Archive for ‘outbreaks’

09/05/2020

Delayed South China Sea talks expose China’s complex relationship with neighbours during pandemic

  • Nations may need help from China during virus outbreaks but remain wary of Beijing as adversary in disputed waters
  • Analysts say code of conduct negotiations are too sensitive and important for virtual meetings and may be delayed until coronavirus crisis is resolved
On April 18, the US Navy Ticonderoga-class guided missile cruiser USS Bunker Hill (front) and Arleigh-Burke class guided-missile destroyer USS Barry transit the South China Sea. The presence of both Chinese and American navy ships in the area in recent weeks worries Southeast Asian nations. Photo: US Navy
On April 18, the US Navy Ticonderoga-class guided missile cruiser USS Bunker Hill (front) and Arleigh-Burke class guided-missile destroyer USS Barry transit the South China Sea. The presence of both Chinese and American navy ships in the area in recent weeks worries Southeast Asian nations. Photo: US Navy
Negotiations between China and its Southeast Asian neighbours for a South China Sea
code of conduct have been postponed as the nations involved put their efforts into containing the Covid-19 pandemic, creating uncertainty about whether the two sides can work together amid rising tensions in the contested territory.
Southeast Asian nations are increasingly caught in a dilemma whether to maintain relations with Beijing during the pandemic while also fearing that tensions over the disputed waters are spiralling out of control. Both Chinese and United States navies are sending vessels to the area more frequently.
Indonesian Foreign Minister Retno Marsudi expressed concern over recent activities in the South China Sea, noting that they might potentially escalate tensions at a time when global collective effort to fight Covid-19 was essential.

Speaking on Wednesday, she called on all parties to respect international law, particularly the United Nations Convention on the Law of the Sea.

“While negotiation of the code of conduct is being postponed due to Covid-19, Indonesia calls on all relevant parties to exercise self-restraint and to refrain from undertaking action that may erode mutual trust and potentially escalate tension in the region,” she said.
Indonesia's Foreign Minister Retno Marsudi. Photo: AP
Indonesia’s Foreign Minister Retno Marsudi. Photo: AP
Calls for a binding code of conduct surfaced in 1995 when China occupied Mischief Reef
, a maritime feature claimed by the Philippines. China did not agree to start talks until 1999, and subsequent negotiations led to a non-binding Declaration on Conduct in 2002.
The Association of Southeast Asian Nations (Asean) and China agreed in 2018 on a draft code laying the foundations for conduct in the disputed waters. At that time, Chinese Premier Li Keqiang said China hoped to complete the negotiation by the end of 2021, a move he said could show China and Asean could jointly maintain regional peace.
Named and claimed: is Beijing spoiling for a new fight in the South China Sea?
27 Apr 2020

But tensions over the South China Sea have not calmed and, in fact, have surged in recent months with both Beijing and Washington seen to be using the Covid-19 pandemic to create a stronger presence there.

This year, the US has conducted four freedom of navigation operations in the South China Sea and China has scrambled air and sea patrols to expel US vessels.

The confrontation between Beijing and Southeast Asian nations has also intensified. Last month, a Vietnamese fishing boat sank after a collision with a Chinese coastguard vessel near the Paracel Islands, known in China as the Xisha Islands, and in Vietnam as the Hoang Sa Islands.
On Saturday, the 35th escort fleet of the Chinese navy also conducted drills in the Spratly Islands chain – known as Nansha Islands in China – after completing an operation in the Gulf of Aden, off Somalia. Analysts said the drill aimed to boost far-sea training for combat ships and boost protection against piracy for Chinese merchant ships.

Collin Koh, a research fellow at the S. Rajaratnam School of International Studies, based at Nanyang Technological University in Singapore, said the code of conduct talks had been delayed because of the pandemic, but Beijing was consolidating its position in the South China Sea amid the outbreak.

“So it’s doing what it can now to consolidate and further enhance its position before talks restart, and by then these moves will raise Beijing’s leverage in the negotiations with its Asean counterparts,” he said.

“The current situation gives it a window of opportunity amid this interlude on the talks, to further advance its physical hold in the South China Sea, especially while Asean parties have their hands full on the pandemic”.

Asean nations have turned their attention to coping with coronavirus outbreaks in their own countries. On April 14, a live video conference for the special Asean Plus Three Summit on the coronavirus pandemic was held in Hanoi. Photo: AFP
Asean nations have turned their attention to coping with coronavirus outbreaks in their own countries. On April 14, a live video conference for the special Asean Plus Three Summit on the coronavirus pandemic was held in Hanoi. Photo: AFP
Kang Lin, a researcher with Hainan University, said progress for the code of conduct would still go ahead, but it might be affected as face-to-face meetings between officials were disrupted.
“The negotiations involves multiple departments, such as diplomacy, maritime affairs, fisheries and even oil and gas-related departments,” he said, adding that those discussions might go online and might not be as effective.
“It is not easy to predict to what extent it will affect next year's goals. If the pandemic cannot be eliminated in the first half of next year, it may be longer than the three-year period we had previously scheduled,” he said.
Richard Heydarian, an academic and former Philippine government adviser, said video-conference meetings would be inadequate for negotiations about the future of the South China Sea.
“The problem with the negotiation of the code is that these are very sensitive, difficult negotiations. I don't think you can really do it just online, these are things that are done in the corridors of power,” he said. “It’s close to impossible to have that right now with the suspension of all international meetings in the Asean.”

Heydarian said Southeast Asian nations hoped to get help from China to contain the pandemic, but were showing unease about Beijing.

“I think there is a lot of resentment building against China,” he said. “There is also a lot of desperation to get assistance from China and, at the same time, complete helplessness with the fact that it is very hard to conduct any important extended international meeting on the level of Asean and beyond under current circumstances.”

Chinese Foreign Ministry spokesman Hua Chunying said on Thursday that China would push forward negotiations on the code of conduct, and hoped the code would be useful for peace and stability over the South China Sea.

Source: SCMP

18/04/2020

India coronavirus: Navy says 21 sailors test positive at key Mumbai base

Navy cadets take part in a rehearsal infront of the Taj Mahal hotel in Mumbai on November 24, 2010.Image copyright GETTY IMAGES

Indian defence officials have reported a coronavirus outbreak at a key naval base in the western city of Mumbai.

Twenty-one personnel have tested positive for Covid-19 at INS Angre, which is the seat of the force’s western command, the navy said in a statement on Saturday.

It added that there are no infections aboard any ships or submarines.

India has 11,906 active infections and 480 deaths, according to the latest data from the ministry of health.

The Navy said that they had tested a number of personnel who had come into contact with a soldier who had tested positive earlier this month. Many of those who had tested positive for the virus, the statement added, were asymptomatic.

They are all currently undergoing treatment.

All 21 personnel live in the same residential block, which has been declared a containment zone and has been placed under lockdown.

In a video message to personnel last week, Navy Chief Admiral Karambir Singh stressed the importance of keeping ships and submarines free of the virus.

“The coronavirus pandemic is unprecedented and it has never been seen before. Its impact has been extraordinary across the globe, including India,” he said.

The navy has been playing an active role in India’s response to the Covid-19 outbreak.

It has set up isolation facilities to treat patients at one of its premier hospital units and is also running quarantine camps.

The outbreak aboard the Indian naval base follows reports of outbreaks aboard vessels belonging to other nations.

More than 500 sailors on the USS Roosevelt have tested positive for the virus and one of them died earlier this week. And nearly a third of the sailors serving with France’s aircraft carrier Charles de Gaulle – 668 out of nearly 2,000 – have been infected with coronavirus.

Source: The BBC

09/04/2020

India and Pakistan locked in border fighting amid coronavirus crisis

NEW DELHI (Reuters) – Indian and Pakistani troops in disputed Kashmir are engaged in their most frequent cross-border fighting of at least two years, official data shows, even as both nuclear-armed rivals battle surging coronavirus outbreaks.

Kashmir has long been a flashpoint between the neighbours but tension was renewed after New Delhi withdrew the autonomy of the Himalayan region last August and split it into federally-administered territories.

Both countries claim the region in full, but rule only parts, and often accuse each other of breaching a 2003 ceasefire pact by shelling and firing across the Line of Control (LoC), an informal border in Kashmir, and of killing dozens every year.

Indian Army data reviewed by Reuters shows 411 ceasefire violations by Pakistan’s military in March, the highest number in a single month since at least 2018. That compares with 267 violations in March last year recorded by the Indian Army.

“(The) Pakistan Army never initiates ceasefire violations along LoC, but it has always responded befittingly to Indian Army’s unprovoked firing,” said Major-General Babar Iftikhar, of the public relations wing of the Pakistan Army.

Iftikhar said Pakistan’s military had recorded 705 ceasefire violations by the Indian Army since the beginning of the year.

The Indian Army data showed 1,197 Pakistani violations during the same period.

Reuters is not in a position to independently verify the competing claims.

Four Indian army officials said the heightened border activity was a cover to help militants from Pakistan-backed groups infiltrate into Indian Kashmir, as some troops help to run health camps and hand out food in the battle on the virus.

“The increase in ceasefire violations is an indication that Pakistan is trying to push militants into the Kashmir valley,” said one of the officials, who all sought anonymity because they were not authorised to speak to media.

India has 5,734 infections, including 166 deaths, while Pakistan has reported 4,072 cases and 58 deaths, with the military of each helping its government’s efforts against the virus.

As summer approaches, infiltration into Kashmir typically picks up. An Indian security official said between 250 and 300 militants were estimated to be ready to cross over from Pakistan, citing intelligence reports.

“This is the time when our (border) fence is the weakest,” with damage caused by winter snows, said the official, who sought anonymity.

On Monday, the Indian Army said in a statement it killed five Pakistan-backed militants at the LoC during a firefight in heavy snow, with five of its special forces soldiers also killed.

Pakistan denies giving material support to militants in Kashmir but says it provides moral and diplomatic backing for the self-determination of Kashmiri people.

Source: Reuters

07/04/2020

China reports no new coronavirus deaths as cases decline

BEIJING (Reuters) – Mainland China reported no coronavirus deaths for the first time since the pandemic began, and a drop in new cases, a day before the central city of Wuhan, where the virus emerged late in December, is set to lift its lockdown.

China had 32 new infections by Monday, down from 39 a day earlier, the National Health Commission said.

For the first time since the commission began publishing nationwide data in late January, Hubei’s provincial capital of Wuhan saw no new deaths, joining the rest of mainland China, which has recorded none since March 31.

Wuhan, a city of 11 million that reported only two new infections in the past fortnight is due to allow residents to leave the city on Wednesday, for the first time since it was locked down on Jan. 23 to curb the spread of the virus.

With mainland China well past February’s peak of infections, authorities have turned their attention to imported cases and asymptomatic patients, who show no symptoms but can still pass on the virus.

Total infections in mainland China stood at 81,740 on Monday with 3,331 deaths, the commission said. It reported 30 new asymptomatic cases, nine involving incoming travellers. Of the new asymptomatic cases, 18 were in Hubei.

By the end of Monday, 1,033 asymptomatic patients were under medical observation.

TIGHTER LAND BORDERS

Overseas arrivals made up all 32 of the new cases with symptoms, down from 38 a day earlier. Total imported infections stand at 983, the commission said.

China faces the “dual risks” of imported infections and domestic cluster outbreaks, a commission spokesman told a briefing on Tuesday.

The northeast province of Heilongjiang reported 20 new cases, all in Chinese citizens returning from neighbouring Russia. It had reported 20 new infections on Sunday, all also cases imported from Russia.

On Tuesday, the Chinese consulate in the Russian city of Vladivostok near the border with China said it strongly reminded Chinese nationals not to return home through the border port of Suifenhe, which is to be closed to all arrivals from Tuesday.

China has shut its borders to foreigners as the virus spread globally, though most imported cases have involved Chinese nationals returning from overseas.

The number of inbound travellers through airports is fewer than 3,000 a day, down from about 25,000 in late March, before China slashed the number of international flights.

It also started testing all international arrivals for the virus this month.

Source: Reuters

07/04/2020

China reports no new coronavirus deaths as cases decline

BEIJING (Reuters) – Mainland China reported no coronavirus deaths for the first time since the pandemic began, and a drop in new cases, a day before the central city of Wuhan, where the virus emerged late in December, is set to lift its lockdown.

China had 32 new infections by Monday, down from 39 a day earlier, the National Health Commission said.

For the first time since the commission began publishing nationwide data in late January, Hubei’s provincial capital of Wuhan saw no new deaths, joining the rest of mainland China, which has recorded none since March 31.

Wuhan, a city of 11 million that reported only two new infections in the past fortnight is due to allow residents to leave the city on Wednesday, for the first time since it was locked down on Jan. 23 to curb the spread of the virus.

With mainland China well past February’s peak of infections, authorities have turned their attention to imported cases and asymptomatic patients, who show no symptoms but can still pass on the virus.

Total infections in mainland China stood at 81,740 on Monday with 3,331 deaths, the commission said. It reported 30 new asymptomatic cases, nine involving incoming travellers. Of the new asymptomatic cases, 18 were in Hubei.

By the end of Monday, 1,033 asymptomatic patients were under medical observation.

TIGHTER LAND BORDERS

Overseas arrivals made up all 32 of the new cases with symptoms, down from 38 a day earlier. Total imported infections stand at 983, the commission said.

China faces the “dual risks” of imported infections and domestic cluster outbreaks, a commission spokesman told a briefing on Tuesday.

The northeast province of Heilongjiang reported 20 new cases, all in Chinese citizens returning from neighbouring Russia. It had reported 20 new infections on Sunday, all also cases imported from Russia.

On Tuesday, the Chinese consulate in the Russian city of Vladivostok near the border with China said it strongly reminded Chinese nationals not to return home through the border port of Suifenhe, which is to be closed to all arrivals from Tuesday.

China has shut its borders to foreigners as the virus spread globally, though most imported cases have involved Chinese nationals returning from overseas.

The number of inbound travellers through airports is fewer than 3,000 a day, down from about 25,000 in late March, before China slashed the number of international flights.

It also started testing all international arrivals for the virus this month.

Source: Reuters

29/03/2020

Why are there so few coronavirus infections in Singapore’s health workers?

  • 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
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
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.

Coronavirus: as Malaysia braces for third wave, doctors make their own face masks

27 Mar 2020

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
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.
Coronavirus: Doctor explains the proper way to wash your hands and put on a face mask

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.

Why Singapore’s coronavirus response worked – and what we can all learn

27 Mar 2020

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
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.

Coronavirus: Covid-19 could live on in Indonesia long after world recovers

22 Mar 2020

“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.
Singapore, Hong Kong, Taiwan: the real coronavirus world leaders
19 Mar 2020

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.”

Source: SCMP

20/03/2020

South Korea discusses coronavirus with China, Japan; plans to quarantine Europe entries

SEOUL (Reuters) – The foreign ministers of South Korea, China and Japan held a video conference on Friday to discuss cooperation on the coronavirus pandemic amid growing concern over the number of infected people arriving in their countries from overseas.

Though the epidemic erupted in China in December, and South Korea at one stage had the second-most infections, both subsequently succeeded in stifling domestic transmission of the virus. [L4N2BC3SC]

The number of cases in Japan has been far smaller, but Tokyo has the extra worry of whether to press ahead with hosting the Olympics this summer.

Japan was given expressions of support for hosting the Olympics during the video-conference call between the minister, according to South Korea’s foreign ministry.

The government remains committed to holding Games as planned in July, despite expectations that some 600,000 spectators and athletes would descend on Tokyo.

Japan has had 963 domestically transmitted cases and 33 deaths, according to public broadcaster NHK. That does not include more than 700 cases and seven deaths from a cruise ship moored near Tokyo last month.

TWO-WEEK QUARANTINE

During their call, the ministers shared information on the outbreaks in their countries.

“I think the three countries need to work together to contain the spread of the coronavirus and minimise any resulting reduction on exchanges and cooperation between the peoples, as well as its economic and social impact,” South Korean Foreign Minister Kang Kyung-wha said at the outset of the call.

South Korea’s government said on Tuesday it will conduct a coronavirus check on all travellers from Europe and impose a two-week mandatory quarantine, starting Sunday, for those who intend staying long term.

“This is the toughest step we could take without banning entries from Europe, where the virus is spreading at an unexpected speed,” Yoon Tae-ho, director-general for public health policy at the health ministry, told a briefing.

“We’re also closely monitoring developments in the United States where the rate of the transmission has been increasing over the last few days.”

The move came a day after tighter border checks took effect for all people arriving from overseas.

South Korea has established special entry procedures for visitors from hard-hit countries like China, Italy and Iran, requiring them to sign up by a smartphone application to track whether they have any symptoms such as fever.

Despite strong diplomatic and economic ties between the three North Asian neighbours, historic grievances dog their relations. And reduced flights, stronger border controls, and quarantine requirements introduced in response to the epidemic have proved irksome.

Earlier this month, Seoul suspended visas and visa waivers for Japan in a tit-for-tat move following Tokyo’s own travel restrictions on Koreans, triggering fears that their defences against the virus could spark a fresh feud.

The Korea Centers for Disease Control and Prevention (KCDC) reported 87 new coronavirus cases on Friday, bringing the total national infections to 8,652.

As of Thursday, there were 79 cases involving infected people who had recently arrived in the country, up from 44 on Sunday. Most of them were South Koreans, 27 came from Europe, 16 from China, and 12 from other Asian countries, according to the KCDC.

The daily tally for new infections has been trending downward over the past week, despite a slight uptick on Thursday as small-scale outbreaks continued to emerge across the country. South Korea’s death toll rose to 101, from 94.

South Korea’s election commission said on Friday it will disinfect all polling stations and carry out checks on voters when they show up to cast their ballots in the April 15 parliamentary election.

Source: Reuters

18/03/2020

Coronavirus: Germany’s Angela Merkel plays down China’s providing medical supplies to hard-hit European countries

  • ‘What we are seeing here is reciprocity,’ the German leader says, referencing the EU’s aiding stricken China earlier this year
  • But critics dismissed China’s show of largesse as propaganda designed to deflect US claims that the contagion originated in China
The colours of the Italian flag are projected onto the Palazzo Senatorio building on Capitoline Hill in Rome on Tuesday as a “sign of hope in this difficult and delicate moment”, Rome’s mayor stated. Photo: AFP
The colours of the Italian flag are projected onto the Palazzo Senatorio building on Capitoline Hill in Rome on Tuesday as a “sign of hope in this difficult and delicate moment”, Rome’s mayor stated. Photo: AFP

German Chancellor Angela Merkel has downplayed concerns over China’s provision of medical supplies to European countries hit hardest by the Covid-19 pandemic, calling the move a gesture of reciprocity.

The European Union continued to face criticism over its slow reaction to calls for medical supplies from Italy and Spain, amid the encouraging news that new cases in Italy were seeing their slowest rate of increase since the contagion came to light in late February.

“The European Union sent medical equipment to China [when] China asked for help at that time,” Merkel said at a Tuesday press conference, referring to the outbreak’s start earlier this year. “What we are seeing here is reciprocity.”

“As we are having a crisis at this time, we cannot expect everything to be provided in the framework of the EU. We are very pleased about [China’s provision],” Merkel said.

Chinese President Xi Jinping has guaranteed that China will provide Italy and Spain – the two most severely hit European countries – with medical equipment such as face masks, ventilators and protective equipment for medical professionals.

Critics, however, called China’s action part of a propaganda campaign designed to deflect US claims that the coronavirus originated in China.

Spanish Prime Minister Pedro Sanchez reached out to Xi for help obtaining medical supplies in a phone call on Tuesday.

Speaking to reporters, Sanchez confirmed that the matter had come up during the call, just days after the Spanish government had ordered an unprecedented national lockdown to halt the virus’ spread.

Chinese state media reported that Xi had told Sanchez that “China is willing to respond to the urgent needs of Spain and spare no effort to provide support and assistance, and share experience in prevention, control and treatment.”

Workers loading boxes of surgical masks donated by China’s BYD, bound for the United States. Photo: Jack Ma Foundation
Workers loading boxes of surgical masks donated by China’s BYD, bound for the United States. Photo: Jack Ma Foundation
On Tuesday, a plane from Shanghai landed in the northern Spanish city of Zaragoza, carrying 500,000 masks donated by e-commerce giant Alibaba, AFP reported. (Alibaba owns the South China Morning Post.)

According to a statement, the delivery was part of a donation of 2 million masks and coronavirus test kits to certain countries from Alibaba’s Chinese billionaire founder Jack Ma.

Europe to shut border for month as France braces for 15-day coronavirus lockdown

17 Mar 2020

Xi’s call with Sanchez came a day after one with Italian Prime Minister Giuseppe Conte, in which the Chinese leader similarly pledged to provide Italy with medical support, including teams with expertise in treating Covid-19.

On Tuesday, Italy reported 345 new coronavirus deaths in 24 hours, taking its overall death toll to 2,503.

Spain registered 183 deaths, 53 per cent more than in the previous 24 hours, driving the total number of deaths to 524. More than 2,000 newly infected cases were reported, pushing the total to 11,681.

Elsewhere on Tuesday, France entered a national shutdown, while Belgium, where the EU is headquartered, announced a similar halt to public activities starting on Wednesday.

European Commission President Ursula von der Leyen said all 27 member states have agreed to ban non-EU citizens from visiting the region for the next 30 days. The method of enforcement will be determined by the individual countries, she said.

Source: SCMP

05/03/2020

Special Report – Before coronavirus, China bungled swine epidemic with secrecy

(Reuters) – When the deadly virus was first discovered in China, authorities told the people in the know to keep quiet or else. Fearing reprisal from Beijing, local officials failed to order tests to confirm outbreaks and didn’t properly warn the public as the pathogen spread death around the country.

All this happened long before China’s coronavirus outbreak, which has claimed more than 3,000 lives worldwide in less than three months. For the past 19 months, secrecy has hobbled the nation’s response to African swine fever, an epidemic that has killed millions of pigs. A Reuters examination has found that swine fever’s swift spread was made possible by China’s systemic under-reporting of outbreaks. And even today, bureaucratic secrecy and perverse policy incentives continue undermining Chinese efforts to defeat one of the worst livestock epidemics in modern history.

Beijing’s secretive early handling of the coronavirus epidemic has troubling similarities to its missteps in containing African swine fever, but with the far higher stakes of a human infection. After the coronavirus was found in December 2019 in Wuhan, the capital of Hubei province, local and national officials were slow to sound the alarm and take actions disease experts say are needed to contain deadly outbreaks. Beijing continues to gag negative news and online postings about the disease, along with criticism of the government’s response.

With swine fever, Beijing set a tone of furtiveness across government and industry by denying or downplaying the severity of a disease that the meat industry estimates has shrunk China’s 440-million-hog herd by more than half. The epidemic has taken a quarter of the world’s hogs off the market, hurt livelihoods, caused meat prices to spike globally and pushed food inflation to an eight-year high. (For a graphic on soaring China pork prices, click here)

Cover-ups across China – coupled with underfinancing of relief for devastated pig farmers and weak enforcement of restrictions on pork transport and slaughter – have enabled the spread of the livestock virus to the point where it now threatens pig farmers worldwide, according to veterinarians, industry analysts and hog producers. Since the China outbreak, African swine fever has broken out in 10 countries in Asia.

The vacuum of credible information has made it impossible for farmers, industry and government to tell how and why the disease spread so quickly, making preventive measures difficult, said Wayne Johnson, a Beijing-based veterinarian who runs Enable Ag-Tech Consulting.

“To get it under control, you have to know where it is,” Johnson said.

China’s Ministry of Agriculture and Rural Affairs said in a statement to Reuters that it has repeatedly communicated to all regions the importance of timely and accurate reporting of African swine fever outbreaks and had zero tolerance for hiding and delaying the reporting of cases.

Interviews with farmers, industry analysts and major suppliers to China’s pork sector indicate otherwise. More than a dozen Chinese farmers told Reuters they reported disease outbreaks to local authorities that never made it into Beijing’s official statistics. Those infections are going unreported to central authorities in part because counties lack the cash to follow a separate requirement from Beijing to compensate farmers for pigs killed to control the disease.

Local officials have also avoided reporting outbreaks out of fear of the political consequences. And they have routinely refused to test pigs for the virus when mass deaths are reported, according to interviews with farmers and executives at corporate producers.

A farmer surnamed Zhao, who raises a herd in Henan province, said local officials told him as much when they resisted recording the outbreak he reported on his farm, which wiped out his herd.

“‘We haven’t had a single case of African swine fever. If I report it, we have a case,’” Zhao recalled an official telling him. The local officials could not be reached for comment and a fax seeking comment went unanswered.

When the coronavirus hit, Chinese authorities reacted with a push to reassure the public that all was well. The first reported death from the virus, also known as SARS-CoV-2, came on Jan. 9 – a 61-year-old man in Wuhan. In the following days, Chinese authorities said that the virus was under control and not widely transmissible.

The assurances came despite a lack of reliable data and testing capacity in Wuhan. Testing kits for the disease were not distributed to some of Wuhan’s hospitals until about Jan. 20, an official at the Hubei Provincial Centre for Disease Control and Prevention (Hubei CDC) told Reuters. Before then, samples had to be sent to a laboratory in Beijing for testing, a process that took three to five days to get results, according to Wuhan health authorities.

During that gap, city hospitals reduced the number of people under medical observation from 739 to 82, according to data from Wuhan health authorities compiled by Reuters, and no new cases were reported inside China.

China’s top leadership has dramatically ramped up the public-health response since its early missteps. Beijing built new hospitals in days to treat the sick and launched an unprecedented blockade of the disease epicentre on Jan. 23, first quarantining Wuhan’s 11 million residents at home, then suspending transport in all major cities of Hubei province, home to about 60 million people.

Still, the initial attempts to tightly control information left many people unaware of the risks and unable to take precautions that might have prevented infection – and the suppressing of news and commentary continues today. Wuhan authorities reprimanded eight people they accused of spreading “illegal and false” information about the disease. One of them, 34-year-old doctor Li Wenliang, later died from coronavirus, triggering an angry backlash on social media.

Some critical posts were allowed during a brief and unusual period of online openness in late January. But Beijing’s censors – the Cyberspace Administration of China (CAC) – have since cracked down on posts about Li and other information that authorities deem negative, according to CAC censorship orders sent to online news outlets and seen by Reuters. One CAC notice ordered online outlets to guard against “harmful information.” Another ordered them not to “push any negative story.”

The CAC did not respond to a request for comment sent by fax.

UNREPORTED OUTBREAKS

Beijing had years to prepare for African swine fever. Veterinarians have frequently warned Chinese authorities of the risks since the disease started spreading through the Caucasus region in 2007.

Pigs infected by the virus initially suffer high fever, loss of appetite and diarrhoea. Then their skin turns red as internal haemorrhaging starts and their organs swell, leading to death in as little as a week.

With no vaccine or cure available for the disease, experts recommend that infected pigs and others housed in the same barn are culled, with the carcasses either burned or buried to prevent further infection. Farms, equipment and vehicles that could be contaminated need to be thoroughly cleaned and disinfected.

The first case in China was discovered on Aug. 1, 2018, on a farm near Shenyang, in the northeastern province of Liaoning. Just two weeks later, the virus was found more than 1,000 kilometres to the south in pigs bought by the country’s top pork processor, WH Group(0288.HK), from another northeastern province, Heilongjiang. It took Beijing another two weeks to block pig exports from the whole region, and that and other transport restrictions were poorly enforced, said Johnson and other industry experts. WH Group declined to comment.

One factor behind the epidemic: Chinese consumers prefer fresh pork – straight from the slaughterhouse, rather than chilled. This means hundreds of thousands of live pigs are moved long distances every day to supply processors in major cities. That mass movement spread the disease relentlessly.

Over the first four months of the outbreak, Beijing reported swine-fever cases almost daily as the virus spread from the northeast down through central China, west into Sichuan, and to the huge province of Guangdong by year-end. Veterinarians believe the virus spread quickly because it can survive for weeks on dirty farm equipment or livestock trucks.

And yet gaps in counting and tracking the pig disease have been routine across China. Reuters found a striking absence of reported outbreaks in some of the nation’s most productive pork regions.

For instance, almost none of the reported outbreaks have come from the major hog-raising provinces of Hebei, Shandong and Henan. The three contiguous northern provinces were the source of some 20% of the 700 million pigs China slaughtered in 2017. Many came from backyard farms, which make up a large part of China’s industry and have proven fertile breeding grounds for the disease. Yet each of the three provinces has reported just a single case of African swine fever, despite widespread anecdotal reports of outbreaks there that industry sources believe killed millions of pigs.

Neither Shandong nor Henan authorities responded to requests for comment. Hebei’s department of agriculture said it had “strictly reported and verified the epidemic” and that the disease situation was currently “stable.”

Six Henan farmers told Reuters they reported outbreaks during late 2018 and the first half of 2019. In some cases, local authorities helped deal with dead pigs, they said, but never tested for the virus.

That’s what happened when Wang Shuxi, a farmer in Henan’s Gushi County, lost more than 400 pigs in March 2019. Wang said he had no doubt that his pigs had African swine fever, even though authorities never tested them – and he couldn’t test them himself, because Beijing did not permit the commercial sale of disease test kits at the time.

His pigs showed telltale symptoms of the disease.

“The whole body went red,” he said. He injected the animals with an anti-fever medication to no avail. “At the start, they didn’t eat, and even after injections, it kept returning,” he said. “If you can’t cure it, you know it’s swine fever.”

Provincial and county governments had strong incentives to avoid verifying and reporting outbreaks because of Beijing’s rules on compensating farmers, said Huang Yanzhong, specialist in health governance with the Council on Foreign Relations in New York.

Under an African swine fever contingency plan drawn up in 2015, Beijing ordered the culling of all pigs on farms where the disease is found and on every farm within a three-kilometre radius. The central government raised compensation from 800 yuan ($115) to 1,200 yuan for every pig culled in 2018. Beijing typically promised to provide between 40% and 80% of the money, depending on the province. Localities would fund the rest.

In April 2019, the national agriculture ministry said the central government had allocated 630 million yuan to cull 1.01 million pigs to contain the disease. But that money either wasn’t sufficient or regularly did not get paid out, farmers told Reuters. None of about a dozen farmers who told Reuters they tried to report outbreaks said they had received the promised 1,200 yuan for each pig.

Many got nothing. Wang, the Gushi County farmer, said that almost a year after his pigs died, he has received no recompense. Gushi County officials could not be reached for comment.

Many farmers, eager to salvage value from their herds, have resorted to sending their pigs to slaughter at the first sign of illness – thereby thrusting the virus into the human food supply. The swine fever virus does not threaten people. But its presence in meat – where it can survive for weeks – creates a cycle of infection because many backyard farmers feed pigs with restaurant scraps that include pork.

Garbage feeding caused 23 outbreaks in 2018, Huang Baoxu, deputy director of the China Animal Health and Epidemiology Center, told reporters at a briefing in November that year. His remarks were a rare instance where the central government revealed findings about the spread of the hog virus. The centre declined to comment for this story.

Farmers visiting slaughterhouses dealing in sick pigs also likely picked up the virus on their trucks or equipment, spreading it back to their farms, Johnson said.

In the southern province of Guangxi, the disease raged through the spring of 2019 and early summer, several farmers told Reuters last year. Bobai County was hit hard.

A Bobai farmer surnamed Huang said she lost almost 500 pigs during April and May. She said she tried to report the diseased pigs to the local government but was ignored. The official she spoke to by phone never came to her farm. He told Huang that her pigs could not be saved – but that they didn’t have African swine fever. His advice, she said: “hurry and sell the pigs while they could be sold.”

Huang said she sold more than 30 pigs that she believed had the virus. They looked healthy when she sold them, she said. Others sold obviously sick pigs at very low prices. “Traders took all the pigs, including the sick ones – as long as they could walk to the trucks,” she said.

Huang buried her dead pigs daily for weeks on a relative’s land. Others simply dumped their dead pigs on the roadside or in the mountains, she said. The government provided no help.

Eventually, in late May, Bobai County reported one pig dead from the disease, official statistics show.

Authorities in Guangxi did not respond to a request for comment, and officials in Bobai county’s agriculture bureau could not be reached.

Beijing’s agriculture ministry said in a statement that it had issued an August 2019 order requiring punishments in situations where localities failed to report outbreaks. The ministry said it meted out unspecified discipline to more than 600 local personnel for what it called failures to manage the disease that were uncovered in its investigations of problem areas.

The practice of processing infected hogs has persisted despite new rules from Beijing in July that required slaughterhouses to test all batches of pigs for the virus. The agriculture ministry said in January that 5% of the more than 2,000 samples taken from slaughterhouses in November tested positive for the disease.

An Australian study in September found 48% of meat products confiscated from Asian travellers arriving at its ports and airports contained the virus.

“It showed there’s an awful lot of unrevealed infection not being reported to the authorities,” said Trevor Drew, director of the Australian Animal Health Laboratory.

One such information gap is at the top of the industry – China’s large corporate pig producers. They have also been hit hard by the disease, despite taking more extensive measures than backyard farms to disinfect trucks and require workers to change clothes and shower before and after shifts.

None of China’s top publicly traded producers have publicly announced any swine fever outbreak, but executives of major hog producers acknowledged in interviews with Reuters that their herds were hit by the disease.

Thai conglomerate C.P. Pokphand(0043.HK), one of China’s leading pig producers, has had swine-fever outbreaks on farms in Liaoning, Shandong, Henan and Jiangsu provinces, Bai Shanlin, chief executive of China operations, told Reuters in a rare admission by a listed firm. Executives at three other listed companies, also among China’s top pig producers, acknowledged outbreaks at several farms but declined to be identified.

None of the outbreaks that these large companies have confirmed to Reuters were reported by Beijing, according to a Reuters review of the agriculture ministry’s data on outbreaks.

By August 2019, a year after the first case was found in China, pork prices had passed a record set back in 2016. And they were still climbing rapidly. With a crucial national celebration approaching in October – the 70th anniversary of the founding of the People’s Republic – China’s top leaders took note. Pork is a staple of Chinese cuisine, and rising meat production has been among the many signature achievements in the Communist Party’s decades-long drive to bring prosperity to China.

In a video conference that month with officials from all 34 provinces and regions, Vice Premier Hu Chunhua issued a warning: Sufficient pork was vital to people’s lives and the country’s stability. He called for the urgent recovery of the herd as a key “political task.”

A raft of new production policies and incentives emerged from Beijing. And as the provinces rallied to replenish the nation’s herd, reports of African swine fever grew even more rare. Disease outbreaks reported by the agriculture ministry have tailed off since August. In January, Agriculture Minister Han Changfu said the situation has stabilized.

The government’s statistics are rife with contradictions, however. The ministry has reported 163 outbreaks of African swine fever since August 2018 and said 1.19 million pigs have been culled, a fraction of 1% of China’s total herd. Separate ministry data tracking the herd monthly show that, by September 2019, the herd had shrunk by 41% from the prior year. (For a graphic on the decline in China’s pig herd, click tmsnrt.rs/38lkOcx )

These official estimates of the decline are far too low, three major industry suppliers told Reuters.

“It’s at least 60%,” said Johan de Schepper, managing director of Dutch feed ingredients firm Agrifirm International. His assessment, based on sales to about 100 large pig producers, echoed those of others in the industry.

The virus is still killing pigs nationwide and the herd may still be shrinking, say farmers and industry suppliers. “Half of the herd was gone before this winter, and I think half of the rest will be gone by the end of the season,” said Johnson, the veterinarian, citing conversations with clients from across China.

The problem: Some areas were hit with a second wave of the disease.

Henan province is among them, farmers told Reuters. Last year, about 60% of Henan’s herd was wiped out, mainly in the densely farmed areas in the south and west of the province, analysts at Guotai Junan Securities wrote in an internal memo seen by Reuters. Recently, the memo noted, the virus has moved through east Henan, taking out another 20%.

The vicious disease ruined Zhao, the farmer in central China’s Henan province. The virus struck in October, causing high fever, internal bleeding, vomiting and diarrhoea in his pigs. Just two survived. The other 196 died in a week.

When Zhao tried to report the outbreak to the county veterinary authority, he said, officials strongly encouraged him to keep quiet. A local official reminded him of the national mandate to cull all pigs within three kilometres of an infected farm. That could spell disaster for his neighbours if Zhao spoke up.

“If it’s found to be African swine fever, people nearby will have to stop raising pigs,” Zhao recalled a local official telling him. Zhao decided against filing a report to protect his neighbours, he told Reuters on a recent visit to his farm.

Further up the political hierarchy, the deputy governor of Henan province was quoted by the provincial agriculture bureau as saying in December that Henan had been free of the disease for 14 months, after a single reported case in September 2018. The provincial government did not respond to requests for comment.

The disinformation game continues. Zhao says that when county officials came by his farm in January, they recorded that he still had 180 pigs. In fact, he said, he had just the two hogs that survived the October outbreak.

“The country is being kept in the dark,” he said.

Source: Reuters

09/09/2019

China’s Guangdong to release another 3,150 tonnes of pork from reserves to secure supplies

BEIJING (Reuters) – China’s Guangdong province said it will release 3,150 tonnes of frozen pork from reserves during the upcoming holidays, part of a campaign to secure supplies of the country’s favorite meat, local media reported on Monday, after a devastating disease ravaged the hog herd.
The pig herd in the major pork consuming region has fallen 34% from the previous year in the first half of 2019, while the sow herd dropped 43%, the Nanfang Daily reported, citing government statistics.
“Hog supplies will face an unprecedented, grave test,” the newspaper said, quoting an unnamed official with the provincial agriculture bureau, as it will be increasingly difficult to transport pigs into Guangdong from outside provinces due to falling production nationwide.
Various factors, including the environmental crackdown on illegal pig farming and outbreaks of African swine fever, are behind the fall, the official said.
Guangdong relies on supplies from other provinces. Authorities in Guangzhou, the capital city of the province, have said they will release 1,600 tonnes of frozen pork from reserves in September.
Major pig producers in the region including the Guangdong branch of agribusiness giant New Hope Liuhe, said they will further expand hog production in the area to help with supplies.
Liuhe, which currently supplies about 300,000 hogs a year in Guangdong, will add another 50,000 pigs to the market in the second half of the year, and expand pig production by 700,000 heads next year, according to Li Weifeng, general manager in charge of the Guangdong new district at the firm, the newspaper reported.
Local authorities are also promoting modern and large scale pig farms, to secure pork supplies in the region in the long run, the paper said.
China’s state planner said on Monday it will issue subsidies of up to 5 million yuan ($700,000) to support the construction of large-scale pig farms.
Source: Reuters
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