Archive for ‘hotspot’

30/05/2020

China-India border: Why tensions are rising between the neighbours

'Col Chewang Rinchen Setu', a bridge built by Border Roads Organisation (BRO) over River Shyok, connecting Durbuk and Daulat Beg Oldie in Eastern LadakhImage copyright PRESS INFORMATION BUREAU
Image caption The area has become a hotspot in part because of a road India has built

The armies of the world’s two most populous nations are locked in a tense face-off high in the Himalayas, which has the potential to escalate as they seek to further their strategic goals.

Officials quoted by the Indian media say thousands of Chinese troops have forced their way into the Galwan valley in Ladakh, in the disputed Kashmir region.

Indian leaders and military strategists have clearly been left stunned.

The reports say that in early May, Chinese forces put up tents, dug trenches and moved heavy equipment several kilometres inside what had been regarded by India as its territory. The move came after India built a road several hundred kilometres long connecting to a high-altitude forward air base which it reactivated in 2008.

The message from China appears clear to observers in Delhi – this is not a routine incursion.

“The situation is serious. The Chinese have come into territory which they themselves accepted as part of India. It has completely changed the status quo,” says Ajai Shukla, an Indian military expert who served as a colonel in the army.

China takes a different view, saying it’s India which has changed facts on the ground.

Reports in the Indian media said soldiers from the two sides clashed on at least two occasions in Ladakh. Stand-offs are reported in at least three locations: the Galwan valley; Hot Springs; and Pangong lake to the south.

A map showing the disputed area

India and China share a border more than 3,440km (2,100 miles) long and have  overlapping territorial claims. Their border patrols often bump into each other, resulting in occasional scuffles but both sides insist no bullet has been fired in four decades.

Their armies – two of the world’s largest – come face to face at many points. The poorly demarcated Line of Actual Control (LAC) separates the two sides. Rivers, lakes and snowcaps mean the line separating soldiers can shift and they often come close to confrontation.

The current military tension is not limited to Ladakh. Soldiers from the two sides are also eyeball-to-eyeball in Naku La, on the border between China and the north-eastern Indian state of Sikkim. Earlier this month they reportedly came to blows.

And there’s a row over a new map put out by Nepal, too, which accuses India of encroaching on its territory by building a road connecting with China.

Why are tensions rising now?

There are several reasons – but competing strategic goals lie at the root, and both sides blame each other.

“The traditionally peaceful Galwan River has now become a hotspot because it is where the LAC is closest to the new road India has built along the Shyok River to Daulet Beg Oldi (DBO) – the most remote and vulnerable area along the LAC in Ladakh,” Mr Shukla says.

India’s decision to ramp up infrastructure seems to have infuriated Beijing.

Human rights activists hold placards during a protest against India"s newly inaugurated link road to the Chinese border, near Indian embassy in Kathmandu on May 12, 2020.Image copyright AFP
Image caption There have been protests in Nepal against Indi’s new road link

Chinese state-run media outlet Global Times said categorically: “The Galwan Valley region is Chinese territory, and the local border control situation was very clear.”

“According to the Chinese military, India is the one which has forced its way into the Galwan valley. So, India is changing the status quo along the LAC – that has angered the Chinese,” says Dr Long Xingchun, president of the Chengdu Institute of World Affairs (CIWA), a think tank.

Michael Kugelman, deputy director of the Asia programme at the Wilson Center, another think tank, says this face-off is not routine. He adds China’s “massive deployment of soldiers is a show of strength”.

The road could boost Delhi’s capability to move men and material rapidly in case of a conflict.

Differences have been growing in the past year over other areas of policy too.

When India controversially decided to end Jammu and Kashmir’s limited autonomy in August last year, it also redrew the region’s map.

The new federally-administered Ladakh included Aksai Chin, an area India claims but China controls.

Senior leaders of India’s Hindu-nationalist BJP government have also been talking about recapturing Pakistan-administered Kashmir. A strategic road, the Karakoram highway, passes through this area that connects China with its long-term ally Pakistan. Beijing has invested about $60bn (£48bn) in Pakistan’s infrastructure – the so-called China Pakistan Economic corridor (CPEC) – as part of its Belt and Road Initiative and the highway is key to transporting goods to and from the southern Pakistani port of Gwadar. The port gives China a foothold in the Arabian Sea.

map
In addition, China was unhappy when India initially banned all exports of medical and protective equipment to shore up its stocks soon after the coronavirus pandemic started earlier this year.

How dangerous could this get?

“We routinely see both armies crossing the LAC – it’s fairly common and such incidents are resolved at the local military level. But this time, the build-up is the largest we have ever seen,” says former Indian diplomat P Stobdan, an expert in Ladakh and India-China affairs.

“The stand-off is happening at some strategic areas that are important for India. If Pangong lake is taken, Ladakh can’t be defended. If the Chinese military is allowed to settle in the strategic valley of Shyok, then the Nubra valley and even Siachen can be reached.”

In what seems to be an intelligence failure, India seems to have been caught off guard again. According to Indian media accounts, the country’s soldiers were outnumbered and surrounded when China swiftly diverted men and machines from a military exercise to the border region.

This triggered alarm in Delhi – and India has limited room for manoeuvre. It can either seek to persuade Beijing to withdraw its troops through dialogue or try to remove them by force. Neither is an easy option.

“China is the world’s second-largest military power. Technologically it’s superior to India. Infrastructure on the other side is very advanced. Financially, China can divert its resources to achieve its military goals, whereas the Indian economy has been struggling in recent years, and the coronavirus crisis has worsened the situation,” says Ajai Shukla.

What next?

History holds difficult lessons for India. It suffered a humiliating defeat during the 1962 border conflict with China. India says China occupies 38,000km of its territory. Several rounds of talks in the last three decades have failed to resolve the boundary issues.

China already controls the Aksai Chin area further east of Ladakh and this region, claimed by India, is strategically important for Beijing as it connect its Xinjiang province with western Tibet.

File photo of an Indian and Chinese soldier on the borderImage copyright GETTY IMAGES
Image caption India and China have a long history of border disputes

In 2017 India and China were engaged in a similar stand-off lasting more than two months in Doklam plateau, a tri-junction between India, China and Bhutan.

India objected to China building a road in a region claimed by Bhutan. The Chinese stood firm. Within six months, Indian media reported that Beijing had built a permanent all-weather military complex there.

This time, too, talks are seen as the only way forward – both countries have so much to lose in a military conflict.

“China has no intention to escalate tensions and I think India also doesn’t want a conflict. But the situation depends on both sides. The Indian government should not be guided by the nationalistic media comments,” says Dr Long Xingchun of the CIWA in Chengdu. “Both countries have the ability to solve the dispute through high-level talks.”

Chinese media have given hardly any coverage to the border issue, which is being interpreted as a possible signal that a route to talks will be sought.

Pratyush Rao, associate director for South Asia at Control Risks consultancy, says both sides have “a clear interest in prioritising their economic recovery” and avoiding military escalation.

“It is important to recognise that both sides have a creditable record of maintaining relative peace and stability along their disputed border.”

Source: The BBC

08/05/2020

French hospital says first suspected COVID-19 cases weeks earlier than official record in country

A COVID-19 patient is wheeled out from an EHPAD (Housing Establishment for Dependant Elderly People) in Epinay sur Seine near Paris, France, on April 22, 2020. (Photo by Aurelien Morissard/Xinhua)

The first suspected cases of COVID-19 infection in France could date back to Nov. 16 last year, a hospital in eastern France said. Before this announcement, the first COVID-19 infection cases officially recorded in France were on Jan. 24, 2020.

PARIS, May 8 (Xinhua) — The first suspected cases of COVID-19 infection in France could date back to Nov. 16 last year, some nine weeks earlier than the official record of the country’s first confirmed cases, a hospital in eastern France said Thursday.

“Doctor Michel Schmitt, head of the medical imaging department at the Albert Schweitzer hospital in Colmar, has reviewed 2,456 chest scans performed between Nov. 1 and April 30, for all reasons (cardiac, pulmonary, traumatic, tumor pathologies),” said the hospital in a press release.

A suspected patient of COVID-19 is transferred to an EHPAD in Epinay sur Seine near Paris, France, April 22, 2020. (Photo by Aurelien Morissard/Xinhua)

The typical scans compatible with COVID-19 infection have been also reviewed in a second then a third reading by two other experienced radiologists. According to this retrospective study, the first cases of contamination with COVID-19 were thus identified from Nov. 16 in this hospital, it said.

Albert Schweitzer hospital added that it has launched a collaboration with France’s National Center for Scientific Research to start an epidemiological exploitation of these results.

Before this announcement, the first case of COVID-19 infection in east France was officially identified in late February. It involved a 36-year-old man who returned from a trip to Lombardy, then hotspot of the epidemic in Italy.

A giant mask is seen on a residential building in Saint-Mande, near Paris, France, on May 2, 2020. (Photo by Aurelien Morissard/Xinhua)

The first COVID-19 infection cases officially recorded in France were on Jan. 24, 2020 relating to individuals who had recently arrived or returned from China.

France on Thursday registered 178 new deaths caused by the novel coronavirus, taking the tally to 25,987. As hospitalization data continued to slow, the government said on Thursday that the country would start to unwind the nearly-two-month anti-coronavirus lockdown from Monday.

Source: Xinhua

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.

Singapore Covid-19 cases to rise as not all migrant workers being tested

28 Apr 2020

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.

Spanish official cries reading names of health workers killed by coronavirus
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.

China says US politicians are lying as Trump calls for Covid-19 damages

29 Apr 2020

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.

Is this the next big hotspot for the ‘little flu’?

28 Apr 2020

“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

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.

Banner image reading 'more about coronavirus'
Banner

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

09/04/2020

Coronavirus in Suifenhe: Remote border town locks down as China opens up

Guard at the Russian borderImage copyright AFP / GETTY
Image caption Suifenhe, where around 100,000 people live, has a road and rail crossing with Russia

A Chinese city on the Russian border is entering a “lockdown” due to an increase in coronavirus cases – even as the rest of China cautiously opens up.

In Suifenhe, 1,000 miles from Beijing, people have been ordered to stay indoors, with some exceptions.

The border is closed to people, although not goods, and a 600-bed isolation hospital is being built.

One business owner told the BBC she was “very scared” – but another local said he had confidence in the government.

What is the virus situation in Suifenhe?

On Wednesday, China reported 59 imported cases of Covid-19 across the whole country.

According to state media, 25 of them entered the country via Suifenhe – making the remote north-east crossing something of a hotspot.

The patients were all returning Chinese citizens who had flown from Moscow to Vladivostok, a Russian city around 100 miles south.

All the new patients were taken to hospital, with two in a serious condition.

In addition, another 86 people in Suifenhe – who came via the same route – were classed as “asymptomatic” but positive for the virus, which China counts separately.

What has Suifenhe done?

The border was closed to people on Tuesday, the local government said, although cargo can continue. Russia closed its border with China in February.

People in the city have been told to stay at home, although the lockdown isn’t as severe as Hubei province experienced. One person per house can shop for essentials every three days.

At the same time, the new hospital – in an existing building – is due to open this weekend, intended for patients with mild symptoms.

“Of course I’m very scared,” one woman who runs a bakery shop told the BBC.

“We don’t leave the house now. Many people already left the city. But we can’t do that, because we have a shop need to take care of.”

This picture from 2005 showed the extent of Russian timber exports passing through Suifenhe railway stationImage copyright SOVFOTO
Image caption This picture from 2005 showed the extent of Russian timber exports passing through Suifenhe railway station

Meanwhile, a member of staff at a restaurant in the city said it was normally their high season, with around 1,000 customers a day.

Instead, they were told to close earlier this week, with “no idea” when they can open again.

But the staff member was not critical of the government. He said the lockdown made him feel “secure” – and that he was “very confident” the government would look after the situation.

What is the situation in the rest of China?

China’s recorded rate of Covid-19 infections has slowed dramatically in recent weeks.

On Tuesday, it reported no new deaths for the first time since publishing daily figures in January.

On Thursday, it reported 63 cases – 61 imported from overseas – and just two new deaths.

The “flattening of the curve” has allowed restrictions to be lifted, and some normality to return.

On Wednesday, people were allowed to leave Wuhan – where the outbreak emerged – for the first time in 11 weeks if they were deemed virus-free.

There were 221 inbound and outbound flights, with more than 7,000 people leaving and 4,500 arriving. More than half a million used public transport, state media reported.

But although people from Wuhan can leave, they still face restrictions in other cities. In Beijing, for example, they will be tested upon arrival, according to local media.

Even if they pass, they will then be quarantined for 14 days – and tested again – before being released.

Source: The BBC

24/03/2020

Coronavirus: Is this textile city set to be ‘India’s Italy’?

Bhilwara curfewImage copyright PTI
Image caption This city of five million people has been under a lockdown since last week

At 05:00 local time (23:30 GMT) of 8 March, the intensive care unit of a private hospital in the northern Indian state of Rajasthan received a 68-year-old man suffering from pneumonia. He was also having problems breathing.

At the Brijesh Bangar Memorial Hospital in Bhilwara, the new patient was examined by 58-year-old Alok Mittal, a doctor of internal medicine, and his team. The patient wasn’t asked about any travel history; nor did he disclose anything. There were six other patients in the ICU.

The man’s condition did not improve much, and two days later, he was sent to a private hospital in Jaipur, some 250km (155 miles) away, for specialised treatment. In Jaipur, he was treated in two hospitals. “We had no idea what was in store,” Shantilal Acharya, an intensive care nurse who received the patient in the Bhilwara hospital, told me.

For reasons that are still unclear, even the hospitals in Jaipur didn’t test a patient with severe pneumonia for coronavirus. His condition deteriorated swiftly and he died a few days later, on 13 March. The news of his death was conveyed to Dr Mittal and his team.

Bhilwara HospitalImage copyright SHAUKAT AHMED
Image caption The infection possibly spread from a private hospital in Bhilwara

Strangely enough, the doctors didn’t appear to comprehend the gravity of the situation even though it was clear that India was facing an imminent outbreak of Covid-19. The country has reported more than 460 confirmed cases and nine deaths so far, and testing remains low. On 9 March, according to reports, Dr Mittal and a few others travelled to the city of Udaipur, put up in a resort and played Holi, the Indian spring festival of colours. (Repeated attempts at getting through to Dr Mittal by phone and text yielded no results.)

Days after the death of the pneumonia patient, Dr Mittal and a colleague checked themselves into an isolation ward of a government hospital. Over the next few days, a few more colleagues from the hospital joined them in isolation. Twelve of them, including Dr Mittal, tested positive for Covid-19.

Next day, as news of the infections leaked, all hell broke loose. The private hospital was popular with its residents, and many regularly visited its thriving out-patient department for treatment. As people panicked and began blaming the doctors for spreading the infection, authorities moved swiftly.

Bhilwara stationImage copyright SHAUKAT AHMED
Image caption People have been stopped from entering or leaving Bhilwara

They imposed a “civil curfew”, prohibiting people from coming out of their homes and banning public gatherings. They shut schools, colleges, offices, and stopped people from leaving or entering the district. The private hospital was sealed and its 88 patients moved to other healthcare facilities in the area. “Officials were telling us the threat was serious and there was a chance of an outbreak,” local journalist Pramod Tiwari told me.

So Bhilwara, fearing a serious outbreak, did everything that India did a few days later. So could this city of 400,000 people and a major textile making hub, turn out to be India’s first coronavirus “hotspot”?

Consider this.

Of the 69 people tested in the city until Sunday evening, 13 people – including doctors and paramedics – aged between 24 and 58, have tested positive. They include three doctors and nine health workers. Thirty-one people – mostly hospital workers – are in isolation. “Most of them are doing fine,” Dr Arun Gaur, the chief medical officer of the district, told me.

But things could get really bad.

Between 20 February and before going into isolation last week, Dr Mittal and his team of doctors at the hospital saw 6,192 patients who came from 13 districts of Rajasthan and 39 patients belonging to four other states. Drawing from the experience in China and Italy, doctors now know that hospitals might turn out to be the “main source” of Covid-19 transmission. Also, both MERS and SARS had high transmission rates within hospitals. The potential for community transmission of the infection across a large geographical area from the Bhilwara hospital is real, officials fear.

Bhilwara border sealedImage copyright SHAUKAT AHMED
Image caption The city’s borders have been sealed

So did the virus reach this city through the patient who was treated at three hospitals and went untested before he died? Or did one of the more than 80 patients admitted in the hospital transmit it? Or was it spread by another patient in the intensive care? Or had one of the doctors picked up the infection separately and spread it unknowingly?

Nobody will know until all the contact tracing and testing is complete, and that’s the scary part.

The lack of early credible information on the transmission meant that rumours had a field day. Local media reported that one of the infected doctors had received guests from Saudi Arabia at home and had contracted the infection. He had then gone to the hospital and spread the infection to co-workers, the reports added.

Dr Niyaz Khan had to record a mobile phone video from his intensive care bed to squelch the rumour. With monitors beeping around him, Dr Khan, masked and breathless, implored: “Just to set the record straight, I have no relative in Saudi Arabia. I have a son and a wife. None of them is positive. Please don’t believe what is coming in the media.” Another doctor said it was unfair to blame the hospital: “The patient fooled us and told us he didn’t travel outside the country for the two days he was in the ICU with us.” And Dr Mittal himself – his wife has also tested positive – recorded videos in isolation saying that he had tested positive, and he was doing well. “Please do not panic,” the well-known doctor said.

Bhilwara curfewImage copyright GETTY IMAGES
Image caption Residents in the city have begun panicking

That is easier said than done.

Realising the gravity of the situation, 300 teams of government workers and volunteers have fanned out in Bhilwara city. They are knocking on the doors of some 78,000 houses, and asking residents whether they’ve had a guest from outside the country, been treated in the hospital or know anyone who has tested positive. The survey began on 18 March and will finish on 25 March. “They are asking if we have cold, cough and fever and telling us if we have any of the symptoms we should report for tests at the government hospital,” a resident told me.

Another 1,900 similar teams have travelled out into neighbouring villages where more than 2.5 million people live. People in homes with suspect cases are being put into quarantine. Seven thousand people have been put into home quarantine so far.

Fearing a surge in infections, 20 more beds are being added to the hospital’s 30-bed isolation ward, which is already full. Six private hospitals have promised to provide an additional 35 beds for isolation. Thirteen places with 450 beds – extendable to 2,000 beds – where people can be quarantined have also been identified, Rajendra Bhatt, the senior-most official of the district told me. “It’s like fighting a war, but we have been agile and alert,” he said.

Meanwhile the residents, like elsewhere in India, are enduring an extended lockdown and curfew. Rajkumar Jain, a professor of computer science, is locked down with 14 members of his joint family in a two-storey home. “We are in complete panic,” he told me. “People are saying here that Bhilwara is going to become India’s Italy.”

Media captionWATCH: Millions of Indians bang pots and pans in support of health workers

Related Topics

Source: The BBC

09/12/2019

China Focus: Xinjiang, an emerging investment hotspot

URUMQI, Dec. 8 (Xinhua) — Rich in resources but remote, Xinjiang in China’s far west has become a magnet for investors for its unique position on the Silk Road.

In a workshop of the Amer International Group in Urumqi, capital of Xinjiang Uygur Autonomous Region, workers are busy adjusting and packing laptops.

Recently, Amer sent the first batch of 2,000 laptops it produced for the German company TrekStor to the European market via China-Europe freight trains.

Headquartered in the southern Chinese city of Shenzhen, Amer invested 20 billion yuan (around 2.8 billion U.S. dollars) to build an industrial park in Xinjiang in 2018. So far, the industrial park has produced and exported around 1.5 million mobile phones, according to Wang Wenyin, the founder and chairman of Amer International Group.

“We saw Xinjiang’s geographical advantages, so we established the industrial park and cooperated with our counterparts in South and Central Asia in the fields of smartphones and IT high-end manufacturing,” Wang said.

Amer International Group is among a growing number of enterprises that have been attracted by Xinjiang in recent years, as trains and planes have made Xinjiang better connected than ever before.

As China’s key trade gateway to Central and West Asia, the remote region’s position as the heart of the Belt and Road Initiative is unmistakable. In 2013, China proposed the BRI, which opened up new space for the world economy, spurring trade and economic growth and stimulating investment and creating jobs worldwide.

Urumqi Customs saw the number of China-Europe freight trains skyrocket to 5,743 in the first 10 months this year, up 53.68 percent year on year, outnumbering the total of 2018.

To attract more investors, the local government has gone to great lengths creating a more friendly business environment, such as cutting the time required for starting a business and lowering the entry threshold for products.

Up to now, Xinjiang has had more than 1.8 million market entities including 359,000 enterprises, up 18 percent year on year.

Foreign and domestic business giants including German chemical giant BASF and China’s real estate conglomerates Wanda Group have also invested in the region.

Lai Naixiang, head of Kashgar Oumeisheng Energy Technology, a home appliance manufacturer, moved his business from Shenzhen to Kashgar in southern Xinjiang in 2017.

“We chose to settle in Kashgar because of the great market potential in adjacent Central Asian countries as well as Xinjiang’s lower electricity prices and preferential tax policy,” he said.

Last year, the company exported electric kettles worth more than 16 million yuan to Kyrgyzstan and Tajikistan.

Foreign trade in Xinjiang has seen booming growth. The region recorded around 131.5 billion yuan in imports and exports in the first 10 months of this year, up 28 percent year on year.

In the first 10 months, Kazakhstan topped the list of Xinjiang’s major trade partners, with trade volume between the two growing by 28.2 percent to 60.2 billion yuan.

Xinjiang’s trade with Kyrgyzstan, Australia, Pakistan, Britain, Argentina and Vietnam also showed fast growth, according to the local customs authorities.

“With further Belt and Road construction, Xinjiang will get more impetus in economic and social development. I see great potential in the region,” Wang said.

Source: Xnhua

Law of Unintended Consequences

continuously updated blog about China & India

ChiaHou's Book Reviews

continuously updated blog about China & India

What's wrong with the world; and its economy

continuously updated blog about China & India