Chindia Alert: You’ll be Living in their World Very Soon
aims to alert you to the threats and opportunities that China and India present. China and India require serious attention; case of ‘hidden dragon and crouching tiger’.
Without this attention, governments, businesses and, indeed, individuals may find themselves at a great disadvantage sooner rather than later.
The POSTs (front webpages) are mainly 'cuttings' from reliable sources, updated continuously.
The PAGEs (see Tabs, above) attempt to make the information more meaningful by putting some structure to the information we have researched and assembled since 2006.
An antibody engineered from the animal’s immune system was found to neutralise the virus that causes Covid-19
American and Belgian researchers hope the discovery may help protect humans from the deadly illness
Winter the llama (front) lives on a farm operated by Ghent University’s Vlaams Institute for Biotechnology. Photo: Tim Coppens
A Belgian llama could hold the key to producing an antibody that neutralises the coronavirus that causes Covid-19.
More studies and clinical trials are needed to see if it can be used in humans to treat Covid-19, but the team of American and Belgian scientists who engineered the antibody said they were encouraged by their preliminary findings, which will be published in the journal Cell next week.
Jason McLellan, from the University of Texas at Austin and co-author of the study, described it as one of the “first antibodies known to neutralise Sars-CoV-2”, the official name for the virus.
“With antibody therapies, you’re directly giving somebody the protective antibodies and so, immediately after treatment, they should be protected,” he wrote in a press release.
“The antibodies could also be used to treat somebody who is already sick to lessen the severity of the disease.”
Winter the llama produced antibodies that proved effective against the Sars-CoV-2 virus. Photo: Tim Coppens
The scientists have been working on coronaviruses – including severe acute respiratory syndrome (Sars) and Middle East respiratory syndrome (Mers) – for years.
In 2016 they injected the llama, named Winter, with Sars and Mers in the hope of developing a treatment for the diseases.
“I thought this would be a small side project,” said Dorien De Vlieger from Ghent University in Belgium, who helped to isolate antibodies against coronaviruses from the llamas.
China’s race for a Covid-19 vaccine hits a hurdle – no outbreak at home
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“Now the scientific impact of this project became bigger than I could ever expect. It’s amazing how unpredictable viruses can be.”
A llama’s immune system produces two types of antibodies when it detects pathogens, one similar to human antibodies and one that is about a quarter of the size.
The antibodies produced by Winter were found to be effective in targeting the Sars virus’s spike protein, which allows it to bind to human cells.
Chinese firm ready to make 100 million Coronavirus vaccine doses if trials are successful
This year they decided to test the antibodies Winter had produced during the Sars experiment to see if it could prove effective against Covid-19.
Although it did bind itself to the Sars-CoV-2 virus it did so “weakly”, so the team then linked two copies of the antibody together to make it bind more effectively.
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30 Apr 2020
“That was exciting to me because I’d been working on this for years. But there wasn’t a big need for a coronavirus treatment then. This was just basic research,” said Daniel Wrapp from the University of Texas, a co-author of the study.
The smaller type of antibodies produced by llamas, called single-domain antibodies or nanobodies, can be used in an inhaler, according to Wrapp.
“That makes them potentially really interesting as a drug for a respiratory pathogen because you’re delivering it right to the site of infection,” said Wrapp.
Researchers created an antibody dubbed VHH-72Fc (blue) that binds tightly to the Sars-CoV-2 spike protein (pink, green and orange), blocking the virus from infecting cells. Photo: University of Texas at Austin
The researchers are preparing for more trials with hamsters or primates to further test the antibody, before taking it to human trials.
The main subject of the study, Winter the llama, is now four years old and lives on a farm operated by Ghent University’s Vlaams Institute for Biotechnologym which said it has around 130 other llamas and alpacas at the facility.
Image copyright PTIImage 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.
Image copyright SHAUKAT AHMEDImage 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.
Image copyright SHAUKAT AHMEDImage 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”?
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.
Image copyright SHAUKAT AHMEDImage 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.
Image copyright GETTY IMAGESImage 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
Seoul’s handling of the outbreak emphasises transparency and relies heavily on public cooperation in place of hardline measures such as lockdowns
While uncertainties remain, it is increasingly viewed by public health experts as a model to emulate for authorities desperate to keep Covid-19 in check
A woman wearing a face mask walks along the Han river at a park in Seoul, South Korea. Photo: AP
After announcing 600 new cases for March 3, the authorities reported 131 new infections a week later. On Friday, officials reported just 110, the lowest daily toll since February 21. The same day, the number of recovered patients, 177, exceeded new infections for the first time.President Moon Jae-in, while cautioning against premature optimism, has expressed hope that South Korea could soon enter a “phase of stability” if the trend holds firm.
With about 8,000 confirmed cases and more than 65 deaths, it was until recently the country with the most confirmed cases outside China – but South Korea has since emerged as a source of inspiration and hope for authorities around the world as they scramble to fight the pandemic.
South Korea’s infection rate falls without citywide lockdowns like China, Italy
11 Mar 2020
As countries ranging from the United States to Italy and Iran struggle to manage the virus, Seoul’s handling of the outbreak – involving a highly coordinated government response that has emphasised transparency and relied heavily on public cooperation in place of hardline measures such as lockdowns – is increasingly viewed by public health experts as a model to emulate for authorities desperate to keep the virus under control.
Whereas China, where the virus originated, and more recently Italy have placed millions of their citizens on lockdown, South Korea has not restricted people’s movements – not even in Daegu, the southeastern city at the centre of the country’s outbreak.
Instead, authorities have focused mandatory quarantine on infected patients and those with whom they have come into close contact, while advising the public to stay indoors, avoid public events, wear masks and practise good hygiene.
South Korean President Moon Jae-in visits the Korea Centres for Disease Control and Prevention on March 11. Photo: EPA
And while numerous countries have imposed sweeping travel bans – including the US, which has introduced dramatic restrictions on travel from Europe – Seoul has instead introduced “special immigration procedures” for heavily affected countries such as China, requiring travellers to undergo temperature checks, provide verified contact information and fill out health questionnaires.
[South Korea’s] approach seems less dramatic and more usable by other countries, compared with that used in mainland China – Ian MacKay, virologist at the University of Queensland
“More than a week of downward-trending case counts shows that the approach in South Korea has turned around an epidemic,” said Ian Mackay, a virologist at the University of Queensland, Australia. “This approach seems less dramatic and more usable by other countries, compared with that used in mainland China. If these trends continue, they will have managed to stop the growth of their epidemic.”
‘A SPECTACULAR FEAT’
The linchpin of South Korea’s response has been a testing programme that has screened more people per capita for the virus than any other country by far. By carrying out up to 15,000 tests per day, health officials have been able to screen some 250,000 people – about one in every 200 South Koreans – since January.
To encourage participation, testing is free for anyone referred by a doctor or displaying symptoms after recent contact with a confirmed case or travel to China. For anyone simply concerned about the risk of infection, the cost is a relatively affordable 160,000 won (US$135). Testing is available at hundreds of clinics, as well as some 50 drive-through testing stations that took their inspiration from past counterterrorism drills and can screen suspected patients in minutes.
“This country has a universal health-coverage system for the whole population and the economic burden for testing is very low,” said Kim Dong-hyun, president of the Korean Society of Epidemiology. “Tests are conducted for free if you have proper symptoms.”
The massive volume of data collected has enabled the authorities to pinpoint clusters of infection to better target their quarantine and disinfection efforts, and send members of the public text-message alerts to inform them of the past movements of infected patients in their area – even down to the names of shops and restaurants they visited.
This country has a universal health coverage system for the whole population and the economic burden for testing is very low – Kim Dong-hyun, president of the Korean Society of Epidemiology
“South Korea’s capability to test for early detection of viruses has developed greatly as it went through the 2009 new influenza outbreak and 2015 Mers [Middle East respiratory syndrome] outbreak,” said Kim Woo-joo, a professor of medicine at Korea University’s College of Medicine. “It ranks among the world’s top countries in this field.”
South Korea’s ‘drive-through’ coronavirus testing stations
Collecting this amount of data has also allowed the South Korean authorities to glean a clearer indication of the potential lethality of the virus, the fatality rate of which has diverged significantly from about 5 per cent in Italy to about 0.8 per cent in South Korea. Although factors including quality of health care, patient age and public awareness can affect the fatality rate of a virus, the scale of testing is among the most influential.
By comparison, in neighbouring Japan – which has confirmed more than 600 cases, not including the virus-stricken Diamond Princess cruise ship – the authorities had as of Friday tested over 10,000 people.
In the United States, where the authorities are unable to confirm the number of tests since they are being carried out by a patchwork of federal, state and private laboratories, the total was estimated to be fewer than 5,000 in a survey of available data by The Atlantic.
William Schaffner, a professor of preventive medicine and infectious diseases at Vanderbilt University School of Medicine in the US, said South Korea had pulled off a “spectacular” feat that was allowing health officials to track the virus and assess its intensity.
“We are unsure where our infection is and how intensely it is being transmitted in the US and we are only now starting to test,” he said.
Coronavirus is now classified as a pandemic
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South Korea is not unique in claiming some success in its fight against the virus. Singapore, Taiwan and Hong Kong, informed by past outbreaks such as severe acute respiratory syndrome (Sars) and Mers, have managed to keep confirmed cases low while eschewing the sort of draconian measures implemented in mainland China.
Early on, Hong Kong took some of the most comprehensive steps to implement “social distancing” – in which events are cancelled and venues closed to minimise contact between people – by shutting schools in late January, while the authorities produced a digital map of confirmed cases to allow people to avoid potentially infected areas.
In Taiwan, officials have pooled information from immigration and health insurance databases to track people’s travel histories and symptoms, and used phone tracking to ensure compliance with quarantine. Singapore has similarly tracked infected patients and traced their contacts, with stiff penalties for those who disobey quarantine or mislead the authorities about where they have travelled.
A worker disinfects a Seoul subway station as a precaution against the new coronavirus. Photo: AP
OPENNESS AND TRANSPARENCY
But where South Korea has stood apart is seemingly turning the tide against a major outbreak while maintaining openness and transparency. The largest cluster of cases in the country is linked to a secretive religious sect, Shincheonji, members of which have been accused of negligently spreading the virus as well as evading medical follow-ups and testing.
In addressing the Covid-19 outbreak, sound decision-making should not be about making a choice between maximised protection or minimal disruption – Yanzhong Huang, Council on Foreign Relations
“South Korea’s experience suggests that a country can contain the spread of the virus in a relatively short period of time without relying on draconian, at-all-costs containment measures,” said Yanzhong Huang, a senior fellow for global health at the Council on Foreign Relations in New York.
“For countries like the US, the Korean experience offers an acceptable, likely more viable, alternative to addressing the outbreak. In addressing the Covid-19 outbreak, sound decision-making should not be about making a choice between maximised protection and minimal disruption.”
China effectively barred 60 million people in Wuhan – ground zero of the outbreak – and the rest of the province of Hubei from leaving their homes, while restricting the movements of hundreds of millions of others across the country by shutting down public transport, banning private cars and setting up roadblocks.
‘I was stupidly overconfident’: a Korean coronavirus survivor’s tale
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The country claims to have effectively halted the spread of the virus after recording more than 80,000 cases and 3,100 deaths, and its daily updates have in recent weeks fallen from thousands of new cases to dozens. However, scepticism lingers over official figures after local and provincial officials in Hubei initially tried to hide the extent of the outbreak.
In a move widely seen to be aimed at touting the success of Beijing’s hardline measures, Chinese President Xi Jinping on Tuesday made his first visit to Wuhan, during which he called for businesses and factories to return to work as normal and for the country to refocus on economic growth.
“While China has been able to control Covid-19, I don’t think its draconian methods are worth copying in liberal democracies,” said Lawrence Gostin, director of the O’Neill Institute for National and Global Health Law at Georgetown University Law Centre in Washington. “Most democracies value human rights and freedoms … [not] the degree of social control we’ve seen in China. South Korea offers a better model.”
A nearly empty customer call centre in the Gocheok-dong neighbourhood of Seoul as workers isolate or work from home. Photo: EPA
But in a striking indication that Beijing’s harsh tactics could inform even liberal democratic societies, Italy on Monday announced a nationwide quarantine after a massive spike in cases caught the authorities off guard. Shops, restaurants and bars have been closed, while public gatherings and most travel have been banned in the European country, which has confirmed more than 15,000 cases and 1,000 deaths as of Friday – making it the site of the biggest outbreak outside China.
In the Philippines, President Rodrigo Duterte on Thursday announced a lockdown of the entire Metro Manila region and its 12.8 million people.
David Hui Shu-cheong, an expert in respiratory medicine at the Chinese University of Hong Kong, said Italy had responded “very slowly” to the outbreak, in contrast to South Korea.
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Even as Beijing touted its success at fighting the virus, with state media recently insisting the “world owes China a ‘thank you’”, South Korea – which democratised in the late 1980s following decades of military dictatorship – has made no secret of its desire to promote a more liberal alternative.
At a press conference with foreign media this week, vice-health minister Kim Gang-lip said that while drastic measures such as locking down affected areas had demonstrated “modest effectiveness”, they suffered from being “coercive and inflexible”.
“Korea, as a democratic country, values globalisation and a pluralistic society,” he said.
“Therefore we believe we must transcend the limitations of the conventional approach to fighting infectious disease.”
Kim stressed that public trust was crucial to the government’s strategy. “The more transparently and quickly accurate information is provided, the more the people will trust the government,” he said. “They will act rationally for the good of the community at large.”
South Korean ministers listen to Prime Minister Chung Sye-kyun (on screen) during a meeting to discuss measures to deal with the spread of the new coronavirus. Photo: EPA
UNKNOWN FACTORS
Although the authorities have shut down schools nationwide, South Koreans have largely embraced self-isolation and social distancing of their own accord.
In the past fortnight, more than 12,000 businesses have applied for subsidies to pay the wages of employees while they temporarily close their doors due to the outbreak, according to the country’s labour ministry. Many shops in Daegu, the site of more than three-quarters of the country’s cases, have shut their doors, while shopping malls and cinemas across the country have become largely deserted as people stay at home. Catholic churches and Buddhist temples nationwide have suspended mass and prayer services.
“To an outsider, South Korea has handled an enormous surge in cases very well and seemed to mitigate further spread through forms of … passive social isolation,” said Howard P. Forman, a professor of public health policy at Yale School of Management.
Indonesian firms doing business with China face tough times with coronavirus outbreak
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Some experts suggest South Korean society’s emphasis on discipline and community may have given it room to avoid implementing more draconian measures.
“This measure appears to have been very successful but is reliant on the local population working with the response,” said Jeremy Rossman, an honorary senior lecturer in virology at the University of Kent. “It is not clear how effective this approach would be in other cultures and it does require effective communication with the local population.”
How a secretive church in South Korea became a coronavirus ‘super spreader’
However, South Korea’s response has not been without missteps or critics.
In mid-February, before it emerged that the virus had spread rapidly among Shincheonji followers, Moon made the ill-fated prediction that the outbreak would “disappear before long”.
The Korean Medical Association – the country’s largest association of doctors – and conservative media have criticised the president for not outright banning travel from China.
Nearly 1.5 million South Koreans have signed an online petition calling for Moon’s impeachment over his handling of the outbreak, and his approval rating this week dropped to just under 45 per cent – although, in a sign of reviving fortunes, an opinion poll released on Friday saw the president’s response rated favourably.
Medical workers attend to a woman who was feeling unwell upon her arrival at the Keimyung University hospital in Daegu. Photo: AFP
It is still too early to say whether the response is working – Kim Dong-hyun, president of the Korean Society of Epidemiology
Some experts caution that it is too early to tell if South Korea truly has the virus under control. The discovery of a new cluster of about 100 infections at a call centre in densely populated Seoul prompted a sudden uptick in cases on Wednesday, raising fears the virus could be on the verge of spreading uncontrollably nationwide.
“It is still too early to say whether the response is working,” said Kim, the president of the Korean Society of Epidemiology. “There is an optical illusion involved in the figures. The daily numbers of new cases appear to be decreasing as the screening of Shincheonji followers is coming to an end, but it must be noted that there are new clusters emerging in Seoul and other areas. We can’t lower vigilance.”
Like elsewhere, the country is facing unknown factors such as warming temperatures in the coming weeks and the arrival of travellers from new and emerging infection hotspots overseas. “We are seeing that in South Korea, large epidemics can be slowed,” said Mackay from the University of Queensland. “Can they be prevented? That will be the challenge for countries who have yet to see widespread community transmission.”
In the face of uncertainty, South Korea appears determined to hold firm to its strategy. During a visit to the Korea Centres for Disease Control and Prevention on Wednesday, Moon said the country’s response had received international recognition and allowed it to avoid the “extreme choice” of sweeping travel bans.
The next day, responding to the World Health Organisation’s decision to declare the virus a global pandemic, the president called on South Koreans to maintain hope that the virus would be overcome.
“It might take more time than we thought,” Moon said. “Everyone, please don’t become fatigued.”
WHO scientists co-write letter saying December 26 data indicating Sars-like coronavirus was not passed to global health community for 17 days
Hundreds of Chinese sign petition asking legislature to protect freedom of speech, amid discontent over outbreak’s handling and anger over Dr Li Wenliang’ death
A nurse in a protective suit feeds a coronavirus patient in an isolated ward in Wuhan. Photo: Reuters
China’s health authority reported 97 new deaths caused by the coronavirus and 2,015 newly confirmed cases of infection, taking its totals to 1,113 and 44,653 respectively.
As of Tuesday, 744 recovered patients had been discharged and the total number of recovery cases stood at 4,740.
Outside Hubei province, the epicentre of the coronavirus, the rise in new infections reported by China slowed for an eighth consecutive day.
Apology for slow treatment
A district leader in Hubei’s capital of Wuhan apologised on Tuesday to critically ill patients who had not been treated in a timely manner, state media reported.
Staff in the Wuchang district who were in charge of a chaotic bus transfer of people to hospital on Sunday were ordered to apologise to patients and their families one by one by telephone.
Wuchang officials told state media that mistakes had been made and the district’s most urgent priority was to admit all patients to hospitals or other medical facilities as soon as possible.
As coronavirus cases get priority in Wuhan, other patients are losing hope
13 Feb 2020
The district leader, who visited hospitals to apologise in person, was mocked online for wasting protective suits when the city faces a shortage of medical supplies.
“Health care workers don’t have enough protective gear, why are you wearing it to apologise?” one person wrote on China’s Twitter-like Weibo. “These people are suspected cases, not confirmed ones. It’s a pity to waste the protective gear – it protects the lives of health care workers!”
“I really don’t think it’s necessary to apologise one by one, just apologise in the newspaper! Don’t waste time and protective clothing on formalities,” another person wrote.
Reporting system ‘needs update’
A group of scientists have called for changes in the way new viruses are reported, after a delay of more than two weeks between the first indication of a coronavirus strain in Hubei and the release of critical information to the global health community.
The group said in a letter to The Lancet that data indicating a Sars-related coronavirus was obtained by researchers on December 26.
Life inside China’s rapidly built hospitals in Wuhan, the epicentre of the coronavirus outbreak
“The Chinese authorities ruled out Sars and Mers, as well as a few other non-coronaviruses, on January 5, and confirmed a novel coronavirus as a potential cause on January 9. However, the genome sequence – crucial for rapid development of diagnostics needed in an outbreak response – was not released until January 12, 17 days after the preliminary sequence data were obtained,” they wrote.
The letter mentioned the “crucial role” of doctors in detecting the outbreak in China, including “eight doctors who were wrongly accused of spreading ‘fake news’” – a reference to a group that included Li Wenliang, the doctor hailed as a whistle-blower who later succumbed to the disease.
WHO head warns ‘time is of the essence’ in limiting coronavirus spread
13 Feb 2020
“There are lessons the global health community can and should learn and act on so that we can better respond to the next EZV (emerging zoonotic virus) event, which is almost certain to happen again. These lessons are definitely not unique to China,” they wrote.
Two of the letter’s authors sit on the committee that provides the World Health Organisation (WHO) advice about when to declare a public health emergency of international concern – a status given to the coronavirus on January 30.
Hubei reports 94 new deaths
Health authorities in Hubei reported 94 new deaths attributable to the contagion on Tuesday and 1,638 newly confirmed cases, taking the province’s totals to 1,068 and 33,366 respectively. They had reported 103 fatalities and 2,097 newly confirmed cases a day earlier.
Coronavirus illness is named Covid-19 as hopes rise that cases may peak soon
13 Feb 2020
Some 1,104 of the new cases announced were confirmed in Wuhan, where the virus is believed to have originated at a seafood and meat market.
The figures from Hubei on Tuesday showed the province’s lowest number of new cases in a day since the beginning of February, and the first time it had reported fewer than 2,000 new cases in a day since February 2.
China disinfects entire cities to fight coronavirus outbreak, some twice a day
Disease can spread faster than Sars: WHO
Michael Ryan, the WHO’s head of emergency programmes, said on Tuesday in Geneva that the disease caused by the coronavirus – now officially named Covid-19 by the WHO – had the potential to spread faster than either the Ebola or Sars viruses. Earlier this week, Covid-19 exceeded the Sars outbreak of 2002-03 in terms of deaths attributed to it.
Transmission methods have been shown to include human-to-human contact, and the incubation period is believed to be up to 14 days.
In recent days, epidemiologists have said that the contagion may also spread through “aerosol transmission” – when tiny particles or droplets of the virus suspended in the air are inhaled.
At least 500 Wuhan medical staff infected with coronavirus
13 Feb 2020
Others indicated that transmissions were possible from patients who showed mild or no symptoms.
WHO officials said on Tuesday that the agency had also activated a UN crisis management team to better assess and mitigate the outbreak’s economic implications.
Petition calls for freedom of speech
Hundreds of Chinese, led by academics, have signed an online petition calling on the national legislature to protect citizens’ right to freedom of speech, amid growing public discontent over the handling of the coronavirus outbreak.
It also follows a massive outpouring of grief and anger over the death of Wuhan-based Dr Li Wenliang.
Coronavirus: hundreds in China sign petition calling for free speech
13 Feb 2020
The petition is gaining momentum online, but some of the signatories and other rights activists have already come under pressure. Addressed to the National People’s Congress (NPC), it lists five demands for Beijing.
The demands are: to protect people’s right to freedom of expression; to discuss the issue at NPC meetings; to make February 6, the day Li died, a national day for free speech; to ensure no one is punished, threatened, interrogated, censored or locked up for their speech, civil assembly, letters or communication; and to give equitable treatment, such as medical care, to people from Wuhan and Hubei province. Many have reported experiencing discrimination elsewhere in the country.
“I am so proud of him,” China’s top medical expert Zhong Nanshan mourns whistle-blower doctor’s dea
US repeats concern over China’s purchases
The outbreak could have an impact on China’s commitment to buy more US agricultural products this year under the US-China phase one trade deal, White House national security adviser Robert O’Brien said on Tuesday.
“We expect the phase one deal will allow China to import more food and open those markets to American farmers, but certainly, as we watch this coronavirus outbreak unfold in China, it could have an impact on how big – at least in this current year – the purchases are,” O’Brien told an event at the Atlantic Council, a Washington think tank.
‘No US doctors in China’
O’Brien said there were no American doctors on the ground in China so far, despite US offers to help fight the outbreak.
“We’ve offered the Chinese the opportunity to have American doctors … and other experts come to China to help them. That offer has not been accepted at this point but that is an outstanding offer,” he said.
Coronavirus outbreak exposes fallacy of the phase-one trade deal
11 Feb 2020
But US officials said on Monday that China had agreed to allow American health experts into the country.
“China has accepted the United States’ offer to incorporate a group of experts into a WHO mission to China to learn more about and combat the virus,” White House spokesman Judd Deere said.
In a tweet on Monday, WHO director general Tedros Adhanom Ghebreyesus said an advance team of WHO experts had arrived in China to “lay the groundwork for the larger international team”.
Tibet’s only patient cured
The only Covid-19 patient in Tibet was cured and discharged from hospital on Wednesday afternoon, People’s Daily reported, citing the patient’s doctor at the Third People’s Hospital of Tibet.
The patient, a 34-year-old man from Suizhou, Hubei province, spent three days on a train before reaching Lhasa on January 24. He sought medical treatment a day later and was isolated for treatment, before being confirmed as being infected on January 29.
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The man tested negative for the virus on Sunday and Tuesday, and CAT scans and clinical symptoms showed he had been cured. He left Tibet by train on Wednesday afternoon, according to thePeople’s Daily report.
Iran denies report of Covid-19 death
Iran’s health ministry has denied a report that an Iranian woman has died of a suspected coronavirus infection.
The state daily newspaper Iran reported on Wednesday that a 63-year-old woman had died in a Tehran hospital on Monday and that an investigation had been ordered into the cause of her death. No sources were cited in the report.
A spokesman for Iran’s health ministry denied the report. “There have been no cases of coronavirus in Iran,” he said.
Iranian health authorities have repeatedly said there were no confirmed cases of coronavirus in the country.
Exams under threat
Chinese authorities are considering whether to postpone the country’s college entrance exams, due to take place in June.
“Those responsible for arranging college entrance exams need to put the lives and health of candidates and testing staff first,” Wang Hui, a Ministry of Education official, said at a press briefing on Wednesday. “We will closely monitor the development of the outbreak, evaluate the possible impact on the exams and carefully formulate a plan.”
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