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.

 


Drone footage shows Ukrainian village battered to ruins as residents flee Russian advance

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Drone footage shows Ukrainian village battered to ruins as residents flee Russian advance

  • Residents have scrambled to flee the village, among them a 98-year-old woman who walked almost 10 kilometers (6 miles) alone last week, wearing a pair of slippers and supported by a cane, until she reached Ukrainian front lines

KYIV: The Ukrainian village of Ocheretyne has been battered by fighting, drone footage obtained by The Associated Press shows. The village has been a target for Russian forces in the Donetsk region of eastern Ukraine.
Russian troops have been advancing in the area, pounding Kyiv’s depleted, ammunition-deprived forces with artillery, drones and bombs. Ukraine’s military has acknowledged the Russians have gained a “foothold” in Ocheretyne, which had a population of about 3,000 before the war, but says that fighting continues.
Residents have scrambled to flee the village, among them a 98-year-old woman who walked almost 10 kilometers (6 miles) alone last week, wearing a pair of slippers and supported by a cane, until she reached Ukrainian front lines.

FASTFACT

Ukraine’s military has acknowledged the Russians have gained a “foothold” in Ocheretyne, which had a population of about 3,000 before the war, but says that fighting continues.

Not a single person is seen in the footage, and no building in Ocheretyne appears to have been left untouched by the fighting. Most houses, apartment blocks and other buildings look damaged beyond repair, and many houses have been pummeled into piles of wood and bricks. A factory on the outskirts has also been badly damaged.
The footage also shows smoke billowing from several houses, and fires burning in at least two buildings.
Elsewhere, Russia has in recent weeks stepped up attacks on Kharkiv, Ukraine’s second-largest city, in an attempt to pummel the region’s energy infrastructure and terrorize its 1.3 million residents.
Four people were wounded and a two-story civilian building was damaged and set ablaze overnight after Russian forces struck Kharkiv, in northeastern Ukraine, with exploding drones, regional governor Oleh Syniehubov said Saturday.
The four, including a 13-year-old, were hurt by falling debris, he said on the Telegram messaging app.
Russian state agency RIA reported Saturday reported that Moscow’s forces struck a drone warehouse in Kharkiv that had been used by Ukrainian troops overnight, citing Sergei Lebedev, described as a coordinator of local pro-Moscow guerrillas. His comments could not be independently verified.
Syniehubov said Russia also bombed Kharkiv on Friday, damaging residential buildings and sparking a fire. An 82-year-old woman died and two men were wounded.
Ukraine’s military said Russia launched a total of 13 Shahed drones at the Kharkiv and Dnipropetrovsk regions of eastern Ukraine overnight, all of which were shot down by Ukrainian air defenses.

 


Sadiq Khan, Pakistani immigrant bus driver’s son, makes history by winning third term as London mayor

Updated 04 May 2024
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Sadiq Khan, Pakistani immigrant bus driver’s son, makes history by winning third term as London mayor

  • Khan, an official with global renown, became the first Muslim mayor of a Western capital when elected in 2016
  • Born in London in 1970, he grew up in public housing the Tooting area and slept in a bunk-bed until he was 24

LONDON: Sadiq Khan, who was Saturday re-elected for a record third term as London mayor, rose from humble roots to spar with world leaders and bring consequential change to the British capital.
The 53-year-old Labor party politician – a former human rights lawyer brought up on a London public housing complex – comfortably defeated Conservative rival Susan Hall for a third stint at City Hall.
He now overtakes predecessor Boris Johnson as the longest-serving holder of the post, which notably has powers over the emergency services, transport and planning in the city of nearly nine million.
Victory continues a remarkable journey for the Pakistani immigrant bus driver’s son, who became the first Muslim mayor of a Western capital when initially elected in 2016.
As mayor, he has made a name for himself as a vocal critic of Brexit and successive Conservative prime ministers, including Johnson, as well as for a feud with former US president Donald Trump.
The pair became embroiled in an extraordinary war of words after Khan criticized Trump’s travel ban on people from certain Muslim countries.
Trump then accused Khan of doing a “very bad job on terrorism” and called him a “stone cold loser” and a “national disgrace.”
The mayor in turn allowed an infamous blimp of Trump dressed as a baby in a nappy to fly above protests in Parliament Square during his 2018 visit to Britain.
“He once called me a stone cold loser. Only one of us is a loser, and it’s not me,” Khan told AFP during his 2021 campaign.
But Khan’s own tenure has not been without its controversies, particularly over last year’s expansion of an Ultra-Low Emission Zone into the largest pollution-charging scheme in the world.
The daily toll on the most-polluting vehicles prompted a fierce backlash in outer boroughs of Greater London, with anger at the extra financial burden during a cost-of-living crisis.
Khan has also been criticized for failing to get to grips with high levels of knife crime and since last year, his handling of large weekly pro-Palestinian protests.
Born in London in 1970 to parents who had recently arrived from Pakistan, Khan was the fifth child out of seven brothers and one sister.
He grew up in public housing in Tooting, an ethnically mixed residential area in south London, and slept in a bunk-bed until he was 24.
His modest background plays well in a city that is proud of its diversity and loves a self-made success story.
Khan still regularly recalls how his father drove one of London’s famous red buses, and his mother was a seamstress.
He is a handy boxer, having learnt the sport to defend himself in the streets against those who hurled racist abuse at him, and two of his brothers are boxing coaches.
He initially wanted to become a dentist, but a teacher spotted his gift for verbal sparring and directed him toward law.
He gained a law degree from the University of North London and started out as a trainee lawyer in 1994 at the Christian Fisher legal firm, where he was eventually made a partner.
He specialized in human rights, and spent three years chairing the civil liberties campaign group Liberty.
He represented Louis Farrakhan, leader of the Nation of Islam movement, and Babar Ahmad, a mosque acquaintance who was jailed in the United States after admitting providing support to the Taliban regime in Afghanistan.
Khan joined Labor aged 15 when Conservative prime minister Margaret Thatcher was in her pomp.
He became a local councilor for Tooting in the Conservative-dominated Wandsworth local borough in 1994, and its member of parliament in 2005.
He still lives in the area with his lawyer wife Saadiya and their two teenage daughters.
Labor prime minister Gordon Brown made him communities minister in 2008 and he later served as transport minister, becoming the first Muslim minister to attend Cabinet meetings.
In parliament, he voted for gay marriage – which earned him death threats.
As mayor, he vowed to focus on providing affordable homes for Londoners and freezing transport fares, but – like many in power around the world – saw his agenda engulfed by the pandemic.
He is London’s third mayor after Labor’s Ken Livingstone (2000-2008) and Johnson (2008-2016), with widespread speculation he could eventually try to follow in his predecessor and become prime minister.


London mayor Khan wins historic third term as Tories routed in local polls

Updated 04 May 2024
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London mayor Khan wins historic third term as Tories routed in local polls

  • Khan, 53, easily beat Tory challenger Susan Hall to scupper largely forlorn Tory hopes that they could prise the UK capital away from Labour for the first time since 2016
  • In the West Midlands, where Tory incumbent Andy Street is bidding for his own third term, votes were reportedly being recounted and too close to call

LONDON: London’s Labour mayor Sadiq Khan on Saturday secured a record third term, dealing the Conservatives another damaging defeat in their worst local election results in recent memory months before an expected general election.
Khan, 53, easily beat Tory challenger Susan Hall to scupper largely forlorn Tory hopes that they could prise the UK capital away from Labour for the first time since 2016.
The first Muslim mayor of a Western capital when first elected then, he had been widely expected to win as Labour surge nationally and the Conservatives suffer in the polls.
In the end, he saw his margin of victory increase compared to the last contest in 2021.
It adds to a dismal set of results for Prime Minister Rishi Sunak, as his Tories finished a humiliating third in local council tallies after losing nearly 500 seats in voting Thursday across England.
With Labour making huge gains, the beleaguered leader’s Conservatives lost crunch mayoral races in Manchester, Liverpool, Yorkshire as well as the capital and elsewhere.
In the West Midlands, where Tory incumbent Andy Street is bidding for his own third term, votes were reportedly being recounted and too close to call.
An unexpected Tory defeat there could leave Sunak with only one notable success: its mayor winning a third term in Tees Valley, northeast England — albeit with a vastly reduced majority.
Writing in Saturday’s Daily Telegraph, Sunak conceded “voters are frustrated” but insisted “Labour is not winning in places they admit they need for a majority.”
“We Conservatives have everything to fight for,” Sunak argued.
Labour, out of power since 2010 and trounced by Boris Johnson’s Conservatives at the last general election in 2019, also emphatically snatched a parliamentary seat from the Conservatives.
It seized on winning the Blackpool South constituency and other successes to demand a national vote.
“Let’s turn the page on decline and usher in national renewal with Labour,” party leader Keir Starmer told supporters Saturday in the East Midlands, where the party won the mayoral race.
Sunak must order a general election be held by January 28 next year at the latest, and has said he is planning on a poll in the second half of 2024.
Labour has enjoyed double-digit poll leads for all of Sunak’s 18 months in charge, as previous Tory scandals, a cost-of-living crisis and various other issues dent the ruling party’s standing.
On Thursday, they were defending nearly 1,000 council seats, many secured in 2021 when they led nationwide polls before the implosion of Johnson’s premiership and his successor Liz Truss’s disastrous 49-day tenure.
With almost all those results in by Saturday afternoon, they had lost close to half and finished third behind the smaller centrist opposition Liberal Democrats.
If replicated in a nationwide contest, the tallies suggested Labour would win 34 percent of the vote, with the Tories trailing by nine points, according to the BBC.
Sky News’ projection for a general election using the results predicted Labour will be the largest party but short of an overall majority.
Its by-election scalp in Blackpool — on a mammoth 26-percent swing — was the Conservatives’ 11th such loss in this parliament, the most by any government since the late 1960s.
Speculation has been rife in Westminster that restive Tory lawmakers could use the dire local election results to try to replace him. But that prospect seems to have failed to materialize.
However, it was not all good news for Labour.
The party lost control of one local authority, and suffered some councillor losses to independents elsewhere, due to what analysts said was its stance on the Israel-Hamas war.
Polling expert John Curtice assessed there were concerning signs for the opposition.
“These were more elections in which the impetus to defeat the Conservatives was greater than the level of enthusiasm for Labour,” he noted in the i newspaper.
“Electorally, it is still far from clear that Sir Keir Starmer is the heir to (Tony) Blair.”


A British-Palestinian doctor was denied entry to France for a Senate meeting about the war in Gaza

Updated 04 May 2024
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A British-Palestinian doctor was denied entry to France for a Senate meeting about the war in Gaza

  • Dr. Ghassan Abu Sitta was placed in a holding zone in the Charles de Gaulle airport and will be expelled, according to French Sen. Raymonde Poncet Monge
  • Abu Sitta posted on social networks that he was denied entry in France because of a one-year ban by Germany on his entry to Europe

PARIS: A well-known British-Palestinian surgeon who volunteered in Gaza hospitals said he was denied entry to France on Saturday to speak at a French Senate meeting about the Israel-Hamas war. Authorities wouldn’t give a reason for the decision.
Dr. Ghassan Abu Sitta was placed in a holding zone in the Charles de Gaulle airport and will be expelled, according to French Sen. Raymonde Poncet Monge, who had invited him to speak at the Senate.
‘’It’s a disgrace,’’ she posted on X.
Abu Sitta posted on social networks that he was denied entry in France because of a one-year ban by Germany on his entry to Europe. Germany denied him entry last month, and France and Germany are part of Europe’s border-free Schengen zone. He posted Saturday that he was being sent back to London.
The French Foreign Ministry, Interior Ministry, local police and the Paris airport authority would not comment on what happened or give an explanation.
Abu Sitta had been invited by France’s left-wing Ecologists group in the Senate to speak at a colloquium Saturday about the situation in Gaza, according to the Senate press service. The gathering included testimony from medics, journalists and international legal experts with Gaza-related experience.
Last month Abu Sitta was denied entry to Germany to take part in a pro-Palestinian conference. He said he was stopped at passport control, held for several hours and then told he had to return to the UK He said airport police told him he was refused entry due to “the safety of the people at the conference and public order.”
Abu Sitta, who recently volunteered with Doctors Without Borders in Gaza, has worked during multiple conflicts in the Palestinian territories, beginning in the late 1980s during the first Palestinian uprising. He has also worked in other conflict zones, including in Iraq, Syria and Yemen.
France has seen tensions related to the Mideast conflict almost daily since the deadly Oct. 7 Hamas incursion into Israel. In recent days and weeks police have cleared out students at French campuses holding demonstrations and sit-ins similar to those in the United States.


Afghanistan’s only female diplomat resigns in India after gold smuggling allegations

Updated 04 May 2024
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Afghanistan’s only female diplomat resigns in India after gold smuggling allegations

  • Zakia Wardak, the Afghan consul-general for Mumbai, announced her resignation on her official account on the social media platform X
  • According to Indian media reports, she has not been arrested because of her diplomatic immunity

ISLAMABAD: Afghanistan’s diplomat in India, who was appointed before the Taliban seized power in 2021 and said she was the only woman in the country’s diplomatic service, has resigned after reports emerged of her being detained for allegedly smuggling gold.
Zakia Wardak, the Afghan consul-general for Mumbai, announced her resignation on her official account on the social media platform X on Saturday after Indian media reported last week that she was briefly detained at the city’s airport on allegations of smuggling 25 bricks of gold, each weighing 1 kilogram (2.2 pounds), from Dubai.
According to Indian media reports, she has not been arrested because of her diplomatic immunity.
In a statement, Wardak made no mention of her reported detention or gold smuggling allegations but said, “I am deeply sorry that as the only woman present in Afghanistan’s diplomatic apparatus, instead of receiving constructive support to maintain this position, I faced waves of organized attacks aimed at destroying me.”
“Over the past year, I have encountered numerous personal attacks and defamation not only directed toward myself but also toward her close family and extended relatives,” she added.
Wardak said the attacks have “severely impacted my ability to effectively operate in my role and have demonstrated the challenges faced by women in Afghan society.”
The Taliban Foreign Ministry did not immediately return calls for comment on Wardak’s resignation. It wasn’t immediately possible to confirm whether she was the country’s only female diplomat.
She was appointed consul-general of Afghanistan in Mumbai during the former government and was the first Afghan female diplomat to collaborate with the Taliban.
The Taliban — who took over Afghanistan in 2021 during the final weeks of US and NATO withdrawal from the country — have barred women from most areas of public life and stopped girls from going to school beyond the sixth grade as part of harsh measures they imposed despite initial promises of a more moderate rule.
They are also restricting women’s access to work, travel and health care if they are unmarried or don’t have a male guardian, and arresting those who don’t comply with the Taliban’s interpretation of hijab, or Islamic headscarf.