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)
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Updated 09 March 2020
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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.

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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.

 


More than 30 dead in Brazil bus and truck collision

Updated 21 December 2024
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More than 30 dead in Brazil bus and truck collision

  • The exact death toll remains uncertain due to the condition of the bodies, which were burned beyond recognition
  • Initially, firefighters reported the bus, carrying 45 passengers, had a tire blowout, causing driver to lose control

A packed bus collided with a truck and burst into flames early on Saturday in Brazil, killing more than 30 people, the fire department said.
After completing the removal of victims from a major highway near the town of Teofilo Otoni in Minas Gerais, the state’s fire department estimated the number of fatalities between 32 and 35, including at least one child.
The exact death toll remains uncertain due to the condition of the bodies, which were burned beyond recognition.
Confirmation will likely depend on forensic work by the Civil Police, the department said in a statement.
A forensic investigation will also be required to determine the accident’s cause, as differing accounts were gathered from witness testimonies, it added.
Initially, firefighters reported the bus, carrying 45 passengers, had a tire blowout, causing the driver to lose control before colliding with an oncoming truck on the BR-116 federal highway, a major route connecting Brazil’s densely populated southeast to the poorer northeast.
However, witnesses also reported that a granite block the truck was transporting came loose, fell on the road and caused the collision with the bus, said the fire department.
“Only the forensic investigation will confirm the true version,” it added.
The bus departed from Sao Paulo and was headed to the state of Bahia.
Firefighters said they rescued 13 passengers from the wrecked bus. Three occupants of a car that also collided and was trapped under the truck survived the accident.


Indian man denies hospital rape and murder of doctor

Updated 21 December 2024
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Indian man denies hospital rape and murder of doctor

  • The discovery of the doctor’s bloodied body at a government hospital in Kolkata on August 9 sparked nationwide anger
  • The gruesome nature of the attack drew comparisons with the 2012 gang rape and murder of a young woman on a Delhi bus

KOLKATA: An Indian man on trial for raping and murdering a 31-year-old doctor has pleaded not guilty, his lawyer said Saturday, a crime that appalled the nation and triggered wide-scale protests.
The discovery of the doctor’s bloodied body at a government hospital in the eastern city of Kolkata on August 9 sparked nationwide anger at the chronic issue of violence against women.
Sanjoy Roy, 33, the lone accused in the case, pleaded not guilty before the judge in a closed court on Friday in Kolkata, his lawyer Sourav Bandyopadhyay told AFP.
“I am not guilty, your honor, I have been framed,” Roy told the court, Bandyopadhyay said, repeating his client’s words.
Roy, a civic volunteer in the hospital, was arrested the day after the murder and has been held in custody since.
He would potentially face the death penalty if convicted.
The court began hearings on November 11, listening to evidence from some 50 witnesses, but it was on Friday that Roy took the stand.
“Judge Anirban Das questioned him with more than 100 questions during the six-hour-long in camera deposition, that continued until late in the evening,” Bandyopadhyay said.
Roy had earlier proclaimed his innocence to the public while screaming from a prison van outside the court before a hearing in November.
Doctors in Kolkata went on strike for weeks in response to the brutal attack.
Tens of thousands of ordinary Indians joined in the protests, which focused anger on the lack of measures for female doctors to work without fear.
India’s Supreme Court has ordered a national task force to examine how to bolster security for health care workers, saying the brutality of the killing had “shocked the conscience of the nation.”
The gruesome nature of the attack drew comparisons with the 2012 gang rape and murder of a young woman on a Delhi bus, which also sparked weeks of nationwide protests.
The trial continues. The next hearing is set for January 2, 2025.


Russia’s UK embassy denounces G7 loans to Ukraine as ‘fraudulent scheme’

Updated 21 December 2024
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Russia’s UK embassy denounces G7 loans to Ukraine as ‘fraudulent scheme’

  • Britain said in October it would lend Ukraine 2.26 billion pounds as part of a much larger loan from the Group of Seven nations backed by frozen Russian central bank assets

LONDON: The Russian embassy in London on Saturday described Britain’s planned transfer to Ukraine of more than 2 billion pounds ($2.5 billion) backed by frozen Russian assets as a “fraudulent scheme.”
Britain said in October it would lend Ukraine 2.26 billion pounds as part of a much larger loan from the Group of Seven nations backed by frozen Russian central bank assets to help buy weapons and rebuild damaged infrastructure.
The loans were agreed in July by leaders of the G7 — Britain, Canada, France, Germany, Italy, Japan and the US — along with top officials from the European Union, where most of the Russian assets frozen as a result of the war are held.
“We are closely following UK authorities’ efforts aimed at implementing a fraudulent scheme of expropriating incomes from Russian state assets ‘frozen’ in the EU,” the Russian embassy in London said on social media.
British Defense Minister John Healey said the money would be solely for Ukraine’s military and could be used to help develop drones capable of traveling further than some long-range missiles.
The embassy added: “The elaborate legislative choreography fails to conceal the illegitimate nature of this arrangement.”
Russia’s Foreign Ministry last week described the US transfer to Ukraine of its share of the G7’s $50 billion in loans as “simply robbery.”


Death toll in German Christmas market car-ramming rises to five, more than 200 injured

Updated 21 December 2024
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Death toll in German Christmas market car-ramming rises to five, more than 200 injured

  • Source: Saudi Arabia had warned German authorities about the attacker
  • Germany’s domestic intelligence agency declined to comment on the ongoing investigation

MAGDEBURG, Germany: At least five people were killed in a car-ramming attack at a German Christmas market in the city of Magdeburg that also left more than 200 injured, officials said, and a Saudi man was arrested on suspicion of driving a car into the crowd.

The Friday evening attack on market visitors gathered to celebrate the pre-Christmas season comes amid a fierce debate over security and migration during an election campaign in Germany, where the far right is polling strongly.

“What a terrible act it is to injure and kill so many people there with such brutality,” Chancellor Olaf Scholz said in the central city, part of the former East Germany, where he laid a white rose at a church in honor of the victims.

“We have now learnt that over 200 people have been injured,” he added. “Almost 40 are so seriously injured that we must be very worried about them.”

German authorities are investigating a 50-year-old Saudi doctor who has lived in Germany for almost two decades in connection with the car-ramming. Police searched his home overnight.

The motive remained unclear and police have not yet named the suspect. He has been named in German media as Taleb A.

A Saudi source told Reuters that Saudi Arabia had warned German authorities about the attacker after he posted extremist views on his personal X account that threatened peace and security.

Der Spiegel reported that the suspect had sympathized with the far-right Alternative for Germany (AfD) party. The magazine did not say where it got the information.

Germany’s domestic intelligence agency declined to comment on the ongoing investigation.

Germany’s FAZ newspaper said it interviewed the suspect in 2019, describing him as an anti-Islam activist.

“People like me, who have an Islamic background but are no longer believers, are met with neither understanding nor tolerance by Muslims here,” he was quoted as saying. “I am history’s most aggressive critic of Islam. If you don’t believe me, ask the Arabs.”

Andrea Reis, who had been at the market on Friday, returned on Saturday with her daughter Julia to lay a candle by the church overlooking the site. She said that had it not been for a matter of moments, they may have been in the car’s path.

“I said, ‘let’s go and get a sausage’, but my daughter said ‘no let’s keep walking around’. If we’d stayed where we were we’d have been in the car’s path,” she said.

Tears ran down her face as she described the scene. “Children screaming, crying for mama. You can’t forget that,” she said.

Scholz’s Social Democrats are trailing both the far-right AfD and the frontrunner conservative opposition in opinion polls ahead of snap elections set for Feb. 23.

The AfD, which enjoys particularly strong support in the former East, has led calls for a crackdown on migration to the country.

Its chancellor candidate Alice Weidel and co-leader Tino Chrupalla issued a statement on Saturday condemning the attack.

“The terrible attack on the Christmas market in Magdeburg in the middle of the peaceful pre-Christmas period has shaken us,” they said.

A leading Social Democrat lawmaker in the Bundestag parliament warned against jumping to conclusions and said it appeared the attacker did not have an Islamist motive.

“Now we have to wait for the investigations. It seems that things are different here than was initially assumed,” Dirk Wiese told the Rheinische Post newspaper.


Pope Francis slams ‘cruelty’ of strike killing Gaza children

Updated 21 December 2024
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Pope Francis slams ‘cruelty’ of strike killing Gaza children

  • ‘Yesterday children were bombed. This is cruelty, this is not war. I want to say it because it touches my heart’
  • The Holy See has recognized the State of Palestine since 2013, with which it maintains diplomatic relations

VATICAN CITY: Pope Francis on Saturday condemned the bombing of children in Gaza as “cruelty,” a day after the territory’s rescue agency said an Israeli air strike killed seven children from one family.

Gaza’s civil defense rescue agency reported that an Israeli air strike killed 10 members of a family on Friday in the northern part of the territory, including seven children.

“Yesterday they did not allow the Patriarch (of Jerusalem) into Gaza as promised. Yesterday children were bombed. This is cruelty, this is not war,” he told members of the government of the Holy See.

“I want to say it because it touches my heart.”

Violence in the Gaza Strip continues to rock the coastal territory more than 14 months into the Israel-Hamas war, even as international mediators work to negotiate a ceasefire between Israel and Hamas Palestinian militants.

The Israeli military said it had struck “several terrorists who were operating in a military structure belonging to the Hamas terrorist organization and posed a threat to IDF troops operating in the area.”

“According to an initial examination, the reported number of casualties resulting from the strike does not align with the information held by the IDF,” it added.

Francis, 88, has called for peace since Hamas’s unprecedented attack against Israel on October 7, 2023, and the Israeli retaliatory campaign in Gaza.

In recent weeks he has hardened his remarks against the Israeli offensive.

At the end of November, he said that “the invader’s arrogance... prevails over dialogue” in “Palestine,” a rare position that contrasts with the tradition of neutrality of the Holy See.

In extracts from a forthcoming book published in November, he called for a “careful” study as to whether the situation in Gaza “corresponds to the technical definition” of genocide, an accusation firmly rejected by Israel.

The Holy See has recognized the State of Palestine since 2013, with which it maintains diplomatic relations, and it supports the two-state solution.