Archive for ‘new coronavirus’

27/04/2020

South Korean officials call for caution amid reports that North Korean leader Kim is ill

SEOUL (Reuters) – South Korean officials are calling for caution amid reports that North Korean leader Kim Jong Un may be ill or is being isolated because of coronavirus concerns, emphasising that they have detected no unusual movements in North Korea.

At a closed door forum on Sunday, South Korea’s Unification Minister Kim Yeon-chul, who oversees engagement with the North, said the government has the intelligence capabilities to say with confidence that there was no indications of anything unusual.

Rumours and speculation over the North Korean leader’s health began after he made no public appearance at a key state holiday on April 15, and has since remained out of sight.

South Korea media last week reported that Kim may have undergone cardiovascular surgery or was in isolation to avoid exposure to the new coronavirus.

Unification minister Kim cast doubt on the report of surgery, arguing that the hospital mentioned did not have the capabilities for such an operation.

Still, Yoon Sang-hyun, chairman of the foreign and unification committee in South Korea’s National Assembly, told a gathering of experts on Monday that Kim Jong Un’s absence from the public eye suggests “he has not been working as normally”.

“There has not been any report showing he’s making policy decisions as usual since April 11, which leads us to assume that he is either sick or being isolated because of coronavirus concerns,” Yoon said.

North Korea has said it has no confirmed cases of the new coronavirus, but some international experts have cast doubts on that claim.

On Monday, North Korean state media once again showed no new photos of Kim nor reported on his whereabouts.

However, they did carry reports that he had sent a message of gratitude to workers building a tourist resort in Wonsan, an area where some South Korean media reports have said Kim may be staying.

“Our government position is firm,” Moon Chung-in, the top foreign policy adviser to South Korean President Moon Jae-in, said in comments to news outlets in the United States.

“Kim Jong Un is alive and well. He has been staying in the Wonsan area since April 13. No suspicious movements have so far been detected.”

Satellite images from last week showed a special train possibly belonging to Kim at Wonsan, lending weight to those reports, according to 38 North, a Washington-based North Korea monitoring project.

Though the group said it was probably the North Korean leader’s personal train, Reuters has not been able to confirm that independently, or whether he was in Wonsan.

A spokeswoman for the Unification Ministry said on Monday she had nothing to confirm when asked about reports that Kim was in Wonsan.

Last week China dispatched a team to North Korea including medical experts to advise on Kim Jong Un, according to three people familiar with the situation.

Reuters was unable to immediately determine what the trip by the Chinese team signalled in terms of Kim’s health.

On Friday a South Korean source told Reuters their intelligence was that Kim Jong Un was alive and would likely make an appearance soon.

Experts have cautioned that Kim has disappeared from state media coverage before, and that gathering accurate information in North Korea is notoriously difficult.

North Korea’s state media last reported on Kim’s whereabouts when he presided over a meeting on April 11.

Kim, believed to be 36, vanished from state media for more than a month in 2014 and North Korean state TV later showed him walking with a limp.

Source: Reuters

26/04/2020

Wuhan declared free of Covid-19 as last patients leave hospital after months-long struggle against coronavirus

  • City at centre of outbreak finally able to declare itself clear of disease after months in lockdown and thousands of deaths
  • Risk of infection remains, however, with some patients testing positive for coronavirus that causes disease without showing symptoms
Ferries and other public transport services resumed in Wuhan last week. Photo: Xinhua
Ferries and other public transport services resumed in Wuhan last week. Photo: Xinhua

The city of Wuhan, the initial epicentre of the coronavirus pandemic, no longer has any Covid-19 patients in hospital after the last 12 were discharged on Sunday.

Their release ended a four-month nightmare for the city, where the disease was first detected in December. The number of patients being treated for Covid-19, the disease caused by a new coronavirus, peaked on February 18 at 38,020 – nearly 10,000 of whom were in severe or critical condition.

“With the joint efforts of Wuhan and the national medical aid given to Hubei province, all cases of Covid-19 in Wuhan were cleared as of April 26,” Mi Feng, a spokesman for the National Health Commission said on Sunday afternoon.

The announcement came only one day after the city discharged the last patient who had been in a severe condition. That patient also was the last severe case in Hubei province.

The last patient discharged from Wuhan Chest Hospital, a 77-year-old man surnamed Ding, twice tested negative for Sars-CoV-2, the virus that causes Covid-19, and was released at noon on Sunday.

“I missed my family so much!” Ding told Changjing Daily.

Another unidentified patient exclaimed as he left the hospital: “The air outside is so fresh! The weather is so good today!”

Wuhan faced a long journey to bring its patient count down to zero.

The city of 11 million, the capital of Hubei province and a transport hub for central China, was put under a strict lockdown on January 23 that barred anyone from entering or exiting the city without official approval for 76 days until it was officially lifted on April 8.

Coronavirus: Wuhan, Los Angeles officials discuss getting back to work after lockdown

22 Apr 2020

Residents were ordered to stay in their apartments as the city stopped public transport and banned private cars from city streets. As the epidemic worsened, more than 42,000 medical staff from across the country were sent to the city and to Hubei province to help ease the burden on the local health care system.

Wuhan was the hardest hit city in China, accounting for 50,333 of the 82,827 locally transmitted Covid-19 cases recorded in China. More than 4,600 died in the country from the disease.

On March 13, the city reported for the first time that there were no new suspected cases of the infection, and five days later there were no confirmed cases.

The number of discharged patients bottomed out at 39.1 per cent at the end of February, gradually climbing to 92.2 per cent by last Thursday.

“Having the patients in the hospital cleared on April 26 marks a major achievement for the city’s Covid-19 treatment,” the Wuhan Health Commission said in a statement.

However, having no severe cases in hospital does not mean all the discharged patients will require no further treatment as they may still need further care.

“Clearing all the severe cases marks a decisive victory for the battle to safeguard Wuhan,” health minister Ma Xiaowei told state broadcaster China Central Television on Saturday.

“Some patients who have other conditions are being treated in specialised hospitals. It has been properly arranged.”

Coronavirus: Chinese writer hit by nationalist backlash over diary about Wuhan lockdown

18 Apr 2020

Ten patients aged between 42 and 85 who have been declared coronavirus-free are still in intensive care at the city’s Tongji Hospital where they are being treated for kidney problems and other complications arising from Covid-19. Some still need ventilators to help them breathe.

These 10 patients are under 24-hour care, with 190 nurses on four-hour rotations. There are other patients in a similar condition in two other hospitals in Wuhan, according to the Hubei Broadcasting and Television Network.

However, the discharge of the last batch of Covid-19 patients does not mean that the risk of infection is gone.

The city reported 20 new cases of people testing positive for Sars-CoV-2, the official name for the coronavirus that causes the disease, but who do not yet show symptoms.

There are 535 such carriers under medical observation. Past data shows some of these asymptomatic carriers will develop symptoms, and so will be counted as Covid-19 patients under China’s diagnosis and treatment plan.

China’s coronavirus infection curve has flattened out with about 694 imported cases of Covid-19 on top of about 800 locally transmitted ones now under treatment.

The national health commission spokesman warned that people still need to be on high alert as the virus is continuing to spread around the globe, with no sign yet of a slowdown.

“[We] must not drop our guard and loosen up. [We] must discover cases in time and deal with them quickly,” Mi said, citing the continued pressure from cases imported by people returning from overseas.

“The next step will be to implement the requirements of the central government and continue to guard against imported cases and a rebound of domestic transmitted cases.”

Source: SCMP

09/04/2020

Pass the salt: The minute details that helped Germany build virus defences

MUNICH (Reuters) – One January lunchtime in a car parts company, a worker turned to a colleague and asked to borrow the salt.

As well as the saltshaker, in that instant, they shared the new coronavirus, scientists have since concluded.

That their exchange was documented at all is the result of intense scrutiny, part of a rare success story in the global fight against the virus.

The co-workers were early links in what was to be the first documented chain of multiple human-to-human transmissions outside Asia of COVID-19, the disease caused by the coronavirus.

They are based in Stockdorf, a German town of 4,000 near Munich in Bavaria, and they work at car parts supplier Webasto Group. The company was thrust under a global microscope after it disclosed that one of its employees, a Chinese woman, caught the virus and brought it to Webasto headquarters. There, it was passed to colleagues – including, scientists would learn, a person lunching in the canteen with whom the Chinese patient had no contact.

The Jan. 22 canteen scene was one of dozens of mundane incidents that scientists have logged in a medical manhunt to trace, test and isolate infected workers so that the regional government of Bavaria could stop the virus from spreading.

That hunt has helped Germany win crucial time to build its COVID-19 defences.

The time Germany bought may have saved lives, scientists say. Its first outbreak of locally transmitted COVID-19 began earlier than Italy’s, but Germany has had many fewer deaths. Italy’s first detected local transmission was on Feb. 21. By then Germany had kicked off a health ministry information campaign and a government strategy to tackle the virus which would hinge on widespread testing. In Germany so far, more than 2,100 people have died of COVID-19. In Italy, with a smaller population, the total exceeds 17,600.

CHART: Contrasting curves reut.rs/3c2UZA4

“We learned that we must meticulously trace chains of infection in order to interrupt them,” Clemens Wendtner, the doctor who treated the Munich patients, told Reuters.

Wendtner teamed up with some of Germany’s top scientists to tackle what became known as the ‘Munich cluster,’ and they advised the Bavarian government on how to respond. Bavaria led the way with the lockdowns, which went nationwide on March 22.

Scientists including England’s Chief Medical Officer Chris Whitty have credited Germany’s early, widespread testing with slowing the spread of the virus. “‘We all know Germany got ahead in terms of its ability to do testing for the virus and there’s a lot to learn from that,’” he said on TV earlier this week.

Christian Drosten, the top virologist at Berlin’s Charite hospital, said Germany was helped by having a clear early cluster. “Because we had this Munich cohort right at the start … it became clear that with a big push we could inhibit this spreading further,” he said in a daily podcast for NDR radio on the coronavirus.

Drosten, who declined to be interviewed for this story, was one of more than 40 scientists involved in scrutiny of the cluster. Their work was documented in preliminary form in a working paper at the end of last month, intended for The Lancet. The paper, not yet peer-reviewed, was shared on the NDR site.

ELECTRONIC DIARIES

It was on Monday, Jan. 27, that Holger Engelmann, Webasto’s CEO, told the authorities that one of his employees had tested positive for the new coronavirus. The woman, who was based in Shanghai, had facilitated several days of workshops and attended meetings at Webasto’s HQ.

The woman’s parents, from Wuhan, had visited her before she travelled on Jan. 19 to Stockdorf, the paper said. While in Germany, she felt unusual chest and back aches and was tired for her whole stay. But she put the symptoms down to jet lag.

She became feverish on the return flight to China, tested positive after landing and was hospitalised. Her parents also later tested positive. She told her managers of the result and they emailed the CEO.

In Germany, Engelmann said he immediately set up a crisis team that alerted the medical authorities and started trying to trace staff members who had been in contact with their Chinese colleague.

The CEO himself was among them. “Just four or five days before I received the news, I had shaken hands with her,” he said.

Now known as Germany’s “Case #0,” the Shanghai patient is a “long-standing, proven employee from project management” who Engelmann knows personally, he told Reuters. The company has not revealed her identity or that of others involved, saying anonymity has encouraged staff to co-operate in Germany’s effort to contain the virus.

The task of finding who had contact with her was made easier by Webasto workers’ electronic calendars – for the most part, all the doctors needed was to look at staff appointments.

“It was a stroke of luck,” said Wendtner, the doctor who treated the Munich patients. “We got all the information we needed from the staff to reconstruct the chains of infection.”

For example, case #1 – the first person in Germany to be infected by the Chinese woman – sat next to her in a meeting in a small room on Jan. 20, the scientists wrote.

Where calendar data was incomplete, the scientists said, they were often able to use whole genome sequencing, which analyses differences in the genetic code of the virus from different patients, to map its spread.

By following all these links, they discovered that case #4 had been in contact several times with the Shanghai patient. Then case #4 sat back-to-back with a colleague in the canteen.

When that colleague turned to borrow the salt, the scientists deduced, the virus passed between them. The colleague became case #5.

Webasto said on Jan. 28 it was temporarily closing its Stockdorf site. Between Jan. 27 and Feb. 11, a total of 16 COVID-19 cases were identified in the Munich cluster. All but one were to develop symptoms.

All those who tested positive were sent to hospital so they could be observed and doctors could learn from the disease.

Bavaria closed down public life in mid-March. Germany has since closed schools, shops, restaurants, playgrounds and sports facilities, and many companies have shut to aid the cause.

HAMMER AND DANCE

This is not to say Germany has defeated COVID-19.

Its coronavirus death rate of 1.9%, based on data collated by Reuters, is the lowest among the countries most affected and compares with 12.6% in Italy. But experts say more deaths in Germany are inevitable.

“The death rate will rise,” said Lothar Wieler, president of Germany’s Robert Koch Institute for infectious diseases.

The difference between Germany and Italy is partly statistical: Germany’s rate seems so much lower because it has tested widely. Germany has carried out more than 1.3 million tests, according to the Robert Koch Institute. It is now carrying out up to 500,000 tests a week, Drosten said. Italy has conducted more than 807,000 tests since Feb. 21, according to its Civil Protection Agency. With a few local exceptions, Italy only tests people taken to hospital with clear and severe symptoms.

Germany’s government is using the weeks gained by the Munich experience to double the number of intensive care beds from about 28,000. The country already has Europe’s highest number of critical care beds per head of the population, according to a 2012 study.

Even that may not be enough, however. An Interior Ministry paper sent to other government departments on March 22 included a worst-case scenario with more than 1 million deaths.

Another scenario saw 12,000 deaths – with more testing after partial relaxation of restrictions. That scenario was dubbed “hammer and dance,” a term coined by blogger Tomas Pueyo. It refers to the ‘hammer’ of quick aggressive measures for some weeks, including heavy social distancing, followed by the ‘dance’ of calibrating such measures depending on the transmission rate.

The German government paper argued that in the ‘hammer and dance’ scenario, the use of big data and location tracking is inevitable. Such monitoring is already proving controversial in Germany, where memories of the East German Stasi secret police and its informants are still fresh in the minds of many.

A subsequent draft action plan compiled by the government proposes the rapid tracing of infection chains, mandatory mask-wearing in public and limits on gatherings to help enable a phased return to normal life after Germany’s lockdown. The government is backing the development of a smartphone app to help trace infections.

Germany has said it will re-evaluate the lockdown after the Easter holiday; for the car parts maker at the heart of its first outbreak, the immediate crisis is over. Webasto’s office has reopened.

All 16 people who caught COVID-19 there have recovered.

Source: Reuters

07/04/2020

Coronavirus: How China’s army of food delivery drivers helped keep country going during outbreak

  • Buying and paying for meals and supplies online was already second nature for many Chinese before the Covid-19 lockdown
  • The supply and delivery networks that were already in place were able to work with the authorities in cities like Wuhan
China’s established home delivery system played an important role in getting food and other necessities to residents during the Wuhan lockdown. Photo: EPA-EFE
China’s established home delivery system played an important role in getting food and other necessities to residents during the Wuhan lockdown. Photo: EPA-EFE
When Liu Yilin, a retired middle schoolteacher in Wuhan, first heard rumours of a

highly contagious disease

spreading in the central Chinese city he started to stock up on supplies such as rice, oil, noodles and dried pork and fish.

These preparations spared the 66-year-old from some of the early panic when 
the city went into lockdown in late January

and shoppers flooded to the markets and malls to snap up supplies.

But as time went on and with residents banned from leaving their homes, he became increasingly concerned about getting hold of fresh supplies of vegetables, fruit and meat until the nation’s vast network of delivery drivers came to the rescue.
“It was such a relief that several necessity purchasing groups organised by community workers and volunteers suddenly emerged on WeChat [a leading social media app] days after the lockdown,” Liu said. “China’s powerful home delivery service makes life much easier at a time of crisis.”

Hu Xingdou, a Beijing-based independent political economist said: “Home delivery played a very important role amid the coronavirus outbreak. To some extent, it prevented people from starving especially in cases when local governments took extreme measures to isolate people.”

According to Liu, people in Wuhan during the lockdown had to stay within their residential communities, with community workers guarding the exits.

Human contact was limited to the internet. Residents placed orders online with farmers, small merchants or supermarkets to buy daily necessities, and community workers helped distribute the goods from deliverymen.

Every morning, Liu passed a piece of paper with his name, phone number and order number to a community worker who would collect the items from a courier at the gate of the residential area.

Thanks to a high population density in urban areas, affluent labour force and people’s openness to digital life, China has built a well-developed home delivery network.

Extensive funding from technology companies has been invested in hardware infrastructure, software to improve logistics and big data and cloud computing to help predict consumers’ behaviour.

Mark Greeven, professor of innovation and strategy at IMD Business School in Lausanne, Switzerland, said: “Whether it is delivery of products, air parcels or fresh food or even medicine or materials for medical use, China has a very well developed system. Much better developed than I think almost any other places in the world.

“Well before the crisis, China had started to embrace digital technology in daily life whether it is in consumption, business, government and smart cities and use of third party payments. All of these things have been in place for a long time and the crisis tested its agility and capability to deal with peak demand.”

China’s e-commerce giants help revive sales of farm goods from Hubei

3 Apr 2020
According to e-commerce giant JD.com, demands for e-commerce and delivery services spiked during the outbreak of Covid-19, the illness caused by the new coronavirus.
It sold around 220 million items between January 20 and February 28, mainly grains and dairy products with the value of beef orders trebling and chicken deliveries quadrupling compared with a year ago.
Tang Yishen, head of JD Fresh, its fresh foods subsidiary, said: “The surge of online demand for fresh merchandise shows the pandemic helped e-commerce providers further penetrate into the life of customers. It also helped upstream farm producers to know and trust us.”
Meituan Dianping, a leading e-commerce platform, said its grocery retail service Meituan Instashopping reported a 400 per cent growth in sales from a year ago in February from local supermarkets.
The most popular items ordered between January 26 and February 8 were face masks, disinfectant, tangerines, packed fresh-cut fruits and potatoes.
The food delivery service Ele.me said that, between January 21 and February 8, deliveries of frozen food surged more than 600 per cent year on year, followed by a nearly 500 per cent growth in delivery of pet-care products. Fresh food deliveries rose by 181 per cent while drink and snack deliveries climbed by 101 per cent and 82 per cent, respectively. Ele.me is owned by Alibaba, the parent company of the South China Morning Post.
Chinese hotpot restaurant chain adapts as coronavirus fears push communal meals off the menu
E-commerce providers used the opportunity to show goodwill and improve their relationship with customers and partners, analysts say.
Sofya Bakhta, marketing strategy analyst at the Shanghai-based Daxue Consulting, said the food delivery sector had made significant headway in reducing physical contact during the outbreak.
Delivery staff left orders in front of buildings, in lifts or temporary shelters as instructed by the clients as most properties no longer allowed them inside.
Some companies also adopted more hi-tech strategies.
In Beijing, Meituan used self-driving vehicles to deliver meals to contactless pickup stations. It also offered cardboard boxes to be used as shields aimed at preventing the spread of droplets among its clients while they ate in their workplaces. In Shanghai, Ele.me employed delivery drones to serve people under quarantine in the most affected regions.
Some companies even “shared” employees to meet the growing labour demand in the food delivery industry that could not be satisfied with their ordinary workforce, Bakhta said.
More employees from restaurants, general retail and other service businesses were “loaned” to food delivery companies, which faced manpower shortages during the outbreak, according to Sandy Shen, senior research director at global consultancy Gartner.
“These arrangements not only ensured the continuity of the delivery service but also helped businesses to retain employees during the shutdown,” she said.
A delivery man takes a break between orders in Wuhan, central China, during the lockdown. Photo: AFP
A delivery man takes a break between orders in Wuhan, central China, during the lockdown. Photo: AFP
Mo Xinsheng became one such “on-loan” worker after customers stopped coming to the Beijing restaurant where he worked as a kitchen assistant.
“I wanted to earn some money and meanwhile help people who are trapped at home,” said Mo, who was hired as a delivery man.
But before he could start work he had to go through lengthy health checks before he was allowed into residential compounds.
He also had to work long hours battling the wind and cold of a Beijing winter and carrying heavy loads.
“I work about 10 hours every day just to earn several thousand yuan [several hundred US dollars] a month,” he said.
“Sometimes I almost couldn’t breathe while my hands were fully loaded with packages of rice, oil and other things.
“But I know I’m doing an important job, especially at a time of crisis,” Mo said, “It was not until then that I realised people have become so reliant on the home delivery system.”
Woman uses remote control car to buy steamed buns amid coronavirus outbreak in China
The delivery system has been improved by an effective combination of private sector innovation and public sector coordination, said Li Chen, assistant professor at the Centre for China Studies at Chinese University of Hong Kong.
“[In China,] government units and the Communist Party grass roots organisations have maintained fairly strong mobilisation capabilities to cope with emergencies, which has worked well in the crisis,” he said.
However, Liu, the Wuhan resident, said prices had gone up and vegetables were three times more expensive than they had been over Lunar New Year in 2019.
“There were few varieties that we could choose from, apart from potatoes, cabbage and carrots,” he said.
“But I’m not complaining. It’s good we can still get fresh vegetables at a difficult time. Isn’t it? After all, we are just ordinary people,” he said.
Source: SCMP
05/04/2020

Spain’s health workers overburdened and undersupplied in coronavirus fight

  • More than 15,000 workers infected as hospitals struggle with a lack of test kits and protective gear
  • Chronic shortages are forcing emergency teams to ration equipment and come up with their own makeshift solutions
Health workers in protective gear outside an emergency entrance to a hospital in northern Spain. Photo: AFP
Health workers in protective gear outside an emergency entrance to a hospital in northern Spain. Photo: AFP
Overburdened hospitals and a shortage of protective measures and tests are taking a toll on Spanish medical professionals who are contracting Covid-19 – the illness caused by the new coronavirus – at an alarming rate.
To date, more than 15,000 health professionals in Spain – about 14 per cent of the national total – have been infected. In contrast, Italy reported that health workers accounted for about 10 per cent of its infections.
“I have tried to be careful, but when you work in a hospital, no one can guarantee that one of your colleagues doesn’t have the virus in the asymptomatic phase,” said ambulance crew member Xevi Mateu, who tested positive for the virus a week ago.

Mateu, who lives and works in Catalonia, said he thought he might have got infected during a meal break at the hospital or while on duty in the cramped space of an emergency vehicle.

Europe faces Easter indoors as Spain’s virus cases surge past 100,000

2 Apr 2020

Information on how to protect himself from the rampaging pandemic was conflicting, he said, and with no guarantee on future supplies he was forced to ration his use of protective equipment as soon as the demand for ambulance services began to exceed capacity.

Albert Gual, another emergency worker in Catalonia, said protocols had changed since he first started transferring Covid-19 patients to hospital, and he believes the shortage of protective equipment is to blame.

“At the beginning of the crisis, we threw away the glasses, the medical suit and the mask after one use. Now we are using one mask per day, until the stock runs out,” Gual said.

“Yesterday I talked to a colleague from the emergency service who told me they are overwhelmed – without material, without resources, without people. The medical suits are reused and sterilised until they have holes,” he said.

There have also been reports of doctors and nurses in Spain making their own protective clothing out of bin liners.

To ease the burden on Spain’s medical workforce, retirees have been asked to return to practice and newly licensed personnel have been recruited to make up the shortfall. One of the new recruits is Candela Lebrero, who completed her medical degree last year and is now a nurse at a hospital in Madrid.

The Spanish capital has seen the country’s largest number of infections – with more than 36,000 – and staff at the Madrid Principe de Asturias Hospital, where Lebrero works have been among those falling ill from the disease.

Reports of an overload of patients were very real, she said, with emergency rooms forced to send less serious cases to “medicalised hotels” and additional hospital wards switched to caring for Covid-19 patients.

As for rapid testing, it “hadn’t arrived yet” at Lebrero’s hospital, which was relying on PCR tests – the swab technique which identifies the presence of any genetic material belonging to the virus – as a diagnostic for both patients and health personnel who presented with symptoms, she said.

Similar problems have been reported across Spain and last week the health ministry’s coordinator for the emergency response, Fernando Simon, acknowledged the difficulties for health care workers to access protective equipment.

On March 25, Simon admitted the jump in infections among medical staff was due to “a market access problem” as supplies “are scarce and there is non availability” – a problem not limited to Spain.

“We are on the way to a solution,” he said. On Monday, Simon also tested positive for the disease.

While equipment shortages are a global problem, Spain was hit particularly hard after its two largest distributors of medical supplies – located in France and Germany – were ordered to stop selling by their governments in early March, fearful of depleted stocks in their own countries as the pandemic spread.

The decision, which was criticised for being contrary to the spirit of the European Union, forced the Spanish government to turn to other measures, including the purchase of 432 million (US$467 million) worth of supplies from China.

A freight corridor was also opened to speed deliveries, and Spanish manufacturers were put on a “war footing” to urgently switch to making medical supplies. The car industry is now turning out respirators and gels, while textile manufacturers have turned their hand to producing gowns and face masks.

Sports equipment chain Decathlon has even adapted its snorkel goggles for medical use and donated its entire stock to Spanish hospitals.

A Covid-19 patient wears a full-face snorkelling mask which has been converted into a ventilator. Photo: Reuters
A Covid-19 patient wears a full-face snorkelling mask which has been converted into a ventilator. Photo: Reuters
The scramble to address shortages in Spain’s overstretched health system has not been without problems. Last week, the government withdrew 58,000 Covid-19 rapid test kits
 it bought from a Chinese company, after their accuracy rate was reported to be just 30 per cent.
China said the kits were not approved for sale and not included in supplies sent by Beijing to Spain.
It is not clear if the supplies from China have arrived, but on the ground medical personnel said they had not yet seen the equipment.
“It is assumed that the new ones have already arrived, but they have to pass the approval of the Carlos III Public Health Institute [a Spanish public health research institute], and their use is not yet widespread,” Laura Díez, press officer for the State Confederation of Medical Unions said.
“Their arrival will improve the situation since at least it would be known if someone in contact with the infected could transmit the disease, especially health personnel,” she said.
Medical staff in Spain acknowledge the daily applause from the public which has become a feature of the coronavirus pandemic. Photo: DPA
Medical staff in Spain acknowledge the daily applause from the public which has become a feature of the coronavirus pandemic. Photo: DPA
Several health organisations have appealed to the courts in their desperate bid to get hold of protective equipment. A Madrid court did accept the argument by an association of doctors that the authorities should be forced to provide adequate supplies to all health personnel.
But the Supreme Court refused to support the claim, saying it recognised the government was doing everything it could.
“We presented precautionary measures and they were dismissed, we have filed an appeal,” Díez said.
“At the moment we have no answer. Authorities said that planes with the material are arriving, but at the hospitals, they are not seen.”
Spain says Covid-19 can lead to closer ties with Chinese medical suppliers
29 Mar 2020

Meanwhile, the General Councils of Dentists, Nurses, Pharmacists, Doctors, and Veterinarians, which represent more than 700,000 health professionals in Spain, expressed its “absolute rejection” of new guidelines for medical workers set by the health ministry.

In a notice issued on Friday, the ministry said that health professionals that had not been tested for Covid-19 but who took time off should return to work seven days after the onset of symptoms as long as they did not have a fever or respiratory problems.

Once back at work, they should wear a surgical mask for 14 days from the onset of symptoms and avoid contact with other people.

The general councils said some of the guidelines represented “a serious risk” to the health of professionals and their patients.

Ambulance worker Mateu is currently in isolation at home as he recovers from the disease, but his thoughts are with his colleagues and their daily struggle. He said he thanked his supervisors and coordinators for working hard every day.

With so many of the staff themselves sick, there was a lot of stress on those who were still at work, he said.

“I have the feeling that the effort and management is not being done from the top down, but from the bottom up: from us who work directly with the patients, our supervisors and they are continuing the chain of gestures and efforts,” he said.

Source: SCMP

01/02/2020

Coronavirus declared global health emergency by WHO

The new coronavirus has been declared a global emergency by the World Health Organization, as the outbreak continues to spread outside China.

“The main reason for this declaration is not what is happening in China but what is happening in other countries,” said WHO chief Tedros Adhanom Ghebreyesus.

The concern is that it could spread to countries with weaker health systems.

Meanwhile, the US has told its citizens not to travel to China.

The state department issued a level four warning – having previously urged Americans to “reconsider” travel to China – and said any citizens in China “should consider departing using commercial means”.

China has said it will send charter plans to bring back Hubei province residents who are overseas “as soon as possible”.

A foreign ministry spokesman said this was because of the “practical difficulties” Chinese citizens have faced abroad. Hubei is where the virus emerged.

At least 213 people in the China have died from the virus, mostly in Hubei, with almost 10,000 cases nationally.

The WHO said there had been 98 cases in 18 other countries, but no deaths.

Most international cases are in people who had been to Wuhan in Hubei.

However in eight cases – in Germany, Japan, Vietnam and the United States – patients were infected by people who had travelled to China.

People wearing masks

Getty Coronavirus outbreak outside China
  • 18 The number of countries with cases
  • 14 Cases in Thailand and Japan
  • 13 Singapore
  • 11 South Korea
  • 8 Australia and Malaysia
  • 5 France and USA

Source: WHO and local authorities

Speaking at a news conference in Geneva, Dr Tedros described the virus as an “unprecedented outbreak” that has been met with an “unprecedented response”.

He praised the “extraordinary measures” Chinese authorities had taken, and said there was no reason to limit trade or travel to China.

“Let me be clear, this declaration is not a vote of no confidence in China,” he said.

But various countries have taken steps to close borders or cancel flights, and companies like Google, Ikea, Starbucks and Tesla have closed their shops or stopped operations.

The US Commerce Secretary, Wilbur Ross, has said the outbreak could “accelerate the return of jobs to North America”.

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Preparing other countries

Analysis box by James Gallagher, health and science correspondent

What happens if this virus finds its way into a country that cannot cope?

Many low- and middle-income countries simply lack the tools to spot or contain it. The fear is it could spread uncontrollably and that it may go unnoticed for some time.

Remember this is a disease which emerged only last month – and yet there are already almost 10,000 confirmed cases in China.

The 2014 Ebola outbreak in West Africa – the largest in human history – showed how easily poorer countries can be overwhelmed by such outbreaks.

And if novel coronavirus gets a significant foothold in such places, then it would be incredibly difficult to contain.

We are not at that stage yet – 99% of cases are in China and the WHO is convinced the country can control the outbreak there.

But declaring a global emergency allows the WHO to support lower- and middle-income countries to strengthen their disease surveillance – and prepare them for cases.

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How unusual is this declaration?

The WHO declares a Public Health Emergency of International Concern when there is “an extraordinary event which is determined… to constitute a public health risk to other states through the international spread of disease”.

It has previously declared five global public health emergencies:

  • Swine flu, 2009 – The H1N1 virus spread across the world in 2009, with death toll estimates ranging from 123,000 to 575,400
  • Polio, 2014 – Although closer than ever to eradication in 2012, polio numbers rose in 2013
  • Zika, 2016 – The WHO declared Zika a public health emergency in 2016 after the disease spread rapidly through the Americas
  • Ebola, 2014 and 2019 – The first emergency over the virus lasted from August 2014 to March 2016 as almost 30,000 people were infected and more than 11,000 died in West Africa. A second emergency was declared last year as an outbreak spread in DR Congo

Media caption Inside the US laboratory developing a coronavirus vaccine

How is China handling the outbreak?

A confirmed case in Tibet means the virus has reached every region in mainland China. According to the country’s National Health Commission, 9,692 cases have tested positive.

The central province of Hubei, where nearly all deaths have occurred, is in a state of lockdown. The province of 60 million people is home to Wuhan, the heart of the outbreak.

The city has effectively been sealed off and China has put numerous transport restrictions in place to curb the spread of the virus.

Coronavirus cases have spread to every province in China. There are now 7711 cases compared to 291 on 20 Jan. Hubei province has more than 4500 cases.
People who have been in Hubei are also being told to work from home until it is considered safe for them to return.

The virus is affecting China’s economy, the world’s second-largest, with a growing number of countries advising their citizens to avoid all non-essential travel to the country.

How is the world responding?

Voluntary evacuations of hundreds of foreign nationals from Wuhan are under way.

The UK, Australia, South Korea, Singapore and New Zealand are expected to quarantine all evacuees for two weeks to monitor them for symptoms and avoid contagion.

Australia plans to quarantine its evacuees on Christmas Island, 2,000km (1,200 miles) from the mainland in a detention centre that has been used to house asylum seekers.

In other recent developments:

  • Italy suspended flights to China after two Chinese tourists in Rome were diagnosed with the virus; earlier 6,000 people on board a cruise ship were temporarily barred from disembarking
  • In the US, Chicago health officials have reported the first US case of human-to-human transmission. Around 200 US citizens have been flown out of Wuhan and are being isolated at a Californian military base for at least 72 hours
  • Russia has decided to close its 4,300km (2,670-mile) far-eastern border with China
  • Two flights to Japan have already landed in Tokyo. Japan has now raised its infectious disease advisory level for China
  • Some 250 French nationals have been evacuated from Wuhan
  • India has confirmed its first case of the virus – a student in the southern state of Kerala who was studying in Wuhan
  • Israel has barred all flight connections with China
  • Papua New Guinea has banned all visitors from “Asian ports”
  • North Korea will suspend all flights and trains to and from China, said the British ambassador to North Korea

Source: The BBC

25/01/2020

China virus toll hits 41; Australia reports first four cases

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

PROTECTIVE SUITS

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

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

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

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

REINFORCEMENTS TO WUHAN

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

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

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

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

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

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

NEW YEAR DISRUPTIONS

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

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

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

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

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

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

Source: Reuters

24/01/2020

China shuts part of Great Wall as virus toll hits 26

BEIJING, China (Reuters) – China ramped up measures to contain a virus that has killed 26 people and infected more than 800, suspending public transport in 10 cities, shutting temples over the Lunar New Year and even closing the Forbidden City and part of the Great Wall.

The week-long holiday to welcome the Year of the Rat began on Friday, raising fears the infection rate could accelerate as hundreds of millions of people travel to their homes and abroad in what is usually a festive time of year.

The World Health Organisation (WHO) has declared the new coronavirus an emergency for China but stopped short of declaring the epidemic of international concern.

While most of the cases and all of the deaths have been in China, the virus has been detected in Thailand, Vietnam, Singapore, Japan, South Korea, Taiwan and the United States. It was likely Britain also had cases, a health official said.

The newly identified coronavirus has created alarm because it is too early to know just how dangerous it is and how easily it spreads between people.

Symptoms include fever, difficulty breathing and coughing.

Most of the fatalities have been elderly, many with pre-existing conditions, the WHO said.

Cases are likely to continue to rise in China but it is too soon to evaluate the severity of the virus, a WHO spokesman said on Friday.

As of Thursday, there were 830 confirmed cases and 26 people had died there, China’s National Health Commission said.

In Wuhan, where the outbreak began last month, pharmacies were running out of supplies and hospitals were flooded with nervous resident seeking medical checks.

“There’s so much news, so much data, every 10 minutes there’s an update, it’s frightening, especially for people like us in a severely hit area,” Lily Jin, 30, a resident of the city, told Reuters by phone.

GRAPHIC: The spread of a new coronavirus – here

Reuters Graphic

MORE RESTRICTIONS

While restrictions have already been put in place in cities across the country to curb the outbreak, China will take stricter and more targeted measures, state television reported citing a state council, or cabinet, meeting on Friday, but gave no further details.

“The spread of the virus has not been cut off … Local authorities should take more responsibility and have a stronger sense of urgency,” state broadcaster CCTV said.

Most cases have been in Wuhan, where the virus is believed to have originated in a market that traded illegally in wildlife. Preliminary research suggested it crossed to humans from snakes.

The city of 11 million people, and neighboring Huanggang, a city of about 7 million, were in virtual lockdown.

Nearly all flights at Wuhan’s airport had been canceled, and airports worldwide have stepped up the screening of passengers from China.

Checkpoints blocked the main roads leading out of town, and police checked incoming vehicles for wild animals.

Wuhan was rushing to build a 1,000-bed hospital for the infected by Monday, the official Changjiang Daily reported.

About 10 people got off a high-speed train that pulled into Wuhan on Friday afternoon but nobody got on before it resumed its journey. Although it stopped there, Wuhan had been removed from the train’s schedule.

“What choice do I have? It’s Chinese New Year. We have to see our family,” said a man getting off the train who gave his family name Hu.

CHINA EMERGENCY

The WHO said on Thursday it was a “bit too early” to designate the outbreak a public health emergency of international concern, which would require countries to step up their response.

Some experts believe the virus is not as dangerous as the one that caused the 2002-03 outbreak of Severe Acute Respiratory Syndrome, which also began in China and killed nearly 800 people, or the one that caused Middle East Respiratory Syndrome, which has killed more than 700 people since 2012.

There is no known vaccine or particular treatment.

“There is some work being done and there are some trials now for MERS (vaccines). And we may look at some point whether those treatments and vaccines would have some effect on this novel coronavirus,” WHO spokesman Tarik Jasarevic said on Friday.

Gilead Sciences Inc said it was assessing whether its experimental Ebola treatment could be used. Meanwhile, three research teams were starting work on vaccines, the Coalition for Epidemic Preparedness Innovations said.

In the meantime, Chinese authorities have imposed restrictions on movement and gatherings to try to stem the spread. It has advised people to avoid crowds and 10 cities in the central province of Hubei, where Wuhan is located, have suspended some transport, the Hubei Daily reported.

Some sections of the Great Wall near Beijing will be closed from Saturday, state media said.

Some temples have also closed, including Beijing’s Lama Temple where people make offerings for the new year, have also been closed as has the Forbidden City, the capital’s most famous tourist attraction.

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

The virus is expected to dent China’s growth after months of economic worries over trade tensions with the United States, unnerving foreign companies doing business there.

Shares in luxury goods firms have suffered from the anticipated drop in demand from China, and on Friday French spirits group Remy Cointreau said it was “clearly concerned” about the potential impact.

Source: Reuters

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