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.
Chinese President Xi Jinping, also general secretary of the Communist Party of China Central Committee and chairman of the Central Military Commission, takes part in a deliberation with his fellow deputies from the delegation of Inner Mongolia Autonomous Region at the third session of the 13th National People’s Congress (NPC) in Beijing, capital of China, May 22, 2020. (Xinhua/Ju Peng)
BEIJING, May 23 (Xinhua) — “What is people first?” Chinese President Xi Jinping asked, before offering his own answer when he was talking with lawmakers at the ongoing national legislative session.
“So many people worked together to save a single patient. This, in essence, embodies doing whatever it takes (to save lives),” he said.
Xi, also general secretary of the Communist Party of China Central Committee and chairman of the Central Military Commission, is a deputy to the 13th National People’s Congress.
During his deliberations with fellow deputies from Inner Mongolia Autonomous Region on Friday, “people” was a keyword.
Xi referred to a story told by another deputy that morning. Luo Jie, from the COVID-19 hard-hit province of Hubei, told reporters at the session how medical workers in his hospital spent 47 days saving an 87-year-old COVID-19 patient.
“About 10 medical workers meticulously took care of the patient for dozens of days, and finally saved the patient’s life,” Xi said. “I am really impressed.”
In the COVID-19 pandemic, health workers around the world got to know the elderly are the most difficult to treat and require the most sophisticated medical resources. China has given every patient equal treatment irrespective of their age or wealth.
Chinese President Xi Jinping, also general secretary of the Communist Party of China Central Committee and chairman of the Central Military Commission, takes part in a deliberation with his fellow deputies from the delegation of Inner Mongolia Autonomous Region at the third session of the 13th National People’s Congress (NPC) in Beijing, capital of China, May 22, 2020. (Xinhua/Huang Jingwen)
In Hubei alone, more than 3,600 COVID-19 patients over the age of 80 have been cured. In the provincial capital Wuhan, seven centenarian patients have been cured.
“We mobilized from around the nation the best doctors, the most advanced equipment and the most needed resources to Hubei and Wuhan, going all out to save lives,” Xi said during the deliberations, adding that the eldest patient cured is 108 years old.
“We are willing to save lives at all costs. No matter how old the patients are and how serious their conditions have become, we never give up,” Xi said.
Xi joined political advisors and lawmakers on Thursday and Friday in paying silent tribute to the lives lost to COVID-19 as the top political advisory body and the national legislature opened their annual sessions.
This year’s government work report said China’s economy posted negative growth in the first quarter of this year, but it was “a price worth paying” to contain COVID-19 as life is invaluable.
“As a developing country with 1.4 billion people, it is only by overcoming enormous difficulties that China has been able to contain COVID-19 in such a short time while also ensuring our people’s basic needs,” the report said.
Epidemic response is a reflection of China’s governing philosophy.
The fundamental goal for the Party to unite and lead the people in revolution, development and reform is “to ensure a better life for them,” Xi said.
The nation’s average life expectancy reached 77 years in 2018, more than double that in 1949, when the people’s republic was founded.
Chinese people are not just living longer but better lives, with more material wealth and broader choices to pursue individual dreams. All rural poor will bid farewell to poverty this year as part of the goal of building a moderately prosperous society in all respects.
The Party’s long-term governance, Xi said, rests on “always maintaining close bond with the people.”
“We must always remain true to the people’s aspiration and work in concert with them through thick and thin,” Xi said.
Xie Haifeng’s story is one of luck and resilience and he has made it his mission to help others through adversity
Professional dancer owes part of his success to the city of Hong Kong and one of its doctors who helped survivors through recovery
Xie Haifeng was 15 when he lost his leg in one of modern China’s most devastating disasters. Photo: Handout
When the rumbling began, Xie Haifeng thought someone was shaking his bed. Perhaps one of the other 800 children in the school dormitory was being naughty. Or maybe it was a small quake. Then came the unmistakable sound of screams.
Xie, then a 15-year-old pupil at Muyi Town Middle School in the southwestern Chinese province of Sichuan, started running. He fell as the dorm building collapsed around him. When he tried to stand up, he realised something was missing. His left leg was gone.
What Xie thought was a small quake turned out to be one of the most devastating disasters in modern Chinese history.
The Sichuan earthquake of May 2008 left at least 87,000 people dead and shook the country to its core. It was less than three month before Beijing would host its first Olympic Games, an opportunity to show the world its strength and ambition.
Instead, 7,444 schools had crumbled like tofu in an area known to be seismically active. Their rubble was a stark demonstration of the weak foundation of China’s progress and its tragic consequences. At Xie’s school, the shoddily built walls and ceilings crushed 600 children. Only 300 survived.
It still frightens me to recall the earthquake.Xie Haifeng, dancer
Xie considers himself lucky. “If I had run just one second more slowly, I would have been dead. If I had run one second faster, I would have been completely fine. But anyway, I am lucky to be alive,” he said. A dozen years later, his story is also one of resilience. Defying all the odds, Xie is now a professional dancer for a troupe in Sichuan and has made it his mission to help others through adversity.
The journey from his hospital bed to the stage was long and difficult and even though many years have passed, “it still frightens me to recall the earthquake”. But, he said: “I have forgiven fate and accepted the reality that I have only one leg.”
Xie’s trauma was a particularly difficult blow to his family. His older sister was already handicapped, after injuring her arm in an accident. When his mother, a migrant worker in the northwestern province of Gansu, arrived at the hospital a few days after the earthquake, she had no idea of the extent of Xie’s condition.
“When I woke up in the evening, I saw my mother weeping beside my bed. I told myself I should be strong,” Xie said, adding that his mother initially thought he had suffered only bruises. He was sent for treatment to a hospital in the prosperous southern city of Shenzhen, along with other survivors who had been left with disabilities by the earthquake.
Defying all the odds, Xie Haifeng is now a professional dancer. Photo: Handout
It was there that Xie was inspired to make the most of his life. A team of athletes visited the hospital and he was shocked to see one of them, a volleyball player, walking on a prosthetic leg.
Xie began to wear a prosthesis and after rehabilitation training returned to his hometown in 2009 where he was admitted to Qingchuan High School. At first, he was self-conscious and felt inferior to his peers. He did not dare to wear shorts in summer and said he seldom talked to the other students.
The following year he was introduced to members of the Chengdu Disabled People’s Art Troupe, where he found a new and welcoming home. Xie quit school and joined the troupe, despite his parents’ opposition. They were convinced study was the only way for rural students like their son to get out of poverty.
Xie learned Sichuan opera and was soon performing its art of bian lian, or
– a skill that requires rapid mask changes in a dazzling sleight of hand – on stage until the troupe was disbanded in 2011, leaving him unemployed for six months.
China marks 10-year anniversary of Sichuan earthquake
But the misfortune led to an improbable opportunity when he was hired by the Sichuan Provincial Disabled People’s Art Troupe and trained to dance. At 19, and with no experience, Xie found the training far more difficult than those who had started at the more usual age of five or six.
His body was too stiff, he said, and in the first months he spent 10 hours each day just stretching and building flexibility. It was just the beginning of a long and often arduous process.
“That agony is too much to be described,” Xie said about the pain of dancing on a prosthetic leg. “During the first six months’ training, I broke three artificial legs.”
More than once, he wondered whether he had chosen the right path. But, ultimately, his gruelling effort paid off and Xie has performed in Singapore, Hong Kong and Macau. In 2013, he won a gold medal at a national dancing competition for people with disabilities.
“My dances won me applause and recognition from the audience. I feel relieved and I think my heart belongs to the stage,” he said.
Xie broke three artificial legs during his first six months of dance training. Photo: Handout
Xie said he owed part of his success to Hong Kong which in 2008 donated HK$20 billion (US$2.5 billion) in aid to Sichuan and sent doctors to treat the injured. Among the volunteers was Poon Tak-lun, a Hong Kong orthopaedist who flew to Sichuan every two weeks from 2008 to 2013 to treat patients.
At a gala show in 2013 to express gratitude from the people of Sichuan to Hong Kong, Xie met Poon and the two became good friends, thanks to their common interest in the arts.
“Dr Poon promised to pay for all the costs of installing and repairing my artificial leg in the future. He told me to focus on dancing without worrying about the leg’s costs,” Xie said.
Xie Haifeng (pictured left with friend Poon Tak-lun) gives a speech to students in Hong Kong. Photo: Handout
Grateful for the help he received from Poon and Hong Kong, Xie has sought to return the favour by doing what he does best.
“I have no other skills except dancing and performing. So I thought of sharing my experience to encourage young students in Hong Kong,” he said.
Xie travels to Hong Kong about twice a year to perform and visit schools. In 2019, he visited the city four times, performing dances and Sichuan opera, and giving speeches at more than 10 primary and secondary schools.
“I encourage them to study hard. I said there are many people in this world who have more difficulties than them but still insist on pursuing their dreams, so they should not give up their dreams,” Xie said.
When he is not dancing and giving inspirational speeches, Xie said he lived a life like everyone else – climbing mountains, swimming and proudly walking on the leg he gained after almost losing everything in Sichuan’s deadly earthquake.
Part of Jilin city declared a “high-risk” area as further cases of Covid-19 reported in China’s northeast
At the height of the outbreak, 48 Wuhan hospitals had been designated as centres to treat the disease, but the last cases have now been discharged
Wuhan University’s Renmin Hospital resumed normal operations on Saturday after being designated a Covid-19 centre at the height of the outbreak. Photo: Reuters
Wuhan’s hospitals returned to normal over the weekend after the last Covid-19 patients in the city where the disease first emerged were discharged.
However, more cases of the disease continued to emerge in northeast China, with three new cases, all from community infections, and one death recorded in Jilin province on Saturday.
As a result, the Fengman district in Jilin city has been elevated to “high-risk” status, joining the nearby city of Shulan on the highest alert level.
The Jinlin government advised the general public to increase their precautions, and protect the health of themselves and their families.
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“If you have a fever, cough and other acute respiratory symptoms, you should go to a local designated medical institution to get treatment immediately,” the statement said.
Shulan party chief Li Pengfei was removed from his post on Friday and the following day five more officials there and in Jilin city were also dismissed.
Meanwhile, Wuhan continued to show signs that life was returning to normal.
All hospitals in the city, the original epicentre of the coronavirus outbreak, had resumed normal service on Saturday after treating thousands of Covid-19 patients, local media reported.
Doctors at Wuhan University’s Renmin Hospital – one of the 48 hospitals designated as a Covid-19 treatment centre – treated nearly 1,000 patients on the first day of normal service resuming, the Changjiang Daily reported on Sunday.
It was the last hospital in Wuhan to resume normal operations, after more than four months battling the outbreak.
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During that time, thousands of Wuhan residents were unable to get treatment for emergencies or chronic diseases, but the number of people who died as a result was not recorded.
Before reopening, the hospital underwent a sanitising process that took more than three days, in which all air conditioners, filters, and bedsheets were disinfected.
All patients entering the hospital were required to submit personal information, including their temperature and contact history, in a makeshift shelter set up in front of the hospital’s main entrance before being allowed in.
Members of Chinese medical team attend a ceremony at Jiangbei International Airport in southwest China’s Chongqing, May 13, 2020. The Chinese government will send a team of medical experts to Algeria to help the country fight the COVID-19 pandemic. These experts, specializing in areas including respiratory diseases, intensive care, infectious diseases, and laboratory testing, will fly to Algeria on early Thursday morning. (Xinhua/Liu Chan)
CHONGQING, May 13 (Xinhua) — The Chinese government will send a team of medical experts to Algeria to help the country fight the COVID-19 pandemic.
The team, organized by the National Health Commission, consists of 20 medical experts, including 15 from southwest China’s Chongqing Municipality and five from China’s Macao Special Administrative Region.
These experts, specializing in areas including respiratory diseases, intensive care, infectious diseases, and laboratory testing, will fly to Algeria on early Thursday morning.
Upon arrival, the team will exchange experience with their Algerian counterparts and offer training for medics on the prevention, control, diagnosis, and treatment of the COVID-19 virus.
The team will also carry urgently needed medical supplies donated by Chongqing, including medical masks and medical protective clothing.
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.
Blaze that also left 50 people needing hospital treatment broke out in bar that covered nine floors on Sunday morning
Trapped customers seen climbing onto window sills and calling for help
Firecrews at the scene of the blaze in Taipei. Photo: EPA-EFE
At least three people were killed in a fire in Taipei karaoke bar on Sunday morning, which left 50 others in hospital.
Apart from those declared dead, four other people were in a critical condition and were being treated in a local hospital, the official CNA news agency said.
The fire broke out between 10 and 11am on the fifth floor of a 14-storey building on Linsen North Road in the Taiwanese capital. The bar occupied the first nine floors.
Pictures from the scene showed thick smoke emerging from the building.
Customers trapped on the upper floors were seen calling for help with some even standing on window sills in panic.
Customers were rescued from the upper floors. Photo: AFP
Firefighters used aerial ladders to rescue the trapped people from the upper storey windows. The Taipei city fire department said it dispatched 43 fire engines and 17 ambulances to the scene.
The fire was extinguished at about 11.30am and the search for more survivors was continuing, the department said.
SEOUL (Reuters) – South Korean and Chinese officials on Tuesday cast doubt on reports North Korean leader Kim Jong Un was ill after media outlets said he had undergone a cardiovascular procedure and was in “grave danger”.
Daily NK, a Seoul-based speciality website, reported late on Monday, citing one unnamed source in North Korea, that Kim was recovering after undergoing the procedure on April 12. The North Korean leader is believed to be about 36.
CNN cited a U.S. official with direct knowledge of the matter as saying Washington was “monitoring intelligence” that Kim was in grave danger after surgery. Bloomberg quoted an unnamed U.S. official as saying the White House was told that Kim took a turn for the worse after the surgery.
However, two South Korean government officials rejected the CNN report without elaborating on whether Kim had undergone surgery. The presidential Blue House said there were no unusual signs coming from the reclusive, nuclear-capable state.
Kim is the unquestioned leader of North Korea and the sole commander of its nuclear arsenal. He has no clear successor and any instability in the country could be a major international risk.
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The state KCNA news agency gave no indication of the whereabouts of Kim in routine dispatches on Tuesday, but said he had sent birthday gifts to prominent citizens.
An official at the Chinese Communist Party’s International Liaison Department, which deals with North Korea, told Reuters the source did not believe Kim was critically ill. China is North Korea’s only major ally.
Chinese foreign ministry spokesman Geng Shuang said Beijing was aware of reports about the health of Kim, but said it does not know their source, without commenting on whether it has any information about the situation.
South Korean shares exposed to North Korea tumbled and the Korean won fell on the reports. The won traded down more than 1% against the dollar even as South Korean government sources said Kim was not gravely ill.
U.S. stock futures were trading 0.5% lower, but it was not clear how much of that weakness was owing to the collapse in U.S. oil prices and consequent concerns over global demand.
Daily NK said Kim had been admitted to hospital on April 12, just hours before the cardiovascular procedure, as his health had deteriorated since August due to heavy smoking, obesity and overwork.
It said he was now receiving treatment at a villa in the Mount Myohyang resort north of the capital Pyongyang.
“My understanding is that he had been struggling (with cardiovascular problems) since last August but it worsened after repeated visits to Mount Paektu,” a source was quoted as saying, referring to the country’s sacred mountain.
Accompanied by senior North Korean figures, Kim took two well-publicised rides on a stallion on the snowy slopes of the mountain in October and December.
KIM’S HEALTH KEY TO STABILITY
An authoritative U.S. source familiar with internal U.S. government reporting on North Korea questioned the CNN report that Kim was in “grave danger”.
“Any credible direct reporting having to do with Kim would be highly compartmented intelligence and unlikely to leak to the media,” a Korea specialist working for the U.S. government said on condition of anonymity.
Japan’s top government spokesman, Yoshihide Suga, declined to comment on the reports of Kim’s health.
“We are regularly gathering and analysing information about North Korea with great concern,” he said. “We will keep gathering and analysing information regarding North Korea by collaborating with other countries such as the U.S.”
Kim’s potential health issues could fuel uncertainty over the future of the reclusive state’s dynastic rule and stalled denuclearisation talks with the United States, issues in which Kim wields absolute authority.
With no details known about his young children, analysts say his sister and loyalists could form a regency until a successor is old enough to take over.
Speculation about Kim’s health first arose following his absence from the anniversary of the birthday of its founding father and Kim’s grandfather, Kim Il Sung, on April 15.
On April 12, North Korean state media reported that Kim Jong Un had visited an airbase and observed drills by fighter jets and attack aircraft.
Two days later North Korea launched multiple short-range anti-ship cruise missiles into the sea and Sukhoi jets fired air-to-surface missiles as part of military exercises.
The missile launches were part of the celebrations for Kim’s grandfather, Seoul officials said, but there was no North Korea state media report on his attendance or the tests.
Reporting from inside North Korea is notoriously difficult, especially on matters concerning the country’s leadership, given tight controls on information. There have been false and conflicting reports in the past on matters related to its leaders.
Kim is a third-generation hereditary leader who rules North Korea with an iron-fist, taking over the titles of head of state and commander in chief of the military since late 2011.
In recent years Kim has launched a diplomatic offensive to promote both himself as a world leader and his hermit kingdom, holding three meetings with U.S. President Donald Trump, four with South Korean President Moon Jae-in and five with China’s President Xi Jinping.
He was the first North Korean leader to cross the border into South Korea to meet Moon in 2018. Both Koreas are technically still at war, as the Korean War of 1950-53 ended in an armistice, not a peace treaty.
Kim has sought to have international sanctions against his country eased, but has refused to dismantle his nuclear weapons programme, a steadfast demand by the United States.
URUMQI, April 18 (Xinhua) — A medical team of eight experts who aided Pakistan’s fight against COVID-19 returned Friday night to Urumqi, capital of northwest China’s Xinjiang Uygur Autonomous Region.
The team, consisting of experts in various fields including respiratory, critical care and traditional Chinese medicine (TCM), arrived in Pakistan on March 28 and visited cities of Islamabad, Lahore and Karachi.
The Chinese experts communicated with the Pakistani federal government, national and local health authorities, hospitals and medical schools, as well as the Red Crescent.
The team members shared their experience through several video conferences and offered practical, specific suggestions to their Pakistani peers concerning the diagnosis, clinical treatment and epidemiologic study of COVID-19, and the application of TCM, hospital infection control and the construction of temporary hospitals.
The team also assisted with improving Pakistan’s guidelines on diagnosis and treatment of COVID-19 to help build an efficient epidemic prevention and control system in Pakistan and enhance its screening and testing capabilities.
Meanwhile, the experts carried out epidemic prevention guidance and popular science education for the Chinese embassy in Pakistan, Chinese enterprises, overseas Chinese and Chinese students in the country.
“Doctors and nurses are people who saved me from cancer and gave me strength in the darkest time. I need to return the favour,” says Li Yan, a food delivery rider based in Beijing.
Mr Li was diagnosed with lymph cancer in 2003, when he was just 17 years old. He recovered from the disease and has been full of gratitude ever since for the medical workers who nursed him back to health. With China in a national lockdown, food delivery firms found themselves in hot demand providing meals for residents stuck at home to prevent the spread of the coronavirus.
As a delivery rider for Meituan, one of China’s biggest food delivery firms, Mr Li saw an opportunity to repay the medical professionals he admires by providing them with food and drinks as they worked tirelessly on patients across the city. “Given my past experience, I felt I needed to do something for them in return during the virus outbreak,” he adds.
Beijing is a city of 21 million residents, and Mr Li covers its Tongzhou district, where there are a handful of hospitals with fever clinics, one of which is a designated hospital for Covid-19 treatment. “Many might have concerns delivering for the hospital, but I’ve chosen to deliver for them more often. I just think of the local residents and medical workers who need us. I can’t leave them being hungry. It’s not for money.”
Before the outbreak in China, he delivered more than 50 orders on an average day. But during the first ten days after the coronavirus outbreak in late January, the number of orders dropped to less than 20, as some restaurants were closed. The outbreak also coincided with the Chinese New Year period which is normally a low season.
“By mid-February when the situation was brought more under control, and people’s concerns and fears gradually began to ease, orders started to be restored. I can deliver over 40 orders a day now.”
Image copyright LI YAN
During this time, Meituan brought in a contactless delivery option which allowed food to be dropped off at designated points to avoid contact between customers and riders. “When I called customers to explain, some initially didn’t understand and wanted to cancel the order. But gradually people grew more understanding and began to welcome the contactless approach.”
Empty streets
China was in lockdown for more than two months, although restrictions are now beginning to be lifted. It will still take time before a sense of normalcy returns.
“I remember when the coronavirus first broke out, it was hazy for a few days in Beijing. Streets were empty and stores were closed. An ambulance or a delivery rider occasionally drove by. It felt like I was living in a different world.”
Mr Li says restaurants have started to re-open and people have begun coming back to work in the office since mid-February. Orders are still lower than normal but are improving.
“I miss the hustling Beijing which used to filled with traffic, the days when I could smell car exhaust when I stop at crossroads, the times when I had to walk all the way up to the 6th floor to deliver food, and even times when I was late for a delivery.”
Image copyright LI YAN
When the virus first broke out, face masks and alcohol disinfectant were the most ordered items along with supermarket groceries. “Grains, rice, cooking oil, vegetables, fruits, and solid, packaged food that lasts long. Orders often came in big sizes and transaction prices at around 200 yuan [£23; $28] to 300 yuan on one order.”
Being a food delivery rider, Mr Li feels he can not only give back to the medical community but to the city’s vulnerable too.
“I once received an order that came with a note saying the customer is a 82-year-old who lives alone and couldn’t get downstairs to pick up the food so the rider needs to enter the residential community and deliver food to the door. I had to spend some time communicating with security and finally was allowed in. The door was open when I arrived, and I put the bowl of wontons [a type of dumpling] on the table.”
Tips have increased from happy customers during the pandemic as a result. “Many more send me thank-you notes in the Meituan app and tell me to take care.”
Image copyright LI YAN
Keeping clean
Mr Li has a new routine now which involves lots of disinfecting and temperature checks. “I get my temperature checked dozens of times everyday now, before entering shopping malls, at restaurants, and returning home to the residential compound I live in. I also bring with me disinfectant sprays, a towel in my scooter and use disposable gloves when delivering to areas with reported confirmed cases.”
While he’s providing a vital service, is Mr Li worried about the risk of infection? “I did have worries when the virus spread and was at its worst time here but I feel like I’ve already been there, given what I went through in the fight against cancer.
“I’ve learnt to take things easy, look at the bright side of things and always seek strength in a dark time. As long as I take sufficient precautions, masks, gloves, disinfectants and everything, and follow advice from disease control experts, I think the possibility of getting the virus is pretty low.”
And with a seven-month pregnant wife at home, Mr Li is looking forward to happier times.
Image copyright GETTY IMAGESImage caption Indore is a bustling commercial city
In early March, 40-year-old Ravi Dosi, a chest specialist in India, saw a baffling surge in patients with respiratory problems at outpatient clinics.
“There was almost a 50% jump in patients with upper respiratory issues and sore throat. They were not responding to antibiotics. Testing was still low and we didn’t really know what was going on,” Dr Dosi, who works at Sri Aurobindo Institute of Medical Sciences, a 1,156-bed private medical college in the central city of Indore, told me.
Less than a fortnight later, Dr Dosi began seeing an uptick in admissions of Covid-19 patients. Around the end of March, the hospital was receiving 28 infected patients every day.
They had dry cough, fever, and difficulty breathing. Their blood oxygen levels were low. They were reporting loss of taste and smell.
In the first wave of patients, nearly a dozen came from far-flung districts, more than 150km (93 miles) from Indore, a bustling commercial city in Madhya Pradesh state. The state has now become a hotspot, with nearly 400 confirmed infections out of the more than 6,400 infections and nearly 200 deaths across the country so far.
By the second week of April, Dr Dosi and his team of 100 doctors and nearly an equal number of nursing staff working 24/7 in three shifts, were treating 144 Covid-19 patients. (Thirty-one had been treated and sent home already.)
A total of 38 patients were in intensive care. Twenty-one of them were critical. There had been seven deaths. “We are handling the largest number of Covid-19 patients in India,” Vinod Bhandari, a surgeon and chairman of the hospital, told me.
Doctors now believe that the infection was spreading in the community long before the government admitted to it, and testing slowly ramped up. Until two weeks ago, Indian health authorities had been denying community transmission.
Image caption The hospital in Indore has more than 140 patients
Now a new study by Indian Council of Medical Research (ICMR) using surveillance data from 41 labs in the country has hinted at community transmission: 52 districts in 20 states and union territories reported Covid-19 patients. Some 40% of the cases did not report any history of international travel or contact with a known case. (The survey was based on swabs collected from nearly 6,000 patients who tested positive between 15 February and 19 March.)
Back in the hospital in Indore, the doctors are battling the surge in infections.
Three isolation wards spread over two floors floors are stacked with patients. (The hospital has earmarked 525 beds for Covid-19 patients.) Isolation wards have younger patients with mild infection, while elderly patients with more severe symptoms are in intensive care. The oldest patient is a 95-year-old man, and the youngest is a four-month-old boy.
The team of doctors handling patients includes chest specialists, anaesthetists, microbiologists, and dermatologists. There are patients with a lot of underlying medical conditions – diabetes, hypertension, even cancer – so all the specialists have been called in to help with the treatment.
Dr Dosi wakes up early, puts on protective gear – scrubs, face masks and shields, N95 masks, gowns, double gloves and shoe covers – before going on his rounds of the patients. Doctors say they are not facing a shortage of gear yet.
They are using 22 ventilators to help the critical patients breathe, and also providing oxygen supplies to others using nasal cannulas (nose prongs).
In the isolation wards, patients are given oral medication – antibiotics and hydroxychloroquine (commonly known as HCQ), an anti-malarial drug – and directed to maintain social distancing and wash their hands regularly.
Image caption The isolation wards are packed with patients
“I have never seen a challenge and crisis like this in my career. I have heard stories about an outbreak of plague in Surat [in 1994]. But this seems to be much bigger. The biggest challenge is to keep hopes alive and be positive,” says Dr Dosi.
Keeping hopes up for patients in isolation can be taxing. Three tests, say doctors, are being done for the infection – if the first test comes out positive, the patient remains in isolation for two weeks, and is tested twice on two days after the quarantine period. If the last two tests come back negative, the patient is discharged. If not, the patient has to stay in isolation for another two weeks. “It is a tough grind, mentally,” says one doctor.
For the last three weeks, Dr Dosi has been living in the hospital, away from his wife, two sons and parents. His father is a retired pathologist. They communicate via hurried video calls, between his frantic trips to the isolation wards and intensive care.
I ask him when does he expect this to “get over”, so that he can go home.
“In a couple of weeks,” he says. “The lockdown should have helped to slow down the infection.”
Dr Dosi is alluding to the strict 21-day lockdown India imposed on 24 March to halt the spread of the infection.
Image copyright GETTY IMAGESImage caption Health officials have been denying community transmission
Things are getting better, he says.
“I am getting 10 patients for admission in isolation wards, and two patients severe enough for intensive care every day now. Earlier this week, it was 50:50.”
It is possibly too early to hazard a guess about when admissions will slow down to single digits. As more people are tested, the number of patients can easily rise again.
It’s been unrelenting, Dr Dosi says.
Early, on Friday, I sent him a text to find out what was going on.
CHINDIA ALERT: You'll be living in their world, very soon 
South Korea, China cast doubt on reports North Korean leader Kim gravely ill
SEOUL (Reuters) – South Korean and Chinese officials on Tuesday cast doubt on reports North Korean leader Kim Jong Un was ill after media outlets said he had undergone a cardiovascular procedure and was in “grave danger”.
Daily NK, a Seoul-based speciality website, reported late on Monday, citing one unnamed source in North Korea, that Kim was recovering after undergoing the procedure on April 12. The North Korean leader is believed to be about 36.
CNN cited a U.S. official with direct knowledge of the matter as saying Washington was “monitoring intelligence” that Kim was in grave danger after surgery. Bloomberg quoted an unnamed U.S. official as saying the White House was told that Kim took a turn for the worse after the surgery.
However, two South Korean government officials rejected the CNN report without elaborating on whether Kim had undergone surgery. The presidential Blue House said there were no unusual signs coming from the reclusive, nuclear-capable state.
Kim is the unquestioned leader of North Korea and the sole commander of its nuclear arsenal. He has no clear successor and any instability in the country could be a major international risk.
RELATED COVERAGE
The state KCNA news agency gave no indication of the whereabouts of Kim in routine dispatches on Tuesday, but said he had sent birthday gifts to prominent citizens.
An official at the Chinese Communist Party’s International Liaison Department, which deals with North Korea, told Reuters the source did not believe Kim was critically ill. China is North Korea’s only major ally.
Chinese foreign ministry spokesman Geng Shuang said Beijing was aware of reports about the health of Kim, but said it does not know their source, without commenting on whether it has any information about the situation.
South Korean shares exposed to North Korea tumbled and the Korean won fell on the reports. The won traded down more than 1% against the dollar even as South Korean government sources said Kim was not gravely ill.
U.S. stock futures were trading 0.5% lower, but it was not clear how much of that weakness was owing to the collapse in U.S. oil prices and consequent concerns over global demand.
Daily NK said Kim had been admitted to hospital on April 12, just hours before the cardiovascular procedure, as his health had deteriorated since August due to heavy smoking, obesity and overwork.
It said he was now receiving treatment at a villa in the Mount Myohyang resort north of the capital Pyongyang.
“My understanding is that he had been struggling (with cardiovascular problems) since last August but it worsened after repeated visits to Mount Paektu,” a source was quoted as saying, referring to the country’s sacred mountain.
Accompanied by senior North Korean figures, Kim took two well-publicised rides on a stallion on the snowy slopes of the mountain in October and December.
KIM’S HEALTH KEY TO STABILITY
An authoritative U.S. source familiar with internal U.S. government reporting on North Korea questioned the CNN report that Kim was in “grave danger”.
“Any credible direct reporting having to do with Kim would be highly compartmented intelligence and unlikely to leak to the media,” a Korea specialist working for the U.S. government said on condition of anonymity.
Japan’s top government spokesman, Yoshihide Suga, declined to comment on the reports of Kim’s health.
“We are regularly gathering and analysing information about North Korea with great concern,” he said. “We will keep gathering and analysing information regarding North Korea by collaborating with other countries such as the U.S.”
Kim’s potential health issues could fuel uncertainty over the future of the reclusive state’s dynastic rule and stalled denuclearisation talks with the United States, issues in which Kim wields absolute authority.
With no details known about his young children, analysts say his sister and loyalists could form a regency until a successor is old enough to take over.
Speculation about Kim’s health first arose following his absence from the anniversary of the birthday of its founding father and Kim’s grandfather, Kim Il Sung, on April 15.
On April 12, North Korean state media reported that Kim Jong Un had visited an airbase and observed drills by fighter jets and attack aircraft.
Two days later North Korea launched multiple short-range anti-ship cruise missiles into the sea and Sukhoi jets fired air-to-surface missiles as part of military exercises.
The missile launches were part of the celebrations for Kim’s grandfather, Seoul officials said, but there was no North Korea state media report on his attendance or the tests.
Reporting from inside North Korea is notoriously difficult, especially on matters concerning the country’s leadership, given tight controls on information. There have been false and conflicting reports in the past on matters related to its leaders.
Kim is a third-generation hereditary leader who rules North Korea with an iron-fist, taking over the titles of head of state and commander in chief of the military since late 2011.
In recent years Kim has launched a diplomatic offensive to promote both himself as a world leader and his hermit kingdom, holding three meetings with U.S. President Donald Trump, four with South Korean President Moon Jae-in and five with China’s President Xi Jinping.
He was the first North Korean leader to cross the border into South Korea to meet Moon in 2018. Both Koreas are technically still at war, as the Korean War of 1950-53 ended in an armistice, not a peace treaty.
Kim has sought to have international sanctions against his country eased, but has refused to dismantle his nuclear weapons programme, a steadfast demand by the United States.
Source: Reuters
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