COVID-19: An infection without borders

Worshippers circumambulate the sacred Kaaba in Makkah's Grand Mosque, Islam's holiest site, on March 7, 2020. Authorities reopened on Saturday the area around the sacred Kaaba, reversing one of a series of measures introduced to combat the coronavirus outbreak. (AFP / Abdel Ghani Bashir)
Short Url
Updated 09 March 2020
Follow

COVID-19: An infection without borders

  • Epidemiologists believe COVID-19 infection is worse than SARS or Middle East Respiratory Syndrome (MERS)
  • Virologists worldwide are racing to produce a vaccine but there is no guarantee that one will be found

LONDON: It is more than 60 days since China first alerted the World Health Organization (WHO) to the emergence of a mysterious new virus in the city of Wuhan.

Since then, the virus has been identified and named — SARS-CoV-2. It has infected more than 100,000 people around the world, caused more than 3,000 deaths, shaken stock markets and prompted predictions of job losses, shortages of food and medicines and even a global economic meltdown.

Certainly, fear of the coronavirus disease 2019 (COVID-19) is affecting events and organizations around the globe, from the cancelation of football matches and conferences to the closure of Asian theme parks and museums in Italy and France.

Saudi Arabia has temporarily stopped entry into the Kingdom by land from three GCC neighbors, with the Ministry of Sports suspending public attendance at all sports events.

Inevitably, a shadow hangs over other major international events, from the summer’s Tokyo Olympic Games to Expo 2020 in Dubai, due to open in October.

FASTFACTS

People in coronavirus-affected countries should avoid large gatherings, handshakes or hugs, maintain “social distancing” from others, cover their nose and mouth while coughing or sneezing, and wash their hands regularly.

Many people who contract the coronavirus will have no symptoms or only a mild version of the disease.

Most deaths so far have been among the elderly or others with long-term health conditions.

The risk of dying after contracting the coronavirus is just 0.9% for someone with no other health conditions, 5.6% for cancer patients.

The risk is 6% for people with high blood pressure, and 7.3% and 10.75% for individuals with chronic respiratory disease and cardiovascular disease respectively.

Despite the WHO’s reluctance to classify the outbreak as a pandemic — a disease that has spread globally — most epidemiologists believe that the window of opportunity for limiting the spread of the disease by banning flights to and from infected countries or shutting borders has long closed.

Is the coronavirus worse than SARS or Middle East Respiratory Syndrome (MERS)? Yes. In two months, it has killed almost twice as many people as those two viral diseases combined, and many epidemiologists believe that the coronavirus will continue spreading widely.

Clearly, the emphasis must now shift to controlling it within individual countries via swift identification and isolation of cases, and the equally rapid tracing, testing and, if necessary, isolating of anyone with whom infected people have come into contact.

For even the best health care systems, this is a challenging task, the success of which will be dependent on a series of still unknown variables.

As virologists around the world race to produce a vaccine — and there is no guarantee that one will be found — so epidemiologists are developing best-guess answers.

One of the teams most experienced in this field is at the Center for the Mathematical Modelling of Infectious Diseases at the London School of Hygiene & Tropical Medicine, where a coronavirus working group is running computer models to look at outcomes based on a range of possibilities.

The team’s initial conclusion, that “in most scenarios, highly effective contact tracing and case isolation is enough to control a new outbreak of COVID-19 within 3 months,” sounds reassuring. But, as their paper published last week in the journal Lancet Global Health points out, success will depend on exactly which scenario emerges.

The findings suggest two crucial steps that every country currently with one or more cases should be taking. Although logistically and economically challenging, the best hope of control lies in mass population testing to identify and isolate infected people before symptoms emerge.

Opinion

This section contains relevant reference points, placed in (Opinion field)

Resources should also be invested now in creating effective contact-tracing teams. Until more is known about the incubation period of the virus, according to evidence so far patients should be isolated for at least two weeks, and possibly three.

The coronavirus is, of course, not the first epidemic to trigger global panic, but we should take heart from our experience of those that have come before.

Although no longer in the headlines, neither SARS nor MERS, which are genetically related but in many ways different to the coronavirus, have gone away, but thanks to timely and effective intervention failed to live up to their apocalyptic billing.

SARS, which was first reported in Asia in February 2003, spread to two dozen countries, infecting 8,098 people worldwide and killing 774, before the outbreak was contained in July the same year.

The virus succumbed to strict isolation, quarantine and tracing of contacts and there have been no known cases anywhere in the world since 2004.

MERS, first identified in Saudi Arabia in 2012, continues to kill, but on a much-reduced scale. Between Dec. 1, 2019, and Jan. 31, 2020, Saudi Arabia reported 19 cases of MERS infection, with eight deaths, bringing the total number of cases globally since 2012 to 2,521, with 919 deaths.

But although the new coronavirus is related to the others, each operates in subtly different and potentially confounding ways, which makes lessons learnt from one difficult to apply to another.

For example, the Spanish flu was an unusually deadly strain of avian influenza, a viral infectious disease that killed possibly 50 million people worldwide over about a year in 1918 and 1919.

With SARS, symptoms came on rapidly, which meant cases could be identified quickly, leading to swifter and more effective isolation and treatment.

When swine flu, the disease caused by the then-novel H1N1 virus, emerged in the US in April 2009, the world again seemed to be facing a pandemic disaster. In the event, swine flu infected one-tenth of the global population and killed as many as 575,400 people worldwide. But by August the following year the WHO declared it had run its course.

Today swine flu is just one of the seasonal influenzas that flare up annually around the world, which is not to say it is of no consequence. Every year, despite vaccines, various mutating strains of flu infect an estimated four million people, causing almost half a million deaths.

We have, in other words, learnt to live with flu, a grim reality that should at least help us to put into perspective the threat posed by the coronavirus.

Most of the fatalities so far have been in China, where the disease originated, and experience with other coronaviruses tells us that if effective control measures are put in place in other countries, we can limit the damage.




A couple wearing facemasks smear their faces with colored powder to celebrate Holi, the Hindu spring festival of colours, in Hyderabad. (AFP)

There are, however, still many uncertainties about the true scale of the spread of the virus.

For a start, because many people seem to contract only a mild case of the coronavirus, it is certain that the incidence of the disease around the world is being significantly under-reported.

Many carriers will have no symptoms and even those with only a “lite” version of the key symptoms — a slightly elevated temperature, tiredness and dry cough — will not visit a doctor, will recover without medical help and will not be counted in the statistics.

The upside of this is that the overall death rate from the disease — currently provisionally estimated at 2 or 3 percent — is undoubtedly exaggerated. The downside is that these silent carriers can still spread the disease, undetected.

For now, the immediate future course of the coronavirus cannot be predicted with any accuracy and we certainly cannot assume it will go the same way as swine flu, MERS or SARS.

On March 2, when WHO raised its assessment of the threat of the coronavirus to the highest level, Michael Ryan, director of health emergencies, said that this was a reality check for every government in the world.

“Wake up. Get ready,” he said. “This virus may be on its way, and you need to be ready.”

This time, luck might not be on our side.

 


China’s president vows to work with Trump team as he meets Biden in Peru

Updated 17 November 2024
Follow

China’s president vows to work with Trump team as he meets Biden in Peru

  • “China’s goal of a stable, healthy and sustainable China-US relationship remains unchanged,” Xi said
  • Trump has vowed to adopt blanket 60 percent tariffs on US imports of Chinese goods as part of a package of “America First” trade measures

LIMA, Peru: Chinese President Xi Jinping on Saturday vowed to work with the incoming US administration of President-elect Donald Trump as he held his final talks with outgoing President Joe Biden on key conflicts from cybercrime to trade, Taiwan and Russia.
Biden met Xi at a hotel where the Chinese leader was staying, on the sidelines of the Asia-Pacific Economic Cooperation forum in Lima, Peru, for their first talks in seven months.
“China’s goal of a stable, healthy and sustainable China-US relationship remains unchanged,” following the election, Xi said, acknowledging “ups and downs” between the countries.

“China is ready to work with the new US administration to maintain communication, expand cooperation and manage differences,” he added.
Biden told Xi that the two leaders haven’t always agreed but their discussions have been “frank” and “candid.”

US President Joe Biden speaks during a bilateral meeting with China's President Xi Jinping on the sidelines of the APEC Summit in Lima, Peru, on Nov. 16, 2024. (REUTERS)

The talks come two months before Trump assumes office. He has vowed to adopt blanket 60 percent tariffs on US imports of Chinese goods as part of a package of “America First” trade measures. Beijing opposes those steps. The Republican president-elect also plans to hire several hawkish voices on China in senior roles, including US Senator Marco Rubio as secretary of state and Representative Mike Waltz as national security adviser.
Biden has aimed to lower tensions with China, but Washington is incensed by a recent China-linked hack of the telephone communications of US government and presidential campaign officials, and it is anxious about increasing pressure by Beijing on Taiwan and Chinese support for Russia.
Taiwan President Lai Ching-te is planning to stop in the US state of Hawaii and maybe Guam on a sensitive visit that is sure to anger Beijing in the coming weeks, Reuters reported on Friday. Meanwhile, Taiwan’s former economy minister Lin Hsin-i met Biden at the summit on Friday and invited him to visit Taiwan in the near future.
China views democratically governed Taiwan as its own territory. The US is Taiwan’s most important international backer and arms supplier, despite the lack of formal diplomatic recognition.
Biden also wants China’s help with North Korea, whose deepening ties with Russia and deployment of troops in the war with Ukraine has worried Washington.

China’s economic hit
At the same time, Beijing’s economy is taking a stiff hit from Biden’s steps on trade, including a plan to restrict US investment in Chinese artificial intelligence, quantum computing and semiconductors and export restrictions on high-end computer chips. All of those topics are expected to figure into the talks, US officials said.
China routinely denies US hacking allegations, regards Taiwan as internal matter and has protested American statements on Sino-Russian trade. A spokesperson for the Chinese Embassy in Washington declined to comment.
“When the two countries treat each other as partner and friend, seek common ground while shelving differences and help each other succeed, our relationship would make considerable progress,” Xi said as he met with Biden, according to a simultaneous translation.
“But if we take each other as rivals or adversary, pursue vicious competition, and seek to hurt each other, we would roil the relationship or even set it back.”
On Wednesday, Biden national security adviser Jake Sullivan described the transition as “a time when competitors and adversaries can see possibly opportunity.” Biden is stressing with Xi the “need to maintain stability, clarity, predictability through this transition between the United States and China.”
Shen Dingli, a Shanghai-based international relations scholar, said China wants the meeting to ease tensions during the transition period. “China definitely does not want relations with the United States to be thrown into turmoil before Trump formally takes office,” said Shen.
Pacific Rim leaders gathered at the APEC summit are assessing the implications of Trump’s return to power as US president on Jan. 20. The South American summit offers new signs of the challenges to the United States’ power in its own backyard, where China is on a charm offensive.
Xi, who arrived in Lima on Thursday, plans a week-long diplomatic blitz in Latin America that includes a refurbished free-trade agreement with Peru, inaugurating the massive Chancay deep-water port there and being welcomed in Brazil’s capital next week for a state visit. China also announced plans to host the APEC summit in 2026.
China is seeking Latin America’s metal ores, soybeans, and other commodities, but US officials worry they may also be looking for new US-adjacent military and intelligence outposts. Chinese state-backed media has called those accusations a smear.
A US official said Washington’s commitment to the region was strong and that Chinese infrastructure investment overseas has declined in recent years due to domestic challenges and problems with the projects.
But Ryan Berg, director of the Americas Program at the Center for Strategic and International Studies, a Washington think tank, said Xi would meet with a good reception in the region.
“Biden’s trip will be overshadowed very clearly by all of the things that Xi Jinping will be up to when he visits APEC,” he said. “When Xi meets with Biden part of his audience is not – it’s not solely the White House or the US government. It’s about American CEOs and continued US investment or trying to renew US investment in China and get rid of the perception that there’s a hostile business environment in China.”


Thousands march in Germany to demand release of Kurd leader

Updated 17 November 2024
Follow

Thousands march in Germany to demand release of Kurd leader

  • The protest followed Turkish President Recep Tayyip Erdogan’s statements in late October that he wanted to “reach out to our Kurdish brothers”

FRANKFUR, Germany: Thousands of protesters marched in the western German city of Cologne on Saturday to demand the release of Abdullah Ocalan, leader of the Kurdish PKK militant group who was arrested 25 years ago.
Amid signs of easing tensions between the Turkish government and the PKK, the demonstrators carried banners bearing the image of the PKK’s founder and historic leader, who has been detained in an island prison off the coast of Istanbul since 1999.
The protest followed Turkish President Recep Tayyip Erdogan’s statements in late October that he wanted to “reach out to our Kurdish brothers.”
The head of Turkish nationalist party MHP, Erdogan’s main coalition ally, has invited Ocalan, who is serving a life sentence, to speak before parliament to announce the dissolution of the PKK, raising the possibility of his release.
Cologne police reported no incidents during the march, though they did intervene twice to remove “symbols that could have a link to the PKK.”
The PKK is considered a terrorist organization by Turkiye and its Western allies, and showing its symbols is illegal in Germany.
The conflict between the PKK and the Turkish state has caused more than 40,000 deaths since 1984.
Turkiye is the third largest country of origin for asylum seekers in Germany this year, after Syria and Afghanistan, according to the Interior Ministry.
Most of the applicants claim to be ethnic Kurds, according to the German daily FAZ.

 

 


Trump defense nominee’s thin CV, tattoos under scrutiny

Updated 17 November 2024
Follow

Trump defense nominee’s thin CV, tattoos under scrutiny

  • Hegseth boasts degrees from elite US universities, including an undergraduate from Princeton and a master’s from Harvard

WASHINGTON: Facing questions about an alleged sexual assault and medieval-themed tattoos linked to extremist groups, Donald Trump’s defense secretary nominee Pete Hegseth would struggle to be confirmed for the job under normal circumstances.
But these are not normal times in Washington.
Hegseth, a Fox News host, was picked by Trump on Tuesday in one of several nominations that wrong-footed even some in his remodeled Republican Party and threw down a challenge to the Senate.
To take up the position as head of the Pentagon to oversee 3.4 million employees, Hegseth will require confirmation from the upper house — and Trump is publicly pressuring lawmakers to show loyalty to his agenda.
Revelations in recent days about the 44-year-old have made his path to power more difficult, including that the thrice-married former soldier was investigated for sexual assault in California in 2017.
No charges were filed over an encounter in a Monterey hotel that saw an unnamed accuser lodge a police report, but the claim has led to questions about the vetting process for the former soldier.
“He was cleared,” his lawyer Timothy Parlatore told NBC News on Friday. “There’s not much more that I can say. It didn’t happen.”
His tattoos have also raised questions, leading to him being stood down by his Army National Guard unit when it was called up for the inauguration of President Joe Biden in 2020.
Speaking on a podcast with fellow veteran Shawn Ryan earlier this month, he revealed that one of his fellow soldiers had flagged him as a possible white nationalist because of his body art.
He claimed it was because of the medieval Jerusalem Cross on his chest, but he also has the words “Deus Vult” on his bicep — a phrase meaning “God wills it” that was used by anti-Muslim crusaders in the Middle Ages.
European medieval imagery and slogans have been widely adopted by white supremacists and neo-Nazis in recent years, but Hegseth says his tattoos simply reflect his faith.
“It’s a Christian symbol,” the author of a 2020 book entitled “American Crusade” said of the Jerusalem Cross.
His handling of medieval weaponry has gone viral in recent days after a video re-emerged of him taking part in a televised axe-throwing contest which saw him miss the target and strike a bystander, who narrowly escaped serious injury.
His CV includes combat experience in Afghanistan and Iraq and he rose to the rank of major in the National Guard — a lowly status compared to the generals and admirals he would oversee at the Pentagon.
Hegseth boasts degrees from elite US universities, including an undergraduate from Princeton and a master’s from Harvard.
Square-jawed and outspoken, he came to Trump’s attention on the “Fox & Friends Weekend” show that he co-hosts.
“You know the military better than anyone,” Trump told him during an appearance in early June, adding that he often thought about putting him in charge of the Pentagon.
A former Republican operative who vetted Hegseth when Trump was considering him for the more junior veterans affairs secretary in 2016 wrote this week that he remained unqualified and an “empty vessel.”
Lacking major experience in foreign affairs or congressional politics, his only civilian management credential included being CEO of a small non-profit, Justin Higgins, who has since switched to the Democrats, wrote for MSNBC.
“It’s not hard to imagine that he would do and say whatever Trump wants,” he added.
Hegseth’s main policy focus in his books and media appearances is tackling what he calls “woke shit” in the armed forces — and he has expressed support for purging the top brass.
He told Ryan on his podcast that his experiences taught him that “the bigotry we saw on the outside (of the army) should not be tolerated inside the military” but that progressive efforts to tackle racism and sexism had gone too far.
“The army that I enlisted in, that I swore an oath to in 2001 and was commissioned in in 2003 looks a lot different than the army of today because we’re focused on a lot of the wrong things,” he said.


India’s Modi launches diplomatic tour in Nigeria

Updated 17 November 2024
Follow

India’s Modi launches diplomatic tour in Nigeria

  • Aside from power politics, Modi’s visit will also seek to enhance economic cooperation, with a number of technical agreements to be signed

ABUJA: Indian Prime Minister Narendra Modi arrived in Nigeria on Saturday as the giants of Asia and of Africa press for a greater role in world affairs.
Nigeria’s capital Abuja was the first stop in a tour that will take the Indian premier on to the G20 summit in Brazil, and to Guyana.
The visit was billed by New Delhi as a meeting of the largest democracy in the world and the largest in Africa, or “natural partners.”
“May this visit deepen the bilateral relationship between our nations,” Modi posted on social media on arrival.
Nigeria’s President Bola Tinubu posted that the visit would expand “the strategic partnership between both countries.”
Modi will talk with Tinubu at his official residence in Abuja on Sunday.
Photos posted on Modi’s account showed him welcomed by Nigerian officials and a cheering crowd from the country’s 60,000-strong Indian community.
The visit comes amid a revived push by both India and Nigeria for permanent representation on the United Nations Security Council.
The five permanent members of the top UN body — the United States, Russia, China, France and Britain — hold a powerful veto.
In recent years, supporters of a more “multipolar” world have pushed for more African, Asian and Latin American countries to be added to the group.
Nigeria’s 220-million-strong population is comfortably the largest in Africa, but in diplomatic strength it is rivalled by South Africa.
If UN members bow to the pressure to give increased representation to an African country, Abuja and Pretoria could end up competing for the place.
India is the world’s most populous nation, its 1.4 billion people representing a sixth of humanity, and a nuclear-armed power.
It has long sought a permanent UN Security Council seat.
India is also a member of the nine-strong BRICs group with Brazil, Russia, China, South Africa, Iran, Egypt, Ethiopia and the United Arab Emirates.
Nigeria is a BRICs “partner country” but has not been given full membership, with some observers accusing South Africa of holding them up.
Aside from power politics, Modi’s visit will also seek to enhance economic cooperation, with a number of technical agreements to be signed.
Africa has become a theater of competition between the United States, former colonial powers in Europe, Russia, Turkiye and especially China.
India too has made inroads, and ahead of the trip Modi’s office boasted that more than 200 Indian companies had invested $27 billion in Nigerian manufacturing, becoming major employers.
Nigeria is also a destination for Indian development funds, with $100 million in loans and training programs for local workers.


US health officials report 1st case of new form of mpox in a traveler

Updated 16 November 2024
Follow

US health officials report 1st case of new form of mpox in a traveler

  • Mpox is a rare disease caused by infection with a virus that’s in the same family as the one that causes smallpox

NEW YORK: Health officials said Saturday they have confirmed the first US case of a new form of mpox that was first seen in eastern Congo.
The person had traveled to eastern Africa and was treated in Northern California upon return, according to the California Department of Public Health. Symptoms are improving and the risk to the public is low.
The individual was isolating at home and health workers are reaching out to close contacts as a precaution, the state health department said.
Mpox is a rare disease caused by infection with a virus that’s in the same family as the one that causes smallpox. It is endemic in parts of Africa, where people have been infected through bites from rodents or small animals. Milder symptoms can include fever, chills and body aches. In more serious cases, people can develop lesions on the face, hands, chest and genitals.
Earlier this year, scientists reported the emergence of a new form of mpox in Africa that was spread through close contact including through sex. It was widely transmitted in eastern and central Africa. But in cases that were identified in travelers outside of the continent, spread has been very limited, according to the US Centers for Disease Control and Prevention.
More than 3,100 confirmed cases have been reported just since late September, according to the World Health Organization. The vast majority of them have been in three African countries — Burundi, Uganda, and the Democratic Republic of the Congo.
Since then, cases of travelers with the new mpox form have been reported in Germany, India, Kenya, Sweden, Thailand, Zimbabwe, and the United Kingdom.
Health officials earlier this month said the situation in Congo appears to be stabilizing. The Africa CDC has estimated Congo needs at least 3 million mpox vaccines to stop the spread, and another 7 million vaccines for the rest of Africa. The spread is mostly through sexual transmission as well as through close contact among children, pregnant women and other vulnerable groups.
The current outbreak is different from the 2022 global outbreak of mpox where gay and bisexual men made up the vast majority of cases.