Archive for ‘fever’

22/05/2020

Cyclone Amphan: Survivors return to face destruction left by storm

cyclone bangladeshImage copyright AFP
Image caption Embankments have been washed away in Bangladesh

Millions of people across Bangladesh and eastern India are taking stock of the devastation left by Cyclone Amphan.

A massive clean-up operation has begun after the storm left 84 dead and flattened homes, uprooted trees and left cities without power.

India’s Prime Minister Narendra Modi has arrived in West Bengal state to conduct an aerial survey.

Authorities in both countries had evacuated millions of people before the storm struck.

Covid-19 and social-distancing measures made mass evacuations more difficult, with shelters unable to be used to full capacity.

Officials also said people were afraid and reluctant to move to shelters for fear of contracting the virus.

The cyclone arrived with winds gusting up to 185km/h (115mph) and waves as high as 15ft.

cyclone bangladeshImage copyright REUTERS
Image caption Roads have been blocked by falling trees in Bangladesh
Presentational white space
cyclone west bengalImage copyright AFP
Image caption Many people have been injured in wall collapses in Bengal

It is the first super cyclone to form in the Bay of Bengal since 1999. Though its winds had weakened by the time it struck, it was still classified as a very severe cyclone.

Three districts in India’s West Bengal – South and North 24 Parganas and East Midnapore – were very badly hit.

In Bangladesh, there are reports of tens of thousands of homes damaged or destroyed and many villages submerged by storm surges in low-lying coastal areas like Khulna and Satkhira.

The affected areas include the Sunderbans, mangroves spread over an area of more than 10,000 square kilometres that spans both India and Bangladesh – the swampy islands are home to more than four million of the world’s poorest people.

Cyclone leaves a trail of destruction in the SundarbansImage copyright MUKTI
Image caption Many homes, built of brick and mud, have been washed away

Those in the Sunderbans say it is too early to estimate casualties in the area, which is now cut-off from the mainland by the storm.

“There are houses which have collapsed and people could be trapped in them but we don’t know yet,” Debabrat Halder, who runs an NGO in one of the villages, told the BBC.

He recalls cyclone Bulbul in November 2019, which was followed by a huge incidence of fever, diarrhoea and flu, and is afraid that that the same may happen again.

And worse, he adds, is that the flooding from contaminated sea water, has likely destroyed the soil.

“Nothing will grow in this soil,” he says, adding that it will likely take years to convert it into fertile land again.

Cyclone Amphan has destroyed many houses in the regionImage copyright MUKTI
Image caption The Sunderbans delta is frequently hit by severe storms
Presentational white space
Flooding from contaminated sea water, has likely destroyed the soil.Image copyright MUKTI
Image caption Crops have all been destroyed by the flooding

Kolkata, the capital of West Bengal, and one of India’s biggest cities has been devastated. Its roads are flooded and the city was without power for more than 14 hours.

The state’s chief minister, Mamata Banerjee, said the devastation in Kolkata was “a bigger disaster than Covid-19”.

But assessment of the damage is being hampered by blocked roads and flooding in all these areas.

Source: The BBC

01/05/2020

India coronavirus lockdown: Train leaves with stranded migrants

Two workers share a meal aboard the first train carrying migrant workers to their stateImage copyright ANI
Image caption Millions of people across India have been stranded by the lockdown

The first train carrying migrant workers stranded by a nationwide lockdown in India has left the southern state of Telangana.

The 24-coach train, carrying 1,200 passengers, is travelling non-stop to eastern Jharkhand state.

Earlier this week, India said millions of people stranded by the lockdown can return to their home states.

The country has been in lockdown to curb the spread of coronavirus since 24 March.

However, the movement of people will be only possible through state government facilitation, which means people cannot attempt to cross state borders on their own.

This train is a “one-off special train” to transport the workers on the request of the Telangana state government, Rakesh Ch, the chief public relations officer of South-Central Railways, told the BBC.

The train left Lingampally, a suburb of the southern city of Hyderabad, early on Friday and is expected to reach Hatia in Jharkhand on Saturday.

Mr Rakesh said that adequate social distancing precautions had been taken and food was being served to the passengers.

Workers on board the special train carrying 1,200 passengers to eastern Jharkhand stateImage copyright ANI
Image caption Railways officials said that adequate social distancing precautions had been taken and food was being served to the passengers.

He said each carriage was carrying 54 passengers instead of its 72-seat capacity.

“The middle berth is not being used in the sleeper coaches and only two people are sitting in the general coaches,” Mr Rakesh said.

Before the train pulled out of the station, all the passengers were screened for fever and other symptoms.

They had all been employed at a construction site at the Indian Institute of Technology, a top engineering school, in Hyderabad city.

The workers had earlier protested at the site against the non-payment of wages by their contractor.

Senior official M Hanumantha Rao said the contractor was asked to pay their salaries and arrangement made to send them back home.

The journey was organised at “very short notice”, senior police official S Chandra Shekar Reddy told BBC Telugu.

“We screened them at the labour camp itself and transported them to the railway station in buses,” he said.

India’s migrant workers are the backbone of the big city economy, constructing houses, cooking food, serving in eateries, delivering takeaways, cutting hair in salons, making automobiles, plumbing toilets and delivering newspapers, among other things.

Migrant workers wait to board the first train carrying 1,200 passengers to eastern Jharkhand state.Image copyright ANI
Image caption Before the train pulled out of the station, all the passengers were screened for fever and other symptoms.

Most of the country’s estimated 100 million migrant workers live in squalid conditions.

When industries shut down overnight, many of them feared they would starve.

For days, they walked – sometimes hundreds of kilometres – to reach their villages because bus and train services were shut down overnight. Several died trying to make the journey.

Some state governments tried to facilitate buses, but these were quickly overrun. Thousands of others have been placed in quarantine centres and relief camps.

Source: The BBC

19/04/2020

Asian countries more receptive to China’s coronavirus ‘face mask diplomacy’

  • Faced with a backlash from the West over its handling of the early stages of the pandemic, Beijing has been quietly gaining ground in Asia
  • Teams of experts and donations of medical supplies have been largely welcomed by China’s neighbours
Despite facing some criticism from the West, China’s Asian neighbours have welcomed its medical expertise and vital supplies. Photo: Xinhua
Despite facing some criticism from the West, China’s Asian neighbours have welcomed its medical expertise and vital supplies. Photo: Xinhua
While China’s campaign to mend its international image in the wake of its handling of the coronavirus health crisis has been met with scepticism and even a backlash from the US and its Western allies, Beijing has been quietly gaining ground in Asia.
Teams of experts have been sent to Cambodia, the Philippines, Myanmar, Pakistan and soon to Malaysia, to share their knowledge from the pandemic’s ground zero in central China.
Beijing has also donated or facilitated shipments of medical masks and ventilators to countries in need. And despite some of the equipment failing to meet Western quality standards, or being downright defective, the supplies have been largely welcomed in Asian countries.
China has also held a series of online “special meetings” with its Asian neighbours, most recently on Tuesday when Premier Li Keqiang discussed his country’s experiences in combating the disease and rebooting a stalled economy with the leaders of the Association of Southeast Asian Nations (Asean), Japan and South Korea.
Chinese Prime Minister Li Keqiang speaks to Asean Plus Three leaders during a virtual summit on Tuesday. Photo: AP
Chinese Prime Minister Li Keqiang speaks to Asean Plus Three leaders during a virtual summit on Tuesday. Photo: AP
Many Western politicians have publicly questioned Beijing’s role and its subsequent handling of the crisis but Asian leaders – including Philippine President Rodrigo Duterte and Japanese Prime Minister Shinzo Abe – have been reluctant to blame the Chinese government, while also facing criticism at home for not closing their borders with China soon enough to prevent the spread of the virus.

An official from one Asian country said attention had shifted from the early stages of the outbreak – when disgruntled voices among the public were at their loudest – as people watched the virus continue its deadly spread through their homes and across the world.

“Now everybody just wants to get past the quarantine,” he said. “China has been very helpful to us. It’s also closer to us so it’s easier to get shipments from them. The [medical] supplies keep coming, which is what we need right now.”

The official said also that while the teams of experts sent by Beijing were mainly there to observe and offer advice, the gesture was still appreciated.

Another Asian official said the tardy response by Western governments in handling the outbreak had given China an advantage, despite its initial lack of transparency over the outbreak.

“The West is not doing a better job on this,” he said, adding that his government had taken cues from Beijing on the use of propaganda in shaping public opinion and boosting patriotic sentiment in a time of crisis.

“Because it happened in China first, it has given us time to observe what works in China and adopt [these measures] for our country,” the official said.

Experts in the region said that Beijing’s intensifying campaign of “mask diplomacy” to reverse the damage to its reputation had met with less resistance in Asia.

Why China’s ‘mask diplomacy’ is raising concern in the West

29 Mar 2020

“Over the past two months or so, China, after getting the Covid-19 outbreak under control, has been using a very concerted effort to reshape the narrative, to pre-empt the narrative that China is liable for this global pandemic, that China has to compensate other countries,” said Richard Heydarian, a Manila-based academic and former policy adviser to the Philippine government.

“It doesn’t help that the US is in lockdown with its domestic crisis and that we have someone like President Trump who is more interested in playing the blame game rather than acting like a global leader,” he said.

Shahriman Lockman, a senior analyst with the foreign policy and security studies programme at Malaysia’s Institute of Strategic and International Studies, said that as the US had withdrawn into its own affairs as it struggled to contain the pandemic, China had found Southeast Asia a fertile ground for cultivating an image of itself as a provider.

China’s first-quarter GDP shrinks for the first time since 1976 as coronavirus cripples economy
Beijing’s highly publicised delegations tasking medical equipment and supplies had burnished that reputation, he said, adding that the Chinese government had also “quite successfully shaped general Southeast Asian perceptions of its handling of the pandemic, despite growing evidence that it could have acted more swiftly at the early stages of the outbreak in Wuhan”.
“Its capacity and will to build hospitals from scratch and put hundreds of millions of people on lockdown are being compared to the more indecisive and chaotic responses seen in the West, especially in Britain and the United States,” he said.
Coronavirus droplets may travel further than personal distancing guidelines
16 Apr 2020

Lockman said Southeast Asian countries had also been careful to avoid getting caught in the middle of the deteriorating relationship between Beijing and Washington as the two powers pointed fingers at each other over the origins of the new coronavirus.

“The squabble between China and the United States about the pandemic is precisely what Asean governments would go to great lengths to avoid because it is seen as an expression of Sino-US rivalry,” he said.

“Furthermore, the immense Chinese market is seen as providing an irreplaceable route towards Southeast Asia’s post-pandemic economic recovery.”

Aaron Connelly, a research fellow in Southeast Asian political change and foreign policy with the International Institute for Strategic Studies in Singapore, said Asian countries’ dependence on China had made them slow to blame China for the pandemic.

“Anecdotally, it seems to me that most Southeast Asian political and business elites have given Beijing a pass on the initial cover-up of Covid-19, and high marks for the domestic lockdown that followed,” he said.

“This may be motivated reasoning, because these elites are so dependent on Chinese trade and investment, and see little benefit in criticising China.”

China and Vietnam ‘likely to clash again’ as they build maritime militias

12 Apr 2020
The cooperation with its neighbours as they grapple with the coronavirus had not slowed China’s military and research activities in the disputed areas of the South China Sea – a point of contention that would continue to cloud relations in the region, experts said.
Earlier this month an encounter in the South China Sea with a Chinese coastguard vessel led to the sinking of a fishing boat from Vietnam, which this year assumed chairmanship of Asean.
And in a move that could spark fresh regional concerns, shipping data on Thursday showed a controversial Chinese government survey ship, the Haiyang Dizhi 8, had moved closer to Malaysia’s exclusive economic zone.
The survey ship was embroiled in a months-long stand-off last year with Vietnamese vessels within Hanoi’s exclusive economic zone and was spotted again on Tuesday 158km (98 miles) off the Vietnamese coast.
Source: SCMP
10/04/2020

Coronavirus: Inside India’s busiest Covid-19 hospital

IndoreImage copyright GETTY IMAGES
Image caption Indore is a bustling commercial city

In early March, 40-year-old Ravi Dosi, a chest specialist in India, saw a baffling surge in patients with respiratory problems at outpatient clinics.

“There was almost a 50% jump in patients with upper respiratory issues and sore throat. They were not responding to antibiotics. Testing was still low and we didn’t really know what was going on,” Dr Dosi, who works at Sri Aurobindo Institute of Medical Sciences, a 1,156-bed private medical college in the central city of Indore, told me.

Less than a fortnight later, Dr Dosi began seeing an uptick in admissions of Covid-19 patients. Around the end of March, the hospital was receiving 28 infected patients every day.

They had dry cough, fever, and difficulty breathing. Their blood oxygen levels were low. They were reporting loss of taste and smell.

In the first wave of patients, nearly a dozen came from far-flung districts, more than 150km (93 miles) from Indore, a bustling commercial city in Madhya Pradesh state. The state has now become a hotspot, with nearly 400 confirmed infections out of the more than 6,400 infections and nearly 200 deaths across the country so far.

By the second week of April, Dr Dosi and his team of 100 doctors and nearly an equal number of nursing staff working 24/7 in three shifts, were treating 144 Covid-19 patients. (Thirty-one had been treated and sent home already.)

A total of 38 patients were in intensive care. Twenty-one of them were critical. There had been seven deaths. “We are handling the largest number of Covid-19 patients in India,” Vinod Bhandari, a surgeon and chairman of the hospital, told me.

Doctors now believe that the infection was spreading in the community long before the government admitted to it, and testing slowly ramped up. Until two weeks ago, Indian health authorities had been denying community transmission.

SAIMs Hospital Indore
Image caption The hospital in Indore has more than 140 patients

Now a new study by Indian Council of Medical Research (ICMR) using surveillance data from 41 labs in the country has hinted at community transmission: 52 districts in 20 states and union territories reported Covid-19 patients. Some 40% of the cases did not report any history of international travel or contact with a known case. (The survey was based on swabs collected from nearly 6,000 patients who tested positive between 15 February and 19 March.)

Back in the hospital in Indore, the doctors are battling the surge in infections.

Three isolation wards spread over two floors floors are stacked with patients. (The hospital has earmarked 525 beds for Covid-19 patients.) Isolation wards have younger patients with mild infection, while elderly patients with more severe symptoms are in intensive care. The oldest patient is a 95-year-old man, and the youngest is a four-month-old boy.

The team of doctors handling patients includes chest specialists, anaesthetists, microbiologists, and dermatologists. There are patients with a lot of underlying medical conditions – diabetes, hypertension, even cancer – so all the specialists have been called in to help with the treatment.

Dr Dosi wakes up early, puts on protective gear – scrubs, face masks and shields, N95 masks, gowns, double gloves and shoe covers – before going on his rounds of the patients. Doctors say they are not facing a shortage of gear yet.

They are using 22 ventilators to help the critical patients breathe, and also providing oxygen supplies to others using nasal cannulas (nose prongs).

In the isolation wards, patients are given oral medication – antibiotics and hydroxychloroquine (commonly known as HCQ), an anti-malarial drug – and directed to maintain social distancing and wash their hands regularly.

Isolation wards
Image caption The isolation wards are packed with patients

“I have never seen a challenge and crisis like this in my career. I have heard stories about an outbreak of plague in Surat [in 1994]. But this seems to be much bigger. The biggest challenge is to keep hopes alive and be positive,” says Dr Dosi.

Keeping hopes up for patients in isolation can be taxing. Three tests, say doctors, are being done for the infection – if the first test comes out positive, the patient remains in isolation for two weeks, and is tested twice on two days after the quarantine period. If the last two tests come back negative, the patient is discharged. If not, the patient has to stay in isolation for another two weeks. “It is a tough grind, mentally,” says one doctor.

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For the last three weeks, Dr Dosi has been living in the hospital, away from his wife, two sons and parents. His father is a retired pathologist. They communicate via hurried video calls, between his frantic trips to the isolation wards and intensive care.

I ask him when does he expect this to “get over”, so that he can go home.

“In a couple of weeks,” he says. “The lockdown should have helped to slow down the infection.”

Dr Dosi is alluding to the strict 21-day lockdown India imposed on 24 March to halt the spread of the infection.

migrant workerImage copyright GETTY IMAGES
Image caption Health officials have been denying community transmission

Things are getting better, he says.

“I am getting 10 patients for admission in isolation wards, and two patients severe enough for intensive care every day now. Earlier this week, it was 50:50.”

It is possibly too early to hazard a guess about when admissions will slow down to single digits. As more people are tested, the number of patients can easily rise again.

It’s been unrelenting, Dr Dosi says.

Early, on Friday, I sent him a text to find out what was going on.

“Please. Have an emergency in ICU,” he replied.

Source: The BBC

20/03/2020

South Korea discusses coronavirus with China, Japan; plans to quarantine Europe entries

SEOUL (Reuters) – The foreign ministers of South Korea, China and Japan held a video conference on Friday to discuss cooperation on the coronavirus pandemic amid growing concern over the number of infected people arriving in their countries from overseas.

Though the epidemic erupted in China in December, and South Korea at one stage had the second-most infections, both subsequently succeeded in stifling domestic transmission of the virus. [L4N2BC3SC]

The number of cases in Japan has been far smaller, but Tokyo has the extra worry of whether to press ahead with hosting the Olympics this summer.

Japan was given expressions of support for hosting the Olympics during the video-conference call between the minister, according to South Korea’s foreign ministry.

The government remains committed to holding Games as planned in July, despite expectations that some 600,000 spectators and athletes would descend on Tokyo.

Japan has had 963 domestically transmitted cases and 33 deaths, according to public broadcaster NHK. That does not include more than 700 cases and seven deaths from a cruise ship moored near Tokyo last month.

TWO-WEEK QUARANTINE

During their call, the ministers shared information on the outbreaks in their countries.

“I think the three countries need to work together to contain the spread of the coronavirus and minimise any resulting reduction on exchanges and cooperation between the peoples, as well as its economic and social impact,” South Korean Foreign Minister Kang Kyung-wha said at the outset of the call.

South Korea’s government said on Tuesday it will conduct a coronavirus check on all travellers from Europe and impose a two-week mandatory quarantine, starting Sunday, for those who intend staying long term.

“This is the toughest step we could take without banning entries from Europe, where the virus is spreading at an unexpected speed,” Yoon Tae-ho, director-general for public health policy at the health ministry, told a briefing.

“We’re also closely monitoring developments in the United States where the rate of the transmission has been increasing over the last few days.”

The move came a day after tighter border checks took effect for all people arriving from overseas.

South Korea has established special entry procedures for visitors from hard-hit countries like China, Italy and Iran, requiring them to sign up by a smartphone application to track whether they have any symptoms such as fever.

Despite strong diplomatic and economic ties between the three North Asian neighbours, historic grievances dog their relations. And reduced flights, stronger border controls, and quarantine requirements introduced in response to the epidemic have proved irksome.

Earlier this month, Seoul suspended visas and visa waivers for Japan in a tit-for-tat move following Tokyo’s own travel restrictions on Koreans, triggering fears that their defences against the virus could spark a fresh feud.

The Korea Centers for Disease Control and Prevention (KCDC) reported 87 new coronavirus cases on Friday, bringing the total national infections to 8,652.

As of Thursday, there were 79 cases involving infected people who had recently arrived in the country, up from 44 on Sunday. Most of them were South Koreans, 27 came from Europe, 16 from China, and 12 from other Asian countries, according to the KCDC.

The daily tally for new infections has been trending downward over the past week, despite a slight uptick on Thursday as small-scale outbreaks continued to emerge across the country. South Korea’s death toll rose to 101, from 94.

South Korea’s election commission said on Friday it will disinfect all polling stations and carry out checks on voters when they show up to cast their ballots in the April 15 parliamentary election.

Source: Reuters

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