresby is http://portmoresby.usembassy.gov/.
Americans living or traveling in the Solomon Islands are encouraged to register with the U.S. Embassy in Port Moresby through the State Department’s travel registration web site, and to visit the Consular Agency in Honiara to obtain updated information on travel and security within the Solomon Islands.
Americans without Internet access may register directly with the Embassy or Consular Agency.
By registering, American citizens make it easier for the Embassy to contact them in case of emergency.
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This replaces the Country Specific Information for the Solomon Islands dated January 17, 2008, to update sections on Crime, Information for Victims of Crime, Medical Facilities and Health Information.

Travel News Headlines WORLD NEWS

Date: Mon, 23 Oct 2017 06:02:34 +0200

Wellington, Oct 23, 2017 (AFP) - Residents in the Solomon Islands' southeast were warned to stay indoors Monday to avoid showers of ash from a volcanic eruption.   Officials said a lack of scientific equipment made it difficult to monitor the situation on Tinakula island, which lies just north of Vanuatu where 11,000 people were evacuated last month following an eruption on Ambae island.

While the Vanuatu government decided on Friday that the situation on Ambae had settled and people could return home, Solomon Islands officials said they had no indication how long the eruption on Tinakula would continue.    Although Tinakula is uninhabited, about 10,600 people live on the neighbouring Santa Cruz islands.   "Authorities do not have a scientific way to monitor the situation and determine when it will end," the Solomon Islands Broadcasting Corporation (SIBC) quoted National Disaster Management Office director Loti Yates as saying. 

Yates said ashfall on nearby communities and the impact on air travel were the main concerns. An aviation warning has been issued for the Santa Cruz Islands.    "As much as possible, people need to stay indoors," he said, while downplaying the significance of the eruption.   "From what we know currently, the danger of the volcano's impact on Santa Cruz is very small or very limited," he said.   Tinakula, which is frequently active, once had a population of about 130 until an eruption in 1971 forced their permanent evacuation.
Date: Sun, 19 Mar 2017 18:23:14 +0100

Hong Kong, March 19, 2017 (AFP) - A 6.0-magnitude earthquake hit off the Solomon Islands in the early hours of Monday, the US Geological Survey said.   The quake struck at 02:43 am local time (1543 GMT Sunday) at a depth of 4.0 kilometres (2.5 miles), some 170 kilometres north-northeast of the capital city Honiara, the USGS said.   No tsunami warning was issued.

The Solomon Islands are part of the Pacific "Ring of Fire", a zone of tectonic activity known for frequent quakes and volcanic eruptions.    In 2007 an 8.0-magnitude quake in the Solomon Islands claimed 52 lives and left thousands homeless when it created a 10-metre tsunami.
Date: Fri, 20 Jan 2017 01:16:56 +0100

Sydney, Jan 20, 2017 (AFP) - A 6.8-magnitude earthquake hit off the Solomon Islands on Friday, seismologists said, with officials in the Pacific island nation saying there were no initial reports of damage.   The US Geological Survey said quake struck at 10:04 am local time (2304 GMT Thursday) at a depth of 33 kilometres (20 miles) some 70 kilometres west of Kirakira -- the same region where several large tremors struck last month.   The Hawaii-based Pacific Tsunami Warning Center said there was no tsunami threat from the latest shake.   Three strong tremors were felt off Kirakira in December without causing serious damage.

The Solomons National Disaster Management Office (NDMO) said it had not received any damage reports from the remote area.   "We haven't had any information come through," NDMO director Loti Yates told AFP from the capital Honiara.   "It's in the same area as the tremors last month and there are large cracks in the ground. Combined with heavy rain, that could cause landslips but it's too early to say at this stage and we're not making assumptions."   The Solomon Islands are part of the Pacific "Ring of Fire", a zone of tectonic activity known for frequent quakes and volcanic eruptions.    In 2007 an 8.0-magnitude quake in the Solomon Islands claimed 52 lives and left thousands homeless when it created a 10-metre tsunami.
Date: Tue, 20 Dec 2016 06:28:29 +0100

Sydney, Dec 20, 2016 (AFP) - The Solomon Islands was rattled by a strong 6.7-magnitude earthquake Tuesday, the US Geological Survey said, but no tsunami warning was issued and no immediate damage reported.   The quake struck 164 kilometres (101 miles) from the capital Honiara at a depth of 35 kilometres -- the fourth big tremor is just over a week.

"Based on all available data, a destructive Pacific-wide tsunami is not expected," the Pacific Tsunami Warning Center said, while Geoscience Australia estimated damage would only be likely up to 74 kilometres away.   The Solomon Islands are part of the Pacific "Ring of Fire", a zone of tectonic activity known for frequent quakes and volcanic eruptions.    On December 9, a 7.7-magnitude tremor triggered severe shaking and a tsunami warning in the same area, although there were no reports of serious damage. This was followed by a 6.9-magnitude aftershock a day later and another of 6.0 magnitude on Sunday.
Date: Sun, 18 Dec 2016 07:26:39 +0100

Sydney, Dec 18, 2016 (AFP) - A 6.0-magnitude earthquake struck off the Solomon Islands on Sunday, the US Geological Survey said, the third strong tremor off the Pacific nation in less than two weeks.   The quake hit at 4.46pm (0546 GMT) at a depth of 39 kilometres (24 miles) about 83 kilometres west-northwest of Kirakira, the USGS added.   On December 10 a 6.9-magnitude quake struck off Kirakira. The previous day a 7.7-magnitude tremor triggered severe shaking and a tsunami warning, although there were no reports of serious damage.
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Guinea

Guinea US Consular Information Sheet
August 15, 2008
COUNTRY DESCRIPTION:
Guinea is a developing country in western Africa, with minimal facilities for tourism.
Travelers who plan to stay in Conakry, the capital, should make reservati
ns well in advance. French is the official language; Pular, Malinké, and Soussou are also widely spoken.
Read the Department of State Background Notes on Guinea for additional information.

ENTRY/EXIT REQUIREMENTS:
A passport, visa, international vaccination record (WHO card), and current yellow fever vaccination are required.
Travelers should obtain the latest information and details from the Embassy of the Republic of Guinea, 2112 Leroy Street, NW, Washington, DC
20008, tel. (202) 986-4300, fax (202) 478-3010.
The Guinean embassy does not maintain a current website. Overseas, inquiries should be made to the nearest Guinean embassy or consulate.
Overseas, inquiries should be made at the nearest Guinean embassy or consulate.

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:
Since early 2008, there has been a constant threat of violent strikes and demonstrations in Guinea.
The price of gasoline increased by more than 60 percent in April 2008, squeezing already economically hard-pressed Guineans and increasing tension in the country.
Parliamentary elections scheduled for late 2008 could result in violence.

While U.S. citizens have not been targeted in past outbreaks of violence, being in the wrong place at the wrong time can be very dangerous.
During periods of civil unrest, public services such as transportation and medical care, as well as availability of goods and services, can be affected.
During many demonstrations, crowds of people gather and burn tires, create roadblocks, and damage vehicles by throwing rocks and bricks. The military has also been known to demonstrate and incite unrest due to their grievances with the government.
Because of the potential for violence, U.S. citizens should avoid large crowds, political rallies, and street demonstrations. They should also avoid sensitive government installations, including the Presidential Palace, official government buildings, and military bases.

U.S. citizens should maintain security awareness at all times. There are no known terrorist groups officially operating in the country.

Most border crossings are controlled jointly by Guinean armed forces, gendarmes, police and immigration officials.
A long land frontier and the military’s lack of physical and monetary resources, however, mean that borders are lightly patrolled. U.S. citizens considering travel to the border regions with Liberia, Sierra Leone or Côte d’Ivoire should consult the latest Travel Warnings and Country Specific Information for those countries (available at the Bureau of Consular Affairs' Web site at http://travel.state.gov) and contact the U.S. Embassy in Conakry for the latest travel and security information.
Crossing land borders requires visas and complete paperwork, and can be difficult.

For the latest security information, Americans traveling abroad should regularly monitor the Department of State, Bureau of Consular Affairs’ website at http://travel.state.gov, where the current Travel Warnings and Travel Alerts, as well as 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 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:
In Conakry, as in many large cities, crime is a fact of daily life.
Residential and street crime is very common.
Sentiments toward Americans in Guinea are generally positive, but criminals regularly target foreigners, including Americans, because they are perceived as lucrative targets.
Nonviolent and violent crimes are a problem.
The majority of nonviolent crime involves acts of pick pocketing and purse snatching, while armed robbery, muggings, and assaults are the most common violent crimes.
In spite of good intentions, the police have been unable to prevent the rapid escalation of crime.
There have also been cases of direct and indirect requests for bribes from the police and military officials. Criminals particularly target visitors at the airport, in the traditional markets, and near hotels and restaurants frequented by foreigners.
Visitors should avoid unsolicited offers of assistance at the airport and hotels because such offers often mask an intention to steal luggage, purses, or wallets. Travelers should arrange for hotel personnel, family members, or business contacts to meet them at the airport to reduce their vulnerability to these crimes of opportunity.

Commercial scams and disputes with local business partners can create legal difficulties for U.S. citizens because corruption is widespread in Guinea.
Business routinely turns on bribes rather than the law, and enforcement of the law is irregular and inefficient.
The U.S. Embassy has extremely limited recourse in assisting Americans who are victims of illegal business deals.

Business fraud is rampant and the targets are usually foreigners, including Americans.
Schemes previously associated exclusively with Nigeria are now prevalent throughout West Africa, including Guinea, and pose a danger of severe financial loss.
Typically these scams begin with the receipt of an unsolicited communication (usually e-mails) from strangers who promise quick financial gain, often by transferring large sums of money or valuables out of the country, but then require a series of "advance fees" to be paid -- such as fees for legal documents or taxes -- to finalize the release of the transferred funds.
The final payoff does not exist; the purpose of the scam is simply to collect the advance fees. A common variation is the scammer’s claim to be a refugee or émigré of a prominent West African family, or a relative of a present or former political leader who needs assistance in transferring large sums of cash.
Still other variations appear to be legitimate business deals that require advance payments on contracts.
Sometimes victims are convinced to provide bank account and credit card information and financial authorization that drains their accounts, incurs large debts against their credit, and takes their life savings.

The best way to avoid becoming a victim of advance-fee fraud is common sense -- if a proposition looks too good to be true, it probably is.
You should carefully check and research any unsolicited business proposal before committing any funds, providing any goods or services, and undertaking any travel.
A good clue to a scam is the phone number given to the victim; legitimate businesses and offices provide fixed line numbers, while scams typically use only cell phones.
It is virtually impossible to recover money lost through these scams.

There is no “911” type of emergency assistance in Guinea.
For additional information on these types of scams, see the Department of State's publication, International Financial Scams.
INFORMATION FOR VICTIMS OF CRIME:
The loss or theft abroad of a U.S. passport should be reported immediately to the local police and the nearest U.S. Embassy or Consulate. If you are the victim of a crime while overseas, in addition to reporting to local police, please contact the nearest U.S. Embassy or Consulate for assistance. The Embassy/Consulate staff can, for example, assist you to find appropriate medical care, contact family members or friends, and explain how funds could be transferred. Although the investigation and prosecution of the crime is solely the responsibility of local authorities, consular officers can help you to understand the local criminal justice process and to find an attorney if needed.

See our information on Victims of Crime.

MEDICAL FACILITIES AND HEALTH INFORMATION:
Medical facilities are poorly equipped and extremely limited both in the capital city and throughout Guinea. Medicines are in short supply, sterility of equipment should not be assumed, and treatment is frequently unreliable. Some private medical facilities provide a better range of treatment options than public facilities but are still well below global standards. There are no ambulance or emergency rescue services in Guinea and trauma care is extremely limited. Water in Guinea is presumed contaminated, so you should use only bottled or distilled water for drinking. Malaria is a serious risk to travelers in Guinea. For additional information on malaria, including protective measures, see the CDC travelers’ health web site at http://wwwn.cdc.gov/travel/contentDiseases.aspx#malaria.

The U.S. Department of State is unaware of any HIV/AIDS entry restrictions for visitors to or foreign residents of Guinea.

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 website at http://wwwn.cdc.gov/travel/default.aspx.
For information about outbreaks of infectious diseases abroad consult the World Health Organization’s (WHO) website at http://www.who.int/en.
Further health information for travelers is available at http://www.who.int/ith/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 Guinea is provided for general reference only, and may not be totally accurate in a particular location or circumstance.

Drivers in Guinea tend to be poorly trained and routinely ignore road safety rules.
Guinea's road network, paved and unpaved, is underdeveloped and unsafe.
Roads and vehicles are poorly maintained, road signs are insufficient, and roads and vehicles are frequently unlit.
Livestock and pedestrians create constant road hazards and make nighttime travel inadvisable.
Guinea has many roadblocks set up by the police or the military, making inter- and intra-city travel difficult from 10:00 p.m. to 6:00 a.m.
During the rainy season (July through September), flash floods make some roads temporarily impassable.
There is also a significant increase in banditry along the roadways between towns and upcountry during the hours of darkness.
Americans and other foreigners are strongly discouraged from traveling after dark outside of populated areas.
Roadside assistance is not available in Guinea.

Guinea has no public transportation. Taxis, including small cars and larger vans, are often poorly maintained and overcrowded.
Taxis frequently stop and start without regard to other vehicles, making driving hazardous.
Rental vehicles, with drivers, are available from agencies at major hotels in Conakry.

Please refer to our Road Safety page for more information.

AVIATION SAFETY OVERSIGHT:
As there is no direct commercial air service to the United States by carriers registered in Guinea, the U.S. Federal Aviation Administration (FAA) has not assessed Guinea’s Civil Aviation Authority for compliance with International Civil Aviation Organization (ICAO) aviation safety standards.
For more information, travelers may visit the FAA’s Internet web site at http://www.faa.gov/safety/programs_initiatives/oversight/iasa.

SPECIAL CIRCUMSTANCES:
Guinean customs authorities may enforce strict regulations concerning the temporary import or export of items such as firearms, antiquities, medications, business equipment, and ivory.
You should contact the Embassy of Guinea in Washington (see contact information above in the Entry Requirements section) for specific information regarding customs requirements.

The local currency is the Guinean franc (FG).
Travelers may not have more than 100,000 FG (currently about $23.00 nor more than $5,000 when they depart Guinea.
Guinea has a cash economy.
ATMs are not available, and traveler’s checks are accepted only at some banks and hotels.
Credit cards are accepted at some larger hotels in Conakry, but should be used only at reputable hotels and banks.
Cash advances on Visa credit cards are available at various branches of BICIGUI, a local bank.
Inter-bank fund transfers are possible at BICIGUI branches but can be difficult and expensive.
Money transfers from the U.S. have worked successfully in the past.
Western Union has several offices in Conakry, and Moneygram has an office downtown.

Visitors should restrict photography to private gatherings and should obtain explicit permission from the Guinean government before photographing military and transportation facilities, government buildings, or public works.
Photographing without permission in any public area may provoke a response from security personnel or a dangerous confrontation with people who find being photographed offensive.

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 Guinean laws, even unknowingly, may be expelled, arrested, or imprisoned.
Penalties for possession or use of, or trafficking in illegal drugs in Guinea 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 Guinea are encouraged to register with the nearest U.S. Embassy or Consulate through the State Department’s travel registration web site, and to obtain updated information on travel and security within Guinea. 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 on the Transversale No. 2, Centre Administratif de Koloma opposite the New Radio Station in Ratoma, Conakry, Guinea; telephone +224-30-42-08-61 through 68 or fax +224-30-42-08-71; web site: http://conakry.usembassy.gov/.
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This replaces the Country Specific Information for Guinea dated August 28, 2007, to update sections on Safety and Security and Medical Facilities and Health Information.

Travel News Headlines WORLD NEWS

Date: Thu, 1 Aug 2019 17:40:25 +0200 (METDST)

Conakry, Aug 1, 2019 (AFP) - Six children aged between four and 10 died after they were struck by lightning while making tea under a mango tree in north-eastern Guinea on Wednesday, a witness said.   The storm began shortly before 7:00 pm (1900 GMT) in the town of Siguiri, close to the border with Mali, witness Mamadi Doumbouya, a local resident, told AFP.   He said eight children in total, accompanied by two of their mothers, were under a mango tree at the back of his house.   "I invited everyone to take shelter in my living room. The ladies rushed under my roof but the children stayed behind to make the last cups of tea," he added.

Lightning then struck the mango tree and when Doumbouya rushed out, all of the children were on the ground and unconscious, he said in a telephone call.   Six of the children -- five girls and a four-year-old boy -- died while being taken to hospital, he added.    A doctor from Siguiri Hospital said the six dead children were brought there in the early evening and two others were placed under observation for the coming days.   West Africa is currently undergoing its rainy season.   On Saturday a landslide hit a gold mine in the same area as Wednesday's storm, killing four people including a two-year-old girl and her mother.   "The victims were working in a former gold mine where mining was banned because of the risk of landslides" in the heavy rains, "but people were hiding to go to the tunnels", a Red Cross official said.
Date: Thu, 7 Feb 2019 18:17:54 +0100

Conakry, Feb 7, 2019 (AFP) - Medical services in Guinea are on alert after a man died from Lassa fever, health officials said on Thursday, with some 80 people being monitored for the deadly disease.   Lassa fever is caused by a haemorrhagic virus which belongs to the same family as Marburg and Ebola.   The virus was found in a 35-year-old man from the southwestern town of Kissidougou. He died on January 29 in Mamou, some 400 kilometres (250 miles) away, according to officials.   Kissidougou is where an outbreak of Ebola began in December 2013, leading to thousands of deaths in Guinea, Liberia and Sierra Leone.   "(We) have set to work to see if there are any hidden cases and to trace all the contacts" of the deceased man, said Sakoba Keita from the National Health Security Agency (ANSS).   Keita said it was not yet clear whether this was "an isolated case or an epidemic". 

Around 80 people -- 30 in Kissidougou and 50 in Mamou -- are being monitored but none have so far shown any symptoms of the disease, Keita said.   Lassa takes its name from the town of that name in northern Nigeria where it was first identified in 1969.   The virus is spread through contact with food or household items contaminated with rats' urine or faeces, or after coming into direct contact with the bodily fluids of an infected person.   It can be prevented by enhanced hygiene and avoidance of all contact with rats.   Nearly four in five peple who become infected with the virus do not have symptoms of the disease, the World Health Organization (WHO) says on its website.   A Lassa outbreak in Nigeria last year left 171 dead, and a resurgence of the disease there last month killed 16, according to official figures.
Date: Mon, 4 Feb 2019 21:26:07 +0100

Conakry, Feb 4, 2019 (AFP) - At least 17 people have been killed in a landslide at a gold mine in northeastern Guinea, local police said Monday.   A local elected official confirmed the death toll, saying he had "seen at least 17 dead" after the accident which took place late Sunday in Norassoba, some 35 kilometres (20 miles) from the town of Siguiri.   "This death toll is clearly provisional as the villagers say there are still many people missing," police lieutenant Marcus Bangoura said.

One local inhabitant said "the landslide apparently took everyone by surprise, there was no sign of danger in this mine where we have been working for several years."  There are many such accidents in mines in mineral-rich Guinea where thousands risk their lives working in illegal pits.   The work becomes even more dangerous in the rainy season.

Guinea has gold, diamonds, bauxite and huge reserves of iron ore but the west African country's population struggle to make ends meet.    The miners include locals and those from nearby countries such as Burkina Faso, Liberia and Ivory Coast.   Authorities say there are more than 20,000 such miners in the Siguiri region.
Date: Sun 3 Feb 2019 9:02 AM GMT+1
Source: Bloomberg [edited]

Guinea's government has reported one case of a 35-year-old man with Lassa fever in the central town of Mamou, some 260-kilometers [162 mi] from the country's capital of Conakry.

An investigative mission will be deployed to the region to support health authorities, the government said on [Sat 2 Feb 2019] in statement posted on the website of the National Health Security Agency. No other Lassa fever cases were reported.

Lassa fever is an acute viral haemorrhagic illness, transmitted to humans through contact with food or household items contaminated by infected rodents.  [Byline: Ougna Camara]
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[Although rarely reported in Guinea, this may not be the 1st Lassa fever case that has occurred there. As noted when an earlier case was first posted on Thu 8 Feb 2018, it was the 1st Lassa fever case that ProMED-mail had posted for Guinea (see Lassa fever - West Africa (09): Liberia ex Guinea http://promedmail.org/post/20180210.5620420). That report indicated that the affected individual actually died in Liberia but indicated that the infection was acquired in Guinea. West Africa, including Guinea and Liberia, is endemic for Lassa fever virus.

The situation where the person reported above acquired Lassa fever virus is not indicated in this case. Virus transmission to humans occurs when people are in contact with the reservoir rodent host, the multimammate mouse (in the genus _Mastomys_) or its excreta, as was likely the situation in this case. Rodent control has to be undertaken at the village level with individual households. This requires an extensive and continuous public education effort. Transmission also occurs in health facilities when personal protective equipment is not employed and barrier-nursing practices are not adequate to protect staff from blood and secretions of infected patients.

Images of the _Mastomys_ mouse, the rodent reservoir of Lassa fever virus, can be seen at
<https://www.inaturalist.org/taxa/45326-Mastomys-natalensis>. - ProMED Mod.TY]

[HealthMap/ProMED-mail map of Guinea:
Date: Mon, 29 Oct 2018 14:38:26 +0100

Conakry, Oct 29, 2018 (AFP) - A "dead city" strike call by the opposition in Guinea largely emptied the streets of the capital Conakry on Monday, with no solution in sight to a pay dispute in the education sector.   Streets were deserted in some parts of the West African city, while traffic was jammed in other areas where all drivers were being diverted, an AFP correspondent saw.   Troops and police were placed on alert but few were deployed on the streets. Instead they were gathered in strength in central police stations and gendarmerie barracks, the correspondent said.   Youths burned tyres early in the day along a main Conakry thoroughfare, Le Prince street, but rain soon put out the fires and dampened the ardour of would-be demonstrators.

The political opposition called for the strike in protest against what it considers a violation by the authorities of an agreement reached in August over the appointment of local government officials elected in a hotly disputed vote on February 4.   Rivals of President Alpha Conde have also called for a march and rally in Conakry on Tuesday, a week after a banned demonstration during which opposition leader Cellou Dalein Diallo alleged that police tried to assassinate him.   Also last Tuesday, an 18-year-old was killed in street clashes and his family blamed police, who denied both shooting allegations.

On Monday morning, hundreds of schoolchildren in Siguiri, a town in the far north of the country, took to the streets to call for the return of their teachers, who began "an unlimited strike" on October 3 to press demands for a raise in minimum pay, according to local media.   The teachers decided to take tougher action after the government announced that it would not pay October wages for the strikers, said Aboubabar Soumah, general secretary of the powerful Free Union of Teachers and Researchers of Guinea (SLECG).   "From now on, it's not the worker who gets paid, but the work," Conde warned on state media.   "Teachers will stay at home until the end of the head of state's second mandate in 2020," the SLECG said in response.
More ...

Uzbekistan

Uzbekistan - US Consular Information Sheet
May 07, 2007
COUNTRY DESCRIPTION:
Uzbekistan gained independence from the Soviet Union in 1991.
While the country has undergone significant change since then, its progress towards democratic
nd economic reform has been halting and uneven.
Corruption is endemic at all levels of society.
Much of the country, particularly areas outside of Tashkent and the major tourist destinations of Samarkand, Bukhara, and Khiva, are remote and difficult to access.
Tourist facilities, when they exist at all, are typically below Western standards, and many goods and services remain difficult to find on a regular basis.
Read the Department of State Background Notes on Uzbekistan for additional information.

ENTRY/EXIT REQUIREMENTS:
A passport and visa are required.
Although official invitation letters are not required for American citizens applying for tourist visas, they are required for those planning to visit an individual who resides in Uzbekistan.
Tourist visas cannot be extended in Uzbekistan.
Visas are issued by Uzbek embassies and consulates abroad.
Visitors coming from countries where Uzbekistan does not have diplomatic or consular representation should obtain visas in a third country.
Visas are not available upon arrival at Uzbek airports.
The Embassy has received a number of reports from American citizens who have had problems obtaining Uzbek visas or who received Uzbek visas valid for a very limited period, usually for fewer than three months.
Americans seeking visas are encouraged to apply for their visas well in advance of their travel.

It is important to note that Uzbek visas indicate not only the validity of the visa, but also the period of time a person is allowed to stay in Uzbekistan on a given trip.
A visitor will have to leave the country after the number of days indicated as the duration of stay on the visa.
Therefore, it is important to indicate your intended period of stay when applying for your Uzbek visa.
American citizens who are affiliated with a non-governmental organization (NGO), which has been closed in Uzbekistan, may be prevented from entering the country, even with a valid visa.
All travelers, even those simply transiting Uzbekistan for fewer than 72 hours, must obtain an Uzbek visa before traveling to Uzbekistan.

The Uzbek Government maintains travel restrictions on large parts of the Surkhandarya province bordering Afghanistan, including the border city of Termez. The border crossing point at Hayraton between Afghanistan and Uzbekistan, while open, is tightly controlled.
Foreign citizens intending to travel to this region must obtain a special permission card from the Ministry of Foreign Affairs, the Ministry of Internal Affairs or Uzbek embassies and consulates abroad.
Even with such permission, however, some American citizens transiting to Afghanistan via Termez have been briefly detained and/or fined for not registering in Uzbekistan.

Travel within Uzbekistan by rail or land sometimes requires brief exit into neighboring countries.
Travelers should have multiple-entry Uzbek visas and a proper visa for the neighboring country in order to avoid delays in travel.

Registration after entry:
All travelers present in Uzbekistan for more than three business days must register with the Office of Entry, Exit, and Citizenship, commonly known as “OVIR.”
Hotel guests are registered automatically, but all other travelers are responsible for registering themselves.
Registration fees vary depending on length of stay.
See http://uzbekistan.usembassy.gov/consular for more information.
Visitors without proper registration are subject to fines, imprisonment, and deportation.
The fines range from $500 to $4,000.
Uzbek law mandates that visitors carry a medical certificate attesting that they are not infected with HIV, but this requirement is sporadically enforced.
For more information, see the Department of State's Human Immunodeficiency Virus (HIV) Testing Requirements for Entry into Foreign Countries brochure.

Further visa information is available from the Consular Section of the Embassy of the Republic of Uzbekistan, 1746 Massachusetts Ave., NW, Washington, D.C. 20036; telephone: (202) 530-7291; fax: (202) 293-9633; website: http://www.uzbekistan.org ; or from the Consulate General of Uzbekistan in New York City, 866 United Nations Plaza, Suite 327A, New York, NY 10017; telephone:
(212) 754-7403; fax: (212) 838-9812; website: http://www.uzbekconsulny.org .

See our Foreign Entry Requirements brochure for more information on Uzbekistan and other countries.
Visit the Embassy of Uzbekistan web site at http://www.uzbekistan.org for the most current visa information.

See Entry and Exit Requirements for more information pertaining to dual nationality and the prevention of international child abduction .
Please refer to our Customs Information to learn more about customs regulations.

SAFETY AND SECURITY:
A Travel Warning remains in effect for Uzbekistan.
The Department of State reminds U.S. citizens of the potential for terrorist attacks or civil disturbance in Uzbekistan, although there have been no violent incidents there since May 2005, and continues to urge Americans in Uzbekistan to exercise caution.
The U.S. Government continues to receive information that indicates terrorist groups may be planning attacks, possibly against U.S. interests, in Uzbekistan.
Supporters of terrorist groups such as the Islamic Movement of Uzbekistan, Al-Qaida, the Islamic Jihad Union, and the Eastern Turkistan Islamic Movement are active in the region.
Members of these groups have expressed anti-U.S. sentiments and have attacked U.S. Government interests in the past, including the U.S. Embassy in Tashkent, and may attempt to target U.S. Government or private American interests in Uzbekistan.
In the past, these groups have conducted kidnappings, assassinations, and suicide bombings.

Increased security at official U.S. facilities over the past year may lead terrorists and their sympathizers to seek softer targets.
These may include facilities where Americans and other foreigners congregate or visit, such as residential areas, clubs, restaurants, places of worship, schools, hotels, outdoor recreation events, and resorts.
The U.S. Embassy in Tashkent continues to employ heightened security precautions.
U.S. citizens should report any unusual activity to local authorities and then inform the Embassy.

Uzbekistan experienced a wave of terrorist violence in 2004.
In July 2004 there were three suicide bombings in Tashkent, including one outside the U.S. Embassy.
The Islamic Jihad Union (IJU) claimed responsibility for the attacks.
The IJU also used suicide bombers in multiple attacks focused on police and Uzbek private and commercial facilities in Tashkent and Bukhara in late March and early April 2004.
In May 2005, armed militants stormed a prison in Andijon, released its prisoners, and then took control of the regional administration and other government buildings in Andijon Province.
Fighting broke out between government forces and the militants, and reports indicated that several hundred civilians died in the ensuing violence.
While there were no reports of U.S. citizens affected by these events, U.S. citizens and other foreigners in Uzbekistan frequently have experienced harassment from authorities and local residents since the 2005 violence.

Depending upon security conditions, travelers can expect restricted personal movement, including the closing of roads to traffic, and frequent document, vehicle, and personal identification checks should be anticipated.
The Uzbek Government has intermittently restricted travel to certain parts of the country in response to security concerns.

For the latest security information, Americans traveling abroad should regularly monitor the Department’s Internet website, where the current Travel Warnings and Public Announcements , including the Travel Warning for Uzbekistan , Worldwide Caution Public Announcement , and the Public Announcement for Central Asia, 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:
Uzbekistan’s rate of violent crime, including against foreigners, has increased in recent years.
In urban areas, travelers are urged to take the same precautions against crime that they would take in a large American city.
If you are traveling at night, please travel in groups, maintain a low profile, and do not display large amounts of cash.

Although using private cars as taxicabs is a common practice in Uzbekistan, Americans, especially women, should not consider this a safe practice.
Americans are encouraged to use clearly marked taxicabs, such as those at hotels.
Also, Americans should avoid riding in taxis alone.

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 the crime to local police, please contact the nearest U.S. Embassy or Consulate for assistance.
The Embassy/Consulate staff can, for example, assist you to find appropriate medical care, contact family members or friends and explain how funds could be transferred.
Although the investigation and prosecution of the crime is solely the responsibility of local authorities, consular officers can help you to understand the local criminal justice process and to find an attorney if needed.

See our information on Victims of Crime.

MEDICAL FACILITIES AND HEALTH INFORMATION:
Medical care in Uzbekistan is below Western standards, with severe shortages of basic medical supplies, including disposable needles, anesthetics, and antibiotics.
Elderly travelers and those with pre-existing health problems may be at particular risk due to inadequate medical facilities.
Most resident Americans travel to North America or Western Europe for their medical needs.

Travelers are advised to drink only boiled water, peel all fruits and vegetables, and avoid undercooked meat.
Due to inadequate sanitation conditions, travelers should avoid eating unpasteurized dairy products and most food sold in the streets.

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 internet site at http://www.cdc.gov/travel .
For information about outbreaks of infectious diseases abroad consult the World Health Organization’s (WHO) website at http://www.who.int/en .
Further health information for travelers is available at http://www.who.int/ith .

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

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

Uzbekistan has a developed but deteriorating traffic infrastructure.
Although main roads in central Tashkent are relatively well maintained, many secondary roads inside and outside Tashkent, and particularly those in the Tien Shan and Fan Mountains, are in poor condition and may be passable only by four-wheel-drive vehicles.
Driving at night can be quite dangerous because only the main roads in Tashkent and a few other major cities have streetlights; rural roads and highways generally are not lit.
Visitors are strongly urged to avoid driving at night outside Tashkent.
The gasoline supply can be sporadic; therefore, travelers should expect occasional difficulty finding gasoline, particularly outside of Tashkent.

Livestock, as well as farm equipment and carts drawn by animals that lack lights or reflectors, are found on both urban and rural roads at any hour.
Local drivers are not familiar with safe driving techniques.
Pedestrians in cities and rural areas cross streets unexpectedly and often without looking for oncoming traffic.
Uzbekistan has a large road police force, which frequently stops drivers for minor infractions or simple document checks.
There have been reports of harassment of foreign drivers by the road police, with reported minor police corruption in the form of solicitation of bribes.

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 Uzbekistan’s Civil Aviation Authority as being in compliance with International Civil Aviation Organization (ICAO) aviation safety standards for oversight of Uzbekistan’s air carrier operations.
For more information, travelers may visit the FAA’s Internet web site at http://www.faa.gov/safety/programs_initiatives/oversight/iasa .

SPECIAL CIRCUMSTANCES: Travelers to Uzbekistan are subject to frequent document inspections.
Therefore, U.S. citizens are strongly encouraged to carry a certified copy of their U.S. passport and their Uzbek visa with them at all times so that, if questioned by local officials, proof of identity and U.S. citizenship are readily available.
In accordance with the Vienna Convention on Consular Relations and certain bilateral agreements, local authorities must grant a United States Consular Officer access to any U.S. citizen who is arrested.
U.S. citizens who are arrested or detained should ask to contact the U.S. Embassy immediately.

Uzbek customs authorities may enforce strict regulations concerning temporary import to or export from Uzbekistan of items such as armaments and ammunition, space technology, encryption devices, X-ray and isotope equipment, nuclear materials, poisons, drugs, precious and semi-precious metals, nullified securities, pieces of art, and antiques of historical value.
Contact the Embassy of Uzbekistan in Washington, D.C. or the Consulate of Uzbekistan in New York for specific information regarding customs requirements.

Most transactions are conducted on a cash-only, local currency (soum) basis.
Credit cards are accepted only at the main hotels and a few shops and restaurants; travelers’ checks can be cashed into dollars at the National Bank of Uzbekistan.
The commission fee is two percent.
Importation of currency exceeding $10,000 (US) is subject to a one- percent duty.
Foreigners must complete a customs declaration upon entering Uzbekistan and may face fines upon departure if unable to produce certificates verifying legal conversion of foreign currency.
Old U.S. dollar bills (prior to 1990) and/or those in poor condition (with tears, writing or stamps) are not acceptable forms of currency in Uzbekistan.
Although payment in U.S. dollars is required for certain hotel charges, airline tickets, and visa fees, other dollar transactions, as well as black market currency exchanges, are prohibited.
Please see our Customs Information.

Uzbekistan is an earthquake-prone country.
General information about natural disaster preparedness is available via the Internet from the U.S. Federal Emergency Management Agency (FEMA) at http://www.fema.gov/ .

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 Uzbek laws, even unknowingly, may be expelled, arrested or imprisoned.
Penalties for possession, use, or trafficking in illegal drugs in Uzbekistan 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 on international adoption of children and international parental child abduction, see the Office of Children’s Issues website.

REGISTRATION / EMBASSY LOCATION: Americans living or traveling in Uzbekistan are encouraged to register with the nearest U.S. Embassy or Consulate through the State Department’s travel registration website and to obtain updated information on travel and security within Uzbekistan.
Americans without Internet access may register directly with the U.S. Embassy in Tashkent.
By registering, American citizens make it easier for the Embassy to contact them in case of emergency.
The U.S. Embassy is located at # 3, Moyqorghon Street, 5th Block, Yunusobod District, Tashkent -700093, Uzbekistan.
The main Embassy telephone number, which can also be reached after hours, is (998 71) 120-5450, fax:
(998 71) 120-6335; Consular fax: (998 71) 120-54-48; e-mail address: ConsularTashkent@state.gov; web site: http://uzbekistan.usembassy.gov.
*

*

*
This replaces the Consular Information Sheet dated October 13, 2006, to update the sections on Country Description, Entry/Exit Requirements, Safety and Security, Crime, and Traffic Safety and Road Conditions.

Travel News Headlines WORLD NEWS

Date: Fri, 1 Feb 2019 09:29:10 +0100

Tashkent, Feb 1, 2019 (AFP) - Uzbekistan on Friday granted visa-free entry to citizens of 45 countries to boost tourism, which the government views as vital for economic growth.  The countries benefiting from a 30-day visa waiver that went into force on Friday include the majority of European countries including Britain as well as Australia, Canada, Argentina and Chile. The United States is a notable exception.

The impoverished ex-Soviet country has made tourism a priority to reduce its dependence on commodity exports.   The government is keen to show off the lavish Silk Road heritage of ancient cities such as Bukhara, Khiva and Samarkand.    Earlier this year, Uzbekistan granted a 30-day visa waiver to Germany while France became the first European Union country to benefit from the measure last year.

Uzbekistan's tourism committee said last month that annual visitor numbers for 2018 were 5.3 million, double the figure for 2017.   President Shavkat Mirziyoyev has reversed a number of policies that hampered tourism under his late predecessor Islam Karimov.    Among the restrictions he scrapped was a ban on photography in the capital Tashkent's ornate metro that had led to police detentions of unsuspecting tourists.    Mirziyoyev's bid to boost tourism in the immediate aftermath of Karimov's death in 2016 suffered a false start.

In December that year, he issued an order easing or cancelling visa requirements for visitors from 27 developed countries but this was swiftly reversed before coming into force.   Observers attributed the reversal to resistance within the powerful security apparatus.      Uzbekistan already offers visa-free entry to visitors from Turkey, Israel, Indonesia, South Korea, Malaysia, Singapore and Japan, in addition to long-standing reciprocal visa-free entry for citizens of most former Soviet countries.
Date: Fri, 4 Jan 2019 13:59:14 +0100

Tashkent, Jan 4, 2019 (AFP) - Uzbekistan said Friday it will allow German citizens to visit for up to 30 days visa-free to boost tourism as the ex-Soviet country emerges from long-term isolation.   Germany will be the second European Union country after France to gain visa-free travel to Uzbekistan, which has opened up somewhat since the death of its long-reigning hardline leader Islam Karimov in 2016.    Germans will be able to enter the central Asian nation visa-free from January 15, the Uzbek tourism committee said Friday, three months after authorities granted French citizens the same 30-day visa waiver.

The impoverished country is highly dependent on commodity exports and has made developing tourism a priority.   In particular the government is keen to show off the lavish Silk Road heritage of cities such as Bukhara, Khiva and Samarkand.    According to the Uzbek tourism committee, 18,094 Germans visited Uzbekistan in 2018, almost five times as many as in 2016.   Reform-touting Uzbek president Shavkat Mirziyoyev is set to visit Germany this month after meeting US President Donald Trump and French leader Emmanuel Macron last year.    These high-profile visits are seen as rewards for his steps towards greater openness following the death of  Karimov, under whom Mirziyoyev served as prime minister for 13 years.   The current president has reversed a number of policies that hampered the tourism sector in recent years.

Among the restrictions he scrapped was a ban on photography in the capital Tashkent's ornate metro that had led to police detentions of unsuspecting tourists.    Mirziyoyev's bid to boost tourism in the immediate aftermath of Karimov's death suffered a false start, however.    In December 2016, he issued an order easing or cancelling visa requirements for visitors from 27 developed countries but this was reversed a month later before actually coming into force.   The reversal was attributed to resistance within the powerful security apparatus.      Uzbekistan offers visa-free entry to citizens of Turkey, Israel, Indonesia, South Korea, Malaysia, Singapore, and Japan, in addition to long-standing reciprocal visa-free entry for citizens of most former Soviet countries.
Date: Thu 27 Dec 2018
Source: Vanguard NGR News [edited]

The World Health Organization (WHO) has certified Uzbekistan as malaria-free, confirming the end of the country's half-century-long battle for malaria elimination within its borders. Uzbekistan has become the 2nd country in 2018 to be certified malaria-free -- Paraguay was certified in June -- marking another milestone on the road to ending the disease for good.

"Malaria No More commends the government of Uzbekistan for its resilience and determination to eliminate malaria once and for all. Uzbekistan's decade-long commitment demonstrates the government's recognition that malaria stood in the way of development, and that ridding the country of the disease was critical to improving [the country's] economic outlook and protecting the health of its people," said Martin Edlund, CEO of Malaria No More.

Uzbekistan 1st eliminated malaria in 1961 but struggled to maintain elimination as malaria cases continued to flow in from neighbouring countries. In 2000, recognising the barriers that having malaria within its borders had on the country's economy and overall health of its citizens, the government of Uzbekistan stepped up its investment and implemented a holistic multisectoral approach that went beyond health, with support from other ministries -- agriculture, education and transportation.

Highlighting the critical factors needed to get the job done, the WHO certification committee cited Uzbekistan's decision to maintain its support of the nation's primary health care system -- the backbone of the malaria response -- even during the economic crisis that gripped the country during the 1990s; its use of data to better target malaria interventions where they're need most; and its approach toward early detection, diagnosis and efficacious treatment of malaria patients -- free of charge and irrespective of nationality.

Another critical factor was support from non-governmental organizations and partners, particularly the Global Fund to Fight AIDS, TB and Malaria, which played a vital role in Uzbekistan's achievement by providing financial support to ensure the national malaria program had the full amount of insecticide-treated bed nets, indoor residual spraying equipment, medicines and other tools needed to protect its citizens from malaria.  [Byline: Sola Ogundipe]
========================
[ProMED congratulates Uzbekistan with this important achievement. It is important to note that the achievement included mobilization beyond the health sector alone, applying a "holistic multisectoral approach that went beyond health," and the importance of the "primary health care system -- the backbone of the malaria response."

It is also noted that the malaria-free status would probably not have been achieved without the support of "non-governmental organizations and partners, particularly the Global Fund to Fight AIDS, TB and Malaria." - ProMED Mod.EP]

[HealthMap/ProMED-mail map:
Date: Sun, 29 Apr 2018 12:05:35 +0200
By Christopher RICKLETON

Samarkand, Uzbekistan, April 29, 2018 (AFP) - Coiffed, cheerful and multilingual, identical twins Fatima and Zukhra Rakhmatova do not immediately resemble agents of ex-Soviet Uzbekistan's long-feared security apparatus.   But the photogenic 30-year-old pair are frontline members of a newly formed, user-friendly Tourist Police deployed in the famed Silk Road city of Samarkand and other hotspots as a visitor boom sweeps the Central Asian country.

The force, established in January, is viewed as part of a broader opening initiated by Uzbekistan's authoritarian government following a long period of self-enforced isolation.    More than 2.5 million tourists visited Uzbekistan last year, a 24 percent increase on the previous year, according to the UzDaily news site.   "In the past I worked as a teacher and then as a wedding stylist. I even won a national prize as a stylist," recalls Zukhra Rakhmatova, one half of a sister act proficient in English, Russian, Farsi, Turkish and Japanese.   "But our grandfather served in the force and our uncle too," Rakhmatova told AFP. "It was always our dream to serve."

- Change and continuity -
Samarkand -- a former power centre positioned at the epicentre of millennia-old trade routes linking China and Europe -- hosts symbols of authoritarian continuity as well as tentative reform.    A short walk from the ceramic and marble dazzle of the three madrasahs towering over the city's old square is the statue of Islam Karimov, who ruled the country from before independence in 1991 until his death in 2016.    Laid to rest in a grand mausoleum in Samarkand's historic centre, Karimov is criticised by rights groups as the architect of one of the world's most repressive and closed-off police states.

Far from being disavowed, his monument is now yet another photo opportunity for visitors and wedding parties in the city, where he was born in 1938 and remains widely revered.    "Everyone makes mistakes but Islam Karimov is a hero. He worked day and night to protect the Uzbek people," said a 22-year-old bridesmaid posing for pictures by the monument.    The young woman, who did not give her name but said she had travelled to Samarkand from the capital Tashkent, refused to say what "mistakes" she thought Karimov had made.

- Power struggle -
Whether out of political pragmatism or genuine deference to a man he served for 13 years as prime minister, Karimov's successor, 60-year-old Shavkat Mirziyoyev has also continued to honour his mentor in public.   In the aftermath of the former leader's death, new strongman Mirziyoyev likened him to a "father", even as he toned down some of the totalitarian excesses that defined Karimov's 27-year rule. 

Foreign tourism, which grew by around a quarter during Mirziyoyev's first year in office emerged as a key battleground in a power struggle that pitted the new reform-touting president against regime hardliners.   In February for instance, Mirziyoyev ordered the introduction of a 30-day visa-free regime for citizens of seven countries -- Israel, Indonesia, South Korea, Malaysia, Singapore, Turkey and Japan -- and relaxation of registration rules for citizens of 39 others.

In cities like Samarkand, the changes were cheered by a population that endured long stretches of economic stagnation under Karimov.   "(We need to) open up of course!" said Malika Shakhimardonova, a chef at a mutton-grilling teahouse in the shadows of the Bibi-Khanym Mosque, completed on the orders of medieval conqueror Tamerlane in the 15th century.   "Let the tourists arrive to us like brothers and sisters!" said Shakhimardonova, whose kitchen is expanding.

- 'Take photos and share them!' -
Many saw significance in the fact that Mirziyoyev's relaxation of visa restrictions came days after Rustam Inoyatov, 73, who led the notorious national security service for over two decades, was dismissed.   Inoyatov was widely reported to have blocked a previous effort by Mirziyoyev to revamp tourism and to have insisted on retaining long-standing security measures, including a blanket ban on photography in the capital's metro.    Such bans, which occasionally saw visitors detained by police, were "rudiments of the Soviet Union" now consigned to the past, said the country's new 44-year-old tourism chief Aziz Abdukhakimov.

"We want tourists to take as many photos as possible. Put them on Instagram! It is the best advert for the country," he told AFP.     The Rakhmatova sisters, who scoot around Samarkand on two-wheeled, motorised "Segways" and are trained to administer first aid, certainly seem far removed from the grimmer elements of a former communist police state.   But Fatima jokes their dual presence on the tourism beat might sometimes give visitors a different impression.    "Some tourists will see one of us close to one attraction then move on to another and find the other sister standing there," she explained.    "They smile but sometimes give us a strange look. Probably because we are identical they think the police are following them around," she laughed.
Date: Wed, 7 Feb 2018 13:23:32 +0100

Tashkent, Feb 7, 2018 (AFP) - Uzbek authorities are to ease strict rules that bar visitors from taking photos or videos in parts of the country's picturesque capital, in a new bid to encourage tourism.   Uzbek President Shavkat Mirziyoyev has made boosting the tourism sector a priority as his country seeks to emerge from a long period of economic stagnation under late ruler Islam Karimov, who died of a reported stroke in 2016.

But tourists have long been forbidden from capturing on camera the Uzbek capital Tashkent's elaborate metro stations and some government buildings.    Late on Tuesday state media published a presidential decree saying tourists would now be able to take photos of and film public places "without any sort of restrictions" as long as there is no specific legal act to prevent them from doing so.

It was not stated in the February 3 decree whether or not tourists would now be able to take photos of the metro stations.    Two travel agencies told AFP they had not yet received a list of spots that could not be photographed.   The decree also said tourists would be permitted to use drones to take photos and video, which was previously not allowed in the capital Tashkent.     Mirziyoyev, who served as prime minister for 13 years before taking over, has made moves to distance himself from Karimov's authoritarian excesses while also honouring his memory.

The new decree also allows for some foreign nationals to obtain a 72-hour transit visa on arrival in Tashkent airport, providing they can show proof of onward travel.    It was not immediately clear which passport holders this rule would apply to.     Uzbekistan is expected to grant citizens of Israel, Indonesia, South Korea, Malaysia, Singapore, Turkey and Japan visa-free entry into the country starting from Saturday.

In December 2016, the government moved to lift visa restrictions for a longer list of countries but the order was unexpectedly deferred until 2021 weeks later.    Analysts attributed the nixing of the law to the intervention of the country's powerful national security chief, Rustam Inoyatov, whose dismissal after 23 years in power last month was widely seen as paving the way for further reforms.
More ...

Japan

General
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Japan is a highly developed country with excellent tourist facilities. The country covers a number of islands and the population is estimated at over 125 million. English is widely spoken in the main tourist a
d urbanised centres.
Weather Profile
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Due to the strong influence from the sea, Japan tends to have a high rainfall but milder winters than the adjacent mainland of China. This is similar to the climate experienced in Ireland by comparison to the rest of Europe. Spring and Autumn are usually the most pleasant months but during the Summer the climate can be significantly humid and tiring. During this time it will be essential that fluid intake is increased and that salt (lost through perspiration) is replaced - usually by increasing the amount eaten on your food providing this is not contraindicated by any personal medical condition such as blood pressure etc.
Alcohol Consumption
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The Japanese authorities have limited patience with those arrested while under the influence of alcohol. For some travellers visiting the country this may mean a prolonged stay in the local jail and the subsequent missing of important appointments.
Natural Disasters
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Japan is situated in a region of the world which regularly experiences earthquakes and other climatic changes including typhoons. A number of relatively small earthquakes are reported each year but, to date, this has seldom affected any tourist itinerary. However, further information is available at http://www.tokyoacs.com
Safety and Security
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The risk to personal security for tourists while travelling throughout Japan is small though commonsense care of personal belongings is always essential. Where available, use the hotel safety boxes to store valuables and your passport, return air tickets. During the mid 1990’s a number of terrorist incidents occurred but no recent serious problems are being reported.
Airport Taxes
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Many countries now include the cost of their ‘departure tax’ within the ticket. In Japan this will depend on which airport you leave from. The fee is collected in Yen at Kansai - Osaka International Airport but usually included in the ticket cost if flying via Narita - Tokyo International Airport.
Cost of living
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Japan is not a cheap country for tourists. The cost of living is one of the highest throughout the world. Credit cards may be used in main cities but the ATM’s machines may not be available at all hours. Before taking a taxi from the airport it would be wise to check the costs and then assess whether or not it might be more prudent to use the local bus transport!
Medical Care
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The level of medical care throughout most tourist regions in Japan is excellent. However, there may be limited English-speaking doctors in some more rural areas and even where this facility is available in the main cities the cost of healthcare can be very expensive. It is wise to carefully check your travel health insurance premium before you leave home.
Local Medications
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Some commonly used European over-the-counter medications
may not be available in Japan. Also, there are strict laws governing the importation of certain medications which can be strictly enforced. Certain inhalers, sinus preparations etc may be confiscated on arrival. If you are taking any personal medications it may be wise to check before you leave. Obviously never carry packages for anybody else while travelling unless you are certain of the contents.
Avoiding Prickly Heat
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The term prickly heat is used in a variety of ways but the cause is generally the same. In a hot climate the body perspires to maintain the internal temperature at a correct level. In the perspiration there will be fluid and your personal salts. The fluid evaporates but the salt dries against the skin. It is your individual reaction to this salt that leads to the ‘prickly heat rash’. The reaction to these salts can be minimised by removing the salts from the skin surface as soon as possible. Change your clothes regularly, use plenty of talcum powder to absorb the perspiration and dry off well after showering.
Food & Water Care in Japan
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Any international traveller should recognise the risks of a ruined trip from unwise indulgence in local food and beverages. In Japan the level of food hygiene is high but the consumption of Sushi (uncooked raw fish) is unwise. Bivalve shellfish also carry a significant risk due to the limited level of sterilisation during the cooking process.
Malaria & Mosquitoes
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No malaria transmission occurs throughout Japan although avoiding mosquito bites during the humid months is wise.
Airborne Disease
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In any situation where you will be crowded together with many others the risk of a variety of airborne diseases will be higher. This will include serious diseases such as Meningococcal Meningitis but also others such as Influenza and the common cold. The risk of Meningococcal Meningitis in Japan is regarded as small and vaccine is not routinely recommended. However, having the Flu vaccine may be a wise precaution. It is also sensible to carry a small supply of lozenges to treat the inevitable sore throat which may occur.
Driving in Japan
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The road system throughout Japan is excellent but unfortunately the road signs may prove too much of a hurdle for those unfamiliar with the language! The congestion within the cities tends to be high and tolls on some of the major roads may be quite expensive. The traffic moves on the left side of the road but for many tourists it will be wiser to consider using local transportation rather than risking a ruined holiday.
English Help Lines
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Tourists can obtain important information and assistance in English while visiting Japan through the following numbers;
In Tokyo - 03-3968 4099
Rest of Japan - 0120-461 997
Vaccines for Japan
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For the majority of short-term travellers visiting Japan no particular vaccines will be recommended. Those planning to live for longer periods within the country will need to discuss this through in greater detail.

Travel News Headlines WORLD NEWS

Date: Thu 28 Nov 2019
Source: Mainichi Newspaper [in Japanese, machine trans, edited]

An announcement has been received that an employee of Kagoshima City and the drug development company Shin Nippon Kagaku (Shin Nippon Biomedical Laboratories (SNBL) in Tokyo) was infected with monkey-derived "B virus". The case concerns a technician, who was conducting animal experiments on monkeys at the research institute in Kagoshima City on the [28 Feb 2019]. The condition [of the infected individual] is not disclosed. This is the 1st time that infection has been confirmed in Japan, with about 50 cases overseas.

Most cases of past infections have come into contact with monkeys at animal testing facilities, and the National Institute of Infectious Diseases says that "normally there is no risk of spreading infection because it does not move from person to person."

B virus is a type of herpes virus, and most macaque monkeys such as rhesus monkeys and Japanese [cynomolgus macaque] monkeys have viruses. It does not cause airborne infection, but if one is bitten by a monkey with the virus, fever and sensory abnormalities [may] occur at the contact area. Severe infections may cause sequelae of neuropathy.

According to the city, a technician was infected at the Safety Laboratory, which uses monkeys to investigate safety during drug development. In February of this year [2019], she complained of headache and fever, and this month [November 2019], the National Institute of Infectious Diseases determined that it was a B virus. Technicians have never been bitten or scratched and are likely to have touched excrement and saliva.  [byline: Ran Kanno]
======================
[The timeline of the infection in the above patient is uncertain. The 2nd report above indicates that the patient initially became ill in February 2019 but was diagnosed as a herpes B virus infection this month (November 2019). The 1st report above indicates that the patient is currently in a critical condition, but not for how long in that condition. The incubation period for human herpes B virus infections is 3-30 days, although CDC notes that it may be months or even years after infection is initiated for symptoms to appear.

Herpes B virus is an alpha herpes virus. Although herpes B virus is relatively common among the 3 species of macaques affected, human cases over the years have been sporadic and few -- 50 confirmed cases (now 51 with the case above) with 21 deaths. For those humans infected CDC notes that "vesicular skin lesions sometimes occur at the exposure site. The patient may also have lymphadenitis (inflamed lymph nodes), lymphangitis (infection of lymph vessels), nausea and vomiting, abdominal pain, and hiccups.

"The virus can spread to the central nervous system (CNS) and cause the following symptoms:
- hyperesthesias (increase in sensitivity to stimuli);
- ataxia (lack of voluntary control of muscle movements);
- diplopia (double vision);
- agitation;
- ascending flaccid paralysis (extreme weakness due to reduced muscle tone).

Most patients with CNS complications will die, even with antiviral therapy and supportive care, and those who survive usually suffer serious long-term neurologic problems. Respiratory failure associated with ascending paralysis is the most common cause of death. Respiratory involvement and death can occur 1 day to 3 weeks after symptom onset." The CDC website for this virus can be found at <https://www.cdc.gov/herpesbvirus/healthcare-providers.html>. - ProMED Mod.TY]

[HealthMap/ProMED map available at:
Kagoshima City, Kagoshima, Japan:
Date: Mon 25 Nov 2019
Source: Outbreak News Today [edited]

In recent years, the number of syphilis cases has surged in Japan. In 2015, we reported on a big increase in syphilis cases in Japan where well over 2000 cases were recorded, a 4-fold increase from just 5 years earlier. In the past 2 years, more than 5500 cases were reported in 2017 and more than 6000 last year [2018]. Through [13 Nov 2019], the National Institute of Infectious Diseases (NIID) reported 5703 syphilis cases, including 1464 cases in Tokyo and 921 cases in Osaka.

Another issue the NIID has been looking at is syphilis in pregnant women in Japan. According to a report in The Mainichi [<https://mainichi.jp/english/articles/20191125/p2a/00m/0na/015000c>]: The NIID analyzed cases of syphilis reported from the 1st to the 26th week of 2019 [1-30 Jun 2019], a 6-month period from January, and found that a reported 106 of 1117 women with syphilis were pregnant. Of the 61 patients who gave their answers to a section on whether they had worked in the adult entertainment industry in the preceding 6 months, 56 said they had not done so. "It is possible that most of the expectant mothers suffering from syphilis were infected by their male partners," said Takuya Yamagishi, a doctor at the NIID. Through mid-October [2019], Japan has reported 17 congenital syphilis cases, the same as in all of 2018.
=====================
[Japan, as the United States and other countries, has experienced a rising incidence of primary and secondary syphilis that initially involved mainly men who have sex with men, but more recently has involved women in their 20s and 30s. See ProMED-mail: Syphilis - Japan (02): rising incidence, heterosexual women & men, urban  http://promedmail.org/post/20181202.6175741.

In the US and elsewhere, this increase in the incidence of syphilis in women of childbearing age has been associated with a rising incidence of congenital syphilis. However, we were not told in that prior ProMED-mail post if rates of congenital syphilis are similarly rising in Japan. Now, according to data compiled by Japan's National Institute of Infectious Diseases (NIID), the incidence of congenital syphilis in Japan is rising, with 17 cases reported by the 42nd week of 2019 (week ending 19 Oct 2019), which is as many as were reported in the whole of 2018  (<https://mainichi.jp/english/articles/20191125/p2a/00m/0na/015000c>). - ProMED Mod.ML]

[HealthMap/ProMED-mail map of Japan:
Date: Wed 20 Nov 2019
Source: The Mainichi [edited]

Cases of a lethal tick-borne virus in Japan are reportedly set to start passing the 100-people-per-year mark for the 1st time since record keeping on the condition began in 2013.

The National Institute of Infectious Diseases announced on [19 Nov 2019] that the 2019 total of 96 people affected with Huaiyangshan banyangvirus [severe fever with thrombocytopenia syndrome], also known as the SFTS virus, had surpassed the previous high of 90 in 2017. Additionally, the mortality rate is high, and due to the risk of infection being passed on by pets, the institute is warning people to be cautious. [There is a unique case of a cat transmitting SFTS virus to a veterinarian and veterinary nurse in Japan (see Severe fever w/ thrombocytopenia synd. - East Asia (02): Japan (MZ) http://promedmail.org/post/20181211.6204927). The usual transmission is via ticks. - ProMED Mod.TY]

The virus that causes SFTS was discovered by a group of Chinese researchers in 2011. It lies dormant in the body for around 6 days to 2 weeks, when it then shows symptoms including a fever, diarrhoea and bloody bowel discharges. Mortality rates of 30% have been reported. Only symptomatic treatment is available for those suffering from the virus, and there is no vaccine.

The institute has been seeking reports from medical institutions across the country regarding all patients since 2013, and an upward trend has been visible since the 1st set of reports showed 40 patients in the initiative's 1st year.

It is believed that there has not been an increase in infections, but rather that as a newly understood disease it has gradually become more easily recognized by medical professionals.

As of the end of October [2019], an overall total of 491 patients had been diagnosed with the condition [since 1st diagnosed in the country in 2013], and at the time those reports were filed 70 of [the patients] had died. It is possible that the number of the deceased has increased since that time. SFTS is particularly dangerous for elderly people, with 90% of recorded cases among those aged 60 and over.

The virus is carried by wild animals including deer and boars; if a tick (such as the Asian longhorned tick) sucks the blood of an infected animal and then later bites into another one, it passes on the virus. While it is important to be vigilant when out in hills and fields, there is also a danger of pets transmitting the disease to their owners at home after going outside.

Masayuki Saijo, head of the institute's Department of Virology 1, said, "When your pet is feeling unwell, wear protective items including thick gloves, and try not let them bite you."  [Byline: Go Kumagai]
====================
[SFTS virus apparently has become established in Japan. There were cases every year from 2013 to present, but more cases occurred in 2017 and 2018. Cases were widely disbursed geographically in 2018, with 24 prefectures reporting infected individuals. The best way to avoid infection would be to avoid tick bites.

SFTS is a serious disease and of significant public health concern. Although SFTS virus infections may be serious, there is evidence for subclinical or mild infections as well, so the previous numbers may be an underestimate of the total number of infections. There is also some evidence for person-to-person direct transmission of the virus, but that appears to be a rare event. The virus is doubtless endemic in several countries in Asia, and cases have occurred previously in Japan. Apparently, there are 2 previously reported affected individuals who acquired their infections directly from an SFTS virus-infected cat. No mention was made of tick transmission in that instance. The possible route of transmission from the cat to the veterinarian and veterinary nurse via exposure to blood or other bodily fluids is not mentioned (see Severe fever w/ thrombocytopenia synd. - East Asia (02): Japan (MZ) http://promedmail.org/post/20181211.6204927).

SFTS virus is a tick-transmitted phlebovirus in the Bunyavirus family.
Images of a _Haemaphysalis longicornis_ tick, the SFTS vector, can be seen at

[HealthMap/ProMED-mail map:
Date: Fri, 25 Oct 2019 18:01:59 +0200 (METDST)

Tokyo, Oct 25, 2019 (AFP) - Four people were killed and another person was missing in landslides and floods on Friday, local officials and news reports said, as Japan was hit by heavy rains just two weeks after a deadly typhoon barrelled through the country.   A woman in her 60s was sent to hospital and another woman in her 40s was unaccounted for after landslides struck two houses in Chiba, southeast of Tokyo, said a local disaster management official.   "She was later confirmed dead in hospital," the official told AFP.   A separate landslide destroyed another house in Chiba, killing a man, public broadcaster NHK said, adding he appeared to be a person who had earlier been reported missing.

Elsewhere in Chiba prefecture, two elderly men died in separate incidents, one in a submerged car, Kyodo news agency reported.  The Japan Meteorological Agency issued warnings of heavy rains, landslides and floods in a swathe of areas including eastern and central Japan.   "As risks of disasters have already increased, please be extremely vigilant about landslides, rise in river water volumes and floods as rains will continue," the JMA warned on its Twitter account.   Non-mandatory evacuation orders were issued to more than 390,000 residents in the Fukushima region and 5,000 people in Chiba, NHK reported.   Local authorities in Minamisoma, eastern Fukushima, announced they planned to discharge water from a dam that had reached maximum capacity Friday night, raising fears of flooding in populated downstream areas.
 
Footage showed cars splashing through roads partly inundated with water, as several swollen rivers flooded in eastern Japan.   Some 4,700 houses in the region were without power by Friday evening, while some train services were suspended, officials said.   Japan was hit by Typhoon Hagibis about two weeks ago, with the death toll from the violent storm now standing at more than 80.   Residents still picking up the pieces after that storm expressed frustrations over reconstruction delays and their fear of another disaster.   "I'm a bit worried that if an evacuation order is issued, we will have to leave here," a woman in Nagano in central Japan who was cleaning up mud told NHK.   Many of the river banks and levees that were breached during Hagibis have not yet been repaired.
Date: Tue, 15 Oct 2019 09:50:21 +0200 (METDST)
By Kyoko HASEGAWA

Tokyo, Oct 15, 2019 (AFP) - Rescuers in Japan were working around the clock Tuesday in an increasingly desperate search for survivors of a powerful weekend typhoon that killed nearly 70 people and caused widespread destruction.   Hagibis slammed into Japan on Saturday night, unleashing fierce winds and unprecedented rain that triggered landslides and caused dozens of rivers to burst their banks.   By Tuesday afternoon, local media put the toll at nearly 70, with around a dozen people missing. The government's tally was lower, but it said it was still updating information.   Prime Minister Shinzo Abe said there was no plan to slow rescue operations, with around 110,000 police, coast guard, firefighters and military troops involved.   "Currently in damaged areas rescue work and searches for the missing are continuing around the clock," Abe told parliament.   "Where rivers flooded, work is ongoing to fix spots where banks broke, and water is being pumped out where floods occurred," he added.   The prime minister's office said more than 3,000 people have been rescued in the wake of the disaster, which affected 36 of the country's 47 prefectures.   The defence ministry has called up several hundred reserve troops in addition to active duty soldiers for the first time since the 2011 earthquake and tsunami.

- Rain prompts new warnings -
Government officials warned that more rain was expected throughout the day Tuesday in several parts of the country affected by the typhoon.   "We ask people not to drop their guard and to remain fully alert," chief cabinet secretary Yoshihide Suga. told reporters.   Hagibis crashed into land packing gusts up to 216 kilometres (134 miles) per hour, but it was the storm's heavy rain that caused the most damage.   At least 176 rivers burst their banks, including in central Nagano, where a levee breach sent water from the Chikuma river gushing into residential neighbourhoods and submerging bullet trains in a depot up to their windows.   Deaths were reported across many prefectures and included a man whose apartment was flooded, a municipal worker whose car was caught in rising waters and at least seven crew aboard a cargo ship that sank in Tokyo bay on Saturday night.   By Tuesday morning, some 34,000 households were still without power, and 133,000 homes had no water.   Tens of thousands of people spent Monday night in government shelters, with many unsure when they would be able to return home.   "My frightened daughter can't stop shaking. We want to go home quickly," Rie Nishioka, 39, told Kyodo News agency in Miyagi prefecture.

- Government pledges aid -
The government pledged financial support to affected regions without specifying how much aid it would set aside.   "Support for the victims of the disaster is an urgent task," Abe said.   "There are concerns that the impact on daily life and economic activities may be long-lasting."   Another area affected by the storm was Fukushima, where several bags containing soil and plants collected during nuclear decontamination efforts were washed away.   "Ten bags out of 2,667 were swept into a river during the typhoon, but six of them were recovered yesterday," environment ministry official Keisuke Takagi told AFP, adding that the remaining four bags had been found and would be collected soon.   "Residents must be worried about the environment, but there are no reports that the bags were broken, so there will be nothing to worry about once they have been recovered safely," he said.   Hagibis caused transport chaos over a holiday weekend in Japan, grounding flights and halting train services.   By Tuesday, things were largely back to normal, though some flights were cancelled and train services partially disrupted where tracks or train stock were damaged by the storm.   The typhoon also caused disruption to sporting events, delaying Japanese Grand Prix qualifiers and forcing Rugby World Cup organisers to cancel three matches.   A crunch fixture pitting the hosts against Scotland went ahead on Sunday night, with Japan winning its first-ever quarter final spot.
More ...

World Travel News Headlines

Date: Fri, 6 Dec 2019 10:30:54 +0100 (MET)

Moscow, Dec 6, 2019 (AFP) - More than 50 polar bears have gathered on the edge of a village in Russia's far north, environmentalists and residents said, as weak Arctic ice leaves them unable to roam.   The Russian branch of the World Wildlife Fund said climate change was to blame, as unusually warm temperatures prevented coastal ice from forming.   The WWF said 56 polar bears had gathered in a one-square-kilometre (0.4-square-mile) area near the village of Ryrkaipy in Chukotka on the north-eastern tip of Russia.

There were concerns they could enter the village, home to fewer than 1,000 people, and patrols had been set up to monitor their movements.   "The number of human and predator encounters in the Arctic is increasing," the WWF said in statement.    "The main reason is the decline of sea ice area due to the changing climate. In the absence of ice cover, animals are forced to go ashore in search of food."

Residents had gathered walrus carcasses in the area to try to keep the bears from wandering into the village.   "We have created a feeding point with walrus carcasses that we gathered along the coast," Tatyana Minenko of the local "Bear Patrol" told news agency RIA Novosti.   "As long as there is no big freeze, the sea ice will not form and the bears will stay on the coast," she said.

Russia's weather service said temperatures in the region should fall from Saturday and that coastal ice should freeze by December 11.    Polar bears regularly visit areas inhabited by humans in Arctic Russia to search for food, often in rubbish tips.   But the number of visits has been growing as the melting of Arctic ice from climate change forces the bears to spend more time on land where they compete for food.
Date: Fri, 6 Dec 2019 10:28:26 +0100 (MET)
By Joseph Schmid

Paris, Dec 6, 2019 (AFP) - Travellers across France endured a second day of chaos on Friday as unions vowed to keep up their strike until President Emmanuel Macron backs down on controversial pension overhauls.   Rail operator SNCF said 90 percent of high-speed TGV trains were again cancelled, and several airlines dropped flights including Air France, EasyJet and Ryanair.

Nine of the capital's 16 metro lines were shut and most others severely disrupted, sparking some 350 kilometres (220 miles) of traffic jams in the Paris region, well above the usual 200 km, the traffic website Sytadin reported.   Many employees were unable to get to work and several schools again provided only daycare, though fewer teachers were on strike compared with Thursday when some 800,000 people demonstrated across the country according to the interior ministry.   Bike paths were crowded with bikes and electric scooters, with metro operator RATP sponsoring special deals for commuters with a range of ride-hailing companies and other transportation alternatives.

The walkout is the latest test for Macron after months of protests from teachers, hospital workers, police and firefighters as well as the "yellow vest" movement demanding improved living standards.   Unions say his "universal" pension system, which would eliminate dozens of separate plans for public workers, forces millions of people in both public and private sectors to work well beyond the legal retirement age of 62.   Health Minister Agnes Buzyn said Friday that the government had "heard" the protesters' anger and would meet with union leaders to discuss the reform on Monday.   The government has yet to lay out the details of its plan, and Buzyn told Europe 1 radio that "there is indeed a discussion going on about who will be affected, what age it kicks in, which generations will be concerned -- all that is still on the table".

- Macron 'determined' -
Yves Veyrier, head of the hardline FO union, warned Thursday the strike could last at least until Monday if the government did not take the right action.   But it remains to be seen if the protests will match the magnitude of the 1995 strikes against pension overhauls, when France was paralysed for three weeks from November to December in an action that forced the government to back down.

Macron, a former investment banker, has largely succeeded in pushing through a series of controversial reforms, including loosening labour laws and tightening access to unemployment benefits.   But this is the first time the various disgruntled groups have come together in protest.   So far Macron has not spoken publicly on the stoppages though a presidential official, who asked not to be named, said Thursday that the president was "calm" and "determined to carry out this reform" in a mood of "listening and consultation".

While most of Thursday's rallies were peaceful, police fired tear gas to disperse dozens of black-clad protesters smashing windows and throwing stones during the Paris march, with one construction trailer set on fire. Sporadic clashes were also reported in some other cities.   Many people were bracing for further disruptions over the weekend, including the prospect of fuel shortages as unions blocked most of the country's eight oil refineries.

The minimum pension age in France is 62, one of the lowest among developed countries, but there are 42 "special regimes" for railway workers, lawyers, opera employees and others offering earlier retirements and other benefits.   The government says a single system will be fairer for everyone while ensuring its financial viability while acknowledging that people will gradually have to work longer.
Date: Fri, 6 Dec 2019 04:23:51 +0100 (MET)

Sydney, Dec 6, 2019 (AFP) - Three hundred animals have been evacuated from a wildlife park north of Sydney as massive bushfires encircled Australia's largest city and foreign firefighters arrived to relieve beleaguered local forces.   Walkabout Wildlife Park said it had shipped out lizards, dingoes, peacocks and marsupials, as firefighters battled more than 100 fires up and down the eastern seaboard.   "This fire has been doing some crazy things, so we have to be prepared," general manager Tassin Barnard told AFP.

Prolonged drought has left much of eastern Australia tinder dry and spot fires have raged every day for the past three months, leaving firefighters struggling to cope.   New South Wales rural fire chief Shane Fitzsimmons said Friday that some US and Canadian firefighters had arrived to help out, easing the strain on the exhausted largely volunteer Australian force.

The incident-management and aviation specialists will help ease "fatigue and crew rotations" he said.   "We are not only appreciative of their presence here today, but of their sacrifice," said Fitzsimmons -- who has become a fixture on Australian television screens for weeks, updating the public on blazes in towns, national parks and backwaters.    "They are volunteering to sacrifice time from loved ones, from families, to give up that special time of the year around Christmas and New Year to come down here and lend us a hand," he said.

More than 600 homes have been destroyed and six people have died since the crisis began in September. That is many fewer than Australia's deadliest recent fire season in 2009 when almost 200 people died, but 2019's toll belies the scale of devastation.    Millions of hectares have burned -- the size of some small countries -- across a region spanning hundreds of kilometres (miles).   Bushfires are common in Australia but scientists say this year's season has come earlier and with more intensity due to a prolonged drought and climatic conditions fuelled by global warming.

The fires have taken a toll in Sydney and other major cities, which have been blanketed in toxic smoke for weeks and occasionally sprinkled with snow-like embers.   Fitzsimmons said he could not "overstate the effect that this profound drought is having" as he warned of a long, painful summer ahead.   "There is an absolute lack of moisture in the soil, a lack of moisture in the vegetation... you are seeing fires started very easily and they are spreading extremely quickly, and they are burning ridiculously intensely."
Date: Fri, 6 Dec 2019 03:03:18 +0100 (MET)
By Pierre-Henry DESHAYES

Half Moon Island, Antarctica, Dec 6, 2019 (AFP) - The swimsuit-clad tourists leap into the icy water, gasping at the shock, and startling a gaggle of penguins.   They are spectators at the end of the world, luxury visitors experiencing a vulnerable ecosystem close-up.   And their very presence might accelerate its demise.   Antarctica, a vast territory belonging to no one nation, is a continent of extremes: the coldest place on Earth, the windiest, the driest, the most desolate and the most inhospitable.   Now, it's also a choice destination for tourists.

All around Half Moon Island, off the Antarctic Peninsula, blocks of ice of all sizes float by on a calm sea, their varying forms resembling weightless origami shapes.    On this strip of land, that juts out of the Antarctic Polar and towards South America, visitors can see wildlife normally only viewed in zoos or nature documentaries along with spectacular icy landscapes.   The ethereal shades of white that play across the pillowy peaks change with the light, acquiring pastel hues at dawn and dusk.   "Purity, grandeur, a scale that's out of this world," says Helene Brunet, an awestruck 63-year-old French pensioner, enjoying the scene.    "It's unbelievable, totally unbelievable. It's amazing just to be here, like a small speck of dust."

AFP joined the 430 passengers on board the Roald Amundsen, the world's first hybrid electric cruise ship, on its maiden voyage in the Southern Ocean.    "It's not your typical beach, but it's awesome to do it," says a numb Even Carlsen, 58, from Norway, emerging from his polar plunge in the three-degree C (37.4 F) water.   When tourists go ashore, bundled up in neon-coloured windbreakers and slathered in SPF50 sunscreen, they have to follow strict rules: clean your personal effects so you don't introduce invasive species, keep a respectful distance from wildlife to avoid distressing them, don't stray from the marked paths and don't pick up anything.   "We mucked up the rest of the world. We don't want to muck up Antarctica too," says an English tourist, as she vacuums cat hair off her clothes before going ashore.

- 'Heart of the Earth' -
The Antarctic peninsula is one of the regions on Earth that is warming the fastest, by almost three degrees Celsius in the past 50 years, according to the World Meteorological Organization -- three times faster than the global average.    In March 2015, an Argentinian research station registered a balmy 17.5 degrees Celsius, a record.    "Every year you can observe and record the melting of glaciers, the disappearance of sea ice... (and) in areas without ice, the recolonisation of plants and other organisms that were not present in Antarctica before," said Marcelo Leppe, director of the Chilean Antarctic Institute.

Antarctica is "like the heart of the Earth," he added, saying that it expands and contracts like a heart beating, while the mighty current which revolves around the continent is like a circulatory system as it absorbs warm currents from other oceans and redistributes cold water.   The Antarctic Treaty, signed 60 years ago by 12 countries -- it now has 54 signatories -- declared the area a continent dedicated to peace and science, but tourism has gradually increased, with a sharp rise in the past few years.   Tourism is the only commercial activity allowed, apart from fishing -- the subject of international disputes over marine sanctuaries -- and is concentrated mainly around the peninsula, which has a milder climate than the rest of the continent and is easier to access.

Cruise ships have roamed the region for around 50 years, but their numbers only started to increase from 1990, as Soviet ice-breakers found new purposes in the post-Cold War era.   Some 78,500 people are expected to visit the region between November and March, according to the International Association of Antarctica Tour Operators (IAATO).   That's a 40-percent increase from last year, due in part to short visits by a few new cruise ships carrying more than 500 passengers, too many to disembark under IAATO regulations.     "Some might say 'Well, 80,000 people, that doesn't even fill a national stadium'... (and that it) is nothing like Galapagos which welcomes 275,000 a year," says IAATO spokeswoman Amanda Lynnes.    "But Antarctica is a special place and you need to manage it accordingly."

- 'Leave Antarctica to the penguins' -
It is Antarctica's very vulnerability that is attracting more and more visitors.   "We want to see this fantastic nature in Antarctica before it's gone," Guido Hofken, a 52-year-old IT sales director travelling with his wife Martina, says.    They said they had paid a supplement to climate compensate for their flight from Germany.

But some question whether tourists should be going to the region at all.   "The continent probably would be better off being left to penguins and researchers, but the reality is, that is probably never going to happen," said Michael Hall, professor and expert on polar regions at the University of Canterbury in New Zealand.   "Vicarious appreciation never seems to be enough for humans. So with that being the case, it needs to be made as low risk to the Antarctic environment and as low carbon as possible," said Hall.    "However, when the average tourist trip to Antarctica is over five tonnes of CO2 emissions per passenger (including flights), that is a serious ask."

Soot or black carbon in the exhaust gases of the scientific and cruise ships going to the region is also of concern, said Soenke Diesener, transport policy officer at German conservation NGO Nabu.   "These particles will deposit on snow and ice surfaces and accelerate the melting of the ice because the ice gets darker and will absorb the heat from the sun and will melt much faster," he told AFP.   "So the people who go there to observe or preserve the landscape are bringing danger to the area, and leave it less pristine than it was," he added.

- Responsible tourism -
Antarctic tour operators insist they are promoting responsible tourism.   The trend is for more intimate, so-called expedition cruises, in contrast to popular giant cruise liners elsewhere which are criticised for being invasive and polluting.   With greener ships -- heavy fuel, the most commonly used for marine vessels, has been banned in Antarctica since 2011 -- cruise companies have sought to make environmental awareness a selling point, occasionally earning them accusations of greenwashing.

Global warming, pollution and microplastics are the result of human activities on other, faraway continents, say tour operators.   Here, their motto is "Take nothing but photographs, leave nothing but footprints, keep nothing but memories".   But before they've even set foot on the cruise ships departing from South America -- the most common itinerary -- visitors to Antarctica will already have flown across the world, causing emissions that harm the very nature they have come so far to admire.

Most visitors hail from the Northern Hemisphere, and almost half are from the United States and China, IAATO says.   "I'm a tourist who feels a little guilty about taking a flight to come here," admits Francoise Lapeyre, a 58-year-old globetrotter om France.   "But then again, there are priorities. There are some trips I just won't take, because they leave a big footprint and they're not worth it.   "Crisscrossing the planet to go to a beach for example," she says.

- Don't mention climate change -
Like other expedition cruises where accessible science is part of their trademark, the Roald Amundsen, owned by the Hurtigruten company, has no dance floor or casino.  Instead, there are microscopes, science events and lectures about whales and explorers like Charles Darwin.   But they steer clear of climate change, which is only mentioned indirectly.   That's a deliberate decision as the subject has proven "quite controversial", said Verena Meraldi, Hurtigruten's science coordinator.   "We held several lectures dedicated specifically to climate change but it leads to conflicts. There are people who accept it as a fact, others who don't," she said.   Onboard, "passengers" are referred to as "guests" and "explorers" rather than "cruisers".   "Explorers" are typically older, well-heeled, often highly travelled pensioners who are handed walking sticks as they step ashore.   "My 107th country," says a Dane, stepping ashore onto Antarctica.

The Roald Amundsen "guests" choose between three restaurants, from street food to fine dining -- a far cry from the conditions endured by the Norwegian adventurer for whom the ship is named, who had to eat his sled dogs to survive his quest to reach the South Pole in 1911.   They have paid at least 7,000 euros ($7,700) each for an 18-day cruise in a standard cabin, and up to 25,000 euros ($27,500) for a suite with a balcony and private jacuzzi.   Other cruises are banking on ultra-luxury, with James Bond-like ships equipped with helicopters and submarines, suites of more than 200 square metres (2,153 square feet) and butler services.   With a seaplane to boot, the mega-yacht SeaDream Innovation will offer 88-day cruises "from Pole to Pole" starting in 2021. The two most expensive suites, with a price tag of 135,000 euros per person, are already booked.
 
- Worlds collide -
Outside, in the deafening silence, wildlife abounds.   All around are penguins, as awkward on land as they are agile in water. Massive and majestic whales slip through the waves, and sea lions and seals laze in the sun.   On Half Moon Island, chinstrap penguins -- so called because of a black stripe on their chin -- strut about in this spring breeding season, raising their beaks and screeching from their rocky nests.   "This is to tell other males 'This is my space' and also, maybe, 'This is my female'," ornithologist Rebecca Hodgkiss, a member of the Hurtigruten's scientific team, explains, as a group of tourists stroll around ashore.   The colony of 2,500 penguins has been gradually declining over the years, but it's not known if that is man's fault or they have just moved away, according to Karin Strand, Hurtigruten's vice president for expeditions.   Invisible to the naked eye, traces of humankind are however to be found in the pristine landscape.   Not a single piece of rubbish is in sight but microplastics are everywhere, swept in on ocean currents.   "We've detected them in the eggs of penguins for example," Leppe told AFP.

- Venice under water -
The Antarctic, which holds the world's largest reserve of freshwater, is a ticking time bomb, warn experts and studies.   They say that the future of millions of people and species in coastal areas around the world depends on what is happening here.   As a result of global warming, the melting ice sheet -- especially in the western part of the continent -- will increasingly contribute to rising sea levels, radically re-drawing the map of the world, says climate scientist Anders Levermann, of the Potsdam Institute for Climate Impact Research.   This meltwater will contribute 50 centimetres (almost 20 inches) to the global sea level rise by 2100, and much more after that, he said.   "For every degree of warming, we get 2.5 metres of sea level rise. Not in this century, but in the long run," he said.

Even if the international community meets its obligations under the Paris Agreement to limit global warming to under two degrees Celsius, sea levels will still rise by at least five metres.   "Which means that Venice is under water, Hamburg is under water, New York, Shanghai, Calcutta," he said.   It's impossible to predict when, but the scenario appears unavoidable, says Levermann.   In the same way that a cruise ship powering ahead at full speed can't immediately stop, sea levels will continue to rise even if all greenhouse gas emissions were to cease immediately, a study has said.

- Changing the world? -
The tourism industry says it hopes to make "ambassadors" out of Antarctica visitors.   "It's good for the animal life and for the protection of Antarctica that people see how beautiful this area is, because you cherish what you know and understand," said Hurtigruten chief executive Daniel Skjeldam.   Texan tourist Mark Halvorson, 72, says he is convinced.   "Having seen it, I am that much more committed to having a very high priority in my politics, in my own inner core convictions to being as environmentally friendly in my life as I can," he said.   So, do Guido and Martina Hofken see themselves as future "ambassadors of Antarctica"?    "Just a little bit, probably. But I don't think I will change the world," Guido Hofken concedes.    "The best thing would be for nobody to travel to Antarctica."
Date: Thu, 5 Dec 2019 16:37:37 +0100 (MET)

Paris, Dec 5, 2019 (AFP) - French rail operator SNCF said Thursday that it had cancelled 90 percent of all high-speed TGV trains and 70 percent of regional trains for Friday due to a strike over the government's pension reforms.   SNCF said that services would "still be very disrupted" on the second day of the biggest transport strike in the country in years, with the Eurostar service to Britain and the Thalys service to northern Europe set to be "very heavily disrupted".   In Paris, where only two of 16 metro lines were operating normally Thursday, public transport workers voted to remain on strike until Monday.

France's civil aviation authority meanwhile told airlines to cut 20 percent of their flights in and out of airports in Paris, Beauvais, Lyon, Marseille, Toulouse and Bordeaux on Friday, the same proportion as on Thursday.   Striking transport workers, air traffic controllers, teachers, fire fighters, lawyers and other groups all fear they will have to work longer or receive reduced pensions under the government's proposal to scrap 42 special pension schemes and replace them with a single plan.   Anticipating the worst travel chaos in years, many employees opted to work from home on Thursday. Those who did venture out travelled mainly by car, bicycle, electric scooter or on foot.
Date: Thu, 5 Dec 2019 12:19:45 +0100 (MET)
By Sofia CHRISTENSEN

Johannesburg, Dec 5, 2019 (AFP) - South African Airways was placed under a state-approved rescue plan on Thursday to avoid the embattled airline's collapse following a costly week-long strike last month.   Thousands of South African Airways (SAA) staff walked out on November 15 after the flag carrier failed to meet a string of demands, including higher wages and job in-sourcing.   The strike was called off the following week after SAA management and unions eventually clinched a deal.

But the walkout dealt a severe blow to the debt-ridden airline, which has failed to make a profit since 2011 and survives on government bailouts.   "The Board of SAA has adopted a resolution to place the company into business rescue," said a statement by South Africa's Public Enterprises Minister Pravin Gordhan, adding that the decision was also supported by the government.   "It must be clear that this is not a bailout," said Gordhan. "This is the provision of financial assistance in order to facilitate a radical restructure of the airline."   The business rescue process will be directed by an independent practitioner. It is meant to prevent a "disorderly collapse of the airline", he added.   Gordhan said the government would provide 2 billion rand ($136 million) to SAA in "a fiscally neutral manner".   Existing lenders will also provide a 2 billion rand loan guaranteed by the government.

- 'Financial challenges' -
South Africa is struggling to get state-owned companies back on track after nine years of corruption and mismanagement under former president Jacob Zuma.   Its national airline -- which employs more than 5,000 workers and is Africa's second largest airline after Ethiopian Airlines -- had been losing 52 million rand ($3.5 million) a day during the strike.   SAA's board said the business rescue, scheduled to start immediately, was decided after consultations with shareholders and the public enterprises department "to find a solution to our company's well-documented financial challenges".

"The considered and unanimous conclusion has been to place the company into business rescue in order to create a better return for the company's creditors and shareholders," said the SAA board of directors in a statement.   The rescue plan will include a "new provisional timetable" and ensure "selected activities... continue operating successfully".   With a fleet of more than 50 aircraft, SAA flies to over 35 domestic and international destinations.   "SAA understand that this decision presents many challenges and uncertainties for its staff," said the board.   "The company will engage in targeted communication and support for all its employee groups at this difficult time.

- 'Lesser evil' -
Unions told AFP they would comment later on Thursday.   They have agreed to a 5.9-percent wage increase backdated to April, but which would only start to be paid out next March depending on funding.   SAA had initially refused any pay rise.    The cash-strapped airline needs two billion rand ($136 million) to fund operations through the end of March. But it was unable to cover all of its staff salaries last month.    "Business rescue allows for the airline to continue to operate while it is being restructured, as opposed to liquidation," analyst Daniel Silke told AFP.   He said the rescue was a "lesser evil for SAA" and would save more jobs than a "shutdown".

But Silke still expected jobs to be cut as SAA attempted to reduce costs.   "Various divisions that make of SAA could be privatised," he said. "There will be a review of SAA aircraft and routes covered by SAA."   Unions had already demanded a three-year guarantee of job security following an announcement last month that almost 1,000 SAA employees could lose their jobs as part of another restructuring plan.   SAA pledged to defer that process to the end of January as part of the deal that ended the strike.
Date: Wed 4 Dec 2019
Source: Stock Daily Dish [edited]

Bihar Health Minister Mangal Pandey on [Sat 30 Nov 2019] said the state government is doing its best to save children, as the death toll due to acute encephalitis syndrome [AES] in Muzaffarpur mounted to 73.

Pandey said doctors and nurses are being called in from Patna for additional help. "We are trying everything and anything that can save children's lives. Everything is being made available from medicines to doctors. We have even called doctors and nurses from AIIMS in Patna," he said. "There is a protocol regarding what kind of medicines and facilities should be given and we are doing the same. We are monitoring things regularly and trying to save our children."

Recalling the situation that prevailed 5 years ago, Pandey said a team that was formed to ascertain the cause of this disease concluded that sleeping empty stomach at night, dehydration due to humidity and eating lychee on empty stomach were some of the causes of encephalitis.

"Our government has tried to spread awareness which will be beneficial as well. Advertisement in newspapers, radio jingles, pamphlets and mic [microphone] announcements are going to spread awareness regarding the disease. Health ministry is also working on it," he said.

On being asked about spread of ASE in Gorakhpur last year [2018], he said, "From Gorakhpur to Muzaffarpur region, this disease had spread last year and the Union government had worked on this and we will continue to fight it now."

"This incident in Muzaffarpur is very saddening and we also feel bad when children of our nation die like this. Not the whole district is affected but a large part is suffering from it," he added.

From [1 Jan 2019], until now [5 Dec 2019], 220 children were admitted in Sri Krishna Medical College and Hospital in Muzaffarpur due to AES, out of which 62 lost their lives.

As per the data of SKMCH hospital, 235 children were admitted, of which 89 died; in 2013 - 90 children were admitted, of which 35 died; in 2014 - 334 children were admitted, of which 117 died; in 2015 - 37 children were admitted, of which 15 died; in 2016 - 31 children were admitted, of which 6 died; in 2017 - 44 children were admitted, of which 18 died; and in 2018 - 43 children were admitted, of which 12 died.

Meanwhile, Minister of State for Union ministry for home affairs, Nityanand Rai, visited Sri Krishna Medical College and Hospital to review the situation after the outbreak of AES.

Encephalitis is a viral disease, which causes mild flu-like symptoms such as high fever, convulsions and headaches and has been claiming lives in the district for the past few weeks.
======================
[The dates within which these AES cases have occurred is not stated. The urgency that has prompted Behar health officials to request the aid of physicians and nurses from adjoining Patna suggests that the AES outbreak is going on currently. The uncertainty about the etiology of AES continues. It is curious that the above report makes no mention of negative or positive tests for Japanese encephalitis among the AES patients, although that virus is endemic in northeastern India, including Bihar state. Neighboring Uttar Pradesh state has had JE cases as well this summer (2019) but has intensified its JE vaccination program.

The issue of the aetiology of AES has been under discussion for a long time. Lychee fruit contain toxins. Encephalopathy and hypoglycaemia have been associated with consumption of lychee fruit contains phytotoxins, specifically alpha-(methylenecyclopropyl)glycine (see ProMED-mail archive no. http://promedmail.org/post/20150201.3132842). However, the current cases cannot be due to lychee consumption, since the season for that fruit has passed.

AES has continued to be attributed to a variety of aetiologies, including Reye syndrome-like disease, possible enterovirus infection from polluted water, heatstroke, lychee fruit consumption, and scrub typhus (_Orientia tsutsugamushi_). A recent publication (reference below) states that dengue virus is one of the 3 most common agents identified in AES, but existing surveillance for AES does not include routine testing for dengue. Until the etiology (or etiologies) of these AES cases is determined, effective and efficient prevention of these cases will not be possible.

Reference:
Ravi V, Hameed SKS, Desai A, et al. Dengue virus is an under-recognised causative agent of acute encephalitis syndrome (AES): results from a 4-year AES surveillance study of Japanese encephalitis in selected states of India. Int J Infect Dis 2019;84 Suppl:19-24. <https://doi.org/10.1016/j.ijid.2019.01.008>.

Available at:

[Maps of India:
HealthMap/ProMED maps available
at:<http://healthmap.org/promed/p/364>, and Bihar, India:
Date: Thu 5 Dec 2019 6:11 PM EET
Source: Enab Baladi [edited]

[Leishmaniasis] is spreading widely among residents of Deir ez-Zor, and especially children. Some of the areas affected are controlled by the Kurdish self-administration while others are under the control of the Syrian regime. Medical sources counted hundreds of infected civilians and confirmed the disease's rapid spread.

According to Atef al-Tawil, a manager of the Leishmania & Environmental Health Programme at the Syrian regime's Ministry of Health, most infections in eastern Deir ez-Zor are spread among school children.

In a Facebook comment on a post by Twasol agency, al-Tawil claimed that cases of leishmaniasis were detected, at the end of November [2019], in primary schools in eastern Deir ez-Zor and its surrounding villages (al-Jalaa, al-Salihiyah, al-Tawtha, al-Abbas, al-Mujawdeh, al-Hasarat, al-Saial, al-Ghabrah).

According to al-Tawil, 455 infections of children were detected. A treatment team of 10 members was formed in the affected locations, to help control the disease to aid in early detection.

The Syrian Ministry of Health acted after several appeals by civilians residing in the area as they noticed the disease spreading among their children. Al-Tawil said that this rapid spread was due to the fact that all the infected people have lately returned to their original areas which lack medical centers.

Autonomous administration areas
-------------------------------
According to Euphrates Post network, leishmaniasis is also widely spread in areas controlled by the Syrian Democratic Forces (SDF). In its post on [Sun 1 Dec 2019], the network claimed that the spread of leishmaniasis is mostly concentrated in the eastern countryside of Deir ez-Zor.

According to the network, unofficial statistics by the SDF-affiliated local council shows more than 7000 leishmaniasis infections among children in al-Baghouz, Hajin, Diban, al-Sha'afa, al-Kishkiye, Abu Hamam, and Gharanij. The local councils' attempts of controlling the disease are still substandard, according to the Euphrates Post.

The network also quoted doctors and nurses calling for international organizations to interfere and provide hospitals and clinics with the required vaccine [there is no vaccine for leishmaniasis; ed.], and to train specialized medical staff in each clinic to deal with the disease.

The autonomous-administration-affiliated media center in Deir ez-Zor also confirmed the spread of leishmaniasis and pointed out that the authorities took actions, by the end of November [2019], to provide treatments.

According to the media center, special medical teams and cadres were distributed among the clinics to provide 12,000 ampoules of the required [medicine] to treat leishmaniasis with the support of the World Health Organization.

Leishmaniasis is a parasitic disease transmitted by the bite of infected female phlebotomine sandflies -- a very small yellow fly that is active at night and makes no sound when it bites -- and the main cause for its spread is dirt and lack of hygiene.  [Byline: Enab Baladi]
========================
[Deir ez-Zor is east and south of the locations in the previous ProMED reports (see below), indicating further increase in cases of cutaneous leishmaniasis beyond its historical concentration in western Syria (<https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4861536/>) and beyond the area of the MENTOR initiative in northern Syria (<https://wwwnc.cdc.gov/eid/article/24/11/17-2146_article>).

Cutaneous leishmaniasis is endemic in Syria with its reservoir in rodents. It has been a problem throughout the Syrian civil war and in ISIS controlled areas during the war due to a breakdown in rodent and vector control. - ProMED Mod.EP]

[Maps of Syria:
Date: Tue 3 Dec 2019
Source: Twitter feed in Arabic [machine trans., edited]

Taiz health official: 24 laboratory-confirmed cases of West Nile virus and more than 300 suspected cases. #Republic_Yemen
===================
[Any information on the actual number of WNV cases, their lab confirmation, and public health response activities in this regard will be highly appreciated. - ProMED Mod.UBA]

[HealthMap/ProMED-mail map of Yemen:
Date: Tue 3 Dec 2019
Source: Cordoba Epidemiology Report and Los Tiempos news article [in Spanish, trans., edited]
<http://www.reporteepidemiologico.com/wp-content/uploads/2019/12/REC-2264.pdf>

Los Tiempos, Bolivia, 2 Dec 2019 Confirmation of the 1st case of the year (2019) of human rabies in Cochabamba After confirming the death of rabies of a 7-year-old girl in the southern area of Cochabamba, the Departmental Health Service (SEDES) and the Zoonosis Unit of the Mayor's Office intensified prevention actions to prevent the proliferation of the virus. This would be the 1st case confirmed so far this year [2019].

The head of the Epidemiology Unit of SEDES, Arturo Fernando Quiaones Lapez, reported that in the last rabies vaccination campaign for dogs more 1000 doses were given. "We suspected rabies in the case of this minor. She tested positive by laboratory both in cerebrospinal fluid as well as in brain tissue," according to lab results obtained on 2 Dec 2019. The victim died on 26 Nov 2019 after being hospitalized in intensive care of the Children's Hospital for 2 days with signs of rabies," said Dr Manuel Ascencio Villarroel.

The patient's relatives reported the girl had contact with a puppy which died a month ago. The dog did not receive rabies vaccines and belonged to someone the family knows. Quiñones mentioned the family members of the girl and the owners of the animal are receiving preventive treatment. Meanwhile, the head of Zoonosis of the Mayor's Office, Javier Humberto Rodraguez Herrera, stated on 2 Dec 2019 a "massive focus blockade" will be held with the participation of 8 health centers to prevent the circulation of the virus in the area.

He commented that, to date, 11 cases of canine rabies have been recorded in the municipality. In more than 11 months of 2019, SEDES identified 25 positive cases of canine rabies, the majority in the metropolitan region. Quiaones asked the population to report the death of their pets with signs of rabies at health centers for follow-up to fight the disease. Meanwhile, from the City Hall, the owners of dogs were urged to have their dogs vaccinated. Javier Rodra­guez added another risk factor is when animals are collected from the street and they are not vaccinated.
===================
[The rabies virus attacks the nervous system in animals.  When a rabid animal bites a human being, it can transfer the virus, contained in saliva, to that individual. "After inoculation, rabies virus may enter the peripheral nervous system directly and migrates to the brain or may replicate in muscle tissue, remaining sequestered at or near the entry site during incubation, prior to central nervous system invasion and replication. It then spreads centrifugally to numerous other organs. The case-fatality ratio approaches unity [100%], but exact pathogenic mechanisms are not fully understood. "Susceptibility to lethal infection is related to the animal species, viral variant, inoculum concentration, location and severity of exposure, and host immune status.

Both virus-neutralizing antibodies and cell-mediated immunity are important in host defense. "Early diagnosis is difficult. Rabies should be suspected in human cases of unexplained viral encephalitis with a history of animal bite. Unvaccinated persons are often negative for virus-neutralizing antibodies until late in the course of disease. Virus isolation from saliva, positive immunofluorescent skin biopsies or virus neutralizing antibody (from cerebrospinal fluid, or serum of a non-vaccinated patient), establish a diagnosis. "Five general stages of rabies are recognized in humans: incubation, prodrome, acute neurologic period, coma, and death (or, very rarely, recovery).

No specific anti-rabies agents are useful once clinical signs or symptoms develop. The incubation period in rabies, usually 30 to 90 days but ranging from as few as 5 days to longer than 2 years after initial exposure, is more variable than in any other acute infection. Incubation periods may be somewhat shorter in children and in individuals bitten close to the central nervous system (such as the head).

Clinical symptoms are first noted during the prodromal period, which usually lasts from 2 to 10 days. These symptoms are often nonspecific (general malaise, fever, and fatigue) or suggest involvement of the respiratory system (sore throat, cough, and dyspnoea), gastrointestinal system (anorexia, dysphagia, nausea, vomiting, abdominal pain, and diarrhoea), or central nervous systems (headache, vertigo, anxiety, apprehension, irritability, and nervousness).

More remarkable abnormalities (agitation, photophobia, priapism, increased libido, insomnia, nightmares, and depression) may also occur, suggesting encephalitis, psychiatric disturbances, or brain conditions. Pain or paraesthesia at the site of virus inoculation, combined with a history of recent animal bite, should suggest a consideration of rabies. "The acute neurologic period begins with objective signs of central nervous system dysfunction.

The disease may be classified as furious rabies if hyperactivity (that is, hydrophobia) predominates and as dumb rabies if paralysis dominates the clinical picture. Fever, paraesthesia, nuchal rigidity, muscle fasciculations, focal and generalized convulsions, hyperventilation, and hypersalivation may occur in both forms of the disease. "At the end of the acute neurologic phase, periods of rapid, irregular breathing may begin; paralysis and coma soon follow. Respiratory arrest may occur thereafter, unless the patient is receiving ventilatory assistance, which may prolong survival for days, weeks, or longer, with death due to other complications.

"Although life support measures can prolong the clinical course of rabies, rarely will they affect the outcome of disease. The possibility of recovery, however, must be recognized, and when resources permit, every effort should be made to support the patient. At least 7 cases of human "recovery" have been documented." (<https://www.ncbi.nlm.nih.gov/books/NBK8618/>)

A very sad situation which could have been prevented if the animal had been vaccinated. Responsible owners vaccinate their animals. Condolences to the family. - ProMED Mod.TG]

[HealthMap/ProMED-mail map of Bolivia: <http://healthmap.org/promed/p/55162>]