Archive for ‘health authorities’

29/04/2020

Coronavirus outbreak in France did not come directly from China, gene-tracing scientists say

  • Researchers conclude that the virus was circulating undetected in France in February
  • Findings highlight the difficulties governments face in tracing the source of coronavirus outbreaks
Researchers in France have carried out genetic analysis and found that the dominant types of the viral strains in the country did not come from China or Italy. Photo: AP
Researchers in France have carried out genetic analysis and found that the dominant types of the viral strains in the country did not come from China or Italy. Photo: AP
The coronavirus outbreak in France was not caused by cases imported from China, but from a locally circulating strain of unknown origin, according to a new study by French scientists at the Institut Pasteur in Paris.
Genetic analysis showed that the dominant types of the viral strains in France belonged to a clade – or group with a common ancestor – that did not come from China or Italy, the earliest hotspot in Europe.
“The French outbreak has been mainly seeded by one or several variants of this clade … we can infer that the virus was silently circulating in France in February,” said researchers led by Dr Sylvie van der Werf and Etienne Simon-Loriere in a non-peer reviewed paper released on bioRxiv.org last week.
The Covid-19 pandemic has infected more than 128,000 people in France and caused more than 23,000 deaths.
France detected the virus in late January, before any other country in Europe. A few patients with a travel history that included China’s Hubei province were sampled on January 24 and tested positive.
The Covid-19 pandemic has infected more than 128,000 people in France and caused more than 23,000 deaths. Photo: AFP
The Covid-19 pandemic has infected more than 128,000 people in France and caused more than 23,000 deaths. Photo: AFP
The French government took quick and decisive measures to trace contacts of the infected people and shut down the chance of further infection.

However, these strains were not found in patients tested after the initial imported cases, suggesting “the quarantine imposed on the initial Covid-19 cases in France appears to have prevented local transmission”, the researchers said.

The Pasteur institute collected samples from more than 90 other patients across France and found the strains all came from one genetic line. Strains following this unique path of evolution had so far only been detected in Europe and the Americas.

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The earliest sample in the French clade was collected on February 19 from a patient who had no history of travel and no known contact with returned travellers.

Several patients had recently travelled to other European countries, the United Arab Emirates, Madagascar and Egypt but there was no direct evidence that they contracted the disease in these destinations.

To the researchers’ surprise, some of the later strains collected were genetically older – or closer to the ancestral root – than the first sample in this clade.

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A possible explanation, according to the authors, was that local transmission had been occurring in France for some time without being detected by health authorities.
The French government may have missed detecting the transmission. According to the researchers, a large proportion of those patients might have had mild symptoms or none at all.

The researchers also found that three sequences later sampled in Algeria were closely related to those in France, suggesting that travellers from France might have introduced the virus to the African country and caused an outbreak.

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Benjamin Neuman, professor and chair of biological sciences with the Texas A&M University-Texarkana, said the French strains might have come from Belgium, where some sequences most closely related to the original strain from China were clustered.

“Since the earliest European strains of [the coronavirus] Sars-CoV-2 seem to be associated with Belgium, the idea that the virus spread from Belgium to both Italy and France at around the same time seems plausible, as this paper contends,” he said.

France is the latest in a growing number of countries and areas where no direct link between China and local outbreaks could be established.

The dominant strains in Russia and Australia, for instance, came from Europe and the United States, respectively, according to some studies.

These findings have drawn fire from some politicians who have tried to deflect domestic anger over their handling of the crisis by blaming China.

US President Donald Trump lashed out on social media after two separate teams in the US found the strains devastating New York came from Europe.

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“So now the Fake News @nytimes is tracing the CoronaVirus origins back to Europe, NOT China. This is a first!” he tweeted on April 11, referring to a story about the studies in the The New York Times’ science section.

The findings also highlight the difficulties governments face in tracing the source of coronavirus outbreaks.

Less-developed countries may never know where their strains came from due to inadequate testing and sequencing capability.

India, for example, has released the genetic sequence of fewer than 40 samples to the public so far, a small number considering its huge population.

Most of the strains sampled in 35 early cases came from clades that could be traced to Italy and Iran, with only a few from China, according to a recent study. But researchers were not able to track further because of the lack of data.

A scientist on the study, Dr Mukesh Thakur, of the Zoological Survey of India, said it was too early to rule out China as the source of outbreaks in India because the number of samples at hand was limited.

A 20-year-old student studying medicine in Wuhan, for instance, might have come in contact with many people on the way home before she was tested positive on January 30.

Thakur said local media reported that the Indian government quarantined 3,500 people possibly linked to three positive cases imported from Wuhan.

“God knows how many of them tested positive in the subsequent stages,” Thakur said in an email response to the Post’s queries on Tuesday.

Some prominent scientists, including Francis Collins, director of the US National Institutes of Health, said the virus might have been spreading quietly in humans for years, or even decades, without causing a detectable outbreak.

The virus had thus adapted well to the human body. Some genes regulating its binding to host cells were similar, or even identical, to those found in some other highly infectious human viruses, such as HIV and Ebola.

According to some estimates, the ancestor of Sars-CoV-2, the virus causing Covid-19, might have left bats between 50 and 70 years ago. A recent study by a team of geneticists in Oxford University estimated the first outbreak of the current pandemic could have occurred as early as September last year.

They found that the dominant strains circulating in China and Asia were genetically younger than some popular strains in the United States.

Source: SCMP

19/04/2020

Chinese medical team returns after aid mission in Pakistan

URUMQI, April 18 (Xinhua) — A medical team of eight experts who aided Pakistan’s fight against COVID-19 returned Friday night to Urumqi, capital of northwest China’s Xinjiang Uygur Autonomous Region.

The team, consisting of experts in various fields including respiratory, critical care and traditional Chinese medicine (TCM), arrived in Pakistan on March 28 and visited cities of Islamabad, Lahore and Karachi.

The Chinese experts communicated with the Pakistani federal government, national and local health authorities, hospitals and medical schools, as well as the Red Crescent.

The team members shared their experience through several video conferences and offered practical, specific suggestions to their Pakistani peers concerning the diagnosis, clinical treatment and epidemiologic study of COVID-19, and the application of TCM, hospital infection control and the construction of temporary hospitals.

The team also assisted with improving Pakistan’s guidelines on diagnosis and treatment of COVID-19 to help build an efficient epidemic prevention and control system in Pakistan and enhance its screening and testing capabilities.

Meanwhile, the experts carried out epidemic prevention guidance and popular science education for the Chinese embassy in Pakistan, Chinese enterprises, overseas Chinese and Chinese students in the country.

Source: Xinhua

25/01/2020

China virus toll hits 41; Australia reports first four cases

BEIJING (Reuters) – The death toll from China’s coronavirus outbreak jumped on Saturday to 41 as the Lunar New Year got off to a gloomy start, with Hong Kong declaring a virus emergency, scrapping celebrations, and restricting links to mainland China.

Australia on Saturday confirmed its first four cases, Malaysia confirmed three and France reported Europe’s first cases on Friday, as health authorities around the world scrambled to prevent a pandemic.

Hong Kong leader Carrie Lam on Saturday declared a virus emergency in the Asian financial hub, with five confirmed cases, immediately halting official visits to mainland China and scrapping official Lunar New Year celebrations.

Inbound and outbound flights and high speed rail trips between Hong Kong and Wuhan, the epicentre of the outbreak, would be halted, and schools, now on Lunar New Year holidays, would remain shut until Feb. 17. The territory was also treating 122 people suspected of having the disease.

The death toll in China rose to 41 on Saturday from 26 a day earlier and more than 1,300 people have been infected globally with a virus traced to a seafood market in the central city of Wuhan that was illegally selling wildlife.

Hu Yinghai, deputy director-general of the Civil Affairs Department in Hubei province, where Wuhan is located, made an appeal on Saturday for masks and protective suits. Hospitals in the city have made similar pleas.

“We are steadily pushing forward the disease control and prevention … But right now we are facing an extremely severe public health crisis,” he told a news briefing.

Vehicles carrying emergency supplies and medical staff for Wuhan would be exempted from tolls and given traffic priority, China’s transportation ministry said on Saturday.

Wuhan said it would ban non-essential vehicles from its downtown starting Sunday to control the spread of the virus, further paralysing a city of 11 million that has been on virtual lockdown since Thursday, with nearly all flights cancelled and checkpoints blocking the main roads leading out of town.

Authorities have since imposed transport restrictions on nearly all of Hubei province, which has a population of 59 million.

In Australia, three men, aged 53, 43 and 35 in New South Wales were in stable condition after they were confirmed to have the virus after returning from Wuhan earlier this month.

A Chinese national in his 50s, who had been in Wuhan, was also in stable condition in a Melbourne hospital after arriving from China on Jan. 19, Victoria Health officials said.

State-run China Global Television Network reported in a tweet on Saturday that a doctor who had been treating patients in Wuhan, 62-year-old Liang Wudong, had died from the virus.

Police officers stand guard in front of the closed gate of Lama Temple where a notice saying that the temple is closed for the safety concern following the outbreak of a new coronavirus is seen, in Beijing, China January 25, 2020. REUTERS/Carlos Garcia Rawlins

It was not immediately clear if his death was already counted in the official toll of 41, of which 39 were in the central province of Hubei, where Wuhan is located.

U.S. coffee chain Starbucks said on Saturday that it was closing all its outlets in Hubei province for the week-long Lunar New Year holiday, following a similar move by McDonald’s in five Hubei cities.

PROTECTIVE SUITS

In Beijing on Saturday, workers in white protective suits checked temperatures of passengers entering the subway at the central railway station, while some train services in eastern China’s Yangtze River Delta region were suspended, the local railway operator said.

The number of confirmed cases in China stands at 1,287. The virus has also been detected in Thailand, Vietnam, Singapore, Japan, South Korea, Taiwan, Nepal, and the United States.

The U.S. Centers for Disease Control and Prevention said on Friday it had 63 patients under investigation, with two confirmed cases. While China has called for transparency in managing the crisis, after cover-up of the 2002/2003 Severe Acute Respiratory Syndrome spread, officials in Wuhan have come in for criticism over their handling of the current outbreak.

In rare public dissent, a senior journalist at a Hubei provincial newspaper run by the ruling Communist Party on Friday called for a “immediate” change of leadership in Wuhan on the Twitter-like Weibo. The post was later removed.

REINFORCEMENTS TO WUHAN

The World Health Organization (WHO) declared the new coronavirus an “emergency in China” this week but stopped short of declaring it of international concern.

Human-to-human transmission has been observed in the virus.

China’s National Health Commission said it had formed six medical teams totalling 1,230 medical staff to help Wuhan.

Hubei province, where authorities are rushing to build a 1,000 bed hospital in six days to treat patients, announced on Saturday that there were 658 patients affected by the virus in treatment, 57 of whom were critically ill.

The newly-identified coronavirus has created alarm because there are still many unknowns surrounding it, such as how dangerous it is and how easily it spreads between people. It can cause pneumonia, which has been deadly in some cases.

Symptoms include fever, difficulty breathing and coughing. Most of the fatalities have been in elderly patients, many with pre-existing conditions, the WHO said.

NEW YEAR DISRUPTIONS

Airports around the world have stepped up screening of passengers from China, though some health officials and experts have questioned the effectiveness of such screenings.

There are fears the transmission could accelerate as hundreds of millions of Chinese travel during the week-long Lunar New Year holiday, which began on Saturday, although many have cancelled their plans, with airlines and railways in China providing free refunds.

The virus outbreak and efforts to contain it have put a dampener on what is ordinarily a festive time of year.

Sanya, a popular resort destination on the southern Chinese island of Hainan, announced that it was shutting all tourist sites, while the island’s capital city, Haikou, said visitors from Wuhan would be placed under 14-day quarantine in a hotel.

Shanghai Disneyland was closed from Saturday. The theme park has a 100,000 daily capacity and sold out during last year’s Lunar New Year holiday.

Beijing’s Lama Temple, where people traditionally make offerings for the new year, has also closed, as have some other temples.

Source: Reuters

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