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COVID-19 Around the World

Deteriorating Conditions in Hong Kong

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Hong Kong’s loss of control

While the Asian financial hub is posting successive record-breaking numbers of Covid infections and a death rate that tops the industrialized world, leaked reports of a citywide lockdown in local media have some residents fleeing while others scramble to stock up on food and medicine.

After more than a week out of the public eye, Chief Executive Carrie Lam on Wednesday afternoon sought to reassure the population about the challenges ahead. China will ensure that Hong Kong has an ample supply of food and medicine during the outbreak, she said during a television interview after welcoming the first trainload of goods from the mainland.

 

Residents urged not to panic

As infections and deaths hit record highs, Hong Kong has implemented its most draconian restrictions, with restrictions on public gatherings of more than two people, most venues closed and flights banned into the city from countries including the United States and Britain.

The government has repeatedly tried to reassure residents after widespread chaos this week due to authorities’ mixed messaging over whether a city-wide lockdown would take place and the almost daily tweaking of COVID rules.

While city leader Carrie Lam has said the Chinese-ruled hub will not have a full-blown lockdown during the mass testing, residents remain unnerved about what to expect.

The surge in infections has crippled manpower in the healthcare system, for public transport, mall operators as well as postal services, supermarkets and pharmacies. Many restaurants and stores have been shuttered with main districts eerily quiet and few residents out in typically busy neighbourhoods.

 

Older people

Just 15% of elderly residents in Hong Kong’s care homes are fully vaccinated against Covid-19, about one-sixth the coverage in the U.S., despite evidence from early in the pandemic that such facilities are hotbeds for disease and death. 

The vaccination rate for other Hong Kong seniors is higher, at 45%, which still significantly lags many advanced economies. Singapore has immunized about 95% of its seniors, while roughly 90% of South Korea’s elderly have received booster shots.

The lack of protection is already casting a pall over the city, where more than 1,100 people have died since a wave of infection driven by the highly-infectious delta and omicron variants formed at the end of 2021. Most of the deaths occurred in the unprotected elderly, with a death rate of almost 6% in those aged 80 or older who weren’t fully immunized. The only other group with a case fatality rate above 1% is unvaccinated elderly aged 70 to 79, according to the government. 

The low vaccination rate for elderly residents of Hong Kong’s care homes means they’re even more vulnerable as the number of omicron cases soars, a forecast from researchers at the University of Hong Kong found. Already more than 700 residential care facilities — housing both elderly and disabled people — have reported Covid cases. 

 

Public vaccine hesitancy 

Hong Kong has struggled with vaccine hesitancy among seniors since it launched an immunization program last year. Few elderly people got shots in 2021 amid fears that they may be more vulnerable to side effects. The government’s successful Covid Zero strategy also removed any urgency, as there was no penalty for complacency thanks to low infection rates before omicron slammed the city.  

Their forecast of fatalities by the end of April, which ranged from a low of about 3,140 to a high of more than 5,560, was based on an assumption that there would be no rapid, dramatic improvement in vaccination of the institutionalized elderly.  

 

A widening gap

Though Hong Kong has been aligned with Beijing in pursuing zero-Covid, it could have taken a different route — one now playing out in a very similar city, 1,600 miles (about 2,600 kilometers) away.

Last August, Singapore — which for years has competed with Hong Kong for the title of Asia’s top international business hub — was the first Asian country to declare it was moving away from a zero-Covid policy to living with the virus instead. It was soon followed by Australia, New Zealand, Thailand, and others.

The mood in Singapore is now drastically different than in Hong Kong. A high vaccination rate and reopened travel with two dozen countries mean daily life has more or less resumed. Though cases there are spiking as well, people are able to go to the movies, meet friends at the bar, even attend sports events and live concerts.

But there is little of that optimism in Hong Kong, with leaders defiant even as the city’s tough travel restrictions render it increasingly isolated from the world.

“With the full support of the central (Chinese) government, the government’s united effort, and citizens’ full support, we have to fight against this wave of the virus,” Lam said on Tuesday. “Surrendering to the virus is not an option.”

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Weekly news at a glance

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(Worldwide) Covid positive kids separated from parents in Shanghai

A hospital in Shanghai is sending COVID-positive children and parents to different quarantine facilities, an online debate has revealed. Unverified images of children, three-to-a-cot, being tended to by workers in hazmat suits circulated on the WeChat social media platform.

The centre accused of housing the children, the Shanghai Public Health Clinical Centre in the city’s Jinshan district, took to the social media site to debunk the rumours, but in doing so confirmed the existence of the quarantine site.

It added it had organised for more paediatric workers and would strengthen communication with the children’s parents in the wake of criticism from parents whose children have been housed in the facility.

 

(Worldwide) U.S. drops COVID testing for air travelers

In one of the most anticipated travel developments this year, the US Centers for Disease Control and Prevention is poised to lift its requirement for travelers to test negative for Covid-19 before entering the United States, CNN learned on Friday.

The measure has been in place since January 2021. The move is likely to encourage travelers around the world to plan a summer vacation in the States and encourage more US travelers to venture abroad knowing they’re less likely to get stranded overseas with a positive test. Air travel has been far from smooth this season so far.

 

(Worldwide) Face of Hospitality in the Post-Covid World

Studies show that consumer spending on discretionary items like travel, eating out, entertainment etc would stay low and focus would stay on the basics like groceries, internet and mobile services etc. This indicates that there is still time for the hospitality industry to reach its glory of the pre-pandemic times. Similarly, those businesses that depend on the travel and tourism sector are likely to suffer the lul.

Hotels depend heavily on the revenue they generate from business travelers. But, given the current scenario, that too will take time to recover. With the death of many organizations that funded such business travel, it is likely that about 5-10% of it would never return. This makes it imperative that the businesses keep a close watch on the trends that determine the future of the hospitality and tourism industry and plan accordingly.

 

(AUS) Tutors in high demand, but doubts on program for next year

The state government’s 480 million dollar coronavirus catch-up tutoring program has been compromised by teacher shortages, due to COVID and influenza. The program aimed to benefit all government and low-fee private schools in helping students whose learning stalled during the pandemic.

According to Andrew Dalgleish, president of the Victorian Principals Association, most schools were forced to replace sick staff with the tutors to take whole classes. Victorian government awaits a final report before considering if it will recommit to the program.

 

(AUS) COVID-19 vaccine booster available for at-risk children aged 12 to 15

Children aged 12 to 15 years, who are severely immunocompromised and children with a disability, are eligible for a COVID-19 booster vaccine from this week. The Australian Technical Advisory Group on Immunisation has recommended extending eligibility for the Pfizer booster to about 120-thousand children.

Those eligible must have received their second dose at least three months ago, be severely immunocompromised, have a disability, or complex health conditions which increase the risk of severe COVID-19. Children who are NOT considered at-risk, who have received two vaccine doses, are still considered to be well protected against severe disease.

 

(AUS) Free flu vaccinations for Victoria

Free flu vaccinations are available to anyone aged 6 months and over until 30 June. Everyone aged 6 months and older is recommended to get the flu vaccine, especially people aged 65 years and over, people at higher risk of serious illness of complications from flu, pregnant women and children under 5 years.

The COVID-19 vaccine does not protect you against flu, you still need to get the flu vaccine. The best protection for families and communities this winter is to get vaccinated against both flu and COVID-19.

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Covid in North Korea

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Top North Korean officials discussed revising anti-epidemic restrictions on Sunday as they assessed the situation over the country’s first acknowledged COVID-19 outbreak was “improving”, state media reported.

A politburo meeting guided by leader Kim Jong Un “made a positive evaluation of the pandemic situation being controlled and improved across the country and discussed the issues of continuously stabilising and improving the overall anti-epidemic situation,” said KCNA news agency.

North Korea reported no new deaths among fever patients for a second consecutive day, and said 89,500 more people showed fever symptoms on Sunday.

That is down from nearly 400,000 about 11 days ago.

The isolated country has been fighting an unprecedented COVID wave since declaring a state of emergency and imposing a nationwide lockdown this month, fuelling concerns about lack of vaccines, medical supplies and food.

Efforts to strengthen anti-epidemic measures were being taken across North Korea, including collecting rain water, examining virus-resistant medicines and setting up quarantine places, KCNA said.

Many outside experts say North Korea is clearly understating its fatality rate to prevent any political damage to Kim at home.

They say North Korea should have suffered many more deaths because its 26 million people are largely unvaccinated against COVID-19 and it lacks the capacity to treat patients with critical conditions.

Others suspect North Korea might have exaggerated its earlier fever cases to try to strengthen its internal control of its population.

Since its May 12 admission of the Omicron outbreak, North Korea has only been announcing the number of patients with feverish symptoms daily, but not those with COVID-19, apparently because of a shortage of test kits to confirm coronavirus cases in large numbers.

But many outside health experts view most of the reported fever cases as COVID-19, saying North Korean authorities would know how to distinguish the symptoms from fevers caused by other prevalent infectious diseases.

The outbreak has forced North Korea to impose a nationwide lockdown, isolate all work and residential units from one another and ban region-to-region movements.

The country still allows key agricultural, construction and other industrial activities, but the toughened restrictions have triggered worries about its food insecurity and a fragile economy already hit hard by pandemic-caused border shutdowns.

Some observers say North Korea will likely soon declare victory over COVID-19 and credit it to Kim’s leadership.

Yang Un-chul, an analyst at the private Sejong Institute in South Korea, said the North’s recently elevated restrictions must be dealing a serious blow to its coal, agricultural and other labour-intensive industrial sectors.

But he said those difficulties won’t likely develop to a level that threatens Mr Kim’s grip on power, as the COVID-19 outbreak and strengthened curbs have given him a chance to boost his control of his people.

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Shanghai ease Covid isolation

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A partial reopening of stores and offices in Beijing on Sunday was welcomed by a weary populace and struggling shopkeepers eager for life to return to normal. Coupled with a gradual easing of restrictions in Shanghai, it signalled the worst was over in the twin outbreaks in China’s most prominent cities.

More people have been allowed out of their homes, and more businesses are permitted to reopen, although most residents remain largely confined to their housing compounds, with shops mainly limited to deliveries.

Restaurants remain closed in Beijing, except for takeout and delivery, and many people in Shanghai still can only go out with special passes and for a limited time period, even as the number of new cases has plummeted. Shanghai aims to essentially end its lockdown from Wednesday after relaxing restrictions over the past week. 

Shanghai officials urged continued vigilance, even though the vast majority of its 25 million residents live in areas that are in the lowest-risk “prevention” category.

“Wear masks in public, no gathering and keep social distance,” Shanghai Municipal Health Commission’s deputy director, Zhao Dandan, told a daily news conference.

China reports 362 new cases

On Friday, Shanghai’s suburban Fengxian district cancelled a requirement for residents to have a pass to go out.

The state-run Shanghai Securities News reported modest steps towards a return to normality for the financial sector, with the more-than-10,000 bankers and traders who have been living and working in their offices since the start of lockdown gradually returning home.

On Saturday, the country reported 362 daily COVID-19 cases, down from 444 a day earlier. In Beijing, new Friday infections fell to 24 from 29.

While Shanghai officials reported one community-level case in the Songjiang district, they expressed confidence in the steps they were taking to trace and control the infection chain.

“If these measures are implemented effectively, we can prevent a rebound of the epidemic, even if there are sporadic cases, so don’t worry,” Shanghai Centre for Disease Control and Prevention’s deputy director, Sun Xiaodong, said.

Beijing officials say outbreak ‘effectively under control’

In Beijing, new cases have trended lower for six days, with no fresh infections outside of quarantine areas reported on Friday.

The outbreak that began on April 22 is “effectively under control”, a city government spokesman told a news conference.

Starting on Sunday, shopping malls, libraries, museums, theatres and gyms will be allowed to reopen — with limits on the numbers of people allowed — in the eight of Beijing’s 16 districts that have seen no community cases for seven consecutive days.

Two of the districts will end work-from-home rules, while public transportation will largely resume in three districts, including Chaoyang, the city’s largest.

While nationwide case numbers are improving, China’s strict adherence to its “zero-COVID” strategy has devastated the world’s second-largest economy and rattled global supply chains.

The lockdowns and other restrictions under China’s “zero-COVID” strategy have increasingly frustrated residents as they see other countries ease up and re-open their borders. 

Some have resisted and staged protests at apartment complexes and university dormitories, in an authoritarian country where people think twice about speaking out publicly because of possible repercussions.

Officials tend to err on the side of caution under a system that readily punishes them for lax enforcement if outbreaks flare up or come back.

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