COVID-19

https://www.diariolibre.com/actualidad/salud/salud-publica-califica-como-exceso-decir-que-muchos-mueren-en-sus-casas-de-coronavirus-AK18304141

Public Health qualifies as excess saying that many die in their homes of coronavirus

Public Health Minister Rafael Sánchez Cárdenas considered it an overstatement to say that a large number of people are dying in their homes because of COVID-19.

"We have previously said that only 18 percent of all recorded deaths occur in homes. To say of a large number of people who are dying in the house, I think it is an excess, "said the official.

He maintained that all deaths are registered using the protocols that are being followed and these should appear in the statistics that they handle, even if they do not occur in hospital centers, in which the report is mandatory.


“We do not answer rumors, but we apply the established notification procedures. A deceased has to be collected in the community by various means, because the National Statistics Directorate has to register, in the cemetery it has to be registered and the deaths of that amount or that one wants to attribute to COVID-19 is not like that, I can say conclusively until proven otherwise, ”said the Minister of Health.

He explains that through the provincial health directorates they know how many people are buried every day, how many notify clinics and hospitals, but if in the investigation of each case it is determined that the death was not caused by COVID- it will never appear in the statistics of the illness.

Sánchez Cárdenas made the clarification before a journalistic question that realized that in the María Trinidad Sánchez province there was concern because many people supposedly die in their homes by COVID-19 or with suspicions of this and are not registered in the monitoring bulletins to the epidemic in the country.

46 days later, "the Italian" continues to test positive for COVID-19 and will be a case study

https://listindiario.com/la-republica/2 … de-estudio

46 days after it was reported that a 62-year-old Italian was the first positive case of COVID-19 in the Dominican Republic, it still continues to test positive for the disease, so he remains admitted to the Ramón de Lara military hospital, of the San Isidro Air Base.

"He is stable but he keeps giving positive to the tests that are carried out, that is why he still remains isolated in the hospital," said the Minister of Public Health, Rafael Sánchez Cárdenas, at the press conference this morning, when asked by journalists. .

Sánchez Cardenas revealed that he will appoint a medical commission to study the case and take it as a model, due to the longevity of the case. Normally, cases of COVID-19 go to the cure period between 14 and 20 days after starting treatment based on the symptoms presented. 

“I am appointing a commission to take this case as a model due to its prolongation. Even after so long it continues to test positive for coronavirus, so we will study the case, "added the minister.

The Italian citizen entered the national territory on February 22, through the La Romana international airport and was reported as the first positive case on March 1. He arrived to stay in Bayahibe.

This could change the thinking globally especially about immunity and re-infections.

The case of the Italian is absolutely stunning!  Will be interesting.to watch how this progresses!

Análisis del crecimiento del COVID-19
en la República Dominicana  INFORME#25

https://drive.google.com/file/d/1ZwyCJX … U_8kP/view

Entrances to the National District blocked again

SANTO DOMINGO.- Traffic on the Duarte, Juan Bosh and Francisco J. Peynado bridges, which connect the National District with Santo Domingo Este and Norte, remains blocked this Saturday by the Police and the Armed Forces.

So far, the authorities have not provided details on the reason for the measure.

However, during the quarantine period in the country due to coronavirus, there have been several occasions when these bridges have been blocked, justifying that the measure is taken to prevent people from passing unnecessarily.

In his speech last night, President Danilo Medina reported the extension of the curfew until April 30, from 5:00 in the afternoon to 6:00 in the morning, however he warned that surveillance on the streets will be expanded and the police and military control will be tightened for anyone who is not making strictly necessary movements between 6:00 am and 5:00 pm.

https://eldia.com.do/bloquean-nuevament … -nacional/

People without gloves or masks cannot enter the National District; there are dozens of detainees

https://listindiario.com/la-republica/2 … -detenidos


I wonder if this new clampdown is nationwide?

I was in Rio San Juan this morning

getting a beer out of the trunk

The Police passed and told me to put on my mask
which I had in my hand, no wanting to sip the beer thru it

They may be tightening up nationwide

More manpower may be needed

Bulletin #30

Total Confirmed Cases:  4335   Increase:  209
Total Deaths:                      217   Increase: 17
Total Recovered:                312   Increase: 44
Total Active Cases:            3806
Total Tests:                       14373  Increase: 1091

In detail:

DN                                           +29
SD                                            +46
Santiago                                  +25
Duarte                                      +23
Espaillat                                   +4
La Altagracia                           +2
La Romana                              +8
La Vega                                    +28
Maria T S                                  +1
Peravia                                     +5
Puerto Plata                             +3
Hermanas M                            +13
San Cristobel                           +8
San Juan                                    +1
Sanchez Ramirez                     +7
Monsignor N                            +6

The good news that the incidence with increased testing of positive to negative was down to 19%. More tests aren't showing massive increases.

The numbers of deaths is a good indication of the potential number of cases that exist in the country. We are 5% with higher levels in the provinces and less in the capital. Even doubling the current % of deaths to cases and allowing for some unreported deaths at this time, we could allowing for the 30% asymptomatic to be at anywhere between the reported number and about 10k. At least there is some science to that number rather than the finger in the air fear mongering that some expats suggest. Another good indicator or rather comparison, is to compare what is happening here at hospitals and morgues compared to countries with very high confirmed cases and daily increases and that which you see on TV and reported. It isn't happening like that here.............yet and I hope not.

That said I am worried about the Cibao and the North which is showing high increases and high levels of positive test results. These areas should be shut down much more. It appears that the mayor plans to close off DN and I have read similar stories about what is happening in SD West too. We know Santiago is closing up too and I know from relatives that in the campo the towns north of SD are all restricting travel and entry.

The next week will be key to see how we go imo.

Here is DN cases since 2nd April:

535    588    624    665    696    723    762    800    859    886    921    948    959    1003 1015 1078 1107

A definite flattening.

I would assume them checking the bridges and entrances are part of the increased vigilance - why are you on the streets?   

The only reason to leave home is for work, food,  medicine or medical help. ONLY what is essential.

planner wrote:

I would assume them checking the bridges and entrances are part of the increased vigilance - why are you on the streets?   

The only reason to leave home is for work, food,  medicine or medical help. ONLY what is essential.

https://listindiario.com/la-republica/2020/04/18/613785/y-usted-tiene-su-mascarillatiene-sus-guantes-preguntas-de-los-militares-en-los-retenes

And do you have your mask? Do you have your gloves? Where are you going? Why?", Those are questions that are asked of all the people who try to cross the Juan Bosch bridge to the National District.

Brigades of the National Army, National Police and the General Directorate of Traffic and Land Transport (Digesett) are responsible for executing the operation, which is in force from six in the morning on Saturday and the provision is that it lasts until the start of the touch meet at five in the afternoon.

"We are only following orders from the Ministry of Defense, we have to ask each citizen if they are wearing masks and gloves, if one of them is missing they are returned to their homes. The provision is to stay at home and that is what we are trying to The reason is that they do not walk without a justification, "said Army colonel Leonardo, one of those in charge of the operations at the head of the Juan Bosch bridge.

According to the colonel, people who are not taking any preventive measures and are traveling in public transport vehicles and / or motors are being detained, while Digesett agents are holding the motors and vehicles.

The operations are also applied on the Francisco del Rosario Sánchez, Ramón Matías Mella, Jacinto Peynado bridges and the Sábana Perdida bridge, although to a lesser extent.

These checkpoints took citizens by surprise, as they were not announced. So far, neither the authorities of the National Police nor the Ministry of Defense have expressed themselves in this regard.

It is recalled that through the provision of the Ministry of Public Health, the use of masks in public spaces is mandatory.

Thanks for the confirmation.

La Vega Province is beginning to look as ugly as Duarte with community transmission which has not been traced to a particular contacts. We can only hope that the area is being sealed off noting the Duarte highway #1 passes through this province so the problem can easily be transferred to many other areas if strict travel controls aren't in place.

https://www.diariolibre.com/actualidad/salud/siguen-en-aumento-los-casos-positivos-de-coronavirus-en-la-vega-JI18324841

Positive cases of coronavirus continue to increase in La Vega

Since last Monday, 99 new positive cases have been detected in that area of ​​the country. In the bulletin on Monday 13 they reported that there were a total of 209 confirmed cases, for Tuesday it increased to 222, on Wednesday there were 261 new cases, 280 on Thursday and 308 on Friday. All this according to epidemiological bulletins issued by the Ministry of health.

In La Vega, seven people have died from coronaviruses, according to official reports. The Minister of Health, Rafael Sánchez Cárdenas, assured that in that province there is community circulation of the new coronavirus, making it difficult for epidemiologists to establish links between one case and another.

The “plateau” of the Covid-19 would arrive in the last week of May

https://listindiario.com/la-republica/2 … na-de-mayo

The Minister of Public Health, Rafael Sánchez Cárdenas, expressed this Saturday that it is possibly in the last week of May when the Dominican Republic begins to see a significant reduction in the number of positive cases of coronavirus (Covid-19) reported by day and scope the so-called "contagion plateau".

"From the conclusion of these two weeks, the ministry will be able to meet the samples we have ordered and make a projection, anyway with the data we have available, we will reach the contagion plateau in the last week of May ”, Expressed the minister during some statements offered in Santiago.

That puts us at home until into June.  This country will have huge difficulty with this.

Análisis del crecimiento del COVID-19
en la República Dominicana  INFORME #26

https://drive.google.com/file/d/1THHkcK … _-wFO/view

"Internal tourism will be the big winner when the Covid-19 crisis is overcome"

The president of the Dominican Association of Tour Operators ( Adotur ), Jacinto Fernández , stated that domestic tourism will be the big winner when it comes to controlling the Covid-19 pandemic.

He noted that the recovery of tourism worldwide will take time, "more than enough reason for the authorities to dedicate themselves to projecting the tourist attractions that the country has and motivating Dominicans to visit them."

“Although an improvement is expected in the sector worldwide, in tourist terms, after the pandemic, the borders will not open overnight, which represents a great opportunity to take Dominicans into account in the recovery of the country at a tourist level ”, he said.

He indicated that tourism SMEs must prepare and renew themselves, since the opportunities that may arise are many after the pandemic, according to Recorrando con Salvador.

Fernández considered that it is necessary to create an emergency fund, like those of large companies, that allow you to operate without resources for between 3 and 6 months.

Likewise, he understands that the sector will have to use digital platforms more often, since they have been the means of work for all those related to the sector, since the appearance of the coronavirus.

"Digital platforms have helped make work easier and meet a different audience that can be captured by travel agencies, while still using the physical offices, since the Dominican is still very confident with face-to-face service" he emphasized.

https://www.arecoa.com/protagonistas/20 … -covid-19/

There is plenty of discussion and lobbying taking place in relation to tourism and airlines and the recovery after covid19. The hospitality industry in the Caribbean is overly optimistic that flights will resume quickly if their clients are willing to start travelling again and much of the research is focused on the holidaymaker/traveller and how they will respond. They are ignoring to some extent the views of the people in the tourist destinations and assume governments will automatically open up again and put the population at risk again.

I'm not so sure. Foreigners will be viewed with some caution for some time to come.

I do agree with the domestic tourism opening first approach along with resumption of travel for citizen and residents and approved business persons providing there are approved tests/quarantines.

The idea of all inclusive enclaves for tourists is also likely to be discussed further where tourists can come but are controlled in AI hotels and staff are also quarantined living in resort accommodation too.

I would doubt if general tourism for foreigners will resume much this year but everything is uncertain from day to day with this virus and it is probably far too early to even guess.

Bulletin #31:

Total Confirmed Cases:  4680       Increase:  345
Total Deaths:                      226       Increase:      9
Total Recovered:                363       Increase:     51
Active cases:                      4091                 
Total Tests:                        15583    Increase:   1210
Total IC:                                 114

In Detail:

DN                                                +91
SD                                                 +88
Santiago                                      +41
Duarte                                          +22
La Altagracia                                +2
La Romana                                   +1
Puerto Plata                                +15
La Vega                                        +22
Maria TS                                       +4
Hermanas Mirabel                     +14
SPM                                               +2
Monsignor N                                +6
Espaillat                                        +15
San Juan                                        +3
Monte Plata                                  +1
Sanchez Ramirez                         +3
San Cristobel                                +6
Hato Mayor                                   +1
Azua                                               +2
Peravia                                           +2
Monte Cristi                                  +1
Santiago Rodriguez                     +2
San Jose de Ocoa                         +1

The number of rapid tests carried out in the country is reported in both Listin Diario and El Dia as:

[link under review]

[i]Reportó que hasta el momento se han realizado un total de 56, 710 pruebas rápidas en el país.

More than 56,000 coronavirus tests have been taken in the country

n the Dominican Republic, more than 56 thousand tests have been taken to detect the COVID-19 coronavirus, since its existence in the country was confirmed to date.

According to the Minister of Public Health, Rafael Sánchez Cárdenas, he said that 41,127 rapid tests and 15,583 PCR tests have been carried out, which would add 56,710 tests in total.

Four thousand tests were available yesterday, Saturday, and they were waiting for the results.

He also said that the rapid tests have been carried out in San Juan de la Maguana, La Vega and the La Victoria National Penitentiary.

[link under review]
[/i]

This is really significant and likely confirms that the actual reported numbers are a decent assessment of the situation in DR.

Again, thanks for all your tracking and reporting on this.

Again, thanks for all your tracking and reporting on this.

International Travel

Here's the intro to an article on travel in the NYTimes

=============================================================

Travelers Consider Their Risk Tolerance
Inexpensive deals abound, and coupled with newly relaxed change and cancellation policies, some travelers are seeing little to no risk in pointing, clicking and purchasing.









On March 12, the day after the World Health Organization declared the coronavirus a pandemic, Sery Kim, a lawyer in Coppell, Texas, noticed that the number of American Airlines AAdvantage miles needed to book a May flight to Barbados she had been eyeing dropped from 130,000 to 30,000 — a decrease of nearly 77 percent.

Thus set off a four-day hunt for future trips. In addition to Barbados, Ms. Kim purchased six round-trip Southwest Airlines tickets, starting later in March, to Washington, D.C., where she keeps an apartment for work. She paid $99 apiece for flights that normally cost upward of $183, with dates extending into September. She spent $93 on a late-April flight to Miami that usually costs around $330. Then she booked a safari vacation in July for about $900 round trip to Cape Town — about half what she paid for a South Africa flight in 2016.

Ms. Kim, 41, was indulging in what might be called flight arbitrage. Inexpensive airfare deals abound currently; couple those with newly relaxed airline change and cancellation policies and some travelers are seeing little-to-no risk in pointing, clicking and purchasing. They are betting that things will have improved enough to travel, and if they haven’t, they can roll their money forward into an even later trip.


“There’s an arbitrage opportunity that has never really existed in modern air travel,” said Scott Keyes, founder of Scott’s Cheap Flights, an online alert service with more than two million members. “Not only are fares super low, but to be able to cancel if you decide not to take the trip is rare. And there are absolutely people taking advantage of it — not in a pejorative sense, but literally by booking flights for when hopefully, fingers crossed, things are safer.”

To proceed cautiously amid travel advisories and border closures, Scott’s Cheap Flights is only promoting deals from July onward, and only for airlines waiving change and cancellation fees.

After her April tour through Japan was canceled, with all of her payments successfully recouped, Karen Burrows, a 56-year-old health care worker, used Scott’s Cheap Flights to purchase a $282 round-trip flight from New York City to Athens, Greece, departing in September.

[Post under review]

[Post under review]

Perhaps we need to adjust (or readjust) our thinking-

Pandemics are survived, not beaten
with the timeless methods of isolation and patience.

You are absolutely right that we will need to survive this pandemic until such time there is a vaccine available to all.

But it does need to be beaten, or at least be under control, for some sort of normality to return.

Having multiple waves of this virus (as is actually predicted by the models) is going to affect how we live for the next year at least.

No country has beaten this virus yet. China had 121 new cases yesterday and South Korea over 2k. Singapore, a country that relaxed it's controls had 1k new cases.

How the countries in Europe fair with their new relaxations of lock down will be seen in about 3 weeks. If good it will continue and other countries will follow. If there is another spike then the there is the possibility the lock down comes back. It is all an experiment right now. Even now there is doubt about the anti-body tests and a lasting immunity if you get covid19. So even the herd immunity idea maybe flawed.

A vaccine is essential. repeated waves of the virus with deaths and hospitalizations will ruin heath provision for all other ailments. It has to be beaten to some significant degree.

So countries best start adapting to the new reality.

Where will DR go on this path? I would hope that we continue the controls including curfew into mid May at least, whilst looking at some easements such as small scale construction re-starting and some other business where there is limited interaction of people. We must get the numbers down well below 100 daily and preferable in just a few areas.

I fear fro many businesses especially in the service industries in their present form such as restaurants, bars and cinemas. Hospitality is going to have to adjust. Airlines for sure will suffer big time and some will fold and perhaps travel costs will escalate.

We all will become more insular in our thinking. We adapt.

I've been planning for this with my small property in the campo with agriculture, animals and self reliance. My fear was for a major hurricane or earthquake but now this sort of potential pandemic is more reason for being independent. Wife now understands my thinking.

What does that mean? We made a down payment on a condo there. Are you saying because of this we might not be able to come back into the country again? I think this question needs to be answered now. It is not fair to those who have invested time, thought and money into making this decision not to know if they can even reenter the country again.

And if No is the answer, we need get our money back so we can start to be considering where we will go, if not into the DR.

Bulletin #32:

Total Confirmed Cases: 4964    Increase: 284
Total Deaths:                     235    Increase:      9
Total Recovered:               416    Increase:     53
Active Cases:                    4313
Total in IC:                           128
Total  PCR Tests:           16682    Increase: 1099
Total Rapid Tests:          41127
Total Tests:                     57809

In Detail:

DN                                                    +83
SD                                                     +64
Santiago                                           +41
Duarte                                              +25
La Altagracia                                     +3
La Romana                                       +3
Puerto Plata                                     +14
La Vega                                             +21 
Maria T S                                          +4
SPM                                                   +1
Monsignor N                                    +9
Espaillat                                            +1
San Juan                                           +6
Sanchez Ramirez                            +4
San Cristobel                                   +1
Azua                                                  +1
Peravia                                             +1
Monte Cristi                                     +1
Santiago Rodriguez                        +1

Tigerink,  no one has that answer YET.  Give it some time. I am pretty sure that in time you will be able to come back.

Here is an unsettling number  304 inmates were tested at Victoria jail.  192  had positive results and ZERO symptoms!  That scares the crap out of me!

Tigerink wrote:

What does that mean? We made a down payment on a condo there. Are you saying because of this we might not be able to come back into the country again? I think this question needs to be answered now. It is not fair to those who have invested time, thought and money into making this decision not to know if they can even reenter the country again.

And if No is the answer, we need get our money back so we can start to be considering where we will go, if not into the DR.

I doubt anybody can answer that question.... Can we come back?

I say - yes you can -
but don't ask me when!!

My wife is in PHL.... I am here... similar problem
when will she come here or will I go there??

as to considering alternative countries - good luck with that
Show me a safe one..........

Planner
you won't like this

We are seeing this in other countries as well. Researchers at the University Hospital in Bonn tested antibodies in Ganglet, Germany, and found 14% of the residents have already been infected. If that were the average in America, it would mean close to 50 million people have already had the virus, previously chalked up to the winter flu or else completely asymptomatic.

There are few environments that are better controlled for a scientific study than a Navy ship. The Navy recently tested the entire 4,800-member crew of the U.S. aircraft carrier Theodore Roosevelt and found that 600 individuals, 12.5 percent, tested positive. Roughly 60 percent were asymptomatic! There has been just one fatality so far.

Similar results were found on board France’s Charles de Gaulle aircraft carrier. According to the New York Times, of the 2,300 sailors on board, 1,081 tested positive, nearly 550 sailors are symptomatic (51%), 24 are hospitalized, and one is in intensive care.

Another remarkable result comes from a Boston homeless shelter, where 146 of 397 people tested positive and not a single one had any symptoms.

"Eating with gloves is an act of ignorance," says Minister of Public Health

He explained that these should only be used by medical personnel

https://www.diariolibre.com/actualidad/ … HO18342674

In this sense, Sánchez Cárdenas recommended that the population wash their hands and keep them sanitized "if they are going to touch things."

Whilst I totally agree with the use of face masks, especially new studies show that even talking spreads as many droplets of potentially contagious material as coughing, I have always thought the use of gloves should be limited to one use only, for example when shopping, and then disposed. Our preference is to use disinfectant hand gel all the time even when out because it makes sense to keep disinfecting after touching any surface that others may have touched.

Unfortunately the mayor of DN is not allowing people to enter the area with masks and gloves - hopefully he will read what the MoH has stated today.

https://www.diariolibre.com/actualidad/ … NO18342906

As far as safe countries go, there actually are several. The DR is not at the top of the list. We didn't choose it for that reason. We chose it because it is a lovely place with lovely, open people and we know enough of the language to manage until we learn can learn more and assimilate. I don't think I mentioned safe in my comment. We live in a zero crime area now and we still lock our doors and cars.  We don't go wondering around at night. Even though it is statistically safe to do so. So, safe it a relativity concept.

I understand why it would be a subject for debate: "to wear masks or not to wear masks". We laugh and say we feel like bandits with our masks on. But the funny thing is, when we I enter the place where we get our mail and 300 other people get their mail, they greet me by name. So I guess we are not as anonymous as we feel we are.

The problem with the stats on how many people have the virus in the US, it has been discovered that one very large city was posting every single death as caused by the virus. The CDC thought that was odd and went and checked. Not one death from cancer, heart attack, accident, kidney failure, natural causes, suicide, murder, the annual flu.. Every single death was posted as from the Virus. CDC said "get your records straight". So we will actually never know how many people have it or die from it. But far less than was thought a week ago.

I am for face masks which have been used extensively in those countries with the lowest transmission rates and especially so after reading below:

https://www.nejm.org/doi/full/10.1056/NEJMc2007800

.........Aerosols and droplets generated during speech have been implicated in the person-to-person transmission of viruses,1,2 and there is current interest in understanding the mechanisms responsible for the spread of Covid-19 by these means. The act of speaking generates oral fluid droplets that vary widely in size,1 and these droplets can harbor infectious virus particles. Whereas large droplets fall quickly to the ground, small droplets can dehydrate and linger as “droplet nuclei” in the air, where they behave like an aerosol and thereby expand the spatial extent of emitted infectious particles.2 We report the results of a laser light-scattering experiment in which speech-generated droplets and their trajectories were visualized..............

My guess is that face mask use will be around for a very long time.

Theoretically, the mask is not to protect the person wearing it, it is to protect the people that you are going to be close to.  Would you feel more comfortable if the person behind you sneezed on you and was wearing a mask or not wearing a mask? 

My preference is to go into a public area seeing people wearing masks at this time.  Whether they have the virus or not makes no difference to how I feel.

Conversely, if you are not infected and someone without a mask sneezes or coughs on you and you are wearing a mask, do you feel safe?  I hope not, as the answer is those infected particles could land on you anywhere and later end up in your lungs, eyes etc.

Play it safe, wear a mask and don't go near anyone not wearing a mask... needless to say gloves, long sleeved clothing etc...

And there lies another issue.

The potentially virus infected droplets from someone infected coughing, breathing or even talking can fall on clothing and remain active for some time on such.

Right now we only go out once a week but after the trip we wash all our clothes and shoes and shower and clean down all surfaces touched in the apartment by things brought in. Extreme perhaps but it is our safe haven.

Until we know more about this virus it will be a way of life for the careful and that especially applies to the older people. We all have to adapt and respect others who want to remain safe by taking all known and stipulated precautions.

We are doing the same.  Fortunately, we have an outside wash area and shower and this all happens before anything foreign enters our house.  Nothing is 100% but take all the precautions you can.  You might safe your life and anyone you come in contact with.

Yes the new research and findings are troublesome!   More than we think or know have this virus or had this virus.

I was reading about blood clotting being a tremendous issue and.maybe why many don't survive! 

As new findings are shared and are based on science, all of us need to adapt!  When I shop I wear mask.  I do not wear gloves.  I stay close to home.  My clothes from this trip go into a laundry basket in my spare room if I can't wash them right away.  Now, imagine the people who are not getting water!  No laundry for them. Another example of the differences from place to place!

Our numbers continue to rise as does social unrest!

Análisis del crecimiento del COVID-19
en la República Dominicana   INFORME ~27

https://drive.google.com/file/d/1bXbCFp … j4xVw/view

Some realism from the DR Tourism association. Despite the pain that is being faced by tourism they admit it will take time to recover and the onus is also on the countries where tourists come from.

Marranzini expects tourism recovery to start within 30 or 45 days

Mass tourism says it will be the last segment to recover

https://www.arecoa.com/destinos/2020/04 … 0-45-dias/

......But he clarifies that, in the recovery process, "mass tourism is not the starting point."

That starting point would be the openings of commercial airlines, and then business trips for work reasons. And only later, for reasons of visits for vacation or family reasons.

But mass tourism will be the last segment to fully recover, because a number of things have to happen from a health and safety point of view, not only in the Dominican Republic, but also in the sending countries.

Furthermore, "what happens in the countries that send tourists has a specific weight in the capacity that we have to bring it.".........

Just logical!  International tourism will take a.long time to come back to recent levels.