Chindia Alert: You’ll be Living in their World Very Soon
aims to alert you to the threats and opportunities that China and India present. China and India require serious attention; case of ‘hidden dragon and crouching tiger’.
Without this attention, governments, businesses and, indeed, individuals may find themselves at a great disadvantage sooner rather than later.
The POSTs (front webpages) are mainly 'cuttings' from reliable sources, updated continuously.
The PAGEs (see Tabs, above) attempt to make the information more meaningful by putting some structure to the information we have researched and assembled since 2006.
SYDNEY (Reuters) – The Australian government said on Friday it would meet a week ahead of schedule to decide whether to ease social distancing restrictions, as the numbers of new coronavirus infections dwindle and pressure mounts for business and schools to reopen.
Australia has reported about 6,700 cases of the new coronavirus and 93 deaths, well below the levels reported in the United States and Europe. Growth in new infections has slowed to less 0.5% a day, compared to 25% a month ago.
Prime Minister Scott Morrison said it was imperative to lift social distancing restrictions as early as possible as 1.5 million people were now on unemployment benefits and the government forecast the unemployment rate to top 10% within months.
“We need to restart our economy, we need to restart our society. We can’t keep Australia under the doona,” Morrison said, using an Australian word for quilt.
Morrison’s government has pledged spending of more than 10% of GDP to boost the economy but the central bank still warns the country is heading for its worst contraction since the 1930s.
With less than 20 new coronavirus cases discovered each day, Morrison said state and territory lawmakers would meet on May 8 – a week earlier than expected – to determine whether to lift restrictions.
“Australians deserve an early mark for the work that they have done,” Morrison told reporters in Canberra.
Australia attributes its success in slowing the spread of COVID-19 to social distancing restrictions imposed in April, including the forced closures of pubs, restaurants and limiting the size of indoor and outdoor gatherings.
Morrison said 3.5 million people had downloaded an app on their smartphones designed to help medics trace people potentially exposed to the virus, though the government is hoping for about 40% of the country’s 25.7 million population to sign up to ensure it is effective.
Cabinet will also decide next week how to restart sport across the country, the prime minister said.
The government says any resumption of sport should not compromise the public health, and recommends a staggered start beginning with small groups that play non-contact contact sport outdoors.
The recommendations suggests Australia’s National Rugby League (NRL) competition may not get permission to restart its competition as soon as many in the sports-mad country would like.
SEOUL/BEIJING (Reuters) – China has allowed 200 employees from South Korea’s Samsung Electronics Co Ltd (005930.KS) to enter the country to work on an expansion of the firm’s NAND memory chip factory, the company said on Wednesday.
The move came after China said on Tuesday that it was in talks with some countries to establish fast-track procedures to allow travel by business and technical personnel to ensure the smooth operation of global supply chains.
China said it has reached a consensus on such an arrangement with South Korea, without elaborating on the terms, including whether individuals entering China will be subject to quarantine.
China, where the virus first emerged late last year, blocked entry last month for nearly all foreigners in an effort to curb risks of coronavirus infections posed by travellers from overseas. After bringing the local spread under control with tough containment measures, it is trying to restart its economic engines after weeks of near paralysis.
A chartered China Air Ltd (601111.SS) plane flew in the Samsung Electronics employees on Wednesday, a company spokeswoman said.
Samsung said its employees will follow the local government’s policy upon arrival, without elaborating.
Shaanxi province, where Samsung’s NAND memory chip plant is located, requires people travelling from overseas to undergo a 14-day quarantine, according to South Korea’s foreign ministry.
“Samsung employees will not be exempted from the 14-day quarantine rule imposed by the Shaanxi province. They will get coronavirus tests at the airport upon arrival and will be transported to a local hotel designated by Chinese authorities,” an official at the Consulate General of South Korea in Xi’an told Reuters.
Samsung Electronics in December increased investment at its chip factory in China by $8 billion to boost production of NAND flash memory chips.
Image copyright GETTY IMAGESImage caption The Chinese city of Wuhan recently lifted its strict quarantine measures
The Chinese city of Wuhan, where the coronavirus originated last year, has raised its official Covid-19 death toll by 50%, adding 1,290 fatalities.
Wuhan officials attributed the new figure to updated reporting and deaths outside hospitals. China has insisted there was no cover-up.
It has been accused of downplaying the severity of its virus outbreak.
Wuhan’s 11 million residents spent months in strict lockdown conditions, which have only recently been eased.
The latest official figures bring the death toll in the city in China’s central Hubei province to 3,869, increasing the national total to more than 4,600.
China has confirmed nearly 84,000 coronavirus infections, the seventh-highest globally, according to Johns Hopkins University data.
What’s China’s explanation for the rise in deaths?
In a statement released on Friday, officials in Wuhan said the revised figures were the result of new data received from multiple sources, including records kept by funeral homes and prisons.
Deaths linked to the virus outside hospitals, such as people who died at home, had not previously been recorded.
Media caption Learn how Wuhan dealt with the lockdown
The “statistical verification” followed efforts by authorities to “ensure that information on the city’s Covid-19 epidemic is open, transparent and the data [is] accurate”, the statement said.
It added that health systems were initially overwhelmed and cases were “mistakenly reported” – in some instances counted more than once and in others missed entirely.
A shortage of testing capacity in the early stages meant that many infected patients were not accounted for, it said.
A spokesman for China’s National Health Commission, Mi Feng, said the new death count came from a “comprehensive review” of epidemic data.
In its daily news conference, the foreign ministry said accusations of a cover-up, which have been made most stridently on the world stage by US President Donald Trump, were unsubstantiated. “We’ll never allow any concealment,” a spokesman said.
Why are there concerns over China’s figures?
Friday’s revised figures come amid growing international concern that deaths in China have been under-reported. Questions have also been raised about Beijing’s handling of the epidemic, particularly in its early stages.
In December 2019, Chinese authorities launched an investigation into a mysterious viral pneumonia after cases began circulating in Wuhan.
China reported the cases to the World Health Organization (WHO), the UN’s global health agency, on 31 December.
But WHO experts were only allowed to visit China and investigate the outbreak on 10 February, by which time the country had more than 40,000 cases.
The mayor of Wuhan has previously admitted there was a lack of action between the start of January – when about 100 cases had been confirmed – and 23 January, when city-wide restrictions were enacted.
Around that time, a doctor who tried to warn his colleagues about an outbreak of a Sars-like virus was silenced by the authorities. Dr Li Wenliang later died from Covid-19.
Wuhan’s death toll increase of almost exactly 50% has left some analysts wondering if this is all a bit too neat.
For months questions have been asked about the veracity of China’s official coronavirus statistics.
The inference has been that some Chinese officials may have deliberately under-reported deaths and infections to give the impression that cities and towns were successfully managing the emergency.
If that was the case, Chinese officials were not to know just how bad this crisis would get in other countries, making its own figures now seem implausibly small.
The authorities in Wuhan, where the first cluster of this disease was reported, said there had been no deliberate misrepresentation of data, rather that a stabilisation in the emergency had allowed them time to revisit the reported cases and to add any previously missed.
That the new death toll was released at the same time as a press conference announcing a total collapse in China’s economic growth figures has led some to wonder whether this was a deliberate attempt to bury one or other of these stories.
Then again, it could also be a complete coincidence.
China has been pushing back against US suggestions that the coronavirus came from a laboratory studying infectious diseases in Wuhan, the BBC’s Barbara Plett Usher in Washington DC reports.
US President Donald Trump and some of his officials have been flirting with the outlier theory in the midst of a propaganda war with China over the origin and handling of the pandemic, our correspondent says.
Mr Trump this week halted funding for the World Health Organization (WHO), accusing it of making deadly mistakes and overly trusting China.
“Do you really believe those numbers in this vast country called China, and that they have a certain number of cases and a certain number of deaths; does anybody really believe that?” Mr Trump said at the White House on Wednesday.
On Thursday, UK Foreign Secretary Dominic Raab said: “We’ll have to ask the hard questions about how [coronavirus] came about and how it couldn’t have been stopped earlier.”
But China has also been praised for its handling of the crisis and the unprecedented restrictions that it instituted to slow the spread of the virus.
Despite PMI data showing a return to growth in both the manufacturing and non-manufacturing sectors, China’s economic activity is still far from normal
Headwinds include the threat of global recession, a second wave of coronavirus infections and a property slump, analysts warn
China’s economy has shown signs of recovery after a dismal start to the year. Photo: Xinhua
China’s economy showed signs of a recovery in March after a nationwide lockdown paralysed business in February, but analysts warned that it is not yet out of the woods.
Despite stronger-than-expected government data released on Tuesday, a series of threats lying ahead could derail China’s fragile recovery, including a second wave of infections, a global recession, worsening deflation due to plunging oil prices and a potentially sharp fall in the property market.
“While the lowest point is behind us, it’s not the time to celebrate,” said Larry Hu, chief China economist at Macquarie Bank.
For now, March’s figures suggest that business conditions are improving considerably, as more people are able to return to work and coronavirus cases continue to fall.
While the lowest point is behind us, it’s not the time to celebrateLarry Hu
The official purchasing managers’ index (PMIs) surveys showed that both the manufacturing and services sectors returned to growth in March, with many factories and retailers reopening as mainland authorities got the pandemic under control.
It will be welcome news for Beijing after a series of economic data plunged to all-time lows in January and February – including February’s PMIs, which are viewed as leading indicators of the state of the economy for the month ahead.
The manufacturing PMI, a survey of sentiment among factory owners, bounced back to 52.0 in March from 35.7 in February, which was an all-time low by some distance.
China’s non-manufacturing PMI – including both the services and construction sectors – was even weaker in February at 29.6, but its recovery to 52.3 was more marked.
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A number above 50 signifies growth in sector activity, while a number below indicates contraction.
Both indices were significantly higher than expected and produced the V-shaped recovery in sentiment that policymakers had been so desperately pursuing.
But analysts warned that this may be short-lived as virus containment measures are set to sap demand across the globe, hitting China’s exports hard.
This was perhaps reflected in the fact that while many key components of the PMIs returned to growth in March, new export orders remained negative at 46.4.
Coronavirus: Chinese companies cut salaries and staff in industries hit hardest by Covid-19
“We would like to emphasise that the 52 reading [for manufacturing PMI] actually means a weak business resumption,” said Lu Ting, chief China economist at Nomura.
“We view the jump in both the manufacturing and non-manufacturing PMIs in March as one-off gains from the very low comparison bases in February.”
The dramatic collapse of the economy in the second month of the year meant March’s economic data was always likely to show a positive spike, with PMIs highly sensitive to short-term fluctuations in business conditions due to the way they are collated. Researchers simply ask respondents if things are better or worse than they were the previous month.
“This does not mean output is now back to its pre-virus trend,” said Julian Evans-Pritchard, senior China economist at Capital Economics, in a note. “Instead, it simply suggests that economic activity improved modestly relative to February’s dismal showing, but remains well below pre-virus levels. This is consistent with what the daily activity indicators show.”
It simply suggests that economic activity improved modestly relative to February’s dismal showing, but remains well below pre-virus levelsJulian Evans-Pritchard
Even the Chinese government urged caution against reading too much into the figures.
“We cannot say China’s economy has fully returned to normal levels based on a single month. We need to continue observing changes in the following months,” said a National Bureau of Statistics spokesman, adding that 96.6 per cent of large and medium-sized businesses were back to work as of March 25.
The official PMI survey, which is produced by the National Bureau of Statistics, is weighted more towards larger companies, including state-owned firms that have been the focus of government efforts to review production.
The Caixin-Markit manufacturing PMI data set to be published on Wednesday is weighted more towards smaller, private-sector firms and could show a less buoyant result given their struggles to resume operations.
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Officials in Beijing have been vocal in recent days about their concerns of a possible
. At a press conference in the capital on Monday, vice-minister of industry and information technology Xin Guobin said that small businesses and exporters might “struggle to survive” in the months ahead, due to global economic turbulence.
That was reflected in a new study by investment firm Fidelity International that showed while more than half of restaurants in China have reopened, daily turnover was 40 to 50 per cent below levels seen before the outbreak. Hotel occupancy figures, meanwhile, remain in single digits.
“Expect further slack in quarters three and four, which means the authorities will have to postpone their target to double gross domestic product growth levels to the first half of 2021,” said Carlos Casanova, Asia-Pacific economist at insurer Coface.
Throughout the world, overworked health care professionals are being infected with Covid-19, yet the Lion City has kept numbers low
Preparation, planning, patient ratios and protective equipment have all played a part. Still, even the best gear cannot guard against discrimination
Medical staff walk to the National Centre for Infectious Diseases building at Tan Tock Seng Hospital in Singapore. Photo: AFP
Uncooperative patients, long hours and a lack of protective equipment are hampering health care workers across the world as they take the fight to the coronavirus, leading many to fall sick themselves.
In Malaysia, a pregnant woman who did not disclose that her father was infected tested positive after giving birth, leading to the shutdown of the entire hospital for cleaning. In the Philippines, nine doctors have died, two of whom had dealt with a patient who lied about her travel history.
In Spain, where more than 5,400 health care workers have been infected, accounting for about 14 per cent of the country’s patients, there are no longer enough workers to care for patients.
In Italy, which has more than 69,000 patients, the virus killed a doctor who had no choice but to work without gloves.
In the United States, which has surpassed China to become the world’s most infected nation with more than 83,000 people testing positive for Covid-19, hospitals are being overrun with patients.
Health care staff in the country say patients are packed into emergency wards and intensive care units (ICUs), further raising the risk of infections. They also report shortages of ventilators, face masks, gowns and shields.
The US Centres for Disease Control and Prevention on March 7 released interim guidelines saying health care workers exposed to the coronavirus could be asked to return to work as long as they wore face masks and were not showing symptoms, if their employers had no other manpower available.
Malaysian health workers at Kuala Lumpur International Airport. Photo: AFP
A REASON FOR OPTIMISM
However, amid all the gloom, Singapore’s experienceis being held up as a reason for optimism. The city state has reported more than 630 cases of infection, all of which are being treated in hospital, yet only a handful of its health care professionals have been infected. What’s more, even these cases, according to Vernon Lee, director of communicable diseases at the Ministry of Health, are thought to have been infected outside the health care setting.
Experts suggest this has been more than just luck, pointing to a case in which 41 health workers were exposed to the coronavirus in a Singapore hospital yet evaded infection.
The workers had all come within two metres of a middle-aged man with Covid-19 who was being intubated, a procedure which involves a tube being inserted into the patient’s trachea. The procedure is seen as being particularly hazardous for health workers as it is “aerosol generating” – patients are likely to cough.
The workers had not known at the time that the man had the virus and all were quarantined after he tested positive. However, on their release two weeks later, none of them had the virus.
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The case has come to widespread attention partly because the workers were wearing a mix of standard surgical masks and the N95 mask, which doctors see as the gold standard as it filters out 95 per cent of airborne particles.
The conclusion, published in The Annals of Internal Medicine this month, was this: “That none of the health care workers in this situation acquired infection suggests that surgical masks, hand hygiene, and other standard procedures protected them from being infected.”
Surgeon and writer Atul Gawande mentioned the case in an article for The New Yorker on how health care workers could continue seeing patients without becoming patients. He said there were things to learn from Asia and that some of the lessons came out of the “standard public health playbook”. In other words, there is much to be said for social distancing, basic hand hygiene and cleaning regimens.
A health worker in protective gear walks into a quarantine room at a hospital in Banda Aceh, Indonesia. Photo: AFP
COMING TOGETHER
With critical supplies running short in many countries, experts say it is increasingly vital that countries share both knowledge and resources.
To this end, China has been donating personal protective equipment to places including the Philippines, Pakistan and Europe. China’s richest man Jack Ma is donating 1.8 million masks, 210,000 Covid-19 test kits and 36,000 pieces of protective clothing to 10 countries in Asia.
At the same time, doctors are encouraging the Western world to learn from Asia.
Infectious diseases expert Leong Hoe Nam said that being “bitten by Sars” (severe acute respiratory syndrome) in 2003 had prepared Asia for Covid-19, while Western countries were not similarly prepared and hence lacked sufficient protective equipment.
He pointed to how about 2,000 health care workers had fallen sick in China early in the outbreak because workers did not initially have protective gear. The trend reversed as equipment became available.
“Once the defences were up, there were very few health care workers who fell sick at work. Rather, they fell sick from contact with sick individuals outside the workplace,” he said.
Malaysia is a case in point. While it has reported 80 health care workers falling ill, most are thought to be community infections.
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In a webinar organised by Caixin Global on Thursday night, Peng Zhiyong, an intensive care specialist at Zhongnan Hospital of Wuhan University, shared how they managed a shortage of personal protective equipment early on in the outbreak by rationing workers to two sets of gear per shift.
Meanwhile, in the Philippines, doctors from Manila’s Chinese General Hospital held a video conference call with doctors in Zhejiang to learn from China’s experience of treating Covid-19 patients.
Crowdsourcing platforms have also been created to share advice. The Brigham and Women’s Hospital in Boston has released guidelines for treating critically ill patients and its website includes information from Chinese doctors.
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The Jack Ma Foundation has also launched an online platform for doctors and nurses around the world to share knowledge on fighting the virus. “One world, one fight,” it said in a tweet.
Associate Professor Jeremy Lim from the global health programme at the Saw Swee Hock School of Public Health said it was crucial for countries to work together.
“Viruses don’t respect borders. Countries have to share information and help each other as we are only as strong as the weakest link. Any country can become a reservoir of disease and the world may then be forced to endure a ping-pong of outbreaks over and over again.”
And the advice of Lee, at Singapore’s Ministry of Health? “Practise good hygiene and wash hands regularly.”
Indonesian medical staff administer mass testing for Covid-19 in Bekasi, West Java. Photo: AFP
SINGAPORE, A CASE STUDY
Amid this sharing of advice, it is often Singapore that is held up as an example to replicate. Despite the country grappling with a rising load of Covid-19 patients, most of whom have recently returned to the city state from abroad, its health care system has continued to run smoothly. Doctors say this is because it has been preparing for a pandemic ever since Sars caught it by surprise. During the Sars outbreak, health care workers accounted for 41 per cent of Singapore’s 238 infections.
Consequently its hospitals swung into contingency planning mode early on in the coronavirus outbreak, telling staff to defer leave and travel plans after its first cases emerged.
Meanwhile, its hospitals swiftly split their workforces into teams to ensure there were enough workers if the outbreak worsened, and to ensure workers got enough rest.
Singapore has 13,766 doctors, or 2.4 doctors for every 1,000 people. That compares to 2.59 in the US, 1.78 in China and 4.2 in Germany. Places like Myanmar and Thailand have fewer than one doctor for every 1,000 people.
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“The objective is that you can run essential services with the greatest amount of security. Make sure functional units have redundancy built in, and are separate from each other. It depends on what you feel is sufficient to carry on services if one team is affected, factoring in rest periods and some system of rotation,” said Chia Shi-Lu, an orthopaedic surgeon.
The key is to ensure a good doctor-to-patient ratio and ensure there are enough specialists for the critical work, such as doctors and nurses who can provide intensive care, and know how to operate mechanical ventilators or machines to pump and oxygenate a patient’s blood outside the body.
At the emergency department where paediatrics emergency specialist Jade Kua treats Covid-19 cases in addition to regular emergencies, doctors are split into four teams of 21. Each team takes alternate 12-hour shifts and does not interact with other teams.
“We are in modular teams so the teams move together. So you and I would both do morning, off, night, off, morning off. Together. And then the other teams would do the same and we don’t intermingle,” said Kua.
US now has world’s most coronavirus cases, surpassing China
Chia, who works at the Singapore General Hospital, said doctors had been split up according to their functions.
“We try not to meet at all with the other teams as much as possible. We’ll just say hi from across the corridor. Meals are the same. All our cafeterias and everything have got social distancing spaced in already,” said Chia, who is also a member of parliament and chairs a shadow committee on health.
Chia said the health care system could also tap on doctors in the private sector.
Not every country has a plan like this. Last year’s Global Health Security Index by the Economist Intelligence Unit found that 70 per cent of 195 countries scored poorly when it came to having a national plan for dealing with epidemics or pandemics. Almost three in 10 had failed to identify which areas were insufficiently staffed. In India, with a population of 1.3 billion, only about 20,000 doctors are trained in key areas such as critical care, emergency medicine and pulmonology.
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In contrast, Singapore published its first Influenza Pandemic Preparedness and Response Plan in June 2005 and has since honed it to a tee. Hospitals regularly war-game scenarios such as pandemics or terrorist attacks and the simulations are sometimes observed by the Ministry of Health, which grades the performance and recommends areas for improvement.
The plan also covers the need to stockpile equipment to avoid the sort of shortages many countries are now facing, another lesson inspired by Sars when masks, gloves and gowns were in short supply.
In a pandemic preparation paper published in 2008, Singapore public health specialist Jeffery Cutter wrote that Singapore’s stockpile was sufficient to cover at least 5 to 6 months’ use by all front-line health care workers.
During the Covid-19 outbreak, it has also told citizens to not wear masks so it can conserve supply for medical staff.
Having enough protective gear has reassured Singapore’s health care workers such as Kua, a mother of six who blogged about her experience fighting Covid-19. Kua said: “I’m safe and my family is safe.”
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SOMETHING YOU CAN’T GUARD AGAINST
Despite the many positives to emerge from the Lion City, its health care workers are struggling with another problem: discrimination.
While in France, Italy and Britain, residents cheer health care workers from their windows, in Singapore health care workers are seen by some people as disease carriers.
“I try not to wear my uniform home because you never know what kind of incidents you may encounter,” said one Singapore nurse. “The public is scared and wearing our uniforms actually causes quite a bit of inconvenience. One of my staff tried to book a private-hire car to the hospital for an emergency and she was rejected by five drivers.”
There is a similar stigma in India, where the All India Institute of Medical Sciences has appealed to the government for help after health workers were forced out of their homes by panicked landlords and housing societies.
“Many doctors are stranded on the roads with all their luggage, nowhere to go, across the country,” the institute said in a letter.
Lim, from the Saw Swee Hock School of Public Health, said the worst human impulses and “every man for himself” attitudes could emerge in crises and “that is exactly why governments have to step in”.
Discrimination could affect both the performance and motivation of health care workers, Lim warned.
Meanwhile, when health care workers are infected, it creates a “triple whammy” threat.
“It means one fewer professional in an already-strained system, another patient to care for and, potentially, a team of colleagues who need to be quarantined,” said Lim.
“We must do everything possible to keep our health care workforce safe and free from Covid-19.” ■
Anyone caught breaking Singapore’s social distancing rules could be jailed from Friday, as the city state ramped up its coronavirus defence and announced the introduction of distance learning for schools.
Under updates to its powerful infectious diseases law, anyone who intentionally sits less than 1 metre away from another person in a public place or on a fixed seat demarcated as not to be occupied, or who stands in a queue less than a metre away from another, will be guilty of an offence.
Offenders can be fined up to S$10,000 (US$6,990), jailed for up to six months, or both. The rules, in place until April 30, can be applied to individuals and businesses.
The news was followed later by an announcement from the education ministry that starting from April, schools will start conducting one day of home-based learning for students per week.
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“The recent spike in imported cases signals a new phase in our nation’s fight against Covid-19. To support further safe distancing, schools will progressively transit to a blended learning model, starting with one day of home-based learning a week,” the ministry said in a statement.
It added schools will remain open for students whose parents are not able to secure alternative childcare arrangements.
Hundreds of thousands of students in Singapore returned to class on Monday after a week of school holidays, despite growing calls for schools to be closed.
Singapore is one of the few jurisdictions in the region that has yet to suspend schools, unlike Hong Kong, Thailand, Indonesia, and Malaysia.
Education Minister Ong Ye Kung had earlier cited scientific evidence, saying that the pneumonia-like Covid-19 illness does not affect the young as much as adults.
Authorities in the city state, however, have said that suspending schools and closing workplaces are among the next steps to be taken should the situation worsen. Singapore has confirmed 683 cases so far, of which 172 have recovered and two died.
Global condom shortage looms amid virus lockdowns
A global shortage of condoms is looming, the world’s biggest producer said, after a coronavirus lockdown forced it to shut down production.
Malaysia’s Karex makes one in every five condoms globally. It has not produced a single condom from its three Malaysian factories in the past 10 days because of the lockdown imposed by the government to halt the spread of the virus.
That’s already a shortfall of 100 million condoms, normally marketed internationally by brands such as Durex, supplied to state health care systems such as Britain’s NHS or distributed by aid programmes such as the UN Population Fund.
“We are going to see a global shortage of condoms everywhere, which is going to be scary,” Karex Chief Executive Goh Miah Kiat said this week.
“My concern is that for a lot of humanitarian programmes deep down in Africa, the shortage will not just be two weeks or a month. That shortage can run into months.”
The other major condom-producing countries are China, where the coronavirus led to widespread factory shutdowns, and India and Thailand, which are seeing infections spiking only now.
Goh said Karex was in the process of appealing to the government for an exemption to operate under specific conditions. Malaysia is approving other essential goods producers to operate with half of their workforce.
“The good thing is that the demand for condoms is still very strong because like it or not, it’s still an essential to have,” Goh said. “Given that at this point in time people are probably not planning to have children. It’s not the time, with so much uncertainty.”
China to ban most foreign arrivals
China has banned most foreigners from entering the country in an effort to block the spread of the coronavirus through imported cases.
With several exceptions, including transit visas and foreigners arriving via Hong Kong and Macau with short-term entry permits, entry visas issued to foreigners will be suspended as an “interim measure”, according to a statement late on Thursday by the country’s foreign ministry.
“In view of the rapid spread of the new coronavirus epidemic worldwide, China has decided to temporarily suspend entry of foreigners with currently valid visas and residence permits in China,” the ministry said.
“This is an interim measure that China has to take in order to respond to the current epidemic situation, with reference to the practice of many countries,” it added. “The Chinese side will adjust the above measures according to the epidemic situation through separate announcements.”
Pakistan aid workers lack basic kit
Pakistan’s biggest charity, famous for its emergency services for the poor, is kitting staff out in raincoats and rubber boots in the battle against the coronavirus as it can’t get hold of proper personal protective equipment, the organisation says.
Pakistan has reported the highest number of coronavirus infections in South Asia, with 1,179 cases and nine deaths, but health experts say there is a lack of public awareness about the virus and the cash-strapped government is ill-prepared to tackle it.
The Edhi Foundation has for decades stepped in to help when government services fail communities and it runs the country’s largest ambulance service.
Now it has had to train dozens of staff on how to handle suspected coronavirus patients. But providing them with proper protection is a problem given a nationwide shortage of the equipment.
“We’ve compromised on certain things and use alternatives,” Facial Edhi, head of the Edhi Foundation, said at his office in Karachi, Pakistan’s biggest city, on Thursday.
“Full aprons are in short supply in the market.”
He said he was confident the raincoats would work just as well.
South Korea pleads with residents to stay indoors
Authorities in South Korea pleaded with residents on Friday to stay indoors and avoid large gatherings as new coronavirus cases hovered close to 100 per day.
South Korea reported 91 new infections on Friday, taking the national tally to 9,332, the Korea Centres for Disease Control and Prevention said. The country has reported similar daily numbers for the past two weeks, down from a high of over 900 in late February.
The government has sought to convince a restless public that several more weeks of social distancing and self-isolation may be needed to allow health authorities to tamp down the smaller but still steady stream of new cases.
“As the weather is getting nicer, I know many of you may have plans to go outside,” said Yoon Tae-ho, director general for public health policy at the health ministry. “But social distancing cannot be successful when it’s only an individual, it needs to be the whole community.”
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Italy reports 662 new deaths, with uptick in new cases
Italy is reporting an uptick in new novel coronavirus infections, after four consecutive days in which new cases had decreased.
The country now has 62,013 active cases, a daily increase of 4,492, the Italian Civil Protection Agency said in its bulletin.
On Wednesday the daily variation was 3,491, on Tuesday 3,612, on Monday 3,780, on Sunday 3,957, and on Saturday a record 4,821.
There are also 662 new fatalities, bringing the total death toll to 8,165, while overall infections, including deaths and recoveries, have risen to 80,539, a daily increase of 8.3 per cent.
Recoveries are up by around 11 per cent to 10,361, while the number of intensive care patients – a closely watched figure given the shortage of hospital beds – has risen by 3.5 per cent, to 3,612.
Russia closes all restaurants nationwide
Russia is temporarily closing restaurants nationwide for a nine-day period starting on Saturday to prevent the spread of the coronavirus.
Restaurants will still be able to provide delivery services during that time, according to the decree by Prime Minister Mikhail Mishustin, published on his website on Friday.
Russia has reported more than 800 cases of coronavirus, predominantly in Moscow, which has seen at least two virus-related deaths. Mayor Sergei Sobyanin has warned that the actual number of cases is probably “significantly more”.
The country has already prohibited regular international flights, and imposed strict quarantine measures for anyone entering the country and anyone who could have been exposed to someone infected with the virus – though has not yet opted to impose lockdown measures like those seen elsewhere.
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First casualty in Kenya
Kenya has recorded its first coronavirus death as a rapid rise in confirmed cases puts Africa’s fragile health systems to the test.
Kenyan Health Cabinet Secretary Mutahi Kagwe said a 66-year-old Kenyan man died on Thursday afternoon despite treatment in an intensive care unit.
Kagwe said the man, who arrived into the country on March 13 from South Africa via Swaziland, was a diabetic. Also on Thursday, three women aged between 30 and 61 tested positive for Covid-19, the disease caused by the coronavirus, taking the country’s total to 31.
Kenya is the second country in East Africa and the 15th on the continent to confirm a coronavirus-related death. Algeria has the highest death toll in Africa with 25 fatalities, while Egypt has reported 24 and Morocco 11.
About a week ago, the continent of 54 countries had reported fewer than 300 cases. But by Friday Africa had 3,221 confirmed cases and 87 deaths. WHO regional director for Africa Matshidiso Moeti said on Thursday that the situation in Africa was “evolving very quickly in terms of geographic spread and the increasing number of cases”.
Australian military to enforce quarantine
The Australian military will help enforce the quarantine of travellers returning to the country, with the prime minister unveiling strict new measures and door-to-door checks on Friday to rein in the spread of Covid-19.
With some two-thirds of Australia’s 3,000 Covid-19 cases still linked to overseas travel, Scott Morrison said 14-day home quarantines would now be actively policed with the help of the military.
Thousands of citizens and residents are still arriving in Australia every day and there have been instances of return travellers repeatedly breaking a promise to stay at home.
Morrison said all returnees arriving after midnight Saturday would now be kept in hotels in the city of arrival for the duration of their quarantine.
Those already on Australian soil and under orders to self-quarantine for two weeks will face active checks, he said.
Quarantine measures will be getting “a lot tougher and a lot stricter,” Morrison said, adding the Australian Defence Force would “assist in the compliance with these arrangements.”
Afghanistan to release 10,000 prisoners
Afghanistan will release at least 10,000 prisoners over the age of 55 in an attempt to prevent the spread of the coronavirus, officials said on Thursday.
“The president has issued a decree that several thousand prisoners will be released soon due to coronavirus,” an official in President Ashraf Ghani’s office said.
Those released will not include members of Islamist militant groups the Taliban or Islamic State, and the process will be completed within 10 days, said two government officials.
Afghanistan has reported 91 cases of coronavirus and three deaths. The country’s western Herat province has recorded at least 54 of the 75 total cases reported in the last week.
International aid groups in recent weeks have raised concerns about the possibility of the coronavirus spreading in prisons across Afghanistan.
BEIJING (Reuters) – China’s Hubei province where the coronavirus pandemic originated will lift travel restrictions on people leaving the region as the epidemic there eases, but other regions will tighten controls as new cases double due to imported infections.
The Hubei Health Commission announced it would lift curbs on outgoing travellers starting March 25, provided they had a health clearance code.
The provincial capital Wuhan, where the virus first appeared and which has been in total lockdown since since Jan. 23, will see its travel restrictions lifted on April 8.
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However, the risk from overseas infections appears to be on the rise, prompting tougher screening and quarantine measures in major cities such as the capital Beijing.
China had 78 new cases on Monday, the National Health Commission said, a two-fold increase from Sunday. Of the new cases, 74 were imported infections, up from 39 imported cases a day earlier.
The Chinese capital Beijing was the hardest-hit, with a record 31 new imported cases, followed by southern Guangdong province with 14 and the financial hub of Shanghai with nine. The total number of imported cases stood at 427 as of Monday.
Only four new cases were local transmissions. One was in Wuhan which had not reported a new infection in five days.
Wuhan residents will soon be allowed to leave with a health tracking code, a QR code, which will have an individual’s health status linked to it.
In other parts of the country, authorities have continued to impose tougher screening and quarantine and have diverted international flights from Beijing to other Chinese cities, but that has not stemmed the influx of Chinese nationals, many of whom are students returning home from virus-hit countries.
Beijing’s city government tightened quarantine rules for individuals arriving from overseas, saying on Tuesday that everyone entering the city will be subject to centralised quarantine and health checks.
The southern city of Shenzhen said on Tuesday it will test all arrivals and the Chinese territory of Macau will ban visitors from the mainland, Hong Kong and Taiwan.
The number of local infections from overseas arrivals – the first of which was reported in the southern travel hub of Guangzhou on Saturday – remains very small.
On Monday, Beijing saw its first case of a local person being infected by an international traveller arriving in China. Shanghai reported a similar case, bringing the total number of such infections to three so far.
CONCERNS ABOUT NEW WAVE OF INFECTIONS
The rise in imported cases and the lifting of restrictions in some cities to allow people to return to work and kickstart the battered Chinese economy has raised concerns of a second wave of infections.
A private survey on Tuesday suggested that a 10-11% contraction in first-quarter gross domestic product in the world’s second largest economy “is not unreasonable”.
The epidemic has hammered all sectors of the economy – from manufacturing to tourism. To persuade businesses to reopen, policymakers have promised loans, aids and subsidies.
In the impoverished province of Gansu, government officials are each required to spend at least 200 yuan (24.31 pounds) a week to spur the recovery of the local catering industry.
The official China Daily warned in an editorial on Tuesday that maintaining stringent restrictions on people’s movements would “now do more harm than good”.
The country’s only new infections confirmed in the past two days have been imported from overseas, suggesting containment measures worked
But there are still likely to be infected people with mild or no symptoms, and questions over how the data was compiled, experts say
A makeshift hospital in Wuhan, converted from a sports arena, closed on Sunday after its last patients were discharged. Photo: Xinhua
China reached an apparent milestone this week in the fight against the Covid-19 pandemic, announcing zero new non-imported infections on Thursday and Friday, but experts said the figures needed to be treated with caution.
After reporting thousands of daily new infections for much of February, China had a sharp decline this month while the wider world experienced the opposite trend as the coronavirus spread.
As China closes makeshift coronavirus hospitals in the outbreak’s initial epicentre of Wuhan because of a lack of patients, and eases some quarantine restrictions in the city and the broader Hubei province, there is consensus that its unprecedented measures changed the direction of the epidemic, offering hope for other countries.
But there are concerns over whether China’s rock-bottom case numbers reflect the full picture in the country. The high incidence of mild cases of Covid-19 is one reason, health experts said, warning that there could be infected people who were not counted but still able to spread the disease.
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“It is important that China is doing a good job testing and screening throughout the country to ensure that there are no pockets of infection remaining,” virologist Jeremy Rossman, of Britain’s University of Kent, said, adding that the news was “exciting” but needed to be “treated with caution”.
“With many of these cases having mild to no symptoms, ensuring that the whole country remains prepared and is actively looking for new cases is essential,” he said. “While it is possible there are no new cases, it is also very possible that somewhere in the country there are mildly infected people.”
Missing mild cases, and those infected but showing no symptoms, are a “legitimate concern”, according to Xi Chen, an assistant professor at the Yale School of Public Health.
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“Eighty per cent of cases have mild symptoms, so zero cases is a milestone, but not the end of the epidemic in China,” he said. Patients with mild symptoms or who are asymptomatic can still spread the disease to others, he added, and this needed to be monitored carefully in the coming weeks.
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China has come under scrutiny for how it treats asymptomatic cases. The National Health Commission excludes patients who test positive yet show no symptoms from its number of confirmed cases, although it monitors those cases when it knows of them.
The extent to which asymptomatic carriers contribute to spreading the disease is yet to be understood by scientists.
In addition, Hubei province in mid-February changed how it classified its confirmed cases, which caused a surge in infection numbers. This decision, which allowed doctors to diagnose a person by a clinical examination, not only by a positive laboratory test, was later reversed, leaving confusion about the true extent of the disease.
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Other commentators said it could not be ignored that political considerations may play a part as China looks to highlight its communist governance model and portray itself as a global leader in combating the disease.
“We are in the midst of the most intensive propaganda operation of the [Communist] Party state in living memory, in trying to project its success in dealing with the virus,” Steve Tsang, director of the University of London’s SOAS China Institute, said. “That narrative requires statistical backup.
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“I’m not saying [the zero number] is necessarily wrong; I’m simply saying we don’t know. What we do know is that there is now a political imperative for the statistics to be [low], and now we have statistics that serve the political imperative.”
Data can be trusted when it comes with transparency about how it was collected, so that it can be independently evaluated, Tsang said.
Nis Gruenberg, an analyst with Berlin-based independent think tank the Mercator Institute for China Studies, said that the numbers could be viewed as an “indicator” of a reduction of cases in China.
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“Some [Western critics] have been saying China and its system are ill-equipped to handle this outbreak, and now the Chinese government is trying to invert that argument and say, ‘Look at you, you are not doing it well enough,’” Gruenberg said.
The message from the Chinese government that it has succeeded in containing the virus may “politicise” the figures and is a potential driver for under-reporting around the country, according to Gruenberg.
“If history is any guide in China then there is a massive history of under-reporting for various reasons, both within the system and internationally,” he said. “I’m sceptical that this is the true number, or that anyone really knows the true number.”
BEIJING (Reuters) – Shanghai increased airport screening on Saturday as imported coronavirus infections from countries such as Italy and Iran emerge as the biggest source of new cases in China outside Hubei, the province where the outbreak originated.
Mainland China had 99 new confirmed cases on Friday, according to official data. Of the 25 that were outside Hubei, 24 came from outside China.
Shanghai, which had three new cases that originated from abroad on Friday, said it would step up control measures at the border, which had become “the main battlefield”.
At a news conference, Shanghai Customs officials said they city would check all passengers from seriously affected countries for the virus, among other airport measures.
Shanghai already requires passengers flying in from such countries, regardless of nationality, to be quarantined for 14 days. They will now be escorted home in vehicles provided by the government.
Tighter screening has greatly lengthened waiting times at Shanghai’s Pudong International Airport – some passengers say they have had to wait as long as seven hours.
The Shanghai government vowed on Saturday to severely punish passengers who concealed infections.
Beijing police said on Saturday they would work with other departments to prevent imported infections. They said some members of a Chinese family flying in from Italy on March 4 had failed to fill in health declarations accurately, and later tested positive for the virus.
MIGRANT WORKERS
In addition to the growing risk of imported infections, China faces a challenge in trying to get migrant workers back to work by early April.
So far, 78 million migrant workers, or 60% of those who left for the Lunar New Year holiday in January, have returned to work.
Yang Wenzhuang of the National Health Commission (NHC) said that the “risk of contagion from increased population flows and gathering is increasing … We must not relax or lower the bar for virus control”.
But new cases in mainland China continued to decline, with just 99 new cases on Friday, the lowest number the NHC started publishing nationwide figures on Jan. 20, against 143 on Thursday.
Most of these cases, which include infections of Chinese nationals who caught the virus abroad, were in the northwesterly Gansu province, among quarantined passengers who flew into the provincial capital Lanzhou from Iran between March 2 and 5.
For the second day in a row, there were no new infections in Hubei outside the provincial capital Wuhan, where new cases fell to the lowest level since Jan. 25.
The total number of confirmed cases in mainland China so far is 80,651, with 3,070 deaths, up by 28 from Thursday.
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