Monthly Archive for June, 2010

Passport fees are going up July 13

411px-us_passport1Get that expiring passport renewed quickly: Charges for U.S. passports and visas for foreigners will rise July 13, the U.S. Department of State says.  

That means the cost of a passport for an adult will go from $100 to $135, including a $25 administrative fee. Those under 16 will pay $105 with the fee, up from $85 now.

Passport cards, which can be used by Americans traveling by land or sea on trips to the non-U.S. parts of the Caribbean, Canada and Mexico will cost more, too. The new scale is $55 for an adult, up from $45; $40 for a minor, up from $35.

A complete list of the new fees can be viewed here.

Frequent travelers will also be hit by a new charge of $82 to add more pages to an existing passport for visas and stamps by immigration officers.

US State Department Warning Issued for Bosnia-Herzegovina

U.S. Embassy Sarajevo released the following Warden Message on June 25, 2010.

U.S. Embassy Sarajevo sends this warden message to alert U.S. citizens living and traveling in Bosnia and Herzegovina of security concerns that may exist, given recent events outside of Bosnia and Herzegovina, to members of the Jewish community, and to institutions and NGOs that may be considered sympathetic to Israel. We therefore remind U.S. citizens to exercise caution if within the vicinity of these institutions and to be alert and aware of their surroundings at all times.

The U.S. Government remains deeply concerned about the heightened possibility of terrorist attacks against U.S. citizens and interests abroad, as many terrorists do not distinguish between official and civilian targets. Such targets may include facilities where U.S. citizens and other foreigners congregate or visit, including residential areas, clubs, restaurants, places of worship, schools, hotels and public areas

New State Department Warning for Haiti

new_travel_alert2The U.S. Department of State released the following Travel Warning on June 24, 2010:

The Department of State warns U.S. citizens of the situation in Haiti in the aftermath of the January 12 earthquake that struck near Port-au-Prince. This replaces the Travel Warning for Haiti dated March 15, 2010, and provides updated information for U.S. citizens in Haiti.

The Department of State strongly urges U.S. citizens to avoid travel to Haiti. The January 12 earthquake caused significant damage to key infrastructure and access to basic services remains limited. The country continues to experience shortages of food, drinking water, transportation and adequate shelter. The earthquake significantly reduced the capacity of Port-au-Prince’s medical facilities and inadequate public sanitation poses serious health risks. While the Embassy’s ability to provide emergency consular services has improved in the months following the earthquake, it is still limited. The level of violent crime in Port-au-Prince, including murder and kidnapping, remains high.

Those wishing to assist in Haiti relief efforts should be aware that despite their good intentions, travel to Haiti will increase the burden on a system already struggling to support those in need on the ground. Those wishing to volunteer their services are advised that Non-Governmental Organizations (NGOs) are reporting that their capacity to absorb additional volunteers is limited. Cash donations are the most effective way to help the relief effort in Haiti. Cash allows established organizations to purchase the exact type and quantity of items needed to help those affected by the earthquake without having to pay the high costs associated with transporting physical donations to Haiti. Financial contributions can be transferred quickly and reduce the challenges posed by limited staff, equipment, and space. Cash donations also support Haiti’s local economy and ensure that culturally and environmentally appropriate assistance is rendered. The following website has information on how to assist in the Haiti earthquake relief effort: http://www.whitehouse.gov/HaitiEarthquake.

U.S. citizens who intend to work for an organization involved in relief efforts in Haiti should be aware that living conditions are difficult, and the availability of food supplies, clean drinking water and adequate shelter in Haiti is limited. U.S. citizens seeking work with a relief organization should confirm before traveling to Haiti that the organization has the capability to provide food, water, transportation, and shelter for its paid and volunteer workers. All relief organizations should have a security plan in place for their personnel.

Strong aftershocks are likely for months after an earthquake. In the event of an aftershock, persons outside should avoid falling debris by moving to open spaces, away from walls, windows, buildings and other structures that may collapse. If indoors, take shelter beside furniture, not underneath. Avoid damaged buildings and downed power lines. Do not use matches, lighters, candles, or any open flame in case there are disrupted gas lines.

U.S. citizens traveling to and residing in Haiti despite this warning are reminded that there remains a persistent danger of violent crime, including armed robbery, homicide, and kidnapping. In particular, there have been a number of recent cases in which travelers arriving in Port-au-Prince on flights from the United States were attacked and robbed while traveling in cars away from the airport. At least two American citizens have been shot and killed in such incidents in recent months. Police authorities believe criminals may be targeting travelers arriving on flights from the United States, following them, and attacking once they are out of the area. Travelers are advised to use extra caution in arranging transportation from the airport. Most kidnappings are criminal in nature, and the kidnappers make no distinctions of nationality, race, gender, or age. Some kidnap victims have been killed, shot, sexually assaulted, or physically abused. While the capacity and capabilities of the Haitian National Police have improved since 2006, the presence of UN stabilization force (MINUSTAH) peacekeeping troops and UN-formed police units remain critical to maintaining an adequate level of security throughout the country. The lack of civil protections in Haiti, as well as the limited capability of local law enforcement to resolve crime, further compounds the security threat to American citizens.

While MINUSTAH remains fully deployed and is assisting the Government of Haiti in providing security, travel is always hazardous within Port-au-Prince. U.S. Embassy personnel are under an Embassy-imposed curfew and must remain in their homes or in U.S. government facilities during the curfew. Some areas are off-limits to Embassy staff after dark, including downtown Port-au-Prince. The Embassy restricts travel by its staff to some areas outside of Port-au-Prince because of the prevailing road, weather, or security conditions. This may constrain our ability to provide emergency services to U.S. citizens outside Port-au-Prince. Demonstrations and violence may occasionally limit Embassy operations to emergency services, even within Port-au-Prince.

U.S. State Department Warning for Israel

new_travel_alert1The Department of State warns U.S. citizens of the risks of traveling to Israel, the West Bank, and the Gaza Strip, and about threats to themselves and to U.S. interests in those locations. The Department of State urges U.S. citizens to remain mindful of security factors when planning travel to Israel and the West Bank and to avoid all travel to the Gaza Strip. This warning replaces the Travel Warning issued August 14, 2009 to update information on the general security environment in Israel, the West Bank, and the Gaza Strip.

The Gaza Strip and Southern Israel

The State Department strongly urges that U.S. citizens refrain from all travel to the Gaza Strip. This recommendation applies to all U.S. citizens, including journalists and aid workers. U.S. citizens should be aware that as a consequence of a longstanding prohibition on travel by U.S. government employees into the Gaza Strip, the ability of consular staff to offer timely assistance to U.S. citizens there is extremely limited.

The Israel Defense Forces (IDF) strictly controls the crossing points between Israel and the Gaza Strip, and has essentially sealed the border. The security environment within Gaza and along its borders, including its border with Egypt and its seacoast, is dangerous and volatile. U.S. citizens are advised against traveling to Gaza by any means, including via sea. Previous attempts to enter Gaza by sea have been stopped by Israeli naval vessels and resulted in the injury, death, arrest, and deportation of U.S. citizens. From December 27, 2008, through January 17, 2009, the IDF conducted a major military operation in Gaza. Israel and Hamas, a State Department-designated foreign terrorist organization that violently seized power in Gaza in June 2007, declared separate truces to end the fighting. Occasional small clashes continue to occur along the border. Rockets and mortars are still occasionally fired into Israel from Gaza, and the IDF continues to conduct military operations inside Gaza, including airstrikes. The IDF has also declared an exclusion zone inside Gaza along the border with Israel and has taken lethal measures against individuals who enter it.

In the past, some rockets have traveled more than 40 km (24 miles) from Gaza and landed as far north as Yavne and Gadera and as far east as Beer Sheva. As a result of possible IDF military operations in Gaza and the ever-present risk of rocket and mortar attacks into Israel from Gaza, U.S. government personnel traveling in the vicinity of the Gaza Strip border, to include the city of Sderot, require approval from the Embassy’s Regional Security Office.

The West Bank

The Department of State urges U.S. citizens to exercise caution when traveling to the West Bank. Palestinian Authority (PA) security forces are now deployed throughout the West Bank, including all major cities. As a result, violence in recent years has decreased markedly throughout the West Bank. Nonetheless, demonstrations and violent incidents can occur without warning. Vehicles have also been the target of rocks, Molotov cocktails and gunfire on West Bank roads. The IDF continues to carry out security operations in the West Bank. Israeli security operations, including incursions into Palestinian population centers, can occur at any time and lead to disturbances and violence. U.S. citizens can be caught in the middle of potentially dangerous situations. Some U.S. citizens involved in demonstrations in the West Bank have sustained serious injuries in confrontations with Israeli settlers and the Israel Defense Forces (IDF). The State Department recommends that U.S. citizens, for their own safety, avoid demonstrations.

During periods of unrest, the Israeli government sometimes closes off access to the West Bank and those areas may be placed under curfew. All persons in areas under curfew should remain indoors to avoid risking arrest or injury. U.S. citizens have been killed, seriously injured, or detained and deported as a result of encounters with IDF operations in Gaza and the West Bank. Travel restrictions may be imposed by Israel with little or no warning. Strict measures have frequently been imposed following terrorist actions, and the movement of Palestinian Americans, both those with residency status in the West Bank or Gaza as well as foreign passport holders, has been severely impeded. Current security-related restrictions on travel by U.S. government employees to the West Bank hinder the ability of consular staff to offer timely assistance to U.S. citizens.

Jerusalem

The State Department urges U.S. citizens to remain vigilant while traveling throughout Jerusalem, especially within the commercial and downtown areas of West Jerusalem and the city center. Spontaneous or planned protests within the Old City are possible, especially after Friday prayers. Some of these protests have led to violent clashes. Travelers should exercise caution at religious sites on holy days, Fridays, Saturdays, and Sundays. Isolated street protests and demonstrations can also occur in areas of East Jerusalem, including around Salah Ed-Din Street, Damascus Gate, and the Sheikh Jarrah neighborhood. U.S. government employees are authorized to visit the Old City during daylight hours only except between the hours of 11:00 a.m. and 2:00 p.m. on Fridays. The area of the ramparts on the city wall between Herod’s Gate and Lion’s Gate is off-limits to U.S. Government personnel at all times. The Sherover or Haas Promenade (scenic overlook) located in Armon Hanatziv is open to U.S. government personnel during daylight hours only.

Travel Restrictions for U.S. Government Personnel

Personal travel in the West Bank for U.S. government personnel and their families is allowed for limited mission-approved purposes in the areas described below. They may travel to Jericho, or to transit through the West Bank using Routes 1 and 90 to reach the Allenby/King Hussein Bridge, or the Dead Sea coast near Ein Gedi and Masada. They may also travel north on Route 90 from the Allenby/King Hussein Bridge to the Sea of Galilee. Use of these routes is approved for transit purposes during daylight hours, with stops permitted only at Qumran National Park off Route 90 by the Dead Sea. Each transit requires prior notification to the Consulate General’s security office.

U.S. Government personnel and family members are permitted both official and personal travel on Route 443 between Modi’in and Jerusalem without prior notification, during daylight hours only. All other personal travel in the West Bank, unless specifically authorized for mission-approved purposes, is prohibited.

Measles outbreak kills more than 700 in Malawi, Mozambique, Zambia, and Zimbabwe

More than 700 people have been killed during a recent measles outbreak, according to the United Nations on June 18th. According to the report, the worst-hit country is Zimbabwe, with 517 reported deaths. As of mid-June 2010, authorities say more than 47,907 children have been affected in 14 countries, with the most recent outbreaks taking place in Malawi, Mozambique, and Zambia.

The UN reported that control strategies, including routine immunizations, needed to be more rigorously implemented.

Copyright © 2010, Altegrity Risk International, Inc.

It’s highly recommended to visit the US State Department website or the Central for Disease Control and review the required and recommended vaccinations whenever you travel.  All of our clients have 24 hour access to pre-departure health advice.  Call us at 800.647.4589 or email us at health@missionaryhealth.net for personal service.

US State Department Warning Issued for Tajikistan

U.S. Embassy Dushanbe released the following Warden Message on June 17, 2010:

The U.S. Embassy reminds U.S. citizens that the situation in Kyrgyzstan remains volatile and the Embassy has received contradictory information about the status of Tajikistan-Kyrgyzstan border crossings. We advise that citizens may experience delays, and in some cases, closures of Tajikistan-Kyrgyzstan border crossings. U.S. citizens who are planning to travel across Tajikistan – Kyrgyzstan borders may wish to contact immigration authorities on both sides of the border prior to their travel to confirm the status of the border crossing in question.

The U.S. Embassy in Tajikistan can be reached 24/7 at 992-37-229-2000. The Consular Section can be reached directly at 992-37-229-2300. Non-emergency services for U.S citizens: Monday 10 a.m. - 12 p.m. and Tuesday - Friday 2 p.m. - 4 p.m. In the event of emergency, you may reach the Duty Officer at 992-98-580-1032 or call Post One at 229-2950 or 992-98-580-7010. You may also reach the Consular Officer via the Embassy main phone number: 992-37-229-2000.

IMPORTANT INFORMATION: Under current Tajik law, foreign citizens staying in Tajikistan for more than three calendar days must register with the Ministry of Foreign Affairs or OVIR of Tajikistan within three business days of arrival in Tajikistan. The only exception are holders of “tourist” visas, who only need to register if they are staying in Tajikistan more than 30 days.

Updated US State Department Travel Warning for Nepal

The U.S. Department of State released the following Travel Warning on June 15, 2010:

The Department of State warns U.S. citizens of the potential risks of traveling to Nepal and urges caution when traveling in that country. The Department of State remains concerned about the security situation in Nepal. U.S. citizens are urged to obtain updated security information before traveling and they should be prepared to change their plans on short notice. This replaces the Travel Warning for Nepal dated November 19, 2009, to update information on the security and political situation, and to advise travelers about the continuing possibility of political demonstrations and unrest.

Political violence has occurred sporadically throughout Nepal in the past and may escalate due to recent political tensions. Protests, demonstrations, and disruptions continue to occur, often without advance notice. In a recent indefinite strike imposed by the Unified CPN-Maoist Party on May 3-7, 2010, business and transportation were brought to a standstill. During this strike, large demonstrations were held and incidents of localized violence occurred. During past demonstrations, some protesters forcibly closed businesses, damaged vehicles, threw rocks, and burned tires to block traffic. Given the nature, intensity and unpredictability of past disturbances, you are urged to exercise special caution during announced demonstrations, avoid areas where demonstrations are occurring or crowds are forming, avoid road travel, and maintain a low profile. Curfews can be announced with little or no advance notice. U.S. citizens are urged to consult media sources and register with the Embassy (see instructions below) for current security information. The U.S. Embassy in Kathmandu continues to monitor the political situation in Nepal closely, and advises U.S. citizens that the potential remains for spontaneous demonstrations and political unrest, which could escalate into violence. You should stay current on media coverage of local events and be aware of your surroundings at all times.

Crime in the Kathmandu Valley and in the major cities of Nepal continues and includes violent crimes, robberies by armed gangs, and harassment of female travelers. Police resources to combat such crimes are limited. Theft and muggings occasionally occur in popular tourist and trekking areas such as Chitwan, Pokhara, the Annapurna region and the Thamel area of Kathmandu. Trekkers have been robbed by small groups of young men, even on popular trails.

Visitors to Nepal should practice good personal security when moving about and avoid walking alone after dark, carrying large sums of cash, or wearing expensive jewelry. Women are advised to pay attention to local customs and dress appropriately in public. In several reported incidents, tourists have had their belongings stolen from their rooms while they slept. There has been an increase in the number of fraudulent schemes perpetrated against tourists. These schemes involve requesting the traveler’s assistance, particularly financial assistance, in establishing shipping routes, or business contacts with the United States or other countries, involving jewelry, antiquities, or carpets, promising huge returns.

The U.S. Embassy in Kathmandu strongly recommends that you do not hike alone or become separated from larger traveling parties while on a trail. Solo trekking is dangerous, has contributed to injuries and deaths, and makes an individual more vulnerable to criminals. Foreign trekkers have gone missing while trekking alone. The safest option for trekkers is to join an organized group and/or use a reputable trekking company that provides an experienced guide and porters who communicate in both Nepali and English. Destruction of telephone services in many trekking areas has complicated efforts to locate U.S. citizens and make arrangements for medical evacuations when needed. U.S. citizens are strongly encouraged to contact the U.S. Embassy in Kathmandu for the latest security information and to register their itinerary before undertaking treks outside the Kathmandu Valley (see Registration/Embassy Location section below). Trekkers also are advised to leave their itinerary with family or friends in the United States and to check in at police checkpoints where trekking permits are logged.

Travel via road in areas outside the Kathmandu Valley is hazardous due to erratic drivers, poor road conditions, and frequent road accidents. Public transportation, such as micro buses and tuk tuks, should be avoided because they are often overfilled, driven unsafely, and mechanically unsound. You should use taxis with meters or negotiate a price with the taxi driver before starting a trip. However, there have also been instances of taxi drivers tampering with the meters in order to charge higher fares.

Most U.S. official travel outside the Kathmandu Valley, including by air, requires specific clearance by the U.S. Embassy’s Regional Security Officer. Active duty U.S. military and Department of Defense contractors must obtain U.S. Embassy clearance in advance for official and personal travel to Nepal.

The U.S. Government’s designation of the Communist Party of Nepal (Maoist) as a “Specially Designated Global Terrorist” organization under Executive Order 13224, and its inclusion on the “Terrorist Exclusion List” pursuant to the Immigration and Nationality Act, remain in effect. These two designations make Maoists excludable from entry into the United States without a waiver and bar U.S. citizens from contributing funds, goods, or services to, or for the benefit of, the Maoists.

Our Day Tripper and Atlas International travel medical insurance plans cover local medical expenses and features a Political Evacuation benefit.  Click here for more information and a quote.

US State Department Travel Advisory for Jamaica

The U.S. Department of State released the following Travel Alert on June 14, 2010:

The Department of State alerts U.S. citizens about sporadic violence between government security forces and criminal gang elements in Kingston, Jamaica, and its surrounding areas. Since May 23, 2010, Jamaican security forces have been engaged in operations to arrest an alleged drug and weapons trafficker, to root out illegal weapons in formerly gang-controlled neighborhoods and apprehend suspected gang members in various areas of Kingston and Spanish Town. The Government of Jamaica has imposed a State of Emergency in Kingston and St. Andrew. The possibility exists that unrest could spread beyond the greater Kingston and Spanish Town areas. This Travel Alert replaces the Travel Alert issued on May 24, 2010 to provide updated information on the security and airport situation. This Travel Alert expires on June 23, 2010.

U.S citizens presently in Jamaica should monitor local news and radio frequently when venturing out from their homes or hotels in the Kingston area. U.S. citizens traveling to or from the Norman Manley International Airport should use the South Camp Road route and avoid the Mountain View Road airport route. U.S. citizens are urged to exercise heightened security awareness and maintain a low profile.

US State Department Travel Advisory for Bangladesh

U.S. Embassy Dhaka released the following Warden Message on June 14, 2010:

The number of attacks on women using rickshaws in Baridhara and Gulshan in the hours of darkness, to include evenings, has increased. Typical incidents involve passengers in cars reaching out and grabbing purses from women seated in rickshaws, who are then dragged down to the road. All such incidents have resulted in serious injuries.

The U.S. Embassy reminds everyone to responsibly use discretion in their decision to ride in a rickshaw. The inherent dangers in using a rickshaw are only increased during the hours of darkness, which begins about 6:30 p.m. It is strongly recommended that handbags, knapsacks and the like not be carried while riding on a rickshaw. For security reasons, the Embassy recommends that U.S. citizens avoid riding in taxis, buses, and engine-powered rickshaws (CNGs).

CDC Reports Dengue Fever in Tropical and Subtropical Regions

Dengue fever is the most common cause of fever in travelers returning from the Caribbean, Central America, and South Central Asia.1 Dengue infections are commonly reported from most tropical countries of the South Pacific, Asia, the Caribbean, the Americas, and Africa. This disease is caused by four similar viruses (DENV-1, -2, -3, and -4) and is spread through the bites of infected mosquitoes.

Although dengue transmission often occurs in both rural and urban areas, dengue infections are most often reported from urban settings.

Since early 2009, a higher number of dengue cases has been reported from countries throughout several regions of the world.

Africa

Cape Verde: In 2009, more than 21,000 suspected cases and 6 deaths (as of December 6, 2009) were reported. Approximately 60 cases were reported in nearby Senegal, according to the UN Office for the Coordination of Humanitarian Affairs.

Dengue activity has also been reported in Indian Ocean islands off the coast of Africa. Mayotte has reported 30 confirmed cases as of March 19, 2010, and Reunion has also identified 2 cases of dengue on the island.

South Pacific

Dengue continues to circulate throughout this region. Malaysia, Philippines, Singapore, Sri Lanka, and Vietnam are among the countries reporting dengue activity this year. Limited dengue activity has also been reported this year in northern Queensland, Australia.

Central and South America and the Caribbean

Certain countries in Central and South America as well as in the Caribbean, are reporting dengue activity. These areas include Argentina, Brazil, Colombia, Costa Rica, Dominican Republic, El Salvador, French Guiana, Guadeloupe, Honduras, Peru, and Puerto Rico.

Middle East

Dengue activity has been reported in recent months in this region, including areas popular among travelers such as Jeddah in Saudi Arabia.

Advice for Travelers

Travelers can reduce their risk of getting dengue fever by protecting themselves from mosquito bites. The mosquitoes that spread dengue usually bite at dusk and dawn but may bite at any time during the day, especially indoors, in shady areas, or when the weather is cloudy.

Travelers should follow the steps below to protect themselves from mosquito bites:

Where possible, stay in hotels or resorts that are well screened or air conditioned and that take measures to reduce the mosquito population. If the hotel is not well screened, sleep under bed nets to prevent mosquito bites.

When outdoors or in a building that is not well screened, use insect repellent on uncovered skin. If sunscreen is needed, apply before insect repellent.

Look for a repellent that contains one of the following active ingredients: DEET, picaridin (KBR 3023), Oil of Lemon Eucalyptus/PMD, or IR3535. Always follow the instructions on the label when you use the repellent.

In general, repellents protect longer against mosquito bites when they have a higher concentration (percentage) of any of these active ingredients. However, concentrations above 50% do not offer a marked increase in protection time. Products with less than 10% of an active ingredient may offer only limited protection, often no longer than 1-2 hours.

The American Academy of Pediatrics approves the use of repellents with up to 30% DEET on children over 2 months old.

Protect babies less than 2 months old by using a carrier draped with mosquito netting with an elastic edge for a tight fit.

Wear loose, long-sleeved shirts and long pants when outdoors.

For greater protection, clothing may also be sprayed with repellent containing permethrin or another EPA-registered repellent. (Remember: don’t use permethrin on skin.)

Symptoms and Treatment

Symptoms of dengue include:

fever, severe headache, pain behind the eyes, joint and muscle pain, rash, nausea/vomiting, hemorrhagic (bleeding) manifestations

Usually dengue fever causes a mild illness, but it can be severe and lead to dengue hemorrhagic fever (DHF), which can be fatal if not treated. People who have had dengue fever before are more at risk of getting DHF.

No vaccine is available to prevent dengue, and there is no specific medicine to cure illness caused by dengue. Those who become ill with dengue fever can be given medicine to reduce fever, such as acetaminophen, and may need oral rehydration or intravenous fluids and, in severe cases, treatment to support their blood pressure. Aspirin (acetylsalicylic acid), aspirin-containing drugs, and other nonsteroidal anti-inflammatory drugs (e.g., ibuprofen) should be avoided because of the possibility of bleeding. Early recognition and treatment of severe dengue (e.g., signs and symptoms consistent with impending blood pressure failure) can reduce the risk of death.

If you return from a trip abroad and get sick with a fever, you should seek medical care. Be sure to tell the doctor or other health-care provider about your recent travel.

Information for Health-Care Providers

Proper diagnosis of dengue is important, as many other diseases may mimic dengue. Health-care providers should consider dengue, malaria, and (in south Asia and countries bordering the Indian Ocean) chikungunya in the differential diagnosis of patients who have fever and a history of travel to tropical areas during the 2 weeks before symptom onset.

Copyright © 2010, Centers for Disease Control and Prevention

If you are traveling to the Caribbean, Central America, and South Central Asia, then not only do we recommend taking the necessary vaccinations, but we highly advise purchasing a travel medical insurance policy which also covers emergency medical evacuation.  For a couple dollars or less per day, you can purchase a travel health insurance policy which covers any local medical expenses as well as emergency medical evacuation which provides medical transporation in case you can’t receive proper local medical care.  Get a Travel Health Insurance Quote Today