Archive for ‘medical facilities’

03/04/2020

Coronavirus: North Korea claims to be ‘totally free’ of virus

A woman helps her daughter seen wearing a face mask in PyongyangImage copyright GETTY IMAGES
Image caption North Korea says not a single person has the virus

North Korea’s claim that “not a single person” in the country has been infected with the coronavirus is facing growing scepticism.

It has credited strict containment measures and the shutting down of its borders for this success.

But the top US military commander in South Korea has said this is “untrue”, calling it an “impossible claim”.

A North Korean expert told the BBC it was likely there were cases but unlikely a mass outbreak had happened.

There are currently more than one million coronavirus cases across the world and 53,069 deaths, according to a Johns Hopkins University tally.

Pak Myong-su, a director at North Korea’s Central Emergency Anti-epidemic headquarters, told news agency AFP on Friday: “Not one single person has been infected with the novel coronavirus in our country so far.”

“We have carried out pre-emptive and scientific measures such as inspections and quarantine for all personnel entering our country and thoroughly disinfecting all goods, as well as closing borders and blocking sea and air lanes.”

Could this be true?

US General Robert Abrams, head of the US military forces in South Korea, has said it is untrue that North Korea has no virus cases.

“I can tell you that is an impossible claim based on all of the intel that we have seen,” he said in a joint interview with news sites CNN and VOA.

However, he said he could not say exactly how many cases there were, not confirm where the information came from.

Oliver Hotham, managing editor of specialist news site NK News, agreed that North Korea has probably had cases.

“It’s very unlikely that it has seen no cases because it borders China and South Korea. [Especially with China], given the amount of cross border trade and the economic relationship I really don’t see how its possible they could have prevented it,” he said.

However, he adds that it is “unlikely” there is a full scale outbreak.

“They really did take precautions early. I think it’s possible they’ve prevented a full on outbreak.”

How has North Korea reacted to the crisis?

North Korea has indeed moved much more quickly against the virus than many other countries in the region.

In late January, it sealed off its borders and later quarantined hundreds of foreigners in the capital Pyongyang. During that time, the number of cases in China were growing exponentially.

An NK News report also suggests that up to 10,000 citizens had been placed under isolation in the country – around 500 still remain in quarantine.

Are those in North Korea even aware of the virus?

Most people in North Korea are “really aware” of what’s going on, says Mr Hotham.

“There’s been so much media coverage. Almost every day you have a whole page about the efforts the country is taking domestically and also the international situation,” he told the BBC.

Fyodor Tertitskiy, a senior researcher at Kookmin University, also adds the country is currently running an “ongoing propaganda campaign teaching people how to prevent the spread of the virus”.

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What is North Korea’s healthcare system like?

The answer is, according to experts – better than you would think – depending on where in North Korea you are.

Mr Tertitsky says the North’s healthcare system is “much, much better than other countries with a similar GDP per capita”.

“What they did was to train a large number of doctors who, although less qualified and infinitely paid less than their colleagues in the West, can still provide basic healthcare to the population,” he told the BBC.

Mr Hotham agrees, but says that the number of doctors in North Korea enables the country to deal with basic illnesses, but perhaps not so much more serious illnesses which also need more healthcare equipment.

Sanctions have also restricted North Korea’s ability to obtain advanced medical equipment.

Mr Hotham adds that the care you receive largely depends on where you are. The capital, Pyongyang, for example, has various medical facilities, but those in rural areas might not be so lucky.

“Some provinces are desperately underfunded, where you’ll have hospitals with no running water or stable power.”

A health worker takes the temperature of a womanImage copyright GETTY IMAGES
Image caption Some international experts say North Korea’s health system is appalling

Why might North Korea be trying to cover up cases?

For North Korea to admit they have cases now could be a sign of “defeat”.

“The state has put a lot of stock into its response and there has been so much propaganda about how well they’re doing,” said Mr Hotham.

“I think for them to admit now that there were cases is essentially to admit defeat. I think it would also cause panic and people would freak out. If you have large movements of people trying to get away, that could create instability and even more infections.”

Mr Tertitskiy also puts this down to North Korea trying to preserve its self-image.

“The country is very paranoid about giving away any information that may make it look bad. Their basic rule is to say nothing unless there is a good reason to do otherwise.”

Source: The BBC

27/03/2020

U.S. has most coronavirus cases in world, next wave aimed at Louisiana

NEW YORK (Reuters) – The number of U.S. coronavirus infections climbed above 82,000 on Thursday, surpassing the national tallies of China and Italy, as New York, New Orleans and other hot spots faced a surge in hospitalizations and looming shortages of supplies, staff and sick beds.

With medical facilities running low on ventilators and protective masks and hampered by limited diagnostic testing capacity, the U.S. death toll from COVID-19, the respiratory disease caused by the virus, rose beyond 1,200.

“Any scenario that is realistic will overwhelm the capacity of the healthcare system,” New York Governor Andrew Cuomo told a news conference. He described the state’s projected shortfall in ventilators – machines that support the respiration of people have cannot breathe on their own – as “astronomical.”

“It’s not like they have them sitting in the warehouse,” Cuomo added. “There is no stockpile available.”

At least one New York City hospital, New York-Presbyterian/Columbia University Medical Center in Manhattan, has begun a trial of sharing single ventilators between two patients.

While New York was the coronavirus epicenter in the United States this week, the next big wave of infections appeared headed for Louisiana, where demand for ventilators has already doubled. In New Orleans, the state’s biggest city, Mardi Gras celebrations late last month are believed to have fueled the outbreak.

Louisiana Governor John Bel Edwards said New Orleans would be out of ventilators by April 2 and potentially out of bed space by April 7 “if we don’t flatten the infection curve soon.”

“It’s not conjecture, it’s not some flimsy theory,” Edwards told a press conference. “This is what is going to happen.”

About 80% of Louisiana’s intensive care patients are now on breathing machines, up from the normal rate of 30-40%, said Warner Thomas, chief executive of Ochsner Health System, the state’s hospital group.

Scarcities of protective masks, gloves, gowns and eyewear for doctors and nurses – reports abound of healthcare workers recycling old face masks, making their own or even using trash bags to shield themselves – have emerged as a national problem.

“Our nurses across the country do not have the personal protective equipment that is necessary to care for COVID patients, or any of their patients,” Bonnie Castillo, head of the largest U.S. nurses union, National Nurses United, told MSNBC.

In an ominous milestone for the United States as a whole, at least 82,153 people nationwide were infected as of Thursday, according to a Reuters tally from state and local public health agencies. China, where the global pandemic emerged late last year, had the second highest number of cases, 81,285, followed by Italy with 80,539.

At least 1,204 Americans have died from COVID-19, which has proven especially dangerous to the elderly and people with underlying chronic health conditions, Reuters’ tally showed.

MORE BEDS NEEDED

For New York state, Cuomo said a key goal was rapidly to expand the number of available hospital beds from 53,000 to 140,000.

New York hospitals were racing to comply with Cuomo’s directive to increase capacity by at least 50%. At Mount Sinai Hospital’s Upper East Side location, rooms were being constructed within an atrium to open up more space for beds.

At Elmhurst Hospital in New York’s borough of Queens, about a hundred people, many wearing masks with their hoods pulled up, lined up behind barriers outside the emergency room entrance, waiting to enter a tent to be screened for the coronavirus.

The city coroner’s office has posted refrigerated trucks outside Elmhurst and Bellevue Hospital to temporarily store bodies of the deceased.

Deborah White, vice chair of emergency medicine at Jack D. Weiler Hospital in the city’s Bronx borough, said 80% of its emergency room visits were patients with coronavirus-like symptoms.

A ventilator shortfall and surge in hospitalizations has already raised the prospect of rationing healthcare.

Asked about guidelines being drafted on how to allocate ventilators to patients in case of a shortage, New Jersey Governor Phil Murphy told reporters such bioethical discussions “haunted him” but were unavoidable.

Outside New York and New Orleans, other hot spots appeared to be emerging around the country, including Detroit.

Brandon Allen, 48, was buying groceries in Detroit for his 72-year-old mother, who has tested positive and was self-quarantining at home.

“It’s surreal,” Allen said. “People around me I know are dying. I know of a couple people who have died. I know a couple of people who are fighting for their lives. Everyday you hear of another person who has it.”

RECORD UNEMPLOYMENT CLAIMS

Desperate to slow virus transmissions by limiting physical contact among people, state and local governments have issued stay-at-home orders covering about half the U.S. population. A major side effect has been the strangulation of the economy, and a wave of layoffs.

The U.S. Labor Department reported Thursday the number of Americans filing claims for unemployment benefits last week soared to a record of nearly 3.28 million – almost five times the previous weekly peak of 695,000 during the 1982 recession.

Dr. Anthony Fauci, director of the U.S. National Institute of Allergy and Infectious Diseases, said warmer weather may help tamp down the U.S. outbreak as summer approaches, though the virus could re-emerge in the winter.

“We hope we get a respite as we get into April, May and June,” Fauci said on WNYC public radio.

Washington state Governor Jay Inslee said he may extend a stay-at-home order tentatively set to expire April 6, encouraged by what he called a “very modest improvement” in the Seattle area.

Washington experienced the first major U.S. outbreak of COVID-19 and has been among the hardest-hit states. As of Thursday the state reported about 3,200 cases and 147 deaths.

In California’s Coachella Valley, a region rife with retirees who are especially vulnerable, 25 members of the state’s National Guard helped a non-profit distribute food to people stuck in their homes, as most of the regular volunteers are senior citizens.

More than 10,000 troops have been deployed in 50 states to provide humanitarian aid during the pandemic.

Source: Reuters

25/03/2020

Coronavirus: India enters ‘total lockdown’ after spike in cases

People panicked after the prime minister said everyone should “forget about” leaving their homes for any reason

India’s Prime Minister Narendra Modi has imposed a nationwide lockdown in an attempt to slow the spread of the coronavirus.

The restrictions came into force at midnight local time (18:30 GMT) and will be enforced for 21 days.

“There will be a total ban on venturing out of your homes,” Mr Modi said in a televised address.

He appealed for people not to panic – but crowds quickly mobbed stores in the capital, Delhi, and other cities.

Correspondents say it is not clear how – or even if – people will now be allowed out to buy food and other essentials.

The new measures follow a sharp increase in cases in recent days. There have been 519 confirmed cases across India and 10 reported deaths.

India – which has a population of 1.3bn – joins a growing list of countries that have imposed similar measures.

Nearly 400,000 people have tested positive for the virus worldwide, and around 17,000 have died.

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“The entire country will be in lockdown, total lockdown,” Mr Modi said on Tuesday.

He added: “To save India, to save its every citizen, you, your family… every street, every neighbourhood is being put under lockdown.”

Mr Modi warned that if India does not “handle these 21 days well, then our country… will go backwards by 21 years”.

“This is a curfew,” he said. “We will have to pay the economic cost of this but [it] is the responsibility of everyone.”

Media caption We explain why staying in is a matter of life and death

Mr Modi later warned that panic-buying would only spread the disease. He said the government would ensure supplies.

But in Delhi and the financial capital, Mumbai, people fearing shortages quickly thronged shops and pharmacies.

“I have never witnessed such a chaos in my life,” the owner of one store in the Shakarpur district of Delhi said, quoted by the Press Trust of India.

“All our stocks, including rice, flour, bread, biscuits, edible oils, have been sold out.”

Police in the busy city of Ghaziabad, in Uttar Pradesh state, patrolled the streets with megaphones to tell residents to stay indoors.

People line up outside a store in Mumbai on March 24, 2020.Image copyright AFP
Image caption People in Mumbai rushed to stock up on essentials following Mr Modi’s address

Under the new measures, all non-essential businesses will be closed but hospitals and other medical facilities will continue to function as normal. Schools and universities will remain shut and almost all public gatherings will be banned.

Anyone flouting the new rules faces up to two years in prison and heavy fines.

In his address, Prime Minister Modi also:

  • Stressed that the 21-day lockdown was “very necessary to break the chain of coronavirus”
  • Emphasised the seriousness of the situation and said that even developed countries had faced problems in combating it
  • Said that “social distancing was the only way to stop” the virus spreading
  • Announced that nearly $2bn (£1.8bn) would be made available to boost the country’s health infrastructure
  • Called on people not to “spread rumours” and to follow instructions

His announcement came after several Indian states introduced measures of their own, such as travel restrictions and the closure of non-essential services.

India has already issued a ban on international arrivals and grounded domestic flights. The country’s rail network has also suspended most passenger services.

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Analysis box by Rajini Vaidyanathan, South Asia correspondent

Many parts of India, including cities such as Delhi and Mumbai, are already under tight restrictions. But this move extends those provisions to every corner of the country.

An earlier one-day curfew, which was seen as a trial, was flouted by many.

Mr Modi called on Indians to clap and cheer the emergency services from their balconies on Sunday. But many misunderstood the call and congregated in the streets as they danced and chanted.

“It’s impossible to fathom the cost that India may have to pay if such irresponsible behaviour continues,” Mr Modi warned at the time. “Social distancing is the only option to combat coronavirus.”

The implications of a total lockdown in India are huge, not just economically, but socially.

This is a nation where community is everything. Going to worship at a temple, mosque or church is an essential part of daily life for so many.

This is a seismic cultural shift but – like the rest of the world facing similar restrictions – a necessary one.Presentational grey line

What’s the latest from around Asia?

  • Neighbouring Pakistan has almost twice as many confirmed cases – 878 as of Monday evening. Sweeping restrictions are in place although the government has stopped short of imposing a nationwide lockdown. However, several provinces have announced them independently. The army is being brought in to help enforce the restrictions
  • Bangladesh, which has reported 33 cases and three deaths, is also deploying its armed forces to help maintain social distancing and boost Covid-19 preventive measures. The soldiers will also monitor thousands of quarantined expatriate returnees. Across South Asia, there are concerns that the actual number of cases could be much higher than is being reported.
  • Indonesia, which has 49 confirmed Covid-19 deaths – the highest in South East Asia – has converted an athlete’s village built for the 2018 Asian Games into a makeshift hospital for coronavirus patients. A state of emergency was declared in Jakarta on Monday
  • In Thailand, a month-long state of emergency which will include curfews and checkpoints will begin on Thursday. The government has been criticised for failing to take strong action so far. Four people have died and nearly 900 tested positive
  • The most populous country that was without a case until now – Myanmar – has announced two cases

And what about the rest of the world?

  • Elsewhere, governments are continuing to work to stem the spread of the virus which has now affected more than 190 countries worldwide
  • More than 2.6 billion people are in lockdown now India has introduced its new measures, according to a tally by the AFP news agency
Media caption Reality Check tackles misleading health advice being shared online
  • Europe remains at the epicentre of the pandemic. On Tuesday, the death toll jumped by 514 in a single day in Spain and other European countries also reported sharp increases
  • Italy is the worst affected country in the world in terms of deaths. The virus has killed almost 7,000 people there over the past month
  • The UK, meanwhile, is spending its first day under tight new restrictions. Prime Minister Boris Johnson announced unprecedented measures on Monday and ordered the immediate closure of shops selling non-essential goods
  • And in the US, New York’s governor has said the federal government is not sending enough equipment to combat the crisis. The state has been hit especially hard by the virus
  • The World Health Organization (WHO) has warned that the US has the potential to become the new epicentre of the pandemic
  • In other developments, Japanese Prime Minister Shinzo Abe said the International Olympic Committee has agreed that the 2020 Tokyo Olympics should be postponed by a year
  • Source: The BBC
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