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.
People’s Liberation Army has officially recorded no infections but disease fears have delayed recruitment, training and operations
Analysts say Sars experience guided military’s prompt response, but combat effectiveness has been affected
Chinese military medical personnel arriving in Wuhan in February to assist with the coronavirus outbreak response to the February. Photo: Reuters
China’s military may have been spared any coronavirus infections, but the global health crisis has slowed the progress of Chinese President Xi Jinping’s plan to transform the People’s Liberation Army into a modern fighting force capable of long-range power-projecting operations, experts say.
According to China’s defence ministry, the world’s largest armed force – with about 2.3 million personnel – has had zero confirmed cases of Covid-19. In contrast, the US and Russian militaries, ranked second- and third-largest in the world, have reported more than 4,000 and 1,000 respectively.
But the PLA has been affected in other ways by the disease, which was first reported in Wuhan in December before going on to infect 3.9 million people around the world to date.
Safety concerns delayed its annual spring recruitment programme – it has been rescheduled for August – while the PLA Navy was forced to change its training arrangements, switching to classroom study of military theory and tactics, according to Xinhua.
“The PLA is still a conscription army and, given its large turnover of soldiers every year and the late recruitment and training plan this year, the coronavirus pandemic has already affected combat effectiveness,” said Adam Ni, director of the China Policy Centre, an independent, non-profit research organisation based in Canberra, Australia.
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The navy’s operations, in particular, would have been affected, according to Charlie Lyons Jones, a researcher from the Australian Strategic Policy Institute’s defence and strategy programme.
“The Chinese navy, short of highly effective disease control measures, is unlikely to avoid similar outbreaks of the novel coronavirus on board its warships,” he said.
“Therefore, even if the PLA Navy currently has zero personnel infected by the novel coronavirus, its position as a navy that can operate effectively in a period of higher-than-normal tension remains precarious at best,” Jones said. He also questioned Beijing’s claims that the military was virus-free.
“The PLA played an important role in China’s response to the coronavirus outbreak in Wuhan … The idea that none of these personnel working on the front lines in Wuhan became infected by the novel coronavirus would be inconsistent with the experiences of countries from around the world,” he said.
More than 4,000 military medical workers were sent to Wuhan as part of China’s effort to contain the outbreak at ground zero – which included the rapid-built emergency field facility, the Huoshenshan hospital – and their efforts were highlighted in a documentary screened recently by state broadcaster CCTV.
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At the time, rumours were rampant that the Chinese military had been affected by the coronavirus, fuelled by a report on February 17 by the official PLA Daily that some soldiers had been placed in quarantine and Yu Qiusong, captain of the Changzhou type 054A frigate, was isolating in a guest house. The news report did not mention why the personnel were in quarantine.
But analysts said that whether the official numbers were accurate, the PLA’s closed management, fast response and past experience with severe acute respiratory syndrome (Sars) gave China’s military an advantage in keeping the coronavirus at bay.
Zhou Chenming, a Beijing-based military observer, said a key reason for the less serious hit to the PLA compared to other forces was its speed in recognising the severity of the situation.
“What’s more, the PLA has its own logistic support system that can help minimise its contact with the outside world, thus reducing the possibility of contracting the virus,” he said.
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According to Xinhua, the PLA’s Centre for Disease Control and Prevention drew up an emergency response plan and mobilisation arrangements on January 20, the same day Xi issued an instruction to the public that the virus must be “resolutely contained”.
Timothy Heath, a senior international defence research analyst with the Rand Corporation, a US think tank, said China’s military had benefited from its less international role, compared to US forces.
“The US is a globally distributed force while the Chinese military largely operates on the mainland. The US thus faces challenges in containing the disease that the Chinese military does not have to face … and the US military has a large range of missions and tasks it carries out to counter threats to its allies and partners, as well as to US security. This complicates efforts by the US military to carry out disease control measures,” he said.
An antibody engineered from the animal’s immune system was found to neutralise the virus that causes Covid-19
American and Belgian researchers hope the discovery may help protect humans from the deadly illness
Winter the llama (front) lives on a farm operated by Ghent University’s Vlaams Institute for Biotechnology. Photo: Tim Coppens
A Belgian llama could hold the key to producing an antibody that neutralises the coronavirus that causes Covid-19.
More studies and clinical trials are needed to see if it can be used in humans to treat Covid-19, but the team of American and Belgian scientists who engineered the antibody said they were encouraged by their preliminary findings, which will be published in the journal Cell next week.
Jason McLellan, from the University of Texas at Austin and co-author of the study, described it as one of the “first antibodies known to neutralise Sars-CoV-2”, the official name for the virus.
“With antibody therapies, you’re directly giving somebody the protective antibodies and so, immediately after treatment, they should be protected,” he wrote in a press release.
“The antibodies could also be used to treat somebody who is already sick to lessen the severity of the disease.”
Winter the llama produced antibodies that proved effective against the Sars-CoV-2 virus. Photo: Tim Coppens
The scientists have been working on coronaviruses – including severe acute respiratory syndrome (Sars) and Middle East respiratory syndrome (Mers) – for years.
In 2016 they injected the llama, named Winter, with Sars and Mers in the hope of developing a treatment for the diseases.
“I thought this would be a small side project,” said Dorien De Vlieger from Ghent University in Belgium, who helped to isolate antibodies against coronaviruses from the llamas.
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“Now the scientific impact of this project became bigger than I could ever expect. It’s amazing how unpredictable viruses can be.”
A llama’s immune system produces two types of antibodies when it detects pathogens, one similar to human antibodies and one that is about a quarter of the size.
The antibodies produced by Winter were found to be effective in targeting the Sars virus’s spike protein, which allows it to bind to human cells.
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This year they decided to test the antibodies Winter had produced during the Sars experiment to see if it could prove effective against Covid-19.
Although it did bind itself to the Sars-CoV-2 virus it did so “weakly”, so the team then linked two copies of the antibody together to make it bind more effectively.
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“That was exciting to me because I’d been working on this for years. But there wasn’t a big need for a coronavirus treatment then. This was just basic research,” said Daniel Wrapp from the University of Texas, a co-author of the study.
The smaller type of antibodies produced by llamas, called single-domain antibodies or nanobodies, can be used in an inhaler, according to Wrapp.
“That makes them potentially really interesting as a drug for a respiratory pathogen because you’re delivering it right to the site of infection,” said Wrapp.
Researchers created an antibody dubbed VHH-72Fc (blue) that binds tightly to the Sars-CoV-2 spike protein (pink, green and orange), blocking the virus from infecting cells. Photo: University of Texas at Austin
The researchers are preparing for more trials with hamsters or primates to further test the antibody, before taking it to human trials.
The main subject of the study, Winter the llama, is now four years old and lives on a farm operated by Ghent University’s Vlaams Institute for Biotechnologym which said it has around 130 other llamas and alpacas at the facility.
BEIJING (Reuters) – As the world grapples with the escalating coronavirus pandemic, China reopened the city of Wuhan on Wednesday, allowing its 11 million residents to leave for the first time in over two months, a milestone in its effort to combat the outbreak.
But while the operation to contain Wuhan’s coronavirus outbreak has been hailed as a success by China and many international health experts, it didn’t come easy.
Using virus , official reports and over a dozen interviews with officials, residents and scientists in Wuhan, Reuters has compiled a comprehensive account of how the military-style quarantine of the city unfolded.
SCIENTIST TOUR
Wuhan health authorities reported the first case of what turned out to be the new coronavirus in December, and the first known death linked to the virus in early January.
City officials insisted the situation was under control for the first two weeks of January, downplaying the possibility of human-to-human transmission as they focused on a seafood and wildlife market where the outbreak was believed to have started.
But troubling signs were emerging.
Hospital respiratory wards began reaching capacity by around Jan 12, and some people were being turned away, a half dozen Wuhan residents told Reuters.
But at least up to Jan. 16, Wuhan’s government said that no new cases of the disease had occurred for about two weeks, and the city continued as normal. Diners packed restaurants, shoppers flocked to commercial districts, and travellers headed to train stations and airports for their Lunar New Year holidays.
Minimal measures were put in place to take the temperatures of residents in public places, or encourage them to wear protective masks, residents said.
“We ordinary people did not know that we needed to take protective measures,” said Wang Wenjun, whose uncle died of the coronavirus on Jan 31.
But that changed after Jan 18, when a team of scientists sent by the central government in Beijing arrived in Wuhan.
Leading the group was 83-year-old Zhong Nanshan, an epidemiologist credited with raising the alarm in China about the spread of another coronavirus, SARS, in 2003. Over two days, the team investigated the source and scale of Wuhan’s outbreak, inspecting the seafood and wildlife market and other sites.
As the scientists toured Wuhan, their mood darkened as the scale of the crisis became clear, said a source familiar with the trip.
A day before the scientists arrived, four new cases were confirmed in Wuhan, none of which had apparent links to the market.
That cast doubt over local authorities’ previous assertions that there was no substantial evidence of human-to-human transmission, which would have required them to impose drastic containment measures on the city.
The scientists’ visit was the third by an expert group since the end of December as suspicion in Beijing grew that the virus was transmissible and local officials had concealed the challenges they faced containing the disease, according to an academic on the Jan 18 trip and a scientist who visited on Jan 2. Another trip took place on Jan 8.
During the Jan 18 visit, the team made several discoveries that had been previously undisclosed to the public by local officials.
Over a dozen healthcare workers had been infected, efforts to track close contacts with other confirmed cases had dwindled, and hospitals had not conducted a single test before Jan. 16, Zhong and other experts on the team announced a few days after their trip to Wuhan.
On Jan 19, the group of about a half dozen scientists returned to Beijing, where they reported their findings to the National Health Commission, which formulates China’s health policy.
The experts recommended that Wuhan be put under quarantine and that hospital capacity be rapidly expanded, according to two sources who were briefed on the discussions. Zhong himself had suggested the lockdown measures, they said. Zhong and the commission did not respond to requests for comment.
One of the sources said the proposal was initially rejected by Wuhan government officials because they feared the economic impact, but they were overruled by the central authorities.
On the evening of Jan 20, the central government set up a taskforce in Wuhan to spearhead the fight against the epidemic.
The lockdown of Wuhan had been put in motion.
Ye Qing, deputy chief of the statistics bureau in Hubei province, where Wuhan is located, said it was only when Zhong announced his findings that he began to realize the seriousness of this epidemic.
Wuhan officials, he said, reacted far too late. “If the government had sent out a notice, if they had asked everyone to wear masks, to do temperature checks, maybe a lot fewer people would have died.”
He added: “It’s a painful lesson with blood and tears.”
Later tracing of virus patients showed that people confirmed to have the virus travelled from Wuhan to at least 25 provinces, municipalities and administrative regions across China before the lockdown plan went into action.
The Wuhan government and the National Health Commission in Beijing did not respond to requests for comment.
LOCKDOWN
The ripple effects of events in Beijing were soon felt in Wuhan.
On Jan 22, senior officials in Wuhan received a written government notice telling them not to leave the city, or report their whereabouts if they had, according to two local government sources.
The directive offered no further details, but at about 8 p.m. that night, some officials received notice by telephone that the city would be shut off the next morning, the sources said.
The lockdown was publicly announced at 2 a.m., sending thousands of Wuhan residents scrambling to find a way out.
But access into and out of the city was quickly closed off, with public transportation shut down and the use of private cars banned. Residents were soon after restricted to their homes.
Having seized control of the crisis, Beijing also removed a number of key officials from Wuhan and Hubei province.
Wuhan’s mayor, Zhou Xianwang, who kept his job, made a frank admission in an interview with state media a few days later that party-reporting mechanisms had stifled early action.
“Information should have been released more quickly,” he said. The process had been slowed by officials in Wuhan being “obliged to seek permission” before fully disclosing information to the public, he said.
‘NEW NORMAL’
Almost two months after the lockdown was imposed, China has started allowing residents to leave the city, as well as permitting domestic flights and inter-city trains. Wuhan has reported just one new case in the past week, and around 93% of all cases have recovered, according to official data.
As other countries consider Wuhan-style quarantines, those numbers have come under increased scrutiny, however. U.S. President Donald Trump said last week that China’s numbers were “on the light side,” drawing the ire of Beijing.
China has also only just begun reporting data on asymptomatic cases – those in which carriers can transmit the disease without feeling symptoms – in the past week. That followed a public backlash on social media in China that the key numbers had been omitted from the official tally, raising concerns that such cases could lead to a second wave of infections.
Xue Lan, a professor at Tsinghua University who is a member of a government coronavirus task force, said precautions put in place for the lockdown – like social distancing – would likely become a part of life in the future in China.
“From now on our social lives will enter a new normal,” Xue said.
Image copyright PTIImage caption This city of five million people has been under a lockdown since last week
At 05:00 local time (23:30 GMT) of 8 March, the intensive care unit of a private hospital in the northern Indian state of Rajasthan received a 68-year-old man suffering from pneumonia. He was also having problems breathing.
At the Brijesh Bangar Memorial Hospital in Bhilwara, the new patient was examined by 58-year-old Alok Mittal, a doctor of internal medicine, and his team. The patient wasn’t asked about any travel history; nor did he disclose anything. There were six other patients in the ICU.
The man’s condition did not improve much, and two days later, he was sent to a private hospital in Jaipur, some 250km (155 miles) away, for specialised treatment. In Jaipur, he was treated in two hospitals. “We had no idea what was in store,” Shantilal Acharya, an intensive care nurse who received the patient in the Bhilwara hospital, told me.
For reasons that are still unclear, even the hospitals in Jaipur didn’t test a patient with severe pneumonia for coronavirus. His condition deteriorated swiftly and he died a few days later, on 13 March. The news of his death was conveyed to Dr Mittal and his team.
Image copyright SHAUKAT AHMEDImage caption The infection possibly spread from a private hospital in Bhilwara
Strangely enough, the doctors didn’t appear to comprehend the gravity of the situation even though it was clear that India was facing an imminent outbreak of Covid-19. The country has reported more than 460 confirmed cases and nine deaths so far, and testing remains low. On 9 March, according to reports, Dr Mittal and a few others travelled to the city of Udaipur, put up in a resort and played Holi, the Indian spring festival of colours. (Repeated attempts at getting through to Dr Mittal by phone and text yielded no results.)
Days after the death of the pneumonia patient, Dr Mittal and a colleague checked themselves into an isolation ward of a government hospital. Over the next few days, a few more colleagues from the hospital joined them in isolation. Twelve of them, including Dr Mittal, tested positive for Covid-19.
Next day, as news of the infections leaked, all hell broke loose. The private hospital was popular with its residents, and many regularly visited its thriving out-patient department for treatment. As people panicked and began blaming the doctors for spreading the infection, authorities moved swiftly.
Image copyright SHAUKAT AHMEDImage caption People have been stopped from entering or leaving Bhilwara
They imposed a “civil curfew”, prohibiting people from coming out of their homes and banning public gatherings. They shut schools, colleges, offices, and stopped people from leaving or entering the district. The private hospital was sealed and its 88 patients moved to other healthcare facilities in the area. “Officials were telling us the threat was serious and there was a chance of an outbreak,” local journalist Pramod Tiwari told me.
So Bhilwara, fearing a serious outbreak, did everything that India did a few days later. So could this city of 400,000 people and a major textile making hub, turn out to be India’s first coronavirus “hotspot”?
Of the 69 people tested in the city until Sunday evening, 13 people – including doctors and paramedics – aged between 24 and 58, have tested positive. They include three doctors and nine health workers. Thirty-one people – mostly hospital workers – are in isolation. “Most of them are doing fine,” Dr Arun Gaur, the chief medical officer of the district, told me.
But things could get really bad.
Between 20 February and before going into isolation last week, Dr Mittal and his team of doctors at the hospital saw 6,192 patients who came from 13 districts of Rajasthan and 39 patients belonging to four other states. Drawing from the experience in China and Italy, doctors now know that hospitals might turn out to be the “main source” of Covid-19 transmission. Also, both MERS and SARS had high transmission rates within hospitals. The potential for community transmission of the infection across a large geographical area from the Bhilwara hospital is real, officials fear.
Image copyright SHAUKAT AHMEDImage caption The city’s borders have been sealed
So did the virus reach this city through the patient who was treated at three hospitals and went untested before he died? Or did one of the more than 80 patients admitted in the hospital transmit it? Or was it spread by another patient in the intensive care? Or had one of the doctors picked up the infection separately and spread it unknowingly?
Nobody will know until all the contact tracing and testing is complete, and that’s the scary part.
The lack of early credible information on the transmission meant that rumours had a field day. Local media reported that one of the infected doctors had received guests from Saudi Arabia at home and had contracted the infection. He had then gone to the hospital and spread the infection to co-workers, the reports added.
Dr Niyaz Khan had to record a mobile phone video from his intensive care bed to squelch the rumour. With monitors beeping around him, Dr Khan, masked and breathless, implored: “Just to set the record straight, I have no relative in Saudi Arabia. I have a son and a wife. None of them is positive. Please don’t believe what is coming in the media.” Another doctor said it was unfair to blame the hospital: “The patient fooled us and told us he didn’t travel outside the country for the two days he was in the ICU with us.” And Dr Mittal himself – his wife has also tested positive – recorded videos in isolation saying that he had tested positive, and he was doing well. “Please do not panic,” the well-known doctor said.
Image copyright GETTY IMAGESImage caption Residents in the city have begun panicking
That is easier said than done.
Realising the gravity of the situation, 300 teams of government workers and volunteers have fanned out in Bhilwara city. They are knocking on the doors of some 78,000 houses, and asking residents whether they’ve had a guest from outside the country, been treated in the hospital or know anyone who has tested positive. The survey began on 18 March and will finish on 25 March. “They are asking if we have cold, cough and fever and telling us if we have any of the symptoms we should report for tests at the government hospital,” a resident told me.
Another 1,900 similar teams have travelled out into neighbouring villages where more than 2.5 million people live. People in homes with suspect cases are being put into quarantine. Seven thousand people have been put into home quarantine so far.
Fearing a surge in infections, 20 more beds are being added to the hospital’s 30-bed isolation ward, which is already full. Six private hospitals have promised to provide an additional 35 beds for isolation. Thirteen places with 450 beds – extendable to 2,000 beds – where people can be quarantined have also been identified, Rajendra Bhatt, the senior-most official of the district told me. “It’s like fighting a war, but we have been agile and alert,” he said.
Meanwhile the residents, like elsewhere in India, are enduring an extended lockdown and curfew. Rajkumar Jain, a professor of computer science, is locked down with 14 members of his joint family in a two-storey home. “We are in complete panic,” he told me. “People are saying here that Bhilwara is going to become India’s Italy.”
Media captionWATCH: Millions of Indians bang pots and pans in support of health workers
State-owned carrier’s chief says it wouldn’t be ‘morally acceptable’ to stop flying to the country, and it will stand with its ‘Chinese brothers and sisters’
Dozens of airlines have cancelled or reduced services to the nation amid the virus outbreak, including two East African rivals
Ethiopian Airlines says it will continue flying to China. The routes are among its most profitable. Photo: Shutterstock
Ethiopian Airlines, Africa’s largest and most profitable carrier, will continue flying to China despite growing pressure for it to suspend services to the country as
Dozens of airlines around the globe have cancelled or reduced their services to cities in the world’s second-largest economy amid fears over the outbreak. Its East African rivals Kenya Airways and RwandAir have both suspended flights to China until the outbreak is contained.
But Ethiopian Airlines chief executive Tewolde GebreMariam said the carrier would not abandon the routes, which are among its most profitable.
Tewolde told media over the weekend that the airline had been flying to China since 1973 and it would not be ethical to suspend flights to the country.
“It will not be morally acceptable to stop flying to China today because they have a temporary problem,” he said, adding that the airline would stand with its “Chinese brothers and sisters”.
His remarks came days after Kenyan President Uhuru Kenyatta put pressure on the Ethiopian government – which wholly owns Ethiopian Airlines – to halt flights to China, citing the need to curb the spread of the virus into the East African region.
Global coronavirus deaths equal Sars, while new infections drop
The airline has bucked a trend that has seen major airlines – from the United States to Europe and Asia – staying away from Chinese airspace as governments around the world move to keep the deadly virus from their borders. The pneumonia-like illness has so far
in mainland China since the outbreak began in Wuhan in December, with cases reported in more than 20 other countries worldwide.
Speaking during a visit to Washington last week, Kenyatta – who is keen to court both China and the US – insisted that Kenya’s decision to suspend flights from Guangzhou to Nairobi was not political.
He said most African countries had weak health systems that would make it harder to handle the outbreak, so preventing its spread – even if through extreme measures such as grounding flights – was the only option.
“Our worry as a country is not that China cannot manage the disease. Our biggest worry is diseases coming into areas with weaker health systems like ours,” Kenyatta said while addressing members of US think tank the Atlantic Council.
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But Ethiopian Airlines said it would continue flying to Beijing, Shanghai, Guangzhou, Chengdu and Hong Kong and was taking measures to protect staff and passengers. Ethiopia receives about 1,500 visitors from mainland China every day.
According to Tewolde, if the airline halted its Chinese services, China and Africa would be completely disconnected.
“No one in Ethiopian Airlines would like to see this,” he said. “We have to take maximum precautions, but stopping flights is not one of them.”
He added: “Even if we stop flying, people will continue to come to Ethiopia through Singapore, Malaysia, Europe. The transmission of the disease will be dangerously hidden … British Airways stopped flying to China for its economic reasons. But Chinese carriers are flying to the UK.”
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In a separate statement, the carrier said China was “one of the strongest and one of the oldest markets for Ethiopian Airlines”.
“We have been connecting the great Chinese nation with the entire continent of African for almost half a century and it is our growth strategy,” the airline said, adding that it would continue operating in the five cities in compliance with international aviation and health guidelines.
Aside from seeking to shore up revenues, analysts noted that the airline was under tight state control, and Ethiopia would be reluctant to do anything that might harm its strong bilateral ties with China.
Ethiopia is among the nations on the continent with the highest number of Chinese immigrants. Most of them are workers involved in the construction of infrastructure projects including ports, railways, dams, bridges and malls. Those projects have been financed with billions of dollars in loans from China – Ethiopia is reportedly among the biggest recipients of Chinese lending in Africa.
Last year, China was forced to restructure Ethiopia’s debt after the latter edged closer to defaulting on a loan from Beijing for its standard gauge railway.
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Ethiopia, Algeria, Angola, Nigeria and Zambia together accounted for nearly 60 per cent of all Chinese workers on the continent at the end of 2017, according to a study by Johns Hopkins University.
Ethiopia is also a major recipient of direct foreign investment from China.
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A nurse in a protective suit feeds a coronavirus patient in an isolated ward in Wuhan. Photo: Reuters
China’s health authority reported 97 new deaths caused by the coronavirus and 2,015 newly confirmed cases of infection, taking its totals to 1,113 and 44,653 respectively.
As of Tuesday, 744 recovered patients had been discharged and the total number of recovery cases stood at 4,740.
Outside Hubei province, the epicentre of the coronavirus, the rise in new infections reported by China slowed for an eighth consecutive day.
Apology for slow treatment
A district leader in Hubei’s capital of Wuhan apologised on Tuesday to critically ill patients who had not been treated in a timely manner, state media reported.
Staff in the Wuchang district who were in charge of a chaotic bus transfer of people to hospital on Sunday were ordered to apologise to patients and their families one by one by telephone.
Wuchang officials told state media that mistakes had been made and the district’s most urgent priority was to admit all patients to hospitals or other medical facilities as soon as possible.
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The district leader, who visited hospitals to apologise in person, was mocked online for wasting protective suits when the city faces a shortage of medical supplies.
“Health care workers don’t have enough protective gear, why are you wearing it to apologise?” one person wrote on China’s Twitter-like Weibo. “These people are suspected cases, not confirmed ones. It’s a pity to waste the protective gear – it protects the lives of health care workers!”
“I really don’t think it’s necessary to apologise one by one, just apologise in the newspaper! Don’t waste time and protective clothing on formalities,” another person wrote.
Reporting system ‘needs update’
A group of scientists have called for changes in the way new viruses are reported, after a delay of more than two weeks between the first indication of a coronavirus strain in Hubei and the release of critical information to the global health community.
The group said in a letter to The Lancet that data indicating a Sars-related coronavirus was obtained by researchers on December 26.
Life inside China’s rapidly built hospitals in Wuhan, the epicentre of the coronavirus outbreak
“The Chinese authorities ruled out Sars and Mers, as well as a few other non-coronaviruses, on January 5, and confirmed a novel coronavirus as a potential cause on January 9. However, the genome sequence – crucial for rapid development of diagnostics needed in an outbreak response – was not released until January 12, 17 days after the preliminary sequence data were obtained,” they wrote.
The letter mentioned the “crucial role” of doctors in detecting the outbreak in China, including “eight doctors who were wrongly accused of spreading ‘fake news’” – a reference to a group that included Li Wenliang, the doctor hailed as a whistle-blower who later succumbed to the disease.
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“There are lessons the global health community can and should learn and act on so that we can better respond to the next EZV (emerging zoonotic virus) event, which is almost certain to happen again. These lessons are definitely not unique to China,” they wrote.
Two of the letter’s authors sit on the committee that provides the World Health Organisation (WHO) advice about when to declare a public health emergency of international concern – a status given to the coronavirus on January 30.
Hubei reports 94 new deaths
Health authorities in Hubei reported 94 new deaths attributable to the contagion on Tuesday and 1,638 newly confirmed cases, taking the province’s totals to 1,068 and 33,366 respectively. They had reported 103 fatalities and 2,097 newly confirmed cases a day earlier.
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Some 1,104 of the new cases announced were confirmed in Wuhan, where the virus is believed to have originated at a seafood and meat market.
The figures from Hubei on Tuesday showed the province’s lowest number of new cases in a day since the beginning of February, and the first time it had reported fewer than 2,000 new cases in a day since February 2.
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Disease can spread faster than Sars: WHO
Michael Ryan, the WHO’s head of emergency programmes, said on Tuesday in Geneva that the disease caused by the coronavirus – now officially named Covid-19 by the WHO – had the potential to spread faster than either the Ebola or Sars viruses. Earlier this week, Covid-19 exceeded the Sars outbreak of 2002-03 in terms of deaths attributed to it.
Transmission methods have been shown to include human-to-human contact, and the incubation period is believed to be up to 14 days.
In recent days, epidemiologists have said that the contagion may also spread through “aerosol transmission” – when tiny particles or droplets of the virus suspended in the air are inhaled.
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Others indicated that transmissions were possible from patients who showed mild or no symptoms.
WHO officials said on Tuesday that the agency had also activated a UN crisis management team to better assess and mitigate the outbreak’s economic implications.
Petition calls for freedom of speech
Hundreds of Chinese, led by academics, have signed an online petition calling on the national legislature to protect citizens’ right to freedom of speech, amid growing public discontent over the handling of the coronavirus outbreak.
It also follows a massive outpouring of grief and anger over the death of Wuhan-based Dr Li Wenliang.
Coronavirus: hundreds in China sign petition calling for free speech
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The petition is gaining momentum online, but some of the signatories and other rights activists have already come under pressure. Addressed to the National People’s Congress (NPC), it lists five demands for Beijing.
The demands are: to protect people’s right to freedom of expression; to discuss the issue at NPC meetings; to make February 6, the day Li died, a national day for free speech; to ensure no one is punished, threatened, interrogated, censored or locked up for their speech, civil assembly, letters or communication; and to give equitable treatment, such as medical care, to people from Wuhan and Hubei province. Many have reported experiencing discrimination elsewhere in the country.
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US repeats concern over China’s purchases
The outbreak could have an impact on China’s commitment to buy more US agricultural products this year under the US-China phase one trade deal, White House national security adviser Robert O’Brien said on Tuesday.
“We expect the phase one deal will allow China to import more food and open those markets to American farmers, but certainly, as we watch this coronavirus outbreak unfold in China, it could have an impact on how big – at least in this current year – the purchases are,” O’Brien told an event at the Atlantic Council, a Washington think tank.
‘No US doctors in China’
O’Brien said there were no American doctors on the ground in China so far, despite US offers to help fight the outbreak.
“We’ve offered the Chinese the opportunity to have American doctors … and other experts come to China to help them. That offer has not been accepted at this point but that is an outstanding offer,” he said.
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But US officials said on Monday that China had agreed to allow American health experts into the country.
“China has accepted the United States’ offer to incorporate a group of experts into a WHO mission to China to learn more about and combat the virus,” White House spokesman Judd Deere said.
In a tweet on Monday, WHO director general Tedros Adhanom Ghebreyesus said an advance team of WHO experts had arrived in China to “lay the groundwork for the larger international team”.
Tibet’s only patient cured
The only Covid-19 patient in Tibet was cured and discharged from hospital on Wednesday afternoon, People’s Daily reported, citing the patient’s doctor at the Third People’s Hospital of Tibet.
The patient, a 34-year-old man from Suizhou, Hubei province, spent three days on a train before reaching Lhasa on January 24. He sought medical treatment a day later and was isolated for treatment, before being confirmed as being infected on January 29.
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The man tested negative for the virus on Sunday and Tuesday, and CAT scans and clinical symptoms showed he had been cured. He left Tibet by train on Wednesday afternoon, according to thePeople’s Daily report.
Iran denies report of Covid-19 death
Iran’s health ministry has denied a report that an Iranian woman has died of a suspected coronavirus infection.
The state daily newspaper Iran reported on Wednesday that a 63-year-old woman had died in a Tehran hospital on Monday and that an investigation had been ordered into the cause of her death. No sources were cited in the report.
A spokesman for Iran’s health ministry denied the report. “There have been no cases of coronavirus in Iran,” he said.
Iranian health authorities have repeatedly said there were no confirmed cases of coronavirus in the country.
Exams under threat
Chinese authorities are considering whether to postpone the country’s college entrance exams, due to take place in June.
“Those responsible for arranging college entrance exams need to put the lives and health of candidates and testing staff first,” Wang Hui, a Ministry of Education official, said at a press briefing on Wednesday. “We will closely monitor the development of the outbreak, evaluate the possible impact on the exams and carefully formulate a plan.”
Combo photo shows aerial views of the construction site of Leishenshan (Thunder God Mountain) Hospital taken on Jan. 26, 2020 (top) by Xiao Yijiu and on Feb. 5, 2020 by Li He, in Wuhan, central China’s Hubei Province. After 10 days’ work, the Leishenshan Hospital, another makeshift hospital in Wuhan, started to be delivered gradually after passing the check by the city’s urban construction and health departments Thursday. (Xinhua)
WUHAN, Feb. 6 (Xinhua) — After 10 days’ work, the Leishenshan (Thunder God Mountain) Hospital, another makeshift hospital in Wuhan, started to be delivered gradually after passing the check by the city’s urban construction and health departments Thursday.
Located on the bank of the Huangjia Lake in the Jiangxia District, Leishenshan Hospital uses a modular design based on the layout of a field hospital. It covers 21.9 hectares.
Replicating Beijing’s SARS treatment model in 2003, Wuhan started building two makeshift hospitals: Leishenshan (Thunder God Mountain) and Huoshenshan. Construction work of Leishenshan Hospital started on Jan. 27. After being put into operation, Leishenshan Hospital is expected to provide 1,600 beds and accommodate over 2,000 medical workers.
On Jan. 23, workers broke ground on Huoshenshan Hospital, with a capacity of 1,000 beds. Huoshenshan was finished Sunday and has started to accept patients.
News of his death was met with an intense outpouring of grief on Chinese social media site Weibo – but this quickly turned into anger.
There had already been accusations against the government of downplaying the severity of the virus – and initially trying to keep it secret.
Dr Li’s death has fuelled this further and triggered a conversation about the lack of freedom of speech in China.
The country’s anti-corruption body has now said it will open an investigation into “issues involving Dr Li”.
The Chinese government has previously admitted “shortcomings and deficiencies” in its response to the virus, which has now killed 636 people and infected 31,161 in mainland China.
According to Chinese site Pear Video, Dr Li’s wife is due to give birth in June.
What has the public reaction been?
Chinese social media has been flooded with anger – it is hard to recall an event in recent years that has triggered as much grief, rage and mistrust against the government.
The top two trending hashtags on the website were “Wuhan government owes Dr Li Wenliang an apology” and “We want freedom of speech”.
Both hashtags were quickly censored. When the BBC searched Weibo on Friday, hundreds of thousands of comments had been wiped. Only a handful remain.
“This is not the death of a whistleblower. This is the death of a hero,” said one comment on Weibo.
A photo circulating on Twitter reportedly sourced from messaging platform WeChat also shows a message in Chinese saying “Farewell Li Wenliang” written in the snow on a riverbank.
Many have now taken to posting under the hashtag “Can you manage, do you understand?” – a reference to the letter Dr Li was told to sign when he was accused of disturbing “social order”.
These comments do not directly name him – but are telling of the mounting anger and distrust towards the government.
Media caption Coronavirus: Shanghai’s deserted streets and metro
“Do not forget how you feel now. Do not forget this anger. We must not let this happen again,” said one comment on Weibo.
“The truth will always be treated as a rumour. How long are you going to lie? What else do you have to hide?” another said.
“If you are angry with what you see, stand up,” one said. “To the young people of this generation, the power of change is with you.”
An epic political disaster
The death of Dr Li Wenliang has been a heart-breaking moment for this country. For the Chinese leadership it is an epic political disaster.
It lays bare the worst aspects of China’s command and control system of governance under Xi Jinping – and the Communist Party would have to be blind not to see it.
If your response to a dangerous health emergency is for the police to harass a doctor trying to blow the whistle, then your structure is obviously broken.
The city’s mayor – reaching for excuses – said he needed clearance to release critical information which all Chinese people were entitled to receive.
Now the spin doctors and censors will try to find a way to convince 1.4 billion people that Dr Li’s death is not a clear example of the limits to the party’s ability to manage an emergency – when openness can save lives, and restricting it can kill.
He was initially declared dead at 21:30 on Thursday (13:30GMT) by state media outlets the Global Times, People’s Daily and others.
Hours later the Global Times contradicted this report – saying he had been given a treatment known as ECMO, which keeps a person’s heart pumping.
Journalists and doctors at the scene said government officials had intervened – and official media outlets had been told to change their reports to say the doctor was still being treated.
But early on Friday, reports said doctors could not save Dr Li and his time of death was 02:58 on Friday.
Image copyright LI WENLIANGImage caption Li Wenliang contracted the virus while working at Wuhan Central Hospital
What did Li Wenliang do?
Dr Li, an ophthalmologist, posted his story on Weibo from a hospital bed a month after sending out his initial warning.
He had noticed seven cases of a virus that he thought looked like Sars – the virus that led to a global epidemic in 2003.
On 30 December he sent a message to fellow doctors in a chat group warning them to wear protective clothing to avoid infection.
Four days later he was summoned to the Public Security Bureau where he was told to sign a letter.
In the letter he was accused of “making false comments” that had “severely disturbed the social order”. Local authorities later apologised to Dr Li.
In his Weibo post he describes how on 10 January he started coughing, the next day he had a fever and two days later he was in hospital. He was diagnosed with the coronavirus on 30 January.
Media caption The BBC’s online health editor on what we know about the virus
Singapore has raised its Disease Outbreak Response System Condition (Dorscon) level from yellow to orange. This means that the disease is deemed severe and spreads easily from person to person but has not spread widely and is being contained
Chinese President Xi Jinping has told his US counterpart Donald Trump that China is “fully confident and capable of defeating the epidemic”. The country has introduced more restrictive measures to try to control the outbreak:
The capital Beijing has banned group dining for events such as birthdays. Cities including Hangzhou and Nanchang are limiting how many family members can leave home each day
Hubei province has switched off lifts in high-rise buildings to discourage residents from going outside.
The virus has now spread to more than 25 countries. There have been more than 28,000 cases worldwide but only two of the deaths have been outside mainland China.
Teams from Shanghai, Guangdong – including experts who helped tackle Sars – arrive in Wuhan to lend their support
Tencent, JD.com, Lenovo among raft of private firms offering financial aid to those battling deadly outbreak
Doctors and nurses from across China are being dispatched to help tackle the coronavirus epidemic in Hubei province. Photo: Xinhua
Chinese authorities and private enterprises are stepping up their support for embattled medical teams in Hubei province as they continue to fight the coronavirus epidemic, while neighbouring governments ramp up their efforts to prevent its further spread.
Hospitals across Wuhan – the city at the centre of the outbreak – have been overwhelmed by the flood of patients and doctors are becoming increasingly frustrated at the lack of support, both in terms of supplies and personnel, they have received.
But national bodies say they are responding to the crisis.
On Saturday, China’s National Health Commission (NHC) said that six medical teams comprising 1,230 staff had been set up and dispatched to help fight the deadly virus in Hubei.
Three medical units from Shanghai, Guangdong and the armed forces had already arrived in the province, it said, though did not make clear if they were in addition to or part of the six teams.
Chen Dechang, a doctor from Ruijin Hospital in Shanghai who is among those sent to Hubei, said it was important there were more medical staff on the scene.
“We can help save more patients in the intensive care unit if we are on the front line,” he said.
Authorities in Shanghai have also sent 81 ECMO (extracorporeal membrane oxygenation) life-support machines to Jinyintan Hospital, which is one of the designated facilities treating patients in Wuhan.
The ECMO technique – which involves removing blood from a person’s body, removing the carbon dioxide and oxygenating red blood cells before pumping them back into the patient – has already been used on one critically ill patient at Wuhan University’s Zhongnan Hospital, according to Shanghai-based news outlet Thepaper.cn.
Though the report did not say how effective the treatment had been.
Medical teams in Wuhan have been under huge pressure since the outbreak began. Photo: Xinhua
The team from Guangdong comprised 42 doctors and 93 nurses, the NHC said. The deployment came after a group of current and former medical staff from Southern Medical University in Guangzhou – who had helped tackle the Sars (severe acute respiratory syndrome) outbreak in 2002-03 – signed a petition saying they were willing to help in Wuhan.
“We are a team of experienced practitioners who fought Sars,” they said in the petition, a copy of which was posted on the social media accounts of Communist Party mouthpiece People’s Daily.
“We cannot back away from our responsibility to help 17 years later as people are facing the outbreak of a new coronavirus. We are willing to be deployed to the front line to make our contributions.”
A team of 135 doctors from Chongqing arrived in Wuhan on Friday evening, the NHC said, without elaborating.
A medical team from Guangdong province prepares to travel to Wuhan. Photo: Xinhua
As well as the wave of medical support, several private companies said they had provided financial support to help fight the epidemic.
According to Chinese media reports, Shanghai Ocean Forest Assets has donated 10 million yuan (US$1.4 million) to the cause, while Shanghai-based asset management firm, Jinglin Assets is coordinating efforts to buy urgently needed medical supplies from South Korea and Japan.
Shenzhen’s Fantasia Holdings said it would donate 6 million yuan and send medical supplies, including surgical masks, to Wuhan, while tech giant Tencent said it would donate 300 million yuan from its charity. E-commerce platform JD.com said it had donated 1 million surgical masks and 60,000 other medical items.
Chinese smartphone manufacturer Xiaomi said on Friday it had sent a first batch of medical equipment – masks and thermometers worth more than 300,000 yuan – to Wuhan, while tech firm Lenovo said on Saturday it would donate all of the IT equipment required by the new specialist treatment centre being built in the city.
Authorities set a target to have the 1,000-bed facility up and running within six days of starting construction.
Aside from the support from the private sector, state lender China Development Bank on Friday issued a 2 billion yuan emergency loan to Wuhan, while a day earlier, China’s finance ministry said it had allocated 1 billion yuan to authorities in Hubei to help tackle the epidemic.
Across the country, authorities have introduced a number of measures to help prevent the further spread of the coronavirus, including the closure of all cinemas in Shanghai.
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Also on Saturday it was reported that Liang Wudong, a doctor at Xinhua Hospital in Wuhan, had become the first medical professional to die after treating people infected with the virus.
Liang, 62, was suspected of having contracted the virus last week and had been transferred to Jinyintan Hospital for treatment. He died at 7am on Saturday, Thepaper.cn reported.
According to official figures, 41 people have been killed by the coronavirus and there have been more than 1,280 confirmed cases. The vast majority are in the Chinese mainland, but there have also been confirmed cases in Hong Kong, Macau, Taiwan and eight other countries, including the United States and Europe.
Tens of millions of people in cities across Hubei are effectively on lockdown after the introduction of travel bans to help control the spread of the virus.
BEIJING (Reuters) – An outbreak of a new coronavirus in China has spread to more cities, Chinese authorities said on Monday, as the number of patients tripled and a third person died, stoking concerns about containment of the illness.
The Daxing health commission in the capital Beijing said it had confirmed two cases of coronavirus, while the southern Guangdong province’s health commission confirmed one case in Shenzhen. They mark the first cases in China beyond the central city of Wuhan where the virus first emerged.
The Wuhan Municipal Health Commission said 136 new cases of pneumonia caused by the coronavirus strain had been found in the city over the weekend, adding to 62 already known cases. A third death occurred on Saturday, the authority said in a statement.
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This brings the total number of known cases worldwide to more than 200, underscoring the challenge for health authorities seeking to contain the outbreak. South Korea on Monday reported its first confirmed case of the coronavirus, a 35-year-old female Chinese national who had travelled from Wuhan, the fourth patient to be reported outside China.
Hundreds of millions of Chinese tourists will be traveling domestically and abroad during the Lunar New Year holiday period that starts later this week.
A report by London Imperial College’s MRC Centre for Global Infectious Disease Analysis estimated that by Jan. 12 there were 1,723 cases in Wuhan City with onset of related symptoms. Chinese health authorities have not commented directly on the report.
CONTAINMENT EFFORTS
Authorities around the globe, including in the United States and many Asian countries, have stepped up screening of travellers from Wuhan. Last week, two cases were reported in Thailand and one in Japan. All three involved people from Wuhan or who recently visited the city.
The virus belongs to the same family of coronaviruses as Severe Acute Respiratory Syndrome (SARS), which killed nearly 800 people globally during a 2002/03 outbreak that also started in China.
Its symptoms include fever and difficulty in breathing, which are similar to many other respiratory diseases and pose complications for screening efforts.
China’s National Health Commission said on Sunday it will step up prevention efforts, but acknowledged it still doesn’t know the source of the virus.
Shares in pharmaceutical firms and mask makers in China surged Monday because of the outbreak.
The outbreak was one of the top trending topics on Chinese social media platform Weibo, where many users expressed concerns about their safety.
“Who knows how many people who have been to Wuhan may be unaware that they have already been infected?,” one user said.
China’s Global Times, published by the ruling Communist Party’s official People’s Daily newspaper, said in an editorial the government needs to disclose all information and not repeat the mistakes made with SARS. Chinese officials covered up the SARS outbreak for weeks before a growing death toll and rumours forced it to reveal the epidemic.
“Concealment would be a serious blow to the government’s credibility and might trigger greater social panic,” the editorial said.
CHINDIA ALERT: You'll be living in their world, very soon 