Senin, 05 Oktober 2020

Trump's medical team to weigh if he can leave hospital on Monday - The Straits Times

WASHINGTON - President Donald Trump and his doctors over the weekend struck an upbeat tone though it was marred by seemingly conflicting signals about his condition, with Mr Trump even making a surprise outing to greet supporters outside the hospital where he is being treated for Covid-19.

Mr Trump’s medical team was still optimistic that he would be able to return to the White House on Monday (Oct 5), and would make the decision later in the day, his chief of staff Mark Meadows told Fox News.

Mr Meadows added that the President’s condition had improved overnight and he was ready to get back to a normal working schedule.

Markets opened higher on his comments, with both the Dow Jones Industrial Average and Nasdaq Composite up 0.8 per cent, and the S&P 500 0.7 per cent higher.

The First Lady Melania Trump said on Twitter on Monday she will continue to rest at home. 

But observers were concerned by White House physician Sean Conley’s announcement at a press conference on Sunday that the President had been administered oxygen after two episodes of transient drops in oxygen saturation, something Dr Conley had not mentioned the day before despite being directly asked.

Medical experts were also concerned by Dr Conley’s news that Mr Trump was being treated with dexamethasone, a steroid meant for severely ill and critical patients, and pointed out that its possible side effects include mood swings. 

They were not reassured by Mr Trump’s string of Twitter posts on Monday morning, a series of 18 tweets before 8am urging people to vote for him and his platform. In one example, he said: “FIGHT THE CORRUPT FAKE NEWS MEDIA. VOTE!”

But the activity was in line with Mr Trump’s drive all through the weekend to project a show of strength, culminating in an evening excursion to greet supporters outside the Walter Reed National Military Medical Centre.

“We have enthusiasm like probably nobody’s ever had,” said Mr Trump in a video message on Twitter, hours after the release of a Reuters-Ipsos poll showing Mr Biden’s lead over him had widened. “We have more enthusiasm than maybe anybody.”

He also sought to show he was taking the coronavirus situation seriously and had a handle on the situation, saying: “I learned a lot about Covid, I learned it by really going to school. This is the real school. This isn’t the let’s read the books school. I get it and I understand it.”

Wearing a face mask and a suit jacket, the President rode in an armoured SUV, waving to cheering supporters displaying US and Trump campaign flags outside the hospital grounds.

But the outing, at odds with medical experts’ advice for Covid-19 positive patients to remain isolated, was criticised as irresponsible and endangering his driver and the Secret Service members who rode with him in the small airtight space.

Dr James Phillips, an attending physician at the Walter Reed medical centre, said that because the presidential vehicle was sealed against chemical attack, “the risk of Covid-19 transmission inside is as high as it gets outside of medical procedures”.

“Every single person in the vehicle during that completely unnecessary Presidential 'drive-by' just now has to be quarantined for 14 days. They might get sick. They may die. For political theatre. Commanded by Trump to put their lives at risk for theatre. This is insanity,” Dr Phillips, who is chief of disaster medicine at George Washington University, wrote on Twitter.

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2020-10-05 14:56:24Z
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Trump's COVID-19 status unclear, could return to White House on Monday - CNA

WASHINGTON: US President Donald Trump began a fourth day at the military hospital on Monday (Oct 5) where he is being treated for COVID-19, as his condition remained unclear and outside experts warned his case may be severe.

The president's team is treating Trump, 74, with a steroid, dexmethasone, that is normally used only in the most severe cases.

READ: Doctors monitoring Trump's lungs, giving steroid to fight COVID-19

Yet, his medical team told reporters on Sunday that Trump could return to the White House as early as Monday. Even if he does, he will need to continue treatment as the Republican president is still undergoing a five-day course of an intravenous antiviral drug, remdesivir. The normal quarantine period for anyone testing positive for the coronavirus is 14 days.

White House Chief of Staff Mark Meadows on Monday reiterated the hope that Trump would be released shortly from the hospital.

"He will meet with his doctors and nurses this morning to make further assessments of his progress," Meadows told Fox News. "We are still optimistic that he will be able to return to the White House later today."

READ: Trump's case of COVID-19 may be severe, experts say

Sequestered at Walter Reed National Military Medical Center outside Washington since Friday, Trump has released a series of videos in an effort to reassure the public that he is recovering from a disease caused by the coronavirus that has infected 7.4 million Americans and killed more than 209,000.

On Sunday, he also left his hospital room to ride in a White House motorcade that drove him past supporters gathered outside the hospital. Dressed in a suit jacket, shirt but no tie and a black mask, it marked Trump's first in-person public appearance since Friday.

Critics and medical experts blasted Trump for the move, which potentially exposed the staff in his car to infection.

On Monday, his Twitter account released a stream of more than a dozen messages including "LAW & ORDER. VOTE!" and "RELIGIOUS LIBERTY. VOTE!"

A Reuters/Ipsos poll released on Sunday showed Trump trailing Biden by 10 percentage points. About 65 per cent of Americans said Trump would not have been infected had he taken the virus more seriously.

READ: After Trump tests positive, Biden campaign seeks to keep focus on COVID-19 response

Trump has consistently downplayed the risks of the pandemic since it first emerged this year, and he has repeatedly flouted social distancing guidelines meant to curb its spread.

Trump is under fire for leaving the hospital on Sunday as well as for his statement that he met with soldiers and first responders at the hospital – moves that potentially exposed even more people to the virus.

"Every single person in the vehicle during that completely unnecessary presidential 'drive-by' just now has to be quarantined for 14 days," James Phillips, who is also an assistant professor of emergency medicine at George Washington University's medical school said on Twitter.

"They might get sick. They may die. For political theatre."

READ: Trump criticised for leaving hospital to greet supporters in motorcade

CNN quoted a White House official as saying that his wife, Melania, who also tested positive for COVID-19, is not considering leaving the White House.

"Melania Trump is aware of the dangers of COVID-19. Potentially exposing others is not a risk she would take," the official said.

US stock index futures bounced on Monday amid hints of Trump's potential release and signs of progress with a new fiscal stimulus Bill. Wall Street's main indexes slumped on Friday after Trump's announcement that he had COVID-19.

A return to the White House might help Trump project a sense of normalcy in his difficult battle to win re-election on Nov 3.

Dr Sean P Conley, the White House physician, on Sunday acknowledged that Trump's condition had been worse than previously admitted. Conley said Trump had run a high fever on Friday morning and he had been given supplemental oxygen after his blood oxygen levels had dropped.

Doctors not involved in Trump's treatment said the president's condition might be worse than Conley let on. As an overweight, elderly man, Trump is in a category that is more likely to develop severe complications or die from the disease.

Biden, 77, has tested negative for the disease several times since sharing a debate stage with Trump last Tuesday. He is due to resume in-person campaigning on Monday in Florida, where opinion polls show a tight race in a crucial battleground for the Nov 3 election.

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

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2020-10-05 13:16:30Z
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Malaysian PM Muhyiddin on 14-day home quarantine after religious affairs minister tests positive for COVID-19 - CNA

KUALA LUMPUR: Malaysian Prime Minister Muhyiddin Yassin will undergo a 14-day home quarantine, after a minister who attended a meeting he chaired tested positive for COVID-19.

In a statement on Monday (Oct 5), Mr Muhyddin said he had earlier chaired a special National Security Council meeting on Saturday, which was also attended by Minister in the Prime Minister’s Department Zulkifli Mohamad Al-Bakri.

The minister has since tested positive for COVID-19 and is seeking treatment in a hospital in Seremban, he added. 

Mr Muhyddin said he would undergo self-quarantine at his residence for 14 days based on the Ministry of Health's advice. 

"However, this will not affect government affairs. I will continue to work from home and have video calls for meetings that have to be chaired by me," he said. 

The prime minister added that the Ministry of Health has conducted COVID-19 detection screening test on all attendees and the secretariat of the Saturday meeting.  

He also said that as a precaution, he has been undergoing swab test every two weeks since April and all results were negative. 

​​​​​​​Earlier, Dr Zulkifli, who is in-charge of religious affairs, confirmed in a Facebook post that he had tested positive for COVID-19 and was in good condition. 

“I urge members of the public present at events which I also attended from Sep 24 to Oct 4 to undergo COVID-19 health screening in any health clinics immediately,” he said.  

Muhyiddin meeting COVID-19
Malaysian Prime Minister Muhyiddin Yassin chaired a special meeting on COVID-19 on Oct 3, 2020, which was attended by a number of ministers and officials. (Photo: Facebook/Muhyiddin Yassin) 

The minister did not experience any COVID-19 symptoms at the time of the meeting on Saturday, according to a statement issued by Health Ministry director-general Noor Hisham Abdullah. 

“... (he) has now been admitted into hospital for isolation, observation and treatment according to the current protocols for COVID-19 positive cases,” Dr Noor Hisham said. 

The director-general added that all close contacts of this individual at the meeting have been served a Home Surveillance Order for 14 days beginning the day of contact.

READ: Malaysia will not re-impose COVID-19 curbs for now despite spike

The rest of the attendees who were not close contacts of the individual were required to undergo self-health monitoring at home every day for 14 days, he said.

All attendees have undergone health screening on Monday and their samples have been taken for COVID-19 detection tests. 

Separately, contact tracing was ongoing, with screening and swab tests being part of the actions, Dr Noor Hisham said. 

Saturday's meeting came after a surge in the number of cases in the country. 

The COVID-19 pandemic appeared to be under control in Malaysia between June and August, until cases started to rise again in September.

Majority of the cases were detected in Sabah, and the government had said that the outbreak stemmed from undocumented migrants.

On Monday, Malaysia reported yet another day of record high cases. The 432 new cases brought the total so far to 12,813.   

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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2020-10-05 10:41:15Z
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Malaysian PM Muhyiddin on 14-day home quarantine after religious affairs minister tests positive for COVID-19 - CNA

KUALA LUMPUR: Malaysian Prime Minister Muhyiddin Yassin will undergo a 14-day home quarantine, after a minister who attended a meeting he chaired tested positive for COVID-19.

In a statement on Monday (Oct 5), Mr Muhyddin said he had earlier chaired a special National Security Council meeting on Saturday, which was also attended by Minister in the Prime Minister’s Department Zulkifli Mohamad Al-Bakri.

The minister has since tested positive for COVID-19 and is seeking treatment in a hospital in Seremban, he added. 

Mr Muhyddin said he would undergo self-quarantine at his residence for 14 days based on the Ministry of Health's advice. 

"However, this will not affect government affairs. I will continue to work from home and have video calls for meetings that have to be chaired by me," he said. 

The prime minister added that the Ministry of Health has conducted COVID-19 detection screening test on all attendees and the secretariat of the Saturday meeting.  

He also said that as a precaution, he has been undergoing swab test every two weeks since April and all results were negative. 

​​​​​​​Earlier, Dr Zulkifli, who is in-charge of religious affairs, confirmed in a Facebook post that he had tested positive for COVID-19 and was in good condition. 

“I urge members of the public present at events which I also attended from Sep 24 to Oct 4 to undergo COVID-19 health screening in any health clinics immediately,” he said.  

Muhyiddin meeting COVID-19
Malaysian Prime Minister Muhyiddin Yassin chaired a special meeting on COVID-19 on Oct 3, 2020, which was attended by a number of ministers and officials. (Photo: Facebook/Muhyiddin Yassin) 

The minister did not experience any COVID-19 symptoms at the time of the meeting on Saturday, according to a statement issued by Health Ministry director-general Noor Hisham Abdullah. 

“... (he) has now been admitted into hospital for isolation, observation and treatment according to the current protocols for COVID-19 positive cases,” Dr Noor Hisham said. 

The director-general added that all close contacts of this individual at the meeting have been served a Home Surveillance Order for 14 days beginning the day of contact.

READ: Malaysia will not re-impose COVID-19 curbs for now despite spike

The rest of the attendees who were not close contacts of the individual were required to undergo self-health monitoring at home every day for 14 days, he said.

All attendees have undergone health screening on Monday and their samples have been taken for COVID-19 detection tests. 

Separately, contact tracing was ongoing, with screening and swab tests being part of the actions, Dr Noor Hisham said. 

Saturday's meeting came after a surge in the number of cases in the country. 

The COVID-19 pandemic appeared to be under control in Malaysia between June and August, until cases started to rise again in September.

Majority of the cases were detected in Sabah, and the government had said that the outbreak stemmed from undocumented migrants.

On Monday, Malaysia reported yet another day of record high cases. The 432 new cases brought the total so far to 12,813.   

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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2020-10-05 10:22:01Z
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Malaysian minister Zulkifli Mohamad al-Bakri tests positive for Covid-19, was at Cabinet meeting with PM Muhyiddin - The Straits Times

PUTRAJAYA (THE STAR/ASIA NEWS NETWORK, REUTERS) - Minister in the Prime Minister’s Department (Religious Affairs) Datuk Dr Zulkifli Mohamad Al-Bakri has tested positive for Covid-19.

The minister confirmed this on his Facebook page on Monday (Oct 5).

“To all Malaysians, I am currently under treatment after being tested positive for Covid-19 by the Health Ministry.

“Alhamadulillah, to this moment, my health is good.

“I am urging all people who had attended events between Sept 24 and Oct 4, at which I was present, to please immediately undergo Covid-19 screening at the nearest health clinic.

“I pray that Allah will heal and save Malaysians from Covid-19, Insyaallah,” Dr Zulkifli wrote.

On Oct 3, Dr Zulkifli attended a Covid-19 ministerial special meeting at the Prime Minister’s Department, which was attended by members of the Cabinet, including Prime Minister Muhyiddin Yassin.

Dr Zulkifli was also in Sabah during the state election campaigning period for ministerial programmes.

Mr Muhyiddin Yassin on Monday said he will self quarantine for 14 days.

“However, this will not interrupt government business. I will continue to work from home and use video conferencing to conduct meetings as necessary,” he said in a statement.

Those identified as close contacts at Oct 3’s National Security Council meeting to discuss Covid-19 had been issued a 14-day home surveillance order starting Oct 3.

Malaysia on Monday confirmed 432 new Covid-19 infections - 429 local transmissions and three imported cases - the highest daily increase since the pandemic hit the country.

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2020-10-05 08:40:41Z
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'Like wolves to Yellowstone': Tasmanian devils released on Australian mainland - CNA

SYDNEY: Tasmanian devils have been released into the wild on Australia's mainland 3,000 years after the feisty marsupials went extinct there, in what conservationists described Monday (Oct 5) as a "historic" step.

Aussie Ark, along with a coalition of other conservation groups, revealed Monday that they had released 26 of the carnivorous mammals into a 400ha sanctuary at Barrington Tops, about 3.5 hours north of Sydney.

Tasmanian devil populations have been ravaged by a mysterious facial-tumour disease
Tasmanian devil populations have been ravaged by a mysterious facial-tumour disease. (Photo: AFP/Handout) 

Tim Faulkner, president of Aussie Ark, said the "historic" releases in July and September were the first steps in a project akin to the successful move to return wolves to Yellowstone National Park in the United States in the 1990s.

After 16 years of work, including the establishment of mainland Australia's largest Tasmanian devil breeding programme, Faulkner said it was "incredible and surreal" to have reached the goal.

"It's the stuff dreams are made of," he told AFP.

"Our biggest native mainland predator is the tiger quoll - and they're just over a kilo - so to be bringing back something of this enormity is huge."

Tasmanian devil populations have been ravaged by a mysterious facial-tumour disease
Tasmanian devil populations have been ravaged by a mysterious facial-tumour disease. (Photo: AFP/Handout) 

Tasmanian devils, which weigh up to 8kg and have a black or brown coat, typically prey on other native animals or scavenge carcasses.

According to government environmental authorities, devils are not dangerous to humans or livestock but will defend themselves if attacked and can cause serious injury.

The animals - known for their extremely loud growl, powerful jaws and ferocity when confronting rivals over food or mates - are classified as endangered after a contagious facial tumour disease ravaged the remaining population on the Australian island state of Tasmania.

It is estimated that fewer than 25,000 Tasmanian devils still live in the wild, down from as many as 150,000 before the mysterious, fatal disease first struck in the mid-1990s.

On Australia's mainland, they are believed to have been wiped out by packs of dingoes - wild dogs native to the vast continent - an estimated 3,000 years ago.

'SLICE OF TASMANIA'

Faulkner said it was hoped the project would create an "insurance population" against the face-tumour disease, which has so far proved untreatable, and help restore the native environment.

"Devils present one of the only natural solutions to the control of fox and the cat, and the fox and cat are responsible for nearly all of out 40 mammal extinctions (in Australia)," he added.

Conservationists feed some young Tasmanian devils by hand
Conservationists feed some young Tasmanian devils by hand. (Photo: AFP/Handout) 

"So there's more than the devil at stake here."

Aussie Ark selected the reintroduced devils for their breeding suitability, placing them in the sprawling, fenced area in the hopes of warding off threats to their survival including feral pests, noxious weeds and cars.

"We've put young, healthy devils in, we put them in now which gives them the best part of six months to settle, find their territory (and) prepare for breeding" which usually occurs in February, Faulkner said.

Another 40 are set to be released over the next two years into the sanctuary, which is on land bought by Aussie Ark for its habitat suitability, high number of herbivores and location near a national park.

"The land initially was selected because it's just like a slice of Tasmania," Faulkner said.

He said he was confident that close monitoring as the Tasmanian devils make the "massive transition" back to the wild - where they have no supplied food, water or shelter for the first time in their lives - would ensure the programme's early success.

Actors Chris Hemsworth (L) and Elsa Pataky helped release the animals at a sanctuary in New South
Actors Chris Hemsworth (L) and Elsa Pataky helped release the animals at a sanctuary in New South Wales. (Photo: AFP/Handout) 

As part of the "ambitious" rewilding scheme, Aussie Ark plans to eventually introduce more of the animals to unfenced areas, where they will contend with a much greater range of new threats including the country's notorious bushfires.

The Tasmanian devil is one of seven cornerstone species critical to Australia's ecosystem that Aussie Ark plans to reintroduce to the wild sanctuary in the coming years, along with quolls, bandicoots and rock wallabies.

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2020-10-05 04:13:49Z
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Minggu, 04 Oktober 2020

Trump's case of COVID-19 may be severe, experts say - CNA

NEW YORK: Doctors not involved in treating President Donald Trump for COVID-19 said the fact that he has been started on dexamethasone - a generic steroid widely used in other diseases to reduce inflammation - is the strongest evidence yet that his case may be severe.

Trump's medical team on Sunday (Oct 4) said the president was started on the steroid after experiencing low oxygen levels, but his condition was improving and he could be discharged from the hospital on Monday.

READ: Doctors monitoring Trump's lungs, giving steroid to fight COVID-19

READ: Trump criticised for leaving hospital to greet supporters in motorcade

"What I heard in the news conference description suggested the president has more severe illness than the generally upbeat picture painted," said Dr Daniel McQuillen, an infectious disease specialist at Lahey Hospital & Medical Center in Burlington, Massachusetts.

The Infectious Disease Society of America says dexamethasone is beneficial in people with critical or severe COVID-19 who require extra oxygen. But studies show that the drug is not helpful – and may even be harmful – in people with a milder case of the illness.

Given the patient is 74 years old, overweight and possibly at high risk of complications, "they were aggressive at the beginning", said Dr Stuart Cohen, chief of infectious disease at California's UC Davis Health.

He and other doctors who have been treating COVID-19 patients for months said Trump, who surprised cheering supporters outside the hospital by riding past in a motorcade Sunday evening, could still be discharged from the hospital. Trump returned to Walter Reed National Military Medical Center after the short trip.

"He's not going to go to a home where there's no medical care. There's basically a hospital in the White House," said Dr Walid Gellad, professor of medicine at University of Pittsburgh.

Trump was flown to the hospital on Friday hours after announcing that he had tested positive for coronavirus infection. While at the White House, the president was given an infusion of an experimental antibody treatment from Regeneron Pharmaceuticals that is being studied for early infections. On Saturday, the president was started on a five-day course of intravenous antiviral drug remdesivir, which is sold by Gilead Sciences.

Doctors have said that both of these drugs makes sense early in the course of illness to prevent it from getting worse, but dexamethasone is generally reserved for people whose condition has deteriorated.

"We give dexamethasone to patients who require supplemental oxygen," said Dr Amesh Adalja, an infectious disease specialist at Johns Hopkins University.

If Trump no longer requires supplemental oxygen and is able to return to his normal activities, his doctors could discharge him from the hospital, he said.

"The biggest question would be is there a risk of deterioration, or is he on a good trajectory?" Dr Adalja said.

READ: What is the treatment plan for President Trump's COVID-19?

READ: Steroids cut death rates among critically ill COVID-19 patients, major study finds

COVID-19 is often characterised as having two phases – the viral infection itself and in some cases an overreaction of the body's immune system that can cause organ damage. "People sort of putter along for up to a week ... then everything goes downhill very quickly," Dr Cohen said. "It is always hard to predict who that is going to happen in."

Doctors said COVID-19 patients who have had a good response to treatment can leave the hospital relatively quickly, but they will still need to be closely monitored.

"Some people with COVID-19 develop worsening symptoms, shortness of breath and other complications about a week after they first develop symptoms," said Dr Rajesh Gandhi, an infectious disease physician at Massachusetts General Hospital in Boston.

Dr David Battinelli, chief medical officer at New York's Northwell Health said "it's entirely plausible" that Trump could get discharged on Monday, but cautioned that a full recovery would take time.

"It would be very unlikely for him to be out and about, and on the campaign trail in less than 14 days," he said. 

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

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2020-10-05 03:56:15Z
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