Chindia Alert: You’ll be Living in their World Very Soon
aims to alert you to the threats and opportunities that China and India present. China and India require serious attention; case of ‘hidden dragon and crouching tiger’.
Without this attention, governments, businesses and, indeed, individuals may find themselves at a great disadvantage sooner rather than later.
The POSTs (front webpages) are mainly 'cuttings' from reliable sources, updated continuously.
The PAGEs (see Tabs, above) attempt to make the information more meaningful by putting some structure to the information we have researched and assembled since 2006.
China has effectively expelled journalists from three US newspapers in retaliation for restrictions on its news outlets in the US.
Its foreign ministry ordered reporters from the New York Times, the Washington Post and the Wall Street Journal to return media passes within 10 days.
The ministry also demanded information about their operations in China.
The measures were in response to “unwarranted restrictions on Chinese media agencies” in the US, it said.
China’s action also prohibits the newspapers’ journalists from working in the semi-autonomous regions of Hong Kong and Macau, where there is greater press freedom than on the mainland.
Earlier this month, the Trump administration imposed limits on the number of Chinese citizens who could work as journalists in the US – the latest move in a tit-for-tat row over press freedoms.
“What the US has done is exclusively targeting Chinese media organisations, and hence driven by a Cold War mentality and ideological bias,” China’s foreign ministry said in a statement on Tuesday.
US Secretary of State Mike Pompeo urged Beijing to reconsider its decision, calling the move “unfortunate”.
“I regret China’s decision today to further foreclose the world’s ability to conduct the free press operations that, frankly, would be really good for the Chinese people in these incredibly challenging global times, where more information, more transparency are what will save lives,” Mr Pompeo said.
Great loss for Chinese journalism
Zhaoyin Feng, BBC Chinese
All foreign correspondents in China are required to renew their press credentials annually, which usually happens at the year end.
This means most American reporters of the three US major publications have an expiring visa and will need to leave China under the new rules. We don’t know the exact number of affected journalists yet, but it’s believed to be close to a dozen.
The expulsions will lead to a major personnel loss in these three media organisations’ China operation, especially for the Wall Street Journal, which had already seen three reporters expelled from China last month.
Critics say it’s an even greater loss for China, as the draconian measures come at a time when the country and the rest of the world need high-quality journalism on China more than ever.
It’s still unclear whether the US publications can send new correspondents, American citizens or not, to fill in the positions in China.
In the midst of a dangerous pandemic, the world’s two superpowers are locked in an escalating war with multiple fronts. By fighting over media, the origin of the coronavirus, and technology and trade, the US and China are competing to prove the superiority of their own political model.
At the beginning of March, the US state department said five media outlets, including China’s official news agency Xinhua, would be required to reduce their total number of staff to 100 from 160.
The move was seen as retaliation for China’s expulsion of two US journalists for the Wall Street Journal over a coronavirus editorial in February.
The row over media access is the latest episode in an increasingly acrimonious dispute between China and the US.
Disagreements over trade, intellectual property rights and 5G networks have damaged relations in recent years.
The coronavirus pandemic has been a source of tension too, with Washington and Beijing both accusing each other of spreading misinformation.
On Tuesday, US President Donald Trump angered China by referring to the coronavirus as “Chinese”.
A foreign ministry spokesman accused the US of stigmatising China, where the first cases of Covid-19 were recorded in the city of Wuhan in late 2019.
However, last week a Chinese foreign ministry spokesman shared a conspiracy theory, alleging the US Army had brought it to the region.
The unfounded accusation led Mr Pompeo to demand China stop spreading “disinformation” as it tried “to shift blame” for the outbreak.
Image copyright NATIONAL MUSEUM OF HEALTH AND MEDICINEImage caption The 1918 flu pandemic is believed to have infected a third of the population worldwide
All interest in living has ceased, Mahatma Gandhi, battling a vile flu in 1918, told a confidante at a retreat in the western Indian state of Gujarat.
The highly infectious Spanish flu had swept through the ashram in Gujarat where 48-year-old Gandhi was living, four years after he had returned from South Africa. He rested, stuck to a liquid diet during “this protracted and first long illness” of his life. When news of his illness spread, a local newspaper wrote: “Gandhi’s life does not belong to him – it belongs to India”.
Outside, the deadly flu, which slunk in through a ship of returning soldiers that docked in Bombay (now Mumbai) in June 1918, ravaged India. The disease, according to health inspector JS Turner, came “like a thief in the night, its onset rapid and insidious”. A second wave of the epidemic began in September in southern India and spread along the coastline.
The influenza killed between 17 and 18 million Indians, more than all the casualties in World War One. India bore a considerable burden of death – it lost 6% of its people. More women – relatively undernourished, cooped up in unhygienic and ill-ventilated dwellings, and nursing the sick – died than men. The pandemic is believed to have infected a third of the world’s population and claimed between 50 and 100 million lives.
Gandhi and his febrile associates at the ashram were lucky to recover. In the parched countryside of northern India, the famous Hindi language writer and poet, Suryakant Tripathi, better known as Nirala, lost his wife and several members of his family to the flu. My family, he wrote, “disappeared in the blink of an eye”. He found the Ganges river “swollen with dead bodies”. Bodies piled up, and there wasn’t enough firewood to cremate them. To make matters worse, a failed monsoon led to a drought and famine-like conditions, leaving people underfed and weak, and pushed them into the cities, stoking the rapid spread of the disease.
Image copyright PRINT COLLECTORImage caption Bombay was one of the worst hit cities by the 1918 pandemic
To be sure, the medical realities are vastly different now. Although there’s still no cure, scientists have mapped the genetic material of the coronavirus, and there’s the promise of anti-viral drugs, and a vaccine. The 1918 flu happened in the pre-antibiotic era, and there was simply not enough medical equipment to provide to the critically ill. Also western medicines weren’t widely accepted in India then and most people relied on indigenous medication.
Yet, there appear to be some striking similarities between the two pandemics, separated by a century. And possibly there are some relevant lessons to learn from the flu, and the bungled response to it.
The outbreak in Bombay, an overcrowded city, was the source of the infection’s spread back then – this something that virologists are fearing now. With more than 20 million people, Bombay is India’s most populous city and Maharashtra, the state where it’s located, has reported the highest number of coronivirus cases in the country.
By early July in 1918, 230 people were dying of the disease every day, up nearly three times from the end of June. “The chief symptoms are high temperature and pains in the back and the complaint lasts three days,” The Times of India reported, adding that “nearly every house in Bombay has some of its inmates down with fever”. Workers stayed away from offices and factories. More Indian adults and children were infected than resident Europeans. The newspapers advised people to not spend time outside and stay at home. “The main remedy,” wrote The Times of India, “is to go to bed and not worry”. People were reminded the disease spread “mainly through human contact by means of infected secretions from the nose and mouths”.
“To avoid an attack one should keep away from all places where there is overcrowding and consequent risk of infection such as fairs, festivals, theatres, schools, public lecture halls, cinemas, entertainment parties, crowded railway carriages etc,” wrote the paper. People were advised to sleep in the open rather than in badly ventilated rooms, have nourishing food and get exercise.
“Above all,” The Times of India added, “do not worry too much about the disease”.
Image copyright PRINT COLLECTOR
Colonial authorities differed over the source of infection. Health official Turner believed that the people on the docked ship had brought the fever to Bombay, but the government insisted that the crew had caught the flu in the city itself. “This had been the characteristic response of the authorities, to attribute any epidemic that they could not control to India and what was invariably termed the ‘insanitary condition’ of Indians,” observed medical historian Mridula Ramanna in her magisterial study of how Bombay coped with the pandemic.
Later a government report bemoaned the state of India’s government and the urgent need to expand and reform it. Newspapers complained that officials remained in the hills during the emergency, and that the government had thrown people “on the hands of providence”. Hospital sweepers in Bombay, according to Laura Spinney, author of Pale Rider: The Spanish Flu of 1918 and How It Changed the World, stayed away from British soldiers recovering from the flu. “The sweepers had memories of the British response to the plague outbreak which killed eight million Indians between 1886 and 1914.”
Image copyright PRINT COLLECTORImage caption The hospitals in Bombay were overwhelmed by patients
“The colonial authorities also paid the price for the long indifference to indigenous health, since they were absolutely unequipped to deal with the disaster,” says Ms Spinney. “Also, there was a shortage of doctors as many were away on the war front.”
Eventually NGOs and volunteers joined the response. They set up dispensaries, removed corpses, arranged cremations, opened small hospitals, treated patients, raised money and ran centres to distribute clothes and medicine. Citizens formed anti-influenza committees. “Never before, perhaps, in the history of India, have the educated and more fortunately placed members of the community, come forward in large numbers to help their poorer brethren in time of distress,” a government report said.
Now, as the country battles another deadly infection, the government has responded swiftly. But, like a century ago, civilians will play a key role in limiting the virus’ spread. And as coronavirus cases climb, this is something India should keep in mind.
Seoul’s handling of the outbreak emphasises transparency and relies heavily on public cooperation in place of hardline measures such as lockdowns
While uncertainties remain, it is increasingly viewed by public health experts as a model to emulate for authorities desperate to keep Covid-19 in check
A woman wearing a face mask walks along the Han river at a park in Seoul, South Korea. Photo: AP
After announcing 600 new cases for March 3, the authorities reported 131 new infections a week later. On Friday, officials reported just 110, the lowest daily toll since February 21. The same day, the number of recovered patients, 177, exceeded new infections for the first time.President Moon Jae-in, while cautioning against premature optimism, has expressed hope that South Korea could soon enter a “phase of stability” if the trend holds firm.
With about 8,000 confirmed cases and more than 65 deaths, it was until recently the country with the most confirmed cases outside China – but South Korea has since emerged as a source of inspiration and hope for authorities around the world as they scramble to fight the pandemic.
South Korea’s infection rate falls without citywide lockdowns like China, Italy
11 Mar 2020
As countries ranging from the United States to Italy and Iran struggle to manage the virus, Seoul’s handling of the outbreak – involving a highly coordinated government response that has emphasised transparency and relied heavily on public cooperation in place of hardline measures such as lockdowns – is increasingly viewed by public health experts as a model to emulate for authorities desperate to keep the virus under control.
Whereas China, where the virus originated, and more recently Italy have placed millions of their citizens on lockdown, South Korea has not restricted people’s movements – not even in Daegu, the southeastern city at the centre of the country’s outbreak.
Instead, authorities have focused mandatory quarantine on infected patients and those with whom they have come into close contact, while advising the public to stay indoors, avoid public events, wear masks and practise good hygiene.
South Korean President Moon Jae-in visits the Korea Centres for Disease Control and Prevention on March 11. Photo: EPA
And while numerous countries have imposed sweeping travel bans – including the US, which has introduced dramatic restrictions on travel from Europe – Seoul has instead introduced “special immigration procedures” for heavily affected countries such as China, requiring travellers to undergo temperature checks, provide verified contact information and fill out health questionnaires.
[South Korea’s] approach seems less dramatic and more usable by other countries, compared with that used in mainland China – Ian MacKay, virologist at the University of Queensland
“More than a week of downward-trending case counts shows that the approach in South Korea has turned around an epidemic,” said Ian Mackay, a virologist at the University of Queensland, Australia. “This approach seems less dramatic and more usable by other countries, compared with that used in mainland China. If these trends continue, they will have managed to stop the growth of their epidemic.”
‘A SPECTACULAR FEAT’
The linchpin of South Korea’s response has been a testing programme that has screened more people per capita for the virus than any other country by far. By carrying out up to 15,000 tests per day, health officials have been able to screen some 250,000 people – about one in every 200 South Koreans – since January.
To encourage participation, testing is free for anyone referred by a doctor or displaying symptoms after recent contact with a confirmed case or travel to China. For anyone simply concerned about the risk of infection, the cost is a relatively affordable 160,000 won (US$135). Testing is available at hundreds of clinics, as well as some 50 drive-through testing stations that took their inspiration from past counterterrorism drills and can screen suspected patients in minutes.
“This country has a universal health-coverage system for the whole population and the economic burden for testing is very low,” said Kim Dong-hyun, president of the Korean Society of Epidemiology. “Tests are conducted for free if you have proper symptoms.”
The massive volume of data collected has enabled the authorities to pinpoint clusters of infection to better target their quarantine and disinfection efforts, and send members of the public text-message alerts to inform them of the past movements of infected patients in their area – even down to the names of shops and restaurants they visited.
This country has a universal health coverage system for the whole population and the economic burden for testing is very low – Kim Dong-hyun, president of the Korean Society of Epidemiology
“South Korea’s capability to test for early detection of viruses has developed greatly as it went through the 2009 new influenza outbreak and 2015 Mers [Middle East respiratory syndrome] outbreak,” said Kim Woo-joo, a professor of medicine at Korea University’s College of Medicine. “It ranks among the world’s top countries in this field.”
South Korea’s ‘drive-through’ coronavirus testing stations
Collecting this amount of data has also allowed the South Korean authorities to glean a clearer indication of the potential lethality of the virus, the fatality rate of which has diverged significantly from about 5 per cent in Italy to about 0.8 per cent in South Korea. Although factors including quality of health care, patient age and public awareness can affect the fatality rate of a virus, the scale of testing is among the most influential.
By comparison, in neighbouring Japan – which has confirmed more than 600 cases, not including the virus-stricken Diamond Princess cruise ship – the authorities had as of Friday tested over 10,000 people.
In the United States, where the authorities are unable to confirm the number of tests since they are being carried out by a patchwork of federal, state and private laboratories, the total was estimated to be fewer than 5,000 in a survey of available data by The Atlantic.
William Schaffner, a professor of preventive medicine and infectious diseases at Vanderbilt University School of Medicine in the US, said South Korea had pulled off a “spectacular” feat that was allowing health officials to track the virus and assess its intensity.
“We are unsure where our infection is and how intensely it is being transmitted in the US and we are only now starting to test,” he said.
Coronavirus is now classified as a pandemic
13 Mar 2020
South Korea is not unique in claiming some success in its fight against the virus. Singapore, Taiwan and Hong Kong, informed by past outbreaks such as severe acute respiratory syndrome (Sars) and Mers, have managed to keep confirmed cases low while eschewing the sort of draconian measures implemented in mainland China.
Early on, Hong Kong took some of the most comprehensive steps to implement “social distancing” – in which events are cancelled and venues closed to minimise contact between people – by shutting schools in late January, while the authorities produced a digital map of confirmed cases to allow people to avoid potentially infected areas.
In Taiwan, officials have pooled information from immigration and health insurance databases to track people’s travel histories and symptoms, and used phone tracking to ensure compliance with quarantine. Singapore has similarly tracked infected patients and traced their contacts, with stiff penalties for those who disobey quarantine or mislead the authorities about where they have travelled.
A worker disinfects a Seoul subway station as a precaution against the new coronavirus. Photo: AP
OPENNESS AND TRANSPARENCY
But where South Korea has stood apart is seemingly turning the tide against a major outbreak while maintaining openness and transparency. The largest cluster of cases in the country is linked to a secretive religious sect, Shincheonji, members of which have been accused of negligently spreading the virus as well as evading medical follow-ups and testing.
In addressing the Covid-19 outbreak, sound decision-making should not be about making a choice between maximised protection or minimal disruption – Yanzhong Huang, Council on Foreign Relations
“South Korea’s experience suggests that a country can contain the spread of the virus in a relatively short period of time without relying on draconian, at-all-costs containment measures,” said Yanzhong Huang, a senior fellow for global health at the Council on Foreign Relations in New York.
“For countries like the US, the Korean experience offers an acceptable, likely more viable, alternative to addressing the outbreak. In addressing the Covid-19 outbreak, sound decision-making should not be about making a choice between maximised protection and minimal disruption.”
China effectively barred 60 million people in Wuhan – ground zero of the outbreak – and the rest of the province of Hubei from leaving their homes, while restricting the movements of hundreds of millions of others across the country by shutting down public transport, banning private cars and setting up roadblocks.
‘I was stupidly overconfident’: a Korean coronavirus survivor’s tale
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The country claims to have effectively halted the spread of the virus after recording more than 80,000 cases and 3,100 deaths, and its daily updates have in recent weeks fallen from thousands of new cases to dozens. However, scepticism lingers over official figures after local and provincial officials in Hubei initially tried to hide the extent of the outbreak.
In a move widely seen to be aimed at touting the success of Beijing’s hardline measures, Chinese President Xi Jinping on Tuesday made his first visit to Wuhan, during which he called for businesses and factories to return to work as normal and for the country to refocus on economic growth.
“While China has been able to control Covid-19, I don’t think its draconian methods are worth copying in liberal democracies,” said Lawrence Gostin, director of the O’Neill Institute for National and Global Health Law at Georgetown University Law Centre in Washington. “Most democracies value human rights and freedoms … [not] the degree of social control we’ve seen in China. South Korea offers a better model.”
A nearly empty customer call centre in the Gocheok-dong neighbourhood of Seoul as workers isolate or work from home. Photo: EPA
But in a striking indication that Beijing’s harsh tactics could inform even liberal democratic societies, Italy on Monday announced a nationwide quarantine after a massive spike in cases caught the authorities off guard. Shops, restaurants and bars have been closed, while public gatherings and most travel have been banned in the European country, which has confirmed more than 15,000 cases and 1,000 deaths as of Friday – making it the site of the biggest outbreak outside China.
In the Philippines, President Rodrigo Duterte on Thursday announced a lockdown of the entire Metro Manila region and its 12.8 million people.
David Hui Shu-cheong, an expert in respiratory medicine at the Chinese University of Hong Kong, said Italy had responded “very slowly” to the outbreak, in contrast to South Korea.
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Even as Beijing touted its success at fighting the virus, with state media recently insisting the “world owes China a ‘thank you’”, South Korea – which democratised in the late 1980s following decades of military dictatorship – has made no secret of its desire to promote a more liberal alternative.
At a press conference with foreign media this week, vice-health minister Kim Gang-lip said that while drastic measures such as locking down affected areas had demonstrated “modest effectiveness”, they suffered from being “coercive and inflexible”.
“Korea, as a democratic country, values globalisation and a pluralistic society,” he said.
“Therefore we believe we must transcend the limitations of the conventional approach to fighting infectious disease.”
Kim stressed that public trust was crucial to the government’s strategy. “The more transparently and quickly accurate information is provided, the more the people will trust the government,” he said. “They will act rationally for the good of the community at large.”
South Korean ministers listen to Prime Minister Chung Sye-kyun (on screen) during a meeting to discuss measures to deal with the spread of the new coronavirus. Photo: EPA
UNKNOWN FACTORS
Although the authorities have shut down schools nationwide, South Koreans have largely embraced self-isolation and social distancing of their own accord.
In the past fortnight, more than 12,000 businesses have applied for subsidies to pay the wages of employees while they temporarily close their doors due to the outbreak, according to the country’s labour ministry. Many shops in Daegu, the site of more than three-quarters of the country’s cases, have shut their doors, while shopping malls and cinemas across the country have become largely deserted as people stay at home. Catholic churches and Buddhist temples nationwide have suspended mass and prayer services.
“To an outsider, South Korea has handled an enormous surge in cases very well and seemed to mitigate further spread through forms of … passive social isolation,” said Howard P. Forman, a professor of public health policy at Yale School of Management.
Indonesian firms doing business with China face tough times with coronavirus outbreak
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Some experts suggest South Korean society’s emphasis on discipline and community may have given it room to avoid implementing more draconian measures.
“This measure appears to have been very successful but is reliant on the local population working with the response,” said Jeremy Rossman, an honorary senior lecturer in virology at the University of Kent. “It is not clear how effective this approach would be in other cultures and it does require effective communication with the local population.”
How a secretive church in South Korea became a coronavirus ‘super spreader’
However, South Korea’s response has not been without missteps or critics.
In mid-February, before it emerged that the virus had spread rapidly among Shincheonji followers, Moon made the ill-fated prediction that the outbreak would “disappear before long”.
The Korean Medical Association – the country’s largest association of doctors – and conservative media have criticised the president for not outright banning travel from China.
Nearly 1.5 million South Koreans have signed an online petition calling for Moon’s impeachment over his handling of the outbreak, and his approval rating this week dropped to just under 45 per cent – although, in a sign of reviving fortunes, an opinion poll released on Friday saw the president’s response rated favourably.
Medical workers attend to a woman who was feeling unwell upon her arrival at the Keimyung University hospital in Daegu. Photo: AFP
It is still too early to say whether the response is working – Kim Dong-hyun, president of the Korean Society of Epidemiology
Some experts caution that it is too early to tell if South Korea truly has the virus under control. The discovery of a new cluster of about 100 infections at a call centre in densely populated Seoul prompted a sudden uptick in cases on Wednesday, raising fears the virus could be on the verge of spreading uncontrollably nationwide.
“It is still too early to say whether the response is working,” said Kim, the president of the Korean Society of Epidemiology. “There is an optical illusion involved in the figures. The daily numbers of new cases appear to be decreasing as the screening of Shincheonji followers is coming to an end, but it must be noted that there are new clusters emerging in Seoul and other areas. We can’t lower vigilance.”
Like elsewhere, the country is facing unknown factors such as warming temperatures in the coming weeks and the arrival of travellers from new and emerging infection hotspots overseas. “We are seeing that in South Korea, large epidemics can be slowed,” said Mackay from the University of Queensland. “Can they be prevented? That will be the challenge for countries who have yet to see widespread community transmission.”
In the face of uncertainty, South Korea appears determined to hold firm to its strategy. During a visit to the Korea Centres for Disease Control and Prevention on Wednesday, Moon said the country’s response had received international recognition and allowed it to avoid the “extreme choice” of sweeping travel bans.
The next day, responding to the World Health Organisation’s decision to declare the virus a global pandemic, the president called on South Koreans to maintain hope that the virus would be overcome.
“It might take more time than we thought,” Moon said. “Everyone, please don’t become fatigued.”
South Africa, Kenya latest to halt arrivals from ‘high-risk’ countries as cases across the continent double over the weekend
Concerns are growing over whether health care systems in some African nations will be able to cope
Masked volunteers provide soap and water for participants to wash their hands against the new coronavirus at a women’s 5km fun run in Addis Ababa, Ethiopia on Sunday. Photo: AP
Travel bans and school closures were announced in South Africa and Kenya on Sunday, as concerns grew over the capacity of the continent’s fragile health systems to cope with the spread of the deadly new coronavirus, with more than a dozen countries reporting their first cases.
South African President Cyril Ramaphosa declared a national state of disaster, banning arrivals by foreign nationals from high-risk countries including Italy, Iran, South Korea, Spain, Germany, the United States, Britain and China, effective Wednesday.
“We have cancelled visas to visitors from those countries from today and previously granted visas are hereby revoked,” Ramaphosa said in a televised address on Sunday evening, adding that any foreign national who had visited high-risk countries in the past 20 days would be denied a visa.
South African schools will also be closed from Wednesday until after the Easter weekend. Gatherings of more than 100 people have been banned and mass celebrations for Human Rights Day and other events cancelled. “Never before in the history of our democracy has our country been confronted with such a severe situation,” Ramaphosa said.
In Kenya, where three cases of Covid-19 – the disease caused by the new coronavirus – have now been confirmed, President Uhuru Kenyatta suspended travel from any country with reported infections. Only Kenyan citizens and foreigners with valid residency permits would be allowed entry, provided they proceeded to self-quarantine or a government-designated quarantine facility, he said.
Kenyan President Uhuru Kenyatta reports two more cases of coronavirus in the country, bringing its total number of cases to three. Photo: DPA
Kenyatta also suspended learning in all educational institutions with immediate effect. “Some of the measures may cause inconvenience, but I want to assure you they are designed to ensure that we effectively contain the spread of the virus,” he said.
Kenya and South Africa join Ghana, Rwanda and Morocco in implementing travel restrictions or outright bans, while others are closing churches, museums, sporting activities, nightclubs and tourist attractions in a bid to curb the spread of the disease.
The continent was largely spared in the early days of the outbreak but has now recorded more than 300 cases and six deaths. Algeria, Morocco, Senegal and Tunisia all reported more new cases over the weekend, which saw numbers of new infections across Africa more than double in just two days.
As numbers rise, the Africa Centres for Disease Control and Prevention (CDC) has said there are around a dozen countries on the continent without the capacity to do their own testing.
They will have to send samples to countries like South Africa, which itself is struggling to contain the virus, with confirmed cases doubling to 61 on Sunday, a day after 114 of its citizens were repatriated from the central Chinese city of Wuhan, the original epicentre of the outbreak and the first to be placed in lockdown.
John Nkengasong, director of the Africa CDC, warned that the risk of other African countries detecting new cases of Covid-19 remained high. “Our strategy is clear: we want to capacitate the member states, so they can quickly detect and mitigate the effects of the disease in Africa, and, if widespread transmission occurs, prevent severe illness and death,” he said.
The World Health Organisation has already warned that critical gaps remain in the capacity of many African nations to trace, detect and treat the disease. On Friday, the WHO Africa office said it was “striving to help member states fill these gaps” but warned of global shortages in personal protective equipment (PPE) including gloves, masks and hand sanitiser.
Major coronavirus outbreak in Africa ‘just a matter of time’
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WHO said its first blanket distribution of PPEs, to 24 African countries, had been completed and another wave of distributions was planned.
“With Covid-19 officially declared a pandemic, all countries in Africa must act,” said Dr Matshidiso Moeti, WHO regional director for Africa. “Every country can still change the course of this pandemic by scaling up their emergency preparedness or response.
“Cases may still be low in Africa and we can keep it that way with robust all-of-government actions to fight the new coronavirus.”
The 55 member states of the African Union have suspended meetings until May, while the six countries that make up the East African Community have suspended all planned meetings until further notice.
In Algeria – one of the worst-hit North African countries, with 48 cases and four deaths, as of Monday morning – all schools and universities have been closed, while Senegal, with 24 cases to date, has closed schools and cancelled its Independence Day festivities on April 4, which this year marks 60 years since its independence from France. Cruise ships have also been banned from docking in Senegal.
On Sunday, Rwanda closed all its places of worship and suspended large gatherings such as weddings and sporting activities. Schools and universities in the central African country are also closed. National airline RwandAir has also suspended flights between the capital Kigali and Mumbai until April 30.
This is in addition to earlier suspensions of its routes with Tel Aviv and the southern Chinese city of Guangzhou, which remain in place until further notice.
While most African airlines have suspended flights to cities in mainland China, Ethiopian Airlines has continued flying to most of its destinations, describing its China routes as among its most profitable. Nevertheless, chief executive Tewolde GebreMariam last week said coronavirus fears had cut demand by a fifth on most of its routes.
Alibaba co-founder Jack Ma has sent the first shipment of surgical masks and coronavirus test kits to the US.
The Chinese billionaire tweeted two pictures of the pallets of goods being loaded on to a plane in Shanghai.
Earlier this month he said he would give 500,000 testing kits and one million masks to America.
Mr Ma is also sending consignments of medical supplies to Europe as he called for international cooperation efforts to combat the pandemic.
In his first tweet, Asia’s richest person posted photos of a China Eastern Airlines jet being loaded with boxes of coronavirus test kits and face masks as they were shipped to the US.
It comes after the Jack Ma Foundation and the Alibaba Foundation last week announced that they had prepared 500,000 testing kits and 1 million masks to be sent to America.
They also said that they had already donated supplies to other countries including Japan, South Korea, Italy, Iran and Spain, with two million protective masks pledged for distribution across Europe.
The first consignment of 500,000 masks and other medical supplies such as test kits, which was destined for Italy, arrived in Belgium on Friday.
He joins other high-profile technology executives in pledging support for coronavirus research and disease prevention.
Microsoft co-founder Bill Gates, who is the world’s second-richest person, has announced that the Bill and Melinda Gates Foundation would give $100m to help efforts to stop the spread of the virus.
On Friday Mr Gates announced that he was stepping down from Microsoft’s board to spend more time on philanthropic activities. He said he wanted to focus on global health and development, education and tackling climate change.
Chinese tech giants, including Tencent, ride-hailing company Didi Chuxing, and TikTok owner ByteDance, have all pledged money and resources to fight the coronavirus outbreak.
WUHAN, March 14 (Xinhua) — Temporary treating centers converted from public facilities have played a key role in curbing the spread of the novel coronavirus in Wuhan, the central Chinese city at the epicenter of the epidemic outbreak, a medical expert said.
The experience in setting up temporary hospitals in Wuhan should be drawn on in the future and could help other countries fight the pandemic of COVID-19, Wang Chen, a respiratory disease specialist and vice president of the Chinese Academy of Engineering, told Xinhua in a recent interview.
The hospitals were converted from public venues such as exhibition centers and gymnasiums in early February in an effort to treat patients with mild symptoms and isolate the source of infections amid strained medical resources.
Over more than a month, the 16 temporary hospitals have received more than 12,000 patients until the last two of them were shut down Tuesday as the city sees more patients recover and a sharp drop in the number of new infection cases, according to Wang.
The temporary hospitals were set up in Wuhan at the grimmest moment of its fight against the virus, when medical institutions were overwhelmed by an influx of patients and over 10,000 infected patients were unable to receive proper medical treatment, Wang said.
Under the principle of “leaving no patients unattended” established by Chinese central authorities, these hospitals have performed three major functions — isolation, treatment and monitoring, Wang said.
“These hospitals can keep patients under quarantine to block household and social contacts, offer proper treatments to patients with mild symptoms and monitor their conditions in case of exacerbation,” he added.
“One of the characteristics of COVID-19 is that most patients have mild symptoms, but they need proper treatments to avoid possible exacerbation. And the key is to keep them isolated to stem the spread of the virus,” said Wang, explaining why temporary hospitals are important to curbing the epidemic in Wuhan.
Government records suggest first person infected with new disease may have been a Hubei resident aged 55, but ‘patient zero’ has yet to be confirmed
Documents seen by the Post could help scientists track the spread of the disease and perhaps determine its source
The first known case of Covid-19 in China dates back to November, but the hunt for “patient zero” goes on. Photo: EPA-EFE
The first case of someone in China suffering from Covid-19, the disease caused by the novel coronavirus, can be traced back to November 17, according to government data seen by the South China Morning Post.
Chinese authorities have so far identified at least 266 people who were infected last year, all of whom came under medical surveillance at some point.
Some of the cases were likely backdated after health authorities had tested specimens taken from suspected patients.
Interviews with whistle-blowers from the medical community suggest Chinese doctors only realised they were dealing with a new disease in late December.
Scientists have been trying to map the pattern of the early transmission of Covid-19 since an epidemic was reported in the central China city of Wuhan in January, two months before the outbreak became a global health crisis.
Understanding how the disease spread and determining how undetected and undocumented cases contributed to its transmission will greatly improve their understanding of the size of that threat.
According to the government data seen by the Post, a 55 year-old from Hubei province could have been the first person to have contracted Covid-19 on November 17.
From that date onwards, one to five new cases were reported each day. By December 15, the total number of infections stood at 27 – the first double-digit daily rise was reported on December 17 – and by December 20, the total number of confirmed cases had reached 60.
On December 27, Zhang Jixian, a doctor from Hubei Provincial Hospital of Integrated Chinese and Western Medicine, told China’s health authorities that the disease was caused by a new coronavirus. By that date, more than 180 people had been infected, though doctors might not have been aware of all of them at the time.
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By the final day of 2019, the number of confirmed cases had risen to 266, On the first day of 2020 it stood at 381.
While the government records have not been released to the public, they provide valuable clues about how the disease spread in its early days and the speed of its transmission, as well as how many confirmed cases Beijing has recorded.
Scientists are now keen to identify the so-called patient zero, which could help them to trace the source of the coronavirus, which is generally thought to have jumped to humans from a wild animal, possibly a bat.
Of the first nine cases to be reported in November – four men and five women – none has been confirmed as being “patient zero”. They were all aged between 39 and 79, but it is unknown how many were residents of Wuhan, the capital of Hubei and the epicentre of the outbreak.
It is possible that there were reported cases dating back even earlier than those seen by the Post.
According to the World Health Organisation’s website, the first confirmed Covid-19 case in China was on December 8, but the global body does not track the disease itself but relies on nations to provide such information.
A report published in medical journal The Lancet by Chinese doctors from Jinyintan Hospital in Wuhan, which treated some of the earliest patients, put the date of the first known infection at December 1.
Dr Ai Fen, the first known whistle-blower, told People magazine in an interview that was later censored, that tests showed that a patient at Wuhan Central Hospital was diagnosed on December 16 as having contracted an unknown coronavirus.
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Accounts by other doctors seem to suggest the medical community in Wuhan became aware of the disease in late December.
Previous reports said that although doctors in the city collected samples from suspected cases in late December, they could not confirm their findings because they were bogged down by bureaucracy, such as having to get approval from the Chinese Centre for Disease Control and Prevention, which could take days. They were also ordered not to disclose any information about the new disease to the public.
As late as January 11, Wuhan’s health authorities were still claiming there were just 41 confirmed cases.
Health official Debbie Birx appointed as ‘coronavirus response coordinator’ under Vice-President Mike Pence
Facing outbreak threat a month ago, US president said ‘we have it totally under control’. This week, under fire, he changed course
US Vice-President Mike Pence (right) speaks alongside US President Donald Trump during a press conference about the coronavirus at the White House on Wednesday. Photo: dpa
This story is published in a content partnership with POLITICO. It was originally reported by Adam Cancryn, Quint Forgey and Dan Diamond on politico.com on February 27, 2020.
In the end, US President Donald Trump got a coronavirus tsar – without having to call it a tsar.
Vice-President Mike Pence, whom Trump appointed on Wednesday to lead his coronavirus response, announced a global health official as the “White House coronavirus response coordinator” – installing a tsar-like figure under him to guide the administration’s response to the outbreak after a protracted public dance around how to display the power of the federal bureaucracy to the American people.
The move marked the administration’s latest attempt to show it is in control of the spreading global threat after weeks of fumbled messaging, rising market jitters and mounting backlash from lawmakers on both sides of the aisle.
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The two-day journey of upgrading the federal government’s public response highlighted a sharp contrast between Trump’s political instincts to play down the virus risk in an election year and calls from health officials and lawmakers to show the government in command of a deadly and frightening threat.
The new role will put Ambassador Debbie Birx, who has served since 2014 as the US government’s leader for combating HIV/Aids globally, at the centre of what now appears to be three leaders of the government response.
Trump revealed in a news conference on Wednesday evening that Pence would head up the administration’s management of the coronavirus, overseeing a task force nominally led by Health and Human Services Secretary Alex Azar. Birx will report to Pence but serve on the task force that Azar chairs.
Over three decades of public health experience, Birx “has been utilising the best science to change the course of the HIV pandemic and bring the pandemic under control”, the White House said in a statement, adding that she “will bring her infectious disease, immunologic, vaccine research and inter-agency coordinating capacity to this position”.
Speaking at the Conservative Political Action Conference on Thursday, Pence said “we are ready for anything” to fight coronavirus.
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“I promise you, this president, this administration, is going to work with leaders in both parties. We’ll work with leaders across this nation, at the state and local level. And this president will always put the health and safety of America first.”
Birx’s appointment marked the latest swerve by the White House in assigning responsibility to tackle the burgeoning public health crisis.
At the World Economic Forum in Davos last month, Trump said “we have it totally under control” and maintained “it’s going to be just fine”. The virus has since exploded globally from China to nearly 50 countries, with more worries emerging inside the US.
A week after Trump’s Davos comments, the White House announced a task force to handle the widening outbreak. A month later, Trump was forced to vastly upgrade the response when his bold predictions proved to be wrong.
US Health and Human Services Secretary Alex Azar (left) speaks as US Vice-President Mike Pence listens during a coronavirus task force meeting in Washington on Thursday. Photo: Reuters
Appointing a “coordinator” allowed Trump to fulfil an increasingly urgent call from lawmakers to put a trusted public health official at the centre of the White House response as a tsar.
Some administration officials had opposed appointing a tsar – a move President Barack Obama used in 2014 during the Ebola threat – because it could be perceived as an admission of failure up to this point, while others have been criticising Azar for months for his work on the president’s health initiatives far beyond coronavirus.
On Wednesday, Azar told lawmakers “I serve as the lead” on coronavirus efforts, and he denied a POLITICO report stating that the White House was weighing whether to appoint a tsar to coordinate its response to the spreading epidemic.
The leadership change – putting Pence in charge – was a shock to Azar and his team, four people familiar with the matter said, coming soon after the health secretary returned from his full day of congressional testimony.
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Azar had reason to be confident: Trump had reassured him earlier in the day that he was doing a good job atop the task force and would not be replaced. And technically, he was not, even though he has lost ultimate authority over the federal response.
Azar insisted at Trump’s Wednesday news conference, however, that he would remain the chair of the White House task force, indicating Pence would play a supervisory role. That was before Thursday morning’s coronavirus “coordinator” announcement, which Trump hinted at the prior night.
At a congressional hearing on Thursday, Azar downplayed the significance of Pence’s appointment, calling it a “a lot of continuity” of the administration’s response to date.
“What the vice-president will do is actually a function very similar to what acting chief of staff Mick Mulvaney has been doing very ably for me,” he told the House Ways and Means Committee, describing the role largely as ensuring alignment across the government and coordinating decision-making outside the health care arena.
“The vice-president’s involvement and leadership across the whole of government brings just the weight of the office of the vice-president to that task.”
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Azar later insisted that he was consulted and involved in the decision to put Pence in charge, telling lawmakers that he was supportive as soon as the suggestion was made. “I said, quote, that’s genius,” he said.
Azar also told reporters after the hearing that he was “involved” in the decision Wednesday to name Birx.
“She’s a terrific leader. And she will do wonderful work helping us with just the internal processes,” he said. As for Pence’s new role, Azar said “the vice-president helps me, in terms of heft within the executive agency” but maintained that he’s still leading the inter-agency task force work among a slew of other responsibilities as the nation’s health chief.
The compromise position allows the White House to respond to frustration inside and outside the administration while allowing Azar to save face. Trump remains pleased with his health secretary and had reassured him as recently as Wednesday that he was happy with his work on the coronavirus, people close to the White House said.
The White House is battling bipartisan criticism from members of Congress sceptical of the administration’s response and emergency funding request, which some lawmakers have slammed as insufficient to counter the growing threat.
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The administration’s disjointed messaging about the severity of the threat earlier this week frustrated even Republicans on Capitol Hill, especially after White House National Economic Director Larry Kudlow declared the containment effort as nearly “airtight” at nearly the same time CDC officials were warning of its “inevitable” spread.
An exasperated Senator John Kennedy aired his concerns directly to Trump on Tuesday, after the Louisiana Republican struggled to extract basic answers about the disease from acting Homeland Security Secretary Chad Wolf.
“We had one story from the classified briefing, we had another story from one Cabinet secretary, then we had another story from another Cabinet secretary,” said Kennedy, who on Thursday praised the decision to elevate Pence. “[Trump] said, I hear what you’re saying, I’m gonna get this straight.”
The announcement of Birx’s latest role within the administration came hours after news broke in California of the first potential case of coronavirus spreading within the US.
Secretary of State John Kerry speaks during an April 2014 swearing-in ceremony for Debbie Birx (left) as ambassador-at-large and coordinator of US government activities to combat HIV/Aids. Photo: AFP
It also follows intense scrutiny of Pence’s record as governor of Indiana overseeing a massive HIV outbreak in the state that public health experts deemed preventable – an episode that House Speaker Nancy Pelosi raised directly with the vice-president on Thursday morning.
“I expressed to him the concern that I had of his being in this position,” she said during her weekly press conference.
Birx brings bipartisan credibility to the job, having won widespread praise from Democrats in the run-up to her 2014 confirmation as head of the Obama administration’s global HIV/Aids office.
Senate Foreign Relations Committee Democrat Ben Cardin in 2014 called her “one of the most well-qualified nominees that has ever come before the US Senate for confirmation,” ahead of a unanimous vote to install her in the job.
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Congressman Eliot Engel, now the top Democrat on the House’s Foreign Affairs Committee, similarly lauded her as a “dedicated force in efforts to eliminate the global scourge of HIV/Aids”.
Yet despite her Obama-era appointment, Birx is a Republican and could be characterised as a conservative, one person who knows her said.
This person added that she’d be “good on camera” and has already worked closely with several of the administration’s current top public health officials – including Centres for Disease Control and Prevention director Robert Redfield, with whom she served as an Army doctor.
Most notably, this person said, she aided Redfield’s candidacy to become CDC chief in 2018, serving as a reference and advocating for him within the administration.
SHANGHAI/SEOUL (Reuters) – Asia reported hundreds of new coronavirus cases on Wednesday, including a U.S. soldier stationed in South Korea, as the United States warned of an inevitable pandemic and outbreaks in Italy and Iran spread to other countries.
World stocks tumbled for the fifth day on fears of prolonged disruption to global supply chains, while safe-haven gold rose back toward seven-year highs and U.S. bond yields held near record lows.
Stock markets globally have wiped out $3.3 trillion of value in the past four trading sessions, as measured by the MSCI all-country index.
The disease is believed to have originated in a market selling wildlife in the central Chinese city of Wuhan late last year and has infected about 80,000 people and killed more than 2,700, the vast majority in China.
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The U.S. Centers for Disease Control and Prevention urged Americans to prepare, saying that while the immediate risk there was low the global situation suggested a pandemic was likely.
“It’s not a question of if. It’s a question of when and how many people will be infected,” the CDC’s principal deputy director, Anne Schuchat, said on Tuesday.
World Health Organization (WHO) chief Tedros Adhanom Ghebreyesus, however, advised against referring to a pandemic.
“We should not be too eager to declare a pandemic without a careful and clear-minded analysis of the facts,” Tedros said in remarks to Geneva-based diplomats.
“Using the word pandemic carelessly has no tangible benefit, but it does have significant risk in terms of amplifying unnecessary and unjustified fear and stigma, and paralyzing systems. It may also signal that we can no longer contain the virus, which is not true.”
‘DON’T WAIT’
The United States has reported 57 cases of the virus. U.S. President Donald Trump, back in Washington after a visit to India, said on Twitter that he would meet U.S. officials for a briefing on the coronavirus on Wednesday.
Dr Bruce Aylward, head of a joint WHO-Chinese mission on the outbreak, told reporters on his return to Geneva that countries’ preparations should not wait.
“Think the virus is going to show up tomorrow. If you don’t think that way, you’re not going to be ready,” he said. “This a rapidly escalating epidemic in different places that we have got to tackle super-fast to prevent a pandemic.”
Aylward said China’s “extraordinary mobilization” showed how an aggressive public health policy could curb its spread.
The WHO says the outbreak peaked in China around Feb. 2, after authorities isolated Hubei province and imposed other containment measures.
China’s National Health Commission reported another 406 new infections on Wednesday, down from 508 a day earlier and bringing the total number of confirmed cases in mainland China to 78,064. Its death toll rose by 52 to 2,715.
The WHO said only 10 new cases were reported in China on Tuesday outside Hubei.
South Korea, which with 1,261 cases has the most outside China, reported 284 new ones including a U.S. soldier, as authorities readied an ambitious plan to test more than 200,000 members of a church at the center of the outbreak.
Of the new cases, 134 were from Daegu city, where the virus is believed to have been passed among members of the Shincheonji Church of Jesus, the Korea Centers for Disease Control and Prevention said.
The U.S. military said a 23-year-old soldier based in Camp Carroll, about 20 km (12 miles) from Daegu, had been infected and was in self-quarantine at home.
OLYMPIC WORRIES
In Japan, Prime Minister Shinzo Abe called for sports and cultural events to be scrapped or curtailed for two weeks to stem the virus as concern mounted for the 2020 Tokyo Olympics.
Japan’s professional baseball teams would play matches without spectators until March 15 due to virus concerns, Kyodo news agency reported.
Japan has nearly 170 virus cases, besides the 691 linked to a cruise ship that was quarantined of its coast this month. Six people have died in Japan, including four from the ship.
There have been nearly 50 deaths outside China, including 11 in Italy and 19 in Iran, the most outside China, according to a Reuters tally.
Iran’s deputy health minister – seen mopping his brow at a televised news conference – was among its 139 coronavirus infections. Cases linked to Iran have been reported across the region.
Kuwait said six new coronavirus cases, all linked to travel to Iran, took its tally to 18, while Bahrain said its infections had risen to 26 after three new ones on a flight from Iran.
The United Arab Emirates, which has reported 13 coronavirus cases, is prepared for “worst case scenarios” as it spreads in the Middle East, a government official said.
In Europe, Italy has become a front line in the global outbreak with 322 cases. Italians or people who had recently visited the country, have tested positive in Algeria, Austria, Croatia, Romania, Spain and Switzerland.
Two hotels, one in Austria and one in Spain’s Canary Islands, were also locked down after cases emerged linked to Italy. Spain also reported its first three cases on the mainland.
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