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.
The US saw 1,169 deaths in 24 hours and its infections are 20 per cent of the global total
China to hold day of mourning for victims; Singapore announces fifth death and school closures; Boris Johnson says he’s still ill; Angela Merkel ends quarantine
A group of nurses gather in the Bronx, New York, for a strike about the lack of personal protective equipment, on April 2, 2020. Photo: EPA-EFE
The number of confirmed coronavirus cases around the world soared past one million on Thursday and deaths topped 50,000 as Europe reeled from the pandemic and the
reported the highest daily death toll so far of any country.
Despite more than half the planet imposing some form of lockdown, the virus claimed thousands more lives, with the US, Spain and Britain seeing the highest number of daily fatalities yet.
Covid-19 is currently spreading the most rapidly in the US, where there have been 243,453 infections and 5,926 deaths, according to a tally by Johns Hopkins University.
The US saw 1,169 deaths in 24 hours, the highest one-day toll recorded in any country since the global pandemic began. The grim record was previously held by Italy, where 969 people died on March 27.
Here are other developments:
Singapore shuts schools, workplaces in ‘circuit-breaking’ move
Singapore’s coronavirus case number hits 1,000 after city state reports biggest single-day spike
Singapore Prime Minister Lee Hsien Loong on Friday afternoon announced most workplaces would be shut from April 7, and schools would be closed from April 8, in its
The city state has 1,114 infections and five people have died. More than 200 have recovered.
Essential services such as food establishments, markets and supermarkets, clinics, hospitals, utilities, transport and banking services will remain open.
Coronavirus: what’s behind Singapore’s U-turn on wearing masks?
4 Apr 2020
Lee on Friday said instead of tightening measures incrementally over the next few weeks, Singapore should “make a decisive move now, to pre-empt escalating infections”.
“Looking at the trend, I am worried that unless we take further steps, things will gradually get worse, or another big cluster may push things over the edge,” Lee said, describing the new measures as a “circuit breaker”.
Medical experts say the stringent measures require the cooperation of citizens to stay at home, given that local infection clusters have ballooned from six at the end of February to more than 20 currently.
People stand behind markers as they practice physical distancing while queuing up to buy food at a Singapore supermarket on April 3, 2020. Photo: Reuters
The Lion City has launched a website to help individuals with symptoms that might be related to Covid-19 decide whether they should see a doctor or not.
On the Covid-19 Symptom Checker website, individuals will be prompted to answer a short list of questions including their age, if they have any chronic diseases, if they have travelled outside Singapore in the past 14 days, or have been in touch with a suspected or confirmed Covid-19 case.
They will also be asked to choose which symptoms they are experiencing from a predetermined list including symptoms such as cough, difficulty breathing and the loss of taste/smell. The site will then recommend what the person should do next. This includes whether they should see a doctor or continue to monitor their symptoms.
China to hold day of mourning for Covid-19 victims
At 10am on April 4, 2020, the public will be asked to observe three minutes of silence. Photo: EPA-EFE
Flags will be flown at half-mast across the country and at embassies overseas, while all public entertainment will be halted for the day, said the State Council, China’s cabinet, on Friday.
At 10am, the public will be asked to observe three minutes of silence, during which sirens will blast out across the country and the owners of cars and boats should sound their vehicles’ horns, the council said.
Saturday also coincides with Ching Ming, or the Tomb-sweeping Festival, when Chinese traditionally gather to remember their ancestors.
China to stage day of mourning for the thousands lost to Covid-19
4 Apr 2020
Mainland China on Friday reported 31 new confirmed coronavirus cases, including two locally transmitted infections, the country’s National Health Commission said.
It also reported four new deaths as of Thursday, all in Wuhan, the city where the outbreak began, the commission said in a statement. The total number of infections now stands at 81,620 and 3,322 deaths have been reported from mainland China to date.
The commission said 60 new asymptomatic coronavirus patients were also reported on Thursday.
UK’s Boris Johnson still ill with virus fever
Boris Johnson #StayHomeSaveLives
✔@BorisJohnson
Another quick update from me on our campaign against #coronavirus.
You are saving lives by staying at home, so I urge you to stick with it this weekend, even if we do have some fine weather.#StayHomeSaveLives
British Prime Minister Boris Johnson remains in isolation with a high temperature, more than a week after testing positive for coronavirus.
Johnson made the announcement in a video posted on Twitter on Friday, saying that even after seven days, “alas I still have one of the symptoms, a minor symptom: I still have a temperature”.
“In accordance with government advice I must continue my self-isolation,” he said.
As virus rages, British love for NHS could make or break Boris Johnson
3 Apr 2020
With coronavirus deaths still rising, the PM is anxious to drum home his message that Britons must obey government orders to stay in their homes as much as possible.
On March 23 he ordered a national lockdown, with the closure of schools, stores, restaurants and leisure facilities. Under emergency laws, police have the power to fine individuals who flout the rules and break up gatherings of more than two people in public.
Germany to crack down on people flouting physical distancing rules
Police officers ask people to disperse as they gather at a park in Berlin, Germany, on March 28, 2020. Photo: Reuters
People in Germany risk being fined up to €500 (US$540) for standing too close to each other from Friday, as officials crack down on people flouting rules brought in to control the coronavirus outbreak.
Chancellor Angela Merkel’s government has ordered people not leave their homes unless they have an exceptional reason such as grocery shopping, exercise or medical appointments.
Gatherings of more than two people are banned and a distance of at least 1.5 metres must be kept from others at all times.
Local governments have the power to set fines for transgressors, with city officials in Berlin saying their fines would be as high as 500 euros. Similar announcements have come from across Germany’s 16 states.
Bow ties to face masks: German firms shift gears in virus crisis
2 Apr 2020
According to figures by the Robert Koch Institute (RKI) on Friday, Germany has recorded more than 79,000 cases of the novel coronavirus, and 1,017 deaths, although RKI president Lothar Wieler warned on Friday that the actual number of casualties could be much higher.
“We won’t manage to test every single person … I assume we will have more deaths than are officially recorded,” he said.
Wieler said the mortality rate would “continue to rise” in Germany. German minister’s suicide linked to coronavirus crisis
30 Mar 2020
Meanwhile, Merkel on Friday left her Berlin home for the first time in almost two weeks, after she was forced into quarantine following contact with an infected doctor.
Merkel was tested several times, with all tests coming back negative.
The 65-year-old leader has returned to her office, where she will continue to observe social distancing rules and lead the country via video and audio conferencing, her spokesman said.
Spain records over 900 virus deaths
Members of the Red Cross prepare food for families in need at a food bank in Ronda, Spain, on April 3, 2020. Photo: Reuters
on Friday recorded over 900 new coronavirus deaths over the past day, bringing the number of casualties to 10,935, in the first decline in new Covid-19 deaths in four days.
The country has the world’s second-highest death toll after Italy, but health ministry figures confirm a consistent downward trend in the rate of new cases and fatalities.
The 932 deaths on Friday was a smaller gain than Thursday’s 950, according to Health Ministry data. The number of confirmed cases also increased by less than the previous day, with 7,472 new infections taking the total to 117,710.
Why Europe’s hospitals – among world’s best – are struggling with virus
1 Apr 2020
Prime Minister Pedro Sanchez’s government has been struggling to bring the virus under control. Hospitals are overwhelmed, nursing homes have been especially hard hit in a nation with one of the world’s oldest populations, and the army has been mobilised.
Sanchez may extend the current four-week lockdown for another two weeks beyond April 11, Spanish media reported on Friday. The stay-at-home order limits people’s movement to shopping for food and essentials, while some workers are also allowed to circulate.
Passengers disembark from virus-hit cruise ship in Florida
The Zaandam cruise ship docked in Florida on Friday. Photo: TNS via ZUMA Wire/dpa
Passengers from an ill-fated cruise were carefully freed from their cabins and allowed to disembark on Friday, following the removal of 14 critically-ill people who were wheeled off to Florida hospitals bracing for an onslaught of coronavirus patients.
The exodus from the Zaandam and its sister ship the Rotterdam, both operated by Holland America Line, was expected to continue throughout the day.
Floridians were getting off first, followed by other passengers. Buses were taking people healthy enough to travel directly to the airport, where they will board chartered flights home without going through the terminal.
Coronavirus nightmare for passengers stuck on MS Zaandam ‘death ship’
30 Mar 2020
“This is a humanitarian situation, and the County Commission’s top priority is protecting our 1.9 million residents while providing a contained disembarkation option for people on board who need to get safely home,” Broward County Mayor Dale Holness said in a statement late on Thursday.
Four people have died on the Zaandam, for reasons not yet disclosed. All told, 107 passengers and 143 crew reported flu-like symptoms during the voyage, but many have since recovered.
It was unclear when the bodies of four passengers who died on the Zaandam would be removed from the ship, which set sail on March 7, the day before the US State Department warned people against cruising during the pandemic.
South Korea’s infections top 10,000
South Korean hospital’s ‘phone booth’ coronavirus tests
on Friday said the number of confirmed coronavirus cases in the country has surpassed 10,000, with 174 deaths linked to Covid-19, the disease caused by the new virus.
The Health and Welfare Ministry reported 86 new coronavirus infections over 24 hours to the end of Thursday, taking the total to 10,062 cases. It also logged five more deaths.
The numbers confirmed an encouraging stabilisation of numbers, which have hovered around the 100 mark for the past three weeks, a clear downward trend which began in March after numbers peaked at the end of February with over 900 cases recorded in a day.
South Korea’s virus response is the opposite of China’s – and it works
15 Mar 2020
For a fourth straight day, more new cases were recorded from Seoul and the surrounding Gyeonggi province, than in what has so far been the outbreak epicentre in the country – North Gyeongsang province and city of Daegu – with the capital area registering 34 new cases, and the latter recording 23.
Imported cases in patients recently returned from abroad also continued to increase, with 22 new infections bringing the total to 264.
Japan to give US$2,800 payouts to households
A man seen in a protective mask at Shinjuku in Tokyo, Japan, on April 2, 2020. Photo: EPA-EFE
Japanese ruling party executive Fumio Kishida said on Friday he has agreed with Prime Minister Shinzo Abe to offer 300,000 yen (US$2,800) in cash payments per household that suffers a certain degree of income declines from the coronavirus pandemic.
About 10 million of Japan’s 58 million households are expected to be eligible for the cash programme, a key pillar of an emergency economic package that the government plans to compile possibly on Tuesday.
The relief measure will be funded by a supplementary budget for this fiscal year that the government wants to pass in parliament before Japan’s Golden Week holiday starts in early May.
Coronavirus: Tokyo’s nightlife districts linked to rise in cases
2 Apr 2020
The government will not set a household income limit for the cash handout, which will be tax free, officials said.
“If we set an income limit, we would have to check individual incomes, which would take a lot of time,” Yasutoshi Nishimura, minister in charge of economic and fiscal policy, told a press conference. “Instead of that, we’ll come up with an unprecedented way (to judge who should receive cash).”
Nishimura said recipients will be limited to those who are facing livelihood difficulties, and that civil servants, politicians and major corporate executives who have not been significantly affected by the economic impact of the virus outbreak, for example, will be excluded from the scheme.
Japan weighs cost of Tokyo lockdown and Wagyu beef coupons for households
31 Mar 2020
Abe said the government will provide cash “as soon as possible” not only to households but also to small-and mid-sized business operators that have seen their revenues drop.
Abe has said the package to tackle the coronavirus will be larger than the 56.8 trillion yen emergency package compiled in April 2009 following the previous year’s global financial crisis.
Indonesian Muslims banned from travelling home for Eid al-Fitr
A police officer in a coronavirus helmet sprays disinfectant at a motorcycle in East Java, Indonesia, on April 3, 2020. Photo: AP
Islamic scholars in Indonesia on Friday issued an edict to forbid people from travelling home for Eid al-Fitr, the festival marking the end of the Muslim fasting month of Ramadan, as the country recorded nearly 2,000 infections during the
decided to allow millions of Muslims to travel to celebrate Eid in their hometowns next month, despite fears that they could spread the Covid-19 disease.
“The virus spreads very easily. Doing something like that at a time of a pandemic is haram [forbidden],” the council’s sectary general Anwar Abbas said.
Eid al-Fitr is expected to start on May 23, depending on the sighting of the new moon.
Indonesia frees 18,000 prisoners as virus death toll surges to 170
2 Apr 2020
Indonesia confirmed 196 new infections on Friday, bringing the total number of cases to 1,986.
The death toll rose to 181 after 11 new deaths, making Indonesia the the country with the highest number of fatalities in Asia outside China.
The State Intelligence Agency warned that the outbreak in Indonesia could peak in June with more than 105,000 cases.
Thailand’s night curfew to begin; people banned from making virus pranks
An officer checks the temperature of a passenger in a bus at a health checkpoint in Bangkok, Thailand, on April 3, 2020. Photo: AP
Thailand will on Friday night begin a daily nationwide curfew to try to curb the spread of the coronavirus.
The 10pm-4am curfew, which will run indefinitely, is the latest measure by the government to curb gatherings and have people stay at home as much as possible.
Exceptions include those people transporting medical supplies and health workers travelling to and from work, Prime Minister Prayuth Chan-ocha said.
“We prioritise health over freedom,” Prayuth said. “We might not feel as comfortable as before, but we all need to adapt for survival and have social responsibility, so that we can make it through this crisis.”
In a televised address, Prayuth also asked all Thai citizens abroad to “delay” returning to
until after April 15 in a bid to stop imported cases.
Thai king remains in Germany during pandemic, prompting criticism online
23 Mar 2020
Thais have also been banned from making public gatherings, in an order signed on Friday by defence forces chief General Pornpipat Benyasri.
The order prohibits people from public gatherings, carrying out activities, or gathering for unlawful purposes in a manner that risks spreading the coronavirus.
It also bans any act that aggravates people’s suffering and pranks to spread the virus. Family gatherings at residences and civic activities carried out according to safe social distancing guidelines are allowed.
Violation of the order carries a maximum penalty of two years’ imprisonment and a fine of 40,000 baht (US$1,215).
Pakistan’s mosques remain open amid shutdowns
Coronavirus: In Pakistan food aid is distributed to the poor in Karachi
Mosques in Pakistan were allowed to remain open on Friday, when adherents gather for weekly prayers, even as much of the country had shut down.
Pakistan, with 2,450 confirmed coronavirus cases and 35 deaths, has been sharply criticised for moving too slowly to curb large gatherings.
Prime Minister Imran Khan was relying on restricting the size of congregations attending mosques and advice to stay at home from religious groups like the country’s Islamic Ideology Council.
Coronavirus: Pakistan quarantines pilgrims returning from Iran
4 Mar 2020
However, some provinces had issued their own lockdown orders to prevent Muslims from gathering for Friday prayers.
In southern Sindh province, a complete lockdown was being enforced from noon until 3pm, the time when the faithful gather for prayers. Anyone found on the streets would be arrested, according to the provincial local government minister in a statement.
In eastern Punjab province, where 60 per cent of Pakistan’s 220 million people live, checkpoints had been set up in major cities stopping people from congregating.
Tunisia ‘robocop’ enforces virus lockdown
The PGuard robot patrols the streets of Tunis, in Tunisia, on April 1, 2020. Photo: EPA-EFE
Tunisia’s interior ministry has deployed a police robot to patrol the streets of the capital and enforce a lockdown as the country battles the spread of coronavirus.
Known as PGuard, the “robocop” is remotely operated and equipped with infrared and thermal imaging cameras, in addition to a sound and light alarm system.
In images and a soundtrack posted on the interior ministry’s website last month, PGuard calls out to suspected violators of the lockdown: “What are you doing? Show me your ID. You don’t know there’s a lockdown?”
The PGuard robot checks the exit permit of a citizen in Tunis on April 1, 2020. Photo: EPA-EFE
Tunisia has been under night-time curfew since March 17 and authorities imposed stricter lockdown orders from March 22.
Fourteen people have died from coronavirus in Tunisia, where 455 confirmed cases have tested positive for the disease.
The robot’s Tunisian creator Anis Sahbani said the machine was first produced in 2015 essentially to carry out security patrols and it also operates autonomously through artificial intelligence.
The robot, built by Sahbani’s Enova Robotics firm, costs between 100,000 and 130,000 euros (US$100,000 and $140,000), and has been selling mostly overseas to companies for security uses.
France death tally passes 5,000
A cashier runs a store counter covered up with a plastic barrier in Paris, France, on April 3, 2020. Photo: Xinhua
reported a jump in coronavirus deaths on Thursday as the country included fatalities in some nursing homes for the first time. Still, a decline in intensive-care admissions suggest the country’s lockdown is starting to slow the pace of the outbreak.
The health ministry reported 471 new hospital deaths from the coronavirus on Thursday. In addition, it reported 884 deaths in a partial count from nursing homes, bringing the total number to 5,387. Nursing homes were not previously included in the statistics.
in number of deaths, behind Italy and Spain. The number of confirmed cases is now at 59,105.
Italy reported another 760 fatalities on Thursday. Its death toll, already the world’s highest, now stands at 13,915. Total infections, including recoveries and deaths, have reached 115,242.
Spain reported 950 more deaths from the coronavirus, the most in a single day, taking the total to 10,003.
India plans staggered exit from lockdown
Indian policemen in Hyderabad, India, wear virus-themed helmets for a campaign to raise awareness at preventing the spread of the coronavirus on April 2, 2020. Photo: AP
infections, but the world’s biggest shutdown has left millions without jobs and forced migrant workers to flee to their villages for food and shelter.
After violence, Indian police try humour to enforce virus lockdown
2 Apr 2020
He told state chief ministers that the shutdown had helped limit infections but that the situation remained far from satisfactory around the world and there could be a second wave.
“Prime minister said that it is important to formulate a common exit strategy to ensure staggered re-emergence of the population once lockdown ends,” the government quoted him as saying in a video conference.
India has had 2,069 confirmed infections, of whom 53 have died, low figures by comparison with the US, China, Italy and Spain. But the big worry is the
because of a gathering held by a Muslim missionary group last month that has spawned dozens of cases across the country, officials said.
Five-minute virus tests ‘may give inaccurate results’
A Chinese drug and diagnostic firm has cautioned that the slew of new test kits that promise to detect the coronavirus in just a few minutes may not be as accurate as conventional kits, a potential setback for countries seeking to rapidly test their citizens.
“Such rapid testing is not as accurate as the traditional nucleic acid test that takes about two hours to turn out results,” Wu Yifang, Shanghai Fosun Pharmaceutical Group’s chief executive officer, said. The drugmaker also has a swift testing technology but it’s working on making the results more accurate, according to Wu.
Coronavirus nightmare of China’s ‘recovered’ patients
2 Apr 2020
Abbott Laboratories unveiled a coronavirus test on March 28 that can confirm if someone is infected in as little as five minutes. Shenzhen Bioeasy Biotechnology has been supplying its version of rapid testing kits to the European Union even before getting regulatory approval in China for domestic use.
The faster and easy-to-deploy diagnostic kits seemingly save time and resources for nations under pressure to widen their testing efforts. But there have been reports of faulty kits, like those bought by Spain and the Czech Republic.
Shenzhen Bioeasy, which sold thousands of test kits to Spain, said in a statement on March 27 that false results could be due to improper use of its kits or faulty specimen collection.
Trump tests negative again
US President Donald Trump was was first tested last month after coming into contact with a Brazilian official who later tested positive. Photo: UPI/Bloomberg
US President Donald Trump on Thursday was tested again to determine whether he had been infected by the coronavirus, and the test came back negative, the White House said.
A letter from Trump’s doctor, Sean Conley, said Trump had undergone what was a second test for coronavirus. He was tested last month after coming into contact with a Brazilian official who later tested positive.
Trump to urge Americans to wear masks when outside
3 Apr 2020
Conley said in a letter released by the White House that Trump was tested with a new, rapid point-of-contact test and the result came back in 15 minutes.
“He is healthy and without symptoms,” Conley said.
Trump said Americans should wear protective face masks if they wish. “If people want to wear them, they can” he said. Scarves work just as well, he said.
NRA sues NY governor over closure of gun stores
A pedestrian pushes a stroller as people wait in line outside a gun store to buy supplies on March 15, 2020. Photo: Reuters
The National Rifle Association (NRA) sued New York Governor Andrew Cuomo for closing gun shops during the coronavirus pandemic, saying the restriction is unconstitutional and leaves citizens defenceless while prisoners are being released early as a result of the crisis.
Cuomo’s March 20 executive order that included firearms retailers as non-essential businesses, which must close is a “pointless and arbitrary attack on the constitutional rights of New York citizens and residents,” the NRA said in a complaint filed late Thursday in Syracuse, New York.
New York ordered most businesses to close to prevent the spread of the virus, but deemed grocery stores, liquor stores, pharmacies and restaurants that do take-out as essential and allowed them to remain open.
The New York lawsuit follows similar action the NRA took in Northern California, where it sued several cities including San Jose for ordering gun stores to close.
Corona beer producer halts brewing
The Mexican brewer of Corona beer said on Thursday it was suspending production because of the health emergency in the country over the Covid-19 pandemic.
Grupo Modelo said the measure was in line with the Mexican government’s order to suspend all non-essential activities until April 30 to slow the spread of coronavirus.
“We are in the process of lowering production at our plants to the bare minimum,” the company said in a statement, adding it would complete the suspension in the following days.
Mexico’s government has said that only key sectors such as agribusiness will be able to continue to function.
US stops issuing passports, except in emergencies
The US State Department will not be processing new passports and renewals except for emergency cases because of the coronavirus pandemic, the agency’s website said.
“Due to public health measures to limit the spread of Covid-19, effective March 20, 2020, we are only able to offer service for customers with a qualified life-or-death emergency and who need a passport for immediate international travel within 72 hours,” said a March 27 online statement.
How elite US university students brought coronavirus home from campus
3 Apr 2020
Passport applications received on or before March 19 will be processed.
Travellers who paid extra for expedited service can expect to receive their passport in the next two to three weeks.
If you applied in-person at a passport agency or centre before March 19, the agency will contact you about getting your passport.
In Wuhan, the epicentre of China’s outbreak, all traffic lights in urban areas were turned red at 10:00, ceasing traffic for three minutes.
China’s government said the event was a chance to pay respects to “martyrs”, a reference to the 14 medical workers who died battling the virus.
Image copyright GETTY IMAGESImage caption China came to a standstill during the three-minute silence at 10:00 local time
They include Li Wenliang, a doctor in Wuhan who died of Covid-19 after being reprimanded by the authorities for attempting to warn others about the disease.
“I feel a lot of sorrow about our colleagues and patients who died,” a Chinese nurse who treated coronavirus patients told AFP news agency. “I hope they can rest well in heaven.”
Wearing white flowers pinned to their chest, Chinese President Xi Jinping and other government officials paid silent tribute in Beijing.
Saturday’s commemorations coincide with the annual Qingming festival, when millions of Chinese families pay respects to their ancestors.
China first informed the World Health Organization (WHO) about cases of pneumonia with unknown causes on 31 December last year.
By 18 January, the confirmed number of cases had risen to around 60 – but experts estimated the real figure was closer to 1,700.
Image copyright GETTY IMAGESImage caption China’s government said the commemoration was held to pay respects to “martyrs”
Just two days later, as millions of people prepared to travel for the lunar new year, the number of cases more than tripled to more than 200 and the virus was detected in Beijing, Shanghai and Shenzhen.
From that point, the virus began to spread rapidly in Asia and then Europe, eventually reaching every corner of the globe.
Media caption The BBC met people in Beijing heading out after the lockdown
In the past few weeks, China has started to ease travel and social-distancing restrictions, believing it has brought the health emergency under control.
Last weekend, Wuhan partially re-opened after more than two months of isolation.
On Saturday, China reported 19 new confirmed cases of coronavirus, down from 31 a day earlier. China’s health commission said 18 of those cases involved travellers arriving from abroad.
As it battles to control cases coming from abroad, China temporarily banned all foreign visitors, even if they have visas or residence permits.
What is the latest worldwide?
As the coronavirus crisis in China abates, the rest of the world remains firmly in the grip of the disease.
The deaths increased by 1,480 in 24 hours, the highest daily death toll since the pandemic began, AFP news agency reported, citing Johns Hopkins University’s case tracker.
The head of the International Monetary Fund (IMF) said the pandemic has bought the global economy to a standstill, causing a recession “way worse than the global financial crisis” of 2008
The United Nations appealed to governments around the world not to use the pandemic as an excuse to stifle dissent
BEIJING/WUHAN, China (Reuters) – China on Saturday mourned the thousands of “martyrs” who have died in the new coronavirus outbreak, flying the national flag at half mast throughout the country and suspending all forms of entertainment.
The Chinese national flag flies at half-mast at Tiananmen Square in Beijing, as China holds a national mourning for those who died of the coronavirus disease (COVID-19), on the Qingming tomb sweeping festival, April 4, 2020. REUTERS/Carlos Garcia Rawlins
The day of mourning coincided with the start of the annual Qingming tomb-sweeping festival, when millions of Chinese families pay respects to their ancestors.
At 10 a.m. (0200 GMT) Beijing time, the country observed three minutes of silence to mourn those who died, including frontline medical workers and doctors. Cars, trains and ships sounded their horns and air raid sirens wailed.
In Zhongnanhai, the seat of political power in Beijing, President Xi Jinping and other Chinese leaders paid silent tribute in front of the national flag, with white flowers pinned to their chest as a mark of mourning, state media reported.
More than 3,300 people in mainland China have died in the epidemic, which first surfaced in the central province of Hubei late last year, according to statistics published by the National Health Commission.
In Wuhan, the capital of Hubei province and the epicentre of the outbreak, all traffic lights in urban areas turned red at 10 a.m. and all road traffic ceased for three minutes.
Some 2,567 people have died in Wuhan, a megacity of 11 million people located in the middle reaches of the Yangtze river. The Wuhan deaths account for more than 75% of the country’s fatalities.
Among those who died was Li Wenliang, a young doctor who tried to raise the alarm about the disease. Li was honoured by the Hubei government earlier this week, after initially being reprimanded by police in Wuhan for “spreading rumours”.
Gui Yihong, 27, who was among thousands of Wuhan locals who volunteered to deliver food supplies to hospitals during the city’s months-long lockdown, recalled the fear, frustration and pain at Wuhan Central Hospital, where Li worked.
“If you weren’t at the frontlines you wouldn’t be able to experience this,” said Gui, as he laid some flowers next to Wuhan’s 1954 flood memorial by the Yangtze.
“I had to (come) and bear witness. For the last 80 days we had fought between life and death, and finally gained victory. It was not easy at all to come by.”
While the worst was behind Wuhan, the virus has spread to all corners of the globe since January, sickening more than a million people, killing more than 55,000 and paralysing the world economy.
Wuhan banned all tomb-sweeping activities in its cemeteries until at least April 30, curtailing one of the most important dates in the traditional Chinese lunar new year calendar which usually sees millions of families travel to tend to their ancestral graves, offer flowers and burn incense.
They have also told residents, most stuck at home due to lockdown restrictions, to use online streaming services to watch cemetery staff carry out those tasks live.
ASYMPTOMATIC CASES
Online, celebrities including “X-Men: Days of Future Past” star Fan Bingbing swapped their glamorous social media profile pictures for sombre photos in grey or black, garnering millions of “likes” from fans.
Chinese gaming and social media giant Tencent (0700.HK) suspended all online games on Saturday.
As of Friday, the total number of confirmed cases across the country stood at 81,639, including 19 new infections, the National Health Commission said.
Eighteen of the new cases involved travellers arriving from abroad. The remaining one new infection was a local case in Wuhan, a patient who was previously asymptomatic.
Asymptomatic people exhibit few signs of infection such as fevers or coughs, and are not included in the tally of confirmed cases by Chinese authorities until they do.
However, they are still infectious, and the government has warned of possible local transmissions if such asymptomatic cases are not properly monitored.
China reported 64 new asymptomatic cases as of Friday, including 26 travellers arriving in the country from overseas. That takes the total number of asymptomatic people currently under medical observation to 1,030, including 729 in Hubei.
Image copyright GETTY IMAGESImage caption The Netherlands has been among the countries reporting faulty Chinese-made equipment
A number of European governments have rejected Chinese-made equipment designed to combat the coronavirus outbreak.
Thousands of testing kits and medical masks are below standard or defective, according to authorities in Spain, Turkey and the Netherlands.
Europe has reported hundreds of thousands of cases of coronavirus.
More than 10,000 people have died in Italy since the outbreak began.
The virus was first detected in China at the end of 2019. The government implemented strict lockdown measures to bring it under control.
What’s wrong with the equipment?
On Saturday, the Dutch health ministry announced it had recalled 600,000 face masks. The equipment had arrived from a Chinese manufacturer on 21 March, and had already been distributed to front-line medical teams.
Dutch officials said that the masks did not fit and that their filters did not work as intended, even though they had a quality certificate,
“The rest of the shipment was immediately put on hold and has not been distributed,” a statement read. “Now it has been decided not to use any of this shipment.”
Spain’s government encountered similar problems with testing kits ordered from a Chinese company.
It announced it had bought hundreds of thousands of tests to combat the virus, but revealed in the following days that nearly 60,000 could not accurately determine if a patient had the virus.
The Chinese embassy in Spain tweeted that the company behind the kits, Shenzhen Bioeasy Biotechnology, did not have an official license from Chinese medical authorities to sell its products.
It clarified that separate material donated by the Chinese government and technology and retail group Alibaba did not include products from Shenzhen Bioeasy.
Turkey also announced that it had found some testing kits ordered from Chinese companies were not sufficiently accurate, although it said that some 350,000 of the tests worked well.
Allegations of defective equipment come after critics warned China could be using the coronavirus outbreak to further its influence.
“China is aggressively pushing the message that, unlike the US, it is a responsible and reliable partner,” he wrote. “Armed with facts, we need to defend Europe against its detractors.”
What’s the situation in Europe?
On Monday, Spain reported 812 new deaths in the space of 24 hours – bringing its total death toll to 7,340. It now has more than 85,000 infections – surpassing the number of cases reported in China.
Media caption Spanish doctor “scared and exhausted” by pandemic
New measures have also come into force in Spain banning all non-essential workers from going to their jobs. The restrictions will be in place for at least two weeks.
Italy remains the worst affected country worldwide. More than 10,000 people have died from the virus there, and it has recorded nearly 100,000 infections. Only the US has more confirmed cases, although the death toll there is far lower.
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.
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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.
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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.
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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.
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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.
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.
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.
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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.”
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.” ■
Image copyright GETTY IMAGESImage caption Authorities are also asking overseas Chinese to reconsider travel plans
Travellers from countries with severe coronavirus outbreaks who arrive in some parts of China will have to undergo a 14-day quarantine, state media say.
Travellers from the virus hotspots of South Korea, Japan, Iran and Italy arriving in the capital will have to be isolated, a Beijing official has said.
Shanghai and Guangdong announced similar restrictions earlier.
Authorities are worried the virus might be imported back into the country.
Although most virus deaths have been in China, Monday saw nine times more new infections outside China than in.
Shanghai said it would require new arrivals from countries with “relatively serious virus conditions” to be isolated, without naming the countries.
Authorities are also asking overseas Chinese to reconsider travel plans.
“For the sake of your family’s health and safety, please strengthen your precautions, carefully decide on your travel plans and minimise mobility,” officials in one southern Chinese province said.
China reported 125 new virus cases on Tuesday – the lowest number of new daily infections in six weeks. There were also 31 more deaths – all in Hubei province, where the virus emerged.
In other developments:
Finance ministers from the G7 countries have said they are “ready to take action”, including fiscal measures to aid the response to the virus and support the global economy
The Pope, who had cancelled a Lent retreat for the first time in his papacy because he was suffering from a cold, has tested negative for the virus, Italian media report
South Korean President Moon Jae-in has put the country into a “state of war” and ordered all government departments to shift to a 24-hour emergency system
Jailed British-Iranian woman Nazanin Zaghari-Ratcliffe is in good health, Iran’s judiciary has said. She was assessed after her husband said she was showing symptoms of Covid-19
Media caption Julie, who lives in Singapore, was diagnosed with coronavirus and then put into isolation
How are different countries affected?
There are now almost 90,000 cases worldwide in about 70 countries, although the vast majority – just under 90% – remain in China, and most of those are in Hubei province where the virus originated late last year.
Of the nearly 8,800 cases outside China, 81% are in four countries – Iran, South Korea, Italy and Japan.
One of the countries worst affected outside China – Italy – said on Monday that the death toll there had risen by 18 to 52. There are 1,835 confirmed cases, most of them in the Lombardy and Veneto areas of the north. Nearly 150 people are said to have recovered.
However, the country is seeing a slowdown in new cases. On Monday, the authorities said there were 258 new cases of the virus – a 16% increase on the previous day – after new cases spiked by 50% on Sunday.
On Tuesday, Iran said the latest death toll from the virus was 77 – although the real figure is believed to be much higher. More than 2,300 people are said to be infected, including senior political figures. The head of Iran’s emergency medical services, Pirhossein Kolivand, was one of them, the Ilna news agency reported on Tuesday.
Some 23 MPs are also reported to have tested positive for the virus, and an official close to the Supreme Leader, Ayatollah Ali Khamenei, was reported on Monday to have died of the disease.
Health officials in the US state of Washington said on Monday that four more people had died, bringing the total there to six. They are the only deaths in the US so far. Local officials say they are buying a hotel to convert it into an isolation hospital.
On Tuesday, Ukraine confirmed its first case of coronavirus, while Portugal, Iceland, Jordan, Tunisia, Armenia, Latvia, Senegal, Morocco and Andorra confirmed their first cases on Monday.
How deadly is Covid-19?
The WHO says the virus appears to particularly affect those over 60, and people already ill.
In the first large analysis of more than 44,000 cases from China, the death rate was 10 times higher in the very elderly compared to the middle-aged.
Most patients have only mild symptoms and the death rate appears to be between 2% and 5%, the WHO said.
By comparison, seasonal flu has an average mortality rate of about 0.1%, but is highly infectious – with up to 400,000 people dying from it each year.
Other strains of coronavirus, such as Severe Acute Respiratory Syndrome (Sars) and Middle East Respiratory Syndrome (Mers), have much higher death rates than Covid-19.
LUCKNOW, India (Reuters) – Police shot dead a man holding around 20 women and children hostage at his house in northern India after a 10-hour standoff, state officials said on Friday.
The hostages who were held at gunpoint were safe, principal secretary home Awanish Kumar Awasthi said after the raid at the house in a village in Farrukhabad in Uttar Pradesh state.
The hostage taker was serving a life sentence for murder and was out on parole, he added.
Two policemen and a villager were injured in the rescue operation.
After the siege, a group of incensed villagers stormed the house where the children had been kept and attacked the hostage-taker’s wife, Awasthi said. The woman died from her injuries early on Friday, he said.
The abduction took place after the man had invited some children and women from the village to his house, saying he was throwing a birthday party for his daughter.
Police said his motive for holding the children was not clear.
Two people from the circus have been detained after the animal managed to get out of its cage and run towards nearby cornfields on Friday evening
It was found the next morning and police used a tranquilliser to subdue the tiger but it died on the way to the zoo, which believes it had been hit by a car
Video footage shows circus handlers using sticks to try to coax the tiger back inside the cage after it escaped on Friday night. Photo: Thepaper.cn
A circus tiger that escaped from its cage during a show in central China was captured by police after an overnight search, but died while it was being transported to a nearby zoo, according to media reports.
Two people from the circus where the tiger was raised in the county of Yuanyang, Henan province, have been detained, Beijing Youth Daily reported, without elaborating. It said the tiger escaped during the circus’ first public show, which had not been registered with the local authorities.
The tiger was part of a performance for a local school on Friday evening when it managed to get out of its cage and run towards nearby cornfields.
A video posted by news site Thepaper.cn shows the moment it escaped from the cage, with its handlers using sticks to try to coax the animal back inside. The scene is chaotic, as people scream and run from the venue.
A tranquilliser dart was used to subdue the tiger on Saturday morning and it was transported to a zoo in Xinxiang. Photo: Thepaper.cn
The police were called in, and officers used drones, police dogs and thermal imaging equipment to hunt for the tiger, according to the local government.
The authorities also put out an emergency advisory telling residents to stay indoors and contact police if they had any information on the tiger’s whereabouts.
It was spotted the following morning, and a tranquilliser dart was used to subdue the animal at about 10.30am on Saturday. The tiger was then transported to a zoo in the city of Xinxiang.
According to one of its zookeepers, the animal had already died by the time it was delivered to the zoo, China Youth Daily reported on Sunday.
The \jsq, surnamed Feng, said the tiger was hit by a car after it escaped and may have sustained internal injuries. The zoo is conducting an autopsy.
Chinese circus tiger attacks two children after breaking out of cage in middle of performance
Thousands of social media users expressed their sympathy for the tiger’s plight, saying it must have suffered greatly, with many people calling for animal circuses to be banned in China.
“Tigers don’t belong in cages, they belong in the wilderness,” one person wrote on microblog site Weibo.
Chinese circus defends using rare animals in its acts despite poor crowds at shows and criticism of its methods.
NEW DELHI (Reuters) – India warned of severe heat in northern and central areas on Monday, following similar extreme weather on Sunday.
Of the 15 hottest places in the world in the past 24 hours, eight were in India with the others in neighbouring Pakistan, according to weather monitoring website El Dorado.
Churu, a city in the west of the northern state of Rajasthan, recorded the country’s highest temperature of 48.9 Celsius (120 Fahrenheit) on Monday, according to the Meteorological Department.
Churu has issued a heat wave advisory and government hospitals have prepared emergency wards with extra air conditioners, coolers and medicines, said Ramratan Sonkariya, additional district magistrate for Churu.
Water is also being poured on the roads of Churu, known as the gateway to the Thar desert, to keep the temperature down and prevent them from melting, Sonkariya added.
A farmer from Sikar district in Rajasthan died on Sunday due to heatstroke, state government officials said.
Media reported on Friday that 17 had died over the past three weeks due to a heatwave in the southern state of Telangana. A state official said it would confirm the number of deaths only after the causes had been ascertained.
The temperature in New Delhi touched 44.6C (112.3F) on Sunday. One food delivery app, Zomato, asked its customers to greet delivery staff with a glass of cold water.
Heat wave warnings were issued on Monday for some places in western Rajasthan and Madhya Pradesh state.
The monsoon, which brings down the heat, is likely to begin on the southern coast on June 6, the weather office said last month.
The three-month, pre-monsoon season, which ended on May 31, was the second driest in the last 65 years, India’s only private forecaster, Skymet, said, with a national average of 99 mm of rain against the normal average of 131.5 mm for the season.
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CHINDIA ALERT: You'll be living in their world, very soon 