Why tourists who flock to see the country's beautiful landscapes will have to get a visa from next year.
Dr Tjamena Murangi is seeing to a patient with a large infected wound on her arm - it is swollen and has lost colour. "Sorry Sisi, sorry," he says in his soft-spoken voice as he gently cleans her wound.
Attempts to give the maximum level of international protection to all African elephants have foundered at a key species conference in Johannesburg.