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.
SUIFENHE, China (Reuters) – China’s northeastern border with Russia has become a frontline in the fight against a resurgence of the coronavirus epidemic as new daily cases rose to the highest in nearly six weeks – with more than 90% involving people coming from abroad.
Having largely stamped out domestic transmission of the disease, China has been slowly easing curbs on movement as it tries to get its economy back on track, but there are fears that a rise in imported cases could spark a second wave of COVID-19.
A total of 108 new coronavirus cases were reported in mainland China on Sunday, up from 99 a day earlier, marking the highest daily tally since March 5.
Imported cases accounted for a record 98. Half involved Chinese nationals returning from Russia’s Far Eastern Federal District, home to the city of Vladivostok, who re-entered China through border crossings in Heilongjiang province.
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Number of people crossing China borders cut 90% as part of virus efforts: official
“Our little town here, we thought it was the safest place,” said a resident of the border city of Suifenhe, who only gave his surname as Zhu.
“Some Chinese citizens – they want to come back, but it’s not very sensible, what are you doing coming here for?”
The border is closed, except to Chinese nationals, and the land route through the city had become one of few options available for people trying to return home after Russia stopped flights to China except for those evacuating people.
Streets in Suifenhe were virtually empty on Sunday evening due to restrictions of movement and gatherings announced last week, when authorities took preventative measures similar to those imposed in Wuhan, the central Chinese city where the pandemic ripping round the world first emerged late last year.
The total number of confirmed cases in mainland China now stands at 82,160 as of Sunday, and at the peak of the first wave of the epidemic on Feb 12 there were over 15,000 new cases.
Though the number of daily infections across China has dropped sharply from that peak, China has seen the daily toll creep higher after hitting a trough on March 12 because of the rise in imported cases.
Chinese cities near the Russian frontier are tightening border controls and imposing stricter quarantines in response.
Suifenhe and Harbin, the capital of Heilongjiang, are now mandating 28 days of quarantine as well as nucleic acid and antibody tests for all arrivals from abroad.
In Shanghai, authorities found that 60 people who arrived on Aeroflot flight SU208 from Moscow on April 10 have the coronavirus, Zheng Jin, a spokeswoman for the Shanghai Municipal Health Commission, told a press conference on Monday.
Residents in Suifenhe said a lot of people had left the city fearing contagion, but others put their trust in authorities’ containment measures.
“I don’t need to worry,” Zhao Wei, another Suifenhe resident, told Reuters. “If there’s a local transmission, I would, but there’s not a single one. They’re all from the border, but they’ve all been sent to quarantine.”
MUNICH (Reuters) – One January lunchtime in a car parts company, a worker turned to a colleague and asked to borrow the salt.
As well as the saltshaker, in that instant, they shared the new coronavirus, scientists have since concluded.
That their exchange was documented at all is the result of intense scrutiny, part of a rare success story in the global fight against the virus.
The co-workers were early links in what was to be the first documented chain of multiple human-to-human transmissions outside Asia of COVID-19, the disease caused by the coronavirus.
They are based in Stockdorf, a German town of 4,000 near Munich in Bavaria, and they work at car parts supplier Webasto Group. The company was thrust under a global microscope after it disclosed that one of its employees, a Chinese woman, caught the virus and brought it to Webasto headquarters. There, it was passed to colleagues – including, scientists would learn, a person lunching in the canteen with whom the Chinese patient had no contact.
The Jan. 22 canteen scene was one of dozens of mundane incidents that scientists have logged in a medical manhunt to trace, test and isolate infected workers so that the regional government of Bavaria could stop the virus from spreading.
That hunt has helped Germany win crucial time to build its COVID-19 defences.
The time Germany bought may have saved lives, scientists say. Its first outbreak of locally transmitted COVID-19 began earlier than Italy’s, but Germany has had many fewer deaths. Italy’s first detected local transmission was on Feb. 21. By then Germany had kicked off a health ministry information campaign and a government strategy to tackle the virus which would hinge on widespread testing. In Germany so far, more than 2,100 people have died of COVID-19. In Italy, with a smaller population, the total exceeds 17,600.
“We learned that we must meticulously trace chains of infection in order to interrupt them,” Clemens Wendtner, the doctor who treated the Munich patients, told Reuters.
Wendtner teamed up with some of Germany’s top scientists to tackle what became known as the ‘Munich cluster,’ and they advised the Bavarian government on how to respond. Bavaria led the way with the lockdowns, which went nationwide on March 22.
Scientists including England’s Chief Medical Officer Chris Whitty have credited Germany’s early, widespread testing with slowing the spread of the virus. “‘We all know Germany got ahead in terms of its ability to do testing for the virus and there’s a lot to learn from that,’” he said on TV earlier this week.
Christian Drosten, the top virologist at Berlin’s Charite hospital, said Germany was helped by having a clear early cluster. “Because we had this Munich cohort right at the start … it became clear that with a big push we could inhibit this spreading further,” he said in a daily podcast for NDR radio on the coronavirus.
Drosten, who declined to be interviewed for this story, was one of more than 40 scientists involved in scrutiny of the cluster. Their work was documented in preliminary form in a working paper at the end of last month, intended for The Lancet. The paper, not yet peer-reviewed, was shared on the NDR site.
ELECTRONIC DIARIES
It was on Monday, Jan. 27, that Holger Engelmann, Webasto’s CEO, told the authorities that one of his employees had tested positive for the new coronavirus. The woman, who was based in Shanghai, had facilitated several days of workshops and attended meetings at Webasto’s HQ.
The woman’s parents, from Wuhan, had visited her before she travelled on Jan. 19 to Stockdorf, the paper said. While in Germany, she felt unusual chest and back aches and was tired for her whole stay. But she put the symptoms down to jet lag.
She became feverish on the return flight to China, tested positive after landing and was hospitalised. Her parents also later tested positive. She told her managers of the result and they emailed the CEO.
In Germany, Engelmann said he immediately set up a crisis team that alerted the medical authorities and started trying to trace staff members who had been in contact with their Chinese colleague.
The CEO himself was among them. “Just four or five days before I received the news, I had shaken hands with her,” he said.
Now known as Germany’s “Case #0,” the Shanghai patient is a “long-standing, proven employee from project management” who Engelmann knows personally, he told Reuters. The company has not revealed her identity or that of others involved, saying anonymity has encouraged staff to co-operate in Germany’s effort to contain the virus.
The task of finding who had contact with her was made easier by Webasto workers’ electronic calendars – for the most part, all the doctors needed was to look at staff appointments.
“It was a stroke of luck,” said Wendtner, the doctor who treated the Munich patients. “We got all the information we needed from the staff to reconstruct the chains of infection.”
For example, case #1 – the first person in Germany to be infected by the Chinese woman – sat next to her in a meeting in a small room on Jan. 20, the scientists wrote.
Where calendar data was incomplete, the scientists said, they were often able to use whole genome sequencing, which analyses differences in the genetic code of the virus from different patients, to map its spread.
By following all these links, they discovered that case #4 had been in contact several times with the Shanghai patient. Then case #4 sat back-to-back with a colleague in the canteen.
When that colleague turned to borrow the salt, the scientists deduced, the virus passed between them. The colleague became case #5.
Webasto said on Jan. 28 it was temporarily closing its Stockdorf site. Between Jan. 27 and Feb. 11, a total of 16 COVID-19 cases were identified in the Munich cluster. All but one were to develop symptoms.
All those who tested positive were sent to hospital so they could be observed and doctors could learn from the disease.
Bavaria closed down public life in mid-March. Germany has since closed schools, shops, restaurants, playgrounds and sports facilities, and many companies have shut to aid the cause.
HAMMER AND DANCE
This is not to say Germany has defeated COVID-19.
Its coronavirus death rate of 1.9%, based on data collated by Reuters, is the lowest among the countries most affected and compares with 12.6% in Italy. But experts say more deaths in Germany are inevitable.
“The death rate will rise,” said Lothar Wieler, president of Germany’s Robert Koch Institute for infectious diseases.
The difference between Germany and Italy is partly statistical: Germany’s rate seems so much lower because it has tested widely. Germany has carried out more than 1.3 million tests, according to the Robert Koch Institute. It is now carrying out up to 500,000 tests a week, Drosten said. Italy has conducted more than 807,000 tests since Feb. 21, according to its Civil Protection Agency. With a few local exceptions, Italy only tests people taken to hospital with clear and severe symptoms.
Germany’s government is using the weeks gained by the Munich experience to double the number of intensive care beds from about 28,000. The country already has Europe’s highest number of critical care beds per head of the population, according to a 2012 study.
Even that may not be enough, however. An Interior Ministry paper sent to other government departments on March 22 included a worst-case scenario with more than 1 million deaths.
Another scenario saw 12,000 deaths – with more testing after partial relaxation of restrictions. That scenario was dubbed “hammer and dance,” a term coined by blogger Tomas Pueyo. It refers to the ‘hammer’ of quick aggressive measures for some weeks, including heavy social distancing, followed by the ‘dance’ of calibrating such measures depending on the transmission rate.
The German government paper argued that in the ‘hammer and dance’ scenario, the use of big data and location tracking is inevitable. Such monitoring is already proving controversial in Germany, where memories of the East German Stasi secret police and its informants are still fresh in the minds of many.
A subsequent draft action plan compiled by the government proposes the rapid tracing of infection chains, mandatory mask-wearing in public and limits on gatherings to help enable a phased return to normal life after Germany’s lockdown. The government is backing the development of a smartphone app to help trace infections.
Germany has said it will re-evaluate the lockdown after the Easter holiday; for the car parts maker at the heart of its first outbreak, the immediate crisis is over. Webasto’s office has reopened.
All 16 people who caught COVID-19 there have recovered.
Image copyright GETTY IMAGESImage caption More than a billion people have been staying at home during the lockdown
Will India extend its rigorous 21-day lockdown to slow the spread of coronavirus beyond its end date next week? By all accounts, yes.
On 24 March, India shut its $2.9 trillion economy, closing its businesses and issuing strict stay-at-home orders to more than a billion people. Air, road and rail transport systems were suspended.
Now, more than two months after the first case of Covid-19 was detected in the country, more than 5,000 people have tested positive and some 150 people have died. As testing has ramped up, the true picture is emerging. The virus is beginning to spread through dense communities and new clusters of infection are being reported every day. Lifting the lockdown could easily risk triggering a fresh wave of infections.
A harsh lockdown is certain to slow down the disease. Virologists I spoke to believe India is still at an early stage of the infection. The country still doesn’t have enough data on the transmissibility of the virus or even how many people could have been infected and recovered to develop adequate herd immunity. (It is slowly beginning finger prick blood tests to look at the presence of protective antibodies.)
More than 250 of India’s 700-odd districts have reported the infection. Reports say at least seven states have a third of all infections, and want the lockdown extended. Six states have reported clusters of rapidly growing infections – from the capital Delhi in the north to Maharashtra in the west and Tamil Nadu in the south.
Economic fallout
Not surprisingly, the lockdown is already hurting the economy. Many of the early hotspots are economic growth engines and contribute heavily in revenues to the exchequer. Mumbai, India’s financial capital and Maharashtra’s main city, accounts for more than a third of overall tax collection. The densely populated city has reported more than 500 cases and 45 deaths, and numbers are steadily rising. Authorities say the infection is now spreading through the community. Mumbai has made wearing face masks mandatory.
Image copyright GETTY IMAGESImage caption India has ramped up testing during the lockdown
Many of these hotspot clusters are also thriving manufacturing bases. The spread of infection means that they will be under lockdown for a longer period of time.
The services industry, which generates almost half of India’s GDP, is also likely to remain shut for some more time. Construction, which employs a bulk of migrant workers, will remain similarly suspended. The unemployment rate may have already climbed to more than 20% after the lockdown, according to a report by the Center for Monitoring Indian Economy.
For the moment, economists say, the government will have to prioritise farming over everything else to ensure the livelihoods of millions and secure the country’s future food supplies.
Half of India’s labour force work on farms. The lockdown happened at a time when a bumper winter crop had to be harvested and sold, and the rain-fed summer crop had to be sowed. The immediate challenge is to harvest and market the first crop, and secure the second.
Moving trucks to pick up produce and take them to markets, with adequate social distancing and hand washing will be something the government will have to move on quickly.
“The immediate challenge is to ensure that rural India is not hit,” says Rathin Ray, an economist. “Realistically, a complete lockdown cannot be continuously maintained beyond early May. We don’t have a choice but to reopen gradually after that.”
Image copyright GETTY IMAGESImage caption India has been under a lockdown from 24 March
There is little doubt about that. For his part, SK Sarin, who heads a government advisory panel on combating the disease, says the lockdown can be only eased in a “graded manner in areas that are not hotspots” and that the hotspots remained cordoned off.
Like other affected countries, India will have to prepare itself for what Gabriel Leung, an infectious disease epidemiologist and dean of medicine at the University of Hong Kong, describes as several rounds of “suppress and lift” cycles.
During these periods “restrictions are applied and relaxed, applied again and relaxed again, in ways that can keep the pandemic under control but at an acceptable economic and social cost.”
Also, Dr Leung observes, “how best to do that will vary by country, depending on its means, tolerance for disruption and its people’s collective will. In all cases, however, the challenge essentially is a three-way tug of war between combating the disease, protecting the economy and keeping society at an even keel”.
It is now clear that shutdowns need to continue until transmission has slowed down markedly, and testing and health infrastructure has been scaled up to manage the outbreak.
Experts from the southern state of Kerala, a striking outlier that is containing the infection thanks to a transparent government and a robust public health system, say it isn’t time to lift the lockdown yet and have recommended a three-phase relaxation.
For most countries, easing the lockdown is a tricky policy choice. It sparks fears of triggering a fresh wave of infection and presents the inevitable trade-off between lives and livelihoods. French Prime Minister Edouard Phillipe, says relaxing the lockdown in his country is going to be “fearsomely complex”. In a crisis like this, according to his Dutch counterpart Mark Rutte, leaders have to “make 100% of the decisions with 50% of the knowledge, and bear the consequences.”
Image copyright GETTY IMAGESImage caption India’s financial capital, Mumbai, is emerging as a hotspot
It is going to be tougher for India with its vast size, densely packed population and enfeebled public health system. Also, no country in the world possibly has so much inter-state migration of casual workers, who are the backbone of the services and construction industries.
How will India manage to return these workers to their work places – factories, farms, building sites, shops – without a substantial easing of public transport at a time when crowded trains and buses can be a vector of transmission and easily neutralise the gains of the lockdown? Even allowing restricted mobility – allowing social distancing, temperature checks and passenger hygiene – would put considerable pressure on the public transport system.
The policy choices are fiendishly tough, and the answers are far from easy. India bungled the lockdown by not anticipating the exodus of millions of migrant workers from cities. The weeks ahead will tell whether the fleeing men, women and children carried the infection to their villages. The country simply cannot afford to make similar mistakes again while trying to relax the lockdown. Nitin Pai of The Takshashila Institution, a think tank, believes states should be left to decide on easing restrictions, and decisions “should be based on threat [of infection], which should be determined by extensive testing”.
This week Prime Minister Narendra Modi said that the “situation in the country is akin to a social emergency”. His government now needs make sure that the looming threat to the nation’s health and economic progress is tackled skilfully.
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
South Africa, Kenya latest to halt arrivals from ‘high-risk’ countries as cases across the continent double over the weekend
Concerns are growing over whether health care systems in some African nations will be able to cope
Masked volunteers provide soap and water for participants to wash their hands against the new coronavirus at a women’s 5km fun run in Addis Ababa, Ethiopia on Sunday. Photo: AP
Travel bans and school closures were announced in South Africa and Kenya on Sunday, as concerns grew over the capacity of the continent’s fragile health systems to cope with the spread of the deadly new coronavirus, with more than a dozen countries reporting their first cases.
South African President Cyril Ramaphosa declared a national state of disaster, banning arrivals by foreign nationals from high-risk countries including Italy, Iran, South Korea, Spain, Germany, the United States, Britain and China, effective Wednesday.
“We have cancelled visas to visitors from those countries from today and previously granted visas are hereby revoked,” Ramaphosa said in a televised address on Sunday evening, adding that any foreign national who had visited high-risk countries in the past 20 days would be denied a visa.
South African schools will also be closed from Wednesday until after the Easter weekend. Gatherings of more than 100 people have been banned and mass celebrations for Human Rights Day and other events cancelled. “Never before in the history of our democracy has our country been confronted with such a severe situation,” Ramaphosa said.
In Kenya, where three cases of Covid-19 – the disease caused by the new coronavirus – have now been confirmed, President Uhuru Kenyatta suspended travel from any country with reported infections. Only Kenyan citizens and foreigners with valid residency permits would be allowed entry, provided they proceeded to self-quarantine or a government-designated quarantine facility, he said.
Kenyan President Uhuru Kenyatta reports two more cases of coronavirus in the country, bringing its total number of cases to three. Photo: DPA
Kenyatta also suspended learning in all educational institutions with immediate effect. “Some of the measures may cause inconvenience, but I want to assure you they are designed to ensure that we effectively contain the spread of the virus,” he said.
Kenya and South Africa join Ghana, Rwanda and Morocco in implementing travel restrictions or outright bans, while others are closing churches, museums, sporting activities, nightclubs and tourist attractions in a bid to curb the spread of the disease.
The continent was largely spared in the early days of the outbreak but has now recorded more than 300 cases and six deaths. Algeria, Morocco, Senegal and Tunisia all reported more new cases over the weekend, which saw numbers of new infections across Africa more than double in just two days.
As numbers rise, the Africa Centres for Disease Control and Prevention (CDC) has said there are around a dozen countries on the continent without the capacity to do their own testing.
They will have to send samples to countries like South Africa, which itself is struggling to contain the virus, with confirmed cases doubling to 61 on Sunday, a day after 114 of its citizens were repatriated from the central Chinese city of Wuhan, the original epicentre of the outbreak and the first to be placed in lockdown.
John Nkengasong, director of the Africa CDC, warned that the risk of other African countries detecting new cases of Covid-19 remained high. “Our strategy is clear: we want to capacitate the member states, so they can quickly detect and mitigate the effects of the disease in Africa, and, if widespread transmission occurs, prevent severe illness and death,” he said.
The World Health Organisation has already warned that critical gaps remain in the capacity of many African nations to trace, detect and treat the disease. On Friday, the WHO Africa office said it was “striving to help member states fill these gaps” but warned of global shortages in personal protective equipment (PPE) including gloves, masks and hand sanitiser.
Major coronavirus outbreak in Africa ‘just a matter of time’
13 Mar 2020
WHO said its first blanket distribution of PPEs, to 24 African countries, had been completed and another wave of distributions was planned.
“With Covid-19 officially declared a pandemic, all countries in Africa must act,” said Dr Matshidiso Moeti, WHO regional director for Africa. “Every country can still change the course of this pandemic by scaling up their emergency preparedness or response.
“Cases may still be low in Africa and we can keep it that way with robust all-of-government actions to fight the new coronavirus.”
The 55 member states of the African Union have suspended meetings until May, while the six countries that make up the East African Community have suspended all planned meetings until further notice.
In Algeria – one of the worst-hit North African countries, with 48 cases and four deaths, as of Monday morning – all schools and universities have been closed, while Senegal, with 24 cases to date, has closed schools and cancelled its Independence Day festivities on April 4, which this year marks 60 years since its independence from France. Cruise ships have also been banned from docking in Senegal.
On Sunday, Rwanda closed all its places of worship and suspended large gatherings such as weddings and sporting activities. Schools and universities in the central African country are also closed. National airline RwandAir has also suspended flights between the capital Kigali and Mumbai until April 30.
This is in addition to earlier suspensions of its routes with Tel Aviv and the southern Chinese city of Guangzhou, which remain in place until further notice.
While most African airlines have suspended flights to cities in mainland China, Ethiopian Airlines has continued flying to most of its destinations, describing its China routes as among its most profitable. Nevertheless, chief executive Tewolde GebreMariam last week said coronavirus fears had cut demand by a fifth on most of its routes.
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.
Forty countries will be able to diagnose the disease, and the Africa CDC is training health workers
Until two weeks ago, there were only two laboratories on the continent that could test for the virus, in Senegal and South Africa
A scientist researches the coronavirus at the Pasteur Institute in Dakar, Senegal, which until two weeks ago was one of just two labs in Africa that could test for the disease. Photo: AFP
Forty countries in Africa will be able to test for the deadly new coronavirus
by the end of the week, the WHO said, after Egypt confirmed the first case on the continent last week.
The World Health Organisation said many of those nations had been sending samples elsewhere for testing and waiting several days for results.
“Now they can do it themselves, within 24 to 48 hours,” WHO director general Tedros Adhanom Ghebreyesus said in a media briefing on Tuesday.
Until about two weeks ago, there were only two laboratories in the continent of 54 countries – in Senegal and South Africa – with the reagents needed to test for the virus. That meant dozens of nations that had quarantined suspected patients were sending samples to South Africa or Senegal to be tested.
The WHO earlier this week sent reagent kits for coronavirus diagnosis to more than 20 countries in Africa to step up diagnosis of the virus, which causes a disease now known as Covid-19. The global health body said more countries in Africa were expected to receive testing kits this week.
In addition, the WHO last week sent testing kits to Cameroon, Ivory Coast, the Democratic Republic of Congo, Egypt, Ethiopia, Gabon, Ghana, Kenya, Morocco, Nigeria, Tunisia, Uganda and Zambia.
Coronavirus: WHO urges caution over study showing ‘decline’ in new Covid-19 cases in China
Tedros said some countries in Africa, including the Democratic Republic of Congo, were using systems developed to test for the deadly Ebola virus to now test for the coronavirus.
“This is a great example of how investing in health systems can pay dividends for health security,” Tedros said.
Several countries, including Ethiopia and South Sudan, were prioritising surveillance and monitoring at ports of entry, he said. “We’re also working with partners in some of the most fragile contexts, from Syria to the Central African Republic, to prepare countries for the arrival of the virus,” he said.
The WHO and Egyptian health officials on Friday confirmed that a 33-year-old foreigner had tested positive for the coronavirus. Egypt’s health ministry said the patient had tested positive for the virus without any symptoms, raising concern that there could be undetected cases on the continent, as countries scramble to equip labs to test for the disease.
The asymptomatic patient in Egypt was identified through contact screening of an index case who travelled to Cairo on a business trip from January 21 to February 4 and tested positive for the virus on February 11 in China, the WHO regional office said.
The new virus strain has killed more than 2,000 people and infected over 74,000 since the outbreak began in central China in December. It has spread to more than 20 countries.
Screening measures have been stepped up across Africa, including quarantining all passengers arriving from Chinese cities, amid fears that poorer countries with weaker health systems may struggle to cope if the virus spreads on the continent. More than a dozen countries still do not have the capacity to test for the pneumonia-like illness.
There are concerns that Africa’s close links with China put it at high risk for the spread of the new virus. Africa has become home to millions of Chinese since Beijing started looking to the continent for raw materials for its industries and markets for its products. China has been Africa’s largest trading partner since 2009, after it overtook the United States, with two-way trade standing at US$108 billion last year, according to China’s commerce ministry.
Africa CDC director John Nkengasong said it had been “investing in preparedness and response to the disease”. Photo: Reuters
John Nkengasong, director of the Africa Centres for Disease Control and Prevention (Africa CDC), said it was working closely with the WHO and other partners to ensure that Egypt had the diagnostic tools it needed, and that the right actions were taken to contain the spread of the virus.
“We anticipated that the Covid-19 outbreak would inevitably impact Africa. That is why the Africa CDC has been working actively with African Union member states and partners in the past four weeks and investing in preparedness and response to the disease,” he said.
“[Last week in Dakar, Senegal] we conducted training and supplied test kits to 16 African laboratories, including from Egypt. Egypt also received additional test kits from the WHO,” Nkengasong said.
The Africa CDC would train 40 health workers from nine countries, including Egypt, in Nairobi this week, he said, on “enhancing detection and investigation of Covid-19 at points of entry”.
The Chinese medical workers on the front line of the coronavirus fight in Wuhan
On Monday, Ethiopia, home to one of the continent’s busiest airports, said it had received equipment and reagents for virus detection and control. “We are working hard day and night with the government to improve the critical measures needed to ensure that the country is ready to effectively respond to an outbreak of Covid-19,” said Boureima Hama Sambo, the WHO representative in Ethiopia.
despite pressure for it to suspend services to the country. Many countries on the continent have restricted travel to and from mainland China, while six out of eight African airlines with Chinese routes have halted flights until the virus is contained, including EgyptAir.
Egypt has suspended all flights to and from the mainland until the end of the month and has evacuated more than 300 Egyptians from Wuhan, the epicentre of the epidemic.
WUHAN/SHANGHAI, Feb. 16 (Xinhua) — Twenty recovered coronavirus patients donated their plasma to those in severe condition in Wuhan, capital of the hard-hit province of the novel coronavirus disease (COVID-19), said the province’s COVID-19 scientific research team Sunday.
The donors are doctors and nurses who have recovered from the disease for 10 days at the Jiangxia District’s No. 1 people’s hospital and traditional Chinese medicine hospital.
Twelve patients in severe condition have received the plasma treatment. An expert with Jiangxia District’s No. 1 people’s hospital said that the patients have shown improved clinical symptoms about 12 to 24 hours after they received the treatment.
“We are observing the therapeutic results and improving our treatment plans,” the expert said, adding that plasma donation won’t hurt the donor once he or she has been cured for 10 days.
Zhang Dingyu, head of Wuhan Jinyintan Hospital, a major designated hospital to admit confirmed cases in Wuhan, called upon cured patients who were infected with COVID-19 to donate plasma as initial results had indicated the effectiveness of convalescent plasma-derived therapeutic products in curing infected patients in severe and critical conditions.
In Shanghai, official data showed 124 patients have recovered from COVID-19 and discharged from hospitals by Saturday afternoon, of whom 14 have shown willingness to donate their plasma to assist coronavirus research and treatment.
Some recovered patients regard the donation as a way to pay back to the society after they received timely and effective treatment.
“Before being discharged from the hospital, I learned from the nurses that I can donate plasma, which I think is very helpful,” said a recovered patient surnamed Liu who is willing to become a donor.
“We were helped by others and we want to help other patients as well,” Liu said.
More than 1,300 people are now known to have died from the virus.
The latest figures show 122 new deaths in China, bringing the toll to 1,381.
The total number of infections has jumped to 63,922 cases, according to the National Health Commission.
The World Health Organization said there was no major shift in the virus’s pattern of mortality or severity, despite a spike in cases in Hubei, the epicentre of the disease, on Tuesday.
Most of this was down to Hubei using a broader definition to diagnose people, said Mike Ryan, head of WHO’s health emergencies programme.
There was also no significant rise in cases outside China, the WHO said.
However, a cruise ship docked in Japan, the Diamond Princess, saw 44 new cases, bringing the total there to 218.
What is the situation with medical workers?
Zeng Yixin, vice minister of China’s National Health Commission, said 1,102 medical workers had been infected in Wuhan, where the outbreak began, and another 400 in other parts of Hubei province.
He said the number of infections among staff was increasing.
Media caption Medics in Wuhan resort to shaving their heads in a bid to prevent cross-infection of the coronavirus
“The duties of medical workers at the front are indeed extremely heavy; their working and resting circumstances are limited, the psychological pressures are great, and the risk of infection is high,” Mr Zeng said, quoted by Reuters.
Local authorities have struggled to provide protective equipment such as respiratory masks, goggles and protective suits in hospitals in the area.
One doctor told AFP news agency that he and 16 colleagues were showing possible symptoms of the virus.
On 7 February the plight of medical workers was highlighted by the death of Li Wenliang, a doctor at Wuhan Central Hospital who had tried to issue the first warning about the virus on 30 December.
Image copyright LI WENLIANGImage caption Li Wenliang contracted the virus while working at Wuhan Central Hospital
He had sent out a warning to fellow medics but police told him to stop “making false comments”.
A wave of anger and grief flooded Chinese social media site Weibo when news of Dr Li’s death broke.
Image copyright AFPImage caption Asian airlines have been hard hit by the virus outbreak
Economic impacts of the virus
Global airline revenue expected to fall by $4bn (£3.1bn) to $5bn this year
China’s car sales likely to fall more than 10% in first half of year, the China Association of Automobile Manufacturers tells Reuters
Singapore’s economy could fall into recession as a result of the outbreak, Prime Minister Lee Hsien Loong says
Malaysian finance minister says a stimulus package will be announced for aviation, retail and tourism industries
What is happening on the Diamond Princess?
The vessel is in quarantine in Yokohama, in southern Japan. Not all the 3,700 people on board have been tested yet.
People with the virus are taken to hospitals on land to be treated, while those on board are largely confined to their cabins.
Image copyright AFPImage caption The Diamond Princess has 3,700 people on board – not all of whom have been tested
However on Thursday Japan said it would allow those aged 80 or over who have tested negative for the coronavirus to disembark.
Health Minister Katsunobu Kato said they could be allowed off the ship as early as Friday but would have to stay in accommodation provided by the government, the Japan Times reported.
Meanwhile another cruise ship – the MS Westerdam, carrying more than 2,000 people – docked in Cambodia after being turned away by ports in Japan, Taiwan, Guam, the Philippines and Thailand despite having no sick patients on board.
Media caption The Westerdam was finally able to dock in Sihanoukville, Cambodia
In other developments:
Outside China there have now been two deaths and 456 cases in 24 countries
Singapore health ministry reports nine new cases, bringing the total number there to 67
Australia has extended its ban on people coming from mainland China for another week, to 22 February
China said it would stagger the return of children to school – several provinces have closed schools until the end of February
In Vietnam, which borders China, thousands of people in villages near the capital, Hanoi, have been put under quarantine after several cases were discovered. Vietnam has now confirmed at least 16 cases
The Red Cross has called for sanctions relief for North Korea, which would allow the aid agency to transfer funds to buy equipment. Testing kits and protective clothing are urgently needed to prepare for a possible outbreak, it says
A Russian woman – who was put into a coronavirus quarantine but escaped – is resisting attempts by officials to bring her back to hospital by force. Alla Ilyina, 32, has been refusing to open the door of her St Petersburg apartment to police
Some residents of the coastal Chinese province are being locked inside their homes while others must present a ‘passport’ to go out every two days for supplies
Weddings and funerals discouraged as ‘unessential’ venues are also shut down
Cured coronavirus patients leave hospital in Hangzhou, one of four cities in the eastern Chinese province of Zhejiang which has adopted draconian quarantine measures for its residents. Photo: Xinhua
In the Chinese coastal province of Zhejiang, some 560km (350 miles) east of where the new coronavirus originated, at least four cities have introduced measures that mirror the draconian rules established by Hubei province – epicentre of the outbreak – to keep the virus from spreading.
Authorities in Zhejiang, which neighbours the port city of Shanghai, have closed “unessential” public venues, banned funerals and weddings, limited the number of times people can go out and quarantined families at home, sometimes by locking them in.
In the Zhejiang cities of Wenzhou, Hangzhou, Ningbo and Taizhou – which have a combined population of more than 30 million – each household is being issued a “passport”, usually a piece of paper that carries one’s name, home address and an official stamp. Only one person per household is permitted to leave their home every two days.
The rules were announced on state media and the governments’ social media accounts, and families have already received their “passports”.
Some people have been locked inside their homes, including Allen Li and his family in Hangzhou. Photo: Handout
To enforce the new travel rules, community officers have been stationed at the entrance of some residential compounds. Every time a resident leaves their compound, an officer at the entrance marks the time and date on the “passport”. People from the same household are then barred from going out again for the next two days.
With 954 coronavirus patients, the province of Zhejiang is the hardest hit region outside Hubei, which has about 19,665 of the more than 28,000 total cases.
Hangzhou, the provincial capital and home to some of China’s biggest tech companies, has reported 151 confirmed cases. The port city of Wenzhou has reported 396 cases.
Yao Gaoyuan, mayor of Wenzhou, said in an interview with CCTV on February 2 that the city had decided to impose the restrictions to contain the spread the coronavirus. “This could reduce the transmission to the greatest extent possible,” he said.
One neighbourhood in Wenzhou introduced a mobile technology system to enforce the stay-at-home rules, according to the state-run Wenzhou Daily, with residents using their phones to scan a QR code at the checkpoints every time they leave the compound. Only those who have not been out for two days will be allowed through.
In Hangzhou, the government on Tuesday banned all weddings and demanded that funerals, which traditionally involve family gatherings and banquets, be held frugally.
All public venues deemed “unessential” were ordered to close. Underground train services are running at 30-minute intervals. Factories need special permission to resume work during the extended Lunar New Year holiday.
Some families have also been confined to their homes because they have travelled to places with large numbers of confirmed cases.
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Allen Li, 26, who is now living with his parents in Hangzhou, said the family had been told to stay home for 14 days after they returned from Wenzhou.
Community workers put up a sign saying “quarantined at home, no visitors allowed” on their door. On Wednesday, they locked the flat with a metal chain from the outside despite the family’s protest.
“We argued with them, but they said it’s a decision from above,” Li said. “We understand we should not go out. But this is not humane. What if there’s a fire at our home at midnight, and we can’t get anyone to unlock it?”
China scrambles to deliver food to coronavirus epicentre Wuhan amid lockdown
Some social media users have applauded such measures as ways to contain the virus, but others have criticised the quarantine as essentially “house arrest”.
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Some Hangzhou residents have complained online that they were barred from entering their rented homes after having spent the Lunar New Year holiday elsewhere.
The coronavirus was first reported in December in Wuhan, the provincial capital of Hubei that has been sealed off since January 23.
In a sign of the rising fear of contagion, regional authorities across China have imposed travel restrictions on residents that mirror the draconian measures in Hubei province.
But officials said about 5 million people had already travelled out of the city during the Lunar New Year travel season, contributing to the spread of the virus to other Chinese provinces and at least 24 countries.
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