Kamis, 09 Juli 2020

GE2020: 'Every vote counts' in Friday's 'critical election', says PM Lee - CNA

SINGAPORE: Every vote counts as Singapore heads to the polls on Friday (Jul 10), Prime Minister Lee Hsien Loong said, calling the 2020 ballot a “critical election” amid the “crisis of a generation” that is COVID-19.

“The PAP will do our best, but we cannot do it alone,” Mr Lee, PAP’s secretary-general, said in a party political broadcast on Thursday night.

“In a critical election like this one, every vote counts. We need the support of every Singaporean. Not just to return the PAP to government. But also to give it a strong mandate, to empower it to act decisively on your behalf and steer the country towards better days ahead.”

READ: GE2020: PM Lee calls for support from all Singaporeans in getting through COVID-19 crisis

Mr Lee reiterated that this year’s General Election is “unlike any other we have experienced in our history”, as COVID-19 continues to spread rapidly around the world.

“Our economy has been badly hit, though the full economic impact of the outbreak is still ahead of us,” he said.

“We need a strong and capable Government. Not only to take decisive action to prevent another major outbreak, but also to save businesses and jobs, which is at the top of everyone’s minds.”

Mr Lee said while the PAP has “concrete plans and ideas” to achieve these objectives, it needs a strong mandate from Singaporeans to put them into action.

SAVING JOBS

The Government is doing everything it can to save jobs, Mr Lee said, calling it a “top priority”.

READ: Fortitude Budget: S$2.9 billion to boost and extend Jobs Support Scheme; SMEs to get more rental relief

For instance, he said, the Jobs Support Scheme helps businesses hold on to Singaporean workers, while loans and rental waivers help companies, especially small- and medium-sized enterprises, keep afloat and manage cash flow.

“So far, these and other measures have helped keep workers employed, and staved off retrenchments,” he said.

But Mr Lee said it will take time to turn Singapore’s economy around, warning people to brace for more job losses as the global recession drags on in the coming months.

“We may not be able to save every job, but we will help every worker,” he said. “Those who have been affected are already receiving support from the Government.”

READ: Fortitude Budget: Additional S$800 million set aside for COVID-19 Support Grant; S$100 one-off utilities credit

Mr Lee pointed to the COVID-19 Support Grant for those who have seen a significant drop in income, and the Self-Employed Income Relief Scheme for self-employed or gig economy workers.

“For now, these and other schemes will tide our workers over, and help you meet your daily needs as you get back on your feet,” he said.

CREATING JOBS

For workers who have lost their jobs, Mr Lee said a PAP-led Government will do its best to help them find new ones.

The Government is setting up satellite career centres in every town to organise job fairs and provide career matching services, he said, with the first eight centres already up and running.

“We are heavily funding training to help workers pick up new skills, which will help them move to other sectors,” he said. “If you are willing to put in the effort, a PAP Government will support you all the way. Be of good heart.”

READ: GE2020: Good jobs in new industries will be available for Singaporeans, says PM Lee

Mr Lee said a PAP Government will also aim to create new opportunities in the form of 100,000 new jobs and training positions in the coming year, three times the usual number.

These include 15,000 jobs in the public sector and traineeships targeted at workers in their 40s and 50s, as well as fresh graduates entering the “difficult job market”, he said.

“It is not easy to create new jobs in a deep recession, but we are determined to succeed,” he added.

Mr Lee touted the success of the country’s tripartite system, calling it the “secret of (Singapore’s) economic success since the early days of independence”.

READ: GE2020: Securing and creating jobs remain the PAP's 'top priority', says PM Lee

He said Senior Minister Tharman Shanmugaratnam is leading the National Jobs Council that will bring together job-related efforts across unions, business associations and the Government to multiply their impact.

The National Trades Union Congress is also is working through Company Training Committees in many firms, to identify the skills that workers need, company by company, to ensure efforts are “tailored and effective”, he said.

“Our tripartite partnership … will once again be key to our recovery.”

ATTRACTING INVESTMENT

To create new and better jobs, Mr Lee said Singapore must continue to attract new investments.

Despite the pandemic and global recession, he highlighted that the Economic Development Board (EDB) has already secured S$13 billion in new investments, exceeding its usual annual volume.

“These investments will create several thousand jobs in the next few years, taking us one important step closer to recovery,” he said.

READ: GE2020: Maintaining Singapore's high reputation among investors a 'matter of survival', says PM Lee

Mr Lee said EDB could do this because investors have confidence in Singapore and value Singaporean workers as they are skilled, hardworking, multilingual and disciplined.

Investors also know the Government is of high quality, comprising an “honest, competent civil service led by first-rate ministers”, he said, and that investors admire Singapore’s social compact, with the Government and Singaporeans working hand in hand.

“Potential investors, and others too, are watching our election closely,” he added.

“They will want to know if Singapore still has what it takes to sustain our edge, especially in a crisis. In this crisis election, we must show the world that Singaporeans understand what our survival depends on.”

PREPARING FOR A DIFFERENT FUTURE

But the PAP must look to the future even as it tackles immediate challenges, Mr Lee said, pointing out that the pandemic and recession will one day be over and Singapore must be ready to resume its journey “onward and upward”.

“Hence, we will press on with restructuring and upgrading our economy, and re-skilling and up-skilling our workforce,” he said. “This will help our people adapt to the uncertainties ahead, seize new opportunities and improve their lives.”

READ: GE2020: PAP launches manifesto focusing on jobs, economy and keeping lives safe amid COVID-19 pandemic

Beyond economic prosperity, Mr Lee said Singaporeans have broader ambitions for the nation.

“We aspire to be a harmonious society, with full opportunities for all, where the human spirit can flourish. A more inclusive society, where we support those who need help, and every Singaporean feels they have a stake in the future,” he said.

“We want to be a community where Singaporeans believe that their children will have better lives than they did.”

Mr Lee said the PAP has plans to improve Singapore’s education system to bring out the best in every child; make healthcare more accessible and affordable, especially for the elderly; build new Housing Board towns and parks, new MRT lines and a new downtown on the waterfront; and prepare for climate change, which he termed “an existential threat to our little island”.

“In time to come, all these should be part of a better Singapore that we pass on to the next generation,” he stated.

STRONG LEADERSHIP

To get there, Mr Lee circled back and said Singapore must first make it through the immediate crisis, even as “we do not know how the next few years will unfold”.

“But we give ourselves the best chance of success if we rally together, choose a competent, experienced and committed team to lead the country, and then give it our full support,” he said.

“We need leaders who care for Singaporeans, with experience and ideas to keep Singapore going, come what may. We also need Singaporeans who care for our country, and will work together with their leaders to secure it in the crisis, and beyond.”

READ: High stakes in GE2020 amid COVID-19 crisis, with biggest challenges lying ahead: PM Lee in virtual rally

Mr Lee said the PAP and Singapore are no strangers to adversity, adding that the party fought with the Pioneer Generation through independence and separation, then worked with the Merdeka Generation to take Singapore from Third World to First.

“Now, we are facing the crisis of a generation. Whether we rise to this challenge will determine Singapore’s future,” he said.

“As you go to the polls tomorrow, I ask you once again to put your trust in the PAP. Vote PAP, to secure our lives, our jobs, our future.”

The PAP has fielded candidates for all 93 seats in 31 constituencies, and is looking to reclaim the Workers' Party-held Aljunied GRC and Hougang SMC.

BOOKMARK THIS: Our comprehensive coverage of GE2020 and its developments

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2020-07-09 13:33:59Z
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GE2020: PAP speaks in Party Political Broadcast on Jul 9 - CNA

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  1. GE2020: PAP speaks in Party Political Broadcast on Jul 9  CNA
  2. Singapore GE2020: 10 key issues that might weigh on voters' minds  The Straits Times
  3. GE2020: 100000 new jobs, training places to get Singapore through COVID-19 crisis, PM Lee says  CNA
  4. COMMENT: Now the circus is almost over, how do we vote?  Yahoo Singapore News
  5. COMMENT: Singapore's next leaders face the burden of success  Yahoo Singapore News
  6. View Full coverage on Google News

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2020-07-09 13:21:25Z
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Hong Kong reports 42 new COVID-19 infections, social distancing measures to be tightened - CNA

HONG KONG: Hong Kong reported 42 new coronavirus cases on Thursday (Jul 9), of which 34 were locally transmitted, marking the second consecutive day of a jump in local infections and fuelling fears of renewed community spread.

The total number of cases in the global financial hub since late January now stands at 1,366. Seven people have died.

Of the 34 local transmissions reported on Thursday, 23 were from an elderly home, said local authorities.

Authorities also announced on Thursday that social distancing measures will be tightened to combat the fresh outbreaks.

"Now that the pandemic is coming back, I appeal to everyone to reduce outings, gatherings and dining together," health minister Sophia Chan told reporters.

Authorities announced a reintroduction of limits to how many people can gather together, a repeat of measures taken earlier in the year that helped stifle the coronavirus outbreak.

A maximum of eight people can sit together at restaurants while bars, pubs and nightclubs are capped at four people per table.

Catering businesses can only operate at 60 per cent of their usual capacity. Gyms and karaoke lounges must have no more than 16 people in each room or facility.

Hong Kong was one of the first places to be struck by the coronavirus earlier this year after it burst out of central China. 

Despite this, authorities made impressive headway against the disease, helped by a population with previous experience of outbreaks who readily adopted facemasks and social distancing.

However, the new outbreak shows the stubborn resilience of the coronavirus, even in a city with a strong record of stopping its spread.

New infection clusters started to emerge in the past two days, including at an elderly care home that reported at least 32 cases.

At least 12 new infections in the last five days have been classified as unknown in origin, meaning authorities are struggling to work out how the disease is spreading in those instances.

Last month, Hong Kong relaxed its social distancing rules to allow public gatherings of up to 50 people, reopen theme parks and scrap customer restrictions for restaurants.

BOOKMARK THIS: Our comprehensive coverage of the coronavirus outbreak and its developments

Download our app or subscribe to our Telegram channel for the latest updates on the coronavirus outbreak: https://cna.asia/telegram

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2020-07-09 09:45:00Z
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GE2020: Party Political Broadcast | July 9 - The Straits Times

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  1. GE2020: Party Political Broadcast | July 9  The Straits Times
  2. GE2020: Vote fearlessly for the opposition, urges Lee Hsien Yang in final pitch  Yahoo Singapore News
  3. GE2020: Good jobs in new industries will be available for Singaporeans, says PM Lee  CNA
  4. COMMENT: Now the circus is almost over, how do we vote?  Yahoo Singapore News
  5. Singapore GE2020: 10 key issues that might weigh on voters' minds  The Straits Times
  6. View Full coverage on Google News

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2020-07-09 12:00:28Z
52780901150013

Rabu, 08 Juli 2020

Weekend escape: Enjoy a 'daycation' at Shangri La's Sentosa Resort & Spa - CNA

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Weekend escape: Enjoy a 'daycation' at Shangri La's Sentosa Resort & Spa  CNA
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2020-07-09 05:23:13Z
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Australian PM suspends extradition treaty, extends visas for Hong Kong citizens - CNA

SYDNEY: Australian Prime Minister Scott Morrison on Thursday (Jul 9) announced measures to assist Hong Kong citizens start a new life in Australia, including extending visas by five years, after Beijing imposed a new security law on the Asian financial hub.

Morrison also suspended an extradition agreement with Hong Kong. Under the security law Hong Kong suspects can be sent for trial in Communist Party-controlled courts in mainland China.

Morrison said the new national security law introduced last week in Hong Kong was a fundamental change of circumstances and Australia would suspend the extradition agreement.

"There will be citizens of Hong Kong who may be looking to move elsewhere, to start a new life somewhere else, to take their skills, their businesses," Morrison said.

He announced visa measures that would assist Hong Kong citizens already in Australia to stay. Hong Kong students who graduate in Australia will have the opportunity to stay for five years and apply for permanent residency after that time.

Hong Kong citizens on temporary work visas in Australia would also be eligible to extend these for five years, and later apply for permanent residency.

Morrison said there are 10,000 Hong Kong citizens in Australia on student visas or temporary work visas.

Australia also made a pitch for international financial services, consulting and media businesses with regional headquarters in Hong Kong to relocate to Australia, and said it would offer incentives and visas packages to relocate staff.

"We want them to look to Australia, to come, to set up shop," said acting immigration minister Alan Tudge.

Australia changed its travel advisory for Hong Kong, where around 100,000 Australians live and work, to say "reconsider your need to remain in Hong Kong" if they are concerned about the new law.

READ: Australia warns citizens of increased risk of detention in Hong Kong

The travel advice for Hong Kong warns Australians "may be at increased risk of detention on vaguely defined national security grounds".

Hong Kong's new security law punishes acts of secession, subversion, terrorism and collusion with foreign forces with up to life in prison.

The new law has pushed China's freest city onto a more authoritarian path and drawn condemnation from some Western governments, lawyers and rights groups.

Canada last week announced it would suspend its extradition treaty with Hong Kong in the wake of the security legislation and could boost immigration from the former British colony.

Australia's Foreign Minister Marise Payne held a teleconference overnight with her counterparts in the Five Eyes security arrangement, which includes the UK, US, New Zealand and Canada, about Hong Kong and the new security law, Payne and UK foreign secretary Dominic Raab said on Twitter.

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2020-07-09 04:18:45Z
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COVID-19: Bolsonaro bets 'miraculous cure' hydroxychloroquine can save Brazil - and his life - CNA

RIO DE JANEIRO: Brazilian President Jair Bolsonaro has gone all in on hydroxychloroquine to help his coronavirus-ravaged country beat COVID-19. He has pushed his government to make the malaria drug widely available and encouraged Brazilians to take it, both to prevent the disease and to treat it.

Now the far-right populist is putting his convictions to the ultimate test: Bolsonaro on Tuesday (Jul 7) announced that he had tested positive for the disease and was taking hydroxychloroquine.

Bolsonaro said in a televised interview that he had taken an initial two doses, in conjunction with the antibiotic azithromycin, and felt better almost immediately. His only regret, he said, was not using it sooner.

"If I had taken hydroxychloroquine preventively, I would still be working" instead of heading into quarantine, Bolsonaro said.

Later, in a separate video, he gulped down a third pill. He said he was aware of other treatments, but noted none of them had been proven to work.

"I trust in hydroxychloroquine," he said. "And you?"

Bolsonaro's illness is a potent symbol of his government's botched response to the outbreak. More than 1.7 million people in Brazil have tested positive for coronavirus and nearly 68,000 have died. Only the United States has performed worse.

A forceful critic of stay-at-home measures, Bolsonaro, 65, has largely shunned masks and derided the coronavirus as a "little flu." Instead, he has placed his faith in hydroxychloroquine and chloroquine, turning them into the centrepiece of his government's virus-beating playbook.

The two medications are often used against malaria, while hydroxychloroquine is also used to treat certain automimmune diseases. Some countries authorised the drugs to be tried on COVID-19 patients, and some doctors anecdotally have reported encouraging results.

READ: Brazil stands by hydroxychloroquine despite WHO

READ: Judge orders Brazil's Bolsonaro to wear mask

Still, evidence is mounting that these drugs have no benefit for hospitalised patients. The US Food and Drug administration in June, for example, revoked its emergency use authorisation for hydroxychloroquine and chloroquine, saying it was no longer likely that the medications were effective at treating COVID-19 in these patients.

Bolsonaro has been undeterred by such pronouncements. He has pushed his Health Ministry to expand access to the drugs and dispensed with two Health Ministers - Luiz Henrique Mandetta and Nelson Teich - who had urged a more cautious approach.

Eduardo Pazuello - an active-duty Army general, who took over on an interim basis on May 15, and remains in the job to this day - has proven more obedient. 

Under his watch, the ministry has broadened access to the drugs, and public sector doctors are now allowed to prescribe them for almost anyone who has tested positive for the coronavirus, not just the sickest patients. They can even be used by pregnant women and children with certain health conditions.

The president's office declined to comment for this article, directing questions to the Health Ministry. The Health Ministry did not respond.

FILE PHOTO: Brazil's President Jair Bolsonaro adjusts his protective face mask during a press
FILE PHOTO: Brazil's President Jair Bolsonaro adjusts his protective face mask during a press statement to announce federal judiciary measures to curb the spread of the coronavirus disease (COVID-19) in Brasilia, Brazil March 18, 2020. Picture taken March 18, 2020. REUTERS/Adriano Machado/File Photo

To understand how Bolsonaro's administration embraced this unconventional strategy, Reuters interviewed more than two dozen people, including current and former health officials involved in the federal response, as well as physicians, scientists and public health experts. 

What emerged was a picture of a leader worried about the crippling effects of lockdowns imposed by governors and mayors across Brazil, and eager for a quick fix to re-open the economy.

Bolsonaro was initially inspired by his political idol, US President Donald Trump, who was an early advocate of hydroxychloroquine, a dozen sources said. But Bolsonaro has gone much further than his US counterpart.

At his command, the Army has drastically ramped up production of chloroquine.

His new-look Health Ministry, now led by soldiers and Bolsonaro loyalists, has eagerly promoted the antimalarials as the best hope against COVID-19.

And Brazilian public entities, such as state governments and federal ministries, have snapped up the drugs on the open market. So far this year, they have spent a total of 2.3 million reais (US$429,706) on hydroxychloroquine - up 6,592 per cent compared with the total amount spent in 2019, according to a Reuters review of government data. These bodies have also spent 1.51 million reais on chloroquine so far in 2020, compared with 626,472 reais in 2019.

READ: WHO halts hydroxychloroquine, HIV drugs in COVID trials after failure to reduce death

READ: US halts test of Trump-touted hydroxychloroquine for COVID-19 patients

At the centre of all this stands Bolsonaro.

Mandetta, the Health Minister fired by Bolsonaro in April, said the president's drumbeat of support for the drugs had hampered efforts to impose stay-at-home measures and slow the spread of the virus in Brazil.

"That made many people believe that the cure was ready, that it already existed, that you didn't need to worry, that you could just take this medicine, that would solve the problem," Mandetta told Reuters.

Teich, Mandetta's replacement who resigned after less than a month on the job, did not respond to requests for comment.

Since leaving, he has said publicly that he resigned due to disagreements with Bolsonaro, who was pressuring him to broaden access to hydroxychloroquine and chloroquine. Exclusive Reuters reporting reveals that Teich hoped to persuade Bolsonaro to wait for results from a fast-tracked hydroxychloroquine trial, but was unable to convince the president, according to four people familiar with the situation.

Marcia Castro, a native Brazilian and professor at the Harvard TH Chan School of Public Health, said it was a "totally absurd" strategy to prioritise unproven drugs over reliable tools such as testing, tracing and social distancing.

"It's a profoundly lamentable situation, and it's no coincidence that we now have more than 60,000 deaths," she said.

READ: Facebook suspends disinformation network tied to staff of Brazil's Bolsonaro

'MIRACULOUS CURE'

Bolsonaro's interest in hydroxychloroquine and chloroquine has its roots in early reports from China and France about the drugs' potential to help COVID-19 victims, according to six people who spoke with Reuters.

In mid-February, Chinese state-run media reported that health experts there had "confirmed" chloroquine "has a certain curative effect." Around that time, a French microbiologist, Didier Raoult, also began to laud the drugs.

Raoult's advocacy of hydroxychloroquine and chloroquine was picked up by right-wing bloggers and libertarian thinkers. Then, on Mar 19, Trump waded into the debate. "I think it could be a game changer," said Trump, who claims to have briefly taken hydroxychloroquine as a prophylactic.

Bolsonaro was particularly swayed by Trump's comments, six people said. Bolsonaro had met with the US leader earlier that month at Trump's Mar-a-Lago resort in Florida, and several members of the Brazilian entourage returned sick to Brazil.

"It's the idea of a miraculous cure," said one recently departed cabinet minister, speaking on condition of anonymity. "(Bolsonaro) believes in those magic solutions. And I also think, in part, it is to copy Trump."

READ: Trump says he is taking malaria drug hydroxychloroquine as hedge against COVID-19

READ: US hospitals slash use of hydroxychloroquine, drug championed by Trump as COVID-19 treatment

The White House pointed Reuters to a statement on May 31, when it announced it had sent 2 million doses of hydroxychloroquine to Brazil "as a demonstration of ... solidarity" between two countries which share a "longstanding collaboration on health issues."

On Mar 21, two days after Trump's comments, Bolsonaro announced he was ordering the Army Chemical and Pharmaceutical Laboratory to ramp up chloroquine production in Brazil for use as a COVID-19 treatment. Following that directive, the lab, located in Rio de Janeiro, has manufactured 2.25 million 150mg chloroquine pills, the Army told Reuters.

By comparison, the lab produced a total of 265,000 tablets in the previous three years combined, according to production data obtained through a freedom of information request filed by opposition lawmaker Ivan Valente and viewed by Reuters.

Brazil's armed forces have used chloroquine to ward off malaria in the nation's jungles for decades, and Bolsonaro, a former Army captain, has put military men in key positions. At least 27 current or former soldiers have recently joined the Health Ministry, replacing experienced public health officials, according to a Reuters tally. Meanwhile, current or former soldiers make up nearly half of Bolsonaro's 23-seat cabinet.

Five sources told Reuters that the longstanding usage of the drugs by members of the armed forces helped allay safety fears among Bolsonaro's military advisors.

"The majority of them served in the Amazon," said Osmar Terra, Bolsonaro's former Citizenship Minister, who has informally advised the government during the crisis. "All of them have used hydroxychloroquine for a long time."

Brazil's Army did not respond to a request for comment.

The Health Ministry said it has distributed 4.4 million chloroquine tablets to the states. It is unclear how widely they are being administered, as Brazil's physicians are free to prescribe the drugs as they see fit. But a huge number of Brazilians probably have access to them, officials, physicians and public health experts said.

Thaysa Drummond, an infectologist treating COVID-19 patients at the Eduardo de Menezes Hospital in Belo Horizonte, said a lot of patients arriving -  either from primary care clinics, or other hospitals - had previously been given the drugs.

"In practice, lots of doctors are prescribing it," she said. Her hospital was not, she added, "because there is no robust, quality scientific evidence that supports their use."

Potential side effects of hydroxychloroquine and chloroquine include vision loss and heart rhythm problems.

The spread of the coronavirus disease (COVID-19) in Porto Alegre
FILE PHOTO: A nurse shows a pill of hydroxychloroquine, amid the coronavirus disease (COVID-19) outbreak, at Nossa Senhora da Conceicao hospital in Porto Alegre, Brazil, April 23, 2020. REUTERS/Diego Vara

NEW VOICES

Health Ministry officials initially expressed caution about the drugs, wanting to wait for credible clinical trial data, according to a dozen people familiar with the situation.

So Bolsonaro turned to outside medical professionals who shared his enthusiasm.

They included a São Paulo-based oncologist named Nise Yamaguchi. Virtually unknown in epidemiology and public-health circles, Yamaguchi said she took an early interest in hydroxychloroquine due to Raoult's work and the Chinese studies. 

She had appeared on Brazilian radio and television touting the potential promise of these treatments. Bolsonaro took notice, and on Apr 3 he dispatched an Air Force plane to bring her to the capital for a chat, Yamaguchi told Reuters. The president's office declined to comment on Yamaguchi's account.

At their meeting, Yamaguchi told Reuters that Bolsonaro showed her press reports about Raoult's hydroxychloroquine study. He wanted to know "why it couldn't be used more widely" in Brazil, she said. Yamaguchi said she told the president she was concerned about a lack of supply, in part because India, one of the world's biggest suppliers of generic medicine, had imposed a March export ban on hydroxychloroquine to meet its own domestic demand.

The following day, Bolsonaro announced publicly he had asked Indian Prime Minister Narendra Modi to loosen restrictions. Three days later, amid growing international pressure, India relaxed its export ban. Modi's office did not respond to a request for comment. In India, which now has the world's third-worst coronavirus outbreak after Brazil, doctors have also widely prescribed hydroxychloroquine.

Bolsonaro soon tasked Yamaguchi with designing guidelines to steer Brazilian doctors on how to use the antimalarials, a task usually reserved for government health officials, three former Health Ministry sources said.

On Apr 16, Bolsonaro fired Mandetta, the health minister. The two had been sparring publicly for weeks over Bolsonaro's aversion to stay-at-home measures and support of hydroxychloroquine and chloroquine.

That same day, Brazil's Federal Medical Council (CFM), which is in charge of medical licensing and ethics, agreed on guidelines for how and when doctors could prescribe the drugs.

READ: Biggest threat to Brazil coronavirus response? President Bolsonaro, says The Lancet

Bolsonaro replaced Mandetta with Teich, an oncologist with no public health experience. By mid-May, Bolsonaro was publicly pushing Teich to deliver a new protocol to allow doctors to prescribe hydroxychloroquine and chloroquine for early-stage patients.

Teich was reluctant to do so without more evidence that the drug was effective and safe for this use, according to four people familiar with the situation. So his team crafted a plan to win over the president - a domestic hydroxychloroquine study that would provide partial results within weeks, according to the people.

They reached out to Álvaro Avezum, a São Paulo cardiologist who was part of a coalition conducting robust clinical trials into possible COVID-19 treatments, the people said. One of those studies was investigating whether patients with less severe symptoms could use hydroxychloroquine to prevent hospitalization. 

Teich's team thought research that could potentially confirm the benefits of such early intervention might appeal to Bolsonaro, who has sought to make Brazilians less fearful of contracting COVID-19 so they can get back to work, the people said.

On the condition of Health Ministry support, Avezum agreed to fast-track the study, two sources said. Avezum declined to comment on those talks, but said the aim was to be as efficient as possible.

In public, Bolsonaro was ratcheting up the pressure on his health minister to sign off on the new protocol.

"It's not whether Teich likes it or not, ok? It's what's happening," Bolsonaro said to reporters on May 13. "We've got hundreds of deaths a day. If there's a possibility to lower that number with chloroquine, why not use it?"

The following day, Teich met with Bolsonaro to discuss the hydroxychloroquine clinical trial. The encounter did not go well. Bolsonaro told Teich he wanted the drug approved for wider use, and he wanted it now.

"I'm the one who makes decisions," the president said, according to two sources with knowledge of that meeting.

Teich resigned the following day.

Brazil's Health Minister Teich attends news conference amid COVID-19 outbreak in Brasilia
Brazil's Health Minister Nelson Teich gestures during a news conference, amid the coronavirus disease (COVID-19) outbreak in Brasilia, Brazil May 15, 2020. REUTERS/Adriano Machado

VIRULENT TIMES

Hydroxychloroquine and chloroquine are now flashpoints in Brazil's polarised politics. People's views of the drugs have become something of a referendum on their president, much like masks in the United States.

Brazilian physician Marcus Lacerda got caught in the turmoil. In late March, he began a randomised trial in the northern rainforest city of Manaus to investigate the safety and efficacy of two different doses of chloroquine - one high, and one low - on hospitalized patients with severe COVID-19.

When the trial's monitoring group noticed an increased lethality in the high-dosage group, it halted the study. Sixteen people taking higher chloroquine doses died, compared with six in the low-dosage group.

The results were quickly rejected by the drug's supporters. Bolsonaro's son Eduardo, a federal lawmaker, tweeted that the study had been designed to "disqualify chloroquine," and he accused the investigators of being leftist partisans.

Lacerda said his life became a nightmare. Bolsonaro fans, angered by results from a study which appeared to portray the president's favoured drug as lethal, sent a deluge of messages to his Facebook account. They called him an "assassin," a "monster" and a "pseudo-scientist."

"Your time will come," one Facebook user warned.

Because of death threats, Lacerda required armed guards for a few weeks. Life has gradually returned to normal, but he remains shaken by the online hate. "It has an incalculable effect on people's lives," he told Reuters.

READ: Commentary: How Brazil became the second-worst COVID-hit country in the world

Bolsonaro's age places him at risk from COVID-19. Still, given the fact that Brazil's current mortality rate is less than 5 per cent, and Bolsonaro, as president, will have access to high-quality medical care, he stands a good chance of recovering.

If he does, many expect him to credit hydroxychloroquine for his survival.

Wildo Araujo, a former Health Ministry official who co-authored one of Brazil's first major COVID-19 studies, said such a claim would further politicise the drug. It would also be baseless, he added, as the efficacy of drugs can only be proved with large, randomised, placebo-controlled trials.

"The statement of one individual doesn't prove anything," he said. "(Bolsonaro) will use ... that narrative. But from a scientific point of view, it doesn't have any value at all."

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https://news.google.com/__i/rss/rd/articles/CBMia2h0dHBzOi8vd3d3LmNoYW5uZWxuZXdzYXNpYS5jb20vbmV3cy93b3JsZC9jb3ZpZC0xOS1icmF6aWwtYm9sc29uYXJvLWJldHRpbmctb24taHlkcm94eWNobG9yb3F1aW5lLTEyOTE1ODk20gEA?oc=5

2020-07-08 22:53:57Z
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