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Beware the Waking Dragon
Marks caused by the mask are seen on the face of a nurse at the Fuzhou Pulmonary Hospital in Fuzhou, southeast China’s Fujian Province, Jan. 31, 2020. (Photo by Wang Yi/Xinhua)
BEIJING, May 11 (Xinhua) — Chinese President Xi Jinping, also general secretary of the Communist Party of China Central Committee and chairman of the Central Military Commission, has sent greetings to nurses across the country ahead of International Nurses Day, which falls on May 12.
Source: 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.
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.
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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
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
Image copyright LI YAN“Doctors and nurses are people who saved me from cancer and gave me strength in the darkest time. I need to return the favour,” says Li Yan, a food delivery rider based in Beijing.
Mr Li was diagnosed with lymph cancer in 2003, when he was just 17 years old. He recovered from the disease and has been full of gratitude ever since for the medical workers who nursed him back to health. With China in a national lockdown, food delivery firms found themselves in hot demand providing meals for residents stuck at home to prevent the spread of the coronavirus.
As a delivery rider for Meituan, one of China’s biggest food delivery firms, Mr Li saw an opportunity to repay the medical professionals he admires by providing them with food and drinks as they worked tirelessly on patients across the city. “Given my past experience, I felt I needed to do something for them in return during the virus outbreak,” he adds.
Beijing is a city of 21 million residents, and Mr Li covers its Tongzhou district, where there are a handful of hospitals with fever clinics, one of which is a designated hospital for Covid-19 treatment. “Many might have concerns delivering for the hospital, but I’ve chosen to deliver for them more often. I just think of the local residents and medical workers who need us. I can’t leave them being hungry. It’s not for money.”
Before the outbreak in China, he delivered more than 50 orders on an average day. But during the first ten days after the coronavirus outbreak in late January, the number of orders dropped to less than 20, as some restaurants were closed. The outbreak also coincided with the Chinese New Year period which is normally a low season.
“By mid-February when the situation was brought more under control, and people’s concerns and fears gradually began to ease, orders started to be restored. I can deliver over 40 orders a day now.”
Image copyright LI YANDuring this time, Meituan brought in a contactless delivery option which allowed food to be dropped off at designated points to avoid contact between customers and riders. “When I called customers to explain, some initially didn’t understand and wanted to cancel the order. But gradually people grew more understanding and began to welcome the contactless approach.”
China was in lockdown for more than two months, although restrictions are now beginning to be lifted. It will still take time before a sense of normalcy returns.
“I remember when the coronavirus first broke out, it was hazy for a few days in Beijing. Streets were empty and stores were closed. An ambulance or a delivery rider occasionally drove by. It felt like I was living in a different world.”
Mr Li says restaurants have started to re-open and people have begun coming back to work in the office since mid-February. Orders are still lower than normal but are improving.
“I miss the hustling Beijing which used to filled with traffic, the days when I could smell car exhaust when I stop at crossroads, the times when I had to walk all the way up to the 6th floor to deliver food, and even times when I was late for a delivery.”
Image copyright LI YANWhen the virus first broke out, face masks and alcohol disinfectant were the most ordered items along with supermarket groceries. “Grains, rice, cooking oil, vegetables, fruits, and solid, packaged food that lasts long. Orders often came in big sizes and transaction prices at around 200 yuan [£23; $28] to 300 yuan on one order.”
Being a food delivery rider, Mr Li feels he can not only give back to the medical community but to the city’s vulnerable too.
“I once received an order that came with a note saying the customer is a 82-year-old who lives alone and couldn’t get downstairs to pick up the food so the rider needs to enter the residential community and deliver food to the door. I had to spend some time communicating with security and finally was allowed in. The door was open when I arrived, and I put the bowl of wontons [a type of dumpling] on the table.”
Tips have increased from happy customers during the pandemic as a result. “Many more send me thank-you notes in the Meituan app and tell me to take care.”
Image copyright LI YANMr Li has a new routine now which involves lots of disinfecting and temperature checks. “I get my temperature checked dozens of times everyday now, before entering shopping malls, at restaurants, and returning home to the residential compound I live in. I also bring with me disinfectant sprays, a towel in my scooter and use disposable gloves when delivering to areas with reported confirmed cases.”
While he’s providing a vital service, is Mr Li worried about the risk of infection? “I did have worries when the virus spread and was at its worst time here but I feel like I’ve already been there, given what I went through in the fight against cancer.
“I’ve learnt to take things easy, look at the bright side of things and always seek strength in a dark time. As long as I take sufficient precautions, masks, gloves, disinfectants and everything, and follow advice from disease control experts, I think the possibility of getting the virus is pretty low.”
And with a seven-month pregnant wife at home, Mr Li is looking forward to happier times.
Source: The BBC
Image copyright GETTY IMAGESIndia is preparing for a potential surge in Covid-19 patients by tapping into an unusual resource: its trains, which power the world’s fourth biggest rail network.
The country suspended its passenger trains for the first time after it announced a three-week lockdown on 25 March to contain the coronavirus. As of Wednesday, it had reported 4,643 active cases and 149 deaths, and the numbers are rapidly increasing.
“We, at the railways, thought: how can we contribute?” its spokesman, Rajesh Bajpai, told the BBC. “So we came up with this idea and everyone liked it.”
Work has already begun to convert 5,000 train coaches into quarantine or isolation wards, which amounts to 40,000 beds. And the railway ministry says it’s prepared to convert 15,000 more coaches.
The Indian railways – as the ministry is known – is a behemoth. Largely constructed during British rule, it’s still the mainstay of India’s public transport, and includes some of the world’s busiest urban rail systems. It transports 23 million passengers a day and its 12,000 trains crisscross 65,000km (40,389 miles) of tracks, connecting the remotest parts of India.
Mr Bajpai says the coaches can be spared as they are mostly trying to convert older ones, and passengers will be fewer than ever in the coming months even if restrictions are eased.
He adds that this is not unusual for the railways, which already runs several “special” trains, from luxury trains to exhibition trains to a hospital train, complete with operation theatres.
“The coach is a shell and inside, you can provide anything – a drawing room, a dining room, a kitchen, a hospital.”
A looming crisis?
And India may well need the extra beds.
States have already turned all sorts of spaces – sports centres, stadiums, wedding venues, hotels, resorts – into quarantine or isolation centres. But officials fear they will run out of space as the country ramps up testing.
Image copyright GETTY IMAGESFor every person who tests positive, there are scores more who need to be traced, quarantined and, if necessary, isolated. But isolation at home is not always an option in India’s joint family households – and especially not in its densely-populated slums.
In Mumbai’s Dharavi, a sprawling slum, officials sealed off an entire building where 300 people lived after one of its residents tested positive. But the looming concern is, in the event of more such outbreaks, where will they send high-risk or symptomatic patients?
“There are so many options available and this [the coaches] is one of the options,” Mr Bajpai says.
He doesn’t foresee them being used until beds in existing quarantine or isolation centres are filled. But, he adds, they will keep them ready with the necessary facilities.
That includes converting one of the two toilets in each coach into a “bathing room”, providing oxygen cylinders in every coach, and modifying all the cabins so they can hold medical equipment. And then there are measures that are specific to Covid-19 – such as replacing taps that turn with those that have long handles, and fitting dustbins with foot pedals.
Image copyright GETTY IMAGESThe ministry has also ordered extra coat hooks and mosquito nets for every cabin, and has instructed officials to make sure that charging points are working, the upholstery “is in good condition” and “broken panels are replaced”.
The coaches are being readied in 130 different locations across the country, but it’s yet to be decided where they will be stationed.
Mr Bajpai says it’s up to states to decide which stations they want the coaches in. But that in itself is a process because the coaches need regular water and electric supply.
And there are other concerns too. Summer has begun and large parts of India record scorching temperatures, often more than 40C. And the coaches that are being converted are not air-conditioned.
“The patient will be very uncomfortable. Doctors and nurses will be wearing protective gear, and they will find it very difficult,” says Vivek Sahai, a former chairman of the railway board.
Image copyright GETTY IMAGESHe also says not everyone might be comfortable squatting to use Indian-style toilets; and he wonders if all the designated coaches have a proper system of waste management. (Indian coaches are designed to dispose of human waste onto the tracks although new technologies have begun to be adopted in recent years.)
“I am not saying it cannot be done but they have to take care of these things,” he says. “But if anybody can do it, it’s the railways.”
However, some experts say that this by itself is not going to help solve India’s problems.
“You don’t just need space,” says Dr Sumit Sengupta, a pulmonologist. “We need thousands of doctors and nurses if you really have to make a dent.”
India is severely short of both, and at least three hospitals have been sealed this week alone after members of the staff tested positive.
“Why isolate someone who has symptoms when there is no treatment? Because you don’t want them to spread the infection,” Dr Sengupta says.
But, he adds, the virus is spreading anyway because so many patients are asymptomatic. He says isolating symptomatic patients will not help unless India starts testing aggressively.
“This will work only as part of a larger strategy,” he adds. “Test, trace and isolate. Test should come first.”
Source: The BBC
Image copyright GETTY IMAGESLast month, India’s Supreme Court appeared to nudge the government to consider lifting the military’s official ban on women in combat roles – and to give them commanding roles.
“Test them on [the] same footing as men. Do not exclude them [women officers] as a class. [A] change of mindset is required,” the court said.
Earlier this week, the government responded. Its lawyers told the top court that women were not fit to serve in ground combat roles. For one, male soldiers are not “yet mentally schooled to accept women officers in command”. Then there were the “challenges of confinement, motherhood and childcare”.
This, according to military historian Srinath Raghavan, is an “extraordinary and regressive” claim, reminiscent of the claims of colonial rulers that Indian soldiers would never accept Indian commanders. “Military training is about fundamentally reshaping norms and attitudes that soldiers bring from their social backgrounds,” he says.
India’s armed forces began inducting women officers in 1992. Over the decades, they have been given combat roles in the air force. Women have been inducted as fighter pilots and have flown sorties into combat zones; they will be inducted as sailors as soon as ships that can accommodate them are ready. Last year, a 24-year-old became the navy’s first woman maritime reconnaissance pilot.
The army is a striking exception. Women have worked here as doctors, nurses, engineers, signallers, administrators and lawyers. They have treated soldiers on battlefields, handled explosives, detected and removed mines, and laid communication lines. Women officers have also been given permanent commission – a 20-year service, depending on eligibility and rank. Last year, women were cleared to join the military police.
Image copyright GETTY IMAGESSo they have ended up doing almost everything except combat roles: women are still not allowed to serve in infantry and the armoured corps. According to 2019 figures, women comprise only 3.8% of the world’s second-largest army – compared to 13% of the air force and 6% of the navy. There are some 1,500 female officers compared to more than 40,000 male officers.
All this, says Akanksha Khullar, a researcher at Delhi’s Institute of Peace and Conflict Studies, cannot really be considered a “milestone for women empowerment, as the doors have opened up with an extremely limited capacity”. India’s national security narrative, she told me, is “shaped, limited, and permeated by ideas about gender – with an overt masculine predominance and the structural exclusion of women”.
She says the gender disparities are “well reflected in institutional attitudes right at the top” and that “patriarchal notions are probably more ingrained in the army” than the other forces.
She’s correct. In 2018, former army chief and the current Chief of Defence Staff Gen Bipin Rawat told a news network that there weren’t any women soldiers serving in front line combat positions because “a woman would feel uncomfortable at the front line”.
He said maternity leave was an issue, women need more privacy and protection, and that India was not yet ready to accept “body bags of women” killed in combat. He also said that women need to be “cocooned” from the eyes of subordinate soldiers. Mr Rawat’s comments had sparked considerable outrage.
Image copyright AFPAround the world, getting women into combat roles has been a hard won battle. More than a dozen nations allow women in combat roles.
When women officially became eligible for combat positions in the American military in 2013, it was widely hailed as another step towards the equality of sexes. In 2018, the UK military lifted a ban on women serving in close combat ground roles, clearing the way for them to serve in elite special forces. At that time, critics pointed out that mixed-gender teams in close combat could lack cohesion, and there was some evidence that women are less likely to pass the tests and aerobic fitness.
“While some can argue that women, in general, may not be able to cope with the rigour of combat due to the sheer physical strength required, why deny the opportunity to those who can? In my view, the right of a woman to serve in any role in the armed forces must be equal to a man’s as long as the physical and qualitative standards are not compromised,” says HS Panag, a retired Indian general.
In other words, patriarchy should not come in the way of equality and common sense.
Source: The BBC
The Lunar New Year’s Eve in Wuhan, ground zero of the novel coronavirus outbreak in central China, is nothing but special. Behind the seemingly quiet streets, people in all walks of life are racing against time to fight against the invisible enemy.
WUHAN, Jan. 25 (Xinhua) — There were far fewer cars on the streets and bustling crowds were not seen in the shopping malls in the central Chinese city of Wuhan on Jan. 24 — the Eve of the Chinese Lunar New Year.
The scene was quite different from the occasion in the previous years because of the novel coronavirus that has claimed over 40 lives and infected over a thousand nationwide. With a population of over 10 million, Wuhan, the capital city of Hubei Province, is the center of the epidemic.
Photo taken on Jan. 24, 2020 shows a medical aid team of Army Medical University leaving for Wuhan in southwest China’s Chongqing. On the Chinese Lunar New Year’s Eve, a group of 150 medical workers from the Army Medical University left for Wuhan, the center of the novel coronavirus (2019-nCoV) outbreak, to provide medical aid. (Xinhua)
Yang Yingchen, a volunteer of the Red Cross Society of China’s Wuhan branch, had a busy day answering calls.
“People from across the nation called to check on accounts and addresses to make donations,” said Yang. “Many would say ‘Come on, Wuhan’ to us, which makes me feel especially warm and deeply moved.”
Chen Li, a doctor in a Wuhan hospital, spent the Chinese Lunar New Year’s Eve at home to quarantine herself. She is a little bit worried about having had contact with infected patients, but luckily she has no signs of symptoms for the time being.
“Before joining the fight against the epidemic, I had sent my four-year-old son to my parents. I has disinfected all the articles in my house,” she said.
Chen’s husband is at the forefront of the fight against the epidemic. “We haven’t seen each other for over a week,” said Chen. On Saturday morning, she put on protective clothing again and returned to work.
“Actually, I can’t be isolated for too long. There’s still a lot of work to be done,” she said. “I just don’t know when I can see my boy again.”
Aerial photo taken on Jan. 24, 2020 shows mechanical equipment working at the construction site of a special hospital in the Caidian District of western suburb of Wuhan, central China’s Hubei Province. The central China metropolitan of Wuhan will follow Beijing’s SARS treatment model to build a special hospital for admitting patients infected in the outbreak of pneumonia caused by the novel coronavirus. (Xinhua/Xiao Yijiu)
The virus had resulted in 41 deaths in China by the end of Friday, mostly in Wuhan, according to the National Health Commission. Nationwide, a total of 1,287 cases were confirmed, including 237 in critical condition.
Confirmed cases were also reported in China’s Hong Kong, Macao and Taiwan, as well as Thailand, Japan, the Republic of Korea, the United States, Vietnam, Singapore, Nepal and France.
Wuhan is following Beijing’s SARS treatment model in 2003 to build a makeshift hospital with a capability of 1,000 beds for admitting infected patients. Construction on the facility began Thursday night. It will be completed and put into use prior to Feb. 3, less than 10 days away.
“It’s going to be another all-nighter. We need to speed up work and complete the hospital as soon as possible,” said Lyu Jun, a young truck driver at the construction site. This is his first Spring Festival away from home.
For ordinary people, this year’s Lunar New Year’s Eve lacks some gatherings but is still a time to extend greetings and wishes.
Yin Yeqiong, from Hunan Province, refunded her tickets back home after much debate. “I had it in my mind to still go home, but finally decided to stay in Wuhan,” she said. “Our stay will help reduce panic in other places.”
Liu Jie, a dough sculptor, put on a New Year costume and watched the Spring Festival Gala with his family. “We’re now at a critical period, so I texted New Year wishes to friends and relatives this year. I believe this is the best way,” he said.
Liu Jiapeng, a children’s book editor, stayed in Wuhan during the Spring Festival for the past four decades. “I always stayed with my family, and we would have every meal together,” said Liu. “But this year, I haven’t had one meal with them.”
On the day of the Lunar New Year’s Eve, he and his wife bought some goods for their parents, brought them to their house and briefly chatted. As they were waiting for the elevator, Liu looked back and saw his father standing at the windowsill, watching them leave.
Medical workers of Army Medical University assemble before leaving for Wuhan in southwest China’s Chongqing, Jan. 24, 2020. On the Chinese Lunar New Year’s Eve, a group of 150 medical workers from the Army Medical University left for Wuhan, the center of the novel coronavirus (2019-nCoV) outbreak, to provide medical aid. (Xinhua)
China is mobilizing medical resources nationwide to aid Wuhan and control the epidemic. Doctors, nurses and experts from across the nation have been selected to join the battle, and manufacturers have restarted their plants to produce medical consumables that have been running short in many places.
A national research team of 14 experts, headed by renowned respiratory scientist Zhong Nanshan, has been set up to help prevent and control the outbreak on Friday.
“This is going to be an unforgettable Spring Festival,” said Chen Ying, a writer. “Because I feel that at this moment, there are so many families that I do not know, in every corner of this city, praying for our home.”
“My New Year wish is simple,” said Liu Jie. “I hope the virus will soon be conquered and everyone in Wuhan and the whole nation would be safe and healthy.”
Source: Xinhua
continuously updated blog about China & India
continuously updated blog about China & India
continuously updated blog about China & India
CHINDIA ALERT: You'll be living in their world, very soon 