Travel Alert Mexico – H1N1 Influenza Travel Alert No Longer in Effect

The Department of State wishes to inform U.S. citizens traveling to and residing in Mexico that on May 15 2009, the U.S. Centers for Disease Control and Prevention (CDC) lifted its recommendation that American citizens avoid all nonessential travel to Mexico.  As a result of the CDC’s decision, the State Department’s Travel Alert relating to the 2009-H1N1 influenza outbreak is no longer in effect.

The CDC continues to suggest precautions that travelers and U.S. citizens resident in Mexico (especially those at high risk for complications of influenza) should take to reduce their risk of infection while in Mexico; provides recommendations for those who must travel to an area where cases of 2009-H1N1 influenza have been reported; and recommends measures travelers should take following their return from an area that has reported cases of 2009-H1N1 influenza.  Complete CDC guidelines regarding H1N1 influenza can be found at the following link: http://www.cdc.gov/travel/.  Please check this site frequently for updates. Americans departing Mexico for non-U.S. destinations should be aware that some governments have imposed quarantine or other screening procedures for all travelers from Mexico.  Travelers may wish to check the website of the foreign country’s Embassy in the United States or Mexico for available information on current screening or quarantine procedures for travelers from Mexico.  Information about entry screening procedures in other countries can be found at http://wwwn.cdc.gov/travel/content/news-announcements/delays-H1N1-screening.aspx

The Government of Mexico restarted high school (grades 10-12) and university classes on Thursday, May 7.  Federal health and education officials announced that all schools from pre-school to secondary would reopen as of Monday, 11 May.  However, Chiapas, Guerrero, Hidalgo, Jalisco, Michoacán, Nayarit, San Luis Potosí, and Zacatecas states extended at least some school closures until Monday, May 18 due to increases in suspected or confirmed cases of influenza 2009-H1N1, and fatalities in Jalisco and Michoacán.

Consular services at all posts in Mexico have resumed. Information on rescheduling immigrant visa appointments is available on the web page of the U.S. Consulate in Ciudad Juarez at http://ciudadjuarez.usconsulate.gov/.

The U.S. Embassy reminds U.S. citizens in Mexico that most cases of influenza are not 2009-H1N1 influenza.  Any specific questions or concerns about flu or other illnesses should be directed to a medical professional.  Mexico City medical authorities are urging people to avoid hospitals and clinics unless they have a medical emergency, since hospitals can be centers of infection; instead, those with health concerns are encouraged to stay home and call their physicians to avoid potential exposure.  Although the U.S. Embassy cannot give medical advice or provide medical services to the public, a list of hospitals and doctors can be found on our website at the following links: http://mexico.usembassy.gov/sacs_medical_info.html (Spanish) http://mexico.usembassy.gov/eng/eacs_medical_info.html (English).

For additional information, please consult the State Department’s website at www.travel.state.gov, the CDC website at www.cdc.gov, or the website of the World Health Organization at www.who.int.  The U.S.-based call center for U.S. citizens can be reached at 1-888-407-4747 from 8:00 am – 8:00 pm Eastern Daylight Time, Monday through Friday or, if calling from outside the U.S., at (202)-501-4444.  The U.S. Embassy will post additional information as it becomes available at: http://mexico.usembassy.gov.  American citizens traveling or residing overseas are encouraged to register with the appropriate U.S. Embassy or Consulate on the State Department’s travel registration website at https://travelregistration.state.gov/.

For any emergencies involving U.S. citizens in Mexico, please contact the closest U.S. Embassy or Consulate.  The U.S. Embassy is located in Mexico City at Paseo de la Reforma 305, Colonia Cuauhtemoc, telephone from the United States: 011-52-55-5080-2000; telephone within Mexico City: 5080-2000; telephone long distance within Mexico 01-55-5080-2000.  You may also contact the Embassy by e-mail at: ACSMexicoCity@state.gov.  The Embassy’s internet address is http://mexico.usembassy.gov.

Consulates:

Ciudad Juarez: Paseo de la Victoria 3650, tel. (52)(656) 227-3000. http://ciudadjuarez.usconsulate.gov.
Guadalajara: Progreso 175, telephone (52) (333) 268-2100. http://guadalajara.usconsulate.gov/.
Hermosillo: Avenida Monterrey 141, telephone (52)(662) 289-3500. http://hermosillo.usconsulate.gov.
Matamoros: Avenida Primera 2002, telephone (52)(868) 812-4402. http://matamoros.usconsulate.gov.
Merida: Calle 60 no. 338 k, telephone (52)(999) 942-5700. http://merida.usconsulate.gov.
Monterrey: Avenida Constitucion 411 Poniente, telephone (52)(818) 047-3100. http://monterrey.usconsulate.gov.
Nogales: Calle San Jose, Nogales, Sonora, telephone (52)(631) 311-8150. http://nogales.usconsulate.gov.
Nuevo Laredo: Calle Allende 3330, col. Jardin, telephone (52)(867) 714-0512. http://nuevolaredo.usconsulate.gov/.
Tijuana: Tapachula 96, telephone (52)(664) 622-7400. http://tijuana.usconsulate.gov/service.html.

Consular Agencies:

Acapulco: Hotel Continental Emporio, Costera Miguel Aleman 121 – local 14, telephone (52)(744) 484-0300 or (52)(744) 469-0556.
Cabo San Lucas: Blvd. Marina local c-4, Plaza Nautica, col. Centro, telephone (52)(624) 143-3566.
Cancún:  Plaza Caracol two, second level, no. 320-323, Boulevard Kukulcan, km. 8.5, Zona Hotelera, telephone (52)(998) 883-0272.
Ciudad Acuña:  Ocampo # 305, col. Centro, telephone (52)(877) 772-8661
Cozumel:  Plaza Villa Mar en el Centro, Plaza Principal, (Parque Juárez between Melgar and 5th ave.) 2nd floor, locales #8 and 9, telephone (52)(987) 872-4574.
Ixtapa/Zihuatanejo:  Hotel Fontan, Blvd. Ixtapa, telephone (52)(755) 553-2100.
Mazatlán:  Hotel Playa Mazatlán, Playa Gaviotas #202, Zona Dorada, telephone (52)(669) 916-5889.
Oaxaca:  Macedonio Alcalá no. 407, interior 20, telephone (52)(951) 514-3054 (52)(951) 516-2853.
Piedras Negras: Abasolo #211, Zona Centro, Piedras Negras, Coah., Tel. (878) 782-5586.
Playa del Carmen:  “The Palapa,”  Calle 1 Sur, between Avenida 15 and Avenida 20, telephone (52)(984) 873-0303.
Puerto Vallarta:  Paradise Plaza, Paseo de los Cocoteros #1, Local #4, Interior #17, Nuevo Vallarta, Nayarit, telephone (52)(322) 222-0069.
Reynosa:  Calle Monterrey #390, Esq. Sinaloa, Colonia Rodríguez, telephone: (52)(899) 923 – 9331
San Luis Potosí:  Edificio “Las Terrazas”, Avenida Venustiano Carranza 2076-41, Col. Polanco, telephone: (52)(444) 811-7802/7803.
San Miguel de Allende:  Dr. Hernandez Macias #72, telephone (52)(415) 152-2357 or (52)(415) 152-0068.

Travel Warning Lebanon

The Department of State continues to urge U.S. citizens to avoid all travel to Lebanon due to current safety and security concerns.  Americans presently living and working in Lebanon should understand that they accept risks in remaining and should carefully consider those risks.  This supersedes the Travel Warning issued on September 10, 2008 and updates information on security threats and ongoing political violence in Lebanon.

While Lebanon enjoys periods of relative calm, the potential for a spontaneous upsurge in violence is real.  Lebanese government authorities are not able to guarantee protection for citizens or visitors to the country should violence erupt suddenly.  U.S. Embassy personnel practice strict security precautions at all times.  Access to borders and ports can be interrupted with little or no warning.  Under such circumstances, travel of U.S. Embassy personnel would likely be restricted further, hindering their ability to reach travelers or provide emergency services.

Clashes in the northern city of Tripoli in 2008 resulted in more than twenty fatalities and numerous injuries.  Additionally, a bomb exploded next to a city bus in Tripoli on August 13, 2008, killing fourteen people.  The U.S. Embassy recommends that U.S. citizens in Tripoli consider these risks in light of past events.

On May 7, 2008, Hizballah militants blocked the road to Rafiq Hariri International Airport.  The action rendered the airport inaccessible and travelers were unable to enter or leave the country via commercial air carriers.  Armed Hizballah and other opposition members proceeded to enter areas of Lebanon not traditionally under their control, resulting in heavy fighting and a number of casualties.  Full access to the airport was restored on May 21, 2008 when hostilities subsided.  However, the United States remains concerned about the potential for violence, with little or no warning.

The threat of anti-Western terrorist activity exists in Lebanon; groups such as Al-Qaeda and Jund al-Sham are present in the country and have issued statements calling for attacks against Western interests in the past.

Landmines and unexploded ordnance continually pose significant dangers throughout southern Lebanon, particularly south of the Litani River, as well as in areas of the country where civil war fighting was intense. More than a dozen civilians have been killed and over 100 injured by unexploded ordnance following the armed conflict in July-August 2006.  Travelers should watch for posted landmine warnings and strictly avoid all areas where landmines and unexploded ordnance may be present.

U.S. citizens traveling or resident in Lebanon despite this Travel Warning should be aware that the U.S. Embassy has a limited ability to reach all areas of Lebanon.  The Embassy cannot guarantee that Embassy employees will be able to render assistance to U.S. citizens in all areas of the country.  Furthermore, in the event that the security climate in the country worsens, American should be aware that they will bear the responsibility of arranging their own travel out of Lebanon.  Americans with special medical or other needs should be aware of the risks of remaining given their condition, and should be prepared to seek treatment in Lebanon if they cannot arrange for travel out of the country.

U.S. Government-facilitated evacuations such as those that took place in 2006 occur only when no safe commercial alternatives exist.  Evacuation would be provided on a cost-recovery basis, which means the traveler must reimburse the U.S. Government for travel costs.  A lack of a valid current U.S. passport will slow the U.S. Embassy’s ability to provide assistance. U.S. citizens remaining in Lebanon should therefore ensure that they have proper and current documentation at all times.  U.S. Legal Permanent Residents should consult with the Department of Homeland Security before they depart the United States to ensure they have proper documentation to re-enter.  Further information on the Department’s role during emergencies is provided at http://www.travel.state.gov/travel/tips/emergencies/emergencies_1212.html

The Department of State considers the threat to U.S. Government personnel in Beirut sufficiently serious to require them to live and work under strict security restrictions.  These practices limit, and may occasionally prevent, access by U.S. Embassy officials to certain areas of the country.  Unofficial travel to Lebanon by U.S. Government employees and their family members requires prior approval by the Department of State.

American citizens who come to work in Lebanon should ensure that their Lebanese employer arranges for proper documentation to remain in the country; this includes professional athletes, who should ensure that their sponsoring club/team arranges for them to receive the correct visas valid for the duration of their stay.

Americans planning to travel between Lebanon and Syria should consult the Department of State’s Country Specific Information for Syria, which can be found at http://travel.state.gov/travel/.  Americans planning to travel to Syria from Lebanon are strongly advised to obtain a Syrian visa before leaving the United States.

The Embassy is located in Awkar, near Antelias, Beirut, Lebanon.  Public access hours for American citizens are Monday through Thursday, 8:00 a.m. to 11:00 a.m.; however, American citizens who require emergency services outside of these hours may contact the embassy by telephone at any time.  The telephone numbers are (961-4) 542-600, 543-600, and fax 544-209.

American citizens may register with the embassy online by visiting https://travelregistration.state.gov/ibrs.  Americans are strongly encouraged to update their registration information if it is no longer current.  Information on consular services and registration can also be found at http://lebanon.usembassy.gov or by phone at the above telephone numbers between 2:00 p.m. and 4:00 p.m., Monday through Friday local time.

Updated information on travel and security in Lebanon may be obtained from the Department of State by calling 1-888-407-4747 within the United States and Canada or, from overseas, 1-202-501-4444.  Additional details can be found in the Department of State’s Country Specific Information for Lebanon and the Worldwide Caution, which are available on the Department’s Internet website at http://travel.state.gov.

Travel Alert Mexico

The Department of State alerts U.S. citizens of the health risks of travel to Mexico at this time due to an outbreak of H1N1 influenza(“swine flu).”  The U.S. Centers for Disease Control and Prevention (CDC) on April 27 issued a notice recommending that American citizens avoid all nonessential travel to Mexico at this time.  CDC’s notice also suggests precautions that travelers and U.S. citizen residents in Mexico can take to reduce their risk of infection while in Mexico, provides recommendations for those who must travel to an area where cases of H1N1 influenza have been reported, and recommends measures travelers should take following their return from an area that has reported cases of H1N1 influenza.  The complete CDC notice can be found at the following link: http://www.cdc.gov/travel/.  Please check this site frequently for updates.  This Travel Alert replaces the Travel Alert dated April 27, 2009 and provides updated information on closings of schools and commercial venues in Mexico and U.S. consular operations throughout Mexico.  This Travel Alert will be reviewed and updated as necessary, and is valid until further notice.

The World Health Organization (WHO), the Global Alert and Response Network (GOARN), and the Centers for Disease Control and Prevention (CDC) have sent experts to Mexico to work with health authorities.

The Government of Mexico has announced that as a precautionary measure, all schools throughout Mexico from kindergarten through university level will remain closed until May 6.  All government-sponsored events involving large crowds have also been canceled, and museums and most tourist Attractions are closed.  During an April 28 press conference, the Mayor of Mexico City announced that all establishments where large numbers of the public gather will be closed, including restaurants, bars, discos, night clubs, movie theaters, gyms, and convention centers. The Archdiocese of Mexico City has also closed Catholic churches for services.

Effective April 28, all nonimmigrant visa operations at all consular posts in Mexico will be suspended until May 6.  American citizen services are restricted to passports and Consular Reports of Birth Abroad and emergency services.  Please refer to Embassy Mexico’s web page at http://mexico.usembassy.gov/eng/main.html for the latest information on closings and service reductions. Immigrant visa appointments in Ciudad Juarez will be cancelled for the week of May 4th.  Further information on rescheduling visa appointments is available on Ciudad Juarez’s web page at http://ciudadjuarez.usconsulate.gov/.

The U.S. Embassy reminds U.S. citizens in Mexico that most cases of influenza are not H1N1 influenza.  Any specific questions or concerns about flu or other illnesses should be directed to a medical professional.  Mexico City medical authorities are urging people to avoid hospitals and clinics unless they have a medical emergency, since hospitals can be centers of infection; instead, those with health concerns are encouraged to stay home and call their physicians to avoid potential exposure.  Although the U.S. Embassy cannot give medical advice or provide medical services to the public, a list of hospitals and doctors can be found on our website at the following links:  http://mexico.usembassy.gov/sacs_medical_info.html (Spanish) http://mexico.usembassy.gov/eng/eacs_medical_info.html (English)

For additional information, please consult the State Department’s website at www.travel.state.gov, the CDC website at www.cdc.gov, or the website of the World Health Organization at www.who.int.  The U.S.-based call center for U.S. citizens can be reached at 1-888-407-4747 from 8:00 am – 8:00 pm Eastern Daylight Time, Monday through Friday, , or if calling from outside the U.S., at (202)-501-4444.  The U.S. Embassy will post additional information as it becomes available at: www.usembassy-mexico.gov.  American citizens traveling or residing overseas are encouraged to register with the appropriate U.S. Embassy or Consulate on the State Department’s travel registration website at https://travelregistration.state.gov/.

For any emergencies involving U.S. citizens in Mexico, please contact the closest U.S. Embassy or Consulate.  The U.S. Embassy is located in Mexico City at Paseo de la Reforma 305, Colonia Cuauhtemoc, telephone from the United States: 011-52-55-5080-2000; telephone within Mexico City: 5080-2000; telephone long distance within Mexico 01-55-5080-2000.  You may also contact the Embassy by e-mail at: ccs@usembassy.net.mx.  The Embassy’s internet address is http://www.usembassy-mexico.gov/.

Consulates:

Ciudad Juarez: Paseo de la Victoria 3650, tel. (52)(656) 227-3000. http://ciudadjuarez.usconsulate.gov.
Guadalajara: Progreso 175, telephone (52)(333) 268-2100. http://guadalajara.usconsulate.gov/.
Hermosillo: Avenida Monterrey 141, telephone (52)(662) 289-3500. http://hermosillo.usconsulate.gov.
Matamoros: Avenida Primera 2002, telephone (52)(868) 812-4402. http://matamoros.usconsulate.gov.
Merida: Calle 60 no. 338 k, telephone (52)(999) 942-5700. http://merida.usconsulate.gov.
Monterrey: Avenida Constitucion 411 Poniente, telephone (52)(818) 047-3100. http://monterrey.usconsulate.gov.
Nogales: Calle San Jose, Nogales, Sonora, telephone (52)(631) 311-8150. http://nogales.usconsulate.gov.
Nuevo Laredo: Calle Allende 3330, col. Jardin, telephone (52)(867) 714-0512. http://nuevolaredo.usconsulate.gov/.
Tijuana: Tapachula 96, telephone (52)(664) 622-7400. http://tijuana.usconsulate.gov/service.html.

Consular Agencies:

Acapulco: Hotel Continental Emporio, Costera Miguel Aleman 121 – local 14, telephone (52)(744) 484-0300 or (52)(744) 469-0556.
Cabo San Lucas: Blvd. Marina local c-4, Plaza Nautica, col. Centro, telephone (52)(624) 143-3566.
Cancún:  Plaza Caracol two, second level, no. 320-323, Boulevard Kukulcan, km. 8.5, Zona Hotelera, telephone (52)(998) 883-0272.
Ciudad Acuña:  Ocampo # 305, col. Centro, telephone (52)(877) 772-8661
Cozumel:  Plaza Villa Mar en el Centro, Plaza Principal, (Parque Juárez between Melgar and 5th ave.) 2nd floor, locales #8 and 9, telephone (52)(987) 872-4574.
Ixtapa/Zihuatanejo:  Hotel Fontan, Blvd. Ixtapa, telephone (52)(755) 553-2100.
Mazatlán:  Hotel Playa Mazatlán, Playa Gaviotas #202, Zona Dorada, telephone (52)(669) 916-5889.
Oaxaca:  Macedonio Alcalá no. 407, interior 20, telephone (52)(951) 514-3054 (52)(951) 516-2853.
Piedras Negras: Abasolo #211, Zona Centro, Piedras Negras, Coah., Tel. (878) 782-5586.
Playa del Carmen:  “The Palapa,”  Calle 1 Sur, between Avenida 15 and Avenida 20, telephone (52)(984) 873-0303.
Puerto Vallarta:  Paradise Plaza, Paseo de los Cocoteros #1, Local #4, Interior #17, Nuevo Vallarta, Nayarit, telephone (52)(322) 222-0069.
Reynosa:  Calle Monterrey #390, Esq. Sinaloa, Colonia Rodríguez, telephone: (52)(899) 923 – 9331
San Luis Potosí:  Edificio “Las Terrazas”, Avenida Venustiano Carranza 2076-41, Col. Polanco, telephone: (52)(444) 811-7802/7803.
San Miguel de Allende:  Dr. Hernandez Macias #72, telephone (52)(415) 152-2357 or (52)(415) 152-0068.

Interim Guidance for Swine influenza A

Swine influenza A virus infection (swine flu) can cause a wide range of symptoms, including fever, cough, sore throat, body aches, headache, chills and fatigue. Some people have reported diarrhea and vomiting associated with swine flu. People with swine flu also can have vomiting and diarrhea. Like seasonal flu, swine flu in humans can vary in severity from mild to severe.Severe disease with pneumonia, respiratory failure and even death is possible with swine flu infection. Certain groups might be more likely to develop a severe illness from swine flu infection, such as persons with chronic medical conditions. Sometimes bacterial infections may occur at the same time as or after infection with influenza viruses and lead to pneumonias, ear infections, or sinus infections.

The following information can help you provide safer care at home for sick persons during a flu pandemic.

How Flu Spreads

The main way that influenza viruses are thought to spread is from person to person in respiratory droplets of coughs and sneezes. This can happen when droplets from a cough or sneeze of an infected person are propelled through the air and deposited on the mouth or nose of people nearby. Influenza viruses may also be spread when a person touches respiratory droplets on another person or an object and then touches their own mouth or nose (or someone else’s mouth or nose) before washing their hands.

People with swine flu who are cared for at home should:

• check with their health care provider about any special care they might need if they are pregnant or have a health condition such as diabetes, heart disease, asthma, or emphysema
• check with their health care provider about whether they should take antiviral medications
• stay home for 7 days after the start of illness and fever is gone
• get plenty of rest
• drink clear fluids (such as water, broth, sports drinks, electrolyte beverages for infants) to keep from being dehydrated
• cover coughs and sneezes. Clean hands with soap and water or an alcohol-based hand rub often and especially after using tissues and after coughing or sneezing into hands.
• avoid close contact with others – do not go to work or school while ill
• be watchful for emergency warning signs (see below) that might indicate you need to seek medical attention

Medications to Help Lessen Symptoms of the Flu

Check with your healthcare provider or pharmacist for correct, safe use of medications

Antiviral medications can sometimes help lessen influenza symptoms, but require a prescription. Most people do not need these antiviral drugs to fully recover from the flu. However, persons at higher risk for severe flu complications, or those with severe flu illness who require hospitalization, might benefit from antiviral medications. Antiviral medications are available for persons 1 year of age and older. Ask your healthcare provider whether you need antiviral medication.

Influenza infections can lead to or occur with bacterial infections. Therefore, some people will also need to take antibiotics. More severe or prolonged illness or illness that seems to get better, but then gets worse again may be an indication that a person has a bacterial infection. Check with your healthcare provider if you have concerns.

Warning! Do not give aspirin (acetylsalicylic acid) to children or teenagers who have the flu; this can cause a rare but serious illness called Reye’s syndrome. For more information about Reye’s syndrome, visit the National Institute of Health website at http://www.ninds.nih.gov/disorders/reyes_syndrome/reyes_syndrome.htmExternal Web Site Policy.

• Check ingredient labels on over-the-counter cold and flu medications to see if they contain aspirin.
• Teenagers with the flu can take medicines without aspirin, such as acetaminophen (Tylenol®) and ibuprofen (Advil®, Motrin®, Nuprin®), to relieve symptoms.
• Children younger than 2 years of age should not be given over-the-counter cold medications without first speaking with a healthcare provider.
• The safest care for flu symptoms in children younger than 2 years of age is using a cool-mist humidifier and a suction bulb to help clear away mucus.
• Fevers and aches can be treated with acetaminophen (Tylenol®) or ibuprofen (Advil®, Motrin®, Nuprin®) or nonsteroidal anti-inflammatory drugs (NSAIDS). Examples of these kinds of medications include:

Generic Name:  Acetaminophen, Tylenol®, Ibuprofen
Brand Name(s):  Advil®, Motrin®, Nuprin®, Naproxen, Aleve

• Over-the-counter cold and flu medications used according to the package instructions may help lessen some symptoms such as cough and congestion. Importantly, these medications will not lessen how infectious a person is.
• Check the ingredients on the package label to see if the medication already contains acetaminophen or ibuprofen before taking additional doses of these medications—don’t double dose! Patients with kidney disease or stomach problems should check with their health care provider before taking any NSAIDS.

Check with your health care provider or pharmacist if you are taking other over-the-counter or prescription medications not related to the flu.For more information on products for treating flu symptoms, see the FDA website: http://www.fda.gov/fdac/features/2005/105_buy.htmlExternal Web Site Policy..
When to Seek Emergency Medical Care

Get medical care right away if the sick person at home:

• has difficulty breathing or chest pain
• has purple or blue discoloration of the lips
• is vomiting and unable to keep liquids down
• has signs of dehydration such as dizziness when standing, absence of urination, or in infants, a lack of tears when they cry
• has seizures (for example, uncontrolled convulsions)
• is less responsive than normal or becomes confused

Steps to Lessen the Spread of Flu in the Home

When providing care to a household member who is sick with influenza, the most important ways to protect yourself and others who are not sick are to:

• keep the sick person away from other people as much as possible (see “placement of the sick person at home”)
• remind the sick person to cover their coughs, and clean their hands with soap and water or an alcohol-based hand rub often, especially after coughing and/or sneezing.
• have everyone in the household clean their hands often, using soap and water or an alcohol-based hand rub
• ask your healthcare provider if household contacts of the sick person—particularly those contacts who may have chronic health conditions—should take antiviral medications such as oseltamivir (Tamiflu®) or zanamivir (Relenza®) to prevent the flu.

Placement of the sick person

• Keep the sick person in a room separate from the common areas of the house. (For example, a spare bedroom with its own bathroom, if that’s possible.) Keep the sickroom door closed.
• Unless necessary for medical care, persons with the flu should not leave the home when they have a fever or during the time that they are most likely to spread their infection to others (7 days after onset of symptoms in adults, and 10 days after onset of symptoms in children).
• If persons with the flu need to leave the home (for example, for medical care), they should cover their nose and mouth when coughing or sneezing and wear a loose-fitting (surgical) mask if available.
• Have the sick person wear a surgical mask if they need to be in a common area of the house near other persons.
• If possible, sick persons should use a separate bathroom. This bathroom should be cleaned daily with household disinfectant (see below).

Protect other persons in the home

• The sick person should not have visitors other than caregivers. A phone call is safer than a visit.
• If possible, have only one adult in the home take care of the sick person.
• Avoid having pregnant women care for the sick person. (Pregnant women are at increased risk of influenza-related complications and immunity can be suppressed during pregnancy).
• All persons in the household should clean their hands with soap and water or an alcohol-based hand rub frequently, including after every contact with the sick person or the person’s room or bathroom.
• Use paper towels for drying hands after hand washing or dedicate cloth towels to each person in the household. For example, have different colored towels for each person.
• If possible, consideration should be given to maintaining good ventilation in shared household areas (e.g., keeping windows open in restrooms, kitchen, bathroom, etc.).
• Antivirals can be used to prevent the flu, so check with your healthcare provider to see if some persons in the home should use antiviral medications.

If you are the caregiver

• Avoid being face-to-face with the sick person.
• When holding small children who are sick, place their chin on your shoulder so that they will not cough in your face.
• Clean your hands with soap and water or use an alcohol-based hand rub after you touch the sick person or handle used tissues, or laundry.
• Caregivers might catch flu from the person they are caring for and then the caregiver might be able to spread the flu to others before the caregiver shows symptoms. Therefore, the caregiver should wear a mask when they leave their home to keep from spreading flu to others in case they are in the early stages of infection.
• Talk to your health care provider about taking antiviral medication to prevent the caregiver from getting the flu.
• Monitor yourself and household members for flu symptoms and contact a telephone hotline or health care provider if symptoms occur.

Using Facemasks or Respirators

• Avoid close contact (less than about 6 feet away) with the sick person as much as possible.
• If you must have close contact with the sick person (for example, hold a sick infant), spend the least amount of time possible in close contact and try to wear a facemask (for example, surgical mask) or N95 disposable respirator.
• An N95 respirator that fits snugly on your face can filter out small particles that can be inhaled around the edges of a facemask, but compared with a facemask it is harder to breathe through an N95 mask for long periods of time. More information on facemasks and respirators can be found at www.cdc.gov/swineflu
• Facemasks and respirators may be purchased at a pharmacy, building supply or hardware store.
• Wear an N95 respirator if you help a sick person with respiratory treatments using a nebulizer or inhaler, as directed by their doctor. Respiratory treatments should be performed in a separate room away from common areas of the house when at all possible.
• Used facemasks and N95 respirators should be taken off and placed immediately in the regular trash so they don’t touch anything else.
• Avoid re-using disposable facemasks and N95 respirators if possible. If a reusable fabric facemask is used, it should be laundered with normal laundry detergent and tumble-dried in a hot dryer.
• After you take off a facemask or N95 respirator, clean your hands with soap and water or an alcohol-based hand sanitizer.

Household Cleaning, Laundry, and Waste Disposal

• Throw away tissues and other disposable items used by the sick person in the trash. Wash your hands after touching used tissues and similar waste.
• Keep surfaces (especially bedside tables, surfaces in the bathroom, and toys for children) clean by wiping them down with a household disinfectant according to directions on the product label.
• Linens, eating utensils, and dishes belonging to those who are sick do not need to be cleaned separately, but importantly these items should not be shared without washing thoroughly first.
• Wash linens (such as bed sheets and towels) by using household laundry soap and tumble dry on a hot setting. Avoid “hugging” laundry prior to washing it to prevent contaminating yourself. Clean your hands with soap and water or alcohol-based hand rub right after handling dirty laundry.
• Eating utensils should be washed either in a dishwasher or by hand with water and soap.

For More Information

The Centers for Disease Control and Prevention (CDC) Hotline (1-800-CDC-INFO) is available in English and Spanish, 24 hours a day, 7 days a week.

SOURCE: CDC

Travel Warning Yemen

The Department of State warns U.S. citizens of the high security threat level in Yemen due to terrorist activities.  The Department recommends that American citizens defer non-essential travel to Yemen.  American citizens remaining in Yemen despite this warning should monitor the U.S. Embassy website and should make contingency emergency plans.  This replaces the Travel Warning for Yemen issued March 24, 2009, to update information on piracy and travel through the Gulf of Aden.

The security threat level remains high due to terrorist activities in Yemen.  On the morning of September 17, 2008, armed terrorists attacked the U.S. Embassy in Sana’a, Yemen.  A number of explosions occurred in the vicinity of the Embassy’s main gate.  Several Yemeni security personnel and one Embassy security guard were killed, as were a few individuals waiting to gain entry to the Embassy, one of whom was a U.S. citizen.

U.S. Embassy employees have been advised to exercise caution when choosing restaurants, hotels or visiting tourist areas in Sanaa in order to avoid large gatherings of foreigners and expatriates.  Only limited travel outside of the capital is authorized at this time.

U.S. citizens who travel to or remain in Yemen despite this warning should exercise caution and take prudent security measures, including maintaining a high level of vigilance, avoiding crowds and demonstrations, keeping a low profile, varying times and routes for all travel, and ensuring travel documents are current.  American citizens in Yemen are advised to exercise particular caution at locations frequented by foreigners countrywide, including restaurants and hotels frequented by expatriates.  From time to time, the Embassy may restrict official Americans from restaurants, hotels, or Shopping areas.  The Department of State strongly encourages American citizens to consult the most recent Warden Messages on the U.S. Embassy website to get up-to-date information on security conditions.  Americans who believe they are being followed or threatened while driving in urban centers should proceed as quickly as possible to the nearest police station or major intersection and request assistance from the officers in the blue-and-white police cars stationed there.

The Department remains concerned about possible attacks by extremist individuals or groups against U.S. citizens, facilities, businesses, and perceived interests.  On March 15, 2009, four South Korean tourists were killed in a suicide bomb attack in the city of Shibam in southern Hadramout province.  On March 18, 2009, a South Korean motorcade was attacked by a suicide bomber near Sana’a International Airport.  On January 17, 2008, suspected al-Qa’ida operatives ambushed a tourist convoy in the eastern Hadramout Governorate, killing two Belgians.  On July 2, 2007, suspected al-Qa’ida operatives carried out a vehicle-borne explosive device attack on tourists at the Belquis Temple in Marib, which resulted in the deaths of eight Spanish tourists and two Yemenis.  The targeting of tourist sites by al-Qa’ida may represent an escalation in terror tactics in Yemen.  On February 3, 2006, 23 convicts, including known affiliates of al-Qa’ida, escaped from a high-security prison in Sanaa, some of whom remain at large.  Two of the escapees were killed in vehicle-based suicide attacks on oil facilities near Mukalla and Marib on September 15, 2006.  Those attacks were followed by the arrest the next day in Sanaa of four suspected al Qa’ida operatives, who had stockpiled explosives and weapons.

The Government of Yemen has been battling al Houthi rebels in and around the northern governorate of Saada intermittently since 2004.  While foreigners have not been targeted, hundreds of soldiers and civilians have been killed in the violence.  U.S. citizens traveling in Yemen should be aware that local authorities occasionally place restrictions on the travel of foreigners to parts of the country experiencing unrest.  In addition, the U.S. Embassy itself often restricts travel of official personnel to the tribal areas north and east of Sanaa, such as the governorates of Amran, Al Jawf, Hajja, Marib, Saada, and Shabwa.  Travelers should be in contact with the Embassy for up-to-date information on such restrictions.

Travel by boat through the Red Sea or near the Socotra Islands in the Gulf of Aden presents the risk of pirate attacks. Since the beginning of 2009, 40 vessels reportedly have been attacked and 23 vessels seized in the area.  In some cases, crew members were held for ransom.  Following the April 2009 hijacking of a U.S. cargo vessel and the subsequent rescue of the vessel’s captain, resulting in the deaths of three pirates, Somali pirates threatened to retaliate against American citizens transiting the region.  The threat of piracy extends into the Indian Ocean off the Horn of Africa as well.  See our International Maritime Piracy Fact Sheet .

U.S. citizens should register at the Consular Section of the U.S. Embassy in Sanaa and enroll in the warden system (emergency alert network) to obtain updated information on travel and security in Yemen.  This can be done online prior to arrival in Yemen at the State Department’s registration web page .

The U.S. Embassy is located at Dhahr Himyar Zone, Sheraton Hotel District, P.O. Box 22347.  The telephone number of the Consular Section is (967) (1) 755-2000, extension 2153 or 2266.  The fax number is (967) (1) 303-175.  The after-hours emergency number is (967) (1) 755-2000 (press zero for extension) or (967) 733 213 509.  From time to time the Embassy may temporarily close or suspend public services for security reasons.  Emergency assistance to U.S. citizens during non-business hours (or when public access is restricted) is available through Embassy duty personnel.

Current information on travel and security in Yemen may be obtained from the Department of State by calling 1-888-407-4747 within the United States and Canada or, from outside the United States and Canada, 1-202-501-4444.  U.S. citizens should consult the Country Specific Information for Yemen and the Worldwide Caution on the State Department’s Internet site.  Up-to-date information on security conditions can also be viewed at U.S. Embassy Sanaa’s American citizens services web page.

Travel Warning Madagascar

The State Department warns U. S. citizens of the risks of traveling to Madagascar, and recommends against all but essential travel to Madagascar because of escalating civil unrest.  This replaces the Madagascar Travel Warning of March 9, 2009, to warn against non-essential travel to Madagascar, and inform Americans that the Peace Corps program in Madagascar has been suspended temporarily.

Since January 2009, Madagascar has been experiencing escalating political demonstrations including violent clashes.  While the immediate causes of the political crisis in Madagascar are between government forces and supporters of the former mayor of Antananarivo, there have been regular demonstrations and clashes with security forces in most provincial capitals and other population centers around the country.  Residences and businesses have been looted and burned.  While American citizens have not been targeted to date, the Department of State has authorized the departure of non-emergency personnel and family members at the U.S. Embassy in Antananarivo due to the ongoing unrest and security concerns.  The Peace Corps Director has approved an evacuation and temporary suspension of the Peace Corps program in Madagascar.    The Department of State warns U.S. citizens against non-essential travel to Madagascar at this time.  American citizens already in Madagascar should carefully consider the dangers of remaining.  Those who do choose to remain despite this warning should continue to maintain a high level of vigilance and a low profile.

The Department of State urges American citizens to take responsibility for their own personal security while traveling overseas, to review emergency procedures and contingency plans, and to remain aware of their surroundings at all times.  American citizens in Madagascar should ensure they have enough water, food, and supplies in stock in the event of an emergency.  The dynamic political situation may require the U.S. Embassy in Madagascar to close for safety and security reasons with little advance notice.  The Embassy nevertheless will endeavor to notify American citizens of any such closures via warden message, posted here .

American citizens in Madagascar are urged to register with the Department of State or the U.S. Embassy in Antananarivo, Madagascar, through the State Department’s travel registration website .  By registering, American citizens make it easier for the Embassy in Antananarivo to contact them in case of emergency.  Registrants are asked to provide e-mail address and cellular phone number.

The Embassy is located at 14-16 Rue Rainitovo, Antsahavola, Antananarivo.  The mailing address is B.P. 620, Antsahavola, Antananarivo, Madagascar; telephone [261] (20) 22-212-57 during regular business hours and for after-hours emergencies; fax [261] (20) 22-345-39.  Contact the Consular Section via e-mail .  The Embassy’s web site is located here.

Updated information on travel and security in Madagascar may be obtained from the Department of State by calling 1-888-407-4747 toll-free in the United States and Canada, or for callers outside the United States and Canada, a regular toll line at 1-202-501-4444.  For further information, please consult the Country Specific Information for Madagascar and the Worldwide Caution available on the Bureau of Consular Affairs website

Travel Warning Pakistan

The Department of State warns U.S. citizens against non-essential travel to Pakistan in light of the threat of terrorist activity.  This replaces the Travel Warning dated November 21, 2008, and updates information on security incidents, notes the temporary relocation of some employees from the US Consulate in Peshawar to Islamabad, and reminds U.S. citizens of ongoing security concerns in Pakistan.

The presence of Al-Qaida, Taliban elements, and indigenous sectarian groups poses a potential danger to American citizens, especially in the western border regions of Pakistan.  Continuing tensions in the Middle East also increase the possibility of violence against Westerners in Pakistan.  Terrorists and their sympathizers have demonstrated their willingness and capability to attack targets where Americans are known to congregate or visit, such as hotels, clubs and restaurants, places of worship, schools, or outdoor recreation events.  Visits by U.S. government personnel to Peshawar and Karachi are limited and movements are severely restricted.  American officials in Lahore and Islamabad are instructed to exercise caution and restrict the frequency of trips to public markets, restaurants, and other locations.  Only a limited number of official visitors are placed in hotels, for limited stays.  From time to time depending on ongoing security assessments, the U.S. Embassy places areas such as hotels, markets, and/or restaurants off limits to official personnel.  American citizens in Pakistan are strongly urged to avoid hotels that do not apply stringent security measures and to maintain good situational awareness, particularly when visiting locations frequented by westerners.

On November 12, 2008, an American government contractor and his driver in Peshawar were shot and killed in their car.  In September 2008, over fifty people, including three Americans, were killed and hundreds were injured when a suicide bomber set off a truck filled with explosives outside a major international hotel in Islamabad.  In August 2008, gunmen stopped and shot at the vehicle of an American diplomat in Peshawar.  In March 2008, a restaurant frequented by westerners in Islamabad was bombed, killing one patron and seriously injuring several others, including four American diplomats.  On March 2, 2006, an American diplomat, a Consulate employee, and three others were killed when a suicide bomber detonated a car packed with explosives alongside the U.S. Consulate General in Karachi. Fifty-two others were wounded.

Sectarian and extremist violence has resulted in fatal bomb attacks in Islamabad, Rawalpindi, Karachi, Peshawar, Quetta, Lahore, and other Pakistani cities in 2007, and 2008.  There were over 60 suicide bombings in 2008 that killed approximately 1,000 people throughout Pakistan.  Some of the attacks have occurred outside major hotels, in market areas and other locations frequented by Americans.  Other recent targets have included restaurants, Pakistani government officials and buildings, mosques, and international NGOs. Since late 2007, occasional rockets have targeted areas in and around Peshawar.

Since 2007, several American citizens throughout Pakistan have been kidnapped for ransom or for personal reasons.  Kidnappings of foreigners are particularly common in the Northwest Frontier Province (NWFP) and Baluchistan.  In 2008, one Iranian and two Afghan diplomats, two Chinese engineers, and a Polish engineer were kidnapped in NWFP.  In February 2009, an American UNHCR official was kidnapped in Baluchistan.  Kidnappings of Pakistanis also increased dramatically across the country, usually for ransom.

Pakistani security forces are engaged in combat with militants across many areas of the Federally Administered Tribal Areas (FATA) and parts of the Northwest Frontier Province.  Access to many areas of Pakistan, including the FATA along the Afghan border, and the area adjacent to the Line of Control (LOC) in the disputed territory of Kashmir, is restricted by local government authorities for non-Pakistanis.  Travel to any restricted region requires official permission by the Government of Pakistan.  Failure to obtain such permission in advance can result in arrest and detention by Pakistani authorities.  Due to security concerns the U.S. Government currently allows only essential travel within the FATA by American officials. Rallies, demonstrations, and processions occur regularly throughout Pakistan on very short notice.  In the aftermath of the December 2007 death of former Prime Minister Benazir Bhutto, widespread rioting in Karachi led to multiple deaths and injuries as well as widespread property damage.  Demonstrations have often taken on an anti-American or anti-Western character, and Americans are urged to avoid large gatherings.

U.S. citizens who travel to or remain in Pakistan despite this Travel Warning are encouraged to register with the Embassy in Islamabad or the Consulates in Karachi, Lahore, or Peshawar.  This registration can be completed online through the Department of State’s travel registration website: https://travelregistration.state.gov.  Alternatively, Americans without Internet access should contact the nearest Embassy or Consulate for information on registering in person.  Registration enables citizens to obtain updated information on travel and security within Pakistan via the emergency alert system (warden network).

Americans in country should take appropriate individual precautions to ensure their safety and security.  These measures include maintaining good situational awareness, avoiding crowds and demonstrations and keeping a low profile.  Avoid setting patterns by varying times and routes for all required travel.  Ensure that travel documents and visas are valid at all times.  Official Americans are instructed to avoid use of public transportation and restrict their use of personal vehicles in response to security concerns.

The U.S. Embassy in Islamabad is located at Diplomatic Enclave, Ramna 5; telephone: (92-51) 208-0000; Consular Section telephone: (92-51) 208-2700; fax: (92-51) 282-2632; website: http://islamabad.usembassy.gov/.

The U.S. Consulate General in Karachi is located at 8 Abdullah Haroon Road; telephone: (92-21) 520-4200 or (92-21) 520-4400 after hours; fax: (92-21) 568-0496; website: http://karachi.usconsulate.gov/.

The U.S. Consulate in Lahore is located on 50 Sharah-E-Abdul Hamid Bin Badees (Old Empress Road), near Shimla Hill Rotary; tel: (92-42)603-4000 or (91-42)603-4250; fax: (92-42) 603-4200; website: http://lahore.usconsulate.gov;  email: amconsul@brain.net.pk.

The U.S. Consulate in Peshawar is located at 11 Hospital Road, Cantonment, Peshawar; telephone: (92-91) 526-8800; fax: (92-91) 528-4171; website: http://Peshawar.usconsulate.gov.

For the latest security information, Americans traveling abroad should regularly monitor the Department’s Internet web site at http://travel.state.gov where the Worldwide Caution and the Pakistan Country Specific Information can be found.  Up-to-date information on security can also be obtained by calling 1-888-407-4747 toll free in the United States and Canada, or, for callers outside the United States and Canada, a regular toll line at 1-202-501-4444. These numbers are available from 8:00 a.m. to 8:00 p.m. Eastern Time, Monday through Friday (except U.S. federal holidays).

Travel Warning Eritrea

U.S. Department of State continues to warn U.S. citizens of the risks of travel to Eritrea and recommends that U.S. citizens defer travel at this time.  This replaces the Travel Warning dated November 15, 2008, and informs U.S. citizens that the consular section of the U.S. Embassy in Asmara has re-opened for all American Citizen Services.

The Department of State recommends that U.S. citizens defer travel to Eritrea because of Eritrean government restrictions on travel outside the capital city of Asmara and heightened tensions along Eritrea’s borders with Ethiopia and Djibouti.

American citizens considering travel within Eritrea should be aware of the presence of large numbers of Eritrean and Ethiopian troops along the Eritrean-Ethiopian border, and acute political tensions between the two countries.  In March 2008, the Eritrean restrictions on diesel fuel supplies caused the United Nations Mission in Ethiopia and Eritrea’s detachments to withdraw from the Temporary Security Zone, leaving no international observers monitoring the border.

Since April 2008, Djiboutian and Eritrean troops have been deployed along the northeastern border of Djibouti.  The Djiboutian government claims Eritrean troops have crossed into its territory and on June 10, 2008, Djiboutian and Eritrean troops exchanged fire along their shared border.

U.S. citizens are strongly advised to avoid travel near the Eritrean-Ethiopian border and to the Southern Red Sea region, including the port of Assab.

The Eritrean government continues to restrict the travel of all foreign nationals, including resident diplomats.  These restrictions require all visitors and residents to apply ten days in advance for permission to travel outside the Asmara city limits.  As a result, the U.S. Embassy cannot provide emergency consular assistance outside of Asmara.  The Eritrean government does not inform the U.S. Embassy when American citizens have been arrested or detained.

Americans currently living or traveling in Eritrea are strongly encouraged to register with the U.S. Embassy in Asmara in person or through the State Department’s travel registration web site, https://travelregistration.state.gov, and to obtain updated information on travel and security within Eritrea.  By registering, American citizens make it easier for the Embassy to contact them in case of an emergency and provide updates on the security situation.  The U.S. Embassy is located at 179 Alaa Street, P.O. Box 211, Asmara; telephone (291-1) 12-00-04, available 24 hours in case of emergency; fax (291-1) 124-255 and (291-1) 127-584; web site http://asmara.usembassy.gov/.

For additional information, consult the Department of State’s Country Specific Information sheet for Eritrea and the Worldwide Caution at http://travel.state.gov.  American citizens may also obtain up-to-date information on security conditions by calling 1-888-407-4747 toll-free in the United States and Canada, or 1-202-501-4444 from overseas.

Travel Warning Syria

This Travel Warning warns U.S. citizens of ongoing safety and security concerns in Syria.  American citizens are urged to consider carefully the risks of travel to Syria and to take adequate precautions to ensure their safety.  This supersedes the Travel Warning for Syria issued on April 15, 2008.

On multiple occasions throughout January 2009, thousands of Syrians protested in mostly government-orchestrated rallies against Israeli military actions in the Gaza Strip.  While these events were largely peaceful, in one instance a few hundred protestors challenged police lines outside the Egyptian Embassy in downtown Damascus and were dispersed by means of non-lethal force.  At least seven smaller-scale and non-violent demonstrations have occurred in central Damascus and other urban centers.

On October 30, 2008, the Syrian Government allowed a large-scale demonstration in central Damascus to take place with the aim of protesting an alleged U.S. military action at the Syrian/Iraqi border that had occurred earlier that week. Security concerns related to the demonstration prompted a temporary closure of the U.S. Embassy for one day.  In response to the same alleged incident, the Syrian Government ordered the immediate closure of the Damascus Community School, the American Language Center, and the American Cultural Center on November 4, 2008.  They remain closed until further notice.

On October 9, 2008, Syrian authorities raided Yarmouk refugee camp on the outskirts of Damascus and killed three terrorist suspects.  On September 27, 2008, a car bomb exploded in a southern suburb of Damascus in proximity to a Syrian intelligence installation, killing and wounding numerous civilians.  On August 3, 2008, a Syrian general was assassinated near Tartous.  On February 12, 2008, an explosion in the residential Kafer Soseh neighborhood of Damascus killed a senior Hizbollah operative.  In September, 2006, the U.S. Embassy in Damascus was attacked by terrorists armed with guns, grenades, and a car bomb.  In February 2006, violent anti-western demonstrations resulted in significant damage to four embassies near the U.S. Embassy.

A number of terrorist groups have offices in Syria.  Since 1979, the United States has designated Syria a State Sponsor of Terrorism due to its support for organizations such as Hizbollah, Hamas, and Palestinian Islamic Jihad.  In addition, other extremist groups are present in Syria.  These groups have the potential to be either the targets of or perpetrators of acts of violence.

U.S. citizens who remain in or travel to Syria are strongly encouraged to register at the Consular section of the U.S. Embassy in Damascus or via the www.travel.state.gov internet based registration website, and to obtain updated information on travel and security in Syria.  Those registering should give due consideration to Privacy Act provisions and waivers.  Americans in Syria are reminded they should review their personal security practices, including exercising caution and taking prudent measures to maintain their security and that of family members.  These measures include being aware of their surroundings, avoiding crowds and demonstrations, avoiding loitering in areas with concentrations of people such as hotels, theaters, bus stations, and schools.  American citizens should keep a low profile, vary times and routes for all travel, and ensure their travel documents are current.

Syrian officials do not notify the American Embassy when American citizens are arrested.  Syrian officials do not inform detained American citizens that they have the right to request consular access.  In detention/arrest cases, the U.S. Embassy usually learns of a detained American via third parties, such as relatives or friends of the detained.  In the event an American citizen is detained, he/she should continue to request consular access and the right to speak to the U.S. Embassy.

The Syrian government is acutely sensitive when it comes to the security of its borders.  A passport and Syrian visa are required to enter Syrian territory.  Visas must be obtained prior to arrival in Syria from a Syrian diplomatic mission located in the traveler’s country of residence.  The U.S. Embassy is aware that some persons have been able to obtain visas at Syrian border crossings.  However, the issuance of a Syrian border visa is in no way certain, and the U.S. Embassy wishes to dissuade American travelers from attempting to enter Syria in this manner.

Syrian Immigration services closely track foreign visitors, especially students.  Syrian Immigration has been known to deny re-entry to Syria even to Americans with valid dual- or multi-entry visas in their passports.  Several Americans have been refused re-entry to Syria after spending weekends in Jordan or Lebanon.  The Embassy cannot assist Americans in gaining re-entry to Syria or in retrieving their belongings from Syria if they are denied reentry.

U.S. consular personnel remain available to provide emergency information and services to American citizens. The U.S. Embassy in Damascus, Syria, is located at 2, Al-Mansour St., Abu Roumaneh.  The Embassy telephone number is (963) (11) 3391-4444, fax (963) (11) 331-9678, e-mail: acsdamascus@state.gov.  American citizens may register with the Embassy online by visiting https://travelregistration.state.gov/ibrs.  Additional information may be found on the Embassy website at http://usembassy.state.gov/damascus.

Updated information on travel and security in Syria may be obtained from the Department of State by calling 1-888-407-4747 within the United States and Canada or, from overseas, 1-202-501-4444.  Additional details can be found in the Department of State’s Country Specific Information for Syria, and the Worldwide Caution, which are available on the Department’s Internet website at http://travel.state.gov.

Travel Alert Bangladesh

The Department of State warns U.S. citizens of the risks of travel to Bangladesh, and urges caution while traveling during the period before and after the upcoming election on December 29. This Travel Alert expires on January 5, 2009.

On December 17, 2008, the Government of Bangladesh lifted a State of Emergency that had been in place since January 11, 2007. With the December 29 national election approaching, political parties have begun to organize large gatherings and election rallies throughout the country. Large gatherings in Bangladesh, including those organized for campaigning purposes, in the past have erupted in violence. Several newspapers also have reported terrorist threats focused on the elections. With these developments in mind, the U.S. Embassy advises U.S. citizens traveling to or already in Bangladesh to maintain a high level of vigilance and to take appropriate steps to review their security awareness.

The security situation in Bangladesh can be fluid, and Americans are urged to check with the U.S. Embassy for the latest information. U.S. citizens are reminded that even demonstrations intended to be peaceful can quickly and unexpectedly escalate into violence. American citizens therefore are urged to avoid the areas of demonstrations if possible and to exercise caution if within the vicinity of any demonstrations. U.S. citizens should monitor media coverage of local events and be aware of their surroundings at all times. Information regarding demonstrations in Bangladesh can be found on the U.S. Embassy Dhaka’s web site at http://dhaka.usembassy.gov/. The Government of Bangladesh has stated it may suspend cell phone coverage during this period. Landlines, however, should not be affected. The Embassy will remain open during elections.

Visitors to Bangladesh should check with the Consular Section of the U.S. Embassy in Dhaka for updated information on the current political situation. The U.S. Embassy is located approximately four miles south of Zia International Airport, and five miles north of downtown in the Diplomatic Enclave, Madani Avenue, Baridhara, Dhaka, telephone (88-02) 885-5500, fax number (88-02) 882-3744. The Consular Section is open for American Citizens Services Sunday through Thursday from 1:00 p.m. to 4:00 p.m. For emergency services and general information during business hours, please call (88-02) 882-3805. For emergency services after hours, please call (88-02) 885-5500 and ask for the duty officer.

For the latest security information, Americans traveling abroad should regularly review the Department of State, Bureau of Consular Affairs web site at http://travel.state.gov where the current Travel Warnings and Travel Alerts http://travel.state.gov/travel/cis_pa_tw/cis_pa_tw_1168.html , including the Worldwide Caution http://travel.state.gov/travel/cis_pa_tw/pa/pa_1161.html, can be found. Americans traveling to or living in Bangladesh who are registered at the U.S. Embassy will receive updated security information about Bangladesh via e-mail. All Demonstration Notices and Warden Messages are posted on the Embassy’s web site at http://dhaka.usembassy.gov/. Up-to-date information on safety and security can also be obtained by calling 1-888-407-4747 toll free in the United States and Canada, or for callers outside the United States and Canada, a regular toll-line at 1-202-501-4444. These numbers are available from 8:00 a.m. to 8:00 p.m. Eastern Time, Monday through Friday (except U.S. federal holidays).