31/03/2020
BEIJING, March 30 (Xinhua) — The Group of 20 (G20) economies should work together to ensure stability in global industrial and supply chains, said Minister of Commerce Zhong Shan Monday.
All parties should actively take measures such as reducing or removing tariffs, eliminating trade barriers and facilitating unfettered trade, Zhong said at a video conference on COVID-19 control attended by G20 trade and investment ministers.
Zhong suggested the G20 economies should step up international cooperation on disease prevention and control supplies and protect the life and safety of people and medical workers in all countries.
All parties should uphold an open environment for global collaboration, Zhong said, suggesting the parties keep their markets open and safeguard the multilateral trading system and oppose protectionism.
At the meeting, ministers discussed the global impact of the COVID-19 pandemic and G20’s response. The parties agreed that the pandemic is a tremendous shock to international trade and investment, and that the joint statement of the Extraordinary G20 Leaders’ Summit on COVID-19 should be implemented collectively.
It was agreed that the parties should enhance coordination and cooperation and adopt open trade policies to reduce the impact on global supply chains, facilitate cross-border flow of goods and services and revive the confidence in growth of international trade.
The meeting was chaired by Saudi Arabia, which holds the G20 presidency. After the meeting, the Statement of the Extraordinary G20 Trade and Investment Ministers Virtual Meeting on COVID-19 was issued.
Source: Xinhua
Posted in COVID-19, Covid-19 pandemic, disease prevention and control supplies, Extraordinary G20 Trade and Investment Ministers Virtual Meeting on COVID-19, G20 economies, global, Group of 20 (G20) economies, industrial and supply chains, international cooperation, Minister of Commerce Zhong Shan, protectionism, Saudi Arabia, stability, Uncategorized |
Leave a Comment »
31/03/2020
- US death toll passes 3,000 as New York’s hospitals are pushed to breaking point
- Italy extends lockdown as cases exceed 100,000; UN Security Council votes by email for first time
The USNS Comfort passes the Statue of Liberty as it enters New York Harbour on Monday. Photo: Reuters
Harsh lockdowns aimed at halting the march of the coronavirus pandemic extended worldwide Monday as the death toll soared toward 37,000 amid new waves of US outbreaks.
The tough measures that have confined some two-fifths of the globe’s population to their homes were broadened. Moscow and Lagos joined the roll call of cities around the globe with eerily empty streets, while Virginia and Maryland became the latest US states to announce emergency stay-at-home orders, followed quickly by the capital city Washington.
In a symbol of the scale of the challenge facing humanity, a US military medical ship sailed into New York to relieve the pressure on overwhelmed hospitals bracing for the peak of the pandemic.
France reported its highest daily number of deaths since the outbreak began, saying 418 more people had succumbed in hospital.
Spain, which announced another 812 virus deaths in 24 hours, joined the United States and Italy in surpassing the number of cases in China, where the disease was first detected in December.
On Tuesday, mainland China reported a rise in new confirmed coronavirus cases, reversing four days of declines, due to an uptick in infections involving travellers arriving from overseas.
Mainland China had 48 new cases on Monday, the National Health Commission said, up from 31 new infections a day earlier.
All of the 48 cases were imported, bringing the total number of imported cases in China to 771 as of Monday.
There was no reported new case of local infection on Monday, according to the National Health Commission. The total number of infections reported in mainland China stood at 81,518 and the death toll at 3,305. Globally, more than 760,000 have been infected, according to official figures.
Here are the developments:
Hospital ship arrives in New York
New York’s governor issued an urgent appeal for medical volunteers Monday amid a “staggering” number of deaths from the coronavirus, saying: “Please come help us in New York, now.”
The plea from Governor Andrew Cuomo came as the death toll in New York State climbed past 1,200 – with most of the victims in the big city – and authorities warned that the crisis pushing New York’s hospitals to the breaking point is just a preview of what other cities across the US could soon face.
Cuomo said the city needs 1 million additional health care workers.
“We’ve lost over 1,000 New Yorkers,” he said. “To me, we’re beyond staggering already. We’ve reached staggering.”
The governor’s plea came as a 1,000-bed US Navy hospital ship docked in Manhattan on Monday and a field hospital was going up in Central Park for coronavirus patients.
New York City reported 914 deaths from the virus as of 4:30pm local time Monday, a 16 per cent increase from an update six hours earlier. The city, the epicentre of the US outbreak, has 38,087 confirmed cases, up by more than 1,800 from earlier in the day.
Coronavirus field hospital set up in New York’s Central Park as city’s health crisis deepens
Gloom for 24 million people in Asia
The economic fallout from the coronavirus pandemic will prevent almost 24 million people from escaping poverty in East Asia and the Pacific this year,
according to the World Bank.
In a report released on Monday, the Washington-based lender also warned of “substantially higher risk” among households that depend on industries particularly vulnerable to the impact of Covid-19. These include tourism in Thailand and the Pacific islands; manufacturing in Vietnam and Cambodia; and among people dependent on “informal labour” in all countries.
The World Bank urged the region to invest in expanding conventional health care and medical equipment factories, as well as taking innovative measures like converting ordinary hospital beds for ICU use and rapidly trining people to work in basic care.
Billionaire blasted for his Instagram-perfect isolation on luxury yacht
Indonesia bans entry of foreigners
Indonesia barred foreign nationals from entering the country as the world’s fourth-most populous country stepped up efforts to contain the spread of the coronavirus pandemic.
The travel ban, to be effective soon, will also cover foreigners transiting through the country, Foreign Minister Retno Marsudi said after a cabinet meeting in Jakarta Tuesday. The curbs will not apply to holders of work permits, diplomats and other official visitors, she said.
The curbs on foreign citizens is the latest in a raft of measures taken by Indonesia to combat the deadly virus that’s sickened more than 1,400 people and killed 122. President Joko Widodo’s administration previously banned flights to and from mainland China and some of the virus-hit regions in Italy, South Korea and Iran. The president on Monday ordered stricter implementation of social distancing and health quarantine amid calls for a lockdown to contain the pandemic.
Indonesia has highest coronavirus mortality rate in Southeast Asia
First US service member dies
The first US military service member has died from the coronavirus, the Pentagon said on Monday, as it reported another sharp hike in the number of infected troops.
The Pentagon said it was a New Jersey Army National Guardsman who had tested positive for Covid-19 and had been hospitalised since March 21. He died on Saturday, it said.
Earlier on Monday, the Pentagon said that 568 troops had tested positive for the coronavirus, up from 280 on Thursday. More than 450 Defence Department civilians, contractors and dependents have also tested positive, it said.
US military has decided to stop providing more granular data about coronavirus infections within its ranks, citing concern that the information might be used by adversaries as the virus spreads.
The new policy, which the Pentagon detailed in a statement on Monday, appears to underscore US military concerns about the potential trajectory of the virus over the coming months – both at home and abroad.
School to resume in South Korea … online
South Korean children will start the new school year on April 9 with only online classes, after repeated delays due to the outbreak of the new coronavirus, the government said Tuesday.
Prime Minister Chung Sye Kyun said that despite the nation’s utmost efforts to contain the virus and lower the risk of infection, there is consensus among teachers and others that it is too early to let children go back to school.
The nation’s elementary schools, and junior and senior high schools were supposed to start the new academic year in early March, but the government has repeatedly postponed it to keep the virus from spreading among children.
The start was last postponed until April 6, but has now been delayed three more days to allow preparations to be made for online classes.
The nation now has 9,786 confirmed cases in total, with 162 deaths.
Italy extends lockdown as cases exceed 100,000
Italy’s government on Monday said it would
extend its nationwide lockdown measures
against a coronavirus outbreak, due to end on Friday, at least until the Easter season in April.
The Health Ministry did not give a date for the new end of the lockdown, but said it would be in a law the government would propose. Easter Sunday is April 12 this year. Italy is predominantly Roman Catholic and contains the Vatican, the heart of the church.
Italians have been under lockdown for three weeks, with most shops, bars and restaurants shut and people forbidden from leaving their homes for all but non-essential needs.
Italy, which is the world’s hardest hit country in terms of number of deaths and accounts for more than a third of all global fatalities, saw its total death tally rise to 11,591 since the outbreak emerged in northern regions on February 21.
The death toll has risen by 812 in the last 24 hours, the Civil Protection Agency said, reversing two days of declines, although the number of new cases rose by just 4,050, the lowest increase since March 17, reaching a total of 101,739.
Deadliest day in Italy and Spain shows worst not over yet
Women stand near the body of a man who died on the sidewalk in Guayaquil, Ecuador. Photo: Reuters
Ecuador struggles to collect the dead
Ecuadorean authorities said they would improve the collection of corpses, as delays related to the rapid spread of the new coronavirus has left families keeping their loved ones’ bodies in their homes for days in some cases.
Residents of Guayaquil, Ecuador’s largest city, have complained they have no way to dispose of relatives’ remains due to strict quarantine and curfew measures designed to prevent spread of the disease. Last week, authorities said they had removed 100 corpses from homes in Guayaquil.
But delays in collecting bodies in the Andean country, which has reported 1,966 cases of the virus and 62 deaths, were evident midday on Monday in downtown Guayaquil, where a man’s dead body lay on a sidewalk under a blue plastic sheet. Police said the man had collapsed while waiting in line to enter a store. Hours later, the body had been removed.
More than 70 per cent of the country’s coronavirus cases, which is among the highest tallies in Latin America, are in the southern province of Guayas, where Guayaquil is located.
Panama to restrict movement by gender
The government of Panama announced strict quarantine measures that separate citizens by gender in an effort to slow the spread of the novel coronavirus.
From Wednesday, men and women will only be able to leave their homes for two hours at a time, and on different days. Until now, quarantine regulations were not based on gender.
Men will be able to go to the supermarket or the pharmacy on Tuesdays, Thursdays and Saturdays, and women will be allowed out on Mondays, Wednesdays and Fridays.
No one will be allowed to go out on Sundays. The new measures will last for 15 days.
Police in Kenya use tear gas to enforce coronavirus curfew
Remote vote first for UN Security Council
The UN Security Council on Monday for the first time approved resolutions remotely after painstaking negotiations among diplomats who are teleworking due to the coronavirus pandemic.
The Security Council unanimously voted by email for four resolutions, including one that extended through April 2021 the expiring mandate of UN experts who are monitoring sanctions on North Korea, diplomats said.
The UN mission in Somalia was also prolonged, until the end of June, and the mission in Darfur until the end of May – two short periods decided due to uncertainty over the spread of the pandemic.
The Council also endorsed a fourth resolution aimed at improving the protection for peacekeepers.
The resolutions are the first approved by the Security Council since it began teleworking on March 12 and comes as Covid-19 rapidly spreads in New York, which has become the epicenter of the disease in the United States.
Congo ex-president dies in France
Former Republic of Congo president Jacques Joaquim Yhombi Opango died in France on Monday of the new coronavirus, his family said. He was 81.
Yhombi Opango, who led Congo-Brazzaville from 1977 until he was toppled in 1979, died at a Paris hospital of Covid-19, his son Jean-Jacques said. He had been ill before he contracted the virus.
Yhombi Opango was an army officer who rose to power after the assassination of president Marien Ngouabi.
Yhombi Opango was ousted by long-time ruler Denis Sassou Nguesso. Accused of taking part in a coup plot against Sassou Nguesso, Yhombi Opango was jailed from 1987 to 1990. He was released a few months before a 1991 national conference that introduced multiparty politics in the central African country.
When civil war broke out in Congo in 1997, Yhombi Opango fled into exile in France. He was finally able to return home in 2007, but then divided his time between France and Congo because of his health problems.
‘When I wake I cry’: France’s nurses face hell on coronavirus front line
EU asks Britain to extend Brexit talks
The European Union expects Britain to seek an extension of its post-Brexit transition period beyond the end of the year, diplomats and officials said on Monday, as negotiations on trade have ground to a halt due to the coronavirus pandemic.
Europe has gone into a deep lockdown in a bid to curb the spread of the disease, with more than 330,000 infections reported on the continent and nearly 21,000 deaths.
In Britain, Prime Minister Boris Johnson and his health minister have both tested positive for the virus and the prime minister’s senior adviser Dominic Cummings – one of the masterminds behind Britain’s departure from the EU earlier this year – was self-isolating with symptoms.
London and the EU have been seeking to agree a new trade pact by the end of the year to kick in from 2021, even though the bloc has long said that such a time frame was extremely short to agree rules on everything from trade to security to fisheries.
The pyramid of Khufu, the largest of the Giza pyramid complex. Photo: Reuters
Great Pyramid in Egypt lights up in solidarity
Egypt’s famed Great Pyramid was emblazoned Monday evening with messages of unity and solidarity with those battling the novel coronavirus the world over.
“Stay safe”, “Stay at home” and “Thank you to those keeping us safe,” flashed in blue and green lights across the towering structure at the Giza plateau, southwest of the capital Cairo.
Egypt has so far registered 656 Covid-19 cases, including 41 deaths. Of the total infected, 150 reportedly recovered.
Egypt has carried out sweeping disinfection operations at archaeological sites, museums and other sites across the country.
In tandem, strict social distancing measures were imposed to reduce the risk of contagion among the country’s 100 million inhabitants.
Tourist and religious sites are shuttered, schools are closed and air traffic halted.
Myanmar braces for ‘big outbreak’ after migrant worker exodus from Thailand
30 Mar 2020
Saudi king to pay for all patients’ treatment
Saudi Arabia will finance treatment for anyone infected with the coronavirus in the country, the health minister said on Monday.
The kingdom has registered eight deaths among 1,453 infections, the highest among the six Gulf Arab states.
Health Minister Tawfiq Al Rabiah said King Salman would cover treatment for citizens and residents diagnosed with the virus, urging people with symptoms to get tested.
“We are all in the same boat,” he told a news conference, adding that Crown Prince Mohammed bin Salman was overseeing containment efforts “night and day”.
Denmark eyes gradual reopening after Easter
Denmark may gradually lift a lockdown after Easter if the numbers of coronavirus cases and deaths remain stable, Prime Minister Mette Frederiksen said on Monday.
The Nordic country, which has reported 77 coronavirus-related deaths, last week extended until after Easter a two-week lockdown to limit physical contact between its citizens that began on March 11.
The number of daily deaths slowed to five on Sunday from eight and 11 on Saturday and Friday respectively. Denmark has reported a total of 2,577 coronavirus infections.
“If we over the next two weeks across Easter keep standing together by staying apart, and if the numbers remain stable for the next two weeks, then the government will begin a gradual, quiet and controlled opening of our society again, at the other side of Easter,” Frederiksen said.
Source: SCMP
Posted in air traffic, Andean, arriving, “informal labour”, bans, bars, begs, breaking point, Brexit, Britain, Cairo, Cambodia, capital, Central Park, children, China, Civil Protection Agency, civilians, Congo, Congo-Brazzaville, contractors, coronavirus, Coronavirus pandemic, countries, Country, COVID-19, Crown Prince Mohammed bin Salman, Defence Department, Denmark, dependents, died, diplomats, East Asia, Easter, Easter Sunday, entry, epicentre, EU, European Union, exodus, extends, foreign minister, Foreigners, France, Giza plateau, Giza pyramid, Great Pyramid, green lights, Guayaquil, Guayas, Gulf Arab states, Health Minister, health ministry, help, Hospital, hospitalised, hospitals, Indonesia, iran, Italians, Italy, Khufu, Lagos, latest, Latin America, lockdown, London, Mainland China, Manufacturing, Maryland, migrant worker, Moscow, Myanmar, National Health Commission, New Jersey Army National Guardsman, new school year, New York, New York City, New York Harbour, New York State, New York's governor, Nordic, North Korea, online classes, outbreak, overseas, Pacific, Pacific islands, Panama, pandemics, Paris, peacekeepers, pharmacy, post-Brexit, Prime minister, Prime Minister Boris Johnson, pyramid, quarantine, Quarantine measures, religious sites, restaurants, Reuters, Roman Catholic, Saudi Arabia, Saudi king, schools, self-isolating, shops, Social distancing, Somalia, South Korea, South Korean, Southeast Asia, Spain, Statue of Liberty, talks, teleworking, Thailand, Tourism, tourist, Trade pact, transition period, travellers, UN experts, Uncategorized, United States, US military medical ship, US military service member, USNS Comfort, Vietnam, Virginia, Washington, World Bank |
Leave a Comment »
30/03/2020
Airport staff unload medical materials donated by China to Laos from a chartered plane at the Wattay International Airport in Vientiane, Laos, March 29, 2020. A team of Chinese medical experts, along with medical materials, arrived in Lao capital Vientiane by a chartered plane Sunday morning to assist Laos to fight the COVID-19 pandemic. (Photo by Kaikeo Saiyasane/Xinhua)
VIENTIANE, March 29 (Xinhua) — A team of Chinese medical experts, along with medical materials, arrived in Lao capital Vientiane by a chartered plane Sunday morning to assist Laos to fight the COVID-19 pandemic.
Somdy Douangdy, Lao deputy prime minister and chair of the Task Force Committee for COVID-19 Prevention and Control, and Chinese Ambassador to Laos Jiang Zaidong received the Chinese medical experts at the Wattay International Airport in Vientiane.
The Chinese medical team includes experts in various fields such as infection prevention and control, intensive care, epidemics, and laboratory testing. They also brought along with medical supplies.
The team came to Laos less than five days after the Lao side announced its first two confirmed COVID-19 cases and asked for assistance from China.
Laos has detected eight confirmed COVID-19 cases as of Saturday afternoon.
When welcoming the Chinese experts, Lao Deputy Prime Minister Somdy said that the Lao side is heartfully grateful for the Chinese medical expert team’s coming only in five days after Laos confirmed COVID-19 cases. China’s gesture reflects the profound friendship from the Chinese side to the Lao people, he said.
The medical team, made up of top experts in China’s southwestern Yunnan Province, brought Chinese experiences and solutions to Laos’ epidemic prevention and control, said the Lao deputy prime minister, adding that the Lao government will coordinate and ensure all possible conveniences for the Chinese medical expert team.
Somdy said the Lao side will make full use of the intellectual support and material assistance brought by the Chinese side, and will try its best to prevent COVID-19 from spreading.
“A friend in need is a friend indeed,” Jiang Zaidong said, adding that China will not forget in the early days of the outbreak, Laos donated money and multiple batches of anti-epidemic materials to China, and tried its best to successfully organize the China-ASEAN Special Foreign Ministers’ Meeting on Coronavirus Disease in Vientiane.
The Chinese people are always ready to return the kindness, sand Jiang. Currently, the number of confirmed cases in Laos is increasing, and the pressure on prevention and control is rising. As a community with a shared future, China will go through the difficulties with the Lao people, jointly strengthen epidemic prevention and control, and steadily push forward bilateral cooperation, the ambassador said.
Huang Xingli, the head of the Chinese medical expert team, said to Xinhua on arrival that the main tasks of the expert team are to share experiences and exchange with Lao local hospitals and experts, to introduce China’s anti-epidemic experience, to provide consultation to the Lao side on epidemic prevention and control, diagnosis and treatment and laboratory work, and to provide training and guidance for the Lao medical staff and community staff.
Along with the team also came medical treatment, protective supplies and a batch of Chinese and Western medicines donated by China’s Yunnan Province.
Laos announced it had detected the first two confirmed COVID-19 cases on March 24. The total number has risen to eight till Saturday.
Source: Xinhua
Posted in "A friend in need is a friend indeed,", anti-epidemic experience, arrives, bilateral cooperation, capital, chartered plane, China-ASEAN Special Foreign Ministers' Meeting, Chinese, Chinese Ambassador to Laos, COVID-19, epidemics, help fight, infection prevention and control, intensive care, laboratory testing, Lao Deputy Prime Minister, Laos, medical materials, Medical team, outbreak, Task Force Committee for COVID-19 Prevention and Control, Uncategorized, Vientiane, Wattay International Airport, Yunnan Province |
Leave a Comment »
30/03/2020
KATHMANDU, March 29 (Xinhua) — The emergency epidemic prevention materials donated by the Chinese side arrived here on Sunday to help Nepal fight the COVID-19 pandemic.
The supplies that arrived at Tribhuvan International Airport in Nepali capital city Kathmandu in the wee hours of Sunday were formally handed over to the Nepali Health Minister Bhanu Bhakta Dhakal by the Chinese Ambassador to Nepal Hou Yanqi.
Dhakal welcomed the Chinese support and expressed gratitude to the northern neighbor for helping the Himalayan country overcome the epidemic.
“I would like to thank the Chinese people and the Chinese government for supporting Nepal in this difficult time to fight the COVID-19,” the minister said during the handover ceremony.
At a time when many countries are fighting against this battle, China keeping Nepal in the priority list and sending supplies immediately is really commendable, the minister expressed, adding that Nepal expects China’s support in the coming days as well.
The donations from China’s Sichuan Province and the Chinese Embassy include different kinds of masks, thermometers, Chloroquine phosphate tablets, protective clothing and portable ventilators weighing 1.1 tons.
Similarly, the donation from Alibaba Foundation, Jack Ma Foundation includes 100,200 N95 masks and 20,064 PCR test kits weighing 1.4 tons.
“We will try our best to send other necessary supplies as soon as possible. In case of any emergency, we can send a medical expert team or arrange a video conference meeting as well to help the health workers here,” the Chinese ambassador said.
She also welcomed the national lockdown enforced by the Nepal government, stating that it has received encouraging support from the general public.
Nepal is reportedly in dire need for medical supplies as the entire situation escalates in the country. Nepal, facing the shortage of test kits and personal protective equipment for health workers, has recorded five confirmed cases of the COVID-19 so far.
But there is a growing concern over a possible spike in the cases due to the relatively low number of tests. Nepal has enforced a week-long nationwide lockdown since March 24 to prevent the spread of infection.
The health ministry said that the received support materials will be distributed to federal and provincial levels hospitals immediately and will be useful for the prevention and management of the COVID-19 in Nepal.
Mahendra Shrestha, director general at the Department of Health Services under the Health Ministry, told Xinhua on Saturday, “The procured test kits from China will help us in the situation of spike in positive cases of the COVID-19.”
Source: Xinhua
Posted in arrive, China, Chinese Ambassador to Nepal, Chinese embassy, combat, COVID-19, Department of Health Services, donated, Donation, emergency, health ministry, Himalayan country, Jack Ma Foundation, Kathmandu, masks, medical supplies, N95 masks, national lockdown, Nepal, Nepal government, Nepali capital city, Nepali Health Minister, PCR test kits, portable ventilators, protective clothing, sichuan province, thermometers, Tribhuvan International Airport, Uncategorized, Xinhua |
Leave a Comment »
29/03/2020
- 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
U
ncooperative 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.
Coronavirus: as Malaysia braces for third wave, doctors make their own face masks
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.
Coronavirus: Doctor explains the proper way to wash your hands and put on a face mask
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.
Why Singapore’s coronavirus response worked – and what we can all learn
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.
Coronavirus: Covid-19 could live on in Indonesia long after world recovers
“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.
Singapore, Hong Kong, Taiwan: the real coronavirus world leaders
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.”
India’s poor hit hard by 21-day nationwide lockdown amid the coronavirus pandemic
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.” ■
Source: SCMP
Posted in airborne particles, Asia, “aerosol generating”, “bitten by Sars”, “One world, one fight,”, Banda Aceh, Bekasi, borders, Boston, Britain, Caixin Global, cheer, China, Chinese doctors, cleaning, cleaning regimens, communicable diseases, contingency planning mode, coronavirus infections, coronavirus outbreak, Coronavirus pandemic, countries, COVID-19, COVID-19 cases, Covid-19 test kits, Crowdsourcing platforms, defer, died, Discrimination, doctors, donating, emergency wards, entire hospital, epidemics, Europe, face masks, France, Global Health Security Index, good hygiene, gowns, hampering, hand hygiene, health care professionals, health care workers, health workers, hit hard, Hong Kong, Hospital, India’s, Indonesia, infected, intensive care units (ICUs), Italy, Jack Ma, Jack Ma Foundation, Kuala Lumpur International Airport, leave, long hours, Malaysia, Manila’s Chinese General Hospital, mechanical ventilators, Ministry of Health, most infected nation, Myanmar, N95 mask, National Centre for Infectious Diseases, nationwide lockdown, optimism, orthopaedic surgeon, outbreaks, overworked, paediatrics emergency specialist, Pakistan, Pandemic Preparedness and Response Plan, pandemics, patient ratios, personal protective equipment, Philippines, ping-pong, planning, poor, preparation, protective equipment, quarantine room, quarantined, residents, respect, Saw Swee Hock School of Public Health, shadow committee on health, shields, shortages, shutdown, Singapore, Singapore General Hospital, Singapore’s, Singapore’s Ministry of Health, Social distancing, Spain, staff, surpassed, Taiwan, Tan Tock Seng Hospital, terrorist attacks, Thailand, The Annals of Internal Medicine, The Brigham and Women’s Hospital, the Lion City, The New Yorker, Throughout the world, travel plans, tweet, Uncategorized, Uncooperative patients, United States, US Centres for Disease Control and Prevention, ventilators, Viruses, wash hands, West Java, Western world, Wuhan University, zhejiang province, Zhongnan Hospital |
Leave a Comment »
29/03/2020
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.
Singapore’s new social distancing laws send needed signal, experts say
“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.”
Coronavirus: California officials alarmed by rate of infection
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.
Coronavirus containment measures spark prison protests across Italy as nation goes into lockdown
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.
Source: SCMP
Posted in Afghanistan, africa, Algeria, ambulance service, Australia, Australian Defence Force, Australian military, battle, Britain’s, charity, Chief Executive, China, condoms, coronavirus, coronavirus infections, COVID-19, deaths, Defence, delivery services, distance learning, Durex, East Africa, Edhi Foundation, Education Minister, Egypt, Foreign Ministry, global cases, globally, Health Cabinet Secretary, home-based learning, Hong Kong, India, Indonesia, indoors, international flights, Italian Civil Protection Agency, Italy, Karachi, Karex, Kenya, kitting, Korea Centres for Disease Control and Prevention, lockdown, Macau, Malaysia, mayor, Morocco, nationwide, NHS, Pakistan, Pakistan’s, personal protective equipment, poor, Prime minister, quarantine, Quarantine measures, raincoats, residents, restaurants, rubber boots, rules, Russia, schools, Singapore, Singapore’s, Social distancing, South Africa, South Asia, South Korea, state health care systems, surpass, tests positive, Thailand, UK PM, UN Population Fund, Uncategorized, Virus, WHO regional director for Africa |
Leave a Comment »
29/03/2020
- Giuseppe Remuzzi’s comments were seized on by Chinese state media amid the acrimonious row with the US, but he says the key question is how far Covid-19 had spread before it was identified
- Academic says ‘strange pneumonias’ in Italy last November suggest it may have reached Europe before anyone knew what the disease was
Giuseppe Remuzzi told NPR there had been ‘strange pneumonias’ in Italy in November and December. Photo: Handout
Remuzzi’s comments attracted much attention in China, where the authorities have been working hard to steer the international narrative about the pandemic, and stop people describing it as the “
China virus” or “Wuhan virus” after the city where the disease was first identified.
In an interview with the Chinese science and technology news outlet DeepTech, which was published on Tuesday, Remuzzi said the key point in his NPR interview was not where the virus came from, but how far it had spread before it was discovered.
Coronavirus: Italy has a brief glimpse of hope as new cases drop to a five-day low
He said a major question was how long the disease, which has so far infected more than 378,000 and killed over 16,500 people worldwide, had been spreading in China before health authorities realised its severity.
Taking into account the long incubation period, Remuzzi said he would not be surprised if some asymptomatic carriers had travelled around China or even abroad before December.
The professor also said that while it was possible it originated outside Wuhan, there had so far been no proof to support the theory.
As the outbreak gathered pace in the US, where it has now killed more than 500 people, Washington has escalated its rhetoric. President Donald Trump had repeatedly referred to it publicly as the “Chinese virus” until he changed tone on Monday and declined to use the phrase.
China, meanwhile, has described the rhetoric adopted by “certain US politicians and senior officials” as an attempt to defame and stigmatise China over the pandemic.
A number of Chinese state media outlets, including party mouthpiece People’s Daily and its tabloid affiliate Global Times, seized on Remuzzi’s comments about “strange pneumonias” to counter the “Chinese virus rhetoric”.
Coronavirus: why are so many more people dying in Italy than Germany?
In the NPR interview, Remuzzi tried to explain why Italy had been caught off guard when the outbreak started gathering pace in February.
He discussed the difficulty of combating a disease that people did not know existed, and said the unusual cases in November and December could mean that virus was already circulating in Lombardy, the country’s worst-hit region, before people were aware of what was unfolding in Wuhan.
Remuzzi also shared details of the early suspected cases in Lombardy with DeepTech and Chinese state-run international network CGTN.
Remuzzi said he had learned about the cases from a few general practitioners and he has not yet been able to verify the information.
But he said there are some other suspicious cases he “knows for sure”, including two pneumonia cases in Scanzorosciate in northern Italy in December, where the patients developed high fever, a cough and had difficulty in breathing.
He said there had also been 10 patients who developed bilateral interstitial pneumonia in two other nearby towns, Fara Gera D’Adda and Crema, who had similar symptoms.
Coronavirus: confusion as Chinese face masks bound for Italy end up in Czech Republic
Remuzzi said local doctors considered these cases to be “unusual” but ruled out the possibility of seasonal influenza, as all these patients had been vaccinated.
“The reason we don’t know if it was Covid-19 is because at that time this could not be tested; the patients didn’t have X-rays,” he told CGTN.
They recovered within 15 days, with some receiving two or three courses of antibiotics.
Remuzzi added there had also been a patient diagnosed with bilateral interstitial pneumonia in Alzano Lombardo Hospital in Lombardy around the time.
Source: SCMP
Posted in acrimonious row, Alzano Lombardo Hospital, ‘strange pneumonias’, “Wuhan virus”, Beijing, CGTN, China, China virus, chinese state media, Chinese state-run international network, coronavirus, COVID-19, Czech Republic, DeepTech, Europe, general practitioners, Germany, Global Times, Influenza, Italian professor, Italy, last year, local doctors, Lombardy, Milan, NPR interview, outside, People’s Daily, President Donald Trump, repeats, spread, Uncategorized, US, US National Public Radio, warning, Washington |
Leave a Comment »
29/03/2020
- Virus may have jumped from animal to humans long before the first detection in Wuhan, according to research by an international team of scientists
- Findings significantly reduce the possibility of the virus having a laboratory origin, director of the US National Institute of Health says
An international team of scientists say the coronavirus may have jumped from animal to humans long before the first detection in China. Photo: AP
The
coronavirus that causes Covid-19 might have been quietly spreading among humans for years or even decades before the sudden outbreak that sparked a global health crisis, according to an investigation by some of the world’s top virus hunters.
Researchers from the United States, Britain and Australia looked at piles of data released by scientists around the world for clues about the virus’ evolutionary past, and found it might have made the jump from animal to humans long before the first detection in the central China city of Wuhan.
Though there could be other possibilities, the scientists said the coronavirus carried a unique mutation that was not found in suspected animal hosts, but was likely to occur during repeated, small-cluster infections in humans.
The study, conducted by Kristian Andersen from the Scripps Research Institute in California, Andrew Rambaut from the University of Edinburgh in Scotland, Ian Lipkin from Columbia University in New York, Edward Holmes from the University of Sydney, and Robert Garry from Tulane University in New Orleans, was published in the scientific journal Nature Medicine on March 17.
Dr Francis Collins, director of the US National Institute of Health, who was not involved in the research, said the study suggested a possible scenario in which the coronavirus crossed from animals into humans before it became capable of causing disease in people.
“Then, as a result of gradual evolutionary changes over years or perhaps decades, the virus eventually gained the ability to spread from human to human and cause serious, often life-threatening disease,” he said in an article published on the institute’s website on Thursday.
In December, doctors in Wuhan began noticing a surge in the number of people suffering from a mysterious pneumonia. Tests for flu and other pathogens returned negative. An unknown strain was isolated, and a team from the Wuhan Institute of Virology led by Shi Zhengli traced its origin to a bat virus found in a mountain cave close to the China-Myanmar border.
The two viruses shared more than 96 per cent of their genes, but the bat virus could not infect humans. It lacked a spike protein to bind with receptors in human cells.
Coronaviruses with a similar spike protein were later discovered in Malayan
pangolins
by separate teams from Guangzhou and Hong Kong, which led some researchers to believe that a recombination of genomes had occurred between the bat and pangolin viruses.
Doctors in Wuhan began noticing a surge in the number of people suffering from a mysterious pneumonia in December. Photo: Handout
But the new strain, or SARS-Cov-2, had a mutation in its genes known as a polybasic cleavage site that was unseen in any coronaviruses found in bats or pangolins, according to Andersen and his colleagues.
This mutation, according to separate studies by researchers from China, France and the US, could produce a unique structure in the virus’ spike protein to interact with furin, a widely distributed enzyme in the human body. That could then trigger a fusion of the viral envelope and human cell membrane when they came into contact with one another.
Some human viruses including HIV and Ebola have the same furin-like cleavage site, which makes them contagious.
It is possible that the mutation happened naturally to the virus on animal hosts. Sars (severe acute respiratory syndrome) and Mers (Middle East respiratory syndrome), for instance, were believed to have been direct descendants of species found in masked civets and camels, which had a 99 per cent genetic similarity.
There was, however, no such direct evidence for the novel coronavirus, according to the international team. The gap between human and animal types was too large, they said, so they proposed another alternative.
“It is possible that a progenitor of SARS-CoV-2 jumped into humans, acquiring the genomic features described above through adaptation during undetected human-to-human transmission,” they said in the paper.
“Once acquired, these adaptations would enable the pandemic to take off and produce a sufficiently large cluster of cases to trigger the surveillance system that detected it.”
They said also that the most powerful computer models based on current knowledge about the coronavirus could not generate such a strange but highly efficient spike protein structure to bind with host cells.
The study had significantly reduced, if not ruled out, the possibility of a laboratory origin, Collins said.
“In fact, any bioengineer trying to design a coronavirus that threatened human health probably would never have chosen this particular conformation for a spike protein,” he said.
The findings by Western scientists echoed the mainstream opinion among Chinese researchers.
Zhong Nanshan, who advises Beijing on outbreak containment policies, had said on numerous occasions that there was growing scientific evidence to suggest the origin of the virus might not have been in China.
“The occurrence of Covid-19 in Wuhan does not mean it originated in Wuhan,” he said last week.
A doctor working in a public hospital treating Covid-19 patients in Beijing said numerous cases of mysterious pneumonia outbreaks had been reported by health professionals in several countries last year.
Re-examining the records and samples of these patients could reveal more clues about the history of this worsening pandemic, said the doctor, who asked not to be named due to the political sensitivity of the issue.
“There will be a day when the whole thing comes to light.”
Source: SCMP
Posted in animal hosts, Australia, bat virus, Beijing, Britain, California, camels, China-Myanmar border, Columbia University, contagious, coronavirus, COVID-19, decades, Ebola, France, furin, Guangzhou, HIV, Hong Kong, humans, Malayan pangolins, masked civet, Mers (Middle East respiratory syndrome), mountain cave, Nature Medicine, New Orleans, New York, novel coronavirus, outbreak, pathogen, researchers, Sars (severe acute respiratory syndrome), Scotland, Scripps Research Institute, spreading, Tulane University, Uncategorized, United States, University of Edinburgh, University of Sydney, US, US National Institute of Health, Wuhan, Wuhan Institute of Virology |
Leave a Comment »
28/03/2020
A team of medical workers of Shandong Province attends a ceremony before leaving for the UK at Jinan Yaoqiang International Airport in Jinan, east China’s Shandong Province, March 28, 2020. A medical team of Shandong Province left for the UK to help fight against the COVID-19. (Xinhua/Guo Xulei)
Source: Xinhua
Posted in COVID-19, fight, Jinan, Jinan Yaoqiang International Airport, leaves, Medical team, shandong province, UK, Uncategorized |
Leave a Comment »
28/03/2020
- China Film Administration issues notice on Thursday as government seeks to prevent a new wave of Covid-19 cases, after locally transmitted infection is reported in Zhejiang
- Cinemas in some parts of the country did reopen on March 20, but film-goers’ joy was short-lived
Beijing said it was working on a support package for the cinema industry, which has been hard hit by the Covid-19 pandemic. Photo: Weibo
Just a week after being given the green light to reopen, cinemas across China have been ordered to close once more as the government seeks to strike a balance between rebooting the economy and preventing a second wave of
Covid-19 cases.
The notice was issued by the China Film Administration on Thursday, according to a report the same day by local news outlet Caixin.com. It was not otherwise made public.
While cinemas in some parts of the country have been back in business since March 20, those in major cities remained closed. The 24 million or so people who live in the eastern metropolis of Shanghai had been looking forward to their screens reopening on Friday.
Cinema managers were quoted by Caixin as saying that the closure notice might have been prompted by a locally transmitted case of Covid-10 that was reported on Thursday in Zhejiang province, which neighbours Shanghai.
The infection was one of 55 reported across China that day, but the only one that was not imported, the report said.
China’s cinema industry has been among the worst hit by the health crisis. Earlier on Thursday, the
National Development and Reform Commission said it had spoken to industry executives and relevant organisations, and had drawn up proposals for a support package.
Source: SCMP
Posted in Chinese cinemas, close, coronavirus, COVID-19, Covid-19 pandemic, National Development and Reform Commission, reopening, Uncategorized, week |
Leave a Comment »
CHINDIA ALERT: You'll be living in their world, very soon 