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Before travelling to Cuba, you must have comprehensive travel insurance that will cover all overseas medical costs, including medical evacuation for the full duration of your stay.

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By Luke Taylor.

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Nurse Yosian Diago checks door-to-door for people with symptoms of covid in Havana, Cuba, in June. As coronavirus cases soar in the US, Brazil and other countries in the Americas, some countries have found strategies to contain the virus and limit deaths. More than 5 million confirmed cases of covid and nearlyrelated deaths have been reported in the Americas as of 29 June, around half of the world total.

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But in a few places, the picture is very different. Cuba, an island of Even so, it had reported just confirmed cases and 86 deaths as of 1 July.

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What the health system lacks in materials, it makes up for in workforce — it has the highest doctor-per-patient ratio in the world, 8. By comparison, Brazil has 2.

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It sent suspected covid cases to state-run isolation centres and traced all their recent contacts. The government should also be credited for acting early, says Perez-Riverol. Yet Uruguay had reported only cases and 27 deaths as of 1 July. That equates to cases and 7 deaths per million inhabitants, compared with cases and deaths per million in Brazil.

Perhaps surprisingly, Uruguay never enforced a mandatory quarantine.

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The government also undertook aggressive testing measures and rolled out a contact-tracing app from which home visits and tests can be requested. Like Cuba, it responded early. It also increased the of testing laboratories from one to 25 and sent scientists to Brazil for training.

Uruguay had conducted tests per new case of covid as of 26 June, the highest for any country in South America. Various lessons should be learned from its response, says Escalante, not least the importance of clear messaging.

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