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United States of America

FCO - UK information on the United States
Updated: 25 July 2002

SUMMARY
Most visits to the United States are trouble-free. However, visitors should continue to be vigilant about their personal security.

SAFETY AND SECURITY<
R />Travellers to the United States should use common sense and take basic precautions.

If staying in a hotel, do not leave your door open at any time.

Do not wear ostentatious jewellery and avoid walking in obviously run down areas.
If arriving at night, take a taxi to your hotel and collect your hire car the next day.
If departing on an evening flight avoid leaving luggage and souvenirs in view in your hire car during the day. Thieves are targeting these vehicles and stealing the contents.
Drive on main highways and use well-lit car parks.

Do not stop if your car is bumped from behind. Instead, indicate to the other driver to follow you to the nearest public area and call for police assistance.
Do not sleep in your car on the roadside or in rest areas.
LOCAL LAWS AND CUSTOMS
Travellers wishing to visit Canada during their stay should contact the Canadian Consulate and US Immigration and Naturalisation Service for entry clearance requirements. If travellers have 90 day visa waiver for US, they should not wait until the end of their stay to travel between US and Canada. Travellers must not overstay past expiration date of their visa as they may risk being denied entry in either country or be deported. Travellers need to carry passports, round trip airline tickets showing their confirmed departure for return from US or Canada to country of origin, and they may need to show proof of sufficient funds to cover their stay.

Travellers should be aware that the age of consent varies from state to state in the US, as does the age at which someone may legally buy and consume alcohol.
ENTRY REQUIREMENTS
Foot and Mouth Disease:
Travellers are prohibited from carrying into the US any agricultural products, particularly animal products – including dairy products – that could spread FMD. (Some hard cheeses and canned meats are permitted. If you are in any doubt, you must check with a US customs or US Department of Agriculture (USDA) official immediately on arrival in the airport terminal). Passengers are required to tick the appropriate box on the US Customs declaration form if they have recently visited a zoo, or been on a farm or in contact with livestock. Passengers are specifically required to identify any farm contacts to US Customs and USDA officials. All luggage is subject to inspection. Penalties for not declaring farm visits or prohibited items can run to $1,000.

All US ports of entry and airports are on heightened alert to ensure that passengers, luggage and cargo are checked as appropriate. This includes placing additional inspectors and dog teams at airports to check incoming flights and passengers.

USDA are saying that soiled shoes, clothing or luggage will be disinfected on arrival. Food products and any other items suspected of potentially carrying the FMD virus will be confiscated and destroyed.
HEALTH
Medical treatment can be very expensive; there are no special arrangements for British visitors. The British Embassy and Consulates-General cannot assist with medical expenses.

Travellers who are HIV-positive
Travellers to the United States who are HIV-positive are not eligible, under current United States visa law, to travel visa free under the Visa Waiver Programme. They are required to apply for a visa and a waiver of the ineligibility before travelling. US immigration authorities state applicants’ details will remain confidential and an applicant’s HIV status will not/not be declared on their passport. For more details contact the US Embassy in London.
GENERAL
Comprehensive travel and medical insurance is essential.
NATURAL DISASTERS
Visitors to the United States will be aware of reports of large-scale wild and forest fires throughout the country. Those travelling to affected areas should be particularly vigilant and pay attention to advice from local authorities and press and radio announcements about personal safety and how to avoid starting fires. Further information can be obtained from the National Interagency Fire Centre, 3833 S. Development Avenue, Boise, Idaho, 83705-5354; tel: +1 208 387 5512; Website: www.nifc.gov

Travel News Headlines WORLD NEWS

Date: Wed 10 Jul 2019
Source: Food Safety News [edited]
<https://www.foodsafetynews.com/2019/07/officials-investigating-outbreak-of-parasitic-infections-following-banquet/>

Thirty people or more have reported contracting parasitic infections after a charity banquet at a restaurant in Jacksonville, FL.

A local television news outlet is reporting that people who were at an Exchange Club banquet at Cooper's Hawk Winery & Restaurant developed gastrointestinal illnesses with some having been confirmed infected by the _Cyclospora_ parasite.

"I got up to go to the bathroom and collapsed," TC, who attended the banquet, told News4Jax. "My wife called 911 and I was taken to the hospital by ambulance. TC also said he lost 12 pounds since becoming ill in mid-June.

It can take 2 days to 2 weeks after ingesting _Cyclospora_ for symptoms of the infection known as cyclosporiasis to develop, according to the U.S. Centers for Disease Control and Prevention. Once a person becomes ill, it can take 2 or more weeks for initial and confirmation laboratory test results to be logged by outbreak investigators. _Cyclospora_ outbreaks are frequently linked to fresh produce such as cilantro.

Officials from the Duval County Health Department are working with the CDC on the outbreak investigation. Officials are requesting banquet attendees to fill out surveys.

Even though it's been almost a month since TC became ill, according to the television station report, he is still sick. Another outbreak victim, JJ, also said symptoms from the parasitic infection keep hanging on. "What has been so devastating about this is that there are relapses. So you think you're getting better, you feel, like 'OK. I'm alright. I'm going to eat a small meal or a piece of toast.' And maybe a day or two goes by and bam, here it comes again."

According to the CDC, symptoms of cyclosporiasis may include the following:
Watery diarrhea, which is the most common symptom; loss of appetite; weight loss; cramping; bloating; increased gas; nausea; and fatigue. Other symptoms that may occur but are less common include vomiting and a low-grade fever.

If a person becomes infected with the _Cyclospora_ parasite and is not treated, symptoms can persist for several weeks.
=======================
[Cyclosporiasis is caused by a single cell, protozoan parasite _Cyclospora cayetanensis_ (<https://www.cdc.gov/parasites/cyclosporiasis/index.html>). It is well known that it is spread with different lettuce products and has previously caused multi-state outbreaks in the US when products from a single manufacturer have been widely distributed.

Another branch of this same restaurant chain in Florida (Palm Beach Gardens) has just recently had 2 employees with Hepatitis A:


[HealthMap/ProMED map available at:
Florida, United States: <http://healthmap.org/promed/p/212>]
Date: Mon 8 Jul 2019
Source: Centers for Disease Control and Prevention (CDC) [edited]

Since March 2017, CDC's Division of Viral Hepatitis (DVH) has been assisting multiple state and local health departments with hepatitis A [HAV] outbreaks, spread through person-to-person contact.

The hepatitis A vaccine is the best way to prevent HAV infection.

The following groups are at highest risk for acquiring HAV infection or developing serious complications from HAV infection in these outbreaks and should be offered the hepatitis A vaccine in order to prevent or control an outbreak:
- People who use drugs (injection or non-injection)
- People experiencing unstable housing or homelessness
- Men who have sex with men (MSM)
- People who are currently or were recently incarcerated
- People with chronic liver disease, including cirrhosis, hepatitis B, or hepatitis C

One dose of single-antigen hepatitis A vaccine has been shown to control outbreaks of hepatitis A and provides up to 95% seroprotection in healthy individuals for up to 11 years.

Pre-vaccination serologic testing is not required to administer hepatitis A vaccine. Vaccinations should not be postponed if vaccination history cannot be obtained or records are unavailable.

CDC has provided outbreak-specific considerations for hepatitis A vaccine administration.

State-reported hepatitis A cases and clinical outcomes
---------------------------------------------------
State / Case total / Hospitalizations, n (%) / Deaths / Outbreak start date / Data current through / New weekly cases since last post
Total / 21 375 / 12 564 (59%) / 208 / -- / -- /

States with an ongoing outbreak:
-----------------------
Alabama / 92 / 48 (52%) / NR / 1 Sep 2018 / 3 Jul 2019 / 4
Arizona / 424 / 335 (79%) / 3 / 1 Nov 2018 / 3 Jul 2019 / 14
Arkansas / 369 / 176 (48%) / 3 / 7 Feb 2018 / 28 Jun 2019 / 26
Colorado / 86 / 55 (64%) / 0 / 1 Oct 2018 / 3 Jul 2019 / 6
Florida / 2359 / NR / 21 / 1 Jan 2018 / 6 Jul 2019 / 97
Georgia / 468 / 317 (68%) / 2 / 1 Jun 2018 / 28 Jun 2019 / 15
Idaho / 25 / 13 (52%) / 0 / 1 Jan 2019 / 4 Jul 2019 / 0
Illinois / 134 / 84 (63%) / 1 / 1 Sep 2018 / 3 Jul 2019 / 4
Indiana / 1698 / 927 (55%) / 4 / 1 Nov 2017 / 5 Jul 2019 / 58
Kentucky / 4766 / 2295 (48%) / 58 / 1 Aug 2017 / 29 Jun 2019 / 17
Louisiana / 335 / 201 (60%) / 1 / 1 Jan 2018 / 3 Jul 2019 / 17
Massachusetts / 477 / 381 (80%) / 7 / 1 Apr 2018 / 1 Jul 2019 / 38
Michigan / 917 / 736 (80%) / 28 / 1 Aug 2016 / 3 Jul 2019 / 1
Missouri / 333 / 173 (52%) / 2 / 1 Sep 2017 / 25 Jun 2019 / 10
New Hampshire / 143 / 85 (59%) / 1 / 1 Nov 2018 / 2 Jul 2019 / 3
New Jersey / 236 / 171 (65%) / 3 / 1 Dec 2018 / 28 Jun 2019 / --
New Mexico / 130 / 101 (78%) / 2 / 8 Nov 2018 / 3 Jul 2019 / 2
North Carolina / 86 / 60 (70%) / 1 / 1 Jan 2018 / 1 Jul 2019 / 1
Ohio / 3130 / 1881 (60%) / 13 / 1 Jan 2018 / 1 Jul 2019 / 15
South Carolina / 172 / 123 (72%) / 1 / 1 Nov 2018 / 28 Jun 2019 / 13
Tennessee / 1863 / 1131 (61%) / 10 / 1 Dec 2017 / 28 Jun 2019 / 72
Virginia / 84 / 51 (61%) / 0 / 1 Jan 2019 / 3 Jul 2019 / 6
West Virginia / 2528 / 1252 (50%) / 23 / 19 Mar 2018 / 3 Jul 2019 / 0

States with a declared end to their outbreak:
California / 708 / 464 (66%) / 21 / 1 Nov 2016 / 11 Apr 2018
Utah / 281 / 152 (54%) / 3 / 8 May 2017 / 12 Feb 2019

NR: not publicly reported
- "Outbreak-associated" status is currently determined at the state level in accordance with each state's respective outbreak case definition.
- Outbreak-related hepatitis A deaths are defined at the state level in accordance with each state's respective hepatitis A-related death definition. Some states are reviewing death certificates on a regular basis to actively find hepatitis A-related deaths, while other states are utilizing passive surveillance.
- Outbreak start date is defined at the state level and may represent the earliest onset date of an outbreak case (AR, AZ, UT), the left censor date for which cases are considered part of the outbreak based on the state outbreak case definition (AL, CA, CO, FL, GA, ID, IL, IN, KY, LA, MA, MI, MO, NC, NH, NJ, OH, SC, TN, VA), or when a state declared a hepatitis A outbreak (NM, WV).
======================
[Overall, the top 4 states for HAV cases are Kentucky, Ohio, West Virginia and Florida.

As the numbers of cases continue to rise in a number of states, and news of smaller (so far) outbreaks occur in others, the question at the end of ProMED-mail post http://promedmail.org/post/20190104.6241686 by a Kentucky official -- "This is a disease of developing countries. One has to ask: Why are we seeing it in the USA?" -- is more and more relevant. We are seeing these outbreaks because of the inability to deal with marginalized populations among our midst. The dramatic cutbacks in public health infrastructure in some of these states clearly feed the fire of these outbreaks. They must be addressed by bolstering public health resources and education and directly addressing the needs of these marginalized populations. - ProMED Mod.LL]

[HealthMap/ProMED-mail map:
Date: Fri 5 Jul 2019
Source: AZ Family/KPHO/KTVK [edited]

County health workers said cases of West Nile virus are now predicted to hit a 5 year high. At this rate, they anticipate infected mosquitoes to be flying around Maricopa county until November [2019].  "We have mosquitoes in Maricopa county that don't just bite at dawn and dusk, but also ones that bite all day long," said Rebecca Sunenshine, Medical Director at the Maricopa County Department of Public Health. So far this year [2019], the Arizona Department of Health confirmed 16 West Nile [human] cases, all in Maricopa county.

According to the numbers, that is already more than all of last year [2018] when there were 12.  Health workers said the increase of cases comes as the busy season for West Nile, the monsoon, just got started.  "We don't want anyone in the Valley to feel like it's not here. It's all over the Valley, so everybody who goes outside needs to wear insect repellent," Sunenshine said. At this rate, county health experts said Maricopa county will likely see the most West Nile cases in 5 years.

Experts said only 20-percent of people have symptoms.  "When we see such a steep increase in the number of cases and we know there are so many infected mosquitoes out there, we need to do everything we can to protect ourselves," said Sunenshine.  [Byline: Ryan Simms]
=========================
[Last year (2018) in Arizona there were 21 cases of neuroinvasive West Nile virus disease and 3 deaths. Although WNV cases occur annually in the lower 48 states, the number of cases varies from year-to-year. So far in 2019, the cases in Maricopa county, Arizona have reached 16 and more cases are expected for the remainder of the transmission season late in the current year. Although there is a commercial vaccine for equine animals, there is not one available for people. Avoidance of mosquito bites is the best preventive measure available. Owners of equine animals should vaccinate them against WN virus. - ProMED Mod.TY]
Date: Tue, 9 Jul 2019 11:11:34 +0200

Washington, July 9, 2019 (AFP) - Torrential rain lashed Washington DC and surrounding areas on Monday, flooding many neighbourhoods and hobbling electricity and transportation networks.   The National Weather Service issued a Flash Flood Warning as the storm hit, drowning roads and forcing closures of many major arteries. Airports and rail networks were also hit, causing delays.

The American capital's Ronald Reagan airport received 3.3 inches (around 83 millimetres) of rainfall in just one hour, the NWS added in a tweet.   Dramatic footage aired on local TV stations and posted on social media showed vehicles submerged on roads near major landmarks like the Washington Monument, and some motorists standing on the roofs of their cars as the floodwaters rose.   One such video showed water gushing down through a hole in the roof of a Washington metro station.

The main power vault of the National Archives building -- which houses some of the most important documents in American history -- was flooded, cutting power as the streets around it were submerged.   "The building's flood walls deployed and worked," the institution said in a statement.   "The Declaration of Independence, Constitution, and Bill of Rights -- along with all of the permanently valuable records stored in the building -- are safe and not in any danger."   The White House was not spared either: Footage posted by several correspondents and outlets showed puddles forming in one of its basements.

Emergency services said they received dozens of calls from citizens seeking help. Despite the widespread flooding, no deaths were reported.   The rainfall and floodwaters subsided later in the day, as damage assessments began in the District of Columbia -- where Washington is located -- and neighbouring parts of Virginia and Maryland.   Hundreds of customers were affected by power outages because of the rainfall, according to a live map on the website of local utility Pepco.   "Stay clear of downed power lines and always assume they are energized," it said in a tweet.
Date: Wed 3 Jul 2019
Source: WIS News [edited]

One person has been referred to their healthcare provider after being attacked by a stray cat in York County, according to officials with the South Carolina Department of Health and Environmental Control (SDHEC). Officials said the possible exposure happened on [Fri 28 Jun 2019]. The short-haired black and white cat was taken to DHEC and tested positive for rabies.

There have been 74 cases of rabid animals in South Carolina this year [2019], according to DHEC. This is the 1st case taking place in York County.

Officials with DHEC urge anyone who believes they may have been in contact with an animal possibly having rabies to call their nearest DHEC office during from 8:30 a.m. to 5 p.m. To report a bite after hours, call 1-888-847-0902.  [Byline: Emery Glover]
======================
[Animals exposed to rabies essentially receive a death sentence. A live animal without a record of rabies vaccination will be euthanized and tested for the virus. Please vaccinate your pets. Please keep records of these vaccination and keep the tags on your animals. It may save their life.

Rabies vaccination for most pets is required on an annual or 3-year basis based on the age of vaccination, the number of rabies vaccinations, and the rabies burden in the area. But vaccination of your pets is a measure of protecting both your pets and you.

Rabies is fatal in almost all individuals without proper post-exposure prophylaxis. Unfortunately, animals without a rabies-prevention vaccination are destined for death because there is no treatment for rabies.

Humans need to have the wound cleaned and dressed. An individual will likely need to receive post-exposure prophylaxis (PEP). For people who have never been vaccinated against rabies previously, post-exposure anti-rabies vaccination should always include administration of both passive antibody and vaccine. The combination of human rabies immune globulin (HRIG) and vaccine is recommended for both bite and non-bite exposures, regardless of the interval between exposure and initiation of treatment. PEP is quite expensive, generally in the thousands of dollars in the USA, but the alternative is death. People who have been previously vaccinated or who are receiving pre-exposure vaccination for rabies should receive only vaccine.

Adverse reactions to rabies vaccine and immune globulin are not common. Newer vaccines in use today cause fewer adverse reactions than previously available vaccines. Mild, local reactions to the rabies vaccine, such as pain, redness, swelling, or itching at the injection site, have been reported. Rarely, symptoms such as headache, nausea, abdominal pain, muscle aches, and dizziness have been reported. Local pain and low-grade fever may follow injection of rabies immune globulin.

The vaccine should be given at recommended intervals for best results. Talk with your doctor or state or local public health officials if you will not be able to have the shot at the recommended interval. Rabies prevention is a serious matter, and changes should not be made in the schedule of doses.

People cannot transmit rabies to other people unless they themselves are sick with rabies. The prophylaxis you are receiving will protect you from developing rabies, and, therefore, you cannot expose other people to rabies. You should continue to participate in your normal activities.

Rabies post-exposure prophylaxis consists of a dose of human rabies immune globulin and rabies vaccine given on the day of the exposure, and then a dose of vaccine given again on days 3, 7, and 14.

If a person has previously received post-exposure vaccinations or received pre-exposure vaccinations, only 2 doses of vaccine (on the day of exposure and then 3 days later) are needed. Human rabies immune globulin is not required. Your doctor and local health department will be able to guide you through the process (<https://www.cdc.gov/rabies/medical_care/index.html>).

However, animals who have been vaccinated will need their wounds cleaned and cared for. They will be re-vaccinated and, depending upon the specific state, are likely to be quarantined for a period of time. If the bitten animal has not been vaccinated, the animal is likely to be euthanized, as it presents a risk of rabies to its owners.

The lesson is to keep your animals vaccinated. Check with your veterinarian regarding your state and county law on frequency of vaccination for your pets. Pets include dogs, cats, horses, cattle, and other animals you have contact with. - ProMED Mod.TG]

[Adams County, Pennsylvania, United States:
Jackson County, Florida, United States:
Gloucester County, New Jersey, United States:
York County, South Carolina, United States:
More ...

World Travel News Headlines

Date: Tue, 16 Jul 2019 10:44:51 +0200

Zagreb, July 16, 2019 (AFP) - Some 10,000 tourists were evacuated from a popular party beach on a Croatian island after a forest fire erupted early Tuesday, police said.

Police ordered visitors to night clubs on Zrce beach on the northern island of Pag to leave after the blaze erupted in a pine forest at around 1:00 am (2300 GMT Monday), a police statement said.   No one was injured in the fire which was brought under control, the mayor of the nearby town of Novalja, Ante Dabo, told national radio.  The cause was not immediately known.   Three firefighting planes were rushed to the scene to help extinguish the blaze which spread to a local road that had to be closed.

The island of Pag and its Zrce beach are popular with young tourists, notably British, who party there.  Tourism is a pillar of Croatia's economy, with visitors flocking to hundreds of islands and islets along its stunning Adriatic coast.   Last year the country of 4.2 million people welcomed more than 19 million tourists.
Date: Mon, 15 Jul 2019 01:09:24 +0200

Kinshasa, July 14, 2019 (AFP) - The first case of Ebola has been confirmed in Goma, now the biggest city to have been affected by the disease since its outbreak in eastern DR Congo last August, the health ministry said on Sunday.  A sick man had arrived in Goma early Sunday by bus with 18 other passengers and the driver from Butembo, one of the main towns touched by Ebola in Nord-Kivu province.

The man was tested  "and the results of the laboratory test confirmed that he was positive for Ebola," the ministry said in a statement.   It added that his trip began on Friday after "the first symptoms appeared on July 9 (Tuesday)".   "Given that the patient was quickly identified, as well as all the passengers on the bus from Butembo, the risk of the disease spreading in the city of Goma is low," the ministry said.    The passengers and the bus driver will begin getting vaccinations on Monday, it added.

The Ebola outbreak in eastern Democratic Republic of Congo has so far killed 1,655 people and 694 have been cured, according to a health ministry bulletin on Saturday.  And 160,239 people have been vaccinated, it added.  But efforts to tackle the crisis have been hampered both by militia attacks on treatment centres, in which some staff have been killed, and by the hostility of some local people to the medical teams.
Date: Sun, 14 Jul 2019 13:37:24 +0200

Pamplona, Spain, July 14, 2019 (AFP) - Three men were gored Sunday during the eighth and final bull run of Spain's San Fermin festival, bringing to eight the total number of daredevils injured during this year's fiesta.   Among those who were hospitalised this year after being injured by a bull's horns was an American who was wounded in the neck while taking a selfie.    In the last run, two Australians aged 27 and 30 as well as well as a 25-year-old Spaniard from Madrid were gored by the half-tonne fighting bull, "Rabonero", regional health authorities said.

The three men suffered injuries to the armpit, arm and leg from the bull's horns. Another two men were taken to hospital with bruises.   During Sunday's run in the northern city of Pamplona, Rabonero, the heaviest of the six bulls used in the event, became separated from the pack moments into the run and began charging people in its way.   Isolated bulls are more likely to get disoriented and start charging at people.

The bulls from the Miura ranch in the southwestern province of Seville completed the 848.6-metre (928-yard) course from a holding pen to the city bull ring in two minutes and 45 seconds.   Each morning from July 7 to 14, hundreds of daredevils, many wearing traditional white shirts with red scarves tied around their necks, tested their bravery by running ahead of a pack of bulls through the course set up in the narrow, winding streets of the medieval city.

- Like getting hit by a truck -
The bulls face almost certain death in afternoon bullfights, and earlier this month animal rights activists staged a "die-in" protest in the streets of the city to protest the tradition.   At the end of the festival's first run, a bull ran over and sunk one of its horns deep in the neck of a 46-year-old  American from San Francisco, Jaime Alvarez, narrowly missing key arteries.    He was injured as he was trying to take a video-selfie with his mobile phone.   "It was like a truck or car just hitting me in the side of the head. I put my hand on my neck and I saw blood," he told US television from a Pamplona hospital.   His wife had asked him not to take part in the bull run, he added.    He was released from hospital two days later.

Another 23-year-old American from Kentucky and 40-year-old Spaniard were also gored that day.   In addition to the eight men who were gored, another 27 people were taken to hospital for broken bones and bruises suffered during the bull runs.   About 500 more people were treated at the scene for more minor injuries, according to the Red Cross.   The festival dates back to medieval times and was immortalised in Nobel Prize-winning author Ernest Hemingway's 1926 novel "The Sun Also Rises".   It claims scores of casualties every year although last year just two men were gored.

Although the runs are over, the festival's closing ceremony takes place at midnight Sunday.   People from around the world flock to the city of 200,000 residents to test their bravery and enjoy the festival's mix of round-the-clock parties, religious processions and concerts.   Sixteen people have been killed in the bull runs since records started in 1911.   The last death was in 2009 when a bull gored a 27-year-old Spaniard in the neck, heart and lungs.
Date: Sun, 14 Jul 2019 12:47:38 +0200

Labuha, Indonesia, July 14, 2019 (AFP) - A major 7.3-magnitude earthquake hit the remote Maluku islands in eastern Indonesia Sunday, sending panicked residents running into the streets, but no tsunami warning was issued.   The shallow quake struck about 165 kilometres (100 miles) south-southwest of the town of Ternate in North Maluku province at 6:28 pm (0928 GMT), according to the US Geological Survey.
 
"The earthquake was quite strong, sending residents to flee outside. They are panicking and many are now waiting on the roadside," said local disaster mitigation official Mansur, who like many Indonesians goes by one name.   Officials were assessing the situation but there were no immediate reports of casualties, he told AFP.

In the town of Labuha, one of the closest to the epicentre, panicked residents took to motorcycles in a bid to flee to higher ground, according to an AFP photographer in town when the earthquake hit.   Local disaster official Ihsan Subur told Metro TV that no damage or casualties had been reported there so far, but residents took to the streets and many evacuated to higher ground.   "Electricity went of during the earthquake, but now it's back to normal," ubur said, adding that at least seven big aftershocks were felt after the initial quake.

The province was also hit by a 6.9-magnitude tremor last week.   Indonesia experiences frequent seismic and volcanic activity due to its position on the Pacific "Ring of Fire", where tectonic plates collide.   Last year, a 7.5-magnitude quake and a subsequent tsunami in Palu on Sulawesi island killed more than 2,200 people, with another thousand declared missing.   On December 26, 2004, a devastating 9.1-magnitude earthquake struck off the coast of Sumatra and triggered a tsunami that killed 220,000 across the Indian Ocean region, including around 170,000 in Indonesia.
Date: Sun, 14 Jul 2019 09:02:36 +0200

Sydney, July 14, 2019 (AFP) - A strong 6.6-magnitude earthquake struck off northwest Australia Sunday, shaking buildings over a wide area but causing no immediate reports of damage or injuries.   The shallow quake hit early Sunday afternoon 10 kilometres under the Indian Ocean 203 kilometres (126 miles) west of the West Australian beach resort of Broome, the US Geological Survey said. No tsunami alert was issued.   Sergeant Neil Gordon of the Broome police department said the quake rattled the city for more than a minute.   "The building here was shaking for about a minute and a half ... a steady shaking for that period of time," he told AFP by telephone.   He added that there had been "no reports of any injuries or any damage throughout the district," following the tremor.   The national broadcaster ABC said there were some reports of minor damage from the quake, and no injuries.   Australian media said the tremor was felt across a long stretch of the northwestern coast of Australia, from the West Australian capital of Perth and the mining centres of Karatha and Port Hedland to the south and as far as Darwin to the north.

Thursday 11th July 2019
https://www.who.int/csr/don/11-july-2019-ebola-drc/en/

The outbreak of Ebola virus disease (EVD) in North Kivu and Ituri provinces, Democratic Republic of the Congo continues this past week with a similar transmission intensity to the previous week. While the number of new cases continues to ease in former hotspots, such as Butembo, Katwa and Mandima health zones, there has been an increase in cases in Beni, and a high incidence of cases continues in parts of Mabalako Health Zone. In addition to these re-emerging hotspots, there are a large number of people with confirmed and probable infections moving to other health zones, with the greatest number coming from Beni Health Zone. The movement of cases causes the outbreak to spread to new health zones and re-emerge in health zones with previously controlled infections. Overall, this underscores the importance of robust mechanisms for listing and following up contacts and understanding the motivations for peoples’ decisions to move.

After the first reported case in the Ariwara Health Zone on 30 June, no new cases have been observed in that health zone. A response team deployed to that zone continues to identify contacts, engage the community, and vaccinate individuals at risk. Response personnel from the bordering countries of Uganda and South Sudan continue to support operational readiness activities. Resources are being dedicated to monitoring the Uganda-Democratic Republic of the Congo border in that area.

In the 21 days from 19 June through 9 July 2019, 72 health areas within 22 health zones reported new cases, representing 11% of the 664 health areas within North Kivu and Ituri provinces (Figure 2). During this period, a total of 247 confirmed cases were reported, the majority of which were from the health zones of Beni (41%, n=101), Mabalako (19%, n=48), Lubero (6%, n=16), and Mandima (5%, n=13). As of 09 July 2019, a total of 2437 EVD cases, including 2343 confirmed and 94 probable cases, were reported (Table 1). A total of 1646 deaths were reported (overall case fatality ratio 68%), including 1552 deaths among confirmed cases. Of the 2437 confirmed and probable cases with known age and sex, 57% (1384) were female, and 29% (704) were children aged less than 18 years.

Cases continue to increase among health workers, with the cumulative number infected rising to 132 (5% of total cases). Of the 128 health workers with information available, the greatest proportion is among health workers at health posts [poste de santé] (20%, n = 26) and private health facilities (35%, n = 45). The majority (68%, n = 87) of health worker infections were among nurses.

No new EVD cases or deaths have been reported in the Republic of Uganda since the previous EVD Disease Outbreak News publication on 13 June 2019. As of 3 July, 108 contacts exposed to those cases were identified, and they all completed the 21-day follow-up period. All contacts were asymptomatic. Arua district, located in the north-western part of Uganda near the Uganda-Democratic Republic of the Congo border, is currently stepping up its response readiness to prevent imported cases of Ebola following the case that died on 30 June 2019 in Ariwara Health Zone in neighbouring Democratic Republic of the Congo, located 8 kilometres from the Uganda border. This case is known to have over 200 contacts, some of whom are in the communities bordering the Arua district. As of 9 July 2019, two suspected cases in the Arua district were reported and both tested negative. As of 9 July 2019, the cumulative number of individuals vaccinated in Arua district is 811 out of 1092 targeted front line and healthcare workers.

More information here: https://www.who.int/csr/don/11-july-2019-ebola-drc/en/

Date: Sat, 13 Jul 2019 10:41:55 +0200

Kuala Lumpur, July 13, 2019 (AFP) - Flash floods killed a Dutch tourist in a popular cave located in the rugged Mulu National Park on Malaysia's Borneo island, an official said Saturday, as a search continues for a missing guide.    Local fire and rescue chief Law Poh Kiong identified the dead man as 66-year-old Peter Hans Hovenkamp from Utrecht in the central Netherlands.     "He died due to drowning following flash floods in the caves. His body was found in a river inside the cave and was taken to the Miri public hospital for a post-mortem on Saturday," he told AFP.   Law said a search-and-rescue operation involving 16 officers had been launched to locate 20-year local tour guide Roviezal Robin.   Eight other tourists in the same group "almost become victims" but fled to higher ground and escaped from being washed into the river, Law added.

Hovenkamp was reported missing on Friday while the group was touring the popular "Deer Cave", home to an estimated three million bats which form amazing patterns in the sky when they leave each dusk.   Mulu park, located in the remote Borneo jungle of Sarawak state and famous for its caves, cliffs and gorges, is a UNESCO world heritage site.   It sees thousands of visitors annually, particularly for its cooling rains during the summer months.    Law described the death as "a freak tragedy."
Date: Sat, 13 Jul 2019 09:52:36 +0200

Kathmandu, July 13, 2019 (AFP) - Floods and landslides triggered by torrential monsoon rains have killed at least 40 people across South Asia in the last two days, officials said Saturday.   The monsoon, which lasts from June to September, causes widespread death and destruction across South Asia each year.   In Nepal, 27 people have died in floods and landslides after heavy rains hit the country's eastern region and the southern plains.

Bishwaraj Pokharel, spokesperson for Nepal Police, added that another 11 people were injured and 15 others reported missing.    Three of the victims were killed when a wall collapsed in the capital Kathmandu.   "Our first priority is life saving rescue and all our resources have been deployed," Home Ministry official Umakanta Adhikari told AFP.

Police used boats to bring people to safety as rivers swelled, inundating their settlements, while parents were seen wading across chest-high waters carrying children on their shoulders.    Nepal's weather department issued a high alert for the southern Sapta Koshi river on Saturday and sent SMS warnings to people in the area.

In neighbouring India 11 deaths have been recorded in the north-eastern states of Assam and Arunachal Pradesh, officials said Friday.  Monsoon floods have inundated 21 districts in Assam, affecting thousands, officials said Friday.

In Bangladesh aid groups were providing rations to Rohingya refugees in the southeast of the country with the UN World Food Programme saying Friday that two people including a child had died.   Last year, more than 1,200 people were been killed across South Asia in monsoon storms with India's Kerala suffering its worst floods in nearly 100 years.
Date: Fri, 12 Jul 2019 16:00:57 +0200

Chennai, India, July 12, 2019 (AFP) - A special 50-wagon train carrying 2.5 million litres of water arrived in the Indian city of Chennai Friday, as the southern hub reels under one of its worst shortages in decades.    The wagons were hauled by a special locomotive, decorated with flowers and with a "Drinking Water for Chennai" banner on its front.   Four special trains a day have been called up to bring water to Chennai -- India's sixth most populous city -- from Vellore, some 80 miles (125 kilometres) away, to help battle the drought.    The first consignment will be taken to a water treatment centre, and then distributed in trucks to different parts of the metropolis on Saturday.   Chennai has seen only a fraction of the rain it usually receives during June and July.   The city of 4.9 million people also needed trains to bring water in when it suffered a similar crisis in 2001.

The bustling capital of Tamil Nadu state normally requires at least 825 million litres of water a day, but authorities are currently only able to supply 60 percent of that.   With temperatures regularly hitting 40 degrees Celsius (104 Fahrenheit), reservoirs have run dry and other water sources are dwindling further each day.   The Chennai metro has turned off its air conditioning, farmers have been forced to stop watering their crops, and offices have asked staff to work from home.   The city's economy has also taken a hit as some hotels and restaurants shut shop temporarily, and there have been reports of fights breaking out as people queue for water. 
Date: Fri, 12 Jul 2019 11:42:26 +0200

Sydney, July 12, 2019 (AFP) - A looming ban on climbing Australia's Uluru rock, intended to protect the sacred site from damage, has instead triggered a damaging influx of visitors, tourism operators said Friday.    Clambering up the giant red monolith, also known as Ayers Rock, will be prohibited from October -- in line with the wishes of the traditional Aboriginal owners of the land, the Anangu.   But a rush to beat the ban has led to a sharp increase in tourists and is causing its own problems for the World Heritage Uluru-Kata Tjuta National Park.   Families arriving in campers vans and RVs are a particular problem, chief executive of Tourism Central Australia Stephen Schwer told AFP.   "We have got so much of one particular market coming, we don't have enough infrastructure to handle the number of drive travellers."

While most visitors are doing the right thing, camping venues in the area are at capacity with advance bookings, leaving many less organised arrivals to set up illegally.   "People don't realise when they go off the road they are actually trespassing on pastoral land, or Aboriginal land, or protected land," Schwer said.   "We are getting people that are leaving their rubbish behind and lighting fires," he added.   "Sadly, people are also emptying their toilet waste out of their vans on what they think is unpopulated land, but is actually private land."   In the 12 months to June 2019, more than 395,000 people visited the Uluru-Kata National Park, according to Parks Australia, about 20 percent more than the previous year.   Yet just 13 percent of those who visited also climbed the rock, the government agency said.    Tourism operators say that Australian and Japanese tourists most commonly seek to climb Uluru.

The Aboriginal connection to the site dates back tens of thousands of years and it has great spiritual and cultural significance to them.   "Since the hand back of Uluru and Kata Tjuta to traditional owners in 1985, visitors have been encouraged to develop an understanding and respect for Anangu and their culture," a spokesperson for Parks Australia said.     "This is reflected in the 'please don't climb' message," they added.   Lyndee Severin from Curtin Springs station and roadhouse, one of just a few camping venues within 100 kilometres of Uluru, said "the vast majority of people are doing the right thing" but hundreds were setting up illegally by the side of the road or down a bush track.   "So we have some people that think that the rules don't apply to them," she told AFP.