Jumat, 18 Juni 2021

All a boar-d! Wild pig goes on train ride in Hong Kong - CNA

A young wild boar in Hong Kong has sparked delight by hopping onto a Hong Kong train and leading staff on a merry cross-harbour chase that included boarding two separate trains.

boar
A young wild boar in Hong Kong has sparked delight by hopping onto a Hong Kong train and leading staff on a cross-harbour chase that included boarding two separate trains. (Photo: Facebook/Hong Kong Wild Boar Concern Group)

HONG KON: A young wild boar in Hong Kong has sparked delight by hopping onto a Hong Kong train and leading staff on a cross-harbour chase that included boarding two separate trains.

The plucky piglet slipped under the ticket barriers of Quarry Bay station on Hong Kong Island on Friday (Jun 18) afternoon and somehow managed to board a passing train.

Video of the incident showed it trotting down a carriage half-filled with bemused commuters as a hapless staff member tried - and failed - to catch him with a blue tarpaulin.

Officials said the boar alighted a few stops later and then boarded a second train that headed under Victoria Harbour.

The train was eventually diverted to a depot where officers from the Agriculture, Fisheries and Conservation Department were able to safely capture the animal and release him back into the wild.

Best known for its densely packed skyscrapers, Hong Kong also boasts large tracts of subtropical mountains and parkland that host a thriving number of Eurasian wild pigs.

And increasingly humans and pigs are meeting face to snout.

Boars have been filmed running alongside vehicles on roads, jogging down beaches filled with sunbathers, sniffing the tarmac at the city's international airport - and even falling through the ceiling of a children's clothing store.

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2021-06-19 02:34:54Z
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IN FOCUS: The rapid rise of the Delta variant and how it is shaping Singapore's COVID-19 fight - CNA

SINGAPORE: On May 31, Prime Minister Lee Hsien Loong signalled that a new, dangerous front had opened up in Singapore's battle against COVID-19.

It was not about the tightening or easing of restrictions, but a shift in strategy to contain a changing enemy.

“Unfortunately, we are also fighting new, more infectious variants of the COVID-19 virus,” he said. “What does a more infectious virus mean for our fight against COVID-19? It implies that we must continually adjust our strategies and raise our game to keep COVID-19 under control.”

Singapore, Mr Lee said, needed to do more of three things, and faster: Testing, contact tracing and vaccination against COVID-19.

READ: Singapore 'on track' to bring COVID-19 outbreak under control; curbs may be eased after Jun 13: PM Lee

On Friday (Jun 18), Health Minister Ong Ye Kung said Singapore has raised its contact tracing, testing and quarantine capabilities as well as vaccinated a "good part" of its population.

“So I believe we are now able to put ‘circuit breaker’ behind us and keep most businesses open while navigating a wave of transmissions, as we have just done over the past few weeks,” he said.

But even as he signalled progress was being made, Mr Ong also sounded a cautionary note: “However, with the Delta variant, we still need to be very careful of high-risk settings, meaning enclosed, mask off, and lots of interaction, namely in F&B (places) and gyms.”

It is easy to see why the variants have created a new dynamic for the authorities to deal with.

covid-19 variants of concern singapore

The Ministry of Health (MOH) told CNA on Friday that as of the end of May, it has detected 428 local COVID-19 cases with the more infectious B16172 variant – recently dubbed the Delta variant – of the coronavirus first detected in India.

The Delta variant has also been identified in 122 imported cases, MOH said.

The B1617 variant has been called a triple mutant variant since it is split into three lineages, including B16171 (Kappa) and B16172.

While MOH did not say when the first Delta variant case was confirmed in Singapore and which case this was, figures from the global epidemic tracker GISAID show that the first Delta case was detected here on Apr 1.

The GISAID data did not indicate if this first case was local or imported.

From Apr 1 to May 31, MOH announced in its daily updates a total of 574 new community infections.

Infographic Greek names for COVID-19 variants B1617

MOH figures also showed that as of May 31, nine local cases have the B1351 (Beta) variant first detected in South Africa, seven local cases have the B117 (Alpha) variant first detected in Britain, and five local cases have the B11281/P1 (Gamma) variant first detected in Brazil.

The World Health Organization (WHO) has identified these strains as “variants of concern” as they are more transmissible, virulent, or resistant to public health measures or treatments.

READ: Is it all Greek to you? COVID-19 variants get new names

MOH also said early in May that three local cases have the Kappa variant.

The Kappa variant is a “variant of interest” under WHO’s classification, meaning it has caused community transmission and clusters, or has been detected in multiple countries.

MOH said the National Public Health Laboratory conducts viral genomic sequencing on all COVID-19 cases in Singapore to detect variants.

“Sequencing and analysis takes about seven days on average but it may take longer, particularly if there is a lower viral load in the swab specimens,” a spokesperson said. “Due to the time taken to carry out this process, variant cases will be reported as confirmed cases, but not necessarily as variant cases, in our daily press releases.”

The spokesperson said sequencing is an ongoing process carried out concurrently with “prompt public health action”.

“The National Centre for Infectious Diseases (NCID) reports regularly to GISAID as and when the analysis is completed,” the spokesperson added.

CHANGI AIRPORT CLUSTER

The B1617 variant’s relentless spread was highlighted in the Changi Airport cluster, which ballooned to more than 100 cases in less than a month to become Singapore’s largest active COVID-19 cluster. The cluster was closed on Friday after going through two incubation periods without any new cases.

The cluster’s index case, Case 62873, is an 88-year-old cleaner who worked at Changi Airport Terminal 3. He tested positive on May 5 despite being fully vaccinated.

While it remains unclear how exactly the variant reached Singapore, spread so quickly and infected other members of the public, there were some early clues.

TIMELINE: How Changi Airport became Singapore's largest active cluster

Mr Ong Ye Kung said on May 14 that several cases linked to the airport cluster had tested preliminarily positive for the B1617 variant.

The infected airport workers mainly received travellers from high-risk countries in the immigration and baggage claim areas, he said. These workers would then go on to have their meals at the Terminal 3 Basement 2 commercial area and food court, where they likely passed the virus to the community, he added.

Initial transmission could have occurred through an airport worker who had helped a family from South Asia, the Civil Aviation Authority of Singapore and Changi Airport Group (CAG) said on May 21. The family later tested positive for the virus.

Changi Airport COVID-19 segregated zone (1)
Segregation of departing and arriving passengers at Changi Airport, with a marker for Zone 1, on May 24, 2021. (Photo: Gwyneth Teo) 

On May 24, CAG chief executive officer Lee Seow Hiang confirmed that the B1617 variant was part of what caused the cluster.

While the CEO said the airport had implemented “many layers of stringent safety protocols”, he acknowledged that “something changed” with the B1617 variant. 

“It penetrated our defences and caused a community outbreak,” he conceded.

The Changi Airport cluster had 108 cases as of Friday, with the most recent cases reported on May 23.

OTHER NOTABLE CLUSTERS

Another large cluster linked to the B1617 variant was the one that spread in Tan Tock Seng Hospital (TTSH). This remains Singapore’s only COVID-19 cluster in a hospital. The cluster is now closed.

A fully vaccinated 46-year-old female nurse at TTSH, or case 62541, became the first case linked to the cluster after she tested positive on Apr 27.

By May 4, just a week after the first case was discovered, the cluster had swelled to 40 cases, MOH figures showed.

On the same day, MOH’s director of medical services Kenneth Mak confirmed that the nurse, along with four others in the cluster, were infected with the Delta variant. Authorities are still investigating the source of the cluster.

READ: A timeline of the Tan Tock Seng Hospital COVID-19 cluster

Until now, variant cases continue to emerge alongside new clusters.

MOH confirmed on Wednesday that one case in the new Bukit Merah View market cluster had tested preliminarily positive for the Delta variant. The cluster was first identified three days earlier on Jun 13 with four cases linked to the food centre there. The cluster had 65 cases as of Friday.

Staff members cleaning wards in Tan Tock Seng Hospital
Staff members cleaning a ward in Tan Tock Seng Hospital. (Photo: Facebook/Tan Tock Seng Hospital)

Assistant Professor Hannah Clapham, who researches infectious diseases at the National University of Singapore’s (NUS) Saw Swee Hock School of Public Health, said it was important to study the clusters to learn about the Delta variant’s transmission rate, where and how it was spreading, and the effectiveness of the measures against it.

“It would seem that the higher transmissibility of the B16172 variant did mean that it was able to evade the measures that were in place in Singapore,” she said.

“It could also be that as this variant was spreading globally, we saw more introductions of B16172 into Singapore and therefore this is the variant that spread.”

READ: Delta variant fuelled 50% rise in England's COVID-19 prevalence: Study

Other countries are also dealing with the new challenges presented by the more infectious variant. 

According to GISAID, the UK had reported 46,890 Delta cases as of Friday, the highest number of confirmed cases in the world ahead of India (6,684 cases) and the US (2,853 cases).

The US Centers for Disease Control and Prevention on Tuesday recognised the Delta variant as a “variant of concern”, with top infectious diseases expert Dr Anthony Fauci encouraging everyone to get vaccinated, CNN reported. Dr Fauci pointed out that the Delta variant was in circulation in the United States at a rate similar to the tipping point seen in the UK, where the variant has become dominant.

The UK had announced on Monday that it would delay the easing of COVID-19 restrictions by another four weeks, until Jul 19, following a rise in cases and the growing spread of the Delta variant.

HOW MUCH MORE INFECTIOUS?

Beyond the fast rate of infection, it is worth understanding how variants form and how a particular strain gains dominance over the rest.

There are thousands of different coronavirus variants circulating worldwide. Viruses mutate all the time when replicating and most changes make no difference. Some even harm the virus.

But others can make the virus more infectious and the disease more threatening – and these strains tend to dominate.

“The few mutations that give a virus an advantage, such as being able to bind to the host cell better, tend to (allow the variant to) survive and eventually replace the other strains of the virus,” Dr Paul Tambyah, president of the Asia Pacific Society of Clinical Microbiology and Infection, told CNA.

Scientists work at a laboratory where they sequence the novel coronavirus genomes in Cambridge
Scientists work at a laboratory where they sequence the novel coronavirus genomes at COVID-19 Genomics UK, on the Wellcome Sanger Institute's 55-acre campus south of Cambridge, Britain March 12, 2021. REUTERS/Dylan Martinez

So, while experts CNA spoke to agreed that the Delta variant is more infectious, how much more infectious exactly is it?

“PCR tests indicate that the amount of virus in the (Delta) samples is often higher than what we see before,” said Professor Leo Yee Sin, executive director at the NCID.

“This could be 100- to 1000-fold higher than expected, reflecting the millions of virus particles present in each specimen. This high viral load in the respiratory tract may imply higher transmission ability resulting in a large number of cases and at faster speed.”

Citing research coming out of the UK, Dr Tambyah said the Delta strain was associated with secondary infections in 13.5 per cent of cases with local transmission. This is in contrast to 11 per cent for the Gamma variant and 8.1 per cent for the Alpha variant.

AIRBORNE TRANSMISSION OF VARIANTS

Another worry is the potential airborne transmission of variants.

While it has been established that COVID-19 infection primarily occurs through exposure to respiratory fluids carrying the virus, the science increasingly shows that the virus could also be spread by tiny particles suspended in the air.

COVID-19 multi-ministry task force co-chair Lawrence Wong alluded to this on May 18 when recommending the wearing of masks with better filtration.

“It's not just wearing a cloth mask, but wear one with high filtration capability – a surgical mask or one of those with the filter inserts,” he said. “That is important because of the latest evidence about the nature of the various strains, how transmissible they are and the fact that the spread can happen through aerosolised particles.”

READ: Masks with better filtration capability recommended as new COVID-19 variants spread

Professor Laurent Rénia, who studies infectious diseases at Nanyang Technological University’s (NTU) Lee Kong Chian School of Medicine, said the issue of airborne transmission is still a matter of debate in the scientific community.

“But evidence is accumulating that short range aerosol transmission may occur,” he said.

NCID’s Prof Leo said the larger amount of virus excreted by Delta variant cases could be spread through various modes of transmission, including direct contact, surfaces and airborne droplets.

“When a person sneezes or coughs, he or she produces a range of particles of different size and weight,” she explained. “The very small and light particles can be dispersed a longer distance away and some might linger in the air for a longer period of time.”

A vendor wearing a face mask is seen at a Chinatown shop
A vendor wearing a face mask is seen at a Chinatown shop in Singapore on Jan 5, 2021. (Photo: AFP/Roslan Rahman)

Professor Dale Fisher, senior consultant at the National University Hospital’s (NUH) division of infectious disease, believes the variants’ more infectious nature makes it seem like transmission modes have changed.

“What might look like a change in the mode of transmission is actually just because the virus is less forgiving,” he said. “Now, if an aerosol could have transmitted it before uncommonly, well maybe now it might be a little bit more common.”

VACCINES EFFECTIVE AGAINST VARIANTS?

With the variants being more infectious and potentially spreading through the air, some have questioned how effective current vaccinations are against these strains.

Some studies have shown that vaccines are slightly less effective against the Delta variant, but the experts were quick to stress that the jabs still offered good protection and helped reduce severe disease.

For instance, Dr Leong Hoe Nam, infectious diseases specialist at the Rophi Clinic, pointed to a UK study that showed the Pfizer-BioNTech shot was 88 per cent effective against the Delta variant two weeks after the second dose. The Pfizer-BioNTech jab has a usual efficacy of about 95 per cent, meaning the chance of getting COVID-19 is 95 per cent lower after full vaccination.

COVID-19 vaccination at Tanjong Pagar, Singapore (6)
An elderly person receiving a dose of the COVID-19 vaccine at Tanjong Pagar Community Centre on Jan 27, 2021. (Photo: Jeremy Long)

In the Delta variant clusters, Prof Leo has seen vaccinated cases with family members who have tested positive. This means it could still be possible for vaccinated people to spread the virus.

“Genetic sequencing monitoring by the National Public Health Laboratory is still ongoing and we cannot rule out that a vaccinated patient is capable of transmitting the infection,” she said.

Still, Dr Tambyah said a vaccine effectiveness of at least 80 per cent was “more than enough to eliminate the virus eventually when enough people are vaccinated”.

“Vaccine breakthroughs occur with any virus, including the highly successful measles and chickenpox vaccines, but when enough people are vaccinated, the breakthroughs are rare and of limited public health significance,” he said.

Dr Tambyah said vaccines have shown “time and again” to be the only way to end an epidemic, including in smallpox and to a lesser extent polio and measles. “Careful vaccination strategies are needed to ensure that the community transmission of the virus in Singapore is significantly reduced,” he said.

Forty-nine per cent of the population have taken their first doses of vaccination, and “slightly over” 35 per cent are fully vaccinated with both doses, Mr Ong said on Friday. As of Jun 15, more than 4.7 million doses of the COVID-19 vaccination have been administered in Singapore, he added. More than 2.7 million people have received at least one dose of the COVID-19 vaccine.

READ: Singapore accelerates national COVID-19 vaccination programme, students the next group to be inoculated 

READ: 'Overwhelming' response for Sinovac COVID-19 vaccine at some approved clinics 

Still, the experts said Singapore’s vaccination strategy could evolve as more people got their jabs.

If evidence shows that the variants could “escape” the immune response induced by the vaccine or after natural infection, NTU’s Prof Rénia said a booster injection of a new vaccine with proteins from the variants could be necessary.

Dr Tambyah also pointed to the possibility of the authorities introducing “ring vaccination”, when contacts of a single case or small cluster are quickly vaccinated.

While this approach has yet to be tried in the COVID-19 pandemic, it proved effective in mumps outbreaks on US college campuses, he said. “It may not work for secondary cases but it will reduce further spread,” he added.

TESTING AND CONTACT TRACING

Vaccination is just one brick in the wall keeping COVID-19 variants at bay. Testing and tracing strategies are set to evolve as the vaccination rollout progresses, the experts said. 

Routine and large-scale testing for COVID-19 could become part of Singapore’s new normal. Singapore is shifting its approach to testing, and this must be done faster, more liberally and extensively, said Prime Minister Lee Hsien Loong in his televised speech in May.

On Jun 16, rapid self-test kits went on sale in pharmacies. These help detect and isolate persons quickly when they are most infectious, and will be a “big help” in slowing the spread of COVID-19, Mr Lee said.

With tests becoming faster and cheaper, routine testing could be done at more workplaces, restaurants and shopping malls, and for individuals like educators and taxi drivers whose jobs involve coming into close contact with many people, he said.

FAQ: What you need to know about the new DIY COVID-19 antigen rapid test kits

Singapore will also contact trace more widely, Mr Lee said, with contact tracers working faster and better because they have more experience, skills and better tools like TraceTogether and SafeEntry.

“I will be looking out for how the testing and contact tracing parts of the strategy change as vaccination increases,” NUS’ Asst Prof Clapham said.

“Once we get to a very high proportion of the population vaccinated, we may worry less about asymptomatic infections, as we don’t have the same risk of these infections leading to outbreaks of severe disease.”

IMPROVING SAFETY MEASURES

Until then, organisations at ground zero of variant clusters continue to ramp up safety measures. Both TTSH and Changi Airport put in place restrictions on people entering their premises and completed at least one round of testing for thousands of employees while also introducing other safety measures.

“We now know many of the cases infected with new variant strains of concern, including B16172, have higher quantities of virus in their secretion,” said Prof Leo, noting that the preventive measures then become “even more important”.

These include keeping the environment clean and well ventilated, as well as reducing human-to-human contact, she added.

Dr Hoi Shu Yin, chief nurse at TTSH, told CNA that the hospital is cleaning and auditing its wards for hygiene more frequently. “We also took steps to improve air ventilation in our wards by retrofitting all general wards and ward toilets with exhaust fans,” she said, adding that high-efficiency particulate air (HEPA) filters have also been installed.

Likewise, Changi Airport’s terminals have been fitted with HEPA filters that prevent stagnant air and ensure constant air flow in a single direction. Airport workers are now segregated according to their COVID-19 exposure risk, with no mingling between zones.

READ: Tan Tock Seng Hospital's Ward 9D to resume admissions after enhancing safety measures 

READ: Changi Airport to segregate workers based on COVID-19 exposure risk 

Other high-risk places are doing more too. The Singapore General Hospital said staff working in wards are required to wear N95 respirators, rather than surgical masks, for “a better mask fit”.

The hospital is also swabbing non-vaccinated staff weekly and vaccinated staff every two weeks, its director of infection prevention and epidemiology Dr Ling Moi Lin told CNA.

“It is critical that we reduce the transmission of the virus rapidly with good public health measures … such as good hand hygiene and masking, adequate ventilation as well as increasing the percentage of vaccinated persons,” said Dr Ling. “As long as there are viruses circulating, there is an opportunity for variants to develop and we need to remove that opportunity.”

WHAT YOU CAN DO

On a personal level, the experts said the proper wearing of masks that meet filtration standards is integral in fighting back against the more infectious variants.

In mid-May, health authorities recommended that people wear masks with better filtration amid a spike in variant cases and the emergence of new clusters. 

These masks, both single-use or reusable, should have at least a 95 per cent bacterial filtration efficiency, said MOH at the time. 

NCID’s Prof Leo reiterated that masks should closely and completely cover the nose and mouth. “If we sneeze or cough, do it with the mask on because we rely on the filtration function of the mask to limit the number of particles flowing out into the environment,” she said.

People wearing face masks cross a road amid the coronavirus disease (COVID-19) outbreak in Singapore
People wearing face masks cross a road amid the COVID-19 outbreak in Singapore on May 14, 2021. (File photo: Reuters/Caroline Chia)

Beyond masks, Prof Leo said the usual measures still apply: Hand hygiene, staying home as much as possible as well as early medical attention and testing.

“It is important to remember prevention measures work hand in hand together. No one preventive measure can work alone,” she added. “Community resilience where everyone is doing their very best is key to combating SARS-CoV-2 that is elusive in nature.”

To overcome the variants, NUH’s Prof Fisher said people should adhere to the same measures, like minimising contact with others, more seriously.

“It’s more about doing all the things that we know and doing them well,” he added. “So it’s actually the same measures – they’re just being (implemented) more aggressively.”

VARIANTS WILL CONTINUE TO EMERGE

Nevertheless, the experts agreed that despite Singapore’s best efforts, different and new variants will probably continue to emerge and re-emerge over time. 

New strains that are even more transmissible and less virulent, meaning they cause less severe disease, are “extremely likely” to emerge, said Dr Tambyah. 

“After a few years, the virus will probably become like one of the common cold viruses widespread but deadly only to the elderly and vulnerable,” he added. 

Dr Tambyah highlighted the Russian flu in the late 19th century as one example of this. It eventually became a seasonal coronavirus now seen regularly by doctors. 

COVID-19 restrictions in Singapore
A man walks past chairs stacked up outside restaurants as dining-in is restricted to curb the COVID-19 outbreak in Singapore, May 17, 2021. (Photo: REUTERS/Edgar Su)

The experts stressed that new variant strains arise when viruses evolve to adapt and evade human defences, with each variant bringing different challenges. 

“Most experts, including myself, believe that SARS-CoV-2, unlike SARS-CoV (which caused the Severe Acute Respiratory Syndrome), will stay with us,” said Prof Leo. “It will continue to evolve and we humans will continue to develop defence mechanisms such as vaccines and treatment.”

The human versus COVID-19 struggle is “expected to be dynamic” and “occasionally volatile with blips of resurgence” in cases, she said. 

“We foresee ongoing restriction-relaxation to achieve some degree of balance allowing the healthcare system to cope with the cases and the entire society to return to the desired state of productivity,” she added.

A tourist wearing protective facemasks walks on Helix Bridge in Singapore on Feb 3, 2020
A woman walks on Helix Bridge in Singapore on Feb 3, 2020. (File photo: AFP/Roslan Rahman)

But Dr Leong at the Rophi Clinic warned against a lapse in measures like wearing masks and safe distancing, highlighting that the coronavirus could “mutate against the vaccine”.

“The weaker we are in this defence, the more likely replication and in turn mutations and variants appear,” he added.

“Disorganised, half-hearted attempts are exactly the prescription for viral mutants.”

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2021-06-19 00:12:18Z
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Delta COVID-19 variant becoming globally dominant, WHO official says - CNA

GENEVA: The Delta variant of the coronavirus, first identified in India, is becoming the globally dominant variant, the World Health Organization's (WHO) chief scientist said on Friday (Jun 18).

Soumya Swaminathan also voiced disappointment in the failure of CureVac's COVID-19 vaccine candidate in a trial to meet the WHO's efficacy standard, in particular as highly transmissible variants boost the need for new, effective shots.

Britain has reported a steep rise in infections with the Delta variant, while Germany's top public health official predicted it would rapidly become the dominant variant there despite rising vaccination rates.

The Kremlin blamed a surge in COVID-19 cases on reluctance to have vaccinations and "nihilism" after record new infections in Moscow, mostly with the new Delta variant, fanned fears of a third wave.

"The Delta variant is well on its way to becoming the dominant variant globally because of its increased transmissibility," Swaminathan told a news conference.

READ: Moscow COVID-19 cases soar to record as mayor blames Delta variant

READ: Delta variant fuelled 50 per cent rise in England's COVID-19 prevalence, study says

Coronavirus variants were cited by CureVac when the German company this week reported that its vaccine proved only 47 per cent effective at preventing disease, shy of the WHO's 50 per cent benchmark.

The company said it documented at least 13 variants circulating within its study population.

Given that similar mRNA vaccines from Pfizer-BioNTech and Moderna posted efficacy rates topping 90 per cent, Swaminathan said that the world had been expecting more from CureVac's candidate.

"Just because it's another mRNA vaccine, we cannot presume all mRNA vaccines are the same, because each one has a slightly different technology," Swaminathan said, adding that the surprise failure underscored the value of robust clinical trials to test new products.

WHO officials said that Africa remains an area of concern, even though it accounts for only around 5 per cent of new global infections and 2 per cent of deaths.

New cases in Namibia, Sierra Leone, Liberia and Rwanda have doubled in the last week, WHO emergencies programme head Mike Ryan said, while vaccine access remains minuscule.

"It's a trajectory that is very, very concerning," Ryan said. "The brutal reality is that in an era of multiple variants, with increased transmissibility, we have left vast swathes of the population, the vulnerable population of Africa, unprotected by vaccines."

BOOKMARK THIS: Our comprehensive coverage of the COVID-19 pandemic 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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2021-06-18 15:18:47Z
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Malaysian experts suspect Covid-19 variants behind growing number of patients arriving dead in hospitals - The Straits Times

KUALA LUMPUR - A growing number of Covid-19 patients are dying before they can make it to a hospital in Malaysia and experts are concerned about the trend.

They say this may be due to newer and more virulent variants of the coronavirus, such as the Delta variant first identified in India, emerging in the country.

The condition of patients may have deteriorated faster because of the new variants, the government's Covid-19 Epidemiological Analysis and Strategies Task Force chairman, Professor Awang Bulgiba Awang Mahmud, told The Straits Times.

Data from the Ministry of Health showed that 370 victims were classified as brought in dead (BID) at hospitals as at June 14. More than half of that number or 195 cases were registered in the four weeks between May 14 and June 14.

Only 136 cases were reported as BID for the whole of last year.

The number of Covid-19 deaths overall has also spiked, from just 471 last year to more than 3,000 so far this year.

"Since those patients were not admitted to the hospital, they may have deteriorated rapidly. We do not have post-mortem reports on them, so it is difficult to know what they died of and Malaysia's genomic or epidemiological surveillance is low, so we do not have a clear picture of the virulence of the current variants," said Datuk Awang Bulgiba.

Infected persons may have brushed off their symptoms as just the common cold or a minor cough, not thinking that they had been infected with Covid-19.

Thus they were not tested and when they deteriorated rapidly, they were brought in dead, he added.

Furthermore, for some remote areas such as the interior of Sabah and Sarawak, medical facilities may be far away and not readily accessible.

Variants may have different signs and symptoms of infection, and patients may not recognise them as being due to a Covid-19 infection, he noted. Although those infected may not feel ill, they can be contagious and put others at risk.

The vaccination roll-out needs to be accelerated in order to protect more people quickly.

"To prevent severe Covid-19 from developing, the government really needs to ramp up its vaccination efforts further. I suggest that we ramp this up to say 300,000 to 500,000 doses per day. This will reduce spread by asymptomatic and unlinked or sporadic cases, which is worryingly high at the moment," said Prof Awang Bulgiba.

Malaysia is struggling to flatten the curve of infections with a third nationwide lockdown that ends on June 28.

The number of new cases announced on Friday (June 18) was 6,440.

Some 200,000 vaccinations are being given out each day as the country races to immunise as many as it can.

"Any DOA (dead on arrival) case is worrying," said virologist Chee Hui Yee at Universiti Putra Malaysia's Medicine and Health Sciences Faculty.

The deaths could have occurred due to a lack of self-regulation or even a lack of awareness of infection, she was quoted as saying by the Malaysian Insight news website.

Dr Chee said Covid-19 patients should use oximeters to measure their oxygen levels while in quarantine at home.

People should also get tested for Covid-19 immediately if they have symptoms, regardless of whether they have been in close contact with a positive case or not.

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2021-06-18 23:21:29Z
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Two Apple Daily executives charged with collusion with foreign country - CNA

HONG KONG: Hong Kong police charged the chief editor and chief executive of newspaper Apple Daily on Friday (Jun 18) with collusion with a foreign country, a national security case that has sent chills through the city's media.

On Thursday, 500 police raided the media outlet and officers were seen sitting in front of computers in the newsroom after the arrest of five Apple Daily executives at dawn on suspicion that dozens of its articles violated Hong Kong's new security law.

Police said it charged two of the five on Friday, identified by Apple Daily as editor-in-chief Ryan Law and chief executive officer Cheung Kim-hung. The other three, Chief Operating Officer Chow Tat-kuen, Deputy Chief Editor Chan Puiman and Chief Executive Editor Cheung Chi-wai, remain under investigation.

Police also said they would prosecute three companies related to Apple Daily for the same offence after freezing HK$18 million (US$2.32 million) of their assets.

The arrests have raised further alarm over media freedom in Hong Kong and have been criticised by Western governments and international rights groups and press associations.

READ: Hong Kong police raid newspaper Apple Daily, arrest 5 including editor-in-chief 

The chief UN human rights spokesperson, Rupert Colville, told Reuters on Friday the raid "sends a further chilling message for media freedom".

The national security law imposed by Beijing in 2020 on the former British colony has dropped an authoritarian chill over most aspects of life in Hong Kong, including education and arts.

Supporters flocked to buy copies of Apple Daily on Friday to protest against the raid.

The popular 26-year-old paper, which combines liberal discourse with celebrity gossip and investigations of those in power, increased its Friday press run to 500,000 copies, up from 80,000 the previous day.

"HANG IN THERE"

In the Mong Kok district, queues formed at some kiosks at midnight, with some customers carting off hundreds of first editions on trolleys and suitcases.

"You never know when this newspaper will die," said one reader surnamed Tsang who only gave his last name because of the sensitivity of the matter. "As Hong Kongers, we need to preserve the history. Hang in there as long as we can. Although the road is rough, we still need to walk it, as there's no other road."

By the morning, some newsstands in central Hong Kong had already sold out. One displayed a picture of Apple's logo with the words "Support press freedom" beneath it.

READ: Hong Kong newspaper Apple Daily increases print run after police raid

Tam, a 40-year-old banker, said he'd bought his first newspaper in 20 years after hearing about the raid.

"I don't mean to do anything with the newspaper in my hand. It's just for my conscience," he said.

It was the second time police had raided the newsroom after the arrest last year of media tycoon Jimmy Lai, an activist and staunch Beijing critic, who owns Next Digital, which publishes Apple Daily.

The newspaper printed a similar number after Lai's arrest in August 2020. Lai's assets have since been frozen as he faces three charges under the security law. He is serving prison sentences for taking part in illegal assemblies.

It was the first case in which authorities have cited media articles as potentially violating the security law, imposed after almost a year of mass protests.

Hong Kong officials have repeatedly said that media freedom and other rights would remain intact, but that national security was a red line.

READ: Jailed HK tycoon Jimmy Lai sentenced to 14 months for Oct 1 illegal assembly

China's Foreign Commissioner's Office said in a statement the national security law protected press freedom, while warning "external forces" to "keep their hands off Hong Kong".

On Thursday night in the Apple Daily newsroom, Ng, a graphics journalist who only gave his last name, said the raid was "really a pathetic moment for Hong Kong".

"If we can’t survive, there's no more press freedom," Ng said as he worked. 

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2021-06-18 11:34:50Z
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Thai tourism set for sluggish reboot as Phuket stutters on 'sandbox' - CNA

BANGKOK: Thailand's planned reopening of the resort island Phuket next month to vaccinated visitors, bypassing quarantine requirements, has met a lukewarm response, with hotel bookings indicating expected occupancy of less than 20 per cent so far.

The "Phuket Sandbox" initiative from Jul 1 will allow free movement on the island for tourists fully vaccinated against COVID-19, with no self-isolation on arrival. They will be given a green light to travel elsewhere in Thailand after 14 days.

But there are a few tricky conditions, too, and many industry professionals have complained that uncertainty and constant rule changes are deterring bookings. The plan will not be finalised until later this month.

READ: Phuket seeks 'special channel' to procure its own COVID-19 vaccines for planned July reopening

"This will be a slow process. None of us are expecting a 100 per cent occupancy on Jul 2," said Anthony Lark, president of the Phuket Hotels Association.

Thai Airways is on board, with direct flights from six European cites to Phuket from July, although it anticipates only a fraction of seats being filled, with about 100 passengers in the first week, the airline's representatives said.

For an economy reliant on tourism for jobs and consumption, the new arrivals will not bring immediate relief, although removal of the costly, two-week quarantine requirements that deterred tourists for more than a year offers some hope.

READ: Thailand plans to reopen to international tourists in 120 days - PM Prayut

"We're seeing strong interest, particularly from the Middle East, UK, Europe and Scandinavia already, to return to Phuket gradually," Lark said.

Thailand lost about US$50 billion in tourism revenue last year when foreign arrivals plunged 83 per cent to 6.7 million, from a record 39.9 million in 2019. The slump was attributed to global travel curbs and Thailand's tough entry requirements. Phuket was particularly hard hit by job losses and business closures.

The government hopes the Phuket Sandbox will draw 129,000 visitors to the country in the third quarter - a far cry from the average 3.3 million monthly arrivals to Thailand in 2019. Typically, a quarter of Thailand's visitors go to Phuket.

Thailand had just 28,701 visitors in the first four months of this year.

FILE PHOTO: Empty chairs are seen on a beach which is usually full of tourists, amid fear of corona
Empty chairs are seen on a beach which is usually full of tourists in Phuket on Mar 11, 2020. (File photo: Reuters/Soe Zeya Tun)

SCEPTICS ABOUND

One Phuket hotel owner said the sandbox initiative was "a bunch of bull" that would make little difference, in part because much of the target audience - middle class and wealthy Asians - must quarantine upon their return home.

"More than 50 per cent of Phuket tourism comes from China," said the hotelier, who asked not to be named.

"Without that market it will be difficult."

The island's hotel association has projected a gradual increase in occupancy to 30 to 40 per cent towards year-end, rising from 10 to 20 per cent over July to October, which includes local bookings.

Several major airlines are backing the plan and offering direct flights, including Emirates, El Al, Air France, Qatar Airways, British Airways and Cathay Pacific, according to the Tourism Authority of Thailand (TAT).

Singapore Airlines told Reuters its Phuket flights will increase from two per week to seven from July, after receiving interest from customers.

READ: Murky path towards post-pandemic recovery for some Southeast Asian airlines

But a few obstacles remain, with outbound movement restrictions in some key markets, like China, Japan and Malaysia, while Thai health authorities have banned visitors from some high-risk countries, like India.

Critics also complain of onerous conditions, like mandatory swab tests, insurance coverage of a minimum US$100,000 for COVID-19 treatment and use of a tracking application.

For its part, Phuket has been racing to vaccinate 70 per cent of its residents - a requirement for reopening - with 60 per cent having received a first dose so far, a rate far higher than capital Bangkok, the epicentre of Thailand's worst outbreak yet.

Phuket has recorded single digit cases most days since May, when it introduced negative test requirements for domestic arrivals. Bangkok, in contrast, recorded hundreds of new cases each day last month.

Prime Minister Prayut Chan-o-cha on Thursday said Thailand was reopening to visitors within 120 days, and called it a calculated but necessary risk.

If the sandbox scheme goes smoothly, authorities plan to replicate it in destinations like Krabi and Koh Samui.

"Its a totally new situation. You are trying to reopen the country to tourism to help the economy but at the same time you need to be cautious," said Chattan Kunjara Na Ayudhya, deputy governor of TAT.

BOOKMARK THIS: Our comprehensive coverage of the COVID-19 pandemic and its developments

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2021-06-18 10:41:15Z
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Two Apple Daily executives charged with collusion with foreign country - CNA

HONG KONG: Hong Kong police charged the chief editor and chief executive of newspaper Apple Daily on Friday (Jun 18) with collusion with a foreign country, a national security case that has sent chills through the city's media.

On Thursday, 500 police raided the media outlet and officers were seen sitting in front of computers in the newsroom after the arrest of five Apple Daily executives at dawn on suspicion that dozens of its articles violated Hong Kong's new security law.

Police said it charged two of the five on Friday, identified by Apple Daily as editor-in-chief Ryan Law and chief executive officer Cheung Kim-hung. The other three, Chief Operating Officer Chow Tat-kuen, Deputy Chief Editor Chan Puiman and Chief Executive Editor Cheung Chi-wai, remain under investigation.

Police also said they would prosecute three companies related to Apple Daily for the same offence after freezing HK$18 million (US$2.32 million) of their assets.

The arrests have raised further alarm over media freedom in Hong Kong and have been criticised by Western governments and international rights groups and press associations.

READ: Hong Kong police raid newspaper Apple Daily, arrest 5 including editor-in-chief 

The chief UN human rights spokesperson, Rupert Colville, told Reuters on Friday the raid "sends a further chilling message for media freedom".

The national security law imposed by Beijing in 2020 on the former British colony has dropped an authoritarian chill over most aspects of life in Hong Kong, including education and arts.

Supporters flocked to buy copies of Apple Daily on Friday to protest against the raid.

The popular 26-year-old paper, which combines liberal discourse with celebrity gossip and investigations of those in power, increased its Friday press run to 500,000 copies, up from 80,000 the previous day.

"HANG IN THERE"

In the Mong Kok district, queues formed at some kiosks at midnight, with some customers carting off hundreds of first editions on trolleys and suitcases.

"You never know when this newspaper will die," said one reader surnamed Tsang who only gave his last name because of the sensitivity of the matter. "As Hong Kongers, we need to preserve the history. Hang in there as long as we can. Although the road is rough, we still need to walk it, as there's no other road."

By the morning, some newsstands in central Hong Kong had already sold out. One displayed a picture of Apple's logo with the words "Support press freedom" beneath it.

READ: Hong Kong newspaper Apple Daily increases print run after police raid

Tam, a 40-year-old banker, said he'd bought his first newspaper in 20 years after hearing about the raid.

"I don't mean to do anything with the newspaper in my hand. It's just for my conscience," he said.

It was the second time police had raided the newsroom after the arrest last year of media tycoon Jimmy Lai, an activist and staunch Beijing critic, who owns Next Digital, which publishes Apple Daily.

The newspaper printed a similar number after Lai's arrest in August 2020. Lai's assets have since been frozen as he faces three charges under the security law. He is serving prison sentences for taking part in illegal assemblies.

It was the first case in which authorities have cited media articles as potentially violating the security law, imposed after almost a year of mass protests.

Hong Kong officials have repeatedly said that media freedom and other rights would remain intact, but that national security was a red line.

READ: Jailed HK tycoon Jimmy Lai sentenced to 14 months for Oct 1 illegal assembly

China's Foreign Commissioner's Office said in a statement the national security law protected press freedom, while warning "external forces" to "keep their hands off Hong Kong".

On Thursday night in the Apple Daily newsroom, Ng, a graphics journalist who only gave his last name, said the raid was "really a pathetic moment for Hong Kong".

"If we can’t survive, there's no more press freedom," Ng said as he worked. 

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2021-06-18 09:22:30Z
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