What is it: Lassa fever is an acute viral illness that occurs in West Africa. It is highly contagious and occurs mainly in the dry season in West Africa, particularly Guinea, Liberia, Nigeria, Sierra Leone, and the DRC.

How do I get it: Rodents shed the virus in urine and droppings which means that the virus can be transmitted through direct contact with these materials, through touching objects or eating food contaminated with these materials, or through cuts or sores.

What happens if I get it: Symptoms of Lassa Fever typically occur 1-3 weeks after the patient comes into contact with the virus. These include: fever, pain behind the chest wall, sore throat, back pain, cough, abdominal pain, vomiting, diarrhoea and a rash. After four weeks occur: bleeding, ascites and shock. Death occurs in 50 % of patients.

Diagnose and treatment: the virus can be detected in blood and urine. The anti-viral agent Ribavarin can be used, otherwise it is a question of symptom control and intensive care.

How can I avoid contracting Lassa fever: avoid contact with rodents.

Judy from the US write in to tell the Beetle about her recent visit to Siem Reap. This is what she says:

My husband and I were in Siem Reap for the full moon 8 Nov 03. Candles were set floating in the Siem Reap River which flows through the village. It was an awesome night scene. Boat races were also held at this time with competing teams from all over Cambodia.

One Swiss couple told us of an encounter they had upon entering the country. The left Bangkok by train to the border, then transferred to a tuk-tuk to cross over to a waiting truck. While taking the truck ride to SR they had their money and cell phone taken. Some American girls said they had taken the boat ride from Phnom Penh and had a good experience, including sightings of the Vietnamese boat people.

Siem Reap is a very safe place in the evenings by our experiences. The temples are a sight to behold…still in an unspoiled state. Take an extra passport photo to put on your temple permit as the photo queue can be long. The helium balloon ride is a great bargain $11.00 US to get a wonderful view of the Angkor Wat and nearby temples.

Sunrise and sunset are times to get pictures with the Angkor Wat reflecting in the moat waters. The guides suggest you take a hike up a very steep hill and then upon a temple to get a view of the sunset over the countryside; not the Angkor Wat. We rode by tuk-tuk to Chong Khneas and took a boat ride to see the Vietnamese floating village which was quite interesting and photographic.

The food was excellent and varied, especially like the Cambodian noodles. This was just the unspoiled area that we wanted to visit. Being from the Midwest US we had arranged a guide for 1 1/2 days and spent two days on our own. I think you need time just to sit and reflect on what a sight you are witnessing, Ta Prohm with the trees growing out of the stones and Angkor Thom were impressive.

The latter part of the flight over was terrific, with snow on the Gran Sasso first and then, towards the end, there was the fabulous spectacle of the Aeolian Islands with Stromboli puffing away. Etna, on Sicily itself, was puffing a bit but nothing to suggest the major eruption it had the next winter. We flew past it and into Catania.

I was pleased to find that I could get a bus direct from the airport to Siracusa without going into Catania and only had about fifty minutes to wait with a view of Etna to while away the time. More of the Sicilian coast than I had expected was spoilt by industry and far less by tourism and to be honest I did not particularly enjoy the bus journey to Siracusa. Fortunately it was only about an hour. I had booked for the first two nights at the Bel-Sit and I had seen where it was on the small map in the Rough Guide. Would I be able to recognise it on the ground though and save time going to the terminus and back? I was quite proud of myself as I alighted from the coach, got out my case, helped an attractive woman out with hers and watched the bus leave. My pride lasted all of twenty-three seconds until I discovered that the case was not mine! Somehow my Italian came up to telling the woman I had helped what had happened and I was given a lift in the car picking her up to pursue the bus. Strangely the conversation with the woman driver was in the neutral language of Spanish! There at its terminus was the bus and there, outside it were my case, some very crestfallen passengers who had of course lost theirs, the driver who looked as though he would rather be somewhere else – anywhere else in fact – and the inevitable police inspector. Great was the jubilation, as G.F. Handel said! This ended very well for me with a lift back up the hill and the first woman escorting me – and carrying my case – to the Bel-Sit; a bit more than I had deserved perhaps!

Two areas demand to be visited. These are the old part of the city at Ortygia, where the bus terminus was, and the Parco Archeológico. I went down to Ortygia that same evening, just too late for the tourist office opening times, and enjoyed a brief stroll round and a good pizza. It was quite good enough to call me back the next morning but, other than getting the map and literature I wanted from the tourist office, I was just a shade disappointed. Ortygia is near enough an island and not a very big one; I had not realised that the point, which should have given a good sea view, was out of bounds to visitors because of the requirements of the army. In general the area should probably be regarded as a must see by anyone who has not been to any of the beautiful old towns on the Italian mainland but, unusually, I was as much struck by the displayed poverty of some areas as anything. The cathedral is very interesting, though scarcely beautiful, from the outside with bits being part of an earlier Greek temple. However, contrary to my usual view in southern Europe, the interior, which contains some strikingly beautiful columns, provides a better spectacle. Taken as a whole I preferred Ortygia at night and the jury was still out on Siracusa as I took a bus and then a walk to the entrance to the Parco Archeológico.

The jury did not stay out long, however. This is terrific and, for a person like me who has never been to Greece, it was truly magic. I do not mean to belittle the sights in Sicily by saying this. The Greek remains in Sicily are regarded by experts as being of top order. I did classics in the sixth form and I well remember the campaigns of Athens and Sparta and the importance of Sicily in general and Siracusa in particular, in the Peloponnesian War. The splendid and vast Greek theatre here dates back to the fifth century BC and I found it quite spellbinding. Near it were the old Latomie del Paradiso, quarries and later the prison for Athenian prisoners of war. Paradise indeed? Even in February the heat would have suggested a very different theological area, particularly for those who had to work in the quarries. Particularly outstanding in the view is the Orecchio di Dionissio [ear of Dionysus,] a large cavern well up the cliff. Not far away is the Roman Amphitheatre, which became so much used for blood sports that another smaller one had to be built back in the town for drama.

Siracusa would have repaid a longer visit.

David Cross was a keen walker, particularly on mountains before he developed serious heart problems in 1995. He has now adapted his holidays to what he is able to do and we are presenting his account of 12 days in Sicily over this and the coming months. Next episode – Agrigento

Can you spare 2 weeks + ? Would you like a working
holiday in a fantastic place?

We are currently looking for volunteer medical staff for
our clinic in India.

Agricultural Work with Planet
Drum Foundation in Bahia de Caraquez, Manabi, Ecuador

Planet Drum Foundation is a non-profit, grass roots
environmental organisation based in San Francisco,
California, USA. Planet Drum supports projects that address
environmental and sustainability issues. Their projects are
carried out by an international staff, volunteers, and
local citizens. Specific projects in Ecuador include:
replanting an urban park on the site of a large landslide,
establishing model community composting centres, seeding
steep slopes to prevent landslides, creating wildlife and
vegetation corridors, growing native plants and trees. They
are also starting up an environmental education program in
a local elementary school. No costs to volunteers,
dorm-style lodging in a large apartment. This area is
located on the coast where most amenities are available.

Madre de Selva

Madre Selva is a 5 hectare centre for research,
demonstration and education about tropical permaculture. It
is a grassroots project developed over 10 years. The
Institute is in a barrio on the edge of the buzzing
mangrove town of San Lorenzo in the North Western province
of Esmeraldas. It employs local staff and works with local
communities. The organisation is looking for someone to
help integrate and improve the current financial management
system, liaise with staff to research existing system and
plans, streamline operations, develop plans to generate
income and develop a business plan for Madre Selva.

Sally is British and has lived in the UK all her life. International travel as part of her work took her to many countries, including Portugal. She fell in love with the place and decided to sell her beautiful cottage in Malmsbury, Wiltshire, and relocate to Lisbon. In this article, she tells us about exploring Cascais, in Portugal.

So, what have I been up to? Well I have been exploring Cascais – I had to have a coffee bar to replace the one I used in Alfama and so far have found two that are really nice. The first one, Chocolat, is in the centre and is air-conditioned (a boon in the summer heat wave) and although more pricey than others, is quite glamorous. It does all sorts of herbal and fruit teas as well as every variety of coffee. It sells snacks and cakes and does great scones – a favourite being cinnamon. The second one is up a back street not far from the main square and is called Mise en Scene. This again does lovely teas and coffees and wonderful savouries. It has tables outside and inside its decorated in a cross between Mediterranean and Indian styles. Very good for vegetarians too. On Sundays I drive along the coast road to Casa da Guia – a large mansion with coffee bars, restaurants and shops with a view of the sea – to get the Sunday papers and then sit looking out at sea reading all the news. The service is atrocious – you wait ages to order, then ages for it to arrive and then a lifetime waiting for the bill and change but the view is worth it.

Throughout the heat wave the most popular places to go were the shopping centres because of the air conditioning. The beaches were, as you would expect, very busy but the guys on the beach that I use, said that it was still quiet compared to last year. I still get my bed for 2 Euros which is great value. It’s a nice beach with bars, ice cream kiosks and a ski school behind. You can sit and watch the water skiers fall in and the antics of the kids on the banana boat as well as all the other yachts, fishing boats and in the distance the big tankers on their way into Lisbon. Someone has also started boat trips up the coast to Lisbon (on Sundays) and to Carcavelos (about 10 minutes by road) in a tall ship. Apparently you can join in the work on the boat or just enjoy the trip.

The Marina is an odd place – obviously it has all the flash boats etc. and the shops, bars, restaurants etc. but doesn’t seem to be doing very well. I was told by a friend that the mooring fees here in Cascais are the most expensive in Europe!! May be that’s the reason then. There have also been a spate of late night muggings which have caused problems.

Along the coast road just up from Boca d’Inferno (Hell’s Mouth) is a great hot dog stand with amazing views out over the sea. Very enterprising operation run on solar power with tables and chairs, umbrellas etc. but no loo! They play good music too. Unfortunately as I do not like hot dogs I have not actually tried them but my local friends recommend them highly.

Cascais has a lovely park with a museum, ponds and a mini zoo. Very popular on Sundays with families and obviously with school parties. The areas behind the main streets are also very interesting with the old traditional properties and some of them have the most fabulous gardens – some times parts of it remind me very much of Malmsbury – the streets are just as narrow and there is a crazy one way system that still manages to confuse me and I end up somewhere I have never been before but it doesn’t matter as it’s a great way of finding new areas.

Living down by the coast is really nice. Although Cascais is a holiday resort, when you live here you really don’t notice it that much because the tourists tend to be concentrated by the seafront and the main square, although it has been pretty obvious that this year has been very quiet. The beach I use in previous years would have three or four guys working the beach, doing the beds, the canoes, the banana boat and water skiing and then about four or five behind the bar and waiting on the tables. This year there have been two on the beach (one finished two weeks ago); and two waiting tables (one finished about three weeks ago) and the rest is done by the husband and wife who own the beach bar. August was busy because that’s when the whole country is on holiday – they even stop charging to come across the bridges as an incentive for people.

If you’d like to contact Sally, she can be reached by e-mail on: pethybs@hotmail.com