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.
BEIJING, May 20 (Xinhua) — Chinese President Xi Jinping said Wednesday that China stands ready to work with Myanmar and other countries to continue to support the World Health Organization (WHO) playing a leading role in the global battle against the COVID-19 pandemic.
In a phone conversation with his Myanmar counterpart, U Win Myint, Xi also called for concerted efforts to firmly uphold international fairness and justice as well as the basic norms in international relations, and jointly win the battle for global public health.
Recalling that after the coronavirus disease broke out in China, the Myanmar government and all sections of society extended a helping hand to the Chinese side, Xi said the outbreak in Myanmar is pulling at the heartstrings of the Chinese people.
The Chinese side has donated multiple batches of anti-epidemic supplies to Myanmar and sent two groups of medical experts to fight side by side with Myanmar medical workers, he added.
That, he pointed out, has fully demonstrated the “Paukphaw” (fraternal) friendship of standing together and helping each other between the people of the two countries, and vividly illustrated the spirit of a community with a shared future that features China and Myanmar sticking together through thick and thin.
China will continue to provide firm support and as much assistance as its capacity allows for the Asian neighbor in line with the latter’s needs, Xi said, adding that he is confident that the Myanmar people will eventually overcome the epidemic.
Noting that this year marks the 70th anniversary of China-Myanmar diplomatic relations, Xi recalled that he paid a successful visit to Myanmar in January, during which the two sides agreed to build a China-Myanmar community with a shared future and usher in a new era of bilateral relations. He expressed the hope that the two sides will closely cooperate to implement the results of the visit.
Xi suggested that on the basis of putting in place COVID-19 prevention and control measures, the two sides should appropriately advance exchanges and cooperation in various fields and push for positive progress in China-Myanmar Economic Corridor projects.
The two sides, he added, should also make good use of their joint prevention and control mechanism for border areas, and make coordinated efforts to safeguard peace and tranquility along the border, prevent and control the epidemic, and resume work and production.
For his part, Win Myint said that under the strong leadership of Xi, the Chinese government and people have succeeded in putting the epidemic under control and the national economy and social life have been fully restored, which Myanmar is grad to see.
The Myanmar president thanked China for providing support and assistance to the WHO and other countries including Myanmar in their fight against the epidemic.
In the face of the epidemic, all countries should strengthen cooperation and uphold international justice as well as each country’s right to development, he said.
The sound cooperation between Myanmar and China is a reflection of the two sides’ efforts to build a community with a shared future, Win Myint said.
Myanmar will continue to firmly uphold the one-China policy and work with China to earnestly implement the outcomes of Xi’s visit to Myanmar in January, continue to deepen “Paukphaw” friendship and cooperation in various fields and promote the continuous development of the comprehensive strategic cooperative partnership between Myanmar and China, he added.
Authorities in Yunnan limit land and river ports to cargo traffic, locking down border communities
Province on alert for imported cases of Covid-19
Yunnan is on alert for imported cases of the coronavirus. Photo: Xinhua
The southwestern province of Yunnan has banned Chinese citizens from leaving the country via its more than 30 land and river ports to stop the spread of the coronavirus epidemic through returning nationals.
Yunnan, which borders Vietnam, Laos and Myanmar, had restricted its 19 land ports and 14 river ports to cargo, the provincial government said on Tuesday.
The authorities said that from Tuesday night, all departures by Chinese citizens via the checkpoints would be suspended, with exemptions granted for approved foreign aid, technical support or emergency medical workers.
on Saturday. But non-Chinese residents of border areas who have permits to cross into Yunnan could still enter the province, according to a previous report by China News Service.
Those permit holders can still cross into Yunnan but will be discouraged from doing so. Under the new restrictions, they will need to test negative for two nucleic acid tests and one antibody test before being put in seven days of centralised isolation and another seven days of home isolation, all at their own expense.
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Residents in border cities and counties will be restricted to the village and community level to prevent entry and exit of outsiders. They would also be encouraged to report illegal immigrants, the government said.
Yunnan, which recorded 174 local coronavirus cases including two deaths, said all patients in its initial wave were discharged by March 14. The province is now on alert for imported cases, with eight patients who travelled to the province from overseas being treated as of Tuesday.
Xiao Xian, a professor of international relations from Yunnan University, said some permit holders could be deterred from crossing into Yunnan by the cost of tests and quarantine.
Xiao also said that banning Chinese citizens from crossing the border would affect border trade and tourism, but it was necessary to stop transmission of the coronavirus.
“The need to prevent the spread of an infectious disease outweighs trade and tourism. It is understandable since it is the country’s top priority now,” Xiao said.
US death toll passes 3,000 as New York’s hospitals are pushed to breaking point
Italy extends lockdown as cases exceed 100,000; UN Security Council votes by email for first time
The USNS Comfort passes the Statue of Liberty as it enters New York Harbour on Monday. Photo: Reuters
Harsh lockdowns aimed at halting the march of the coronavirus pandemic extended worldwide Monday as the death toll soared toward 37,000 amid new waves of US outbreaks.
The tough measures that have confined some two-fifths of the globe’s population to their homes were broadened. Moscow and Lagos joined the roll call of cities around the globe with eerily empty streets, while Virginia and Maryland became the latest US states to announce emergency stay-at-home orders, followed quickly by the capital city Washington.
In a symbol of the scale of the challenge facing humanity, a US military medical ship sailed into New York to relieve the pressure on overwhelmed hospitals bracing for the peak of the pandemic.
France reported its highest daily number of deaths since the outbreak began, saying 418 more people had succumbed in hospital.
Spain, which announced another 812 virus deaths in 24 hours, joined the United States and Italy in surpassing the number of cases in China, where the disease was first detected in December.
On Tuesday, mainland China reported a rise in new confirmed coronavirus cases, reversing four days of declines, due to an uptick in infections involving travellers arriving from overseas.
Mainland China had 48 new cases on Monday, the National Health Commission said, up from 31 new infections a day earlier.
All of the 48 cases were imported, bringing the total number of imported cases in China to 771 as of Monday.
There was no reported new case of local infection on Monday, according to the National Health Commission. The total number of infections reported in mainland China stood at 81,518 and the death toll at 3,305. Globally, more than 760,000 have been infected, according to official figures.
Here are the developments:
Hospital ship arrives in New York
New York’s governor issued an urgent appeal for medical volunteers Monday amid a “staggering” number of deaths from the coronavirus, saying: “Please come help us in New York, now.”
The plea from Governor Andrew Cuomo came as the death toll in New York State climbed past 1,200 – with most of the victims in the big city – and authorities warned that the crisis pushing New York’s hospitals to the breaking point is just a preview of what other cities across the US could soon face.
Cuomo said the city needs 1 million additional health care workers.
“We’ve lost over 1,000 New Yorkers,” he said. “To me, we’re beyond staggering already. We’ve reached staggering.”
The governor’s plea came as a 1,000-bed US Navy hospital ship docked in Manhattan on Monday and a field hospital was going up in Central Park for coronavirus patients.
New York City reported 914 deaths from the virus as of 4:30pm local time Monday, a 16 per cent increase from an update six hours earlier. The city, the epicentre of the US outbreak, has 38,087 confirmed cases, up by more than 1,800 from earlier in the day.
Coronavirus field hospital set up in New York’s Central Park as city’s health crisis deepens
Gloom for 24 million people in Asia
The economic fallout from the coronavirus pandemic will prevent almost 24 million people from escaping poverty in East Asia and the Pacific this year, according to the World Bank.
In a report released on Monday, the Washington-based lender also warned of “substantially higher risk” among households that depend on industries particularly vulnerable to the impact of Covid-19. These include tourism in Thailand and the Pacific islands; manufacturing in Vietnam and Cambodia; and among people dependent on “informal labour” in all countries.
The World Bank urged the region to invest in expanding conventional health care and medical equipment factories, as well as taking innovative measures like converting ordinary hospital beds for ICU use and rapidly trining people to work in basic care.
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Indonesia bans entry of foreigners
Indonesia barred foreign nationals from entering the country as the world’s fourth-most populous country stepped up efforts to contain the spread of the coronavirus pandemic.
The travel ban, to be effective soon, will also cover foreigners transiting through the country, Foreign Minister Retno Marsudi said after a cabinet meeting in Jakarta Tuesday. The curbs will not apply to holders of work permits, diplomats and other official visitors, she said.
The curbs on foreign citizens is the latest in a raft of measures taken by Indonesia to combat the deadly virus that’s sickened more than 1,400 people and killed 122. President Joko Widodo’s administration previously banned flights to and from mainland China and some of the virus-hit regions in Italy, South Korea and Iran. The president on Monday ordered stricter implementation of social distancing and health quarantine amid calls for a lockdown to contain the pandemic.
Indonesia has highest coronavirus mortality rate in Southeast Asia
First US service member dies
The first US military service member has died from the coronavirus, the Pentagon said on Monday, as it reported another sharp hike in the number of infected troops.
The Pentagon said it was a New Jersey Army National Guardsman who had tested positive for Covid-19 and had been hospitalised since March 21. He died on Saturday, it said.
Earlier on Monday, the Pentagon said that 568 troops had tested positive for the coronavirus, up from 280 on Thursday. More than 450 Defence Department civilians, contractors and dependents have also tested positive, it said.
US military has decided to stop providing more granular data about coronavirus infections within its ranks, citing concern that the information might be used by adversaries as the virus spreads.
The new policy, which the Pentagon detailed in a statement on Monday, appears to underscore US military concerns about the potential trajectory of the virus over the coming months – both at home and abroad.
School to resume in South Korea … online
South Korean children will start the new school year on April 9 with only online classes, after repeated delays due to the outbreak of the new coronavirus, the government said Tuesday.
Prime Minister Chung Sye Kyun said that despite the nation’s utmost efforts to contain the virus and lower the risk of infection, there is consensus among teachers and others that it is too early to let children go back to school.
The nation’s elementary schools, and junior and senior high schools were supposed to start the new academic year in early March, but the government has repeatedly postponed it to keep the virus from spreading among children.
The start was last postponed until April 6, but has now been delayed three more days to allow preparations to be made for online classes.
The nation now has 9,786 confirmed cases in total, with 162 deaths.
Italy extends lockdown as cases exceed 100,000
Italy’s government on Monday said it would extend its nationwide lockdown measures
against a coronavirus outbreak, due to end on Friday, at least until the Easter season in April.
The Health Ministry did not give a date for the new end of the lockdown, but said it would be in a law the government would propose. Easter Sunday is April 12 this year. Italy is predominantly Roman Catholic and contains the Vatican, the heart of the church.
Italians have been under lockdown for three weeks, with most shops, bars and restaurants shut and people forbidden from leaving their homes for all but non-essential needs.
Italy, which is the world’s hardest hit country in terms of number of deaths and accounts for more than a third of all global fatalities, saw its total death tally rise to 11,591 since the outbreak emerged in northern regions on February 21.
The death toll has risen by 812 in the last 24 hours, the Civil Protection Agency said, reversing two days of declines, although the number of new cases rose by just 4,050, the lowest increase since March 17, reaching a total of 101,739.
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Women stand near the body of a man who died on the sidewalk in Guayaquil, Ecuador. Photo: Reuters
Ecuador struggles to collect the dead
Ecuadorean authorities said they would improve the collection of corpses, as delays related to the rapid spread of the new coronavirus has left families keeping their loved ones’ bodies in their homes for days in some cases.
Residents of Guayaquil, Ecuador’s largest city, have complained they have no way to dispose of relatives’ remains due to strict quarantine and curfew measures designed to prevent spread of the disease. Last week, authorities said they had removed 100 corpses from homes in Guayaquil.
But delays in collecting bodies in the Andean country, which has reported 1,966 cases of the virus and 62 deaths, were evident midday on Monday in downtown Guayaquil, where a man’s dead body lay on a sidewalk under a blue plastic sheet. Police said the man had collapsed while waiting in line to enter a store. Hours later, the body had been removed.
More than 70 per cent of the country’s coronavirus cases, which is among the highest tallies in Latin America, are in the southern province of Guayas, where Guayaquil is located.
Panama to restrict movement by gender
The government of Panama announced strict quarantine measures that separate citizens by gender in an effort to slow the spread of the novel coronavirus.
From Wednesday, men and women will only be able to leave their homes for two hours at a time, and on different days. Until now, quarantine regulations were not based on gender.
Men will be able to go to the supermarket or the pharmacy on Tuesdays, Thursdays and Saturdays, and women will be allowed out on Mondays, Wednesdays and Fridays.
No one will be allowed to go out on Sundays. The new measures will last for 15 days.
Police in Kenya use tear gas to enforce coronavirus curfew
Remote vote first for UN Security Council
The UN Security Council on Monday for the first time approved resolutions remotely after painstaking negotiations among diplomats who are teleworking due to the coronavirus pandemic.
The Security Council unanimously voted by email for four resolutions, including one that extended through April 2021 the expiring mandate of UN experts who are monitoring sanctions on North Korea, diplomats said.
The UN mission in Somalia was also prolonged, until the end of June, and the mission in Darfur until the end of May – two short periods decided due to uncertainty over the spread of the pandemic.
The Council also endorsed a fourth resolution aimed at improving the protection for peacekeepers.
The resolutions are the first approved by the Security Council since it began teleworking on March 12 and comes as Covid-19 rapidly spreads in New York, which has become the epicenter of the disease in the United States.
Congo ex-president dies in France
Former Republic of Congo president Jacques Joaquim Yhombi Opango died in France on Monday of the new coronavirus, his family said. He was 81.
Yhombi Opango, who led Congo-Brazzaville from 1977 until he was toppled in 1979, died at a Paris hospital of Covid-19, his son Jean-Jacques said. He had been ill before he contracted the virus.
Yhombi Opango was an army officer who rose to power after the assassination of president Marien Ngouabi.
Yhombi Opango was ousted by long-time ruler Denis Sassou Nguesso. Accused of taking part in a coup plot against Sassou Nguesso, Yhombi Opango was jailed from 1987 to 1990. He was released a few months before a 1991 national conference that introduced multiparty politics in the central African country.
When civil war broke out in Congo in 1997, Yhombi Opango fled into exile in France. He was finally able to return home in 2007, but then divided his time between France and Congo because of his health problems.
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EU asks Britain to extend Brexit talks
The European Union expects Britain to seek an extension of its post-Brexit transition period beyond the end of the year, diplomats and officials said on Monday, as negotiations on trade have ground to a halt due to the coronavirus pandemic.
Europe has gone into a deep lockdown in a bid to curb the spread of the disease, with more than 330,000 infections reported on the continent and nearly 21,000 deaths.
In Britain, Prime Minister Boris Johnson and his health minister have both tested positive for the virus and the prime minister’s senior adviser Dominic Cummings – one of the masterminds behind Britain’s departure from the EU earlier this year – was self-isolating with symptoms.
London and the EU have been seeking to agree a new trade pact by the end of the year to kick in from 2021, even though the bloc has long said that such a time frame was extremely short to agree rules on everything from trade to security to fisheries.
The pyramid of Khufu, the largest of the Giza pyramid complex. Photo: Reuters
Great Pyramid in Egypt lights up in solidarity
Egypt’s famed Great Pyramid was emblazoned Monday evening with messages of unity and solidarity with those battling the novel coronavirus the world over.
“Stay safe”, “Stay at home” and “Thank you to those keeping us safe,” flashed in blue and green lights across the towering structure at the Giza plateau, southwest of the capital Cairo.
Egypt has so far registered 656 Covid-19 cases, including 41 deaths. Of the total infected, 150 reportedly recovered.
Egypt has carried out sweeping disinfection operations at archaeological sites, museums and other sites across the country.
In tandem, strict social distancing measures were imposed to reduce the risk of contagion among the country’s 100 million inhabitants.
Tourist and religious sites are shuttered, schools are closed and air traffic halted.
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Saudi king to pay for all patients’ treatment
Saudi Arabia will finance treatment for anyone infected with the coronavirus in the country, the health minister said on Monday.
The kingdom has registered eight deaths among 1,453 infections, the highest among the six Gulf Arab states.
Health Minister Tawfiq Al Rabiah said King Salman would cover treatment for citizens and residents diagnosed with the virus, urging people with symptoms to get tested.
“We are all in the same boat,” he told a news conference, adding that Crown Prince Mohammed bin Salman was overseeing containment efforts “night and day”.
Denmark eyes gradual reopening after Easter
Denmark may gradually lift a lockdown after Easter if the numbers of coronavirus cases and deaths remain stable, Prime Minister Mette Frederiksen said on Monday.
The Nordic country, which has reported 77 coronavirus-related deaths, last week extended until after Easter a two-week lockdown to limit physical contact between its citizens that began on March 11.
The number of daily deaths slowed to five on Sunday from eight and 11 on Saturday and Friday respectively. Denmark has reported a total of 2,577 coronavirus infections.
“If we over the next two weeks across Easter keep standing together by staying apart, and if the numbers remain stable for the next two weeks, then the government will begin a gradual, quiet and controlled opening of our society again, at the other side of Easter,” Frederiksen said.
Throughout the world, overworked health care professionals are being infected with Covid-19, yet the Lion City has kept numbers low
Preparation, planning, patient ratios and protective equipment have all played a part. Still, even the best gear cannot guard against discrimination
Medical staff walk to the National Centre for Infectious Diseases building at Tan Tock Seng Hospital in Singapore. Photo: AFP
Uncooperative patients, long hours and a lack of protective equipment are hampering health care workers across the world as they take the fight to the coronavirus, leading many to fall sick themselves.
In Malaysia, a pregnant woman who did not disclose that her father was infected tested positive after giving birth, leading to the shutdown of the entire hospital for cleaning. In the Philippines, nine doctors have died, two of whom had dealt with a patient who lied about her travel history.
In Spain, where more than 5,400 health care workers have been infected, accounting for about 14 per cent of the country’s patients, there are no longer enough workers to care for patients.
In Italy, which has more than 69,000 patients, the virus killed a doctor who had no choice but to work without gloves.
In the United States, which has surpassed China to become the world’s most infected nation with more than 83,000 people testing positive for Covid-19, hospitals are being overrun with patients.
Health care staff in the country say patients are packed into emergency wards and intensive care units (ICUs), further raising the risk of infections. They also report shortages of ventilators, face masks, gowns and shields.
The US Centres for Disease Control and Prevention on March 7 released interim guidelines saying health care workers exposed to the coronavirus could be asked to return to work as long as they wore face masks and were not showing symptoms, if their employers had no other manpower available.
Malaysian health workers at Kuala Lumpur International Airport. Photo: AFP
A REASON FOR OPTIMISM
However, amid all the gloom, Singapore’s experienceis being held up as a reason for optimism. The city state has reported more than 630 cases of infection, all of which are being treated in hospital, yet only a handful of its health care professionals have been infected. What’s more, even these cases, according to Vernon Lee, director of communicable diseases at the Ministry of Health, are thought to have been infected outside the health care setting.
Experts suggest this has been more than just luck, pointing to a case in which 41 health workers were exposed to the coronavirus in a Singapore hospital yet evaded infection.
The workers had all come within two metres of a middle-aged man with Covid-19 who was being intubated, a procedure which involves a tube being inserted into the patient’s trachea. The procedure is seen as being particularly hazardous for health workers as it is “aerosol generating” – patients are likely to cough.
The workers had not known at the time that the man had the virus and all were quarantined after he tested positive. However, on their release two weeks later, none of them had the virus.
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The case has come to widespread attention partly because the workers were wearing a mix of standard surgical masks and the N95 mask, which doctors see as the gold standard as it filters out 95 per cent of airborne particles.
The conclusion, published in The Annals of Internal Medicine this month, was this: “That none of the health care workers in this situation acquired infection suggests that surgical masks, hand hygiene, and other standard procedures protected them from being infected.”
Surgeon and writer Atul Gawande mentioned the case in an article for The New Yorker on how health care workers could continue seeing patients without becoming patients. He said there were things to learn from Asia and that some of the lessons came out of the “standard public health playbook”. In other words, there is much to be said for social distancing, basic hand hygiene and cleaning regimens.
A health worker in protective gear walks into a quarantine room at a hospital in Banda Aceh, Indonesia. Photo: AFP
COMING TOGETHER
With critical supplies running short in many countries, experts say it is increasingly vital that countries share both knowledge and resources.
To this end, China has been donating personal protective equipment to places including the Philippines, Pakistan and Europe. China’s richest man Jack Ma is donating 1.8 million masks, 210,000 Covid-19 test kits and 36,000 pieces of protective clothing to 10 countries in Asia.
At the same time, doctors are encouraging the Western world to learn from Asia.
Infectious diseases expert Leong Hoe Nam said that being “bitten by Sars” (severe acute respiratory syndrome) in 2003 had prepared Asia for Covid-19, while Western countries were not similarly prepared and hence lacked sufficient protective equipment.
He pointed to how about 2,000 health care workers had fallen sick in China early in the outbreak because workers did not initially have protective gear. The trend reversed as equipment became available.
“Once the defences were up, there were very few health care workers who fell sick at work. Rather, they fell sick from contact with sick individuals outside the workplace,” he said.
Malaysia is a case in point. While it has reported 80 health care workers falling ill, most are thought to be community infections.
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In a webinar organised by Caixin Global on Thursday night, Peng Zhiyong, an intensive care specialist at Zhongnan Hospital of Wuhan University, shared how they managed a shortage of personal protective equipment early on in the outbreak by rationing workers to two sets of gear per shift.
Meanwhile, in the Philippines, doctors from Manila’s Chinese General Hospital held a video conference call with doctors in Zhejiang to learn from China’s experience of treating Covid-19 patients.
Crowdsourcing platforms have also been created to share advice. The Brigham and Women’s Hospital in Boston has released guidelines for treating critically ill patients and its website includes information from Chinese doctors.
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The Jack Ma Foundation has also launched an online platform for doctors and nurses around the world to share knowledge on fighting the virus. “One world, one fight,” it said in a tweet.
Associate Professor Jeremy Lim from the global health programme at the Saw Swee Hock School of Public Health said it was crucial for countries to work together.
“Viruses don’t respect borders. Countries have to share information and help each other as we are only as strong as the weakest link. Any country can become a reservoir of disease and the world may then be forced to endure a ping-pong of outbreaks over and over again.”
And the advice of Lee, at Singapore’s Ministry of Health? “Practise good hygiene and wash hands regularly.”
Indonesian medical staff administer mass testing for Covid-19 in Bekasi, West Java. Photo: AFP
SINGAPORE, A CASE STUDY
Amid this sharing of advice, it is often Singapore that is held up as an example to replicate. Despite the country grappling with a rising load of Covid-19 patients, most of whom have recently returned to the city state from abroad, its health care system has continued to run smoothly. Doctors say this is because it has been preparing for a pandemic ever since Sars caught it by surprise. During the Sars outbreak, health care workers accounted for 41 per cent of Singapore’s 238 infections.
Consequently its hospitals swung into contingency planning mode early on in the coronavirus outbreak, telling staff to defer leave and travel plans after its first cases emerged.
Meanwhile, its hospitals swiftly split their workforces into teams to ensure there were enough workers if the outbreak worsened, and to ensure workers got enough rest.
Singapore has 13,766 doctors, or 2.4 doctors for every 1,000 people. That compares to 2.59 in the US, 1.78 in China and 4.2 in Germany. Places like Myanmar and Thailand have fewer than one doctor for every 1,000 people.
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“The objective is that you can run essential services with the greatest amount of security. Make sure functional units have redundancy built in, and are separate from each other. It depends on what you feel is sufficient to carry on services if one team is affected, factoring in rest periods and some system of rotation,” said Chia Shi-Lu, an orthopaedic surgeon.
The key is to ensure a good doctor-to-patient ratio and ensure there are enough specialists for the critical work, such as doctors and nurses who can provide intensive care, and know how to operate mechanical ventilators or machines to pump and oxygenate a patient’s blood outside the body.
At the emergency department where paediatrics emergency specialist Jade Kua treats Covid-19 cases in addition to regular emergencies, doctors are split into four teams of 21. Each team takes alternate 12-hour shifts and does not interact with other teams.
“We are in modular teams so the teams move together. So you and I would both do morning, off, night, off, morning off. Together. And then the other teams would do the same and we don’t intermingle,” said Kua.
US now has world’s most coronavirus cases, surpassing China
Chia, who works at the Singapore General Hospital, said doctors had been split up according to their functions.
“We try not to meet at all with the other teams as much as possible. We’ll just say hi from across the corridor. Meals are the same. All our cafeterias and everything have got social distancing spaced in already,” said Chia, who is also a member of parliament and chairs a shadow committee on health.
Chia said the health care system could also tap on doctors in the private sector.
Not every country has a plan like this. Last year’s Global Health Security Index by the Economist Intelligence Unit found that 70 per cent of 195 countries scored poorly when it came to having a national plan for dealing with epidemics or pandemics. Almost three in 10 had failed to identify which areas were insufficiently staffed. In India, with a population of 1.3 billion, only about 20,000 doctors are trained in key areas such as critical care, emergency medicine and pulmonology.
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In contrast, Singapore published its first Influenza Pandemic Preparedness and Response Plan in June 2005 and has since honed it to a tee. Hospitals regularly war-game scenarios such as pandemics or terrorist attacks and the simulations are sometimes observed by the Ministry of Health, which grades the performance and recommends areas for improvement.
The plan also covers the need to stockpile equipment to avoid the sort of shortages many countries are now facing, another lesson inspired by Sars when masks, gloves and gowns were in short supply.
In a pandemic preparation paper published in 2008, Singapore public health specialist Jeffery Cutter wrote that Singapore’s stockpile was sufficient to cover at least 5 to 6 months’ use by all front-line health care workers.
During the Covid-19 outbreak, it has also told citizens to not wear masks so it can conserve supply for medical staff.
Having enough protective gear has reassured Singapore’s health care workers such as Kua, a mother of six who blogged about her experience fighting Covid-19. Kua said: “I’m safe and my family is safe.”
India’s poor hit hard by 21-day nationwide lockdown amid the coronavirus pandemic
SOMETHING YOU CAN’T GUARD AGAINST
Despite the many positives to emerge from the Lion City, its health care workers are struggling with another problem: discrimination.
While in France, Italy and Britain, residents cheer health care workers from their windows, in Singapore health care workers are seen by some people as disease carriers.
“I try not to wear my uniform home because you never know what kind of incidents you may encounter,” said one Singapore nurse. “The public is scared and wearing our uniforms actually causes quite a bit of inconvenience. One of my staff tried to book a private-hire car to the hospital for an emergency and she was rejected by five drivers.”
There is a similar stigma in India, where the All India Institute of Medical Sciences has appealed to the government for help after health workers were forced out of their homes by panicked landlords and housing societies.
“Many doctors are stranded on the roads with all their luggage, nowhere to go, across the country,” the institute said in a letter.
Lim, from the Saw Swee Hock School of Public Health, said the worst human impulses and “every man for himself” attitudes could emerge in crises and “that is exactly why governments have to step in”.
Discrimination could affect both the performance and motivation of health care workers, Lim warned.
Meanwhile, when health care workers are infected, it creates a “triple whammy” threat.
“It means one fewer professional in an already-strained system, another patient to care for and, potentially, a team of colleagues who need to be quarantined,” said Lim.
“We must do everything possible to keep our health care workforce safe and free from Covid-19.” ■
Image copyright EPAImage caption Wuhan has been sealed off since mid-January
The lockdown in Wuhan, the Chinese city where the global coronavirus outbreak began, will be partially lifted on 8 April, officials say.
Travel restrictions in the rest of Hubei province, where Wuhan is located, will be lifted from midnight on Tuesday – for residents who are healthy.
A single new case of the virus was reported in Wuhan on Tuesday following almost a week of no reported new cases.
Countries around the world have gone into lockdown or imposed severe curbs.
The UK is getting to grips with sweeping new measures to tackle the spread of coronavirus, including a ban on public gatherings of more than two people and the immediate closure of shops selling non-essential goods.
Image copyright AFPImage caption The WHO has urged the G20 group of nations to boost production of protective equipment
Meanwhile, health experts say Americans must limit their social interactions or the number of infections will overwhelm the health care system in the US.
Spanish soldiers helping to fight the coronavirus pandemic have found elderly patients in retirement homes abandoned and, in some cases, dead in their beds, the defence ministry has said.
An ice rink in Madrid is to be used as a temporary mortuary for Covid-19 victims.
The World Health Organization (WHO) has warned that the pandemic is accelerating, with more than 300,000 cases now confirmed. It is urging countries to adopt rigorous testing and contact-tracing strategies.
Wuhan has been shut off from the rest of the world since the middle of January. But officials now say anyone who has a “green” code on a widely used smartphone health app will be allowed to leave the city from 8 April.
Earlier, the authorities reported a new case of coronavirus in Wuhan, ending a five-day run of no reported new cases in the city.
Media caption Coronavirus: People in Beijing begin to head outdoors
It comes after health officials there confirmed that they were not counting cases of people who were positive but had not been admitted to hospital or did not show any symptoms of the disease.
Official government figures say there have been 78 new cases reported on the Chinese mainland in the last 24 hours. All but four of them were caused by infected travellers arriving from abroad.
This so-called “second wave” of imported infections is also affecting countries like South Korea and Singapore, which had been successful in stopping the spread of disease in recent weeks.
South Korea has been seeing a drop in its daily tally of new cases. On Tuesday it reported its lowest number since 29 February.
China looks to repair its reputation
By Robin Brant, BBC News, Shanghai
China considers itself to be – very nearly – a “post corona” country.
In the last week we’ve heard Wuhan medics warning the UK and others that they need to do more to protect frontline health workers, citing the mistakes they made early on when some treated patients without wearing proper protective clothing.
But there’s also been reporting in state media of the reported death toll in Italy surpassing that in China. This has been combined with some commentary from prominent media figures that has appeared distasteful, almost triumphalist.
At the same time there is a panic about the threat of a second wave from imported cases – travellers arriving from abroad. This has fuelled the view – right or wrong – that some other countries aren’t taking the threat seriously because they aren’t doing what China did. (Almost all the cases in Beijing that have been made public are of Chinese nationals returning home).
Meanwhile, well away from senior leaders, there are some high-profile diplomatic figures using international-facing social media to spread theories that the US may have weaponised and dumped the virus in China. Or that Italy had cases that may have been Covid-19 earlier than China. China is sowing seeds of doubt and questioning assumed truths as it looks to repair its reputation.
Almost all of India with its 1.3bn people is under lockdown. Buses, trains and other forms of public transport are suspended. On Monday, the authorities said domestic flights would also stopped. The country has reported 485 cases and nine people have died. Prime Minister Narendra Modi will address the nation again this evening.
Image copyright GETTY IMAGESImage caption Mumbai’s suburban train network carries eight million passengers a day
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.
Talks between the Japanese PM and the International Olympic Committee are expected this evening.
The most populous country that was without a case until now – Myanmar – has announced two cases.
Europe’s battle against virus intensifies
UK Prime Minister Boris Johnson announced on Monday night that, with immediate effect, “people will only be allowed to leave their home…for very limited purposes”. They include shopping for basic necessities, taking one form of exercise per day, fulfilling any medical need, or travelling to work if working from home is impossible.
Media caption Reality Check tackles misleading health advice being shared online
The number of people who have died in the UK rose to 335 on Monday.
In Italy, the worst-hit country in the world, the authorities said 602 people with Covid-19 had died in the past 24 hours, bringing the total death toll there to 6,077.
But the daily increase in cases was the smallest since Thursday, raising hope that the stringent restrictions imposed by the government were starting to have an effect.
Spain, however, said on Tuesday that its death toll had risen by 514 to 2,696. Nearly 40,000 are infected, about 5,400 of them healthcare workers.
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.
Image copyright AFPImage 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.
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.
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 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
GENEVA, March 10 (Xinhua) — A senior Chinese diplomat said here that China advocates that Myanmar and Bangladesh properly resolve the Rakhine State issue through dialogue and consultation and start the process of repatriating people at an early date.
Liu Hua, Special Representative for Human Rights of the Ministry of Foreign Affairs of China, told the on-going 43rd session of the UN Human Rights Council on Monday that the international community should provide more constructive help to Myanmar and Bangladesh to create a favorable external environment for the two sides to implement bilateral repatriation agreements.
Liu pointed out that the international community should respect Myanmar’s sovereignty and treat Myanmar’s human rights progress in a comprehensive, impartial and objective manner.
On the issue of Myanmar, she said, the United Nations should take a fair and objective position, and related work should help promote the solution to the Rakhine state issue, not the contrary.
The Chinese diplomat also highlighted that China has always advocated that all countries should address human rights issues through constructive dialogue and cooperation, oppose politicization, selectivity, double standards, and confrontational practices, and does not support the practice of “naming and shaming” and publicly pressuring.
Lufthansa, British Airways, Air Canada among several big name airlines to halt flights, while others reduce services
Travel agents expecting slump in sales amid rising uncertainty over how epidemic will play out
Many airlines have cancelled flights into mainland China because of the coronavirus outbreak. Photo: AP
International air travellers and ticketing agents are in for a turbulent time in the weeks ahead as airlines around the world react to the coronavirus epidemic by cancelling or limiting flights to and from the Chinese mainland.
Lufthansa, British Airways, Air Canada and Indonesia’s Lion Air have
, while United Airlines, American Airlines, IndiGo, Finnair, Delta Air Lines and Jetstar Asia have significantly reduced their services.
“It’s going to be pretty bad for travel agencies. We’ve had a lot of cancellations. Everyone is afraid of coming to China,” said Annabelle Auger from Travel Stone in Beijing.
“Many of our European clients are very worried because of the media coverage they’ve seen. Still, people are willing to wait and see for a few weeks to see how things go,” she said.
For foreigners looking to leave China, Auger said they should contact their embassy to find out about repatriation flights.
“The situation is very unclear, so it’s difficult to give any general recommendations,” she said.
Already this week, the embassies of the United States, Japan, South Korea and Britain have cleared flights to evacuate their nationals from Hubei, the central China province at the heart of the outbreak.
Auger said she and her colleagues had been busy rearranging flights for China-based foreigners who had gone away for the holidays.
“The schools are closed, so families with children abroad are thinking, ‘OK, let’s extend our stay for another week’,” she said.
Politics may have stalled information in coronavirus crisis, scientist says
30 Jan 2020
The Beijing government said on Monday it would extend the Lunar New Year
holiday until Sunday to help stop the spread of the disease, while school breaks have also been extended.
Another travel agent in Beijing, who asked not to be named, said the virus outbreak had yet to have a significant impact on business but concerns were growing.
“We are a bit worried that things may get difficult in the coming months,” she said. “But we trust that the government is doing all it can and will take the appropriate measures to solve the problems.”
Zhu Tao, director of the flight standards department at the Civil Aviation Administration of China (CAAC), said at a press conference in Beijing on Thursday that the relevant authorities were working closely with airlines to help Chinese nationals trapped overseas to get home.
The government had already chartered flights from Japan, Myanmar and South Korea to bring Chinese nationals back to Hubei, he said.
While all flights out of Hubei have been suspended since last week, Zhu said air transport was playing its part in fighting the disease.
As of Wednesday, the CAAC had sent 86 flights carrying 5,129 medical workers and 115,000 items of equipment and other supplies into Wuhan, he said.
Wu Zunyou, the chief epidemiologist at the China Centre for Disease Control and Prevention, said that efforts to prevent the coronavirus spreading outside the country had been successful, as only about 1 per cent of the confirmed infections were outside China.
Despite the flight cancellations, Beijing’s Capital International Airport was operating as normal on Thursday.
Andre Muchanga, a student from Abu Dhabi at the Beijing Institute of Technology, said he made a late decision to fly home.
“I decided to buy my ticket last night,” he said. “At school, our dormitory is almost completely empty. I knocked on a friend’s door last night and found there was no one there, so I decided I better just go home and spend some time with my family.”
He said he decided not to buy a return flight as it he did not know when his classes would resume.
Signs at check-in counters reminded passengers who had travelled to Hubei or had a Hubei address to put themselves in isolation for 14 days.
While flights out of Hubei have been stopped, there was still plenty of inbound traffic.
“The number of domestic inbound travellers seems pretty normal for this time of year,” a man working on an information desk at Capital airport said.
“It’s the sixth day of the Lunar New Year. Lots of people have to return to work.”
An Air China employee, surnamed Hu, said that the airport had stepped up its disinfecting and general cleaning work. Body temperature checks had been installed at all access points and employees had been told to wear masks, he said.
“I don’t mind working during the Lunar New Year holiday,” he said. “I’m not afraid of the virus, I’m here to serve the people.”
Chinese President Xi Jinping, also general secretary of the Communist Party of China Central Committee and chairman of the Central Military Commission, visits a village of the Wa ethnic group to extend his Chinese New Year’s greetings to the villagers in Qingshui Township of the city of Tengchong, southwest China’s Yunnan Province, Jan. 19, 2020. Xi visited Yunnan Province Sunday on an inspection tour ahead of Chinese New Year. (Xinhua/Ju Peng)
KUNMING, Jan. 19 (Xinhua) — Xi Jinping, general secretary of the Communist Party of China Central Committee, visited southwest China’s Yunnan Province Sunday on an inspection tour ahead of Chinese New Year.
Xi went to a village of the Wa ethnic group in Qingshui Township of the city of Tengchong Sunday afternoon to learn about poverty alleviation efforts and extend his Chinese New Year’s greetings to the villagers.
He also visited the old town of Heshun, a gateway on the ancient Southern Silk Road that linked China’s Sichuan and Yunnan with Myanmar and India, to learn about exchanges, historical and cultural inheritance, as well as ecological and environmental protection along the trade route.
NAYPYITAW (Reuters) – China and Myanmar inked dozens of deals on Saturday to speed up infrastructure projects in the Southeast Asian nation, as Beijing seeks to cement its hold over a neighbour increasingly isolated by the West.
But no major new projects were agreed during the two-day visit by President Xi Jinping, the first of any Chinese leader in 19 years. Analysts said Myanmar was generally cautious of investments by Beijing and was also being careful ahead of elections later this year.
Still, Xi and Myanmar leader Aung San Suu Kyi signed 33 agreements shoring up key projects that are part of the flagship Belt and Road Initiative, China’s vision of new trade routes described as a “21st century silk road”.
They agreed to hasten implementation of the China Myanmar Economic Corridor, a giant infrastructure scheme worth billions of dollars, with agreements on railways linking southwestern China to the Indian Ocean, a deep sea-port in conflict-riven Rakhine state, a special economic zone on the border, and a new city project in the commercial capital of Yangon.
They did not address a controversial $3.6 billion Beijing-backed mega dam, where work has been stalled since 2011, reflecting the contentiousness of Chinese investment in Myanmar, where many are uncomfortable with the sway Beijing has over its smaller neighbour.
“While a large number of different agreements have been signed, there is no Big Bang here,” said Richard Horsey, a Yangon-based analyst with the International Crisis Group.
“The overall impression is that Myanmar is being cautious about Chinese investment, especially ahead of elections planned later in the year, he said.
“China will be hoping that this is an incremental step towards realizing its mega-infrastructure goals, and that further progress can be locked in over the coming months,” he said.
‘DERAILED’ BY WEST
At a welcoming ceremony on Friday, Xi hailed a “new era” of relations between the countries.
“We are drawing a future roadmap that will bring to life bilateral relations based on brotherly and sisterly closeness in order to overcome hardships together and provide assistance to each other,” Xi said. He was scheduled to leave later on Saturday.
Suu Kyi called China “a great country playing an important role in the international affairs and the world economy” but urged for economic projects that avoid environmental degradation and benefit locals.
Xi also met leaders from political parties in ethnic areas riven with civil conflict where Chinese infrastructure projects are underway.
Sai Kyaw Nyunt, joint-secretary of the Shan Nationalities League for Democracy, one of the ethnic politicians invited to meet Xi, said it was only a handshake.
“Our country is very small and powerless,” he said, “So they treat us that way.”
The two countries have historically had a fraught relationship, but have moved closer since 2017, when Myanmar was internationally condemned for its treatment of minority Rohingya Muslims in Rakhine state.
More than 730,000 Rohingya were forced to flee western Myanmar after a military crackdown that the United Nations has said was executed with “genocidal intent”. China has defended the country on the global stage and is viewed as the biggest obstacle to a prosecution of its leaders at an international war crimes tribunal.
An article in Chinese state media ahead of the state visit said Myanmar had been “derailed” by its engagement with the West and only China was willing to “pull Myanmar from the sludge”.
“But after some turbulence, Myanmar realized there were double standards in the approach Western countries had taken on human rights issues and began to turn to China for diplomatic and economic help,” the article in the Global Times said.
CHINDIA ALERT: You'll be living in their world, very soon 